"Why was this posted?"

Since health care reform is clearly on topic for this list, an article on a
progressive Web site (Truthdig) raising questions about the effectiveness of
Moore's film and about the somewhat idealistic view of Cuba's health care
system harbored by some on the left seems relevant whether or not everyone
agrees with it. The question of medical tourism is a very hot and bitter
subject of debate among Cubans as I think most here know.


On 7/4/07, Jonathan Campbell <[log in to unmask]> wrote:
>  Why was this posted? This is not a science article. It is an
> opinionated article about film-making which the author, an actress from NYC,
> uses to launch an attack on the Cuban medical system without knowing
> anything about it.
> Perhaps we should be analyzing the article for its own propaganda value.
> If the Cuban medical system rates poorly on some scales, it just might
> have something to do with US policy and embargo...
> Jonathan
> ----- Original Message -----
> *From:* Michael Balter <[log in to unmask]>
> *To:* [log in to unmask]
> *Sent:* Wednesday, July 04, 2007 5:09 AM
> *Subject:* A critical review of "SiCKO" on Robert Scheer's Truthdig site
> Movie Review:  Michael Moore's "SiCKO"
> Posted
> on Jun 29, 2007
> By Eunice Wong
> "SiCKO," Michael Moore's latest film, will probably make you laugh.  It
> may make you cry.  You should leave the theater outraged.  It is a powerful
> and often humorous indictment of our health insurance industry, riddled with
> corruption and pitiless abuse of the sick by rapacious, profit-mad
> corporations.  But it is propaganda.  In "SiCKO," as in all his films, Moore
> violates the contract between reporter and audience: to tell the truth.  His
> inaccuracies and lack of nuance give his detractors a glaring target to
> strike, making it easy for them to dismiss his message.
> Michael Moore is an entertainer.  He reduces complex issues to a
> vaudeville act with transparent villains and heroes.  His goal is to amuse.
> Facts are malleable.  He employs the techniques of advertising and
> propaganda, the same techniques that have corrupted our news and political
> campaigns.  Truth and fiction blur at both ends of the political spectrum.
> You can believe what you want and discard what you don't.  This illusion of
> truth and knowledge is far more dangerous than ignorance.  And although I
> happen to sympathize with Moore's concerns, his methods only provoke the
> rupture of American society into two slogan-chanting camps.
> In the film, Moore takes three small boats of sick Americans, including
> 9/11 volunteer rescue workers, to Cuba.  They receive, at no cost, the
> medical treatment they have been denied at home.  It's a triumph of the
> socialized state.
> "I asked [the Cuban doctors] to give us the same, exact care they give
> their fellow Cuban citizens.  No more, no less.  And that's what they did,"
> Moore says.
> The sick Americans, in a montage underscored by swelling cellos and a
> pensive piano, receive MRIs, dental exams, lung assessments and
> ultrasounds.  All Cubans, the film implies, receive this kind of care.  This
> is not true.
> "The treatment Moore and the rescue workers receive in the film was done
> specifically for them, because they [the Cubans] knew it would make great
> propaganda," Dr. Julio Cesar Alfonso, a Miami doctor who practiced medicine
> in Cuba for four years, said in a June 22 interview with The Miami Herald.
> "The medical centers in Cuba that treat tourists and government officials
> and VIPs are very different than the ones that treat the general
> population," Alfonso said.  "If you're a Cuban citizen and need a
> prescription drug, most doctors either tell you to ask your relatives in the
> U.S. to ship it to you or recommend alternative herbal remedies.  That's
> the degree of scarcity on the island."
> Life is not a Hollywood movie.  A Cuban watching "SiCKO" would recognize
> this segment for what it is: agitprop.
> The United States has sunk to No. 37 on the World Health Organization's
> ranking of health systems.  Moore's camera pans down the list to zero in on
> the shameful No. 37.  It slides too quickly for most viewers to catch that
> Canada is No. 30, and the frame stops just short of No. 39: Cuba.
> There is, despite this distortion and omission of facts, much in "SiCKO"
> that is worthwhile. The film is strongest when Moore allows ordinary
> Americans to tell their heart-rending stories about the abuse they suffered
> in our profit-driven insurance industry.
> Julie Pierce, a middle-aged woman seated alone in her Kansas City living
> room, struggles to contain her emotions as she talks about her husband, who
> had kidney cancer.  His brother was a perfect match for a bone marrow
> transplant.  These transplants can halt and sometimes eradicate the
> disease.  An insurance company, however, denied the transplant, claiming it
> was experimental.  Her husband died.
> "He was my best friend, he was my soulmate, he was my son's father. ...
> They took away everything that matters. ... You preach these visionary
> values, that we care for the sick, the dying, the poor, that we're a
> healthcare that leaves no one behind.  You left him behind. ... It was as if
> he was nothing.  And I want them to have a conscience about it and I don't
> think they do."
> Moore also interviews those within the monolith.  Linda Peeno, a former
> medical reviewer for Humana, says: "The very definition of a good medical
> director was somebody who could save the company a lot of money. ...  The
> doctor with the highest percentage of denial was actually going to get a
> bonus.  Any payment for a claim is referred to as a medical loss.  That's
> the terminology the industry uses.  When ... you deny their care ... you
> make a decision that brings in money ... it's a savings to the company."
> This let-them-die-for-profit ethic is contrasted against the testimony of
> a British doctor interviewed later in the film.
> "We get paid by what we do, so the better we do for our patients, the more
> we get paid," he tells Moore in a hospital corridor.  "If the most number of
> your patients have [desirably] low blood pressure, or if you get most of
> your patients to stop smoking, or you get most of your patients to have
> things like mental health reviews, or lower their cholesterol, then you get
> paid more."
> But, like the nightly news, Moore never allows us to linger too long on
> catastrophe.  It might depress us, and the point, of course, is to
> entertain.  When a Michigan woman poses as a Canadian in Windsor, Ontario,
> to receive medical care, Moore deadpans: "Yes, what Adrian was doing was
> illegal.  But we're Americans.  We go into other countries when we need to.
> It's tricky.  But it's allowed." This fragmentation reassures us, as it does
> on television.  Tragedy is always followed by a good joke.  This
> discontinuity, while it amuses and diverts, damages our sense that the world
> is a serious place.
> Moore's manipulative use of music—"SiCKO" is almost entirely
> scored—provides the required emotional stimulation.  The music imparts the
> pace, the mood, the energy of the film.  Sometimes it is exciting and
> satirical.  Heroic brass blares as the three intrepid little boats of
> Moore's sick Americans, flying large American flags, streak southward to
> Guantanamo Bay, "the one place on American soil that still had free
> universal healthcare." Suddenly canned elevator music and the seal of the
> Department of Homeland Security cut off the faux action movie.  Sometimes
> the cue is maudlin, as when the sobbing violins of Barber's Adagio for
> Strings underscore Linda Peeno's harrowing 1996 testimony before Congress
> about the abuses of managed care.
> "In the spring of 1987, as a physician, I denied a man a necessary
> operation that would have saved his life, and thus caused his death.  No
> person and no group has held me accountable for this, because in fact what I
> did was save a company half a million dollars. ... I had one primary duty,
> and that was to use my medical expertise for the financial benefit of the
> organization for which I worked."
> The music inevitably frames Peeno's words as courtroom drama.  There is no
> soundtrack in real life.  No violins were playing when Peeno made her
> testimony.  The music, ostensibly used to enhance the gravity of the
> situation, only prevents the audience from realizing the full, unadorned
> weight of reality.
> Moore visits Canada, Britain, France and Cuba to compare the wreckage of
> the American healthcare system with these countries' fairy tale dreams, in
> which "Everything is free!" He discovers that in a British hospital, money
> comes *out* of the cashier's window rather than going in.  Seated in a
> candle-lit bistro at a table of Americans living in Paris, he is
> overwhelmed, hands over his ears, by the incomprehensible lunacy of what
> they tell him of France: free healthcare, free child care, free college
> education, five weeks' paid vacation, an extra paid week for your honeymoon,
> unlimited sick days, government-issued nannies, no, no, make it stop, make
> it stop!!!
> The other countries are painted with broad, rose-tinted strokes.  All the
> Canadians, British and French interviewed have nothing but praise for their
> national healthcare.  There are no dissenting viewpoints, no investigations
> into the economics that make these systems possible.
> There is an interview with a doctor in Cuba, Aleida Guevara, the
> pediatrician daughter of Ernesto "Che" Guevara, in which she wonders why an
> impoverished island nation is able to provide free healthcare for its
> citizens while the United States cannot.  Cuba's massive Soviet subsidies in
> the 1970s and '80s of $4 billion to $6 billion annually, which kept the
> nation afloat and made this system possible, go unmentioned, as does Cuba's
> subsequent decline once these subsidies ended with the collapse of the USSR
> in 1991.
> The star of Michael Moore's films is always Michael Moore.  "SiCKO" at
> first seems to be the exception.  His aw-shucks-gee-whiz persona doesn't
> shamble into view until halfway through the film.  The first half of "SiCKO"
> is stronger for his physical absence, allowing us to focus on the personal
> suffering caused by our dysfunctional healthcare system.
> But Moore's narcissism is given full vent at the end of "SiCKO." He tells
> us, in a voice coy with false modesty, that he sent an anonymous $12,000
> check to the man who runs "the biggest anti-Michael Moore website on the
> Internet" to pay his ailing wife's astronomical insurance expenses.  This
> allowed the man—whose insulting blog postings to Moore fill the screen—to
> keep the website going and "run [Moore] into the ground." This would have
> been an admirable gesture if Moore had kept it anonymous.  But if it were
> anonymous, it wouldn't be admired.  And Michael Moore's films, however
> important their issues, are ultimately crafted to serve Michael Moore.
> "SiCKO"
> In theaters June 29
> Rated PG-13
> Running Time: 123 minutes
> Written and directed by Michael Moore; edited by Christopher Seward, Dan
> Sweitlik and Geoffrey Richman; produced by Moore and Meghan O'Hara; released
> by Lionsgate and the Weinstein Co.
> *Eunice Wong is an actor based in New York City.  She trained at the
> Juilliard School Drama Division and received the 2006 Helen Hayes Award for
> Outstanding Lead Actress.*
> [image: sicko]
> Michael Moore (left) turns his lens on the U.S. healthcare industry in his
> latest movie, "SiCKO."
> ------------------------------
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> Michael Balter
> Contributing Correspondent, Science
> [log in to unmask]
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Michael Balter
Contributing Correspondent, Science
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