Wiki reports that; “according to Sicko, almost fifty million Americans are uninsured while the remainder, who are covered, are often victims of insurance company fraud and red tape
. Interviews are conducted with people who thought they had adequate coverage but were denied care. Former employees of insurance companies describe cost-cutting initiatives that give bonuses to insurance company physicians and others to find reasons for the company to avoid meeting the cost of medically necessary treatments for policy holders, and thus increase company profitability.
Against the backdrop of the history of the American health care debate, opponents of universal health care are set in the context of 1950s-style anti-communist
propaganda. A 1960s record
distributed by theAmerican Medical Association
, narrated by Ronald Reagan
, warns that universal health care could lead to lost freedoms and socialism. In response, Moore shows that socialized public services like police, fire service, the United States Postal Service, public education and community libraries have not led to communism in the United States.
The origins of the Health Maintenance Organization Act of 1973
are presented using a taped conversation between John Ehrlichman
and President Richard Nixon
on February 17, 1971; Ehrlichman is heard telling Nixon that “…the less care they give them, the more money they make”, a plan that Nixon remarked “fine” and “not bad”. This led to the expansion of the modern health maintenance organization
-based health care system. Connections are highlighted between Pharmaceutical Research and Manufacturers of America
(PhRMA), the lobbying arm of the largest drug companies in the United States, lobbying groups in Washington D.C., and the Congress
. Hillary Clinton
, a champion of the Clinton health care plan
, is shown as a crusader for change, appointed to reform the health care system in the United States by her husband, newly elected President Bill Clinton.
Her efforts are met with heavy-handed criticisms by Republicans on Capitol Hill, and right-wing media throughout the country, who characterize her plan as the harbinger of socialism. When she is defeated, her punishment is to “never speak of it again while in the White House.”
Seven years later, her silence is rewarded
, as she becomes a Senator for the State of New York, a victory made possible in part by money from the health care industry; she is second only to Rick Santorum
as the Senate’s highest recipient of health care industry campaign donations.
In the United Kingdom, a country whose National Health Service
is a comprehensive publicly funded health care
system, Moore interviews patients and inquires about in-hospital expenses incurred by patients, only to be told that there are no out-of-pocket payments.
Moore visits a typical UK pharmacy, where pharmaceuticals are free of charge for persons under 16 or over 60, and subsidized in most cases for everyone else; only a fixed amount of £6.65 (about $10) per item on a prescription was charged, irrespective of cost to the NHS. Further, NHS hospitals employ a cashier, part of whose job is to reimburse low-income patients for their out-of-pocket travel costs to the hospital. Interviews include an NHS general practitioner
, an American woman residing in London, and Tony Benn
In France, Moore visits a hospital and interviews the head of obstetrics and gynaecology
and a group of American expatriates
. Moore rides with the “SOS Médecins”, a 24-hour French medical service that provides house calls by physicians.
Moore discovers that the French government provides many social services, such as health care, public education (including universities), vacation and day care for $1 an hour and neonatal support that includes cooking, cleaning, and laundry services for new mothers.
Unable to receive and afford medical care in the U.S., the 9/11 rescue workers, as well as all of Moore’s friends in the film needing medical attention, appear to sail from Miami to Cuba on three speedboats in order to obtain free medical care provided for the enemy combatants
detained at the U.S. Guantanamo Bay detainment camp
The group arrives at the entrance channel to “Gitmo” and Moore uses a megaphone to request access, pleading for the 9/11 victims to receive treatment that is on par with the medical attention the “evildoers” are receiving. The attempt ceases when a siren is blown from the base, and the group moves on to Havana
, where they purchase inexpensive medicine and receive free medical treatment at the elite Hermanos Ameijeiras Hospital
Providing only their names and birth dates, the volunteers are hospitalized and receive medical attention. Before they leave, the 9/11 rescue workers are honored by a local Havana fire station.
Finally, Moore addresses the audience, emphasizing that people should be “taking care of each other, no matter the differences”. To demonstrate his personal commitment to this theme, Moore decides to help one of his biggest critics, Jim Kenefick.
According to a blog posting, Kenefick feared he would have to shut down his anti-Moore website because he needed US $12,000 to cover the costs of medical treatment for his sick wife. Not wanting the U.S. health care system to trump Kenefick’s ability to express his opinion, Moore sends Kenefick the money “anonymously”.
This film ends with Moore walking towards the United States Capitol
with a basket full of his clothes, sarcastically saying he will get the government to do his laundry until a better day comes for the sick and hopeless who are unable to receive health care.
Sicko premiered on May 19, 2007, at the 2007 Cannes Film Festival
, receiving a 15-minute standing ovation
from 2,000 people at the Grand Theatre Lumiere.
The North American première of Sicko was held in London, Ontario
(where some scenes from the movie were filmed), at the Silver City
movie theatre atMasonville Place
on June 8, 2007, with Moore in attendance.
It also had an early première in Washington DC. on June 20, two days before its U.S. release, with Moore appearing at a Capitol Hill press conference to promote the film.
The European première was held in Great Britain on October 24, 2007, at the Odeon Leicester Square
as part of the 51st London Film Festival
. Moore was to introduce the film, but remained in the United States due to a ‘family issue’, sending a lengthy letter to be read in his absence. Part of the letter gave thanks to the Rt Hon. Tony Benn
, featured in the film, who delivered a short speech before the showing.
Made on a budget of $9 million,
Sicko earned $4.5 million on its opening weekend.
In 441 theaters, it took in an average of $10,204 per theater, the second highest average gross of the weekend. As of February 24, 2008, Sicko has grossed $24,540,079 in the United States and $11,105,296 in foreign markets. Overall the movie has made over $36 million.
According to the review aggregator Rotten Tomatoes
, the film boasts a 93% positive rating, based on 181 reviews. Metacritic
reported the film had an average score of 74 out of 100, based on 39 reviews.
After its Cannes release, Variety
described Sicko as “an affecting and entertaining dissection of the American health care industry”.
In an early review a week before the premiere, Richard Roeper
gave the film two thumbs up
. Roger Friedman of Fox News
called the film a “brilliant and uplifting new film” and praised Moore for the way in which he lets “very articulate average Americans tell their personal horror stories at the hands of insurance companies” and “criticizes both Democrats
for their inaction and in some cases their willingness to be bribed by pharmaceutical companies and insurance carriers.”
British film magazine Empire
praised Moore’s filmmaking and personal artistic vision, exclaiming “Sicko is the film that truly reveals Moore as an auteur
of the New Yorker
called the film “feeble, even inane”,
but film critic Stephen Schaefer of the Boston Globe
described Sicko as “a very strong and very honest film about a health system that’s totally corrupt and that is without any care for its patients.”
The film was listed as the 4th best film of 2007 by Carina Chocano of Los Angeles Times, as well as 8th best by Marjorie Baumgarten of The Austin Chronicle
Journalist and libertarian John Stossel
wrote an article in the Wall Street Journal
that claimed Julie Pierce’s husband, Tracy, featured in Sicko, would not have been saved by the bone marrow transplant denied by his insurer. Stossel also questioned whether this treatment would have been given in a universal health care system, citing rationing and long waiting lists in Canada and Britain.
Julie Pierce claimed Stossel never contacted her or her husband’s doctors, and that the insurer denied other treatments as well and questioned Stossel’s assertion that Tracy would not have received this in a socialized system, arguing that they are performed more frequently in Canada than in the U.S.
In response to criticism that only well-to-do Cuban citizens receive a decent standard of health care, Michael Moore adduced on his website the result of an independent Gallup Poll
in which “a near unanimous 96 percent of respondents say that health care in Cuba is accessible to everyone”.
An article in the Miami Herald
interviewing some Cuban exiles in the United States
criticized Sicko’s for painting a rosy picture of the Cuban healthcare system
In an article published in both The New Yorker
magazine, libertarian Michael C. Moynihan calls the film “touching, naïve and maddeningly mendacious, a clumsy piece of agitprop that will likely have little lasting effect on the health care debate”.
Surgeon and Associate Director of Brigham and Women’s Hospital
‘s Center for Surgery and Public Health Atul Gawande
commented, “Sicko is a revelation. And what makes this especially odd to say is that the movie brings to light nothing that the media haven’t covered extensively for years.”
Libertarian Kurt Loder
criticized the film as presenting cherry-picked facts, manipulative interviews, and unsubstantiated assertions.
While admitting that the U.S. health care system needs reform, Loder criticized Moore’s advocacy of government control, arguing that many services controlled by the government are not considered efficient by the American public. Loder points to a 2005 film, Dead Meat, by Stuart Browning and Blaine Greenberg, which documents long waiting lists for care in Canada. Loder points to calls for reform in Britain and France due to the same rationing.
‘s Richard Wolf said, “Sicko uses omission, exaggeration and cinematic sleight of hand to make its points.”
, part of the progressive/liberal Pacifica Radio Network
, reported that Sicko was revitalizing the debate for universal health care within the United States, calling the film “adrenaline for healthcare activists.”
In a letter responding to a Wall Street Journal op-ed by David Gratzer that was critical of the film,
Robert S. Bell, M.D., President and CEO of University Health Network, Toronto, said that while Moore “exaggerated the performance of the Canadian health system,” it provides universal coverage of a similar quality to that enjoyed by only some Americans.
Michael Moore posted a leaked memo from a Capital Blue Cross
employee about the likely consequences of the film. The memo expresses concern that the movie turns people against Capital Blue Cross by linking it to abuses by for-profit HMOs
A July 9, 2007 broadcast of CNN’s The Situation Room
aired a “fact check” segment by CNN’s senior health correspondent Dr. Sanjay Gupta
Immediately following the segment, Moore was interviewed live on CNN by Wolf Blitzer
Moore stated that Gupta’s report was inaccurate and biased. Moore posted a point-by-point response on his website.
After a debate with Moore on Larry King Live
Gupta posted a message about his position on Sicko and CNN’s coverage.
admitted that while he was working as Head of Corporate Communications at CIGNA
, the health insurance industry umbrella agency America’s Health Insurance Plans
had developed a campaign to discredit Michael Moore and the movie. When asked what he thought about the film Potter said that “I thought that he hit the nail on the head with his movie. But the industry, from the moment that the industry learned that Michael Moore was taking on the health care industry, it was really concerned…. They were afraid that people would believe Michael Moore.”
Journalist Bill Moyers
reported that PBS had obtained a copy of the “game plan” that was adopted by the industry’s trade association, America’s Health Insurance Plans
which spelled out the industry strategies to “Highlight horror stories of government-run systems.” Potter explained “The industry has always tried to make Americans think that government-run systems are the worst thing that could possibly happen to them, that even if you consider that, you’re heading down on the slippery slope towards socialism. So they have used scare tactics for years and years and years, to keep that from happening. If there were a broader program like our Medicare program now, it could potentially reduce the profits of these big companies. So that is their biggest concern.”
Moyers reported and Potter confirmed that there were attempts to radicalize Moore in an effort to discredit the film’s message. Moore would be referred to as a “Hollywood entertainer” or “Hollywood moviemaker” to associate the film as being grounded in entertainment without any basis in objective reality. “They would want you to see this as just some fantasy that a Hollywood filmmaker had come up with. That’s part of the strategy.”
Potter said that the strategy worked and the impact of the film was “blunted” by the public relations
campaign. He agreed that Sicko contained “a great truth” which, he said was “that we shouldn’t fear government involvement in our health care system. That there is an appropriate role for government, and it’s been proven in the countries that were in that movie.
You know, we have more people who are uninsured in this country than the entire population of Canada. And that if you include the people who are underinsured, more people than in the United Kingdom. We have huge numbers of people who are also just a lay-off away from joining the ranks of the uninsured, or being purged by their insurance company, and winding up there.” 
The free-market think-tanks, such as the conservative Manhattan Institute
, say that Sicko misrepresented the health systems of Canada, the United Kingdom and Cuba
, and criticized it for its negative portrayal of the American health insurance system compared to these countries.
/liberal-leaning Urban Institute
(UI) largely agreed with Moore regarding the need for a universal health care system and failure of the current system. Urban Institute economist Linda Blumberg stated that Moore correctly provides evidence that the current system fails and a universal system is needed, adding that any system will face budget constraints.
Overall, Blumberg stated that “Americans as a whole have yet to buy the philosophy that health care is a right and not a privilege” and if Moore succeeded in popularizing the idea, he “will have done the country a tremendous service.” Bradford Gary agrees with the main points made by Moore but criticizes the film for making various omissions and lacking attention to detail, stating that “though Moore is not interested in the details behind the outrages he has assembled, many of his fundamental points are nevertheless accurate.”
Wikileaks cable on Cuba and Sicko
XXXXXXXXXXXX stated that Cuban authorities have banned Michael Moore
‘s movie, “Sicko”, as being subversive. Although the film’s intent is to discredit the U.S. healthcare system by highlighting the excellence of the Cuban system, he said the regime knows the film is a myth and does not want to risk a popular backlash by showing to Cubans facilities that are clearly not available to the vast majority of them.
newspaper, which collaborated with Wikileaks
, who leaked the cable, initially reported the cable’s claim as fact, then printed that Moore complained about the factual error, and finally The Guardianprinted a correction, confirming the film was in fact shown in Cuba.