June 18, 2007 issue - Michael Moore is a uniquely American hybrid: the profit-making, anti-establishment agitator. In that line of work, your instincts have to be sharp. His are. In films that mix brave journalism and brazen agitprop, he has been ahead of the curve on the demise of heavy industry; the deadly blend of teenage rage and the gun culture, and the shaky reasoning behind, and execution of, the Iraq War. In person, he is a friendly bear of a guy—until the tape is rolling. Then the populist piranha pops out. I watched him working the lobby of one of his Washington premieres. He had a film crew in tow...

Now Moore is back with "Sicko," his docu-tribe about our health-care "system." Once again, Moore's timing is perfect. Aside from Iraq, there is no bigger issue on the minds of voters. Two presidential candidates, John Edwards and Sen. Barack Obama, have come forth with ambitious plans that call for vastly extending coverage...

It would be nice to think that the urgency is the result of outrage at our mediocre infant-mortality and life-expectancy numbers, which are among the worst in the developed world. With a sure sense of how to be annoying, Moore praises Cuba's record (which in some respects is better than ours), and heaps kudos on France, the health-care paragon.

But the real reason the topic is atop the agenda is that the middle class is scared—again. In 1991, in the midst of a recession, Democrat Harris Wofford scored an upset victory in a U.S. Senate race in Pennsylvania with an ad, written by James Carville and Paul Begala. It asked: if every criminal is entitled to a lawyer, why isn't every family entitled to a doctor? Carville and Begala migrated to Bill Clinton's presidential campaign; a promise to push for universal health care went with them. "Back then, the concern was that people were losing jobs, and, with them, their health care," says Len Nichols, an economist at the New America Foundation. "Now it's not that you will lose your job, but that you simply can't afford the coverage." Twenty years ago, Nichols's figures show, health spending comprised 7 percent of the average family's income and compensation. Today that number is 20 percent...

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