1 00:00:23,323 --> 00:00:25,587 We got issue in America. 2 00:00:25,658 --> 00:00:28,593 Too many good docs are getting out of business. 3 00:00:28,661 --> 00:00:34,258 Too many ob-gyns aren't able to practice their love with women across this country. 4 00:00:42,242 --> 00:00:47,441 I don't have a job. I don't want to have any more debt out to anybody else. 5 00:00:47,514 --> 00:00:49,607 I'm flushing the wound. 6 00:00:50,216 --> 00:00:52,707 This is Adam. 7 00:01:04,898 --> 00:01:07,389 He had an accident. 8 00:01:18,411 --> 00:01:24,213 He's one of nearly 50 million Americans with no health insurance. 9 00:01:36,629 --> 00:01:39,223 But this film isn't about Adam. 10 00:01:43,436 --> 00:01:46,928 So this is the table saw. It was spinning that way... 11 00:01:47,006 --> 00:01:48,997 This is Rick. 12 00:01:52,312 --> 00:01:55,713 I was gripping a piece of wood and I grabbed it here and it hit a knot... 13 00:01:55,782 --> 00:02:00,082 He sawed off the tops of to of his fingers. 14 00:02:00,153 --> 00:02:02,314 ...and it was that quick. 15 00:02:04,791 --> 00:02:07,817 - His first thought? - I don't have insurance. 16 00:02:07,894 --> 00:02:11,159 Am I gonna have to pay cash for this? $ 2,000, $3,000 or more? 17 00:02:11,231 --> 00:02:14,530 Does that mean we're not gonna get a car? 18 00:02:15,668 --> 00:02:18,262 Rick also doesn't have health coverage. 19 00:02:18,338 --> 00:02:20,602 So the hospital gave him a choice. 20 00:02:20,673 --> 00:02:24,404 Reattach the middle finger for $60.000. 21 00:02:24,477 --> 00:02:27,969 Or do the ring finger for 12.000. 22 00:02:28,047 --> 00:02:33,314 It's an awful feeling to just try to put a value on your body. 23 00:02:37,757 --> 00:02:41,921 Being a hopeless romantic. Rick chose the ring finger. 24 00:02:41,995 --> 00:02:44,930 For the bargain price of 12 grand. 25 00:02:44,998 --> 00:02:50,903 The top of his middle finger now enjoys its new home in an Oregon landfill. 26 00:02:58,378 --> 00:03:03,247 I can do that thing where, you know, the old man used to pull the finger off. 27 00:03:08,721 --> 00:03:12,020 This movie isn't about Rick either. 28 00:03:12,091 --> 00:03:16,221 Yes. There are nearly 50 million Americans with no health insurance. 29 00:03:16,296 --> 00:03:18,924 They pray every day they don't get sick. 30 00:03:18,998 --> 00:03:21,990 Because 18.000 of them will die this year. 31 00:03:22,068 --> 00:03:24,559 Simply because they're uninsured. 32 00:03:26,739 --> 00:03:29,367 But this movie isn't about them. 33 00:03:29,442 --> 00:03:34,539 It's about the 250 million of you who have health insurance. 34 00:03:34,614 --> 00:03:38,846 Those of you who are living the American Dream. 35 00:03:48,728 --> 00:03:53,722 It's moving day for Larry and Donna Smith. 36 00:03:57,837 --> 00:04:02,365 They've packed everything they own in these to cars. 37 00:04:03,776 --> 00:04:07,473 And are driving to Denver. Colorado. 38 00:04:08,481 --> 00:04:10,779 To their new home... 39 00:04:10,850 --> 00:04:12,841 - Hi. - Hello. 40 00:04:13,853 --> 00:04:16,014 ...in their daughter's storage room. 41 00:04:16,089 --> 00:04:18,284 This is home, sweet home. 42 00:04:20,159 --> 00:04:24,027 - Look at all that stuff. - We'll get everything organized. 43 00:04:24,097 --> 00:04:26,725 - We will. - What do we do with the computer? 44 00:04:26,799 --> 00:04:28,960 - It stays. - It stays there. 45 00:04:29,769 --> 00:04:34,604 So this is where Heather talked about we might have to put bunk beds. 46 00:04:34,674 --> 00:04:37,507 I see what she's talking about. 47 00:04:38,444 --> 00:04:42,904 It wasn't supposed to end up like this for Larry and Donna. 48 00:04:42,982 --> 00:04:45,348 They both had good jobs. 49 00:04:46,352 --> 00:04:49,150 She was a newspaper editor. 50 00:04:49,222 --> 00:04:51,816 And he was a union machinist. 51 00:04:52,625 --> 00:04:59,053 They raised six kids who all went to fine schools like the University of Chicago. 52 00:04:59,132 --> 00:05:01,794 But Larry had a heart attack. 53 00:05:01,868 --> 00:05:04,234 And then another one. 54 00:05:04,470 --> 00:05:06,631 And then another one. 55 00:05:08,041 --> 00:05:10,532 And then Donna got cancer. 56 00:05:12,312 --> 00:05:14,906 And even though they had health insurance. 57 00:05:14,981 --> 00:05:18,610 The copays and deductibles soon added up 58 00:05:18,685 --> 00:05:22,678 to the point where they could no longer afford to keep their home. 59 00:05:22,755 --> 00:05:27,385 If somebody told me ten years ago this was gonna happen to us because of healthcare, 60 00:05:27,460 --> 00:05:29,860 I would have said, "It's not possible." 61 00:05:29,929 --> 00:05:35,458 "Not in the United States. We wouldn't let that happen to people." 62 00:05:39,305 --> 00:05:41,796 - Are we gonna quit? - No. 63 00:05:42,709 --> 00:05:44,700 It's just hard. 64 00:05:45,511 --> 00:05:48,378 They were bankrupt. 65 00:05:48,448 --> 00:05:50,973 So they moved in with their daughter. 66 00:05:51,050 --> 00:05:53,450 We'll get it all figured out. 67 00:05:54,320 --> 00:05:56,311 We emptied the dresser so you have a spot. 68 00:05:56,389 --> 00:05:58,254 Nice, very nice. 69 00:06:01,260 --> 00:06:04,388 Even their son Danny popped in from across town 70 00:06:04,464 --> 00:06:06,659 to welcome them to Denver. 71 00:06:06,733 --> 00:06:10,362 - What do we do about people like you? - I don't know, that's a good question. 72 00:06:10,436 --> 00:06:15,373 You're supposed to pay a deductible for $9,000, I understand. That's healthcare. 73 00:06:15,441 --> 00:06:18,410 What about people like Kathy and I that have to come up there 74 00:06:18,478 --> 00:06:21,572 and move you every five years, every two years, every year, 75 00:06:21,647 --> 00:06:25,014 - 'cause you don't have enough money? - That's what Russell says too. 76 00:06:25,084 --> 00:06:29,020 I'm sorry. It's not what we wanted to have happen in life. 77 00:06:29,088 --> 00:06:32,023 And we're doing what we can to make the change. 78 00:06:32,091 --> 00:06:36,960 You don't know what that feels like inside at 50-some years old, 79 00:06:37,029 --> 00:06:40,590 to have to reach out to my 20-something-year-old for help. 80 00:06:40,666 --> 00:06:45,569 It's gonna be hard for four, five, six, seven months, it's gonna be hard. 81 00:06:45,638 --> 00:06:51,770 I have a feeling of you bring your problems with you no matter where you go. 82 00:06:51,844 --> 00:06:54,074 Yeah. 83 00:06:54,147 --> 00:06:56,638 But I don't know what to do about that. 84 00:07:01,487 --> 00:07:04,650 By sheer coincidence. Their daughter's husband. Paul. 85 00:07:04,724 --> 00:07:08,956 Was leaving on a job the very same day they arrived. 86 00:07:10,763 --> 00:07:14,597 Paul was a contractor. But there weren't many jobs lately. 87 00:07:14,667 --> 00:07:16,897 So he found work out of town. 88 00:07:16,969 --> 00:07:20,928 I'm sure you'll keep a telephone conversation. 89 00:07:21,007 --> 00:07:22,998 Email you. 90 00:07:27,413 --> 00:07:31,179 You're gonna be just fine, lovies. 91 00:07:34,787 --> 00:07:36,778 Weird situation, isn't it? 92 00:07:40,760 --> 00:07:44,389 - Tell me where Daddy's going. - Iraq. 93 00:07:45,198 --> 00:07:47,462 Why is Daddy going to Iraq? 94 00:07:47,533 --> 00:07:49,694 To do some plumbing. 95 00:07:55,241 --> 00:07:57,539 Oh, boy. 96 00:07:58,945 --> 00:08:03,644 This I do early in the morning. The first thing I do is I clean here. 97 00:08:05,585 --> 00:08:10,852 At age 79. Frank Cardile should be kicking back on a beach somewhere. 98 00:08:10,923 --> 00:08:14,017 But even though he's insured by Medicare. 99 00:08:14,093 --> 00:08:19,622 It doesn't cover all the cost of the drugs that he and his wife need. 100 00:08:22,401 --> 00:08:26,531 Being that I'm an employee here, my medicine is for free. 101 00:08:26,606 --> 00:08:31,942 So that's why I gotta keep working. Until I die. 102 00:08:32,011 --> 00:08:34,377 There is nothing wrong with that. 103 00:08:34,447 --> 00:08:36,244 OK. 104 00:08:36,315 --> 00:08:40,149 I always gotta keep my ears open because there's always spillages. 105 00:08:40,219 --> 00:08:42,881 Sometimes you get a gallon of milk. 106 00:08:42,955 --> 00:08:49,360 Tomato sauce - oh, you're in trouble. It'll take a half-hour to clean that up. 107 00:08:49,428 --> 00:08:52,090 And I look up on every aisle so as everything is clean. 108 00:08:52,164 --> 00:08:56,931 If I see something I pick it up, whether it's paper or garbage. 109 00:08:58,371 --> 00:09:02,432 One day I had the keys in my hand and they went in there. 110 00:09:02,508 --> 00:09:05,841 And I had to climb in there to get the keys out. 111 00:09:09,348 --> 00:09:12,112 It's a sad situation. 112 00:09:13,019 --> 00:09:18,355 If there are golden years, I can't find 'em, I'll tell you that. 113 00:09:20,693 --> 00:09:23,059 She had a painkiller for her hip. 114 00:09:23,129 --> 00:09:27,862 The girl said, "Frank, this is $ 213." "What, for a painkiller?" 115 00:09:27,934 --> 00:09:31,961 - I didn't take it. - I backed off. I said, "I gotta come back." 116 00:09:32,038 --> 00:09:35,735 What's in them? What's in these new drugs that they distribute? 117 00:09:35,808 --> 00:09:38,572 I don't believe you need half of the things they tell you. 118 00:09:38,644 --> 00:09:42,842 I have never taken medication now, as I'm getting older. 119 00:09:42,915 --> 00:09:45,247 I don't even like to take an aspirin. 120 00:09:45,318 --> 00:09:47,479 I do like a little brandy. 121 00:09:52,692 --> 00:09:58,358 I don't really know how this happened, but the trunk came forward into the back seat. 122 00:09:58,431 --> 00:10:03,391 Laura Burnham was in a head-on collision that knocked her out cold. 123 00:10:03,469 --> 00:10:08,099 Paramedics got her out of the car and into an ambulance for a trip to the hospital. 124 00:10:08,174 --> 00:10:11,075 I get a bill from my insurance company 125 00:10:11,143 --> 00:10:14,943 telling me that the ambulance ride was not going to be paid for, 126 00:10:15,014 --> 00:10:17,482 because it wasn't preapproved. 127 00:10:17,550 --> 00:10:21,145 I don't know exactly when I was supposed to preapprove it, you know? 128 00:10:21,220 --> 00:10:26,351 Like after I gain consciousness in the car, before I got in the ambulance? 129 00:10:26,425 --> 00:10:31,021 I should have grabbed my cellphone off the street and called in the ambulance? 130 00:10:31,097 --> 00:10:33,930 I mean, it's just crazy. 131 00:10:38,137 --> 00:10:40,731 I applied for HealthNet insurance for Jason. 132 00:10:40,806 --> 00:10:44,742 They rejected him because of his height and weight. 133 00:10:44,810 --> 00:10:48,041 Jason is six feet tall and 130 pounds. 134 00:10:52,018 --> 00:10:55,146 I applied for healthcare through BlueCross BlueShield 135 00:10:55,221 --> 00:10:58,850 and they told me that my body mass index was too high. 136 00:10:59,392 --> 00:11:02,054 I'm 5'1", I weigh 175 pounds. 137 00:11:06,232 --> 00:11:11,169 I always thought health insurance companies were there to help us. 138 00:11:11,237 --> 00:11:13,501 So I posted a note on the internet. 139 00:11:13,572 --> 00:11:16,439 Asking people if they had had any similar stories 140 00:11:16,509 --> 00:11:19,672 about problems with their insurance company. 141 00:11:21,180 --> 00:11:25,879 Within 24 hours. I had over 3700 responses. 142 00:11:25,951 --> 00:11:29,318 And by the end of the week. Over 25.000 people 143 00:11:29,388 --> 00:11:33,688 had sent me their healthcare horror stories. 144 00:11:34,226 --> 00:11:38,356 Some of them decided not to wait for me to get back to them. 145 00:11:38,431 --> 00:11:43,994 Like Doug Noe. Who took matters into his own hands. Without my permission. 146 00:11:45,438 --> 00:11:50,239 His daughter was nine months old when they discovered she was going deaf. 147 00:11:50,309 --> 00:11:52,607 His health insurance company. CIGNA. 148 00:11:52,678 --> 00:11:55,977 Said they'd pay for an implant in only one of her ears. 149 00:11:56,048 --> 00:11:58,107 According to the letter they sent. 150 00:11:58,184 --> 00:12:02,018 It's experimental for her to hear in to ears. 151 00:12:02,088 --> 00:12:05,580 If a cochlear implant is good for one ear, 152 00:12:05,658 --> 00:12:09,651 it doesn't even make any sense that it wouldn't be good for the second ear. 153 00:12:09,729 --> 00:12:13,392 Especially when a child is just starting to learn how to talk, 154 00:12:13,466 --> 00:12:17,061 she has to learn from both sides of her head. 155 00:12:19,071 --> 00:12:21,904 That's when he sat down to write CIGNA a letter. 156 00:12:21,974 --> 00:12:25,637 This is to CIGNA. "Noted filmmaker Michael Moore 157 00:12:25,711 --> 00:12:28,771 is in the process of gathering information for his next film." 158 00:12:28,848 --> 00:12:33,217 "I've sent information concerning CIGNA's lack of caring for its policy holders." 159 00:12:33,285 --> 00:12:36,686 "Has your CEO ever been in a film before?" 160 00:12:38,124 --> 00:12:43,460 Before he knew it. He received a call on his voice mail from CIGNA. 161 00:12:43,529 --> 00:12:46,498 Tuesday. 8:54 am. 162 00:13:06,285 --> 00:13:11,746 Obviously all this worked because Annette is going to get her second implant in July. 163 00:13:11,824 --> 00:13:14,156 "Dear Mike. I work in the industry." 164 00:13:14,226 --> 00:13:15,921 "I work for an HMO." 165 00:13:15,995 --> 00:13:19,396 I started to get hundreds of letters of a different sort 166 00:13:19,465 --> 00:13:22,923 from people who work inside the healthcare industry. 167 00:13:23,002 --> 00:13:27,234 They'd seen everything and they were fed up with it. 168 00:13:27,306 --> 00:13:30,571 "Health insurance companies suck. Flat suck." 169 00:13:30,643 --> 00:13:35,137 Like Becky Malke. Who was in charge of keeping sick people away 170 00:13:35,214 --> 00:13:38,012 from one of America's top insurance companies. 171 00:13:38,083 --> 00:13:42,383 I work in a call center, so people call in and ask for insurance quotes. 172 00:13:42,454 --> 00:13:46,322 There are certain preexisting conditions, basically industry-wide, 173 00:13:46,392 --> 00:13:48,053 that will not be covered - 174 00:13:48,127 --> 00:13:52,188 diabetes, heart disease, certain forms of cancer. 175 00:13:52,264 --> 00:13:56,894 If you have these conditions, you are likely not going to get your health insurance. 176 00:13:56,969 --> 00:14:00,461 How long is this list of conditions that make you ineligible? 177 00:14:00,539 --> 00:14:04,839 It would be a really long list. It would be a long list. 178 00:14:04,910 --> 00:14:07,572 It could wrap around this house. 179 00:14:33,239 --> 00:14:37,107 Sometimes you know they're gonna be declined at the end of the application, 180 00:14:37,176 --> 00:14:42,239 and they're like... God, like one time I had a couple, 181 00:14:42,314 --> 00:14:44,544 and they were so happy to get... I'm gonna cry. 182 00:14:44,617 --> 00:14:49,748 They were so happy that they were... I took them through this application. 183 00:14:49,822 --> 00:14:53,280 And the husband was late for work. 184 00:14:53,359 --> 00:14:56,988 And the wife said to him, "Don't worry, baby, it's gonna be OK." 185 00:14:57,062 --> 00:14:59,121 "We have health insurance now." 186 00:14:59,198 --> 00:15:02,326 And when I looked, I could tell they were gonna get declined 187 00:15:02,401 --> 00:15:05,837 because of their health conditions. And they were so happy. 188 00:15:05,905 --> 00:15:08,965 I thought, "God, they're gonna get that call in a couple of weeks 189 00:15:09,041 --> 00:15:13,603 telling them that they're not eligible for insurance." 190 00:15:13,679 --> 00:15:16,045 I just felt so bad 'cause I just really thought 191 00:15:16,115 --> 00:15:19,380 and I knew and I couldn't say anything to them. 192 00:15:19,852 --> 00:15:21,843 I just felt like crap. 193 00:15:21,921 --> 00:15:24,355 That's why I'm such a bitch on the phone to people, 194 00:15:24,423 --> 00:15:27,085 because I don't wanna get to know them, 195 00:15:27,159 --> 00:15:30,390 I don't wanna know about their lives, I just wanna get in and out, 196 00:15:30,462 --> 00:15:35,092 and get done with it 'cause I can't take the stress of it. 197 00:15:35,167 --> 00:15:38,967 In spite of Becky being a bit of a pain on the phone. 198 00:15:39,038 --> 00:15:44,772 A quarter billion Americans are still able to get health insurance. 199 00:15:46,979 --> 00:15:51,075 Let's meet some of these happy insured customers. 200 00:15:51,150 --> 00:15:53,141 Maria has BlueShield. 201 00:15:53,218 --> 00:15:55,448 And Diane. Horizon BlueCross. 202 00:15:55,988 --> 00:15:58,081 BCS insures Laurel. 203 00:15:58,157 --> 00:16:01,422 And Caroline has CIGNA. 204 00:16:01,493 --> 00:16:04,462 And it's a good thing that they're all fully covered. 205 00:16:04,530 --> 00:16:08,091 I ended up being diagnosed with retroperitoneal cancer. 206 00:16:08,167 --> 00:16:09,964 - Brain tumor. - Breast cancer. 207 00:16:10,035 --> 00:16:11,935 Brain tumor on the right temporal lobe. 208 00:16:12,004 --> 00:16:16,668 As they were insured. They got the red-carpet treatment at the doctor's office. 209 00:16:16,742 --> 00:16:20,769 She requested for me to see a neurologist. 210 00:16:20,846 --> 00:16:22,939 The way they would treat it was to remove it. 211 00:16:23,015 --> 00:16:24,880 Surgery was scheduled for December 9. 212 00:16:24,950 --> 00:16:27,350 There is a test that you can take 213 00:16:27,419 --> 00:16:32,379 that will show whether or not you would benefit from chemo. 214 00:16:32,458 --> 00:16:36,861 They got their treatment. But not before battling their insurance companies. 215 00:16:36,929 --> 00:16:39,955 Investigated whether or not this was a preexisting condition. 216 00:16:40,032 --> 00:16:41,863 "It's not medically necessary." 217 00:16:41,934 --> 00:16:43,959 They claim that it's experimental. 218 00:16:44,036 --> 00:16:46,334 "We don't consider that life-threatening." 219 00:16:46,405 --> 00:16:49,806 Diane died from her non life-threatening tumor. 220 00:16:49,875 --> 00:16:52,901 Laurel's cancer is now spread throughout her body. 221 00:16:52,978 --> 00:16:57,347 Her "experimental test" proved that Caroline needed chemo. 222 00:16:57,416 --> 00:17:00,647 While vacationing in Japan. Maria became ill 223 00:17:00,719 --> 00:17:06,248 and got the MRI that BlueShield of California had refused to approve. 224 00:17:06,325 --> 00:17:09,624 The doctors in Japan told her she had a brain tumor. 225 00:17:10,329 --> 00:17:13,662 BlueShield had said repeatedly she didn't have a tumor. 226 00:17:13,732 --> 00:17:18,931 That's when she said: "Well. I'm pretty sure I have a lawyer." 227 00:17:20,172 --> 00:17:23,266 March 13, 2003. 228 00:17:23,342 --> 00:17:26,539 I'm gonna direct your attention to exhibit one. 229 00:17:26,612 --> 00:17:29,137 Please describe for me what it is. 230 00:17:29,214 --> 00:17:35,813 It is a denial for referral to an ophthalmologist. 231 00:17:35,888 --> 00:17:39,119 - Is it your signature on this? - Yes. 232 00:17:39,191 --> 00:17:42,217 I'd like to direct your attention to exhibit two. 233 00:17:42,294 --> 00:17:46,731 This is a denial of a request for referral 234 00:17:46,799 --> 00:17:50,530 for a magnetic resonance imaging test of the brain. 235 00:17:50,602 --> 00:17:52,627 - It has your signature? - Yes. 236 00:17:52,704 --> 00:17:56,800 Directing your attention to exhibit three. Please read this document. 237 00:17:56,875 --> 00:18:03,007 This is a denial of a referral to a neurosurgeon. 238 00:18:03,082 --> 00:18:08,987 Can you explain for me how you came to sign the denial letter? 239 00:18:09,054 --> 00:18:11,989 This is a standard signature put on all denial letters. 240 00:18:12,057 --> 00:18:15,618 - Is it your signature or a stamp? - That is a stamp. 241 00:18:15,694 --> 00:18:22,463 Did you ever see a denial letter before your signature was stamped on it? 242 00:18:22,534 --> 00:18:27,028 No, but the denial letters are fundamentally the same. 243 00:18:27,106 --> 00:18:29,700 The denial letters that are sent out... 244 00:18:29,775 --> 00:18:32,938 - The answer is no. - No. All right. 245 00:18:33,745 --> 00:18:38,512 The definition of a good director was somebody who saves the company money. 246 00:18:38,584 --> 00:18:42,884 Dr. Linda Peeno was a medical reviewer for Humana. 247 00:18:42,955 --> 00:18:47,119 She left her job because she didn't like their way of doing business. 248 00:18:47,192 --> 00:18:51,060 I was told when I started that I had to keep a 10% denial. 249 00:18:51,130 --> 00:18:55,931 Then they were giving us reports weekly that would have all the cases we reviewed, 250 00:18:56,001 --> 00:18:58,265 the percent approved and the percent denied. 251 00:18:58,337 --> 00:19:01,170 And our actual percentage denial rate. 252 00:19:01,240 --> 00:19:05,802 Then there would be another report that compared me to all the other reviewers. 253 00:19:05,878 --> 00:19:09,439 The doctor with the highest percent of denials was gonna get a bonus. 254 00:19:09,515 --> 00:19:13,007 Really? So you, as a doctor, working for the HMO, 255 00:19:13,085 --> 00:19:16,452 if you denied more people healthcare, you got a bonus? 256 00:19:16,522 --> 00:19:18,456 That was how they set it up. 257 00:19:18,524 --> 00:19:22,756 Any payment for a claim is referred to as a medical loss. 258 00:19:22,828 --> 00:19:25,228 That's the terminology the industry uses. 259 00:19:25,297 --> 00:19:28,960 I mean, when you don't spend money on somebody, you deny their care, 260 00:19:29,034 --> 00:19:33,368 or you make a decision that brings money in and you don't have to spend it, 261 00:19:33,438 --> 00:19:35,929 it's a savings to the company. 262 00:19:37,843 --> 00:19:40,311 This is Tarsha Harris. 263 00:19:40,379 --> 00:19:42,711 BlueCross didn't deny her her treatment. 264 00:19:42,781 --> 00:19:45,978 And actually approved her operation. 265 00:19:47,286 --> 00:19:51,086 But then they discovered that in the distant past. 266 00:19:51,156 --> 00:19:54,387 She had had a yeast infection. 267 00:19:56,728 --> 00:20:00,664 Apparently it's common. Men, women can get a yeast infection. 268 00:20:00,732 --> 00:20:07,262 So I was prescribed the yeast infection cream, general cream, and it went away. 269 00:20:08,073 --> 00:20:10,064 She later applied for health insurance 270 00:20:10,142 --> 00:20:14,272 and that's what you're supposed to be disclosing - serious ailments. 271 00:20:14,346 --> 00:20:19,807 The yeast infection is not a serious ailment. There was nothing she could have done. 272 00:20:19,885 --> 00:20:23,480 It wasn't until they were gonna have to spend money that they looked. 273 00:20:23,555 --> 00:20:27,082 If they'd taken five minutes and wanted to clear up the yeast infection, 274 00:20:27,159 --> 00:20:30,185 they could've looked at her records or talked to her doctor. 275 00:20:30,262 --> 00:20:33,459 Because of the undisclosed yeast infection. 276 00:20:33,532 --> 00:20:36,126 BlueCross dropped Tarsha Harris. 277 00:20:36,201 --> 00:20:40,797 She thinks she's put this behind her. And then BlueCross changes their mind, 278 00:20:40,872 --> 00:20:45,707 tells the doctors, "We're taking the money back, go get the money from Tarsha." 279 00:20:45,777 --> 00:20:51,738 The fact of the matter is it was a yeast infection, that's all it was. 280 00:20:51,817 --> 00:20:55,412 I'm still a little bitter because I don't trust insurance companies now. 281 00:20:55,487 --> 00:20:59,753 To me, it seems they're always gonna be looking for a way out. 282 00:20:59,825 --> 00:21:02,293 What happened to helping the person that's sick? 283 00:21:02,361 --> 00:21:05,057 Don't make their problems worse. 284 00:21:06,598 --> 00:21:08,930 This is Lee Einer. 285 00:21:09,001 --> 00:21:12,903 If they weren't able to weed you out in the application process. 286 00:21:12,971 --> 00:21:16,372 Or deny you the care your doctor said you needed. 287 00:21:16,441 --> 00:21:19,933 And somehow ended up paying for the operation. 288 00:21:20,812 --> 00:21:23,906 They send in Lee. Their hitman. 289 00:21:23,982 --> 00:21:28,851 His job is to get the company's money back any way he can. 290 00:21:28,920 --> 00:21:33,220 All he has to do is find one slip-up on your application. 291 00:21:33,292 --> 00:21:37,126 Or a preexisting condition you didn't know you had. 292 00:21:37,195 --> 00:21:40,926 We're gonna go after this like it's a murder case. 293 00:21:40,999 --> 00:21:43,559 And I mean the whole unit dedicated to 294 00:21:43,635 --> 00:21:47,571 going through your health history for the last five years, 295 00:21:47,639 --> 00:21:50,369 looking for anything that would indicate 296 00:21:50,442 --> 00:21:54,173 that you concealed something, you misrepresented something, 297 00:21:54,246 --> 00:21:56,976 so that they can cancel the policy 298 00:21:57,049 --> 00:22:00,485 or jack the rates so high that you can't pay them. 299 00:22:01,687 --> 00:22:05,817 And if we couldn't find anything you didn't disclose on the application, 300 00:22:05,891 --> 00:22:09,850 you can still get hit with a preexisting denial, 301 00:22:09,928 --> 00:22:13,591 because you don't even have to have sought medical treatment for it. 302 00:22:13,665 --> 00:22:18,568 In some states, it's legal to have a prudent person preexisting condition. 303 00:22:18,637 --> 00:22:20,662 And that's a mouthful, I know, 304 00:22:20,739 --> 00:22:24,937 but what that says is if prior to your insurance kicking in, 305 00:22:25,010 --> 00:22:30,812 you had any symptom which would incline a normally prudent person 306 00:22:30,882 --> 00:22:33,851 to have sought medical care, 307 00:22:33,919 --> 00:22:40,085 then the condition of which that symptom was a symptom is excluded. 308 00:22:43,362 --> 00:22:45,193 I know! 309 00:22:45,964 --> 00:22:49,695 It's labyrinthine, isn't it? But that's how it works. 310 00:22:50,268 --> 00:22:52,327 They're supposed to be even-handed, 311 00:22:52,404 --> 00:22:55,999 but with an insurance company, it's their frigging money! 312 00:22:56,074 --> 00:23:00,511 So it's not unintentional, it's not a mistake, 313 00:23:00,579 --> 00:23:04,481 it's not an oversight, you're not slipping through the cracks. 314 00:23:04,549 --> 00:23:09,179 Somebody made that crack and swept you towards it. 315 00:23:09,254 --> 00:23:12,883 And the intent is to maximize profits. 316 00:23:14,025 --> 00:23:17,256 Looking back, I don't know that I killed anybody. 317 00:23:17,329 --> 00:23:19,854 Did I do harm in people's lives? 318 00:23:19,931 --> 00:23:22,593 Yeah. Hell, yeah. 319 00:23:25,404 --> 00:23:28,202 I haven't worked for insurance companies for a long time, 320 00:23:28,273 --> 00:23:32,539 and I don't think that really serves to atone 321 00:23:32,611 --> 00:23:36,775 for my participation in that mess. 322 00:23:38,350 --> 00:23:40,841 I am glad I'm out of it, though. 323 00:23:43,989 --> 00:23:48,187 Julie Pierce was struggling to get care for her husband Tracy. 324 00:23:48,260 --> 00:23:51,627 Who was suffering from kidney cancer. 325 00:23:51,696 --> 00:23:55,530 Julie works in the intensive care unit at St. Joseph's Medical Center 326 00:23:55,600 --> 00:23:57,864 in Kansas City. Missouri. 327 00:23:57,936 --> 00:24:00,871 Which provided her family with health insurance. 328 00:24:00,939 --> 00:24:04,500 Every month, there was a new drug that the doctor wanted to try. 329 00:24:04,576 --> 00:24:09,878 My insurance denied it. One letter might say, "not a medical necessity," 330 00:24:09,948 --> 00:24:15,011 one letter might say, "it's not for this particular type of cancer," 331 00:24:15,086 --> 00:24:17,611 and they denied it. 332 00:24:17,689 --> 00:24:21,989 Then we came up with the bone marrow. It has showed to stop it, 333 00:24:22,060 --> 00:24:25,496 sometimes to completely get rid of it. 334 00:24:25,564 --> 00:24:29,261 Tracy's doctors said this treatment had been successfully tried 335 00:24:29,334 --> 00:24:31,666 on many other patients. 336 00:24:32,404 --> 00:24:36,204 If one of Tracy's brothers turned out to be a suitable donor. 337 00:24:36,274 --> 00:24:42,645 There were promising bone marrow treatments for beating Tracy's cancer. 338 00:24:42,714 --> 00:24:46,741 Two weeks later, the bone marrow nurse at KU called me and she goes: 339 00:24:46,818 --> 00:24:51,778 "We've got the results back. His youngest brother is a perfect donor match." 340 00:24:51,857 --> 00:24:53,984 We were ecstatic. 341 00:24:54,059 --> 00:24:58,291 You know, I think that's the happiest I had seen him... 342 00:25:00,632 --> 00:25:03,157 in a while. 343 00:25:03,235 --> 00:25:07,604 So we submitted it and they denied it. 344 00:25:07,672 --> 00:25:09,697 Said it was "experimental." 345 00:25:11,076 --> 00:25:15,103 So I found out that there is a board of trustees over our medical plan 346 00:25:15,180 --> 00:25:17,171 that actually work at my hospital. 347 00:25:17,249 --> 00:25:22,687 And they are the final decision-makers on what gets approved and what doesn't. 348 00:25:22,754 --> 00:25:26,121 Julie and her husband and their son. Tracy Junior. 349 00:25:26,191 --> 00:25:29,718 Demanded a meeting with the health plan's board of trustees. 350 00:25:29,794 --> 00:25:33,730 The very people who had the power to approve their claim. 351 00:25:33,798 --> 00:25:37,825 They told Julie that they were sympathetic to her situation. 352 00:25:37,903 --> 00:25:41,862 I said, "Your sympathy does me no good when I'm burying him next year." 353 00:25:41,940 --> 00:25:47,640 And I told them, I said if I was... Bruce van Cleve was our CEO. 354 00:25:47,712 --> 00:25:53,810 I said, "I bet if it was Bruce van Cleve's wife, it would get approved." 355 00:25:53,885 --> 00:25:56,012 "No, it's nothing like that." 356 00:25:56,087 --> 00:25:58,749 I said, "Or maybe if my husband was white." 357 00:25:58,823 --> 00:26:01,223 And I got up and walked out of the room. 358 00:26:02,460 --> 00:26:06,760 When we got home, I found him up in the bathroom. 359 00:26:06,831 --> 00:26:12,235 And I knocked on the door and said, "What are you doing in there?""Nothing." 360 00:26:12,304 --> 00:26:16,764 I opened the door 'cause usually he'll say: "What do you think I'm doing in here?" 361 00:26:16,841 --> 00:26:20,538 And he was sitting in there and he was crying. 362 00:26:21,646 --> 00:26:25,241 And he said, "Why me? I'm a good person." 363 00:26:25,817 --> 00:26:29,275 And I said, "But we're not done fighting this." 364 00:26:29,354 --> 00:26:33,814 "We're strong, yeah." And then he said... 365 00:26:33,892 --> 00:26:37,726 You know, he goes, "I can see now that I'm gonna die." 366 00:26:37,796 --> 00:26:43,928 He said, "I can leave everything, but I don't want to leave you and Tracy." 367 00:26:48,306 --> 00:26:51,935 The doctor told me he would die in three weeks. 368 00:26:52,010 --> 00:26:54,001 And... 369 00:26:55,547 --> 00:26:58,846 On January 13th, which was my birthday, 370 00:26:59,718 --> 00:27:01,709 he went to sleep. 371 00:27:03,221 --> 00:27:06,315 And he died five days later, here at home. 372 00:27:07,626 --> 00:27:10,117 He was my best friend. 373 00:27:10,996 --> 00:27:14,830 He was my soul mate. He was my son's father. 374 00:27:17,135 --> 00:27:19,729 I mean, we were to grow old together. 375 00:27:21,072 --> 00:27:24,473 They took away everything that matters. 376 00:27:26,845 --> 00:27:30,008 I wanna know why, why my husband? 377 00:27:31,583 --> 00:27:34,780 Why wasn't he given the chance to live? 378 00:27:36,187 --> 00:27:40,590 You preach these vision and values that we care for the sick, the dying, the poor. 379 00:27:40,659 --> 00:27:44,493 That we're a healthcare that leaves no one behind. 380 00:27:44,562 --> 00:27:48,726 You left him behind. You didn't even give him a start. 381 00:27:49,868 --> 00:27:52,029 It was as if he was nothing. 382 00:27:53,505 --> 00:27:56,201 And I want them to have a conscience about it. 383 00:27:56,274 --> 00:28:01,610 And I don't think they do. I don't think it has fazed them one bit. 384 00:28:03,281 --> 00:28:05,272 At all. 385 00:28:07,852 --> 00:28:10,514 There was one person in the healthcare industry 386 00:28:10,588 --> 00:28:12,681 who did have a conscience. 387 00:28:12,757 --> 00:28:17,854 Dr. Linda Peeno. A former medical reviewer at Humana. 388 00:28:17,929 --> 00:28:19,419 My name is Linda Peeno. 389 00:28:19,964 --> 00:28:24,333 I am here today to make a public confession. 390 00:28:24,402 --> 00:28:28,805 In the spring of 1987, as a physician, 391 00:28:28,873 --> 00:28:32,104 I denied a man a necessary operation 392 00:28:32,177 --> 00:28:36,705 that would have saved his life, and thus caused his death. 393 00:28:37,482 --> 00:28:41,077 No person and no group has held me accountable for this, 394 00:28:41,152 --> 00:28:47,819 because, in fact, what I did was I saved the company a half a million dollars for this. 395 00:28:47,892 --> 00:28:51,419 And, furthermore, this particular act secured my reputation 396 00:28:51,496 --> 00:28:53,964 as a good medical director, 397 00:28:54,032 --> 00:28:58,093 and it insured my continued advancement in the healthcare field. 398 00:28:58,169 --> 00:29:02,162 I went from making a few hundred dollars a week as a medical reviewer 399 00:29:02,240 --> 00:29:07,371 to an escalating six-figure income as a physician executive. 400 00:29:07,445 --> 00:29:13,213 In all my work, I had one primary duty, and that was to use my medical expertise 401 00:29:13,284 --> 00:29:17,721 for the financial benefit of the organization for which I worked. 402 00:29:17,789 --> 00:29:21,316 And I was told repeatedly that I was not denying care, 403 00:29:21,392 --> 00:29:23,758 I was simply denying payment. 404 00:29:23,828 --> 00:29:27,093 I know how managed care maims and kills patients. 405 00:29:27,165 --> 00:29:30,931 So I'm here to tell you about the dirty work of managed care. 406 00:29:31,002 --> 00:29:33,596 And I'm haunted by the thousands of pieces of paper 407 00:29:33,671 --> 00:29:36,902 on which I have written that deadly word - "denied." 408 00:29:36,975 --> 00:29:38,272 Thank you. 409 00:29:42,580 --> 00:29:47,108 How did we get to the point of doctors at health insurance companies 410 00:29:47,185 --> 00:29:51,918 actually being responsible for the deaths of patients? 411 00:29:53,224 --> 00:29:55,556 Who invented this system? 412 00:29:57,295 --> 00:29:59,286 How did this all begin? 413 00:30:02,233 --> 00:30:04,667 Where did the HMO start? 414 00:30:09,174 --> 00:30:13,201 Thanks to the wonders of magnetic tape. We know. 415 00:31:15,173 --> 00:31:19,974 I am proposing today a new national health strategy. 416 00:31:20,044 --> 00:31:23,104 The purpose of this program is simply this - 417 00:31:23,181 --> 00:31:26,912 I want America to have the finest healthcare in the world, 418 00:31:26,985 --> 00:31:32,719 and I want every American to be able to have that care when he needs it. 419 00:31:34,125 --> 00:31:38,255 The plan hatched beteen Nixon and Edgar Kaiser worked. 420 00:31:38,329 --> 00:31:42,390 In the ensuing years. Patients were given less and less care... 421 00:31:42,467 --> 00:31:47,370 Bigger logjams at the nearby hospital and less quality medical care. 422 00:31:47,438 --> 00:31:50,271 Been here about 18 hours, since 7:00 this morning. 423 00:31:50,341 --> 00:31:54,300 What looks cramped and unsightly can also be dangerous. 424 00:31:54,379 --> 00:31:57,576 ...while health insurance companies became wealthy. 425 00:31:57,649 --> 00:31:59,708 The system was broken. 426 00:31:59,784 --> 00:32:03,948 37 million Americans are without protection against catastrophic illness. 427 00:32:04,022 --> 00:32:08,391 The losers are the poor. Who may now postpone urgent healthcare 428 00:32:08,459 --> 00:32:10,359 until it's too late. 429 00:32:10,428 --> 00:32:12,988 This went on for years. 430 00:32:13,064 --> 00:32:15,760 Until this man rode into town. 431 00:32:16,701 --> 00:32:19,226 Bringing with him his little lady. 432 00:32:25,843 --> 00:32:27,834 Sassy. 433 00:32:29,580 --> 00:32:31,571 Smart. 434 00:32:34,585 --> 00:32:36,576 Sexy. 435 00:32:39,557 --> 00:32:41,957 Some men couldn't handle it. 436 00:32:42,860 --> 00:32:45,158 Today I am announcing the formation 437 00:32:45,229 --> 00:32:48,528 of the President's Task Force on National Health Reform, 438 00:32:48,599 --> 00:32:51,625 chaired by the First Lady, Hillary Rodham Clinton. 439 00:32:51,703 --> 00:32:56,970 Hillary Clinton decided to make healthcare for everyone her top priority. 440 00:32:57,041 --> 00:32:59,874 Universal coverage now. 441 00:32:59,944 --> 00:33:02,674 It will not depend upon where you work, whether you work, 442 00:33:02,747 --> 00:33:04,715 or if you have a preexisting condition. 443 00:33:04,782 --> 00:33:07,717 Healthcare that can never be taken away. 444 00:33:07,785 --> 00:33:12,449 Some Republicans complain Mrs. Clinton is getting a free ride. 445 00:33:12,523 --> 00:33:15,788 It's fairly risky business what President Clinton did, 446 00:33:15,860 --> 00:33:19,455 to put his wife in charge of some big policy program. 447 00:33:19,530 --> 00:33:22,727 And while I don't share the chairman's joy at our holding hearings 448 00:33:22,800 --> 00:33:26,327 on a government-run healthcare system, 449 00:33:26,404 --> 00:33:30,170 I do share his intention to make the debate and the legislative process 450 00:33:30,241 --> 00:33:35,076 - as exciting as possible. - I'm sure you will do that, Mr. Armey. 451 00:33:35,146 --> 00:33:39,981 - We'll do the best we can. - You and Dr. Kevorkian, I think. 452 00:33:44,589 --> 00:33:49,549 I have been told about your charm and wit, and let me say... 453 00:33:49,627 --> 00:33:52,721 Reports on your charm are overstated 454 00:33:52,797 --> 00:33:57,029 - and reports on your wit are understated. - Thank you. Thank you very much. 455 00:33:57,702 --> 00:34:00,603 She drove Washington insane. 456 00:34:00,671 --> 00:34:03,367 Do you want the government to control your healthcare? 457 00:34:03,441 --> 00:34:05,739 You won't have the choice of your own doctors. 458 00:34:05,810 --> 00:34:07,710 - Less government. - More control. 459 00:34:07,779 --> 00:34:10,373 - More government. - Less control for you and your family. 460 00:34:10,448 --> 00:34:14,612 When your mama gets sick, she might talk to a bureaucrat instead of a doctor. 461 00:34:14,685 --> 00:34:17,779 This is a total mess, and it's about to get messier. 462 00:34:17,855 --> 00:34:20,790 Not this bureaucratic, socialistic plan that they have. 463 00:34:20,858 --> 00:34:23,349 - Socialist takeover... - Socialized medicine. 464 00:34:23,428 --> 00:34:27,728 What really amounts to a giant social experiment. 465 00:34:29,200 --> 00:34:32,397 Ooh! Socialized medicine. 466 00:34:32,470 --> 00:34:36,839 Nothing put more fear in us than the thought of that. 467 00:34:36,908 --> 00:34:40,400 And the chief fearmongers against socialized medicine 468 00:34:40,478 --> 00:34:43,140 have always been the good doctors 469 00:34:43,214 --> 00:34:45,205 of the American Medical Association. 470 00:34:45,283 --> 00:34:48,480 This would put the government smack into your hospital, 471 00:34:48,553 --> 00:34:51,852 defining services, setting standards, 472 00:34:51,923 --> 00:34:55,188 establishing committees, calling for reports, 473 00:34:55,259 --> 00:34:57,625 deciding who gets in and who gets out. 474 00:34:57,695 --> 00:35:01,791 After all, the government has to treat everyone fair and equal, don't you know? 475 00:35:01,866 --> 00:35:06,803 Take us all the way down the road to a new system of medicine for everybody. 476 00:35:06,871 --> 00:35:09,806 Yes. Medicine for everyone. 477 00:35:09,874 --> 00:35:12,138 The AMA didn't want that. 478 00:35:13,144 --> 00:35:15,408 And to drive the point home further. 479 00:35:15,480 --> 00:35:19,075 They held thousands of coffeeklatsches all over the country. 480 00:35:19,150 --> 00:35:23,450 Where they invited their neighbors to come and listen to a record 481 00:35:23,521 --> 00:35:28,618 made by a well-known actor on the evils of socialized medicine. 482 00:35:28,693 --> 00:35:30,786 My name is Ronald Reagan. 483 00:35:30,862 --> 00:35:35,629 One of the traditional methods of imposing statism or socialism on a people. 484 00:35:35,700 --> 00:35:38,498 Has been by way of medicine. 485 00:35:38,569 --> 00:35:43,199 The doctor begins to lose freedoms. It's like telling a lie. And one leads to another. 486 00:35:43,274 --> 00:35:46,266 A doctor decides he wants to practice in one town. 487 00:35:46,344 --> 00:35:49,177 The government says to him. "You can't live in that town. 488 00:35:49,247 --> 00:35:53,149 They already have enough doctors. You have to go someplace else." 489 00:35:53,217 --> 00:35:56,812 All of us can see what happens once you establish the precedent 490 00:35:56,888 --> 00:36:02,758 that the government can determine a man's working place and his methods. 491 00:36:02,827 --> 00:36:05,261 And behind it will come other federal programs 492 00:36:05,329 --> 00:36:09,095 that will invade every area of freedom as we have known it in this country. 493 00:36:09,167 --> 00:36:14,104 Until one day. We will awake to find that we have socialism. 494 00:36:18,042 --> 00:36:20,806 The White House said to tone down the rhetoric. 495 00:36:20,878 --> 00:36:23,278 Reacting to burning an effigy of Hillary Clinton. 496 00:36:23,347 --> 00:36:27,613 The times may have changed. But the scare tactics hadn't. 497 00:36:27,685 --> 00:36:30,950 The healthcare industries spent over a hundred million dollars 498 00:36:31,022 --> 00:36:35,823 to defeat Hillary's healthcare plan. And they succeeded. 499 00:36:35,893 --> 00:36:39,192 And I want now to introduce to you the president, 500 00:36:39,263 --> 00:36:42,494 because he loves the Easter egg roll. 501 00:36:42,567 --> 00:36:45,229 For the next seven years in the White House. 502 00:36:45,303 --> 00:36:47,533 She wasn't allowed to bring it up again. 503 00:36:47,605 --> 00:36:49,539 Is anybody here older than two? 504 00:36:49,607 --> 00:36:52,007 A decade and a half went by. 505 00:36:52,076 --> 00:36:55,375 And still America had no universal health plan. 506 00:36:55,947 --> 00:37:00,350 The United States slipped to number 37 in healthcare around the world. 507 00:37:00,418 --> 00:37:03,285 Just slightly ahead of Slovenia. 508 00:37:07,992 --> 00:37:13,328 But that's understandable. Because Congress was busy with other matters. 509 00:37:13,397 --> 00:37:15,991 Mr. Speaker, today I rise to offer congratulations 510 00:37:16,067 --> 00:37:18,934 to the confectioners at Just Born Incorporated, 511 00:37:19,003 --> 00:37:21,233 as they celebrate the 50th anniversary 512 00:37:21,305 --> 00:37:24,240 of one of their most recognized and celebrated products, 513 00:37:24,308 --> 00:37:27,334 not to mention my daughter's favorite, Marshmallow Peeps. 514 00:37:28,079 --> 00:37:32,982 And thus. The healthcare industry went unchecked into the 21 st century. 515 00:37:33,050 --> 00:37:37,612 Humana more than doubles its fourth quarter profit, lifts its earning for the year... 516 00:37:37,688 --> 00:37:39,883 United Health has tripled its share prices. 517 00:37:39,957 --> 00:37:42,653 Making obscene profits... 518 00:37:42,727 --> 00:37:44,558 ...better-than-expected earnings. 519 00:37:44,629 --> 00:37:47,223 There's a lot of wealthy shareholders out there. 520 00:37:47,298 --> 00:37:49,562 Are they willing to share some of that wealth? 521 00:37:49,634 --> 00:37:53,092 ...turning their CEOs into billionaires. 522 00:37:53,771 --> 00:37:57,366 And skirting the law whenever they wanted. 523 00:37:58,709 --> 00:38:03,169 But their biggest accomplishment was buying our United States Congress. 524 00:38:03,247 --> 00:38:07,980 This is Washington at work. Lobbying has become so brazen... 525 00:38:08,052 --> 00:38:11,078 With four times as many healthcare lobbyists 526 00:38:11,155 --> 00:38:13,248 than there are members of Congress. 527 00:38:13,324 --> 00:38:16,293 They even managed to buy off old foes. 528 00:38:17,094 --> 00:38:19,927 For her silence. Hillary was rewarded. 529 00:38:19,997 --> 00:38:23,558 And she became the second largest recipient in the Senate 530 00:38:23,634 --> 00:38:26,967 of healthcare industry contributions. 531 00:38:30,841 --> 00:38:35,642 We've given the entire healthcare system over to the insurance industry. 532 00:38:35,713 --> 00:38:40,343 - And they have total control. - Well. Not total control. 533 00:38:40,418 --> 00:38:44,718 Drug companies like to buy their members of Congress too. 534 00:38:44,789 --> 00:38:48,156 Here's what it costs to buy these men. 535 00:38:48,225 --> 00:38:50,216 And this woman. 536 00:38:52,029 --> 00:38:54,156 This guy. 537 00:38:54,231 --> 00:38:56,722 And this guy. And him too. 538 00:38:58,502 --> 00:39:03,064 Ladies and gentlemen, the President of the United States. 539 00:39:03,140 --> 00:39:07,543 And the biggest check was saved for last. 540 00:39:07,611 --> 00:39:10,273 Why did they hand out all this cash? 541 00:39:10,348 --> 00:39:15,809 They wanted a bill passed - a bill to help seniors with their prescriptions. 542 00:39:15,886 --> 00:39:18,116 Let there be no mistake about it. 543 00:39:18,189 --> 00:39:21,681 Republicans love their mothers, their fathers and their grandparents 544 00:39:21,759 --> 00:39:26,992 as much as anybody else on this hill, and we're gonna take care of them. 545 00:39:27,064 --> 00:39:32,161 Of course. It was really a bill to hand over 800 billion of our tax dollars 546 00:39:32,236 --> 00:39:34,500 to the drug and health insurance industry. 547 00:39:34,572 --> 00:39:38,201 By letting the drug companies charge whatever they wanted. 548 00:39:38,275 --> 00:39:41,506 And making the private health insurance companies the middleman. 549 00:39:41,579 --> 00:39:44,514 Everybody was going to get their cut. 550 00:39:44,582 --> 00:39:47,244 The man they appointed to get the job done 551 00:39:47,318 --> 00:39:49,912 was congressman Billy Tauzin. 552 00:39:49,987 --> 00:39:55,220 He was the right man for the job because he had a secret weapon. 553 00:39:55,292 --> 00:39:59,456 There's no one in this house loves their mother more than I love my mother. 554 00:39:59,530 --> 00:40:00,963 I challenge you on that, sir. 555 00:40:01,031 --> 00:40:06,162 Nobody in this body that loves their mother any more or any less than any one of us. 556 00:40:06,904 --> 00:40:08,462 I love that woman. 557 00:40:08,539 --> 00:40:11,633 Do you think for a second you love your moms and dads 558 00:40:11,709 --> 00:40:13,677 any more than we love ours? 559 00:40:13,744 --> 00:40:17,305 Do you think Republicans and Democrats who will vote... 560 00:40:17,381 --> 00:40:21,078 Do you really believe that, Mr. Stoddard? God bless you. 561 00:40:21,152 --> 00:40:24,280 Oh. They all loved their mothers. 562 00:40:24,355 --> 00:40:28,553 It's just that they didn't love our mothers as much. 563 00:40:28,626 --> 00:40:34,929 Now I'm honored and pleased to sign this historic piece of legislation - 564 00:40:34,999 --> 00:40:38,992 the Medicare Prescription Drug, Improvement, and Modernization Act 565 00:40:39,069 --> 00:40:41,060 of 2003. 566 00:40:43,140 --> 00:40:46,837 What they didn't tell us was that the elderly could end up paying more 567 00:40:46,911 --> 00:40:49,778 for their prescriptions than they did before. 568 00:40:49,847 --> 00:40:56,275 Over to thirds of senior citizens could still pay over $ 2.000 a year. 569 00:40:56,353 --> 00:41:01,313 And when it was over. 14 congressional aids who worked on the bill 570 00:41:01,392 --> 00:41:07,297 quit their jobs on the Hill and went to work for the healthcare industry. 571 00:41:07,364 --> 00:41:09,662 As did one congressman. 572 00:41:09,733 --> 00:41:13,760 # 'Cause I've got a golden ticket... 573 00:41:13,838 --> 00:41:18,275 Billy Tauzin left Congress to become the CEO of PhRMA. 574 00:41:18,342 --> 00:41:20,367 The drug industry lobby. 575 00:41:20,444 --> 00:41:23,072 For a salary of $ 2 million a year. 576 00:41:25,616 --> 00:41:28,881 Oh. It was a happy day in Washington. 577 00:41:28,953 --> 00:41:34,914 Many Americans knew they were never going to see universal healthcare. 578 00:41:34,992 --> 00:41:40,225 And that's why some of them decided to look elsewhere for help. 579 00:41:44,935 --> 00:41:47,870 We're driving across the Detroit river. 580 00:41:47,938 --> 00:41:51,237 Back there is the Renaissance Center, you can see it. 581 00:41:51,308 --> 00:41:55,642 General Motors' headquarters, downtown Detroit, the skyline. 582 00:41:55,713 --> 00:41:58,944 You get a really nice view from driving over the bridge. 583 00:41:59,016 --> 00:42:02,383 This is Adrian Campbell. A single mother. 584 00:42:02,453 --> 00:42:06,583 Who at the age of 22 came down with cancer. 585 00:42:06,657 --> 00:42:11,026 I got cervical cancer and I was denied through the insurance company. 586 00:42:11,095 --> 00:42:15,191 They said, "We're not paying for it because you're 22 and you don't have..." 587 00:42:15,266 --> 00:42:18,895 "You shouldn't be having cervical cancer. You're too young." 588 00:42:18,969 --> 00:42:22,427 Forced into debt. But now cancer free. 589 00:42:22,506 --> 00:42:25,669 Adrian was fed up with the American healthcare system. 590 00:42:25,743 --> 00:42:27,768 She had a new plan. 591 00:42:27,845 --> 00:42:30,609 I have everything ready before I even hit the border. 592 00:42:30,681 --> 00:42:34,617 I got my passports ready, I got my money out. 593 00:42:34,685 --> 00:42:37,950 It's three dollars and 25 cents to get across one way. 594 00:42:38,022 --> 00:42:43,756 And I got everything just sitting up here on my visor just ready to go. 595 00:42:47,831 --> 00:42:50,322 Aurora, be very quiet. 596 00:42:53,671 --> 00:42:55,866 - Citizenships? - US. 597 00:42:55,940 --> 00:42:57,635 - Where do you live? - Michigan. 598 00:42:57,708 --> 00:43:00,040 - That's not on, right? - No. 599 00:43:00,978 --> 00:43:03,412 She may live in Michigan. 600 00:43:03,480 --> 00:43:09,146 But ten blocks across the border. Adrian becomes a Canadian. 601 00:43:09,219 --> 00:43:12,052 How long have you been living here? Three months? 602 00:43:12,122 --> 00:43:16,491 A couple. I haven't applied for the OHIP card yet. 603 00:43:16,560 --> 00:43:19,051 - I still have mine. - It takes ten minutes. 604 00:43:19,129 --> 00:43:22,621 That's fine, I don't mind. OK, thank you. 605 00:43:22,700 --> 00:43:25,260 I put down Kyle's address at the clinic, 606 00:43:25,336 --> 00:43:28,134 and when they ask, you know, what my relationship is, 607 00:43:28,205 --> 00:43:32,301 I put down that I was his common-law partner. 608 00:43:32,376 --> 00:43:34,435 I don't like to lie and I don't like liars. 609 00:43:34,511 --> 00:43:40,416 It's little white lies, but it's... You know, I'm saving the money. 610 00:43:40,484 --> 00:43:45,820 You don't bring a checkbook when you go to the hospital here. It's provided to us. 611 00:43:45,889 --> 00:43:50,053 It's something you don't have to worry about or go out of your way to get. 612 00:43:50,127 --> 00:43:51,788 Stress free. 613 00:43:56,767 --> 00:43:59,565 - They called the cops. - The presence of our camera 614 00:43:59,637 --> 00:44:01,696 alerted the clinic that something was up. 615 00:44:01,772 --> 00:44:04,172 And I don't think I'm gonna get seen now. 616 00:44:04,241 --> 00:44:06,766 So I have another idea. 617 00:44:06,844 --> 00:44:09,870 I'm gonna go down to the other clinic. 618 00:44:09,947 --> 00:44:13,678 There is a clinic down... one that we passed. 619 00:44:14,718 --> 00:44:17,812 The police showed up over there. Look. 620 00:44:19,390 --> 00:44:23,759 Yes. What Adrian was doing was illegal. But we're Americans. 621 00:44:23,827 --> 00:44:26,489 We go into other countries when we need to. 622 00:44:27,164 --> 00:44:29,860 It's tricky. But it's allowed. 623 00:44:33,003 --> 00:44:35,733 It's kind of frustrating having... I mean... 624 00:44:35,806 --> 00:44:39,003 Just get married and that'd solve everything - she'd be covered. 625 00:44:39,076 --> 00:44:42,842 Americans marry Canadians just for the healthcare! 626 00:44:42,913 --> 00:44:46,371 - I'm being used. - Sounds like a good idea. 627 00:44:46,450 --> 00:44:50,477 See if it works. Start something. Start a trend. 628 00:44:52,623 --> 00:44:54,955 In Canada they give everybody free healthcare. 629 00:44:55,025 --> 00:44:57,858 - Doesn't it work up there? - No, unfortunately it doesn't. 630 00:44:57,928 --> 00:45:01,523 We wait months to get treatment you can get in a week or a few days here. 631 00:45:01,598 --> 00:45:06,262 In Canada you have to wait nine to ten months for bypass surgery. 632 00:45:06,336 --> 00:45:11,364 Many Canadians believe it's the healthcare system itself that's sick. 633 00:45:11,442 --> 00:45:13,342 They pay their doctors less. 634 00:45:13,410 --> 00:45:16,846 A surgeon can only do a certain number of operations each year. 635 00:45:16,914 --> 00:45:19,678 With only so many expensive new pieces of equipment. 636 00:45:19,750 --> 00:45:23,914 It's easier for your cat or dog to receive an MRI here in America. 637 00:45:23,987 --> 00:45:28,447 You die of cancer waiting for chemo 'cause all of Ottawa has one chemo machine. 638 00:45:28,525 --> 00:45:32,985 If you think socialized medicine is a good idea, ask a Canadian. 639 00:45:34,565 --> 00:45:40,526 I thought who better to ask than my Canadian relatives. Bob and Estelle. 640 00:45:40,604 --> 00:45:43,903 But they wouldn't cross the border into America. 641 00:45:43,974 --> 00:45:47,705 They wanted me to meet them at Sears. In Canada. 642 00:45:47,778 --> 00:45:51,077 What are you guys doing here? 643 00:45:51,148 --> 00:45:55,414 - We're buying insurance. - We're going to the States to see you. 644 00:45:55,486 --> 00:45:57,477 Right, that's just across the river. 645 00:45:57,554 --> 00:45:59,112 Yeah. 646 00:45:59,189 --> 00:46:03,489 You wouldn't go over to see us in Michigan for a couple of hours without insurance? 647 00:46:03,560 --> 00:46:07,963 No, we wouldn't. We're just adamant about it. We would not do it. 648 00:46:08,031 --> 00:46:12,297 If somebody punches us in the mouth or something, something like that... 649 00:46:12,369 --> 00:46:15,736 You don't want to get caught in the American health system thing? 650 00:46:15,806 --> 00:46:21,073 We have nothing against Americans or America, or anything like that at all. 651 00:46:21,145 --> 00:46:27,641 - We're a nice and simple people. - Not very simple, but certainly very nice. 652 00:46:29,219 --> 00:46:32,620 I decided to explore their anti-American views further. 653 00:46:32,689 --> 00:46:34,987 Over some fine Canadian cuisine. 654 00:46:35,058 --> 00:46:38,789 We have a friend who went to Hawaii. 655 00:46:38,862 --> 00:46:43,094 And he sustained a head injury while he was there. 656 00:46:43,167 --> 00:46:45,931 And before he was well enough to come home, 657 00:46:46,003 --> 00:46:50,030 he had chalked up a bill of over $600,000. 658 00:46:51,341 --> 00:46:55,675 So what middle-class Canadian could absorb that? 659 00:46:55,746 --> 00:47:00,115 I guess I feel bad that you would have to worry about something like that. 660 00:47:00,184 --> 00:47:04,177 We're not criticizing your country, we're just giving you the facts, 661 00:47:04,254 --> 00:47:08,884 that we could not afford to be without insurance. 662 00:47:08,959 --> 00:47:12,520 - Even for a day? - Even for a day. 663 00:47:13,797 --> 00:47:17,756 To prove their point even further. They sent me over to a local golf course 664 00:47:17,835 --> 00:47:23,899 to talk to Larry Godfrey. Who had a golfing accident while on vacation in Florida. 665 00:47:23,974 --> 00:47:28,877 I could hear a noise and feel a pain, and the tendon snapped off this bone here 666 00:47:28,946 --> 00:47:31,244 that holds the bicep in place. 667 00:47:31,315 --> 00:47:34,876 So this bicep muscle was released, like on an elastic, 668 00:47:34,952 --> 00:47:37,386 and it ended up here on my chest. 669 00:47:37,454 --> 00:47:40,685 - The muscle ended up in your chest? - Right. Ended up here. 670 00:47:41,558 --> 00:47:44,891 Like all good golfers. Larry finished his round 671 00:47:44,962 --> 00:47:47,954 before seeking medical attention. 672 00:47:48,031 --> 00:47:50,795 That's when he got the bad news. 673 00:47:50,868 --> 00:47:53,496 I wasn't too worried as I had out-of-country insurance, 674 00:47:53,570 --> 00:47:57,529 but when he told me it was 23 or 24,000, then I... 675 00:47:57,608 --> 00:48:01,044 - 24,000? - Dollars, yes. 676 00:48:01,111 --> 00:48:04,877 So if you'd stayed in the United States, this would have cost you $ 24,000? 677 00:48:04,948 --> 00:48:09,442 Instead, you went back to Canada, and Canada paid your total expenses? 678 00:48:09,519 --> 00:48:12,010 - Everything. - Paid for the operation. It cost you? 679 00:48:12,089 --> 00:48:13,420 - Nothing. - Zero. 680 00:48:13,490 --> 00:48:15,958 Zero. Zero. 681 00:48:16,026 --> 00:48:20,190 I'm wondering why you expect your fellow Canadians, who don't have your problem, 682 00:48:20,264 --> 00:48:25,361 why should they, through their tax dollars, have to pay for a problem you have? 683 00:48:25,435 --> 00:48:29,064 Because we would do the same for them. 684 00:48:29,139 --> 00:48:33,542 It's just the way it's always been and it's the way we hope it'll always be. 685 00:48:33,610 --> 00:48:36,340 Right, but if you just had to pay for your problem, 686 00:48:36,413 --> 00:48:40,144 and don't pay for everybody else's problem, just take care of yourself? 687 00:48:40,217 --> 00:48:43,948 Well, there are a lot of people who aren't in a position to be able to do that. 688 00:48:44,021 --> 00:48:46,581 And somebody has to look after them. 689 00:48:46,657 --> 00:48:48,750 Are you a member of the Socialist Party? 690 00:48:48,825 --> 00:48:51,293 - No. No. - Green Party? 691 00:48:51,361 --> 00:48:56,731 No. Well, actually, I'm a member of the Conservative Party. 692 00:48:56,800 --> 00:48:58,961 Is that bad? 693 00:48:59,836 --> 00:49:03,328 - Well, it's just a little confusing. - Well... 694 00:49:03,407 --> 00:49:05,807 It shouldn't be. I think that... 695 00:49:05,876 --> 00:49:09,209 Where medical matters are concerned, it wouldn't matter in Canada 696 00:49:09,279 --> 00:49:13,511 what party you were affiliated with, if any. 697 00:49:13,583 --> 00:49:16,575 But, to us, as we look across the river here, 698 00:49:16,653 --> 00:49:19,247 you know, why don't you think we don't believe that? 699 00:49:19,323 --> 00:49:21,848 What's wrong on this issue with us? 700 00:49:21,925 --> 00:49:28,057 I guess the powers that be don't share our beliefs 701 00:49:28,131 --> 00:49:30,497 that healthcare ought to be universal. 702 00:49:30,567 --> 00:49:35,630 I mean, Canadians didn't until we met up with a guy named Tommy Douglas, 703 00:49:35,706 --> 00:49:39,836 who pretty much changed everyone's mind. 704 00:49:39,910 --> 00:49:43,676 - One guy? - One guy, yeah. One guy did it, he... 705 00:49:43,747 --> 00:49:46,716 - Can he come over and visit us? - He's dead, unfortunately. 706 00:49:46,783 --> 00:49:48,774 In fact, he was... 707 00:49:48,852 --> 00:49:54,154 He's just most recently been revered as Canada's singular most important person. 708 00:49:54,224 --> 00:49:57,057 - We think so much of... - You mean in your history? 709 00:49:57,127 --> 00:49:59,061 In our whole history. 710 00:49:59,129 --> 00:50:01,996 - More than your first prime minister? - Absolutely, yeah. 711 00:50:02,065 --> 00:50:04,556 Even more than Wayne Gretzky. 712 00:50:04,634 --> 00:50:07,569 - No way! - Absolutely. Yeah. 713 00:50:07,637 --> 00:50:11,596 - More than C�line Dion? - Great singer. More than C�line, yeah. 714 00:50:11,675 --> 00:50:14,508 - More than Rocky and Bullwinkle? - Maybe. 715 00:50:20,250 --> 00:50:23,117 As the blade went through, it caught the glove I was wearing 716 00:50:23,186 --> 00:50:29,056 and it sliced through the entire group of fingers, completely taking them off. 717 00:50:29,126 --> 00:50:32,459 And I realized that I needed help immediately. 718 00:50:33,497 --> 00:50:36,694 Obviously, putting on amputated fingers or arms or limbs 719 00:50:36,767 --> 00:50:38,962 is one of the more dramatic things we can do. 720 00:50:39,036 --> 00:50:43,166 If you're looking at five fingers, you're looking at a 24-hour operation. 721 00:50:43,240 --> 00:50:47,040 There actually was four surgeons, as well as all the nurses 722 00:50:47,110 --> 00:50:51,638 and two different anesthetists to carry out an operation of that magnitude. 723 00:50:51,715 --> 00:50:56,448 When Brad came in, we didn't have to worry about whether he could afford it. 724 00:50:56,520 --> 00:51:01,958 He needed help and we could concentrate on the best way to bring him through it. 725 00:51:02,893 --> 00:51:08,126 I met this American, he'd cut off the ends of two of his fingers with a saw. 726 00:51:08,198 --> 00:51:13,795 So when he arrived at the hospital, they told him one finger's gonna cost $60,000, 727 00:51:13,870 --> 00:51:16,634 and the other one was gonna be $12,000. 728 00:51:16,706 --> 00:51:20,039 He had to choose which finger he could afford. 729 00:51:20,110 --> 00:51:22,476 Down. Bend the long finger down. 730 00:51:22,546 --> 00:51:26,710 We've never told someone that they couldn't put a finger back on 731 00:51:26,783 --> 00:51:28,774 because the system wouldn't allow it. 732 00:51:28,852 --> 00:51:34,222 I'm very glad I work within a system that allows me the freedom to look after people, 733 00:51:34,291 --> 00:51:36,782 and not have to make choices like that. 734 00:51:36,860 --> 00:51:40,591 It seems nothing we were told about the Canadian system was true. 735 00:51:40,664 --> 00:51:43,098 Maybe I was just in the wrong part of town. 736 00:51:43,166 --> 00:51:47,125 So I went across the city to a crowded hospital waiting room. 737 00:51:47,204 --> 00:51:49,468 How long did you have to wait here to get help? 738 00:51:49,539 --> 00:51:51,973 - 20 minutes. - 45 minutes. 739 00:51:52,042 --> 00:51:55,443 - I got helped right away. - You can see how crowded this is. 740 00:51:55,512 --> 00:51:58,003 They really do an amazing job. 741 00:51:58,081 --> 00:52:01,278 Did you have to get permission to come to this hospital? 742 00:52:01,351 --> 00:52:02,909 - No. - No. 743 00:52:02,986 --> 00:52:04,977 We can go anywhere we want. 744 00:52:05,055 --> 00:52:08,991 You don't have to get it preapproved by your insurance company? 745 00:52:09,059 --> 00:52:12,620 - Oh, heavens, no. - Can you choose your doctor? 746 00:52:12,696 --> 00:52:14,994 - Oh, yes. - What's your deductible? 747 00:52:15,065 --> 00:52:17,533 - Nothing. - I don't think we have any. 748 00:52:17,601 --> 00:52:21,264 I don't know. I don't think there's any, as far as I know. 749 00:52:21,338 --> 00:52:23,363 - So what did this cost? - Nothing. 750 00:52:23,440 --> 00:52:26,136 We know in America people pay for their healthcare, 751 00:52:26,209 --> 00:52:31,010 but I guess we don't understand that, 'cause we don't have to deal with that. 752 00:52:31,081 --> 00:52:34,573 And we're dealing with Parkinson's, stroke, heart attack. 753 00:52:34,651 --> 00:52:37,142 We're very, very lucky. Really we are. 754 00:52:37,220 --> 00:52:40,553 I mean, we complain. People complain about everything, right? 755 00:52:40,624 --> 00:52:45,357 - Right, you're Canadian. - But on the whole, it's a fabulous system 756 00:52:45,428 --> 00:52:51,128 for making sure that the least of us and the best of us are taken care of. 757 00:52:51,201 --> 00:52:56,468 It turns out that Canadians live three years longer than we do. 758 00:52:56,540 --> 00:53:02,342 That's not hard to believe when you meet fellow Americans like Erik. 759 00:53:02,412 --> 00:53:06,746 # Oh, England, here we go 760 00:53:09,052 --> 00:53:13,455 Erik Turnbow of Olympia. Washington. Saved up his whole life 761 00:53:13,523 --> 00:53:18,290 so that he could visit the famed Abbey Road crosswalk in London. 762 00:53:18,361 --> 00:53:22,695 But it wasn't enough for Erik to just walk across the road like The Beatles did. 763 00:53:22,766 --> 00:53:25,929 He had to do it his own special way. 764 00:53:26,903 --> 00:53:32,205 Here's Erik, about to walk on his hands across Abbey Road. 765 00:53:33,143 --> 00:53:35,134 Ready? 766 00:53:35,879 --> 00:53:37,870 Ugh! 767 00:53:39,382 --> 00:53:40,474 Try it again. 768 00:53:49,593 --> 00:53:51,458 - Are you in pain? - Yeah. 769 00:53:55,699 --> 00:54:01,365 The British hospital didn't charge Erik anything for his stay. 770 00:54:01,438 --> 00:54:06,705 And only about ten bucks for all the way-cool drugs they gave him. 771 00:54:06,776 --> 00:54:10,678 - You're all slung up. - I'm gonna be OK. 772 00:54:14,317 --> 00:54:19,687 I decided to go to Great Britain to find out how a hospital stay could be free. 773 00:54:19,756 --> 00:54:23,089 And drugs could cost only ten dollars. 774 00:54:25,362 --> 00:54:30,629 If I come in here and I have a prescription and it requires 30 pills, how much is that? 775 00:54:30,700 --> 00:54:33,498 It's L6.65. That's the standard charge. 776 00:54:33,570 --> 00:54:37,006 L6.65? So that's what? Ten dollars or so? 777 00:54:37,073 --> 00:54:40,133 - Yes. - What if I needed 60 pills, how much is it? 778 00:54:40,210 --> 00:54:42,405 - Same charge. - 120 pills? 779 00:54:42,479 --> 00:54:44,913 - L6.65 still. - It doesn't matter how many pills? 780 00:54:44,981 --> 00:54:48,747 - No. - What if it's an HIV drug or a cancer drug? 781 00:54:48,818 --> 00:54:50,445 Still L6.65. 782 00:54:50,520 --> 00:54:55,981 If they are under 16 or over 60, they're automatically exempt. 783 00:54:56,059 --> 00:55:01,122 So only a working adult who earns enough money pays the L6.65? 784 00:55:01,197 --> 00:55:03,324 Everybody else gets medication free? 785 00:55:03,400 --> 00:55:06,028 - No money being exchanged here? - No, nothing. 786 00:55:06,102 --> 00:55:09,629 - There's no money being exchanged? - I'm over 60. We don't pay. 787 00:55:09,706 --> 00:55:11,970 What's the purpose of the cash register? 788 00:55:14,177 --> 00:55:19,444 I'm just wondering where's the bread and the milk and the candy in here? 789 00:55:19,516 --> 00:55:22,917 I can't pick up any laundry detergent here? 790 00:55:22,986 --> 00:55:27,980 No. I haven't been trained for that many years to be selling detergents, so no. 791 00:55:39,469 --> 00:55:45,806 I next went to a state-run hospital. Operated by the National Health Service. 792 00:55:46,776 --> 00:55:51,110 I'm due in seven weeks and I get six months off, paid. 793 00:55:51,181 --> 00:55:55,584 And then I can have six months off unpaid as well, so I'm actually taking a year. 794 00:55:55,652 --> 00:55:58,519 Well, that sounds like a luxury where I'm from. 795 00:55:58,588 --> 00:56:03,685 Oh, really, it's not like that in the US? No? Not at all, no? 796 00:56:04,194 --> 00:56:06,526 So what do you pay for a stay here? 797 00:56:06,596 --> 00:56:08,928 No one pays. 798 00:56:10,367 --> 00:56:12,892 They were asking how do people pay. 799 00:56:12,969 --> 00:56:15,403 I said there isn't... You don't, you just leave. 800 00:56:15,472 --> 00:56:19,966 It's national insurance. There's no bill at the end of it, as it were. 801 00:56:22,445 --> 00:56:26,245 Even with insurance. There's bound to be a bill somewhere. 802 00:56:26,316 --> 00:56:29,877 - So where's the billing department? - There isn't a billing department. 803 00:56:29,953 --> 00:56:31,921 There's no such thing. 804 00:56:32,522 --> 00:56:34,615 What did they charge for that baby? 805 00:56:34,691 --> 00:56:37,717 - Sorry? - You gotta pay before you can get out? 806 00:56:37,794 --> 00:56:41,753 - No. This is NHS. - No, no. Everything is on NHS. 807 00:56:41,831 --> 00:56:44,322 You know, it's not America. 808 00:56:46,703 --> 00:56:52,642 Maybe I'd have better luck in the part where things get seriously expensive. 809 00:56:52,709 --> 00:56:57,078 This guy broke his ankle. How much will this cost him? 810 00:56:57,147 --> 00:57:01,709 The emergency room visit. He'll have some huge bill when he's done, right? 811 00:57:01,785 --> 00:57:04,845 Here... NHS, everything is free. 812 00:57:04,921 --> 00:57:08,220 I'm asking about hospital charges and you're laughing. 813 00:57:08,291 --> 00:57:12,022 I was never asked this question in the emergency department, that's why. 814 00:57:13,830 --> 00:57:16,993 I was starting to fall for this "everything is free" bit. 815 00:57:17,066 --> 00:57:19,057 And then I discovered this. 816 00:57:20,403 --> 00:57:24,339 So this is where people come to pay their bill when they're done staying here? 817 00:57:24,407 --> 00:57:27,467 No, this is the NHS hospital, so you don't pay the bill. 818 00:57:27,544 --> 00:57:30,342 You get to just go home? 819 00:57:30,413 --> 00:57:35,146 Why does it say "cashier" here if people don't have to pay a bill? 820 00:57:35,218 --> 00:57:37,812 All we have is a little man who stands behind a counter 821 00:57:37,887 --> 00:57:41,948 and he gives people money if they've had to pay for transport. 822 00:57:42,025 --> 00:57:46,086 Those who have reduced means get their travel expenses reimbursed. 823 00:57:46,162 --> 00:57:47,254 Thank you. 824 00:57:47,330 --> 00:57:52,597 So in British hospitals. Instead of money going into the cashier's window. 825 00:57:52,669 --> 00:57:54,227 Money comes out. 826 00:57:54,304 --> 00:57:57,273 The criteria for letting you out are not if you've paid, 827 00:57:57,340 --> 00:58:00,673 the criteria are, are you fit to go and are you going somewhere safe? 828 00:58:00,743 --> 00:58:03,974 Clearly. I was just the butt of a joke here. 829 00:58:09,085 --> 00:58:12,282 What I needed was a good old-fashioned American 830 00:58:12,355 --> 00:58:14,880 who would have some understanding. 831 00:58:14,958 --> 00:58:18,519 I first came to London in 1992. 832 00:58:18,595 --> 00:58:22,895 And we just ended up staying and we had three children here. 833 00:58:22,966 --> 00:58:28,268 Well, I had them all on the NHS, which is the British National Health Service. 834 00:58:28,338 --> 00:58:32,069 I think, like a lot of Americans, assumed that a socialized medicine 835 00:58:32,141 --> 00:58:35,110 was just bottom of the rung treatment, 836 00:58:35,178 --> 00:58:39,171 that the only way would be horrible and it would be like the Soviet Union. 837 00:58:39,249 --> 00:58:41,217 I mean, that's kind of how... 838 00:58:41,284 --> 00:58:45,778 - And it's terrible that that's what I thought. - That's what I thought. Too. 839 00:58:45,855 --> 00:58:49,450 After having a baby. It's right back to the wheat fields. 840 00:59:13,983 --> 00:59:17,180 And then it occurred to me that back home in America. 841 00:59:17,253 --> 00:59:20,154 We've socialized a lot of things. 842 00:59:44,747 --> 00:59:50,652 I kind of like having a police department and fire department and the library. 843 00:59:50,720 --> 00:59:56,590 And I got to wondering. Why don't we have more of these free. Socialized things. 844 00:59:56,659 --> 00:59:58,149 Like healthcare? 845 00:59:58,227 --> 01:00:03,130 When did this whole idea that every British citizen should have a right to healthcare? 846 01:00:03,199 --> 01:00:06,532 Well, if you go back, it all began with democracy. 847 01:00:06,603 --> 01:00:11,370 Before we had the vote all the power was in the hands of rich people. 848 01:00:11,441 --> 01:00:14,069 If you had money, you could get healthcare, education, 849 01:00:14,143 --> 01:00:16,043 look after yourself when you were old. 850 01:00:16,112 --> 01:00:21,106 And what democracy did was to give the poor the vote. 851 01:00:21,184 --> 01:00:25,314 And it moved power from the marketplace to the polling station. 852 01:00:25,388 --> 01:00:27,948 From the wallet to the ballot. 853 01:00:28,024 --> 01:00:30,083 And what people said was very simple. 854 01:00:30,159 --> 01:00:34,255 They said, "In the 1930s, we had mass unemployment." 855 01:00:34,317 --> 01:00:36,877 "But we don't have unemployment during the war." 856 01:00:36,953 --> 01:00:39,285 "If you can have full employment by killing Germans, 857 01:00:39,356 --> 01:00:44,055 why can't we have it by building hospitals, schools, recruiting nurses and teachers?" 858 01:00:44,127 --> 01:00:49,463 If you can find money to kill people, you can find money to help people. 859 01:00:49,532 --> 01:00:50,362 Right. 860 01:00:50,433 --> 01:00:54,164 This leaflet that was issued was very, very straightforward. 861 01:00:54,237 --> 01:00:56,933 - What year was this? - This was 1948. 862 01:00:57,007 --> 01:01:00,170 "Your new National Health Service begins on the 5th of July." 863 01:01:00,243 --> 01:01:02,234 "What is it? How do you get it?" 864 01:01:02,312 --> 01:01:07,147 "It will provide you with all medical, dental and nursing care." 865 01:01:07,217 --> 01:01:12,280 "Everyone, rich or poor, man, woman or child, can use it or any part of it." 866 01:01:12,355 --> 01:01:15,552 "There are no charges, except for a few special items." 867 01:01:15,625 --> 01:01:19,721 "There is no insurance qualifications, but it is not a charity." 868 01:01:19,796 --> 01:01:22,458 "You are paying for it mainly as taxpayers, 869 01:01:22,532 --> 01:01:26,730 and it will relieve your money worries in times of illness." 870 01:01:26,803 --> 01:01:30,762 Now, somehow, the few words sum the whole thing up. 871 01:01:36,579 --> 01:01:41,414 I was amazed when he said this all started in 1948. 872 01:01:41,918 --> 01:01:46,821 The British had come out of a devastating experience through World War II. 873 01:01:46,890 --> 01:01:50,155 The country was destroyed and nearly bankrupt. 874 01:01:50,226 --> 01:01:52,751 They had nothing. 875 01:01:52,829 --> 01:01:55,491 In just one eight-month period. 876 01:01:55,565 --> 01:01:59,433 Over 42.000 civilians lost their lives. 877 01:02:00,270 --> 01:02:03,501 What we went through in to hours on 911. 878 01:02:03,573 --> 01:02:06,599 They went through nearly every single day. 879 01:02:08,445 --> 01:02:14,611 Remember how we all felt after 911? All of us pulling together? 880 01:02:14,684 --> 01:02:17,118 I guess that's how they felt. 881 01:02:18,121 --> 01:02:21,579 And the first way that they decided to pull together after the war 882 01:02:21,658 --> 01:02:26,425 was to provide free medical care for everyone. 883 01:02:26,496 --> 01:02:31,934 Even Mrs. Thatcher said, "The National Health Service is safe in our hands." 884 01:02:32,001 --> 01:02:34,799 It's as non-controversial as votes for women. 885 01:02:34,871 --> 01:02:37,396 Nobody could say, "Why should women have the vote?" now. 886 01:02:37,474 --> 01:02:40,068 People wouldn't have it, they wouldn't in Britain. 887 01:02:40,143 --> 01:02:44,773 They wouldn't accept the deterioration or destruction of the National Health Service. 888 01:02:44,848 --> 01:02:48,443 If Thatcher or Blair said, "I'm going to dismantle national healthcare..." 889 01:02:48,518 --> 01:02:50,179 There would have been a revolution. 890 01:02:59,696 --> 01:03:05,157 A report from the AMA into the health of 55- to 64-year-olds 891 01:03:05,235 --> 01:03:08,102 says Brits are far healthier than Americans. 892 01:03:08,171 --> 01:03:12,972 For every illness that we looked at. Americans had more of it than English. 893 01:03:13,042 --> 01:03:16,671 Cancer. Heart disease. Hypertension. Strokes. Lung disease. 894 01:03:16,746 --> 01:03:19,408 All significantly higher for Americans. 895 01:03:19,482 --> 01:03:21,313 Even the poorest people in England 896 01:03:21,384 --> 01:03:25,650 with all the environmental factors that give them the worst health in the country 897 01:03:25,722 --> 01:03:31,024 can expect to live longer than the wealthiest people in America. 898 01:03:38,101 --> 01:03:42,003 I was wondering. Though. What's it like for the doctors here in Britain. 899 01:03:42,071 --> 01:03:45,700 Who have to live under this kind of state control? 900 01:03:45,775 --> 01:03:47,436 And you're a family doctor? 901 01:03:47,510 --> 01:03:50,843 Yeah, I suppose we'd call them GPs or general practitioners here. 902 01:03:50,914 --> 01:03:54,315 - Right, so you have a family practice? - Yeah, it's an NHS practice. 903 01:03:54,384 --> 01:03:56,375 We have nine doctors in that practice. 904 01:03:56,452 --> 01:03:58,443 - Paid for by the government? - Yeah. 905 01:03:58,521 --> 01:04:01,684 You work for the government? You're a government-paid doctor. 906 01:04:01,758 --> 01:04:04,886 A patient comes to you. Before you treat them, do you have to call 907 01:04:04,961 --> 01:04:07,759 the government insurance company before you treat them? 908 01:04:07,831 --> 01:04:11,562 No, I don't deal with money at all on an everyday basis. 909 01:04:11,634 --> 01:04:14,865 Have you ever had to say no to someone who was sick and needed help? 910 01:04:14,938 --> 01:04:18,237 - No, never. - Have you heard of anyone 911 01:04:18,308 --> 01:04:22,108 being in the hospital and being removed because they couldn't pay their bill? 912 01:04:22,178 --> 01:04:24,738 No, never. And I wouldn't want to work in that system. 913 01:04:24,814 --> 01:04:28,750 So working for the government, you probably have to use public transport? 914 01:04:28,818 --> 01:04:31,810 No. I have a car that I use and I drive to work. 915 01:04:31,888 --> 01:04:33,879 An old beater? 916 01:04:39,963 --> 01:04:42,227 You live in a rough part of town? 917 01:04:42,298 --> 01:04:46,291 I live in a terrific part of town. It's called Greenwich. 918 01:04:49,973 --> 01:04:52,601 It's a lovely house. It's a three-story house. 919 01:04:52,675 --> 01:04:55,405 How many other families have to live with you? 920 01:04:55,478 --> 01:05:00,472 There's four bedrooms for my wife and my son. It's just the three of us there. 921 01:05:00,550 --> 01:05:05,487 - How much did you pay for that? - L550,000. Yes, almost. 922 01:05:05,555 --> 01:05:07,546 So, a million dollars? 923 01:05:07,624 --> 01:05:12,721 You're a government-paid doctor on a national health insurance healthcare plan, 924 01:05:12,795 --> 01:05:15,787 - and you live in a million-dollar home? - Yes. 925 01:05:20,370 --> 01:05:24,363 - I think my friends think we do quite well. - Really? How well do you do? 926 01:05:24,440 --> 01:05:27,204 I earn around 85,000, including pension. 927 01:05:27,277 --> 01:05:29,745 - L85,000? - L85,000 a year. 928 01:05:29,812 --> 01:05:32,610 And that includes pension that they would pay in to me. 929 01:05:32,682 --> 01:05:35,651 They probably earn just over L100,000 within my practice. 930 01:05:35,718 --> 01:05:39,745 - L100,000? So that's almost $ 200,000? - Yes, absolutely. 931 01:05:39,822 --> 01:05:42,791 The money that we earn, we get paid by what we do. 932 01:05:42,859 --> 01:05:46,727 So the better we do for our patients, then the more we get paid. 933 01:05:46,796 --> 01:05:49,924 - What do you mean? - There's a new system. 934 01:05:49,999 --> 01:05:54,527 And in that new system, if the most number of your patients have low blood pressures, 935 01:05:54,604 --> 01:05:57,038 or you get most of your patients to stop smoking, 936 01:05:57,106 --> 01:06:00,906 or you get your patients to have mental health reviews if they're unwell, 937 01:06:00,977 --> 01:06:03,445 or low cholesterols, then you get paid more. 938 01:06:03,513 --> 01:06:07,609 This year, if you get more people that are your patients to stop smoking, 939 01:06:07,684 --> 01:06:09,845 you'll get more money, you'll earn more? 940 01:06:09,919 --> 01:06:11,284 Oh, yeah. Absolutely. 941 01:06:11,354 --> 01:06:18,055 So doctors in America do not have to fear having a universal healthcare? 942 01:06:18,127 --> 01:06:22,587 No. I think if you want to have two or three million-dollar homes 943 01:06:22,665 --> 01:06:26,431 and four or five nice cars and six or seven nice televisions, 944 01:06:26,502 --> 01:06:30,336 then maybe, yeah, you need to practice somewhere where you can earn that. 945 01:06:30,406 --> 01:06:32,567 But I think we live comfortably here. 946 01:06:32,642 --> 01:06:35,475 London is expensive, but I think we live comfortably. 947 01:06:35,545 --> 01:06:39,914 You're getting by OK on the million-dollar home, the Audi, and the flat-screen TV? 948 01:06:39,983 --> 01:06:42,577 Yeah, we're coping with those. 949 01:06:43,753 --> 01:06:46,813 I think democracy is the most revolutionary thing in the world. 950 01:06:46,889 --> 01:06:50,347 Far more revolutionary than socialist ideas, or anybody else's idea. 951 01:06:50,426 --> 01:06:56,092 Because if you have power, you use it to meet the needs of your community. 952 01:06:56,165 --> 01:07:00,761 And this idea of choice which capital talks about, "you've got to have a choice," 953 01:07:00,837 --> 01:07:02,964 choice depends on the freedom to choose. 954 01:07:03,039 --> 01:07:06,202 If you're shackled with debt, you don't have a freedom to choose. 955 01:07:06,275 --> 01:07:10,974 It seems it benefits the system if the average person is shackled with debt. 956 01:07:11,047 --> 01:07:14,915 People in debt become hopeless, and hopeless people don't vote. 957 01:07:14,984 --> 01:07:16,975 They always say everyone should vote, 958 01:07:17,053 --> 01:07:21,046 but I think if the poor in Britain or the United States 959 01:07:21,124 --> 01:07:24,025 voted for people who represented their interests, 960 01:07:24,093 --> 01:07:26,789 it would be a real democratic revolution. 961 01:07:26,863 --> 01:07:30,822 So they don't want it to happen. So keeping people hopeless and pessimistic... 962 01:07:30,900 --> 01:07:34,700 See, I think there are two ways in which people are controlled. 963 01:07:34,771 --> 01:07:39,003 First of all, frighten people, and secondly, demoralize them. 964 01:07:39,075 --> 01:07:42,841 An educated, healthy and confident nation is harder to govern. 965 01:07:42,912 --> 01:07:46,211 And I think there's an element in the thinking of some people: 966 01:07:46,282 --> 01:07:50,048 "We don't want people to be educated, healthy and confident, 967 01:07:50,119 --> 01:07:52,917 because they would get out of control." 968 01:07:52,989 --> 01:07:57,119 The top 1 % of the world's population own 80% of the world's wealth. 969 01:07:57,193 --> 01:08:01,186 It's incredible that people put up with it, but they're poor, 970 01:08:01,264 --> 01:08:03,732 they're demoralized, they're frightened. 971 01:08:03,800 --> 01:08:06,667 And therefore, they think perhaps the safest thing to do 972 01:08:06,736 --> 01:08:09,569 is to take orders and hope for the best. 973 01:08:13,876 --> 01:08:16,208 And hope for the best is what we do. 974 01:08:16,279 --> 01:08:18,873 Right from the moment we're born. 975 01:08:18,948 --> 01:08:22,714 We've got the worst infant mortality rate in the western world. 976 01:08:22,785 --> 01:08:25,777 A baby born in El Salvador has a better chance of surviving 977 01:08:25,855 --> 01:08:27,880 than a baby born in Detroit. 978 01:08:27,957 --> 01:08:30,551 But it gets better when we go to school. 979 01:08:30,626 --> 01:08:33,652 Classrooms with 40 students. Schools with no labs. 980 01:08:33,729 --> 01:08:37,221 No wonder the majority of our adults can't find Britain on a map. 981 01:08:37,300 --> 01:08:39,768 But that's OK. There's always college. 982 01:08:39,836 --> 01:08:42,304 By the time we graduate. Our ass is so in hock. 983 01:08:42,371 --> 01:08:45,067 We're in debt before our first job. 984 01:08:45,141 --> 01:08:50,443 I'm at about... we'll say about $35,000 in debt. That's for my third year in college. 985 01:08:50,513 --> 01:08:54,449 You'll be the employee they're looking for - one who needs this job. 986 01:08:54,517 --> 01:08:57,350 3,904, 3,905... 987 01:08:57,420 --> 01:09:00,787 What employer wouldn't employ someone thousands of dollars in debt. 988 01:09:00,857 --> 01:09:04,088 Because they won't cause any trouble? 989 01:09:04,160 --> 01:09:08,529 In addition to paying off your college debt. You need a job with health insurance. 990 01:09:08,598 --> 01:09:11,123 It would be horrible to lose that job. Wouldn't it? 991 01:09:11,200 --> 01:09:15,762 You can always quit, you know. There's no law that says you have to work here. 992 01:09:15,838 --> 01:09:18,932 If that one job doesn't pay all the bills. Don't worry. 993 01:09:19,008 --> 01:09:22,876 You can get another one. And another one. And another one. 994 01:09:22,945 --> 01:09:26,540 I work three jobs, and I feel like I contribute. 995 01:09:26,616 --> 01:09:29,244 - You work three jobs? - Three jobs, yes. 996 01:09:29,318 --> 01:09:33,846 Uniquely American, isn't it? I mean, that is fantastic that you're doing that. 997 01:09:34,924 --> 01:09:36,016 Get any sleep? 998 01:09:36,092 --> 01:09:39,061 If you're not sleeping. Take pharmaceuticals. 999 01:09:39,128 --> 01:09:41,619 You're tired all the time. You feel sad. 1000 01:09:41,697 --> 01:09:43,995 If you suffer from excessive worry... 1001 01:09:44,066 --> 01:09:46,227 Generalized anxiety disorder. 1002 01:09:46,302 --> 01:09:48,668 It could be adult ADD. 1003 01:09:48,738 --> 01:09:51,502 - Ask your doctor. - Ask your doctor. 1004 01:09:51,574 --> 01:09:55,135 Yes. Ask your doctor. And ask him for more drugs. 1005 01:09:55,211 --> 01:09:58,078 That should keep you doped up until it's time to retire. 1006 01:09:58,147 --> 01:10:00,479 Did I say retire? 1007 01:10:01,384 --> 01:10:04,080 If you make it to 80. Your pension will still be there. 1008 01:10:04,153 --> 01:10:07,987 Unlike the new employees for these companies. Who'll never see a pension. 1009 01:10:08,057 --> 01:10:12,994 But I'm sure our kids will take care of us. Considering the great life we've given 'em. 1010 01:10:13,062 --> 01:10:16,964 Remember. Let's defeat the terrorists over there so we don't have to fight them here. 1011 01:10:18,601 --> 01:10:22,469 Kaiser Permanente is the largest HMO in the country. 1012 01:10:22,538 --> 01:10:27,168 And Dawnelle Keyes was fortunate enough to be fully insured by them. 1013 01:10:27,243 --> 01:10:31,646 It's a good thing. Because one night. Her 18-month-old daughter. Mychelle. 1014 01:10:31,714 --> 01:10:34,410 Developed a fever of over 104. 1015 01:10:35,384 --> 01:10:38,842 So. Like any responsible mom. She called 911. 1016 01:10:38,921 --> 01:10:42,789 And the ambulance took Mychelle to the closest hospital. 1017 01:10:42,858 --> 01:10:44,883 The hospital checked with her HMO 1018 01:10:44,961 --> 01:10:48,624 and they were told that Kaiser would not cover the tests and the antibiotics 1019 01:10:48,698 --> 01:10:51,963 necessary to treat Mychelle. 1020 01:10:52,034 --> 01:10:56,835 She would have to take her to an in-netork. Kaiser-owned hospital. 1021 01:10:56,906 --> 01:11:01,866 Kaiser said that I should bring her by car to the hospital, 1022 01:11:01,944 --> 01:11:05,311 and that she shouldn't be treated at Martin Luther King. 1023 01:11:05,381 --> 01:11:10,318 I just continued to ask them to treat her, and they refused. 1024 01:11:11,887 --> 01:11:16,051 My daughter got worse and she had a seizure. 1025 01:11:17,159 --> 01:11:23,291 Dawnelle begged doctors to not listen to Kaiser and to treat her daughter. 1026 01:11:23,366 --> 01:11:29,236 I was escorted out of the hospital because they felt that I was a threat. 1027 01:11:30,039 --> 01:11:34,032 After hours of delay. She was transported to Kaiser. 1028 01:11:34,110 --> 01:11:38,740 And got there just in time to go into cardiac arrest. 1029 01:11:38,814 --> 01:11:43,478 They worked on her for about 30 minutes, trying to revive her. 1030 01:11:43,552 --> 01:11:49,957 And the doctors came in and let us know that she had expired. 1031 01:11:53,129 --> 01:11:58,533 I was in a daze, a real daze. It just didn't seem real. 1032 01:11:59,702 --> 01:12:01,431 I just held her. 1033 01:12:01,504 --> 01:12:05,873 I held her and I told her that Mommy tried her best to help her, 1034 01:12:05,941 --> 01:12:11,709 to make sure that she was gonna get the treatment she needed to receive. 1035 01:12:11,781 --> 01:12:15,911 And that I was sorry that I wasn't able to help her. 1036 01:12:21,557 --> 01:12:23,650 Simon says: Give the answer. 1037 01:12:28,097 --> 01:12:29,826 Uh-oh. 1038 01:12:30,399 --> 01:12:33,300 This is Karena and her daughter Zo�. 1039 01:12:33,369 --> 01:12:36,930 Karena is a graduate of Michigan State University. 1040 01:12:37,006 --> 01:12:40,464 And a native of my hometown of Flint. Michigan. 1041 01:12:40,543 --> 01:12:44,343 Six months ago. Zo�. Like Dawnelle's baby Mychelle. 1042 01:12:44,413 --> 01:12:46,574 Came down with a high fever. 1043 01:12:46,649 --> 01:12:49,846 What happened is she stopped breathing for a little while, 1044 01:12:49,919 --> 01:12:53,218 turned blue and passed out in my arms, which was... 1045 01:12:53,289 --> 01:12:57,453 It was the most horrible moment in my life, I think, 1046 01:12:57,526 --> 01:13:01,018 just because I thought that she was either dead or dying. 1047 01:13:01,097 --> 01:13:03,292 And I had no clue what to do. 1048 01:13:03,866 --> 01:13:08,269 At the hospital, they gave her some medicine to bring the fever down, 1049 01:13:08,337 --> 01:13:10,771 and examined her, took some blood. 1050 01:13:10,840 --> 01:13:14,003 - What was wrong with her? - It was a throat infection. 1051 01:13:14,076 --> 01:13:17,739 But we stayed at the hospital from Friday to Sunday, 1052 01:13:17,813 --> 01:13:20,907 - just so they could keep an eye on her. - You stayed there that long? 1053 01:13:20,983 --> 01:13:24,111 Yeah. They just basically kept an eye on her. 1054 01:13:24,186 --> 01:13:27,986 And how much did all this cost you, the three-plus days in the hospital? 1055 01:13:28,057 --> 01:13:29,388 - Nothing. - Nothing? 1056 01:13:29,458 --> 01:13:33,656 - Nothing. Nothing at all. - And that's because? 1057 01:13:34,663 --> 01:13:37,154 - I live in France. - You live in France? 1058 01:13:37,233 --> 01:13:38,325 Yeah. 1059 01:13:40,970 --> 01:13:42,938 Ah. France. 1060 01:13:43,005 --> 01:13:47,738 They enjoy their wine. Their cigarettes and their fatty foods. 1061 01:13:47,810 --> 01:13:50,870 And yet. Just like the Canadians and the Brits. 1062 01:13:50,946 --> 01:13:53,506 They live much longer than we do. 1063 01:13:53,582 --> 01:13:57,484 Something about that seemed grossly unfair. 1064 01:13:59,155 --> 01:14:00,850 This is Alexi Cremieux. 1065 01:14:00,923 --> 01:14:06,452 He spent his entire adult life in the US without health insurance. 1066 01:14:07,997 --> 01:14:12,161 I lived in America for 13 years. I loved my life there. 1067 01:14:12,234 --> 01:14:16,534 But then when I discovered that I had a tumor and I didn't have health insurance, 1068 01:14:16,605 --> 01:14:19,403 unfortunately, I had to come back here. 1069 01:14:19,475 --> 01:14:22,672 Even though I had never paid taxes in France 'cause I never worked here - 1070 01:14:22,745 --> 01:14:25,339 I left when I was 18, I had no Social Security number - 1071 01:14:25,414 --> 01:14:28,315 for them it was, "He needs treatment, he has no income, 1072 01:14:28,384 --> 01:14:32,445 so we're gonna give him, you know, the treatment he needs." 1073 01:14:33,355 --> 01:14:36,256 - How are you doing now? - I'm healthy now, 1074 01:14:36,325 --> 01:14:38,384 but I had three months of chemotherapy. 1075 01:14:38,461 --> 01:14:42,261 So after three months, I saw my doctor and he said, "You wanna go back to work?" 1076 01:14:42,331 --> 01:14:44,822 I said, "No, I don't feel like it." 1077 01:14:44,900 --> 01:14:47,869 "Right now, I'm not ready." He said, "How much do you need?" 1078 01:14:47,937 --> 01:14:51,168 I said, "Well, I don't know." He said, "Would three months be OK?" 1079 01:14:51,240 --> 01:14:53,902 I said, "I think three months would be fine." 1080 01:14:53,976 --> 01:14:58,572 He said, "OK, so take three months off." So he wrote me a note 1081 01:14:58,647 --> 01:15:01,309 that I gave to my employer to make sure I got paid. 1082 01:15:02,351 --> 01:15:06,879 - So I went to the south of France... - Wait a minute, three months off with pay? 1083 01:15:06,956 --> 01:15:08,924 Yes. Yes. 1084 01:15:08,991 --> 01:15:13,985 I get 65% paid by the government, 1085 01:15:14,063 --> 01:15:17,794 and then the other 35% is paid by my employer. 1086 01:15:17,867 --> 01:15:20,893 To make sure you get 100%. 1087 01:15:21,637 --> 01:15:26,631 So it was April, it was spring again. So I started right away, sucking up some sun. 1088 01:15:26,709 --> 01:15:32,477 And that really helped me a lot, to recharge my batteries. 1089 01:15:32,548 --> 01:15:37,349 I mean, it was like night and day. In three months, I went from a 95-year-old man 1090 01:15:37,419 --> 01:15:40,547 to a 35-year-old man again. 1091 01:15:40,623 --> 01:15:44,389 But that's because I had that time to take care of myself. 1092 01:15:49,999 --> 01:15:56,302 I'm not in a position to make any judgment concerning the American system. 1093 01:15:56,372 --> 01:15:59,603 I think the United States is a great, great country. 1094 01:15:59,675 --> 01:16:02,508 Americans are great people. I really love them. 1095 01:16:02,578 --> 01:16:07,777 But as a doctor first, as a citizen second, 1096 01:16:07,850 --> 01:16:10,375 and eventually, as a patient third, 1097 01:16:10,452 --> 01:16:12,886 I'm very glad to be in France. 1098 01:16:13,622 --> 01:16:15,749 It's kind of a luxury here. 1099 01:16:15,824 --> 01:16:20,022 You are sick, you step in a hospital, you get the care you need. 1100 01:16:20,095 --> 01:16:23,360 It doesn't depend on your premiums. It depends on what you need. 1101 01:16:23,432 --> 01:16:26,401 One of the principles is solidarity. 1102 01:16:26,468 --> 01:16:30,837 People who are better off pay for those who are worse off. 1103 01:16:31,674 --> 01:16:35,405 You pay according to your means and you receive according to your needs. 1104 01:16:35,477 --> 01:16:39,004 Do you think that will ever work in America? 1105 01:16:39,081 --> 01:16:40,946 No. 1106 01:16:41,016 --> 01:16:45,112 He could barely contain his seething anti-Americanism. 1107 01:16:45,187 --> 01:16:49,214 And I just didn't want to listen to any more of it. 1108 01:16:53,162 --> 01:16:57,428 So I found a group of Americans currently living in Paris. 1109 01:16:57,499 --> 01:17:00,627 Who I know would tell me the truth. 1110 01:17:00,703 --> 01:17:04,104 I was diagnosed five years ago with Type I diabetes. 1111 01:17:04,173 --> 01:17:09,338 - I was a bit nervous to tell them I had... - To tell the French? 1112 01:17:09,411 --> 01:17:12,539 There's a place to check off if you have a chronic condition. 1113 01:17:12,615 --> 01:17:15,607 I was nervous that they were going to charge me more. 1114 01:17:15,684 --> 01:17:19,484 And instead, I went into a hospital, and had round-the-clock care. 1115 01:17:19,555 --> 01:17:23,150 And they do an amazing amount of preventative care. 1116 01:17:23,225 --> 01:17:25,659 They asked if you have a preexisting condition, 1117 01:17:25,728 --> 01:17:28,891 not to punish you, but to give you more help? 1118 01:17:28,964 --> 01:17:31,125 - Yes. - I was in the hospital for a year. 1119 01:17:31,200 --> 01:17:37,161 As soon as I was in, it was, "Well, don't worry, just rest." 1120 01:17:37,239 --> 01:17:41,073 - People said "Rest." - How many sick days do you get a year? 1121 01:17:41,143 --> 01:17:43,839 - I think it's unlimited. - Unlimited? 1122 01:17:43,912 --> 01:17:48,144 Yes. How can you limit sick days? If you're sick, you're sick. 1123 01:17:48,217 --> 01:17:52,483 I've gone to emergency rooms numerous times, with four boys. 1124 01:17:52,554 --> 01:17:54,920 And have never waited more than an hour. Never. 1125 01:17:54,990 --> 01:17:57,788 I can call and somebody comes to the house in half an hour. 1126 01:17:57,860 --> 01:18:01,352 No way? Making a house call? At your place? 1127 01:18:01,430 --> 01:18:04,126 How many of you have had a house call from a doctor? No! 1128 01:18:04,199 --> 01:18:07,327 - 3:00am last Friday. - And how much does this cost you? 1129 01:18:07,403 --> 01:18:09,667 - Nothing. - What's this service called? 1130 01:18:15,144 --> 01:18:16,270 Where are we going? 1131 01:18:19,348 --> 01:18:22,511 We are going to see a man who has abdominal pain. 1132 01:18:22,584 --> 01:18:24,745 - Abdominal pain? - Yeah. 1133 01:19:06,462 --> 01:19:09,727 - Where do we go next? - The next visit? 1134 01:19:43,398 --> 01:19:45,866 I say to anyone who asks me why I'm in this country 1135 01:19:45,934 --> 01:19:49,927 is that I think it's one of the friendliest countries that I know of. 1136 01:19:50,005 --> 01:19:54,169 And talk about family values - I mean, childcare, healthcare... 1137 01:19:54,243 --> 01:19:56,074 We don't pay for day care. 1138 01:19:56,145 --> 01:20:00,548 The day care where I send my daughter - and I was a teacher - standards are high. 1139 01:20:04,186 --> 01:20:08,247 So how much does it cost you to have two children here? How much per hour? 1140 01:20:14,730 --> 01:20:17,460 Are you happy with how they're cared for? 1141 01:20:33,048 --> 01:20:39,009 Here, my kids are sure that they are going to get a certain level of care, education, 1142 01:20:39,087 --> 01:20:42,682 - college I don't have to worry about... - What do you mean? 1143 01:20:42,758 --> 01:20:44,783 - It's free. - You're kidding? 1144 01:20:44,860 --> 01:20:47,852 - You can get a college education for free. - No way. 1145 01:20:47,930 --> 01:20:51,195 - Yes. - There's not a sense of desperation. 1146 01:20:51,266 --> 01:20:53,325 They rest, they enjoy life. 1147 01:20:53,402 --> 01:20:57,065 They spend time with their kids, there's vacations, family time. 1148 01:20:57,139 --> 01:21:00,302 - How many weeks of paid vacation? - Minimum five weeks. 1149 01:21:00,375 --> 01:21:03,208 Five weeks? Minimum of five weeks? 1150 01:21:03,278 --> 01:21:06,645 If you work for a large company, you get sometimes eight, ten weeks. 1151 01:21:06,715 --> 01:21:10,583 - Remember that there is a 35-hour week. - The productivity rate is so high here. 1152 01:21:10,652 --> 01:21:13,849 I read it was higher than the United States. 1153 01:21:13,922 --> 01:21:17,881 If they're working more than 35 hours a week, they'll get extra days off. 1154 01:21:17,960 --> 01:21:20,394 That is for part-time and full-time employees. 1155 01:21:20,462 --> 01:21:24,023 You get five weeks paid vacation even if you're a part-time employee? 1156 01:21:24,099 --> 01:21:25,532 - Of course. - Everybody. 1157 01:21:25,601 --> 01:21:29,594 If you get married, you get an extra week or seven days for your honeymoon. 1158 01:21:29,671 --> 01:21:33,072 - In addition to your five weeks. - You're paid to take your honeymoon? 1159 01:21:33,141 --> 01:21:34,836 Also if you move. 1160 01:21:34,910 --> 01:21:37,606 You mean if you move from one apartment to another? 1161 01:21:37,679 --> 01:21:39,146 You get one day. 1162 01:21:39,214 --> 01:21:43,548 - You get a day to move and they pay you? - These are the laws here. 1163 01:21:43,619 --> 01:21:46,782 When my daughter was three months old, they sent somebody to you 1164 01:21:46,855 --> 01:21:51,690 to give you tips on what to do with your child, every single day, for free. 1165 01:21:51,760 --> 01:21:55,161 And they'll come to your house and do your laundry! 1166 01:21:55,230 --> 01:21:57,755 - They will! Sure! - No! 1167 01:21:57,833 --> 01:21:59,824 Stop! Stop! 1168 01:21:59,902 --> 01:22:02,996 - When you have a baby. - When you have a baby. 1169 01:22:05,274 --> 01:22:06,673 What are you doing? 1170 01:22:12,814 --> 01:22:14,406 You from the government? 1171 01:22:17,519 --> 01:22:21,182 - Can she do anything else? - If I want, yes. 1172 01:22:21,256 --> 01:22:24,555 She's, of course, taking care of the children. 1173 01:22:24,626 --> 01:22:30,087 And I think if I ask her to prepare a meal for tonight, 1174 01:22:30,165 --> 01:22:32,360 she can do it. 1175 01:22:37,606 --> 01:22:39,767 No problem. 1176 01:22:39,841 --> 01:22:42,469 She's coming twice a week. 1177 01:22:43,412 --> 01:22:45,972 Four hours a day. So I can do everything I want, 1178 01:22:46,048 --> 01:22:49,916 for me, for the house, for my husband, during four hours. 1179 01:22:49,985 --> 01:22:51,976 It's very precious for me. 1180 01:22:52,587 --> 01:22:55,784 You don't have any associations? Nothing to help like that? 1181 01:22:55,857 --> 01:23:00,521 No. Nobody from the government comes to your home in America 1182 01:23:00,595 --> 01:23:05,157 and does your laundry for you, if you're a new mother. 1183 01:23:05,233 --> 01:23:07,827 - It's difficult. - Yeah. 1184 01:23:08,403 --> 01:23:12,965 Something that I experience a lot of with my own family is guilt. 1185 01:23:13,041 --> 01:23:15,339 Guilt for being here almost, 1186 01:23:15,410 --> 01:23:19,779 and seeing the advantages and the benefits I have at such a young age. 1187 01:23:19,848 --> 01:23:25,582 Things that my parents worked their whole life for and haven't come close to touching. 1188 01:23:25,654 --> 01:23:28,521 It's really hard to know that you're here 1189 01:23:28,590 --> 01:23:32,219 in a very privileged position, you know, not living the highlife, 1190 01:23:32,294 --> 01:23:38,028 but in comparison, definitely. And that seems completely unfair. 1191 01:23:38,834 --> 01:23:41,803 One of the things that keeps everything running here 1192 01:23:41,870 --> 01:23:44,464 is that the government is afraid of the people. 1193 01:23:44,539 --> 01:23:49,238 They're afraid of protests, they're afraid of reactions from the people. 1194 01:23:49,311 --> 01:23:54,874 In the States, people are afraid of the government. They're afraid of acting up. 1195 01:23:54,950 --> 01:23:57,714 They're afraid of protesting, afraid of getting out. 1196 01:23:57,786 --> 01:23:59,981 In France, that's what people do. 1197 01:24:40,996 --> 01:24:44,488 Free college education. Free medical care. 1198 01:24:44,566 --> 01:24:46,557 Government-issued nannies. 1199 01:24:46,635 --> 01:24:50,162 I began to wonder how do they pay for all this? 1200 01:24:50,238 --> 01:24:53,935 And then I realized they're drowning in taxes! 1201 01:24:54,009 --> 01:24:58,139 I wanted to see what effect this would have on a nice French family. 1202 01:24:58,213 --> 01:25:00,408 So I went to find out. 1203 01:25:04,352 --> 01:25:07,150 - Hello. Welcome. - Hello. Thank you. 1204 01:25:07,989 --> 01:25:10,457 It's very nice. 1205 01:25:19,668 --> 01:25:22,501 - It's the news. - Yes. 1206 01:25:24,306 --> 01:25:29,039 What is your combined income for the two of you together for, say one month? 1207 01:25:34,483 --> 01:25:37,611 All right. You're an engineer and she's an assistant? Not bad. 1208 01:25:47,696 --> 01:25:49,687 How much is your mortgage? 1209 01:25:57,839 --> 01:26:00,672 - How many cars do you own? - Two. 1210 01:26:00,742 --> 01:26:03,006 Do you owe money from medical bills? 1211 01:26:05,547 --> 01:26:08,015 Is there any other debt? Loans, anything? 1212 01:26:09,451 --> 01:26:14,514 - Only the apartment. - What are your other expenses? 1213 01:26:14,589 --> 01:26:16,580 The fish. 1214 01:26:17,926 --> 01:26:20,360 Fish. Vegetables. 1215 01:26:20,428 --> 01:26:22,988 Vegetables are a big monthly expense for you. 1216 01:26:23,064 --> 01:26:26,830 - Yes. And fruit. Yogurt. - Yogurt. 1217 01:26:27,369 --> 01:26:29,166 What are your other big expenses? 1218 01:26:30,839 --> 01:26:33,239 Very important. 1219 01:26:48,056 --> 01:26:50,650 - Kenya? - We liked. 1220 01:26:50,725 --> 01:26:53,626 - Are you happy? - Yes. 1221 01:27:12,681 --> 01:27:16,947 After seeing all this. I began to wonder. 1222 01:27:17,018 --> 01:27:20,112 Was there a reason our government and our media 1223 01:27:20,188 --> 01:27:22,986 wants us to hate the French? 1224 01:27:28,196 --> 01:27:31,757 Are they worried we might like the French? 1225 01:27:36,338 --> 01:27:38,932 Or like their ways of doing things? 1226 01:27:47,148 --> 01:27:51,312 It was enough to make me put away my freedom fries. 1227 01:28:01,463 --> 01:28:03,693 Meanwhile. Back at home. 1228 01:28:03,765 --> 01:28:06,598 Hospitals had found a new way to deal with patients 1229 01:28:06,668 --> 01:28:08,795 who didn't have health insurance 1230 01:28:08,870 --> 01:28:11,100 and couldn't pay their bill. 1231 01:28:12,974 --> 01:28:18,640 I was standing against the wall and I saw a cab do a U-turn and pull up to the curb. 1232 01:28:18,713 --> 01:28:22,444 I watched to see what was happening 'cause I had a feeling what would occur, 1233 01:28:22,517 --> 01:28:24,644 'cause it's not a new thing. 1234 01:28:24,719 --> 01:28:27,552 They pulled up right here by this yellow fire hydrant 1235 01:28:27,622 --> 01:28:30,750 and dropped Carol off and immediately pulled away. 1236 01:28:30,825 --> 01:28:34,659 And as soon as they pulled away, she walked out into the street about up to here. 1237 01:28:34,729 --> 01:28:38,790 She then walked all the way down to the driveway down here, completely confused, 1238 01:28:38,867 --> 01:28:42,303 has no shoes on whatsoever and just a hospital gown. 1239 01:28:42,370 --> 01:28:44,031 And those gowns are thin. 1240 01:28:44,539 --> 01:28:48,839 That's when one of our staff members went and asked Carol if she needed assistance 1241 01:28:48,910 --> 01:28:52,846 and found out that she was disoriented and didn't know where she was. 1242 01:30:07,555 --> 01:30:12,492 Kaiser Permanente in Bellflower hospital had put her in a cab 1243 01:30:12,560 --> 01:30:16,496 and directed them to bring her to this drop-off point. 1244 01:30:16,564 --> 01:30:21,126 But the names of the hospitals had been taken off both bracelets before she arrived. 1245 01:30:21,202 --> 01:30:26,367 I have seen others that have come through our doors who have IVs still in their arms. 1246 01:30:26,441 --> 01:30:29,137 They told me that. At their shelter alone. 1247 01:30:29,210 --> 01:30:32,805 Over 50 patients had been dumped there by hospitals. 1248 01:30:32,881 --> 01:30:36,112 The options are few. We either open the front door and let them out, 1249 01:30:36,184 --> 01:30:38,709 which is not the humane thing to do, 1250 01:30:38,787 --> 01:30:41,722 or we try to find someplace for them to go. 1251 01:30:41,790 --> 01:30:45,021 And right now, skid row is the best bed in town. 1252 01:30:46,661 --> 01:30:48,754 The night before we were there. 1253 01:30:48,830 --> 01:30:53,062 The county hospital run by the University of Southern California. 1254 01:30:53,134 --> 01:30:55,625 One of the richest private schools in the country. 1255 01:30:55,703 --> 01:30:59,002 Dumped another patient off on the curb. 1256 01:31:00,008 --> 01:31:03,705 A woman unable to pay her hospital bill. 1257 01:31:06,414 --> 01:31:08,746 - Do you know how you got here? - In the cab. 1258 01:31:08,817 --> 01:31:11,047 - In the cab? - From General Hospital. 1259 01:31:11,119 --> 01:31:13,280 They gave him the voucher. 1260 01:31:15,490 --> 01:31:19,893 He dropped me off there, he actually forced me out of the car. 1261 01:31:19,961 --> 01:31:23,692 Ma'am, are you in pain right now? Are you in pain? 1262 01:31:23,765 --> 01:31:26,029 - Yes. - Is there anything we can do? 1263 01:31:26,100 --> 01:31:29,399 She, at this time, has broken ribs, broken collarbone, 1264 01:31:29,471 --> 01:31:32,702 and stitches that are not completely healed 1265 01:31:32,774 --> 01:31:35,402 across the top of her head and on the side of her head. 1266 01:31:35,477 --> 01:31:38,605 Now let me ask you, ma'am. Before they dropped you off, 1267 01:31:38,680 --> 01:31:41,513 did they ask you if you knew where you were going? 1268 01:31:41,583 --> 01:31:42,641 No. 1269 01:31:42,717 --> 01:31:45,584 They didn't ask you any questions about your orientation, 1270 01:31:45,653 --> 01:31:48,850 or whether or not you knew what was going on? 1271 01:31:48,923 --> 01:31:52,518 No, they just told me to take care of myself. 1272 01:31:55,864 --> 01:32:01,734 May I take a minute to ask a question that's been on my mind? 1273 01:32:01,803 --> 01:32:03,964 Who are we? 1274 01:32:05,106 --> 01:32:07,666 Is this what we've become? 1275 01:32:07,742 --> 01:32:12,577 A nation that dumps its own citizens like so much garbage on the side of the curb. 1276 01:32:12,647 --> 01:32:16,515 Because they can't pay their hospital bill? 1277 01:32:17,252 --> 01:32:22,053 I always thought. And believe to this day. That we're a good and generous people. 1278 01:32:22,123 --> 01:32:24,819 This is what we do if somebody's in trouble. 1279 01:32:24,893 --> 01:32:28,192 Anybody gets sick, we all get together and help. 1280 01:32:28,263 --> 01:32:30,458 People with a good heart... 1281 01:32:30,532 --> 01:32:35,697 You feel like you're sacrificing, but you get a blessing from doing this. 1282 01:32:35,770 --> 01:32:37,362 ...and a good soul. 1283 01:32:37,438 --> 01:32:41,898 We've got a lot of support and we're gonna all keep working until we locate this child. 1284 01:32:41,976 --> 01:32:46,413 Neighbors quick to lend a helping hand to anyone in their hour of need. 1285 01:32:46,481 --> 01:32:50,349 I deliver meals to them, but my life has been so blessed 1286 01:32:50,418 --> 01:32:53,979 that this is just the least that I can do. 1287 01:32:54,055 --> 01:32:57,047 They say that you can judge a society 1288 01:32:57,125 --> 01:33:01,186 by how it treats those who are the worst off. 1289 01:33:01,262 --> 01:33:07,861 But is the opposite true? That you can judge a society by how it treats its best? 1290 01:33:09,404 --> 01:33:11,463 Its heroes? 1291 01:33:11,839 --> 01:33:15,240 The firefighters and police, rescue and recovery workers 1292 01:33:15,310 --> 01:33:17,574 have responded with true heroism. 1293 01:33:18,813 --> 01:33:24,115 It was their initial heroism that thwarted the objectives of the terrorists. 1294 01:33:24,185 --> 01:33:29,589 Without regard, in many instances, to their own safety and security. 1295 01:33:29,657 --> 01:33:35,220 - They truly are heroes. - We owe them everything! 1296 01:33:35,296 --> 01:33:39,528 Here they are, the men and women who have been on the front lines for New York, 1297 01:33:39,567 --> 01:33:45,437 and for all of us in America! Tonight is dedicated to you! 1298 01:33:52,013 --> 01:33:55,972 Don't forget about the raffles going on over there - one dollar each. 1299 01:33:56,618 --> 01:33:58,984 I spent two and a half years down there. 1300 01:33:59,053 --> 01:34:02,454 I got upper and lower breathing problems. 1301 01:34:02,523 --> 01:34:06,084 I need a double lung transplant, but was diagnosed with pulmonary fibrosis. 1302 01:34:06,160 --> 01:34:10,859 I haven't slept in a bed in over five years, I sleep on a chair with a blanket, 1303 01:34:10,932 --> 01:34:12,923 because if I lay down I can't breathe. 1304 01:34:13,001 --> 01:34:16,164 There were hundreds of rescue workers on 911 1305 01:34:16,237 --> 01:34:18,364 who were not city employees. 1306 01:34:18,439 --> 01:34:22,808 But rather ran down to Ground Zero on their own to help out. 1307 01:34:22,877 --> 01:34:25,141 We need volunteers for first aid! 1308 01:34:25,213 --> 01:34:29,547 And many developed serious respiratory illnesses. 1309 01:34:29,617 --> 01:34:31,812 That's when the government said: 1310 01:34:31,886 --> 01:34:36,585 "They're not our responsibility because they weren't on our payroll." 1311 01:34:38,626 --> 01:34:43,859 John Graham is an EMT volunteer from Paramus. New Jersey. 1312 01:34:43,931 --> 01:34:47,423 He was in Lower Manhattan when he heard the planes hit. 1313 01:34:47,502 --> 01:34:49,970 And rushed over to help. 1314 01:34:50,038 --> 01:34:53,235 He worked in the rescue effort for the next few months. 1315 01:34:53,307 --> 01:34:57,971 But then had trouble receiving benefits for his illness. 1316 01:34:58,046 --> 01:35:03,484 They just deny you for any reason. It's just a terrible waiting game. 1317 01:35:03,551 --> 01:35:07,647 I really feel like they're waiting for you to die. 1318 01:35:07,722 --> 01:35:11,556 It's terrible. I never thought that we would do this, 1319 01:35:11,626 --> 01:35:14,527 that the United States would do this. 1320 01:35:14,595 --> 01:35:18,895 William Maher is a volunteer member of New Jersey's fire service. 1321 01:35:18,966 --> 01:35:22,333 He spent to months working near The Pile at Ground Zero. 1322 01:35:22,403 --> 01:35:26,533 Recovering bodies or body parts. And it deeply affected him. 1323 01:35:26,607 --> 01:35:30,043 I'm experiencing a lot of disturbing dreams, 1324 01:35:30,111 --> 01:35:32,306 or whatever you'd like to call them, 1325 01:35:32,380 --> 01:35:35,281 and it affected what I was doing at night, 1326 01:35:35,349 --> 01:35:37,476 and unaware of it because I was asleep 1327 01:35:37,552 --> 01:35:40,112 and I just kept grinding and grinding my teeth. 1328 01:35:40,188 --> 01:35:43,021 The upper fronts are damaged, practically beyond repair, 1329 01:35:43,091 --> 01:35:46,083 because of my constant grinding over the last three years. 1330 01:35:46,160 --> 01:35:50,654 I've been before a workers' comp board already for the 9/11 volunteers' fund. 1331 01:35:50,732 --> 01:35:56,796 I've been denied three times, and hopefully I will go on my fourth appeal soon, 1332 01:35:56,871 --> 01:36:01,171 if I can get the necessary documentation. 1333 01:36:01,809 --> 01:36:05,108 Of course. There was a $50 million fund set up 1334 01:36:05,179 --> 01:36:07,807 supposedly to help rescue workers. 1335 01:36:07,882 --> 01:36:11,215 Ladies and gentlemen, the governor of New York, George Pataki. 1336 01:36:11,285 --> 01:36:14,846 But the government. Like the health insurance companies. 1337 01:36:14,922 --> 01:36:18,449 Made it very difficult for people to receive help. 1338 01:36:18,526 --> 01:36:22,462 You have to have spent a certain amount of time at Ground Zero, 1339 01:36:22,530 --> 01:36:25,590 you have to be able to establish that. 1340 01:36:25,666 --> 01:36:30,399 You do have to file an affidavit within the next year, 1341 01:36:30,471 --> 01:36:32,939 relating your work experiences at Ground Zero. 1342 01:36:33,007 --> 01:36:36,067 And then, even with all of that, it's not automatic. 1343 01:36:36,144 --> 01:36:39,011 There is a presumption when certain illnesses occur, 1344 01:36:39,080 --> 01:36:43,881 but that presumption can be rebutted by other medical evidence. 1345 01:36:43,951 --> 01:36:48,149 We think it is a very fair approach that protects our heroes. 1346 01:36:55,263 --> 01:36:56,457 I'm sorry. 1347 01:36:56,531 --> 01:37:01,696 Reggie Cervantes was a volunteer medical technician on 911. 1348 01:37:01,769 --> 01:37:08,072 Nothing makes it go away sometimes. Not water, not cough medicine, anything. 1349 01:37:08,142 --> 01:37:14,570 It's just burning in my throat and irritated and it just gets me to coughing. 1350 01:37:14,649 --> 01:37:20,315 Sometimes I have trouble breathing 'cause I can't catch my breath. 1351 01:37:21,255 --> 01:37:24,747 Reggie spent her days at Ground Zero carrying bodies 1352 01:37:24,826 --> 01:37:27,454 and treating other rescue workers. 1353 01:37:27,528 --> 01:37:30,725 My airway was totally burnt that first week, 1354 01:37:30,798 --> 01:37:33,289 and I had trouble breathing by then. 1355 01:37:33,367 --> 01:37:36,200 But we wanted to see if we could dig anybody up alive, 1356 01:37:36,270 --> 01:37:42,072 we wanted to see if we had lost anybody, if we were still missing somebody. 1357 01:37:42,643 --> 01:37:46,704 I wanted to help. I was trained for this. 1358 01:37:46,781 --> 01:37:51,582 You know, you see somebody who is in need, you help 'em. 1359 01:37:52,787 --> 01:37:56,052 Reggie had difficulty getting treatment. 1360 01:37:56,123 --> 01:37:58,921 Too sick to work and with no income. 1361 01:37:58,993 --> 01:38:01,120 She was forced to quit her job. 1362 01:38:01,195 --> 01:38:06,132 And used her savings to move her and her kids out of the city. 1363 01:38:07,768 --> 01:38:10,566 It's hard to figure out how you're supposed to get help. 1364 01:38:10,638 --> 01:38:14,039 We're trying to go about it the right way. 1365 01:38:15,076 --> 01:38:17,442 But we're ignored. 1366 01:38:17,511 --> 01:38:22,642 But not everyone after 911 was ignored by the government. 1367 01:38:22,717 --> 01:38:27,848 We're now approaching the five-year anniversary of the 9/11 attacks. 1368 01:38:27,922 --> 01:38:31,756 So I'm announcing today that Khalid Sheikh Mohammed, 1369 01:38:31,826 --> 01:38:35,193 Abu Zubaydah, Ramzi Binalshibh, 1370 01:38:35,263 --> 01:38:38,289 and 11 other terrorists in CIA custody, 1371 01:38:38,366 --> 01:38:42,234 have been transferred to the US naval base at Guantanamo Bay. 1372 01:38:44,105 --> 01:38:49,372 On that island are some of the world's most hardened enemy combatants. 1373 01:38:49,443 --> 01:38:53,436 These detainees are deadly and include the 20th hijacker, 1374 01:38:53,514 --> 01:38:57,177 as well as a number of Osama bin Laden's personal bodyguards 1375 01:38:57,251 --> 01:39:01,449 and others who had a direct role in the September 11 attacks. 1376 01:39:02,123 --> 01:39:07,891 The kind of people held at Guantanamo include terrorist trainers, bomb-makers... 1377 01:39:07,962 --> 01:39:13,662 Many of them have American blood on their hands and are the elite of al-Qaida. 1378 01:39:13,734 --> 01:39:16,032 It seems to me we have an obligation 1379 01:39:16,103 --> 01:39:21,063 to treat these individuals as enemy combatants. 1380 01:39:21,142 --> 01:39:25,636 And then I learned it wasn't all bad news at Gitmo. 1381 01:39:30,985 --> 01:39:34,751 Detainees representing a threat to our national security 1382 01:39:34,822 --> 01:39:37,347 are given access to top-notch medical facilities. 1383 01:39:37,425 --> 01:39:42,362 They have acute care 24 hours a day, in which surgical procedures, 1384 01:39:42,430 --> 01:39:46,924 everything can be performed right there in the detainee camps. 1385 01:39:47,001 --> 01:39:49,492 This is the dental clinic, or the health clinic. 1386 01:39:49,570 --> 01:39:54,098 We have a physical therapy department, X- ray capabilities with digital X-rays. 1387 01:39:54,175 --> 01:39:56,302 We have one single operating room. 1388 01:39:56,377 --> 01:40:01,610 Health personnel to detainee ratio is one to four, remarkably high. 1389 01:40:01,682 --> 01:40:05,982 They do sick call on the blocks three times per week, care for them there if they can, 1390 01:40:06,053 --> 01:40:09,181 or bring that detainee back to the clinic to be seen there. 1391 01:40:09,256 --> 01:40:11,315 Screening for cancer has taken place. 1392 01:40:11,392 --> 01:40:16,056 Colonoscopy is a procedure which is performed there on a routine basis. 1393 01:40:16,130 --> 01:40:19,395 We have diabetes, high blood pressure, high cholesterol. 1394 01:40:19,467 --> 01:40:22,402 We monitor the weight and nutrition of the detainees, 1395 01:40:22,470 --> 01:40:26,099 so that we can track those detainees to make sure we see them frequently, 1396 01:40:26,173 --> 01:40:28,573 monitoring their labs and their overall health. 1397 01:40:28,642 --> 01:40:35,013 Their medical attention... They get way better medical treatment than I've ever had. 1398 01:40:35,082 --> 01:40:39,451 - You think it's as good as most US HMOs? - Certainly very similar and as good, sir. 1399 01:40:39,520 --> 01:40:43,616 I leave with an impression that healthcare there is clearly better 1400 01:40:43,691 --> 01:40:45,955 than they received at home, 1401 01:40:46,027 --> 01:40:50,930 and as good as many people receive in the United States of America. 1402 01:40:50,998 --> 01:40:55,401 Wow! So there is actually one place on American soil 1403 01:40:55,469 --> 01:40:58,563 that had free universal healthcare. 1404 01:40:58,639 --> 01:41:01,107 That's all I needed to know. 1405 01:41:03,010 --> 01:41:05,240 I went down to Miami. Florida. 1406 01:41:06,247 --> 01:41:08,579 Got myself a boat. 1407 01:41:09,050 --> 01:41:11,245 And loaded up Bill. 1408 01:41:11,318 --> 01:41:14,253 And Reggie and John. 1409 01:41:14,755 --> 01:41:16,518 John, welcome, sir. 1410 01:41:16,590 --> 01:41:21,391 And anyone else I could find who needed to see a doctor and couldn't afford one. 1411 01:41:21,462 --> 01:41:25,421 So many people showed up. I had to get a couple extra boats. 1412 01:41:25,499 --> 01:41:30,368 And I called up Donna Smith from Denver. Who is now on nine different medications. 1413 01:41:30,438 --> 01:41:33,100 And asked her if she'd like to come along. 1414 01:41:33,174 --> 01:41:37,235 I figured she'd like to get out of her daughter's basement for a while. 1415 01:41:37,311 --> 01:41:38,642 All right, let's go. 1416 01:41:55,396 --> 01:41:59,560 Which way to Guantanamo Bay? Can we go? 1417 01:41:59,633 --> 01:42:02,796 We're not going to Cuba! We're going to America! 1418 01:42:03,404 --> 01:42:05,929 It's American soil! 1419 01:42:41,942 --> 01:42:43,933 We made it. 1420 01:42:58,826 --> 01:43:01,693 There it is. There's the runway. 1421 01:43:01,762 --> 01:43:04,492 That's the prison over there where the detainees are. 1422 01:43:04,565 --> 01:43:09,093 - We're very close. - Yeah, we're very close. 1423 01:43:11,005 --> 01:43:14,771 The white building is the hospital, I think. 1424 01:43:15,276 --> 01:43:17,267 OK, let's go. 1425 01:43:21,715 --> 01:43:28,245 We commandeered a fishing boat and sailed into Guantanamo Bay. 1426 01:43:28,322 --> 01:43:33,225 As we approached the line in the water beteen the American and Cuban side. 1427 01:43:33,294 --> 01:43:36,195 We were told to be careful for mines. 1428 01:43:38,832 --> 01:43:43,428 Permission to enter. I have three 9/11 rescue workers. 1429 01:43:43,504 --> 01:43:46,405 They need some medical attention. 1430 01:43:50,511 --> 01:43:55,244 These are 9/11 rescue workers! They just want some medical attention! 1431 01:43:55,316 --> 01:43:58,615 The same kind that al-Qaida is getting. 1432 01:44:00,721 --> 01:44:05,385 They don't want any more than you're giving the evildoers, just the same! 1433 01:44:06,594 --> 01:44:08,459 Hello. 1434 01:44:08,529 --> 01:44:13,330 No one in the guard tower was responding and then we heard a siren. 1435 01:44:13,400 --> 01:44:16,164 We figured it was time to get out of here. 1436 01:44:16,237 --> 01:44:21,072 But what was I supposed to do with these sick people and no one to help them? 1437 01:44:21,141 --> 01:44:25,407 I mean. Here we were stuck in some godforsaken Third World country. 1438 01:44:25,479 --> 01:44:30,940 And communists. No less. When I was a kid. These people wanted to kill us. 1439 01:44:31,018 --> 01:44:33,350 What was I supposed to do? 1440 01:44:53,240 --> 01:44:57,609 Excuse me, we're looking for a doctor. Is there a doctor here in Cuba? 1441 01:44:57,678 --> 01:44:59,475 Any doctors? 1442 01:45:05,319 --> 01:45:06,479 All in this one block? 1443 01:45:12,760 --> 01:45:15,194 All right, thank you very much. Thank you. 1444 01:45:15,696 --> 01:45:20,861 OK. OK. I know what you're thinking. Cuba is where Lucifer lives. 1445 01:45:23,771 --> 01:45:29,073 The worse place on Earth. The most evil nation ever created. 1446 01:45:29,143 --> 01:45:33,842 How do we know that? 'Cause that's what we've been told for over 45 years. 1447 01:45:33,914 --> 01:45:37,816 A series of offensive missile sites can be none other 1448 01:45:37,885 --> 01:45:42,481 than to provide a nuclear strike capability against the western hemisphere. 1449 01:45:42,556 --> 01:45:47,755 I'm not gonna yield until Fidel Castro allows freedom on the island. 1450 01:45:47,828 --> 01:45:50,729 That's a... You can count on it. 1451 01:45:52,433 --> 01:45:54,765 Put it in the bank. 1452 01:45:55,969 --> 01:45:59,063 It seems that what really bugged us about Castro 1453 01:45:59,139 --> 01:46:02,540 was that he overthrew the dictator that we liked. 1454 01:46:02,609 --> 01:46:06,841 And replaced him with a guy we didn't like - himself. 1455 01:46:07,781 --> 01:46:11,979 And so now. After all these years. One thing is clear - 1456 01:46:12,052 --> 01:46:16,182 the Cuban people have free universal healthcare. 1457 01:46:16,256 --> 01:46:20,920 They've become known as having not only one of the best healthcare systems. 1458 01:46:20,994 --> 01:46:24,452 But as being one of the most generous countries in providing doctors 1459 01:46:24,531 --> 01:46:28,592 and medical equipment to Third World countries. 1460 01:46:28,669 --> 01:46:33,663 In the US. Healthcare costs run nearly $ 7.000 per person. 1461 01:46:33,741 --> 01:46:37,802 But in Cuba. They spend only $ 251. 1462 01:46:37,878 --> 01:46:42,838 And yet the Cubans are able to have a lower infant mortality rate than the US. 1463 01:46:42,916 --> 01:46:46,750 A longer average life span than the United States. 1464 01:46:46,820 --> 01:46:49,380 They believe in preventive medicine. 1465 01:46:49,456 --> 01:46:53,415 And it seems like there's a doctor on every block. 1466 01:46:53,494 --> 01:46:56,258 Their only sin when it comes to healthcare 1467 01:46:56,330 --> 01:46:59,731 seems to be that they don't do it for a profit. 1468 01:46:59,800 --> 01:47:04,328 Anybody need medication right now from the pharmacy? 1469 01:47:08,575 --> 01:47:11,066 - Are you the pharmacist? - Yes. 1470 01:47:11,145 --> 01:47:13,170 Do you have this? 1471 01:47:14,882 --> 01:47:19,979 - Is this one similar to yours? - Yeah. It's $120 in the US. 1472 01:47:20,053 --> 01:47:22,613 - This is $120 in the US? - Yes. 1473 01:47:26,326 --> 01:47:30,695 - How much is that in American dollars? - It's like five cents. 1474 01:47:30,764 --> 01:47:32,823 - Five cents? - Yeah. More or less. 1475 01:47:45,345 --> 01:47:49,213 Thank you very much. Muchas gracias. 1476 01:47:49,283 --> 01:47:51,274 $120 is a lot of money 1477 01:47:51,351 --> 01:47:57,517 when you get $1,000 in social security disability and need one or two a month. 1478 01:47:57,591 --> 01:48:01,755 Five cents here? It's like the biggest insult. 1479 01:48:01,829 --> 01:48:04,389 It just doesn't make any sense. 1480 01:48:05,199 --> 01:48:07,531 It doesn't make any sense. 1481 01:48:07,601 --> 01:48:12,038 I wanna fill a suitcase up and go back home with it. 1482 01:48:36,563 --> 01:48:39,794 I took my group of sick Americans to a hospital 1483 01:48:39,867 --> 01:48:43,303 to see if they could get some care. 1484 01:48:43,370 --> 01:48:46,897 They didn't ask for money or an insurance card. 1485 01:48:50,010 --> 01:48:51,238 Just their name... 1486 01:48:52,880 --> 01:48:53,608 and date of birth. 1487 01:48:57,150 --> 01:49:00,449 That was the entire intake session. 1488 01:49:19,940 --> 01:49:23,137 Thank you very much for doing this. 1489 01:49:24,845 --> 01:49:27,541 I asked them to give us the same exact care 1490 01:49:27,614 --> 01:49:30,139 they give their fellow Cuban citizens. 1491 01:49:30,217 --> 01:49:32,708 No more. No less. 1492 01:49:32,786 --> 01:49:34,777 And that's what they did. 1493 01:49:34,855 --> 01:49:37,790 I'm Dr. Roque. I'm an internal medicine specialist. 1494 01:49:37,858 --> 01:49:40,292 - John Graham. - How are you feeling? 1495 01:49:40,360 --> 01:49:42,692 My lungs hurt. I have pain. 1496 01:49:42,763 --> 01:49:45,960 I get pretty severe nosebleeds at times. 1497 01:49:46,033 --> 01:49:48,024 I get terrible headaches in the night, 1498 01:49:48,101 --> 01:49:51,593 but I haven't been evaluated for the sleep apnea for nine years. 1499 01:49:51,672 --> 01:49:55,699 - Yeah, I have... - Many medications for lung problems. 1500 01:49:55,776 --> 01:49:58,609 Almost every medication for lung problems, I've got. 1501 01:49:58,679 --> 01:50:02,581 After 9/11, things have happened, my teeth started falling out. 1502 01:50:02,649 --> 01:50:05,880 Because of certain conditions, I was grinding. 1503 01:50:05,953 --> 01:50:11,118 There's one test that they recommended I take, it's about $5,000 to $ 7,000. 1504 01:50:11,191 --> 01:50:16,652 The dentist that I talked to, it's like $15,000 or more. 1505 01:50:16,730 --> 01:50:21,793 It's two years I have no medical coverage, so I can't go for the last part of the test. 1506 01:50:24,071 --> 01:50:26,972 It's OK, everything's gonna be OK. Right? 1507 01:50:27,040 --> 01:50:29,600 Yes. I am so... 1508 01:50:29,676 --> 01:50:34,875 It's so hard for me to digest somebody saying it's free. 1509 01:50:36,016 --> 01:50:40,953 Because 20 years of our lives have been spent fighting. 1510 01:50:41,021 --> 01:50:44,081 So I am so grateful. 1511 01:50:45,959 --> 01:50:48,450 No, you don't need to say that. 1512 01:50:49,496 --> 01:50:51,862 - Thank you. Thank you. - OK. 1513 01:50:51,932 --> 01:50:54,457 Come on, don't cry. Everything's gonna be OK, right? 1514 01:50:54,534 --> 01:50:58,129 - Thank you. - At least what we can do, right? 1515 01:52:19,453 --> 01:52:24,186 Reggie was diagnosed with pulmonary and bronchial problems. 1516 01:52:24,257 --> 01:52:28,887 The Cuban doctors gave her a treatment plan to follow back home. 1517 01:52:28,962 --> 01:52:32,398 Along with some of those five cent inhalers. 1518 01:52:33,233 --> 01:52:37,067 William Maher received a number of treatments on his neck and his back. 1519 01:52:37,137 --> 01:52:42,473 Having ground down his teeth for three years due to post-traumatic stress. 1520 01:52:42,542 --> 01:52:45,443 He left Cuba with a new set of teeth. 1521 01:52:47,481 --> 01:52:51,542 After a series of tests on his heart. Lungs. Blood and stomach. 1522 01:52:51,618 --> 01:52:54,280 John now knew what his ailments were. 1523 01:52:54,354 --> 01:52:58,552 He was given a strict plan to follow. Plus a number of treatments 1524 01:52:58,625 --> 01:53:01,992 and was feeling better than he had in years. 1525 01:53:02,062 --> 01:53:07,125 The Cuban doctors were able to take Donna off five of her nine medications. 1526 01:53:07,200 --> 01:53:11,136 And with a correct diagnosis. Gave her a treatment plan 1527 01:53:11,204 --> 01:53:14,105 to help her live a more normal life. 1528 01:53:19,546 --> 01:53:21,810 When firefighters and paramedics in Havana 1529 01:53:21,882 --> 01:53:24,544 heard that the 911 rescue workers were in town. 1530 01:53:24,618 --> 01:53:27,883 They invited them over to one of their firehouses. 1531 01:53:27,954 --> 01:53:30,218 And so. On our last day there. 1532 01:53:30,290 --> 01:53:32,986 As we arrived. They stood at attention 1533 01:53:33,059 --> 01:53:38,156 because. They said. They wanted to honor the heroes of 911. 1534 01:54:16,236 --> 01:54:21,299 S�. Somos familia. Y los hermanos que perdimos en las Torres Gemelas 1535 01:54:21,374 --> 01:54:24,002 se sinti� en el mundo completo. 1536 01:54:25,178 --> 01:54:29,842 The brothers we lost on 9/11 was felt around the world. 1537 01:54:29,916 --> 01:54:32,510 - Mis hermanos. - Mis hermanos. 1538 01:54:35,555 --> 01:54:38,251 Don't hesitate to hug a brother. 1539 01:54:43,196 --> 01:54:47,189 It's very important for them to wear the SCBA so they don't end up like me. 1540 01:54:47,267 --> 01:54:49,701 - They're lungs. - These tanks. 1541 01:54:49,769 --> 01:54:52,260 SCBA. Self-Contained Breathing Apparatus. 1542 01:54:52,339 --> 01:54:55,467 Tenemos una reserva tambi�n en el carro. 1543 01:54:55,542 --> 01:54:57,669 Es un placer poder venir aqu�. 1544 01:54:57,744 --> 01:55:00,474 Esto es lo �nico que tenemos nosotros... 1545 01:55:02,682 --> 01:55:05,014 F- F-F. 1546 01:55:05,085 --> 01:55:06,245 Three Fs. 1547 01:55:15,595 --> 01:55:19,292 If this is what can happen beteen supposed enemies. 1548 01:55:19,366 --> 01:55:23,268 If one enemy can hold out his hand and offer to heal. 1549 01:55:23,336 --> 01:55:25,497 Then what else is possible? 1550 01:55:29,476 --> 01:55:32,036 That's when I heard that the man who runs the biggest 1551 01:55:32,112 --> 01:55:34,876 anti-Michael Moore website on the internet 1552 01:55:34,948 --> 01:55:37,781 was going to have to shut it down. 1553 01:55:37,851 --> 01:55:42,413 He could no longer afford to keep it up because his wife was ill 1554 01:55:42,489 --> 01:55:46,755 and they couldn't afford to pay for her health insurance. 1555 01:55:46,826 --> 01:55:52,822 He was faced with a choice of either keep attacking me or pay for his wife's health. 1556 01:55:53,833 --> 01:55:56,734 Fortunately. He chose his wife. 1557 01:55:57,771 --> 01:56:02,071 But something seemed wrong about being forced into such a decision. 1558 01:56:02,142 --> 01:56:06,442 Why. In a free country. Shouldn't he be able to have health insurance 1559 01:56:06,513 --> 01:56:11,974 and exercise his First Amendment right to run me into the ground? 1560 01:56:12,752 --> 01:56:17,189 So I wrote a check for the $ 12.000 he needed to keep his wife insured 1561 01:56:17,257 --> 01:56:21,387 and in treatment. And sent it to him anonymously. 1562 01:56:23,663 --> 01:56:28,965 His wife got better and his website is still going strong. 1563 01:56:34,808 --> 01:56:38,505 It was hard for me to acknowledge that in the end. 1564 01:56:38,578 --> 01:56:40,842 We truly are all in the same boat. 1565 01:56:41,581 --> 01:56:44,277 And that. No matter what our differences. 1566 01:56:44,351 --> 01:56:47,377 We sink or swim together. 1567 01:56:47,454 --> 01:56:50,981 That's how it seems to be everywhere else. 1568 01:56:51,558 --> 01:56:55,858 They take care of each other. No matter what their disagreements. 1569 01:56:57,364 --> 01:57:02,961 You know. When we see a good idea from another country. We grab it. 1570 01:57:03,036 --> 01:57:06,733 If they build a better car. We drive it. 1571 01:57:06,806 --> 01:57:10,139 If they make a better wine. We drink it. 1572 01:57:11,277 --> 01:57:14,508 So if they've come up with a better way to treat the sick. 1573 01:57:14,581 --> 01:57:16,572 To teach their kids. 1574 01:57:17,650 --> 01:57:20,141 To take care of their babies. 1575 01:57:21,154 --> 01:57:24,055 To simply be good to each other. 1576 01:57:24,124 --> 01:57:26,752 Then what's our problem? 1577 01:57:26,826 --> 01:57:29,158 Why can't we do that? 1578 01:57:29,229 --> 01:57:32,687 They live in a world of "we." Not "me." 1579 01:57:33,767 --> 01:57:38,704 We'll never fix anything until we get that one basic thing right. 1580 01:57:38,772 --> 01:57:41,900 And powerful forces hope that we never do. 1581 01:57:42,575 --> 01:57:46,306 And that we remain the only country in the western world 1582 01:57:46,379 --> 01:57:49,371 without free universal healthcare. 1583 01:57:50,150 --> 01:57:54,143 You know. If we ever did remove the chokehold of medical bills. 1584 01:57:54,754 --> 01:57:57,723 College loans. Day care. 1585 01:57:57,791 --> 01:58:01,955 And everything else that makes us afraid to step out of line. 1586 01:58:02,028 --> 01:58:04,724 Well. Watch out. 1587 01:58:04,798 --> 01:58:08,325 'Cause it'll be a new day in America. 1588 01:58:08,401 --> 01:58:10,392 In the meantime. 1589 01:58:10,470 --> 01:58:14,406 I'm gonna go get the government to do my laundry.