Rx Rip-Off

Three years ago today, I had a doctor’s appointment. My physician gave me a prescription for three — just 3! — tablets of a medication not covered by my Medicare Advantage plan.

“They’re quite expensive,” he warned, “so you will probably want to shop around for them.”

As his nurse reviewed the doctor’s notes with me before leaving, she bent over and whispered, “Look online, hon. I’m sure you can find these drugs for far less from Canada … or elsewhere.”

“Are you kidding?” I joked. All I needed was more inbox spam for male enhancers.

So, I called every pharmacy in the area. The mail order division of my Medicare provider. And U.S. online drug stores.

Bottom line:

TWO HUNDRED AND EIGHTY-SIX DOLLARS ($286) FOR THREE TABLETS!!!!!

Then, I went back online and looked at Canadian pharmacies. A legal, licensed, accredited Canadian “dispensary” requiring a bona fide prescription would charge me US $19.80 + $9.00 shipping for eight — not three — of the same brand tablets. But, I’d have to have my doc rewrite the ‘script for eight tablets instead of three.

Living in Portugal and Spain now, pills and pharmaceuticals cost a whole lot less–23 Euros for six “comprimidos” of the same drug from a different supplier.

Portugal and Spain subsidize their pharmaceuticals and set the price for them.

I still can’t help but wonder what’s wrong with this picture: $19.80 for eight of the same, non-branded tablets from a Canadian pharmacy vs. $286.00 for three from a U.S. drug store and about US $27 to purchase them here in Portugal. Per pill, that’s @ $95 (USA) vs. $3.60 (Canada) vs. $4.50 (my Portuguese pharmacy).

That’s not right. It’s wrong. Very wrong!

Shared here are personal observations, experiences, and happenstance that actually occurred to us as we moved from the USA to begin a new life in Portugal and Spain. Collected and compiled in EXPAT: Leaving the USA for Good, the book is available in hardcover, paperback, and eBook editions from Amazon and most online booksellers.

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“Partners”

“The people of Portugal don’t judge a person’s sexual orientation but, rather, his or her character,” a wise woman said to me.

As hate crimes continue to escalate in the USA and same-sex marriage, though now the law of the land there, faces renewed opposition and denials by government representatives, I am reminded of yet another reason why we love Portugal and Spain.

Sexual orientation and gender identity don’t appear to be issues here.

How ironic that two of the most “Catholic” countries in the world – Portugal and Spain – have been in the forefront of recognizing both civil and human rights, regardless of the church’s official teaching and position.

In fact, the entire nomenclature – the words we use to identify and call this or that – takes a bit getting used to and understanding on this side of the pond.

Take “partner,” for instance. Despite its business associations and financial connections, it’s my own preferred word to describe a relationship in which we share the substance of our lives together.

Evidently, others feel the same way, too.

We’ve met more married couples here who refer to their spouses as “partners,” rather than husband or wife. The same goes for committed couples who, but for common law, aren’t technically married.

And, although I advocate gender-neutral vocabulary whenever possible (and practical), “spouse” simply doesn’t convey that warm-and-fuzzy feeling as does “partner” (or husband and wife, for that matter).

“Mate” can also be gender-neutral, but no longer implies what it did. Once upon a time – for many Americans, at least – one’s mate referred to one of a pair. Like socks or matching earrings. A sexual connection was often implied or inferred when referring to someone as one’s mate. Not anymore: Now, especially among Brits, “mate” is more commonly used as a familiar form of address—as in “friend” or “buddy.”

Attraction, like emotion, is legitimate but not logical … less a product of the mind than what abides in our hormones and hearts. So, whatever term of endearment – partner, spouse, mate, husband, wife – you’re most comfortable with when referring to that special companion in your life is yours to choose and use.

Yet, how does that play out among the Spanish and Portuguese, who refer to their intimate relationships as “esposo” and “esposa” (husband and wife, in both languages), but “marido” and “mujer” (“mulher” in Portuguese)?

The man is a husband in both countries; but the wife is referred to as “my woman.” Both countries are rather progressive, yet with remnants of provincial sexism and property ownership.

What’s more, do the same standards hold true for the Portuguese people and Spaniards today? Look around: Depending on where you live, the answers may vary. Or maybe they won’t.

You’ll need to get to know your neighbors better.

Which is how it should be, anyway.

But don’t interfere!

# # # # # # # # # # # # # # #

Shared here are personal observations, experiences, and happenstance that actually occurred to us as we moved from the USA to begin a new life in Portugal and Spain. Collected and compiled in EXPAT: Leaving the USA for Good, the book is available in hardcover, paperback, and eBook editions from Amazon and most online booksellers.

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Making a Difference from Abroad

“But, you left.”

“It’s not your country. You don’t live here anymore.”

“Why do you even care?”

“Anyway, what can you do from over there?”

For one reason or another, sooner or later, directly or indirectly, expats and immigrants are bound to hear comments such as these … especially on Facebook … because people don’t understand our decision or desire to live outside the USA.

Some people don’t; others won’t; many just can’t.

Yet estimates put the number of USA citizens residing internationally between six and nine million. According to a January 2019 Gallup poll, that number is increasing, as the emigrant exodus continues to climb under the Trump Administration.

Ironically, we left a country in the throes of battles over immigrants … to find ourselves now as the immigrants in another land: for many of us, that’s Portugal and/or Spain!

Moving elsewhere doesn’t sever one’s ties to the motherland. We can cut the umbilical cord; but never will we be detached from cares and concerns about our country, no matter where we may live. We remain U.S. citizens, albeit residing officially outside the USA.

Some people want nothing more to do with the increasingly belligerent partisan politics in the USA (or the UK … and elsewhere, for that matter). Others, however, are every bit as involved and engaged in the battle to form a “more perfect union” from this side of the great divide.

To answer those questions posed at the beginning of this post, expats actually can make a real difference in the USA from abroad:

 Contributing our time, talents, and resources to people and organizations we believe can make things better;

 Volunteering our efforts to help staff offices, make calls, translate, or moderate online forums dealing with citizenship matters;

 Writing letters to the editors of newspapers and magazines, websites and blogs, based in the USA and worldwide;

 Posting, commenting, responding, and sharing diplomatically on the “social” media;

 Sending emails and faxes to our “representatives” in the USA, informing them of our perspectives regarding matters of consequence and importance;

 Joining and participating in expat groups that represent our interests … maybe, even marching and rallying to show our solidarity with others who believe as we do;

 Most importantly, however: voting and doing everything possible to encourage others – whether in the USA or living abroad – to register and vote, too.

We’re involved “back home” as registered overseas voters.

Registering to vote overseas really is quite easy:

Simply go to either the website established by federal law, fvap.gov, or the Democratic Vote from Abroad’s website (votefromabroad.org) and register. They’ll take care of the rest.

According to USA law, Americans abroad continue to vote in the last jurisdiction where they lived and were registered to vote.

For us, every time there’s an election in Sturgeon Bay, Wisconsin, we receive a ballot attached to an email from the city’s Clerk of the Court. We complete our ballots and mail them back (well before the designated deadline!) to Sturgeon Bay. By law, our ballots must be counted with all those during “early” voting and/or on Election Day.

“You can take the boy out of the country, but you can’t take the country out of the boy,” is a statement published over one hundred years ago in The Country Gentleman’s May 16, 1914 issue.

Truer, more relevant words have yet to be written (or spoken) for those of us living internationally.

Shared here are personal observations, experiences, and happenstance that actually occurred to us as we moved from the USA to begin a new life in Portugal and Spain. Collected and compiled in EXPAT: Leaving the USA for Good, the book is available in hardcover, paperback, and eBook editions from Amazon and most online booksellers.

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Expat, Immigrant, Fugitive, Refugee

I was wrong.

A subject of white privilege, I liked the sound of “expat” much better than “immigrant.” One had panache, cachet, a spirited sense of ennui and adventure; the other conjured up black and white images of poor, huddled masses needing to be purified in the melting pot purée.

When we first arrived from the USA to retire in Portugal and Spain, I self-identified as an expat … assuming it meant nothing more (or less) than an American abroad living in another country for an extended period of time.

From time to time, I was challenged and corrected on my presumption: “Expats are here for a time or a purpose—a couple of months or years, studying or traveling or working. But, they then return home.”

Immigrants, on the other hand, have no plans for returning whence they came: they’re looking forward rather than backward, their feet firmly planted and taking root in another country.

A classic case of denotation v. connotation: it’s all about innuendo and intention!

Travel isn’t just about the destination (immigrants and refugees). Getting away is a way of life for millions of people who take breaks for self-indulgence, employment opportunities, cultural enrichment, education, and other pursuits (expats).

Personally, we had no intention of returning to the USA when we finally left early in 2017. Retirement and our future now depend on how the European Union (Schengen Area) treats us, not the capricious whims or executive orders and authoritarian decrees resulting from the [s]election of Donald Trump & Company.

What began as a knife cut to our soul soon led to ever more blood-letting—a lethal wound to our morals, values, and democracy. Reading the handwriting on the wall, we fled for our lives.

Fugitives!

Under Trump and the GOP, the United States had become a rogue nation, perhaps the world’s most powerful country to possess a massive arsenal of weapons of mass destruction commanded by a delusional despot who flaunts his favoritism, white nationalism, personal profiteering, and cruel inhumanity towards others.

Even before Trump, the United States had long been involved in violating others. In Korea. Vietnam. Chile. Libya. Iraq. Afghanistan. Syria. Venezuela. Cuba. Haiti. Panama. Nicaragua. Iran. And elsewhere, when the USA believed regime change to be in its best interests.

The path to “greatness” included savage treatment and banishment of Native Americans; ownership of other people as personal property; denigrating migrant workers who its landowners depended for hard work; establishing internment camps for people with slanted eyes; and, more recently, isolating immigrants from their families—deporting many, while caging children in abominable conditions.

One of the world’s three top carbon-producing countries, the USA’s involvement with the Paris Climate Agreement was rescinded by Trump, while a do-nothing-but-placate-patronage Congress allowed the USA to withdraw from the United Nations Human Rights Council … its commitments to NATO … the nuclear agreement negotiated with Iran … the World Health Organization … and its Intermediate-Range Nuclear Forces Treaty with Russia.

Meanwhile, through tariffs, sanctions, and boycotts, Trump & Company wreaked havoc with international currencies and global economics. Although the stock market continues to be artificially stimulated by Federal Reserve appointees, the country racked up its largest deficit ever. Unemployment has broken all-time records. Health has taken a backseat to business, whether or not as usual, with profits more important than people.

Dividing the country and decimating its heritage has a questionable president turning his personal paranoia into public policy. Trump and his cohorts in cahoots prosper, as unqualified money-makers come and go through the executive branch’s revolving door … while vital positions remain vacant because of political carnage and lack of loyalty discords.

Manipulating the resources and personnel of the U.S. government, Donald Trump has proven himself to be an accelerating existential threat to the rest of the world and the planet we inhabit. Especially in his irresponsible handling of the international Covid-19 pandemic.

Beyond the World Bank and the Bill and Melinda Gates Foundation, wealthy individuals like Lisbon-based Madonna (committing one million euros to the cause), world leaders – from the European Union, as well as non-EU countries Britain, Norway, Saudi Arabia, Japan, Canada, South Africa, and dozens of other countries – joined the virtual event, pledging $8 billion to research, manufacture, and distribute a possible vaccine and treatment to protect us from the Covid-19 virus.

But not the United States of America, whose muzzling of people with expertise and shunning rejection of global efforts to conquer the virus have alienated it further and farther from the rest of the world, while creating chaos and confusion from the federal level … leaving states and localities to stitch together a mish-mash of conflicting priorities which, ultimately, boil down to wealth vs. health.

“Chronic ills – a corrupt political class, a sclerotic bureaucracy, a heartless economy, a divided and distracted public – had gone untreated for years. We had learned to live, uncomfortably, with the symptoms,” writes George Packer in June’s issue of The Atlantic.

Violence, hatred, and malice are the chalice of communion among fanatics and their fans, flaming the fires of discontent.

Emboldened by the tone and tenor of tweets from the bully pulpit, the ugly American is – once again – rearing its head … with increasing violence, attacks, and confrontations against minorities and the marginalized: Immigrants. Black and brown skinned people. LGBT individuals and communities. Jews. Muslims. Asian-Americans. People who speak different languages. In other words, the “others.”
But the world no longer will stand by, shaking its head and wagging tongues, as Atlas shrugs and walks away carelessly.

New models on how to reopen European travel have no room for American tourists in the foreseeable future. The European Union’s “Europe Needs a Break” guidelines recommend replacing travel bans with what it’s calling “targeted restrictions” based on contagion levels.

International travelers from the USA and other countries that haven’t upheld safety standards on par with Europe’s won’t be allowed into the EU anytime soon for anything but essential reasons.

We’re not tourists, but are glad that we left the USA when we did.

Rather than expat or immigrant, we now see ourselves as refugees.

A refugee is someone who, due to a well-founded fear of persecution, war or violence, feels forced to flee his or her homeland. To qualify as a refugee, a person must have solid grounds of a “well-founded fear” that they are facing real danger. Moreover, refugees should fear oppression, hostility, and/or violence so badly that it forces them to leave their country of origin and seek sanctuary elsewhere.

Elsewhere for us is Portugal. And Spain.

Shared here are personal observations, experiences, and happenstance that actually occurred to us as we moved from the USA to begin a new life in Portugal and Spain. Collected and compiled in EXPAT: Leaving the USA for Good, the book is available in hardcover, paperback, and eBook editions from Amazon and most online booksellers.

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