To begin with the end is probably the best way to coming the estimation of any movie from filmmaker Michael Moore. That's because this propagandist is amazingly skilled at ending each of his films with something that no inexpensive someone could, or should, argue against. As you and the rest of the audience are drawn into spontaneous applause, as the due roll, you forget the skillful nature he used to cherry pick facts which were favorable for his position and thoroughly ignore any that advise the bigger photo might just be, well, bigger.
It is legitimately true, as the film suggests at the end, that it is sad, sickening and outrageous that salvage workers from 9/11 are able to get health care by going to Cuba but are apparently unable to get that care in the Us. This stinks. It's bad. We should all hang our heads in communal shame about it.
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As we back up, the facility of the film is clearly "Universal health Care can do no wrong." To prove this, we first find a join of Americans who were denied coverage for major trauma incidents: one who lost two fingers and had to pick which one he could afford to reattach and an additional one who was denied coverage for an unconscious ambulance ride to the hospital because it wasn't pre-approved. Next, off to Canada we go where birds chirp merrily as every someone is given the best curative care in the world, and with faster service than Moore receives at a fast food drive-through.
From Moore's account, the Canadian health care law is infallible and no one is ever left wanting.
Never mind the fact that I personally know more than one someone who has had to leave Canada to get the surgery they need in America.
Also ignored is the fact that the curative devices we see used by the excellent health care systems of Canada, the Uk, France and Cuba were mostly invented under the evil free-market law of the United States.
Shame on us for making life salvage equipment. Will the evils of profit-minded researchers never end?
Yes, it's pretty hard to argue against the notion that all insurance programs are run by unholy hell spawn and Moore is very rigorous to spend most of his efforts bashing the law and not the personel caregivers. In fact, doctors are thoroughly untouched in this film. Moore is after the insurance companies. After all, in the Us we pay for our insurance and health care, but in these other countries it is "totally free."
I'll skip the Economics 101 episode about what "free" means in this context.
No mention is made of prevention, diet or any "wellness" approaches to good health. Judging by Moore's own "healthy weight" it's pretty clear that he views health as something the physician is supposed to care for only after you've fallen ill.
Another notion not covered by Sicko, but something Moore probably has no concern about anyway, is how Universal health Care would be implemented in the Us. In the 1950s, the Ama ran anti-socialized rehabilitation campaigns and claimed it was the extreme strike on free time and a huge win for communism. But who would legitimately get the Power with Uhc? Universal health Care is about guaranteed health care and is specifically not about free time to affordable health care and choices for the type of care you receive. Would Uhc naturally make the American curative connection into the total monopoly they wanted to come to be in 1847 when the Ama easily told Congress that their intent was to drive away competition in the curative arts and raise the pay of the doctors who swore allegiance to the Ama?
Moore even compares Uhc to the "utopia" of the Us Post Office and the communal School System.
Wow, why didn't he comprise the Dmv in that list to legitimately give us confidence in the bureaucratic efficiency of this system?
There's no doubt that the richest and most grand nation in the world should be able to provide care for the least rich and least grand among us. This rational notion is the siren song that makes this film hard to argue with once you've been mesmerized by the finale. However, the aspects of Sicko which clearly make this a film and in no way a documentary is what is most damaging to the possibility of open dialog over such an issue.
The Us sickness care law has problems. It has huge problems. Over 90 million suffer from lasting disease for which the "one drug for every symptom" coming of Western rehabilitation is a dismal failure. The World health society has ranked the Us 37th in total wellness in the world and that's in spite of being the estimate one in per capita spending. If that kind of money can't provide care to all those who need it, there's a problem. Any way Moore would have you believe that the solution is a finger snap away and that the same application of a failed sickness-based paradigm will work just because it's "Universal."
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