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A new documentary about our health care system just premiered at Sundance, the largest independent film festival in the US. Escape Fire: The Fight to Rescue American Healthcare by Matthew Heineman and Susan Froemke outlines the many problems with health care in a dramatic, compelling way, with beautiful footage and great characters. The best part are the stories of solutions in the film’s second half. Dr. Don Berwick, Head of Medicare and Medicaid from 2010-2011, who is featured in the film and was present at the Q&A said the film provided a needed vision of “how good our health care could be.”

We meet Dr. Dean Ornish at his Preventive Medicine Institute in California and learn about his research into how lifestyle changes may reverse heart disease and early cancer. He spent almost two decades trying to convince Medicare to pay for his lifestyle programs and finally succeeded a few years ago (read an article about it here). Dr. Andrew Weil is training physicians in integrative medicine at the University of Arizona. In his model, patients and providers are partners in the healing process. We see this come to life in several scenes in the film as Dr. Erin Martin, a primary care physician, works with patients at community health centers in Oregon. These are just a few examples of programs the film explores. Other interviewees include Shannon Brownlee, medical journalist, Dr. Steven Nissan of the Cleveland Clinic and General David Fridovich of the US Special Forces, among others.

I’m eager to follow Escape Fire as it moves out into the world. What role will it play in the many efforts to reform our broken system? How will it help generate conversations and move us towards action and impact? The film did generate a lively post-screening discussion where audience members couldn’t wait to share their own health (or health care) stories to the panel and assembled crowd. For more info read the Variety Review.

Senior Fellow Hannah Rosenzweig, MPH is in snowy Park City, Utah reporting on films at Sundance 2012 for the Center for Health, Media & Policy.

A new documentary about our health care

Barbara Glickstein is co-director of the Center for Health, Media & Policy.

credit/imperfectwomen

Can reality TV challenge media stereotypes and address the social biases people living with depression and anxiety disorders face? Stereotypes about people are common in main-stream media and can be off the charts on reality television, which is a dominating force on television.  I’ve sat watching some reality TV, and I confess, I am not fun to watch them with, just ask my kids. As a media person, I think it’s important to check them out occasionally to critique them to evaluate what messages they’re selling.  I tried to watch Jersey Shore once, I didn’t last more than 10 minutes. Imagining that Jersey Shore would take on the issue of mental illness was pretty surprising.

For those of you not familiar with MTV‘s  show Jersey Shore, it’s a series that follows eight housemates spending their summer in New Jersey.  In the most recent episode, “Jersey Shore” member Vinny Guadagnino walked out of the house after a bout of anxiety.  He announced that he has left the show because of his depression and anxiety, and launched a campaign to assist those with mental health issues. He’s penned a book that will be released in April, Control the Crazy: My Plan to Stop Stressing, Avoid Drama and Maintain Your Inner Cool . He’s also launched a website.

Check out this article in AlterNet by Krystie Yandoli“Jersey Shore” — Mouthpiece for Mental Health Problems? She raises the question of its potential impact on the audience of Jersey Shore viewers, a show with record-breaking ratings that reached almost 9 million viewers in their third season.

The Kaiser Family Foundation published a report, “The Reality of Health: Reality Television and the Public Health.”  The report was published in 2006 – and suggested that the impact of health messages in reality television programming is complex and confusing and requires further studies.  Six years later there’s significantly more reality TV programming. It’s here to stay. Someone will have to take this on. Who’s going to take on 1000s of hours of viewing to study the health issues it addresses and their public health implications? It’s won’t be me but I am most curious about the findings.

Barbara Glickstein is co-director of the Center

Barbara Glickstein  is co-director of the Center for Health, Media & Policy.

the-iron-lady-zI saw Iron Lady, on opening day in NYC.  What has stayed with me, in addition to the brilliant performance by Meryl Streep as Margaret Thatcher, the former Prime Minister of the United Kingdom, is how artistically sensitive the issue of dementia was addressed. The screenplay was written by Abi Morgan and directed by  Phyllida Lloyd.   We meet the character Prime Minister Thatcher in her late 80s as she struggles with her aging, changing times and clearing out the belongings of her husband who recently died. Her day-to-day activities and diminishing public schedule is managed closely by her staff and daughter, who mean well, of course, as all of us do when trying to manage an elder facing dementia. This delicate balance of respecting their dignity and protecting them from harm  is a very thin line you often easily cross.

Her fears create a tension that is relieved for her (and this viewer) by visits/hallucinations by her husband Denis played by Jim Broadbent. When memories get triggered for Ms. Thatcher he arrives to stand by her side with a dance, a drink, some silly humor and unconditional love. This visual hallucination functions to keep her grounded and survive. She is a woman living on the edge –  intact enough cognitively to have that terrifying understanding that her dementia is progressing. There were many issues dealt with in Iron Lady, including women and power, grieving the death of a spouse, but for now I am seeped in reflecting on how it showed a woman facing dementia.

My 87 year old mother is living with mild dementia. I don’t know if she has ever experienced hallucinations but after seeing this film I plan on talking to her about it. I know she plans on seeing this film. I wonder what her take will be on how dementia was portrayed. We’ll talk about it and I hope it helps me better understand what she is living with.

 

Barbara Glickstein  is co-director of the Center