while you were sleeping II, by Su Blackwell
I turned into a giant squid of anger at this. I can’t believe this fucker doctor had the nards to just up and blurt that, and there are people who won’t even realize what a fucktruck he is and AGGH. ARE YOU FUCKING KIDDING ME?! If you aren’t super savvy on health insurance, lemme explain you a thing.
A lot of doctors hate health insurance beause it standardizes prices of healthcare. If a doctor accepts an insurance, they have to accept whatever the insurance company pays them. So, you go to a physical, and the doctor says I want $400 for a 15 minute appointment, taking your bloodpressure and checking your reflexes, etc. Insurance company says “Aw hell no, dude. That’s ridiculous. Here’s your approved $75, and you’re gonna like it. And if you dare bill the rest to the patient, we’ll kick your ass into next Wednesday.”
This doctor is saying that he prefers people to not have health insurance. Why? Beacuse then there’s no one to tell him his prices are fucking insane, and you get stuck with a stupidly high bill for everything he does.
This isn’t just some asshat whinging about paperwork. This is pure, unadulterated greed. And it’s utterly sickening. THIS is why Obamacare is getting such pushback, by the way. It makes me ill.
I’m not sure if I reblogged this photoset earlier, but the added commentary is golden and completely on target. I process provider claims for a living and let me tell you what, you have not seen true balls until you’ve seen a doctor charge $3.000 for a procedure or medical equipment that we’re going to pay them maybe $50 for.
This is 100% spot on, but let’s not pretend that insurance companies are always the heroes.
I’ve had knee problems since I was five, and I’ve been fighting insurance companies for medical care my whole life even though I’ve been lucky to have continuous coverage.
In 2009, I dislocated my knee and needed major surgery. Fortunately, I had insurance. They agreed to cover the surgery, but they refused to pay for physical therapy once I got to 50% functionality.
50% functionality is the ability to bend your knee 90 degrees.
This is 90 degrees:
My physical therapist said this was fairly standard practice.
This answer got long. Skip to the last paragraph if you want the good stuff.
I’m assuming you’re talking about short fiction and literary journals.
Personally, there was a point when I was starting out when I realized I didn’t read any of the literary journals I was supposed to submit stories to and nobody I knew read them, either. What I did read, and what other people read, was the internet. So I decided posting my work online in my own space was more important to me.
But that was me. Basically, you have to decide what world you want to be in. If you want to be in the literary world, or the art world, or whatever world, you have to play by that world’s rules. If you want to build your own world, then you can make up your own rules, and do your own thing, and build your own audience.
But IF you decide to go your own way, DO NOT automatically expect that world you turned your back on to come around to you later. In other words, if you jump the gatekeepers, don’t expect them to kiss your ass after you’ve showed everybody you can jump them. (For example, nobody in the lit’ry world really gives that much of a shit about my work, mostly because I didn’t give much of a shit about the lit world when I was coming up.)
Luckily, there is, however, a happy medium: share your process, not your products. Share scraps, drafts, research, reading, etc. (Think of it as sharing the DVD extras while you’re making the movie.) Talk about books you love. Talk about writing. Build a little place for yourself where you’re sharing what you do. Then save the finished pieces for submitting to publishers.
When I started an online lit mag, the question of whether or not to require first rights (which is what this is) was something I struggled with for a long time. I love the Internet. I love how easy it is for writers to get their work out there.
I finally decided to require first rights because I don’t want to live in a world where the only writers and artists who can be successful are the tech savvy online marketing geniuses.
Some of the writers and artists I publish are tech savvy and brilliant marketers who save some work for lit mags, but many of the people I publish are not. Or, their process requires a lot of silence, so they don’t keep up with the Internet. Or, they prefer to work with an editor in private before they release their work publicly.
So, when I require unpublished work, what I’m really asking is, “Do you need this?”
Some people do just fine on their own, and I think that’s wonderful.