Attacks the Grotesque Profit Motive of the US Health Care System

[Guest guest]

http://www.alternet.org/healthwellness/54639/

Attacks the Grotesque Profit Motive of the US Health Care System

By Amy Goodman, Democracy Now!. Posted June 22, 2007.

explains how the the obscene profits made by the CEOs of " non-profit "

hospitals started with Nixon in this powerful interview about his

new documentary, SiCKO.

Academy Award-winning filmmaker sat down with Amy Goodman

ahead of the release of his new film SiCKO. The film is a seething

indictment of the US healthcare system. It focuses not on the more than 40

million people who don't have healthcare but on the 250 million who do -

many of whom are abandoned by the very health insurance industry they paid

into for decades. " They are getting away with murder, " said of the

health insurance companies. " They charge whatever they want. There is no

government control, and frankly we will not fix our system until we remove

these private insurance companies. "

Amy Goodman: is on the move. The Academy Award-winning

filmmaker testified this week on Capitol Hill. And he's making his way to

New Hampshire to challenge presidential candidates -- Democrat and

Republican -- over the nation's healthcare system.

Oh, and his latest documentary, SiCKO, is being released in thousands of

theaters next week. The film is a seething indictment of the US healthcare

system. It focuses not on the more than 40 million people who don't have

health insurance, but on the more than 250 million who do, many of whom are

abandoned by the very health insurance industry they've paid into for decades.

I sat down with at the Tribeca Cinema here in New York, just

after he'd done a sneak preview for 9/11 workers who fell ill after working

in the toxic environment at Ground Zero. He was then doing a fundraiser for

the Center for Justice and Democracy, a tort reform group. I began by

asking what inspired him to make the film.

: Well, I actually -- I had a TV show on back in the '90s

called TV Nation, and one day I just -- I thought it would be interesting

to have like a race. So we sent a camera crew to an emergency room in Fort

Lauderdale, a camera crew to an emergency room in Toronto, and then one to

Havana. And they would each wait until someone came in with a broken arm or

a broken leg. And then they were going to follow that person through and

see falthcare Olympics. And so, it was a race between the US, Canada and

Cuba. And to make a long story short, Cuba won. They had the fastest care,

the best care, and it cost nothing.

We turn the show in to NBC that week, and we get a call from the censor.

They're not called " the censor, " they're called Standards & Practices. And

so, this woman calls. She's the head of Standards & Practices -- Dr.

Somebody. I don't know they -- she actually had a " Dr. " before her name,

but I forget her last name now. But she calls, and she says, " Mike, Cuba

can't win. " I said, " What? " " Cuba can't win. " " Well, they won. What do you

mean they can't win? They won. " " No, we can't say that on NBC. We can't say

that Cuba won. " " Well, yeah, but they won! They provided the fastest care.

They were the cheapest. And the patient was happy, and the bone got fixed. "

" No, it's against regulations here. " I said, " Oh, well, I'm not changing it. "

Well, they changed it. They changed it. Two days later, when it aired, they

changed it so that Canada won. And Canada didn't win. Canada almost won,

but they charged the guy $15 for some crutches on the way out. So it's

bugged me to this day that anybody who saw that episode, you know, where it

said, you know, " and Canada won the Healthcare Olympics, " and in fact it

was Cuba, but that couldn't be said on NBC, because God knows what would

happen.

So, anyways, I first started thinking about this issue then, and then when

I had my next show, The Awful Truth, we followed a guy who had health

insurance, but his health insurance company would not approve this

operation he needed, which would save his life. So we took the guy to the

headquarters of Humana, the HMO down in Louisville, Kentucky, took him in

to see the executives there. They gave us the boot. So we went out on the

lawn and conducted the man's funeral, with him present. So we had a priest

and a casket and pallbearers, bagpipes and, you know, " Amazing Grace " and

the whole deal. And the executives are looking down from the top floor at

this and horrified this is going to air on national television. Three days

later, they call and tell the guy, " We'll approve the operation. " And the

man is alive today.

And I thought at the time, geez, you know, a ten-minute piece, we saved a

guy's life; what could we do if we did a two-hour movie? And so, that was

the sort of the genesis of this, though the movie didn't end up being a

bunch of stories about, you know, saving individual people's lives, because

as I got into this, I figured there's a much, you know, sort of bigger

story to tell about the actual system itself.

Goodman: Well, tell us about the 9/11 workers and how you got involved with

all of these people who have gotten sick. We just came from one of your

first showings before the premiere of the film, with 9/11 emergency

responders who are sick.

: Right. Well, as you know, those of us who in New York here, where,

you know, since 9/11, a lot of these workers who ran down there to help on

9/11 who were not city employees or state employees, but were just

volunteers -- I mean, some people got across from New Jersey and came and

helped. They were maybe volunteer firefighters from New Jersey, some were

EMT volunteers, and they went down there to help. Some of them stayed there

for months in the recovery effort. And they got all these illnesses,

respiratory illnesses and things like that, from breathing, you know, the

whole, you know -- while the EPA was saying, Giuliani was saying

everything's fine down there. You know, go ahead and breathe away. In fact,

as we now know, it was very toxic down there. And hundreds, perhaps even

thousands, have suffered as a result of the toxicity in the air at the time.

And then to find out that our own government and all these 9/11 funds won't

provide any help to these volunteers, because they weren't employees of the

city. So they've been going through all these illnesses -- and some of them

not even seeing a doctor or can't afford the operations or the things that

they need, the medicines they need, because they don't have health

insurance. And they can't work now, so they're disabled, and then they have

to go through a whole rigmarole to try and get Medicaid. It's just -- I

mean, making them go through hoop after hoop, very sad thing to see. And

so, we got to know some of them.

And at the same time, I saw this thing on C-SPAN, where Senator Frist had

gone down to Gitmo, because they wanted to show how, you know, we're taking

good care of the detainees, you know, where they're getting all

top-of-the-line prisoner treatment. And one of the things that he wanted to

remark on -- Mr. Frist -- was how good the healthcare was --

Goodman: Dr. Frist.

: Yes, excuse me. Yes, of course, Dr. Frist. There's another doctor.

He then presented this list of, you know -- here's all the colonoscopies

that we've been doing, you know. And, of course, the first thing I thought

when I heard that, I thought, " Colonoscopies? Hey, most of these detainees

are, you know, in their twenties and thirties. You know, you're not really

-- you don't necessarily have a colonoscopy 'til you're fifty. " So that

should have been your first clue right there something was amiss at Gitmo.

But he has this whole list, Amy, of how many teeth cleanings they've done

of the detainees, how many root canals. They do nutrition counseling.

Goodman: Do they talk about the force-feedings of fasting prisoners?

: Yeah, well, of course. That's what's called " nutrition counseling. "

And so, he made this as part of this big, you know, thing about how

wonderful they're treated there, and we shouldn't worry at all about them.

Well, of course, irony built upon irony here, you know. And I thought,

well, you know, here we have the 9/11 rescue workers who can't get any

healthcare. Here they are trumpeting how they have free universal

healthcare, dental care, eye care, nutrition counseling, for the detainees.

And I thought, well, why don't we just take our 9/11 workers down to Gitmo

and see if we can get some of that free healthcare they're bragging about?

And so, essentially, when you see the film -- I don't want to give the

whole thing away -- but that's essentially what we go to do.

Goodman: How did you get there?

: Geez, I wish I could tell you. You know, I'm being investigated now

by the Bush administration for this trip I took, which they said that we

went to Cuba, but my point is, no, we were going to Guantanamo Bay, which

you claim as American soil, so we never really left America. I mean, we

pulled out of Miami in the boat, and we ended up in Guantanamo Bay, which

you claim as American waters. And so -- but, of course, you know, we ended

up then in, you know, the actual nation of Cuba. And you'll see in the film

the wonderful treatment that the 9/11 rescue workers and the others I took

got from the Cuban doctors and the Cuban healthcare system. But, so now

they're investigating me.

And I mean, you've been there. Have you ever received this letter

threatening civil and criminal action against you? Or --

Goodman: I did not.

: Yeah, see? Well, it's not fair! You're Amy Goodman. You should get

the first letter. What are you picking on me for? Anyway, so yeah, so I'm

in the midst of this, so I'm not really -- I don't want to say publicly yet

how we actually got there, but I actually do have a boat in the movie, you

see, and we are actually in Guantanamo Bay. And you probably have never

seen anybody actually sail into Guantanamo Bay. You will, when you see the

movie, see this, you know, for the first time. And, you know, and I'm the

skipper.

Goodman: Were you afraid of the mines or what you thought might be mines?

: Yes. Actually, I was more afraid of what they were pointing at us in

the guard tower there on the US side of this demarcation line that's in the

bay. And I have to say -- I want to tell you -- I think I can say this

much: the Cuban government was not exactly happy with my idea here of

sailing into Guantanamo Bay, because they did not want an incident that

would provoke the Americans or give them an excuse to do something against

Cuba. And especially because it was me, you know, the Cubans perceive that

Mr. Bush doesn't like me very much, and so here I am suddenly, you know,

tweaking their nose in Guantanamo Bay, and anything could happen. So we had

to really actually talk quite a bit to the Cubans to letting us use their

waters to get up close to the American waters there in the bay.

Goodman: Is that area mined?

: Well, that's what they say, yes. Yes, yes. Well, they believe the

Americans have mined it, you know, so that no Cubans can get in there. I

don't know what the Cubans --

Goodman: Cubans trying to break into Guantanamo to the prison?

: Sneak into -- yeah. Hey, don't ask me to explain the actions of the

US military. I, you know -- I don't know what the Cubans -- I hate to say

this, but, you know, when we were there, it doesn't look like there's a

huge Cuban defense force, should the Americans ever decide to actually

invade again, at least that route. But I'm sure they've got something

planned if the Americans ever did that.

Goodman: The emergency workers who you took to Cuba, talk about the

healthcare system there.

: Well, you know, when they say that there's a doctor in every block,

that's not a cliché. I mean, they're really -- Cuba, per capita, has so

many more doctors than we have. You know, there's been a doctor shortage in

America for a long time, and it's been pretty much because the AMA doesn't

want anymore students in medical schools here, because they believe that if

they keep the number of doctors low, those doctors get more money, as

opposed to if we had a whole bunch of doctors, you have to share the pie a

little bit more, so...

But the Cuban doctors, the Cuban healthcare system, I was very impressed

with it. All the people we took down there were extremely happy with the

treatment that they received. But they focus a lot on prevention, and

because they do that, they end up not having to spend a lot of money on

their healthcare. They don't have the money. It's a very poor country, as

you know. And I was very impressed. And, you know, with what little they

have to use with their healthcare system, they end up living longer than we

do. They have a better infant mortality rate than we do. On a number of

issues, they're the same or better than us.

Goodman: , you look at three -- really four -- places: France,

Britain, Cuba, you spend time in, and then you go visit your relatives in

Canada.

: Yes.

Goodman: Talk about these places and what each one has. You talk to, for

example, Tony Benn, the parliamentarian, the MP in Britain. Talk about what

they have and how they originated. Then we'll talk about how we got what we

have here.

: OK. Well, the Canadians, they have a very good system that covers

everyone, and the people there are very happy with it. Basically, you pay

for nothing. You choose your own doctor. You need to go to the hospital,

you choose your own hospital. There's freedom of choice. And, you know,

you'll hear the critics of the Canadian system here talk about, " Oh, the

Canadians, you have to wait in line, you know, before you can get a knee

replacement, or you have to wait x-number of number of weeks, you know,

where you don't have to wait in America. " You know, when I hear that, I

think, well, that's what you do when you have to share the pie. Sometimes

you have to wait. You know, it's like, I guess that's not in our American

mentality, where, you know -- to wait. You know, I want it now! Well, you

know, sometimes when you -- like I said, when you're sharing the pie, you

get the first slice, you don't have to wait; sometimes you get the third

slice; sometimes you get the last slice. But the important thing to

remember is, everyone gets a slice. That's not the way it is here in this

country.

Now, the British system is really government-owned, in the sense that the

government owns and runs the hospitals, the government employs the doctors.

And so, they work for the government, so it's very much a government-owned

and -run and -controlled program in Britain. And again, you know,

everything is free. And you see the hospitals in the film. People are very

happy with it. And, you know, if you know anybody that's ever traveled to

these countries, that's had an experience of having to go into a Canadian

hospital or British hospital -- I mean, like the one woman says in the

film, you know, she thought it was going to be some dingy, horrible -- you

know, like out of a Dickens novel or the old Soviet Union or something. And

she went in there, and it was like, " Wow! This is incredible! "

France, though, is probably, if not the best, near the best of what we saw.

Goodman: Let's talk about how we arrived at the system we did in this country.

: Well, you know, my grandfather was a country doctor, actually. He

was from Canada. He went to medical school in the late 1800s, which was a

year then. You know, it's pretty much what they knew back then. They could

teach it in a year. And so, the little village where, you know, I was

raised, because my mom was from there, too, because he was there, you know,

he was paid with eggs and milk and chickens, and things like that. He

didn't do it to make any big money. They didn't make big money then. They

were comfortable -- the local doctor -- but they weren't the rich man in

the community.

We got away from the concept of treating people because it was the right

thing to do. The nuns ran the hospital that I was born in. The nuns weren't

doing this to turn profit and invest in Wall Street. You know, I mean, they

did it because they thought that was their duty to serve God and to serve

mankind by opening hospitals and delivering babies. We're a long ways from

that now. Somewhere we let profit and greed enter into this.

And in the film, I peg a certain date when the HMOs really got their start.

And I got very lucky. I had a twenty-three-year-old researcher in my office

who worked on the film, who was actually someone I believe that was

recommended by Scahill, so there's a Democracy Now! connection to

this moment in the movie. But he found this Watergate tape -- has nothing

to do with Watergate, it's one of the Nixon tapes -- at the Archives,

National Archives, where Nixon and Ehrlichman are discussing whether or not

to support this HMO concept. And Ehrlichman says to Nixon, " You're going to

love this, because this is private enterprise. This isn't like some freebie

thing. " Nixon goes, " Oh, I like that. Tell me about it. " And then

Ehrlichman says, " Well, this is how it's going to work, these HMOs. They're

going to make more money by providing less care. The less care they give

them, the patients, the more money the company makes. " Nixon goes, " Ooh,

not bad! " And it's all there on tape.

Goodman: And they're talking about Kaiser Permanente

: Yes.

Goodman: And Nixon says he met Kaiser.

: Yes, yes. Edgar Kaiser.

Goodman: He brought him in to explain it.

: Yes, brought him in to explain the whole thing and the whole -- how

the scheme would work. And Ehrlichman and Nixon are just kind of rubbing

their hands, going, " Oh, this is great. " And the very next day, Nixon

announces his new healthcare program, which is, of course, going to include

these HMOs that Kaiser Permanente wanted to have included. And there it

begins. And it's all in the movie. And so, when he -- when first

brought this in, I thought, " Boy, do all roads lead back to Nixon? " I mean,

I know we lay a lot of stuff at Nixon's feet, but the HMOs, too? I mean, is

he ultimately responsible for this modern-day profit-greedy mess that we're

in? And the answer is yes.

And these health insurance companies are -- they're just -- they're the

Halliburtons of the health industry. I mean, they really -- they get away

with murder. They charge whatever they want. There's no government control.

And frankly, we will not really fix our system until we remove these

private insurance companies. I mean, they literally have to be eliminated.

They cannot be allowed to exist in this country.

Goodman: Why don't people understand in this country what is offered in

other places and that this situation isn't a natural -- you know, just the

way things should be, that there is a way to change? What is it about the

way the government and the media and the insurance companies work that

keeps people so isolated from alternatives?

: It's an enforced ignorance. It's called keeping the American people

stupid. Whether it's our educational system or whether it's the mainstream

media, it's all about making sure people don't know what's going on in

other countries. We know nothing about the rest of the world. I mean, until

recently, when they said if you travel to Canada or Mexico you had to have

a passport, until then it was 80%-plus didn't even have a passport in this

country. So people don't travel. They don't know much. I point out in the

film that our high school graduates, when asked where Great Britain is on

the globe, 65% couldn't find it. 65% couldn't find Great Britain on the

globe. 11% couldn't find the United States on the globe -- 11% of eighteen

to twenty-five-year-olds, according to National Geographic. It's like, OK

-- you know, we have a problem in this country. We don't want to know about

the rest of the world. And, I mean, ask most Americans who the prime

minister of Canada is. I mean, seriously. And I don't mean -- and I'm not

saying this -- you know, let's go ask a bunch of dumb hicks out in, you

know, Whereverville. I'm saying, if I just looked around this room right

now and asked this crew, which I would say this is a more aware crew of

people who, you know, follow the news and, you know, they work with you.

Goodman: You do talk about Hillary Clinton and what she tried to do under

Bill Clinton as president. Explain what she attempted.

: Well, I think she attempted a very brave thing fourteen years ago.

She came in and said there should be healthcare for all; there should be no

pre-existing conditions; everyone's covered, no matter what you make, what

job you have, or whatever. It was a very bold move on her part. And she was

destroyed as a result of it. I mean, they put out I think well over $100

million to fight her.

Goodman: And yet, the big insurance companies liked it, because she wanted

to preserve the big five. And others said if she had gotten rid of the

insurance companies altogether, single payer, it would have been more

clearly explainable to the American people.

: And that was her fault, that she didn't go the whole hog, the whole

nine yards of what needed to happen with this. I mean, it was the same

problem really -- I mean, just to give you another example, this is where

the Democrats -- you know, it's like you want to go in there sometimes with

a drill and get their -- 'cause kind of their heart is kind of on the right

track, you know. It's kind of like I think Hillary's heart is in the right

place. You know, she wants all Americans covered, but, hey, we can't really

get rid of the insurance companies, so let's try and work out a little

deal, kind of like what is proposing now. It's like Al Gore with

the 2000 election: you know, instead of asking for all of Florida to be

recounted, which he would have won then, you know, they only want to

recount the Democratic counties, where they thought they'd get their votes.

And it was like, you know -- it's like, come on! You know, why do you only

-- they take these half-step measures, and we're all the worse for it.

So -- but to jump ahead here with Hillary, you know, she's now -- or at

least last year, in last year's congress -- was the second-largest

recipient of health industry money, next to Rick Santorum. He's gone now.

So she may be number one at this point, for all I know. It's very sad to

see that she's very much -- they're into her pocket, and she's into their

pocket. And I don't expect much from her.

Goodman: Are there presidential candidates that you do feel are putting

forward an alternative?

: Well, yes. I mean, there's -- well, first of all, nobody is being

very specific, other than , in terms of an actual plan, and his is

not a good plan. You know, Obama's plan is not as specific, and certainly

it's full of the same flaws that the and the Hillary old plan had.

Kucinich is closest to the right idea, and, of course, he keeps, you know,

saying " nonprofit, " or whatever. But I kind of don't want to use that word

anymore, and I wish that Dennis wouldn't use that, because Kaiser

Permanente is a nonprofit. Blue Cross is a nonprofit.

Goodman: In fact, the Sacramento Bee that criticized you said, " Don't you

understand that Kaiser Permanente is a nonprofit? So why say this is a

for-profit industry? "

: Well, no. Well, right, yeah. It's not just the for-profit. That's

why I say that essentially you don't want any private insurance companies

involved and that whether they're for private or nonprofit, because -- but

when I say " profit, " you have these huge nonprofits that are under the

guise of nonprofit, but they're all about profit. They're all about making

money for themselves and for their executives, and what they make is

obscene. And so, I favor the removal of all private insurance companies. I

don't know if Kucinich goes that far. I don't know really if any of the

legislation that I've read goes that far, because they all have a component

where they will allow the private insurance companies to still be involved.

Goodman: So you're talking about single payer.

: Yes.

Goodman: Do you see a distinction between single payer and universal coverage?

: Well, yes. Of course there's a distinction, because first of all,

let me tell you, they're all going to say universal coverage. By the time

of the election -- by the primaries, I'm sure all the Democrats are going

to be using that word: universal coverage for everyone, coverage for

everyone. Listen, a lot of their plans, all they're going to do is they're

going to take our tax dollars and put them into the pockets of these

insurance companies.

We need to cut out the middleman here. The government can run this program.

They do it quite well in these other countries. You know, if you take the

top twenty-five countries, and if we were the only one not doing something

of the twenty-five, are we trying to say that the other twenty-four are

just screwing up and we're the smart ones here? I don't think so.

I think it's -- you take a country like Canada. Their overhead, their

administrative cost to run their national program takes up about 1.7% of

their whole budget. The average insurance company in this country will

spend anywhere from 15% to 30% on overhead, administrative costs,

paperwork, bureaucracy. That can be brought way down when the government

does it. But, of course, the Republicans and even some of the Democrats

have done a good job convincing the American people that government is bad,

government will just mess it up. And as Al en said a few weeks ago --

I heard him say -- they run on that platform of the government is bad, will

mess things up, then get elected and spend the next four years proving

themselves right.

Goodman: " Skid row, " ?

: Yeah, the opposite of the big house doctors live in. Well, as you

know -- I mean, I think you've covered this -- patients in Los Angeles who

can't pay their bill at the hospital, hospitals have been dumping them on

skid row for some time now. They just get them out of the hospital,

sometimes right in their hospital gown, put them in a taxi and tell the

taxi, " Take them to skid row and drop them off. " And sometimes the taxi

drivers are having to push them out of the car. And --

Goodman: You got videotape.

: Yes. We have actual security-cam footage of a Kaiser patient being

dumped on the side of the curb by the taxi that Kaiser hired to bring this

woman and just dump her with no shoes out in the middle of the street in

her hospital gown, very sad. And you sit there and you watch this, and you

can't believe this is the United States of America. This is what we -- this

is how we treat people. I mean, I just -- I think when people see this

movie, they're going to go, OK, this has gone too far, and these people are

going to have to be stopped.

Goodman: , in the film, you talk about the American Medical

Associaition, you talk about the pharmaceutical industry, the insurance

industry. On your website, you feature there preparations for this film

coming out. How are they dealing with SiCKO?

: Well, they, at first -- I mean, they've been -- I'll go -- I'll jump

back to just before we started making the movie, where no insurance company

would insure me or the film, because they knew it was going to be about

insurance. So I had a difficult time just, you know, getting insurance for

this thing. Then they started a number things internally that they did to

warn their employees: do not talk to ; if you talk to

, you're going to be in serious trouble. And, in fact, they did

training sessions on how to deal with me, should I show up at their

company. They had a -- Pfizer had a hotline. You dial this

number if you see him. I mean, this is all this crazy stuff --

Goodman: Have you dialed it?

: Oh, yeah. In fact, last year I put it on -- a couple years ago I put

it on the internet, just so -- I told people just dial this number, it's

the hotline at Pfizer. Just call them up and just say: " He's

in the building. He's in the building! " you know, just to -- they

eventually had to shut the line down, because so many people were messing

around with them, but...

Goodman: So what do they say? How do they say to deal with you in these memos?

: Don't run, don't flea, don't put your hand over the camera. They

hired a psychological profiler at one of the companies to tell the CEO how

my mind ticks -- so, in other words, like how to get me off on the subject.

So if I happen to show up with a microphone, you know, the psychological

profiler said, we've determined if you can just get him to talk about

Detroit sports teams, he'll stop talking to you about the HMOs. And I read

that, and I thought, that's good. That's pretty good.

So, anyways -- but, see, they missed the whole point, because this film was

never going to be about me going after a General Motors or a Pfizer, that I

wanted to do something much larger here and not just -- not just go after

one company as if, oh, geez, if we just fixed one company, everything would

be fine. There's something much bigger that we need to fix in this country.

And, actually, it's bigger than the healthcare situation. It's about how we

structure ourselves as a society, how we treat each other, and this

American mentality of every man for himself, how that has to stop -- this

kind of " me " society that we live in has to go to the " we " that the rest of

the world lives in.

Goodman: You have a man in the film who's hired by the health industry to

challenge people who are filing claims. Explain exactly what he does, how

he investigates people.

: The health insurance industry does not like to pay out claims,

because they don't make money. The only way they can make a profit is if

they don't pay for your operation. If they pay for your operation and your

doctor's appointment and your pharmaceuticals, they don't make any money.

So their goal is to try and pay out as little as possible, which right

away, that just tells you right there, there can't be any room in this

healthcare thing for insurance companies, because all it -- health should

be about helping people. And the decision should never be based on whether

or not, hey, we should -- how can we save our money here, how can we deny

that operation?

So they hire these hit men, what we call insurance company hit men, who,

after, let's say -- let's say you had to go in, you know, for a broken

ankle or whatever, and they get that bill and they go, " Wow, that's like

$5,000 for a broken ankle. That shouldn't have cost more than $1,000. We

don't want to pay all that. " So they hire -- they have these investigators,

they have investigative units at the insurance companies, and they say,

" You know what? Go dig into Amy Goodman's past. Go find out if maybe on her

health insurance application she didn't tell us about something that she

had maybe ten years ago. " And they literally will go and get these records,

and they'll do this incredible research on your health history to where

they can then come and say, " You know what? You didn't tell the truth here.

You had a pre-existing condition. You know, we didn't know about this. You

didn't tell us. And so, therefore, we want the money back from that

operation, or we're not going to pay for it.

Goodman: One of the most powerful parts of this film are the people who are

coming forward, like the guy who says he couldn't do it anymore, and he

hasn't been investigating people for a long time. And then you have

Penno.

: Right, the whistleblowers in the film, especially Penno. She's

a doctor from Kentucky. She worked for Humana. She was a medical reviewer

there. And it was her job as a doctor to go through claims and approve or

deny them. And she tells in the film and in testimony before Congress how

she was expected to deny a certain percentage of claims that would come in

from patients, even regardless of whether they were true or not. They

expected, say, a 10% denial rate. The doctor at the insurance company, the

doctor, medical reviewer, who denied the most got like a big Christmas

bonus. I mean, it's absolutely, again, crazy that --

Goodman: Her salary increased from a couple hundred dollars a week to six

figures.

: To six figures, because she kept denying. She couldn't take it any

longer. Her conscience got to her, and she resigned, and then went and blew

the whistle to Congress, and that testimony is in the film. It's very

powerful, and she's a very brave soul for coming forward.

Goodman: How many more people responded in that way? You said 25,000 people

responding about all the terrible problems they have had with health

insurance, and then you have these people.

: Right. I'd say we had a couple hundred people within the industry --

pharmaceutical industry, hospital corporations, health insurance industry

-- that wrote to us, wanting to share with us different things. Some wanted

to be on camera, some didn't. Some sent us files, some -- I mean, it was

really amazing how many people were -- whose consciences were bothering

them, essentially. They just couldn't take it any longer.

Goodman: We're talking to , Award-winning filmmaker. How

does this connect to Fahrenheit 9/11? How does SiCKO link to your previous

films and Bowling for Columbine?

: Well, that's a good question. It does -- there is a thread,

actually, that goes from Bowling for Columbine through Fahrenheit into this

film. Part of it is the use of fear. The reason we don't have a better

system is because we've been made afraid of socialized medicine, the

Canadian system, whatever, and trying to scare the American people, using

ignorance as a way to increase the level of fear in the country. It's these

films -- and I've been doing this really since & Me " -- are films

about -- ultimately about our economic system. We have an economic system,

as I've said before, it's unjust, it's unfair, it's not democratic. And

until, ultimately, that changes, until we construct a different form of

economy in a way that we relate to capital, I don't think that -- I think

we'll continue to have these problems, where the have-nots suffer and the

haves make off like bandits.

Goodman: So how are you organizing? As you release this film in thousands

of theaters around the country in the next few weeks, you're also working

with unions, you're working with YouTube, with Oprah, you're testifying

before Congress. Explain.

: Yes. Yeah, it is kind of a weird convergence. But you know what?

It's because this issue affects all Americans. And I'm being contacted by

all kinds of groups and people now that want to get involved in this. And

so, we are going to have a very strong organizing effort through the

California Nurses Association, through Physicians for a National Health

Plan. MoveOn is going to be very active and involved in this. So, many of

the groups and unions that are on the left are organizing around it. But

there's also, you know, things, like you said, like YouTube, people like

Oprah, who has decided to make this a very important issue, in terms of

something that she's very concerned about. I was on her show a couple weeks

ago, and she has asked her fans to post their healthcare horror stories on

her website when the film opens. She's going to do a town hall on this

issue in the fall. So I --

Goodman: YouTube?

: YouTube, again, is asking for people to videotape their stories and

put them on YouTube, and there's going to be a whole section on YouTube of

people telling what the insurance company did to them or a family member or

a friend, or the hospital or the pharmaceutical company, where they have to

pay for drugs or drugs they can't get.

So I think this will have what they call a viral effect, in the sense --

and I hope it does -- that people, that these people, are given a voice.

And people otherwise are sitting in their homes all across the country

suffering and not wondering how can I ever be heard. I hope through my

website, through the California Nurses Association, through YouTube,

through Oprah's site, through others that are going to be coming into this,

and I think that we're going to hear what Americans are really going

through. And I've got to believe something good is going to come out of

this. And we're going to hold the candidates' feet to the fire on this

issue, especially the Democrats.

Goodman: Are you going to be doing a second film dogging them? Are you

going to have a man in a chicken suit following them?

: Oh, you're referring to our corporate crime-fighting chicken on our

old TV show. Oh, it's so nice you remember that chicken. No, but we are

actually going up to New Hampshire at the end of this week. And we are

going to release information to the public about just how bought and paid

for the candidates are that are running for president and for public office.

Goodman: How bought and paid for are they?

: Well, you'll have to wait 'til the end of the week to hear the

answer to that. But let me just say it won't be pretty. I hate to say that,

but you know what? And again, I mean, I like a lot of the candidates, for a

lot of reasons, that are running. But, you know, if we all throw in with

them too soon on this without forcing them to take good positions on these

issues, I don't think we're going to get anywhere. The Democrats have

already proven that since the November election, that, you know, they will

drag their feet if at all possible. And so -- and, you know, we've already

seen what Hillary's position is on this, and, of course, with her position

on the war, this makes it very difficult for people who otherwise would

like to vote for her, would like to see our first woman president, but

simply can't support somebody who supported the war for so long and who is

taking such large contributions from the health industry.

Goodman: , were you surprised by anything you found in making

this film?

: Yes, I was constantly -- here's one thing that really struck me.

When I was interviewing that British doctor and I was asking how much money

he makes -- you know, he makes like a little under $200,000 a year -- and

he said, " But my pay is based on how good of a job I do. If I get more of

my patients to stop smoking this year or if I bring their cholesterol down

or their blood pressure or their sugar down, I'll make more money. So it's

actually based on how healthy my patients are. So I have an incentive to

actually do good work here to make money. "

And I thought, geez, it's like just the opposite here. It's like the more

people that smoke or don't eat well or whatever, who end up with illness

and disease, that means more money for the pharmaceutical companies, more

money for the doctors, more money for the hospitals. Everybody gains, when

you get sick.

And it got me thinking a lot about just myself, personally, because when I

was there and I said, you know, maybe one way I should say to people, one

way to beat the system, at least this system, is that we should all try to

take a little better care of ourselves, and starting with number one here,

myself. And so, I started eating fruits and vegetables. I don't know if

you've heard of these things, but they come in different colors and they're

crunchy, and, you know, they're very good for you, if you haven't tried

them. You know, your mother is sitting over there. I don't know if I should

point this out, but your mom is sitting over there, and she looks like she

did a good job teaching you the importance of fruits and vegetables.

Goodman: She did a great job.

: Yes. And she said that you were an excellent child, by the way. We

missed that off-camera here, but I want your viewers and listeners to know

that mom pretty much approves of how you've turned out.

And the other thing is, I started going for a walk every day. So I go for a

walk for like a half-hour to an hour a day, and I just -- I feel 100%

better. I've like lost thirty pounds. Don't worry, I'm not going to --

you're not going to see the Jane Fonda workout video from me or anything.

I'm just saying, though, that if we just -- each of us -- if we all just do

a couple things just to take better care of ourselves, we can avoid this

crazy healthcare system. And you know what? I think it's better for the

planet, too. Again, we're over-consumptive on so many things as Americans,

and we all need to kind of think about that a little bit in how we behave.

So -- and I say that for myself, start with me.

Amy Goodman is the host of the nationally syndicated radio news program,

Democracy Now!

© 2007 Independent Media Institute. All rights reserved.

View this story online at: http://www.alternet.org/story/54639/

--------------------------------------------------------

Sheri Nakken, R.N., MA, Hahnemannian Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

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