The House of God

I finally landed a copy of the elusive House of God on video. Actually, a taped copy from cable where it showed up last week at 2:36 a.m. and I just happened to be up.

The movie has the almost impossible task of living up to one of the great American novels. Tim Matheson is well-cast as are the two police officers Quick and Gilheeney (James Cromwell and Malachy McCourt).

Charles Haid just isn't very fat, but he does a commendable job as The Fat Man. The rest of the cast is a who's who of future TV sitcom stars: Michael Richards, Joe Piscopo, Gilbert Godfried, Bess Armstrong...

I thought the movie was ok (it was filmed in Philadelphia, which is never mentioned), but it lacked the most essential element of the book: The Rules of the House of God. The first few are mentioned, but that's it.

GOMERS, Slurpers, Turfing, Buffing, Bouncing...it's all there. I wonder how someone who didn't read the book would like it?

Anyway, it's worth a peak, but don't pay $800 or whatever that place in Georgia wanted for it. I'll make you a copy for the price of a blank casette.

My cousin is a neurologist, and I roomed with him and one of his friends when I first heard of the book House of God. I also heard that it had been made into a movie which had never been released. Apparently it was run on cable television a couple of times, and copies circulated among doctors, nurses and interns. I met more doctors as a result of them coming over to our apartment to see this movie.

I haven't seen it in years, but I remember that I was very impressed with the adaptation. It is an 'inside' movie, in that those who are not doctors will not get as much out of it as those who are part of the profession, one reason perhaps why the film was not released. It was also pretty loose as far as plot and story, but so was the book. Lord knows there are a lot of movies that are far worse that did make it to theaters. The collapse of UA at the time was icing on the cake.

I distinctly remember my cousin telling me that the scenes in the ER were the most realistic he'd seen. Of course thanks to TV such scenes in the ER are a lot more plentiful.

Certainly worth seeing, and worth releasing on DVD.

...which I discovered immediately after finishing my own internship. As a reflection of what the medical training experience was like in the '70s (before the concept of diagnosis-related groups - DRGs - changed the way in which we hospitalize patients, particularly GOMER'd Medicare clients), the novel was the absolute truth, up to and including the rutting behavior of 'terns and residents trying to compensate for too much stress by going after too much sex.

Remember, it was not only pre-DRG (which first began testing in New Jersey in 1980 before going nationwide in 1983) but also pre-AIDS (which first began to manifest with epidemiological significance in 1981). By 1984, however - when this movie is considered to have been released, even though it had been finished in 1979 - its subject matter (and the novel's approach to it) simply wasn't topical any longer.

With the DRG system rammed down their collective throat by HCFA, hospitals no longer got revenue by performing all sorts of procedures and hanging onto patients for weeks on end (charging by the day). Instead, they began to be paid a set amount by third-party "health insurance" carriers according to the diagnosis-related group into which the particular patient fell. Explanations of DRG are available all over the 'Net, and I suppose Wikipedia's entry is good enough for most folks' purposes.

The whole thrust of the DRG system can be summed up as discharging each patient "quicker and sicker." A nasty situation for the admitting physician, who has to balance his/her best appreciation of the patient's needs against the hospital administration's pestering to do as little as possible as rapidly as possible to get the patient stable enough to wheel the critter out the door.

As for the matter of sexual promiscuity.... Well, that all went bye-bye when we discovered a sexually transmitted disease that transcended the status of "treatable inconvenience" to become a death sentence. If there's substance to *The Myth of Heterosexual AIDS* premise so beloved of the conservatives, have you ever wondered why the hell all us heterosexual doctors (most of us classifiable as "Hard Right" political conservatives even as college students) have practically welded our zippers shut over the past twenty years and more?

None of this, however, fully explains the failure to make the movie commercially available except on cable TV. There are certainly enough potential purchasers worldwide who are interested in the novel and would like to own a copy of the movie adaptation on home video, no matter how badly produced it might have been. So why is this film so spectacularly unavailable?

I was an under 5 in this film. I went to see the casting director at a nearby hotel by my workplace on my lunch break. She said I would be perfect as a crash cart nurse. My boss gave me 5 days off to work the film.

I had to rush down the hallway with a car filled with medical stuff. On breaks, Tim Matheson hung out with the extras in an empty room. He was just so incredibly kind and answered all our questions about his film career up to that point. Also George Coe and I did a couple of scenes. We had to 'silent' talk while looking at clipboard charts. He said I was a natural. I told him I did summer stock and the Stan method. Bess Armstrong was kind and funny. It was exciting to meet the other actors. Who knew that I was meeting the future Kramer from Seinfeld??? The other thing I remember so well was the famous craft services. The food spread was off the charts. When I finally saw the film so many years later on an obscure TV Channel, I realized I wound up on the cutting room floor. It was a fun experience, one I'll never forget. Oh, to be in my 20s again!!!

THE HOUSE OF GOD is a great deal of fun; a black "dramady," with more truths about hospitals and the medical profession you would ever expect to hear in a Hollywood movie. Which, is probably why THE HOUSE OF GOD was never released in theaters, is not now nor ever been available on VHS, DVD or laser disk, and is never shown on Turner Classic Movies (which has the rights to the entire United Artists collection).

How this film was ever made is a mystery. Made during the hectic (and waning days) of United Artists (about the time of HEAVEN'S GATE), THOG is a scathing indictment of crass commercialism and techno-insanity that infects the medical industry in this country. The

profession can stand being seen as arrogant (THE DOCTOR, CHICAGO HOPE), incompetent (THE HOSPITAL, BRITTANIA HOSPITAL) or irreverent (MASH, PATCH ADAMS). However, apparently it will not tolerate being

portrayed as being largely composed of money grubbing ghouls.

This movie is MUCH better than most fare released in theaters. Lisa Pelliken is SCARY as a technology obsessed resident. Charles Haid is wonderful and Tim Matheson is fine. Some of the other acting is a bit too much on the buffoonish side, however. The film is mounted and photographed a bit too much like a made-for-TV movie, as well. Nonetheless, this movie is too fine and true to put down too much.

WARNING: If you DO obtain a copy of this movie (I got mine off SHOWTIME), DO NOT, I repeat, DO NOT, loan it to anyone without making a backup copy. YOU WILL NOT GET IT BACK!