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View Full Version : My review and thoughts on SICKO (LONG but informative)



Prince Valiant
07-06-2007, 12:26 PM
I have to make several qualifications:

1. I enjoyed the film, and I don't mind the debate...Moore was at times
funny, especially when dealing with canadians (how can you not be?)
2.I work in the healthcare field. Moore's distortions, misdirections, and
omissions were glaring.

The film itself was entertaining. I did feel that he went long, and
could have easily cut the much of the "french socialism rules" portion.
While he may make french socialism look appealing, a more realistic
look at France could have included their near 20% unemployment (much
higher if you are under 34 or a minority) and low productivity. Plus,
isn't this film supposed to be about healthcare?

But how does Moore distort the truth?

First glaring omission was that he left out any "the other side"
entirely in this debate. If the actions of the insurance companies or
Doctors were so egregious, he should have salivated at the prospects of
putting a spokeperson for the industry on the camera about some of the
cases he presented....after all, his contention is that the insurance
company "caused these people's deaths." How could they explain this
away? Sadly is, the only reason they couldn't present their side was that Moore doesn't
give them the opportunity to.

If we are searching for truth Mr. Moore, why not present two sides of
the story?

We are shown one individual who dies....DIES, 5 days after he's denied
approval for a bone marrow transplant, to which he had the "perfect
donor" in his little brother. The insurance company surely has blood on
it's hand after denying him this "life saving surgery."

Or does it? First, we never get the whole story. What stage renal
cancer did this individual have? What was his prognosis? Did he receive
conventional treatment (there are a myriad of conventional
treatments out there...so how did he find himself at a point of
searching for experimental treatments?)? Was there complicating
factors?

What was omitted seems to suggest to this observer a very sad case. He
probably had a very aggressive or was at a very advanced stage of the
disease that was not responding to any conventional treatment. Sadly,
when the disease advances to a certain point, and treatments are
proving to be ineffective, the prognosis for the individual is
certainly death.

Bone marrow transplant in the case of renal cancer, even very advanced
stages is certainly a new one to me. To suggest that it's experimental
is an understatement to say the least. That the surgery was even
offered at this late stage is mystifying, even. With the individual
dying 5 days after his final denial (even considering the purported 3
week prognosis offered by his doctors) suggest that his condition was
probably known to be terminal for some time.

No countries healthcare system, despite it's "ranking," would have
likely offered this option to the patient and his family. I feel that
sadly, the board of trustee's were made to be the bad guys in a case
where the patient and his wife were simply in stages of denial,
including bargaining and anger. The appeal commitee had to do
what no one else would....be the ones that said "no, we won't pay" because
he was in fact, already handed a death sentence by his disease a long
time ago.

But, it wouldn't be like Moore to look at the whole
picture...especially if it doesn't work toward his agenda. To add race
into this case was even better (But Moore could have pointed out that
in the US, blacks have better survival rates than whites with this
particular disease).

Was using cases like this to create a false impression of US healthcare
the exception in this movie? No, it was the norm. Many of the cases used had omissions similar to this. Maybe he was afraid of HIPPA? Why did he not make the case what kind of treatment these individuals would have recieved in other countries? Would the deceased patient above have received a bone marrow transplant in Canada?

Literally, I took a notebook to the movie....I was writting the entire time. A book could be written refutting many of Moore's distortions.

A favorite claim was that "so and so have longer average life spans than americans!" or "lower infant mortality rates," etc. Here's how Moore works...he tells a truth (the stats are true in fact), but then draws a false conclusion. Niether of the above is a measure of the quality nor the access of US health-care. So while he touts them as proof of superior canadian care, or superior cuban care, they aren't.

Life-expectancy has many, many, many factors that are wholely divorced from the quality of the care delivered. Ethnicity and local diet are the key contributers to expectancy. Look at a Cuban diet, why not...not many fat cubans in cuba, is there?

Infant mortality rate is also misleading....do you REALLY think that the US is behind Cuba in neonatal care? One must consider that the cuban abortion rate is almost 60%!!!!!! There is no such thing as a "dificult pregnancy" in cuba. One abnormal peep out of the kid, and it's the surgical coat hanger for the little guy :(. Here in the US, there are many dificult pregnancies, premature births, women having birth later in life (another complicating stat)...considering all things, the US infant mortality rate is unparalleled.

But this is Moore. He doesn't really make films to make honest
contributions to debate, but to make money. He knows his base of fans
will eat his stuff up, lining his own pockets with millions of dollars
in the process. Does he make stuff they'll enjoy? You bet.

Is this to say our system is perfect and in no need of reform? No, not at all. When we deal with the problems of the "uninsured" in the US, then let's focus on the unisured, and how to get them insured...this in and of itself doesn't require a complete overhaul of the system.

But, here's a question for those that favor canadian/british/french style care: IF, HMO care is so atrocious here in the US, why then would we overhaul a system that would make for essentially, a bad, nationwide HMO?

I know it's a loaded question, but cosider this: All examples of nationalized healthcare are run virtually identical to that of HMO's in this country. So if US citizens hate it so much now, why will we LOVE it in the future?

Prince Valiant
07-06-2007, 12:27 PM
We are ALWAYS told that US care is SO expensive compared to canadian style care...but is it? If you compared our utilization of care, the cost advatage of the canadian style care dwindles markedly. Canadian style limits your access. Here in the US, I might see, when I want, an orthopedist specializing in sports medicine for my knee sprain...since I hurt it playing basketball. He Dx's it as a torn ACL. We decide on surgery scheduled anywhere from 1 week to 1 month after the injury, followed by PT for 6 months, and 6-9 months after injury, I'm back playing.

In Canada...I see a primary care doctor. No choice in the matter. He, not having the orthopedic training dx's me as having a knee sprain, tells me to take a month off, and get back into things slowly. Come back if there are any problems.

So a month or two later, I've had no improvement in my knee and I return. The primary care doc decides on getting an MRI to dx what is in fact wrong with my knee.

So I call up to schedule an MRI. The closest MRI to me is about 30 miles (versus 10 within a 5 mile radius of my home in the US) since hospital's aren't exactly "abbundant" in canada. They schedule me based on priority...being a non-life threatening sports injury, and the fact that there are reams of people ahead of me, I might have to wait 3-6 months for the MRI.

Now, 8 months after the injury, I have my MRI, and it's revealed that I did in fact tear my ACL. While I'd already be back to playing in the US, I'm just now finding out definitively what's wrong with my knee.

So now, I'll have to schedule to see an orthopedic surgeon. Again, due to the fact that there aren't as many surgeons per capita in canada as in the US, AND the fact that this isn't an emergency, i'm placed on low priority. It takes about 2-3 months.

I go visit the surgeon and several options are presented....1. PT. Knowing that my knee hasn't improved in the year since I tore it, and knowing that I don't want to be on a low priority list waiting for PT services, I select option #2) Surgery. Damnations! another list! This one will place me about a year or so before I can get in before surgery...hopefully.

See, the problem is that to control cost, canada has to limit access. Surgeons can only do X number of surgeries a week. And with there only be Y number of surgeon's, and X*Y being less than Z (the number who need surgery), well, you can see why they wait.

But, at least I'm seeing a surgeon someday, right? He'll fix my knee up, just as good as in the US! Well, maybe. Certainly there are fine doctors in canada as in the US. But, whereas in the US, a docotor may chose to specialize in Knees, even a particular procedure, pratice restrictions don't allow that Canada. I can choose a surgeon here based on the number of surgeries he performs...if he does 150 ACL reconstructions a year, hey, I'm in. In canada...this guy might see 1-2. Or 15. Or he might have done 100 in his life. Unless there is a compelling reason to see someone who actually specializes in the surgery in canada (such as you are a pro-athlete, a top amatuer, etc), you see who you are sent to. Whereas I could choose based on experience in the US, I can't in canada.

So 1 year's past, two since the injury, and I'm having the surgery performed. During the rehab process, I saw my PT about 1/wk, to 1/2wks (as oppossed to the 2-3/wk I might see a PT here), and roughly 2 1/2 years after the injury, I'm back to playing.

Now, let's not negate the fact that 2 years with a torn ACL flopping around within the knee isn't exactly the best for the knee (potential to tear the meniscus from laxity, tear articual cartilage, cause excessive scar tissue to form, all recipes for early onset arthritis for most people), nor the fact that mt leisure activity was dramatically altered during this time (no running, skiing, no basketball, etc) for this examples sake...is canada still cheaper? Not if everyone in canada was afforded the same choices I'm allowed to make here.

The system here CAN be fixed...IT needs tweeks. Not overhaul. And shrill propoganda isn't going to help solve the issues with our system of care, but reasoned thought and debate. Don't let the Moore's of the world lie to you.

HITMAN
07-06-2007, 01:44 PM
Excellent review and commentary. Your verbose style suits you well in this instance. I've heard about this movie and I suspected it was more of Moore's one-sided liberal "America Sucks" propaganda. You've confirmed my suspicions.

The big problem with Michael Moore is not that he is a left-wing Moon-Bat with an agenda, it's the fact that he acts like some self-anointed savior of the world that just speaks the truth, the whole truth and nothing but the truth. At least guys like Limbaugh, Hannity and Belling will admit that they are nothing more than entertainers with a Conservative view-point and agenda. Donut-boy will admit to no such thing.

You pegged him for what he is, a typical Hollywood liberal, whose quest for the almighty dollar forgoes any approximation of a true documentarian. If he were REALLY interested in an intellectually honest documentary, he would present both sides in a neutral fashion and keep his own politics out of it.

Could you actually imagine an intellectually honest Michael Moore film? Fat Chance... ;)

subliminal1284
07-06-2007, 02:02 PM
As much as I dont like moore and I agree he was very one sided, I do not believe healthcare should be as profitable as it is. Helping other people is more important than making money.

fireguyrick
07-06-2007, 02:24 PM
As much as I dont like moore and I agree he was very one sided, I do not believe healthcare should be as profitable as it is. Helping other people is more important than making money.

And bringing a lawsuit against the person that helped you is more profitable then saying thank you.

Rick

subliminal1284
07-06-2007, 04:26 PM
Unfortunantly thats true, Americans are too greedy and we will sue over any little possible thing we can.

Yooformula
07-06-2007, 04:32 PM
got cliff notes? sorry i kept walking away at work while reading your post Chris so it took me forever..lol

xxsn0blindxx
07-06-2007, 04:50 PM
Cliff notes: Michael Moore does his usual bit of taking specific cases and slanting them to fit his agenda, conveniently leaving out any other factors that may weigh against what he is trying to show. The primary case was a guy who was denied a bone marrow transplant for renal disease with his brother as a donor and he died 5 days after the final rejection. He does not address that the surgery was highly experimental and unlikely to have helped and that the guy was probably terminal. Of course he didn't bother to be thorough and show the dissenting opinion and try to refute it, because well this is Michael Moore and he doesn't prove things he just sensationalizes them.