Life, Liberty, & Happiness

The Scar Tissue of Life


n the healthcare world, a pre-existing condition is a medical condition that started before a person's health insurance went into effect. Prior to 2014, many insurance policies would not cover expenses related to pre-existing conditions.

The logic was you “came to the party with these problems” so they’re all yours to deal with on your own. If you were one of the unlucky ones to have been born with some type of medical condition (diabetes, cystic fibrosis, spina bifida) had a cancer; a previous back surgery or neurological injury; or (God forbid) any time of mental health issue - you were not likely to ever to get healthcare that would cover any recurrence of these issues.

This week's vote in the House of Representatives on the healthcare bill reminded me of how we all have pre-existing conditions. Both physically and emotionally. Nearly 25% of the US population have some combination of diabetes, obesity or hypertension. Nearly half of us will have some sort of heart condition before we die. About 35% of us (statistically) will get cancer in our lifetime. Often it has nothing to do what you did or didn’t do - it just happens. And if we are lucky enough to survive the ordeal - we will carry the scar of a pre-existing condition the rest of our lives. 

There are many emotional pre-existing conditions we all have too. By the time we reach adulthood, most of us have bangs and bruises. We’ve suffered loss, we’ve been betrayed by friends or family - sometimes wronged by the system. We are covered with scar tissue - a survivor of experiences that have shaped us, sometimes for the worse.

For many, the scars of pre-existing conditions start early. The young woman molested by a trust figure in her life. The young man who is bullied for being different. A child with a stutter who is terrified to speak for fear of ridicule. The wife of an alcoholic father and abusive spouse. Look around, they’re our family, friends and neighbors.

We're all born with pre-existing conditions and into families with them. Sometimes we get lucky and we are surrounded by positive role models and people who believe in us - who look past our flaws and remind us of our goodness. Other times we're stuck in what feels like a continuous uphill climb that's both unfair and unproductive.

In a compassionate world, we should see one another’s flaws and scars as badges of honor. The scar where a breast was removed to save a woman’s life is a beautiful thing - a symbol of courage, hope and resiliency. The heavy emotional scar I carry from losing my son - and wading through constant grief to face the world with optimism. The scars we all carry from pre-existing conditions makes us human. The scars in the hands and feet of the divine should not be viewed as a pre-existing condition - but as a beautiful symbol of love.

I prefer to honor the journey of humanity - and support healthcare coverage for everyone. The pre-existing conditions we all have make us who we are - these scars are a testament to the power of the human spirit to survive and thrive in times of trouble and deep pain. No one is perfect - we all carry scars of pre-existing conditions. None of us are getting out of this world alive. Life can be hard enough - we don’t have to make the journey worse for our friends and neighbors by ignoring their scars and penalizing them for the bad things that happen in their life. The great creator taught love and compassion as the treatment. Not exclusion and punishment of those of use who carry the scars of pre-existing conditions. 

About Dr. Michael Burcham

Michael is an executive coach, entrepreneur, investor, and strategist with 30 years of experience leading investor-backed, high-growth organizations.

“I built and sold a $40M company with Dr. Burcham as my mentor. This is the thing: if you EVER get the opportunity to learn from this man, from that moment forward, you’ll list him as one of the most influential people in your life, even if you live to be 90. And, you’ll know how lucky you were to have that opportunity and you’ll immediately say YES to any chance to be in his presence again—his wisdom is that impactful.”

Sherry Stewart Deutschmann

Former CEO, Letter Logic

“If you are looking for a trusted mentor and coach for yourself or your leadership team, I highly recommend Michael Burcham. He has worked with me as my executive coach for well over a decade now. Our conversations and his feedback have helped me sharpen my critical thinking skills. He’s a trusted advisor that I can confidentially speak with about any issue—and I know I’ll get valued feedback. I highly recommend him.”

Ryan McGrath

CEO, Asset Living

“Dr. Burcham’s depth and breadth of experience makes even the most ADD entrepreneurial leader sit up and take notes! His coaching skills bring out the ‘best you’ possible. He selflessly shares the good, the bad, and the ugly—leaving you with an authentic and moving experience sure to spur action and professional growth!”

Julie Lenzer

Director, U.S. Department of Commerce


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