OK. That headline is really just Google fodder looking for Obamacare search traffic, although reading the announcement about the release of Sanitarium at GOG.com did make me think about our current health care debate in a weird way. If you’ve never heard of Sanitarium, that’s a damn shame. It’s one of the most underrated and tragically ignored games of the 1990′s. It was put together by the Dreamforge Intertainment and published by ASC Games, the outfit that was working on an action game version of White Wolf’s Werewolf: the Apocalypse that showed a lot of promise and still stands up as one of their finest titles. (Spoiler warnings ahead!)
The basic storyline is as cliched as they come. You’re a man who awakens as a patient in a horrible sanitarium, your face covered by bandages and you have no idea who you are or how you got there. The staff tells you you’ve survived a car crash suffered during an escape attempt and that your memory will return once you recover your sanity. What follows though, is a truly surreal journey into insanity as you as the player keep shifting in and out of bizarre worlds and the very shape of reality changes while you struggle to recover your memory. As you play, you as the player will find yourself in a 1950′s small town being absorbed by an alien invasion, an Aztec village being threatened by a hostile god, a strange house being haunted by ghosts and a hive of intelligent bees on an alien planet. Even your identity keeps shifting as you change at intervals from a scarred man to a ten year-old girl to a four-armed alien warrior to a living statue.
What makes Sanitarium amazing and still timely though is what all of these different worlds have in common. As you play, a thread between these different worlds begins to emerge, all of them relating to your shrouded past and to why you’re in that Sanitarium. There’s also some interesting commentary on the nature of pharmaceutical companies in a for-profit health care system and the realization that the true horror you face isn’t supernatural at all — it’s the very human emotion of greed and what some people will do to protect a profit margin. It posits a drug company that will murder a researcher who develops a cure for a deadly plague because it threatens to cut into the profits generated by the stopgap drug that merely allows you to live with the disease.
Here’s the thing, though, the commentary in Sanitarium misses out on a very important point in the for-profit world of medicine — or the for-profit world of anything. Yes, there are unscrupulous people who will do anything to protect an individual company, but I’ve discussed health care with too many people who seem to believe that it’s the profit motive itself that’s the problem, rather than the illegal or criminal actions of an individual to protect a particular set of profits. Put simply, profits are the engine of progress. Even if we could magically create a socialized medical system that actually worked, it would bring medical research to a grinding halt. When doctors and researchers make the same money as McDonald’s fry cooks, you get the same quality of doctors as McDonald’s gets workers. Remove the chance to profit, remove enlightened self-interest from the equation and you put the kibosh on the chance for cures to AIDS, cancer or anything else that currently plagues us. Ultimately, you get what you pay for.
To be fair, not even Sanitarium makes the argument that Big Pharma and insurance companies are in a giant conspiracy to suppress the cures for diseases in the pursuit of profit. That game is mostly a thriller about an evil pharmaceutical executive — an individual who commits multiple criminal acts. They leave that to big budget Hollywood movies, Michael Moore and a delightful conspiracy theorist of my acquaintance who will wax rhapsodic on how we never landed on the Moon. I leave their arguments in the Sanitarium where they belong. But even making that argument betrays not only a blatant hostility toward capitalism, but a profound misunderstanding of how capitalism works, how research works and eliminates even the possibility of finding common ground in the health care debate.
Even if a company does manage to Silkwood a particular invention, there are too many other companies out there working along the same lines who will eventually make the breakthrough. Edison didn’t invent the light bulb, he merely made the light bulb so good it became commercially practical. If some candle company had had Edison murdered, the light bulb would have been discovered by one of dozens of other researchers working along the same lines.
None of this, by the way, should stop you from checking out Sanitarium if you can. It’s a genius game that never got the credit it was due. At