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Dassi Elber's avatar

Many thanks for your excellent Substack post, Adam! Your posts have become one of my weekend treats.

Three points in response, in the hope that you are not tired of my replies:

1) 'the penis-with-a-thesaurus business' is the name of my new start-up.

2) I am sure you are an excellent HoD. I would be delighted if you were the Head of ours.

3) Why would anyone refuse to sign their pronouns to an email? It's certainly preferable to being mistaken for a man as I regularly am.

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Corey McGee's avatar

While I appreciated this review very much, a caveat would be that, while health care in the United States has private costs associated with it, the typical person in White's situation in the US would not be racking up so much debt that they would feel compelled to turn to manufacturing meth. As a public school teacher, he likely would've had insurance that would've covered all but a relatively manageable portion of the cost.

But, more important for a comparison of the NHS and American health care system, is the fact that White's care cost so much more because he chose to seek treatments and providers that weren't covered by his insurance. My understanding is that NHS doesn't cover all services and providers, either, and that folks who want to seek out these serves and providers may do so through incurring "medical-expense, precarity and worry."

Of course, White chose the precarity of medical expense and debt over the precarity of what he saw as the less than top of the line care covered by his insurance. For many, financial precarity may be preferable to mortal precarity. Americans have tended to opt for the choice to pay for whatever care they want rather than having more limited care bureaucratically prescribed and paid for them. This is part of the reason why the lion's share of leading medical institutions in the world are in the US, the US medical industry is highly innovative, and more advanced treatments are available in the US.

... which is sort of beside the point that an American professor wouldn't necessarily be facing anything other than the precarity of serious illness when diagnosed.

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