The problem is that there a tens of thousands of such cases every day, so the cumulative effect is not minor at all. It’s a disaster.
It became clear to me that as a matter of policy, the hospital was coping with a large number of local patients using its ER for ordinary medical care by passive-aggressive neglect. Unless you walked in with an immediately and obviously life-threatening condition, time would be your triage, not a medical professional. If you could endure waiting eight to nine hours, that was proof that your condition was sufficiently serious that you might need urgent care. The staff there don’t spend much time working up a more nuanced picture on initial evaluation because they don’t want one. They don’t efficiently discard the cases of people who’ve left the facility because they’re stalling the remainder deliberately.
The basic problem faced by this hospital and many others is structurally serious and requires a strong nationally consistent solution. Given that one political party struggled to formulate a fussy, detail-strangled series of half-measures to address the problem and the other party apparently thinks there isn’t any issue in the first place, I’m resigned to this situation happening again to me, my loved ones, my friends, my fellow citizens, for the rest of my life.
This is where we are at now. Decline is not something we need to fear or forestall, it has already happened. America is not in decline, it has declined. A nine-hour wait at a well-built, well-staffed, well-resourced medical center for treatment of a serious condition is decline. As a traveller seeking urgent care, I’ve been seen more quickly in similar facilities in both Africa and Europe.
FWIW, I don’t know whether Tim Burke, the author, has sought medical attention in Africa, but I know that he has done fieldwork in Zimbabwe. Africa is not an abstraction to him. & doubt that his reference to medical care there is a casual one.
H/t Aaron Bady.
Truth and Traditions 
Leave a comment