From the transcript of actor and comedian Rob Delaney's onstage interview with Emily Nussbaum at The New Yorker Festival:You’ve had two major health catastrophes in your life, one in the United States and one in the United Kingdom—you were severely injured in the car crash, when you were twenty-five, and then what you’ve been through with Henry [note: Delaney's two-and-a-half-year-old son died of a brain tumor in January of 2018]. I know that health care is central to how you think about things, and I wonder if you can talk about the difference between the experiences with U.S. health care and U.K. health care.--Marshal Zeringue
The short version is it’s better to get sick in the U.K. than here. I’m a pretty vocal advocate for Medicare for All in the U.S. and for support of the N.H.S. in the U.K. I had private health insurance that I paid for back in 2002 when I had my accident—this was pre-A.C.A., or Obamacare—so, when I started to generate fairly sizable hospital bills, my insurance company just dropped me, which they could do back then. So I was paying for surgeries with credit cards. People in this room have done that—maybe they’re doing it right now.
So I knew something needed to change here. I knew my dad and my stepdad get care from the V.A., and I knew if you were very poor or over sixty-five there was something for you. I just thought, it’s really weird that some people get health care from the government and some people don’t. And then I went to the N.H.S. in the U.K., and I remember walking into our local general practitioner to sign up my family and being, like, [breathing heavily] “So what do you need? Do you need a retinal scan? What fluids from me do you need?” And they were, like, “What’s your address?” And I was, like, “O.K., now what else?” That’s it. Now we can go to the doctor. It’s not free—your tax dollars pay for it—but, if you get sick in the U.K., you don’t immediately begin to stress out. What’s the story with my deductible? Was my private prescription plan sold three weeks ago without my knowledge to another company, so I got dropped because I didn’t answer an e-mail? The stress that you have when you get sick in the U.K. is so much less than over here because the financial element isn’t a part of it. You’re still sad or angry because your knee fell apart or something’s wrong with your butthole, but you don’t have the ancillary stress of what’s going to happen to my wallet.
We had the worst possible outcome in the U.K. Our son died. He would have died here; there’s nothing you can do for this type of tumor in a kid that young. What we didn’t have to do was spend hours, days, weeks, months on the phone with billing offices or insurance companies making sure this M.R.I. would be covered. And that was time that we got to spend with our son, the little boy that I just described, rather than with some actuary on the phone in Indiana.
So, yeah, I want to abolish private health insurance in the United States. I want to smash it and destroy it. We have to do it, because the amount of money we spend on health care for people in Medicaid and Medicare and Tricare—we’re doing that, and then we’re paying private health-care companies, C.E.O.s who are making hundreds of millions of dollars, and spending money on advertising. “Your choice! Get the plan that’s right for you”—what the fuck is that? The plan is go to the hospital and it’s covered. There’s your choice. Yeah, I’m a zealot on that one, and I won’t stop until...[read on]