The rise of the hand-held medical database in the early years of the twenty-first century combined with advances in testing and scanning meant the achievement of affordable medical care for all.
After the President Jeb Bush made universal health care a Republican priority, it became a right wing sacred value, and was implemented within a year.
They took advantage of new technology to set up a parallel medical system, a corporation that was based on completely voluntary participation at very reasonable prices as well as cost to the government. Those who could afford to of course could continue to see a doctor directly, but this luxury was used less and less as the government medical facilities got better and better, and cheaper and cheaper.
The hand held databases of both known diseases and symptoms integrated with individual patient files gave the paramedics an important advantage – no doctor could memorize the billions of medical facts the database had available, nor could they instantly combine them with the total picture of each patient along with their history, DNA, symptoms, and the results of hundreds of cheap standardized tests and probes and come up with the same informed diagnoses.
They had an extensive data gathering and data analysis structure and an incredibly accurate diagnostic engine that would immediately come up with the medical regimens most suitable for the patient's circumstances, with enough commentary to provide meaningful choices for the patient and Pharmacist to discuss. The large number of tests done on the large number of patients also meant that important research data was reliably gathered on a huge number of patients, and research was aided immeasurably and continued to contribute to refining and improving both the knowledge base and the testing procedures most useful.
Emma reflected that the trip to her semi-annual checkup had become in some ways more like a trip through a car wash than the doctor's visits she remembered from her youth. But there were sometimes perks as well.
She was not extraordinary looking, but without being fat she had full hips and ass, long legs, big tits, and long blond hair; all of which tended to lead to more sexual harassment than perhaps was her fair share. As a result, she had mixed feelings about the medical assembly line that was staffed with a mixture of trained technicians and minimum wage workers of both sexes, all of whom would be viewing and some treating her.
One change that came about in the twenty-first century was the increasing desensitization of the population in general to nudity and sex. As everyone grew up exposed to the internet and peer pressure caused steadily more precocious sexual behaviour among the young, the population that had grown up with the internet and widespread access to sexual images became less and less concerned with issues of modesty and privacy. And with the almost brutal demand for efficiency and the economies of mass processing demanded by the new medical system, these issues of privacy and modesty were sacrificed early to the new medical monolith.
On entering the front door Emma waved her wrist ID chip at the reader as a way to electronically say hi to the computer and let it know who was entering the "assembly line". She stripped off all of her clothes and put them in a locker, which closed when she flashed her chip at it, setting the combination for her alone. She then went into the main examination and testing area, much akin to a huge factory, and lay down on the first examination frame.
The frames were essentially rectangles that she was strapped into spread-eagled and naked. They were important in that they could hold her in a variety of positions for all the different tests and scans and procedures. Some scans, for instance, needed her held firmly at a certain angle in a certain position. Also, there were stations like the enema station where she could essentially be filled up and dumped out quickly and efficiently, without any assistance or fuss. The frame also contained various connections, both electrical and mechanical and fluid. She would eventually have IV, electrodes, monitoring probes of various kinds, and other functional connections. But first she had to get cleaned up.
A rather attractive young man came along and strapped her naked body spread wide in the tilting frame, checking that she was bound firmly and securely. Machines automatically tested and registered her weight and height and a few dozen other body measurements. The frame then started to move down the line, eventually leading to the various work stations for each different set of tests, where she would often be probed and prodded by people at each station.
Most of the workers were fairly nonchalant about it. Men doing the breast exams would probably have paid to do the job at first, but they did so many that eventually it became just another job, and the workers became somewhat bored and impersonal. Similarly the enemas were administered by others, sometimes men who at first were intensely interested in the process but after a few hundred and then a few thousand repetitions was as bored as one could get, even considering they had a job that involved inserting large tubes up women's assholes. Of course the men did the men too, and women did men and women as well; the assembly line worked because it used principles of mass production and most of the treatments were applied to everyone.
Most people got all the same tests with the obvious variations for men and women and so on. There were thousands of tests that everyone got, and seldom were individual tests ordered for anyone; they had figured out how to test everyone cheaply enough that it would have cost more to decide and administer different tests to different patients. So the machines just tested everybody.
Emma had taken the time to wear stretchers for her ass and cunt at home in the previous few days to make the probes more tolerable. She had even taken the trouble to insert a couple of "sounds", medical rods that looked like blunt knitting needles, into her urethra. This was in anticipation of the catheters that were inserted into everyone for most of the time on the "line".
Everyone got at least three separate enemas so time saved on each one was important.
Emma's frame was tilted back so that her head was low and the fluid inserted would flow down into her bowels and intestines. A lubricated anal speculum was first worked into her ass by a technician who then spread her wide open. Sometimes the tech would have to work a couple of gloved fingers into a patient's ass in order to spread it wide enough to get the speculum in. After Emma's asshole was spread wide by the speculum, a special valve combined with a large lubricated nozzle was worked into her asshole. Then the hose with the warm soapy water was fastened and turned on so the fluid could flow rapidly into her. After a short period, when either she had had enough, or the machine decided she had had enough, she was tilted upright and a drainage hose was connected to the nozzle in her ass. They turned the valve on and told her to expel the fluid, after which the cycle was repeated at least twice more.
The enema hoses and nozzles were not small because they were designed to deliver the liquid quickly and efficiently. Because the fasting and purging beforehand was no longer necessary, the enemas were more involved than normal. The first one was just a simple large volume of warm water pumped high into Emma's bowels while her frame held her upside down to promote maximum penetration. When she was turned right side up and the same nozzle kept her asshole stretched open the fluid and debris that was released was considerable. The second time she got a larger volume of water that rinsed most of the rest out of her.
Each time a volume of water was pumped into her a technician would massage her stomach to help the liquid penetrate her more deeply, and to try to alleviate some of the inevitable discomfort of the invasion. Because of this invasion and discomfort, it was understood that patients could request special extra attention from the masseur; Emma enjoyed having the water massaged ever higher into her, but she also usually requested that the tech also insert a few fingers into her cunt and pump them a bit in her; or she might request that they stroke her clit a little. This was never enough to get her off, but she still enjoyed getting masturbated while she was naked and bound spread out in public, and it helped set her up for an orgasm during the extra enemas later on.
Finally, the "finishing rinse" was pumped into her. This involved removing the first nozzle and inserting a second that was just a housing for a hose that was designed to penetrate deep into her. It had a special tip that spun around while it sprayed liquid sideways with a bit of force, sort of like a lawn sprinkler, to clean out her crevices more thoroughly of anything that might obscure any irregularities or nasty lumps and such in the skin of her bowels.
After the third enema and massage, the discharge was analyzed by detectors and sometimes a fourth was applied, if the water from her ass was still not running clear. If so, she would be shunted to a side station for one or more extra enemas, so that the rest of the line was not held up.
.... There is more of this story ...
Ma/Fa / Mult / Consensual / NonConsensual / Rape / Gay / Lesbian / BiSexual / Heterosexual / Fiction / Science Fiction / Humor / Light Bond / Humiliation / Swinging / Gang Bang / Group Sex / Orgy / Safe Sex / Oral Sex / Anal Sex / Masturbation / Fisting / Sex Toys / Squirting / Enema / Exhibitionism / Voyeurism / Double Penetration / Doctor/Nurse / Public Sex / Slow / Nudism /