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?

folk art

For the Ragtag Daily Prompt: quaint.

We visited my friend Malene in Wisconsin, and she took us and her grandchildren to Nick Engelbert’s Grandview.

We may think of folk art as quaint or cute, but his art is amazing and on a grand scale. The house, the out building and a yard full of sculpture, all to explore. The house was closed so we did not go inside on this trip, but the outside is wonderous.

This is not the house. It’s just an outbuilding.

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These are the arches in front of the house.

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Amazing!

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And sculptures all through the yard:

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This is being restored.

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Not just an elephant. It is political commentary.

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Complex, humorous and my impression is certainly that this farmer/artist was a joyous worker!

 

badger

For the Ragtag Daily Prompt: smirk.

Visiting friends in Wisconsin in August, we were taken on an evening quick tour of the University of Wisconsin, Madison. There are multiple decorated statues of Bucky Badger on campus. Is the expression a smile or smirk or serious?

I’m a badger too.

slippery

For the Ragtag Daily Prompt: slippery.

The front rocks at the lake slope down into the water. The rocks are terrifically slick when it first rains.

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They are also slick when we try to step into the lake to swim.

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We invented a new way to get in this year. On the edge of the water, go forward a bit and then…

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slide in….

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copyright

For the Ragtag Daily Prompt: copyright.

This is my sister being a goofball on Christmas morning in 2010. The puppet was a family gift that we all played with. The Christmas hat is mine. This was after her cancer recurred: she died in March of 2012.

My sister wrote on line. She wrote at everything2.com and a blog: http://e2grundoon.blogspot.com/.

After she died, the people who write on everything2 were notified that another blogger had stolen multiple write ups and posted them on a blog as their own writing. That is a violation of copyright. And it feels particularly painful when it is my sister’s writing, who is dead at 49 from cancer. I do not think nice thoughts about the thief and I hope that the person regrets and makes penance for what they did. Hundreds of write ups were stolen from all sorts of people.

That is what the word copyright brings up. Don’t steal. Don’t steal my work or photographs or my sister’s or anyone else’s….

twilight

For the Ragtag Daily Prompt: crepuscule.

Honestly, my brain wants to mix it up with corpuscle. The poet part of my brain wants to play with both words and is thinking about creepy twilight stories more appropriate to next month. With characters wearing crepe, creeping around, carping about corpses. This is sounding more and more like a Charles Addams cartoon.