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Cory Doctorow's Prescient Novella About Health Insurance and Murder (theguardian.com) 169

Five years ago, journalist and sci-fi author Cory Doctorow published a short story that explored the radicalization of individuals denied healthcare coverage. As The Guardian notes in a recent article, the story "might seem eerily similar" to the recent shooting of UnitedHealthcare's CEO. While it appears that the alleged shooter never read the story, Doctorow said: "I feel like the most important thing about that is that it tells you that this is not a unique insight." Doctorow continued: "that the question that I had is a question other people have had." As an activist in favor of liberalizing copyright laws and a proponent of the Creative Commons organization, it's important to note that Doctorow advocates for systemic reform through collective action rather than violence. Here's an excerpt from the The Guardian's article: In Radicalized, one of four novellas comprising a science fiction novel of the same name, Doctorow charts the journey of a man who joins an online forum for fathers whose partners or children have been denied healthcare coverage by their insurers after his wife is diagnosed with breast cancer and denied coverage for an experimental treatment. Slowly, over the course of the story, the men of the forum become radicalized by their grief and begin plotting -- and executing -- murders of health insurance executives and politicians who vote against universal healthcare.

In the wake of the December 4 shooting of UnitedHealthcare CEO Brian Thompson, which unleashed a wave of outrage at the U.S. health system, Doctorow's novella has been called prescient. When the American Prospect magazine republished the story last week, it wrote: "It is being republished with permission for reasons that will become clear if you read it." But Doctorow doesn't think he was on to something that no one else in the U.S. understood. [...]

In one part of the story, a man whose young daughter died after an insurance company refused to pay for brain surgery bombs the insurer's headquarters. "It's not vengeance. I don't have a vengeful bone in my body. Nothing I do will bring Lisa back, so why would I want revenge? This is a public service. There's another dad just like me," he shares in a video message on the forum. "And right now, that dad is talking to someone at Cigna, or Humana, or BlueCross BlueShield, and the person on the phone is telling that dad that his little girl has. To. Die. Someone in that building made the decision to kill my little girl, and everyone else in that building went along with it. Not one of them is innocent, and not one of them is afraid. They're going to be afraid, after this."

"Because they must know in their hearts," he goes on. "Them, their lobbyists, the men in Congress who enabled them. They're parents. They know. Anyone who hurt their precious children, they'd hunt that person down like a dog. The only amazing thing about any of this is that no one has done it yet. I'm going to make a prediction right now, that even though I'm the first, I sure as hell will not be the last. There's more to come."

Cory Doctorow's Prescient Novella About Health Insurance and Murder

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  • Luigi (Score:5, Insightful)

    by Anonymous Coward on Friday December 20, 2024 @09:16PM (#65029883)

    Is not a threat to me or anyone I know.

    The state is even trying to use the death penalty and terrorism charges. They don't even give that to people who shoot up schools or churches.

    They know how he's dangerous to the ruling class and an example has to be made.

    I pray he gets a series of mistrials and the charges dropped.

    • Re: (Score:3, Insightful)

      Is not a threat to me or anyone I know.

      Anybody who can just walk up to somebody they've never met and shoot them in the back is probably not the kind of person you want loose on the street anywhere.

      The state is even trying to use the death penalty

      Federal government, and they haven't decided.

      and terrorism charges.

      That one is the state, and this case does meet the legal definition of it in that state. So as a matter of law, it is correct.

      They don't even give that to people who shoot up schools or churches.

      Depends on a few things:

      1) Did they survive the incident? Often they don't.
      2) What was the legal definition of it in that jurisdiction?
      3) Did their actions meet the legal definition?

      • Re:Luigi (Score:4, Insightful)

        by Beeftopia ( 1846720 ) on Friday December 20, 2024 @10:41PM (#65030023)

        Is not a threat to me or anyone I know.

        Anybody who can just walk up to somebody they've never met and shoot them in the back is probably not the kind of person you want loose on the street anywhere.

        Special operations commandos would like a word [unilad.com].

        I think Luigi has the same internal controls as a commando. This wasn't a robbery, or for other personal gain, like a simple criminal. This was violence for a greater mission.

        • Government sponsored assassins know they're protected and will never be held liable for their crimes..
      • Re:Luigi (Score:4, Interesting)

        by VeryFluffyBunny ( 5037285 ) on Saturday December 21, 2024 @04:38AM (#65030381)
        So what you're saying is that in the UK*, where the idea is to allocate resources & medical according to need, they wouldn't have given you your unnecessary surgery, whereas is the USA, where resources are allocated according to profit, you did. As you put it, limited resources & medical care. Who went without for the sake of your unnecessary surgery?

        *Actually, the UK is a poor example now because they're in the midst of a long, drawn out, secretive process of privatising healthcare in the NHS (John Pilger outlined the process & the probable motives in a documentary released in 2019: https://johnpilger.com/the-dir... [johnpilger.com]). As a result, the system is under so much strain & under resourced & demoralised that they struggle every day to care for their patients. Parts of the NHS are on the verge of collapse. In most countries, public healthcare is good, in some cases, e.g. where I live, it's excellent. I have a friend whose daughter is coming over here for medical treatment because the NHS is so bad now.
        • So what you're saying is that in the UK*, where the idea is to allocate resources & medical according to need, they wouldn't have given you your unnecessary surgery,

          Nobody, anywhere, said it was unnecessary. The NHS too would have determined it medically necessary. But they would have determined it too trivial of a matter to pay for. The resources, in terms of the medical staff, equipment, drugs, etc, were still there in either case. The option to pay out of pocket remained, even in the UK. The reason the NHS would deny it is simply because it doesn't have the money for it.

          whereas is the USA, where resources are allocated according to profit, you did.

          I'm not sure what you mean by this. In the US, those in more urgent need of care will ultimately

          • You're so far away from reality that you're not even wrong. Please join a conversation where you have some idea of what you're talking about. You're wasting everyone's time.
            • You're so far away from reality that you're not even wrong. Please join a conversation where you have some idea of what you're talking about. You're wasting everyone's time.

              Watch out, ArmoredDragon is a nutjob.

      • Although you're technically right (which is the best kind of right) I would plead the third.

        That is the third option: "jury nullification"

      • The evidence against him is overwhelming, you're going to need a lot more than thoughts and prayers

        I pray I don't need a lot more than thoughts and prayers...

    • Re:Luigi (Score:4, Insightful)

      by dskoll ( 99328 ) on Friday December 20, 2024 @09:35PM (#65029921) Homepage

      He stalked and murdered a guy in cold blood. He deserves to be convicted of first-degree murder.

      • Re:Luigi (Score:5, Insightful)

        by timholman ( 71886 ) on Friday December 20, 2024 @10:15PM (#65029985)

        He stalked and murdered a guy in cold blood. He deserves to be convicted of first-degree murder.

        To which I will add that if people normalize and applaud cold-blooded assassination, then they're going to be shocked when they turn out to be the next one targeted. Because here's the thing: by someone's well-intentioned standards, most of us deserve to die. A society where murder is rationalized and excused is not one that leads to a good outcome for any of us.

        • I’m fine. Not like I routinely deny sick and dying people coverage to make shareholders happy.

        • Re:Luigi (Score:4, Interesting)

          by serviscope_minor ( 664417 ) on Saturday December 21, 2024 @08:19AM (#65030579) Journal

          The problem is that denial of healthcare is not really much different from assassination if it leads to death. People know trust killing someone at the stroke of a pen for money isn't naturally different from pulling the trigger yourself. This incidentally is why commissioning a murderb is also a crime.

          As people see it, cold blooded murder at a large scale is already normalized, and this is just one small scale murderer whacking a bigger one.

      • Re:Luigi (Score:4, Interesting)

        by ArchieBunker ( 132337 ) on Friday December 20, 2024 @10:39PM (#65030015)

        If Luigi had murdered me or you the police would not have deployed drones, dogs, divers, and countless man hours. Why was no measure spared on this single case?

      • He stalked and murdered a guy in cold blood. He deserves to be convicted of first-degree murder.

        I agree.

        But the level of vitriol towards the victim should be eye opening.

        And recall the victim was infamous for drastically increasing denials of insurance claims. He made a calculation, implied or explicit, that meant people suffered and died in order to increase the stock price.

        I do feel sympathy for the victim, he was essentially just doing the job the system demanded of him. But that system is extraordinarily broken.

        And if you feel so strongly about that system that you're willing to murder someone ove

  • by dicobalt ( 1536225 ) on Friday December 20, 2024 @10:00PM (#65029965)
    Trauma Team Platinum package.
  • by silentbozo ( 542534 ) on Friday December 20, 2024 @10:11PM (#65029975) Journal

    From the standpoint of most of the rest of the developed world, the US medical system is... weird.

    TL;DR - we have doctors in places that make it easier to get high end medical care but much more difficult to get routine medical care, and a system that incentivizes people not to spend money, to the benefit of the insurer. The supply shortage is not getting better (due to the long lead time to training medical professionals), and there's a lot of friction that makes it more advantageous to get paid more to do specialist care for the same amount of time worked, because the overhead involved makes it much harder and much less rewarding to do basic care, beyond the issue with paying back student loans.

    -------

    First, let us look at cost. The US has a reputation of having really good specialist care - so good that apparently well heeled people from other countries regularly come here to have cutting edge procedures done, or to do routine scans that are booked up in their home country.

    "These hospitals and clinics are offering inbound medical tourism services to patients who come to the U.S. for higher quality than they can receive in their home country, access to procedures that are not available in their country’s healthcare facilities, freedom from long wait times or the rationing of procedures because of national governmental regulations, because of the ability to combine tourism opportunities in the U.S., and/or (believe it or not!) because the price differential- paying for services in cash in the U.S. may be less expensive than in their home country."

    https://www.magazine.medicalto... [medicaltourism.com]

    "For many Canadians, the prospect of enduring prolonged wait times for medical imaging, such as MRI scans, prompts them to explore alternative avenues. This has led to a growing trend of Canadians venturing south of the border to the United States to secure expedited MRI appointments."

    https://www.cmimri.ca/navigati... [cmimri.ca]

    Paradoxically though, we have the opposite happening within the US, where some patients resort having procedures done overseas. We also have long lines in order to get seen by general practitioners. In other cases, US citizens forego basic care due to cost.

    "Medical tourism is a worldwide, multibillion-dollar market that continues to grow with the rising globalization of health care. Surveillance data indicate that millions of US residents travel internationally for medical care each year. Medical tourism destinations for US residents include Argentina, Brazil, Canada, Colombia, Costa Rica, Cuba, the Dominican Republic, Ecuador, Germany, India, Malaysia, Mexico, Nicaragua, Peru, Singapore, and Thailand. Categories of procedures that US medical tourists pursue include cancer treatment, dental care, fertility treatments, organ and tissue transplantation, and various forms of surgery, including bariatric, cosmetic, and non-cosmetic (e.g., orthopedic)."

    https://wwwnc.cdc.gov/travel/y... [cdc.gov]

    "Opponents of universal health care often predict it would lead to long waits to see a doctor, but patients in the U.S. already face unacceptable delays in getting routine care.

    Jam-packed appointment schedules have endured for years. Check out this Business Week story from 2007: “The Doctor Will See You—In Three Months.” However, the lack of a national reporting system to track and disclose wait times to the public — a feature in some other countries — has largely obscured the problem here.

    With no comprehensive data, journalists rely on a hodgepodge of studies that suggest patients often wait a month or more for a slot on a doctor’s schedule."

    • Medical tourism is not really a good argument. Rich medical tourists go where they think they can get better treatment, not necessarily where they actually can. Basically, most first world countries had their share of rich medical tourists from other first world countries.

    • The problem with most single payer systems is that they incentivize medical care to allocate resources to prioritize overall outcomes of the most number of people over your individual outcome. The only real way to incentivize your doctors to put your medical care first is to pay them on that basis, for your treatment, rather than for bland statistics. It's the same incentive that drives health care companies to invest in developing more advanced treatments for difficult things, even when they are expensiv
  • Pfft... (Score:4, Insightful)

    by quintessencesluglord ( 652360 ) on Friday December 20, 2024 @10:25PM (#65029999)

    I was anticipating something like this with the 2008 crash.

    People lose their life savings and only bankers are made whole? You'll at least get 3 squares and a cot in prison (and free healthcare).

    As long as law excessively favors business (arbitration, outright theft as "billing errors", slap on the wrist penalties as the cost of doing business, etc.), people will make their own justice with the means available to them as there is no recourse coming from institutions.

  • by sinij ( 911942 ) on Friday December 20, 2024 @10:28PM (#65030001)
    Insurance industry under guidance of CEOs is very clearly violating social contracts by maliciously denying coverage to policy holders. Losing in court as a delay tactic is immoral and there should be personal consequences for people that decided to try it.
    • Part of the problem is competition.

      Paradoxically, the individual mandate under the ACA creates a situation where you don't actually need to deliver better service to get customers. For those who correctly point out that the ACA individual mandate was removed as of 2019 ( https://www.healthinsurance.or... [healthinsurance.org] ), there are those of us in states that enacted their own mandates who are subject to similar provisions (minimum $900 or 2.5% of your yearly income penalty in California. Good luck if you just become une

  • I get ready disappointed when any insurance claim is denied. I pay and pay but no insurance company has ever approved a dime
    • Well they're not going to cover shit that isn't proven to work if that's what all of your claims have been for.

      I've made some pretty big claims myself, and no big claim has ever been denied. Usually when something is denied, it's something like the insurance won't cover an MRI until something cheaper like an x-ray or ct-scan has been performed first. So the doctor orders the cheap one first, doesn't find it in that image as he was already certain he wouldn't have, so the insurance company pays for both the

  • by kenh ( 9056 ) on Saturday December 21, 2024 @12:07AM (#65030147) Homepage Journal

    So The Fine Summary says:

    In Radicalized, one of four novellas comprising a science fiction novel of the same name, Doctorow charts the journey of a man who joins an online forum for fathers whose partners or children have been denied healthcare coverage by their insurers after his wife is diagnosed with breast cancer and denied coverage for an experimental treatment. Slowly, over the course of the story, the men of the forum become radicalized by their grief and begin plotting -- and executing -- murders of health insurance executives and politicians who vote against universal healthcare.

    "joins an online forum for fathers whose partners or children have been denied healthcare coverage by their insurers after his wife is diagnosed with breast cancer and denied coverage for an experimental treatment."

    The UnitedHealthcare CEO was shot by someone who had never been covered by UnitedHealthcare - not a radicalized customer denied coverage. He wasn't grieving, he wasn't denied coverage, in fact after his surfing accident, he was covered by his insurance and had by all accounts a successful treatment and was not in any pain at the time he decided to kill someone's son, someone's husband, someone's brother and a couple kids father that happened to be the CEO of a healthcare company.

    And about the denied coverage in Cory's novella, "after his wife is diagnosed with breast cancer and denied coverage for an experimental treatment."

    In Cory's story she was denied "experimental treatment", not (presumably) conventional treatment - Few, if any, health insurance plans cover experimental treatments. Being denied coverage for an experimental treatment is not justification for murder.

    • Bin Ladden was somebody's son, somebody's brother...etc. He didn't directly kill anybody but without him a few thousand people would have lived.... He wasn't a CEO of an American company that made money off the death of 10s of thousands of people...

      • Luigi is the Bin Laden here. So certain about his ideals, he decides he's justified in murder (of somebody with which he has no personal connection) to force the issue.

        That's why I think the terrorism charges against Luigi will probably stick - he earned it.

        • Well, merely two decades ago downloading mp3s was terrorism, hence you are probably right.

          • Luigi isn't charged with terrorism for downloading mp3's. He's charged with murder and terrorism because he murdered a guy just to send a message and there's video of him doing it.
            • and there's video of him doing it.

              You mean video of a person doing it. At no point in the video does it id anyone. But who needs facts? Innocent until proven guilty, only applies to Trumpers.

            • Not the point that I am making. My point is that since the start of the war on terror the "terrorism" accusation has been used rather liberally. The murder charge is good enough in this case.

      • Bin Ladden was somebody's son, somebody's brother...etc. He didn't directly kill anybody but without him a few thousand people would have lived....

        In his view, this was justified because:

        - Palestine. (Ironically, Luigi's supporters also mostly believe that Hamas was justified in the mass kidnapping and murders of October 7th.)
        - Banks charge interest on loans
        - Homosexuality isn't a crime

        Honestly I think you would have been better off making this argument about Ted Kaczynski. He was a nutter as well, though unlike Bin Laden, his victims were targeted, which is far more analogous to Luigi Mangioni. If you substitute "modern technology" with "bean counter

        • There is a big difference between business leaders who knowingly kill people for profit; it's about time they at least earned that high salary with some actual risk and some actual consequences. At least in China if you poison children due to your greed they execute you; in the USA, at worst they get a scandal and then if they openly praise and donate to Trump they'll get appointed to something. We allow almost any crime if you mask it behind a corporate system.

          I remember just hearing a Trump appointment p

  • Death panels (Score:5, Insightful)

    by qbast ( 1265706 ) on Saturday December 21, 2024 @04:55AM (#65030389)
    Whenever there is discussion about single-payer healthcare (the model that's used in vast majority of developed countries) invariably you have some murican chiming in with fantasies about 'death panels' that supposedly operate in Canada, UK, etc. The funniest part of that is that US already has those 'death panels' - they are called insurance companies and if they think condemning you to die will make $1 more for their investors, they will happily do it.
  • The ST:V episode Critical Care [wikipedia.org] was a very thinly veiled metaphor for the USA's for-profit healthcare industry. People with a low Treatment Coefficient (another thinly veiled metaphor, this time relating to how valuable a person is to their society, i.e. how successful they are) are denied proper access to healthcare. That episode ends with the Doctor intentionally infecting the medical facility's lead administrator with a deadly disease and hacking the facility's database to give the administrator a low "

  • As if one needs to read a story to come up with the idea to kill someone responsible for the suffering of millions.

    Doctorow seems to have come up with the idea to the story without having read it first. Ancient aliens with time travel and drones must have told him.

  • by Mirnotoriety ( 10462951 ) on Saturday December 21, 2024 @06:47AM (#65030481)
    The U.S. healthcare insurance system is plagued by high costs, inequities, and systemic corruption-like practices that prioritize profits over patients. Administrative inefficiencies, driven by a fragmented system of private insurers and public programs, result in exorbitant premiums, copays, and surprise medical bills that burden even insured individuals.

    Millions remain uninsured or underinsured, tied to an employer-based model that leaves people vulnerable during job loss. Powerful lobbying by pharmaceutical companies and insurers ensures policies favor corporate profits, such as inflated drug prices and restricted Medicare negotiation powers. Opaque pricing, conflicts of interest, and financial incentives lead to exploitative practices like predatory billing, aggressive debt collection, and biased treatment decisions.

    These issues disproportionately affect marginalized communities, exacerbate health disparities, and undermine public trust, making the system not only costly but fundamentally inequitable and unsustainable.
  • As harsh as it sounds violence (terrorism?) against the ruling class is the only thing they understand.
    Unemployment, housing crisis, poverty, etc are issues that affect the society in general but are alien to politicians.

    The fact that for example terminal cancer patients denied of healthcare aren't blowing themselves up in front of the congress speaks volumes of us as a society.
    I don't think it's just related to "capability" or "access to guns"; we're an extremely polite and afraid group of people who may t

  • by Anachronous Coward ( 6177134 ) on Saturday December 21, 2024 @07:42AM (#65030533)

    Yeah I'm pretty sure I saw it on Law and Order about twenty years ago.

  • Really disappointed there's no Funny here. Seemed like a rich target, especially for dark humor.

    Can't help much, though maybe someone will think this is a joke?

    I don't think he can plead guilty by reason of insanity. But maybe he should try for a plea of too much sanity in a world gone insane? Somehow resulting in his insane and unjustifiable actions? (A real comedian would find the joke...)

    Other half of the Subject involves the insanity of overvaluing monetized life, but that's about to be corrected by the

  • Before the lynch mob comes for Cory Doctorow they should read John Brunner and Philip K Dick who were predicting these events in the 1960s. Sic semper tyrannis!

Heard that the next Space Shuttle is supposed to carry several Guernsey cows? It's gonna be the herd shot 'round the world.

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