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discretequanta · 7 months ago

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[“Coming out was very lonely. I had very few friends. Most of the adult lesbians I knew were alcoholics, chronically unemployed, prone to violence, self-hating, apolitical, closeted, cliquish. Lesbians hated each other. If you found a lover you stopped going to the bar because you could not trust other lesbians; they would try to break up your relationship. My first woman lover went into the military, where she turned in other lesbians so she would not be exposed. One of my dyke friends got a job as a supervisor in a cabinet-making company and refused to hire lesbians because, she said, they were unreliable employees who were disliked by the other workers. The only thing that seemed worse to me than the apolitical lesbian community I came out in was the strangulation of pretending to be straight. I came out only because I could not go back; there was no place for me to stand in the het world. I was driven out.

Moving to San Francisco improved things somewhat. There was more public lesbian space there—six bars instead of one. But it did not alleviate the loathing with which my family viewed me. Nor was San Francisco in the early seventies any sort of gay utopia. We had no gay-rights law, queer bashing was a frequent event, and everyone had lost at least one job or been denied a place to live. It was a relief to be surrounded by other lesbian feminists, but only to a point. Bar dykes and feminists still had contempt for one another. Feminism rapidly became a way to reconstitute sexual prudery, to the point that it seemed to me that bar dykes were actually more accepting of and knowledgeable about the range of behavior that constituted lesbianism. In the bars or in the women’s movement, separatism was pretty much mandatory, if you didn’t want to get your ass kicked or be shunned. Separatism deteriorated into a rationalization for witch hunts in the lesbian community rather than a way for women to bond with one another and become more powerful activists. The lesbian community of that decade did terrible things to bi women, transgender people, butch/femme lesbians, bar dykes, dykes who were not antiporn, bisexual and lesbian sex workers, fag hags, and dykes who were perceived as being perverts rather than über-feminists. We were so guilty about being queer that only a rigid adherence to a puritanical party line could redeem us from the hateful stereotypes of mental illness and sexual debauchery.

What did I gain? I came a little closer to making my insides match my outsides, and that was no small blessing. The first time I met other dykes I recognized a part of myself in them, and knew I would have to let it out so I could see who I was. For a time, being a lesbian quieted my gender dysphoria because it made it possible for me to be a different kind of woman. That was an enormous relief.

For a long time, I hoped that by being strong, sexually adventurous, and sharpening my feminist consciousness, I could achieve a better fit between my body and the rest of me. Lesbianism was a platform from which I could develop a different sort of feminism, one that included a demand for sexual freedom and had room for women of all different erotic proclivities. I had a little good sex and discovered that I was not a cold person, I could love other people. It was as a lesbian that I began to find my voice as a writer, because in the early days of the women’s movement, we valued every woman’s experience. There was a powerful ethic around making it possible for every woman to speak out, to testify, to have her say. But there were always these other big pieces of my internal reality that lesbianism left no room for.

The first big piece of cognitive dissonance I had to deal with, in my second coming out, was S/M. I date my coming out as a leather dyke from two different decisions. One was a decision to write down one of my sexual fantasies, the short story that eventually became “Jessie.” At the time I wrote the rough draft of that story, I had never tied anybody up or done anything else kinky. I was terribly blocked as a writer. I kept beginning stories and poems that I would destroy. I have no idea if they were any good or not. My self-loathing was so intense, my inner critic so strong, that I could not evaluate my own work.

So I decided to write this one piece, under the condition that I never had to publish it or show it to another person. I just wanted to tell the truth about one thing. And I was badly in need of connecting with my own sexuality since I was in the middle of what would be a five-year relationship with a woman who insisted we be monogamous, but refused to have sex with me. So I wrote about dominance and submission, the things I fantasized about when I masturbated that upset me so much I became nauseated. Lightning did not strike. As I read and reread my own words, I thought some of them were beautiful. I dared show this story to a few other people. Some of them hated it. Some of them were titillated. Nobody had ever seen anything like it before. The story began to circulate in Xerox form, lesbian samizdat. I found the strength to defend my story when I was told it was unspeakable or wildly improbable.

In October of 1976, I attended a lesbian health conference in Los Angeles and went to a workshop there about S/M. In order to go to a workshop, you had to sign a registration sheet. I was harassed by dykes who were monitoring this space to see who dared sign up for that filthy workshop. On my way, I had to walk through a gauntlet of women who were booing and hissing, calling names, demanding that the workshop be canceled, threatening to storm the room and kick us all out of the conference. The body language and self-calming techniques I had learned when I had to deal with antigay harassment on the street came in very handy, but how odd it was to be using those defenses against the antagonism of other dykes. Their hatred felt like my mother’s hatred. I am so glad I did not let it stop me.

When I got home from that workshop, I knew that I was not the only one. Not only were there other lesbians who fantasized about sadomasochism, there were women who had done these things with each other. I decided to come out again. If there were other leather dykes in San Francisco, they had to be able to find me, so I had to make myself visible. This meant that I often did not get service at lesbian bars, or I was asked to leave women-only clubs and restaurants. I was called names, threatened, spit at. I got hate mail and crank calls. But I also found my tribe. And because I had already experienced my first coming out, I knew we were not going to be an ideal, happy family. I could be more patient with our dysfunctions, and see them as the result of being scared, marginalized, kicked around. Being a leather dyke took me another step closer to dealing with my gender issues. I could experiment with extreme femme and extreme butch drag; take on a male persona during sex play. I gave up separatism because I needed to take support from any place where it was available. Gay men already had a thriving leather culture, and I wanted to learn from them. I also wanted to have sex with them. It still wasn’t okay as far as lesbian feminism was concerned to be bisexual, to be transgendered, but I could bring those folks into my life and make alliances with them. I could defend them in print. There was even more good sex, and people who loved me and received my love despite the fact that it was dangerous for us to show ourselves to one another. I faced my sexual shadow, and she bowed to me and then danced beautifully in profile against the white walls of my consciousness. My writer’s voice was unlocked.”]

pat califa, from layers of the onion, spokes of the wheel, from a woman like that: lesbian and bisexual writers tell their coming out stories, 2000

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discretequanta · 7 months ago

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The only way in which selling sex is exceptional as a form of work is that it involves having sex.

Sex work is not more emotionally intimate than all other forms of work. Emotionally intimacy can be involved in therapy, care work, and writing about deeply personal topics.

Sex work is not the only form of work which can involve genital contact. This happens in medical environments, care work and when giving genital piercings.

Sex work is not uniquely dangerous. Fishing, construction and underwater welding all have high fatality and injury rates.

Sex work is not more prone to trafficking than all other forms of work. People are trafficked in huge numbers in the agricultural industry and for the manufacture of textiles.

Sex work is not the only form of work which involves frequent sexual harassment. People are often sexually harassed whilst doing bar work, waiting tables and providing health care and social assistance.

Sex work is not the only type of work that is criminalized. Other types of work like busking without a license, drug dealing, con artistry and any kind of job which requires authorisation form a third party where that isn't obtained.

Stop it with the sex work exceptionalism! Treat it like other work.

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discretequanta · 7 months ago

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the fine and subtle art of arguing with old men

it was a good week for testing which meant it was a slow week for me. most of my job is fixing the machine when it goes down. if it doesn't go down, i don't have much to do.

fortunately neither did marc. in a site full of ornery old bastards, he's the oldest and the orneriest, so it goes without saying that i enjoy spending time with him. he reminds me of my grandpa. hell, he reminds me of a lot of people. i've befriended enough grumpy old men that i've got a sort of momentum to it now - you know how it is, when you meet someone that reminds you of someone else you really like. you get to start that friendship off half built, because you already have an idea of how to like that guy, and some of that old warmth can be brought to the new friendship. a little ember to start the stove up with.

(i think that's one of the really undersold beauties of getting older. you stop viewing people as strangers and more like remixes of friends.)

anyway, i was sitting next to marc and we were talking about the future. i've got my eye on having kids sometime soon (year or two? hopefully?), and he's very happy for me. i've tried asking him for advice, but all he says is that he didn't do a great job with his own kids and they still turned out okay, so i should stress less and trust myself more. i hope he's right. he believes it, at least, and it's a hell of a thing to have the faith of an old man. his faith is hard won.

as for his plans, he's retiring at some point in the next six months, and is hoping to sell his home and buy something in florida. he's republican, so he views the state as paradise, and i'm not inclined to even try talking him out of it. it's his dream, you know? i know for a fact my paradise would be a lot of people's hell. life's funny like that.

still, we kept going on, and it was a good time, and then he reminisced about the last time he got close to quitting - back around 2020. our job required getting vaxxed, and he refused, and there was a big kerfuffle about it before the job actually backed down. i know there's not a lot of sympathy for the unvaxxed out here, but the man's 62. you get the shot when you're under 30 to protect the people around you, but when you're over 60, you're just getting it to protect yourself and it's hard to be mad at someone for kicking their own ass.

still gave me pause though. i knew he wasn't going to take it well, but half the job of collecting curmudgeons is keeping them around, so i said

hey. i'm sorry they bent your arm over it, but.

but.

you should really get that shot.

and he looked over at me, and i looked at him, and he actually spat. not on me, just the concrete, but it was enough to show that he was mad. then he walked away, as abrupt as anything.

i felt bad about it. i wasn't sure what i'd expected, when he was willing to lose his job over it before, but i'd been so invested in his dream of retirement - the idea of him sipping margaritias on a beach next to his wife, the wife he calls every day during lunch, the wife he says is the one thing in life he ever got right on the first try. the wife that almost divorced him back when he was in the airforce because he just wasn't home enough.

(but he can be home now.)

and then he mentioned the vax thing, and it was like seeing a pin hit a balloon. he works out every day and takes all sorts of crazy vitamins and is generally committed to getting the most out of his pension and his life. i didn't want this dumb weak point to be his achilles heel.

---

i wasn't actually sure how long marc would be mad at me. i've seen him stay mad at some people for weeks. i wasn't sure if being friends would make that time go up or down.

it went down. i'm glad it went down.

he stopped being mad about two days later. we were doing front end maintenance one morning, and it was just that simple mechanical rhythm - hex key, replace the anode sheets, punch some off-gassing holes, oil it up, put it back in - that put things at ease. it always does. people working there are too busy to remember grudges, and it has this sort of mandatory practical communication that helps smooth things over. it was going great, and then out of the blue he said babs, you gotta be careful giving advice. those shots come with complications. what would you do if i got that shot, had a stroke, and died?

and i don't know what answer he was expecting, but i just told him the truth, which is that i would be devastated. i'd feel like i killed him. i thought that was a pretty normal response, but he looked taken aback. he asked why i said it then, and i said i'd have felt the same if he died of covid. that's just life. sometimes, there's no way forward that doesn't risk some kind of regret.

we finished the tube after that, in a silence that felt heavier than peace but lighter than anger. it felt like the ball was back in marc's court. like it would be rude to take that turn from him.

we parted ways with a nod and didn't speak until the next day.

---

i was doing spreadsheet work when he found me again. standard paper engineering - thinking of things we might need and ordering them in batches, months ahead of time. it always feels a little like plugging holes in a dam with my fingers.

but he popped up, and we didn't even exchange pleasantries. he just said i'm gonna die one day, and you can't blame yourself for that.

which is a hell of a thing to just tell someone right off the bat.

so i said what

and he said babs, i am in my 60s. something is gonna get me eventually, and whether it's covid or heart disease, or a stroke, there will be something you could have said or done before. and that's okay. it's not your job to make me live forever.

and you know, he actually made a lot of sense. so i said

okay.

i'll keep your business yours. i just

you were talking about your retirement before this. and i want that for you very much. you've worked hard for 45 years, and you deserve a break. we're getting to sick season, and it would be the saddest fucking thing in the world if you got this close to winning the race then tripped in the last ten feet.

and we sat there a few moments longer. i wasn't sure what to say, and i wasn't sure what he'd say, but eventually he just shrugged and said

yeah

then he left. i figured that would be the end of it.

---

i did front end maintenance yesterday, after being gone a week. it's one of my favorite things to do. i like working with my hands. i really like working with my hands. i'm glad i went to college, but in a different life, i think i could've made a better electrician than an electrical engineer.

and at one step, when we were both hoisting the plate back onto the machine, his sleeve rode up, and i saw two bandaids on his arm.

we finished the install, and i was ready to go back when marc actually stopped me.

i got the shot, he said, almost embarrassed. like he'd been caught. and i knew he was gonna say something dumb about it, so i just cut him off by giving him a hug.

i was relieved. hugging old men is kind of like picking up cats. if they like you a lot, they'll tolerate it, but that's about it. we sat there maybe three beats before his hands went up, and then he gave me one overly-hard thump on the back. in my experience, this is how old men tell you that they're done, so i let him go.

carla talked me into it, he said, almost defensive. his wife. his one good decision.

tell her i said thanks, i said back.

trump got the shot too, he said, less defensive, but oddly pleading. like he was consoling himself.

like he was nervous.

then it's gotta be safe, i said, and he looked up at me, strangely searching, strangely vulnerable. i don't know exactly what he was looking for, but i guess he found it because after a few moments his shoulders relaxed.

yeah, he said, one hand on the back of his head.

it's gotta be.

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discretequanta · 7 months ago

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just remembered this old clickhole video i used to be obsessed with

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discretequanta · 7 months ago

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Junie and Jasper remind me so much of Louis Wain cats

Oh god you are right.

And also I love his cats.

That cat is naked.

I don't really believe that the evolution of his art in a truly freaky direction reflected his mental "degeneration", and we don't even know when most of his works were painted, but this collage is arranged in a pleasing continuum of normal to presciently psychedelic:

What the furry fractal-cat fuck is this??? I love it. So intense, 10/10.

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discretequanta · 7 months ago

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Predicting the present

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/12/09/radicalized/#deny-defend-depose

Back in 2018, around the time I emailed my immigration lawyer about applying for US citizenship, I started work on a short story called "Radicalized," which eventually became the title story of a collection that came out in 2019:

https://us.macmillan.com/books/9781250228598/radicalized/

"Radicalized" is a story about America, and about guns, and about health care, and about violence. I live in Burbank, which is ranks second in gun-stores-per-capita in the USA, a dubious honor that represents a kind of regulatory arbitrage with our neighboring goliath, the City of Los Angeles, where gun store licensing is extremely tight. If you're an Angeleno in search of a firearm, you're almost certainly coming to Burbank to buy it.

Walking, cycling and driving past more gun stores than I'd ever seen in my Canadian life got me thinking about Americans and guns, a subject that many Canadians have passed comment upon. Americans kill each other, and especially themselves, at rates that baffle everyone else in the world, and they do it with guns. When we moved here, my UK born-and-raised daughter came home from her first elementary school lockdown drill perplexed and worried. Knowing what I did about US gun violence, I understood that while school shootings and other spree killings happened with dismal and terrifying regularity, they only accounted for a small percentage of the gun deaths here. If you die with a bullet in you, the chances are that the finger on the trigger was your own. The next most likely suspect is someone you know. After that, a cop. Getting shot by a stranger out of uniform is something of a rarity here – albeit a spectacular one that captures our imaginations in ways that deliberate or accidental self-slayings and related-party shootings do not.

So I told her, "Look, you can basically ignore everything they tell you during those lockdown drills, because they almost certainly have nothing to do with your future. But if a friend ever says to you, 'Hey, wanna see my dad's gun?' I want you to turn around and leave and get in touch with me right away, that instant."

Guns turn the murderous impulse – which, let's be honest, we've all felt at some time or another – into a murderous act. Same goes for suicide, which explains the high levels of non-accidental self-shootings in the USA: when you've got a gun, the distance between suicidal ideation and your death is the ten feet from the sofa to the gun in the closet.

Americans get angry at people and then, if they have a gun to hand, sometimes they shoot them. In a thread /r/Burbank about how people at our local cinemas are rude and use their phones in which someone posted, "Well, you should just ask them to stop." The reply: "That's a great way to get shot." No one chimed in to say, "Don't be ridiculous, no one would shoot you for asking them to put away their phone during a movie." Same goes for "road rage."

And while Americans shoot people they've only just gotten angry at, they also sometimes plan shooting sprees and kill a bunch of people because they're just generically angry. Being angry about the state of the world is a completely relatable emotion, of course, but the targets of these shootings are arbitrary. Sure sometimes these killings are have clear, bigoted targets – mass shootings at Black supermarkets or mosques or synagogues or gay bars – more often the people who get sprayed with bullets (at country and western concerts or elementary schools or movie theaters) are almost certainly not the people the gunman (almost always a man) is angry at.

This line of thought kept surfacing as I went through the immigration process, but not just when I was dealing with immigration paperwork. I was also spending an incredible amount of time dealing with our health insurer, Cigna, who kept refusing treatments my pain doctor – one of the most-cited pain researchers in the country – thought I would benefit from. I've had chronic pain since I was a teenager, and it's only ever gotten worse. I've had decades of pain care in Canada and the UK, and while the treatments never worked for very long, it was never compounded by the kinds of bureaucratic stuff I went through with my US insurer.

The multi-hour phone calls with Cigna that went nowhere would often have me seeing red – literally, a red tinge closing in around my vision – and usually my hands would be shaking by the time I got off the call.

And I had it easy! I wasn't terminally ill, and I certainly wasn't calling in on behalf of a child or a spouse or parent who was seriously ill or dying, whose care was being denied by their insurer. Bernie's 2016 Medicare For All campaign promise had filled the air with statistics (Americans pay more for care and get worse outcomes than anyone else in the rich world), and stories. So many stories – stories that just tore your hear out, about parents who literally had to watch their children die because the insurance they paid for refused to treat their kids. As a dad, I literally couldn't imagine how I'd cope in that situation. Just thinking about it filled me with rage.

One day, as I was swimming in the community pool across the street – a critical part of my pain management strategy – I was struck with a thought: "Why don't these people murder health insurance executives?" Not that I wanted them to. I don't want anyone to kill anyone. But why do American men who murder their wives and the people who cut them off in traffic and random classrooms full of children leave the health insurance industry alone? This is an industry that is practically designed to fill the people who interact with it with uncontrollable rage. I mean, if you're watching your wife or your kid die before your eyes because some millionaire CEO decided to aim for a $10 billion stock buyback this year instead of his customary $9 billion target, wouldn't you feel that kind of murderous rage?

Around this time, my parents came out for a visit from Canada. It was a great trip, until one night, my mom woke me up after midnight: "We have to take your father to the ER. He's really sick." He was: shaking, nauseated, feverish. We raced down the street to the local hospital, part of a gigantic chain that has swallowed nearly all the doctors' practices, labs and hospitals within an hour's drive of here.

Dad had kidney stones, and they'd gone septic. When the ER docs removed the stones, all the septic gunk in his kidneys was flushed into his bloodstream, and he crashed. If he hadn't been in an ER recovery room at the time, he would have died. As it was, he was in a coma for three days and it was touch and go. My brother flew down from Toronto, not sure if this was his last chance to see our dad alive. The nurses and doctors took great care of my dad, though, and three days later, he emerged from his coma, and today, he's better than ever.

But on day two, when we thought he was probably at the end of his life, as my mother sat at his side, holding the hand of her husband of fifty years, someone from the hospital billing department came to her side and said, "Mrs Doctorow, I know this is a difficult time, but I'd like to discuss the matter of your husband's bill with you."

The bill was $176,000. Thankfully, the travel medical insurance plan offered by the Ontario Teachers' Union pension covered it all (I don't suppose anyone gets very angry with them).

How do people tolerate this? Again, not in the sense of "people should commit violent acts in the face of these provocations," but rather, "How is it that in a country filled with both assault rifles and unimaginable acts of murderous cruelty committed by fantastically wealthy corporations, people don't leap from their murderous impulses to their murderous weapons to commit murderous acts?

For me, writing fiction is an accretive process. I can tell that a story is brewing when thoughts start rattling around in my mind, resurfacing at odd times. I think of them as stray atoms, seeking molecules with available docking sites to glom onto. I process all my emotions – but especially my negative ones – through this process, by writing stories and novels. I could tell that something was cooking, but it was missing an ingredient.

Then I found it: an interview with the woman who coined the term "incel." It was on the Reply All podcast, and Alana, a queer Canadian woman explained that she had struggled all her life to find romantic and sexual partnership, and jokingly started referring to herself as "involuntarily celibate," and then, as an "incel":

https://gimletmedia.com/shows/reply-all/76h59o

Alana started a message board where other "incels" could offer each other support, and it was remarkably successful. The incels on Alana's message board helped each other work through the problems that stood between them and love, and when they did, they drifted away from the board to pursue a happier life.

That was the problem, Alana explained. If you're in a support group for people with a drinking problem, the group elders, the ones who've been around forever, are the people who've figured it out and gotten sober. When life seems impossible, those elders step in to tell you, I know it's terrible right now, but it'll get better. I was where you are and I got through it. You will, too. I'm here for you. We all are.

But on Alana's incel board, the old timers were the people who couldn't figure it out. They were the ones for whom mutual support and advice didn't help them figure out what they needed to do in order to find the love they sought. The longer the message board ran, the more it became dominated by people who were convinced that it was hopeless, that love was impossible for the likes of them. When newbies posted in rage and despair, these Great Old Ones were there to feed it: You're right. It will never get better. It only gets worse. There is no hope.

That was the missing piece. My short story Radicalized was born. It's a story about men on a message board called Fuck Cancer Right In the Fucking Face (FCKRFF, or "Fuckriff"), who are watching the people they love the most in the world be murdered by their insurance companies, who egg each other on to spectacular acts of mass violence against health insurance company employees, hospital billing offices, and other targets of their rage. As of today, anyone can read this story for free, courtesy of my publishers at Macmillan, who gave permission for the good folks at The American Prospect to post it:

https://prospect.org/culture/books/2024-12-09-radicalized-cory-doctorow-story-health-care/

I often hear from people about this story, even before an unknown (at the time of writing) man assassinated Brian Thompson, CEO of Unitedhealthcare, the murderous health insurance monopoly that is the largest medical insurer in the USA. Since then, hundreds of people have gotten in touch with me to ask me how I feel about this turn of events, how it feels to have "predicted" this.

I've been thinking about it for a few days now, and I gotta tell you, I have complicated feelings.

You've doubtless seen the outpourings of sarcastic graveyard humor about Thompson's murder. People hate Unitedhealthcare, for good reason, because he personally decided – or approved – countless policies that killed people by cheating them until they died.

Nurses and doctors hate Thompson and United. United kills people, for money. During the most acute phase of the pandemic, the company charged the US government $11,000 for each $8 covid test:

https://pluralistic.net/2020/09/06/137300-pct-markup/#137300-pct-markup

UHC leads the nation in claims denials, with a denial rate of 32% (!!). If you want to understand how the US can spend 20% of its GDP and get the worst health outcomes in the world, just connect the dots between those two facts: the largest health insurer in human history charges the government a 183,300% markup on covid tests and also denies a third of its claims.

UHC is a vertically integrated, murdering health profiteer. They bought Optum, the largest pharmacy benefit manager ("A spreadsheet with political power" -Matt Stoller) in the country. Then they starved Optum of IT investment in order to give more money to their shareholders. Then Optum was hacked by ransomware gang and no one could get their prescriptions for weeks. This killed people:

https://www.economicliberties.us/press-release/malicious-threat-actor-accesses-unitedhealth-groups-monopolistic-data-exchange-harming-patients-and-pharmacists/#

The irony is, Optum is terrible even when it's not hacked. The purpose of Optum is to make you pay more for pharmaceuticals. If that's more than you can afford, you die. Optum – that is, UHC – kills people:

https://pluralistic.net/2024/09/23/shield-of-boringness/#some-men-rob-you-with-a-fountain-pen

Optum isn't the only murderous UHC division. Take Navihealth, an algorithm that United uses to kick people out of their hospital beds even if they're so frail, sick or injured they can't stand or walk. Doctors and nurses routinely watch their gravely ill patients get thrown out of their hospitals. Many die. UHC kills them, for money:

https://prospect.org/health/2024-08-16-steward-bankruptcy-physicians-private-equity/

The patients murdered by Navihealth are on Medicare Advantage. Medicare is the public health care system the USA extends to old people. Medicare Advantage is a privatized system you can swap your Medicare coverage for, and UHC leads the country in Medicare Advantage, blitzing seniors with deceptive ads that trick them into signing up for UHC Medicare Advantage. Seniors who do this lose access to their doctors and specialists, have to pay hundreds or thousands of dollars for their medication, and get hit with $400 surprise bills to use the "free" ambulance service:

https://prospect.org/health/2024-12-05-manhattan-medicare-murder-mystery/

No wonder the public spends 22% more subsidizing Medicare Advantage than they spend on the care for seniors who stick with actual Medicare:

https://theconversation.com/taxpayers-spend-22-more-per-patient-to-support-medicare-advantage-the-private-alternative-to-medicare-that-promised-to-cost-less-241997

It's not just the elderly, it's also the addicted and mentally ill. UHC illegally denies coverage for mental health and substance abuse treatment. Imagine watching a family member spiral out of control, ODing, or ending up on the streets with hallucinations, and knowing that the health insurance company that takes thousands of dollars out of your paycheck refused to treat them:

https://www.startribune.com/unitedhealthcare-will-pay-15-7m-in-settlement-of-denial-of-care-charges/600087607

Unsurprising, the internal culture at UHC is callous beyond belief. How could it not be? How could you go to work at UHC and know you were killing people and not dehumanize those victims? A lawsuit by chronically ill patient whom UHC had denied care for surfaced recorded phone calls in which UHC employees laughed long and hard about the denied claims, dismissing the patient's desperate, tearful pleas as "tantrums" :

https://www.propublica.org/article/unitedhealth-healthcare-insurance-denial-ulcerative-colitis

Those UHC workers are just trying to get by, of course, and the callouses they develop so they can bear to go to work were ripped off by last week's murder. UHC's executive team knows this, and has gone on a rampage to stop employees from leaking their own horror stories, or even mentioning that the internal company announcement of Thompson's death was seen by 16,000 employees, of whom only 28 left a comment:

https://www.kenklippenstein.com/p/unitedhealthcare-tells-employees

Doctors and nurses hate UHC on behalf of their patients, but it's also personal. UHC screws doctor's practices by refusing to pay them, making them chase payments for months or even years, and then it offers them a payday lending service that helps them keep the lights on while they wait to get paid:

https://www.youtube.com/watch?v=frr4wuvAB6U

Is it any surprise that Reddit's nursing forums are full of nurses making grim, satisfied jokes about the assassination of the $10m/year CEO who ran the $400b/year corporation that does all this?

https://www.thedailybeast.com/leading-medical-subreddit-deletes-thread-on-unitedhealthcare-ceos-murder-after-users-slam-his-record/

We're not supposed to experience – much less express – schadenfreude when someone is murdered in the street, no matter who they are. We're meant to express horror at the idea of political violence, even when that violence only claims a single life, a fraction of the body count UCH produced under Thompson's direction. As Malcolm Harris put it, "'Every life is precious' stuff about a healthcare CEO whose company is noted for denying coverage is pretty silly":

https://twitter.com/BigMeanInternet/status/1864471932386623753

As Woody Guthrie wrote, "Some will rob you with a six-gun/And some with a fountain pen." The weapon is lethal when it's a pistol and when it's an insurance company. The insurance company merely serves as an accountability sink, a layer of indirection that lets a murder happen without any person being the technical murderer:

https://profilebooks.com/work/the-unaccountability-machine/

I don't want people to kill insurance executives, and I don't want insurance executives to kill people. But I am unsurprised that this happened. Indeed, I'm surprised that it took so long. It should not be controversial to note that if you run an institution that makes people furious, they will eventually become furious with you. This is the entire pitch of Thomas Piketty's Capital in the 21st Century: that wealth concentration leads to corruption, which is destabilizing, and in the long run it's cheaper to run a fair society than it is to pay for the guards you'll need to keep the guillotines off your lawn:

https://memex.craphound.com/2014/06/24/thomas-pikettys-capital-in-the-21st-century/

But we've spent the past 40 years running in the other direction, maximizing monopolies, inequality and corruption, and gaslighting the public when they insist that this is monstrous and unfair. Back in 2022, when UHC was buying Change Healthcare – the dominant payment network for hospitals, which would allow UHC to surveil all its competitors' payments – the DOJ sued to block the merger. The Trump-appointed judge in the case, Carl Nichols – who owned tens of thousands of dollars in UHC bonds – ruled against the DOJ, saying that it would all be fine thanks to United's "culture of trust and integrity":

https://www.thebignewsletter.com/p/the-antitrust-shooting-war-has-started

We don't know much about Thompson's killer yet, but he's already becoming a folk hero, with lookalike contests in NYC:

https://twitter.com/CollinRugg/status/1865472577478553976

And gigantic graffiti murals praising him and reproducing the words he wrote on the shell casings of the bullets he used to kill Thompson, "delay, deny, depose":

https://www.tumblr.com/radicalgraff/769193188403675136/killin-fuckin-ceos-freight-graff-in-the-bay

I get why this is distasteful. Thompson is said to have been a "family man" who loved his kids, and I have no reason to disbelieve this. I can only imagine that his wife and kids are shattered by this. Every living person is the apex of a massive project involving dozens, hundreds of people who personally worked to raise, nurture and love them. I wrote about this in my novel Walkaway, as the characters consider whether to execute a mercenary sent to kill them, whom they have taken hostage:

She had parents. People who loved her. Every human was a hyper-dense node of intense emotional and material investment. Speaking meant someone had spent thousands of hours cooing to you. Those lean muscles, the ringing tone of command — their inputs were from all over the world, carefully administered. The merc was more than a person: like a spaceship launch, her existence implied thousands of skilled people, generations of experts, wars, treaties, scholarship and supply-chain management. Every one of them was all that.

But so often, the formula for "folk hero" is "killing + time." The person who terrorizes the people who terrorize you is your hero, and eventually we sanitize the deaths, and just remember them as fighters for justice. If you doubt it, consider the legend of Robin Hood:

https://twitter.com/mcmansionhell/status/1865554985842352501

The health industry is trying to put a lid on this, palpably afraid that – as in my story "Radicalized" – this one murderer will become a folk hero who inspires others to acts of spectacular violence. They're insisting that it's unseemly to gloat about Thompson's death. They're right, but this is an obvious loser strategy. The health industry is full of people whose deaths would be deplorable, but not unsurprising. As Clarence Darrow had it:

I’ve never wished a man dead, but I have read some obituaries with great pleasure.

Murder is never the answer. Murder is not a healthy response to corruption. But it is healthy for people to fear that if they kill people for greed, they will be unsafe. On December 5 – the day after Thompson's killing – the health insurer Anthem announced that it would not pay for anesthesia for medical procedures that ran long. The next day, they retracted the policy, citing "outrage":

https://www.cnn.com/2024/12/05/health/anthem-blue-cross-blue-shield-anesthesia-claim-limits/index.html

Sure, maybe it was their fear of reputation damage that got them to decide to reverse this inhumane, disgusting, murderous policy. But maybe it was also someone in the C-suite thinking about what share of the profits from this policy would have to be spend on additional bodyguards for every Anthem exec if it went into effect, and decided that it was a money-loser after all.

Think about hospital exec Ralph de la Torre, who cheerfully testified to Congress that he'd killed patients in pursuit of profit. De la Torre clearly doesn't fear any kind of consequences for his actions. He owns hospitals that are filled with tens of thousands of bats (he stiffed the exterminators), where none of the elevators work (he stiffed the repair techs), where there's no medicine or blood (he stiffed the suppliers) and where the doctors and nurses can't make rent (he stiffed them too). De La Torre doesn't just own hospitals – he also owns a pair of superyachts:

https://pluralistic.net/2024/02/28/5000-bats/#charnel-house

It is a miracle that so many people have lost their mothers, sons, wives and husbands so Ralph de la Torre could buy himself another superyacht, and that those people live in a country where you can buy an assault rifle, and that Ralph de la Torre isn't forced to live in a bunker and travel in a tank.

It's a rather beautiful sort of miracle, to be honest. I like to think that it comes from a widespread belief by the people of this country I have since become a citizen of, that we should solve our problems politically, rather than with bullets.

But the assassination of Brian Thompson is a wake-up call, a warning that if we don't solve this problem politically, we may not have a choice about whether it's solved with violence. As a character in "Radicalized" says, "They say violence never solves anything, but to quote The Onion: that's only true so long as you ignore all of human history":

https://prospect.org/culture/books/2024-12-09-radicalized-cory-doctorow-story-health-care/

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