Delvin Chin awoke to the sound of the steady drone of his alarm. “OK OK I’m awake!” Still groggy, he spoke and the drone ended. He rolled over and groaned. In his waking moments he had forgotten about the fight with his girlfriend, Anna. He tried to remember the last time he had woke up alone. Was it four months? Last night he was convinced it was her fault for being so needy, but now he realized that once again it was all his fault. Why didn’t he just go to the stupid dinner?
Are you ready for your mail?
“What?”
I thought you were awake? Are you ready for your mail?! As had the alarm the voice came from his N-watch sitting on the night stand. It was a small object but capable of more than he thought he would ever need it for. In truth, he hadn’t really figured out more than how to tell time with it. It was a major breakthrough when he had figured how to set the alarm and access his mail.
“Ya, give it to me.” The five new messages consisted of a banking scan from an Albanian lottery winner; two long notes from his mother wondering way he didn’t visit; one piece of spam from a friend finder service he had instantly regretted signing up for, and one notice that a friends blog had a new post. Delvin picked up his watch and carried it to the bathroom. He had thought about naming it. Most of his friends had named theirs. He’d only had it two weeks, a birthday present from his great great grandma. At 116 her health was fading fast, and she was steadily giving away her modest wealth to her dozen or so descendants.
As he took a shower the watch read him the daily news and his friend’s blog post. He dictated a response and sent flowers to his girlfriend as he got dressed. Then he nearly forgot to take it with him as he was leaving his apartment. Delvin was going to the doctor today. At 25 he had now had medical insurance through his employer for a year. It was time for a mandated check up. Under the contract he had to go, and the media research firm he worked for had to give him a day off. They didn’t have to pay him for it though. “What do I need medical insurance for?” the young man muttered as he got on the bus. “I haven’t been sick since I was eight.”
Your visit will help avoid any major medical problems you may develop. Thus it will save you time and expense in the future.....
“What? Isn’t that what that message said, when they called to remind of this thing” He looked at his watch.
Paraphrased. He shook his head. He’d always laughed at people how talked to there phone or other form of AI assistant. You should call your Grandy. Delvin took off the watch and stuck in deep in the pocket of his slacks.
It was good insurance, proactive, extensive coverage that cost him over 15% of his income. He had let Anna talk him into it, and then she complained when he couldn’t take her to dinner. Delvin was not in a good mood. After taking his seat on the bus, he called up the “what to expect” file on his watch’s holographic projector. He made it to the part about an all day series of tests and consultation before giving up again. Instead he browsed the available games and spent the remainder of the trip engaged in a mind numbing tetris match.
Mind numbing was an apt description for his morning. He spent half an hour listening to a man babbling on about privacy laws and the limits of what various parties could do with the information they would gather. His insurance could not be cancelled, but could affect his future rates. His employer could not fire him, but could withhold promotions. His landlord would only be notified if a small handful of rare anomalies were detected; the same went with the I.R.S. Very little soaked in.
They then took his vitals and drew blood. Finally, he thought, I must be nearly done. He wondered if the flowers had been delivered. Most likely that would just be a first step. She was really mad. Delvin was then sent to a small room with a comfortable chair and vending machine. For the next hour and a half he was treated a series of semi-interactive presentations about what the tests might find. He played vegas style solitaire.
Finally he was allowed to leave for lunch, but warned to return in an hour. Failure to do so would mean starting from scratch. Delvin had no intention of skipping out, but he understood why someone would. This whole morning had been a waste. Why on earth could he have not have just dropped in to give blood samples and left? To much talk. He quickly found a burger joint near the hospital and ordered. Sitting down and taking a few bites, he tried to call Anna. He left an over apologetic voice mail. At least she hadn’t blocked him.
You should call your Grandy. The watch said for the tenth time today. Maybe even visit her. Bus route 3 runs one block east of here and goes straight to the stop down her street. That was new.
“Why do you keep doing that. She had you programmed to do that didn’t you.” It never crossed Delvin’s mind that he might look strange talking to his watch. In the lobby of the restaurant, at least 20 conversations were going on, and only one or two involved people actually face to face. Several were just like Delvin’s, people talking to a computer chip. “O.K., whatever; let’s at least change that monotone voice of yours. Display a menu of voices.”
The list was long, with over 2,000 possibilities. First was a root directory of categories. He first decided on a twinkling, flirtatious female voice and then thought it might just make Anna mad again. He’d tried out a few celebrity voices, but finally settled on something labeled Butler #4.
On the way back to the hospital it spoke up once again with no prompting. “Sir, shall I notify Grandy that we shall be dropping by for a visit this evening.” Devlin stared at the watch and shook his head.
“No Geives, you should not.”
The first hour back brought a whole new battery of tests; scans, more blood and a few things that Delvin couldn’t even start to guess about. Finally a nurse led him to a comfortable office and had him sit. “Your councilor will be in shortly.”
For once, it actually was short. “Mr. Chin, good to meet you.” A middle aged female with big hair and a tie came in and extended a hand. “You’ve had quite a day, but I assure you, it will all be over soon. Well worth it, I might add.”
“So Doc, how long do I have too live.” That was cheesy. He immediately regretted it.
“Well, Mr. Chin, that is largely up to you.” She moved behind the large desk and sat. “You shouldn’t think of me as a doctor. I am medically trained and I do have a doctorate in the medical field, but I’m not an M.D. I actually work for First World, your insurance company.”
“Oh.” That’s all he could think to say.
“So, let’s get too it.” Seemingly with no command a quaint computer monitor rose from a slot in her desk. She touched the monitor. Delvin struggled to pay attention this time. “You are perfectly healthy for a man of your age. You have the beginnings of degeneration in two of your lower vertebrae, but that is common and easily handled. You have a small hernia, we should fix soon, and some chemistry in your blood could be improved with diet, but we’ll get to that.”
Chemistry? He thought. Diet? Here we go, this is going downhill fast.
“Now, in the long term you are slightly predisposed to a couple cancers; throat and prostate. By the age of 60 you would have roughly a 47% chance of developing either. Both are easily treatable now and certainly aren’t something to worry about. You also have a deactivated gene that could lead to type two diabetes depending on your diet.” She stared at him for a moment with that barely pleasant smiling almost doctor face. Was he supposed to say something? Maybe he should try to put her off this diet thing.
“So I have a couple of possible plans for you. First, you could change nothing, or take things on case by case. For instance, you could get with a surgeon to take care of that hernia, and see your primary care physician about some supplements to stop that disk degeneration. However, in that case your insurance will have to be adjusted. With the increased chance of cancer and diabetes, your rates will go up around 40%.” That smile wouldn’t go away. Delvin’s stomach shuttered a bit. Another 40%?
“Now, plan number two. In this one your rates are likely to actually go down; maybe, significantly.” His stomach cleared up a bit. She spun around the monitor. “Here we have a complete health care plan. We do the proper genetic work, and put you on a diet that will help you avoid some identified risks. Under this plan, you are much more likely to die from an accident than any medical problem. We get better at this every year, and by the time you are in your fifties we project that your projected life span will be . . . “ She paused, and then the smile actually grew. “Well, it’s unprojectable. Did you know that the expected lifespan of infants is going up by almost two years every year Mr. Chin.”
“What?” He had quit listening. His eyes couldn’t get off the 1200 calorie a day line on his personalized health plan.
“Mr. Chin, we are a team. You, First World, all your doctors, all working together for you to have a long happy healthy life.”
“Uh, how would you know if I did all this stuff?” Five hours of cardio a week, I don’t have time for that.
“Well, under plan two, you would sign a monitoring release. A computer program will monitor your bank activity and transaction receipts to make sure you are staying on tract. If we think you are not keeping your end of the bargain we have investigators, but believe me this is for your own good.”
.. ..As Delvin sat in his Grandy’s kitchen, he stared at the piece of apple pie in front of him. “This may be the last piece of pie I ever get to eat.”
“Phoey!” Grandy said from her chair. “You sign that contract and let them give you all that stuff for free, and come over here and I’ll feed you all the pie you want.”
Delviin smiled. Gieves was right, visiting Grandy was a great idea. “I wish I could just cancel my insurance all together. I’m perfectly fine. Instead they bleed me dry for nothing.”
“Now you’re being as stupid as them. You know I was part of that march back in twenties, that made those good for nothin’ politician quit sucking up to the medical companies. Whew, that first universal health care farce about brought this whole country down. That, and that stupid peace keeping thing in the Sudan, and Iran before that. Oh, or was it the other one. To busy sticking our noses in where it don’t belong.”
“It was Iraq, Grandy” Delvin’s watch pointed out.
“Does that thing I bought you always do that? Seems like that would get a bit annoying”
Delvin laughed. “I’m getting used to it. He’s very fond of you.”
“He? Well, it should be. It cost enough. Now you look. You’ll do just what everyone else has always done. You sign up for that plan, and you find you a wife and have a few kids. You live a long life and be good and honest to the people you love. And you don’t give up life’s pleasures just because you signed some piece of paper that some woman in a tie shoved at you.”
After two pieces of pie, Delvin took a cab back to his apartment. As he was settling in for a game of solitaire, Anna called. Still mad, but talking. He forced himself to pay attention.