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Barry Levinson

Barry Levinson

Posted: January 9, 2008 05:27 PM

Fresh Air


Is The Diving Bell and the Butterfly a great movie, a good movie? I don't know. I have to be honest with you, during the entire film, I kept thinking the French healthcare system sure seems good to me. My mind kept focusing on the hospital rooms, the bedding -- curtains that billow in the breeze. The whole hospital experience seemed less foreboding, more serene. I say this not as a criticism of the film -- perhaps it's my frustration with our healthcare system, or maybe I was influenced by Michael Moore's documentary Sicko. There was a flurry of criticism when Moore's documentary seemed to indicate that the French medical system was better than ours. Many were outraged and claimed the French system was cluttered with delays in seeing doctors and being admitted to the hospitals. So as I watched Julian Schnabel's film, I couldn't help but make comparisons to our healthcare system. I kept thinking how great the hospital looked. They actually have windows that open. Fresh air. We don't have windows that open. And we got rid of fresh air. We have recycled air from sick people. But we trust that the air will be made fresh again.

There wasn't much opportunity to see food in the film, but the little I did see looked better. I know I am basing this on looks rather than tastes, but presentation is important. This French hospital had terraces where they could take the patients for some sun. And this hospital was near the beach. And if it's a good day, they can even take you down to the water. In Los Angeles, they have a hospital in Santa Monica. It's near the water, but it's windows don't open. It doesn't have any patios. And they certainly won't take you to the beach. And the French hospital seems to be fully staffed. A lot of nurses. Very attractive nurses. I've been a patient in a hospital here, and you can't find a nurse. Of course it's hard to tell who a nurse is since every one wears scrubs, from cleaning maintenance to the surgeons. They do have name tags, but you can only read them from a distance of one foot away from your bed, so the accepted practice in the American hospital is to keep yelling "Nurse!" until someone turns and provides assistance.

I know it may be an overgeneralization -- and not having done the research to validate this point of view -- but if someone has suffered a paralyzing stroke, and is left without the ability to even speak, and has to blink with one eye in order to communicate, and has the urge to write a novel, you are better off in a French hospital.

 
 
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09:30 AM on 01/13/2008
About thirty years ago I remember a friend telling me, when she was teaching on one of our military bases in Germany, that the school secretary was out for a week of rest cure. When I enquired as to the nature of a "rest cure" she said that there was a facility where the secretary had gone to rest. The cost of lodging, food and any treatments while there were covered by the national insurance and it was a regular part of their preventative medicine program. Imagine.
12:47 PM on 01/10/2008
Anyone watch the Repub candidates' debate? Every single one of them, in lockstep, repeated their tired old mantra: "America has the best health care system in the world." It's a ritual. It has to be said, over and over and over, so that people won't do anything as radical as comparing our system to what other countries provide. I spent 3 months in Thailand and I saw the inside of 3 different hospitals. I used an emergency room for an ear infection: it took me 40 minutes to see a doctor and it cost, including meds, $80. We could do so much more, but not if we keep on living in our dream world of "the best medical care in the world." At least the Dems are awake on the issue. Whatever they do will be better than what we have now--and don't we wish more Dems (remember, we were in the majority in Congress back then) had backed Hillarycare? Bill Clinton was as right on health care being a big issue as Jimmy Carter was right about energy independence, and in both cases, it was Dems, not Repubs, who really let them and the country down. Big time.
09:48 AM on 01/10/2008
Take it from someone who has worked in the US healthcare system for 20 years, our healthcare is bad and getting worse... but then again what can one expect from a system based on profit?

Good healing and medical decisions by healthcare professionals are typically trumped by profit driven business decisions from the insurance industry... it aint managed "care", its managed PROFIT.

And for those who blindly declare the US healthcare system is the best or one of the best in the world, one only has to look to the FACTS (infant mortality, unecessary deaths, quality of life and life expectancy, etc) to PROVE our system results are going from bad to worse.
09:05 AM on 01/10/2008
The problem with U.S. hospitals is the same as that plaguing the rest of our society: America worships profit, even at the expense of human lives.

Capitalism is like anything else: A little may be good tonic, but too much is poisonous. And the tonic now is literally killing us.

For decades certain sectors of our society were largely off-limits to the profit obsession, but now the neocons have applied their voodoo economics to every nook and cranny, with predictable results.
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csavage
08:59 AM on 01/10/2008
Surely, you are not failing to see the obvious-American hospitals do not have windows that open for fear of liability. "You should have known Dr. X and Hospital Y that Mrs. Jones was confused-that's why she climbed out of bed, unlatched the window and jumped out". People like John Edwards made sure that his clients got to keep 40% of the big jury award he got for them, before taxes, that is...
Don't get me wrong, I'm all for a single-payer system. We could easily pay for it, considering our current system cost twice as much as every other industrialized nation, BUT, until we control our borders, our ability to care for our own citizens will be compromised.
BTW, I've been breathing hospital air pretty much everyday for the last 20 years, I haven't had any problems. But, I agree, hospital food sucks-I've been eating that almost everyday for the last 20 years, too....

FYI, the American College of Physicians has put out a position paper advocating a single payer system....whether that means hospitals will be prettier, I can't tell. I would prefer green tile walls and not having to turn people away to concierge service and 47 million without assured access to healthcare, but that's just me...
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GlockGal
02:42 AM on 01/10/2008
Does anyone know what the staff to patient ratios are in most hospitals in France? I'm curious about it, because the number of patients each nurse must care for in the United States is absurdly high, dangerously so, which creates added liability for the nurses. (The hospital administrators feel they're blameless in such circumstances.)

My sister, a Registered Nurse who was often a 'charge nurse' on her shift, retired after only 15 years in her chosen profession. Why? She had such a high number of patients on each shift, she wasn't able to give the quality of care she was trained to provide. It drove her out of the medical field entirely.

I'd also like to know if all hospitals in France are such as Mr. Levinson saw in the film, or if this is only found in large cities. Are the more rural hospitals in France like this, too?

If medical care in France really is this good, I'm moving there. I'm completely disheartened by the system here, because it's been failing us for far too many decades now.
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TXfemmom
Grandma with eye on the future
01:30 AM on 01/10/2008
As a medical professional, and unfortunately, a health care patient, I can tell you that the French system is wonderful.

I researched it and then worked with a wonderful french interventionalist neuroradiologist who had perfected some simply fantastic procedures which saved patients' lives and permitted procedures to treat formerly inoperative vessel problems in the brain. Our neuroradiologist went to France to learn the procedures, and the French guy would come over for a couple weeks a couple times a year. I laughed and laughed when he said we were barbaric when he couldn't get a glass of wine with lunch in the cafeteria.

Honestly, I pumped him about the system, the equipment, their costs, and the taxes which were paid by the people and employers to cover their people. Their hospitals are NEW, CLEAN, HAVE INFECTION RATES WHICH ARE FAR BELOW OURS, and every person is covered. He helped the company develop the machine which we used and the French HOSPITALS PAID A LITTLE LESS THAN FIFTY PERCENT OF WHAT MY HOSPITAL PAID. The French come up with what they think is a fair price for equipment, supplies, meds, etc. and that is all they will pay AND THE COMPANIES ALWAYS TAKE IT.

He said we are fools, as they pay far less in taxes to maintain that system, and give excellent care to everyone, and I mean FAR LESS THAN WHAT WE PAY FOR PREMIUMS FOR A TOTALLY SCREWED UP SYSTEM. Everyone pays there, every employer and every employed person and the tax is much less than what we pay for Medicare, and less than half of what we pay for insurance, which doesn't cover everything or everyone.
01:07 AM on 01/10/2008
How do you feel about not being able to sue the nurse or sue the doctor because the legal system is stacked against you? In order to become France we need to take a few things away from you that drive health care up in the US.

You know, John Edwards and his mighty wealth sucked out of our health care system? In France edwards might still be poor, but he would have health care.
12:30 AM on 01/10/2008
Yeah, it does seem like French hospitals give their patients more freedom.

Maybe they should be called Freedom Hospitals.

- Tom
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RogerHWerner
12:28 AM on 01/10/2008
In the past 28 years I have had 13 surgeries and at least ten out patient surgical procedures so I consider myself something of an expert on hospitals. The only hospital I have ever been in that had anything like amenities was Stanford University Hospital. They have original and limited edition art works everywhere. They have a wandering harp player twice a week. An bi-monthly in hospital musical series. A monthly guest lecturer series. They have a beautiful sunned atrium full of flowers. These are all very nice. But their food is horrible and try to get a patient massage (it takes at least 48 hours to schedule one). I spent 2 weeks on my back and after that length of time my back hurt so bad I wasn't able to sleep. I was able to schedule one massage (it was inexpensive being subsidized). Other hospitals are not only depressing to look at they can't even be bothered to provide decent television service for patients who need long term care. My last stay of 4 days in October I brought my own portable DVD player but not everyone has this option. Hospitals in this country are struggling so I can understand the need to cut corners where it hurts the least. The situation needs to change because patient well being is not only based on physical recovery but on their mental state. I think this gets lost in the rush to save money. At the very least, the crap that is served up as food in hospitals needs to change.
07:13 PM on 01/09/2008
While I have never been in a French hospital, I must agree based on experiences I have had in our hospitals. I wonder why we don't open windows here. I live in a small town, not much polution, so it makes you wonder. As I have no use for this hospital, I could think of some pretty sinister reasons. Maybe some second hand smoke might blow in the window. They are obsessed with that.

You are right on about being able to tell the cleaning people from a nurse. I work in a nursing home and these poor old folks don't know who to ask for assistance, they start yelling for help as soon as anyone remotely resembling a nurse walks in the room, which is rarely done. The nurses are too busy doing paperwork to actually take care of patients. How can anybody say we don't want another beurocracy, we already have one.