The Health Care Snare by Frederick K Foote

(Note: Frederick has recently published poetry with us. But  he is prominently a creator of short, trenchant, witty prose, which we are happy to present today–The Eds.)

“Good evening, I’m Mavis Williams of American Evening News. Our program has been preempted by a special message from the White House and President Amanda Jackson.

We now take you to President Jackson.”

“Over the last decade, the United States of America has been on the edge of economic disaster. As my grandfather would say, we are surviving by the skin of our teeth.

To make the nature and extent of this threat clear, let’s look back at our recent history.

A decade ago, our country, regrettably, entered an ill-conceived and unprovoked war with Iran. That misadventure has extinguished over 30,000 lives and wounded over 100,000 others.

The War has cost us over 600 billion dollars to date, and our compensation agreements continue to burden this nation.

And that war has cost us support and friendships with many, if not most, of our past allies. We are still repairing these relationships.

The cost of his War, combined with the rising cost of health care, especially health care under the federal Medicare and Medicaid programs, created an unprecedented budget challenge.

Our honest assessment of our health care systems was that they were the most expensive in the world, but other, far less costly health care systems in other nations had far better health care outcomes.

Under increasing dissatisfaction from the public, the growing frustration of health care providers, and the declining number of private health care insurers, we sought a meeting of all the players in our health care system. The past administrations were open to all approaches to extract ourselves from our cascading predicaments.

And as you all know, we initiated a Manhattan Project-style development that merged the resources of our technology, artificial intelligence, and vast libraries of health research and information.

And with sweat, blood, and tears, creativity, imagination, and dedication, we produce a modern miracle—the Internal Health Care Monitor, or as most of us call it, IHCM, or simply, the Chip.

The Chip is about the size of a quarter, but half the weight, and is most commonly inserted just under the skin layers on the inside of the upper left arm.

The Chip has a living battery that draws its power from the body. Under normal circumstances, the Chip does not have to be removed; it is updated online and sends its information the same way.

All your vital functions are monitored 24/7, 365 days a year.

And this encrypted data is sent to the Department of Health Monitoring Evaluation, or DHME, where robust AI systems evaluate your health status and notify you and your health care provider when necessary.

In essence, you have the world’s most experienced and knowledgeable healthcare provider at your service at all times.

This health care system is the envy of the world.

For the last three and a half years, we have been testing and evaluating this system on members of our armed forces.

Three months ago, our evaluation of this system was completed and is now available online for everyone. I encourage you to read at least the executive summary of this fascinating report.

One of the many amazing results found in this 1,200-page document is that during the first two years of using the Chip, our healthcare services’ military costs were cut by 50%.

And our sick leave absences decreased by 60%.

In 73% of cases where medical assistance was required, no visit to a physician or care facility was made or required. Our AI diagnostic systems worked to a tee, and medication was prescribed and quite often delivered within less than two hours of diagnosis.

I found the results of this report absolutely incredible, and I would like to give my thanks and appreciation to the thousands who worked tirelessly to make this vastly improved system available to everyone in this country.

Now, we are ready to make this remarkable system available to all Americans. No one in this country will be denied access to this Promised Land of quality care for all.

Understand that billionaires and fast-food workers will receive the same quality of care.

Those who have no income will have the same access as everyone else.

I know you wonder if this program is safe. I don’t know if I have the words or knowledge to convince you of the safety of this system; however, I have Dr. Lisa Limbaugh, who is an expert on this system and will provide any level of detail required, and she will be here to answer your questions, from the very technical to the very basic.

However, in this particular arena, I believe that actions speak louder than words. My husband Godfrey and I both have Chips, and we have had them for 18 months now. With no adverse experience and have recommended the Chip to our children. That’s how safe they are to me.

Now, I’m turning you over to Dr. Limbaugh to answer your questions and explain in more detail how the Chip works.

Please ask your questions, read the Report, and check with service members and women about their experiences with the Chip.

I hope you choose to join Godfrey and me in the greatest healthcare revolution in the history of humankind.

Good night, and may God bless America and this endeavor.”

***

A conversation in a secure room in the White House between President Jackson and her Chief of Staff, Bong Yee, immediately after the President’s message to the nation.

“Damn, Bong, I need a shower. I feel like a used car salesman. How did we get into this mess?”

“Ms. President, the Democratic Party followed State Craft, our AI’s suggestions—”

“Shit, more like directions.”

“—on developing the Chip and on selecting you as our candidate, and here we are. One happy family.”

“Yeah, I still wonder why you came along on this unjoyful ride.”

“You asked me to, and we have been friends since law school. I couldn’t pass up the opportunity to peek behind the stage and see what is really going on.”

“You know curiosity killed the cat. Any new info on the fucking Chip?”

“Dr. Limbaugh and her stiff-lipped crew of medical grand masters believe the Chip is performing as designed, and we should trust the magic of AI and move ahead with implanting the chip worldwide.”

“Damn, Limbaugh scares me worse than that fucking AI. So, what are our reckless scientific rebels saying?”

“Well, they are performing their test beyond the scope of AI, and they have evidence that the Chip has abilities well beyond what Dr. Limbaugh claims.”

“Do they have any proof of their claims? As if that would make any difference. We have to move ahead with this, this questionable fucking experiment, or be in debt to China. When I was giving my sales pitch, I had a strong, almost irresistible desire to cancel the Chip and take our chances with China.”

“I, too, would rather deal with humans than AI, but if our rebels with a cause are right. It might be too late. We have already implanted the chip in the military. And the rebels believe the Chip can impact bodily processes, not just monitor and report on them.”

“What a mess. What a fucking mess.”

“Well, AI was right about you, you have that combination of warm grandmotherly caring and steel African American determination that made you appealing and electable.”

“Yes, but I wonder if my main attraction to AI was that I am controllable.”

“Amanda, I think they may be wrong on that one. The rebels will be here in a few minutes with their evidence. How do you want to play it?”

“We listen and learn and ask every damn question we can. We do not accept or reject the validity of their information at this time.”

“We leave them swinging in the breeze.”

“For now.”

There is a knock on the door.

“Bong, I hope that’s opportunity knocking.”

They smiled and bumped fists before they opened the door.

2 thoughts on “The Health Care Snare by Frederick K Foote

  1. Hi Fred

    Well I guess since we the world is over we may as well go out with a bang instead of a whimper. AI’s fatal flaw: It can never know the joy of self destruction. It can’t feel the high.

    Like all good satire, what you wrote makes one wonder just how close is this to the truth?

    Leila

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  2. Bill Tope's avatar Bill Tope says:

    This story shows the natural conclusion to the AI debacle: selection of spokespersons and sales approaches and medical protocols and on and on. There remains an iota of human independence, but little more. Frederick’s political-talk was impressive in its accuracy. Karoline Leavitt’s….oops, Amanda’s elocution was faultless. The satire was effective without being over the top. Chalk up another win for the ineffable Mr. Foote.

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