Wednesday, March 25, 2009
Sicko
tell me something I don't know...
I tried to watch this movie before, but I turned it off after a few minutes. I'm glad that I had another opportunity to watch it in it's entirety. Now I can see why this movie sparked so much criticism amongst it's viewers. I'll be the first to admit that the US health care system is not near perfection, but this movie paints a portrait as though it is completely broken. Really? All the people mentioned in the film had truly sad stories, but I'm sure that if I looked into specific cases in other countries that I would be able to find similar tragic stories, if not identical. MM sets out to show how the US system falls short compared to other 1st world countries and even goes as far to show how some under developed countries provide superior medical care. Personally, I don't think that MM does justice to the US system. He never goes out and interviews the hundreds of thousands of Americans who are satisfied and happy with our current system. I feel that if MM really wanted to drive home the point that the US medical care system needs change that he would be willing to offer both sides of the story instead of force feeding the audience an emotionally packed one-sided view.
eye opening
The Missing Pieces of Sicko
Under the weather...
Is America really that sick?
I like the potrayal of the Insurance companies and how they hire doctors to do their ugly work and leave out those who realy need care. Also makes us realise how most of these insurance companies are unaccountable to any regulatory body for the decisions they make.
I thought a lot of the glorious views of other countries health systems were lopsided. I definitely think a singlepayer system needs to be in place in the US and I also think that theres a lot to adopt from other countries but will definitely need a lot of tailoring for a huge country like the US.
Canadas healthcare system was impressive and will definitely be a challenge to implement here . France definitely has a lot that we can adopt right from doctors visiting homes, I thought that was really cool.
Well I would definitely not move to France because of their healthcare system , they definitely pay a lot in taxes, so the hidden cost for the services they get is not visible to us.
Tuesday, March 24, 2009
Bon Voyage
Needless to say, I was definitely appalled at the conditions that certain Americans are forced to deal with without access to insurance, and even sometimes when they do have insurance (or even WORK FOR an insurance company!). There should never be a time when a person is only able to choose one finger to help fix when he needs two. Forget about bailing out AIG and letting them give bonuses to their employees (who obviously screwed up in the first place to force a bailout), the U.S. should be bailing out these people in need of healthcare.
Hate it or love it...
My Thoughts on SICKO
I was really looking forward for something negative about the Canadian Health Care System or the French Health Care System. I don't remember him mentioning anything about how much higher taxes are in France or in Canada. Certainly there has to be somebody somewhere in Canada or France unhappy with the quality of health care that they receive. I wish we could have heard something about them. It just seemed too one sided at times.
Nonetheless, I think the movie does raise an excellent issue of the disparities in our health care system; I think a lot of people, as a result of this movie, are a little more curious to learn more about our health care system. All in all a great documentary though.
Sicko
Staying in the U.S.
there are pros and cons in all healthcare systems.
In another hand, over this spring break I went to Baltimore to visit my cousins and both of them were doctors from Johns Hopkins. I discussed this issue with them and both of them saw this movie before too. They thought it was too judgemental and even if British seems to have better health care system, their healthcare system is going bankruptcy due to the over spending of the money. Plus they thought British's healthcare system is als not good, because each doctor is only required to fill to certain quota. None of the doctors would want to do non-pay work if their quotas are already filled. Therefore, if a patient need a surgery but since all the doctors already filled their quota, then the patient will be put on the waitlist till next year. Both of my cousins thought it is even "worse" than then U.S health care system, because at least the "rich" can be cure as long they have money.
I guess the Sicko movie didn't reveal the "cons" of other countries' healthcare system, however, it is not the excuse for us to change our healthcare system. Maybe if we can come up with a system that have the good qualities of British, French, Cuban and U.S' health care system together...I wonder what kind's system it will turn out?
SICKO
Thoughts on Sicko
off to france
Whenever I watch the film, I do feel angry, frustrated, and sympathetic...I have found myself in similar situations with the characters in the film. Healthcare in the U.S. is as important as finding a good job, getting in to a good college etc. It's a luxury here, whereas it is a necessary given in other countries. When I had to look for my first full-time job after undergrad, the first thing my parents advised me was to get a job that provided health insurance, of course secondary to me getting a job that made me happy and fulfilling and alligned to what I had studied in under grad...it just made me think how difficult it is to be insured.
Thoughts on film
Review
SICKO
The problem I had with the movie is how perfect it portrayed all of the other countries. Even if I knew nothing about these other healthcare systems, I would have a very hard time believing that any one of them is perfect; is what society is anything or everything perfect. There isn't one because we are humans and it is in our nature to learn from mistakes. Having spent time in some of the countries that were mentioned and studying/working in these healthcare environments, I recognize that some aspects are superior as well as some aspects being inferior to our current system.
Michael Moore tried to give a dramatic representation of how our country is failing its own citizens. It might have been too excessive for us to jump in and say that we need to alter our system to these other countries but at least he began to open the eyes to millions of Americans out there who didn't know what was going on. All I know is that it is going to take a heck of a lot more than a documentary film by Moore to get this country moving and implement a system that works for US, not the citizens of these other countries.
A one sided perspective
Sicko Should Show Pro and Con of Every Health Care System
However, the director Michael Moore needed to do a Pro and Con list of other countries he visited as well. There must have been some deficits or negatives about Canada's, Cuba's, and France's Health Care system that Michael Moore needed to point out (i.e. excessive wait times for dental care or getting certain operations). Also, instead of blaming the politicians and insurance companies throughout the whole darn movie, his movie should have focused on possible solutions to the U.S. health care system and getting people like former president Bill Clinton to offer possible solutions.
Give me liberty or death and stuff.
Entertaining: For example: "Star Wars" music for list of pre-existing conditions. Laura Burnham's ambulance-ride-preapproval story was really funny, Moore even used it for his movie trailer.
Dramatic: For example, cancer patient dies during the making of the movie. Also Becky Malke's on camera crying was truly moving.
Propaganda: Man who had to choose a finger, what is the back, back story?
Sense of relief: For example, 911 rescue workers get easy and free health care in Cuba and meet with Cuban fire fighters, basically declare themselves brothers, united.
With all the components, it's a movie alright. A good one too.
Plus, Moore brings up good ideas: For example, we basically have socialized fire and police agencies and schools. However, we Americans want to be free of constraints, freedom. Ambulances were deregulated to boost conditions. Even better, we have a choice in how we educate our children with private and chartered elementary schools.
Choice keeps agencies on its toes and I want that when it comes to my health care. That is how Barack Obama won me over in the CA primary election.
Final thoughts: Decrease insurance costs so that every American can AFFORD comprehensive health insurance and tell me your ideas on how to do this. I'm really interested, but don't show me a man with nine fingers to try to convince me.
A Few Do Not Represent the Whole
What Moore has sucked his audience into is perhaps the most damaging fallacy in any population-level field of study: he is using a few people (or a few clinics) to represent the situation of entire nations. We are all susceptble to this sort of bias: you have a 2-hour conversation with a cancer patient, and you become far more sympathetic to his plight. You have some connections with senior government officials or some private organizations, and you fight for funding on behalf of cancer treatment programs or advocacy groups. Now, I'm not saying that special interest or minority groups shouldn't have any advocates. But what if you had just happened to talk to an MS patient instead? Or someone with end-stage renal disease? Perhaps that funding you fought so hard for would have ended up elsewhere.
Surely having so many special interest groups all over the place ultimately becomes damaging and framentative instead of beneficial.
But this is exactly what Michael Moore does in his movie. He tells a few, heart-wrenching stories about real US citizens to get us to become sympathetic to their plight. He then uses a few, uplifting examples of people (or services) from other nations to try and convince us that their system is superior to ours.
But this is absolutely the wrong discussion to have. As I've mentioned before in a previous post, there is no nation with a "perfect" healthcare system; there are only nations with imperfect healthcare systems that have accepted what each believe to be the lesser of several evils. Michael Moore showed us a concrete example of a single French family to convince us that the French are better off than we are. He interviewed a single UK physician to convince us that doctors over there are perfectly happy with the NHS. He then went to a single clinic in Canada to dispell the "myth" that Canada has long wait times. He backs his claim with evidence from real patients in a real healthcare setting, so we are inclined to lend credit to what he says.
But zoom out from that single clinic, and this is what the aggregate data shows us:
Clearly, if you look at the nation as a whole, Canada's average wait times are much longer than the US's (and a number of other developed countries). Does this mean that Canada's healthcare system is bad? No. But it does mean that it is not as perfect as Michael Moore leads us to believe.
While humanistic stories from real people are extremely important for capturing or conveying the significance of healthcare problems, I firmly believe that these stories cannot form the basis of policy decisions at the population-level. You can't base healthcare reform that will affect hundreds of millions of people on the stories (however touching) of a few.
The only reliable source of information for national reform is national data. Sadly, Sicko seems to miss out on this point.
Sicko Thoughts
My thoughts on SICKO
Monday, March 23, 2009
Michael Moore
Sicko...
I appreciate Moore's work, which makes it very easy for me to love his material and believe EVERYTHING that he presents. Consequently, I had a challenge, when watching Sicko and that was to be critical of Moore's work.
This is what I came up with:
Moore attempts to summarize the problems with the American health system. How does he present these problems? the documentary provides real-life health care inequalities within the US through various cases and compares each case to the health care management of Cuba, France, and Britain.
As a result, the documentary is very basic and does not provide strong evidence. It isn't appropriate to look at each case and see how it would be manipulated by a free medical care system. In presenting our faulty healthcare system, Moore should have removed his bias for universal health care and provide additional methods to change in the health care access within our already existing system.
On another note, Sicko educated the general public on American medical services and its lack of sensitivity and value for money over public/individual health.
"Sicko"
Sicko
Although I agree that US healthcare system needed to be reformed, I think, US also has its own advantages. US has been the world leader in R&D in medical technologies, and state-of-the-art medical facilities. It has world's best physicians and specialists and it also possesses world most innovative pharmaceutical industries etc. The only problem is the skyrocketing healthcare cost and equal access to health. But, I think, there is no perfect healthcare system in the world. Every country has its own strengths and weaknesses.
Overall, it's a good movie to learn different healthcare systems, at least for someone who is unfamiliar with other healthcare systems, like me.
some thoughts on Sicko
still can't afford for those insured
muy interasado
SICKO
Greatest country in the world?
Thoughts on SICKO
But as a whole, the documentary is entertaining, it makes you think, and if nothing else, I actually believe that it brought health care concerns to the attention of the masses who were otherwise oblivious.