Double-Wide Society

When the University of Iowa bought Mercy Iowa City Hospitals and Clinics in November 2023, we were thankful our hospital of decades did not close the doors because of bankruptcy. We haven’t had major health issues, yet our child was born there 40 years ago, and they kept the facility up since then. Why ruin a good thing?

Now called University of Iowa Health Care, there are changes to accommodate. For example, we have to wear a wrist brand inside the 2,828 square foot building when we are at an appointment. I suppose practitioners might confuse us with the other patient seeking treatment at the same time. It’s not like we are a small town. We’re up to 3,182 people according to the most recent census information. Hell, I don’t know the half of them! There were questions about the wrist bands at first, yet we didn’t want the administrators in the county seat to get mad at us and close the only clinic in this rural part of the county. We now wear them when asked.

I’ve been treated in our local clinic since we moved back to Iowa in 1993. The doctors and nurses used to be good. Nurses still are, but the first impulse of recent physicians seems to be to refer us to another clinic in the university system for a test or consultation. Hang on to your wallet, because if you don’t have good insurance, these referrals can run into the thousands of dollars.

Some practitioners, the male ones anyway, give me the wooden Indian look when I ask about my records from before the acquisition. They don’t say, but I think there is an issue with integrating our old medical records into the university system. No worries, though. Doctors today seem to live in the moment. They might say, “Don’t worry about those old records. Let’s take a look at you now!” That’s fine with me because I live in the now. I’d just as soon forget about all the ailments for which I have been treated in the last 32 years. The only major health concern from the old days is my being obese. That persists, yet the university has a solution.

I first noticed the double-wide waiting room benches when I went to the podiatry clinic. A six-hundred pounder could fit into one of those no problem. My spouse and I can share one since there is room to spare for the two of us. In another context, we might call the double-wides “accommodation.” I suppose the doctors get tired of telling patients they need to lose weight, therefore let them have double-wides. Now that I’m thinking about it, some of the examination chairs I’ve been in are double-wide as well.

Obesity is a problem in the state:

Iowa currently ranks 11th in the nation for adult obesity, according to the latest Behavioral Risk Factor Surveillance System (BRFSS) data. However, Iowa is one of 19 states with an obesity prevalence rate of at or over 35 percent. (Iowa Department of Health and Human Services website).

It is good the hospitals and clinics try to accommodate people with every characteristic. The University of Iowa is a teaching hospital that accepts patients from all over the state. That is, they accept people if there is room and sufficient staff to treat what ails them. Otherwise, we go to Illinois, Nebraska, or Minnesota. Anyway, if obese Iowans make it through the maze to treatment, they will be comfortable while they are at the clinics.

There is a dark side to all this, and that is people are getting fed up with all the accommodation in society. It’s not just the double-wides. It’s everything. It’s like we returned to the 19th Century world of the great novelists with their chatty gossip and sexual double entendres. Where wit and morality are front and center in books that purportedly corrupted youth. I’m thinking of Charlotte Smith, who promoted women’s rights as long as women knew and kept their place subservient to their husband and produced a large number of children. It is as if to say, “Here! You have a right to this double-wide. Also know that we are better than you and will lord it over you.”

Sorry for that last paragraph, which was a bit of a stretch. Sorry, not sorry.

Let’s face it, though. Some in the Iowa legislature and the Congress definitely want to tell us how to live. In many cases, it has become a big morality play in which we have to hear their values and comply… or else! Here I am thinking of the state bill to repeal the obscenity exemption for schools and libraries. Our local library emailed us:

While the intent behind these bills may be to protect community standards, the broad language used could lead to unintended consequences. By altering obscenity exemptions, these bills could subject libraries and educational institutions to increased legal scrutiny and potential penalties for materials deemed inappropriate by subjective standards. This shift could result in self-censorship among librarians and educators, limiting the diversity of materials available and hindering the open exchange of ideas that is fundamental to educational growth. (Email from the Solon Public Library, March 7, 2025).

They expect us to comply and remain in our station in society. They assert in this, they are better than us.

All of this said, I like the new arrangement with the University of Iowa Health Care organization. The people are friendly and helpful, and if something is wrong, and we can afford all the tests and consultations, problems can be detected early and addressed before they get out of control. That’s what we want with our health care. Double-wides are optional.