Friday, June 22, 2007

REASON Magazine: "a clumsy piece of agitprop that will likely have little lasting effect on the health care debate."

, by Michael C. Moynihan Reason Magazine:

. . . But, the viewer is left wondering, who will pay for all this generosity? Don't governments too suffer from cash shortfalls and ballooning budget deficits; situations that require corners to be cut, beds to be freed up, the cheapest route taken? What of Moore's implication that, once turned over to the government, things become "free?"
Take, for instance, Moore's shining example of the Hammersmith Hospital in London and the NHS health care system:
Viewers are taken to London's Hammersmith Hospital, held up as a shining example of socialized care, where doctors are well-paid and patients well looked after. Moore ambles through the corridors interviewing patients that acclaim the NHS's ‘free care,' and express horror at the barbarism of the American system. Indeed, the facility's "cashier" exists to give money to patients—for travel reimbursements—rather than taking it from them. But as is often the case with Moore's films, the reality is more complex.

In 2005, London's Evening Standard reported that Hammersmith Hospital would slash hundreds of jobs; the hospital, the most debt-ridden in Britain, was hemorrhaging money and desperately needed to cut costs. And while the hospital was "downsizing", Hammersmith's CEO—yes, even the NHS has an executive class—collected a year-end bonus of close to $20,000. Small beer by American standards, but enough to provoke tabloid headlines in Britain.

Much like the American hospitals Moore excoriates, Hammersmith Hospital, the Evening Standard reported, faced pressure from administrators to limit the number of patients treated in order to cut spending. In a country where the government promises to winnow down queues to 18 weeks, this isn't an anomalous problem. A recent BBC documentary accused the NHS of using dangerously high doses of radiation on patients "to save time and money."

After the critical reaction to his previous films, Moore opts for elision over outright falsehood. So when he marvels that a doctor working in the NHS owns an Audi and "million dollar home," it is hardly in his interest to point out, as The Independent did in January, that "soaring salary levels of doctors are worsening the NHS cash crisis." And while bitterly lamenting the U.S. system of "wage slavery"—American students, Moore says, are saddled with debt and, thus, "won't cause [employers] any trouble"—he ignores a recent report from the British Medical Association suggesting that, by their fifth year of medical school, British students "have accumulated an average debt of" $39,000. . . .READ MORE