Shame.

So, of course you should go read Steven Brill’s excellent article on health care price gouging. Or maybe you shouldn’t. It’s very long. Not everybody has to be a fucking policy intellectual, or even au courant in the “public affairs” covered byTime. You don’t have to read much …

So, of course you should go read Steven Brill’s excellent article on health care price gouging. Or maybe you shouldn’t. It’s very long. Not everybody has to be a fucking policy intellectual, or even au courant in the “public affairs” covered byTime. You don’t have to read much (or, God forbid, write) about policy to be a good person and a good citizen.

But citizenship does carry burdens. Like this:

By the time Steven D. died at his home in Northern California the following November, he had lived for an additional 11 months. And Alice had collected bills totaling $902,452. The family’s first bill — for $348,000 — which arrived when Steven got home from the Seton Medical Center in Daly City, Calif., was full of all the usual chargemaster profit grabs: $18 each for 88 diabetes-test strips that Amazon sells in boxes of 50 for $27.85; $24 each for 19 niacin pills that are sold in drugstores for about a nickel apiece. There were also four boxes of sterile gauze pads for $77 each. None of that was considered part of what was provided in return for Seton’s facility charge for the intensive-care unit for two days at $13,225 a day, 12 days in the critical unit at $7,315 a day and one day in a standard room (all of which totaled $120,116 over 15 days). There was also $20,886 for CT scans and $24,251 for lab work.

Does Alice have neighbors? Does she have friends? Where were they, what did they — and by that I mean we in some earnest and patronizing way — do about this?

The burden of citizenship is to share in, and hold people to account for, the injustices experienced by our neighbors. Alice was fucking ripped off to the tune of any semblance of economic and financial security she might ever have had at the very moment that her husband was dying of cancer. This is beyond awful. This is mortal sin in any religion worth the name. This is pure evil.

Our problem is not a matter of shitty policy arrangements. We have plenty of those. Whatever. Policy is a third-order pile of bullshit. Our problem is that…

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