SiCKO Is Boffo

When tapes of the Nixon-Ehrlichman conversation and Nixon’s subsequent public statement are played halfway through Michael Moore’s new movie SiCKO, it is one of the film’s more revealing moments. By this point in the film, Moore has already demonstrated that health insurance companies and HMOs are parasitic villains that routinely deny necessary medical care to make more bucks–even when their money-grubbing leads to the death of patients. Looking for the original sin that led to the present mess, Moore zeroes in on this Nixonian moment, which encapsulates the film’s premise that the United States health care system is defined by a fundamental conflict: profit versus care, and–no surprise–profit beats care.

And we allow this to continue.

I kept reading:

Moore’s meta-message is, It doesn’t have to be this way. He visits Canada, England, and France and compares their health care delivery systems to America’s. He plays this for loads of yucks. In a British hospital, he goes looking for the place where a patient has to pay his or her bill. He cannot find such a check-out counter. Then–a-ha!–he finds a cashier. But–here comes the punch line–this is where the hospital hands out cash to patients who need a few pounds to cover the cost of their transportation home. Yes, in a British hospital you can leave with more money than you came in with.

What about those put-upon doctors who must work under the heavy yoke of Britain’s National Health Service? He interviews a young doctor who drives a new Audi and lives in a posh million-dollar flat. The British system, the doc says, is fine for doctors–unless you want to live in a $3 million flat and own three or four cars. As for drugs, every prescription in England costs the equivalent of ten bucks–no matter what drug or how much of it. An American who blew out his shoulder trying to walk across the famous intersection at Abbey Road on his hands tells Moore that he obtained great hospital care for no money.

Ditto Canada. Ditto France. Doing his I-can’t-believe-it act, Moore grills Americans and locals in each country who relate stories of receiving quality care for no payments. A Canadian doctor, with a straight face, says that he has “never told anyone we couldn’t put a finger back on” because of a patient’s inability to pay. In the land of surrender-monkeys, Moore discovers that government-paid doctors–Sacre bleu!–make house calls, and new parents are visited by federally-paid daycare providers. And get this: a fellow who completes chemo in France gets three months of paid leave to recuperate (on a beach in the south of France, no less). No wonder, the United States ranks 37th in the world when it comes to the health of its citizens, just edging out Slovenia.

37th.

That should piss you off.

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