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       a film by Michael Moore: SiCKO

"Sicko is a documentary film concerned about the state of our current medical care and public policy.  Insightful Moore examines public policy exploited by insurance companies, government, and powerful  few. America's medical crisis is public policy, an outcome of  greed, and government has no alternative but to end the exploitation and provide medical assurance for all. Our obligation is to provide responsibility and follow the example of Canada, Great Britain, and France. A good society is based on public policy which offers medical services to all. Only a healthy mind and body can contribute to society and support the principles of  a just society." Deanna

Dear Friends:

   Thank you for  your comments.  Sicko is a partial insight of the medical crises.  Aging populations, smoking, obestity, and  sky-high  costs are problems faced by nations the world over.

 The point  of the matter is about 500,000 Americans each year are leaving the U.S. for health care reasons and this is going to grow. U.S. hospitals and doctors  complain, but the reality is, hospitals and doctors have had plenty of time to straighten out their acts. They've had plenty of opportunities to create better, more economical health care services. They failed do so. 

I personally see a healthy competition from abroad which could have a potentially positive structural impact on how the U.S. delivers health services. I believe the emergence of  world class health care across the Pacific will likely give U.S. hospitals and clinics a much needed kick in the bedpan.  

For example, before 1997, the U.S. and Europe were the  major recipients of international medical travelers, while Singapore was the major hub for Asia. After the attacks of Sept.11, 2001 an increasing number of patients from the Middle East began traveling to Asia for care. They used to go to America or Europe, but visas became problematic, so they started going to Thailand, Singapore, and India.  According to  the World Health Care Congress  92,000 people from Middle  Eastern countries in the last year was served in Bumrungrad. This represents about 20% of total international business for the hospital.

Because U.S. hospitals and doctors fail to straigten out their acts, the emergence of Asian, Latin Americans, and Eastern European medical centers that provide state of the art procedures with the gentle price tag has many U.S. citizens flying abroad to seek care they might have gotten at their local hospitals.

Brazil, Costa Rica, and South Africa currently are hot destinations for cosmetic procedures. Costa Rica, Mexico, and Hungary are magnets for good affordable denstistry. India, Thailand, Malaysia, and Singapore are the best choices for major surgeries including heart surgeries, organ transplants, and orthopedics.

Medical  outsourcing is the outcome of  our medical crises. The single payer national health systems of the  sort found in the U.K, Canada, and all over Europe make the dynamics a bit different, but they certainly do no avert the crises of aging popluations, smoking, and obesity.

So, unless we change to a nation of hospitality  found overseas and slow  down the frazzling pace and impersonal nature of our health care people would not hesitate to go to any of the hospitals which offer U.S. standards or better.  The medical outsourcing is the future of the  U.S. unless we take  responsibility in creating better and more  economical health services. Sicko is a partial insight of the medical crises. The crises is much deeper and the medical establishment have had plenty of time to straighten out their acts. They've had plenty of opportunities to create better more economical health care serivices.

  •  Because of our greed medical outsourcing is the future for the U.S. 

  • Because of our greed and impersonal nature we  seek instant gratification opposed to a long term plan of affordable health care.

  • To lessen the outsourcing and reverse consequences  the solution is affordable health care.  Hospitals and doctors fail to see  the  simplicity. The voters must set the record straight for the medical establishment.

*******************************************************

SiCKO' Truth Squad

Setting the Record Straight | Characters

'SiCKO' Factual Backup

SiCKO: There are nearly 50 million Americans without health insurance.

  • The amount of uninsured is rising every year, as premiums continue to skyrocket and wages stagnate. From 2004 to 2005 the number of uninsured rose 1.3 million, and rose up nearly 6 million from 2001-2005. Leighton Ku, "Census Revises Estimates Of The Number Of Uninsured People," Center on Budget and Policy Priorities, April 5, 2007 http://www.cbpp.org/4-5-07health.htm. With 44.8 uninsured in 2005, in 2007 the number will be much higher. Professors Todd Gilmer and Richard Kronick, in "It's The Premiums, Stupid: Projections Of The Uninsured Through 2013," Health Affairs, 10.1377/hlthaff.w5.143, "project that the number of non-elderly uninsured Americans will grow from forty-five million in 2003 to fifty-six million by 2013." According to these authors, by now the number of non-elderly uninsured by this date clearly would be nearly 50 million.

SiCKO: 18,000 Americans will die this year simply because they're uninsured.

  • According to the Institute of Medicine, "lack of health insurance causes roughly 18,000 unnecessary deaths every year in the United States. Although America leads the world in spending on health care, it is the only wealthy, industrialized nation that does not ensure that all citizens have coverage." Insuring America's Health: Principles and Recommendations, Institute of Medicine, January 2004.
    http://www.iom.edu/?id=19175

SiCKO: Richard Nixon and John Ehrlichman are heard discussing the concept of a health maintenance organization in Oval Office Recordings.

  • The next day, Nixon called for a "new national health strategy" that had four points for expanding the proliferation of health maintenance organizations, or HMOs. "Special Message to the Congress Proposing a National Health Strategy," February 18th, 1971, http://www.presidency.ucsb.edu/ws/index.php?pid=3311
  • The term "health maintenance organization" was coined by Nixon advisor Paul Ellwood. Patricia Bauman, "The Formulation and Evolution of the Health Maintenance Organization Policy, 1970-1973, Social Science & Medicine, vol. 10. 1976. After Congress passed Nixon's HMO Act in 1973, HMOs in America increased nine-fold in just ten years. N. R. Kleinfield, "The King of the HMO Mountain," New York Times, July 31, 1983.

SiCKO: The American Medical Association distributed a record featuring Ronald Reagan discussing the evils of socialized medicine.

  • Ronald Reagan's recording was widely available in the 1960s, and was a part of the American Medical Association's "Operation Coffee Cup," a coordinated rebuttal to Democrats' push for Medicare. Max Skidmore, "Ronald Reagan and Operation Coffee Cup: A Hidden Episode in American Political History," Journal of American Culture, vol. 12. 1989.

SiCKO: $100 million spent to defeat Hillary's health care plan.

  • "Even before debate began in Congress, a powerful coalition had been cobbled together to fight Clintoncare, as opponents labeled it - congressional Republicans, the insurance industry, the pharmaceutical industry, the National Federation of Independent Businesses, the Business Roundtable, the Christian Coalition, the conservative radio talk show network. Those groups spent between $100 million and $ 300 million to defeat it. And the battle was fought like a presidential campaign - with a TV advertising campaign, a network of field operatives and public relations experts to lobby members of Congress back in their districts." Rob Christensen, "Who killed health care reform? Answer: Everyone," News & Observer, June 19, 1996.
  • "In 1993-94, the Health Insurance Association of America, a trade group, spent about $15 million on advertising to defeat Clinton's proposed overhaul of the nation's health care system." John MacDonald, "Proponents, Opponents Join Battle Over Drug Price Limits," Hartford Courant, June 21, 2000.
  • "'We spent $1.4 million to fight President Clinton's plan,' [Mike Russell of the Christian Coalition] says." Harold Cox, "Business will spearhead Health Reform II ; Old enemies of Clinton's plan in lead," Washington Times, December 27, 1994.
  • "A study by Citizen Action, a consumer group, reports that doctors, hospitals, insurance companies and other providers of medical services made campaign contributions of $ 79 million during the 1993-1994 election cycle. The insurance industry passed out $16 million. The American Medical Association, which objects to cost-control measures, contributed $ 3 million." Froma Harrop, "The big lie about health reform," Rocky Mountain News, August 20, 1995.
  • "According to [Citizens for a Sound Economy] spokesman Brent Bahler, the group has not bought any airtime for commercials but has 'tentative plans' for a grassroots advocacy effort that would include an advertising component. Last year, Bahler said, the CSE spent more than $2 million on print, radio and television advertising to defeat Clinton's health care reform plan." James A. Barnes, "RNC Turns To TV Ads On Budget," National Journal, 5.16.95.

SiCKO: The United States is ranked #37 as a health system by the World Health Organization.

  • "The U. S. health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance, the report finds." "World Health Organization Assesses The World's Health Systems," Press Release, WHO/44, June 21, 2000. http://www.who.int/inf-pr-2000/en/pr2000-44.html

SiCKO: Health industry companies accused of wrongdoing in Sicko.

  • Aetna: "Aetna Inc. … settled with the plaintiffs, which include the medical associations of California and Texas. Aetna agreed to pay the plaintiffs $120 million." Milt Freudenheim, "Class-Action Status Is Upheld for Doctors Suing Insurers," New York Times, September 2, 2004. See also, Susan Beck, "HMO Postmortem," American Lawyer, October 10, 2003. Settlement Agreement, http://www.aetna.com/provider/agreement_with_physicians.html
  • Blue Cross/Blue Shield: "Sixty-seven Blue Cross/Blue Shield companies across the nation have paid the United States a total of $117 million to settle government claims that Medicare made primary payments for health care services that should have been paid by the Blue Cross/Blue Shield private insurance companies, the Department of Justice announced today." "Blue Cross/Blue Shield Companies Settle Medicare Claims, Pay United States $117 Million, Agree To Share Information," Department of Justice News Release, October 25, 1995.
    http://www.usdoj.gov/opa/pr/Pre_96/October95/551.txt.html
  • Cigna: "Cigna Corporation, [has] settled with the plaintiffs, which include the medical associations of California and Texas. … Cigna agreed to pay $85 million." Milt Freudenheim, "Class-Action Status Is Upheld for Doctors Suing Insurers," New York Times, September 2, 2004.
  • "HCA Inc. (formerly known as Columbia/HCA and HCA - The Healthcare Company) has agreed to pay the United States $631 million in civil penalties and damages arising from false claims the government alleged it submitted to Medicare and other federal health programs, the Justice Department announced today. … Previously, on December 14, 2000, HCA subsidiaries pled guilty to substantial criminal conduct and paid more than $840 million in criminal fines, civil restitution and penalties. Combined with today's separate administrative settlement with the Centers for Medicare & Medicaid Services (CMS), under which HCA will pay an additional $250 million to resolve overpayment claims arising from certain of its cost reporting practices, the government will have recovered $1.7 billion from HCA, by far the largest recovery ever reached by the government in a health care fraud investigation." "Largest Health Care Fraud Case In U.S. History Settled; HCA Investigation Nets Record Total Of $1.7 Billion," Department of Justice News Release, June 26, 2003.
    http://www.usdoj.gov/opa/pr/2003/June/03_civ_386.htm

SiCKO: Executive Compensation

  • Bill McGuire has stock options worth $1.6 billion at the end of 2005, as CEO of UnitedHealth Group. Robert Simison, "SEC Investigates UnitedHealth Over Stock-Options Practices," Bloomberg News, December 27, 2006; Michael Regan, "Business 2006: Who Won, Who Lost," Associated Press,December 26, 2006.

SiCKO: There are four times as many health care lobbyists as there are members of Congress.

  • According to the Center for Responsive Politics (www.opensecrets.org), in 2005 there were 2,084 health care lobbyists registered with the federal government. With 535 members of Congress, that's 3.895 lobbyists per member.

SiCKO: Hillary Clinton became the second largest recipient in the Senate of health care industry contributions.

  • "As she runs for re-election to the Senate from New York this year and lays the groundwork for a possible presidential bid in 2008, Mrs. Clinton is receiving hundreds of thousands of dollars in campaign contributions from doctors, hospitals, drug manufacturers and insurers. Nationwide, she is the No. 2 recipient of donations from the industry, trailing only Senator Rick Santorum of Pennsylvania, a member of the Republican leadership." Raymond Hernandez and Robert Pear, "Once an Enemy, Health Industry Warms to Clinton," New York Times, July 12, 2006.

SiCKO: Drug industry money to members of Congress, and the president, who led the effort to pass the Medicare Part D prescription drug plan.

  • "The health industry gave $14 million total to the eleven elected officials largely credited with negotiating the bill. Pharmaceutical company PACs, employees, and their families gave more than $3 million in campaign contributions to (those) eleven elected officials." Buying A Law: Big Pharma's Big Money and the Bush Medicare Plan, Campaign Money Watch, January 2004.
    http://www.ourfuture.org/docUploads/donnelly$_1-15-04.pdf

SiCKO: The Medicare Part D plan will hand over $800 billion of our tax dollars to the drug and health insurance industry.

SiCKO: The elderly could end up paying more for their prescription drugs than they did before under Part D - and a majority of senior citizens could still pay over $2000 a year.

  • "For all patients, Medicare covers 75 percent of the first $2,250 worth of drugs. But after that, coverage drops to zero - and doesn't resume until the patient hits $5,100 in expenses. Then Medicare kicks in again, paying 95 percent of costs. But it's this gap - of almost $3,000 - that many sick and disabled seniors call unaffordable." Medicare's 'Donut Hole,' CBS News, July 26, 2006.
    http://www.cbsnews.com/stories/2006/07/26/eveningnews/main1839288.shtml
  • "Nearly 7 million seniors and individuals with disabilities who purchased stand-alone prescription drug coverage are now at risk of falling into the 'doughnut hole.' According to a report released today by Senior Democrats on the House Ways and Means Committee… nearly 88 percent of new drug plan enrollees, roughly 7 million individuals, are at risk of losing coverage for their medications while they continue to pay monthly premiums to their insurers. The report further details how few individuals have enrolled in plans without doughnut holes, presumably because of the prohibitive cost of such plans." "88% Of New Medicare Drug Program Enrollees At Risk Of Falling Into The 'Doughnut Hole,'" Joint News Release From Representative Charles B. Rangel, Ranking Democrat, Committee On Ways And Means, Representative Pete Stark, Ranking Democrat, Subcommittee On Health, Committee On Ways And Means, Representative Sander M. Levin, Ranking Democrat, Subcommittee On Social Security, Committee On Ways And Means, September 21, 2006.
    http://www.house.gov/list/press/wm31_democrats/060921_88
    _of_new_medicare_drug_program_enrollees_at_risk_of_falling
    _into_the_doughnut_hole.html
  • "Over the past year, Part D drug prices have increased several times faster than the rate of inflation. Families USA analyzed the prices for 15 of the drugs most frequently prescribed to seniors. We examined prices for each of the plans offered by the largest Part D insurers, which together cover about two-thirds of all Part D beneficiaries. We then compared the lowest available Part D price for each drug in April 2006 with the lowest available price for the same drug in April 2007. The lowest price for every one of the top 15 drugs prescribed to seniors increased, and the median increase was 9.2 percent." Medicare Part D Prices Are Climbing Quickly, FamiliesUSA, April 2007.
    http://www.familiesusa.org/assets/pdfs/medicare-part-d-drug-prices.PDF

SiCKO: Fourteen Congressional aides went to work for the industry; Billy Tauzin left Congress to become CEO of PhRMA for a $2 million annual salary.

  • "Retiring Rep. Billy Tauzin, R-La., who stepped down earlier this year as chairman of the House committee that regulates the pharmaceutical industry, will become the new president and CEO of the drug industry's top lobbying group…Public Citizen, a non-profit consumer advocacy group, called Tauzin's hiring 'yet another example of how public service is leading to private riches.' Tauzin gets a pay package reportedly worth at least $2 million a year, making him one of the highest-paid lobbyists in Washington." "Tauzin switches sides from drug industry overseer to lobbyist," USA Today, December 15, 2004.. http://www.usatoday.com/money/industries/health/drugs/2004-12-
    15-drugs-usat_x.htm

SiCKO: Canadians live three years longer than we do.

  • The 2006 United Nations Human Development Report's human development index states the life expectancy in the United States is 77.5, and the life expectancy in Canada is 80.2. Human Development Report 2006, United Nations Development Programme, 2006 at 283.
    http://hdr.undp.org/hdr2006/pdfs/report/HDR06-complete.pdf.

SiCKO: Tommy Douglas, who pioneered Canada's health care system, was heralded as the nation's singular most important person.

  • "In November 2004, Canadians voted Tommy Douglas the Greatest Canadian of all time following a nationwide contest. Over 1.2 million votes were cast in a frenzy of voting that took place over six weeks as each of 10 advocates made their case for the Top 10 nominees in special feature programs on CBC Television… . From his first foray into public office politics in 1934 to his post-retirement years in the 1970s, Canada's 'father of Medicare' stayed true to his socialist beliefs -- often at the cost of his own political fortune -- and earned himself the respect of millions of Canadians in the process." "The Greatest Canadian," CBC, 2004. http://www.cbc.ca/greatest

SiCKO: Canadian "wait times" not nearly as long as some try to allege.

  • According to Statistics Canada, the official government statistical agency, "In 2005, the median waiting time was about 4 weeks for specialist visits, 4 weeks for non-emergency surgery, and 3 weeks for diagnostic tests. Nationally, median waiting times remained stable between 2003 and 2005 - but there were some differences at the provincial level for selected specialized services.… 70 to 80 percent of Canadians find their waiting times acceptable" "Access to health care services in Canada, Waiting times for specialized services (January to December 2005)," Statistics Canada, http://www.statcan.ca/english/freepub/82-575-XIE/82-575-
    XIE2006002.htm
  • A recent study of emergency care in Ontario found that overall, "50% of patients triaged as CTAS I [most acute] were seen by a physician within 6 minutes and 86% were seen within 30 minutes of arriving at the [Emergency Department]. In contrast, the 50% of patients triaged as CTAS IV or V who were seen most quickly waited an hour or less, while 1 in 10 waited three hours or more. Understanding Emergency Department Wait Times: How Long Do People Spend in Emergency Departments in Ontario? Canadian Institute for Health Information, January 2007.
    http://www.cihi.ca/cihiweb/dispPage.jsp?cw_page=reports_
    wait_times_bulletins_e
  • "Gerard Anderson, a Johns Hopkins health policy professor who has spent his career examining the world's healthcare, said there are delays, but not as many as conservatives state. In Canada, the United Kingdom and France, 'three percent of hospital discharges had delays in treatment,' Anderson told The Miami Herald. 'That's a relatively small number, and they're all elective surgeries, such as hip and knee replacement.' John Dorschner, "'Sicko' film is set to spark debate; Reformers are gearing up for 'Sicko,' the first major movie to examine America's often maligned healthcare system," Miami Herald, June 29, 2007.

SiCKO: Drugs in England only cost $10.

  • For much of 2006, the standard charge for a prescription was £6.65. "The cost of an NHS prescription in England is to rise by 15p to £6.65 from the start of April." "Prescription charge to rise 15p," BBC News, March 13 2006.
  • From April 1 2007 to present, the charge is £6.85. "There are many unacceptable inequities and anomalies in the present system. Although around four out of five prescriptions are exempt (see below for list of exempt categories), the price of a prescription (£6.85 from 1 April 2007) often hits those who cannot afford such charges. There are many people with chronic conditions who are not exempt and those on low incomes find it very difficult to pay. This causes a disproportionate levy on a limited section of the population." British Medical Association, "Funding - Prescription Changes," March 2007. http://www.bma.org.uk/ap.nsf/Content/FundingPrescriptionCharges

SiCKO: After losing 42,000 civilians in eight months during a vicious bombing campaign during World War II, Britain pulled together and instituted a National Health Insurance program in 1948.

SiCKO: In a study of older Americans and Brits, the Brits had less of almost every major disease. Even the poorest Brit can expect to live longer than the richest American.

  • "The US population in late middle age is less healthy than the equivalent British population for diabetes, hypertension, heart disease, myocardial infarction, stroke, lung disease, and cancer. Within each country, there exists a pronounced negative socioeconomic status (SES) gradient with self-reported disease so that health disparities are largest at the bottom of the education or income variants of the SES hierarchy. This conclusion is generally robust to control for a standard set of behavioral risk factors, including smoking, overweight, obesity, and alcohol drinking, which explain very little of these health differences… Level differences between countries are sufficiently large that individuals in the top of the education and income strata in the United States have comparable rates of diabetes and heart disease as those in the bottom of the income and education strata in England." (See also Table 1 - for example, prevalence of diabetes among high-income Americans is 8.2 per thousand, while it's 7.3 among low-income Brits.) Banks, Marmot et al., "Disease and Disadvantage in the United States and in England," Journal of the American Medical Association, 2006;295:2037-2045.

SiCKO: A baby born in El Salvador has a better chance of surviving than a baby born in Detroit.

  • According to the Michigan Department of Community Health, the rate of infant deaths for Detroit is 15.9 per thousand. "Number of Infant Deaths, Live Births and Infant Death Rates for Selected Cities of Residence, 2005 and 2001 - 2005 Average," Michigan Department of Community Health Web Site, http://www.mdch.state.mi.us/pha/osr/InDxMain/Tab4.asp.

SiCKO: Around 65 percent of young Americans can't find Britain on a map.

SiCKO: Companies that no longer offer pensions to new employees.

SiCKO: Like Canadians and Brits, the French live longer than we do.

  • The 2006 United Nations Human Development Report's human development index states the life expectancy in the United States is 77.5, the United Kingdom is 78.5, France is 79.6, and Canada is 80.2. Human Development Report 2006, United Nations Development Programme, 2006 at 283.
    http://hdr.undp.org/hdr2006/pdfs/report/HDR06-complete.pdf.

SiCKO: The productivity rate per hour in France is higher than in America.

  • "Britain has yet to catch up with its rivals on productivity. Gordon Brown, the chancellor, has long wished to close Britain's productivity gap with other countries. It is proving a long haul. In 2004, output per hour worked was 19% higher in France, 15% higher in America and 5% higher in Germany than it was in Britain." "Poor show; International comparisons," The Economist, January 21, 2006.

SiCKO: French policy on childcare and household assistance for new parents.

  • According to the French-American Foundation comprehensive review of child care, "For non-working parents or parents who work part-time, haltes garderies (drop-in centers) provide part-time, occasional, and drop-in care. Haltes garderies are also subsidized (by municipality and the National Family Allowance Fund), with parents paying a portion of the costs based on a sliding scale (parents pay an average of $1 per hour). … For working parents [there are] licensed family day care providers (assistants maternelles), licensed babysitters at home (social security costs and salaries subsidized by the National Family Allowance Fund)." Peer, Shanny., "The French Early Education System," French-American Foundation, November 13, 2003.,
    www.eoionline.org/ELC/Presentations/Peer4.pdf

SiCKO: There is a company in France, SOS Medecins, which will perform doctor house calls at any time.

SiCKO: The government initially refused to pay for the health care of 9/11 volunteers, because they were not on the government payroll. It remains difficult for the volunteers to access the $50 million fund that has been appropriated for their care.

  • The Department of Defense and Emergency Supplemental Appropriations for Recovery From and Response to Terrorist Attacks on the United States Act provided a total of $175 million for workers compensation programs - $125 million to NYS Workers Compensation Review Board, and an additional $50 million to reimburse the NYS Uninsured Employers Fund, including for benefits paid to volunteers. However, there have been major delays in getting money to volunteers. See. e.g. "Statement of Robert E. Robertson, Director, Education, Workforce, and Income Security Issues," "September 11, Federal Assistance for New York Workers' Compensation Costs," United States Government Accountability Office, (GAO-04-1068T) September 8, 2004.
  • "With strong advocacy from New York's Congressional Delegation and labor leaders, a portion - about $52 million - of the $125 million in federal funding that had been allocated for administering workers compensation claims was re-allocated to provide some funding for medical treatment programs, but it will only meet a fraction of the need. Congress approved the legislation authorizing this funding in late December 2005." Devlin Barrett, "Congress Gives New Life to 9/11 Programs," Newsday, December 22, 2005.

  • A $52 million fund for volunteers was eventually established, but experts agree it's inadequate. The New York Times reported on September 6, 2006 that "Dr. John Howard, who was named the federal 9/11 health coordinator in February, has already said that the $52 million the federal government has appropriated for treatment late last year is inadequate. He said in an interview yesterday that the new study will very likely mean that the gap between funds and the need for them is going to grow." Anthony DePalma, "Illness Persisting in 9/11 Workers, Big Study Finds," New York Times, September 6, 2006.

SiCKO: American officials claim that detainees at Guantanamo Bay receive excellent health care.

  • "There is still acute care 24 hours a day, in which surgical procedures, everything, can be performed right there in the detainee camps, but as those wounds healed and as the detainees got further and further away from acute injuries, there has been increasing emphasis on preventative care. Indeed, the immunization rate there is higher than in the United States of America…. Things such as screening for cancer have taken place there. Colonoscopies--a procedure which, as we all know, is used commonly in this country to screen for colon cancer--are performed there on a routine basis. The health personnel-to-detainee ratio is 1 to 4--remarkably high. That is all health personnel who are there. And I guess, as I left this briefing and the opportunity to talk to the doctors and the nurses and the psychologists and the psychiatrists, I left with an impression that health care there is clearly better than they received at home and as good as many people receive in the United States of America." Sen. Bill Frist (R-TN), remarks on Guantanamo Bay, U.S. Senate, September 12, 2006.
  • "They go out, they do sick call on the blocks three times per week, care for them there, if they can… We have diabetes. We have high blood pressure, high cholesterol. Those detainees -- we've created a population health database so that we can track those detainees to make sure we're seeing them frequently, monitoring their labs and their overall health." Statement of Navy Commander Cary Ostergaard. "Hearing Of The House Armed Services Committee Subject: Detainee Operations At Guantanamo Bay," June 29, 2005.

SiCKO: Cuba is one of the most generous countries in providing doctors to the third world.

  • "WHO statistics show that the incidence of AIDS in Cuba is the lowest in this hemisphere, and there are now more than 800 Cuban doctors in Haiti alone working to control the AIDS epidemic. President Castro has offered an almost unlimited number to be sent to Africa, to be paid by the Cuban government with only a small stipend from the host countries." "President Carter's Cuba Trip Report By Jimmy Carter," May 21, 2002.
    http://www.cartercenter.org/news/documents/doc528.html
  • "The close friendship between Cuban leader Fidel Castro and Venezuelan President Hugo Chavez has netted Venezuela a loan of 20,000 Cuban health workers -- including 14,000 doctors, according to the Venezuelan government -- who work in poor barrios and rural outposts for stipends seven times higher on average than their salaries at home. Castro has vowed to send Chavez as many as 10,000 additional medical workers by year's end." "As Cuba Loans Doctors Abroad, Some Patients Object at Home," Boston Globe, August 25, 2005.
  • "President Evo Morales on Friday heeded the wishes of six visiting U.S. senators by acknowledging the positive effects of American aid in his country - but added that Cuban doctors had had a greater impact on Bolivia than their U.S. counterparts… [I]n a Friday interview with Bolivian radio network Fides, Morales said the assistance of Cuban leader Fidel Castro - who has sent Bolivia some 1,700 doctors and paramedics this year alone, setting up free hospitals and eye clinics throughout Bolivia -- outshines the United States' own medical aid." "Morales Says Cuban Doctors top U.S. Medical Aid," Boston Globe, December 29, 2006.

SiCKO: In the U.S., health care costs run nearly $7,000 per person. But in Cuba, they spend around $200 per person.

  • United States health spending per capita is $6,697 per person according to Catlin, A, C. Cowan, S. Heffler, et al, "National Health Spending in 2005." Health Affairs 26:1 (2006). As with the number of uninsured, the number continues to increase and is projected to be $7,092 per capita in 2006, $7,498 per capita in 2007 and reaching $12,782 by 2016, according the Department of Health and Human Services Center for Medicare and Medicaid Expenditures, National Health Expenditures Projections 2006-2016,
    http://www.cms.hhs.gov/NationalHealthExpendData/downloads/proj2006.pdf

SiCKO: In Cuba, access to health care is universal.

  • "Cuban dissatisfaction with their personal lives does not mean they are negative about the revolutionary government's achievements in health care and education. A near unanimous 96 percent of respondents say that health care in Cuba is accessible to everyone. Gallup polls in other Latin American cities have found that on average only 42 percent believe health care is accessible." Gallup/ Consultorķa Interdisciplinaria en Desarrollo, "Cubans Show Little Satisfaction with Opportunities and Individual Freedom Rare Independent Survey Finds Large Majorities Are Still Proud of Island's Health Care and Education," January 10, 2007.
    http://www.worldpublicopinion.org/pipa/articles/brlatinamericara/
    300.php?nid=&id=&pnt=300&lb=brla

SiCKO: Cuba has a lower infant mortality rate and a longer average lifespan than the United States.

  • The 2006 United Nations Human Development Report's human development index states the life expectancy in the United States is 77.5, and is 77.6 in Cuba. Human Development Report 2006, United Nations Development Programme, 2006 at 283. http://hdr.undp.org/hdr2006/pdfs/report/HDR06-complete.pdf.
  • According to the United Nations Statistics Division, Population and Vital Statistics Report, the rate of infant deaths per thousand in Cuba is 6.2 per thousand, and in the United States is 6.8. "Table 3, Live births, deaths, and infant deaths, latest available year, June 15, 2007."
    http://unstats.un.org/unsd/demographic/products/vitstats/serATab3.pdf

Selling Sickness
 
The following is a poem dedicated to the couple who lost their
lovely little girl to "Paxil", selling sickness to young people.
 
 
 Dear Dad and Mom:
 
      My heart troubled  for the loss  of  your daughter. The film of your precious little girl  has touched the Heart of the World.  I am so sorry for your loss and thank you for sharing your  daughter with me.
 
Sincerely,
 
Deanna Adams 
 
   A Poem
 
                    Selling Sickness to a Teenager
 
        At dawn a little girl  looks forward to a new day
        her mother wakes her: touches her dainty  hands
        she looks at her face: little troubled, innocent
        her clothes set aside: a dress, socks, and shoes.
       
       Father greets her with a smile and a big kiss
       Suffering from depression a pill: Paxil is her fate
       psychologist  praises the cure as a real miracle
       her  health declines and the miracle cure, a pill
       assures her symptoms; a child normal reaction.
      
      The child normal before the wonder drug: Paxil 
      It is normal  to change, afterall, she is a teenager. 
       Medicating the only  solution to bind her fate
       a solution for a troubled teenager: doped and ill
       easily  controlled; anti depressant a miracle cure
       like any child changing is normal for a teenager.
 
       One day soon; a ghastly darkness blankets her life
       a  precious daughter who had so much life to give
       no one to turn to but a pill to treat her smile lost 
       a life stolen; a pill sold in a pretty  pink package
       magic to treat shyness for troubled teen behavior 
       failed to treat the root of the problem a pill is given
      and weep each day for her memory; a lovely girl. 
 
      So gifted was she, her saxophone all lost in a pill
     no where  to  escape from the horrors  of her mind,
     to lead her the way; a rope around her small neck
     a chair to find release from "Paxil",a harlot's  cure.
       
 
    
    .**********************************
       PROPAGANDA:  PROSPERITY IN SELLING SICKNESS
 
A Poem:
                
                          Harlot of Pharma
 
       A Harlot dressed in linen and  fine jewels,
       her body perfumed  with exotic ointments
      lips outlined with bright red and cinnamon 
     her tongue dipped in gold and silver liquid
     hips curved placing one hand on her thigh
     her hands in thanks embracing  gold coins    
     for selling her pretty pills in pink packages
     her hand waves promise to return soon
     A Harlot "selling sickness" is her Trade.
     
 
    
    
    

 
 
Hippocratic Oath.
 
Original, translated from Greek.
I swear by Apollo, Asclepius, Hygieia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment, the following Oath.

To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.

To please no one will I prescribe a deadly drug nor give advice which may cause his death.

Nor will I give a woman a pessary to procure abortion.

But I will preserve the purity of my life and my arts.

I will not cut for stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art.

In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasures of love with women or with men, be they free or slaves.

All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal.

If I keep this oath faithfully, may I enjoy my life and practice my art, respected by all men and in all times; but if I swerve from it or violate it, may the reverse be my lot.

According to NOVA, the Oath is, as follows:

Hippocratic Oath -- Classical Version

I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all the gods and goddesses, making them my witnesses, that I will fulfill according to my ability and judgment this oath and this covenant:

To hold him who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art - if they desire to learn it - without fee and covenant; to give a share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has instructed me and to pupils who have signed the covenant and have taken an oath according to the medical law, but no one else.

I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.

I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect. Similarly I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art.

I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work.

Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.

What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.

If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot.

 
The following is a shameful example  of a local  doctor who makes it rich buying hospitals and cutting insurance.
 
    
A comment from Deanna:
 
 
    The root of evil is NOT money but the mind of the person having the object. Money is only an object. It is the mind that makes the decision of how the object is used.
 
I am greatly distressed of the mentality of Dr. Prem Reddy. The  health care his company offers earns more than $500 million per year. The needs of our fellow citizen are being short changed for profit. The 58 year old doctor finds nothing wrong with having patients receive only the amount of care they can afford. 
          
"Why is it in health care we expect to have the same? he told the Los Angeles Times. "It's an entitlement mentality. Why aren't the same people  asking  why everybody shouldn't be eating the same foods, or have the same clothes or same homes? Those are as essential services as health care," the Doctor justifies his profiteering.
 
The justification is benefiting his company not humanity and surely an insult to the hippocratic oath. How can a person be responsible for a disease inherited by genes from  parents and relatives? Should a person be punished because of his or her disposition in nature and environment?  How can you be responsible? Should you be punished if you are a carrier of a disease or perhaps you suffer from an accident or injury?
 
Medical  care is a BASIC  HUMAN NEED and  justifying  food, clothes, and shelter as equal is appalling. The  Doctor is the reflection of the deplorable state of  the health system and use his greed to capitalize on the existing system to further exploit and profit. A just society rest on principles equal in providing basic needs such as medical care, water, food, and shelter.
 
Besides from finding nothing wrong with having patients receive only the amount of care they can afford, Doctor Reddy also discourages doctors  from giving patients treatments they can't afford, such as pacemakers and knee  replacements. How can a Doctor decide who has the privilege for a pacemaker or a knee replacement? What and who is his or her authority to make such decisions of significance?
 
The 58 year old Doctor sold his hippocratic oath and shares the stage equal in exploitation traits of the common mind in greed. The Doctor's worth of $300 million is useless, a mind wasted in talent and energy.    
 
In medicine, the doctor has the duty to provide  the best care he or she can. The performance of a doctor fulfulling his or her hippocratic oath is a mind beautiful and good. The 58 year old has time to redeem his hippocratic oath and change his business model to a true art of medicine to benefit all.
 
******************************

Hospital group rejects system and cashes in

A Southland doctor's company prospers by canceling insurance contracts and, some say, shortchanging patients.
By Daniel Costello, Times Staff Writer
July 8, 2007

As he piloted his new, $1.4-million helicopter from his Apple Valley home to Orange County one recent morning, Dr. Prem Reddy enjoyed a cloudless view of his growing empire.

Today, the five-seat Eurocopter EC120 whisks him to Anaheim, where he recently agreed to buy two hospitals. On other days, he sweeps over endless miles of gridlock to his facilities in Sherman Oaks, Huntington Beach and San Diego.

The 58-year-old cardiologist has scooped up six of his eight hospitals in the last two years and could take over as many as six more in the coming months.

The buying spree is making his company one of the largest hospital owners in the state, placing it in a position to challenge industry leaders including Kaiser Permanente and Catholic Healthcare West.

"There's a lot of sacrifice in a doctor's life," Reddy said, over the whir of the chopper's blades. "But there are many rewards."

What is more extraordinary is how Reddy is building his empire. Modern healthcare is largely based on the model in which insurers seek to control costs by paying fixed amounts to doctors and hospitals. Reddy is tearing that down.

When Reddy's company, Prime Healthcare Services Inc., takes over a hospital, it typically cancels insurance contracts, allowing the hospital to collect steeply higher reimbursements. It has suspended services — such as chemotherapy treatments, mental health care and birthing centers — that patients need but aren't lucrative.

Critics say Reddy-owned hospitals routinely turn away uninsured patients, an allegation the company denies.

On four occasions since 2002, inspectors have found that Prime Healthcare facilities failed to meet minimum federal safety standards, placing their Medicare funding at risk.

Records show that in one two-hour period during 2003, three uninsured patients left the emergency room at Desert Valley Hospital in Victorville after waiting up to four hours without being treated. Two of them were under 2 years old, including a 16-month-old girl who arrived with burns on her left hand.

The same year, Reddy discharged an uninsured patient he was personally treating who was in kidney failure, suggesting that the patient go to a nearby county facility where he could sign up for free care. The patient waited until the following day to visit another emergency room, records show.

State regulators found that the medical staff failed to make sure that discharging the patient "would not create a medical hazard."

In an interview, Reddy said the problems found by regulators in recent years were "insignificant" for a hospital chain of its size and that state data show Prime Healthcare hospitals have increased charity care to the uninsured. He said the company had taken corrective measures.

Reddy confirmed that he discharged the kidney patient, but said he did so after another doctor verified that the patient was stable. He added that the patient could apply for state Medi-Cal insurance at the county hospital more quickly.

More than a dozen current and former medical staffers and administrators interviewed by The Times said they were concerned that the company's business practices were putting patients in jeopardy. Many declined to talk on the record for fear of losing their job or being sued.

Experts say Prime Healthcare's unusual business model reduces patient access to services, significantly raises costs and, as the company grows, could destabilize California's healthcare system.

"Once you really take a look at what he's doing, it's hard to say the community benefits under his system," said Stan Otake, an Orange County healthcare consultant and former chief executive of Bellflower Medical Center.

Some describe Reddy as a bully who often clashes with his own medical staff. Two former associates, including a doctor, obtained restraining orders against him in 1999 for allegedly attacking the doctor and harassing an employee at the same facility. Reddy denied the allegations.

"I am a healer, a challenger; I am a maverick," he said in a series of interviews with The Times. "There isn't anybody like Prem Reddy that can face so many challenges in the medical field."

Reddy said his company's approach allowed it to be more efficient than its rivals, and he remained unapologetic to those who said the company was too focused on the bottom line. Patients, he said, may simply deserve only the amount of care they can afford.
Hospital group rejects system and cashes in
 
"Why is it in healthcare we expect to have the same?" he asked. "It's an entitlement mentality. Why aren't the same people asking why everybody shouldn't be eating the same foods, or have the same clothes or same homes? Those are as essential services as healthcare."



High desert extravagance

Prem Reddy was the eldest of four children from a farming family in Nellore, India. He said his family didn't have electricity until he was 17.

Reddy's father, a village elder, encouraged him to become a doctor. He attended Sri Venkateswara University, where he met his wife, Venkamma.

The couple immigrated to the United States in 1976. After Reddy completed his residency training at State University of New York, Brooklyn, he accepted a job as a cardiologist at St. Mary Medical Center in Apple Valley.

Three decades later, Reddy has, by many accounts, become one of the richest doctors in the Southland. He said in an interview that he was worth "more than $300 million," but wouldn't elaborate.

His 628-word Wikipedia entry describes him as a "gifted cardiologist, successful entrepreneur and a dedicated philanthropist" and says he has donated millions of dollars to numerous charities around the state. A health school at Victor Valley College in Victorville and a lecture hall at Western University of Health Sciences in Pomona bear his name. He says he has built hundreds of homes for the poor in India.

Reddy has brought lifestyles of the rich and famous to an area surrounded by working-class communities. He regularly travels in a chauffeured car, an unusual sight in the high desert, and his company bought the helicopter for him to use after he grew tired of weekly commutes to his hospitals. A full-time pilot also is always on call.

Reddy's 15,000-square-foot mansion, a local landmark, has become a way station for politicians. Valued at between $3 million and $5 million in estimates by local real estate agents, the Mediterranean-style house is in the former neighborhood of cowboy star Roy Rogers. It features gold-plated toilets and ex