
In "Our Malady," historian Timothy Snyder transforms his near-death experience into a powerful manifesto connecting healthcare, freedom, and democracy. Ezra Klein calls it essential reading during COVID-19, as Snyder daringly compares America's profit-driven healthcare system to historical atrocities. What price do we pay for medicine as business?
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When Timothy Snyder found himself fighting for his life in the emergency room with an abscess in his liver and infection flooding his bloodstream, he used the word "malaise" to describe his condition. Little did he know how prophetic that word choice would be. His harrowing journey through five hospitals over three months exposed the profound dysfunction of American healthcare-a system prioritizing profit over patient care at every turn. Despite having excellent insurance, connections at Yale, and the educational capital to advocate for himself, Snyder nearly died from medical neglect. Doctors had noted but neglected a liver lesion during his appendectomy, discharging him with insufficient antibiotics. In New Haven, he remained in sepsis for eight hours before receiving antibiotics-far beyond Britain's NHS recommendation of treatment within one hour. Only after nine more hours did someone finally discover the neglected liver abscess had grown to the size of a baseball. This personal ordeal exposed a stark reality: American healthcare fails at every stage of life. Maternal care is grossly inadequate, with Black women dying in childbirth at rates three to four times higher than white women. Americans die younger than people in twenty-three European countries, with the gap between U.S. life expectancy and comparable countries growing from one year in 1980 to four years by 2020. This disparity represents millions of lives cut unnecessarily short by a system that puts profits before people.
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