Category Archives: health care

Straw Blankets, Ministry With The Poor

hay-blanket-peppers-smIt is cold here right now in North Texas.  Wind is blowing wildly, temperatures continue to drop and we are on target for record lows tonight.  Areas just slightly to the west and north are under a frost watch.  I suspect my own garden may get a bit of frostbite because it is on the north side, high up, with a large pasture behind it, so there is nothing to block the wind and cold.

I went out and piled straw around all the warm weather plants.  Am hopeful they won’t be damaged.  However, many gardeners and farmers may wake tomorrow to a fair amount of destruction.

As always, weather really does win. All who have reasonably well-insulated houses and functional heaters will stay comfortable. But for those who don’t . . .

These thoughts always lead me to the mandate that we are called to be in ministry with the poor.  I honor that, respect that and believe that it is nearly impossible for anyone who is reasonably protected to actually do that.

I’ve been doing a lot of reading and research this past year, trying to get a handle on what it means to be poverty-striken.  Now, there are lots of kinds of poverty:  spiritual, educational, financial, social, and cultural, just to name a few.  I think it is possible to have few monetary resources and not be poverty-striken, but those who manage that generally have rich inner resources and strong community support.  Most of the time, being impoverished in one area means the rest of the areas also suffer from the effects of poverty.

I understand that the vast majority of people in the US who end up in bankruptcy or in other terrible financial binds get there, not because of financial mismanagement or spending too much on luxuries, but because of the atrocious cost of even basic health care.  Emergencies and chronic illnesses, again much more common among those living in poverty to begin with, can send people into a never-ending spiral of greater debt, more ill-health, less ability to work, leading to greater debt, greater stress and even more ill-health.

And here is my conundrum:  how can we, particularly as United Methodists, confidently affirm that we seek to be in ministry with the poor when we have the straw blanket of fairly decent health insurance tucked all around us?

To be really, seriously, stuckly poor means no health insurance and extremely limited access to what few available means there are for medical care and the practice of habits that bring health rather than destroy health.

Last year, I had to undergo my first-ever surgery. A rapidly growing uterine tumor starting causing enough symptoms to set off alarm bells that even I would listen to.  Although I did have visions of someday being written up in a newspaper story (Headline:  ”Woman With Watermelon-sized  Tumor Steadfastly Denies That Anything is Wrong”), and after grieving that I would not be able to reach my stated goal of dying with all my lady-parts intact, I agreed to a hysterectomy.

Sure, I had co-pays.  Absolutely the hospital wanted their money up front.  It was a lot of money for me.  The insurance company paid their part (a pittance of the actual bill), and then it was over.   I was lucky. The tumor turned out to be benign, despite its rapid growth.  (One of the nurses in the hospital said, “I could not believe how much your uterus weighed!”  I tried to take that as a compliment.)  I recovered reasonably uneventfully, although I will say it is not a good idea to take an international flight just a couple of weeks after that kind of surgery.

But more to the point:  if I had not been able to wave my handy-dandy insurance card around, and whip out a high-limit credit card for my own part of this event, I would have faced these choices:  One, go ahead and let the tumor grow.  Two, have the surgery and be faced with years of paying off those bills.  And that was a relatively inexpensive procedure with no complications.

I am not rich, but I have straw blankets all around me.   I have a level of protection that cushions me to such a point that despite my real concern for those who do live in poverty, I can’t fully enter into their experience.

I do not know what it is like to live so close to the edge that a child sick for just a couple of days can have such an impact that my whole house of cards comes tumbling down.

If we are really going to do ministry with the poor, then we need to be in solidarity with the poor over these issues of health care.  I admit I do not know how to do this.  I don’t want to relinquish my own health insurance.  But I am reaching a point where I think it smacks of great hypocrisy to make that statement as a guiding principle and then live with the kinds of straw blankets around us that too many are routinely denied.

7 Comments

Filed under clergy, education, garden, health care, hypocrisy

Cold and Comfort, Disquiet at the Disparity

Winter WeatherIt’s one of those days where I realize just how fortunate I am.  The wind is pretty wild here in Krum and the temperature dropped well into the freezing range overnight.  It’s projected to be bitterly cold here tonight.

I personally welcome the cold weather.  I sleep better, and also appreciate the necessity of extended cold for the sake of yard and garden.

I am also not poor.  I live in a reasonably well-insulated house with a good heating system, have warm enough clothes, a car with a good heater, and plenty of blankets. No reason not to enjoy this.

But I’ve been reading one of the most painful books I’ve ever dipped into.  It’s called The Working Poor: Invisible in America, a national bestseller written by David K. Shipler.  This excellent writer brings the reader into the lives of those who live right on the margin of debilitating poverty, but who are nonetheless employed and hard-working people.  One little extra stressor–a sick child, a car repair, a lazy or negligent landlord, a bad harvest, a weather extreme, an extra medical bill, a fight with a spouse–and they plunge into a unending cycle of hopelessness.

Children born into this system are far more likely to suffer cognitive delays because of actual malnutrition and lack of necessary attachment time between parent and child.  Schooling becomes an unending nightmare, and parents do not have the resources to demand and get extra tutoring.  Plus, it may be too late by then.

These people are the ones who make lives possible for those who are more comfortable. I am one of those.

And this has all left me comfortably warm and uncomfortably disquieted.

2 Comments

Filed under charity, comfort, education, health care, schooling

Prayers for Annual Conference; unanswered questions to be addressed

Two weeks ago, Bishop Bledsoe invited the clergy of the North Texas Conference into dialogue.

Yesterday, he announced his retirement.

With Annual Conference starting tomorrow, I find myself deep, deep in prayer for all of us in the NTAC.

I am in London on a three month Sabbatical that is also a journey of healing, both physical and spiritual, as I work on a project I am calling The Sustainable Church.

I have learned this from my time in London:  time after time, this historic city has seen devastating fires and mass destruction from invading forces, the most recent being WWII.  So much of this place has been destroyed and yet . . . there is a deep resilience that says, “We can and we will rebuild.”

London, this ancient city, thrives.  I believe it thrives primarily because of one overarching ethos:  a willingness to honor the past, to hold onto a few essentials of identity (i.e., the monarchy, which serves as a powerful emotional glue here) and a willingness to continually recreate the future with new structures arising from the ashes of the old ones.

Those times of destruction ended up giving life here.

It seems to me that the General Conference, and the continuing fallout from it, will be seen in hindsight as the turning point for The United Methodist Church.  It will mark our moment of destruction, when the old can no longer serve us, for the fire was too intense.

I shall be in prayer for all in North Texas during the next three days.  On Sunday, I shall start those prayers while  in worship at St. Paul’s Cathedral, another structure rebuilt from fire, and which today serves as a beacon of hope and faithful worship.

Sunday afternoon, I shall do my part to observe the Queen’s Jubilee as I watch a 1000 boat flotilla come down the Thames in her honor, and I shall pray that we, too, will find our center in the King of Kings, the Lord of Lords, and hold fast to that truth.

Below are the three questions I asked Bishop Bledsoe after his invitation to conversation.  Although we had a phone conference a few days later, I did not receive answers to those questions.

They are just three among hundreds that must be asked openly and explored honestly as we go forward.

Questions for Bishop Bledsoe:

First, how exactly are you going to define an “effective” clergy person?

This blog post more fully asks that question. Effectiveness judged by numbers is highly contextually defined, and may have much less to do with the numbers that appear on various dashboards than they do with a fortunate demographic, some deep pockets in the congregation and a compromise of the message of the gospel and of personal integrity. Those numbers may have little to do with the calling, character, or missional fruitfulness of that clergy person.

To date, I have yet to see one comprehensive statement that clarifies what an effective clergy person looks like.

Also, while I understand the Bullseye measurement system now required as part of the consultation process is supposed to emphasize narratives not numbers, the system itself appears to give numbers only the large visual prominence highlighted by colors on quick glance.  Those initial impressions are rarely easily erased by reading smaller type-face explanations.

One more factor here:  I have heard several times that you and members of the Cabinet consider one third of the clergy in the North Texas Conference as “ineffective.”  Have you let that third know of that such designation is attached to their name and record?  How about the clergy deemed “effective?”  Do they know?

To use a business analogy:  if ⅓ of a given workforce is not doing their job, and if that significant portion of the workforce is never informed of the problem nor given opportunity to see and address the evaluations, how will there be improvement? And if the other ⅔ are working up to expectation, but are also never informed of such fact, but only told that (undefined) incompetence or ineffectiveness is a huge problem, then fear and anxiety will rule. Rarely do such emotions produce more self-motivated and willing work environments.

All clergy in this conference need to know how they have been classified (effective or ineffective; fruitful or unfruitful, or the latest terminology) and the reasons for that decision.

Second question concerns the issue of covenant.

I understand that the ruling at GC means that clergy can be placed on transitional leave for no reason other than a lack of missional appointment.  That means up to two years with no pay, no health insurance, no pension contributions, and, particularly for the more itinerant-in-practice clergy, no place to live. What plans are or will be in place to deal with this, especially the prohibitive cost of health insurance, or even its availability at all with certain pre-existing conditions?  Just saying, “oh we can buy in to the current system” is of little help because of the expense. I assume very, very few long-term clergy are going to find decent paying jobs in other fields immediately (if ever). Our training is uniquely specialized.

I am in favor of the elimination of the guaranteed appointment.  The church is not here to serve the clergy–it is very much the other way around.  It’s a rough and scary world with no guarantees for anyone in terms of employment security. We signed on for this work.  But with the removal of the guarantee, we also must continue to go where ever you as Bishop with your Appointive Cabinet decide, and I see considerably lessened reciprocal covenantal responsibility now. There are clergy killer churches. The most talented clergy person in one environment could be a dismal failure, i.e., “ineffective” in another.  What are your plans to deal with those kinds of churches?  [NB: the church I serve, Krum First UMC is a healthy, loving, serving and vital congregation.]

Third, the question of a possible double standard.  

The Bishops are exempt from the loss of guaranteed appointment.  No matter how poorly a Bishop may perform (and I have yet to see effectiveness standards for Bishops), the Bishop’s appointment, housing, pension, and health insurance are not put at risk.  Yet, as Bishops, you and your colleagues may now tell others to do what you yourselves will not do.  I can see little difference between that situation and that of members of our US Congress who enact burdensome laws on the public, but exempt themselves from following them.  Most people find that full of questionable ethics.  

I am not a schoolchild crying out, “Not Fair!”  Life never has been fair. This is a deeper question:  how does the Council of Bishops justify such privilege in the church that says we all are follow Jesus all the way to the cross?

Final Thoughts:

I also say this:  I’m tired of talking about all this. In my current Sabbatical, I’m opening my eyes more fully to the utter indifference most people have to the good news of Jesus, God among us, offering redemption and reconciliation. I see almost no awareness of the pervasiveness of human sin or the demanding holiness of God. We have lost the winsomeness of the power of the love of God to radically transform the world, both on an individual and a societal level.  Our insider language is nearly incomprehensible to the average person and our petty squabbles distasteful.

We have work to do.  I want to do this with within the group called United Methodist because I believe it is the best theological and connectional system available.  But no matter what happens to this connection, or what decisions are made about my place, or my not-place, within that connection, I will proclaim that Gospel. I will live it, breathe it, preach it, and serve it in all I say or do.  For this, I am called.

1 Comment

Filed under accountability, Bible, calling, character, clergy, health care, reconciliation, Uncategorized

Is There One Righteous Bishop in The United Methodist Church?

Is there one righteous Bishop in The United Methodist Church?  This would be akin to Abraham asking if there were 50 righteous men in Sodom.  I am just asking for one.

I ask for just one righteous Bishop to stand up and say,

This is wrong.  All of our colleagues who are in covenant relationship with us as Bishops have just lost their guaranteed appointments, while I am a Bishop for life with a great salary and nice retirement and financial security for self and family.  

Those colleagues, whose lives are in my hands, may, at my nearly unaccountable discretion, lose appointments, housing, health insurance, and pension contributions.  I will never be threatened with such a loss, but I can freely threaten others with this.  

Jesus said, “The First Shall be Last.”  I know  I am first here.  Therefore as one who has dedicated my life to the highest ideals of following Jesus, I must now place myself last.  I vow to serve eight years only as Bishop. After that time, I shall return to the ranks as Elders to be appointed, nor appointed, at the pleasure of the Bishop of the Annual Conference where I am located. Should such Bishop be willing to appoint me, I request to be sent to the least of the churches in that Annual Conference.

 I say this is the name of righteousness and justice. To do otherwise makes me the greatest of hypocrites, deserving of the condemnation both of God and of my brother and sisters in clergy covenant with me.

Will even one have the moral integrity to do this?  Just one?  I seriously doubt it.  The heavens are weeping today.

35 Comments

Filed under health care, hypocrisy, Justice

The Dialogue: Rational Brain vs Primitive Brain

Dear Readers,

Thanks for all the prayers and offer of help as I go into this health journey. Below is a peek into the recesses of my brain. Keep in mind that the Rational Brain (RB) is fully aware of the grace and love of God. The Primitive Brain (PB) still awaits full redemption!

RB, “Isn’t modern medicine wonderful? I’m in the hands of caring, skilled medical personnel who will competently walk me through this.”

PB, “Run! Fast!”

RB, “It was silly to avoid this for so long. What was I thinking?”

PB, “They are going to take a knife to you. Run, FAST!”

RB, “I’ve already paid my deductible for this year, so maybe the co-pay won’t completely wipe out my savings.”

PB, “You’ve met your deductible ALREADY this year? Run, FASTER!”

RB, “They’ve promised to make sure I’ve got all the pain meds I need afterward. That’s wonderful!”

PB, “You idiot–they said that because you are going to hurt like **** afterward.

RB, “Now, I know that they’ll tell me not to make any major decisions while the anesthetic is still in my system. How wise of them to remind me of this!”

PB, “You idiot. While you’ve still got the anesthetic in your system, you won’t KNOW you still have the anesthetic in your system. You’ll probably gamble your children’s inheritance away (if there IS ANY LEFT after you pay the co-pay) thinking you know exactly what you are doing.

RB, “OK, prep time. List all the things I need finished before the surgery. Take care of the highest priorities first. All will be done in calm order.”

PB, “You idiot. There’s no way you’ll be ready. Hurry, quick, race around crazily. Clear that work pile off desk. Write months of articles in advance. Outline your sermons through December. Clean the house. Weed the garden. DO YOUR TAXES!”

RB, “Oh gosh, I haven’t done my taxes yet. No problem–I can easily get an extension form and will send in some extra money just in case.”

PB, “WHAT do you mean, ‘send in some extra money just in case?’ Do you have ANY IDEA what your co-pay is going to be? You don’t HAVE any extra. Just shred the tax stuff and forget about it.”

RB: Remember to let my sons know what is going on and to remind them that there is nothing to worry about. They’ve already shown much love and support with calls and emails and offers of help. What fine men they’ve grown up to be, responsible, hard-working, caring for their families and living as godly, responsible people.”

PB, “WHAT!!! You mean those three ungrateful sons of yours aren’t uprooting their lives and all flying to be at your bedside during this life-threatening procedure? So WHAT that one’s wife is expecting a baby any moment and the others are up to their ears in work projects and you are going to see them soon anyway–YOU ARE MORE IMPORTANT!!!!”

RB, “I’m calm, relaxed and nearly ready.”

PB, “You IDIOT. Have you checked your blood pressure? Do you have any clue that a bunch of strangers are going to strip you naked, knock you unconscious, and invade your private parts? RUN AWAY NOW!! FASTER!!!!!”

RB, “While there certainly is a possibility that I have cancer, I honestly don’t think so. Soon, I’m going to feel great, well-rested, full of energy and ready to enjoy life, family and ministry.”

PB “ARE YOU COMPLETELY OUT OF YOUR MIND? Best days gone for good baby! Feel really sorry for yourself and see if you can make everyone around you miserable as well. Not much time left anyway so don’t bother to care about anyone but yourself.

RB, Speechless

PB, “About time you hushed up. I’m in charge now.”

God Brain, “No, you are not. I AM!”

4 Comments

Filed under Easter; Resurrection, faith, health care, laughter, pain, surgery

Ministry With the Poor

Today, Dr. Frederick Schmidt posted on his blog here about doing ministry with the poor, on of the four areas of focus of the United Methodist Church mandated by the 2008 General Conference (just a meandering thought:  will all those change with the 2012 General Conference–just when I’m starting to figure this out?).

Anyway, I thought Schmidt made a particularly insightful comment when he wrote, “I have no way of “knowing” in the sense that really matters. No one who works on a computer, went to college, pursued graduate work, and writes online knows a thing about what it means to be poor.”

I’d like to add to that, “Anyone who has decent health insurance also doesn’t know a thing about being poor.”

In the last year, I’ve hit, for the first time in my life, several what I am calling “health hiccups.”  Thanks to my handy-dandy insurance card, which my church pays dearly for, I’m able to make the rounds of physicians and expensive tests, bearing a relatively small (but still painful!)l percentage of the cost by my deductibles and co-pays.  If I didn’t have insurance, there is no way I would be getting any health care, and certainly not the quality that has been available to me.

This, perhaps more than anything else, is the great divide today between the “haves” and the “have nots.”  Access to a basic human need: basic, skilled, compassionate aid when something goes wrong with our quite fallible human bodies.

I do have days when I wonder if the health care system in the United States is broken beyond repair.

Leave a Comment

Filed under General Conference, health care, insurance