You know who I am

If you have an emergency and have to go to the hospital, you’ll owe the hospital a lot of money. (I got into a car wreck and broke my ankle and my arm. My hospital bill was around $20,000)

You’ll also owe the ambulance provider, if you need one. (My ambulance bill was about $800)

You may get separate bills from the anesthesiologist or surgeon. (My anesthesiologist bill was $1,700)

You may need follow-up appointments. (My orthopedic surgeon billed me for the appointments and his surgery together and it was about $1,000)

You’ve also got to pay for medical equipment you need afterward, like crutches or a walking boot. (Mine cost about $75)

Altogether, I ended up with almost $24,000 in medical debt from one car accident. That’s a really scary number for someone like me who makes $10/hr at a 12 hour a week job.

I got my debt down to $1075 by making some phone calls and submitting some paperwork.

The first thing I did was contact the hospital. They don’t make it easy to find, but many hospitals (perhaps most hospitals?) have financial assistance programs for people who can’t afford medical bills. I don’t make a lot of money, and I have bills to pay, so they were able to help me. I called the billing department and asked if they had any assistance programs for low income people who can’t pay their bills. I had to call multiple times, and I got transferred in circles by people who didn’t know what I was talking about. Finally, I got an appointment with someone in “Eligibility Services” (I don’t know what other hospitals call it, if it’s something different). I had to bring my pay stubs and copies of all of my bills. When I got to the hospital for the appointment, nobody knew what I was talking about so I had to wander a little to find where I needed to go. I spoke with the guy in Eligibility Services, and I waited for a decision on how much of the bill they would forgive. A month later, I got a call telling me it was totally forgiven.

I did the same thing for my ambulance bill and my anesthesiologist, but the process was a LOT easier. I just had to mail some paperwork and it was totally forgiven.

I didn’t bother with the medical equipment suppliers, since the bills came from separate companies and I didn’t feel like going through the process twice for $75. I was assured at the hospital that they had similar programs for debt forgiveness, so I could have probably avoided paying that too.

The only thing I couldn’t get taken care of was the surgeon/follow-up appointment cost, but they were able to put me on a no-interest payment plan.

So the standard “hide all your unsightly things by doing xyz” may look nice for the first week or so, but by the end of the week it’ll look like a tornado made of pure inhuman frustration ripped through the house as I try to find the fucking advil.

To give you an example of the kind of hell I’ve been fumbling my way through the last 20 odd years: dishes will be washed and left in the drying wrack but never put away. Which means I can’t wash more dishes, which means dishes pile up, which means I can’t make food, which means I don’t eat, which means my CFS gets worse, which means I don’t have the energy to put the dishes away, and so on so forth until I have a meltdown, cry to ETD (who also likely has ADHD but has never had it confirmed) about how I can’t cope with life, and then we fix it for a while, but inevitably end up back at square one within about a week.

Pinsky’s solution to this was “remove an obstacle between you and your goal, if that means taking all the doors off your kitchen cabinets to make things easier, so be it.”

And lemme tell you, fucking revolutionary.

Laundry never ends up in the hamper??? why???? is it a closed hamper??? Remove the lid. Throw it out the window. Clothes are now miraculously finding their way into the hamper??? Rejoice????

Mail ends up spread out over every available flat surface? Put a sorting station right where your mail arrives. Put a shredder or “junk” basket under it. Shred or dump the junk immediately. Realize you only actually have two real letters that need attention, feel less overwhelmed, pay your bills on time.

Like I’m not saying this book is miraculous, but it did help me realize that I was effectively torturing myself by trying to conform to certain ideals of “perfect house keeping”, and presenting a certain image rather than just allowing myself to live in my space as effectively as possible. And why? Why was I doing that? Cause people with different lives and capabilities are perceived as the norm? Fuck that. If this was a physical problem I wouldn’t be forcing myself to conform to an ableist standard, so why am I doing it with this?