medical insurance

Murder Amid American Medical Malice

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Luigi Mangione and Brian Thompson

After Brian Thompson was shot and killed in New York City this month, millions of Americans from all parts of the ideological spectrum flooded social media to express little sympathy for him. That’s because he was the CEO of UnitedHealthcare, the massive company known for denying a huge number of legitimate medical-insurance claims in order to maximize its profits.

The result of those denials? Anguish for millions of patients and death for thousands of patients who (either individually or via employer plans) pay large monthly premiums for medical coverage — even as residents of every other developed country enjoy some form of much-more-humane national health insurance. And doctors with years of medical training and experience get their requests for needed tests and treatment for their patients denied by insurance bureaucrats with little or no medical expertise.

Meanwhile, Thompson — who was specifically targeted for assassination (the arrested suspect is Luigi Mangione) — raked in yearly compensation of $10.2 million.

Obviously, murder shouldn’t be celebrated, and this was an awful tragedy for Thompson and his family. But he and other execs at UnitedHealthcare and other private insurance providers are guilty of indirectly/continually causing tragic deaths — only their method is shooting down claims rather than shooting a gun.

As with many other situations, I was reminded of certain books I’ve read. There have been numerous nonfiction titles covering the cruel, pricey, unequal, inefficient U.S. medical system — which only works very well for the wealthy — but I’m a literature blogger and will thus focus on fiction in the remainder of this post. To me, the novel I’ve read that best expresses the fury “inspired” by the U.S. medical system is Lionel Shriver’s So Much for That. I highly recommend her 2010 book, despite much of it being a painful read. Somehow, Shriver manages to often make things entertaining, too.

And I thought of novels that have strong elements of vigilantism, which of course involves seeking justice by “illegal” means when such justice might not be achieved through “legal” channels. In the U.S., there have been various efforts by Senator Bernie Sanders and others urging “Medicare for All” to give Americans the type of health-insurance system every other “first world” nation has. But those efforts have been thwarted by a political class (virtually every Republican and most Democrats) as well as a mainstream media mostly bought off by campaign contributions and ad dollars from the profit-swollen companies (also including “Big Pharma”) benefiting from a privatized medical system. So, what are beleaguered citizens to do?

Among the novels with characters who take the law into their own hands for the “right” reasons (not necessarily medical-related reasons) are Louis Sachar’s Holes, John Steinbeck’s The Grapes of Wrath, Alexandre Dumas’ The Count of Monte Cristo, Lee Child’s Jack Reacher books, and Johnston McCulley’s The Curse of Capistrano featuring the protagonist who would also become the title character in Isabel Allende’s later Zorro. For those who haven’t read those novels, I’ll refrain from giving specifics in order not to spoil things.

As we know, there are also strains of vigilantism in many western novels (like Owen Wister’s The Virginian) and in comic books starring superheroes such as Batman.

Your thoughts about, and examples of, this topic?

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In addition to this weekly blog, I write the 2003-started/award-winning “Montclairvoyant” topical-humor column every Thursday for Montclair Local. The latest piece — which discusses a Mideast-related yet local police chaplain controversy — is here.

Do the Republicans Trashing Your Health Care Also Root for Literature’s Villains?

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Most fiction readers root for the characters who are nice and admirable, not the villains. But after America’s far-right Republicans voted May 4 for a Trumpcare bill that would heartlessly yank medical insurance from millions of non-rich citizens, I’m thinking the majority of those soulless GOP scoundrels might identify with literature’s “bad guys.” So…

— When Donald Trump, Paul Ryan, etc., read Charlotte Bronte’s Jane Eyre, they love them some Mr. Brocklehurst — the wealthy “religious” hypocrite who cruelly allows Jane and the other girls at the Lowood institution to freeze, be badly fed, and more. Some of the girls die as a result, as would many Americans “thanks” to Trumpcare.

— Many far-right Republicans perusing John Steinbeck’s The Grapes of Wrath would undoubtedly cheer when a thug murders compassionate fighter against injustice Jim Casy — whose sharing of initials with the humane (not the GOP version of) Jesus Christ is no coincidence.

— A good number of GOP ghouls are most likely thrilled when brutal slave-owner Simon Legree viciously abuses the brave/kindly Tom in Harriet Beecher Stowe’s Uncle Tom’s Cabin.

— In George Eliot’s Silas Marner, William Dane frames the sympathetic title character and steals his fiancee — making Dane a hero to many a far-right Republican.

— Nathan Price of Barbara Kingsolver’s The Poisonwood Bible is a sexist and racist missionary, earning him the undying love of countless reactionary GOPers — including various Christian-evangelical leaders.

— The despicable, patriarchal men ruling the roost in Margaret Atwood’s The Handmaid’s Tale? Thousands of Republican ultraconservatives want to party with them.

— In Emile Zola’s The Ladies’ Delight, department store owner Octave Mouret is a ruthless capitalist who drives mom-and-pop shops out of business — a Walmart approach that sends numerous right-wing Republicans into ecstasy. But Mouret does have a bit of humanity, so that’s troublesome to the Paul Ryan crowd.

— The far-right GOP also has mixed feelings about Samad Iqbal. That character in Zadie Smith’s White Teeth is obnoxious, overbearing, sexist, and not as smart as he thinks — all catnip for Trump and his ilk. But Samad is Muslim, which mostly disqualifies him from Republican admiration.

— The husband of the title character in Stephen King’s Rose Madder is a policeman who’s a racist and a wife abuser — two qualities very endearing to Trump and other lowlife GOP leaders.

— Erich Maria Remarque’s Spark of Life? Many far-right Republicans may feel a kinship to that novel’s Nazi concentration-camp guards. (And Trumpcare’s motto should be the second half of the title of Remarque’s A Time to Love and a Time to Die.)

— Finally, pathological right-wingers pull for Lord Voldemort in J.K. Rowling’s Harry Potter series. Role model!

Of course, who knows how much literature America’s reactionary GOP bigwigs actually read? Maybe the occasional Ayn Rand novel…

Any novels you’d like to mention featuring villains far-right Republicans would adore?

Here’s a review of, and a video interview about, my new literary-trivia book Fascinating Facts About Famous Fiction Authors and the Greatest Novels of All Time.

In addition to this weekly blog, I write the award-winning “Montclairvoyant” topical-humor column for Baristanet.com, which covers Montclair, N.J., and nearby towns. The latest weekly column is here.