Unearthed Raymond Chandler Story Rebukes U.S. Health Care System

Instead of immediately treating him, a nurse and a doctor coldly debate whether he’s worth the effort to save. He’s filthy, smells of whiskey and his pockets are empty. No money to pay the hospital’s $50 admission fee.


The cover of the Strand Magazine issue that featured Chandler’s story.

Ryan Mutter

“I’m sure he’s just drunk, Doctor,” the nurse says. “And he hasn’t a dime. Why did the police bring him here? How can we run the hospital?”

A millionaire had donated money to fund half of General Hospital, but not all of it, and had recently reminded the doctors, nurses and staff that the hospital, after all, “is not run for charity.” With that directive on their minds, the doctor and nurse take another look at the injured man sprawled on a stretcher.

“Call the County,” the doctor says. “Have them move the patient.”

The homeless man is passed off to the public hospital, joining others who lack the money and sufficient insurance for care elsewhere. The story packs a surprise at the end.

More than a half-century after Chandler wrote the story, public hospitals remain a destination for the sick who have nowhere else to go. The hospitals refuse to turn people away, absorbing the cost of providing free care and recouping it by charging everyone else more.

Chandler, who spent about two decades in England, had become acutely familiar with how the health system in the United States compared with public care in Europe. Later in his life, he cared for his ailing wife in America; despondent after her death, he ended up in hospitals after a failed suicide attempt and a drunken fall down a staircase.

“His experiences influence the story,” Mr. Gulli said. “He was trying to be Raymond Chandler the activist, rather than Raymond Chandler the detective story writer.”

Sarah Trott, who wrote a 2016 book about the influence of war on Chandler’s writing, said the short story makes clear that he disapproved with the state of health care.


The doctor and nurse in Chandler’s story look at the injured patient, in an illustration published in Strand Magazine.

Jeffrey McKeever

“By candidly confronting the reader about whether money and wealth ‘should’ make a difference in the quality of medical care, Chandler launches an incredibly bold social challenge,” Ms. Trott wrote in an afterword in Strand Magazine.

The story of how Mr. Gulli discovered “It’s All Right — He Only Died” is its own tale of dogged digging.

Mr. Gulli, 42, who fell in love as a child with Chandler through a television series featuring Detective Marlowe, tries to fill the pages of Strand Magazine with a mix of original fiction and unpublished stories by famous writers, including William Faulkner and Tennessee Williams.

He started a search for unpublished stories by Chandler several years ago, he said. He contacted the University of Oxford and the University of California, Los Angeles, both major repositories of his work, and reviewed their catalogs.

Nothing new could be found at U.C.L.A. And a review of up to 80 works at Oxford also came up empty. But before he gave up, Mr. Gulli said he noticed three unfamiliar cursive words on a package from Oxford: “It’s all right.”

He called the librarian and asked for a copy. “I had a good feeling when I was opening the package,” he said.

In many ways, “It’s All Right” packed Chandler’s familiar style. Short words and short sentences, delivered with force and without useless flair. Crisp dialogue. But it was also different: no Detective Marlowe, no murders to solve.

“It was very strong, it was very punchy,” Mr. Gulli said. “You felt there was a lot of spontaneity in it.”

Continue reading the main story

Source link

Check Also

What Sat on Trump’s Nightstand This Year?

A year into the Trump administration, Americans have a pretty good idea what the president …

Leave a Reply

Your email address will not be published. Required fields are marked *