American Exceptionalism in One Heartbreaking, Grotesque Tweet

An anecdote told by California Gov. Gavin Newsom at a press conference on the mass shooting in Half Moon Bay—the second such appearance he made in two days, following another deadly shooting in Monterey Park—encapsulated the United States' twin crises of economic injustice and rampant gun violence, said advocates on Monday.

The Democratic governor told the press that while visiting a man who'd been injured in the shooting at two farms in the Bay Area city, the victim said he was hoping to leave the hospital quickly to avoid high medical bills.

"He said, 'Hey, Governor, thanks for being here but when am I gonna get the hell out of here?'" Newsom said. "His leg was shattered by the gunfire. He goes, 'I can't afford to spend any more time here, I don't have the money."

"How many people are shot and then face massive medical debt? How much revenue and profit do hospitals generate via shootings? Perversity through and through."

The man's mother and son later arrived and told Newsom they were "worried he's going to lose his job at a warehouse the next day unless he can go back to work."

Politico reporter Lara Korte relayed the governor's comments on social media, eliciting numerous responses in which critics—including advocates for Medicare for All and strict gun control—said the post represented "the United States of America in one tweet."

"This is the most American tweet of all time," added progressive commentator Kyle Kulinski.

The shooting in Half Moon Bay was one of dozens of shootings since 2023 began just over three weeks ago. Along with the shooting in Monterey Park last Saturday and the shooting of a family in Enoch, Utah on January 4, it was one of the deadliest attacks so far.

Dr. Adam Gaffney, an intensive care unit doctor and former president of Physicians for a National Health Program, called Newsom's story "a gut-wrenching indictment of our healthcare system."

Dania Palanker, an assistant research professor at the Center on Health Insurance Reforms at Georgetown University's McCourt School of Public Policy, noted that the costs associated with being one of the millions of Americans who will survive gun violence in their lifetime are an often-overlooked consequence of the Republican Party's obstruction as the vast majority of Americans call for stricter gun control.

As CNNreported in December, one insured survivor of the mass shooting at Club Q in Colorado Springs received a bill for $130,000, while another person who was among the 27.5 million Americans who lack health insurance was billed $20,000 for spending a night in the emergency room where doctors stitched a bullet wound in his leg.

The Journal of the American Medical Associationpublished a study last May showing that the average initial hospital charge for mass shooting survivors between 2012 and 2019 was nearly $65,000 per person.

"How many people are shot and then face massive medical debt?" asked physician and anthropologist Eric Reinhart. "How much revenue and profit do hospitals generate via shootings? Perversity through and through."