In July 1998, The Economist, in the following article, predicted that the new Baddie in Hollywood will be HMOs - Health Maintenance Organisations; with complaints, mistrust and outright hostility towards them cutting across all social and economic strata.








The 'Holy Grail' of markets - the USA - will be won on the HMO theme, not to mention the stand alone appeal of the Scottish brand and the inspiring theme of friends sticking together through thick and thin which is the
mass appeal in both
Four Weddings
...
and
Notting
Hill
, two of the
biggest grossing British movies in the US of all time!

HMOs, the new nasties

Ever
since the collapse of Communism, Hollywood has been searching for villains. For a while it looked as if South Africans might fit the bill, but then apartheid collapsed. There was a brief fashion for demonising the English, as in Braveheart, in which the English army rapes and pillages its way across Scotland, and the Die Hard films in which English actors play East German terrorists in pursuit of Bruce Willis.

But then there was always Hugh Grant in the wings, to prove that the English are just a bunch of charming fops after all...when all else fails, space aliens and giant lizards can be quite useful. But their appeal seldom extends to people with a mental age above ten.

At last however, Hollywood has solved the problem. Health Maintenance Organisations (HMOs) are in many ways like Communism. They are designed by pointy headed intellectuals. They are manned by a Kafkaesque bureaucracy. And they reduce individual freedom in the name of the greatest good of the greatest number. In one way they are even better than Communism; they directly touch the lives of at least half the American population...

The most gripping demolition of HMOs occurs in As Good As It Gets, about the relationship between a waitress and a highly neurotic writer. The waitress has to take time off work because her son is suffering from a terrible respiratory disease. The writer is so determined that his daily routine should not be disturbed that he pays for an old fashioned doctor to examine her son. The doctor is appalled to learn that the boy has been denied an essential test because it is not "covered by her plan".

"Fucking HMO bastard pieces of shit" she exclaims, to spontaneous applause in cinemas across the land. When she apologises for her language, the doctor tells her to think nothing of it,

... " Actually, I think that's their technical name."