MY ANNUAL VISIT to a doctor took place yesterday. I gave the receptionist my name but, before I could take a seat, she wanted to see my insurance card. She had a copy of it in my file already, but I didn’t mention that. This was their procedure. “And did you bring a current list of your meds?” she asked. “It hasn’t changed,” I told her. “You have it in my file.” This was not what she wanted to hear. “We require all patients to bring in a list of their meds when they have an appointment.” Bureaucrats aren’t all government employees, it appears. Procedure takes precedence over common sense. Petty requirements, perhaps hammered out years before, become ritual to be dogmatically followed, irrespective of the circumstances or the original rationale for it. I wrote out my four meds and handed it to her, receiving a satisfied, smug smile in return. A rule had been followed, the entrenched procedure had held, the need to re-consider its utility avoided. Nothing is more imperative to a functionary than her function.
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