Let's Hear It For the Girls

Dude Looks Like a Lady

We're closing in on the end of the year, the time when we typically reflect on the past twelve months and the year that was, taking stock of the highlights and the low-lights.  Personally, it's the time of year when I get consumed by assembling our yearly slideshow, a compilation of photos taken throughout the year set to some of my favorite tunes released this year.  The end result is usually a 10 minute video that our family will watch once, maybe twice.  This provides enough justification for me to spend too many late nights on it.

2019 was certainly a year for the books, and given the magnitude of what has transpired even over these last few months, and the general busyness of this time of year, one could be forgiven if they forgot that less than six months ago, the US Women's National Soccer Team won their second consecutive and fourth overall World Cup.  And win might be a meager term.  They broke multiple records during their World Cup title run, including;  most goals scored both in one match (13) and throughout the duration of the tournament (26), fewest goals allowed (3), most players to score in one game (7), and most goals scored by one player in a game (5).  They posted four shutouts and never trailed in any of their seven World Cup matches.  Yes, it was more of a domination.

The success of the Women's National Team was celebrated across the nation, and the globe, and having two girls involved in a youth summer soccer league, we even got caught up in the excitement.  We didn't watch every match, but we certainly followed it more closely than we do other women's sports - or men's for that matter.  Naturally though, there were plenty of critics of the team, with some negative commentary coming from surprising places, but not necessarily surprising people.  But as T. Swift says, "the haters gonna hate, hate, hate, hate, hate."

One thing that I seemed to notice, and other, more considerably talented purveyors of opinions have commented on, was that the Women's National Team was primarily being criticized for acting like men.  They won.  Indeed they "laid a smackdown" on their opponents, and they were unapologetic in their dominance.  They scored at will (in a field of play where every goal counts), and they celebrated each and every one of those goals as though it was the most monumental event since the last goal.  And this was, to some (mostly men), off putting, unprofessional, classless, even rude.  Despite one of the players being critiqued pointing out that sort of behavior is commonplace in men's games.  And in light of the fact that three months prior to the World Cup, the US Women's National Team filed a lawsuit against the governing body of the sport for gender discrimination.

Now, I know this will come across like my semi-regular exercise of "male bashing", but as the father of two young girls, and a son who I expect to show utmost respect to women, it's hard not to want to examine this quandary we tend to put women in, and ultimately girls who will grow up to be those women.  We deprive them of opportunities to succeed in ways comparable to boys, especially in sports and other areas deemed important to the masses - business, politics, etc.  And when we do give them rare opportunities to prove their mettle, we take offense when they act like men, despite that being the only precedent we've given them to measure success.

A few months after the Women's National team domination in the World Cup, author Ruth Whippman wrote an Op-Ed in the New York Times that suggested we encourage men to "lean out" instead of always encouraging women and girls to "lean in".  The notion predicates that men set the standard for behavior and what is worth attaining, without questioning if that is even beneficial for all of us as a society.  Whippman argues that the over-assertiveness of men can be directly linked to some of our more pressing social issues, and points out the oft-cited research that men tend to be overestimate their own capabilities.  Or as Whippman succinctly puts it, "women generally aren't failing to speak up; the problem is that men are refusing to pipe down."

Having read Whippmann's book America the Anxious, I've had the opportunity to appreciate her salient observations on parenting, and believe her argument has some merit.  Our encouragement of women and girls to be more like the men who have achieved success in business, sports and political life, and often in large part because they've "won the gender lottery"*, does a genuine disservice to both men and women, as well as those who do not identify with either gender or with multiple genders.  This is especially true when women find success and we criticize them for acting "unladylike".

I've often wondered what it would look like if women ran the world.  I've commented before that I am no stranger to being in the gender minority.  Most of my adolescence consisted of being raised by a mom and older sister.  All of my professional bosses have been women, and on more than one occasion I have been the sole male in my immediate work setting - including a five year stint at an all women's college.  It is a humbling experience, and one I think most guys would benefit from at least temporarily.  I'm not advocating that every working man seek out a female boss, just as I don't suggest that every dad (or mom) be a stay at home parent.  But having had these experiences I am acutely aware of what women are capable of.  Indeed men with accomplished women in our lives in some form, which essentially means all of us, know how invaluable those women are to not only ourselves, but society at large.  Is there really any coincidence that both Siri and Alexa are voiced by females?

So why do we continue to expect women to try and achieve success through the male lens?  Why does the male standard set the standard?  Why do we have the WNBA and the NBA, and not the MNBA^?  Why do female employees need to use legal recourse to make accommodations for situations that often get overlooked by male executives?  Wouldn't we benefit from having more male elementary school teachers to serve as educational role models for young boys? 

I realize these are all relatively rhetorical questions, but as I write this, while keeping an eye on one of our daughters at dance class, I can't help but ponder one more: What if, instead of spending most of our Sundays in the fall watching professional football, we watched professional ballet?  Yes, that seems like an absurd notion, but is it not equally absurd that our four year old son, who loves to dance at home (and actually has some pretty good moves), has already been socialized to think that dance is something that only girls do.  In attempt to encourage more boys to take classes, the studio our girls dance at actually offers half price classes for boys.  I mean, we could also watch professional women's soccer, as that seemed to draw a following this summer.

During one of the World Cup matches we happened to catch, I openly wondered how other countries found adequate female athletes to field squads.  We are likely well aware of the soccer craze in essentially every other country besides the US, but that typically is seen solely in terms of men's leagues.  We're also likely aware of the rising popularity of soccer as a youth sport in the US, especially among girls.  Most of our support of girls and women in sport exists at the participatory setting of youth sports, and then to a smaller degree at the collegiate and professional level.  But while the US has seemed to set the standard for women's athletic success, we have yet to have a female head of state, like a number of other countries competing in the Women's World cup, and women are still severely underrepresented in congress and at the executive level of Fortune 500 companies.

Having a female president or more female CEOS is certainly not a panacea for gender parity.  I would posit though that the 2016 Election was as much about Hillary Clinton's un-electability as a candidate as it was about the unrealistic expectations we place on women in the US - but that's another story.  Even the managing editor of Forbes had to admit that women "didn't stand much of a chance" when they released their 100 Most Innovative Leaders List earlier this year.  Given those contexts, it's not hard (for me at least) to understand why the Women's National Team felt the need to celebrate with such exuberance and grandiose.  Indeed the "antics" of the Women's National team might have seemed more noticeable considering they are only given the opportunity to showcase their talent at that level every four years.   

Do I think their actions and behavior were a little over the top?  Yeah, to a certain degree.  But I also believe the lack of support that we've given capable women, the way we've stacked the deck against them by making them play the man's game, and then criticized them when they've found a way to win anyway is equally, if not more, over the top.  So let them celebrate.  I also know that I'd much rather have my girls, and my son, look to the US Women's National team as role models, as opposed to those who criticized the way in which the team celebrated the success they've continual been told they don't deserve.

         

If any of them (yes, any of them) want to dye their hair pink, I'm cool with that.
Just as long as they take it easy on the F-Bombs (for now at least).

^The MNBA actually stands for the Mongolian Basketball Association, so there would probably be some licensing things to work out.

*Direct Quote from Dr. Tago Mharapara; used before and will undoubtedly use again

We're All In This Together

And We All Have No F#&%in' Clue What We're Doing

I recently passed the five year anniversary of my "retirement".  The anniversary seems like a good time to get nostalgic about the past five years, especially considering that I am likely ending my tenure within the next year as the Associate Vice President for Child Development at the Bruns Family Foundation.  I also realized that I had only written four posts so far this year, which equated to one per quarter.  If I wanted to continue to refer myself as a "writer"*, I figured I should at least try to hammer out two more, making my content a more respectable "bi-monthly" product.

Before I "retired", I spent sevens year working in higher ed - five at my most recent place of employment, and two at my first "real job".  In the world of higher ed, five years tends to be a notable, if not somewhat arbitrary, marker.  Colleges and universities (and high schools too I guess) typically hold class reunions every five years in effort to keep their alums connected to the institution and ultimately make sizable donations to the school to pay for a new building, or just offset the rising cost of higher education.  I actually have a reunion for my undergrad class coming up this coming summer.

One of the questions that colleges like to ask their alums (or at least the school I went to) is, if given the chance, would the alum choose that particular school again if they were a college bound kid^.  Obviously there is a healthy amount of subjectivity that goes into this question and ultimately the answer.  You would figure, given the magnitude of the decision, and the fact that the alum might still be making sizable student loan payments, that most would indicate that they would enroll in their alma mater if they had a chance to do it all over again.  And let's be honest, who wouldn't want to do college all over again.  College and university administrators love to champion these responses if they show the institution in a positive light from the perspective of their alumni (again, at least the school I went to).  It can be a powerful marketing tool for perspective students - "Come here because our alums loved it so much they would come back again if they could!"

In case you were wondering, and you probably aren't but I'm going to tell you anyway, if I had the chance to go back to college, I would pick my alma mater.  Yes, that underscores the confirmation basis narrative.  But it is not in attempt to validate what was ultimately a poor decision that set me back somewhere in the neighborhood of six figures.  I've written before how impactful my education experience was, especially my time in higher ed.  It was certainly an expensive endeavor, but one that I feel has paid off in dividends far beyond the actual sticker price of the school. 

This is not to say that if I had a chance to do it all over again I wouldn't do things a least a little bit different.  Maybe I would have picked a different major - English, maybe?  Then I could really call myself a writer.  I certainly look back on my four year experience in university and see mistakes that I made.  Like that time I drank an excessive amount of cheap vodka and passed out before 11pm.  It's those experiences that we learn from that help move us forward.  Maybe I would have spent more/less time in the Library - the actual one and/or the drinking establishment that went by that name.  We can always look back and say, "should've, could've, would've".  The visual acuity of hindsight is pretty undisputed.

So, it begs the question - for the content of this blog at least - five years later, if I had to choose to become a stay-at-home parent again, would I?  The answer is most certainly yes.  I've commented before on how when this "social experiment" is all said and done, there will likely be no part of me that regrets having had this opportunity to stay at home with my kids.  It's something I continue to believe is true, especially as I seem to be nearing the end of my tenure.  Sure there is a certain amount of confirmation bias in this response too.  You would be hard pressed to find many parents who would make the claim that they wasted the last five years of their life being the primary caregiver of their kids.  They are certainly out there, but they are a special breed.

This is not to say that if we were about to welcome a newborn into the world, something I am now physiologically incapable of assisting with, and I had the next five years ahead of me as a stay-at-home parent that I wouldn't do things a little different.  Above and beyond anything, being a stay-at-home parent has been a learning experience.  I've learned a lot about myself, and my kids, and my wife, and our familial relationship.  And sometimes the things I learn one day render themselves useless the following day, or the following hour.  I didn't have many expectations going into this gig, and I don't have many expectations coming out of it.  My main objective was primarily to keep the stress level low, and things relatively congenial in our day to day operations.  In that regard, I feel like I've mostly succeeded.  Again, the key is to set the bar pretty low.

The last few years have certainly been a rollercoaster of high highs and at times some pretty low lows.  But so far, no one has fallen off the ride and we haven't had any mechanical failures that weren't ultimately fixable.  Life, especially life with kids, can have a tendency to resemble an amusement park at times.  Equal parts exciting and fun, while also terrifying and exhausting.  And always more foods made solely from sugar than are reasonably necessary.  And usually insanely expensive.  Having had the opportunity to be at home with our kids, I feel like I've been better able to regulate what "life amusement park attractions" my kids have experienced.  I've also been able to pack bologna sandwiches - something my Mom always did when we made our occasional trips to Valleyfair.

If there is one thing in particular that I've learned from a "professional development" standpoint during my five year tenure as a stay-at-home parent, is that as parents we're all about the same level of clueless when it comes to trying to raise our kids.  If you prefer the Tom Cochrane "Life is a Highway" metaphor, it's like we're all trying to navigate the same road of family life.  But we have no idea exactly where we are going, how long that trip is going to take, and how often we will need to stop for bathroom breaks.  We're all traveling at different speeds but ultimately navigating the same general twists and turns (medical emergencies, financial ruin, teens in puberty) and mundane straightaways (sitting through another dance recital/soccer match/game of Guess Who).  And we're all driving different vehicles; some of us in Mazda Miatas, some in oversized SUVs, and the rest of us in Dodge Caravans.

One thing that I've noticed, as our society has become both more connected and simultaneously isolated at the same time, is this general attitude that we think we can figure things out on our own, and assume others can do the same.  When I see a vehicle pulled over on the side of the road, I often wonder if I should stop and offer assistance.  But then I assume that the driver probably has a cell phone and can just call someone they know for help, or a look up the number for a tow truck.  Plus I typically have one or more young passengers with me, and I have to consider the chances that the person pulled over might actually be a serial killer.  Safety first, right?

To a certain degree, I think this attitude has permeated other areas of our lives, and parenting in particular.  As a parent, it can be easy to look at other parents and believe that they have everything figured out, while you are subsequently hanging on by a thread.  By and large, we know that is likely a facade - the "social media being a window in the lives we want others to think we are living" phenomenon.  And even though we know that everyone has their own shit they are dealing with, when it looks like they are doing a good job of dealing with that shit, it makes us wonder why we can't handle our own shit with similar success (sorry for the profanity, Mom).

A few months ago, my wife and I took trip to Greece to celebrate our 10 year wedding anniversary - you may recall our actual anniversary was relatively tame.  We had a phenomenal week and a half enjoying the blue Mediterranean waters, an abundance of delicious Greek food and wine, and not having offspring to look after.  Given that this was our first international trip without kids, I found myself observing families occasionally, particularly during the time when we were actually traveling.  Watching these families travel with young children made me glad I was not doing the same.  But I also found myself taking note of how parents of different cultures navigate the "opportunities" that have a tendency to arise when children are thrust into rather inhospitable situations - air travel, city buses, etc.

What I took away from those observations was that at the end of the day, we're all trying to get to the same place.  Presumably to bed, in one piece, with the prospect of a tomorrow - and hopefully a better one.  Sure there are some best practices when it comes to life in general, and parenting in particular, but ultimately we choose our own adventure on how to get there.  Hopefully we all have the capacity and ability to make the decisions related to our own personal well being to live the life we ultimately want to, uncontrollable circumstances notwithstanding.  Or, in the parenting spectrum in particular, to again quote our old daycare provider, "You gotta do what you gotta do to be the parent you want to be."

I try to keep this perspective when I struggle to find fulfillment in day to day activities that can make me feel like a volunteer Uber driver or Instacart delivery person for my children.  I recently got together with a friend who just started his own stay-at-home tenure, and he quipped about his realization that lowering his standards was ultimately going to make him happier.  Happier with the things he felt he could accomplish as a parent, and happier with how he navigated the various curveballs that life threw at him.  But as Ruth Whippman suggests in her book, America the Anxious, part of keeping our sanity, especially as parents, may be recognizing that so much of our happiness depends on factors that are outside of our control.  When we are faced with those factors, we can't have high expectations, or any for that matter, and have little choice but to just "wing it".

There is safety in numbers though, and this is why we have each other.  The village that it takes to raise the next generation of the world's leaders or tech coders.  Those who are just getting into the business of procreation can certainly look to the elders who have been down that road before, for guidance on what and and most certainly what not to do, but would ultimately do it all over again if given the chance.  Of course we "elders" know quite well that the chance of us actually being in that situation ever again is incredibly slim.  As our kids have grown, and our oldest recently celebrated her ninth birthday, I know the time is coming sooner than later when I will get nostalgic for the days that were a whirlwind of mac and cheese, slime and dance class, when the main objective was just get through the day.

Having spent the last 5+ years at home with my kids, one could argue that I should be getting close to completing my PhD in parenting, if such a thing existed.  With dreaded fellowships and internships to naturally follow during my kids' adolescence.  At this point, I've probably already been approved for tenure whether I want it or not.  If there is one thing I could conceivably claim any sort of expertise in, it's being able to make it to the end of the day while keeping things interesting along the way.  But in the end, that's kind of all that matters.

     

                   

*I don't think I've actually ever told anyone I was a writer.  It's more of a pretend occupation I give myself.

^I think "emerging adult" is how that age cohort is referred to these days.

Doctor, Doctor, Give Me the News

On Why I Think Our Healthcare Costs So Much

A few weeks ago we made our final payment on the hospital bill from our son's visit to the local emergency room from May of 2018.  After a year of conversations with representatives from the hospital, other medical providers the hospital contracts with, our insurance company, and even our state's Attorney General office, we can finally put the matter behind us.  However, thinking about the entire experience continues to bring me unparalleled levels of frustration, and in my view indicative of why so many consider the healthcare system in the United States to be "broken".  And I wouldn't even consider our case to be particularly traumatic, especially given stories of what other people, and families, have had to go through in attempting to navigate the convoluted waters of medical billing.  

During my wife's benefit open enrollment in December of 2017, we decided to switch our health insurance to a high deductible plan with an attached health savings account.  We were done having kids (as previously discussed) and hadn't been to the doctor much in the past few years beyond our annual check-ups.  We figured what we might pay out of pocket for our few prescriptions and any unexpected doctor visits could be covered by the savings we would get from lower premiums and contributions to our HSA.  Of course we should have anticipated that making such a change would result in unanticipated trips to the doctor for a variety of things.  The most significant being a trip to the ER with our son.

I'll refrain from publicly calling out the health care organization whose medical facilities we typically use, but if you know where we live, you can likely connect the dots.  If you live in the same area, odds are high you utilize their services too, as we don't have many options, despite living in a metropolitan area of 200,000 people.  This is not to say that we've been dissatisfied with the service that we've received when seeing medical providers who practice under this particular organization.  We've always been impressed with the level of care the medical providers have given us, and particularly our children.  I've commented before that I'm tempted to write our children's pediatrician into our will.  Unfortunately, the experience of dealing with the financial side of providing that care has underscored how even our local health care organization contributes to the "broken" system so many people bemoan, while undermining the work of the dedicated professionals who actually provide care.

The whole reason our son ended up at the ER wasn't even a particularly exciting story.  He sustained a cut under his eye following a scooter injury.  And it wasn't even an epic fall, which one could have expected given how he had taken to flying around on that thing, given us mild panic attacks at times.  Instead, while he was attempting to turn around, his feet got tangled up in the scooter and he fell to the ground, with the end of the handlebar catching him right under the eye.  He was even wearing his helmet, since I'm not a completely negligent parent.

Initially, I even questioned if I should bring him in to get checked out.  He was awake and coherent.  The blood from the cut seemed to be stopping, and the sympathy cries from his older sister were actually louder than his own.  Like any good 21st century parent, I naturally hopped on WebMD to see what anonymous medical professionals from the internet suggested.  It seemed apparent that stitches would be a likely scenario if I took him in, but my research informed me that the main purpose of stitches was cosmetic.  Considering our new health insurance plan, and how much stitches might possibly cost, I pondered if it would really be worth it.  The more I read though, the more I feared the location of the cut might impact his vision.  A scar I could live with, compromising my son's vision because I was concerned about how much it might cost was something else.

So I opted to take him in^, his sobbing sister in tow.  But in effort to keep the cost of the trip as reasonable as possible, I decided to start with the pediatric walk-in clinic, which treated kids for a variety of things, minor lacerations included.  And when the pediatrician in the walk-in clinic recommended that we take him to the Emergency Room to be evaluated, I think he could sense my hesitation as he reiterated that they would be best able to look for damage to his eye sight, and that we should take him now - not tomorrow or whenever our next monthly contribution to our HSA was made.  

We would like to think that the potential cost of care would not make us reluctant to bring our kids in to be seen for illness or injury, but it certainly plays a factor.  There are countless stories of people forgoing care for themselves or their kids because of the anticipated costs of that care.  Even my wife, herself a medical provider who would do everything possible to ensure our kid's health and safety, including sacrificing her own well being (or more likely her husband's), rhetorically wondered aloud how much a trip to the ER was going to cost us.

Initially we thought we might come out "not bad".  One of the most frustrating things about health care in the US is that there is little transparency in the pricing.  Under a new rule from the Center for Medicare and Medicaid Services, hospitals are supposed to post their pricing online*, and as I've learned from our state Attorney General's Office, patients can request an estimate of what a procedure will cost before consenting to it.  Something to consider next time you are wheeled into the ER while bleeding profusely.  We anticipated that any trip to the ER would be expensive, especially given our high deductible, but when the doctor looked at our son, determined that he didn't need any further attention - no stitches or evals for potential head injury - and promptly discharged him, we figured it wouldn't be "as expensive".  Even though we really had no idea how much "expensive" and "not as expensive" would actually be.

We were about to find out though, as upon bringing our son back to the car, he threw up all over himself.  This sent my wife back into the ER with him to be readmitted (I had to head home with his sister to ensure his other sister wouldn't get off the bus from school to an empty house).  This time they suggested a CT Scan to check for possible head trauma.  Whether the doctor sensed any hesitation from my wife - based on the fact that CT scans emit some amounts of radiation or because they just sound expensive - he assured her that he would do the same for his own child.  Luckily the imaging came back negative, and when he was eventually discharged, we felt confident knowing that he would make a full recovery after being treated by competent and compassion providers.

Then the bills came.  I've read quite a bit about the current state of health care in the US, but I was still a little surprised when the first bill we got for our ER trip came not from the hospital, but an emergency physicians association.  When another bill came, again not from the hospital but from a regional radiology clinic, I realized that our local hospital, like many others throughout the US, contracts out a variety of its services.  Calls to the billing office at the hospital and these other entities, as well as our insurance, confirmed that this was the case.  When I pressed as to why the billing was done this way, each entity acknowledged that the process could be better streamlined, but indicated that billing in such a manner was "industry standard".

So when the bill from the hospital finally came, I was a little confused to see two charges for things that looked similar to what the other bills I had already; an emergency room charge and a radiology charge.  When I asked for a more detailed bill, I received one that now had three charges; two for emergency room fees (since he had been admitted twice) and one for the CT Scan.  When I informed a not-so-friendly patient financial services representative that I was having a hard time understanding our bill and didn't feel comfortable paying it, she told me to follow up with the medical records office - a process that takes 4-6 weeks to get medical records released.  When the records finally came, they provided an insightful, and at times humorous, narrative into the treatment our son received, but didn't shed any light on how that treatment translated into the charges on our bill.  Another not-so-friendly patient financial services representative (maybe it was the same one) made it clear that the bills we received from the hospital were the most detailed that they could send us, and we would have to decide if we felt the amount we were charged seemed reasonable.

While this process played out, I did some research.  I found out that the CT Scan they performed cost about 20% of the price the hospital negotiated with the insurance company - the cost we were being asked to pay in full because of the health plan we had, and because we had not hit our (astronomical) deductible.  I also found out that had we been uninsured, we would have been given a 40% discount on that price.  I also found out that it is considered insurance fraud, and subsequently illegal, to claim that you don't have insurance in effort to receive that discount.  And while the price comparison might not be exact, I also learned that a local imaging clinic would have charged us about 25% of what the hospital charged for the CT Scan, with the reading of that scan included.

Now, I know what you are thinking.  But there has to be a mark-up on a procedure, how else can they operate their facility.  Plus you went to the ER, the most expensive place to get care.  You can't really compare prices of a CT Scan at an ER with that of a scan at an imaging clinic.  Valid points.  But, given that there is no where else to compare your pricing, and only one ER in a 30 mile radius, that is where one would have to look to try to understand if they are being reasonably charged.  Couple this with the fact that the hospital is already charging an ER facility fee, and the doctor fees and radiology reading fees are billed separately, it doesn't seem like the procedure cost should be that much more expensive.  Yes, I would expect a mark-up, but a 5 time mark-up on a vulnerable audience, that seems, in the words of the medical director of the very ER we visited, "criminal".           

Now, I also know what you are thinking.  But that is the insurance plan you signed up for.  If you paid higher premiums, you'd have better coverage, and you wouldn't have to pay the full cost of the care.  Again, a valid point.  But this, in my view, is big part of why I think healthcare is so expensive in our country.  Even if I am not paying that amount out of pocket, I am paying for my insurance company to pay that amount for the procedure.  My insurance company can in turn, raise my premiums in subsequent years and reduce my benefits, as they typically do year after year, to cover the cost of this care.  If a procedure cost seems excessive to me, given what it costs a medical facility to do and given what you could potentially pay elsewhere, or what the facility would accept if you were uninsured (and presumably unable to pay full price or afford insurance), then I would hope it would seem excessive to my insurance company, who is supposed to be "negotiating in good faith" with medical providers on behalf of their customers.

What this boils down to is that once someone pays to much for healthcare, we all pay too much for healthcare.  Once an insurance company agrees to reimburse a certain amount for something, that sets the standard for what the procedure will cost, regardless of what insurance you do, or do not have.  And while we might paying varying out of pocket prices for that procedure, we all inevitably pay full price for that procedure.  Even when a facility offers a significant discount to someone who is uninsured, or is forced to accept a significantly lower reimbursement from Medicare or Medicaid, that cost is eventually dispersed amongst the remaining healthcare consumers, which is all of us.

I eventually paid the hospital bill.  But not all of it.  Taking the advice of one of those not-so-friendly Patient Financial Services Representatives, I made a payment of what I thought was reasonable, given the care our son received and the price of that care relative to its cost, and what seemed to me to be reasonable comparisons.  I agreed to pay what an uninsured patient would pay for the CT Scan -essentially the cash price, along with one of the ER Facility Fees#.  This came out to be about 60% of what our final bill was.  With my payment, I included a three page letter on why I believed that amount to be sufficient, and informed the hospital I would be happy to speak with someone if they did not agree with my explanation.  They processed my payment and I heard nothing from them, so I considered the matter closed.

Then I kept getting bills.  I followed up with them again.  Did they not see the letter?  Hard to assume given that my payment was wrapped up inside it.  A friendlier-than-the-last person I spoke with in Patient Financial Services indicated that there was no indication of them receiving the letter, and subsequently reading it.  So I sent it again (I should have been taking off money for postage by this point).  And then sent it again to someone in the Patient Advocacy Office, as well the Vice President for Billing, who might have read it (but it didn't seem like), but assured me that their billing procedures are accurate and I would continue to get bills until it ultimately went to collections.

Eventually I reached out to the Minnesota Attorney General's Office, a suggestion unknowingly made by someone in the hospitals Patient Advocacy Office (it was through that office, that I learned about the uninsured discount).  After a cordial, but relatively unproductive conversation, a representative from the AG's office contacted the hospital on my behalf, and we essentially repeated the negotiation process over the next few months, this time with him as an intermediary.  Eventually, the hospital offered to apply the self-insured discount for the remaining balance of the bill, bringing it down another 40%.  By this point I was ready to have the process behind us, and we paid the balance - no lengthy protest letters.

While this could be considered a (small) win for me personally, it likely won't provide any benefit to others who find themselves in a similar situation.  If the hospital is only willing to bill a (somewhat) more reasonable price when people challenge that price (rather extensively), it will have little effective on making health care billing more transparent and ultimately more affordable in my view.  I momentarily contemplated allowing the hospital to take me to collections, or maybe even sue me to collect the balance (as some hospitals have started to do to their own employees who can't pay their medical bills), but I knew the odds of any significant change coming about by my protests would be minimal (and likely much more costly on my end).  I also contemplated, despite all of my protests, just paying the full balance of the original bill as a kind of "reverse middle finger".

So to (finally) get to the point of my subheading, this is why I think healthcare in the US is so expensive.  Because it can be and we allow it to.  And the only way that we can push back against it is to be the problem customers who complain and challenge when bills seem excessive, which they typically always do.  This is not to say that providing healthcare isn't an expensive endeavor, or that we should expect life saving procedures to cost next to nothing.  But for a vast majority of our medical needs (and specifically needs as opposed to wants), we are beholden to what medical providers charge - and often times the people who are actually providing the physical care have little to no idea how much the services they are providing actually cost.  When we question charges, we assured that everything was billed correctly, which makes perfect sense, given that the people in that very office are the ones who determine what the cost will be.

I don't have a magic answer on how to make healthcare more affordable, or more effective, in this country.  And apparently no one else really does either, particularly the health care execs who are supposed to be the "experts".  But like a lot of things we gripe about, certain changes have to start with us.  As a whole, we don't do a very good job taking care of ourselves.  There is little coincidence that some of the top causes of death in the US are largely seen as preventable- heart diseases, certain cancers, diabetes, etc.  We have also created an environment that precipitates a decline in well being, while doing little to incentivize people to live healthier lifestyles.  As I mentioned in the midst of an intense, and somewhat alcohol fueled, discussion on healthcare this past weekend, no matter how healthy you try to be, your healthcare will always get more expensive.

But it is also up to us to push back on excessive charges and to demand transparency.  At times this might cause people to question our commitment to our health, or that of our loved ones.  However, there is a cost to the care that is provided, and just knowing that that care is going to be expensive, and possibly unaffordable, even with insurance, can lead to people rationing care for themselves or their loved ones as a consequence.  If it seems cold to inquire about the cost of a procedure for yourself or your child, and wonder about the necessity of that procedure, before it being done, than should we not be able to scrutinize those charges after we get them, at times months after the fact?  We shouldn't have to submit our excessive medical bills to media outlets in hopes that a public airing of those charges will result in a hospital drastically adjusting the bill.

Ultimately, I would like us to get to a point where people can get the care that they, or their loved ones need, without needing to worry about the financial consequences.  We should also allow medical professionals to provide the care that is necessary to help their patients without being concerned on how they will be compensated for that care.  We shouldn't live in a country where the number one reason people go bankrupt is related to a medical issue.  Nor should we live in a country where doctors commit suicide at double the rate of the rest of the public.  I believe that people would much rather be healthy, and would prefer avoiding receiving medical care as much as possible.  But this does not mean that they should avoid receiving it when they need it because they cannot afford it.

Does this sound like free health care for all, as one of my weekend conversation partners suggested?  Not necessarily.  We already spend so much per person on health care in the US that some argue we could cover the cost of care for most everyone, especially since a vast majority of those dollars are spent on a small number people.  Does that mean a more regulated system, that democratizes care across all Americans, regardless of their income levels?  Probably.  Does it mean health care rationing?  Possibly, but as we know, that already happens in our current system.  Does it sound expensive?  Absolutely, but so is our current system, and it certainly doesn't show any signs of getting better.

As parents we want our kids to be healthy.  We know we can't shield them from all pain, nor should we necessarily want to.  But when they get hurt, if it seems serious enough for them to be seen by a medical professional, we shouldn't feel hesitation because we are concerned about the cost.  When a trained medical professional suggests a certain type of treatment, we shouldn't have to contemplate what impact that might have on our finances.  Or when we see our health insurance premiums rise year after year, while our benefits dwindle, we shouldn't wonder how that might effect our ability to put food on the table. 

I don't have the answers, but I know those scenarios, which many of us have likely been in, are not the ones that we want.  Until those scenarios no longer exist, I will continue to advocate for more effective and affordable care for myself and my loved ones, and I will challenge and push back when I believe that is not the case.  I would encourage you to do the same.

I think his pride (what little a 4 y/o has) was hurt the more than anything else.
While he was very anti-selfie for the next few weeks, he was back on the scooter the next day.

Thanks for staying with it.  I know it got long.  I've read a lot (probably too much) about health care.  If you'd like to do the same, here are some additional resources I'd recommend. 

Catastrophic Care by David Goldhill 

An American Sickness by Elisabeth Rosenthal

If Our Bodies Could Talk by James Hamblin

Shots - Health News by NPR

VoxCare - Vox's Health Care Newsletter - Anything by Sarah Kliff (now with the NYT) or Ezra Klein is particularly insightful

Kaiser Family Foundation

               

^When you have a sick or injured child, "taking them in" tends to become shorthand for bringing them to be seen by a trained medical professional

*This came into effect at the start of 2019, so it wouldn't have helped us in May of 2018 for our particular visit.  I did find the information on hospitals website though, and the price list for procedures looks as though it was basically lifted from a medical coding textbook.  I challenged representatives in the Billing Office of the hospital to point out on the list what procedure our son had undergone.  I never got a response.

#The Emergency Physicians Association that provides the doctors for this particular ER had a policy of not billing for multiple ER visits in a given day.  This seemed to make sense to me, and I figured if the doctors the hospital contracted with did this, the actual hospital should do it to.   

Running Down a Dream

He's Going the Distance

If you are an occasional reader of this blog or know me personally, you may know that I am not one to shy away from masochism.  About three years ago, I wrote about how four years prior to that I was in the midst of training for a marathon.  It was my second foray into such stupidity as I had barely finished my first seven years prior to that, and promptly swore I would never attempt another.  Well, the seven year itch struck again, and this past fall I found myself clicking the submit button on an online registration for a 50 mile endurance run.  Yep, I figured if I'd already finished two marathons, albeit seven years apart, the next logical thing to do would be to attempt to run almost two full marathons in one sitting (or standing, or mostly death marching as they call it in the ultra world).

Attempting an ultramarathon had been on my list of things to do for a while.  I originally thought I could just jump into a 100 miler (arguably the standard distance when someone mumbles "ultra"), but sensibly figured a 50 would be a good place to start.   Recognizing that I am certainly not getting "Younger Next Year" (despite the title of the most recent book I read) and given that our youngest started a few mornings of preschool this past fall, giving me about five hours of "free" training time during the week, I figured there was no time like the present.  I had also watched/read some pretty inspiring documentaries/books (listed at the bottom), which confirmed that I was sufficiently crazy enough to drop a couple of Benjamins on a race entry and all subsequent supplies.

As an avid runner for the past 21+ years, I've come to appreciate the act of running for the role it plays in my life.  I wouldn't say I love running, but I love the way I feel after a good run.  I love how it challenges me but allows me a certain amount of release at the same time.  Running has become as beneficial for my emotional health as it has for my physical health.  While I haven't always actively trained for a particular run or race, I've also found it important to carve out some time to run a few days a week.  It makes me a better person.  I also love how running long distances allows me (questionable) justification to eat whatever I want with relative reckless abandon.

Naturally, training for an ultramarathon took an excessive amount of time.  The five hours of kidless time each week obviously wasn't going to be a sufficient amount of training time, no matter how many "Low Mileage Ultramarathon Training Plans" I Googled.  In reality, the training wasn't significantly different than training for a marathon, with the exception of what is commonly referred to as the "block run".  This usually means instead of doing your typical long run once a week like you would for marathon training, you do that long run, and then do it again (or as much as you can handle) the next day.  The premise of the training is that you should never run the full amount of your ultra, but you should get pretty close over the course of two days.  Training for a marathon, and especially an ultra, becomes essentially a part time job, and you start to wonder what other things you could have been doing with that time.

It can certainly be hard to justify taking that amount of time to engage in any particular pursuit, especially if you have a family that is feeling the brunt of your training.  I knew though that the training would be temporary, and the run itself would eventually come and go.  As a good friend, and decorated ultrarunner counseled me, you have to make sure your family is on board, because the training will take a lot out of you, and it will dictate a big chunk of your life.  My wife, as you all know, is amazing and selfless and tolerates most of my bullshit, and the kids seemed rather apathetic to the notion of dad running excessive distances.  They actually learned during my training that it probably worked to their advantage, as my need to try and get in a midweek run often meant some quality time for them with their favorite babysitter - the television.  I found turning on the TV for them if I was going to spend some time on the treadmill was significantly easier to justify than most of the other reasons I turn the TV on for them - all of which revolve around my laziness.

 So after six months of pounding the pavement, and the trails (and the occasional dreadmill), I was excitedly anticipating the run while also looking forward to the end of my training.  I wrapped up my training with the longest run/jog/walk I'd ever completed in my life, all on muddy and snow covered trails and a third of it in relatively terrifying darkness, and was ready for my taper - which included four kidless days with my wife in New Orleans for a friend's wedding.  As the run itself approach, I did my best to stay busy by preparing race logistics and marveled at how a few consecutive days of not running was actually diminishing the constant soreness in my legs.  It felt like I was actually get the bounce back in my step.  Just as I was as ready to become a dad I was was going get on November, 19, 2010, I was as ready as I was going to get for a 50 mile run.

And then the Minnesota winter scoffed at all of us, and especially the 900+ runners who signed up for one of the Zumbro runs.  Comparable to 2018, which resulted in the cancellation of the 17 mile run of the Zumbro, an April blizzard descended onto most of the state of Minnesota, and the race directors, after much consideration and deliberation, made the decision to cancel all three of the Zumbro races (100, 50 & 17) out of concern for the runners and volunteers.  Six months of training, 500+ miles of running, millions of calories burned (and probably more consumed), and no actual race to run.  Obviously I was disappointed, but given that the weather was the cause of the cancellation, and not my decision to pull out because of injury or anxiety, made it a little easier to take.  The race director detailed the thoughtful and difficult decision to cancel the run in a lengthy email explanation, and we still got the race shirts, which I wore for a week straight*.

Of course I didn't feel like the training went to waste.  One of my biggest fears about getting old is losing the ability to engage in the pursuits that I love, or ones that I mildly enjoy and know are good for me.  The most recent book I read, Younger Next Year, stresses the importance of engaging in physical activity nearly every day if you want to live a good long and health life.  The authors see the art of aging as choosing to grow, by being vigilant about your health through exercise and healthy eating, or decay.  We can't stop the fact that we will get older, but we can continue to do the things we enjoyed doing in our younger years if we commit to actively pursuing a healthy lifestyle.

My kids have certainly added some extra motivation for trying to remain physically capable.  As they've gotten older, it has been fun to engage in some of the various recreational activities I really enjoy doing, and watching them starting to "get it".  It makes me excited for the time in the not so distant future; when we can play catch in the backyard, hit the tennis ball or play some one on one hoops at the courts, follow each other through the trees on the double black diamonds, etc.  Secretly, I have a (like unattainable) goal to always be BFS (bigger, faster stronger) than our kids.  And not just for a sense of vanity - I've long given up on any pursuit toward six pack abs (to my wife's chagrin).  But more out of a desire to hopefully always be able to keep up with them, and maybe push them a little.  I will obviously always be their "old man", but I don't necessarily have to play like one - at least when it comes to being active.

I've also discussed in the past what I think is an important part of modeling healthy behaviors, and how I feel it is important for my kids to see me doing things that I enjoy and at times struggle with.  I hope this shows them a small amount of hard work and dedication to things that they are passionate about and find joy in doing is most certainly worthwhile.  If they gravitate toward being runners (and I hope they do), or any of the other leisure pursuits I really enjoy (of which there are many), that's great.  But I will let them find their own path.  Should they ever want to run a marathon and need a pacer, I want to be ready and up for the task, no matter my age.  Now that our four year old recently learned how to ride his bike without training wheels, I'm already plotting routes for our family cross country bike trip (pedal bike).

So that is why I at times put my own body through the ringer - to try and stay healthy so I can keep up with the kids and hopefully live a long life, while also trying to model some healthy behaviors of engaging in things that I love.  I recognize that it takes some time and commitment, and that might mean spending a little less time with them to engage in the things that bring me joy.  But I figure if I take the time now to stay healthy and happy, I will hopefully have more time with them in the future, and more quality time when I can actively be a part of their lives and share in the pursuits that bring them joy.

Will I attempt another ultramarathon?  Maybe.  Maybe not.  After my race was cancelled, I realized that after all of my training, I was pretty certain I could have completed 50 miles.  It might not have been pretty, and I likely wouldn't have finished in the arbitrary time goal that I set for myself.  But just knowing that I could have willed myself through it was an accomplishment enough - not to forget about the number of miles I logged over the six months, or the fact that I actually completed a couple of ultramarathons during my training^.  For now I've been taking a little running break.  Enjoying some additional quality time with the family, and tamping down a little bit on the kids' screen time (just a little).

I believe that whenever we try to better ourselves - whether through improving our physical health, mental or emotional health, or even our financial health - those attempts are never in vain, no matter if we reach our intended goal or not.  We always learn something along the way, and for those of us who are parents, things we can pass along to our kids - hard work, perseverance, band-aids over the nipples, etc.  For our kids to see us try, and either succeed, fail or not be able to complete our goal due to extenuating circumstances, and observe how we respond to that outcome can be a powerful motivator for them.  It may encourage them to try and make their dreams be more than just dreams.

Picture taken immediately following Isla and my first ever daughter-father run. 
It was 2 mile glow run of which she ran almost half (impressive for a 4 y/o).
We walked a bit and I piggybacked her occasionally

*It's not uncommon for me to wear shirts, or other clothes for a week at a time.

^Technically, an "ultra" is considered anything longer than 26.2 miles.  During my training, I did 30 and 34 mile runs/walks/jogs/death marches - neither were glamorous, but I was at least able to walk the following day.                   

Inspirational Readings/Viewings on Ultrarunning & Other Nonsense

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Born To Run - Christopher McDougall

Eat and Run - Scott Jurek

Ultramarathon Man - Dean Karnazes

Mindful Running - Mackenzie L. Havey

My Year of Running Dangerously - Tom Foreman

What Doesn't Kill Us - Scott Carney


Film

"The Barkley's Marathon - The Race That Eats It's Young"

"The Barkely's Marathon - Where Dreams Go to Die"

"How To Run 100 Miles"

"Breaking 2"

"The Rise of the Sufferfests"

You Say It's Your Birthday?

After All My Plans, they Melt into the Sand

I made another trip around the sun a few weeks ago (actually, it was a month ago by now).  Staying in form with the other "monumental" days that have already passed this year in our house; our wedding anniversary, Valentine's Day, etc., it was pretty low key.  It landed on a Thursday, which you may be aware is a "dance night" in our house this year.  It also happened to be "dance picture night", which added some extra chaos and required additional adult supervision throughout the evening.

Thus, my "birthday dinner" was self made* and enjoyed in the company of our Colombian teaching intern who is staying with us this year.  Two of our three kids where around, but they were relatively oblivious to the significance of the day, and had zero interest sitting at the table to watch us eat as they had already consumed their "fast food"^.  I at least made myself a steak (which is ironic because I'm not a huge steak-eater) and enjoyed a glass of red wine.

Growing up I always eagerly looked forward to my birthday.  I would usually have a hard time sleeping the night before, eagerly awaiting what gifts might be given that following morning in celebration of my birth.  I vividly remember a birthday growing up, maybe when I was 10 or so (okay, maybe not so vivid), when my whole family seemed to forget it was my birthday.  I remember being so upset, until they eventually surprised me with tickets to a Minnesota Timberwolves basketball game that evening.  I still look forward to my birthday.  As much as I would like to say it is just another day on the calendar, it certainly feels nice to be well wished and maybe pampered a little, even if just for a day.  Everyone deserves that on occasion.  Even you.

As we get older, we may naturally look at our birthdays with a certain amount of dread.  Recognizing that we are getting older, possibly at our nearing another milestone of old age, and that much closer to kicking the bucket.  Officially reaching the backside of my 30s, it is a salient concept for me.  The gray hairs are prominent, while the total amount of hair is thinning (on my head at least).  My body aches more, in more places, for inexplicable reasons.  Those facts of life don't always make us keen to want to celebrate.  

Something I really seemed to grasp (appreciate/accept) this year though, was the fact that my birthday isn't really about me anymore.  It's about taking stock of the existing presents in my life; my family and my friends, my health, my stunning good looks.  These are the things that make me look forward to having a birthday and celebrating another year of life.  It's certainly cliche to say, but the best gift I can receive on my birthday is the opportunity to continue to be apart of the lives of the people I love, especially my wife and kids.

For that gift to keep on giving year after year, I think you have to recognize that the giving of your love to the people you love returns love to you in greater quantities.  Most all of us feel good when we've done something nice for someone else.  I know I do.  For me, it is just easier to be kind of people, but it also makes me feel better when I'm kind.  And, I like to feel good.  Given that we've just celebrated Easter, if you follow Christian teachings, it doesn't seem coincidental that Jesus was both the happiest and most self sacrificing individual.  I'm guessing the same holds true for the major prophets/players in the other main religions.  

And this giving of ourselves to others, especially those who mean a lot to us, might actually helps ensure that we will have numerous birthdays to celebrate in the future.  Coincidentally,  I just finished reading the book, Younger Next Year by Chris Crowley and Dr. Harry Lodge.  While it focuses primarily on the things you need to do from a health and fitness standpoint to live a good long, and active life, the final chapters are dedicated to a person's emotional well being.  The authors, particularly the one with a medical degree, stress of the importance, especially in old age, of mattering to others.  Having connection and commitment to things beyond our own self interest strengthens our limbic brain, which typically corresponds with a longer span of life.  

A few years ago, a good friend and I sat a bar and questioned the reason why, as we aged, we had started to seemingly sabotage our own happiness by adding responsibilities to our lives like spouses, kids, houses, jobs, etc. (I had all four of these, he only had a job).  We observed that these things had a tendency to get in the way of what we typically lived in pursuit of during our younger years; namely, sex, drugs and rock and roll.  But as I exchanged emails with this same friend a few months, congratulating him on joining the Jerome Bettis club, he expressed his contentment with accepting the fact that we were no longer rockstars, and likely never were in the first place.

We get to that point in our lives, particularly when we become spouses and parents, when we realize that it's not all about us.  At least not all the time.  We see things in the broader context of our place as it relates the to world around us and particularly in relation to those who are closest to us.  We see how we can play a role in their happiness, even if that means sacrificing our own happiness from time to time.  I believe this is what the kids these days call "adulting".  When I had lunch with my Mom for her birthday a few weeks after my own, I shared with her that I now "got it".  I understood why she, and my Dad, were so quick to make things about my sister and I and not them, even their own birthdays.

So on my birthday, my family gave me the gift of being able to play a role in contributing to our collective familial happiness.  Which, on this specific birthday, meant staying out of the way.  It felt good to not add an unnecessary stress to and already stressful day by insisting that things be centered around me.  My family might have felt a little bad, or maybe just my wife, that my birthday seemed to go overlooked, but it was a perfect way to celebrate.  And my body, particularly my liver, felt incredibly better the following day.

Given the trajectory of our lives, the chance of my birthday next year being just as exciting as this year is pretty high.  Although, it is on a Saturday next year which might be on a dance competition weekend - then it might get really crazy.  But the chances of me having another birthday next year are pretty high (statistically speaking at least).  If celebrating my birthday every year means making the celebration more about others and less about me in order to ensure that I will have numerous birthdays to come, it's a sacrifice I am willing to make.  There will likely come a day again, when my birthday becomes all about me, even though I'd rather have it not be.  By that time, I'll be so old and senile I probably won't even remember that it actually is my birthday.

I'm pretty certain this was my birthday last year.

  

        

*When my wife mentioned to our 8 year old that she felt bad that I had to make my own birthday dinner, her response was; "But Mom, he likes making dinner."

^We don't eat a lot of traditional fast food in our house - McDonald's, etc.  We do eat on the run a lot though, and a friend once told me they refer to those meals in the vehicle consumed en route to something as "fast food".  I liked the term, so naturally hijacked it.

And Today Was a Day Just Like Any Other

Turn and Face the Strange

My wife and I had a kid-free night out in the big city a couple of weekends ago.  We went out for dinner, met up with some friends for cocktails, and enjoyed some live music.  We stayed up later than we should have and slept in (for us at least).  It had been a while since we had a chunk of kidless time together, and it was somewhat nostalgic of our days before offspring.  It wasn't even to mark any special occasion, the stars just aligned to get together with some friends, and the grandparents were clamoring for some quality "grandkiddo time".

Two days into 2019, my wife and I had our 10 year wedding anniversary.  To celebrate the occasion, we dropped one of our kids off at her dance class and convinced grandpa that his evening would be best spent hanging out with the other two - it didn't take too much convincing.  We savored that 90 minute kid-free session with dinner at a nondescript Mexican restaurant (we had gift cards) and passed on the margaritas (we were working on our beach bodies for an upcoming trip to Mexico).  When our 90 minutes were up, we picked up our daughter from dance class and returned to our originally scheduled programming.

As your marriage lengthens and kids (and other responsibilities) get added to the mix, stereo-typically designated "romantic occasions" have a tendency to become very less so.  If our 90 minutes out to commemorate our 10 year anniversary seemed a little lack luster, it was monumental in comparison to what we did for Valentine's Day.  Which was nothing.  In fact, we had actually both being recovering from some minor ailments (stomach bug, head cold), so the very thought of doing anything mildly romantic seemed somewhat repulsive at the time.  Plus Thursday nights are tough.  It's a dance night (one of them).

Like February 14th, January 2nd is a day on the calendar.  For my wife and I it holds special significance as our wedding anniversary.  But for everyone else who didn't get married on that day or have a birthday on that day^, it's just another day on the calendar.  Which, thanks to the Romans, in 2019 - 10 years after my wife and I said "I Do" - happened to be a Wednesday.  Naturally neither of us had the foresight to consider what day of the week our "monumental" anniversaries might fall on in the future when we picked a date for our wedding.  Given that we selected a day in January in Minnesota, obviously shows how much thought we put into the decision. 

 
My wife and I have been married for 10 years, and while the love we share today is exactly the same as the love we shared when we said our vows, it is also very different.  That is the case because we've changed as individuals over these past 10 years, as has our family dynamic and the nature of our relationship.  While we are the same people who stood holding hands trying to recite our vows while holding back tears (one of us at least), the experiences that we have had as a couple, and now as a family have changed the way we love each other, and the life that we've made together.

I was reminded of this during the parenthetically aforementioned trip to Mexico that we saved our margaritas for.  We went for my sister-in-law's wedding, where, for five days, we lapped the life of all inclusive luxury, and were able to be apart of one of the most beautiful weddings I have ever experienced.  Given that it was their aunt getting married, the kids came with, and considering that it was January, and we were escaping sub-zero temps in Minnesota (only to return to those continual sub-zero temps), it was an unforgettable experience.

It was also quite different than our last trip to a beach resort in Mexico, for a number of reasons.  And for those reasons alone, it was an absolutely incredible trip.  Of course we were looking forward to a break from winter, soaking up the sun, and enjoying a few poolside cocktails.  But that wasn't the focal point of this trip.  The focal point was celebrating my sister-in-law and her husband, while being able to spend quality time with my wife's family and making some unique memories with our kids.  Lounging all day by the pool, sipping bottomless margaritas, clubbing at Senor Frogs until the wee hours of the morning, and sleeping past noon were very far down on the to-do list, if on it at all.

As I listened to the bride and groom exchange incredibly personal and heartfelt vows during a beautiful ceremony overlooking the the Cabo San Lucas marina, I couldn't take my eyes off of my wife.  She looked as stunningly beautiful as she always does standing by her sister's side.  Of course they both looked stunning, but naturally I'm biased (sorry Mel).  We've talked at times, usually in jest, about renewing our vows, and while they would be quite different ten years later, they would still be very similar.  Partly because I have absolutely no recollection of what those vows actually were.

In our ten years of marriage our relationship has changed as we've changed as people and our family has grown to encompass our children.  Some of the passion and excitement has certainly faded, but it has been supplemented with other feelings and emotions.  Our love might look different in its nuts and bolts than it did ten years ago, or twenty years ago when we first verbally expressed those feelings to another (for the record, I said it first).  But that love is still rooted in a deep commitment and respect for one another, that recognizes a place and time for each of those emotions.  It is, to borrow a line from Macklemore, the "same love".

A wedding is an amazing celebration of two people, their love, and their future together.  But everyday in a marriage can't be a wedding.  Every trip to Mexico, or other exotic location, won't always feel like a honeymoon.  Every anniversary can't always involve wine, chocolate fondue and rose petals on the bed - even the big ones that seem like they should.  But that is life, and the fact that those momentous occasions don't happen every day helps to understand their importance, but also put them into perspective.  For they are days, albeit big ones, in the journey of our life and the relationships that are built.  Those days are important, but so is every other day and moment in between.

As we get older (wiser/more mature?), I think it becomes easier for us to understand (rationalize?) this.  We learn how to experience love and express love in the smallest of things that happen on a daily basis.  The things I love about my wife now might seem different on the surface, but I love those things for the same reasons I loved other things about her when I asked her to marry me.  Her presence in my life, along with our kids, brings me unparalleled amounts of joy and happiness (and at times frustration).  But my life is still unquestionably better with her, and them, apart of it, no matter the circumstances.

When we learn to find love in those everyday, in between moments, our capacity for love increases.  It has to.  For we are not waiting for those "special occasions"; anniversaries, birthdays, administrative professionals day, to express our love or allow ourselves to experience love from others.  True, it is easy for those moments to go over looked, as it is an irony that the more we tend to be loved, the more we can overlook that love.   At times we need those refreshers; an anniversary, or a "Hallmark Holiday".  For me, weddings always seem to serve as a helpful reminder of the love I felt for my wife on our wedding day, and how I can do a better job of expressing that love on a daily basis.

But given the option of feeling consistent and constant love on a daily basis, or only "feeling the love" when the big days come around, I think most of us would choose the former.  We all express love in our own unique way, and to make a relationship last, we have to find the way that works for us and the one we love.  It's not based on the way other couples love each other, although it can be helpful to understand what you admire about other people's love and try to emulate it in your own relationship.  But we all change over time, as will those around us, which will impact those relationships that we've made.  If we embrace those changes, and look for the good things that those changes bring about, those relationships will continue to grow in love.

One of the couples we were able to get together with during our adult night out has had very different marital experience than my wife and I.  For a variety of reasons, they do not, and I'm guessing won't have any kids.  They both are very successful in their professions, which require significant time and energy commitments.  They love to travel, as we do, and we were listening with envy as they recounted some experiences from a trip they took a Greece a few years ago (somewhere my wife and I are hoping to go for a anniversary trip this coming fall).  The owner of the hotel in which they stayed would often exclaim to them, "This is life!"  Our friend was pretty certain he meant to say, "This is the life!", but something got lost in translation.  But in my mind, the saying fits.  "The life" is what you make of "life".  At times it will definitely feel more like "the life" than others, but it will always be life.     

Cabo 2019

Puerto Vallarta 2010
(The precursor to this family business)

 




^Since the Mexican restaurant we went to gives you a free dinner on your birthday, it was actually a pretty hopping place.