Posted by Paul at July 27th, 2006
First of all, let me just say this: never punch a wooden door with your bare fist. Enough said (But if you’re planning on it, make sure you don’t have Kaiser).
I expected to wait at least an hour for my appointment at Kaiser’s urgent care, so I was prepared for that. It had been a few days since I injured my hand and I was getting used to not using my right pocket, shaking anyone’s hand, or punching any more rigid inanimate objects. Now, it’s my third time using Kaiser’s, umm, services. Let’s roll the dice and see what comes up, shall we..? OK, so I went in and they told me that they couldn’t assess my injury, not there in the doctor’s office, anyway. I would need to go to the emergency room. When I made the appointment I had described in detail the condition of my hand. The operators are not trained to tell you where you need to go, I am told, so they send you to the wrong place. You see, silly unsuspecting HMO user, there are no x-ray machines in urgent care. Urgent care is for people with the flu, that sort of thing. What you need is emergency care. After you wait an hour in urgent care with your minor injury, we’ll send you to wait another hour in the emergency room. There, you’ll pay five times the co-pay amount you just paid in urgent care, where all we did was tell you to go to the emergency room. Got it, you worthless underpaid boob? Anyway, on the way to the emergency room I walked by the x-ray room. There was one person waiting in there. But that would be too easy, to just send me to the x-ray room. There were forms to be filled out in every department. If the form you bring a staff member from one department to another somehow doesn’t sync-up with their chain of beauracratic expectations they blow a gasket, which is a fleeting but welcome change from their complacency. In the emergency room there were at least fifty patients waiting, including a long queue leading to a window marked triage. I looked down at my hand — it was still attached. The other minorly injured people sat there frowning and eyeing me dubiously. Yes, there was one thing I knew for certain: I was so out of there…
The next morning I called to make an actual doctor’s appointment (not an urgent care appointment, since I didnt have the sniffles). There was nothing until September, over a month away. But if I called in at 7am I could check for cancellations. Or, I could go to the emergency room at 3am, when it’s less crowded, and pay five times as much.

You know what? Fuck Kaiser. In October, I can switch to a new provider (yes, a PPO, so get out the wallet — ouch, my hand!). And that’s exactly what I intend to do.