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Sicko en
00:00:16	(applause and cheering)
00:00:23	We got issue in America.
00:00:25	Too many good docs
00:00:28	Too many ob-gyns aren't able to practice
00:00:42	I don't have a job. I don't want to have
00:00:47	I'm flushing the wound.
00:00:50	(man) This is Adam.
00:01:04	He had an accident.
00:01:18	He's one of nearly 50 million Americans
00:01:36	But this film isn't about Adam.
00:01:43	So this is the table saw.
00:01:47	(man) This is Rick.
00:01:52	I was gripping a piece of wood
00:01:55	(man) He sawed off the tops
00:02:00	...and it was that quick.
00:02:04	- (man) His first thought?
00:02:07	Am I gonna have to pay cash for this?
00:02:11	Does that mean
00:02:15	(man) Rick also doesn't have
00:02:18	So the hospital gave him a choice.
00:02:20	Reattach the middle finger for $60.000.
00:02:24	Or do the ring finger for 12.000.
00:02:28	It's an awful feeling
00:02:37	(man) Being a hopeless romantic.
00:02:41	For the bargain price of 12 grand.
00:02:44	The top of his middle finger now enjoys
00:02:58	I can do that thing where, you know,
00:03:08	(man) This movie
00:03:12	Yes. There are nearly 50 million Americans
00:03:16	They pray every day
00:03:18	Because 18.000 of them
00:03:22	Simply because they're uninsured.
00:03:26	But this movie isn't about them.
00:03:29	It's about the 250 million of you
00:03:34	Those of you who are living
00:03:48	It's moving day
00:03:57	They've packed everything they own
00:04:03	And are driving to Denver. Colorado.
00:04:08	To their new home...
00:04:10	- Hi.
00:04:13	... in their daughter's storage room.
00:04:16	This is home, sweet home.
00:04:20	- Look at all that stuff.
00:04:24	- We will.
00:04:26	- It stays.
00:04:29	So this is where Heather talked about
00:04:34	I see what she's talking about.
00:04:38	(man) It wasn't supposed to
00:04:42	They both had good jobs.
00:04:46	She was a newspaper editor.
00:04:49	And he was a union machinist.
00:04:52	They raised six kids who all went to
00:04:59	But Larry had a heart attack.
00:05:01	And then another one.
00:05:04	And then another one.
00:05:08	And then Donna got cancer.
00:05:12	And even though
00:05:14	The copays and deductibles
00:05:18	to the point where they could no longer
00:05:22	If somebody told me ten years ago this was
00:05:27	I would have said, "It's not possible."
00:05:29	"Not in the United States.
00:05:39	- (Larry) Are we gonna quit?
00:05:42	It's just hard.
00:05:45	(man) They were bankrupt.
00:05:48	So they moved in
00:05:51	We'll get it all figured out.
00:05:54	We emptied the dresser
00:05:56	Nice, very nice.
00:06:01	(man) Even their son Danny
00:06:04	to welcome them to Denver.
00:06:06	- What do we do about people like you?
00:06:10	You're supposed to pay a deductible for
00:06:15	What about people like Kathy and I
00:06:18	and move you every five years,
00:06:21	- 'cause you don't have enough money?
00:06:25	I'm sorry. It's not what we wanted
00:06:29	And we're doing what we can
00:06:32	You don't know what that feels like inside
00:06:37	to have to reach out
00:06:40	It's gonna be hard for four, five, six,
00:06:45	I have a feeling of you bring your problems
00:06:51	Yeah.
00:06:54	But I don't know
00:07:01	(man) By sheer coincidence.
00:07:04	Was leaving on a job
00:07:10	Paul was a contractor.
00:07:14	So he found work out of town.
00:07:16	I'm sure you'll keep
00:07:21	Email you.
00:07:27	(Donna) You're gonna be
00:07:34	Weird situation, isn't it?
00:07:40	- (man) Tell me where Daddy's going.
00:07:45	Why is Daddy going to Iraq?
00:07:47	To do some plumbing.
00:07:55	Oh, boy.
00:07:58	This I do early in the morning.
00:08:05	(man) At age 79. Frank Cardile should
00:08:10	But even though
00:08:14	It doesn't cover all the cost of the drugs
00:08:22	(Frank) Being that I'm an employee here,
00:08:26	So that's why I gotta keep working.
00:08:32	There is nothing wrong with that.
00:08:34	OK.
00:08:36	I always gotta keep my ears open
00:08:40	Sometimes you get a gallon of milk.
00:08:42	Tomato sauce - oh, you're in trouble.
00:08:49	And I look up on every aisle
00:08:52	If I see something I pick it up,
00:08:58	One day I had the keys in my hand
00:09:02	And I had to climb in there
00:09:09	It's a sad situation.
00:09:13	If there are golden years,
00:09:20	She had a painkiller for her hip.
00:09:23	The girl said, "Frank, this is $ 213."
00:09:27	- I didn't take it.
00:09:32	What's in them? What's in these
00:09:35	I don't believe you need
00:09:38	I have never taken medication now,
00:09:42	I don't even like to take an aspirin.
00:09:45	I do like a little brandy.
00:09:52	I don't really know how this happened, but
00:09:58	(man) Laura Burnham was in a head-on
00:10:03	Paramedics got her out of the car and into
00:10:08	I get a bill from my insurance company
00:10:11	telling me that the ambulance ride
00:10:15	because it wasn't preapproved.
00:10:17	I don't know exactly when I was supposed
00:10:21	Like after I gain consciousness in the car,
00:10:26	I should have grabbed my cellphone
00:10:31	I mean, it's just crazy.
00:10:38	(woman) I applied for
00:10:40	They rejected him
00:10:44	Jason is six feet tall
00:10:52	I applied for healthcare
00:10:55	and they told me
00:10:59	I'm 5' 1 ",
00:11:06	(man) I always thought health insurance
00:11:11	So I posted a note on the internet.
00:11:13	Asking people if they had had
00:11:16	about problems
00:11:21	Within 24 hours.
00:11:25	And by the end of the week.
00:11:29	had sent me
00:11:34	Some of them decided
00:11:38	Like Doug Noe. Who took matters into
00:11:45	His daughter was nine months old when
00:11:50	His health insurance company.
00:11:52	Said they'd pay for an implant
00:11:56	According to the letter they sent.
00:11:58	It's experimental
00:12:02	If a cochlear implant
00:12:05	it doesn't even make any sense that
00:12:09	Especially when a child
00:12:13	she has to learn
00:12:19	(Moore) That's when he sat down
00:12:21	This is to CIGNA.
00:12:25	is in the process of gathering information
00:12:28	"I've sent information concerning CIGNA's
00:12:33	"Has your CEO ever been
00:12:38	(Moore) Before he knew it. He received
00:12:43	(answerphone) Tuesday. 8.:54 am.
00:13:06	Obviously all this worked because Annette
00:13:11	(woman) "Dear Mike.
00:13:14	(woman #2) "I work for an HMO."
00:13:15	(Moore) I started to get hundreds of letters
00:13:19	from people who work inside
00:13:23	They'd seen everything
00:13:27	(man #2) "Health insurance
00:13:30	(Moore) Like Becky Malke. Who was
00:13:35	from one of America's
00:13:38	(Becky) I work in a call center, so people
00:13:42	There are certain preexisting conditions,
00:13:46	that will not be covered -
00:13:48	diabetes, heart disease,
00:13:52	If you have these conditions, you are likely
00:13:56	(Moore) How long is this list of conditions
00:14:00	It would be a really long list.
00:14:04	It could wrap around this house.
00:14:13	(# "Star Wars" theme plays)
00:14:33	Sometimes you know they're gonna
00:14:37	and they're like...
00:14:42	and they were so happy to get...
00:14:44	They were so happy that they were...
00:14:49	And the husband was late for work.
00:14:53	And the wife said to him,
00:14:57	"We have health insurance now."
00:14:59	And when I looked, I could tell
00:15:02	because of their health conditions.
00:15:05	I thought, "God, they're gonna get
00:15:09	telling them
00:15:13	I just felt so bad
00:15:16	and I knew
00:15:19	I just felt like crap.
00:15:21	That's why I'm such a bitch
00:15:24	because I don't wanna
00:15:27	I don't wanna know about their lives,
00:15:30	and get done with it
00:15:35	(Moore) In spite of Becky being
00:15:39	A quarter billion Americans
00:15:46	Let's meet some of these
00:15:51	Maria has BlueShield.
00:15:53	And Diane. Horizon BlueCross.
00:15:55	BCS insures Laurel.
00:15:58	And Caroline has CIGNA.
00:16:01	And it's a good thing
00:16:04	I ended up being diagnosed
00:16:08	- Brain tumor.
00:16:10	Brain tumor on the right temporal lobe.
00:16:12	(Moore) As they were insured. They got the
00:16:16	She requested for me
00:16:20	The way they would treat it
00:16:23	Surgery was scheduled
00:16:24	There is a test that you can take
00:16:27	that will show whether or not
00:16:32	(Moore) They got their treatment. But not
00:16:36	Investigated whether or not
00:16:40	"It's not medically necessary."
00:16:41	They claim that it's experimental.
00:16:44	"We don't consider that life-threatening."
00:16:46	(Moore) Diane died
00:16:49	Laurel's cancer is now spread
00:16:52	Her "experimental test"
00:16:57	While vacationing in Japan.
00:17:00	and got the MRI that BlueShield
00:17:06	The doctors in Japan
00:17:10	BlueShield had said repeatedly
00:17:13	That's when she said:
00:17:20	(man #3) March 13, 2003.
00:17:23	I'm gonna direct your attention
00:17:26	Please describe for me what it is.
00:17:29	It is a denial for referral
00:17:35	- (man #3) Is it your signature on this?
00:17:39	(man #3) I'd like to direct your attention
00:17:42	This is a denial
00:17:46	for a magnetic resonance imaging test
00:17:50	- (man #3) It has your signature?
00:17:52	(man #3) Directing your attention
00:17:56	This is a denial of a referral
00:18:03	(man #3) Can you explain for me
00:18:09	This is a standard signature
00:18:12	- (man #3) Is it your signature or a stamp?
00:18:15	(man #3) Did you ever see a denial letter
00:18:22	No, but the denial letters
00:18:27	The denial letters that are sent out...
00:18:29	- (man #3) The answer is no.
00:18:33	The definition of a good director was
00:18:38	(Moore) Dr. Linda Peeno
00:18:42	She left her job because she didn't like
00:18:47	(Dr. Peeno) I was told when I started
00:18:51	Then they were giving us reports weekly
00:18:56	the percent approved
00:18:58	And our actual percentage denial rate.
00:19:01	Then there would be another report that
00:19:05	The doctor with the highest percent
00:19:09	(Moore) Really? So you, as a doctor,
00:19:13	if you denied more people healthcare,
00:19:16	(Dr. Peeno) That was how they set it up.
00:19:18	Any payment for a claim
00:19:22	That's the terminology
00:19:25	I mean, when you don't spend money
00:19:29	or you make a decision that brings
00:19:33	it's a savings to the company.
00:19:37	(Moore) This is Tarsha Harris.
00:19:40	BlueCross didn't deny her
00:19:42	And actually approved her operation.
00:19:47	But then they discovered
00:19:51	She had had a yeast infection.
00:19:56	Apparently it's common.
00:20:00	So I was prescribed the yeast infection
00:20:08	She later applied for health insurance
00:20:10	and that's what you're supposed
00:20:14	The yeast infection is not a serious ailment.
00:20:19	It wasn't until they were gonna have
00:20:23	If they'd taken five minutes
00:20:27	they could've looked at her records
00:20:30	(Moore) Because of the undisclosed
00:20:33	BlueCross dropped Tarsha Harris.
00:20:36	She thinks she's put this behind her.
00:20:40	tells the doctors, "We're taking the money
00:20:45	The fact of the matter is
00:20:51	I'm still a little bitter because
00:20:55	To me, it seems they're always
00:20:59	What happened to helping
00:21:02	Don't make their problems worse.
00:21:06	(Moore) This is Lee Einer.
00:21:09	If they weren't able to weed you out
00:21:12	Or deny you the care
00:21:16	And somehow ended up
00:21:20	They send in Lee. Their hitman.
00:21:23	His job is to get the company's money
00:21:28	All he has to do
00:21:33	Or a preexisting condition
00:21:37	We're gonna go after this
00:21:40	And I mean the whole unit dedicated to
00:21:43	going through your health history
00:21:47	looking for anything that would indicate
00:21:50	that you concealed something,
00:21:54	so that they can cancel the policy
00:21:57	or jack the rates so high
00:22:01	And if we couldn't find anything
00:22:05	you can still get hit
00:22:09	because you don't even have to have
00:22:13	In some states, it's legal to have
00:22:18	And that's a mouthful, I know,
00:22:20	but what that says is
00:22:25	you had any symptom which would incline
00:22:30	to have sought medical care,
00:22:33	then the condition of which that symptom
00:22:43	I know!
00:22:45	It's labyrinthine, isn't it?
00:22:50	They're supposed to be even-handed,
00:22:52	but with an insurance company,
00:22:56	So it's not unintentional,
00:23:00	it's not an oversight,
00:23:04	Somebody made that crack
00:23:09	And the intent
00:23:14	Looking back,
00:23:17	Did I do harm in people's lives?
00:23:19	Yeah. Hell, yeah.
00:23:25	I haven't worked for insurance companies
00:23:28	and I don't think
00:23:32	for my participation in that mess.
00:23:38	I am glad I'm out of it, though.
00:23:43	(Moore) Julie Pierce was struggling
00:23:48	Who was suffering
00:23:51	Julie works in the intensive care unit
00:23:55	in Kansas City. Missouri.
00:23:57	Which provided her family
00:24:00	Every month, there was a new drug
00:24:04	My insurance denied it. One letter
00:24:09	one letter might say, "it's not
00:24:15	and they denied it.
00:24:17	Then we came up with the bone marrow.
00:24:22	sometimes to completely get rid of it.
00:24:25	(Moore) Tracy's doctors said
00:24:29	on many other patients.
00:24:32	If one of Tracy's brothers turned out
00:24:36	There were promising bone marrow
00:24:42	Two weeks later, the bone marrow
00:24:46	"We've got the results back. His youngest
00:24:51	We were ecstatic.
00:24:54	You know, I think that's the happiest
00:25:00	in a while.
00:25:03	So we submitted it
00:25:07	Said it was "experimental."
00:25:11	So I found out that there is
00:25:15	that actually work at my hospital.
00:25:17	And they are the final decision-makers
00:25:22	(Moore) Julie and her husband
00:25:26	Demanded a meeting
00:25:29	The very people
00:25:33	They told Julie that they were
00:25:37	I said, "Your sympathy does me no good
00:25:41	And I told them, I said if I was...
00:25:47	I said, "I bet if it was Bruce van Cleve's
00:25:53	"No, it's nothing like that."
00:25:56	I said, "Or maybe
00:25:58	And I got up
00:26:02	When we got home,
00:26:06	And I knocked on the door and said,
00:26:12	I opened the door 'cause usually he'll say:
00:26:16	And he was sitting in there
00:26:21	And he said, "Why me?
00:26:25	And I said,
00:26:29	"We're strong, yeah."
00:26:33	You know, he goes,
00:26:37	He said, "I can leave everything,
00:26:48	The doctor told me
00:26:52	And...
00:26:55	On January 13th,
00:26:59	he went to sleep.
00:27:03	And he died five days later,
00:27:07	He was my best friend.
00:27:10	He was my soul mate.
00:27:17	I mean, we were to grow old together.
00:27:21	They took away
00:27:26	I wanna know why,
00:27:31	Why wasn't he given
00:27:36	You preach these vision and values that
00:27:40	That we're a healthcare
00:27:44	You left him behind.
00:27:49	It was as if he was nothing.
00:27:53	And I want them
00:27:56	And I don't think they do.
00:28:03	At all.
00:28:07	(Moore) There was one person
00:28:10	who did have a conscience.
00:28:12	Dr. Linda Peeno.
00:28:17	My name is Linda Peeno.
00:28:19	I am here today
00:28:24	In the spring of 1987,
00:28:28	I denied a man
00:28:32	that would have saved his life,
00:28:37	No person and no group
00:28:41	because, in fact, what I did was I saved
00:28:47	And, furthermore, this particular act
00:28:51	as a good medical director,
00:28:54	and it insured my continued advancement
00:28:58	I went from making a few hundred dollars
00:29:02	to an escalating six-figure income
00:29:07	In all my work, I had one primary duty,
00:29:13	for the financial benefit
00:29:17	And I was told repeatedly
00:29:21	I was simply denying payment.
00:29:23	I know how managed care
00:29:27	So I'm here to tell you
00:29:31	And I'm haunted by the thousands
00:29:33	on which I have written
00:29:36	Thank you.
00:29:42	(Moore) How did we get to the point
00:29:47	actually being responsible
00:29:53	Who invented this system?
00:29:57	How did this all begin?
00:30:02	Where did the HMO start?
00:30:09	Thanks to the wonders of magnetic tape.
00:31:15	I am proposing today
00:31:20	The purpose of this program
00:31:23	I want America to have
00:31:26	and I want every American to be able
00:31:34	(Moore) The plan hatched
00:31:38	In the ensuing years.
00:31:42	(reporter) Bigger logjams at the nearby
00:31:47	Been here about 18 hours,
00:31:50	(reporter) What looks cramped
00:31:54	(Moore)... while health insurance
00:31:57	The system was broken.
00:31:59	37 million Americans are without protection
00:32:04	(reporter #2) The losers are the poor.
00:32:08	until it's too late.
00:32:10	(Moore) This went on for years.
00:32:13	Until this man rode into town.
00:32:16	Bringing with him his little lady.
00:32:19	(# "I'll Take You There"
00:32:25	(Moore) Sassy.
00:32:29	Smart.
00:32:34	Sexy.
00:32:39	Some men couldn't handle it.
00:32:42	Today I am announcing the formation
00:32:45	of the President's Task Force
00:32:48	chaired by the First Lady,
00:32:51	(Moore) Hillary Clinton decided to make
00:32:57	Universal coverage now.
00:32:59	It will not depend upon
00:33:02	or if you have a preexisting condition.
00:33:04	Healthcare that can never
00:33:07	(reporter #3) Some Republicans complain
00:33:12	It's fairly risky business
00:33:15	to put his wife in charge of
00:33:19	And while I don't share the chairman's joy
00:33:22	on a government-run healthcare system,
00:33:26	I do share his intention to make the debate
00:33:30	- as exciting as possible.
00:33:35	- We'll do the best we can.
00:33:44	I have been told about your charm
00:33:49	Reports on your charm are overstated
00:33:52	- and reports on your wit are understated.
00:33:57	(Moore) She drove Washington insane.
00:34:00	Do you want the government
00:34:03	You won't have the choice
00:34:05	- Less government.
00:34:07	- More government.
00:34:10	When your mama gets sick, she might talk
00:34:14	This is a total mess,
00:34:17	Not this bureaucratic,
00:34:20	- Socialist takeover...
00:34:23	What really amounts to
00:34:29	(Moore) Ooh!
00:34:32	Nothing put more fear in us
00:34:36	And the chief fearmongers
00:34:40	have always been the good doctors
00:34:43	of the American Medical Association.
00:34:45	(man #4) This would put the government
00:34:48	defining services, setting standards,
00:34:51	establishing committees, calling for reports,
00:34:55	deciding who gets in and who gets out.
00:34:57	After all, the government has to treat
00:35:01	Take us all the way down the road to
00:35:06	(Moore) Yes. Medicine for everyone.
00:35:09	The AMA didn't want that.
00:35:13	And to drive the point home further.
00:35:15	They held thousands of coffeeklatsches
00:35:19	Where they invited their neighbors
00:35:23	made by a well-known actor
00:35:28	My name is Ronald Reagan.
00:35:30	One of the traditional methods of imposing
00:35:35	Has been by way of medicine.
00:35:38	The doctor begins to lose freedoms. It's
00:35:43	A doctor decides he wants
00:35:46	The government says to him.
00:35:49	They already have enough doctors.
00:35:53	All of us can see what happens
00:35:56	that the government can determine
00:36:02	And behind it will come
00:36:05	that will invade every area of freedom
00:36:09	Until one day. We will awake
00:36:18	(reporter #4) The White House
00:36:20	Reacting to burning an effigy
00:36:23	(Moore) The times may have changed.
00:36:27	The healthcare industries spent
00:36:31	to defeat Hillary's healthcare plan.
00:36:35	And I want now
00:36:39	because he loves the Easter egg roll.
00:36:42	(Moore) For the next seven years
00:36:45	She wasn't allowed to bring it up again.
00:36:47	Is anybody here older than two?
00:36:49	(Moore) A decade and a half went by.
00:36:52	And still America
00:36:55	The United States slipped to number 37
00:37:00	Just slightly ahead of Slovenia.
00:37:03	(men speaking Slovenian)
00:37:07	But that's understandable. Because
00:37:13	Mr. Speaker, today I rise
00:37:16	to the confectioners
00:37:19	as they celebrate the 50th anniversary
00:37:21	of one of their most recognized
00:37:24	not to mention my daughter's favorite,
00:37:28	(Moore) And thus. The healthcare industry
00:37:33	Humana more than doubles its fourth
00:37:37	United Health has tripled
00:37:39	(Moore) Making obscene profits...
00:37:42	...better-than-expected earnings.
00:37:44	There's a lot of
00:37:47	Are they willing to share
00:37:49	(Moore)... turning their CEOs
00:37:53	And skirting the law
00:37:58	But their biggest accomplishment
00:38:03	(man #5) This is Washington at work.
00:38:08	(Moore) With four times
00:38:11	than there are members of Congress.
00:38:13	They even managed to buy off old foes.
00:38:17	For her silence.
00:38:19	And she became the second largest
00:38:23	of healthcare industry contributions.
00:38:30	We've given the entire healthcare system
00:38:35	- And they have total control.
00:38:40	Drug companies like to buy
00:38:44	Here's what it costs
00:38:48	And this woman.
00:38:52	This guy.
00:38:54	And this guy. And him too.
00:38:58	(man #6) Ladies and gentlemen,
00:39:03	(Moore) And the biggest check
00:39:07	Why did they hand out all this cash?
00:39:10	They wanted a bill passed - a bill
00:39:15	Let there be no mistake about it.
00:39:18	Republicans love their mothers,
00:39:21	as much as anybody else on this hill,
00:39:27	(Moore) Of course. It was really a bill
00:39:32	to the drug and health insurance industry.
00:39:34	By letting the drug companies
00:39:38	And making the private health insurance
00:39:41	Everybody was going to get their cut.
00:39:44	The man they appointed
00:39:47	was congressman Billy Tauzin.
00:39:49	He was the right man for the job
00:39:55	There's no one in this house loves
00:39:59	I challenge you on that, sir.
00:40:01	Nobody in this body that loves their mother
00:40:06	I love that woman.
00:40:08	Do you think for a second
00:40:11	any more than we love ours?
00:40:13	Do you think Republicans
00:40:17	Do you really believe that, Mr. Stoddard?
00:40:21	(Moore) Oh. They all loved their mothers.
00:40:24	It's just that they didn't
00:40:28	Now I'm honored and pleased
00:40:34	the Medicare Prescription Drug,
00:40:39	of 2003.
00:40:43	(Moore) What they didn't tell us was
00:40:46	for their prescriptions than they did before.
00:40:49	Over to thirds of senior citizens
00:40:56	And when it was over. 14 congressional
00:41:01	quit their jobs on the Hill and went
00:41:07	As did one congressman.
00:41:09	# 'Cause I've got a golden ticket...
00:41:13	(Moore) Billy Tauzin left Congress
00:41:18	The drug industry lobby.
00:41:20	For a salary of $ 2 million a year.
00:41:25	Oh. It was a happy day in Washington.
00:41:28	Many Americans knew they were never
00:41:34	And that's why some of them
00:41:44	(woman #3) We're driving across
00:41:47	Back there is the Renaissance Center,
00:41:51	General Motors' headquarters,
00:41:55	You get a really nice view
00:41:59	(Moore) This is Adrian Campbell.
00:42:02	Who at the age of 22
00:42:06	(Adrian) I got cervical cancer and I was
00:42:11	They said, "We're not paying for it
00:42:15	"You shouldn't be having cervical cancer.
00:42:18	(Moore) Forced into debt.
00:42:22	Adrian was fed up
00:42:25	She had a new plan.
00:42:27	I have everything ready
00:42:30	I got my passports ready,
00:42:34	It's three dollars and 25 cents
00:42:38	And I got everything just sitting
00:42:47	Aurora, be very quiet.
00:42:53	- Citizenships?
00:42:55	- Where do you live?
00:42:57	- That's not on, right?
00:43:00	(Moore) She may live in Michigan.
00:43:03	But ten blocks across the border.
00:43:09	How long have you been living here?
00:43:12	A couple.
00:43:16	- I still have mine.
00:43:19	That's fine, I don't mind.
00:43:22	I put down Kyle's address at the clinic,
00:43:25	and when they ask, you know,
00:43:28	I put down that I was
00:43:32	I don't like to lie and I don't like liars.
00:43:34	It's little white lies, but it's...
00:43:40	You don't bring a checkbook when you
00:43:45	It's something you don't have to worry
00:43:50	Stress free.
00:43:56	- They called the cops.
00:43:59	alerted the clinic
00:44:01	And I don't think
00:44:04	So I have another idea.
00:44:06	I'm gonna go down to the other clinic.
00:44:09	There is a clinic down...
00:44:14	The police showed up over there.
00:44:19	(Moore) Yes. What Adrian was doing
00:44:23	We go into other countries
00:44:27	It's tricky. But it's allowed.
00:44:33	(Kyle) It's kind of frustrating having...
00:44:35	Just get married and that'd solve
00:44:39	Americans marry Canadians
00:44:42	- I'm being used.
00:44:46	See if it works.
00:44:52	In Canada they give everybody
00:44:55	- Doesn't it work up there?
00:44:57	We wait months to get treatment
00:45:01	(reporter # 5) In Canada you have to wait
00:45:06	(reporter #6) Many Canadians believe
00:45:11	(reporter #7) They pay their doctors less.
00:45:13	(reporter #8) A surgeon can only do
00:45:16	With only so many
00:45:19	It's easier for your cat or dog
00:45:23	You die of cancer waiting for chemo 'cause
00:45:28	If you think socialized medicine
00:45:34	(Moore) I thought who better to ask than
00:45:40	But they wouldn't cross the border
00:45:43	They wanted me to meet them
00:45:47	What are you guys doing here?
00:45:51	- We're buying insurance.
00:45:55	Right, that's just across the river.
00:45:57	Yeah.
00:45:59	You wouldn't go over to see us in Michigan
00:46:03	No, we wouldn't. We're just adamant
00:46:08	If somebody punches us in the mouth
00:46:12	You don't want to get caught
00:46:15	We have nothing against Americans
00:46:21	- (Moore) We're a nice and simple people.
00:46:29	(Moore) I decided to explore
00:46:32	Over some fine Canadian cuisine.
00:46:35	We have a friend who went to Hawaii.
00:46:38	And he sustained a head injury
00:46:43	And before he was
00:46:46	he had chalked up a bill
00:46:51	So what middle-class Canadian
00:46:55	(Moore) I guess I feel bad that you would
00:47:00	We're not criticizing your country,
00:47:04	that we could not afford
00:47:08	- (Moore) Even for a day?
00:47:13	(Moore) To prove their point even further.
00:47:17	to talk to Larry Godfrey. Who had a golfing
00:47:23	I could hear a noise and feel a pain,
00:47:28	that holds the bicep in place.
00:47:31	So this bicep muscle was released,
00:47:34	and it ended up here on my chest.
00:47:37	- The muscle ended up in your chest?
00:47:41	(Moore) Like all good golfers.
00:47:44	before seeking medical attention.
00:47:48	That's when he got the bad news.
00:47:50	I wasn't too worried as I had
00:47:53	but when he told me
00:47:57	- (Moore) 24,000?
00:48:01	So if you'd stayed in the United States,
00:48:04	Instead, you went back to Canada,
00:48:09	- Everything.
00:48:12	- Nothing.
00:48:13	Zero. Zero.
00:48:16	I'm wondering why you expect your fellow
00:48:20	why should they, through their tax dollars,
00:48:25	Because we would
00:48:29	It's just the way it's always been
00:48:33	Right, but if you
00:48:36	and don't pay for everybody else's
00:48:40	Well, there are a lot of people who aren't
00:48:44	And somebody has to look after them.
00:48:46	Are you a member of the Socialist Party?
00:48:48	- No. No.
00:48:51	No. Well, actually, I'm a member
00:48:56	Is that bad?
00:48:59	- Well, it's just a little confusing.
00:49:03	It shouldn't be. I think that...
00:49:05	Where medical matters are concerned,
00:49:09	what party you were affiliated with, if any.
00:49:13	But, to us,
00:49:16	you know, why don't you think
00:49:19	What's wrong on this issue with us?
00:49:21	I guess the powers that be
00:49:28	that healthcare ought to be universal.
00:49:30	I mean, Canadians didn't until we met up
00:49:35	who pretty much
00:49:39	- One guy?
00:49:43	- Can he come over and visit us?
00:49:46	In fact, he was...
00:49:48	He's just most recently been revered as
00:49:54	- We think so much of...
00:49:57	In our whole history.
00:49:59	- More than your first prime minister?
00:50:02	Even more than Wayne Gretzky.
00:50:04	- No way!
00:50:07	- More than Céline Dion?
00:50:11	- More than Rocky and Bullwinkle?
00:50:20	As the blade went through,
00:50:23	and it sliced through the entire group
00:50:29	And I realized
00:50:33	(man) Obviously, putting on
00:50:36	is one of the more dramatic things
00:50:39	If you're looking at five fingers,
00:50:43	There actually was four surgeons,
00:50:47	and two different anesthetists
00:50:51	When Brad came in, we didn't have to
00:50:56	He needed help and we could concentrate
00:51:02	(Moore) I met this American, he'd cut off
00:51:08	So when he arrived at the hospital, they
00:51:13	and the other one was gonna be $12,000.
00:51:16	He had to choose
00:51:20	Down. Bend the long finger down.
00:51:22	(surgeon) We've never told someone
00:51:26	because the system wouldn't allow it.
00:51:28	I'm very glad I work within a system that
00:51:34	and not have to
00:51:36	(Moore) It seems nothing we were told
00:51:40	Maybe I was just
00:51:43	So I went across the city
00:51:47	How long did you have to wait here
00:51:49	- 20 minutes.
00:51:52	- I got helped right away.
00:51:55	They really do an amazing job.
00:51:58	(Moore) Did you have to get permission
00:52:01	- No.
00:52:02	We can go anywhere we want.
00:52:05	(Moore) You don't have to get it
00:52:09	- Oh, heavens, no.
00:52:12	- Oh, yes.
00:52:15	- Nothing.
00:52:17	I don't know.
00:52:21	- (Moore) So what did this cost?
00:52:23	We know in America
00:52:26	but I guess we don't understand that,
00:52:31	And we're dealing with
00:52:34	We're very, very lucky.
00:52:37	I mean, we complain.
00:52:40	- (Moore) Right, you're Canadian.
00:52:45	for making sure that the least of us
00:52:51	(Moore) It turns out that Canadians
00:52:56	That's not hard to believe
00:53:02	# Oh, England, here we go
00:53:09	(Moore) Erik Turnbow of Olympia.
00:53:13	so that he could visit the famed
00:53:18	But it wasn't enough for Erik to just
00:53:22	He had to do it his own special way.
00:53:26	(man #7) Here's Erik, about to walk
00:53:33	Ready?
00:53:35	- Ugh!
00:53:39	(man #7) Try it again.
00:53:49	- Are you in pain?
00:53:55	(Moore) The British hospital
00:54:01	And only about ten bucks
00:54:06	- (man #7) You're all slung up.
00:54:14	(Moore) I decided to go to Great Britain to
00:54:19	And drugs could cost only ten dollars.
00:54:25	If I come in here and I have a prescription
00:54:30	It's L6.65.
00:54:33	(Moore) L6.65?
00:54:37	- Yes.
00:54:40	- Same charge.
00:54:42	- L6.65 still.
00:54:44	- No.
00:54:48	Still L6.65.
00:54:50	If they are under 16 or over 60,
00:54:56	(Moore) So only a working adult
00:55:01	Everybody else gets medication free?
00:55:03	- No money being exchanged here?
00:55:06	- There's no money being exchanged?
00:55:09	What's the purpose
00:55:14	I'm just wondering where's the bread
00:55:19	I can't pick up
00:55:22	No. I haven't been trained for that many
00:55:39	(Moore) I next went to a state-run hospital.
00:55:46	(woman # 4) I'm due in seven weeks
00:55:51	And then I can have six months off unpaid
00:55:55	(Moore) Well, that sounds
00:55:58	Oh, really, it's not like that in the US?
00:56:04	(Moore) So what do you pay
00:56:06	No one pays.
00:56:10	They were asking how do people pay.
00:56:12	I said there isn't...
00:56:15	It's national insurance.
00:56:22	(Moore) Even with insurance.
00:56:26	- So where's the billing department?
00:56:29	There's no such thing.
00:56:32	(Moore) What did they charge
00:56:34	- Sorry?
00:56:37	- No. This is NHS.
00:56:41	You know, it's not America.
00:56:46	(Moore) Maybe I'd have better luck in the
00:56:52	This guy broke his ankle.
00:56:57	The emergency room visit. He'll have
00:57:01	Here... NHS, everything is free.
00:57:04	(Moore) I'm asking about hospital charges
00:57:08	I was never asked this question
00:57:13	(Moore) I was starting to fall
00:57:17	And then I discovered this.
00:57:20	So this is where people come to pay
00:57:24	No, this is the NHS hospital,
00:57:27	You get to just go home?
00:57:30	Why does it say "cashier" here
00:57:35	All we have is a little man
00:57:37	and he gives people money
00:57:42	Those who have reduced means
00:57:46	Thank you.
00:57:47	(Moore) So in British hospitals. Instead
00:57:52	Money comes out.
00:57:54	The criteria for letting you out
00:57:57	the criteria are, are you fit to go
00:58:00	(Moore) Clearly. I was just
00:58:09	What I needed
00:58:12	who would have some understanding.
00:58:14	(woman #5) I first came to London in 1992.
00:58:18	And we just ended up staying
00:58:22	Well, I had them all on the NHS, which is
00:58:28	I think, like a lot of Americans,
00:58:32	was just bottom of the rung treatment,
00:58:35	that the only way would be horrible
00:58:39	I mean, that's kind of how...
00:58:41	- And it's terrible that that's what I thought.
00:58:45	After having a baby.
00:58:49	(singing in Russian)
00:59:13	And then it occurred to me
00:59:17	We've socialized a lot of things.
00:59:44	I kind of like having a police department
00:59:50	And I got to wondering. Why don't we
00:59:56	Like healthcare?
00:59:58	When did this whole idea that every British
01:00:03	Well, if you go back,
01:00:06	Before we had the vote all the power
01:00:11	If you had money, you could get
01:00:14	look after yourself when you were old.
01:00:16	And what democracy did
01:00:21	And it moved power from the marketplace
01:00:25	From the wallet to the ballot.
01:00:28	And what people said was very simple.
01:00:30	They said, "In the 1930s,
01:00:34	"But we don't have unemployment
01:00:36	"If you can have full employment
01:00:39	why can't we have it by
00:00:01	If you can find money to kill people,
00:00:06	Right.
00:00:07	This leaflet that was issued
00:00:11	- What year was this?
00:00:13	"Your new National Health Service
00:00:17	"What is it? How do you get it?"
00:00:19	"It will provide you with all
00:00:24	"Everyone, rich or poor, man, woman
00:00:29	"There are no charges,
00:00:32	"There is no insurance qualifications,
00:00:36	"You are paying for it
00:00:39	and it will relieve your money worries
00:00:43	Now, somehow,
00:00:53	(Moore) I was amazed
00:00:58	The British had come out of a devastating
00:01:03	The country was destroyed
00:01:07	They had nothing.
00:01:09	In just one eight-month period.
00:01:12	Over 42.000 civilians lost their lives.
00:01:17	What we went through
00:01:20	They went through
00:01:25	Remember how we all felt after 911 ?
00:01:31	I guess that's how they felt.
00:01:35	And the first way that they decided
00:01:38	was to provide free medical care
00:01:43	Even Mrs. Thatcher said, "The National
00:01:48	It's as non-controversial
00:01:51	Nobody could say,
00:01:54	People wouldn't have it,
00:01:57	They wouldn't accept the deterioration or
00:02:01	If Thatcher or Blair said, "I'm going
00:02:05	There would have been a revolution.
00:02:08	(# "Street Fighting Man"
00:02:16	(reporter #9) A report from the AMA
00:02:22	says Brits are far healthier
00:02:25	(man #8) For every illness that we looked
00:02:29	(reporter #9) Cancer. Heart disease.
00:02:33	All significantly higher for Americans.
00:02:36	Even the poorest people in England
00:02:38	with all the environmental factors that give
00:02:42	can expect to live longer
00:02:55	(Moore) I was wondering. Though.
00:02:58	Who have to live
00:03:02	And you're a family doctor?
00:03:04	Yeah, I suppose we'd call them GPs
00:03:07	- Right, so you have a family practice?
00:03:11	We have nine doctors in that practice.
00:03:13	- Paid for by the government?
00:03:15	You work for the government?
00:03:18	A patient comes to you.
00:03:21	the government insurance company
00:03:24	No, I don't deal with money at all
00:03:28	Have you ever had to say no to someone
00:03:31	- No, never.
00:03:35	being in the hospital and being removed
00:03:39	No, never.
00:03:41	So working for the government,
00:03:45	No. I have a car that I use
00:03:48	An old beater?
00:03:56	You live in a rough part of town?
00:03:59	I live in a terrific part of town.
00:04:06	It's a lovely house.
00:04:09	(Moore) How many other families
00:04:12	There's four bedrooms for my wife
00:04:17	- (Moore) How much did you pay for that?
00:04:22	(Moore) So, a million dollars?
00:04:24	You're a government-paid doctor on a
00:04:29	- and you live in a million-dollar home?
00:04:37	- I think my friends think we do quite well.
00:04:41	I earn around 85,000,
00:04:44	- L85,000?
00:04:46	And that includes pension
00:04:49	They probably earn just
00:04:52	- L100,000? So that's almost $ 200,000?
00:04:56	The money that we earn,
00:04:59	So the better we do for our patients,
00:05:03	- What do you mean?
00:05:06	And in that new system, if the most number
00:05:11	or you get most of your patients
00:05:14	or you get your patients to have
00:05:17	or low cholesterols,
00:05:20	This year, if you get more people
00:05:24	you'll get more money,
00:05:26	Oh, yeah. Absolutely.
00:05:28	So doctors in America do not have to fear
00:05:35	No. I think if you want to have
00:05:39	and four or five nice cars
00:05:43	then maybe, yeah, you need to practice
00:05:47	But I think we live comfortably here.
00:05:49	London is expensive,
00:05:52	You're getting by OK on the million-dollar
00:05:56	Yeah, we're coping with those.
00:06:00	I think democracy is the most
00:06:03	Far more revolutionary than
00:06:07	Because if you have power, you use it
00:06:13	And this idea of choice which capital
00:06:17	choice depends
00:06:19	If you're shackled with debt,
00:06:23	(Moore) It seems it benefits the system if
00:06:27	People in debt become hopeless,
00:06:31	They always say
00:06:33	but I think if the poor in Britain
00:06:38	voted for people
00:06:41	it would be a real democratic revolution.
00:06:43	So they don't want it to happen. So keeping
00:06:47	See, I think there are two ways
00:06:51	First of all, frighten people,
00:06:55	An educated, healthy and confident
00:06:59	And I think there's an element
00:07:03	"We don't want people to be
00:07:07	because they would get out of control."
00:07:09	The top 1 % of the world's population
00:07:14	It's incredible that people put up with it,
00:07:18	they're demoralized, they're frightened.
00:07:20	And therefore, they think
00:07:23	is to take orders and hope for the best.
00:07:30	(Moore) And hope for the best
00:07:33	Right from the moment we're born.
00:07:35	We've got the worst infant mortality rate
00:07:39	A baby born in El Salvador
00:07:42	than a baby born in Detroit.
00:07:44	But it gets better
00:07:47	(man #9) Classrooms with 40 students.
00:07:50	(Moore) No wonder the majority
00:07:54	But that's OK.
00:07:56	By the time we graduate.
00:07:59	We're in debt before our first job.
00:08:02	I'm at about... we'll say about $35,000
00:08:07	(Moore) You'll be the employee they're
00:08:11	3,904, 3,905...
00:08:14	What employer wouldn't employ someone
00:08:17	Because they won't cause any trouble?
00:08:21	In addition to paying off your college debt.
00:08:25	It would be horrible
00:08:28	You can always quit, you know. There's
00:08:32	(Moore) If that one job
00:08:35	You can get another one.
00:08:39	I work three jobs,
00:08:43	- You work three jobs?
00:08:46	Uniquely American, isn't it? I mean,
00:08:51	Get any sleep?
00:08:53	(Moore) If you're not sleeping.
00:08:56	(man #10) You're tired all the time.
00:08:58	(woman #8) If you suffer
00:09:00	(woman #9) Generalized anxiety disorder.
00:09:03	(woman #10) It could be adult ADD.
00:09:05	- (woman #11) Ask your doctor.
00:09:08	(Moore) Yes. Ask your doctor.
00:09:12	That should keep you doped up
00:09:15	Did I say retire? (laughs)
00:09:18	If you make it to 80.
00:09:21	Unlike the new employees for these
00:09:24	But I'm sure our kids will take care of us.
00:09:29	Remember. Let's defeat the terrorists over
00:09:35	Kaiser Permanente
00:09:39	And Dawnelle Keyes was fortunate
00:09:44	It's a good thing. Because one night.
00:09:48	Developed a fever of over 104.
00:09:52	So. Like any responsible mom.
00:09:55	And the ambulance took Mychelle
00:09:59	The hospital checked with her HMO
00:10:01	and they were told that Kaiser would not
00:10:05	necessary to treat Mychelle.
00:10:08	She would have to take her to
00:10:13	Kaiser said that I should
00:10:18	and that she shouldn't be treated
00:10:22	I just continued to ask them
00:10:28	My daughter got worse
00:10:34	(Moore) Dawnelle begged doctors to not
00:10:40	I was escorted out of the hospital
00:10:46	(Moore) After hours of delay.
00:10:51	And got there just in time
00:10:55	They worked on her for about 30 minutes,
00:11:00	And the doctors came in
00:11:10	I was in a daze, a real daze.
00:11:16	I just held her.
00:11:18	I held her and I told her
00:11:22	to make sure that she was gonna
00:11:28	And that I was sorry
00:11:38	(toy) Simon says: Give the answer.
00:11:40	(# computerized tune)
00:11:45	Uh-oh.
00:11:47	(Moore) This is Karena
00:11:50	Karena is a graduate
00:11:53	And a native of my hometown
00:11:57	Six months ago. Zoë.
00:12:01	Came down with a high fever.
00:12:03	What happened
00:12:06	turned blue and passed out
00:12:10	It was the most horrible moment
00:12:14	just because I thought
00:12:18	And I had no clue what to do.
00:12:20	At the hospital, they gave her
00:12:25	and examined her, took some blood.
00:12:27	- (Moore) What was wrong with her?
00:12:30	But we stayed at the hospital
00:12:34	- just so they could keep an eye on her.
00:12:37	Yeah. They just basically
00:12:41	And how much did all this cost you,
00:12:44	- Nothing.
00:12:46	- Nothing. Nothing at all.
00:12:51	- I live in France.
00:12:54	Yeah.
00:12:57	(Moore) Ah. France.
00:12:59	They enjoy their wine.
00:13:04	And yet.
00:13:07	They live much longer than we do.
00:13:10	Something about that
00:13:16	This is Alexi Cremieux.
00:13:17	He spent his entire adult life in the US
00:13:24	(Alexi) I lived in America for 13 years.
00:13:29	But then when I discovered that I had
00:13:33	unfortunately,
00:13:36	Even though I had never paid taxes
00:13:39	I left when I was 18,
00:13:42	for them it was,
00:13:45	so we're gonna give him,
00:13:50	- (Moore) How are you doing now?
00:13:53	but I had three months
00:13:55	So after three months, I saw my doctor
00:13:59	I said, "No, I don't feel like it."
00:14:01	"Right now, I'm not ready."
00:14:04	I said, "Well, I don't know."
00:14:08	I said, "I think three months
00:14:10	He said, "OK, so take three months off."
00:14:15	that I gave to my employer
00:14:19	- So I went to the south of France...
00:14:23	Yes. Yes.
00:14:25	I get 65% paid by the government,
00:14:30	and then the other 35%
00:14:34	To make sure you get 100%.
00:14:38	So it was April, it was spring again. So
00:14:43	And that really helped me a lot,
00:14:49	I mean, it was like night and day. In three
00:14:54	to a 35-year-old man again.
00:14:57	But that's because I had that time
00:15:06	I'm not in a position to make any judgment
00:15:13	I think the United States
00:15:16	Americans are great people.
00:15:19	But as a doctor first, as a citizen second,
00:15:24	and eventually, as a patient third,
00:15:27	I'm very glad to be in France.
00:15:30	It's kind of a luxury here.
00:15:32	You are sick, you step in a hospital,
00:15:37	It doesn't depend on your premiums.
00:15:40	One of the principles is solidarity.
00:15:43	People who are better off
00:15:48	You pay according to your means
00:15:52	(Moore) Do you think
00:15:55	No.
00:15:57	(Moore) He could barely contain
00:16:02	And I just didn't want
00:16:10	So I found a group of Americans
00:16:14	Who I know would tell me the truth.
00:16:17	I was diagnosed five years ago
00:16:21	- I was a bit nervous to tell them I had...
00:16:26	There's a place to check off
00:16:29	I was nervous that they
00:16:32	And instead, I went into a hospital,
00:16:36	And they do an amazing amount
00:16:40	They asked if you have
00:16:42	not to punish you,
00:16:45	- Yes.
00:16:48	As soon as I was in, it was,
00:16:54	- People said "Rest."
00:16:58	- I think it's unlimited.
00:17:00	Yes. How can you limit sick days?
00:17:05	I've gone to emergency rooms
00:17:09	And have never waited
00:17:11	I can call and somebody comes
00:17:14	No way? Making a house call?
00:17:18	How many of you have had
00:17:21	- 3:00am last Friday.
00:17:24	- Nothing.
00:17:32	Where are we going?
00:17:36	We are going to see a man
00:17:39	- Abdominal pain?
00:18:23	- Where do we go next?
00:18:35	(# "L'amour est bleu"
00:19:00	I say to anyone who asks me
00:19:02	is that I think it's one of the friendliest
00:19:06	And talk about family values -
00:19:11	We don't pay for day care.
00:19:13	The day care where I send my daughter -
00:19:21	So how much does it cost you to have
00:19:31	(Moore) Are you happy
00:19:49	Here, my kids are sure that they are going
00:19:55	- college I don't have to worry about...
00:19:59	- It's free.
00:20:01	- You can get a college education for free.
00:20:04	- Yes.
00:20:08	They rest, they enjoy life.
00:20:10	They spend time with their kids,
00:20:14	- How many weeks of paid vacation?
00:20:17	Five weeks?
00:20:20	If you work for a large company,
00:20:23	- Remember that there is a 35-hour week.
00:20:27	(Moore) I read it was higher
00:20:30	If they're working more than 35 hours
00:20:34	That is for part-time
00:20:37	You get five weeks paid vacation
00:20:41	- Of course.
00:20:42	If you get married, you get an extra week
00:20:46	- In addition to your five weeks.
00:20:50	Also if you move.
00:20:51	You mean if you move
00:20:54	You get one day.
00:20:56	- You get a day to move and they pay you?
00:21:00	When my daughter was three months old,
00:21:03	to give you tips on what to do
00:21:08	And they'll come to your house
00:21:12	- They will! Sure!
00:21:14	Stop! Stop!
00:21:16	- When you have a baby.
00:21:22	What are you doing?
00:21:29	You from the government?
00:21:34	- Can she do anything else?
00:21:38	She's, of course,
00:21:41	And I think if I ask her
00:21:47	she can do it.
00:21:54	No problem.
00:21:56	She's coming twice a week.
00:22:00	Four hours a day.
00:22:02	for me, for the house,
00:22:06	It's very precious for me.
00:22:09	You don't have any associations?
00:22:12	No. Nobody from the government
00:22:17	and does your laundry for you,
00:22:22	- It's difficult.
00:22:25	(woman #12) Something that I experience
00:22:29	Guilt for being here almost,
00:22:32	and seeing the advantages and
00:22:36	Things that my parents worked their whole
00:22:42	It's really hard
00:22:45	in a very privileged position,
00:22:49	but in comparison, definitely.
00:22:55	One of the things
00:22:58	is that the government
00:23:01	They're afraid of protests,
00:23:06	In the States, people are afraid of the
00:23:11	They're afraid of protesting,
00:23:14	In France, that's what people do.
00:23:57	(Moore) Free college education.
00:24:01	Government-issued nannies.
00:24:03	I began to wonder
00:24:07	And then I realized
00:24:10	I wanted to see what effect
00:24:15	So I went to find out.
00:24:21	- Hello. Welcome.
00:24:24	It's very nice.
00:24:36	- It's the news.
00:24:41	What is your combined income for
00:24:51	All right. You're an engineer
00:25:04	(Moore) How much is your mortgage?
00:25:14	- (Moore) How many cars do you own?
00:25:17	(Moore) Do you owe money
00:25:22	Is there any other debt? Loans, anything?
00:25:26	- Only the apartment.
00:25:31	The fish.
00:25:34	Fish. Vegetables.
00:25:37	Vegetables are a big
00:25:39	- Yes. And fruit. Yogurt.
00:25:44	What are your other big expenses?
00:25:47	Very important.
00:26:04	- (Moore) Kenya?
00:26:07	- (Moore) Are you happy?
00:26:15	(# "Je t'aime moi non plus"
00:26:29	(Moore) After seeing all this.
00:26:33	Was there a reason
00:26:37	wants us to hate the French?
00:26:45	Are they worried
00:26:53	Or like their ways of doing things?
00:27:04	It was enough to make me
00:27:18	Meanwhile. Back at home.
00:27:20	Hospitals had found a new way
00:27:23	who didn't have health insurance
00:27:25	and couldn't pay their bill.
00:27:29	I was standing against the wall and I saw
00:27:35	I watched to see what was happening
00:27:39	'cause it's not a new thing.
00:27:41	They pulled up right here
00:27:44	and dropped Carol off
00:27:47	And as soon as they pulled away, she
00:27:51	She then walked all the way down to the
00:27:55	has no shoes on whatsoever
00:27:59	And those gowns are thin.
00:28:01	That's when one of our staff members went
00:28:05	and found out that she was disoriented
00:29:24	Kaiser Permanente in Bellflower hospital
00:29:29	and directed them
00:29:33	But the names of the hospitals had been
00:29:38	I have seen others that have come through
00:29:43	(Moore) They told me that.
00:29:46	Over 50 patients
00:29:49	The options are few. We either open
00:29:53	which is not the humane thing to do,
00:29:55	or we try to find someplace for them to go.
00:29:58	And right now,
00:30:03	(Moore) The night
00:30:05	The county hospital run by
00:30:10	One of the richest private schools
00:30:12	Dumped another patient off on the curb.
00:30:16	A woman unable to pay her hospital bill.
00:30:23	- Do you know how you got here?
00:30:25	- In the cab?
00:30:28	They gave him the voucher.
00:30:32	He dropped me off there,
00:30:36	Ma'am, are you in pain right now?
00:30:40	- Yes.
00:30:43	She, at this time, has broken ribs,
00:30:46	and stitches that are not completely healed
00:30:49	across the top of her head
00:30:52	Now let me ask you, ma'am.
00:30:55	did they ask you
00:30:58	No.
00:30:59	They didn't ask you any questions
00:31:02	or whether or not
00:31:05	No, they just told me
00:31:12	(Moore) May I take a minute to ask
00:31:18	Who are we?
00:31:22	Is this what we've become?
00:31:24	A nation that dumps its own citizens like
00:31:29	Because they can't pay
00:31:34	I always thought. And believe to this day.
00:31:39	This is what we do
00:31:41	Anybody gets sick,
00:31:45	(Moore) People with a good heart...
00:31:47	(man #12) You feel like you're sacrificing,
00:31:52	(Moore)... and a good soul.
00:31:54	We've got a lot of support and we're gonna
00:31:58	(Moore) Neighbors quick to lend a helping
00:32:03	I deliver meals to them,
00:32:07	that this is just the least that I can do.
00:32:10	(Moore) They say that you
00:32:14	by how it treats those
00:32:18	But is the opposite true? That you can
00:32:26	Its heroes?
00:32:28	(man #13) The firefighters and police,
00:32:32	have responded with true heroism.
00:32:35	It was their initial heroism
00:32:41	Without regard, in many instances,
00:32:46	- They truly are heroes.
00:32:52	Here they are, the men and women who
00:32:56	and for all of us in America!
00:33:08	Don't forget about the raffles going on
00:33:13	I spent two and a half years down there.
00:33:15	I got upper and lower
00:33:19	I need a double lung transplant,
00:33:23	I haven't slept in a bed in over five years,
00:33:27	because if I lay down I can't breathe.
00:33:29	(Moore) There were hundreds
00:33:33	who were not city employees.
00:33:35	But rather ran down to Ground Zero
00:33:39	We need volunteers for first aid!
00:33:42	(Moore) And many developed
00:33:46	That's when the government said:
00:33:48	"They're not our responsibility
00:33:55	John Graham is an EMT volunteer
00:34:00	He was in Lower Manhattan
00:34:04	And rushed over to help.
00:34:06	He worked in the rescue effort
00:34:10	But then had trouble
00:34:14	They just deny you for any reason.
00:34:20	I really feel like
00:34:24	It's terrible.
00:34:28	that the United States would do this.
00:34:31	(Moore) William Maher is a volunteer
00:34:35	He spent to months
00:34:39	Recovering bodies or body parts.
00:34:43	I'm experiencing
00:34:47	or whatever you'd like to call them,
00:34:49	and it affected
00:34:52	and unaware of it because I was asleep
00:34:54	and I just kept
00:34:57	The upper fronts are damaged,
00:35:00	because of my constant grinding
00:35:03	I've been before a workers' comp board
00:35:07	I've been denied three times, and hopefully
00:35:13	if I can get the necessary documentation.
00:35:18	(Moore) Of course.
00:35:22	supposedly to help rescue workers.
00:35:24	Ladies and gentlemen,
00:35:28	(Moore) But the government.
00:35:31	Made it very difficult
00:35:35	You have to have spent
00:35:39	you have to be able to establish that.
00:35:42	You do have to file an affidavit
00:35:47	relating your work experiences
00:35:49	And then, even with all of that,
00:35:53	There is a presumption
00:35:55	but that presumption can be rebutted
00:36:00	We think it is a very fair approach
00:36:12	I'm sorry.
00:36:13	(Moore) Reggie Cervantes was
00:36:18	Nothing makes it go away sometimes.
00:36:25	It's just burning in my throat and irritated
00:36:31	Sometimes I have trouble breathing
00:36:38	(Moore) Reggie spent her days
00:36:41	and treating other rescue workers.
00:36:44	My airway was totally burnt
00:36:47	and I had trouble breathing by then.
00:36:50	But we wanted to see
00:36:53	we wanted to see if we had lost anybody,
00:36:59	I wanted to help.
00:37:03	You know, you see somebody
00:37:09	(Moore) Reggie had difficulty
00:37:13	Too sick to work and with no income.
00:37:15	She was forced to quit her job.
00:37:18	And used her savings
00:37:24	It's hard to figure out
00:37:27	We're trying to go about it the right way.
00:37:31	But we're ignored.
00:37:34	(Moore) But not everyone after 911
00:37:39	We're now approaching the five-year
00:37:44	So I'm announcing today
00:37:48	Abu Zubaydah, Ramzi Binalshibh,
00:37:52	and 11 other terrorists in CIA custody,
00:37:55	have been transferred to
00:38:01	(man #15) On that island are some of the
00:38:06	(man #16) These detainees are deadly
00:38:10	as well as a number of Osama bin Laden's
00:38:14	and others who had a direct role
00:38:19	The kind of people held at Guantanamo
00:38:24	Many of them have American blood on
00:38:30	It seems to me we have an obligation
00:38:33	to treat these individuals
00:38:38	(Moore) And then I learned
00:38:47	(man #16) Detainees representing a threat
00:38:51	are given access
00:38:54	They have acute care 24 hours a day,
00:38:59	everything can be performed right there
00:39:03	This is the dental clinic,
00:39:06	We have a physical therapy department,
00:39:11	We have one single operating room.
00:39:13	Health personnel to detainee ratio
00:39:18	They do sick call on the blocks three times
00:39:22	or bring that detainee back to the clinic
00:39:26	Screening for cancer has taken place.
00:39:28	Colonoscopy is a procedure which
00:39:33	We have diabetes,
00:39:36	We monitor the weight
00:39:39	so that we can track those detainees
00:39:43	monitoring their labs
00:39:45	Their medical attention... They get way
00:39:51	- You think it's as good as most US HMOs?
00:39:56	(man #15) I leave with an impression
00:40:00	than they received at home,
00:40:02	and as good as many people receive
00:40:07	(Moore) Wow! So there is actually
00:40:12	that had free universal healthcare.
00:40:15	That's all I needed to know.
00:40:19	I went down to Miami. Florida.
00:40:23	Got myself a boat.
00:40:25	And loaded up Bill.
00:40:28	And Reggie and John.
00:40:31	John, welcome, sir.
00:40:33	And anyone else I could find who needed
00:40:38	So many people showed up.
00:40:42	And I called up Donna Smith from Denver.
00:40:47	And asked her
00:40:50	I figured she'd like to get out
00:40:54	All right, let's go.
00:41:12	Which way to Guantanamo Bay?
00:41:16	We're not going to Cuba!
00:41:20	It's American soil!
00:41:58	We made it.
00:42:15	There it is.
00:42:18	That's the prison over there
00:42:21	- (Reggie) We're very close.
00:42:27	The white building is the hospital, I think.
00:42:32	OK, let's go.
00:42:38	(Moore) We commandeered a fishing boat
00:42:45	As we approached the line in the water
00:42:50	We were told to be careful for mines.
00:42:55	Permission to enter.
00:43:00	They need some medical attention.
00:43:07	These are 9/11 rescue workers!
00:43:12	The same kind that al-Qaida is getting.
00:43:17	They don't want any more than
00:43:23	Hello.
00:43:25	No one in the guard tower was
00:43:30	We figured it was time
00:43:33	But what was I supposed to do with these
00:43:38	I mean. Here we were stuck in some
00:43:42	And communists. No less. When I was
00:43:47	What was I supposed to do?
00:43:50	(# "I'll See You in C-U-B-A"
00:44:10	Excuse me, we're looking for a doctor.
00:44:14	Any doctors?
00:44:22	All in this one block?
00:44:29	All right, thank you very much.
00:44:32	(Moore) OK. OK. I know what you're
00:44:40	The worse place on Earth.
00:44:46	How do we know that? 'Cause that's
00:44:50	A series of offensive missile sites
00:44:54	than to provide a nuclear strike capability
00:44:59	I'm not gonna yield until Fidel Castro
00:45:04	That's a...
00:45:09	Put it in the bank.
00:45:12	(Moore) It seems that
00:45:16	was that he overthrew
00:45:19	And replaced him with a guy
00:45:24	And so now. After all these years.
00:45:28	the Cuban people
00:45:33	They've become known as having not
00:45:37	But as being one of the most generous
00:45:41	and medical equipment
00:45:45	In the US. Healthcare costs
00:45:50	But in Cuba. They spend only $ 251.
00:45:54	And yet the Cubans are able to have
00:45:59	A longer average life span
00:46:03	They believe in preventive medicine.
00:46:06	And it seems like there's a doctor
00:46:10	Their only sin
00:46:13	seems to be
00:46:16	Anybody need medication right now
00:46:25	- Are you the pharmacist?
00:46:28	Do you have this?
00:46:31	- Is this one similar to yours?
00:46:36	- This is $120 in the US?
00:46:43	- How much is that in American dollars?
00:46:47	- Five cents?
00:47:02	Thank you very much.
00:47:06	$120 is a lot of money
00:47:08	when you get $1,000 in social security
00:47:14	Five cents here?
00:47:18	It just doesn't make any sense.
00:47:22	It doesn't make any sense.
00:47:24	I wanna fill a suitcase up
00:47:53	(Moore) I took my group
00:47:56	to see if they could get some care.
00:48:00	They didn't ask for money
00:48:06	Just their name...
00:48:09	and date of birth.
00:48:14	That was the entire intake session.
00:48:36	(Moore) Thank you very much
00:48:41	I asked them to give us
00:48:44	they give their fellow Cuban citizens.
00:48:47	No more. No less.
00:48:49	And that's what they did.
00:48:51	I'm Dr. Roque.
00:48:54	- John Graham.
00:48:57	My lungs hurt. I have pain.
00:48:59	I get pretty severe nosebleeds at times.
00:49:02	I get terrible headaches in the night,
00:49:05	but I haven't been evaluated
00:49:08	- Yeah, I have...
00:49:12	Almost every medication
00:49:15	After 9/11, things have happened,
00:49:19	Because of certain conditions,
00:49:22	There's one test that they recommended
00:49:28	The dentist that I talked to,
00:49:33	It's two years I have no medical coverage,
00:49:40	It's OK, everything's gonna be OK.
00:49:43	Yes. I am so...
00:49:46	It's so hard for me to digest
00:49:52	Because 20 years of our lives
00:49:57	So I am so grateful.
00:50:02	No, you don't need to say that.
00:50:06	- Thank you. Thank you.
00:50:08	Come on, don't cry.
00:50:11	- Thank you.
00:51:36	(Moore) Reggie was diagnosed with
00:51:41	The Cuban doctors gave her
00:51:45	Along with some of those
00:51:50	William Maher received a number
00:51:54	Having ground down his teeth for
00:51:59	He left Cuba with a new set of teeth.
00:52:04	After a series of tests
00:52:08	John now knew
00:52:11	He was given a strict plan to follow.
00:52:15	and was feeling better
00:52:18	The Cuban doctors were able to take
00:52:24	And with a correct diagnosis.
00:52:28	to help her live a more normal life.
00:52:36	When firefighters
00:52:38	heard that the 911 rescue workers
00:52:41	They invited them over
00:52:44	And so. On our last day there.
00:52:47	As we arrived. They stood at attention
00:52:49	because. They said.
00:53:33	Sí. Somos familia. Y los hermanos
00:53:38	se sintió en el mundo completo.
00:53:42	The brothers we lost on 9/11
00:53:46	- Mis hermanos.
00:53:52	Don't hesitate to hug a brother.
00:54:00	It's very important for them to wear
00:54:04	- They're lungs.
00:54:06	SCBA. Self-Contained
00:54:09	Tenemos una reserva también en el carro.
00:54:12	Es un placer poder venir aquí.
00:54:14	Esto es lo único
00:54:19	F-F-F.
00:54:21	Three Fs.
00:54:32	(Moore) If this is what can happen
00:54:36	If one enemy can hold out his hand
00:54:40	Then what else is possible?
00:54:46	That's when I heard
00:54:49	anti-Michael Moore website
00:54:51	was going to have to shut it down.
00:54:54	He could no longer afford to keep it up
00:54:59	and they couldn't afford to pay
00:55:03	He was faced with a choice of either keep
00:55:10	Fortunately. He chose his wife.
00:55:14	But something seemed wrong
00:55:19	Why. In a free country. Shouldn't he
00:55:23	and exercise his First Amendment right
00:55:29	So I wrote a check for the $ 12.000
00:55:34	and in treatment.
00:55:40	His wife got better
00:55:51	It was hard for me to acknowledge
00:55:55	We truly are all in the same boat.
00:55:58	And that. No matter what our differences.
00:56:01	We sink or swim together.
00:56:04	That's how it seems to be
00:56:08	They take care of each other.
00:56:14	You know. When we see a good idea
00:56:19	If they build a better car. We drive it.
00:56:23	If they make a better wine. We drink it.
00:56:28	So if they've come up with
00:56:31	To teach their kids.
00:56:34	To take care of their babies.
00:56:38	To simply be good to each other.
00:56:41	Then what's our problem?
00:56:43	Why can't we do that?
00:56:46	They live in a world of "we."
00:56:50	We'll never fix anything
00:56:55	And powerful forces
00:56:59	And that we remain the only country
00:57:03	without free universal healthcare.
00:57:07	You know. If we ever did remove
00:57:11	College loans. Day care.
00:57:14	And everything else
00:57:18	Well. Watch out.
00:57:21	'Cause it'll be a new day in America.
00:57:25	In the meantime.
00:57:27	I'm gonna go get the government
00:57:31	(# "Don't Be Shy" by Cat Stevens)
01:00:02	(# "Alone Without You"
01:01:30	(# "Ce Monde Absurde"

Sicko