Analyze

The film looks at the struggles of the doctors in MSF while on missions in third-world countries. These issues stem from lack of supplies, quality of the facilities, and high patient influx. The doctors in the film are burning out quick, with way too many responsibilities to tkae care of. The setting is in Liberia and the Congo during a period of war. The film also examines the tensions developed between the doctors due to differences in style, knowledge, and culture. The clash of personalities and reasons for being in MSF also contribute to the tension. 

The film largely plays on emotional appeals and drama. By documenting the interviews of the doctors, which often are about the other doctors, the viewers see just how hard it is to detach ones self from their work. There is a scene in which the doctors talk about how, despite all the issues they face in the medical setting, everything at the end of the day is about personal relationships. It even briefly touches on sex between the medical staff and how that contributes to the care given. Since the film is based on personal interviews, little to no scientific information is given about the disease and injuries seen; its all based on personal opinion. 

The stakeholders in the film would be the doctors, the local health ministry, and the patients themselves. The doctors were the most focused on, and they were put into a lot of situations in which they were the sole decision makers. However, many times the decisions weren't life or death, but death or comfort. For instance, Davinder was in a situation where a child was inexplicably swelling all over his body. The doctors weren't well equipped for diagnosing his illness, and thus the child was doomed to worsen and die. A nurse informed him that the mother had taken the child and left, to which Davinder remarked that he couldn't blame them. He believed the comfort of the child in somewhere without his care was worth just as much as, if not more than, his care in the hospital. This was quite different than Kiara's opinion that they needed to stay in the hospital. She blamed it on a lack of confidence in medical ability, while he saw it as being human.

Following the time on the mission, the doctors all had to decide what was next. Dr. Brasher left MSF to practice medicine in Paris, while Dr. Gill went to Australia to become a pediatrician, with no plans of returning to MSF. Dr. Lapora was promoted to Emergency Coordinator, and established three more missions in other parts of the world. Dr. Krueger still works with MSF and has been on a number of other missions. All of the doctors continued medicine, but their experiences in Liberia dictated their plans on whether to continue this service.  

Emergency responders as a unique group aren't discussed or portrated in the film. However, the doctors had to take on the role of emergency responders often, while not neccesarily being emergency doctors. The question in the film became whether or not the doctors were prepared for these roles, and if they had the energy to dedicate to them. Some doctors burn out, and others thrive, but regardless they are challenged to make sacrifices that emergency responders often must decide on. 

The film would have the most impact on the general population, like something that would be played on a news channel before prime time. The level of emotional appeal and interpersonal drama is enough to keep anyone intersted for the length of the film. The film does however paint the experience in a negative light, which could discourage professionals from pursuin mission worlk. Thats why the general population would be most receptive to the struggles. Its easy for them to say "I would do something like that if...." without having the ability to do anything. 

The film doesn't look much at the people's experience with MSF. There are no interviews of the patient's themsleves. The film touches on the local health officials' opinons, but not much on the actual patients'. It doesn't highlight their sturggles as much as I believe it should. 

The film provided general facts about MSF and the conditions in Lieria and the Congo, but no detailed medical statisitics. There wasn't any comparison of the issues in this mission versus those on other missions. The film could have included more on the factors that contribute to the diseases themselves, rather than the barriers to treating them. The film also needed more on the exact amounts of supplies that were given relative to what one would have in a clinic elsewhere. 

The film looks at the work of MSF as an immediate relief effort, without too much in terms of long term sustainability. The doctors discuss this and how they can leave the clinic with some form of ongoing care, but that the infrastructure of the country itself does not support long term medical facilities. They look at it as an immediate fix to a forever existing problem. MSF is only there to help while they are there.

As far as persuasive goes, the entire film was very convincing of the fact that the doctors were under-resourced and over-worked. The part where the doctors were trying to perform a surgery and didn't have the right kind of drill to relieve the pressure in the brain was pretty compelling. Here we would never consider drilling into someone's brain without the proper sterilization, apparatus, or drill, but in such a low resource clinic, its the only option. That just shows how desperate the doctors were to perform their craft andbest serve their patients. Another part that was convincing was the portion where the doctors argued about reusing gloves. It was a bit hard to understand the argument, as the concept is just baffling to me as a hcp, but the fact that they had to disagree over washing and reusing gloves is proof of their desperation.

The film gave a lot of instances where the providers were more or less just having fun. For example, nearly every interview invoved the guys sitting down and drinking a beer while joking. While this proved their humanity, it also showed that the doctors spent much of their free time having fun rather than getting sleep. I would assume that they weren't drinkng while still "on call" or planning on giving care, and thus had the time to get proper rest. The amount of luxury afforded to the doctors after the trip also was a bit less compelling. At the end, the doctors were swimming at a nice pool and just relaxing, which is understandable for destressing. But it also seemed to take away some perspective. These doctors go on about how little resources they have to give and how the wish they could stay on their mission, but immediately turn back to luxury. Its just a bit hypocritical. And I understand that they cannot directly contribute to the people they care for in terms of wealth, but I found it was a bit unnecessary to include in the film.