Medicaid Cases Need
Restraint
“Are you sure you will
be warm enough?” I asked Simon Quentin Lapius, M.D. as he stepped into the
autumn chill.
“Certainly,” he said,
wrapping a woolen muffler around his neck with a flourish. It was a rare
occasion. Lapius had decided to greet the falling leaves. There was always a
day or two during the year when he essayed a walk in the nearby park. He
called it the commons, a throwback to his training days in New England.
“I like to see the color
of the leaves,” he said simply.
Indeed, they were
beautiful, fluttering their rainbow colors in the gentle breeze, carpeting the
green with spangles of red and orange. Twigs leaned from trees that still
were partly green as if searching for their lost offspring.
But the peace and quiet
that Lapius anticipated was despoiled by massive crowds of men and women and
children carrying placards of every description.
“Help the second wife.”
“Children of third
husbands are discriminated against.”
“First husbands have to
feed two families.”
“Doctors won’t take
Medicaid patients. Where is Dr. Welby?”
There was furor and
turmoil. A waving placard struck Lapius on the forehead. He grasped
the shoulder of the culprit.
“Look here, you struck
me with that sign. You should be more careful.”
“I am sorry,” said the
young man. “But this is, after all, a protest.”
“What is the protest
about?” asked Lapius, dabbing at his forehead with a handkerchief, then
inspecting it for signs of blood.
“I have to support three
families,” the young man answered.
“How did that come
about?” asked Lapius, adjusting his bifocals.
“Simple. My first
wife and I got a divorce. She’s over there with the sign that says ‘first
wives are discriminated against.’ See her. The fat blond woman.”
Lapius nodded.
“Well, then I got married again, had a couple of kids, but the thing didn’t
work out. Now I have another wife, and two more kids and I have to
support all three families.”
“That’s terrible,” said
Lapius. “You are really in a fix.”
“Sure am,” said the
fellow. “After all, I only earn $18,000 a year, and that doesn’t go very
far with all those mouths to feed.”
“Quite a mess.”
“Well, it isn’t all that
bad, because I am on welfare since my take-home pay is really negligible.
As a matter of fact, there are my second and third wives carrying signs
complaining that doctors don’t take welfare patients.”
Lapius peered at
the two women, marching arm in arm with their placards.
“You mean,” asked
Lapius, “that your second and third wives are on welfare too?”
“Of course. And my
seven kids from the three marriages. Man, its rough. My first wife
complains that I don’t give her enough money each month. My second wife
is mad because my first wife gets more than she does. My third wife is
mad and threatening to leave me because I have to give so much money to my
other families. And we are all mad because the doctors won’t see us.”
“Well, well,” clucked
Lapius sympathetically, “society has certainly conspired to deprive you and
your wives and children of basic essentials. Wouldn’t it have been
simpler if you had either remained married to your first wife, or at least had
not children by your second and third wives?”
“Maybe, but my first
wife remarried and had to take in two children from her second husband.
He is paying alimony to my second wife. My third wife brought four of her
children to our house. Things are tough, man, they really are.
Society just doesn’t give us an equal break.”
“Perhaps,” suggested
Lapius, “If you had restrained yourself from having so many children things
might be easier.”
“That’s the trouble with
all you establishment guys. You want to deprive us of the fruits of
normal family life.”
Tossing a disdainful
look at Lapius he raised his placard and marched off to join his wives and
children, and cousins by the dozen who had conspired to spoil the one day of
the year that Lapius deigned to put aside for his annual constitutional.
Lapius was accosted by
the third wife. “What did he tell you?” she demanded.
“Nothing,” said Lapius,
“except that you are lucky – you won the marriage derby.”
“Yeah, some luck,” she
said. “I have to work to support his first two wives.”