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Frank Pierce is at the end of his rope. As portrayed by Nicolas Cage in Martin Scorsese's "Bringing Out The Dead", he is a burned out, alcoholic, insomniac New York City ambulance driver tormented by the ghosts of those he failed to save -- specifically, the ghost of Rose, a young, asthmatic woman he couldn't "bring back". The movie is basically a snapshot of Frank's life -- three days of hell as seen from his vantage point : a speeding ambulance by which a blurred, uncertain, frightening, and often oppressive world flies.

Frank tells us at the movie's outset that he hasn't saved a life in months, and that he's beginning to believe in things like spirits that leave a body and don't want to come back. He's starting to feel like a "grief mop", like his only real responsibility is to "bear witness" to death and suffering. Frank and his partner Larry (John Goodman) are attempting to resuscitate a heart attack victim as the movie begins, and as the man's daughter Mary (Patricia Arquette) looks on in horror, Larry is successful in pulling him back from death's door. The overrun hospital, however, shoves him into a corner and keeps him drugged up, shocking him back to "life" when necessary. Mary tells Frank she hadn't spoken to her father for a long while before his attack, and in fact had often wished he were dead, but that now there's nothing she'd like more that to just hear his voice again. She was once a junkie but has now been clean for months, she tells him. Frank seems moved by Mary, seems to want to "save" her -- perhaps he thinks if he can save her, he will be able to let go of the pain of losing Rose.

Frank's developing feelings for Mary provide a counterpoint to the insanity he encounters on emergency calls with his partners Larry (John Goodman), Marcus (Ving Rhames), and Walls (Tom Sizemore). Sometimes the calls involve merely picking up the local smelly drunk Mr. O, their "most frequent flier" who seems to think the hospital is a nice place to sober up. Other times they involve matters that are much more serious, like resuscitating a heroin OD in a club (a great scene) or assisting in the allegedly virgin birth of twins (haunting, and one of the movie's many examples of religious imagery). But no matter where Frank goes, he sees Roses' face -- he sees her everywhere, she comes to him in the guise of the nameless street people that cross his path.

There really is no plot to "Bringing Out The Dead", and that's a good thing because the movie isn't meant to be a straightforward narrative. It's meant to be a snapshot of a man's soul, of his inner demons, and a conventional plot would only cloud the movie's real point. The narrative thrust comes mostly from Frank's interactions with his partners -- each of them representing a different approach, a different way of dealing with the pain brought on by this nerve wracking job. Larry (Goodman) seems to be able to block out the emotional aspects of his job, he seems to see his position mainly as a means to an end, and in fact he tells Frank he'll be a captain one day. Marcus (Ving Rhames, in a scene stealing performance) puts all trust and faith in God, believing that if someone dies, it's just their time to go. Walls (a scarily effective Tom Sizemore) is a borderline psychotic, terrorizing patients (including dread locked street person Noel, well played by singer Mark Anthony) and bashing in his ambulance headlights with a baseball bat.

If these three provide the kinetic thrust of the movie, Frank and Mary provide it's emotional center. Frank finds himself drawn closer and closer to Mary, and in fact he tries to rescue her when she resorts to visiting scummy drug dealer Cy Coates (the excellent Cliff Curtis) at the Oasis, a scarily shot urban hellhole that seems to be a local haven for drug dealing. She needs some respite, however temporary and narcotic, from the pain, and in this sense she has a link with Frank (who drinks on the job and taps into his own medical supplies to get high). The movie seems to be saying that these two people need each other; perhaps each has what is needed to soothe the other's hurt.

"Bringing Out The Dead" is the fourth collaboration between Scorsese and screenwriter Paul Schrader, and it touches on their familiar themes of faith, guilt, hope, and redemption. Much has been written about the similarities between this film and "Taxi Driver", Scorsese's 1976 ode to urban rot. I feel these similarities are somewhat superficial. Though Frank and Travis Bickle are both lonely, disenfranchised, ill people, Frank wants to help people; Bickle just wants to clean the "trash" up off the streets. Bickle lashes out in rage; Frank lashes out in fear and desperation. Schrader's screenplay offers satisfying levels of complexity, so that ultimately, towards the end, when Frank does something totally unexpected and morally ambiguous, we understand exactly why he's doing it and can sympathize.

Of course, from a technical standpoint "Bringing Out The Dead" is flawless. Ace lensman Robert Richardson (who previously worked with Scorsese on "Casino") gives the city an appropriately gloomy, sick look, and his work is especially effective in a scene in which Cy dangles from a sixteenth floor balcony while fireworks explode behind him. Thelma Schoonmaker's expert editing is, as usual, outstanding -- she gives the fast paced scenes the charge they need, and provides some dizzying sped up camera effects during the emergency call scenes. Scorsese's choice of music is great, as is his work with the actors. Sizemore, Anthony, Curtis, Arquette, and especially Rhames are all good, but it's Cage who must hold the movie together, and he succeeds with a towering performance that is easily his best work since "Leaving Las Vegas". Cage is cast perfectly here; his tortured, implosive Frank Pierce is an indelible character.

"Bringing Out The Dead" is not for everyone. The movie's lack of a conventional narrative arc will probably confuse and alienate some viewers, and the way it uncompromisingly looks into the darkest corners of human nature with an unflinching eye will disturb others. Yet these qualities are Scorsese's hallmarks, and this film has links to many of his other works -- the confusion of "After Hours", the emotional indecision of "The Age of Innocence", the alienation of "Taxi Driver", the spiritual search of "The Last Temptation of Christ". "Bringing Out The Dead" is not easy to watch, and at times it's hard not to look away. But it's real, and it stays with you.

Martin Scorsese is rightfully lauded for many fine films, but still doesn't seem to get quite enough credit for this NYC-set character study. Paul Schrader adapts the novel by former EMS worker Joe Connelly, in which paramedic Frank Pierce (Nicolas Cage) has become seriously burnt out. He's spent long years on the mean streets of The City, working hard to save lives. But he is now haunted by the thoughts of those people he could not save, one girl (Cynthia Roman) in particular. Although he makes a connection with Mary (Patricia Arquette), daughter of one of his patients, it remains to be seen just how much this relationship will do for his fragile mind.

The role of a mentally unbalanced individual tormented by what he's seen and done is a natural for the talented Cage. Here Cage shows just how good he can be when working with strong material. (Although that's not to say that he doesn't have some VERY intense moments.) Scorsese is to be commended for his impressive use of surrealism, and the grim, seedy aesthetic he often applies to the film. It has great atmosphere, and equally fine use of locations.

The story is episodic in nature, as we see Frank work with a succession of partners: the amiable John Goodman (as Larry), an upbeat and energetic Ving Rhames (as Marcus), and a lively Tom Sizemore (as Tom Wolls). The whole cast does creditable work, and there are a pleasing number of familiar faces and reliable character actors and actresses in supporting roles: Marc Anthony, Mary Beth Hurt, Cliff Curtis, Nestor Serrano, Aida Turturro, Sonja Sohn, Afemo Omilami, Arthur J. Nascarella. Scorsese can be heard as a male dispatcher, Queen Latifah is the voice of a female dispatcher, and that's independent filmmaker Larry Fessenden in a cameo as a cokehead.

With a very eclectic soundtrack as accompaniment, striking cinematography by Robert Richardson, and some dizzying camera angles, "Bringing Out the Dead" proves to be an interesting, provocative, and heartfelt depiction - albeit with memorable comedic elements - of the grim side of life in NYC. Ultimately, it's a long, hard road to finding the strength and faith that Frank needs to carry on.

Eight out of 10.

In Bringing Out the Dead, Nicolas Cage plays Frank, a graveyard shift EMT technician in New York City in the early 1990s. In classic Scorsese style, the themes of masculinity, subcultural underground interaction, and fast paced film editing combine to form the frenetic basis of Frank's neo-noir lifestyle. The film is dark, urban, and also blackly comic, relying on strong masculine characters to provide energy and humor.

Overall, Bringing Out the Dead appears to be heavily influenced by film noir. Frank, the protagonist, is at the end of his rope in a rather solitary and stressful job and he often finds escape from the ghosts of his failures through alcohol. Patricia Arquette plays Mary, the femme fatale character and woman in distress Frank seeks to save. The film is uber-urban, set mainly in the nighttime ghettos and hustling districts of New York City, and the major events center around various city dwellers. Frank's adventures in life saving are highlighted by the colorful characters of City life, including prostitutes, drug addicts, homeless persons, insane persons, goth-punk death rockers and the ubiquitous 'Mr. O.,' the smelliest destitute to plague Our Lady of Perpetual Mercy Hospital. Frank is led by Mary into the narcotic underworld, and meets the proprietor of 'The Oasis,' a charismatic dealer with a passion for tropical fish and silk robes.

Many of the lighting techniques also serve to emphasize the urbanality of the surroundings, often combining music and fast paced editing. The darkness of the City night is contrasted with the searing halogen of the hospital, and the sunlight that creeps through the window at dawn mocks Frank's insomnia. Indeed, the movie ends at dawn, with Frank nodding off to sleep. This is very similar to the traditional horror movie ending at dawn when the nighttime monsters are relegated to their nocturnal lairs. Editing techniques are feverish and accelerate in pace as the movie progresses and Frank's hysteria mounts. Many of these sequences involve a montage of the flashing ambulance lights, 360-degree camera rotation, blurred traffic lights and shots of the crazed driver behind the wheel. My personal favorite scene is when Frank is going to answer a call, and the montage is set to R.E.M.'s What's the Frequency Kenneth.

Overall, most of the main characters are the male ambulance drivers/EMTs. These characters, Frank, Tom, Marcus and Larry, exude a kind of unquestioned masculinity, which they prove through various means such as violence, excessive flirting, and alcohol consumption. Tom is a violent, hair trigger macho who enjoys pummeling transients and minorities. Marcus is a smooth talking black man who chain smokes stogies and praises Jesus. Larry is an overweight everyman, wanting to start his own paramedic business. Frank is a Marlboro smoking altruistic cowboy with a drinking problem and insomnia. At some point, most of the characters engage in drinking (liquor) while on duty or at least in the ambulance. The characters names are also quite masculine, especially in contrast to Noel, a man who is a drug addict of ethnic descent that is never arguably fully a man.

Inherently, Scorsese's New York City is an urban jungle that will break any man who is not strong or tough enough.

Bringing Out the Dead does not remember when they talk about the career of Cage or Scorsese. This is not the most famous film as an actor or director and this is an omission. Firstly, this is the most realistic film I have seen about paramedics, and secondly, the chamber of action stung at 48 o'clock makes the film more of a thriller than a drama. A great picture about one of the most psychologically difficult professions, excellent acting Cage and at least somewhere shown the reality of American medicine.

I was genuinely curious about "Bringing Out the Dead". I am a fan of Scorsese, but I never heard about this motion picture until a few months ago. The movie follows a medical technician responding to tough emergency calls. There are tons of raw scenes that portray perfectly how crazy and chaotic New York might be during the night. Frank Pierce is a man hunted by the people that was not able to save, he lives with deep regrets and traumas. In order to cope with all this, he becomes addicted to alcohol and other substances, disconnecting completely from reality. On paper this movie is great: first responders see a lot of really difficult situations on a daily basis and this can have some serious consequences on a person's psyche, to the point where personal life and relationships are heavily impacted. I think that the director portrayed this aspect very well. Unfortunately, I had a hard time going through it, because it is really repetitive and I feel that the main character never really develops in any way, he just keeps living in the same way, without doing anything about it. Towards the end we finally see some progressions, but then the credits roll and we do not get to see if Frank will finally find redemption. Maybe someone might find this choice appealing because it leaves the audience in the mystery, but personally I did not enjoy it.

This film had a lot of potential, the acting is decent, the plot is extremely interesting and the side characters are appealing. However, the lack of progression and the exhaustingly repetitive sequences, made "Bringing Out the Dead" a tedious experience.