Should I watch "Sicko"

Her is my case: 43 years old gentleman was scheduled to undergo a simple laparoscopic hernia repair. It does not look like anything I have to worry about - simple, straightforward case, good surgeon I have done a million like this with. So, not a big deal, right? Wrong! The guy happened to be 377lb, a smoker - 2 packs a day since high school, severe sleep apnea, high blood pressure poorly controlled with meds that he takes sporadically, diabetes again poorly managed. Not bad. Hah..! I came in for an easy case! On top of all of this, he is quite demanding and somewhat obnoxious. The first thing he tells me after I have introduced myself was how great the movie "Sicko" was. How much better health care people get in Cuba. And after I told him that he was a seriously higher risk for surgery and anesthesia he was genially surprised and became angry with me, he started mumbling something about "greedy doctors" - is that also in the movie? I have not seen it yet, and now have no intentions. The fact that this "greedy" doctor is trying his best to get him through his surgery, that he had complicated this otherwise pretty straightforward process by years and years of abuse escaped him completely! Of course, I didn't argue, patients have different ways to cope with the stress of anticipating surgical procedure. But this situation does bring up a valuable point of personal responsibility. Maybe in Cuba or elsewhere health care is accessible to everybody. It was in my former home country - Soviet Union - it was equally shitty for everybody. The real challenge here is to make it equally great for everybody, because just making everybody covered does not make it better. The concept of universal health care has a great danger to make it significantly worse for people who do have coverage right now! If somebody finds the solution, plus general public assumes more responsibility for maintaining healthy life style, then and only then we will be on the right track.
And by the way, my patient did fine. He woke up coughing like crazy, we had to give him breathing treatment in the recovery room. Because of his sleep apnea issue I sent him to the special close monitoring unit overnight and consulted hospitalist doctor to take care of his diabetes after surgery. I don't think I am gonna see "Sicko", not soon anyway.