February 3, 2025
A few months ago we sat in the waiting area of an Urgent Care in Huntsville, Alabama. It was late afternoon, the place was crowded. We were on a road trip with the grandsons to the NASA Space Center, the main tourist attraction in the town. Huntsville was chilly and windy, and I had a hacking cough.
The receptionist handed me a sheaf of paperwork to complete. She explained that since we were from another state the facility couldn’t access my insurance. She chatted cheerfully with other patients, some of whom, I guessed, used the Urgent Care as their doctor’s office. They came and went.
An hour passed, the place was nearly empty. The grandsons fidgeted. The receptionist stared at her computer. I asked when I’d be seen. She didn’t seem to hear me. I asked again, she looked up. “It could be another hour, maybe two hours,” she said.
At that I recalled the incisive Albert Camus quote: “The realization that life is absurd cannot be an end, but only a beginning.” We left. I picked up some over-the-counter medicine.
An Urgent Care a mile from our home is owned by Prisma, the big South Carolina health-care company. We’d been there a few times. Prisma transferred management of the place to a support contractor. On our next visit we had to complete a half-dozen forms. “We’re part of Prisma, but we can’t access their records,” the desk person said.
Months later I went again. The receptionist handed me the same forms, saying the Prisma records aren’t accessible. She didn’t know why. Others in the waiting room were looking down at clipboards filling out forms. The people behind the glass were typing information from patients’ forms into their terminals. Where was it going?
On a trip last summer to the tiny town of Chapel Hill, Tennessee, named after the North Carolina city, I injured my foot. It was late Friday afternoon, we were at the lodge at a nearby state park. “We need to find an Urgent Care,” Sandy said. Oh no, I thought. The desk clerk gave us directions. We got there just before closing time, the only customers.
The young girl at the desk glanced at my insurance card. I detected a non-Southern twang. “I’m from Wisconsin,” she told us. “My family moved to Chattanooga, so here I am. Not sure how long I’ll stay.” She took me to a treatment room.
A nurse practitioner walked in. I explained my problem. “I’ll write you a prescription for an antibiotic. The pharmacy is right next door,” she said. Another non-Tennessee accent. “Are you from around here?” we asked. “I grew up in Oklahoma,” she answered. “My dad got a job here, so we moved here. I like it, it’s a nice small town.”
We thanked her and walked to the pharmacy. Weeks later we received a “thank-you for your business” from the Urgent Care. The note said drop by anytime.
A week ago we rushed to a nearby Urgent Care run by the Medical Group of the Carolinas. It was 7:00 AM, dark and raining. The lady at the desk took my date of birth. My medical records popped up on her screen, going back years.
A technician arrived, all business. She wanted my blood pressure and wrapped my upper arm in a blood-pressure cuff and pumped. A light blinked. “70 over 50, too low. Let’s try the other arm,” she said. Same result. She found another blood-pressure cuff and tried again. “It’s up a little, 80 over 60.”
Dr. Kevin walked into the room, smiling. He looked at my bloodshot eyes. “Pinkeye,” he said. “I’ll write you a prescription for an antibiotic eyedrop. We said thanks and were out of there, all in about 20 minutes.
I had been there last fall with a similar problem. A nurse practitioner looked at my low blood pressure. “I can’t help you here, you need to get to the ER,” she warned. Not what I wanted to hear. But I went, the hospital admitted me. Good call by the Urgent Care NP.
At another Urgent Care a nurse practitioner warned us against consuming honey. “Honey has this halo about it as a healthy cure-all,” she offered. “But it’s pure sugar and not good for you.”

The Huntsville Urgent Care experience is part of modern life. We risk something like it when we encounter petty bureaucracies: cable and cellphone companies, the homeowner’s association, Amazon, online retailers. The bigger ones, too: the IRS, DMV, the local tax office. health insurance providers. A person sitting at a desk before you is steadfastly unhelpful. Or you call the place and hear a barrage of options. No one answers.
We’ve all been to Urgent Care. Those storefront medical offices are everywhere, affiliated with hospitals or other medical organizations, sometimes teams of physicians, nurse practitioners, registered nurses. Some work wonders on the “urgent,” side of the term, others don’t.
No one wants to go to the doctor, even with spectacular health insurance. Being sick is frightening. The treatments, drugs and their side effects, the thought of being hospitalized, are frightening. The costs, even with insurance, can be devastating, although doctors, nurses, and their support staffs do heroic work to help severely ill people.
Urgent Care is a kind of twilight zone of health care; not the doctor’s office, not the hospital. The patients usually are there with aches and pains, cuts and bruises, coughs and fevers. The care calls for prescription drugs, sometimes a few stitches, or just health-care advice. The doctor prescribes something, the rest is up to the patient.
Some Urgent Cares sit in strip malls between the pet store and the Walmart. If I spent years in medical school and residencies, studying and working 80-hour weeks, I’m not sure I’d want to work in those places. Sometimes, I’ve noticed, the front-desk people seem bored, detached. They’re processing insurance, taking payments, listening to complaints.
The patient sits alone or with a family member, ill at ease, worried. The medical professional walks into the treatment room. They’re not on the staff of some famous hospital, the Mayo Clinic, Cleveland Clinic, Johns Hopkins. But they’re doing what they trained to do. It may not be brain surgery. Yet in those cramped, windowless rooms, they’re doing good work, helping people; in a way, saving lives.









