Do you know about - Our "Sicko" community
Cigna For Health Care Professionals! Again, for I know. Ready to share new things that are useful. You and your friends.As a regular commentator on the state of Disaster Preparedness and corporate healthcare accountability in the United States as well as an ardent defender of healthcare professionals, their needs and their very lives, I was both honored and a bit taken back when asked by several medial journals to attend and report Michael Moore's documentary "Sicko". I was the immediate recipient of much ribbing from colleagues, even receiving a prescription, just 32 milligrams of Zofran to be taken immediately before the movie; this from an oncologist who reminded me that Zofran is the drug of selection in preventing chemotherapy connected nausea and vomiting, "if it can deal with chemo, it can deal with Michael Moore."
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By total coincidence and an ironic twist of fate, I served federal jury duty the day I saw the movie and took an oath to hear all evidence before me without prejudice or preconception. Having being released from jury aid by noon, I girded myself in that oath and drove to the theater. Plopping down my .50 for the label and for popcorn and a large water bottle, I strode in air conditioned ease to theater 8. The theater itself was virtually abandoned, despite the fact that I had chosen to attend the movie at Walt Disney World's downtown Disney Amc Theatre at the height of traveler season. I had unbelievable the theater to not only be full but to be filled with population who are ardent supporters of Mr. Moore and his films. I must admit I would not be among them. Quite to the contrary, I had not seen a Michael Moore film in a estimate of years. I do enjoy the occasional documentary and own a copy of Super-Size Me which I still advise to patients, but Mr. Moore's story telling style is, well let's say it is not to my taste.
Within the first moments I found myself confronted with an uncomfortable fact, Mr. Moore's movie was attacking the same Heavily Mangled-care Organizations (Hmo's) that were in large part the very speculate that I had left underground to practice. all things that Mr. Moore said about such large organizations as Aetna, Cigna, Humana and Kaiser were true. Of procedure in invertible Michael Moore fashion he told only one side of the story, paying only passing homage to the fact that five-sixth of the Us population do in fact have healthcare coverage and that out of 300 million population in the United States, most of whom have Internet access, he received fewer than 80,000 replies to his solicitation for healthcare bad dream stories. Still, Mr. Moore was literally development sense.
Unfortunately, also in an distinct Michael Moore fashion, he quickly snatched defeat from the jaws of victory. The totally incomprehensible detour to a cold war era campaign by the American curative association to speak specifically against the evils of socialists and communists in rehabilitation was juxtaposed against the Clinton era's effort at Universal health Care. Mr. Moore seems to have missed the fact that now New York Senator Hillary Rodham Clinton stated emphatically throughout her term as chair of National Healthcare Committee that Universal health Care was not a socialized healthcare system.
Mr. Moore also seems to have forgotten the historical context in which the American curative association launched its anti-socialist campaign in those early days of the cold war. Communist fears gripped the nation for over twenty years and every "respectable" professional or fraternal organization "did its part" to combat the so-called Red Menace. The American curative Association's campaign against socialist rehabilitation was a political statement against socialism and communism not against Universal health Care.
Although I am a physician I do have the unique perspective of not being a member of the American curative Association. In fact, at the same time that the American curative association was actively attacking socialists and communists in healthcare; they were also attacking my profession of osteopathic rehabilitation and therefore if anything would sustain Mr. Moore's attack on the American curative association it should be me, a member of the American Osteopathic Association. Just as I swore earlier in the day to objectively hear the case against the defendant in federal court I must now objectively value the arguments made by Mr. Moore and in the case of the American curative association Mr. Moore's arguments fall far short of any form of reality.
Returning to the main theme of the movie (corporate greed as the oppressor of the people) Mr. Moore next attacked the profits and policies of the pharmaceutical industry. The donations to prominent congressional members and others in government were enlightening and even consuming in their presentation, but there was no new news here. The Food and Drug administration and even Congress itself has decried these practices for years.
Mr. Moore then took a brief trip nearby the existing Socialized rehabilitation Programs in Canada, Great Britain and France. He went to great lengths to report their advantages, speaking to Americans who opinion that they benefited from a socialized rehabilitation theory in which they had no need for insurance and no need to pay copay's. He also spoke with fully satisfied individuals living in Canada and Great Britain.
Mr. Moore's interview with one British physician was quite enlightening. On screen I met a physician whose whole instruction had been paid for by his government and his government was compassionate adequate to pay him a wages equal as a house practitioner equal to what I make as an emergency division physician. Although, I am board certified in house convention as well as emergency medicine, I never made as much in Us dollar equivalents as this young man makes now. This London physician lives in a four-bedroom home worth twice as much as my home and drives a car worth four times as much as my car. He has these benefits not because a socialized rehabilitation theory works best or even pays best but because he was the beneficiary of socialized instruction straight through graduate school. I labor under learner loan payments that approximately equal my mortgage cost and will do so for a thirty-year duration of time. If I had the benefits of free education, I too could live in a home worth over a million dollars, although I would still drive my Saturn because quite frankly I like it.
Mr. Moore's tour then took an unusual direction clearly designed to draw publicity rather than make any exact point. Mr. Moore took several 9/11 survivors and delivered them to Cuba in order to receive rehabilitation for 9/11 connected injuries and illnesses. Mr. Moore claims he did this because he had found an American "socialized medicine" theory at Guantanamo Bay, Cuba and just wanted 9/11 heroes to receive the same curative benefits as Al Qaeda. Why not take these heroes to a state prison in Florida? The approximately every state correctional convention in the United States, inmates receive the same or best care than the detainees at Guantanamo Bay. Again Michael Moore missed the mark.
I find it consuming that while in Canada, a country that is accustomed to American film makers and quite frankly Americans sneaking over the border to secure free healthcare, Mr. Moore and his would be American sick person for the Canadian theory found it necessary to flee Canadian police at two separate clinics in order to avoid arrest, yet in Cuba, a country well known world-wide to embrace its tourists but to be highly suspicious of those with professional movie development equipment, Mr. Moore appeared to never encounter a police officer. In fact Mr. Moore was allowed to picture throughout the state-run Havana Hospital, the very same hospital where Cuban leader Fidel Castro received his recent curative care. supplementary Mr. Moore was miraculously permitted to picture in and nearby a Havana fire station, exchanging gifts and even souvenir badges with fire brigade members. I find it equally consuming that these badges were favorably available.
Mr. Moore, who appears throughout the movie, to this point, to be very upfront with the challenges and special arrangements made in the output of his film seems to leave out the fact that he doubtless had special dispensation from the Cuban government allowing both for his film development and the care of Americans on Cuban soil.
Despite these glaring inconsistencies, I was thrilled when the Cuban doctors began to touch on the issue of the association between the theory and the healthcare professional. I opinion that Mr. Moore was ultimately going to disclose American Healthcare's most shame, the total annihilation of the nurturing association between healthcare professionals and their corporate masters. But alas, Michael Moore again shied away from the issue... Why?!
An consuming conversation took place recently between a 45 year nursing veteran and her family. The topic of the day was the nursing shortage and the veteran nurse surprised all by announcing, "There is no nursing shortage, there is a hospital nursing shortage."
She went on to clarify that in the home health and non-institutional nursing fields, there is an adequate furnish of nurses willing to work for employers who respect and value their services. Agreeing to this nurse who had worked in hospitals for much of her career, the problem today is that hospitals and other institutions see nurses and other professionals as replaceable rather than precious.
"No nurse my age is going to work for some young supervisor who believes that you carry on population by threatening them or their license. There are too many jobs out there to deal with that nonsense."
This veteran nurse struck on the key factor in any worker shortage, the association between manager and employee.
Healthcare has become a split marketplace with institutional care (hospitals and nursing homes) separated from non-institutional care. Nurses are gravitating to non-institutional care despite lower pay because of the factors that speculate and others have come to appreciate. Employees care more about the relationships than the money. Veteran nurses remember being respected and appreciated for long hours and selfless dedication. It was not unbelievable or required, it was given freely and suitable graciously. Even in a "materialistic society" population want to be loved and cared for, respected and valued.
There is no nursing shortage, there is a association shortage. This is the true problem with corporate healthcare in America.
All and all I will say that Mr. Moore's film was an honest report of the current state of the Heavily Mangled-care in the United States. Greedy insurance clubs take from doctors in the form of Malpractice Coverage. They take some patients in the form of health coverage; they raise profits straight through denials of care, restrictive practices, penalties against physicians who place sick person care and protection ahead of execution numbers and by seeking to exclude those who most need insurance.
Sadly, the majority of Mr. Moore's movie missed the point. American healthcare will not be served by the conversion to a socialized rehabilitation system. Quite to the contrary most of the equipments seen in background of Mr. Moore's movie was invented, designed, manufactured, or funded by the America's underground healthcare industry. American healthcare would be best served by rebuilding relationships with the most necessary resource in healthcare, the healthcare provider. All those Mr. Moore interviewed told stories of having a convenient association with a theory which they respected and which respected them. Regardless of whether you are a healthcare professional or a healthcare consumer, the basis of the process of healthcare is a association based on mutual respect, the theory delivering that healthcare must live by that suitable as well.
Socialized curative systems literally have their advantages for citizens of countries willing to live with dissimilar freedoms and dissimilar lifestyles than we prefer in America. A best theory is out there, we need only have the conclude to find it.
Mr. Moore also falls significantly short in failing to make note of the reasons that so many Americans require so much healthcare. Even a man with only a high school diploma such as Mr. Moore must ask himself if five-sixth of the United States population have health insurance, then why do individuals in other countries live longer than we do. perhaps it is because we also have an excess of food, an excess of cars, an excess of conveniences. United States longevity for it's citizens and disease rates among its most vulnerable are so high not only because population put off necessary healthcare for fear of incurring debt, but because they chose instead to indulge in fast foods which are too high in salt and fat, drive rather than walk or bicycle for short errands, play video games rather than exercise, and ultimately watch movies about what others do rather than going out and doing something themselves.
As I watched the corpulent Michael Moore striding down the streets of London and France being passed by much thinner Europeans, I could not help but be struck by the fact that it is not our healthcare system, but our societal values that are truly "Sicko." It is time we all put down our popcorn, take our water bottles and go outside to practice with our children.
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