Six months ago, my former health insurance called to let me know that they were reversing a health insurance claim. They initially paid it in full back in 2024 but found a way to determine they no longer were liable. It wasn’t a small sum. It was $8 grand. What in the actual fuck?
I’ve been diligently fighting and appealing the insurance company for the past six months. It got to the point that I was resigned it probably was going to be on my dime. When does an insurance company ever decide to pay if they could find a way to weasel out of it. Never.
As I opened my mail, I nearly fell out of my chair. My appeal had been approved. I had the same response. What in the actual fuck? I had to read it three times. I even walked away and quickly came back to read the decision again. In my head, there was a small chance I was mistaken or the words magically transformed to denied after I let out my sigh of relief. I don’t know why, but I was shocked the ink was still dry and hadn’t changed at all. I wanted to chalk this up as a rare David versus Goliath win. I knew better to call it what it really was – a miracle. And it wasn’t even Christmas. Thank you, God. Much appreciated.
Although I grew up with the English Beat’s 1980s cover, I knew the original was from Smokey Robinson and the Miracles. Tears of a Clown was released back in 1967. One of the cool things about starting this blog, I learn about the backstory of the music. It turns out, this one was about an Italian opera.
Smokey Robinson based this song on the Italian opera Pagliacci, which is about a clown who must make the audience laugh while he weeps behind his makeup because his wife betrayed him. In the last verse, Robinson sings: “Just like Pagliacci did, I try to keep my sadness hid.”
I’ve got to tell you. I’ve sung along to this song hundreds of times and I thought I knew all of the lyrics. I don’t remember any mention of Pagliacci at all. I went to the lyrics and there it was in black and white. I sat there, singing the lyrics in my head and at that part I mumbled through that one line. Thanks blog for setting me straight.
I do find the idea of a clown having to put on a smile to hide his sadness a bit of a bummer. That’s the extreme version of grin and bear it. I imagine my insurance company may be standing in similar clown shoes. They are a billion dollar company and $8 grand is a drop in the bucket for them. Somehow, I still imagine them shedding a tear while writing that appeal decision. Although the letter had the appearance of being positive, I can spot a fake smile from a mile away. While I am relieved that they finally landed on the right decision, I wish they never made me jump through hoops like this in the first place. But I’ll gladly take the win and celebrate this happy ending.
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Oh yeah, yeah, yeah
Now if there's a smile on my face
It's only there trying to fool the public
But when it comes down to fooling you
Now honey, that's quite a different subject
But don't let my glad expression
Give you the wrong impression
Really, I'm sad
Oh, I'm sadder than sad
You're gone and I'm hurtin' so bad
Like a clown I pretend to be glad
Now there's some sad things known to man
But ain't too much sadder than
The tears of a clown
When there's no one around
Oh yeah, baby
Now if I appear to be carefree
It's only to camouflage my sadness
In order to shield my pride I've tried
To cover this hurt with a show of gladness
But don't let my show convince you
That I've been happy since you
Decided to go
Oh, I need you so
I'm hurt and I want you to know
But for others I put on a show
Oh, there's some sad things known to man
But there ain't too much sadder than
The tears of a clown
When there's no one around, oh yeah
Just like Pagliacci did
I try to keep my sadness hid
Smiling in the public eye
But in my lonely room I cry
The tears of a clown
When there's no one around
Oh yeah, baby
Now if there's a smile on my face
Don't let my glad expression
Give you the wrong impression
Don't let this smile I wear
Make you think that I don't care
Really, I'm sad
Hurtin' so bad
Gender, great post. I had no idea about those lyrics. I always mumbled along until I got to the refrain and then, once on solid ground, sang with gusto. Just one of those things that drift by year after year, lol.
Glad your insurance thing worked out. $8K is a backbreaker!😑🤨
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* GenXer
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I think that healthcare is the absolute biggest wreck in the United States. There’s no reason we don’t have universal health like every other industrialized country in the world.
As for the song, I’m a little shocked to hear about the Pagliacci references as well. Put the whole idea of “smiling to high tears” doesn’t seem too far-fetched. When you hear the backstory of even most contemporary comedians, some of them have had some pretty messed up lives.
It’s almost like people become comedians to escape whatever sadness or tragedy is in their own lives.
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Wonderful story! So relieved that your insurance company realized their mistake. Sorry, you had to go through the stress of fighting for it.
Great backstory on the song. There are so many songs from that time period that I just make up my own lyrics when it gets mumbly! The fact that we can look them up online now somehow ruins the magic.
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Congrats on vanquishing the insurance company! My strategy is just to keep appealing every denial until they pay.
COOL facts about the song. I’m also way more familiar with the English Beat version, but I loved watching young Smokey sing it. What a doll he was with that sweet voice.
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