Guest guest Posted July 9, 2007 Report Share Posted July 9, 2007 --> July 6, 2007 Guest: Steve Benen NATIONAL HEALTHCARE = TERRORISM....Conservatives want Americans to fear a national health care system. Conservatives also want Americans to fear Muslims. What better way to demagogue two birds with one stone than to connect the two in a transparently ridiculous discussion on Fox News? [Yesterday] on Fox News's Your World With Neil Cavuto, National Review Online columnist Jerry Bowyer attacked Michael Moore's movie SiCKO and its positive portrayal of the health care in countries such as Britain and France. He argued that national health care systems are breeding grounds for terrorists because they are " bureaucratic. " " I think the terrorists have shown over and over again ... they're very good at gaming the system with bureaucracies, " said Bowyer. The chyron, by the way, told viewers during the segment, " National Healthcare: Breeding Ground For Terror? " It was in all caps, and it wasn't trying to be funny. Indeed, Bowyer added, " f one of your guys is a jihadist, if one of your doctors is spending all the time online reading Osama bin Laden fatwas, someone's going to notice that. But the National Health Service is more like the post office, you know there's a lot of anonymity, it's easy to hide in the bureaucracy. " To which FNC personality Cavuto responded, " The fact that we may be looking to go this way in the United States, you're saying one of the potential consequences -- without judging national health care one way or the other -- is that this could happen. We have to be at least aware of the distinct possibility that in such a system, we would have to recruit outside doctors, and where we're getting the most of them these days seems to be from the Muslim world. " Of course, this was not to " judge " the merits of a national health-care plan; it was just Cavuto's way of alerting FNC viewers that advocates of such a plan are undermining national security by inviting terrorists into the country. That is not, Cavuto told us, a value judgment on his part. What's more, this seems to be a new talking point, particularly this week, among conservatives who no longer worry about appearing credible. National Review's Iain Murray argued a couple of days ago, " The socialization of medicine in the UK is responsible for a lot of problems. The importation of terrorists is just one of them. " So let this be a lesson to all of us. National health care may offer better care to more people for less money, but that won't matter because your doctor will be an al Qaeda mole. We've been warned. —Steve Benen 8:55 AM http://www.washingtonmonthly.com/archives/individual/2007_07/011634.php ---------------------- Doctors wary of 'socialized medicine' Movie renews debate on whether government should run health care By DEBBIE GILBERT The Times GAINESVILLE Last week's debut of filmmaker Michael Moore's latest documentary, " Sicko, " has reignited debate over whether the United States should have universal health care. Moore argues that there should be a single-payer, government-run system, which theoretically would solve two problems. It would cover the 45 million Americans who don't have health insurance, and people would no longer have to depend on their jobs for medical coverage. But many doctors in Northeast Georgia think it's a bad idea. " Single-payer health care would do more harm than good. It's not going to do anything to contain costs, " said Dr. Jack Chapman, a Gainesville ophthalmologist who is president-elect of the Medical Association of Georgia. Dr. Rodney Smith, a Gainesville general practitioner who helped start Hall County's Health Access Initiative for the working poor, believes America " desperately needs " universal coverage. " But the tricky aspect is how exactly that gets done, " he said. " I certainly do not want a single-payer system, because customer satisfaction would go down. In a government-run system, there's less of a work ethic. " Even physicians who hate insurance companies aren't thrilled about the feds getting involved in health care. Dr. Gary Berliner runs a Dawsonville clinic that circumvents insurance by offering affordable care on a cash basis. " I'm not a big fan of insurance companies, because 'managed care' means 'no care,' " he said. " But with a national health system, you'd be back to managed care. Both systems work by denying service. " Doctors wary of 'socialized medicine' Berliner said he has worked as a physician in Germany, Israel, and England, all of which have some form of nationalized care. " In all of those places, the political elite gets the best service. No one else gets care except on the most basic level, " he said. In the admittedly one-sided " Sicko, " Moore travels to England, France, Canada, and even Cuba to show how the citizens of those countries benefit from having free access to care. But critics say he fails to mention the disadvantages of such systems. In Canada, the situation has gotten so bad that it's driving doctors to practice elsewhere, including Gainesville neurosurgeon Dr. Bruce Nixon, who moved to the United States in 1993. " Things aren't perfect in the U.S., but it's far better than what Canada has, " he said. " Doctors there have no control and aren't able to do anything for their patients. It's basically wait-in-line medicine. You have to wait up to two years for joint replacement surgery. " Far from being egalitarian, Nixon said the Canadian system is just like any other: The richest people will always find a way to get top-notch care. " When I was practicing in Toronto, people who did not want to wait eight months for an MRI would go down to Buffalo (New York) or to the Cleveland Clinic and pay for it themselves, " he said. Nixon said in Canada it's illegal for a citizen to pay for an MRI, even if they can afford it. The national health system does not allow any for-profit competition. " My brother is an ophthalmologist, and he's still practicing in Canada, " Nixon said. " He's thought about leaving, but he's been able to make a living because he can do procedures (such as laser eye surgery) that aren't covered by socialized medicine. " Nixon said the single-payer model has been " a disaster " in every country that has tried it. " It doesn't work, " he said. " It bankrupts the government, and people abuse it. " Insurance: government-controlled or for-profit? Instead of the government automatically insuring everyone, Nixon believes people should be forced to take responsibility for their health care. " Most people who are uninsured got into that situation because of poor choices they've made, " he said. " We require people to have car insurance; why can't we require them to have health insurance? " Nixon would get no argument from Gary Reynolds, a Gainesville insurance broker. " I don't deny that there are a very large number of people without insurance. But many can afford it and choose not to buy it, " he said. " I can't see changing the system for everybody just because a few people have a need. " Reynolds believes a nationalized system would create " an awful mess. " " You would have no control over who your doctors are or what kind of care they provide, " he said. " The current system may be confusing, but that's the way competition is. " Moore contends that the problem with health care in the U.S. is that it's profit-driven. And on that point, Berliner agrees. " If your sole goal is to make a profit, you end up with managed care, which rewards doctors for doing less and saving the company money, " he said. " The goal should be good patient care. " Yet governments, which are always constrained by budget limitations, could end up rationing care in much the same way. And Chapman believes the overall quality of care would be worse. " There's no consumer choice, no incentive for innovation or cost control, " he said. " And individuals aren't motivated to improve their health because they're not paying the bill. " Smith said in some cases it's clear that competition has been beneficial. " Northeast Georgia Medical Center now has the No. 1 heart center in Georgia, " he said. " That would not have happened if we had had to apply to the state for money. So we do want to preserve the free-market system. " ER substitutes for universal coverage But while the Gainesville hospital has won awards for its cardiac and cancer programs, it also struggles to treat thousands of uninsured patients who come to the emergency room with non-life-threatening ailments. A federal law requires hospitals to treat everyone who comes to the emergency department. And that, in essence, has become America's default national health care system. But it places the burden on hospitals instead of on taxpayers. Cathy Bowers, spokeswoman for Northeast Georgia Medical Center, said the hospital spent $47.5 million on uncompensated care last year. When the number of uninsured patients exceeds the number who are able to pay, a hospital begins hemorrhaging money. That's a major reason why Atlanta's Grady Memorial Hospital is in danger of closing. " There are currently about 1.7 million uninsured Georgians, and it costs more than $1.2 billion a year to care for them, " said Glenn Landers of the Georgia Health Policy Center at Georgia State University. " But it's not clear that we would save any money if there were a single-payer system. There's a lot of debate right now about whether health care is a right. And even if it is a right, how much are we willing to pay for it? " What critics of government-subsidized health care may be forgetting is that the U.S. already has two enormous, federally run programs: Medicare and Medicaid. " People who have Medicaid are actually in pretty good shape (in terms of access to care), " said Smith. " And Medicare is better now that it has prescription drug coverage. " Smith believes universal coverage might be achieved by a combination of public and private plans. " We should keep the free market, but have a way for government to step in for people who can't get any other coverage, " he said. " If Medicaid could act as the insurer of last resort, I think it could work. It's such a large organization that its overall administrative costs are low. " Insurance plans mired in bureaucracy But Medicaid, a joint state/federal insurance program for the poor, has its own difficulties. " There's a lot of negatives in dealing with only one or two payers, because you're at their mercy if something goes wrong, " said Mimi Collins, chief executive officer of the Longstreet Clinic, Gainesville's largest multi-specialty practice. " But purely from an administrative standpoint, having a single payer would make things easier. " Last year, Gov. Sonny Perdue decided to move Georgia's Medicaid patients into a system much like the HMOs (health maintenance organizations) that privately insured patients are familiar with. Collins thinks these CMOs, or " care management organizations, " may be worse than having a single-payer system. " The problems we've experienced with the Medicaid CMOs have been a nightmare, " she said. " There is a lack of accountability. I spend so much time on the phone arguing with insurance companies, and I'm very frustrated. And now we're starting to see the same issues with the new Medicare Advantage plans. " Any benefit that government-run health care might have offered is negated if it's outsourced to for-profit companies, Collins believes. " My fear is that instead of a universal payer, the government would just privatize their programs to existing insurance companies, " she said. So Longstreet would still have to employ a whole office full of people to handle insurance claims. " I've got a team that does nothing but Medicaid, another team that does nothing but Medicare, and another that does commercial insurance, " said Collins. " That's because the rules for each type of insurance are different, and it's so complex that no person can be knowledgeable about all of these plans. " Collins said the people who are employed by the insurance plans don't seem to know much, either; she said she encounters incompetence in both government-run and private programs. " There are some good trends in the insurance industry, such as wellness programs and evidence-based medicine, " she said. " But there are still a lot of reforms that need to be made. The only way a physician gets paid is by doing something, which has led to overutilization of tests and procedures. They still get paid very poorly for an office visit. " Equal coverage for everyone? Chapman agrees that there's not enough incentive for preventive medicine. But he thinks that in order to take responsibility for their health, patients need to understand how much things actually cost. " Right now, health care is like flying on an airline, " Chapman said. " Your plane ticket may have cost twice as much as the guy's in the seat next to you. Similarly, you can have two people with appendectomies at the same hospital and one paid a lot less, because their plan negotiated a better deal. " That inequity, with patients being penalized for having bad insurance or no insurance, is what leads advocates like Moore to call for universal coverage. After all, not everyone who lacks insurance is just too lazy or cheap to buy it. " This is a big problem for people who get sick with cancer or another serious disease and lose their jobs, " said Collins. " Then they can't get coverage anywhere. " Reynolds acknowledged that it's tough for people with pre-existing conditions to get affordable insurance. But he said that's an unavoidable fact of life in the United States, where the health care industry is big business. " Insurance plans can't accept everyone who applies, " he said. " If they did, the companies would go bankrupt. " And, as Nixon has pointed out, budget crises are already occurring in countries that have tried to provide coverage for every citizen, regardless of their health status. But local doctors still hope that politicians will be able to come up with a solution that balances compassion with financial stability. " Sometimes, you have to look at what's the right thing to do, " Smith said. Contact: dgilbert; (770) 718-3407 Originally published Sunday, July 8, 2007 http://www.gainesvilletimes.com/news/stories/20070708/localnews/183829.shtml ------------- Weekend Edition July 7 / 8, 2007 A Film, Militant Nurses and a New Opportunity for Single Payer Health Care Will " Sicko " Spark a Movement? By ALAN MAASS At sneak previews across the country last month, the red carpet outside the theater wasn't for preening and paparazzi, but picket lines. Members of the California Nurses Association (CNA) traveled to the premieres on a bright red bus that let them off to hold protests and pass out information before each screening. Also on the bus were representatives of Physicians for a National Health Program and a number of other unions, including state chapters of the American Nurses Association, the United Steel Workers and the Communications Workers of America. The tour was capped off with a turnout of nurses and doctors at theaters in 30 cities when the film officially opened to sold-out audiences June 29. Some reporters from the mainstream media complained that chanting nurses interfered with their red-carpet interviews of Moore, but the activists got a warmer greeting from audience members. " I think that one of most notable things was how universal the response was, no matter which city we went to, " said Jan Rodolfo, a CNA member and nurse at the Alta Bates Summit Medical Center in Oakland, Calif., who traveled across the country on the bus. In Los Angeles and Washington, D.C., said Rodolfo, the first five rows of the theater were reserved for nurses, and in New York, the CNA members escorted Moore into the theater and stood with him as he introduced the film. " In every premiere, there were people weeping, " she said. " And when the film was over, there were people walking out of the theater, just demanding to know what they could do to change things. " According to the CNA, at least 10,000 nurses have signed up to help in a campaign to win legislation from Congress creating a " single-payer " system that would cut out private insurance companies, and expand a vastly improved Medicare system to cover every person in the country. " There were huge numbers of nurses, in particular, coming out in the different cities, who had never been involved in unions or health care reform activism before, and who were just beyond excited to be there and wanting to get involved for the first time, " Rodolfo said. The impact of the movie was felt beyond the theaters where the activists turned out. A movie reviewer in Dallas--the heart of Bush country--described how he emerged from the bathroom after a screening to find that " [t]he entire Sicko audience had somehow formed an impromptu town hall meeting in front of the ladies room...[H]ere these people were, complete strangers from every walk of life, talking excitedly about the movie. It was as if they simply couldn't go home without doing something drastic about what they'd just seen. " The meeting ended, said the reviewer, with an exchange of e-mail addresses and plans to " get together and do something...It was like I was standing there at the birth of a new political movement. " * * * SICKO IS perfectly made to give form to the simmering bitterness with U.S. health care system. Its focus is on the victims of the system--in particular, people who thought they were fully covered, but discovered they really weren't when they needed it. That's a familiar story--as Moore learned when he made an appeal on YouTube for people to reach him with their " health care horror stories. " In the first 24 hours, he got than 3,700 responses. More than 25,000 people had contacted him by the time a week had passed. People often live through their own health care nightmares without a sense that the system is a source of frustration for millions of other people throughout U.S. society. Sicko is changing that. Politicians of both parties are alert to the discontent. But their rhetorical flair in sympathizing with victims of the health care system hasn't been matched by action. The latest mantra among politicians of both parties is " universal health coverage. " Republican presidential contender Mitt Romney claims he achieved it with a Massachusetts law passed while he was governor, and Oregon's Democratic Sen. Ron Wyden says this is the goal of his Healthy Americans Act, proposed in Congress late last year. But in reality, these bipartisan proposals would be a cash cow for the insurance industry--and would worsen the health care crisis facing working people. In Massachusetts, for example, Romney's " universal coverage " proposal requires all residents to be signed up with a health insurance plan by the beginning of this month, or face a stiff penalty on state income taxes. On the other hand, fines for companies that don't meet requirements for providing health coverage for employees are a drop in the bucket. The effect of the law will be to undermine the already ailing employer-provided insurance system, while driving the uninsured into stripped-down insurance plans, with high deductibles and out-of-pocket costs--the very plans that Sicko took special aim at. Instead, Sicko stakes out the case for a real alternative--a single-payer system that eliminates private insurance and covers everyone. That's created an awkward situation for the leading Democratic presidential candidates, who have put forward health care proposals that, on closer look, have a lot in common with the " universal coverage " shell game. As the Los Angeles Times reported, Hillary Clinton, Barack Obama and John Edwards " all have staked out positions sharply at odds with Moore's approach. But none of them is eager to have that fact dragged into the spotlight. " The liberal Internet network MoveOn.org tried to blur the differences between Moore's call for fundamental change and the Democrats' proposals. " Several 2008 candidates--John Edwards, Dennis Kucinich, and Barack Obama--have plans to guarantee affordable health care for everyone with a public insurance option, " MoveOn said in an e-mail to members. " These are the most forward-thinking proposals ever seen in a presidential race. " But only Kucinich supports single-payer legislation. Edwards' and Obama's plans fall short of " guaranteeing affordable health care for everyone. " As for these being the " most-forward thinking proposals ever seen in a presidential race, " Democrat Harry Truman backed a far more radical national health insurance plan in his 1948 presidential campaign, and for decades after, Democrats regularly affirmed their commitment to this goal--though they didn't do much to work toward it. On its bus tour, the CNA challenged not only Democrats but other unions that have made concessions to the health care industry, rather than commit to a single-payer proposal. CNA Executive Director Rose Ann DeMoro accused the Service Employees International Union (SEIU) in particular of giving cover to politicians who refuse to support legislation for a single-payer system. " t makes [the politicians] look like they are accomplishing something when in fact they are accomplishing nothing, " DeMoro told the Corporate Crime Reporter. The proposals put forward by Clinton, Edwards and Obama are the product of 30 years of retreat and rightward shifts in official Washington politics. By contrast, ordinary people are clearly ready for much stronger measures. According to a CNN poll in May, 64 percent of people said they thought the government should " provide a national health insurance program for all Americans, even if this would require higher taxes. " A New York Times/CBS poll in February found that six in 10 people were willing to pay higher taxes so that everyone had insurance. According to the Public Policy Institute of California, its survey found that " by a two-to-one margin, most prefer 'a universal health insurance program in which everyone is covered under a program like Medicare that is run by the government and financed by the taxpayers' nationally to 'the current health insurance system in the United States, in which most people get their health insurance from private employers, but some people have no insurance.' " As Rodolfo pointed out, " The public in general in the U.S. is ready for some kind of universal health care, but it isn't clear enough about what that needs to look like. " If a case isn't made for a genuine alternative, she said, it's easy for people to be pulled toward one of the more " realistic " proposals. " [M]y sense is that up until this movie came out, you could be Hillary Clinton or Barack Obama or John Edwards--or even Rudolph Giuliani or Mitt Romney--and be out there talking about supporting universal health care, and the folks you're talking to weren't looking for a distinction in terms of what that actually meant, " Rodolfo said. " So my hope now is that any time one of these politicians stands up and advocates for health care reform that would expand the private health insurance industry, people are going to stand up and go, wait a second, the health insurance industry is the problem, not the solution. " I'm hoping that the movie is going to bring a new consciousness about the role of insurance companies, in particular, as the root of the problem, and it will really refocus things on single-payer. " * * * THE SINGLE-payer legislation sponsored by Reps. John Conyers and Dennis Kucinich is a stark contrast to the half-measures and concessions to industry floated by other politicians. Known as HR 676, it would create a comprehensive system under which everyone--all U.S. residents, regardless of immigration status, from cradle to grave--is covered by a single, government-administered health program. The proposal would forbid " a private health insurer to sell health insurance coverage that duplicates the benefits provided " under the government system. The bill would allow a mix of private and public health care providers, but all private companies would have to convert to not-for-profit status--though over a too-generous 15-year " transition " period. Estimates of funding for the program are $1.9 trillion a year--to be raised through the already existing Medicare tax on employees and employers, an additional payroll tax on employers (which nevertheless would still pay less per worker for health care than under the current system), and increased taxes on the wealthy and big corporations and banks. Mainstream politicians claim that a single-payer system is a pipe dream--and that their " universal coverage " proposals are more " realistic. " But the problem, as Sicko makes clear, is built into the fabric of a privatized system. As Nation reviewer Christopher Hayes put it, Sicko shows why " if single-payer is ever going to come to America, it's going to be over the insurance companies' dead bodies. " A single-payer system would be only a first step toward truly rational health care. For example, though the government system would negotiate a better deal on drug prices, pharmaceutical companies would remain private. And in other countries with national health care, any restrictions in coverage have served as the means for private insurers to undermine the state system by " supplementing " it. But a single-payer system in the U.S. would be a huge advance. Above all, it would establish in the U.S. the principle that exists in other industrialized countries--that health care is a right, guaranteed to everyone. The fundamental priority, as left-wing British Labour Party leader Tony Benn says in Sicko, " is solidarity. " The health care industry won't give in without a sustained struggle--one that organizes health care providers as part of a broader political mobilization to demand change. It will take more than a movie to win the kind of dramatic change that's needed to begin fixing the American health care system. But this movie--along with the efforts of the activists who greeted viewers outside the theaters with information on how to get involved--could be the first spark of a new movement. Alan Maass is the editor of the Socialist Worker and author of The Case for Socialism. He can be reached at: alanmaass http://www.counterpunch.org/maass07072007.html ---------------------------- Declaration of Independence Day Edition July 4, 2007 Aren't We All Like Marie Antoinette? Is My Doctor a Terrorist? By CLAUDIA JOHNSON Doctors involved in London terror plot! Registrar at a Gold Coast Hospital arrested at Brisbane airport! The thought hit right when I heard the radio news: Is my psychiatrist a terrorist? Criminal profiling has found that young professionals from good backgrounds, often engineers, (and now doctors), living away from their home countries were typical terrorists. Workmates usually describe them as model citizens. On the first visit to my psychiatrists' fusty consulting room, some Islamic pictures on the wall suggested to me that his background was other than Christian. He came from a country where Islam was the majority religion. But as our relationship needed to be scrupulously professional I knew it was inappropriate to engage him in chat. Curious as I am about most peoples' lives, this was one person who must remain a mystery to me. I moved right along to the serious problems in the world: my feelings. My depression, my sense of failure at not having won a Nobel or a Booker prize. My husbands' Narcissistic Personality Disorder. My problems wrestling with the constant upkeep of the McMansion. I was so middle-aged, so disempowered. My suffering was immense and my depression was assessed as serious and chronic--requiring a high dose of anti-depressants. I think he was an excellent psychiatrist, rarely commenting as I burbled. When he did intrude, his remarks were so incisive they were like bolts of lightning. When I saw him again after the summer holidays, he had been visiting India when the tsunami had hit, and had seen the terrible suffering. I extracted this information from him. In view of the world-shattering nature of the tsunami, I feel so stupid twittering on about my tiny problems, and told him so, but he brushed this aside. We continued with the monthly appointments. I always wondered how we all must appear to him: us spoilt fortunate Westerners, suffering the curse of Western culture--depression. Did he secretly despise us, as we poured out our pathetic innermost secrets? Could he not, possibly, even begin to hate us? That would be understandable. In the country my psychiatrist came from, most people live hand to mouth, they sleep under cardboard. Even under our organic feather doonas after our Sleepy Time Tea in silk teabags drunk from our fine china mugs many of us can't get to sleep, we have so many worries, so much stress. This is one of the thoughts that troubles me when I can't get to sleep: as we order newer, wider flat screen televisions, aren't we like Marie Antoinette before the French Revolution? And most of the luxuries with which we pamper ourselves--our fine china, embroidered sheets, our soft fluffy pajamas-- aren't they made by underpaid workers cruelly repressed in Third World countries? Yes they are, that's why they are so cheap, and that's why we can afford to buy so much stuff. In the second year when I saw him again after the summer break I asked, " How was your holiday, did you go to Queensland? " We had been getting personal to the extent that we exchanged summaries of holiday plans. " No, " he said, " I went on a group pilgrimage to Mecca. " What a barbecue-stopper! I was taken aback big-time. Having met people who have been just about every single place in the world including the top of Everest and the tip of Patagonia, a Mecca pilgrimage was a first.To my fascination I realised I was still unsophisticated and a racistthat I felt some sort fear of what is fashionably called " the Other " . But I did not want him to sense this, to feel hurt or insulted, or not accepted.I did not want him to think I was one of those crass John Laws-worshipping Aussies discombobulated by anything other than the straight-forward love of ball sports even though I was much closer to being that than I had realised. And I couldn't ask: " How was the food? " or " Did you have a lovely hotel? " But as I was curious, I said, " Can I ask you what were the other pilgrims saying about what they feel about Australia and the reactions here to Islam? " (The usual debates had been going on.The usual ill-chosen mullahs had been making ill-chosen remarks to which all sorts of unhelpful responses were made. The whole scenario was a mess.) " They were not talking about Australia " he replied, " All they thought about was God, and asking forgiveness from Him. " Right. OK. So on hearing that Islamic doctors practising in the West were apparently involved in the latest terrorist bombing attempts, I thought about Dr Ali. And wondered, just for a second, could my psychiatrist be a terrorist? As I had just proved to myself with my jokey but kind of serious mental queries about Dr Ali, (in whose consulting rooms I have never seen so much as a single packet of fertilizer) all Muslims are under suspicion, a situation which must make those younger wilder engineers more prone to catching the Jihad bug. And make all the others, even more enraged than they already were about Palestine. Us bourgeois leftie whiteys are tearing our hair and doing the sackcloth and ashes thing. We confess the obvious that Westerners are greedy over-consumers, that much of our culture and media is crass, that we have polluted the planet and plundered and colonised many a country and that Israel is a big problem. So we have sinned, and fallen short etc. As Palestine is attacked, and thousands of Iraqi and Afghanis civilians burn, that creates thousands of reasons why groups of religious extremists could egg each other on to visiting a symbolic revenge by laying plans to eviscerate the innocent on the streets of Britain. Does that explain the silence about the Jihadists on the part of the general Muslim population themselves? When born-again Bush and his administration unleashes carnage in the name of freedom and democracy, millions of Westerners protest, and have continued to do so ever since the mystery of his so-called election. Is there an equivalent protest by the educated Islamic community against the theories and actions of those who pack cars with explosives and nails , in the hope of achievingwhat? And what on earth do doctors, with their revered profession, have to do with this madness? There are many questions I would like to discuss with my psychiatrist , but it's probably safer to stay on tried and true ground: me, me, me .... Claudia Johnson is the pseudonym of a writer who wants to maintain good relations with her psychiatrist. She is associated with http://www.homepagedaily.com. http://www.counterpunch.org/johnson07042007.html ------------------------ 'Sicko' tells only part of health story (Original publication: July 8, 2007) If you believe the horrific statistics, 69 million American adults are obese, or severely obese. Among them are 3.8 million who weigh more than 300 pounds and 400,000 who weigh more than 400 pounds. Forty-five years ago the number of people considered to be dangerously overweight amounted to 13 percent of the population. As of the year 2000, it stood at 31 percent. I could go on and on with this. But you already know the score: Obesity is a national crisis that correlates with the rise of diabetes, heart disease and other ailments. The strain this puts on the cost of health care is nearly incalculable. I'll bet Michael Moore would be considered obese - though I have no idea what his body mass is. But he's unquestionably fat, and certainly does not look healthy by any objective standard. Moore's corpulence stopped me short every time he appeared on camera in " Sicko, " his seriocomic indictment of the American health-care system. As a satirist, Moore never lets the facts get in the way of his message. But in the case of " Sicko, " the fact of his obviously large belly couldn't be ignored, at least not by me. It was the one joke in the film that was unintentional. For nowhere in " Sicko " does Moore even make the slightest reference to preventive measures like diet and regular exercise as an important piece of the overall health-care puzzle. Nor for that matter does he mention cigarette smoking, drug abuse and alcohol. Now, I should say here that I enjoyed " Sicko. " As I said on my blog, Moore provides a service in his opinion-documentary - let's call it an opinumentary - by exposing the corporate greed of the health insurance industry, whose bottom-line raison d'etre is to come up with new and ever-corrupt ways to deny sick people adequate care. He takes a well-aimed shot at the forked-tongue politicians like former Louisiana Rep. Billy Tauzin, the sleazeball architect of the Medicare prescription drug bill whose reward was to get a $2 million-a-year lobbyist job with the pharmaceutical companies. Though it clearly grieves him to do it, Moore even singles out his heroine, Sen. Hillary Rodham Clinton, for ridicule, revealing that she's second only to Rick Santorum in accepting campaign donations from health-care special interests. The passing slap at Hillary is Moore's idea of " balance, " and is probably one of the reasons why " Sicko " hasn't sustained as many apoplectic attacks from the right as " Bowling for Columbine " and " Fahrenheit 911 " did. For instance, when I saw " Fahrenheit 911 " at the Bronxville movie theater, the police were summoned because somebody was staging some kind of minor protest either against or for Moore's statement. I couldn't be sure. In any case, I saw " Sicko " at the same theater and there was no excitement afterward, unless your definition of " exciting " is a guy on the street handing out fliers for moveon.org. Former New York City Mayor Ed Koch, an online film reviewer, who gives out plus and minus ratings, told me on my WVOX radio program last week that he would probably see " Sicko " because " he did something he normally doesn't do - he stated facts. " At the same time, Koch pretty much summed up the feelings of many Moore-bashers when he said, " I don't like him. He is the pits, in my judgment. I believe he is so filled with hate of America, I don't want to contribute to his fortune. " (That shouldn't be a problem since Koch gets to review movies without having to pay for his tickets.) Moore is preaching to a larger choir this time. After all, just about everybody has a complaint about the health-care system, even the lucky ones among us who have insurance. But even with " Sicko, " Moore is more punch line than " Frontline. " He relies on his usual bag of tricks - the wacky, Looney Tunes-type graphics, entertaining outakes from President Bush's vast trove of bloopers and blunders, and, of course, pathos provided by truly heartbreaking stories from bereaved victims of a cold, heartless world. Is there a Michael Moore movie that hasn't had a tearful, " Queen For a Day " moment? In his moralizing, Moore oversimplifies a complicated issue. His essential message is that Western European countries and Canada have socialized medicine and so should we, though he conveniently leaves out all the bad parts. When I watched " Sicko, " with all its appealing propaganda about free prescription drugs, doctor house calls and the like, I thought perhaps the answer to our health-care problems is to simply let the 40 million uninsured Americans illegally immigrate to, say, France. Lafayette, we are here! Not that France doesn't already have an immigration problem, but you won't know that by watching " Sicko. " Finally, Moore travels to Cuba with some ailing 9/11 rescue workers who are in desperate need of medical treatment. Lo and behold, they get first-rate care in the land of Castro, of all places! What Moore neglects to report is that the average Cuban has to beg for medicine while top government officials, military personnel and tourists like Moore and his entourage receive top-drawer care. Indeed, Cuba actually boasts " health tourism. " In one account I've read, Cuba especially attracts foreigners seeking cosmetic surgery like liposuction and tummy tucks. This leads me back to Moore and his weight problem. As it turns out, reports have it that Moore actually took this problem in hand and got highly specialized treatment. He lost 50 pounds. No, he didn't waddle up to Canada. He didn't sashay to France. Or swim to Cuba. He enrolled at the Pritikin Longevity Center & Spa in Aventura, Fla., where rates start at $3,500 a week (double occupancy) to lose weight. See, this is a great country. Reach Phil Reisman at preisman or 914-694-5008. Read his blog, Extra, at http://reisman.lohudblogs.com/ http://www.thejournalnews.com/apps/pbcs.dll/article?AID=/20070708/COLUMNIST08/70\ 7080380/1018/NEWS02 Posted by: Fit on Sun Jul 08, 2007 12:22 pm The glaring light that Michael Moore shines on the greed and corruption that infect our health care industry in his movie “Sicko” should make us cringe with embarrassment. As should our low rating for providing health care as compared to the rest of the world. But this light is way too bright for those who are blinded with hubris, they must attack the messenger. I can almost hear them say “Heal thyself, thou hypocrite” regarding Moore’s weight problem, implying fat people shouldn‘t be allowed to make a movie about health. It is a childish but all too typical reaction when someone is getting uncomfortably close to exposing the truth to resort to character assassination and I’m getting sicko of it. And I’m sicko of those who need to drape themselves in the flag and accuse our heroic whistle blowers of being unpatriotic. God forbid that someone find out that the USA isn’t perfect. Mr. Moore could not have possibly covered every aspect of the problems we have with health care. Maybe his next movie will be about prevention. I hope it’s about brainwashing and mass media. Until then cannot the questions he has raised stir a dialogue among reasonable people without all the personal attacks? Mike Fitzpatrick Briarcliff Manor Cell 914-552-4533 ------------------------------- LETTERS TO THE EDITOR An American problem COMMENTS FROM READERS Saturday, July 07, 2007 I recently went to see Michael Moore's movie " Sicko, " and I hope it will bring much-needed attention to the irony that we have a health care system in the greatest country in the world that is based on profit rather than need. I'm glad health care is finally getting attention, but I am disappointed to hear opponents and supporters of this critical issue dividing along party lines. The ills of our current health care system are indeed inconvenient truths, but the state of this broken system is not a Republican or Democratic issue — it's an American issue. I believe that we can confirm the greatness of our country, not by dividing along political lines, but by coming together to solve the problem. JACQUELINE HILL Austin Health care – at what cost? What was disturbing to me as I watched the new Michael Moore movie, " Sicko, " was that it was entertaining and hit some honest sore spots. Also, it painted a very appealing vision of the utopia of " free " and universal health care in France, the United Kingdom and Canada. As with any of the Moore flicks, it was also intentionally unbalanced. Here's some of the balance that was missing: 1. Medicare underpays health care providers to a point that seniors are shunned. 2. Medicare has vastly unfunded future obligations that will bankrupt our federal government. 3. France, the United Kingdom and Canada are straining to maintain their national health care programs in spite of much higher tax rates. 4. Half the people without health insurance in the United States should be getting help from government programs but are not because of dishonest funding levels. 5. Much of the difference in health outcomes in the U.S. is because of our lifestyle choices. Next time you want the utopia of " free " and universal health care like France, be sure to ask them how it's going to be paid for and by whom. DAVID CRUMP davcrump Austin Separate but equal? Re: June 29 article, " High court limits school desegregation plans " : Once again, the Supremes defy all experience and logic as they decree that school districts need not integrate according to racial guidelines. We still have " separate but equal " public schools. I remember when white children first were bused in Austin (years after their minority peers began busing) — their parents were appalled by the physical plant of Martin Junior High. If anyone doubts these conditions still exist, just compare the test scores at Casis Elementary with those of Webb. It is no coincidence that minority children in neighborhood schools have far fewer resources than the children in Tarrytown's neighborhood school. Maybe the justices need a little remedial education. I wonder if any of them would be attorneys, never mind justices, had they been subjected to " separate but equal " schools. Of course, many of them went to private schools, which cater to the wealthy, and they are ignorant of the many injustices which still prevail in public education. LYNN GOODMAN-STRAUSS Austin Looking past race What progressive-minded person could not be pleased, if not thrilled, with the Supreme Court's recent decision opposing race-based enumeration? This is long overdue. I have often wondered why our society was discriminating to overcome discrimination and engaging in racism to eradicate racism. All this obsessive talk about people of color and people of non-color, and minorities and majorities, is counterproductive, especially because there is so much blending among the various ethnic and racial groups. My only regret is that the Supremes were not unanimous in their eminently wise decision. Make no mistake — this is a great decision in the history of the United States. There is no turning back the clock. RICHARD PENNINGTON Austin Protecting U.S. values Americans stand for life, liberty and the pursuit of happiness. That means standing up and protecting the little guy. How little can you get when in the womb (or Petri dish) — whenever human life begins? The veto against taxpayer-funded stem cell research (experiments) was a shell game in which everyone loses (June 21 article, " Bush vetoes stem cell bill " ). n It didn't help anyone — not even the frozen embryos destined to die. n The veto was meaningless and didn't prevent making more human life in fertility clinics or corporate research labs. n Medical experiments are going to get in the way of the lives of the unborn. What Americans need is a consistent set of values, principles and policies to protect human life while finding medical cures — but we cannot abandon the unborn. We need elected officials with basic American values — life, liberty, fairness and equality in order to achieve real happiness. ROBERT J. TORRES Colleyville Cheney's 'Catch-22' The vice president understood the meaning of " Catch-22 " long before most of us of draft age really understood what Joseph Heller wrote. Though " Catch-22 " is now confused with irony and paradox, the actual definition of " Catch-22 " is: You can do anything at anytime as long as you can get away with it. So Dick Cheney received five draft deferments during the Vietnam War while receiving two citations for DWI. It's certainly a good lesson for someone who would become a national leader who understands how to dodge the Constitution, creates new constitutional definitions for himself and his station, and knows he can get away with anything he does and not pay the price. Cheney certainly should become the model of citizenship and public service for our children to follow. Capt. Yossarian comes to the realization that even " Catch-22 " does not matter when corporations control the war. Surely, we Americans now realize Cheney's brilliance in leading us where we are today. BRUCE DAVIS Austin Undeserving of raise Though unable to accomplish anything meaningful in almost a decade, the U.S. House recently voted for a $4,400 pay raise for itself. Since when does doing a horrible job warrant a raise? The representatives need to remember that they work for us, and we are the ones who should be determining whether they get a raise. I seriously doubt that any of them would be getting one anytime soon. Maybe if we held the purse strings, they would listen to us and actually get something done in non-election years that truly benefits regular folks. CHUCK NITRON Hutto http://www.statesman.com/opinion/content/editorial/stories/07/07/0707letters_edi\ t.html ----------------------- Posted on Fri, Jul. 06, 2007 Giving U.S. a headache 'Sicko' uses humor, heartbreak to argue that our health care is seriously ill By Rich Copley RCOPLEY Michael Moore's Sicko is an anti-American film. Anti-American, that is, if you think love of your nation forbids you from taking a hard look at the country and asking, can we do better? The American health care system is in Moore's sights for Sicko, his best and most persuasive film to date. Over the years, taking on General Motors, guns and President Bush, Moore has become the most polarizing figure in American filmmaking. And with Sicko, the blogosphere is in full lather, denouncing the documentarian for his biases. The big news right now is that some subjects of the film are, apparently, under investigation for illegal travel in the course of making the movie. A movie by Moore will never come to the screen quietly, but Sicko's detractors probably will have a harder time mobilizing support for their side. Moore has chosen what many see as a common enemy: health care providers, insurance companies and pharmaceutical manufacturers that drive consumers crazy nitpicking insurance claims and jacking up the costs of medicine and care. The film will resonate with anyone who has tussled with an insurer or had to budget for prescription medicine, and it makes you contemplate what could happen if you are hit by a catastrophic illness or ailment. Some of it is funny. There's the woman whose insurance company denied payment for her ambulance ride from an accident scene to the hospital because it was not pre-approved. Moore even gets some laughs with an uninsured woodworker who accidentally lost the tops of two fingers to a circular saw and was given the option of reattaching the middle finger for $60,000 or the ring finger for $12,000. But there's a lot of heartbreak, too: Los Angeles hospitals dump desperately ill patients on the street because they can't afford to pay. A mother's 18-month-old daughter dies when she is denied care at an out-of-network hospital. Drawing on the subject of an earlier film, Fahrenheit 9/11, the attacks of Sept. 11, 2001, become a centerpiece at the end of Sicko. Moore shows the lousy care some Sept. 11 volunteers have gotten for medical problems they contracted at Ground Zero, and then he details the fabulous care that detainees receive at Guant‡namo Bay. The big stunt of the movie is taking those workers and some others who've been shafted by the U.S. medical industry to Gitmo for care. When they are denied access, they go to a Cuban hospital, where they receive free, thorough treatment, and charges for medicine are minimal -- an inhaler that costs $125 in the United States is 5 cents in Cuba. Sicko is at its most serendipitous out of the United States, something that will no doubt fuel his detractors. Canada, England, France and even Cuba are portrayed as medical-care Nirvanas, where people received free treatment for conditions that bankrupted and killed people in the American system. At one point, Moore says he's becoming the butt of jokes walking around a London hospital asking what people paid for their care. Answer: nothing, and the hospital pays for your transportation. A skeptical viewer gets the creeping sensation in this segment that it all seems too good to be true. Any system will have flaws and cracks, and it might help Moore's case to let one or two of those show. But Moore also does a good job presupposing some arguments against the foreign health care systems: long waits, poor care, doctors as working stiffs and citizens drowning in taxes. Moore keeps a relatively low and quiet profile in Sicko, avoiding the stunts and " gotcha " interviews of his previous films. Sicko does glamorize medical care in foreign nations, but Moore does not promote an exodus from the United States. He's challenging America to do better. Challenging the notion of a for-profit health care system, Moore says the nations, with publicly supported government medical care, are worlds " of we, not me. We will never fix anything until we get that right. " Regardless of what you think of Moore's ideas, it is hard to come away from Sicko without thinking that American health care needs to be fixed. Film Review 'Sicko' • 1/2 Reach Rich Copley at (859) 231-3217 or 1-800-950-6397, Ext. 3217. http://www.kentucky.com/movies/story/116736.html ------------------- Healthy Living: Lifelong Medical Care Weighs In On Michael Moore’s ‘Sicko’ By Chris Kiefer With the humor, realism, and moving imagery we’ve come to expect from Michael Moore, Sicko is exactly the medicine needed by the public debate around health care. The film has three simple messages: First, the American health care “system” is utterly broken, not just for the 40 million uninsured, but potentially for all of us. Second, this is totally unnecessary; other countries have systems that work quite well. Third, this is far more than an economic issue—the way we treat the sickest among us is a moral disgrace of staggering proportions. As a frequent speaker and teacher on health policy, I’ve learned that most Americans, even the well educated, know very little about our health care system. A popular view in the street or classroom is that anybody can get access to care “if they’re sick enough,” or if they know who and how to ask for it. Sicko fully explodes this myth, and identifies clearly the for-profit elements of our system that are to blame—health insurance companies, drug companies, the AMA, and private HMOs and hospitals. The film details how their lobbyists and fundraisers corrupt national politics to keep their profits. Meantime, thanks to 80 years of propaganda by these sectors against government sponsored health care, Americans also tend to be skeptical of universal systems such as Canada’s, England’s and France’s, and the film’s tour of those generally well functioning systems is a powerful antidote to the hype. Naturally, the for-profit health sector is fuming about Sicko and have already begun their counter-attack, leveling the usual charge against socially responsible journalism, that it shows a “liberal bias.” The truth is that money has assured this debate’s ultra-conservative bias for so long, that Moore’s view is sorely needed to balance the picture. Christie W. Kiefer is professor emeritus of anthropology at UC San Francisco and a board member of Lifelong Medical Care. LifeLong Medical Care (www.lifelongmedical.org) was formed in 1996 as a merger between two clinics with deep community roots in Berkeley. The Over 60 Health Center began in 1976 as an outgrowth of the Gray Panthers, a senior citizens’ advocacy organization. In 1989, Berkeley Primary Care was born in response to citizen protest over the closing of Herrick Hospital and a lack of prenatal care for low-income women. Since the merger, Lifelong has grown to encompass five medical clinics, a dental clinic, an Adult Day Health Center for elders with complex care needs, and a Supportive Housing Program for formerly homeless adults. LifeLong is known as the primary “safety net” provider of medical services to the uninsured and those with complex health needs in Berkeley, North Oakland, downtown Oakland, east Oakland, Albany and Emeryville. In 2004, LifeLong provided approximately 101,000 primary care visits to over 17,000 people, nearly half of whom were uninsured. http://www.berkeleydaily.org/text/article.cfm?issue=07-06-07 & storyID=27465 Pinpoint customers who are looking for what you sell. Quote Link to comment Share on other sites More sharing options...
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