Cost of Living - Emily Maloney

Emily Maloney’s Cost of Living is a series of essays that, when taken as a whole, comprise an interesting memoir of the author’s intimate experience with America’s healthcare system. First as a patient, and then as a caregiver herself, Maloney offers a behind the scenes look that will be probably be disconcerting and scary to some readers while confirming the darkest fears of others who have had a little more experience with how the system works in this country.

For Emily Maloney, it all started when she tried to kill herself as a nineteen-year-old. Maloney’s attempt at taking her own life may have been unsuccessful, but it left her saddled with an enormous medical debt for treatment that she would struggle to pay off for years to come. The failed attempt also meant that Maloney would be seeing mental health doctors and taking a series of psychiatric drugs for years — treatments and drugs that sometimes seem to have done as much harm as good. Ironically enough, in order to pay off her past healthcare debts and to be able to continue affording her ongoing treatments, Maloney decided to work in the healthcare industry herself.

What she learned firsthand about billings and collections, hospitals, emergency rooms, medical staffs, and pharmaceutical companies is enough to make anyone uneasy about dealing with the system. Maloney’s essays do not paint a pretty picture. She speaks of patients and insurance companies being gouged by the purposeful uncharging of doctors and hospitals determined to maximize profits. She tells us about the burned out staffs so common to emergency rooms and the minimal level of care that most patients ever receive in them. She speaks to the indignities and dangers of being treated in a training hospital or emergency room. And using her own experiences with large pharmaceutical companies as background, she gives a thorough indictment of the waste and borderline illegal practices that make medicine so expensive to those who desperately need it for their survival. 

Bottom Line: Cost of Living certainly offers a bleak look at the US healthcare system. While what Emily Maloney has to say about the system will not come as a surprise to most people who have had to deal with major health problems of their own or those of family members, it will serve as a warning to other more fortunate readers who have yet experienced it all for themselves. It will open some eyes. Despite her shaky start in life, the author has achieved much, and it would be interesting to hear her story in a more traditionally constructed memoir that focuses on how she did it. 

Emily Maloney

Review Copy provided by Henry Holt & Company

Cost of Living to be published on February 8, 2022