A young woman, only 17 years old, is sick — dying, in fact. She has already survived cancer, but her liver has been damaged. She needs a transplant. All the doctors agree on the procedure. They sign the necessary forms, and the family is given hope for their daughter’s life. But liver transplants are expensive — and the after-care for them costs more money still. The family’s medical insurance company doesn’t want to lose money. So the corporation delays approval again and again for payment for the necessary procedure, in order that the girl will die and after-care costs will be avoided.

The girl dies. Unnecessarily, disgustingly, criminally. She dies. Because the almighty dollar wins in the end.

This seems overly dramatic, too terrible to be true. But it’s real; it actually happened. The girl’s name was Natalie Sarkisyan, and the insurance company was Cigna HealthCare. This is just one example among many that demonstrates an ultimately irrefutable fact: the American health care system is exploitative and often deadly.

Indeed, health care in America has become a form of structural violence. Like racism, sexism, and other forms of systemic oppression, US medical insurance exploits one group (the patients) for the benefit of another (the corporations). All too often, monetary gain is valued far above the lives and livelihoods of the “insured”. This should be unsurprising: it is to be expected that a system based on the principles of greed (capitalism) would fare rather badly at protecting the helpless and defending the weak.

Christians should be especially alarmed by this, for we serve a Lord who stood precisely alongside the downtrodden (Luke 4.17-18), denounced greed and the excesses of material gain (Mark 10.17-31), and stood against all violence (Matthew 5.38-48). The exploitative, violent system of American health care has in many instances come to embody all that Jesus Christ himself combated. It has become a facet of what Walter Wink calls the “domination system”, a system that in the Resurrection is exposed as being ultimately powerless, even if still fearsome.

We as Christians must hold fast to hope. We must remember the words of Jesus in John 16.33: “I have said these things to you, that in me you may have peace. In the world you will have tribulation. But take heart; I have overcome the world” [esv]. The Powers of the world do indeed create much tribulation, tribulation which we see in cases such as that of Natalie Sarkisyan. But Jesus Christ has overcome those structures of oppression and evil, demonstrating in his Resurrection the final futility of their attempts to create death and destruction.

As William Stringfellow once wrote, “The essential and consistent task of Christians is to expose the transience of death’s power in the world.” Health care in America has become a system of death; but as a community that attests to the reality of Resurrection in we world, we must continue to expose the transience of that system.

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