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:
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:
“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 changes 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”:
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:
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.
ALT
