Although it was initially applauded by top U.S. military commanders, the film caused controversy due to its gruesome images of soldiers suffering, and in some cases dying, from their war wounds. Almost at the start, you see a medical orderly carrying a human arm, amputated above the elbow, which he puts into a red plastic bag.
But suddenly, the army withdrew its support for the film. Army surgeon Lieutenant General Kevin Kiley warned that the film showed "the ravages and anguish of war", and that it could cause post-traumatic stress disorder, "such as flashbacks or nightmares." The Secretary of the Army even asked HBO to delete some footage from the final cut. The Pentagon also turned down an HBO's offer to co-sponsor a screening of the film this week at Fort Campbell, Kentucky where the 86th is based.
Moreover, none of the highest ranking officers or senior medical personnel attended Monday's screening. "Maybe people at the Pentagon feel the truth will discourage people from backing the war. "The film certainly tells you what could happen in a war," Shelia Nevins, President of HBO's documentary unit, told the Washington Post after the screening.
The Pentagon's fears that the documentary will undermine the support for the war shows how top U.S. officials are out of touch of reality. In fact, public support for Iraq War is already waning. Seven retired generals have publicly called for the resignation of Defense Secretary Donald Rumsfeld over his handling of the war. President George W. Bush's approval rating has tumbled to an all-time low of barely 30 percent. A recent Washington Post poll showed that only 59% of Americans believe that going to war was a mistake.
Below are some excerpts of the film published on Democracy Now. Its reporter also interviewed the film's directors, a military doctor who appeared in the documentary, and a mother of a dead soldier who saw her son's last hours in the film.
Amy Goodman: This is an excerpt of Baghdad ER
Army surgeon: What all do we have to do to save his arm? What are our options?
Army surgeon: It doesn't look good.
Army surgeon: He's just got a massive injury to his arm. He's going to lose it.
Army surgeon: Hey, can you grab me an amputation set?
Army surgeon: Alright, let's get this thing off.
Maj. Martin Harnish: This war and the number of lives it's affecting is just unbelievable. I have to think that the people in this country are in a better place for it or will be in a better place for it. I have to believe that, because otherwise, this is just sheer madness.
Amy Goodman: That was an excerpt of the film, Baghdad ER. We're joined now by the filmmakers who produced and directed the film: Jon Alpert and Matt O'Neill, both award-winning filmmakers at Downtown Community Television. Between them, they've won 14 national and local Emmy Awards. We're also joined from Alabama by Dr. James Hill, the flight surgeon in aviation medicine at Fort Rucker in Alabama. Dr. Hill spent a year as an emergency medical physician in the Combat Support Hospital in Baghdad. And on the phone with us is Paula Zwillinger. Her son Marine Lance Corporal Robert Mininger was killed in Iraq on June 6, 2005, 21 years old. We welcome you all to Democracy Now! We're going to begin with Jon Alpert. Jon, tell us about the mission you went on to Baghdad, you and Matt O'Neill.
Jon Alpert: We spent two months in the Combat Support Hospital in Baghdad. It's the main Army hospital, the most sophisticated facility that we have in Iraq. And when you're wounded and your life is on the line, that's where you're taken. And the Army gave us complete access. We were embedded, and I was really quite surprised when we got there that the army completely facilitated our access to the facility. They're extraordinarily proud of this facility. I've never seen doctors so dedicated. I've never seen miracles like this, and I've never seen horrors like this before.
Amy Goodman: Matt O'Neill, what most stands out for you as you were embedded in this unit in the emergency room?
Matthew O'Neill: For me, it's the relentless pace that the doctors are working under day after day. I mean, we spent two months there, and we came out exhausted and rattled by what we saw. And the doctors who were there, like Dr. Hill, were there for a year, and spending 12 months under those conditions working the enormously hard shifts that they worked is unbelievable.
Amy Goodman: Let's go to Dr. Hill in Alabama. Your response to this film, Baghdad ER? Do you feel it captures what you went through, spending a year in the emergency medical unit at Combat Support Hospital in Baghdad?
Dr. James Hill: Well, I don't think there's any film that can capture a whole year's worth of footage within an hour, but I definitely think that Jon Alpert and Matt O'Neill hit a home run with this production. It was sensational. It gave me flashbacks, and I'm a person who was trained at one of the best trauma centers in the country down in Miami. And I thought I saw everything before I went to Baghdad. And within six hours, the facility showed me that I just saw the beginning, the tip of the iceberg, and after a year, I did feel like I was beat down, I mean, just run over.
Amy Goodman: What was hardest for you, Dr. Hill?
Dr. James Hill: The hardest thing for me, and I believe it was for all the medical providers, was the difficulty in taking care of so many soldiers and at the same time having to take care of the Iraqi people that actually injured them. They'll be in one bed, the Iraqi person that shot four or five soldiers, and three of those soldiers may have died, and we still had to deal with our personal feelings and the medical ethics of taking care of that individual, so they can stand trial. So, we have a very big test of our morality of saving these people that want to hurt us, that are definitely against us, and then also taking care of our American heroes.
Amy Goodman: I want to go to another clip of the HBO documentary.
Maj. Al Weed: So this guy's obviously been shot in several places. He's got some fractures, and we're just looking at his films here. He's got a lot of shrapnel in his legs and stuff.
Army medical personnel: Man, it's a rubber knee.
Army medical personnel: You should feel it. Very unstable fracture. He'll probably end up losing that limb.
Maj. Al Weed: These guys have injuries all over the place, and so you have to prioritize which injuries take precedence. Life over limb.
Army Surgeon: I'm just a good West Texas boy, and back in West Texas, we thought we were seeing some stuff, but out here it's all -- whole 'nother ball game.
Amy Goodman: Another excerpt of Baghdad ER. So, Jon Alpert, what happened? You were embedded. You had the full support of the unit and the Army. They knew you were there, obviously. I mean, the images of just the two of you with your cameras right in there in the surgeries. What happened?
Jon Alpert: The support from the people who were there on the ground, the people in the hospital, the people who every single day are there saving American lives has not wavered at all. Everybody that we've spoken to feels honored by this film, is proud that they're part of it, and they want everybody in the United States to see it. It's been universal. There are people in some offices in the Pentagon that have had objections to this, but it's certainly not anybody who is in Iraq helping to keep Americans alive.
Amy Goodman: Well, what about the top brass? What happened? They originally did support what you're doing, and then at the Washington screening, where many of them were going to be -- can you talk about the memos? Can you talk about what has turned around?
Jon Alpert: There certainly was an attempt at one point from the Secretary of the Army to see if HBO would change this film or alter it, and a phone call was made, and this is very sensitive. All these large media organizations are affected by Congressional legislation. There is a bill going through Congress that you've been talking about on your show that has certain language in it.
It's billions of dollars for Time Warner one way and billions the other way if the language is changed, and when somebody makes a phone call, it's intimidating. And to HBO'S credit -- you know, I've been in this situation before in the first Gulf War. Our reports came back, and the news organizations wouldn't play it. And HBO basically looked back and said, "You know, this is the truth, and it's going on the air." And I'm really proud to be associated with HBO on this, because they didn't buckle.
Amy Goodman: The call that was made, the Secretary of the Army called the president of HBO?
Jon Alpert: Not president. He called a vice president of HBO?
Amy Goodman: Who was it?
Jon Alpert: I don't know. I'm not privy to the conversation, but I do know that he wondered whether certain things in the program could be changed, and HBO said, "Hell, no."
Matthew O'Neill: I think it's important to understand that every person that wears a uniform that's spoken to us, including the top people in the Army, the Chief of Staff of the Army, have nothing but respect for this film, and they've told us directly that they think that it accurately captures the truth of what's happening over there.
Amy Goodman: I want to turn now to another clip from Baghdad ER that Major Hill is in, as well.
Army chaplain: Lord, you brought him to us. We tried everything we could to save his life. But it was not our -- not up to us. Lord, we pray that his life and even his death might be used to hasten peace and end this terrible war.
Dr James Hill: Another crummy day in Baghdad.
Army surgeon: Very young, very young. P.F.C. hasn't been in very long, and the specialist could have been in a few years, but could have come in as a specialist. A lot of young kids over here getting hurt.
Amy Goodman: Major Hill, you were there as the person is dying, saying, "Another crummy day in Baghdad." Your feelings when someone dies?
Dr James Hill: I feel a personal loss, because it's my patient. I take responsibility for each one of my patients, whether they end up in the morgue or they end up in the O.R. and make it back to their families. It feels like a triumph when we get them back to their families, and they give us a call and say, "Thanks a lot. I really appreciate everything you did for me."
Amy Goodman: We're also joined on the phone by Paula Zwillinger. Her son U.S. Marine Lance Corporal Robert Mininger was killed in Iraq June 6, 2005. He was 21 years old. This film has to bring back memories for you... How important do you think it is for people to see these images?
Paula Zwillinger: I think it's very important. It brings the reality of the war into the home. Right now, as we've talked about previously, what is the public really seeing nowadays? They're seeing a paragraph on the second page of a newspaper saying that, you know, we lost X number of lives today, whether it be an I.E.D., whether a tank rolled over, and it's just a little paragraph, and you don't really get the visual image of really what war is about until you see the movie.
It's very easy to read it in the paper. There's no getting around it. It's a little cold. It's not detailed. You know, you never get details in the newspaper, but when you see the documentary it really hits home, because it's reality. What you're going to see is war, and it's the outcome of war, whether it be positive or negative.
Amy Goodman: And your feelings now about the Army seeming to pull back, withdraw support from showing this film, saying it's going to cause post-traumatic stress and even putting pressure on HBO to change this film, to delete scenes?
Paula Zwillinger: Well, you know, I have an opinion and, you know, the more I think about it, as Jon mentioned that, you know, it does have political ties to it, but you know, everybody has to take from this documentary their own feelings, and right now with -- everybody has an opinion about the war. Of course, with the polls and everything showing, you know, where the American public really resides as to our opinion as to whether we should be there or not and how things have changed, I mean, that's an ever ongoing situation, but it definitely has a strong image of what war is about.
Amy Goodman: Paula, Matt and Jon brought you to New York, because they had filmed the death of your son in the Baghdad ER.
Paula Zwillinger: Correct.
Amy Goodman: You, alone, watched this with your husband.
Paula Zwillinger: Yes.
Amy Goodman: What were your feelings?
Paula Zwillinger: Well, you have to understand that I initially had 17 hours where I knew nothing. It was, in essence, a black hole. I had many questions that I thought I would never get the answers to, and five months later, after, you know, losing Bob, Matt called me and told me about the documentary that they were working on, and for me to see this footage again of my son literally puts me at his bedside, and I think that is a precious gift that any parent would take, to literally be there at your son's bedside.
You know, it's -- you have to wonder, timing of it and everything, as to why they were there when Bob came through the door, you know, all those little coincidences and things of that nature, but in reality it has given me peace. It has given me closure. It has answered some of my questions that I've had. It has given me the opportunity to talk with the doctors and the nurses who took care of him. Not every parent gets those answers in a time of war when their child is, you know, injured or killed overseas. And again, you know, I am very fortunate that I have that now, so I look at it as a gift.
Amy Goodman: Jon Alpert?
Jon Alpert: And on our part, it was an honor to meet Paula. It was an honor to meet the doctors who tried to save her son's life and people like Dr. Hill who every single day were working in ways that just made me so proud to be with them. It's my firm belief that the soldiers in uniform want every American to see this film, and they're proud of it, and I'm proud to have been part of it.
Amy Goodman: Do you think it will be shown in Fort Campbell?
Jon Alpert: It was shown in Fort Campbell last night to a very enthusiastic response. We've talked to the soldiers, right? You talked to some of the soldiers.
Matthew O'Neill: I talked to some of the soldiers who saw the film yesterday in Fort Campbell in a closed screening, just for people in the C.A.S.H. who were involved with the film, and one major called me up and she said, "I don't understand what the warnings are about. You guys only showed the tip of the iceberg. They were saying this was gruesome, and you showed nothing."