Mundane Monday #207: change

For Mundane Monday #207 my prompt is change. Here is one of my beloved great blue herons in the winds of change.

Well, dear folks on WordPress, I have life things going on that are interfering with my blog.

This will be the last Mundane Monday post unless someone else would like to take over. Many thanks to the people who have contributed.

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Last weeks prompt was opening.

KL Allendorfer contributes with a musical opening.


more blue

For Wordless Wednesday: I am not wordless today, but the herons are so stealthy!

Hiking with my daughter and friend B on the C and O canal, ah! Here is an east coast great blue heron. Standing very still across the canal, just the colors of the rocks and winter trees and leaves. I look for birds or I could have walked right by without seeing this one.

Great blue heron standing on one leg, with surrounding rocks of the same color.

I love the one legged stance. I will need to do a lot more Tai Chi before I can stand on one leg that comfortably. The heron only moved enough to keep an eye on me.

Great blue heron, standing on the shore of the C & O Canal on one leg, observing the photographer.

stay or go?

For the Ragtag Daily Prompt: migration.

I took this on a beach walk with my aunt and uncle on Sunday. They were visiting from Virginia. They’ve flown back now.

This is taken with the zoom all the way out. I recognized the great blue heron, but in the first picture I can’t tell what the geese are. With a face in profile in this second photograph it’s clear that they are Canada geese.

The geese are migrating but the great blue heron stays and winters over. Most of our hummingbirds migrate, but the Anna’s can winter over. And I have been asked: stay or go? My landlord asks if I will renew my lease for my clinic in February.

I reply that I am waiting on the US Congress. My clinic is more than half medicare patients. 48% are over age 65. Congress is discussing paying a flat fee for medicare visits: about $43.00 dollars. At the moment I do not see how I could keep my small solo clinic open if that goes through. Stay or go? It is stressful. I want to stay. But I may have to migrate like the geese….

I think a frightening number of physicians would either migrate or stop taking medicare patients, opt out of medicare, if Congress passes this bill. The AAFP is fighting it. I contact Congress too, but I am tired of fighting for single payer, medicare for all. Patients spend more on their dogs’ health than their own. How can I do good care and feel valued for $43.00 per clinic visit?

I thought the thing most likely to close my clinic is the cost of my own health insurance. But Congress may close me down by dropping my payments from 48% of what I bill, to less than 25%. Yet they say they want good care for our country….

Message me if you contact Congress to say do not do this. And thank you so much if you do.

The proposal for medicare changes is 1472 pages. So I am supposed to find time to read that and comment on it in addition to taking care of my patients? What sort of insanity is this?

tilt

I love the great blue herons on the tops of trees: they look so comfortable even when the top is leaning way way over… I am no where near as comfortable in a tree! And think of being the size of a great blue heron and landing on that tree! I have been watching them locally more and more. They look unlikely and peculiar to me landing in trees, but it’s me that is uncomfortable, not them. They trust the trees and land with confidence.