He pondered that a little while and then he asked, do Black people have to pay for their doctors, too? Because that's what TV programs had said. I smiled a little at this and told him it's not only Black people who have to pay for doctors and medical care; all people in America have to. Ah, he said. And suppose you don't have the money to pay? Well, I said, if you don't have the money to pay, sometimes you died. And there was no mistaking my gesture, even though he had to wait for the translator to translate it. We left him looking absolutely nonplussed, standing in the middle of the square with his mouth open and his hand under his chin staring after me, as in utter amazement that human beings could die from lack of medical care. It's things like that that keep me dreaming about Russia long after I've returned.
Audre Lorde, Sister Outsider: Essays and Speeches
health-care-system, united-states