嗯，推荐一看。看这片子的最大动机是来自与刘瑜《民主的细节》中“市场体制之下病了谁管”一文的简单介绍吧，再加之之前对《华氏911》看过，对迈克尔·摩尔之名也不耳生，又涉及医疗这一基础社会服务，所以了解一下是挺有必要的。片子上半部是讲美国医疗弊端，下半部说外国全民免费医疗的好，因为之前看了《民主的细节》，里面有诸多涉及到美国的医疗保障系统的文章，譬如
”有病的政治与治病的政治“
http://data.book.163.com/book/section/0000FLbI/0000FLbI80.html，
”市场体制之下病了谁管“
http://data.book.163.com/book/section/0000FLbI/0000FLbI86.html ，等等
尤其是”市场体制之下病了谁管“一文，难免使人在观看影片时有一种先入为主的观点。
上半部分无可置疑，那都是真真切切的案例，美国的医疗系统确实存在相当的问题，那些鲜活的因为保险公司无理拒绝而无法报销费用而只能活生生等死的案例，80岁左右的老人还需要干低端的体力活只因无法承受药物的高额费用，一对中产阶级夫妇因为患病瞬间跌入无产深渊并给子女带来严重的困扰，最让人难忘的是一个全身多处骨折的女人被医院无情地扔出来任由她无助地行走在大街上，这事真是发生在号称是”伟大的国家“的美国么？人权就这样保护？你确定那不是发生在中国？还有911那些无偿奉献的志愿者们，帮助别人得了严重的疾病后却无人帮助，政客们只会在语言上把他们吹捧却在实际上设置过高的门槛让他们无法得到切实的保障，虚伪无耻之尤！
这些都是真实存在的、不可否认的、悲惨残酷的事实，一点认识必须确立，这种情况绝不能继续持续下去，美国的医疗系统必须改变！
我对下半部分的判断难以受到刘瑜文章的影响，其文中提到了”一部反映加拿大公费医疗体系问题的纪录短片《Dead Meat》“，我在youtube上找到了并勉强观看了（地址：http://www.youtube.com/watch?v=aE-I0ombIEY），她提到
”同样通过当事人的控诉，它所传达的信息却恰好相反：公费医疗体系低效而不人道。由于公共医疗资源有限，加拿大出现了治病“排长队”现象，有时候小病就等成了大病，大病就等到了死亡。据统计，2005年加拿大人看专科的平均等待时间是17.7周，只有一半病人可以得到及时救治。有加拿大人抱怨说：在这个国家，一条狗要做一个手术往往只需等一个星期，而一个人想要做一个手术，却可能等上一两年。
欧洲也存在类似的情况。在英国，有近100万的英国人正在排队等待医疗服务；官方也承认有1/8的人口需要等待一年以上才能做上手术。至于摩尔热爱的法国，医疗部门已背上了27亿美元的债务。事实上，就在摩尔为全民公费医疗大唱赞歌的时候，欧洲、加拿大都已经开启了医疗改革的进程。“
这也是事实的样子，我困惑摩尔去的加拿大和英国怎么和刘瑜描述的不一样，到底哪个是真实情况？于是又用”canadian medical system problem“与”canadian medical system vs. us“GOOGLE了一下，发现了一些挺有参考价值的文章，
Comparing the US and Canadian Health Care Systems
http://www.nber.org/bah/fall07/w13429.html
The Ugly Truth About Canadian Health Care
http://www.city-journal.org/html/17_3_canadian_healthcare.html
Comparison of the health care systems in Canada and the United States
http://en.wikipedia.org/wiki/Comparison_of_the_health_care_systems_in_Canada_and_the_United_States
World Health Organization ranking of health systems
http://en.wikipedia.org/wiki/WHO%27s_ranking_of_health_care_systems
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看了这些文章，感觉加拿大的医疗系统似乎也很糟糕，也有很多排队排到死的情况，不知道为什么摩尔采访的那些人都从来没遇到过这样的场景和说明？在百度百科看到这样的文字
”尽管有记者对迈克·摩尔纪录片中表现主题的客观性提出置疑，尤其是对其它国家过于理想化的医疗制度的描写可能会使纪录片的真实可信度打折扣，但是在新闻发布会上，迈克·摩尔特别强调，影片的目的是要以一个美国人的眼光来看待别国的医疗制度，目的是借鉴它国的成功思路，为美国医疗制度找寻出路。“
貌似摩尔也意识到他的片子可能不太客观，只讲外国的好，屏蔽掉不好的。对于加拿大等国的医疗现状，我觉得虽然也很惨，但感觉还是比美国的好，我奇怪为什么医疗资源会如此之紧张？真有那么多人需要看病么？是过度医疗造成的么？政府如果加大这方面的投入，比如修建更多的医院培养更多的医生不就好了么？
所以看下部分的时候心中难免犯嘀咕，怎么可能那么好，我总是主张兼听则明偏信则暗，一味地说外国的月亮圆就难免让人觉得偏颇了，看到古巴那儿的时候我本能地怀疑那些人对美国人那么好是不是作秀啊，是不是上级领导说了要好好对待美国人，这是一个对外宣传的好机会啊，似乎跟武汉警方帮日本友人找回自行车有点相似，我对古巴是不怎么感冒的，又看到World Health Organization ranking of health systems中古巴是排在39的，比美国人还低2位，不过人均支出却排118位，而美国确是世界第一，感觉医疗问题真是复杂...不过之前确实也听说过古巴全民医疗怎么怎么好，还输出医生的新闻报道....
还有在看到英国和法国情况的时候，心中难免会想这得花多少钱啊，这么好的条件那岂不是外国人都来免费看病了，本国公民为了这些人交税花钱不会有意见么？
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IMDB上这片子的评分是8.1，相当之高，网友的评价也很动感情，排第一的评论有一段话很真挚
”People of USA should embrace Moore as the patriot he is. He wants the American PEOPLE all the best, but he gets sacrificed by the same people because he dares to speak about the government. But true patriots rise against governments too, if they are bad for the people.
❤United states is not the flag, not the white house, not the senate, not the soaring eagle. It is the people living there, and this is what they have to remember. You can demand for universal health care, and you can vote for it. “
以下按次序呈现一些评论
661 out of 847 people found the following review useful:
Michael Moore is the #1 patriot in USA, I hope people realize it now., 18 June 2007
9/10
Author: Antti from Finland
I can only hope this movie wakes some people up, especially those flag waving people who keep on repeating slogans like "greatest country in the world" etc. This could be a serious wake up call for a proud nation. I have always wondered how people can still call it the greatest country if it does not have universal health care, but maybe the reason is, they don't know any better. They do not realize that in other western countries this has been done for ages and it works.
People of USA should embrace Moore as the patriot he is. He wants the American PEOPLE all the best, but he gets sacrificed by the same people because he dares to speak about the government. But true patriots rise against governments too, if they are bad for the people. United states is not the flag, not the white house, not the senate, not the soaring eagle. It is the people living there, and this is what they have to remember. You can demand for universal health care, and you can vote for it.
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651 out of 829 people found the following review useful:
Viewer beware on Sicko, 13 June 2007
10/10
Author: roblange17 from United States
As an American this movie was one of the most depressing movies I've seen in awhile. Bowling for Columbine doesn't even hold a candle to the disheartening realizations contained in this film. I walked away with a sick taste in my mouth having been reminded of how disgusting and heartless our bottom line policy making is. How sick it is to be imprisoned by the government through healthcare. How the healthcare system will tear down every other joy in your life until your 80, working 50 hours a week to pay the cost of staying alive, unable to stand against the rich or have the hope left to vote. Thus the propaganda arm of the American Dream prevails. I don't plan to watch this movie again until I obtain citizenship in Britain, France, Cuba… or Ron Paul could get elected president and as a former physician he might actually fix the system.
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279 out of 332 people found the following review useful:
Wow.. just wow, 23 June 2007
10/10
Author: rich3077 from United States
I just got done watching this movie and no other movie I have seen in my life has had the impact on me that this movie has had.
My wife has M.S. and requires a LOT of medical treatment. Just ONE of her many prescriptions is a thousand (US) dollars a month. This very expensive experimental drug is nothing more than an old flu shot they are experimenting with. ( seriously )
I am a middle class skilled worker with great insurance.. and I may soon be homeless due in part to this. The other part is due to the corrupt banking system that I hope one day gets equally exposed.
I am now officially embarrassed to be a US citizen. If it wasn't for me already being middle aged and having 15 years seniority in a job I cannot replace... I would forever leave this so called "Free Country"
Peace Rich
rich3077@gmail.com
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301 out of 397 people found the following review useful:
This Film is Amazing!!!, 13 June 2007
10/10
Author: (brokentarot-1) from United States
Please, cast aside your prejudices and watch this film with an open mind. I personally do not like Michael Moore whatsoever, but this film is mind blowing. I hope that that including quotes from the movie is not considered spoiling it.
Feb 17th, 1971 5:23 P.M.
Ehrlichman : "We have now narrowed down the vice president's problems on this thing to one issue, and that is whether we should include these Health Maintenance Organizations like Edgar Kaiser's Permenente thing." President Nixon : "Let me ask you, you know I'm not too keen on any of these damn medical programs." Ehrlichman : " This is a private enterprise one." Nixon : "Well, that appeals to me." Ehrlichman : " Edgar Kaiser is running this permanente thing for profit. And the reason he can do it... I had Edgar Kaiser come in, and talk to me about this... And I went into some depth... All the incentives are toward less medical care, because the less care they give them, the more money they make." Nixon : "Fine." Ehrlichman : " And the incentives run the right way." Nixon : "Not bad."
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286 out of 411 people found the following review useful:
Michael Moore For President!!!, 13 June 2007
9/10
Author: Max Vegas from Denmark
After watching this film, i grew restless. Not the sorta restless, you get, when nobody calls you on the phone for weeks. No- restless that i can not reach out, and share parts of the health-care-system, from where i come from in Denmark. Now, i've only once experienced this sort of restlessness after watching a movie, and it was Michael Moores "Rodger and me". YES- Moore does it again. And he fulfills his role, as an rebellious anti-capitalist, pointing out the wrongs and rights in society, that people have simply grown accustom to. PERFECT! He once again gives us his artistic brand consisting of small terrific, or in this case, horrible stories from everyday people who have been neglected by the American health-care system. Michael Let's you pass trough the homes of MANY families as you engage upon their stories. This time Michael has brought far more people into the interviews, and it gives the hole bundle more juice then FAHRENHEIT. He also, takes his time to show old clips, video/photos of the people hes interviewing, so you feel you get the entire background on some of the folks. BRAVO! Michael himself, is this time a bit more "americaniced" -but only to really point out the benefits of the other countries, does he take the role of the average American joe. PERFECT! Over all. If you read this. I think this movie will make as huge an impact on you, as it did on me. And i think every Michael Moore film, is both educational and should be thought in schools, as well as very important for the entire society to see! That is... if you want to be a part of your society?
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184 out of 238 people found the following review useful:
Insured Americans beware, 17 June 2007
10/10
Author: Nat Shaw from United States
I recently finished watching Michael Moore's Sicko (it's a great documentary that everyone should see). It's not about the 47 million Americans who don't have health insurance, it's about some of the 250 million who have/had health insurance and in spite of this their lives were ruined. It dispels a lot of the myths espoused by some in America such as long waiting lines, higher taxes and the doctors being paid close to nothing. It explains why HMOs were established and how their primary purpose is to deny claims. Advancement in these companies is based upon how many claims an employee denies and any claims that are actually paid out are seen as failures. He goes to countries like Canada, England, France and Cuba and talks to citizens of these countries to get their take on their country's health-care system. He also goes to hospitals and emergency rooms in these countries to get the take of the people there and when he ask "How much do you pay?", they all laugh at him. Moore sums up the premise of film when he says the rest of the western world practices "We" health-care while Americans practice "Me" health-care.
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刘瑜文末有这么一段话：
”不管是不是同意摩尔对问题的解决方案，我们都不能不同意他的关怀。将医疗服务视为基本人权是一种美好的追求，但是另一方面，我们又不得不面对医疗资源短缺的现实。无论被保险公司给拖死还是在漫漫长队中等死，滋味肯定都不好受。现在我们只能指望，人类的制度创新能力，能使越来越多的人绕开这道不幸的选择题“
我表示基本赞同，医疗保障是人类应该享受的最基本服务，人生病了却无法看病等死是一个文明社会无法容忍与接受。目前的医疗系统各国都不太完善，希望通过媒体、民众和像摩尔这样的人的监督与推动，能够找到一个较好的体系，为了私人利益而置民众生命健康于不顾的行为需要得到制约与矫正。
希望人类终能找到一套自己管理自己的有效办法，希望人类生了病之后能得到有效的医治。
多灾多难的祖国，您何时能迎来这样的一天？
