SMRs and AMRs

Friday, July 06, 2007

BlueCross Secret Memo Re: ‘Sicko’

BlueCross/BlueShield operative: "If popular, the movie [Sicko] will have a negative impact on our image in this community."

by Michael Moore
from CommonDreams.org

Friends,

An employee who works at Capital BlueCross has sent us a confidential memo written and circulated by its Vice President of Corporate Communications, Barclay Fitzpatrick. His job, it seems, was to go and watch “Sicko,” observe the audience’s reaction, and then suggest a plan of action for how to deal with the movie.

The memo, which I am releasing publicly in this email, is a fascinating look at how one health care company views “Sicko” — and what it fears its larger impact will be on the public. The industry’s only hope, the memo seems to indicate, is if the movie “flops.”

Mr. Fitzpatrick writes: “In typical Moore fashion, Government and business leaders are behind a conspiracy to keep the little guy down and dominated while getting rich.”

No. You don’t say! That can’t be!

BlueCross V.P. Fitzpatrick seems downright depressed about the movie he just saw. “You would have to be dead to be unaffected by Moore’s movie,” he writes. “Sicko” leaves audiences feeling “ashamed to be…a capitalist, and part of a ‘me’ society instead of a ‘we’ society.”

He walks out of the theater only to witness an unusual sight: people — strangers — mingling and talking to each other. “‘I didn’t know they (the insurers) did that!’ was a common exclamation followed by a discussion of the example,” according to Fitzpatrick.

(Continued here.)

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2 Comments:

Blogger Minnesota Central said...

Paul Krugman ended yesterday's column with "The only things standing in the way of universal health care are the fear-mongering and influence-buying of interest groups. If we can’t overcome those forces here, there’s not much hope for America’s future.

Reading the BCBS Talking Points, it is clear that Krugman has nailed the problem. The question is how much will our elected officials sell-out to create another subsidy for the health care industry? My solution is a simple national sales tax to provide universal health coverage.

Here is the Krugman column (since there is a firewall that may prevent readers accessing via a link.)

* * * *

These days terrorism is the first refuge of scoundrels. So when British authorities announced that a ring of Muslim doctors working for the National Health Service was behind the recent failed bomb plot, we should have known what was coming.

“National healthcare: Breeding ground for terror?” read the on-screen headline, as the Fox News host Neil Cavuto and the commentator Jerry Bowyer solemnly discussed how universal health care promotes terrorism.

While this was crass even by the standards of Bush-era political discourse, Fox was following in a long tradition. For more than 60 years, the medical-industrial complex and its political allies have used scare tactics to prevent America from following its conscience and making access to health care a right for all its citizens.

I say conscience, because the health care issue is, most of all, about morality.

That’s what we learn from the overwhelming response to Michael Moore’s “Sicko.” Health care reformers should, by all means, address the anxieties of middle-class Americans, their growing and justified fear of finding themselves uninsured or having their insurers deny coverage when they need it most. But reformers shouldn’t focus only on self-interest. They should also appeal to Americans’ sense of decency and humanity.

What outrages people who see “Sicko” is the sheer cruelty and injustice of the American health care system — sick people who can’t pay their hospital bills literally dumped on the sidewalk, a child who dies because an emergency room that isn’t a participant in her mother’s health plan won’t treat her, hard-working Americans driven into humiliating poverty by medical bills.

“Sicko” is a powerful call to action — but don’t count the defenders of the status quo out. History shows that they’re very good at fending off reform by finding new ways to scare us.

These scare tactics have often included over-the-top claims about the dangers of government insurance. “Sicko” plays part of a recording Ronald Reagan once made for the American Medical Association, warning that a proposed program of health insurance for the elderly — the program now known as Medicare — would lead to totalitarianism.

Right now, by the way, Medicare — which did enormous good, without leading to a dictatorship — is being undermined by privatization.

Mainly, though, the big-money interests with a stake in the present system want you to believe that universal health care would lead to a crushing tax burden and lousy medical care.

Now, every wealthy country except the United States already has some form of universal care. Citizens of these countries pay extra taxes as a result — but they make up for that through savings on insurance premiums and out-of-pocket medical costs. The overall cost of health care in countries with universal coverage is much lower than it is here.

Meanwhile, every available indicator says that in terms of quality, access to needed care and health outcomes, the U.S. health care system does worse, not better, than other advanced countries — even Britain, which spends only about 40 percent as much per person as we do.

Yes, Canadians wait longer than insured Americans for elective surgery. But over all, the average Canadian’s access to health care is as good as that of the average insured American — and much better than that of uninsured Americans, many of whom never receive needed care at all.

And the French manage to provide arguably the best health care in the world, without significant waiting lists of any kind. There’s a scene in “Sicko” in which expatriate Americans in Paris praise the French system. According to the hard data they’re not romanticizing. It really is that good.

All of which raises the question Mr. Moore asks at the beginning of “Sicko”: who are we?

“We have always known that heedless self-interest was bad morals; we know now that it is bad economics.” So declared F.D.R. in 1937, in words that apply perfectly to health care today. This isn’t one of those cases where we face painful tradeoffs — here, doing the right thing is also cost-efficient. Universal health care would save thousands of American lives each year, while actually saving money.

So this is a test. The only things standing in the way of universal health care are the fear-mongering and influence-buying of interest groups. If we can’t overcome those forces here, there’s not much hope for America’s future.

8:50 AM  
Blogger Minnesota Central said...

FOLLOW THE MONEY : As Democrats stop advocating top to bottom changes in health policy, health care professionals are giving Democrats a second look after more than a decade of opening their wallets in favor of Republican candidates. So is the message : no more attempts at overhauling the health care economy ?

9:01 AM  

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