I’ll tell you one way Americans are exceptionalistical. In their absolute inability to consider anything that happens outside US borders as potentially informative. The American Way is not the best way, it is the only way.

Nowhere is this clearer than in health care delivery. The debate on health care in the US happens in isolation, encapsulated, cast-like in rigid plaster and gauze, and we are immobilitized, except our frantic and unsuccessful squirming to scratch a the itch that we cannot see or get to. Here’s my example for today.


INDIAN hospitals?!? Surely you jest. We cannot learn from them. Even when displayed in a major US publication, the ideas within are like unto a bottle of intervenous glucose hanging above us with no connecting tube. We cannot even begin a discussion of them because there are no points of contact. India! Why, their middle class is suffering! What could be more different?! So they vanish from our minds, and we go back to the most inane yet vicious squabbling that a broken political system can deliver. It’s almost as though we really don’t want the sick to get better, or our political system either. Two questions. Now that these health care suggestions have been published, have you heard any of them being discussed in our august legislative chambers? Second question. How long do you suppose it will be before they are? I rest my case. May we rest in peace.