In April 2013, Codeblack acquired the theatrical rights of Free Angela and All Political Prisoners, a documentary about social activist Angela Davis. Also in 2013, Codeblack released the film The Inevitable Defeat of Mister & Pete, a story of two children on their which have been abandoned by their drug-addicted caretaker. Code Black: Directed by Aj Cross. With Nicholas Corda, Efrain Figueroa, Nassera Bougherara, Tom Staggs. With time running out, a lone spy must decipher a code to deter a bomb plot that is being led by a Russian warlord. CODE BLACK offers a tense, doctor's-eye view, right into the heart of the healthcare debate - bringing us face to face with America's only 24/7 safety net. Best Documentary winner at Los Angeles Film Festival and the Hamptons International Film Festival, as well as the Audience Award Winner at both Denver Starz Film Festival and Aspen FilmFest.
| Code Black | |
|---|---|
| Directed by | Ryan McGarry |
| Written by | Ryan McGarry & Joshua Altman |
| Produced by | Linda Goldstein Knowlton |
| 2013 | |
Running time | 1:20:38 |
| Language | English |
Code Black is a documentary directed by Ryan McGarry in 2013 that follows the lives of young physicians in the LAC+USC Medical Center Emergency department. These young residents stand up for medicine in a broken-health care system. This film enters one of America's busiest emergency rooms where new challenges arise as the young residents try to live up to the previous doctors in the legendary C-booth.[1]
This documentary is inspired by the lives of young physicians during their residency with at 'C-booth' in the Los Angeles County Hospital trauma bay. The film begins in a chaotic, small room swarming with doctors, nurses and severely injured patients called 'C-booth.' During the film the young physicians talk about their experience in 'C-booth' and why they decided to become doctors.
After the 1994 Northridge earthquake on January 17, 1994 the hospital underwent new safety regulations and construction began on a new building. As the young doctors enter their last year of residency they faced challenges with the new regulations within the new center. These challenges included a large amount of patients and insurance paperwork,[2] brought upon a congested ER. Patients would wait over fourteen hours to be seen by their physicians and drive hours to this hospital seeking care.
'Code Black' meant that the emergency room was at its full capacity and a busy day was ahead for the doctors. This medical center adopted an ER classification system between 1 and 4 to help distinguish between patients that require immediate attention to a simple cold. For example a 4 could mean a cold or broken finger, 3 could be the flu, 2 could be appendicitis and 1 would be a heart attack or head trauma. In an effort to alleviate patient wait times, the physicians came up with innovative ideas.[3] They sickest patients would be treated first with paperwork done after, thereby decreasing wait time. With all the obstacles chipping away at them, the young doctors persevered.[4]
Before the 1994 Northridge earthquake in the LAC+USC Medical Center there was a space within the trauma bay called 'C-booth.' This tiny square foot room was buzzing with staff members awaiting severely injured patients.[3] This small room consist of two hospital beds, a small hall separating the computers and equipment from the beds. During the film, this room is remembered for being a place where doctors were able to study medicine and heal their patients. The young doctors in the film appreciated C-booth for the adrenaline rush it caused and good that it did. This motivated them to construct new concepts derived from C-booth to improve the new ER in the new medical center.[1]



The problem, as the movie explains, is twofold. There's funding, and then there's paperwork. Medical care costs too much in this country. It's so expensive that a major injury or the onset of a major illness can bankrupt whole families. There's still tremendous resistance to the idea that society should collectively pitch in for everyone's health care, even though, as one doctor in the film explains, everyone already IS paying for everyone else's health care: when poor or working class people with no decent health insurance go to emergency rooms, the taxpayer ends up footing the bill anyway, so getting on a high-horse about it is silly. The question isn't whether you should have to contribute to a stranger's health care, since you already are contributing in the form of taxes; it's what form that contribution will ultimately take, and how efficiently and sensibly the money will be used.
The paperwork problem is thornier. As 'Code Black' points out, emergency medicine as we now know it was created at C-Booth, a ward in LA County General that in flashbacks has a touch of the battlefield tent about it. Because C-Booth was located in a cramped area of an old building, it was spared some of the usual administrative requirements placed on similar facilities in newer hospitals. The doctors and nurses who worked there were sort of grandfathered in, as professionals empowered to concentrate on treating patients and not worrying so much about dotting all the i's and crossing all the t's. When C-Booth moved to a new, state-of-the-art facility in 2008, the waivers disappeared, and now those same healthcare providers talk about spending most of their days filling out paperwork, instead of establishing a rapport with patients and then treating their ailments. Wait times in the waiting rooms began creeping upward. Many patients now wait hours, sometimes whole days, to see a doctor. A few simply give up and go home untreated.
What can be done about all this? I don't think McGarry has any solutions, or pretends to have any. This is to his credit. 'Code Black' is more of a description of a set of conditions, or problems—a diagnosis without a prescription. It's heartfelt and messy. It feels like a pretty good segment of '60 Minutes' blown up to feature length. It wants to put a human face on social problems, and sometimes succeeds, but at the cost of getting distracted from the complex arguments it is (often lucidly) making. Perhaps it would have been better as a drier, more analytical piece about systemic ills (a touch of 'Frontline'). It's more fair-minded than you might expect, given that it's a film about doctors directed by a doctor. It's aware that something fine was lost when C-Booth relocated and the paperwork monster swallowed everyone up. But it's also aware that there are a lot of players involved in health care treatment—patients, doctors, nurses, administrative staff, hospitals, hospital networks, health care insurance companies, the government—and that they all demand accountability, as well they should. No one enjoys paperwork. There must be a better way. What is it?