I have a few problems with some of Michael Moore’s filmmaking methods but I have to say that I am cheering him on with Sicko. I haven’t seen the film yet but healthcare is another one of my bugbears so I’m looking forward to it. I don’t get health insurance through work and have really struggled to cover myself since I moved to the US. Considering I have a decent salary and a fairly comfortable life I have no idea what other people who earn less or have more people to support do. My “emergency” insurance is supposed to cover me if I get run over by a bus but even then it only covers the hospital stay, and not the Surgeons and Anesthesiologists. If I survived the accident I’d still be financially screwed. The New York Times has an article about Moore’s campaigning around the film. Will it make a difference? The Director of health policy studies at the free-market Cato Institute is sceptical: “I think it will be like ‘Bowling for Columbine. You remember how we all got together afterwards and decided to ban guns.”
For those who would like to share this particular bugbear with me, I recommend that you read the New York Magazine article on “The Young Invincibles” about how young New Yorkers are scraping by without health insurance and how this serves neither their bodies nor surprisingly the hospitals that treat them. Even on a purely economic level the system is inefficient because many of these young people are forced to declare bankruptcy after a hospital visit which means that the hospital bills don’t get paid. And these are hip freelancers, not poor families who often pay a far greater price. Malcolm Gladwell’s New Yorker article on “The Moral-Hazard Myth” details how high this price can be and is a brilliant debunking of fashionable theories (in the US at least) that argue that if people had free access to healthcare they would take advantage of it and overwhelm available resources. The last paragraph says what I believe in a nutshell so I’m going to copy it here in full:
The issue about what to do with the health-care system is sometimes presented as a technical argument about the merits of one kind of coverage over another or as an ideological argument about socialized versus private medicine. It is, instead, about a few very simple questions. Do you think that this kind of redistribution of risk is a good idea? Do you think that people whose genes predispose them to depression or cancer, or whose poverty complicates asthma or diabetes, or who get hit by a drunk driver, or who have to keep their mouths closed because their teeth are rotting ought to bear a greater share of the costs of their health care than those of us who are lucky enough to escape such misfortunes? In the rest of the industrialized world, it is assumed that the more equally and widely the burdens of illness are shared, the better off the population as a whole is likely to be. The reason the United States has forty-five million people without coverage is that its health-care policy is in the hands of people who disagree, and who regard health insurance not as the solution but as the problem.