Free So Much for That by Lionel Shriver Page B

out-of-network for your insurance. You’d need to get permission from your insurer if you want them to fully cover an out-of-network physician, and you’d certainly have a good case. But even if your provider declined, I’d urge you to consider Dr. Goldman.Your insurer would still pick up most of the bill; I don’t know the specifics of your health plan, but you might just be levied a higher percentage of co-insurance. And given the stakes…Well, I assume that money is no object.”
    “Of course it isn’t,” Shep found himself saying. “We’ll pay whatever it takes to get Glynis well again.” Given his wife’s milk-money income from a chocolatier, the we was more farce. That the well again might also qualify as farce Shep was not yet prepared to contemplate.
    Nevertheless, as Knox wrote out the contact details of this famously expensive shaman of the black arts, Shep considered this quantity now officially of “no object.” Of course it had no value by itself. Money was a means. But to ends not readily dismissed as “no object.” Food, shelter, clothing. Safety, insofar as there was such a thing, and thus also the capacity for rescue. Efficacy, power, sway. Ease, freedom, choice. Generosity, charity; if not love, for his children, wife, sister, and father, the palpable evidence of love. Education; if not wisdom, its prerequisite of accurate information. If not happiness, comfort, which could stand in for happiness in a pinch. Airplane tickets—experience, beauty, and escape. From the description of their apparent savior in Columbia-Presbyterian, raw, animal survival. For in the face of a virulent cancer, they would not simply follow directions, and marshal their forces of will; they would buy life. They would buy Glynis’s life, day by costly day, and in the end you would be able to affix a price tag to every one.
    “So far, do either of you have any questions?” asked Dr. Knox.
    “The side effects…” said Glynis. Of course, there was nothing “side” about them. They were effects—big, brutal, and anything but ancillary.
    “Each drug and each patient is different. You’ll be alerted what to be prepared for, I promise. Let’s get through the surgery first. Not get ahead of ourselves.”
    In the proceeding silence, Shep looked to his wife, then to the oncologist, beginning to panic. He did not want to shake hands and find himself in the car and have the omission, the elision, the craven evasion, steeping the inside of the vehicle like toxic emission fumes. But he also did not understand why he had to be the one to ask. Glynis might haveraised this obvious matter before, but if so she hadn’t shared with him the upshot of such a discussion, and that seemed impossible.
    When trying to get up to speed about a disease he’d never heard of before last Friday, through the following weekend Shep had spent hours at the computer. Know thy enemy, he figured. Yet on one medical Web page, well into its patient, hand-holding explanations of every test and treatment that mesothelioma patients might expect, he had finally arrived at a section headed “Survival Rates.” He had nearly memorized the first paragraph, having stared it down for so long:
    Following on this page is quite detailed information about the survival rates of different stages of mesothelioma. We have included it because many people have asked us for this. But not everyone who is diagnosed with a cancer wishes to read this type of information. If you are not sure whether you want to know at the moment or not, then perhaps you might like to skip this page for now. You can always come back to it.
    It was his initial impression that the authors of the text were being patronizing. His first impulse was to scroll down. He had always faced difficulty squarely. But this was different, if only because it was not his difficulty. It was bound, at points, to seem like his difficulty, but he would have to be mindful about that. Still, there was no