So funny story – Two Sundays ago, I managed to cut my hand badly enough to need stitches, and to force me to not do any writing while the cut did its initial healing.
Since most of my readership is from the US, I thought it might be useful to give a snapshot of my experience in a universal system. There’s a flat fee of €100 for visiting Accident and Emergency, and the triage nurse, after bandaging my hand, told me to go home to sleep, and come back in the morning. It was when most of the city was celebrating Halloween, so my little cut was pretty low on the priority list. I went back in the morning, got the cut properly cleaned and stitched up, got a tetanus booster, and was sent on my way with instructions to return if I started showing signs of infection. Having grown up in the US, I checked whether I should brace for another bill for another trip to A&E, but I did not. That initial fee, plus the tiny amount I pay monthly for private insurance as an immigrant, covers everything to do with this injury. It’s a small disincentive – enough that I’m not gonna be cavalier about using such a service, but the arrangement is such that there’s no incentive for me to delay treatment for fear of the cost. The hundreds or thousands I’d have to pay for the same service in the US would, at minimum, have made me seriously consider cleaning and binding my wound myself, and trusting in my body’s ability to fight infection.
A week and a couple days out from the injury, and everything’s healing up fine. The stitches should finish dissolving before too long, and I’ll back to normal. It was a clean cut, and it didn’t hit any nerves or tendons, but if it had, I would have gotten that treatment based on what was needed, not on what I could afford. No surprise bills, no extra paperwork, no negotiating with a middle-man insurance company for the right to anesthetic, or three stitches instead of two, or whatever else they and the for-profit hospitals would think up to siphon off more of my money.
Universal healthcare systems are not perfect, and they absolutely do let people down, but the sheer scale of callousness, greed, and exploitation that’s built into the US healthcare system can scarcely be exaggerated. Supporters of that system like to rant about government bureaucracy, but nothing in any government system I’ve encountered comes close to the bureaucratic nightmare of navigating the labyrinth of arbitrary rules, barriers, costs, and paperwork that has been forced upon every patient in the United States. If you have a universal healthcare system, fight hard against any who would seek to take that away (looking at you, UK). If you don’t have such a system, do what you can to get one, and fight against the lies told to justify the cruel parasitism of for-profit healthcare.
So that’s why there wasn’t a post last week, and why I’m not sure there will be anything more substantial this week. I’ve got other work that I’m behind on, thanks to losing the use of a hand for a few days. Even so, I’m grateful to live somewhere that has a real healthcare system, and I’m actually feeling good about the progress of this novel. If you’re reading this, I hope life is treating you decently, despite the chaos and horror flooding that’s been flooding the airwaves.