Okay. Buckle up babes, it's finally Foreteen time and I wrote an essay.
Foreman and Thirteen are so interesting to me in so many ways. You have Foreman, who thrives off of control, and Thirteen, who refuses to be controlled in almost every aspect of her life. In the sense of them as individual people, they both have a lot of their own issues going on. Hot messes, the two of them. But in the sense of them as a couple, I think Foreman specifically is the only one who has issues with the relationship. (Or rather, Thirteen's issues aren't being projected onto the relationship and causing difficulties at the end of s5/beginning of s6, while Foreman's are.)
Foreman's biggest thing, at least in the latter part of their relationship, is control in regards to emotions. After they found Kutner, he coped with everything by isolating himself. A huge part of me thinks that's because this terrible thing just happened, the floor just fell out from both of them in so many ways, and Foreman feels like he doesn't have a grip on anything anymore. The only thing he can control is himself, and how he reacts. So Thirteen? Even though she's his girlfriend and he's worked with her for two years, her emotions and reactions are fundamentally beyond the scope of his control; she's still a wild card. She's not safe. So instead of letting himself lean on Thirteen, letting them grieve together, letting them comfort each other, for his own stability, Foreman chooses to cope (and thus reject Thirteen when she reaches out for support) by retreating into an environment that he's intimately familiar with. He surrounds himself with only variables that he can confidently predict. It's his gut instinct. It's always worked before, so why wouldn't it work this time? Why would it have any reason to cause problems?
In season four and the first half of season five, Thirteen was very much the same way. When things became too overwhelming for her, she repeatedly dealt with them by running, by hiding; by trying to isolate herself from the people who care about her and want to help her. The same base principle drives them both at this point: "what's out of my control is dangerous in some way or another. The only one who's safe to be around is myself, because I am the only person that I can control." But by mid season five, Thirteen has come a long way from that. Slowly she's becoming much more of a "recovering control freak". She's starting to be okay with the fact that she's not always going to have the amount of control that she has right now. She knows that all of it is something she has to come to terms with, and slowly she's getting to a point where she's accepting her diagnosis and working on all the baggage that comes with it.
Thinking about that– the fact that, by mid season five, Thirteen is approaching a point in her life of letting go, of learning to 'go with the flow'; while Foreman is very much still on the side of "I thrive and keep myself safe by controlling every aspect of my life possible"– makes them fundamentally incompatible as a couple from the get-go, even with all of the chemistry they had. Because the moment they get together (the Christmas party in 5x10 "Joy to the World") is right after Thirteen's decided that she doesn't want to die; when she's just starting to process her diagnosis instead of running from it.
Do I think there was/is love there? Yes. They absolutely care about each other, both during and after the relationship.
Do I think they would have worked out long term? The simple answer is "no".
The more complicated answer is that if they had been able to avoid the fiasco of Foreman running the department and then firing Thirteen after House quit, I think they could have made it work. But it would have been rocky, and it would have been especially rough for Foreman. Extremely so if it were to reach a point where they've stayed together for years and years, and Foreman is with Thirteen when she really starts to decline with her Huntington's.
Foreman is Thirteen's friend; he's also seen people slowly wither away from degenerative disease (his mother, with Alzheimer's), and he's a neurologist (and so he knows exactly how she'll decline, down to every last detail). All of those things give him greater emotional stakes in her Huntington's diagnosis beyond what's typical. But specifically in the situation of them facing this as a couple, you have this level of involvement where Foreman– someone who needs a high amount of control to function on a fairly basic level– is in an incredibly intimate relationship with Thirteen, whose entire life is inevitably and actively slipping out of her control. And in that scenario... I think that when the decline does start happening, it would absolutely terrify Foreman. To be the one that's by her side as a partner– seeing all of it firsthand, the pain and grief and sickness? And as her significant other, being the one that would potentially become a medical proxy when she's too sick to advocate for herself, faced with the possibility of making life or death decisions (like whether or not to euthanize the woman he loves)? I think that would have the potential to utterly destroy him.
As a friend, though? ("Ex-partners who have gotten back to a shaky friendship after the breakup, and still care about each other deeply", but "friends" for short.) The entire situation completely changes. I firmly believe that post-canon, if Foreman knows House offered to kill Thirteen before he "died", he would offer to kill her in House's stead in a heartbeat (just like I think Chase does). THAT sort of involvement with Thirteen's decline and care is far less terrifying, because now this is not the decline of someone that he's based his entire future on. This is not someone he's given half of his heart to; this is not someone he's built an entire life with and entwined himself so thoroughly with.
With the way things work out in canon, they're still friends, and they still care about each other; but at the end of the day, they're two separate people with two separate lives, two separate futures. And so Foreman doesn't lose a single ounce of his control as Thirteen's is slowly taken from her, bit by bit. Witnessing that is still a pain that is unimaginable. But for him, it's survivable. And that's the key difference (and why I ship Foreteen during season five and season six, but not post canon).
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