every month, I need to fill the same prescriptions I've had for between 10 and 20 years.
every month, one or more persons whose job it is to get those pills into my hands without interruption, fucks it up.
as a result, the stash of critical medication which I jealously hoard as a hedge against this exact problem (as well as natural disasters, etc) grows smaller. I now have about 7 days remaining. I will rapidly become sick and then completely nonfunctional if I miss my meds for even a day.
it's now crystal clear that the American health care system is not designed to help me with this problem, and that it has no intention of ever doing so.