Influenza seems to be going around. Since I spend at least three hours a day on a crowded bus I get to observe all kinds of uncouth behavior. Not that I’m always Mr. Manners (New York has a way of doing that to you), but I do cover my face when I cough or sneeze and sometimes I feel that I’m in the minority. My wife, concerned with supplies dwindling, made an appointment for me to get a flu shot at the local clinic. I went in and took a number. I guess I’ve been cursed with good health, and that may be a good thing. For my first five years in New Jersey I couldn’t afford health insurance—this was known as Bush Care—and hadn’t needed to see a doctor. Yesterday was my first time in the clinic. Although I had a confirmed appointment, a kind of argument broke out in the office (this is, after all, New Jersey) because non-patients weren’t supposed to be given the inoculation. Or they were, but they had to pay for it. Or their insurance would be charged and they could get the shot as long as they had insurance. Or why didn’t people just go to Walgreens instead. In the midst of the melee, a nurse called my name and a few minutes later I was being jabbed and sent on my way.

In all of this, one of the largest ethical issues of this country is highlighted. Who has a right to basic medical care? Among the conservative crowd that even includes some who can’t afford insurance, there are those who decry moochers. I grew up without health insurance. My mother relied on welfare to help raise three boys whose father had disappeared and our medical care was very, very basic indeed. Maybe people just didn’t say it in front of kids back in the 60’s, but I never heard anyone grousing that the poor should be left to fend for themselves. That took Reaganomics. In any case, working as hard as I could to break out of that lower class, I earned a Ph.D. only to be turned out of a job by a devout worshipper of George W. Bush. No medical insurance. Again. Now with a child of my own. What I’ve heard since the new millennium is that for those who can’t afford insurance—too bad! Just get a job, bum!

I often think about those who make such statements and how they valorize the Bible. If I recall correctly, Jesus handed out free health care. Socialized medicine existed in his corner of the world twenty centuries ago. And we in one of the most prosperous nations on earth argue about who can get a flu shot. In the end, I paid for it; I’d even taken my checkbook along with that intent. Nobody thought to ask me. But as I sat there within full view and certainly full conversational distance, I was objectified by the medical system. I wasn’t a guy who sits on a crowded bus with people who don’t cover their mouths. I was a moocher. A liability. In the waiting room around me I noticed patients tucking away passports and green cards. This is New Jersey, after all. For many, however, despite the cold we’re experiencing, it might feel like a much, much hotter place indeed. A place where, the Bible intimates, nobody cares about anybody else and the flames never die.