Seventeen days out from my hip replacement surgery, I am feeling very grateful — for my husband of 49 years and his devoted caregiving; for the support of my family and friends; for the skilled and kind hospital and home care team at Kaiser Terra Linda; for living at a time when this surgery is so well developed that, as one relative put it, it’s just like being dropped off at the dry cleaners — in at 7, out at 5. What great good fortune to have the end of my long pain be such a run-of-the-mill fix!

This awareness of my good fortune came into even sharper focus yesterday, when I saw a man outside our local Staples, a ringer for Woody Harrelson, limping in pain. Such a presence in my life has walking pain been, I could feel it as I watched him hobble along. Although his pain was clearly so long-term that his whole body was thrown out of whack by how he had to accommodate it while getting on with the challenging business of getting by. I thought about how that pain affects his whole life, his relationships and his ability to do things. I could almost see the shattering ripple effect of it. Because no pain can be contained. None of us live in isolation.

After he passed by, I couldn’t help but be aware of the contrast: There I sat in the car feeling positively coddled by my excellent health care, including an expensive surgery that cost me next to nothing. While he, if my hasty assumptions about him and his condition are correct, may have to live with severe pain for the rest of his life, and all the ramifications of the lack of options available to him.

So, nestled in my field of gratitude blossomed forth a sense of outrage that he and so many others must suffer because of the unnecessary inequities that exist in our system here in the US. How can anyone justify it?

It is justified by people who think not only that another person’s problems are not their own, but that those problems are the result of some personal failure, and are therefore deserved. Meanwhile they’ve got theirs, so where’s the problem?

They’re the problem. Not them per se, but their myopic take on the nature of being that gives them a sense of deserving what they have because of all they have done to get it. They lack the ability to see how anyone else contributed to their good fortune. They don’t credit the taxes and labor that built and maintains the infrastructure that carries them and their business. They discount and would happily be rid of those hardworking people who assure that everything they eat and drink is safe, as well as the air they breathe. They scoff at any value from those who educate them and their children so they have sufficient understanding and skills to make their way in the world. And they are blind to the easy pass they may get because of their ethnicity, gender, zip code or inheritance. It’s much more satisfying to say they did it all themselves. Because self-sufficiency is the admired American way.

We are told we live in a land of ‘rugged individualism’ where people ‘pull themselves up by their bootstraps’, ‘the early bird gets the worm’, where ‘might makes right’ in a ‘dog eat dog world’. I’m sure you can think of many more of these sayings. Please ‘reply’ with them. It would be great to have a whole collection to look at. It’s so important to pay attention to how our words shape our perspective.

As we become — through science and our own experience — increasingly aware of the interconnection, the interdependence of all life, those who are trapped in this isolated mindset become more fearful. No one likes to have their heretofore clear understanding upended, even if it promises to bring relief from suffering, a suffering they don’t dare acknowledge. Isn’t it easier to make fun of others, blame others, and doubt the science? Isn’t it more satisfying to have their fears reinforced wholeheartedly by the powers that be and to come together only to fight, defeat and conquer the ‘other’ they prefer to blame? Depending on their mental stability, doesn’t it feel justifiable and even heroic to take that sense of feeling threatened and follow through with rash acts of violence?

It’s quite possible that the man I saw for whom I felt so much compassion, is trapped in this sense of isolation and anger. Perhaps he even supports the politicians who actively deny him access to the healthcare he deserves, just for being alive. But that doesn’t make me want that access for him any less. He is of this world. He is not his situation, his behavior, his condition nor his beliefs. He is the same stardust expression of life loving itself as am I, and you are. There’s an old expression ‘There but for the grace of God go I.’ There’s merit in that recognition that any one of us could be in such a position at any time. But doesn’t that just make me go phew! I’m glad that it’s not me in his shoes? How much deeper and truer is the understanding ‘There go I.’

The outrage I feel doesn’t undermine my gratitude for the wonderful care I have received. But it does make me more determined to vote, to be a fully-engaged citizen in this country and the world, so that all of us have the opportunities that I have.