THE AMERICAN FARMER..................
I drove to work the back way today. I guess I better explain that term for you city folks. Around here the back way means off the main roads, through the country, on the country roads.
It was just beautiful. In this part of Texas a person can see for miles and miles and miles, until the horizon meets the earth. What I saw was field after field of cotton, maize and an occasional pasture with cattle grazing or tank with steam raising off the surface. It is just beautiful and it all represents the hard work and sweat of the American farmer.
My destination each morning is Roby, Texas. Home of the "Roby Millionaires" (lottery winners), the American farmer, and the Roby Rural Health Clinic. I know I am getting close when I start to pass tractors and combines instead of cars.
I've been back in Texas, from Alaska for almost 3 months. I started working at the Roby Clinic the first of July and I really love my job. I feel honored to provide health care for these proud, hard working families. When I took the assignment in Alaska I thought I would be contributing by providing care to the Native population but what I found was a huge well oiled, well financed machine. The money in the Native Alaska Coporations is significant and they have wisely invested in health care. I loved caring for the elders and found them to be very much like my farmers-a proud but quiet and courteous people. However, my experience with the middle age and younger Natives was not the same. Many, not all but enough to accurately generalize, had a chip on their shoulder and felt they were "owed my education and health care by you white people who took my land." Now this is a strange statement from a person whose land has never been occupied and who are still living in their ancestorial villages and collecting up to $56,000 a year (without working) from their Native Corportion. I have worked in health care since I was 16 and have never been cussed or verbally abused until I worked at the Alaska Native Medical Center PCC. I was treated with a great deal of disrespect by even my teenaged patients. This was not just my experience, the other travelers and full time providers complained constantly about the abusive way in which we were treated and the refusal of the organization to intervene or allow us to address the issue.
But, enough of that. I am mentioning this just to point out the vast difference in my experience here in Roby. First of all, I am filling a need here that far surpasses the need in Alaska, at least in Anchorage. There is a shortage of providers and a a shortage of money out here in the rural areas. At Roby we have three grants that allows us to provide care free or at reduced cost to the patient. For the most part our patients are very grateful for the opportunity to recieve health care that they would not be able to afford without these services. Now this isn't to say we don't have our bad apples, we do...everyone does...but it's the rare bad apple rather than an apple cart going to rot.
Let me tell you about my patients-this is a composite and does not discribe specifically any one person so as to protect privacy:
There is the 20 year old that comes in for his wellness exam wearing combat boots and covered with tats answering "yes, mam" and "no, mam" , a big smile that never leaves his face and wishing everyone a good day on the way out. He may look like a "bad ass" but he leaves me with a smile on my face and feeling a little more chipper than when he arrived.
There is the middle age farmer, weathered and at risk for skin cancer, who comes in at the urging of family because the stress has finally worn him down. The drought has almost driven him out of business, now we have lots of rain and a bumper crop- a bumper crop which may mean lower prices because of the abundance of cotton. He leaves making me feel a little angry at a system that doesn't pay a man for his hard work and sweat and is slowly making the family farm a thing of the past because they can't compete with big business farming.
Then comes the teenage girl wearing her FFA jacket who is having trouble with her allergies since she's back in ag class and mucking out the pig barn. Again it's "yes mam" and "no mam"....I can't imagine her calling me a
f-ing bitch like the 17 year old in Anchorage that I dreaded seeing every time her name was on my schedule. She leaves making me feel a lot better about leaving our world in the hands of today's young people.
There's the illegal farm worker who is living on $10 a week so he can send the rest of his money back to Mexico where he is supporting an extended family of wife, children and parents. He is proudly working at a job many people in the US would consider "menial" and making a salary we would consider well below the poverty level. However, he is proud to have a job and is almost rich in his home country. And, whatever your politics, he is providing labor to the family farmer who could not afford more costly labor. He comes to the clinic when everything he knows to do has failed-for the most part, you know he really needs health care if he walks in the door.
I consider myself honored to be providing care for these folks-yet, they treat me like I am something special. Little do they know-they are the ones that make this country what it is!
I guess I had to travel thousands of miles to realize where I belong! To see the beauty in the West Texas landscape and in Her people...yep, I'm glad to be home!


