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Muraki, Nineteen

  The hospital smelled of bleach and old dust. The smell did not mix. It sat in layers. The bleach was on the surface. The dust was underneath. It was the smell of a place that was cleaned often but never truly clean.

  Kai sat on a plastic chair in the waiting room. The chair was bolted to the floor. The vinyl was cracked near the seam. White stuffing poked through the tear. Kai picked at the stuffing. He pulled a strand out. He rolled it between his thumb and forefinger. It was gray.

  His mother sat next to him. She held her hands in her lap. Her knuckles were white. She wore her cleaning uniform. She had come straight from work. There was a stain on the sleeve. It looked like oil. She had not changed. She had not gone home.

  The nurse at the desk typed on a keyboard. The keys stuck. Every third keystroke required a harder press. The sound was irregular. Click. Click. Clack. Click. The nurse did not look up. She wore a mask. Her eyes were visible. They were tired. They looked at the screen, not at the people.

  Kai said, "How long."

  The nurse did not answer. She typed another line. She clicked the mouse. She printed a page. The printer wheezed. The paper came out warm. She stapled it to a clipboard.

  The nurse said, "Wait."

  Kai said, "He is in pain."

  The nurse said, "The doctor is with him."

  Kai said, "The doctor has been with him for an hour."

  The nurse looked up. Her eyes were flat. She said, "There are procedures."

  Kai stood up. The chair scraped against the tile. The sound was loud in the quiet room. His mother put a hand on his arm. Her grip was tight. Her fingers were cold.

  His mother said, "Kai. Sit."

  Kai sat. He looked at the floor. The tiles were linoleum. They were yellowed with age. There were scuff marks near the door. People had dragged feet here. People had been carried out here.

  The door to the inner ward opened. A man walked out. He wore a white coat. The coat was wrinkled. There was a pen in the pocket. The cap was missing. He held a folder. He walked to the desk. He spoke to the nurse in a low voice. Kai could not hear the words. He watched the nurse's eyes. They did not change.

  The doctor turned. He looked at Kai and his mother. He walked toward them. He did not smile. He did not frown. He looked like a man who had delivered this news before.

  The doctor said, "Family of Songho Min su."

  Kai stood up. His mother stood up slower. She held the edge of the chair for balance.

  Kai said, "Yes."

  The doctor said, "Come with me."

  They walked down the hall. The lights here flickered. One tube was dark. The hum of the electricity was audible. It sounded like a headache. They stopped at a room. The door was open. Inside, there was a bed. There was a machine next to the bed. The screen showed a green line. It moved up and down. It was slow.

  His father lay on the bed. He was breathing. The sound was wet. There was a tube in his nose. There was a needle in his arm. The tape holding the needle was yellowing.

  The doctor stood in the doorway. He did not enter. He held the folder against his chest.

  The doctor said, "The infection is in the blood. It is treatable. We have the antibiotics."

  Kai said, "Then give them."

  The doctor said, "There is a protocol."

  Kai said, "He is dying."

  The doctor said, "He is stable for now. But the treatment requires admission. Admission requires payment."

  Kai looked at his mother. She was looking at her husband. She was not looking at the doctor. Her face was still. It was the face she wore when the landlord came. It was the face she wore when the electricity was cut.

  Kai said, "We have insurance."

  The doctor said, "The insurance does not cover this category. It is classified as pre existing due to the delay in initial presentation."

  Kai said, "We came when it started."

  The doctor said, "The records say otherwise."

  Kai said, "The records are wrong."

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  The doctor said, "The records are the basis for coverage."

  Kai felt the heat rise in his chest. It was not anger. It was panic. It was the feeling of a wall appearing where there had been a door. He looked at the machine. The green line moved. It was slow.

  Kai said, "How much."

  The doctor opened the folder. He looked at a paper. He did not read it. He knew the number.

  The doctor said, "Full payment upfront. Four million won."

  Kai said, "We do not have that."

  The doctor said, "Then we cannot admit."

  Kai said, "He will die."

  The doctor said, "Without treatment, the prognosis is poor."

  Kai said, "You are saying he will die."

  The doctor said, "I am saying the hospital cannot provide care without financial security."

  Kai said, "This is a public hospital."

  The doctor said, "It is publicly funded. It is privately managed. There is a difference."

  The doctor closed the folder. He looked at his watch. He said, "I have other patients."

  Kai said, "Do something."

  The doctor said, "I am doing what I am allowed to do."

  The doctor walked away. His shoes squeaked on the floor. The sound faded down the hall.

  Kai stood in the doorway. He looked at his father. His father's eyes were open. They were clouded. He looked at Kai. He did not speak. He could not speak. He moved his hand. It was a small movement. The fingers twitched.

  Kai walked to the bed. He took the hand. It was cold. The skin was loose.

  Kai said, "I am here."

  His father did not answer. The machine beeped. The sound was regular. It marked the time. It marked the distance between breaths.

  Kai's mother came to the other side. She touched her husband's forehead. She smoothed the hair. It was gray. It was thin.

  His mother said, "Min su."

  There was no answer. The breathing changed. It became shallower.

  Kai looked at the wall. There was a poster there. It showed a healthy family. They were smiling. They were holding hands. The text said, Hakoran Health Services: Care for Everyone. The corner of the poster was peeling.

  Kai let go of the hand. He walked out of the room. He walked to the administrator's office. The door was closed. The nameplate said Administrator J. Park. Kai knocked. He did not wait. He opened the door.

  The administrator sat at a desk. The desk was wood. It was polished. It was nicer than anything in the ward. The administrator was typing. He stopped. He looked at Kai. He was a man in his fifties. He wore glasses. The frames were gold.

  The administrator said, "Can I help you."

  Kai said, "My father is dying."

  The administrator said, "I am sorry to hear that."

  Kai said, "He is dying because you want money."

  The administrator said, "I do not want money. The system requires it."

  Kai said, "Change the system."

  The administrator said, "I cannot do that."

  Kai said, "You can sign the form."

  The administrator said, "Which form."

  Kai said, "The admission form. Without the payment clause."

  The administrator sighed. He took a pen from the holder. He tapped it on the desk. The sound was rhythmic. Tap. Tap. Tap.

  The administrator said, "If I do that, I am liable. If you do not pay, I lose my position. If I lose my position, I cannot help anyone. Do you understand."

  Kai said, "I understand that you will let him die."

  The administrator said, "I will not let him die. The illness will kill him. I am simply the mechanism."

  The administrator pushed a paper across the desk. It was white. It had lines. It had boxes.

  The administrator said, "Sign this. It acknowledges the financial responsibility. It allows us to begin treatment pending payment arrangement."

  Kai said, "Pending."

  The administrator said, "It buys time. Six hours. Maybe twelve."

  Kai looked at the paper. The text was small. It was dense. It used words like indemnity and recourse. It was a contract. It was a debt.

  Kai said, "If I sign."

  The administrator said, "We start the IV."

  Kai said, "If I do not sign."

  The administrator said, "We provide palliative care only."

  Kai picked up the pen. It was heavy. It was cold. He looked at the line. Signature of Next of Kin. He looked at the administrator. The administrator was watching him. He was not angry. He was waiting. This was his job. This was the job Kai would have if he stayed in this building.

  Kai signed. The ink was blue. It dried slowly.

  The administrator took the paper. He looked at the signature. He nodded. He put it in a tray. He did not stand up. He did not call the doctor.

  The administrator said, "We will process this."

  Kai said, "Now."

  The administrator said, "Processing takes time."

  Kai walked out. He went back to the room. The machine was beeping faster. The green line was jagged. His mother was crying. She was not making sound. The tears ran down her face. They fell on the blanket.

  Kai stood at the foot of the bed. He watched the machine. He watched the chest rise. He watched it fall. It did not rise again.

  The line went flat. The sound changed. It became a single tone. It was loud. It was continuous.

  The nurse came in. She checked the pulse. She looked at the clock. She wrote something on the chart. She turned off the machine. The silence was heavier than the sound.

  The nurse said, "Time of death. 4:12 PM."

  She left. She did not offer condolences. She had charts to fill.

  Kai's mother sat on the bed. She held her husband's hand. She did not move. Kai stood in the corner. He looked at the floor. He looked at the form in his pocket. He had taken a copy. He did not know why.

  They walked home. The sun was setting. The sky was orange. It was beautiful. It was indifferent. The road was unpaved. Dust rose around their shoes. The village was quiet. Dogs barked in the distance. A tractor moved slowly down the lane.

  Kai's mother walked ahead. She did not look back. Her shoulders were hunched. She looked smaller than she had in the morning.

  Kai said, "Mother."

  She did not stop. She did not turn.

  Kai said, "I signed."

  She kept walking. She opened the gate. She went inside. She closed the gate. Kai stood outside. He held the metal bar. It was cold.

  He walked to the shed. He sat on a crate. He took the paper out of his pocket. He looked at his signature. It was shaky. It looked like someone else's hand.

  He thought about what he could have done. He could have shouted. He could have refused. He could have stood in the way. He could have blocked the door. He could have made them stop.

  He thought about why he did not. He was nineteen. He was afraid. He was tired. He believed the administrator. He believed the paper. He believed that following the rules would save his father. The rules killed his father.

  He folded the paper. He put it in his pocket. He stood up. He walked into the house. The lights were off. His mother was in the kitchen. She was washing a bowl. The water ran. She did not stop.

  Kai said, "I am sorry."

  His mother said, "Eat."

  Kai said, "I am not hungry."

  His mother said, "Eat."

  Kai sat at the table. He ate the rice. It had no taste. He swallowed it. It stuck in his throat.

  He looked at his hands. They were clean. They were not stained with blood. They were stained with something else. They were stained with the ink. They were stained with the signature.

  He finished the rice. He put the bowl in the sink. He went to his room. He lay on the bed. He looked at the ceiling. There was a crack in the plaster. It ran from the corner to the center. It looked like a river on a map.

  He closed his eyes. He saw the green line. He saw the flat line. He saw the signature.

  He slept. He did not dream. He woke up the next morning. The sun came through the window. It hit the floor. It was a new day. His father was not there. The system was still there. The hospital was still there. The administrator was still there.

  Kai got up. He washed his face. He looked in the mirror. His eyes were red. He splashed water on them. He dried them with a towel.

  He went to the kitchen. His mother was gone. She had left for work. There was a note on the table. It said, Rice in the pot.

  Kai ate. He walked to the station. He took the train to Kojin. He found a job in the warehouse. He started work the next week.

  He did not go back to the hospital. He did not file a complaint. He did not speak to the news. He worked. He saved the paper. He put it in a box. He put the box under his bed.

  Nine years passed. The paper was still there. The ink was still blue. The signature was still shaky. The guilt was not faded. It was fresh. It was every day.

  Kai walked onto the train. The doors closed. The train moved. He held the strap. He looked at the window. He saw his reflection. He saw the nineteen year old boy behind the twenty eight year old man.

  The boy said, "You did nothing."

  The man said, "I am doing something now."

  The boy said, "It is too late."

  The man said, "It is not too late for the others."

  The train stopped. The doors opened. Kai stepped off. He walked to the warehouse. He clocked in. He picked up the scanner.

  He scanned the box. He placed it on the belt. He thought about the form. He thought about the administrator. He thought about the signature.

  He decided that the next signature would be different. It would not be on a form they gave him. It would be on a document he wrote. It would not be for admission. It would be for change.

  The shift began. The lights flickered. The dust settled. Kai worked. He did not speak. He listened. He remembered.

  The wound was open. It did not heal. It did not scar. It stayed raw. It was the fuel. It was the reason. It was the truth.

  He scanned the next box. He scanned the next. He scanned the next. He counted the boxes. He counted the minutes. He counted the years.

  He waited for the count to be enough.

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