I laughed out
loud during the “finger” scene in Michael Moore’s Sicko. It
tells the story of Rick, who accidentally cut off the tops of two
fingers with a power saw. Because he’s one of nearly 50 million
Americans who don’t have health insurance, the hospital gave Rick a
choice: Have his middle finger re-attached for $60,000 or restore his
ring finger for $12,000. “Being a hopeless romantic,” Moore reports,
“Rick chose the ring finger for the bargain price of 12 grand. The top
of his middle finger now enjoys its new home—in an Oregon
landfill.”
That scene says it all. No need for Moore to rail against a system
that puts profit and private greed ahead of people and the public good.
That would sound preachy. And Moore never preaches. His films tell
people’s stories to illustrate why everyone deserves the
basics—medical care, a decent job, adequate food and housing and a
good education. Moore’s critics try to paint him as a left-wing
ideologue who twists facts to peddle propaganda. Yet, if anything,
Moore actually represents the mainstream political consensus. It’s a
consensus forged decades ago in the aftermath of the economic chaos of
the Great Depression and the bloody violence of World War Two.
In 1948, for example, the United Nations unanimously endorsed The
Universal Declaration of Human Rights. It guarantees all of the basics
Moore champions, including the right to education and decently paid
work. In the male-centred language of the time, the Declaration also
states: “Everyone has the right to a standard of living adequate for
the health and well-being of himself and of his family, including food,
clothing, housing and medical care and necessary social services, and
the right to security in the event of unemployment, sickness,
disability, widowhood, old age or other lack of livelihood in
circumstances beyond his control.”
While the Declaration reflected widely shared social values, its
principles weren’t legally binding until at least 35 countries had
signed and ratified two United Nations covenants on civil and economic
rights. That happened by 1976. Canada was one of the countries to sign
and pass the covenants. The US, on the other hand, signed them but its
Senate has never ratified them. That’s partly because the covenants
call for universal health care and that would curtail the profits of
powerful corporations which peddle medical insurance, hospital
treatment and prescription drugs.
As Canadians, of course we rejoice in universal health care. A
Canadian Rick would never have to choose which finger to save and which
to send to the dump. At the same time, however, Canada flouts its
obligation to live up to the many other economic and social rights set
forth in the Universal Declaration. Right-wing politicians like Stephen
Harper pretend that we just can’t afford to provide basic living
standards for all. But that claim rings hollow in a country where
national wealth has more than doubled in the past few decades while the
economic gap between the rich and the rest steadily grows. Liberal and
Tory governments have also taken delight in handing out billions in tax
cuts that mainly benefit big corporations and wealthy individuals while
they steadfastly refuse to close loopholes that allow big business and
the rich to dodge taxes.
It’s not that we can’t afford greater economic and social equality.
Europeans enjoy social programs far superior to ours. It’s that the
corporate interests which dominate the North American economy work
relentlessly against social justice. Their think-tanks, their media
and, yes, their politicians spread the myth that social spending will
plunge us into such ruinous debt that our children’s children’s
children will curse us. No wonder they loathe the likes of Michael
Moore, who tells people’s stories to remind us of the values most of us
share. No. Moore never preaches. But he does give our would-be
corporate masters and their political henchmen the finger.
This article appears in Aug 6-12, 2009.


A Canadian Rick would wait in the emergency room for 12 hours to see a doctor, by which time neither finger could be reattached. Your arguments in favor of affordability are light on reality and heavy on ideology. Fail.
Step 1. Slam the States
Step 2. Correlate US politics with Stephen Harper
Step 3. Publish Article, Profit!
Sorry Bo Gus, but a quick search of Canadian newspapers turns up plenty of references to doctors reattaching fingers and thumbs — without first asking patients for thousands of dollars.
Item: National Post, June 18, 2008. A 20-year-old Aurora woman underwent extensive surgery yesterday to reattach two fingers that were severed during an overnight home invasion north of Toronto.
Item: National Post, Dec 11, 2008. Pat Verbeek, a 21-year-old forward with the New Jersey Devils, had the top part of one of his thumbs cut off when it got caught in a wheat thresher on his farm in Sarnia, Ont., in 1985. Doctors were able to reattach the digit and, following extensive rehab, Verbeek returned to the Devils and did not miss any regular season action.
Item: Calgary Herald, May 29, 2005. Byline: Aaron Derfel. Dr. Mark Roper, director of the division of primary care at the McGill University Health Centre, said ERs have always reported a surge in home-improvement injuries during the spring and summer…Montreal ER doctor Geoff Heseltine, who practises in Cornwall, Ont., has also seen his share of severed fingers…Doctors advise people who have lost a finger or limb to wrap it with ice and rush to the ER immediately. Surgeons can often reattach a severed finger.
As for you Bad_ad85, I’m not slamming the States. I’m criticizing the American health care system. My reference to Harper — and to other Liberal and Tory right-wing politicians — specifically cites their claims that we can’t afford social programs. In Harper’s case for example, it’s the universal child care program that the Liberals repeatedly promised for 13 years. Yet Harper and the Liberals were able to hand out billions in corporate tax cuts. And oh yeah, Bad_ad, I’m getting filthy rich penning these editorials!
Mr. Wark, all that may be true. But about 20 years ago, my brother lost the tip of his left index finger. He accidentally shut it in the door of a friend’s truck. Now, his left index finger ends at the last nuckle. As the doctor said to my mother in the emergency room, “He’s not going to be a brain surgeon, is he?” Nice. And don’t tell me that it couldn’t have been done. It might have been a harder job back then, but it was possible.
My brother is a great guy, has a good job, is married, and has a beautiful son now. But you’ll never see the end of that finger. He hides it without even realizing it – it’s second nature to him.
Have you heard of any good finger re-attachment stories that happened in Nova Scotia? Just curious.
Hi Simply-Red, Thanks for your story. No, I don’t have a good finger re-attachment story from Nova Scotia. But I did hear privately from at least one other person who complained that surgeons here aren’t always very sympathetic in such cases. I guess the medical system is more responsive to life and death situations, so I may have been a bit too glib in my editorial. Anyway, I’m checking into it and will let readers know.
Re to Bo Gus: Its easier, for most of us, to spend 12 hours of our time than it would be to spend 12 thousand of our dollars. Not to mention ERs dont operate on a purely first come first serve basis, its necessity based as well. Which means that I may wait 13 hours for my broken foot, but your fingers will be reattached.
But, I appreciate your satire!
While the argument that private (read, “for profit”) health care can be detrimental for Canadas current system is widely debated – private health care is available for those who seek it, if they so choose, although not without associated costs and travel as well.
And to agree with you now, Bo Gus, health care as we know it (free, ha) is affordable to the person. To the country? Well, I guess that remains to be seen. This article is idealogical in the sense that it looks at the best of the system – the fact that it is universal – however, healthcare is also expensive and the article was rather vague in this area. Id be interested in reading about how it is we could afford to raise our standards to that of socialistic European countries. Im not saying it cant be done, Im just wondering how much of the mentioned wealth is transferable.
Whether or not the cost is worth it is a matter of personal opinion, and whether or not it is sustainable remains to be seen.
Ill leave you all with an enjoyable article (written 2006, sorry) from MacLeans 🙂 http://www.macleans.ca/article.jsp?content…
PS. Re to Bruce Wark, I enjoyed this piece – thought provoking. I especially enjoyed your follow up with your readers. You may not be getting rich penning these editorials, but they are appreciated!
Hi Bruce,
I can offer a personal and very recent trans-Canada re-attachment finger story. In mid-July, I went out camping and cut the tip off of my left index finger while chopping wood. This happened in Quebec, and I was able to go to the local hospital where they immediately took care of me and was able to sow it back on in less than 3 hours of the incident. Unfortunately, the tip of my finger did not take. I saw a plastic surgeon in Quebec a few days later who recommended me to follow-up with another plastic surgeon in NS…
Once back in NS, since my finger was not healing properly (e.g. still bleeding and pussing), I went to the emergency in Halifax and was treated immediately and in front of a plastic surgeon in less than an hour. The plastic surgeon immediately assessed it was infected and proceeded to operate and removed it. Even though I now have only 9 3/4 of my fingers, I can only show my appreciation for the Canadian Health Care system as my finger tip is now healed! Everyone who assisted me was kind, professional and efficient.
I am therefore very fortunate not to have been in the same predicament as American-Rick…
I once ran a skil saw through my left index & ring fingers. (one severed & one cut through the bone & hanging on) I wrapped my hand & fingers & rushed myself to the hospital. Where they reattached/fixed them, after a period of healing and then rehab exercises . I have 2 functioning fingers again, with a bit of scaring but its fading as I age…Thanks Canadian Heath System , because of you I didn’t have to choose !
When I first viewed Sicko, the scene with ‘Rick’ really disturbed me, because it hit home. The rest of that show disturbed me even more ! I cannot understand why so many affluent American’s many Politician’s would not want a better health care service for the American people ! ! !