At the Movies with the Health Insurance Industry: Ethical and Environmental Issues

Motion pictures can serve as an educational tool to shed light on ethical issues in the health insurance industry. To the chagrin of the health insurance industry, this light has oftentimes been unfavorable, as illustrated in such motion pictures as: Damaged Care (Winer, 2002), John Q (Cassavetes, 2002), and The Rainmaker (Coppola, 1997). In reaction to this unfavorable portrayal, health maintenance organizations have taken action to cast themselves in a more positive light. The objectives of this article are: to demonstrate how motion pictures that feature the health insurance industry can serve as a vehicle to illustrate management concepts such as planning, decision making, ethics, and conflict resolution; and to underscore the interrelationships and mutual dependencies of the ethical decisions, the decision-makers, and the context of the ethical dilemmas. Suggestions on how environmental response strategies can be used to improve public perceptions of the health insurance industry are also provided. The teaching method proposed in this article can be used in undergraduate level and graduate level principles of management, organizational behavior, and ethics courses.