Being uninsured

I posted an editorial, from a deeply personal perspective, about being uninsured and health care to Philly Future and Young Philly Politics. There’s a bit about me in there you might not know about.

We gotta speak out sometimes. And sometimes that requires sharing parts of ourselves we may not want to.

I gotta get my guts back.

Here is the post for you:


This is a difficult piece to share, and is a bit out of the norm for me, so apologies if it rambles a bit.

A few months ago, on my way home from a physical rehabilitation session for my herniated disk and spondylolisthesis, I fell down some steps on the way to the Regional Rail and fractured my right foot.

All of the next day, especially upon learning that the fracture was minor, I laughed at my predicament. The irony of it. Oh I was in pain, be sure of that. A whole hell-a-lot of it. I still am. But I could laugh because just over ten years earlier, I would not have had health insurance – and my situation would be considerably more dire.

Dan Urevivk-Ackelsberg of Young Philly Politics has asked me to share with you some of my personal experience with being uninsured.

My name is Karl Martino. A few of you know me as Co-Host of Philly Future. Philly Future isn’t designed to pay it’s bills, it’s a labor of love, so by day I work as a software engineer for a great employer, where I have health insurance as a benefit.

As I mentioned, just a short time ago, I would not be looking at my predicament and be considering myself so blessed. I was working a string of part time jobs, that either did not offer benefits, or gave benefits to those who worked full-time. A status reached when you worked a number of weeks in a row 36 hours or more. Employers would never let me work the required hours for those number of weeks straight. This kept benefits tantalizingly out of reach. It went like this for approximately six years.

Six years without a dental visit. Six years where the emergency room would be my source of primary care. Six years between the day I was thrown out of my mother’s home and had worked my way to a place that could be considered “middle-class”.

As a teenager, I made the difficult decision to quit High School and find work. My home situation was tenuous and I did not know if I would have a home to sleep in one day from the next. Making this decision put me out of the reach of counselors or advisers. I had no one I could talk to I felt could help. And one day, in my late teens, I did find myself looking for a place to keep warm and get rest.

It was the 90s. It seems so long ago now, and it is hard to recall, but it was a time of great opportunity. A time where employers, unburdened with the environment of fear we live in today, might take a chance on a hard worker and help that person get a leg up. An environment where millions of people could succeed in their struggle against the cycle of poverty. So that’s the route I went – I taught myself software engineering and built a career.

Looking back, I realize how truly blessed I was. I had no serious health issues to address. I had no family to take care of. If I had either, I could not consume myself with my work as I did. How do single mothers and single fathers, fighting every day at jobs that barely pay the bills do it? Their choices are far more stark then mine ever were.

It’s difficult to speak about my past, but I recognize I have a responsibility to my community to do so.

Responsibility is a tricky word. We live in an age of ‘me’, where our responsibilities to each other have been subsumed by those responsibilities have to ourselves.

Governor Rendell’s health care plan may offer us an opportunity.

An opportunity to insure that no child need go without a preventive medical visit and end up in a costly emergency room visit. An opportunity to make our state an example that others will want to follow, one that will make us more attractive to employers and home makers alike. An opportunity to insure that working class people, people that want to provide a healthy home for their families, people that want to climb up the ladder of our American dream, have the tools to do so.

We have an opportunity, an opportunity to live up to our responsibility to each other.

– Karl Martino

PS – This post points to some reasons why I haven’t been active on the web and in the community as of late. My apologies to everyone.

This will be cross-posted at Young Philly Politics.

You can read more about the health care plan at and

3 thoughts on “Being uninsured

  1. You know what’s fun? Being 52, without a regular job and no health insurance and being a high risk candidate for cancer.

    Sometimes just waking up in the morning is all you have to do to play Russian Roulette.

    Good story Karl.

  2. Yeah, I bet that’s just kittens and puppies terrific.

    The insurance and health care situation, the more I become aware of how good it could be, the more I become aware of how it was becoming leading into the 80s (a growing saftey net provided by government and available long term employment if you wanted it), increasingly seems unacceptable to me.

  3. But this is no nanny state guys. We do not need the government to take care of us. Didn’t you know that all you need to do is work hard and everything will come to you. Just ask any one of the conservative classes and they will tell you all of this. Afterall, they are so right and we liberals are so wrong. /end sarcasm

    Everyone will piss and whine about the cost of a universal health coverage plan. Pay for it by taxing luxury items. Pay for it by taxing cigareets even higer. Pay for it by taxig alcohol. Pay for it by taxing those pruchasing SUV’s. Pay for it by taxing those who want to own vicious dog breeds. Pay for it by taxing those who are in jobs where they pay $0 for their health care (i.e. politicians). And run it using a private firm instead of allowing the government to operate it. Have One oversight comittee but let a private firm hanlde the day to day. That way in order to get an appointment to a specialist approved, it won’t take months.
    It really is not that difficult to solve this problem so everyone can have good health insurance which answers the “why” question – Why? Because it means the current health insurance industry would lose money. We certainly cannot have that now can we?

Comments are closed.