June 22, 2007

Michael Moore's Imperfect Diagnosis

The New Republic: "Sicko" Has Its Flaws, But Is Also A Compelling Indictment Of U.S. Health Care

  • Play CBS Video Video Moore, "Sicko" In Cannes

    ShowBuzz RAW: Michael Moore held a news conference at Cannes Film Festival to launch his new project "Sicko," a film that examines U.S. health care services.

  • Director Michael Moore appears on the stage at a gala during Toronto International Film Festival, Sept. 8, 2006. His latest film,

    Director Michael Moore appears on the stage at a gala during Toronto International Film Festival, Sept. 8, 2006. His latest film, "Sicko," looks at the U.S. health care industry.  (AP Photo/Chitose Suzuki)

(The New Republic)  This column was written by Jonathan Cohn.

The warnings went out in a 2004 company newsletter: Watch out for "a scruffy guy in a baseball cap." The scruffy guy was Michael Moore, and the company was pharmaceutical giant GlaxoSmithKline, whose executives had gotten wind of Moore's new project: a documentary about the health care system called "Sicko." The executives figured it was only a matter of time before Moore showed up on their doorstep, camera in hand — if he hadn't already. "We have six business centers nationwide," a Glaxo official confided to the Los Angeles Times, "all of which report sightings."

Earlier this month, when I got my first glimpse of "Sicko," I felt similar trepidation, though for rather different reasons. My bias in watching Moore's film is that, in the broad sense, I agree with him. I've been writing about the flaws of the U.S. health care system, and the need for universal health insurance, for nearly a decade now. (And, yes, I recently wrote a book with almost the exact same title as Moore's movie — "Sick" — although I'm pretty sure I thought of it first.) But Moore has not always been the most intellectually rigorous storyteller — or, for liberals, the most useful ally. "Fahrenheit 9/11," Moore's attack on the Bush administration and the Iraq war, may be wildly popular among Bush-haters and the most financially successful documentary ever. But a lot of people think it also ended up helping Bush win reelection, by trading in unsubstantiated conspiracy theories and firing up the Republican base. As Jon Feltheimer, the CEO of Lion's Gate Films, told Vanity Fair, "I've been told a number of times [by Republicans], 'Isn't it great what you've done for the party?'"

As "Sicko" rolled, it did little to allay my fears. I spotted plenty of intellectual dishonesties and arguments without context — enough, surely, to keep right-wing truth squads (and some left-wing ones) busy for weeks. Moore also couldn't help but stick in unrelated jabs about the Bush administration's efforts to fight terrorism and insisted on hyping Cuba's medical system — an awfully poor way to counter the generations-old slander that universal health care is tantamount to "socialized medicine."

Still, by the time the final credits ran, it was hard to get too worked up about all of that. Because, beyond all the grandstanding and political theater, the movie actually made a compelling argument about what's wrong with U.S. health care and how to fix it. "Sicko" got a lot of the little things wrong. But it got most of the big things right.

When Moore was filming "Sicko," he frequently told people that he was filming a comedy about the 45 million Americans who don't have health insurance — people who represent the most glaring failure of U.S. health care. And, in fact, the opening sequence of his movie portrays two people in precisely that situation — one of whom is Rick, who accidentally sawed off the tops of two fingers while working at home. With no insurance to pay the bill and limited funds at his disposal, he has to choose whether to have the hospital reattach his middle finger for $60,000 or his ring finger for $12,000. (He chooses the ring finger.)

But, as Moore quickly explains, uninsured Americans aren't the primary subject of his film. Instead, he announces to the backdrop of 1950s music and newsreel footage, he's chosen to focus on the rest of America, the people who do have insurance and the hardship many of them go through anyway. He does so primarily by telling the stories of hapless victims, deftly weaving farce and tragedy. We hear both from a woman who gets stuck with an ambulance bill because she didn't clear the charge with her insurer before losing consciousness during a car accident, and from the widow of Tracy Pierce, who died after his insurer denied a potentially life-saving bone-marrow transplant for his kidney cancer.

Moore isn't aiming for balance: Officials defending the health care industry don't get any airtime. Instead, Moore gives us the views of former insiders turned whistleblowers — like Linda Peeno, former medical director at the HMO Humana. Peeno stopped working there in the late '80s after becoming disgusted with pressure to deny coverage — including for a heart transplant for a man who otherwise might have lived. Moore also introduces viewers to Lee Einer, whose job at a major insurance carrier (Moore doesn't say which) was to pore over insurance applications retroactively, focusing on people with large claims in order to find evidence that they had hidden previous conditions. As Einer explains, it was widely understood that intent to mislead was irrelevant; the companies just wanted excuses to avoid paying bills. (To illustrate what this means in practice, Moore also tells the story of a woman whose carrier pulled coverage after an operation, because on her application she didn't mention a past yeast infection.)

Continued



By Jonathan Cohn
If you like this article, go to www.tnr.com, which breaks down today's top stories and offers nearly 100 years of news, opinion and analysis.



If you like this article, go to www.tnr.com, which breaks down today's top stories and offers nearly 100 years of news, opinion, and criticism.

Add a Comment See all 96 Comments
by redhoffer June 24, 2007 7:56 PM EDT
Lost in this debate about Michael Moore is that the average Cuban (income-wise) can more easily access quality healthcare than the average American. It is really no contest. I was aware of that before this film came out. Same thing with Canada, an average Canuck can get quality healthcare more reliably and easier than an average American.

Does that mean I should move to Cuba if that bothers me? No, as a patriotic American it means I should expect our leaders to fix that, and be willing to sacrifice to help make the change. The status quo should bother any caring American.

If you are an American who doesn't care about that, maybe because you don't have a personal issue accessing quality healthcare, than I say you have the problem. It shouldn't be a dem or repub issue, it is just common sense.

Many conservative columnists will just attack the messenger here (Moore), but the message is unchanged, the healthcare delivery system in the USA is terribly and obviously flawed and unless you are cashing in on the current system you should want to change it.
Reply to this comment
by xzavierbrown June 24, 2007 6:18 PM EDT
I dont think Moore's miguided movie would be of any assistance in helping our healthcare system. But of course, Moore really do not care about gun control or terrorism or the wellbeing of this country. it is pretty obvious, JUST LIKE BONO AND GOLDOF, that they hide under the guise of philantrophy and "caring" to sell thier wares and make MORE MONEY..

where have this world gone??in terms of improvement every since these misguided bleeding heart liberals had taken charge??where are we in africa??any better??
where is bono and goldof and moore financially since they had taken over??any better??
Reply to this comment
by codexkills June 24, 2007 2:36 AM EDT
Has the healthcare system been rigged? Why do we feel that the free market and government safety net cannot work? Maybe the number of doctors has been limited, and the tasks that nurses can do have been limited. That would cause the price for healthcare to go up. Maybe the capital requirements required under law for health insurance companies are way too high. That would limit the number of health insurance companies and cause the price for insurance to go way up. Maybe there's hidden price fixing for insurance. Maybe the drug prices are way too high for a reason. The free market seems to be acceptable for food and housing when backed by a government welfare safety net, but healthcare is somehow so freaking special that the free market supposedly doesn't work. I saw a doctor one time for 5 minutes, and she charged $400. Somehow, competition in the market has been unfairly limited to the point where doctors can charge whatever they want. I don't see why anything would be different if the government paid versus if I paid. The problem is the price.
Reply to this comment
by voteronpaul1 June 24, 2007 2:20 AM EDT
We can't afford national healthcare now. To pay for anything, this country needs to stop this war. Just stop blowing up children across the world for no reason. Because it gets a little expensive. Second, stop the illegal immigrant bills. Let's get the budget out of the red so we can pay for something.
Then, ask if the same people who handled the Katrina FEMA disaster should handle healthcare. I'd rather take care of my own healthcare or at least have my state take care of this. If I don't like the way my state's doing it, I could move to another state. It's harder to just move out of the country.
Reply to this comment
by l8c6 June 23, 2007 11:09 PM EDT
We the people of the United States of America in order to form a more perfect union...from there are words referring to the posterity of this union. Does this sound like callous rugged individualism the likes of every man, woman and child for their individual special interests?

Till death do us part or dump them like Newt did his wife when her cancer became his inconvenience.

Meanwhile from the right wing neo con fascist gullet comes forth the mantra
me,me,me,me,me,me,me,me...
Reply to this comment
by l8c6 June 23, 2007 10:56 PM EDT
mommajomma, Uh, well be proud that there are americans who still believe in the founding priniciples that objected to the white house being named the "president's palace".

Rejoice in some hopefulness in the fact there are people who are successful fighting for the human cause instead of the cause of multinational corporatists who have a vision of oppression instead of a vision of progression for the human condition. Um, that's a little of what comes to mind.
Reply to this comment
by mommajomma-2009 June 23, 2007 10:11 PM EDT
He's all yours, Democracks.... what are you going to do with him????
Reply to this comment
by rushlimpdrug June 23, 2007 4:02 PM EDT
"SICKO"
An appropriate title for an appropriate "man"Posted by processor2

Someone call 911 for this poor soul - seems he is having a seizure.
Wait! First make sure he has insurance and "Republican" tattooed on his a$$.
Reply to this comment
by drinuk June 23, 2007 3:57 PM EDT
The CBS headline to this story is very misleading. Moore may be slightly imperfect, he may not have gotten to the core of the current health scam but it is a further nail in the coffin of the scam we all suffer from. If I have a criticism it is that he should have applied a more forensic investigation.

During the last ten years over 1 Billion dollars have been spent by Big Pharma lobbying the American Government. Last year alone Eli Lilly spent 3.7 million lobbying politicians. Any sane and sensible taxpayer should be asking the following questions, 1, are they exerting unlawful infuence 2, are their products so bad they have to pay to get them approved and 3, Just who recieved this money. The latter I believe is the most important. With such enormous sums of money floating around in Washington how can we the public be assured we are getting the best available drugs and that health is being best served.

Moore was right to make his film but he should have gone much deeper.
Reply to this comment
by lestb35 June 23, 2007 3:55 PM EDT
The answer to every problem is not a national top heavy. entitlement program.The self employed have always had to deal with the health care issue and they've come up with ways to get themselves and their families covered. People who have always depended on their employers to cover them are just clueing in that they have to pay attention and coverage matters.
Reply to this comment
by lestb35 June 23, 2007 3:46 PM EDT
cozzicon, I've offered up many ideas for health care reform first and foremost getting it outof the benefit dept and into the hands of the consumer giving us more choice. The private practice Dr.s should have a big input along with public health officials. These are the experts and if you talk to Drs. they have a LOT of opinions on reform. I have come across more and more Dr. who are building their private practice on cash sales and not taking insurance at all.
Reply to this comment
by drinuk June 23, 2007 3:01 PM EDT
So Glaxo were concerned about Moore, Well! they would'nt be if they had nothing to hide and the interest of the company was simply to cure the sick. Like all other Big Pharma companies the patient comes LAST!
Reply to this comment
by neoconrcrazy June 23, 2007 2:14 PM EDT
Moore is a great American - God bless him!

Courage to speak the truth - and in these days, it's rare.

Keep it coming dude -



Reply to this comment
by hungry1968 June 23, 2007 1:10 PM EDT
An appropriate title for an appropriate "man"
Posted by processor2 at 07:43 AM : Jun 23, 2007

Are you trying to say that you think the American health care system is perfect, and therefore Michael Moore is an idiot for wasting his time?
Reply to this comment
by grumpas June 23, 2007 12:20 PM EDT
"Fahrenheit 9/11," Moore's attack on the Bush administration and the Iraq war, may be wildly popular among Bush-haters and the most financially successful documentary ever.

I doubt that statement very seriously. We have a country full of dumb people who are easily fooled and aren't any brighter than one like Bush! Look at Processor 2 he can't even work his computer right! It takes a lot of effort to hit the 'publish' button once and wait!
Reply to this comment
by processor2 June 23, 2007 10:43 AM EDT
"SICKO"

An appropriate title for an appropriate "man"

...
Reply to this comment
by processor2 June 23, 2007 10:43 AM EDT
"SICKO"

An appropriate title for an appropriate "man"

...
Reply to this comment
by processor2 June 23, 2007 10:43 AM EDT
"SICKO"

An appropriate title for an appropriate "man"

...
Reply to this comment
by processor2 June 23, 2007 10:43 AM EDT
"SICKO"

An appropriate title for an appropriate "man"

...
Reply to this comment
by gkc99 June 23, 2007 10:30 AM EDT
You can tell a lot about a person from the enemies he has. The Bushit / Darth administration is pursuing Moore with a phony, trumped up complaint about his trip to Cuba. Strange, how all the Republican businessmen can travel all they want to Communist China, but injured NYC firefighters can't travel to Cuba because Bushit says so.

As a person who got laid off by outsourcing to India, and was without health insurance, I think Moore's on the right track, no matter how much bribe money the AMA and the orthopedic surgeons contribute to the neofascists.
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