Little defense for U.S. health care in 'Sicko'

updated 12:41 p.m. ET July 2, 2007

WASHINGTON - In many respects, Michael Moore’s new movie, “Sicko,” is like a trial for those who oversee health care in the United States.

The industry — doctors, drug makers, hospitals, insurers — is charged with greed and putting personal interests above patients’. Moore heard from thousands of people who had maddening and heartbreaking brushes with this system.

As chief prosecutor, Moore lets them do most of the talking and weaves their stories into the film with wit, compassion and humor.

But one aspect missing from the film is the defense. Do not expect to hear anyone speak well of the care they received in the U.S. On the other hand, patients and doctors from Canada, Britain, France and Cuba marvel at their health care.

Moore tells viewers there are about 50 million people in the U.S. without health insurance.

Just this past week, the Centers for Disease Control and Prevention estimated there are about 43.6 million uninsured people in the country. In March, the Census Bureau put the number at 44.8 million.

Moore noted that about 18,000 people die each year as a result of the lack of health insurance. That number comes for a January 2004 report from the Institute of Medicine. The report said the uninsured do not get the care they need and are more likely to die prematurely.

CNBC video Sicko on the Street June 28: Michael Moore talks to CNBC's Maria Bartiromo on Wall Street about his rage over health care. CNBC

Taking on the pharmaceutical industry, Moore says it spent millions of dollars lobbying Congress for a Medicare prescription drug benefit.

“Of course it was really a bill to hand over $800 billion of our tax dollars to the drug and health insurance industry,” he said.

Moore is citing the projected cost for the Medicare drug benefit’s first 10 years.

Last year, however, Medicare officials told The Associated Press that the projected cost of the benefit through 2015 stood at about $729 billion, a substantial drop compared with original estimates.

Dumping homeless patients
Moore also noted the some of the elderly in the drug program could end up paying more for their prescriptions than they did before. That is true. But the vast majority do save because of the tens of billions of dollars in annual government subsidies to help cover the cost of their medicine. The Centers for Medicare and Medicaid Services says people save about $1,200 a year on average by participating in the program, called Medicare Part D.

At one point, Moore notes where the U.S. ranks in terms of health care around the world.

“The United States slipped to No. 37 in health care around the world, just slightly ahead of Slovenia,” he said.

That ranking is based on a 2000 report from the World Health Organization that some health analysts viewed as misleading.

Moore does not say that one of the countries he highlighted, Cuba, is ranked 39th, below the U.S. Among the others, France is ranked No. 1, the United Kingdom ranked 18th and Canada ranked 30th. He does not give those rankings, either.

The report, based on 1997 data, measured not just the quality of care provided, but how well the countries prevented illness and how fairly the poor, minorities and other special populations are treated.

Moore’s film includes security video showing a disoriented elderly woman in a hospital gown and slippers wandering in the gutter of a busy Los Angeles street. Kaiser Permanente Bellflower Medical Center near Los Angeles had discharged her and sent her off in a cab. Eventually, a staff member from the Union Rescue Mission in the city’s crime-ridden Skid Row area comes out to help the woman.

The March 2006 incident was widely documented. This May, Kaiser Permanente, the country’s biggest health maintenance organization, reached a settlement with Los Angeles prosecutors requiring Kaiser to make changes to end the dumping of homeless patients on streets.

Los Angeles authorities are investigating allegations that a dozen area hospitals have dumped more than 50 homeless patients downtown. On Wednesday, prosecutors filed civil complaints against two other hospitals and a transportation service accusing them of dumping homeless patients in Skid Row.

In the movie, Moore correctly states that the chief executives of health insurance companies make millions of dollars a year.

Among the insurers mentioned are Humana Inc., where chief executive Michael McCallister received about $5.9 million in salary and other compensation in 2006, and Aetna Inc., where chief executive Ronald Williams last year received salary and other compensation totaling about $30.9 million. Those figures were determined by an AP analysis of company filings with the Securities and Exchange Commission.

Huge executive salaries are the norm in all of corporate America. An AP analysis of 386 Fortune 500 companies’ executive compensation reports showed that half the CEOs made more than $8.3 million last year.

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