Economic Changes

One measure of the way the worldwide economic crisis has hit Spain is the statistics about unemployment: approaching 25% according to the most recent reports, and nearly 50% of youth between the ages of 16 and 24. Another measure is the general strike of March 29, which did not cripple the country by any means, but was inconvenient, especially if one was traveling, and a noticeable reminder that government workers and services are being especially hard hit in the search for remedies. The slowdown in government services was one reason we found ourselves this past week in the waiting rooms of San Jaime, the private hospital in Torrevieja, for a third cataract operation.

This operation was not for me, but for Johannes. I have had two cataract procedures in the past two years, one on each eye, both successful, and both paid for by the public health system of Spain (which generally pushes costs for non-Spanish European citizens back to the "home" European country as in typical EU fashion, but the system is administered and services delivered by Spain). In 2010 when I needed my first operation, I waited for a few months after getting approval from the ophthalmologist and then I got a letter from the hospital that was to do the surgery: since the three month waiting period had been reached, I now had my choice of waiting until my name came to the top of the list, or going to the private hospital, where an immediate operation would be performed at public cost. I did not need a second invitation, and after I had had one eye done this way, I was able to get the second done several months later by the same hospital, same doctor, and according to the same overflow conditions.

This time three months passed after approval for the procedure, but no letter was forthcoming. In due course we went to the hospital for which Johannes was in line, and they would not give even a guess as to when he would make it to the top of the list. Apparently the public system is no longer paying for overflow procedures at the private hospital, which should not have been a great surprise since the newspapers are filled with stories of short-term strikes at pharmacies that have not received payments by the provincial governments for the drugs they have delivered free to participants in the public system.

On the day of Johannes' operation, the waiting room was not as crowded as it was when I had my two procedures, and instead of waiting several hours from beginning to end, it was less than two. As I sat in the outer waiting room and listened to the voices around me, I was surprised that most of the patients were Spanish. We were surrounded by families in which the women were well-dressed, with beautifully colored and styled hair. I had expected that they were European citizens who had elected to pay for a quicker procedure. But there was only one other English-speaking couple and at least four Spanish-speaking. It seemed as though Spanish women of a certain age were the patients; as this was cataract surgery, they were probably in their seventies or near them on either side. When Johannes came out an hour later from his procedure, he gave me the inside story of the conversations in the inner waiting room.

You have to disrobe and put on a hospital gown when you have cataract surgery here, and apparently that prompted the subject of clothing. The women were chatting about how, when they were growing up, they would have been dowdily dressed in straight black, dark grey, or navy blue skirts at this age, and certainly not undressing for cataract surgery. It is true; even today you see many short, older Spanish women, whether  in cities or pueblos, in their tight black skirts, nondescript dark blouses, dark hose, and flat black shoes. I look at them and guess that they are in their seventies or eighties, but I know that some, especially in the small towns, are only in their sixties or maybe even fifties. Only a generation, or perhaps two, separated the stylish women I saw in the waiting room from their mothers or grandmothers in the old-Spanish uniform. A generation, probably an education, jobs, the invasion of their country by northern Europeans, and presumably a little more wealth.

But the younger generation of today is probably not going to see the positive change that their parents did, if the country does not find a way to save its economy from itself and from the "Overdose of Pain" prescribed by the EU.