I was in the hospital, sitting around talking per usual when one of the nurses came in and told me she needed my help. I am not really qualified to do anything so I was curious what she could need. When we walked out I heard some of the worst spanish I have ever heard in my life and realized I was in the presence of a very, very old fellow gringo who was receiving treatment at the public hospital. It was surreal. There are some gringos in Maturin because of oil, an international school and such but not many 90 year olds from Canada who have been in Venezuela for 40 years. He also told me my English was very, very good and did not realize I was American until I explained it to him. I am assuming he does not run into to many fellow gringos here either.
It appears to me that the Venezuelan diet is pretty unhealthy. Vegetables and fruits (minus a select few that are found in lots of places here...) are extremely expensive (though they are available) and there is a significant lack of knowledge about nutrition. It does appear to me that people who live in more rural areas eat healthier because they have lots of rice, beans, avacado and stick to traditional dishes. I am not criticizing. My country is called the fast food nation and I would even go as far as to say that the unhealthiness here can be attributed to American food culture influence. I also find food here to taste really, really good and the unhealthier the better.:)
Though my current experience with the health system is extremely limited and has involved time in the department of infectious disease of the public hospital, I have mixed feelings. The system is completely depleted of resources and lacks technology that is needed to provide medical care to the number of people who need it. It takes a very strong person to work in these conditions and I have found many of the doctors to be distant and cold with the patients when I sit in on appointments. The appointments are really short and involve lots of talking and little listening. The patients do not generally have time to ask questions or talk about their experiences. Thinking about it I would probably be cold too. It is too hard to get involved in the lives of each patient, especially when each one has a story to tell.
I still have not started with the controversial barrio adentro and really can not wait to see what it is like.