Michael Moore's new film, Sicko, is billed as a documentary, but everyone instinctively understands that it is actually a policy piece that is not at all interested in objectivity or a rounded presentation of the issues. Kyle Smith of the New York Post lays out the mythological dimensions of Moore's film and offers some telling counterpoint:
Moore knows that in Britain, where National Health Service spending has more than doubled since Tony Blair was elected, with little to show for it, there is a two-tier health system: the smart set carry private insurance, which Moore wants to outlaw in the U.S. The cliché in London (check out this story and this one) is that the well-shod go to the same doctor as the suckers on the National Health Service. The difference is that private clients get treated right away while the NHS losers wait two years to get their strep throat looked at.Moore glosses over wait times, hoping his audience is too stupid to notice. He asks a handful of Canadian patients how long they had to wait to see the doctor. Oh, 20 minutes, 45 minutes, everyone says. So if Moore finds five people who didn’t have to wait, there’s no waiting for anybody! “To any Canadian who has ever been forced to go to emergency, this would seem unbelievable,” writes Thomas Malkom, a vehemently pro-Moore columnist for Canada’s paper The Star. The Canadian Supreme Court struck down a law forbidding private insurance in a 2005 decision, ruling that "Access to a waiting list is not access to health care" The decision resulted from a Canadian case in which a man waited a year for hip-replacement surgery, and Canada has started down the road of privatization. Check out the Canadian movie "The Barbarian Invasions" (which is, like "Sicko," a fiction film) for a view of how Canadians view their system: agonizing waits; trips across the border to Vermont to get access to modern technology; fetid facilities modeled, seemingly, on an American one—the Confederate field hospital in "Gone with the Wind."
Here is Dr. David Gratzer, the Canadian author of "The Cure: How Capitalism Can Save Health Care," who believes both the US and Canadian systems are deeply flawed:
"Like most Canadians, I believed that we had the best-run health-care system in the world. Because the system was publically owned, I assumed that compassion came before profit and that everyone got good care. . .After I entered medical school, however, my view of Canadian health care changed…I trained in emergency rooms that were chronically, chaotically, dangerously overcrowded, not only in my hometown of Winnipeg, but all across Canada. I met a middle-aged man with sleep problems who was booked for an appointment with a specialist three years later; a man with pain following a simple hernia repair who was referred to a pain clinic with a two-year wait list; a woman with breast cancer who was asked to wait four more months before starting the lifesaving radiation therapy. According to the government’s own statistics, some 1.2 million Canadians couldn’t get a family doctor. In some rural areas, town councils resorted to lotteries: the winners would get appointments with the only general practitioners around."
Mere anecdotes? Yes, but mine cancel out Moore’s. Where are the stats? Moore emphasizes life-expectancy figures in which the US slightly lags some other Western countries. But life expectancy involves many factors; two that Moore is especially knowledgeable about, obesity and homicide by firearm, are special American plagues. Here’s a stat: The percentage of patients having to wait more than four months for non-emergency surgery is about five times higher in Canada and seven times higher in Britain than it is here. [see Gratzer, 171]In his EW interview, Moore tacitly admitted that "Sicko" lies about wait times, saying, "Well, okay, let’s set up a system where we don’t have the Canadian wait. Let’s set up a system where we take what they do right and don't do the things that we do wrong."
Moore's concesssion is a telling one, and his recommendation is easier said than done. The long wait times are part and parcel of government-managed care. They can't simply be regarded as a liitle glitch in an otherwise healthy system--they exemplify the problems with the system.
This point--about wait times, and about how integral unconscionable delay is to Canada's health care system--is made forcefully and chillingly by Stuart Browning in a series of short films that form the heart of his new site, FreeMarketCure.com. Gratzer, it is worth noting, is an integral part of Browning's project, which is to offer Americans a factual antidote to the fantasy Moore's film peddles.