Medicaid is the United States health program for certain people and families with low incomes and resources. It is a means-tested program that is jointly funded by the state and federal governments, and is managed by the states.^[1] People served by Medicaid are U.S. citizens or legal permanent residents, including low-income adults, their children, and people with certain disabilities. Poverty alone does not necessarily qualify someone for Medicaid. Medicaid is the largest source of funding for medical and health-related services for people with limited income in the United States.

Features[link]

Beginning in the 1990s, many states received waivers from the federal government to create Medicaid managed care programs. Under managed care, Medicaid recipients are enrolled in a private health plan, which receives a fixed monthly premium from the state. The health plan is then responsible for providing for all or most of the recipient's healthcare needs. Today, all but a few states use managed care to provide coverage to a significant proportion of Medicaid enrollees. Nationwide, roughly 60% of enrollees are enrolled in managed care plans.^[2] Core eligibility groups of poor children and parents are most likely to be enrolled in managed care, while the aged and disabled eligibility groups more often remain in traditional "fee for service" Medicaid.

Some states operate a program known as the Health Insurance Premium Payment Program (HIPP). This program allows a Medicaid recipient to have private health insurance paid for by Medicaid. As of 2008 relatively few states had premium assistance programs and enrollment was relatively low. Interest in this approach remained high, however.^[3]

Included in the Social Security program under Medicaid are dental services. These dental services are an optional service for adults above the age of 21; however, this service is a requirement for those eligible for Medicaid and below the age of 21.^[4] Minimum services include pain relief, restoration of teeth and maintenance for dental health. Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is a mandatory Medicaid program for children that aims to focus on prevention on early diagnosis and treatment of medical conditions.^[4] Oral screenings are not required for EPSDT recipients and they do not suffice as a direct dental referral. If a condition requiring treatment is discovered during an oral screening, the state is responsible for taking care of this service, regardless of whether it is covered on that particular Medicaid plan.^[5]

History[link]

Medicaid was created by the Social Security Amendments of 1965 which added Title XIX to the Social Security Act. Each state administers its own Medicaid program while the federal Centers for Medicare and Medicaid Services (CMS) monitors the state-run programs and establishes requirements for service delivery, quality, funding, and eligibility standards.

The Medicaid Drug Rebate Program and the Health Insurance Premium Payment Program (HIPP) were created by the Omnibus Budget Reconciliation Act of 1990 (OBRA-90). This act helped to add Section 1927 to the Social Security Act of 1935 which became effective on January 1, 1991. This program was formed due to the costs that Medicaid programs were paying for outpatient drugs at their discounted prices.^[6]

The Omnibus Budget Reconciliation Act of 1993 (OBRA-93) amended Section 1927 of the Act as it brought changes to the Medicaid Drug Rebate Program,^[6] as well as requiring states to implement a Medicaid estate recovery program to sue the estate of decedents for medical care costs paid by Medicaid.^[7]

In 1997, the Balanced Budget Act of 1997 added the Children's Health Insurance Program.

In 2010, the Patient Protection and Affordable Care Act expanded Medicaid eligibility starting in 2014; people with income up to 133% of the poverty line qualify for coverage, including adults without dependent children.^[8][9]

State implementations[link]

States may bundle together the administration of Medicaid with other programs such as the Children's Health Insurance Program (CHIP), so the same organization that handles Medicaid in a state may also manage the additional programs. Separate programs may also exist in some localities that are funded by the states or their political subdivisions to provide health coverage for indigents and minors.

State participation in Medicaid is voluntary; however, all states have participated since 1982 when Arizona formed its Arizona Health Care Cost Containment System (AHCCCS) program. In some states Medicaid is subcontracted to private health insurance companies, while other states pay providers (i.e., doctors, clinics and hospitals) directly.

Most states administer Medicaid through their own programs. A few of those programs are listed below:

• California: Medi-Cal
• Massachusetts: MassHealth
• Oregon: Oregon Health Plan
• Oklahoma: Soonercare
• Tennessee: TennCare

Enrollment[link]

According to CMS, the Medicaid program provided health care services to more than 46.0 million people in 2001.^[10][11] In 2002, Medicaid enrollees numbered 39.9 million Americans, the largest group being children ^[12] (18.4 million or 46 percent). Some 43 million Americans were enrolled in 2004 (19.7 million of them children) at a total cost of $295 billion. In 2008, Medicaid provided health coverage and services to approximately 49 million low-income children, pregnant women, elderly people, and disabled people. In California, about 23% of the population was enrolled in Medi-Cal for at least 1 month in 2009-10.^[13]

Medicaid payments currently assist nearly 60 percent of all nursing home residents and about 37 percent of all childbirths in the United States. The federal government pays on average 57 percent of Medicaid expenses.

Loss of income and medical insurance coverage during the 2008-2009 recession resulted in a substantial increase in Medicaid enrollment in 2009. Nine U.S. states showed an increase in enrollment of 15% or more, resulting in heavy pressure on state budgets.^[14]

Comparisons with Medicare[link]

Medicare is a social insurance program funded entirely at the federal level^[15] and focuses primarily on the older population. As stated in the CMS website,^[16] Medicare is a health insurance program for people age 65 or older, people under age 65 with certain disabilities, and people of all ages with end stage renal disease. The Medicare Program provides a Medicare part A which covers hospital bills, Medicare Part B which covers medical insurance coverage, and Medicare Part D which covers prescription drugs.

Medicaid is a program that is not solely funded at the federal level. States provide up to half of the funding for the Medicaid program. In some states, counties also contribute funds. Unlike the Medicare entitlement program, Medicaid is a means-tested, needs-based social welfare or social protection program rather than a social insurance program. Eligibility is determined largely by income. The main criterion for Medicaid eligibility is limited income and financial resources, a criterion which plays no role in determining Medicare coverage. Medicaid covers a wider range of health care services than Medicare. Some people are eligible for both Medicaid and Medicare and are known as Medicare dual eligibles.^[17] In 2001, about 6.5 million Americans were enrolled in both Medicare and Medicaid.

Eligibility[link]

Medicaid is a joint federal-state program that provides health coverage or nursing home coverage to certain categories of low-asset people, including children, pregnant women, parents of eligible children, people with disabilities and elderly needing nursing home care. Medicaid was created to help low-asset people who fall into one of these eligibility categories "pay for some or all of their medical bills."^[18]

There are two general types of Medicaid coverage. "Community Medicaid" helps people who have little or no medical insurance. Medicaid nursing home coverage pays all of the costs of nursing homes for those who are eligible except that the recipient pays most of his/her income toward the nursing home costs, usually keeping only $66.00 a month for expenses other than the nursing home.

While Congress and the Centers for Medicare and Medicaid Services (CMS) set out the general rules under which Medicaid operates, each state runs its own program. Under certain circumstances, an applicant may be denied coverage. As a result, the eligibility rules differ significantly from state to state, although all states must follow the same basic framework.

Poverty[link]

Having limited assets is one of the primary requirements for Medicaid eligibility, but poverty alone does not qualify a person to receive Medicaid benefits unless they also fall into one of the defined eligibility categories.^[19] According to the CMS website, "Medicaid does not provide medical assistance for all poor persons. Even under the broadest provisions of the Federal statute (except for emergency services for certain persons), the Medicaid program does not provide health care services, even for very poor persons, unless they are in one of the designated eligibility groups."^[19] In 2010, the Patient Protection and Affordable Care Act expanded Medicaid eligibility starting in 2014; people with income up to 133% of the poverty line qualify for coverage, including adults without dependent children.^[8][9]

Categories[link]

There are a number of Medicaid eligibility categories; within each category there are requirements other than income that must be met. These other requirements include, but are not limited to, assets, age, pregnancy, disability, blindness, income and resources, and one's status as a U.S. citizen or a lawfully admitted immigrant.^[20]

The Deficit Reduction Act of 2005 (DRA) requires that anyone seeking Medicaid must produce documents to prove that he or she is a United States citizen or resident alien. An exception is made for Emergency Medicaid where payments are allowed for the pregnant and disabled regardless of immigration status.^[21][22] Special rules exist for those living in a nursing home and disabled children living at home. A child may be covered under Medicaid if it is a U.S. citizen or a permanent resident.

A child may be eligible for Medicaid regardless of the eligibility status of its parents or guardians. Thus, a child can be covered by Medicaid based on its individual status even if its parents are not eligible. Similarly, if a child lives with someone other than a parent, it may still be eligible based on its individual status.^[23]

Coverage and Utilization[link]

One-third of children and over half (59%) of low-income children are insured through Medicaid or SCHIP. The insurance provides them with access to preventative and primary services which are utilized at a much higher rate than for the uninsured, but still below the utilization of privately insured patients. As of February 2011, a record 90% of children have coverage. However, 8 million children remain uninsured, including 5 million who are eligible for Medicaid and SCHIP but not enrolled.^[24]

Dental[link]

Children enrolled in Medicaid are individually entitled under the law to comprehensive preventive and restorative dental services, dental care utilization for this population is low. The reasons for low utilization are many, but a lack of dental providers who participate in Medicaid is a key factor.^[25][26] Group dental practices are some of the few dentists who accept children and adults insured with Medicaid.^[27] Few dentists participate in Medicaid – less than as half of all active private dentists in some areas.^[28] Low reimbursement rates, complex forms and burdensome administrative requirements are commonly cited by dentists as reasons for not participating in Medicaid.^[29][30]

HIV[link]

Medicaid provided the largest portion of federal money spent on health care for people living with HIV/AIDS until the implementation of Medicare Part D when the prescription drug costs for those eligible for both Medicare and Medicaid shifted to Medicare. Unless low income people who are HIV positive meet some other eligibility category, they must progress to AIDS (T-cell count drops below 200) before they can qualify under the "disabled" category to receive Medicaid assistance.^[31] The Medicaid eligibility policy contrasts with the Journal of the American Medical Association (JAMA) guidelines which recommend therapy for all patients with T-cell counts of 350 or less, or in certain patients even higher. Due to the high costs associated with HIV medications, many patients are not able to begin antiretroviral treatment without Medicaid help. More than half of people living with AIDS in the US are estimated to receive Medicaid payments. Two other programs that provide financial assistance to people living with HIV/AIDS are the Social Security Disability Insurance (SSDI) and the Supplemental Security Income.

Supplemental Security Income Beneficiaries[link]

Once someone is approved as a beneficiary in the Supplemental Security Income program they may automatically be eligible for Medicaid coverage (depending on the laws of the state they reside in).

Assets[link]

Both the federal government and state governments have made changes to the eligibility requirements and restrictions over the years. The Deficit Reduction Act of 2005 (DRA) significantly changed the rules governing the treatment of asset transfers and homes of nursing home residents.^[32] The implementation of these changes proceeded state-by-state over the next few years and has now been substantially completed.

Five year "look-back"[link]

The DRA created a five-year "look-back period." That means that any transfers without fair market value (gifts of any kind) made by the Medicaid applicant during the preceding five years are penalizable, dollar for dollar. All transfers made during the five-year look-back period are totaled, and the applicant is penalized that amount after having already dropped below the Medicaid asset limit. This means that after dropping below the asset level ($2,000 limit in most states), the Medicaid applicant then has to re-pay all transfers during the preceding five years by private-paying for nursing home costs. Since the person has less than $2,000, there is no source of funds to pay the penalty. Elders who gift or transfer assets can be caught in the situation of having no money but still not being eligible for Medicaid.

No gifting[link]

There is widespread misconception about what a senior can legally gift during the look-back period without Medicaid penalties. The annual IRS gifting exclusion is $13,000 a year as of 2009. But this gift exclusion is only a federal gift tax rule: if a person gifts $13,000 or less during a year, that gift is not required to be reported and does not generate gift tax liability for the donor or the recipient. However, Medicaid has never honored the annual gift tax exclusion. Gifts of any size during the five years preceding a Medicaid application are totaled and penalized dollar for dollar.

Medicaid planners typically advise retirees and other people facing high nursing home costs to adopt strategies that will protect their financial assets in the event of nursing home admission. State Medicaid programs do not consider the value of one's home in calculating eligibility, therefore it is often recommended that retirees pursue home ownership. By adopting the recommended strategies, many seniors hope they will quickly qualify for Medicaid benefits if the need for long-term care arises.

A cottage industry has developed with attorneys providing "Medicaid planning" for those in a nursing home or likely to be admitted. The attorneys develop plans to convert countable assets to exempt assets, thereby making an elder with excess assets eligible. Planning techniques can also prevent the homestead from being lost to a Medicaid lien. Legal asset protection can be done at any point since a conversion of a countable asset to an exempt asset is not a transfer without fair market value and is therefore not subject to the five-year look-back period.

Budget[link]

Medicaid spending as part of total U.S. healthcare spending (public and private). Percent of gross domestic product (GDP). Congressional Budget Office chart.^[33]

Unlike Medicare, which is solely a federal program, Medicaid is a joint federal-state program. Each state operates its own Medicaid system, but this system must conform to federal guidelines in order for the state to receive matching funds and grants.^[34] The matching rate provided to states is determined using a federal matching formula (called Federal Medical Assistance Percentages), which generates payment rates that vary from state to state, depending on each state's respective per capita income.^[35] The wealthiest states only receive a federal match of 50% while poorer states receive a larger match.

Medicaid funding has become a major budgetary issue for many states over the last few years, with states, on average, spending 16.8% of state general funds on the program. If the federal match expenditure is also counted, the program, on average, takes up 22% of each state's budget.^[36][37] Some 43 million Americans were enrolled in 2004 (19.7 million of them children) at a total cost of $295 billion.^{[citation needed]} In 2008, Medicaid provided health coverage and services to approximately 49 million low-income children, pregnant women, elderly people, and disabled people.^{[citation needed]} Federal Medicaid outlays were estimated to be $204 billion in 2008.^[38]

Medicaid does not pay benefits to individuals directly; Medicaid sends benefit payments to health care providers. In some states Medicaid beneficiaries are required to pay a small fee (co-payment) for medical services.^[20] Medicaid is limited by federal law to the coverage of "medically-necessary services".^[39]

Medicaid payments currently assist nearly 60 percent of all nursing home residents and about 37 percent of all childbirths in the United States. The federal government pays on average 57 percent of Medicaid expenses.

On November 25, 2008, a new federal rule was passed that allows states to charge premiums and higher co-payments to Medicaid participants.^[40] This rule will enable states to take in greater revenues, limiting financial losses associated with the program. Estimates figure that states will save $1.1 billion while the federal government will save nearly $1.4 billion. However, this means that the burden of financial responsibility will be placed on 13 million Medicaid recipients who will face a $1.3 billion increase in co-payments over 5 years.^[41] The major concern is that this rule will create a disincentive for low-income people to seek healthcare. It is possible that this will force only the sickest participants to pay the increased premiums and it is unclear what long term effect this will have on the program.

Public Health Impacts[link]

A 2011 paper by the Massachusetts Institute of Technology and the Harvard School of Public Health, “The Oregon Health Insurance Experiment: Evidence from the First Year,” utilized Oregon’s 2008 decision to hold a randomized lottery for the provision of Medicaid insurance in order to measure the impact of health insurance on an individual’s health and well-being. The study examined the outcomes of the 10,000 lower-income people eligible for Medicare who were chosen by this randomized system, which helped eliminate potential bias in the data produced. The study's authors caution that the survey sample is relatively small and "estimates are therefore difficult to extrapolate to the likely effects of much larger health insurance expansions, in which there may well be supply side responses from the health care sector." Nevertheless, the study finds evidence that: 1) Hospital utilization increased by 30% for those with insurance, with the length of hospital stays increasing by 30% and the number of procedures increasing by 45% for the population with insurance; 2) Medicaid recipients proved more likely to seek preventative care. Women were 60% more likely to have mammograms, and recipients overall were 20% more likely to have their cholesterol checked; 3) In terms of self-reported health outcomes, having insurance was associated with an increased probability of reporting one’s health as “good,” “very good,” or “excellent” — overall, about 25% higher than the average; 4) Those with insurance were about 10% less likely to report a diagnosis of depression.^[42]

See also[link]

	Government of the United States portal
	Health portal
	Medicine portal

• Center for Medicare and Medicaid Innovation
• Health insurance in the United States
• Maurice Mazel
• Medicaid managed care
• State Children's Health Insurance Program (SCHIP/CHIP)
• United States National Health Care Act

References[link]

Further reading[link]

• House Ways and Means Committee, "2004 Green Book - Overview of the Medicaid Program", United States House of Representatives, 2004.

External links[link]

• CMS official web site.
  • Medicaid information
    • Healthcare information for consumers
    • Insurance information for consumers
  • Medicare
    • Medicare official web site for beneficiaries.
• Health Assistance Partnership
• Trends in Medicare, October 2006. Staff Paper of the Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services
• Read Congressional Research Service (CRS) Reports regarding Medicaid
• "Medicaid Research" and "Medicaid Primer" from Georgetown University Center for Children and Families.
• Kaiser Family Foundation - Substantial resources on Medicaid including federal eligibility requirements, benefits, financing and administration.
  • "The Role of Medicaid in State Economies: A Look at the Research," Kaiser Family Foundation, April 2004
  • State Health Facts Data on health care spending, utilization, and insurance coverage, including details extensive Medicaid information.
• Coverage By State - Information on state health coverage, including Medicaid, by the Robert Wood Johnson Foundation & AcademyHealth.
• Medicaid information from Families USA
• Medicaid Reform - The Basics from The Century Foundation
• National Association of State Medicaid Directors Organization representing the chief executives of state Medicaid programs.
• Ranking of state Medicaid programs by eligibility, scope of services, quality of service and reimbursement from Public Citizen. 2007.
• Center for Health Care Strategies, CHCS Extensive library of tools, briefs, and reports developed to help state agencies, health plans and policymakers improve the quality and cost-effectiveness of Medicaid.
• Medicare Interactive - Medicare resource presented by the Medicare Rights Center
• SSA.gov

Michael Moore
Moore in New York to promote his memoir Here Comes Trouble, September 2011
Born	Michael Francis Moore (1954-04-23) April 23, 1954 (age 58) Flint, Michigan, United States[1]
Alma mater	University of Michigan–Flint
Occupation	Actor, director, screenwriter, producer
Years active	1972–present[2]
Religion	Roman Catholic[3]
Spouse	Kathleen Glynn (1991–present)
Website
michaelmoore.com

Michael Francis Moore (born April 23, 1954) is an American filmmaker, author, social critic and activist.^[4] He is the director and producer of Fahrenheit 9/11, which is the highest-grossing documentary of all time.^[5] His films Bowling for Columbine and Sicko also place in the top ten highest-grossing documentaries.^[5] In September 2008, he released his first free movie on the Internet, Slacker Uprising, which documented his personal quest to encourage more Americans to vote in presidential elections.^[6] He has also written and starred in the TV shows TV Nation and The Awful Truth.

Moore criticizes globalization, large corporations, assault weapon ownership, U.S. Presidents Bill Clinton^[7] and George W. Bush, the Iraq War, the American health care system, and capitalism in his written and cinematic works.

Personal life[link]

Moore was born in Flint, Michigan,^[1] and raised in Davison, a suburb of Flint, by parents Veronica (née Wall), a secretary, and Frank Moore, an automotive assembly-line worker.^[8][9][10] At that time, the city of Flint was home to many General Motors factories, where his parents and grandfather worked. His uncle LaVerne was one of the founders of the United Automobile Workers labor union and participated in the Flint Sit-Down Strike.^[11]

Moore was brought up Catholic,^[12] attended parochial St. John's Elementary School for primary school and later attended St. Paul's Seminary in Saginaw, Michigan, for a year.^{[13][8][14][15][16]} He then attended Davison High School, where he was active in both drama and debate,^[17] graduating in 1972. As a member of the Boy Scouts of America, he achieved the rank of Eagle Scout.^[8] At the age of 18, he was elected to the Davison school board.^[18]

Since 1990, Moore has been married to producer Kathleen Glynn,^[19] with whom he has a stepdaughter named Natalie. Moore is a Catholic,^[3][20] but has said he disagrees with church teaching on subjects such as abortion^[21] and same-sex marriage.^[22]

Following the Columbine High School massacre, Moore acquired a life membership to the National Rifle Association (NRA). Moore said that he initially intended to become the NRA's president and dismantle it, but he soon dismissed the plan as too difficult.^[23][24] Observers such as Dave Kopel noted that there was no chance of that happening;^[25] authors David T. Hardy and Jason Clarke wrote about how Moore failed to discover that the NRA selects a president not by membership vote but by a vote of the board of directors.^[26]

In 2005 Time magazine named Moore one of the world's 100 most influential people.^[27] Also in 2005, Moore started the annual Traverse City Film Festival in Traverse City, Michigan.

Career[link]

After dropping out of the University of Michigan–Flint following his freshman year (where he wrote for the student newspaper The Michigan Times), Moore worked at the local Buick plant.^[28] At 22 he founded the alternative weekly magazine The Flint Voice, which soon changed its name to The Michigan Voice as it expanded to cover the entire state. In 1986, when Moore became the editor of Mother Jones, a liberal political magazine, he moved to California and The Michigan Voice was shut down.

Moore at the 66th Venice International Film Festival in 2009

After four months at Mother Jones, Moore was fired. Matt Labash of The Weekly Standard reported this was for refusing to print an article by Paul Berman that was critical of the Sandinista human rights record in Nicaragua.^[29] Moore refused to run the article, believing it to be inaccurate. "The article was flatly wrong and the worst kind of patronizing bullshit. You would scarcely know from it that the United States had been at war with Nicaragua for the last five years."^[30] Moore believes that Mother Jones fired him because of the publisher's refusal to allow him to cover a story on the GM plant closings in his hometown of Flint, Michigan. He responded by putting laid-off GM worker Ben Hamper (who was also writing for the same magazine at the time) on the magazine's cover, leading to his termination. Moore sued for wrongful dismissal, and settled out of court for $58,000, providing him with seed money for his first film, Roger & Me.^[31]

Directing/producing[link]

Roger & Me

Moore first became famous for his 1989 film, Roger & Me, a documentary about what happened to Flint, Michigan, after General Motors closed its factories and opened new ones in Mexico, where the workers were paid much less. Since then Moore has been known as a critic of the neoliberal view of globalization. "Roger" is Roger B. Smith, former CEO and president of General Motors. Harlan Jacobson, editor of Film Comment magazine, said that Moore muddled the chronology in Roger & Me to make it seem that events that took place before G.M.’s layoffs were a consequence of them. Critic Roger Ebert defended Moore's handling of the timeline as an artistic and stylistic choice that had less to do with his credibility as a filmmaker and more to do with the flexibility of film as a medium to express a satiric viewpoint.^[32]

Pets or Meat: The Return to Flint

(1992) is a short (23-minute) documentary film that was aired on PBS. It is based on the feature-length film Roger & Me (1989) by Michael Moore. The film's title refers to Rhonda Britton, a Flint, Michigan, resident featured in both the 1989 and 1992 films who sells rabbits as either pets or meat.^[33]

Canadian Bacon

In 1995, Moore released a satirical film, Canadian Bacon, which features a fictional US president (played by Alan Alda) engineering a fake war with Canada in order to boost his popularity. It is noted for containing a number of Canadian and American stereotypes, and for being Moore's only non-documentary film. The film is also one of the last featuring Canadian-born actor John Candy, and also features a number of cameos by other Canadian actors. In the film, several potential enemies for America's next great campaign are discussed by the president and his cabinet. (The scene was strongly influenced by the Stanley Kubrick film Dr. Strangelove.) The President comments that declaring war on Canada was as ridiculous as declaring war on international terrorism. His military adviser, played by Rip Torn, quickly rebuffs this idea, saying that no one would care about "... a bunch of guys driving around blowing up rent-a-cars."

The Big One

In 1997, Moore directed The Big One, which documents the tour publicizing his book Downsize This! Random Threats from an Unarmed American, in which he criticizes mass layoffs despite record corporate profits. Among others, he targets Nike for outsourcing shoe production to Indonesia.

Bowling for Columbine

Moore's 2002 film, Bowling for Columbine, probes the culture of guns and violence in the United States, taking as a starting point the Columbine High School massacre of 1999. Bowling for Columbine won the Anniversary Prize at the 2002 Cannes Film Festival^[34] and France's César Award as the Best Foreign Film. In the United States, it won the 2002 Academy Award for Documentary Feature. It also enjoyed great commercial and critical success for a film of its type and became, at the time, the highest-grossing mainstream-released documentary (a record now held by Moore's Fahrenheit 9/11).^[5] It was praised by some for illuminating a subject avoided by the mainstream media.

Fahrenheit 9/11

Fahrenheit 9/11 examines America in the aftermath of the September 11, 2001 attacks, particularly the record of the Bush administration and alleged links between the families of George W. Bush and Osama bin Laden. Fahrenheit was awarded the Palme d'Or,^[35] the top honor at the 2004 Cannes Film Festival; it was the first documentary film to win the prize since 1956. Moore later announced that Fahrenheit 9/11 would not be in consideration for the 2005 Academy Award for Documentary Feature, but instead for the Academy Award for Best Picture. He stated he wanted the movie to be seen by a few million more people via a television broadcast prior to election day. According to Moore, "Academy rules forbid the airing of a documentary on television within nine months of its theatrical release", and since the November 2 election was fewer than nine months after the film's release, it would have been disqualified for the Documentary Oscar.^[36] However, Fahrenheit received no Oscar nomination for Best Picture. The title of the film alludes to the classic book Fahrenheit 451 about a future totalitarian state in which books are banned; according to the book, paper begins to burn at 451 degrees Fahrenheit. The pre-release subtitle of the film confirms the allusion: "The temperature at which freedom burns." At the box office, as of 2010 Fahrenheit 9/11 is the highest-grossing documentary of all time, taking in over US$200 million worldwide, including United States box office revenue of almost US$120 million.^[5] In February 2011, Moore sued producers Bob and Harvey Weinstein for US$2.7 million in unpaid profits from the film, claiming they used "Hollywood accounting tricks" to avoid paying him the money.^[37]

Michael Moore at the 2007 Cannes Film Festival receiving a standing ovation for Sicko

Sicko

Moore directed this film about the American health care system, focusing particularly on the managed-care and pharmaceutical industries. At least four major pharmaceutical companies — Pfizer, Eli Lilly, AstraZeneca, and GlaxoSmithKline — ordered their employees not to grant any interviews to Moore.^[38][39][40] According to Moore on a letter at his website, "roads that often surprise us and lead us to new ideas—and challenge us to reconsider the ones we began with have caused some minor delays." The film premiered at the Cannes Film Festival on May 19, 2007, receiving a lengthy standing ovation, and was released in the U.S. and Canada on June 29, 2007.^[41] The film was the subject of some controversy when it became known that Moore went to Cuba with chronically ill September 11th rescue workers to shoot parts of the film. The United States is looking into whether this violates the trade embargo. The film is currently ranked the fourth highest grossing documentary of all time^[5] and received an Academy Award nomination for Best Documentary Feature.^[42]

Captain Mike Across America

Moore takes a look at the politics of college students in what he calls "Bush Administration America" with this film shot during Moore's 60-city college campus tour in the months leading up to the 2004 election.^[43][44] The film was later re-edited by Moore into Slacker Uprising.

Capitalism: A Love Story

On September 23, 2009, Moore released a new movie titled Capitalism: A Love Story, which looks at the late-2000s financial crisis and the U.S. economy during the transition between the incoming Obama Administration and the outgoing Bush Administration. Addressing a press conference at its release, Moore said, "Democracy is not a spectator sport, it's a participatory event. If we don't participate in it, it ceases to be a democracy. So Obama will rise or fall based not so much on what he does but on what we do to support him."^[45]

Writing[link]

Moore has written or co-written eight non-fiction books, mostly on similar subject matter to his documentaries. Stupid White Men (2001) is ostensibly a critique of American domestic and foreign policy but, by Moore's own admission, is also "a book of political humor."^[46] Dude, Where's My Country? (2003), is an examination of the Bush family's relationships with Saudi royalty, the Bin Laden family, and the energy industry, and a call-to-action for liberals in the 2004 election. Several of his works have made bestseller lists.

Acting[link]

Moore has dabbled in acting, following a 2000 supporting role in Lucky Numbers as the cousin of Lisa Kudrow's character, who agrees to be part of the scheme concocted by John Travolta's character. He also had a cameo in his Canadian Bacon as an anti-Canada activist. In 2004, he did a cameo, as a news journalist, in The Fever, starring Vanessa Redgrave in the lead.

Television[link]

Between 1994 and 1995, he directed and hosted the BBC television series TV Nation, which followed the format of news magazine shows but covered topics they avoid. The series aired on BBC2 in the UK. The series was also aired in the US on NBC in 1994 for 9 episodes and again for 8 episodes on Fox in 1995.

His other major series was The Awful Truth, which satirized actions by big corporations and politicians. It aired on Channel 4 in the UK, and the Bravo network in the US, in 1999 and 2000. Moore won the Hugh M. Hefner First Amendment Award in Arts and Entertainment for being the executive producer and host of The Awful Truth, where he was also described as "muckraker, author and documentary filmmaker".

Another 1999 series, Michael Moore Live, was aired in the UK only on Channel 4, though it was broadcast from New York. This show had a similar format to The Awful Truth, but also incorporated phone-ins and a live stunt each week.

Music videos[link]

Moore has directed several music videos, including two for Rage Against the Machine for songs from The Battle of Los Angeles: "Sleep Now in the Fire" and "Testify". He was threatened with arrest during the shooting of "Sleep Now in the Fire", which was filmed on Wall Street; the city of New York had denied the band permission to play there, although the band and Moore had secured a federal permit to perform.^[47]

He also directed the videos for R.E.M. single "All the Way to Reno (You're Gonna Be a Star)" in 2001 and the System of a Down song "Boom!".

Appearances in other documentaries[link]

• Moore appeared in The Drugging of Our Children,^[48] a 2005 documentary about over-prescription of psychiatric medication to children and teenagers, directed by Gary Null a proponent of Alternative Medicine. In the film Moore agrees with Gary Null that Ritalin and other similar drugs are over-prescribed, saying that they are seen as a "pacifier".
• Moore appeared on fellow Flint natives Grand Funk Railroad's edition of Behind The Music.
• Moore appeared as an off-camera interviewer in Blood in the Face, a 1991 documentary about white supremacy groups. At the center of the film is a neo-Nazi gathering in Michigan.^[49]
• Moore appeared in The Yes Men, a 2003 documentary about two men who pose as the World Trade Organization. He appears during a segment concerning working conditions in Mexico and Latin America.
• Moore briefly appears in Alex Jones's documentary Martial Law 9/11: Rise of the Police State. Jones criticises Moore for not going into more depth about the World Trade Center attacks in Fahrenheit 9/11, particularly about NORAD standing down, and for portraying George W. Bush as an unassuming frontman instead of an active conspirator in 9/11. Jones manages to ask Moore why he didn't mention NORAD standing down, and Moore swiftly answers that "it would be un-American".
• Moore was interviewed for the 2004 documentary, The Corporation. One of his highlighted quotes was: "The problem is the profit motive: for corporations, there's no such thing as 'enough'".^[50]
• Moore appeared in the 2006 documentary I'm Going to Tell You a Secret, which chronicles Madonna's 2004 Re-Invention World Tour. Moore attended her show in New York City at Madison Square Garden.

Political views[link]

Moore lampoons George W. Bush's reaction to the September 11 attacks notification

Although Moore has been noted for his liberal political activism,^[4] he rejects the label "political activist" saying such a description is redundant as a citizen of a democracy: "I and you and everyone else has to be a political activist. If we're not politically active, it ceases to be a democracy."^[51] According to John Flesher of the Associated Press, Moore is known for his "fiery left-wing populism,"^[52] and publications such as the Socialist Worker Online have hailed him as the "new Tom Paine."^[53]

Moore was a high-profile guest at both the 2004 Democratic National Convention and the 2004 Republican National Convention, chronicling his impressions in USA Today. He was criticized in a speech by Republican Senator John McCain as "a disingenuous film-maker." Moore laughed and waved as Republican attendees jeered, later chanting "four more years." Moore gestured his thumb and finger at the crowd, which translates into "loser."^[54]

During September and October 2004, Moore spoke at universities and colleges in swing states during his "Slacker Uprising Tour". The tour gave away ramen and underwear to students who promised to vote.^[55][56] One stop during the tour was Utah Valley State College. A fight for his right to speak resulted in massive public debates and a media blitz.^[57] The Utah event was chronicled in the documentary film This Divided State.^[58]

Despite having supported Ralph Nader in the 2000 presidential election, Moore urged Nader not to run in 2004 so as not to split the left vote. On Real Time with Bill Maher, Moore and Maher knelt before Nader to plead with him to stay out of the race.^[59]

Moore drew attention in 2004 when he used the term "deserter" when he introduced Retired Army Gen. Wesley K. Clark at a Democratic Presidential debate in New Hampshire. Noting that Clark had been a champion debater at West Point, Moore told a laughing crowd, "I know what you're thinking. I want to see that debate" between Clark and [George W.] Bush -- "the general versus the deserter." Moore said he was referring to published reports in several media outlets including The Boston Globe which had reported that "there is strong evidence that Bush performed no military service as required when he moved from Houston to Alabama to work on a U.S. Senate campaign from May to November 1972."^{[60] [61][62]}

On April 21, 2008, Moore endorsed Barack Obama for President, stating that Hillary Clinton's recent actions had been "disgusting."^[63] Moore is an active supporter of the Occupy Wall Street protest in New York City and spoke with the OWS protesters on September 26, 2011.^[64] On October 29, 2011, he spoke at the Occupy Oakland protest site to express his support. ^[65]

Published work[link]

Bibliography[link]

• Moore, Michael (1996). Downsize This! Random Threats from an Unarmed American. New York: HarperPerennial. ISBN 0-06-097733-7. 
• Moore, Michael; Glynn, Kathleen (1998). Adventures In A TV Nation. New York: HarperPerennial. ISBN 0-06-098809-6. 
• Moore, Michael (2002). Stupid White Men ...and Other Sorry Excuses for the State of the Nation!. New York: Regan Books. ISBN 0-06-039245-2. 
• Moore, Michael (2003). Dude, Where's My Country?. New York: Warner Books. ISBN 0-446-53223-1. 
• Moore, Michael (2004). Will They Ever Trust Us Again?. New York: Simon & Schuster. ISBN 0-7432-7152-1. 
• Moore, Michael (2004). The Official Fahrenheit 9/11 Reader. New York: Simon & Schuster. ISBN 0-7432-7292-7. 
• Moore, Michael (2008). Mike's Election Guide 2008. New York: Grand Central Publishing. ISBN 0-446-54627-5. 
• Moore, Michael (2011). Here Comes Trouble: Stories from My Life. New York: Grand Central Publishing. ISBN 0-446-53224-X. 

Filmography[link]

• Roger & Me (1989)
• Pets or Meat: The Return to Flint (1992) (TV)
• Canadian Bacon (1995)
• The Big One (1997)
• And Justice for All (1998) (TV)
• EDtv (1999) (cameo as himself)
• Lucky Numbers (2000) (as actor)
• Bowling for Columbine (2002)
• Fahrenheit 9/11 (2004)
• Sicko (2007)
• Captain Mike Across America (2007)
• Slacker Uprising (2008)
• Capitalism: A Love Story (2009)

Television series[link]

• TV Nation (1994)
• The Awful Truth (1999)
• Michael Moore Live (1999)

References[link]

External links[link]

This article's use of external links may not follow Wikipedia's policies or guidelines. Please improve this article by removing excessive or inappropriate external links, and converting useful links where appropriate into footnote references. (December 2010)

Wikisource has original works written by or about: Michael Moore

Wikiquote has a collection of quotations related to: Michael Moore

Wikimedia Commons has media related to: Michael Moore

• Michael Moore at the Internet Movie Database
• Works by or about Michael Moore in libraries (WorldCat catalog)
• The Populist: Michael Moore Can Make You Cry / New Yorker (16 February 2004)
• America's Teacher by Naomi Klein, The Nation, September 23, 2009
• A 2007 NOW on PBS interview with Michael Moore
• Michael Moore on His Life, His Films and His Activism - video interview by Democracy Now!
• Michael Moore on 2010 Midterm Elections, the Tea Party, and the Future of the Democratic Party
• In Depth interview with Moore, October 2, 2011