Drowning in data!
This shot of Niagara Falls snapped during my return trip to New York after three weeks in Canada, 12 hours by train back from Toronto
By Caitlin Kelly
Whew!
Five notebooks full.
Reports and books read.
Thirty original interviews completed, some by phone, some face to face.
Five towns visited in five days to meet and interview sources in each one.
Here’s my post from August 13, as I was starting to work on my biggest story in years:
https://wordpress.com/post/broadsideblog.wordpress.com/52759
I had a maximum of 5,000 words.
Here’s the link to my story about Canada’s healthcare systems— there are several — and how they work. It’s for The American Prospect, a liberal quarterly publication.
I spent more than three months on it, and lost money in the process, as the basic cost of a room in Toronto alone cost twice my allotted travel budget and I spent four days there working.

Love these Muji notebooks, $1.70 apiece.
But, rarely, a story is worth it and I hope this one is.
There were some challenges along the way, which is normal, some of them less so:
— I knew from the start this would cost me money, not earn nearly enough to cover three months’ exclusive attention, plus travel. I applied for grants from two American organizations offering them to journalists and was denied by both. The ugly truth is that I’m making less than a third of what I would have earned for this story in the 1990s, back when journalism paid well, and when my health insurance cost $500 a month, not $1,700.
— I suddenly developed gout (!), an excruciatingly painful right toe condition, making every step painful for weeks.
— At the same time, I got a bad leg infection on my right shin, so bad it really scared me. I finally saw my doctor when I got back home after a three-week absence, and knocked it out with antibiotics. The pain, at its worst, was breathtaking, That, plus gout, made it hard to focus on interviews that lasted up to two hours. I popped plenty of painkillers!

The son of a friend of mine, David Dennis, proved a perfect interview subject, and the lede (top) of the story. photo: Jose R. Lopez
— As often happens, I set up a few interviews fully expecting to discuss X…and Y proved to be much more interesting. Gotta roll with the punches!
— One key source remained, even after months, hopelessly elusive, so overworked that his secretary and I got to know one another well, and he sent many apologetic last-minute-cancellation emails. Fortunately, I found two long and helpful videos of him speaking and quoted from them instead.

Sitting in a cafe in Picton, Ontario, interviewing Dr. Margaret Tromp, President of the Society of Rural Physicians of Canada. Photo: Jose R. Lopez
— The top-level sources I spoke to all know one another and realized that my reporting was deep and serious in including them all.
— You do eventually reach a point of total saturation, when you think you can’t possibly do another interview, but someone urges you strongly to do so and recommends someone else. I did, and the guy was astounding, possibly the best of the lot.

I got off a bus at 3:30 after an hour’s ride to/from a source to meet another at this downtown Toronto hotel bar at 3:45 so he could run for his train at 4:15. Gotta do whatever’s possible!
— I rarely went into each interview with a set list of questions, but kept them more conversational, which allowed for unexpected and welcome diversions and insights.

photo: Jose R. Lopez
— I bought a huge white-pad to help me visualize what to do next. I decided to structure my story around the Four Ps: patients, providers, pundits/academics and policymakers/politicians.
— Others’ generosity and good humor made this very challenging project not only manageable but a pleasure to work on; every source was helpful and smart, referred me deeper into their expert networks and shared their insights and wisdom.
— Three “first readers” helped me as I revised: a veteran American health and science writer, a young, progressive writer in D.C. and a Canadian editor. Fresh eyes matter!

Smaller towns are having a rough time attracting and keeping local physicians…Photo: Jose R. Lopez
— It took a lot of self-confidence to tackle this complex topic. So I felt much better when a man who’s an acknowledged leader in this field, when I admitted that I felt a bit overwhelmed by it, said that after decades studying it, he sometimes is as well.
Here’s a fantastic piece — written in 2005 for the journalism website Poynter — on the iceberg theory of journalism…that only a tiny fraction of what you’ll see, hear and read will actually be visible in the final public version, no matter all the invisible hard work that preceded and informed it:
What makes a story powerful is all the work — the process of reporting and writing — that lies beneath. It isn’t wasted effort, as many of us fear, but instead constitutes the essential ingredient that give writing its greatest strengths.
As someone prone to turning every story into a project (only because it lets me postpone publication, which will reveal all my inadequacies), I have to keep reminding myself that you can never over-report but you can under-think, under-plan, under-draft and — worst of all — under-revise.