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Four movies released between 1997 and 2002 picked up on the anger and resentment building among people encountering increasingly aggressive managed health care tactics aimed at reducing costs during that time. The four movies are: As Good As It Gets; The Rainmaker; Critical Care; and John Q. We talk about how they caught and depicted the rage as it was just reaching the surface of broad societal notice and concern. We note how the rage persists despite efforts on many levels to address it over the years, and wonder if it has reached its apogee with the gunning down of a health care insurance executive.

Links

Trailers for featured movies:

• As Good As It Gets
• The Rainmaker
• Critical Care
• John Q

Other movies mentioned:

• Damaged Care (no trailer available)
• Sicko

Russell Teagarden’s blog posting on the featured movies, with more about what is behind the managed care practices generating anger and frustration.

Russell Teagarden’s published article on proper uses and improper uses of prior authorization. If not available and of interest, contact him at russell.teagarden@gmail.com.

Previous podcast episodes mentioned:

• Consumptive Heroines: Opera and TB with Drs Linda and Michael Hutcheon (Episode 26)
• Life Imitates Art: Covid-19 Edition (Episode 16)

Additional Background

• Daniels N, Sabin JE. Setting Limits Fairly: Learning to Share Resources for Health. New York: Oxford University Press, 2008.
• Wynia MK, Schwab AP. Ensuring Fairness in Health Care Coverage: An Employer’s Guide to Making Good Decisions on Tough Issues. New York: AMACOM, 2007.
• Pearson SD, Sabin JE, Emanuel EJ. No Margin, No Mission. New York: Oxford University Press, 2003.
• Daniels N, Teagarden JR, Sabin JE. An ethical template for pharmacy benefits. Health Affairs 2003;22:125-137.

Our next episode will focus on illness as normality as we can grasp it from the inventive novel, Nervous System, and with the help of its author, Lina Meruane. Our discussion could lead to the question: Why can’t biomedical writing be more interesting?

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

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