
It is an expensive, very expensive city. Having lived in Europe for so many years, I was shocked. I assumed that nothing – with the exception of Switzerland — could be more expensive than the French Riviera where I now live.
San Francisco proved me wrong. Following are some costs I found outrageous:


1 small box of Tylenol 500mg (pain reliever like paracetamol) $8. The equivalent here about 2 euros, $2.16
1 glass of house wine in a restaurant, $14. At restaurants I frequent here, usually from 5 to 8 euros, $5.40-$8.64.
In both San Francisco and southern France, prices vary from one locale to another. In most cases, however, San Francisco seems over the top. I was surprised to learn that prices in much of the US may not be significantly less. While walking through a supermarket with my brother Steve, I asked, “How can people afford these prices?” “They can’t” he answered. “That’s why Trump will become president.” Hope he’s wrong.
The above costs were bad enough, but the whopper for me was $16,700 for emergency room treatment and a night spent in “observation” at the University of California San Francisco hospital.
I tripped over a scooter parked half way on the sidewalk, fell, broke my wrist and smashed my face. Hence the hospital.

I do not have Medicare, nor American health insurance. In France I benefit from socialized medicine (most costs covered), but I have a travel/medical insurance. Let’s hope I get reimbursed.
The San Francisco visit was not vacation. I went to see my brother Tom who had been diagnosed with terminal cancer. Sadly, he has since passed away, but I am grateful I had the opportunity to spend time with him. He was a special guy, very kind, generous and liked by all.
Due to the accident, my stay in San Francisco was not as long as planned. I had a cast from my wrist to my elbow and had been told to come back to the orthopedic clinic in two weeks. Fortunately, after a week I returned to France and saw a specialist. The wrist should have been operated on immediately after the accident, I learned. The doctor was concerned that due to the time delay, the surgery might not be completely successful. I am lucky. So far, all is on track.
The surgery here has cost nothing. I will need to pay the specialist his fee: 370 euros (about $400). There would have been no extra charge for a regular hospital staff doctor. Surgery in the US? That price tag would have added a heart attack to my woes.
The hospital bill was overwhelming. Abby, the very caring intern assigned to me, insisted on numerous X-rays and cat scans. A cat scan of my head; $3,288; cat scan of spine, $4,734; shoulder X-ray, $402, plus other X-rays. The charge for one night in observation, $6,780. Not much happened. I slept.
There were plenty of other hefty charges. This was a simple broken wrist. What happens to those in the US who have serious medical conditions and no medical insurance? It’s criminal – both the exorbitant charges and the lack of insurance for all.


On the positive side, an aspect of the US I relish is people: friendly, helpful, smiling. As I lay on the sidewalk with a bloody face and painful wrist, passers-by were eager to offer assistance. I was alone, in pain, in shock, not to mention somewhat frightened. As readers of this blog know, I have recently had far more serious mishaps. I feared the worst. The concern from strangers was comforting.
One couple, nurses, determined I had broken my wrist. The young woman gently wiped blood from my face. Her partner called an ambulance. Someone asked if I had been riding the scooter. OMG! Had that been the case, I would not be writing this blog
From taxi and Uber drivers to waiters and waitresses, from nurses to hotel personnel, I found people interesting, delightful, and not shy to converse and tell their stories. A taxi driver from Vietnam, now a citizen, told me how he came to the US. An Uber driver related the details of his job. A young Moroccan who pushed me in a wheel chair at the airport was happy with her job but missed her country.
They came from distant lands, not just those mentioned above. Mexico. China. Philippines. Ethiopia. Turkey. Nigeria…. Hard working folk, not drug addicts, rapists and criminals. Immigrants make the US. I can’t imagine how San Francisco would survive without them.
As I read somewhere, the country is a quilt, far more interesting than a boring sheet.
My San Francisco visit left little time for sightseeing. If circumstances had been different and I had had time to experience the city’s attractions, perhaps I would have left my heart there too, not just my $.

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Leah, how are you doing? I was oh so sorry to read about your fall. I’ve been thinking about you, hoping your recovery has gone well. The wrist still in a cast? You’re an amazing woman, and my guess is you’re already on or planning your next adventure.
I’m glad you’re still at Cap Martin, such a perfect location, and I know you and
your felines are safe and comfortable. Wish I could visit.
Also want to express my sympathies — you wrote about the sad news of losing your brother. Glad you were able to be with him for a while.
Take very good care,
Love, Susan
Sent from my iPhone
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It’s so good to hear from you
Susan. My wrist is well on the way to complete recovery. The
San Francisco visit was not the best, but I am so glad I had time with Tom before his death. Hope all well with you and Brian. You are welcome to visit anytime. Love and big hugs.
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Where do you live now Leah?? Bob ( n Jane Speller iowight)
Sent from my iPhone)
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I live in Roquebrune Cap Martin, on the Med coast near the Italian border. Hope you and Jane are well.
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can certainly attest to the outrageous medical bills in the US…in 2021 one overnight for observation in Chicago: $28,000 ( incl various tests, but had to beg for a bite to eat!). In 2024, a fractured elbow ( outpatient surgery + 10 wks of PT):$70,000! Insurance covered $8200; the remainder has evaporated. Without insurance…? Why Biden executed an order to remove medical bills from debt collection.
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The US medical costs are outrageous as you say. Your night in observation topped mine by thousands. Insane! Will it all be even worse with Trump? Thanks for sharing your experience.
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so very sorry to hear about Tom ..:( I wish I could’ve met him seems like he was a great guy ❤️ we were friends on facebook for a while.. glad you are healing from your injuries those scooters are everywhere here also .. big hugs keep in touch ❤️
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You would have liked Tom. He was a lot like his mother — very outgoing, friendly and caring. Those scooters are everywhere in San Francisco and a real menace. Fortunately it’s not so bad here. Hugs to you and Richard,.
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This is great Leah!
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Thanks Kellie. That makes me happy,
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Leah – Sorry to hear about your experience with “the system”, financial that is. Those prices are phantom prices provided to Medicare/ Medicade. Those are prices the medics,clinics and hospitals bill the government, which doesn’t pay the full price. Unfortunately, the uninsured are low-hanging fruit. I see the same thing when I see invoices for mydrugs and services. One 30 day supply of pills I take costs me $5. Its “rack rate” is $1350. We are making a bit of progress reigning it in, but for us it will get crazy if carrot-top is elected.
Here’s hoping your recovery is speedy and complete. -bt
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Thank you for the explanation. The system needs lots more improvement. I hope for all we will not have insanity in the White House.
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Hi Leah. It was a pleasure to read your blog. Your face photo after the fall is shocking. The medical and treatment expenses you incurred are shocking,Based
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Good to know you enjoyed the blog, Thomas. I am well on the road to recovery. Thanks for commenting,.
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Wonderful of you to have made the trip for your dear brother. Just so very sorry about the accident. Thank goodness you got help and now are safely home. Here’s to health!
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I am very glad I made the trip, but also happy to be back in my turf. Here’s to health and no more accidents,
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