Showing posts with label Dr. Sanjay Gupta. Show all posts
Showing posts with label Dr. Sanjay Gupta. Show all posts

Monday, July 16, 2007

Dr. Gupta's Bias

http://commonsense.ourfuture.org/dr_guptas_bias?tx=3

Dr. Gupta's Bias
Submitted by Bill Scher on July 11, 2007

Michael Moore and CNN's Dr. Sanjay Gupta faced off yesterday on Larry King Live, following Moore's on-air criticism of Gupta's anti-SiCKO piece which accused Moore of "fudg[ing] some facts."

Moore, on his website, is ably taking Gupta to task on the factual points.

And as Huffington Post’s Rachel Sklar notes, during Larry King Live, “Moore cites his source for every statistic offered ... yet Gupta ignores it, all of it, including Moore restating, again, that all of this was available in this email [sent by Moore’s team to CNN] from June 28, 2007.”

But what was most striking was when Gupta showed the heart of his bias, a bias against having our government guarantee universal health care.

Gupta says to Moore, “You criticize the government so soundly. But you're willing to hand over one of our most precious commodities, our health care in this country, to the government.”

Moore rebutted, “I actually love our government ... It does a great job of administrating Social Security ... the problem is who we've put in power who holds office.”

Then in response, Gupta made a completely misleading attack on Medicare:

Michael, one of the best examples of health care, at least some sort of universal health care, would be Medicare. I think you would agree with that.

It's going to go bankrupt by 2019. It's going to be $28 trillion in debt by 2075...would you say that this is going to be still a working system 20 years from now?

Is this some evidence that our government can’t be directed to fix our broken health care system? Economist-blogger Dean Baker doesn’t think so:

CNN’s health care analyst is now telling people that Medicare is going bankrupt. What does this mean?

Medicare’s costs are projected to exceed its revenue and drain the surplus from its trust fund in a bit over a decade, but this has been true at several points in the past. Did Congress tell tens of millions of beneficiaries to get lost? No, Congress appropriated the money needed to keep the program going...

...If Dr. Gupta meant to imply that Medicare, as a government program is uniquely inefficient, then he is way off the mark. According to the Center for Medicare and Medicaid Services (Table 13) per beneficiary costs have risen in nominal dollars by 519.5 percent since 1980. By contrast, the cost per enrollee of private insurance has risen by 676.6 percent over this same period.

That gets at the heart of Gupta’s bias.

The pressures on Medicare’s finances are not the fault of our government, but of skyrocketing health care costs across the board.

Yet Gupta’s cherry-picks his facts to attack a government guarantee of universal care, and raise the prospect of dismantling Medicare, just like how conservatives sought to do the same with Social Security.

Health care costs are a major problem, but as Baker notes, “Eliminating Medicare would raise health care costs, not lower them.”

Whereas directing our government to ensure universal health care, as Medicare already does for seniors, can contain costs by pooling risk and maximizing bargaining power.

In the Health Care for America plan -- a Medicare-style public plan for those under 65 which would compete with private insurance – policy architect Jacob Hacker writes:

Because Medicare and the Health Care for America Plan would bargain jointly for lower prices and join forces to improve quality, they would have enormous combined leverage to hold down costs. Cross-national evidence and the historical experience of Medicare show conclusively that concentrated purchasing power is by far the most effective means by which to restrain the price of medical services...

...Other nations spend much less for the same medical services than we do because their insurance systems bargain for lower prices. And though Medicare covers less than a seventh of the U.S. population, it has still controlled costs substantially better than the private sector, especially since the introduction of payment controls in the mid-1980s.

When was the last time you saw a mainstream media report that merely raised the possibility that our government’s Medicare plan does a better job at containing costs than private insurance companies?

There is one thing said by Gupta that I have no disagreement with: “It makes it very hard to advance the argument if you're not getting the numbers right.”

'SiCKO' Truth Squad Sets CNN Straight -- Again

http://www.michaelmoore.com/sicko/news/article.php?id=10026

July 11th, 2007 8:44 pm
'SiCKO' Truth Squad Sets CNN Straight -- Again

[In response to Sanjay Gupta's appearance with Michael Moore on the July 10th broadcast of Larry King Live (VIDEO: Part 1, Part 2, Part 3)]

GUPTA: "Well, I mean, he pulls $251 from this BBC unsourced report ... Where you pulled the $251 number was a BBC report, which, by the way, stated that the per capita spending in the United States was $5,700. You chose not to use the $5,700 from one report and chose to go to a totally different report and you're sort of cherry picking data from different reports ... Well, why didn't you use the $5,700 number from the BBC report?"

THE TRUTH:

Actually, the number 'Sicko' cited for per capita Cuban spending on health care - $251, a number widely cited by the BBC and other outlets - comes from the United Nations Human Development Report, helpfully linked on our website. Here it is again:

http://hdr.undp.org/hdr2006/statistics/indicators/52.html.

That UN report does list American health care spending as only $5,700, but it's a few years old. Since then, the U.S. government has updated it's projections for health care spending, to $7,498 in 2007. So we used that number. It's the most recent, and comes right from the Department of Health and Human Services. If the Cuban government gave a figure on 2007 projected health spending, we'd have used it.

GUPTA: "Medicare is going to go bankrupt by 2019, and is going to be $28 trillion in debt by 2075 ... Look, I believe the very measure of a great society is in how we take care of those who cannot take care of themselves. But would you say that this is going to be still a working system 20 years from now?"

THE TRUTH:

Medicare indeed has enough money to cover all seniors until 2019. At that time, it will simply need more funding. That shouldn't be hard to find in a nation spending trillions of dollars to invade other countries.

Medicare is not in trouble because it is socialized medicine. Medicare faces the same economic problem private health plans do - health care inflation is out of control, far outpacing inflation for other goods and services. And in fact, Medicare is much more efficient at dealing with this inflation than is private insurance. According to the Center for Medicare and Medicaid Services (Table 13), per beneficiary costs have risen in nominal dollars by 519.5 percent since 1980. By contrast, the cost per enrollee of private insurance has risen by 676.6 percent over this same period. So Gupta should instead be pointing his finger at the inefficiency of private insurance. (Social Security and Medicare Myths, Lies, and Realities. Institute for America's Future. http://www.globalaging.org/health/us/myths.pdf; "Gupta Says Medicare is Going Bankrupt," Dean Baker, Beat the Press blog. http://www.prospect.org/csnc/blogs/beat_the_press)
There is a clear way to make our health economy more efficient. We waste $400 billion dollars per year administering our mess of a private, profit-driven system. The answer is switching to a single-payer, Medicare-style system and taking absurd profits and administrative costs out of the equation. (Steffie Woolhandler, M.D., M.P.H., Terry Campbell, M.H.A., and David U. Himmelstein, M.D., Costs of Health Care Administration, N Engl J Med 2003;349:768-75 )

GUPTA: "The point is, though, and I think you would have to concede this point, Michael, that you are trying to lead people to believe, again, people who are really concerned about this issue, that it is free in these other countries. And that is what I think is - (MOORE): It is free. (GUPTA) It's not, Michael."

THE TRUTH:

'Sicko' doesn't hide from the obvious fact that higher taxes are needed to pay for free, universal health care. Former UK MP Tony Benn reads from the National Health Service founding pamphlet, which explicitly states that "this is not a charity. You are paying for it mainly as taxpayers." And 'SiCKO' also acknowledges that the French are "drowning in taxes," a line that clearly stuck with Gupta since he used it himself during the broadcast.

The medical care in countries with socialized medicine is still free. Gupta doesn't seem to grasp that. Here in America, when you go to the library and check out a book, it's free. When the fire department puts out a fire at your house, it's free. In Canada, when you go into the hospital for chemotherapy, it's free. You don't walk out with a bill. Yes, citizens pay higher taxes in countries with socialized medicine, but they don't pay the premiums, co-pays, deductibles and other out-of-pocket medical costs that we face in America. Moreover, in other industrialized countries citizens are not bankrupted by huge bills during a medical crisis – as is the case in America, where the leading cause of bankruptcy is medical bills. (Medical Bills Make up Half of Bankruptcies. Feb. 2005, MSNBC. http://www.msnbc.msn.com/id/6895896/)

GUPTA: (On the lone expert shown in the original piece, Paul Keckley). "His only affiliation is with Vanderbilt University. We checked it, Michael. We checked his conflict of interest. We do ask those questions."

THE TRUTH:

Keckley left Vanderbilt in October, 2006 to become the executive director of the Deloitte Center for Health Solutions. The chyron on CNN even notes his new position. ('Vandy administrator to head Deloitte research center,' Nashville Business Journal. Nov. 1, 2006. http://nashville.bizjournals.com/nashville/stories/2006/10/30/daily20.html).
The independent chairman of the Deloitte Center for Health Solutions is Tommy Thompson, who was George W. Bush's Health and Human Services Secretary from 2001 to 2005 and is currently running for president as a Republican. ('Meet Tommy G. Thompson, Deloitte Center for Health Solutions. http://www.deloitte.com/dtt/employee_profile/0,1007,sid=80772&cid=86217,00.html)

Keckley has made large contributions to Republican candidates and organizations. He gave $1,000 to GOP Senator Bob Corker in 2006, $1,000 to the Tennessee GOP in 2002, along with $1,500 to two GOP Congressional candidates, and $1,000 to the Tennessee GOP in 2000. (www.fecinfo.com)

Keckley was also the CEO and Founder of EBM Solutions Inc., of Nashville, Tennessee, which counted among it's customers Blue Cross of Tennessee, the drug company Aventis, and others. Considering Keckley makes his living in the for-profit health care world – a world 'Sicko' argues should be abolished – viewers should have been told exactly where Keckley was coming from.

When will "the most trusted name in news" correct these many factual errors?

Saturday, July 14, 2007

Sicko "fact check"

http://mediamatters.org/items/200707120001?f=h_latest

In Sicko "fact check," CNN's Gupta falsely claimed his source's "only affiliation is with Vanderbilt University"
Wednesday July 11, 2007

Summary: After Sicko director Michael Moore said that CNN's Sicko fact-check "healthcare expert" Paul Keckley is "a person from a think tank group who is a big Republican contributor," CNN's Dr. Sanjay Gupta asserted that Keckley's "only affiliation" is with Vanderbilt University. Gupta continued, "We checked it, Michael. We checked his conflict of interest. We do ask those questions." In fact, as a caption accompanying Gupta's original report stated, Keckley is a "Deloitte Healthcare Expert."

On the July 10 edition of CNN's Larry King Live, CNN chief medical correspondent Dr. Sanjay Gupta falsely asserted that the "only affiliation" of Paul Keckley, whom Gupta had quoted criticizing the national health care systems of France, Canada, and Cuba during a July 9 "fact check" of filmmaker Michael Moore's documentary Sicko, was "with Vanderbilt University." Gupta was responding to Moore's claim that Keckley was "a person from a think tank group who is a big Republican contributor." Moore also said that Keckley "has done business with [health insurance provider] Blue Cross, with [pharmaceutical firm] Aventis, with these other groups," and claimed that Keckley was affiliated "with a think tank that's connected to [presidential candidate and former Wisconsin Gov.] Tommy Thompson [R]." In denying Moore's allegations, Gupta asserted: "We checked it, Michael. We checked his conflict of interest. We do ask those questions." In fact, in Gupta's original report -- which King excerpted during his show -- the caption identified Keckley not as affiliated "with Vanderbilt University," but rather as a "Deloitte Healthcare Expert." Indeed, in addition to serving on the faculty of Vanderbilt University, Keckley is the executive director of the Deloitte Center for Health Solutions.

During the July 9 edition of CNN's The Situation Room, Gupta presented a segment billed as a "fact check" of Moore's film, describing how Moore "fudged the facts." During the segment, he played two clips of Keckley, identified in the caption as a "Deloitte Healthcare Expert." During the first clip, following Gupta's statement that "[a] survey of six industrialized nations found that only Canada was worse than the United States when it came to waiting for a doctor's appointment for a medical problem," Keckley asserted: "That's the reality of those systems. There are quotas. There are planned wait times. The concept that care is free in France, in Canada and Cuba, and it's not." Keckley continued: "Those citizens pay for health services out of taxes. And as a proportion of their household income, it's a significant number." During the second clip, which followed Gupta's statement that while citizens of countries with universal health care are subject to higher taxes than in the United States, "even higher taxes don't give all the coverage everyone wants," Keckley said: "Fifteen to 20 percent of the population will purchase services outside the system of care run by the government."

Gupta and Moore then appeared on the July 10 edition of Larry King Live to discuss Gupta's "fact check." After appearing on Larry King Live, Moore put several links on his website to back up his assertions to Gupta.

Contrary to Gupta's assertion on Larry King Live that Keckley's "only affiliation is with Vanderbilt University," Keckley is affiliated with Deloitte & Touche USA LLP, part of a global audit, tax, consulting, and financial advisory services group of firms. Keckley is the executive director of the Deloitte Center for Health Solutions. The Deloitte Center for Health Solutions states on its website that "it delivers research on and develops solutions to some of our nation's most pressing health care and public health related challenges." As Moore noted on Larry King Live, the Deloitte Center for Health Solutions is also "connected" to Tommy Thompson. The center's website lists Thompson as the Deloitte Center for Health Solutions' independent chairman.

Keckley is also a Republican contributor, as Moore claimed. According OpenSecrets.org, Keckley has donated $8,500 to Republican candidates or party committees since 1990, including $1,000 to Sen. Bob Corker (TN), $2,000 to the Republican Party of Tennessee, $2,000 to Sen. Lamar Alexander (TN), and $500 to Rep. Marsha Blackburn (TN). During that period, he has made no donations to Democratic candidates or party committees that have been reported to the Federal Election Commission.

Moore's assertion that Keckley "has done business with Blue Cross, with Aventis, with these other groups," is also accurate. According to Keckley's curriculum vitae, posted on Vanderbilt's website, from 1998 to 2002 Keckley served as chief executive officer of EBM Solutions Inc., which licensed software applications to "32 healthcare organizations in 2002 including Health Net of California, Blue Cross of Tennessee, Aventis and others." Keckley's curriculum vitae also lists him as a member of the Aventis Health Outcomes Measurement Committee. Further, Keckley's biography on the website of the Vanderbilt Center for Evidence-Based Medicine notes that he is "a frequent keynote speaker for national healthcare organizations including the AMA House of Delegates, National Quality Forum, The Medical Group Management Association, Disease Management Association, Blue Cross Association, American Association of Health Plans and others."

From the July 9 edition of CNN's The Situation Room:

GUPTA: A survey of six industrialized nations found that only Canada was worse than the United States when it came to waiting for a doctor's appointment for a medical problem.

KECKLEY: That's the reality of those systems. There are quotas. There are planned wait times. The concept that care is free in France, in Canada and Cuba, and it's not. Those citizens pay for health services out of taxes. And as a proportion of their household income, it's a significant number.

GUPTA: It's true that the French pay higher taxes -- and so does nearly every country ahead of the United States on that list. But even higher taxes don't give all the coverage everyone wants.

KECKLEY: Fifteen to 20 percent of the population will purchase services outside the system of care run by the government.

GUPTA: So there's no perfect system anywhere. But no matter how much Moore fudged the facts -- and he did fudge some facts -- there's one everyone agrees on: The system here should be far better.

From the July 10 edition of CNN's Larry King Live:

KING: Dr. Gupta, we have less than a minute, and we should clear up -- have you ever had an effect by the fact of who the sponsor is on what you report?

GUPTA: No. I, I -- have no -- no contact at all with the sponsors. They've never affected my judgment. We did the story, the Sicko fact check piece -- it was completely just -- just our own editorial pursuits on this.

MOORE: Except --

GUPTA: And --

MOORE: Except -- except, let me say this, the one expert that you had in the piece is a person from a think tank group who is a big Republican contributor. He's done business with Blue Cross, with Aventis, with these other groups.

I mean don't you have a right as a journalist -- or a responsibility, actually, to tell the public when you're using an expert, this person is a Republican, he's with a think tank that's connected to [presidential candidate and former Governor] Tommy Thompson [R-WI] --

KING: OK, we're --

[crosstalk]

KING: Sanjay, we have 20 seconds.

MOORE: He's with a think tank --

GUPTA: You know, his only affiliation --

KING: Hold it, Michael.

GUPTA: His only affiliation is with Vanderbilt University. We checked it, Michael. We checked his conflict of interest. We do ask those questions.

MOORE: I'll --

GUPTA: Whether or not we disclose it to you on the [inaudible] --

MOORE: I'll put that all up on the site, too.

[crosstalk]

KING: I'll tell you what, guys --

GUPTA: Please do. You can talk to me directly.

— M.G.

'SiCKO' Truth Squad Sets CNN Straight

http://www.michaelmoore.com/sicko/news/article.php?id=10017

July 10th, 2007
'SiCKO' Truth Squad Sets CNN Straight

DR. SANJAY GUPTA, CNN: "(Moore says) the United States slipped to number 37 in the world's health care systems. It's true. ... Moore brings a group of patients, including 9/11 workers, to Cuba and marvels at their free treatment and quality of care. But hold on - that WHO list puts Cuba's health care system even lower than the United States, coming in at #39."

THE TRUTH:

"But hold on?" 'SiCKO' clearly shows the WHO list, with the United States at number #37, and Cuba at #39. Right up on the screen in big five-foot letters. It's even in the trailer! CNN should have its reporter see his eye doctor. The movie isn't hiding from this fact. Just the opposite:

CNN hides the facts on Cuba

But 'SiCKO' has the facts right up front

The fact that the healthcare system in an impoverished nation crippled by our decades-old blockade (including medical supplies and drugs) ranks so closely to ours is more an indictment of the American system than the Cuban system.
Although Cuba ranks lower overall than the United States, it still has a lower infant mortality rate and longer life span.
(see below)

And unlike the United States, Cuba offers healthcare to absolutely everyone. In an independent Gallup poll conducted in Cuba, "a near unanimous 96 percent of respondents say that health care in Cuba is accessible to everyone." ("Cubans Show Little Satisfaction with Opportunities and Individual Freedom Rare Independent Survey Finds Large Majorities Are Still Proud of Island's Health Care and Education," January 10,2007. http://www.worldpublicopinion.org/pipa/articles/brlatinamericara/300.php?nid=&id=&pnt=300&lb=brla)

CNN: "Moore asserts that the American health care system spends $7,000 per person on health. Cuba spends $25 dollars per person. Not true. But not too far off. The United States spends $6,096 per person, versus $229 per person in Cuba."

THE TRUTH:

According to our own government – the Department of Health and Human Services' National Health Expenditures Projections – the United States will spend $7,092 per capita on health in 2006 and $7,498 in 2007. (Department of Health and Human Services Center for Medicare and Medicaid Expenditures, National Health Expenditures Projections 2006-2016. http://www.cms.hhs.gov/NationalHealthExpendData/downloads/proj2006.pdf)

As for Cuba – Dr. Gupta and CNN need to watch 'SiCKO' first before commenting on it. 'SiCKO' says Cuba spends $251 per person on health care, not $25, as Gupta reports. And the BBC reports that Cuba's per capita health expenditure is… $251! (Keeping Cuba Healthy, BBC, Aug. 1 2006. http://news.bbc.co.uk/2/hi/programmes/newsnight/5232628.stm ) This is confirmed by the United Nations Human Development Report, 2006. Yup, Cuba spends $251 per person on health care. (http://hdr.undp.org/hdr2006/statistics/indicators/52.html) As Gupta points out, the World Health Organization does calculate Cuba's per capita health expenditure at $229 per person. We chose to use the UN numbers, a minor difference - and $229 is a lot closer to $251 than $25.

CNN: In fact, Americans live just a little bit longer than Cubans on average.

THE TRUTH:

Just the opposite. The 2006 United Nations Human Development Report's human development index states the life expectancy in the United States is 77.5 years. It is 77.6 years in Cuba. (Human Development Report 2006, United Nations Development Programme, 2006 at 283. http://hdr.undp.org/hdr2006/pdfs/report/HDR06-complete.pdf)

CNN: The United States ranks highest in patient satisfaction.

THE TRUTH:

True, but even when the WHO took patient satisfaction into account in its comprehensive review of the world's health systems, we still came in at #37. ("World Health Organization Assesses The World's Health Systems," Press Release, WHO/44, June 21, 2000. http://www.who.int/inf-pr-2000/en/pr2000-44.html).

Patients may be satisfied in America, but not everyone gets to be a patient. 47 million are uninsured and are rarely patients - until it's too late. In the rest of the Western world, everyone and anyone can be a patient because everyone is covered. (And don't face exclusions for pre-existing conditions, co-pays, deductibles, and costly monthly premiums).

It's not that other countries are unhappy with their health care – for example, "70 to 80 percent of Canadians find their waiting times acceptable." ("Access to health care services in Canada, Waiting times for specialized services (January to December 2005)," Statistics Canada, http://www.statcan.ca/english/freepub/82-575-XIE/82-575-XIE2006002.htm )

CNN: Americans have shorter wait times than everyone but Germans when seeking non-emergency elective procedures, like hip replacement, cataract surgery, or knee repair.

THE TRUTH:

This isn't the whole truth. CNN pulled out a statistic about elective procedures. Of the six countries surveyed in that study (United States, Canada, New Zealand, UK, Germany, Australia) only Canada had longer waiting times than America for sick adults waiting to schedule a doctor's appointment for a medical problem. 81% of patients in New Zealand got a same or next-day appointment for a non-routine visit, 71% in Britain, 69% in Germany, 66% in Australia, 47% in the U.S., and 36% in Canada. (The Doc's in, but It'll be AWhile. Catherine Arnst, Business Week. June 22, 2007 http://www.businessweek.com/technology/content/jun2007/tc20070621_716260_page_2.htm)

"Gerard Anderson, a Johns Hopkins health policy professor who has spent his career examining the world's healthcare, said there are delays, but not as many as conservatives state. In Canada, the United Kingdom and France, 'three percent of hospital discharges had delays in treatment,' Anderson told The Miami Herald. 'That's a relatively small number, and they're all elective surgeries, such as hip and knee replacement.' (John Dorschner, "'SiCKO' film is set to spark debate; Reformers are gearing up for 'Sicko,' the first major movie to examine America's often maligned healthcare system," Miami Herald, June 29, 2007.)

One way America is able to achieve decent waiting times is that it leaves 47 million people out of the health care system entirely, unlike any other Western country. When you remove 47 million people from the line, your wait should be shorter. So why is the U.S. second to last in wait times?

And there are even more Americans who keep themselves out of the system because of cost - in the United States, 24 percent of the population did not get medical care due to cost. That number is 5 percent in Canada, and 3 percent in the UK. (Inequities in Health Care: A Five-Country Survey. Robert Blendon et al, Health Affairs. Exhibit 5. http://content.healthaffairs.org/cgi/content/full/21/3/182)

CNN: (PAUL KECKLEY-Deloitte Health Care Analyst): "The concept that care is free in France, in Canada, in Cuba - and it's not. Those citizens pay for health services out of taxes. As a proportion of their household income, it's a significant number … (GUPTA): It's true that the French pay higher taxes, and so does nearly every country ahead of the United States on that list."

THE TRUTH:

'SiCKO' never claims that health care is provided absolutely for free in other countries, without tax contributions from citizens. Former MP Tony Benn reads from the NHS founding pamphlet, which explicitly states that "this is not a charity. You are paying for it mainly as taxpayers." 'SiCKO' also acknowledges that the French are "drowning in taxes." Comparatively, many Americans are drowning in insurance premiums, deductibles, co-pays and medical debt and the resulting threat of bankruptcy – half of all bankruptcies in the United States are triggered by medical bills. (Medical Bills Make up Half of Bankruptcies. Feb. 2005, MSNBC. http://www.msnbc.msn.com/id/6895896/)

CNN: "But even higher taxes don't guarantee the coverage everyone wants … (KECKLEY): 15 to 20 percent of the population will purchase services outside the system of care run by the government."

THE TRUTH:

It's not clear what country Keckley is referring to. In the United Kingdom, only 11.5 percent of the population has supplementary insurance, but it doesn't take the place of NHS insurance. Nobody in France buys insurance that replaces government insurance either, although a substantial amount buys some form of complimentary insurance. ( Private health insurance and access to health care in the European Union. Spring 2004. http://www.euro.who.int/document/Obs/EuroObserver6_1.pdf)

CNN: "But no matter how much Moore fudged the facts, and he did fudge some facts…"

This is libel. There is not a single fact that is "fudged" in the film. No one has proven a single fact in the film wrong. We expect CNN to correct their mistakes on the air and to apologize to their viewers.

CNN vs. SiCKO

http://www.fair.org/index.php?page=3135

Action Alert
CNN vs. SiCKO
7/11/07

Filmmaker Michael Moore appeared on CNN's Situation Room on July 9 to talk about his new film Sicko—but ended up having an animated discussion with host Wolf Blitzer about a CNN "fact check" of the film that made several embarrassing errors.

The piece--dubbed a "Reality Check" by senior medical correspondent Dr. Sanjay Gupta--claimed that Moore "fudged the facts" when critiquing the U.S. health care system. Gupta starts by acknowledging that the U.S. healthcare system placed 37th in the World Health Organization's rankings. The fact that Moore contrasts this with the Cuban system led Gupta to "catch" him: "But hold on. That WHO list puts Cuba's healthcare system even lower than the United States, coming in at number 39."

The fact that the U.S.'s healthcare system does about as well as a Third World island that's been under economic sanctions for the past five decades isn't much of a catch to begin with. But Cuba's WHO ranking actually appears in Moore's film. (As Moore's website pointed out, when CNN aired the relevant clip from his film, a CNN logo covered up Cuba on the list.)

Gupta's next fact check:

"Moore asserts that the American healthcare system spends $7,000 per person on health, whereas Cuba spends $25 per person. Not true, but not too far off. The United States spends $6,096 a year per person versus $229 a year in Cuba."

Actually, Moore was much closer than Gupta: according to the Department of Health & Human Services, U.S. per capita healthcare spending was projected to reach $7,092 in 2006, and $7,498 for this year.

On a July 10 debate with Moore on CNN's Larry King Live, Gupta tried to claim that these projected numbers were somehow invalid, as if the continuously rising costs of healthcare should not be taken into account when discussing healthcare expenditures. Ironically, during the same discussion, Gupta cited Medicare's looming insolvency as a reason not to support expanding the program--a financial crunch that of course is also based on projections of steadily rising healthcare costs.

What's more—Gupta's "reality check" got the film's claims wrong: Moore said Cuba spent $251 per person, not $25.

Gupta went on to claim that Sicko portrays "medical utopia elsewhere," when in fact studies show the U.S. system is better in some respects:

"The film is filled with content Canadians and Brits sitting in waiting rooms, confident care will come. In Canada, you can be waiting for a long time. A survey of six industrialized nations found that only Canada was worse than the United States when it came to waiting for a doctor's appointment for a medical problem."

This is a grossly misleading characterization of the Commonwealth Fund's survey; instead of stressing that the study found that the United States did better than one country with universal care in terms of waiting time, Gupta could more relevantly have focused on the fact that four out of five of the universal healthcare countries studied (including Britain) outperformed the U.S. on the very measure that he singled out to show that you don't find "medical utopia elsewhere."

It's worth noting that the study that Gupta cited placed the U.S. as the worst overall of all the healthcare system studied, placing it last or next to last in all but one of eight criteria, while spending almost twice as much per capita as the next most expensive system. Gupta's example was a clear case of cherry-picking--selecting only the data that fits your argument--something he accused Moore of doing.

When Moore confronted CNN's Blitzer about the inaccuracies in their "reality check" segment, he responded: "Well, if we get that confirmed, obviously, we'll correct the record." And CNN did correct one thing — Gupta acknowledged his error about Cuba's per capita spending ($25 versus $251). On CNN's Newsroom (7/10/07), Gupta seemed taken aback by the whole thing, saying, "Yesterday there was a lot said by Michael, quite frankly, lots of numbers thrown around, and it can get admittedly somewhat confusing."

He did not apologize for criticizing Moore for using current healthcare figures rather than outdated ones, or for implying that Moore concealed Cuba's healthcare ranking, or for misleading viewers about the findings of the survey on waiting times. "We're comfortable with what we presented," Gupta said, aside from misrepresenting what Moore reported about Cuban healthcare costs by a factor of 10, which Gupta attributed to "an error of transcribing the number down incorrectly."

"As a journalist and a doctor the facts are extremely important to me," Gupta claimed. That priority is not at all evident from his report on Sicko, which instead suggested that his chief goal was discrediting Moore's film. In pursuit of that mission he ended up making more serious factual errors than any he actually found in Moore's film. Gupta's failure to retract the other falsehoods, beyond his "transcribing" error, suggests that facts are actually of little importance to him compared to maintaining the pretense that he is an expert and that activist/journalists like Moore are not to be trusted.

The tendency for mainstream journalists to resist criticism is not surprising. Gupta's CNN colleague Kyra Phillips perhaps said it best when she referred to the second part of Moore's interview with Blitzer: "You can tune in to the Situation Room at 4:00 Eastern for a little more unedited Moore interview, if you can stomach it."

The implication couldn't be clearer: If we make false claims about your work, it's downright rude of you to say something about it.

ACTION: Contact CNN's Situation Room and demand that they correct the other mistakes in Gupta's "fact check" on Michael Moore's film.

CONTACT:

CNN

Situation Room
situationroom@cnn.com

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