There is a scene in Sicko — Michael Moore's controversialnew film about U.S. health care — that captures both thepower and the limits of Moore's cinematic polemic. A motheris speaking about her 18-month-old daughter, Mychelle, who becameill one evening with vomiting, diarrhea, and a high fever. Atthe nearest emergency room, Mychelle is treated by a physicianwho suspects, rightly, that she has a life-threatening bacterialinfection. But rather than give her antibiotics, the doctorcalls her insurer, whose physician-gatekeeper tells him thatMychelle is not covered at the hospital and must be taken toanother . . . [Full Text of this Article]
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Dr. Hacker is a professor of political science at Yale University, New Haven, CT, and a fellow at the New America Foundation, Washington, D.C.
An interview with Dr. Hacker may be heard at www.nejm.org.
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