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Photo Credit/Remote Area Medical

Photo Credit/Remote Area Medical

For my first blog post, I want to alert readers to an interview aired this past Tuesday on The Brian Lehrer Show on WNYC. Anyone concerned with the ways in which the media and other players shape the public’s understanding of health care practice and policy is likely to find this fascinating and, perhaps, infuriating.

Lehrer interviewed Wendell Potter, until 2008 the head of corporate communications at insurance giant CIGNA, who quit the industry and became a whistleblower. Now a senior fellow at the Center for Media and Democracy, Potter is the author of Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans. The interview can be heard here.

Potter discussed the enormous influence insurance companies and lobbyists have on the political process and on public opinion, including their use of astroturf organizations—funded by consumers’ insurance premiums—to misinform the public and control the health care debate. Toward the end of the interview, Lehrer asked Potter about his experience, as a corporate spokesman, in working with the media. Potter’s response: “I saw the media change a lot in those 20 years. At the end of my career, I could pretty much have my way with the media. There just were not probing questions being asked. I was never really challenged that much. I was able to send a statement, just by email, to shut down a conversation. The media is not doing an adequate job and part of that is because the media has declined, or the mainstream media has. There are fewer reporters covering health care. It’s not as good as it used to be.” He said his hope is that his book will help people become more sophisticated consumers and make them “more aware of spin and how it affects their thinking and their actions and, frankly, our democracy.”

Potter began speaking out when he realized the insurance industry and others were again using the same fear tactics they had used to derail health reform during the Clinton administration. He testified before a Senate Commerce Committee hearing in June, 2009, saying then that he was worried that “the industry’s charm offensive, which is the most visible part of duplicitous and well-financed PR and lobbying campaigns, may well shape reform in a way that benefits Wall Street far more than average Americans.”

You also might want to check out this in-depth interview conducted by Bill Moyers. Potter seems to have undergone something of a moral awakening after visiting a “health care expedition” held at a fairground in rural Virginia, where he saw hundreds of people from all over the region waiting in line for hours in the rain to receive free health care in makeshift clinics housed in tents and animal stalls. Moyers takes pains to establish that Potter left the insurance industry of his own accord—no sour grapes over a missed promotion or other grievance, no being shown the door for cause. Indeed, he was at the top of his field. Moyers then sounds almost incredulous, asking repeatedly why it took Potter so long to realize the human costs of the policies he helped implement. Said Potter: “You don’t think about individual people. You think about the numbers, and whether or not you’re going to meet Wall Street’s expectations.”

The good news in the story was the organization that mounted the health care expedition in Virginia. Remote Area Medical describes itself as “a non-profit, volunteer, airborne relief corps dedicated to serving mankind by providing free health care, dental care, eye care, veterinary services, and technical and educational assistance to people in remote areas of the United States and the world.

Jim Stubenrauch is a Senior Fellow, writer and editor with 15 years’ experience in medical publishing, health care, and education.

[caption id="attachment_10644" align="alignleft" width="300"] Photo Credit/Remote Area

Photo credit (from Flickr/CreativeCommons)

Photo credit (from Flickr/CreativeCommons)

We live in a media-saturated age in which we are almost constantly surrounded by images and sound created to capture our attention.   Within this crowded media landscape, documentaries about health are capturing more and more attention from a wider audience.

Documentaries are important for how they shape our thinking about health, illness and our bodies.   One of the classics of documentary filmmaking is Frederick Wiseman’s Titicut Follies (1967) in which he recorded life inside the Bridgewater (Massachusetts) State Prison for the Criminally Insane.  Wiseman’s film documents the various ways the inmates are treated by the guards, social workers and psychiatrists.  Tied up for years in legal battles with the State of Massachusets, the film is now widely available.

Much has changed in the 40+ years since Titicut Follies appeared.

The shift from more expensive analog celluloid (film) to digital (video cameras and digital editing) has meant an unprecedented burgeoning in documentaries.  Now, there are simply more documentaries being created than at any other time.  This means that there are many more documentaries, both in theaters and on the television, for viewers to choose as part of their media diet.   And, documentaries about diet can sometimes prove economically and critically successful.  For example,  Morgan Spurlock’s Supersize Me (2004)  grossed over $11 million dollars (in the first year alone) and was nominated for an Academy Award.

The shift from film to digital video has also meant that there are many more documentaries about health on television as well.   Most recently, for example, the American cable television network HBO launched a documentary series called “Addiction,” funded by the National Institutes of Health (NIH) and National Institute of Drug Addiction (NIDA), which presents a strong and unequivocal message that drug addiction is “a brain disease” (HBO, 2007). In the very near future, media mogul Oprah is set to launch her network of documentary films, OWN, that may just prove to be another game-changer in the distribution of docs.

At the same time as the shift from film to digital video, there’s been another important transformation: the rise of the Internet.  The pervasiveness of Internet technologies means that increasingly when we look for “information” we start with search engine rather than with a trip to the library.  Digital videos, often documentaries, are often what we stumble upon when we search for information.

Changes in traditional distribution networks for films have also expanded the audiences that see documentaries.  The conventional distribution networks, such as chain video stores and cable television channels, often made it difficult to find documentaries to watch.  With the seismic shifts in distribution wrought by what Anderson calls “the long tail”   documentaries that might draw a smaller audience can still be successfully distributed through online video outlets such as Netflix.

All of these changes together mean that we’re living in a kind of golden era of documentaries.  Many of these documentaries,  like Supersize Me, Food Inc,., and The Cove, deal with important health-related issues.   Today, there are simply more documentary films in existence than ever before due to the rise in the independent and documentary film industry, the widespread use of digital video cameras by the general public, and the rise of documentary films in television.  And, because of vastly diversified distribution networks, many of these documentaries are now widely available at relatively low cost.  In addition, literally millions of short documentary films and clips from longer documentaries are available at no cost through online video portals, such as YouTube.com.

Those of us who are concerned about the public’s health, and want to affect public policy in ways that can improve health, should figure out how to make the most of this golden age of documentaries.

For titles of health-related and social issue documentaries, see this list compiled by the author.

Jessie Daniels, Senior Fellow, The Center for Health, Media and Policy, Associate Professor, Hunter College

[caption id="attachment_10647" align="alignleft" width="300"] Photo credit (from

Congratulations to CHMP Intern Jen Busse, for her first published post on the American Journal of Nursing’s  Off The Charts “An NP Prepares: When ‘Normal’ Is Better Than ‘Fine’”

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Jen Busse, RN, MPH, who is currently working as a nurse while studying at Columbia University College of Nursing to be a family nurse practitioner.

Congratulations to CHMP Intern Jen Busse, for