Michael Moore’s new movie, just like his earlier movies, is both exasperating and exhilarating. It gets a lot of individual things wrong, sometimes very wrong: logic, an organized and complete presentation of facts, the construction of an argument as opposed to throwing out a naïve polemic full of sentimental anecdotes and non sequiturs. And yet…and yet. Moore manages to get the big things remarkably right: Sicko is often uproariously funny, and it will also likely leave you in tears. It poses a simple question and demands an answer: Why is the U.S. the only Western democracy without universal healthcare? Why are we willing to let our fellow citizens suffer?

The film seems designed to make free-market partisans apoplectic while inspiring everyone else to chant alongside the righteous. Personally I’d prefer a documentary along the lines of PBS’s excellent Frontline series, which could lead you through the history of healthcare and the arguments for and against a single-payer system, and leave you feeling like a well-informed citizen ready to make a decision. But good as it is, Frontline won’t galvanize people, get them buzzed, the way Michael Moore can. He’s about to make a very big splash with this movie. He’ll succeed in getting people talking about an important issue, one which already promises to be a big part of next year’s presidential race.

Behind the opening credits we get a few stories about the uninsured, told quickly and with bemused, ironic twists. “But this movie is not about these people,” says Moore, as he proceeds to turn his attention to people who do have health insurance, yet were turned down for treatment, often with tragic results. He then offers a whole series of these anecdotes designed to appall you and make you cry. My heart actually sank a bit during the first half hour. While some of these stories are effective, they are overlong and rather clumsily told, and Moore’s voice takes on a wheedling “Isn’t this saaaad?” tone that made me want to fight back.

This section is followed by a brief and very incomplete history of health care in the United States. Moore scores cheap points by painting Nixon as the architect of Evil Managed Care. (This may remind you of the pointless conspiracy mongering about the Bushes and Saudi Arabia in Fahrenheit 9/11.) He’s a bit more successful in describing the efforts of the doctors’ and pharmaceutical lobbies to demonize “socialized medicine,” from the 1950s right through HillaryCare in 1993.

But it’s when Moore turns to the state-run healthcare systems of Canada, Britain, and France that the movie takes off. The contrasts between these systems and our own, and the pitying, disbelieving looks he gets from Canadians and Frenchmen when he describes the U.S. way of caring for the sick, give the movie the comic and dramatic engine it needs. Yes, you can argue that Moore deliberately ignores the fact that people in these countries have to wait for months to schedule surgery, or other disadvantages of a state-run system. But fairness, schmairness: Moore makes his point, smashingly well – these countries care, and we don’t.

After this, when we get more of the sad anecdotes of people falling through cracks of the greed-based American system, they take on new power – I resisted the tears earlier in the film, but they flowed freely from this point on. The great hour of polemical entertainment in the middle of Sicko overcomes the weaker first half hour. And it even carried me through the final half hour, a grandiose and borderline ridiculous trip to Cuba with a group of 9/11 rescue workers with health problems. When Moore stands in a boat and uses a bullhorn to demand that his companions be treated at the Guantanamo prison (where the terrorism-suspect detainees, unlike American citizens, get free universal healthcare), and failing that, takes the workers to an idyllic hospital in Cuba, where they are cared for by the Kindest Doctors in the World, the filmmaker may lose some of his audience again. This is almost too much. But the points he scores earlier help make this section of the film palatable to me.

Sicko will certainly irritate health insurance and pharmaceutical companies and their congressional allies, as well as those of us who are wonkish devotees of factual argument and logical persuasion. But why should Michael Moore care? He’s going to please a large audience with this movie. They’ll laugh, they’ll cry, and they may even write their congressman or write a check to John Edwards or some other universal healthcare advocate.

Sicko may not be art, and it may not be “fair,” but it is a social phenomenon to be reckoned with – and for at least half of its two hours, it’s also a hell of a movie.

This entry was posted on Sunday, June 24th, 2007 at 1:40 pm and is filed under Celebrity Gossip, Movie Reviews. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Michael Moore is back with another documentary that is sure to get the country involved in another debate, which, even if you vehemently disagree with his point of view, is much better than the usual passive experience of movies. Sicko will make you think, make you learn, and hopefully make you act.

Rather than focusing on Americans without health insurance that politicians usually talk about, Moore examines those who have it. He starts with a series of sad stories about the hardships people have had with insurance companies and then interviews those who have worked on the inside, allowing them to explain the tricks of the trade of denying coverage and saving the company money. Insurance companies are business so obviously profits are their motive, but how much is a human life worth? Would you understand if a company saved $500 as opposed to performing a test that could save your life? Your spouse’s? Your child’s?

The film looks at the U.S. government’s involvement in health care from Nixon's interest in Kaiser Permanente’s HMOs once he found out they were private enterprise to Hillary Clinton’s work as the chairwoman of the Task Force on National Health Care Reform and President Bush’s Medicare prescription-drug plan, whose main supporter, Congressman Billy Tauzin, went to work for the Pharmaceutical Research and Manufacturers of America the same day he left Congress.

Moore compares and contrasts the U.S. health care system with those of Canada, England, and France, all of whom come out better, but who is to say how accurate it is? Just because we don’t hear any complaints doesn’t mean there aren’t any, and I know from family experience that Canada has its flaws. However, it’s hard to argue, although surely some will, with the World Health Organization ranking the United States 37th in part due to our infant morality rate and life expectancy, placing us between Costa Rica and Slovenia. If our national basketball team were that bad, sports radio would be on fire with outrage.

Moore meets with people who have gotten sick from their volunteer work at Ground Zero, cleaning up Twin Towers debris and looking for survivors. These people are patriots who have severely damaged their health in the service of their country and only received lip service in exchange from the state and federal government. With many politicians boasting about the treatment of prisoners at Guantanamo Bay, Moore takes these American heroes down to the detention center, reasoning it only fair that they receive health care as good as Al Qaeda gets.

Not surprisingly, they don’t get in, so they enter Cuba and go to a hospital. Moore asks that they be treated just as anyone else would, but considering there are cameras around, it’s likely that they received the best care available, and since we see no other Cuban hospital, there’s nothing to compare. Undercover cameras would have provided a more accurate picture. However with that being said, Moore absolutely should not have been able to find anyone who worked or volunteered at Ground Zero who needed his assistance. That fact is an absolute embarrassment to the nation.

As is the footage of a taxi dumping an old woman on Skid Row when a hospital decided her stay was up, unfortunately not an uncommon practice in Los Angeles. Again, hospitals are businesses, so they have to make money, but can’t a better way be found to treat people more humanely? Was it necessary for civil and criminal lawsuits and over a half million in penalties to get Kaiser to treat people better? Does a dollar really mean so much to some people?

However it’s not all tears and tragedy as Sicko has many humorous moments. An insurance company had agreed to give a young toddler who was losing hearing in both ears only one cochlear implant, but when her father wrote a letter claiming he was going to contact Michael Moore, they were somehow able to do both.

In Sicko, Moore presents his version of the story of the U.S. health care system. Even though every single person does the same, he will be chastised for it because some people have yet to realize that documentaries are op-ed pieces. Is everything presented in the film accurate and true as presented? Who knows, but while you shouldn’t trust everything Moore presents, that same standard should be applied to his detractors. Seek out information on your own and make your own decisions.

This entry was posted on Sunday, June 24th, 2007 at 8:43 am and is filed under Celebrity Gossip, Movie Reviews. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.