I’ve noted before in this blog the gradual disappearance of “you’re welcome” as a response to an expression of thanks.  (See “No Problem? Problem!”  http://www.grammarianinthecity.com/?p=305 ) Lately, because someone I love is ill, I’ve been spending a lot of time in hospital rooms. As dedicated caregivers tend to him — and they are dedicated — I often find myself thanking them. Nearly every one of them replies, “Of course.”

At first I was puzzled by this phrase, but the alternatives don’t really fit. “You’re welcome” — to what? The world of serious illness? No one is welcome there. “No problem.” That’s an obvious nonstarter; everyone in the hospital has plenty of problems. “No worries.” Ditto.

Gradually I’ve come to accept and even like medical substitution of “of course” for “you’re welcome.”  Because what are these people really saying? Of course I will help you with that medicine, give you a clean gown, untangle that tube, whatever. Of course I will answer all your questions. Of course I will speak to the doctor, insurance company, nurse, technician . . . whomever. And when you’re ill, of course you need these things and much more.

Which brings me to the real point. What happens to people who don’t have this attention but need it? I’ve been so immersed in what’s going on in my personal world that I’ve hardly noticed what’s happening in the nation and the world, but I can’t help wondering about those for whom “of course” isn’t the reply they hope or need to hear. I don’t feel bad that my own family receives the best attention and care. I do feel bad that others don’t. And that brings me to this conclusion: Should we do our best for all people who are in tough circumstances? Of course. Whether they say thanks or not.