Michael Moores

SICKO
-Weve got an issue in America. Too many good docs are getting out of business. Too
many OB-GYNs (gineclogos) aren't able to practice their love with women across this
country.
-I don't have a job. I don't want to have any more debt out to anybody else. I'm
flushing the wound.
This is Adam. He had an accident. He's one of nearly 50 million Americans with no
health insurance. But this film isn't about Adam.
-So this is the table saw (sierra de mesa) . It was spinning that way...
This is Rick.
-I was gripping a piece of wood and I grabbed it here and it hit a knot (nudo en la
madera)...
He sawed off (se serruch) the tops of two of his fingers.
-...and it was that quick.
His first thought?
-I don't have insurance. How much is this gonna cost? Am I gonna have to pay cash
for this? $ 2,000, $3,000 or more? Does that mean we're not gonna get a car?
Rick also doesn't have health coverage, so the hospital gave him a choice: reattach
the middle finger for $60.000 or do the ring finger for 12.000.
-It's an awful feeling to just try to put a value on your body.
Being a hopeless romantic, Rick chose the ring finger for the bargain price of 12
grand. The top of his middle finger now enjoys its new home in an Oregon landfill
(basurero).
-I can do that thing where, you know, the old man used to pull the finger off.
But this movie isn't about Rick either. Yes, there are nearly 50 million Americans with
no health insurance. They pray every day they don't get sick because 18.000 of them
will die this year simply because they're uninsured. But this movie isn't about them, it's
about the 250 million of you who have health insurance, those of you who are living the
American Dream.
It's moving day for Larry and Donna Smith. They've packed everything they own in
these two cars and are driving to Denver, Colorado to their new home...in their
daughter's storage room.

-This is home, sweet home.

-Look at all that stuff.
-We'll get everything organized.
-We will.
-What do we do with the computer?
-It stays.
-It stays there.
-So this is where Heather talked about we might have to put our bunk beds (cuchetas)
-I see what she's talking about.
It wasn't supposed to end up like this for Larry and Donna. They both had good jobs.
She was a newspaper editor and he was a union machinist. They raised six kids who all
went to fine schools like the University of Chicago. But Larry had a heart attack. And
then another one. And then another one. And then Donna got cancer. And even though
they had health insurance, the copays (coseguros) and deductibles (descuentos) soon
added up to the point where they could no longer afford to keep their home.
-If somebody told me ten years ago this was gonna happen to us because of health
care, I would have said, "It's not possible. Not in the United States. We wouldn't let that
happen to people."
-Are we gonna quit?
-No. Its just hard.
They were bankrupt, so they moved in with their daughter.
-We'll get it all figured out.
-We emptied the dresser so you have a spot.
-Nice, very nice.
Even their son Danny popped in from across town to welcome them to Denver.
- What do we do about people like you?
-I don't know, that's a good question.
-You're supposed to pay a deductible for $9,000, which I understand. That's part of
healthcare. What about people like Kathy and I that have to come up there and move
you every five years, every two years, every year, because you don't have enough
money to stay where you are?
-That's what Russell keeps saying too.
-I'm sorry. It's not what we wanted to have happen in life. And we're doing what we
can to make the change. You don't know what that feels like inside at 50-some years old,
to have to reach out to my 20-something-year-old for help.
-It's gonna be hard for four, five, six, seven months, it's gonna be hard.
-I have an overwhelming feeling of you bringing your problems with you no matter
where you go. But I dont know what to do about that.
-Yeah.
-But I don't know what to do about that.
By sheer coincidence, their daughter's husband, Paul, was leaving on a job the very
same day they arrived. Paul was a contractor, but there weren't many jobs lately, so he
found work out of town.

-I'm sure you'll keep a telephone conversation. Email you. You're gonna be fine,
lovies.
-Weird situation, isn't it?
-Tell me where Daddy's going.
-Iraq.
-Why is Daddy going to Iraq?
-To do some plumbing.
***
-Oh, boy. This, I do early in the morning. The first thing I do is I clean here.
At age 79, Frank Cardile should be kicking back on a beach somewhere. But even
though he's insured by Medicare, it doesn't cover all the cost of the drugs that he and
his wife need.
-Being that I'm an employee here, my medicine is for free. So that's why I gotta keep
working until I die. There is nothing wrong with that. I always gotta keep my ears open
because there's always spillages. Sometimes you get a gallon of milk. Tomato sauce oh, you're in trouble. It 'll take a half-hour to clean that up. And I look up on every aisle
so as everything is clean. If I see something I pick it up, whether it's paper or garbage.
One day I had the keys in my hand and they went in there. And I had to climb in there to
get the keys out. It's a sad situation. If there are golden years, I can't find 'em, I'll tell
you that. She had a painkiller for her hip. The girl said, "Frank, this is $ 213." "What,
for a painkiller?"
-I didn't take it.
-I backed off. I said, "I gotta come back."
-What's in them? What's in these new drugs that they distribute? I don't believe you
need half of the things they tell you. I have never taken medication now, as I'm getting
older. I don't even like to take an aspirin. I do like a little brandy.
-I don't really know how this happened, but the trunk came forward into the back seat.
Laura Burnham was in a 45-an-hour head-on collision that knocked her out cold.
Paramedics got her out of the car and into an ambulance for a trip to the hospital.
-I get a bill from my insurance company telling me that the ambulance ride was not
going to be paid for, because it wasn't preapproved. I don't know exactly when I was
supposed to preapprove it, you know? Like after I gained consciousness in the car,
before I got in the ambulance? I should have grabbed my cellphone off the street and
called in the ambulance? I mean, it's just crazy.
-I applied for HealthNet insurance for Jason. They rejected him because of his height
and weight. Jason is six feet tall and 130 pounds.
-I applied for healthcare through BlueCross BlueShield and they told me that my body
mass index was too high. I'm 5' 1 ", I weigh 175 pounds.
I always thought health insurance companies were there to help us. So I posted a note
on the internet asking people if they had had any similar stories about problems with

their insurance company. Within 24 hours, I had over 3700 responses and by the end of
the week, over 25.000 people had sent me their healthcare horror stories. Some of them
decided not to wait for me to get back to them. Like Doug Noe, who decided to take
matters into his own hands without my permission. His daughter Annette was nine
months old when they discovered she was going deaf. His health insurance company
CIGNA said they'd pay for an implant in only one of her ears. According to the letter
they sent, it's experimental for her to hear in two ears.
-If a cochlear implant is good for one ear, it doesn't even make any sense that it
wouldn't be good for the second ear. Especially when a child is just starting to learn how
to talk, she has to learn from both sides of her head.
Thats when he sat down to write CIGNA a letter.
-This is to CIGNA. "Noted (famoso) filmmaker Michael Moore is now in the process
of gathering information for his next film. I've sent along information concerning
CIGNA's lack of caring for its policy holders. Has your CEO ever been in a film
before?"
Before he knew it. He received a call on his voice mail from CIGNA Headquarters.
-Obviously all this worked because Annette is going to get her second implant in July.
I started to get hundreds of letters of a different sort from people who work inside the
healthcare industry. They'd seen everything and they were fed up with it. Like Becky
Malke who was in charge of keeping sick people away from one of America's top
insurance companies.
-I work in a call center, so people call in and ask for insurance quotes. There are
certain preexisting conditions, basically industry-wide, that will not be covered diabetes, heart disease, certain forms of cancer. If you have these conditions, you are
most likely not going to get your health insurance.
-How long is this list of conditions that make you ineligible?
-It would be a really long list. It would be a long list. It could wrap around this house.
Sometimes you know ahead of time they're gonna be declined at the end of the
application, and they're like... God, like one time I had a couple, and they were so happy
to get... I'm gonna cry. They were so happy that they were... I took them through this
application. And the husband was late for work. And the wife said to him, "Don't worry,
baby, it's gonna be OK because we have health insurance now." And when I looked at
the end of the application , I could tell they were gonna get declined because of their
health conditions. And they were so happy. I thought, "God, they're gonna get that
phone call in a couple of weeks telling them that they're not eligible for insurance. I
just felt so bad 'cause I just really thought and I knew and I couldn't say anything to
them. I just felt like crap. That's why I'm such a bitch on the phone to people, because I
don't wanna get to know them, I don't wanna know about their lives, I just wanna get in
and out, and get done with it 'cause I can't take the stress of it.
In spite of Becky being a bit of a pain (una cretina) on the phone, a quarter billion
Americans are still able to get health insurance. Let's meet some of these happy insured
customers, like Maria, who has BlueShield and Diane, who has Horizon BlueCross.

Laurel has insurance through BCS and Amy is fully insured by MEGA LIFE. And it's a
good thing that they're all fully covered.
-I ended up being diagnosed with retroperitoneal cancer.
-Brain tumor.
-Breast cancer.
-Brain tumor on the right temporal lobe.
Because they were insured. They got the red-carpet treatment at the doctor's office.
-She requested for me to see a neurologist.
-The way they were going to treat it was to remove it.
-Surgery was scheduled for December 9.
- I was waiting for my first dose of chemo.
They got their treatment allright but not before battling with their insurance
companies.
-My insurace companies denied all IV drugs from me and all I was getting was IV
drugs.
-It was a pre-existing condition.
-Its not medically necessary.
-We dont consider that life-threatening.
Diane died from her non life-threatening tumor. Laurel's cancer is now spread
throughout her body. Amys cancer found its way to her brain and killed her a couple of
years later. While vacationing in Japan, Maria became ill and got the MRI that
BlueShield of California had refused to approve. The doctors in Japan told her she had
a brain tumor. BlueShield had said repeatedly she didn't have a tumor. That's when she
said: "Well. I'm pretty sure I have a lawyer.
-March 13, 2003. I'm gonna direct your attention to exhibit one. Please describe for
me what it is.
-It is a denial for referral to an ophthalmologist.
-Is it your signature on the document?
-Yes.
-I'd like to direct your attention to exhibit two.
-This is a denial of a request for referral for a magnetic resonance imaging test of the
brain.
-It has your signature?
-Yes.
-Directing your attention to exhibit three. Please read this document.
-This is a denial of a referral to a neurosurgeon.
-Can you explain for me how you came to sign the denial letter?
-This is a standard signature they put on all denial letters.
-Is that your signature or a stamp?
-That is a stamp.
-Did you ever see a denial letter before your signature was stamped on it?
-No, but the denial letters are fundamentally the same. The denial letters that are sent
out...

-The answer is no.

-No. All right.
-The very definition of a good medical director was somebody who could save the
company money.
Dr. Linda Peeno was a medical reviewer for Humana. She left her job because she
didn't like their way of doing business.
-You look at a particular case or question at hand and you start looking for ways to
deny or how to save money. Thats your goal. So you look through the language that
says there is an exclusion and you say aha, this is great this is a technical denial. I dont
have to get into any of the kind of muddy issues. I can just deny. The doctors with the
highest percent of denials was actually going to get a bonus.
- Really?
-And that was the way they had set the system up.
-Any payment for a claim. was referred to as a medical loss. Thats the terminology
that the industry uses. I mean, when you dont spend money on somebody, you deny
their care or you make a decision that brings money in and you dont have to spend it,
its a savings to the company.
This is Tarsha Harris. BlueCross didn't deny her her treatment and actually approved
her operation. But then they discovered that in the distant past she had had a yeast
infection.
-Apparently it's common. Men, women can get a yeast infection. So I was prescribed
the yeast infection cream, general cream, and it went away.
-She later applied for health insurance and that's when you're supposed to be
disclosing serious ailments. The yeast infection was independent. It is not a serious
ailment. There was nothing she could have done. It wasn't until they were gonna have to
spend money that they looked. If they'd taken five minutes beforehand and wanted to
clear up the yeast infection, they could've looked at her records or talked to her doctor.
Because of the undisclosed yeast infection, BlueCross dropped Tarsha Harris.
-She thinks she's put this behind her and then BlueCross changes their mind, tells the
doctors, "We're taking the money back, go get the money from Tarsha."
-The fact of the matter is it was a yeast infection, that's all it was. I'm still a little bitter
because I don't trust insurance companies now. To me, it seems they're always gonna be
looking for a way out. What happened to helping the person that's sick? Don't make
their problems worse.
This is Lee Einer. If they weren't able to weed you out in the application process or
deny you the care your doctor said you needed and somehow ended up paying for the
operation, they send in Lee, their hitman. His job is to get the company's money back
any way he can. All he has to do is find one slip-up on your application or a pre existing
condition you didn`t know you had.

-We`re going to go after this like it is a murder case. And I mean a whole unit
dedicated to going through your health history for the last five years. Were looking for
anything that would indicate that you concealed something, you misrepresented
something, so that they can cancel the policy or jack (up) the rates so high that you can't
pay them. And if we couldn't find anything you didn't disclose on the application, you
can still get hit with a preexisting denial, because you don't even have to have sought
medical treatment for it. In some states, it's legal to have a prudent person`s preexisting
condition. And that's a mouthful, I know, but what that says is if prior to your insurance
kicking in, you had any symptom which would incline a normally prudent person to
have sought medical care, then the condition of which that symptom was a symptom is
excluded. I know! It's labyrinthine, isn't it? But that's how it works. They're supposed to
be fair and even-handed, but with an insurance company, it's their frigging money! So
it's not unintentional, it's not a mistake, it's not an oversight, you're not slipping through
the cracks. Somebody made that crack and swept you towards it. And the intent is to
maximize profits. Looking back, I don't know that I killed anybody. Did I do harm in
people's lives? Yeah. Hell, yeah. I haven't worked for insurance companies for a long
time, and I don't think that really serves to atone for my participation in that mess. I am
glad I'm out of it, though.
Julie Pierce was struggling to get care for her husband Tracy who was suffering from
kidney cancer. Julie works in the intensive care unit at St. Joseph's Medical Center in
Kansas City. Missouri, which provided her family with health insurance.
-Every month, there was a new drug that the doctor wanted to try. My insurance
denied it. One letter might say, "not a medical necessity," one letter might say, "it's not
for this particular type of cancer," and they denied it. Then they came up with the bone
marrow. It has shown to stop it, sometimes to completely get rid of it.
Tracy's doctors said this treatment had been successfully tried on many other patients.
If one of Tracy's brothers turned out to be a suitable donor. They were promising bone
marrow treatments for beating Tracy's cancer.
Two weeks later, the bone marrow nurse at KU called me and she goes: "We've got the
results back. His youngest brother is a perfect donor match." We were ecstatic. You
know, I think that's the happiest I had seen him... in a while. So we submitted it and they
denied it. Said it was "experimental." So I found out that there is a board of trustees
over our medical plan that actually work at my hospital. And they are the final decisionmakers on what gets approved and what doesn't get approved.
Julie and her husband and their son., Tracy Junior, demanded a meeting with the
health plan's board of trustees, the very people who had the power to approve their
claim. They told Julie that they were sympathetic to her situation.
-I said, "Your sympathy does me no good when I'm burying him next year." And I told
them, I said if I was... -Bruce van Cleve was our CEO - I said, "I bet if it was Bruce
van Cleve's wife, it would get approved." "No, it's nothing like that." I said, "Or maybe
if my husband was white." And I got up and walked out of the room. When we got
home, I found him up in the bathroom. And I knocked on the door and said, "What are
you doing in there?" "Nothing." I opened the door 'cause usually he'll say: "What do you

think I'm doing in here?" And he was sitting in there and he was crying. And he said,
"Why me? I'm a good person." And I said, "But we're not done fighting this." "We're
strong, yeah." And then he said... You know, he goes, "I can see now that I'm gonna
die." He said, "I can leave everything in the world, but I don't want to leave you and
Tracy." The doctor told me he would die in three weeks. And... On January 13th, which
was my birthday, he went to sleep and he died five days later, here at home. He was my
best friend, he was my soul mate, he was my son's father. I mean, we were to grow old
together. They took away everything that matters. I wanna know why, why my
husband? Why wasn't he given the chance to live? You preach these vision and values
that we care for the sick, the dying, the poor. That we're a healthcare that leaves no one
behind. You left him behind, you didn't even give him a start. It was as if he was
nothing. And I want them to have a conscience about it. And I don't think they do. I
don't think it has fazed them one bit. At all.
There was one person in the healthcare industry who did have a conscience, Dr. Linda
Peeno, A former medical reviewer at Humana.
-My name is Linda Peeno. I am here primarily today to make a public confession. In
the spring of 1987, as a physician, I denied a man a necessary operation that would have
saved his life, and thus caused his death. No person and no group has held me
accountable for this, because, in fact, what I did was I saved the company a half a
million dollars for this. And, furthermore, this particular act secured my reputation as a
good medical director, and it insured my continued advancement in the healthcare field.
I went from making a few hundred dollars a week as a medical reviewer to an escalating
six-figure income as a physician executive. In all my work, I had one primary duty, and
that was to use my medical expertise for the financial benefit of the organization for
which I worked. And I was told repeatedly that I was not denying care, I was simply
denying payment. I know how managed care maims and kills patients. So I'm here to
tell you about the dirty work of managed care. And I'm haunted by the thousands of
pieces of paper on which I have written that deadly word - "denied." Thank you.
How did we get to the point of doctors at health insurance companies actually being
responsible for the deaths of patients? Who invented this system? How did this all
begin? Where did the HMO start? Thanks to the wonders of magnetic tape. We know.
-I am proposing today a new national health strategy The purpose of this program is
simply this - I want America to have the finest healthcare in the world, and I want every
American to be able to have that care when he needs it.
The plan hatched between Nixon and Edgar Kaiser worked. In the ensuing years.
Patients were given less and less care...
-Bigger logjams at the nearby hospital and less quality medical care.
-Been here about 18 hours, since 7:00 this morning.
-What looks cramped and unsightly can also be dangerous...
...while health insurance companies became wealthy. The system was broken.

Thirty-seven million Americans are without protection against catastrophic illness.

The losers are the poor, who may now postpone urgently needed healthcare until it's too
late.
This went on for years until this man rode into town, bringing with him his little lady.
Sassy.
Smart. Sexy. Some men couldnt handle it.
-Today, Im announcing the formation of the presidents task force on National Health
Reform, chaired by the First Lady, Hillary Rodham Clinton.
Hillary Rodham Clinton decided to make healthcare for everyone her top priority.
-Universal coverage now. It will not depend upon where you work, whether you work,
or whether you have a preexisting condition. Healthcare that can never be taken away.
-Some Republicans complain Mrs. Clinton is getting a free ride because shes the
presidents wife.
-It's fairly risky business what President Clinton did, to put his wife in charge of some
big policy program.
-And while I don't share the chairman's joy at our holding hearings on a governmentrun healthcare system, I do share his intention to make the debate and the legislative
process as exciting as possible.
-I'm sure you will do that, Mr. Armey.
-We'll do the best we can.
-You and Dr. Kevorkian, I think.
-I have been told about your charm and wit, and let me say... Reports on your charm
are overstated and reports on your wit are understated.
-Thank you. Thank you very much.
She drove Washington insane.
-Do you want the government to control your healthcare? You won't have the choice
of your own doctors.
-Less government.
-More control.
-More government.
-Less control for you and your family.
-When your mama gets sick, she might talk to a bureaucrat instead of a doctor.
-This is a total mess, and it's about to get messier.
-Not this big bureaucratic, socialistic plan that they have.
- Socialist takeover...
-Socialized medicine.
-What really amounts to a giant social experiment.
Ooh! Socialized medicine. Nothing put more fear in us than the thought of that. And
the chief fearmongers against socialized medicine have always been the good doctors
of the American Medical Association.

-This would put the government smack into your hospital, defining services, setting
standards, establishing committees, calling for reports, deciding who gets in and who
gets out. After all, the government has to treat everyone fair and equal, don't you know?
Take us all the way down the road to a new system of medicine for everybody.
Yes. Medicine for everyone. The AMA didn't want that. And to drive the point home
further, they held thousands of coffeeklatsches all over the country where they invited
their neighbors to come and listen to a record made by a well-known actor on the evils
of socialized medicine.
-My name is Ronald Reagan. One of the traditional methods of imposing statism or
socialism on a people has been by way of medicine. The doctor begins to lose freedoms,
it's like telling a lie and one leads to another. A doctor decides he wants to practice in
one town. The government has to say to him. "You can't live in that town, they already
have enough doctors. You have to go someplace else." All of us can see what happens
once you establish the precedent that the government can determine a man's working
place and his working methods. And behind it will come other federal programs that
will invade every area of freedom as we have known it in this country until one day we
will awake to find that we have socialism.
-The White House said today its time to tone down the rhetoric, reacting to burning
an effigy of Hillary Clinton.
The times may have changed. But the scare tactics hadn't. The healthcare industries
spent over a hundred million dollars to defeat Hillary's healthcare plan. And they
succeeded.
-And I want now to introduce to you the president, because he loves the Easter egg
roll.
For the next seven years in the White House. She wasn't allowed to bring it up again.
A decade and a half went by and still America had no universal health plan. The United
States slipped to number 37 in healthcare around the world. Just slightly ahead of
Slovenia. But that's understandable because Congress was busy with other matters.
-Mr. Speaker, today I rise to offer congratulations to the confectioners at Just Born
Incorporated, as they celebrate the 50th anniversary of one of their most recognized and
celebrated products, not to mention my daughters favorite: marshmallow pips.
And thus. The healthcare industry went unchecked into the early 21st century.
-Humana more than doubles its fourth quarter profit, lifts its earnings for the year as
well.
-United Health has tripled its share prices.
Making obscene profits...
-...better-than-expected earnings.
- There's a lot of wealthy shareholders out there. Are they willing to actually share

10

some of that wealth?

...turning their CEOs into billionaires and skirting the law whenever they wanted. But
their biggest accomplishment was buying our United States Congress.
-This is Washington at work. Lobbying has become so brazen the money is being
collected...
With four times as many healthcare lobbyists than there are members of
Congress,they even managed to buy off old foes. For her silence, Hillary was rewarded.
And she became the second largest recipient in the Senate of healthcare industry
contributions.
-We've given the entire healthcare system over to the insurance industry. And they
have total control.
Well. Not total control. Drug companies like to buy their members of Congress too.
Here's what it costs to buy these men. And this woman. This guy. And this guy. And him
too.
-Ladies and gentlemen, the President of the United States.
And the biggest check was saved for last. Why did they hand out all this cash? They
wanted a bill passed - a bill to help seniors with their prescriptions.
-Let there be no mistake about it. Republicans love their mothers, their fathers and
their grandparents as much as anybody else on this hill, and we're gonna take care of
them.
Of course. It was really a bill to hand over 800 billion of our tax dollars to the drug
and health insurance industry by letting the drug companies charge whatever they
wanted and making the private health insurance companies the middleman. Everybody
was going to get their cut. The man they appointed to get the job done was congressman
Billy Tauzin. He was the right man for the job because he had a secret weapon.
-There's no one in this house loves their mother more than I love my mother. I
challenge you on that, sir. Nobody in this body loves their mother any more or any less
than any one of us. I love that woman. Do you think for a second you love your moms
and dads any more than we love ours? Do you think Republicans and Democrats who
will vote... Do you really believe that, Mr. Stoddard? God bless you.
Oh. They all loved their mothers. It's just that they didn't love our mothers as much.
-Now I'm honored and pleased to sign this historic piece of legislation the Medicare
Prescription Drug, Improvement and Modernization Act of 2003.
What they didn't tell us was that the elderly could end up paying more for their
prescriptions than they did before. Over two thirds of senior citizens could still pay over
$ 2.000 a year. And when it was over, 14 congressional aids who worked on the bill quit
their jobs on the Hill and went to work for the healthcare industry, as did one

11

congressman. Billy Tauzin left Congress to become the CEO of PhRMA, The drug
industry lobby, for a salary of $ 2 million a year. Oh. It was a happy day in Washington.
Many Americans knew they were never going to see universal healthcare and that's why
some of them decided to look elsewhere for help.
-We're driving across the Detroit river Back there is the Renaissance Center, you can
see the Rennaissance Center. General Motors' headquarters, downtown Detroit, the
skyline. You get a really nice view from driving over the bridge.
This is Adrian Campbell. A single mother. Who at the age of 22 came down with
cancer.
-I got cervical cancer and I was denied through the insurance company. They said,
"We're not paying for it because you're 22 and you don't have..." "You shouldn't be
having cervical cancer. You're too young."
Forced into debt. But now cancer free, she was fed up with the American healthcare
system. She had a new plan.
-I have everything ready before I even hit the border. I got my passports ready, I got
my money out. It's three dollars and 25 cents to get across one way. And I got
everything just sitting up here on my visor just ready to go. Aurora, be very quiet.
-Citizenships?
-US.
-Where do you live?
-Michigan.
She may live in Michigan. But ten blocks across the border, Adrian becomes a
Canadian.
-How long have you been living here? Three months?
-A couple. I haven't applied for the OHIP card yet. I still have mine
-It takes ten minutes.
-That's fine, I don't mind.
-OK, thank you.
-I put down Kyle's address at the clinic, and when they ask, you know, what my
relationship is, I put down that I was his common-law partner. I don't like to lie and I
don't like liars. It's little white lies, but it's... You know, I'm saving the money.
-You don't bring a checkbook when you go to the hospital here. It's provided to us. It's
something you don't have to worry about or go out of your way to get. Stress free.
-They called the cops.
The presence of our camera alerted the clinic that something was up.
-And I don't think I'm gonna get seen now. So I have another idea. I'm gonna go down
to the other clinic. There is a clinic down... one that we passed. The police showed up
over there. Look.

12

Yes. What Adrian was doing was illegal, but we're Americans. We go into other
countries when we need to. It's tricky, but it's allowed.
-It's kind of frustrating having... I mean... Just get married and that'd solve everything
she'd be covered medically.
-Americans, marry Canadians just for the healthcare!
-I'm being used.
-Sounds like a good idea.
-See if it works... Start something. Start a trend.
***
-In Canada they give everybody free healthcare. Doesn't it work up there?
- No, unfortunately it doesn't. We wait months to get treatment you can get in a week
or a few days here.
-In Canada you have to wait nine to ten months for bypass surgery.
-Many Canadians believe it's the healthcare system itself that's truly sick.
-They pay their doctors less.
-A surgeon can only do a certain number of operations each year, with only so many
expensive new pieces of equipment.
-It's easier for your cat or dog to receive an MRI here in America.
-You die of cancer waiting for chemo 'cause all of Ottawa has one chemo machine.
-If you think socialized medicine is a good idea, ask a Canadian.
I thought who better to ask than my Canadian relatives, Bob and Estelle. But they
wouldn't cross the border into America. They wanted me to meet them at Sears. In
Canada.
-What are you guys doing here?
-We're buying insurance.
-We're going to the States to see you.
-Right, that's just across the river.
-You wouldn't go over to see us in Michigan for a couple of hours without insurance?
-No, we wouldn't. We're just adamant about it. We would not do it. If somebody
punches us in the mouth or something, something like that...
-You don't want to get caught in the American health system thing?
-We have nothing against Americans or America, or anything like that at all.
- We're a nice and simple people.
- Not very simple, but certainly very nice.
I decided to explore their anti-American views further. Over some fine Canadian
cuisine.
-We have a friend who went to Hawaii and he sustained a head injury while he was
there. And before he was well enough to come home, he had chalked up a bill of over
$600,000. So what middle-class Canadian could absorb that?
-I guess I feel bad that you would have to worry about something like that.
-We're not criticizing your country, we're just giving you the facts, that we could not
afford to be without insurance.
- Even for a day?
- Even for a day.

13

To prove their point even further They sent me over to a local golf course to talk to
Larry Godfrey who had a golfing accident while on vacation in Florida.
-I could hear a noise and feel a pain, and the tendon snapped off this bone here that
holds the bicep in place. So this bicep muscle was released, like on an elastic, and it
ended up here on my chest.
-The muscle ended up in your chest?
-Right. Ended up here.
Like all good golfers, Larry finished his round before seeking medical attention.
That's when he got the bad news.
-I wasn't too worried as I had out-of-country insurance, but when he told me it was 23
or 24,000, then I....
-24,000?
-Dollars, yes.
-So if you'd stayed in the United States, this would have cost you $ 24,000? Instead,
you went back to Canada, and Canada paid your total expenses?
-Everything.
-Paid for the operation. It cost you?
-Nothing.
-Zero.
I'm wondering why you expect your fellow Canadians, who don't have your problem,
why should they, through their tax dollars, have to pay for a problem you have?
-Because we would do the same for them. It's just the way it's always been and it's the
way we hope it'll always be.
-Right, but if you just had to pay for your problem, and don't pay for everybody else's
problem, just take care of yourself?
-Well, there are a lot of people who aren't in a position to be able to do that. And
somebody has to look after them.
-Are you a member of the Socialist Party?
-No. No.
-Green Party?
-No. Well, actually, I'm a member of the Conservative Party. Is that bad?
-Well, it's just a little confusing.
-Well... It shouldn't be. I think that... Where medical matters are concerned, it wouldn't
matter in Canada what party you were affiliated with, if any.
-But, to us, as we look across the river here, you know, why don't you think we don't
believe that? What's wrong on this issue with us?
-I guess the powers that be don't share our beliefs that healthcare ought to be
universal. I mean, Canadians didn't until we met up with a guy named Tommy Douglas,
who pretty much changed everyone's mind.
-One guy?
-One guy, yeah. One guy did it, he...
-Can he come over and visit us?
-He's dead, unfortunately. In fact, he was... He's just most recently been revered as
Canada's singular most important person. We think so much of...

14

-You mean in your history?

-In our whole history.
-More than your first prime minister?
-Absolutely, yeah. Even more than Wayne Gretzky (Canadas top hockey player).
-No way!
-Absolutely. Yeah.
-More than Celine Dion?
-Great singer. More than Celine, yeah.
-More than Rocky and Bullwinkle? (cartoon characters)
-Maybe.
***
- As the blade went through, it caught the glove I was wearing and it sliced through
the entire group of fingers, completely taking them off. And I realized that I needed help
immediately.
-Obviously, putting on amputated fingers or arms or limbs is one of the more dramatic
things we can do. If you're looking at five fingers, you're looking at a 24-hour operation.
There actually was four surgeons, as well as all the nurses and two different
anesthetists /nestIsts/ to carry out an operation of that magnitude. When someone
like Brad came in, we didn't have to worry about whether he could afford it. He needed
help and a great deal of help and we could concentrate on the best way to bring him
through it.
-I met this American, he'd cut off the ends of two of his fingers with a saw. So when
he arrived at the hospital, they told him one finger's gonna cost $60,000, and the other
one was gonna be $12,000. He had to choose which finger he could afford.
-We've never told someone that they couldn't put a finger back on because the system
wouldn't allow it. I'm very glad I work within a system that allows me the freedom to
look after people, and not have to make choices like that.
It seems nothing we were told about the Canadian system was true. Maybe I was just
in the wrong part of town. So I went across the city to a crowded hospital waiting room.
-How long did you have to wait here to get help?
-20 minutes.
-45 minutes.
-I got helped right away.
-You can see how crowded this is. They really do an amazing job.
-Did you have to get anyones permission to come to this hospital?
-No.
-No.
-We can go anywhere we want.
-You don't have to get it preapproved by your insurance company?
-Oh, heavens, no.
-Can you choose your doctor?
-Oh, yes.
-What's your deductible?
-Nothing.
-I don't think we have any.
-I don't know. I don't think there's any, as far as I know.

15

-So what did this cost?

-Nothing.
-We know in America people pay for their healthcare, but I guess we just really don't
understand that, we dont understand that concept 'cause we don't have to deal with that.
-And we're dealing with Parkinson's, stroke, heart attack. We're very, very lucky.
Really we are. I mean, we complain. People complain about everything, right?
- Right, you're Canadian.
- But on the whole, it's a really fabulous system for making sure that the least of us and
the best of us are taken care of.
It turns out that Canadians live three years longer than we do. That's not hard to
believe when you meet fellow Americans like Erik. Erik Turnbow of Olympia,
Washington saved up his whole life so that he could visit the famed Abbey Road
crosswalk in London. But it wasn't enough for Erik to just walk across the road like The
Beatles did. He had to do it his own special way.
-Here's Erik, about to walk on his hands across Abbey Road. Try it again.
- I put my shoulder out!
-Are you in pain?
-Yeah
The British hospital didn't charge Erik anything for his stay and only about ten bucks
for all the way-cool drugs they gave him.
-You're all slung up.
-I'm gonna be OK.
I decided to go to Great Britain to find out how a hospital stay could be free and
drugs could cost only ten dollars.
-If I come in here and I have a prescription and it requires 30 pills, how much is that?
-It's 6.65 pounds. That's the standard charge.
-6.65 pounds? So that's what? Ten dollars or so?
-Yes.
-What if I needed 60 pills, how much is it?
-Same charge.
-120 pills?
-6.65 pounds still.
-It doesn't matter how many pills?
-No.
-What if it's an HIV drug or a cancer drug?
-Still 6.65 pounds.
-If they are under 16 or over 60, they're automatically exempt.
-So only a working adult who earns enough money pays the 6.65 pounds? Everybody
else gets medication for free?
-No money being exchanged here?
-No, nothing.
-There's no money being exchanged?
-I'm over 60. We don't pay.

16

-What's the purpose of the cash register? I'm just wondering where's the bread and the
milk and the candy in here? I can't pick up any laundry detergent in here?
-No. I haven't been trained for that many years to be selling detergents, so no.
I next went to a state-run hospital, operated by the National Health Service.
-I'm due in seven weeks and I get six months off, paid. And then I can have six
months off unpaid as well, so I'm actually taking a year.
-Well, that sounds like a luxury where I'm from.
-Oh, really, it's not like that in the US? No? Not at all, no?
-So what do you pay for a stay here?
-No one pays.
-They were asking how do people pay. I said there isn't... You don't, you just leave.
-It's national insurance. There's no bill at the end of it, as it were.
Even with insurance, there's bound to be a bill somewhere.
-So where's the billing department?
-There isn't a billing department. There's no such thing.
-What did they charge for that baby?
- Sorry?
-You gotta pay before you can get out?
-No. This is NHS.
-No, no. Everything is on NHS. You know, it's not America.
Maybe I'd have better luck in the part of the hospital where things get seriously
expensive.
-This guy broke his ankle. How much will this cost him?
-Sorry?
-The emergency room visit. He'll have some huge bill when he's done, right?
-Here... NHS, everything is free.
-I'm asking about hospital charges and you're laughing at me.
-I was never asked this question in the emergency department, that's why.
I was starting to fall for this "everything is free" bit and then I discovered this.
-So this is where people come to pay their bill when they're done staying in the
hospital?
-No, this is the NHS hospital, so you don't pay the bill.
-You get to just go home?
-Why does it say "cashier" here if people don't have to pay a bill?
-All we have is a little man who stands behind a counter and he gives people money if
they've had to pay for transport.
-Those who have reduced means get their travel expenses reimbursed.
So in British hospitals, instead of money going into the cashier's window, money
comes out.

17

-The criteria for letting you out of the hospital are not if you've paid, your bill, the
criteria are, are you fit to go and are you going somewhere safe?
Clearly, I was just the butt of a joke here. What I needed was a good old-fashioned
American who would have some understanding.
-I first came to London in 1992. And we just ended up staying and we had three
children here. Well, I had them all on the NHS, which is the British National Health
Service. I think, like a lot of Americans, assumed that a socialized medicine was just
bottom of the rung treatment, that`s the only possible way, that it would be horrible and
it would be like the Soviet Union. I mean, that's kind of how... And it's terrible that
that's what I thought.
That's what I thought too. After having a baby, it's right back to the wheat fields. And
then it occurred to me that back home in America, we've socialized a lot of things. I
kind of like having a police department and fire department and the library. And I got to
wondering: why don't we have more of these free, socialized things. Like healthcare?
-When did this whole idea that every British citizen should have a right to
healthcare?
-Well, if you go back, it all began with democracy. Before we had the vote all the
power was in the hands of rich people. If you had money, you could get healthcare,
education, look after yourself when you were old. And what democracy did was to give
the poor the vote. And it moved power from the marketplace to the polling station. From
the wallet to the ballot. And what people said was very simple. They said, "In the 1930s,
we had mass unemployment, but we don't have unemployment during the war. If you
can have full employment by killing Germans, why can't we have full employment by
building hospitals, schools, recruiting nurses and teachers? If you can find money to kill
people, you can find money to help people.
-Right.
-This leaflet that was issued was very, very straightforward.
- What year was this?
- This was 1948. "Your new National Health Service begins on the 5th of July. What is
it? How do you get it? It will provide you with all medical, dental and nursing care.
Everyone, rich or poor, man, woman or child, can use it or any part of it. There are no
charges, except for a few special items. There is no insurance qualifications, but it is not
a charity. You are paying for it mainly as taxpayers, and it will relieve your money
worries in times of illness." Now, somehow, the few words sum the whole thing up.
I was amazed when he said this all started in 1948. The British had come out of a
devastating experience through World War II. The country was destroyed and nearly
bankrupt. They had nothing, in just one eight-month period 42,000 civilians lost their
lives. What we went through
in two hours on 9/11, they went through nearly every single day. Remember how we all
felt after 9/11 ? All of us pulling together? I guess that's how they felt. And the first way
that they decided to pull together after the war was to provide free medical care for
everyone.
-Even Mrs. Thatcher said, "The National Health Service is safe in our hands." It's as
non-controversial as votes for women. Nobody could come along and say, "Why should

18

women have the vote?" now. People wouldn't have it, they wouldn't have it in Britain.
They wouldn't accept the deterioration or destruction of the National Health Service.
-If Thatcher or Blair said, "I'm going to dismantle national healthcare..."
-There would have been a revolution.
***
-A report from the American Medical Association into the health of 55-to-64-year-olds
says Brits are far healthier than Americans. For every illness that we looked at,
Americans had more of it than English. Cancer, heart disease, hypertension, strokes,
lung disease, all significantly higher for Americans. Even the poorest people in England
with all the environmental factors that give them the worst health in the country can
expect to live longer than the wealthiest people in America.
I was wondering, though. What's it like for the doctors here in Britain who have to
live under this kind of state control?
-And you're a family doctor?
-Yeah, I suppose we'd call them GPs or general practitioners here.
-Right, so you have a family practice?
-Yeah, it's an NHS practice. We have nine doctors in that practice.
-Paid for by the government?
-Yeah.
-You work for the government? You're a government-paid doctor. A patient comes to
see you, before you treat them, do you have to call the government insurance company
before you treat them?
-No, I don't deal with money at all on an everyday basis.
-Have you ever had to say no to someone who was sick and needed help?
-No, never.
-Have you heard of anyone being in the hospital and being removed because they
couldn't pay their bill?
-No, never. And I wouldn't want to work in that system.
-So working for the government, you probably have to use public transportation.
-No. I have a car that I use and I drive to work.
-An old Beetle? You live in a kind of rough part of town?
-I live in a terrific part of town. It's called Greenwich. It's a lovely house. It's a threestory house.
-How many other families have to live in that house with you?
-There's four bedrooms for my wife and my son. It's just the three of us there.
- How much did you pay for that?
- 550,000. Yes, almost.
-So, a million dollars? You're a government-paid doctor on a national health insurance
healthcare plan, and you live in a million-dollar home?
- Yes. I think my friends think we do quite well.
- Really? How well do you do?
-I earn around 85,000, including pension.
-85,000?
-85,000 a year. And that includes pension that they would pay in to me. They
probably earn just over 100,000 within my practice.
- 100,000? So that's almost 200,000 dollars?

19

- Yes, absolutely. The money that we earn, we get paid by what we do. So the better
we do for our patients, then the more we get paid.
- What do you mean?
- There's a new system. And in that new system, if the most number of your patients
have low blood pressures, or you get most of your patients to stop smoking, or you get
most of your patients to have mental health reviews if they're unwell, or low
cholesterols, then you get paid more.
-This year, if you get more people that are your patients to stop smoking, you'll get
more money, you'll earn more?
-Oh, yeah. Absolutely.
-So doctors in America do not have to fear having a universal healthcare?
-No. I think if you want to have two or three million-dollar homes and four or five
nice cars and six or seven nice televisions, then maybe, yeah, you need to practice
somewhere where you can earn that. But I think we live comfortably here. London is an
expensive city, but I think we live comfortably.
-You're getting by OK on the million-dollar home, the Audi, and the flat-screen TV?
-Yeah, we're coping with those.
***
-I think democracy is the most revolutionary thing in the world. Far more
revolutionary than socialist ideas, or anybody else's idea. Because if you have power,
you use it to meet the needs of your community. And this idea of choice which capital
talks about, "you've got to have a choice," choice depends on the freedom to choose. If
you're shackled with debt, you don't have a freedom to choose.
-It seems it benefits the system if the average person is shackled with debt.
-People in debt become hopeless, and hopeless people don't vote. They always say
everyone should vote, but I think if the poor in Britain or the United States turned out
voted for people who represented their interests, it would be a real democratic
revolution. So they don't want it to happen. So keeping people hopeless and
pessimistic... See, I think there are two ways in which people are controlled. First of all,
frighten people, and secondly, demoralize them. An educated, healthy and confident
nation is harder to govern. And I think there's an element in the thinking of some
people: "We don't want people to be educated, healthy and confident, because they
would get out of control." The top 1 % of the world's population own 80% of the
world's wealth. It's incredible that people put up with it, but they're poor, they're
demoralized, they're frightened. And therefore, they think perhaps the safest thing to do
is to take orders and hope for the best.
And hope for the best is what we do. Right from the moment we're born. We've got the
worst infant mortality rate in the western world. A baby born in El Salvador has a
better chance of surviving than a baby born in Detroit. But it gets better when we go to
school. Classrooms with 40 students, schools with no labs, no wonder the majority of
our adults can't find Britain on a map. But that's OK, there's always college. By the
time we graduate our ass is so in hock, we're in debt before even have our first job.
-I'm at about... we'll say about $35,000 in debt. That's for my third year in college.
That way, you'll be the employee they're looking for - one who needs this job. What
employer wouldn't want to employ someone thousands of dollars in debt because they

20

won't cause any trouble? In addition to having to pay off your college debt, you need a
job with health insurance. It would be horrible to lose that job, wouldn't it?
-You can always quit, you know. There's no law that says you have to work here.
If that one job doesn't pay all the bills, don't worry. You can get another one. And
another one. And another one.
-I work three jobs,and I feel like I contribute.
-You work three jobs?
-Three jobs, yes.
-Uniquely American, isn't it? I mean, that is fantastic that you're doing that. Get any
sleep?
If you're not getting enough sleep, take pharmaceuticals.
-You're tired all the time.
-You feel sad.
-If you suffer from excessive worry...
-Generalized anxiety disorder.
-It could be adult ADD.
-Ask your doctor.
-Ask your doctor.
Yes. Ask your doctor and ask him for more drugs; that should keep you doped up until
it's time to retire. Did I say retire? If you do make it to 80, your pension will still be
there. Unlike the new employees for these companies, who'll never see a pension. But
dont worry, I'm sure our kids will take care of us, considering the great life we've given
'em. Remember, let's defeat the terrorists over there so we don't have to fight them here.
Kaiser Permanente is the largest HMO in the country and Dawnelle Keyes was
fortunate enough to be fully insured by them. It's a good thing because one night, her
18-month-old daughter, Mychelle, developed a fever of over 104. So, like any
responsible mom, she called 911. and the ambulance took Mychelle to the closest
hospital. The hospital checked with her HMO and they were told that Kaiser would not
cover the tests and the antibiotics necessary to treat Mychelle. She would have to take
her to an in-network, Kaiser-owned hospital.
-Kaiser said that I should bring her by car to the hospital, and that she shouldn't be
treated at Martin Luther King. I just continued to ask them to treat her, and they refused.
My daughter got worse and she had a seizure.
Dawnelle begged doctors to not listen to Kaiser and to treat her daughter.
-I was escorted out of the hospital because they felt that I was a threat.
After hours of delay. She was transported to Kaiser. And got there just in time to go
into cardiac arrest.
-They worked on her for about 30 minutes, trying to revive her. And the doctors came
in and let us know that she had expired. I was in a daze, a real daze. It just didn't seem

21

real. I just held her. I held her and I told her that Mommy tried her best to help her, to
make sure that she was gonna get the treatment she needed to receive and that I was
sorry that I wasn't able to help her.
-Simon says.: Give the answer.
-Uh-oh.
This is Karena and her daughter Zoe. Karena is a graduate of Michigan State
University and a native of my hometown of Flint, Michigan. Six months ago, Zoe, like
Dawnelle's baby Mychelle, came down with a high fever.
-What happened is she stopped breathing for a little while, turned blue and passed out
in my arms, which was... It was the most horrible moment in my life, I think, just
because I thought that she was either dead or dying and I had no clue what to do. At the
hospital, they gave her some medicine to bring the fever down, and examined her, took
some blood.
-What did they determine was wrong with her?
-It was a throat infection, but we stayed at the hospital from Friday to Sunday, just so
they could keep an eye on her.
-You stayed there that long?
-Yeah. They just basically kept an eye on her.
-And how much did all this cost you, the three-plus days in the hospital?
-Nothing.
-Nothing?
-Nothing. Nothing at all.
-And that's because?
-I live in France.
-You live in France?
-Yeah
Ah. France. They enjoy their wine, their cigarettes and their fatty foods. And yet, just
like the Canadians and the Brits, they live much longer than we do. Something about
that seemed grossly unfair. This is Alexi Cremieux. He spent his entire adult life in the
US without health insurance.
-I lived in America for 13 years. I loved my life there. But then when I discovered that
I had a tumor and I didn't have health insurance, unfortunately, I had to come back here.
Even though I had never paid any taxes in France 'cause I never worked here - I left
when I was 18, I didnt even have a Social Security number - for them it was, "He needs
treatment, he has no income, so we're gonna give him, you know, the treatment he
needs."
-How are you doing now?
-I'm healthy now, but I had three months of intense chemotherapy. So after three
months, I saw my doctor and he said, "You wanna go back to work?" I said, "No, I don't
feel like it. Right now, I'm not ready." He said, "How much do you need?" I said, "Well,
I don't know." He said, "Would three months be OK?" I said, "I think three months
would be fine." He said, "OK, so take three months off." So he wrote me a note that I
gave to my employer to make sure I got paid. - So I went to the south of France...
-Wait a minute, three months off with pay?

22

-Yes. Yes. I get 65% paid by the government, and then the other 35% is paid by my
employer, to make sure you get 100%. So it was April, it was spring again. So I started
right away, sucking up some sun. And that really helped me a lot, to recharge my
batteries. I mean, it was like night and day. In three months, I went from a 95-year-old
man to a 35-year-old man again. But that's because I had that time to take care of
myself.
***
-I'm not in a position to make any judgment concerning the American system. I think
the United States is a great, great country. Americans are great people. I really love
them. But as a doctor first, as a citizen second, and eventually, as a patient third, I'm
very glad to be in France. It's kind of a luxury here. You are sick, you step in a hospital
building, you get the care you need. It doesn't depend on your premiums. It depends on
what you need. One of the principles is solidarity. People who are better off pay for
those who are worse off. You pay according to your means and you receive according
to your needs.
-Do you think that will ever work in America?
-No.
He could barely contain his seething anti-Americanism and I just didn't want to listen
to any more of it. So I found a group of Americans currently living in Paris who I know
would tell me the truth.
-I was diagnosed five years ago with Type I diabetes. I was actually a bit nervous to
tell them I had...
-To tell the French?
-There's a place where we have to check off if you have a chronic condition. I was
nervous that they were going to charge me more or something. And instead, I went into
a hospital, and had round-the-clock care. And they do an amazing amount of
preventative care.
-They asked if you have a preexisting condition, not to punish you, but to give you
more help?
-Yes.
-I was in the hospital for a year. As soon as I was in, it was, "Well, don't worry, just
rest." People said "Rest."
-How many sick days do you get a year?
-I think it's unlimited.
-Unlimited?
-Yes. How can you limit sick days? If you're sick, you're sick.
-I've gone to emergency rooms numerous times, with four boys. And have never
waited more than an hour. Never.
-I can call and somebody comes to the house in half an hour.
-No way? Making a house call? At your place? How many of you have had a house
call from a doctor? No!
-3:00 am last Friday.
-And how much does this cost you?
-Nothing.
-What's this service called?

23

***
-Where are we going?
-We are going to see a man who has abdominal pain.
-Abdominal pain?
-Yeah. So, if its just a stomachache why are we going so fast?
-Where do we go next?
-The next visit?
***
-I say to anyone who asks me why I'm in this country is that I think it's one of the
friendliest countries that I know of. And talk about family values - I mean, childcare,
healthcare... We don't pay for day care. The day care where I send my daughter - and I
was a teacher I mean - standards are high.
-So how much does it cost you to have two children here? How much per hour? Are
you happy with how they're cared for?
-Here, my kids are sure that they are going to get a certain level of care, a certain
education, college I don't have to worry about...
-What do you mean?
-It's free.
-You're kidding?
-You can get a college education for free.
-No way.
-Yes.
-There's not a sense of desperation. They rest, they enjoy life. They spend time with
their kids, there's vacations, family time.
-How many weeks of paid vacation?
-Minimum five weeks.
-If you work for a large company, you get sometimes eight, ten weeks.
-Remember that there is a 35-hour week.
-The productivity rate is so high here.
-I read it was higher than the United States.
-If they're working more than 35 hours a week, they'll get extra days off. That is for
part-time and full-time employees.
-You get five weeks paid vacation even if you're a part-time employee?
-Of course.
-Everybody.
-If you get married, you get an extra week or seven days for your honeymoon. In
addition to your five weeks.
-You're paid to take your honeymoon.
-Also if you move.
-You mean if you move from one apartment to another?
-You get one day.
-You get a day to move and they pay you?
-These are the laws here.
-When my daughter was three months old, there was some free service, they sent
somebody to your home to give you tips on what to do with your child, every single
day, for free.

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-And they'll come to your house and do your laundry!

-They will! Sure!
-No! Stop! Stop!
-When you have a baby.
***
-What are you doing? You from the government?
-Can she do anything else?
-If I want, yes.
-She's, of course, taking care of the children. And I think if I ask her to prepare a meal
for tonight, she can do it.
- No problem.
-She's coming twice a week. Four hours a day. So I can do everything I want, for me,
for the house, for my husband, during four hours. It's very precious for me. You don't
have any associations? Nothing to help like that?
-No. Nobody from the government comes to your home in America and does your
laundry for you, if you're a new mother.
- It's difficult.
- Yeah.
***
-Something that I experience a lot of with my own family is guilt. Guilt for being here
almost, and seeing the advantages and the benefits I have at such a young age. Things
that my parents worked their whole life for and haven't even come close to touching. It's
really hard to know that you're here in a very privileged position, you know, not living
the highlife, but in comparison, definitely. And that seems completely unfair.
-One of the things that keeps everything running here is that the government is afraid
of the people. They're afraid of protests, they're afraid of reactions from the people. In
the States, people are afraid of the government. They're afraid of acting up. They're
afraid of protesting, afraid of getting out. In France, that's what people do.
Free college education. Free medical care. Government-employed nannies. I began to
wonder how do they pay for all this? And then I realized they're drowning in taxes! I
wanted to see what effect this might have on an average middle-class family. So I went
to find out.
-Hello. Welcome.
-Hello. Thank you. It's very nice.
-It's the news.
-What is your combined income for the two of you together for, say one month?
-Our combined income is $8000.
-You live very nicely on that income.
-How much do you pay each month on your mortgage?
-1,575 a month.
- How many cars do you own?
- Two.

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-Do you owe money from medical bills? Is there any other debt? Loans, anything?
-Only the apartment.
-What are your other big expenses?
-Fish, vegetables.
-Vegetables are a big monthly expense for you.
-Fruit, yoghurt...
-What are you other big expenses?
-Holidays.
-Are you happy?
-Cant you tell?
After seeing all this, I began to wonder. Was there a reason our government and
our media wants us to hate the French? Are they worried we might like the French? Or
like their ways of doing things? It was enough to make me put away my freedom fries.
Meanwhile, back at home, hospitals had found a new way to deal with patients who
didn't have health insurance and couldn't pay their bill.
-I was standing up against the wall and I saw a cab do a U-turn and pull up to the
curb. I watched to see what was happening 'cause I had a feeling what was gonna occur
'cause it's not a new thing. They pulled up right here by this yellow fire hydrant and
dropped Carol off and immediately pulled away. And as soon as they pulled away, she
walked out into the street about up to here.
-She then walked all the way down to the driveway down here, completely confused,
has no shoes on whatsoever and just a hospital gown. And those hospital gowns are
thin.
-That's when one of our staff members went and asked Carol if she needed assistance
and found out that she was completely disoriented and didn't know where she was.
Kaiser Permanente in Bellflower hospital had put her in a cab and directed them to
bring her to this drop-off point. But the names of the hospitals had been taken off both
bracelets before she arrived here.
-I have seen others that have come through our doors who have IVs still in their arms.
They told me that at their sh elter alone, over 50 patients had been dumped there by
hospitals.
-The options are few. We either open the front door and let them out, which is not
the humane thing to do, its something we dont want to do or we try to find someplace
for them to go. And right now, skid row is the best bed in town.
In fact, the night before we were there, the county hospital run by the University of
Southern California, one of the richest private schools in the country, dumped another
patient off on the curb. A woman unable to pay her hospital bill.
-Do you know how you got here?
-In the cab.
-In the cab?
-From General Hospital. They gave him the voucher. He dropped me off there, he
actually forced me out of the car.
-Ma'am, are you in pain right now? Are you in pain?
-Yes.

26

-Is there anything we can do?

-She, at this time, has broken ribs, broken collarbone, and stitches that are not
completely healed across the top of her head and on the side of her head.
-Now let me ask you, ma'am, before they dropped you off, did they ask you if you
knew where you were going?
-No.
-They didn't ask you any questions about your orientation, or whether or not you knew
what was going on?
-No, they just told me to take care of myself.
May I take a minute to ask a question that's been on my mind? Who are we? Is this
what we've become? A nation that dumps its own citizens like so much garbage on the
side of the curb because they can't pay their hospital bill? I always thought and believe
to this day that we're a good and generous people.
-This is what we do if somebody's in trouble. Anybody gets sick, we all get together
and help.
People with a good heart.
-You feel like you're sacrificing, but you get a blessing from doing this and thats the
way we all feel.
...and a good soul.
-We've got a lot of community support and we're gonna all keep working until we
locate this child.
Neighbors are quick to lend a helping hand to anyone in their hour of need.
-I deliver meals to them, but my life has been so blessed that this is just the least that I
can do.
They say that you can judge a society by how it treats those who are the worst off, but
is the opposite true? That you can judge a society by how it treats its best? Its heroes?
-The firefighters and police, rescue and recovery workers have responded with true
heroism.
- It was their original heroism that twarted the objectives of the terrorists.
-Without regard, in many instances, to their own safety and security....
-They truly are heroes.
-We owe them everything! Here they are, the men and women who have been on the
front lines for New York, and for all of us in America! Tonight is dedicated to you!
5 YEARS LATER FUNDRAISER FOR 9/11 RESCUE WORKERS
-Don't forget about the raffles going on over there - one dollar each.
-I spent two and a half years down there. I got upper and lower breathing problems.

27

-I need a double lung transplant, but was diagnosed with pulmonary fibrosis I haven't
slept in a bed in over five years, I sleep on a chair with a blanket in my livingroom,
because if I lay down I can't breathe.
There were hundreds of rescue workers on 9/11 who were not city employees but
rather ran down to Ground Zero on their own to help out and many developed serious
respiratory illnesses. That's when the government said: "They're not our responsibility
because they weren't on our payroll." John Graham is an EMT volunteer from
Paramus, New Jersey. He was in Lower Manhattan when he heard the planes hit and
rushed over to help. He worked in the rescue effort for the next few months. But then
had trouble receiving benefits for his illness.
-They just deny you for any reason. It's just a terrible waiting game I really feel like
they're waiting for you to die. It's terrible. I never thought that we would do this, that the
United States would do this.
William Maher is a volunteer member of New Jersey's fire service. He spent two
months working on The Pile at Ground Zero recovering bodies or body parts and it
deeply affected him.
-I'm experiencing a lot of disturbing dreams or whatever youd like to call them and it
affected what I was doing at night, and unaware of it because I was asleep and I just
kept grinding and grinding my teeth. The upper fronts are damaged, practically beyond
repair, because of my constant grinding over the last three years. I've been before a
workers' comp board all ready for the 9/11 volunteers' fund. I've been denied three
times, and hopefully I will go on my fourth appeal soon, if I can get the necessary
documentation.
Of course, there was a $50 million fund set up of course, supposedly to help rescue
workers.
-Ladies and gentlemen, the governor of New York, George Pataki.
But the government, like the health insurance companies, made it very difficult for
people to receive help.
-You have to have spent a certain amount of time here at Ground Zero, you have to be
able to establish that. You do have to file an affidavit (declaracin jurada) within the
next year, relating your work experiences at Ground Zero. And then, even with all of
that, it's not automatic. There is a presumption when certain illnesses occur, but that
presumption can be rebutted (revocada) by other medical evidence. We think it is a
very fair approach that protects our heroes.
Reggie Cervantes was a volunteer medical technician on 9/11.
-Nothing makes it go away, sometimes. Not water, not cough medicine, anything. It's
just burning in my throat and irritated and it just gets me to coughing. Sometimes I
have trouble breathing 'cause I can't catch my breath (recuperar mi aliento).

28

Reggie spent her days at Ground Zero carrying bodies and treating other rescue
workers.
-My airway was totally burnt that first week, and I had trouble breathing by then. But
we wanted to see if we could dig anybody up alive, we wanted to see if we had lost
anybody, if we were still missing somebody. You know, you see somebody who is in
need, you help 'em.
Reggie had difficulty getting treatment. Too sick to work and with no income, she was
forced to quit her job and used her savings to move her and her kids out of the city.
-It's hard to figure out how you're supposed to get help. We're trying to go about it the
right way. But we're ignored.
But not everyone after 9/11 was ignored by the government.
-We're now approaching the five-year anniversary of the 9/11 attacks. So I'm
announcing today that Khalid Sheikh Mohammed, Abu Zubaydah, Ramzi Binalshibh,
and 11 other terrorists in CIA custody, have been transferred to the US naval base at
Guantanamo Bay.
-On that island today are some of the world's most hardened enemy combatants.
-These detainees are deadly and include the 20th hijacker, as well as a number of
Osama bin Laden's personal bodyguards and others who had a direct role in the
September 11 attacks.
-The kind of people held at Guantanamo include terrorist trainers, bomb-makers...
-Many of them have American blood on their hands and are certainly the elite of alQaida.
-It seems to me we have an obligation to treat these individuals as enemy combatants.
And then I learned it wasn't all bad news at Gitmo.
-Detainees representing a threat to our national security are given access to top-notch
medical facilities.
-They have acute care 24 hours a day, in which surgical procedures, everything can be
performed right there in the detainee camps.
-This is the dental clinic, or the health clinic.
-We have a physical therapy department, X-ray capabilities with digital X-rays. We
have one single operating room.
-Health personnel to detainee ratio is one to four, remarkably high.
-They do sick call on the blocks three times per week, care for them there if they can,
or bring that detainee back to the clinic to be seen there.
-Screening for cancer has taken place there. Colonoscopy is a procedure which is
performed there on a routine basis.
-We have diabetes, high blood pressure, high cholesterol. We monitor the weight and
nutrition of the detainees, so that we can track those detainees to make sure we see them
frequently, monitoring their labs and their overall health.
-Their medical attention... They get way better medical treatment than I've ever had.
-You think it's as good as most US HMOs in the US?
-Certainly very similar and as good, sir.

29

-I leave with an impression that healthcare there is clearly better than they received at
home, and as good as many people receive in the United States of America.
Wow! So there is actually one place on American soil that had free universal
healthcare. That's all I needed to know. I went down to Miami, Florida, got myself a
boat. And loaded up Bill, and Reggie and John.
-John, welcome, sir.
And anyone else I could find who needed to see a doctor and couldn't afford one. So
many people showed up, I had to get a couple extra boats. And I called up Donna Smith
from Denver, who is now on nine different medications and asked her if she'd like to
come along. I figured she'd like to get out of her daughter's basement for a while.
-All right, let's go.
-Which way to Guantanamo Bay? Can we go? We're not going to Cuba!
We're going to America! It's American soil!
***
-We made it.
-There it is.
-There's the runway. That's the prison over there where the detainees are.
-We're very close.
-Yeah, we're very close. The white building is the hospital, I think.
-OK, let's go.
We commandeered a fishing boat and sailed into Guantanamo Bay. As we
approached the line in the water between the American and Cuban side of the bay, we
were told to be careful for mines.
-Permission to enter, I have three 9/11 rescue workers. They need some medical
attention. These are 9/11 rescue workers! They just want some medical attention! The
same kind that al-Qaida is getting. They don't want any more than you're giving the
evildoers, just the same! Hello!
No one in the guard tower was responding and then suddenly we heard a siren. We
figured it was time to get out of here. But what was I supposed to do with these sick
people and no one to help them? I mean, here we were stuck in some godforsaken Third
World country. And communists, no less. When I was a kid, these people wanted to kill
us. What was I supposed to do?
-Excuse me, we're looking for a doctor. Is there a doctor here in Cuba? Any doctors?
All in this one block? All right, thank you very much. Thank you.
OK. I know what you're thinking. Cuba is where Lucifer lives. The worse place on
Earth. The most evil nation ever created. How do we know that? 'Cause that's what
we've been told for over 45 years.

30

-A series of offensive missile sites can be none other than to provide a nuclear strike
capability against the western hemisphere.
-I'm not gonna yield until Fidel Castro allows freedom on the island. That's a... You
can count on it. Put it in the bank.
It seems that what really bugged us about Castro was that he overthrew the dictator
that we liked. And replaced him with a guy we didn't like - himself. And so now, after
all these years, the one thing that Cubans do have is free universal healthcare. They've
become known around the world as having not only one of the best healthcare systems,
but as being one of the most generous countries in providing doctors and medical
equipment to Third World countries. In the US. Healthcare costs run nearly $ 6.000 per
person, but in Cuba. They spend only $251. And yet the Cubans are able to have a
lower infant mortality rate than the US, a longer average life span than the United
States. They believe in preventive medicine and it seems like there's a doctor on every
block. Their only sin when it comes to healthcare seems to be that they don't do it for a
profit.
-Anybody need medication right now from the pharmacy?
-Are you the pharmacist?
-Yes.
Do you have this? Is this one similar to yours?
-Yeah. It's $120 in the US.
-This is $120 in the US?
-Yes.
-Cunto cuesta ese?
-$3,20.
-How much is that in American dollars?
-It's like five cents.
-Five cents?
-Yeah. More or less.
-Thank you very much. Muchas gracias.
-$120 is a lot of money when you get $1,000 in social security disability and need one
or two a month. Five cents here? It's like the biggest insult. It just doesn't make any
sense. It doesn't make any sense. I wanna fill a suitcase up and go back home with it.
I took my group of sick Americans to a hospital to see if they could get some care.
They didn't ask for money or an insurance card. Just their name and date of birth. That
was the entire intake session.
- Thank you very much for doing this.
I asked them to give us the same exact care they give their fellow Cuban citizens. No
more. No less. And that's what they did.
-I'm Dr. Roque. I'm an internal medicine specialist.
-John Graham.
- How are you feeling?
-My lungs hurt. I have pain. I get pretty severe nosebleeds at times.

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I get terrible headaches in the night, but I haven't been evaluated for the sleep apnea
for nine years.
-Yeah, I have... Many medications for lung problems. Almost every medication for
lung problems, I've got.
-After 9/11, things have happened, my teeth started falling out. Because of certain
conditions, I was grinding.
-There's one test that they recommended I take, it's about $5,000 to $ 7,000.
-The dentist that I talked to, it's like $15,000 or more.
-It's two years I have no medical coverage, so I can't go for the last part of the test.
-It's OK, everything's gonna be OK. Right?
-Yes. I am so... It's so hard for me to digest somebody saying it's free. Because 20
years of our lives have been spent fighting. So I am so grateful.
-No, you don't need to say that.
-Thank you. Thank you.
-OK. Come on, don't cry. Everything's gonna be OK, right?
-Thank you.
-The least what we can do, right?
Reggie was diagnosed with pulmonary and bronchial problems. The Cuban doctors
gave her a treatment plan to follow back home along with some of those five cent
inhalers. William Maher received a number of treatments on his neck and his back
Having ground down (apretado) his teeth for three years due to post-traumatic stress
disorder, he left Cuba with a new set of teeth. After a series of tests on his heart, lungs,
blood and stomach. John now knew what his ailments (enfermedades) were. He was
given a strict plan to follow plus a number of treatments and was feeling better than he
had in years. The Cuban doctors were able to take Donna off five of her nine
medications and with a correct diagnosis gave her a treatment plan to help her live a
more normal life. When firefighters and paramedics in Havana heard that the 9/11
rescue workers were in town, they invited them over to one of their firehouses. And so,
on our last day there as we arrived, they stood at attention because, they said, they
wanted to honor the heroes of 9/11.
- The brothers we lost on 9/11 was felt around the world. Don't hesitate to hug a
brother.
-It's very important for them to wear the SCBA so they don't end up like me. - They're
lungs, these tanks. SCBA. Self-Contained-Breathing Apparatus.
If this is what can happen between supposed enemies, if one enemy can hold out his
hand and offer to heal, then what else is possible? That's when I heard that the man
who runs the biggest anti-Michael Moore website on the internet was going to have to
shut it down. He could no longer afford to keep it up because his wife was ill and they
couldn't afford to pay for her health insurance. He was faced with a choice of either
keep attacking me or pay for his wife's health. Fortunately, he chose his wife. But

32

something seemed wrong about being forced into such a decision. Why, in a free
country, shouldn't he be able to have health insurance and exercise his First
Amendment right to run me into the ground? So I wrote a check for the $ 12.000 he
needed to keep his wife insured and in treatment and sent it to him anonymously. His
wife got better and his website is still going strong.
It was hard for me to acknowledge that in the end, we truly are all in the same boat.
And that, no matter what our differences, we sink or swim together. That's how it seems
to be everywhere else, they take care of each other, no matter what their disagreements.
If we see a good idea from another country, we grab it. If they build a better car, we
drive it. If they make a better wine, we drink it. So if they've come up with a better way
to treat the sick, to teach their kids, to take care of their babies, to simply be good to
each other, then what's our problem? Why can't we do that? They live in a world of
"we, not "me". We'll never fix anything until we get that one basic thing right. And
powerful forces hope that we never do and that we remain the only country in the
western world without free universal healthcare. You know, if we ever did remove the
chokehold of medical bills, college loans, day care and everything else that makes us
afraid to step out of line, well, watch out, 'cause it'll be a new day in America. In the
meantime, I'm gonna go get the government to do my laundry.

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