Vigilante Justice and the American Healthcare Dilemma

The murder of a health insurance CEO in New York is an interesting moment in American history. It is a little surprising (but not shocking) how many people don’t care that this person was killed. (Read reactions to Brian Thompson’s killing on Huffpost here.)

I’m not condoning murder. However, the more you learn about the practices of his company, the more you understand the impulse to dismiss the crime with, “Oh, well.”

I write stories about vigilante justice.

I prefer those stories to stay within the confines of fiction.

I spoke with an American friend recently who needed medical tests. They had insurance, but the co-pay was usurious. Another American friend had a series of worrying symptoms. He couldn’t afford to visit a doctor. He had to choose groceries and rent over the possibility of a horrible death.

I see my doctor a few times a year. I couldn’t afford to be a hypochondriac in the United States. Medical bankruptcy is not a thing in Canada. Here, there are no such things as pre-existing conditions. We just call that your medical history.

Non-Americans look at the richest country in the world and wonder, “How are you okay with this?”

We rarely visit the United States. We wouldn’t consider stepping south of the border for a moment without medical travel insurance. Going without insurance is one thing. Paying for insurance and still not being able to access healthcare anyway is especially galling.

People feel the way they do about this murder for genuine reasons. This one rich man’s death will get much more attention than the deaths of others. His company’s policies deny care to people in need, but that is already known. It doesn’t seem the demise of so many patients will be investigated with half as much vigor as the CEO’s death.

I am so grateful for universal healthcare.

I have had surgery to save the vision in my left eye. In 2023, I had two hips replaced. The care was excellent and timely. The most I had to pay for all that excellent care was parking fees. There is nowhere on Earth where universal healthcare is perfect. I prefer less-than-perfect to the confusion and deceit present in the American healthcare system.

What does that murder mean, though?

This murder, this moment, is not a cultural shift on its own. It’s a symptom of a sick system. When justice fails, people give up on norms. This has been coming a long time. In the middle of a stump speech to a conservative crowd years ago, Ron Paul spoke of providing healthcare to the poor. “Should we let them die?” Paul expected a resounding no. Instead, someone yelled, “Yes!” The assembled burst into a round of applause.

This is an increasingly dangerous time. When empathy disappears, society fails.