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I walked into that waiting room, wasting hours I could not spare, Sitting under humming lights that flickered like they did not care. Reception slid a stack of forms across the desk with practiced grace, Asked me to confirm my history like I memorized every case. They scanned my card as if it might win a prize, Said, “If it does not clear, we cannot authorize.” So the marketplace marches on, As long as you can mortgage what you live upon. They tell me this is the land of the free, But freedom comes with a silent fee. If the numbers align and the codes behave, You might get the treatment you came here to save. Raise a toast to the land of the brave, Where an ambulance ride equals a multiyear slave. Set aside funds for the bills on their way, Each test priced higher than most people’s pay. Celebrate the system that calls this fair, While investors applaud from a leather chair. If the illness does not stop your fight, The invoice may finish it later that night. A night-shift nurse told me softly she spends more time typing notes Than helping patients, buried under codes the software wrote. She said she never wanted her career reduced to data lines, But someone must feed the framework built to monetize our signs. Lobbyists draft the rules and stance, “Side effects include the public’s chance.” They pass new mandates with smiling charm, Then head home untouched and far from harm. They say, “Health care’s complex, it is not our choice,” Yet clarity fades when profits have a louder voice. You become another stat on a quarterly slide, Filed under metrics that override. Raise a toast to the land of the brave, Where a hospital bed feels like a corporate cave. Offer respect to professionals trying to care, While approvals depend on a software’s glare. Celebrate efficiency for the price of breath, And the fundraising page that competes with death. If your body fails and your patience runs thin, A swipe of a card decides if you win. We trade messages like lifelines sent, To friends choosing prescriptions or rent. Tell them to stay strong and push ahead, While the system increases the cost instead. We label it “choice” when it is pay or fall, Dress it as freedom while shrinking the hall. We warn of reforms as some kind of threat, While ignoring the problems we have not solved yet. There is a builder checking his coverage again, A teacher halving doses to make supplies last ten. A veteran reading letters stamped “declined,” Standing in a parking lot trying to stay aligned. We carve our values into public stone, Yet the safety net rings like an empty phone. If fairness were simple and widely shared, We would not fear being underprepared. Raise a toast to the land of the brave, Where the struggling and sick share a similar grave. Reflect on the ones turned away at the door, Because their last payment slipped one month before. Admire the system dressed in a tailored suit, With polished priorities that rarely dilute. When accountability circles back around, This elaborate structure may finally come down. Until that time, the story goes on, A long, uneasy American song. Think of our premiums, think of the toll, In a country where healing carries a heavy role.