
The Probability Broach, chapter 6
Following his brief interlude of mid-surgery awareness, Win wakes up for real:
Standing over me was a breathtaking peaches-and-cream blonde, perhaps thirty, hazel eyes—when she smiled, the corners crinkled like she meant it—and an ever so slightly upturned nose. She wore a bright-red coverall with a circled white cross embroidered on the left shoulder.
The wall seemed one huge window opening into a honey-colored meadow and purple columbines. Maybe a mile away an evergreen forest fronted foothills and the ghostly peaks of the Rockies. The illusion was spoiled by a door through the wall and the railed top of a staircase. Television? A beautiful job. I could almost smell the sage.
It’s ironically appropriate that this beautiful landscape turns out to be pixelated artifice.
Given that this anarcho-capitalist world has no environmental preservation laws, it should be a blighted hellscape where forests are clear-cut for timber, mountains are bulldozed for ore, lakes and rivers are used as dumping grounds, and whatever’s left is despoiled with garish advertisements. Pristine natural beauty doesn’t produce a profit for anyone, so in a world where money rules everything, it should all be ruined. The only pastoral scenes ought to be digital fakes like this one.
As we saw previously, L. Neil Smith insists that isn’t the case. The North American Confederacy is a beautiful place with
bucolic parkland and modest, tasteful development. But he doesn’t have an explanation for why that isn’t the case. Who or what prevents these places from being sold off and strip-mined?
The woman at Win’s bedside introduces herself as Clarissa Olson, “Certified Healer”. She’s pleased to see him awake, and Win returns the compliment by engaging in some light banter – or as we’d call it, sexual harassment.
I took a deep breath, found the pain completely gone, and tried sitting up.
“Hold on, Lieutenant! You’re not quite ready for that!” The lady dimpled, pushing me back gently. “How do you feel?”
“I guess I’ll do, at that. Is this a hospital?”
“You want to get really sick? A hospital, indeed! I almost believe you are a time traveler as you claimed last night.”
“What else did I say? Hope I had enough sense to make an improper suggestion or two your way.”
“You’re a ‘Man from the Past,’ from a city that’s never existed. Otherwise you were quite gentlemanly, all things considered.”
But don’t worry – Clarissa doesn’t mind. In anarcho-capitalist utopia, healthcare workers are totally cool with being hit on by their patients. Apparently, it’s only the nanny state that makes women object to being catcalled. Who knew?
Clarissa says she removed a dozen bullets from Win’s body. She shows him the tattered remains of the bulletproof vest he donned the day before, when he left his apartment in the other Earth: “That’s why there was enough of you left for me to work on.”
“When will I be up and around?”
“Well, you’re healing pretty slowly. You were gradually dying of malnutrition: deficiencies in the nitrilosides, lecithin, ascorbic acid; a dozen degenerative diseases I’ve only read about. But as that clears up, your wounds will knit faster. Day after tomorrow—at least for a brief walkaround?”
“Where I come from, bullet holes take a lot longer than that to heal up! This has gotta be the future… or heaven, if you’ll pardon my getting personal.”
There’s no good place to point this out because the book omits it, so I’ll mention it here: Clarissa apparently never charges Win for this life-saving emergency surgery. Despite this being an uber-capitalist society, there’s no mention of him having to pay anything for it, not now or later.
How does it work, in a world with no laws and no public safety net, when a stranger shows up unconscious and bleeding to death? Just as I asked about medical care in Atlas Shrugged, “In a laissez-faire utopia, if someone suffers a critical injury and can’t prove on the spot that they can afford medical help, what happens? Would they be left to bleed to death on the ground?”
Health care is the classic case of a market failure, because critically ill people can’t afford to take their time and shop around for the best deal. They have no choice but to go to the first doctor available and agree to whatever price they demand. In turn, the doctor should charge that patient as much as they can possibly pay – up to and including a lifetime of debt slavery.
That doesn’t happen here, but only because libertarian novelists have their characters play nice and cut each other sweetheart deals, rather than taking their beliefs to their logical, ruthless conclusion.
In a passage a little later in the book, Win gives an aside into the advanced medical technology this world has and how it’s healing him much faster:
The cast on my arm was the devil’s own nuisance, although lighter than a plaster one, and ingeniously rigged for washing and scratching—in essence, merely a rigid plastic mesh. Clarissa maintained that, along with electronics and vitamins, it was helping me knit a hundred times faster than I had any right to expect. I don’t know all the therapeutic details, but I’m sure the FDA would have outlawed it.
This is another of those libertarian fixations that comes up surprisingly often. It’s the fervent belief that government prevents scientific progress.
The filmmakers of the Atlas Shrugged movies claimed that “red tape” holds back Star Trek-style medical scanners. Right-wing crank Michele Bachmann once claimed the free market could easily cure Alzheimer’s disease if only government regulators would get out of the way. And here, L. Neil Smith asserts that the FDA would, for some reason, outlaw a device that heals bullet wounds overnight. (Wouldn’t the military love to get their hands on something like this?)
This belief has an obvious implication. Of course, the government can’t prevent people from inventing things; it can only ban them after they’ve been created. This means there should be advanced medical technologies already in existence that are being held back by government bureaucrats. Where are they?
(Also, why would the government do this? Bureaucrats are people too. They get sick, they have loved ones who get sick. What reason would they have to ban cures they might benefit from?)
If anything, the reverse happens too often. Rather than being too cautious, the government approves drugs that have to be pulled because of dangerous side effects. They’ve approved uber-expensive anti-Alzheimer’s drugs that don’t work, essentially out of desperation for a lack of better options. Worthless quackery like homeopathy is barely regulated at all.
Even if regulators could stand to be more cautious, the government hasn’t stifled all innovation. On the contrary, almost any actual scientist would tell you that public funding is the keystone of their work. And new advances are still coming: During the COVID pandemic, RNA vaccine technology permitted safe, effective vaccines to be created in record time. CRISPR-based genetic engineering therapies to permanently cure previously untreatable diseases are coming online. Government research support nurtured both of these revolutionary technologies.
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Other posts in this series:





