Painful John Q
Bad movie, bad public policy.

By Robert Goldberg, senior fellow, Manhattan Institute
March 8, 2002 10:05 a.m.

 

beautiful mind did not conceive of the plot for Denzel Washington's latest movie, John Q. The aforementioned John Q. (Archibald) is a father whose son falls ill with a mysterious heart disease, and who takes an emergency room hostage to demand a heart transplant upon discovering that neither his insurance nor the hospital will pay for the procedure.

You may be wondering why John Q. didn't take other steps — like going on TV to ask for the $250,000 for the operation, calling his congressman, etc. — or if, in fact HMOs and insurance companies don't cover transplantation (they generally do); or why such a kind man, who cares about the life of his child, would be moved to kill someone else. The movie makes an effort to imply that the health-care system made him do it. No surprise, then, that the name of the hospital administrator (played by Anne Heche) who nixes the operation is Rebecca Payne.

The American Association of Health Plans, which represents managed-care plans, took out full-page ads in Variety in anticipation of a wave of anger and outrage — apparently hoping to place the blame on someone else, namely the federal government. Karen Ignani, president of AAHP, intoned that "'John Q' irresponsibly sends the message that violence is the way to resolve health care disputes… Our ad calls for Washington to make the uninsured a policy priority. The real villain in this story is rising health care costs, and the terrible toll exacted on millions of Americans who have been priced out of the health care system."

Ignani may be the only person in America who took John Q. seriously and who sees a need to post the National Guard at every HMO. It's an over-the-top potboiler with a plot and characters designed to hijack your emotions. There's the grizzled old hostage negotiator, played by Robert Duvall, who has a liking for John Q. So when the police chief (played by Ray Liotta) steps out of his squad car — complete with swagger and more gold stars on his jacket than the Joint Chiefs of Staff combined — you already know he's going to have poorer judgment at running the hostage situation than Bill Clinton at an intern party. John Q. is shown saying goodbye to his dying son on live TV and the cops are still ready to blow him away! (And still not one organ donor or financial angel around.) You see the political statements about greedy HMOs and doctors coming a mile away. The end of the movie (I won't give it away, if you want to see it) is so outrageously manipulative and inconsistent with everything else that transpires that you know the script was pieced together day-to-day.

Trapped under the lousy plot along with Mr. Washington's fine performance is the story about the human, tense, and tragic world of organ transplantation, which could have been scripted and shot without the political posturing that twisted John Q. into a merely watchable movie. But director Nick Cassavetes — whose daughter unfortunately has a congenital heart problem, and who has had his own hassles with insurance companies — was more interested in making bad public policy than in making a good movie. This is why, at the end of the movie, we see real footage of Hillary Clinton and Jesse Jackson advocating for expanded federal health insurance.

Last time I checked, though, countries with government-run health plans were less likely to give dying kids organ transplants, or the powerful drugs needed to keep their bodies from rejecting the new organs after the operation.

Only in the movies.

 
 

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