The power of the first viewing of A Mighty Heart is a plot which rips Daniel Perlman from his pregnant wife and soon to
 be born son. This is set amid the chaos of Pakistan, a country 
simultaneously ancient and at 55 years post colonial rule, younger than 
wines in a good cellar. The second viewing, through excellent film 
craft, shows A Mighty Heart tells a very different and peaceful 
story. It is the story of a multiracial, multicultural, feminist, who 
loses her husband, yet her spirit refuses to capitulate to the tactics 
of terror. 
A Mighty Heart is
 directed by Michael Winterbottom. The screenplay is written by John 
Orloff. The film is an adaptation of the memoir written by  journalist 
Mariane Pearl who is played by Angelina Jolie.  Mariane is the widow of 
Wall Street Journal reporter Daniel Pearl, who in 2002, was assassinated
 in Pakistan. Dan Futterman portrays Daniel Pearl.
Since
 1992, over 1000 journalists have been documented to be  killed in the 
line of their duty, The conviction for these crimes around the world is 
around ten percent. Those responsible for the killings have enjoyed 
relative impunity for their actions. It is journalist James Foley, 
murdered in August 2015 in Syria, along with others, which prompts this 
second look at A  Mighty Heart. Jim,
 like Pearl was beheaded by fascists. The word fascist is chosen 
intentionally, avoiding the various euphemisms often applied to such 
murderers. 
The visuals of A Mighty Heart, beat
 a rhythm of an environment wrought with the oppression of masses of 
people, crammed into tight spaces. Medical researchers working with rats
 know that if you put too many in a cage, they will turn on one 
another.  As Marianne Pearl points out, she lost her journalist 
expatriate husband, but ten Pakistanis were also killed by extremist 
that same year. The visuals of poverty, the streets of Islamabad and 
Karachi, juxtaposed with privilege, the homes and servants of 
journalists, expatriates and wealthier Pakistani citizens, delicately 
illustrate fascist fundamentalism coming to have such a foothold. It’s 
an old story. Destitute people cling to ideologies which replace the 
void left by  their dignity. 
Why
 is this a bioethical issue? Maslow's hierarchy of needs is a theory in 
psychology proposed by Abraham Maslow in his 1943 paper "A Theory of 
Human Motivation.” The hierarchy says that  the essentials of 
physiology, safety, and love and belonging are prerequisite to esteem 
and self actualization. Health and welfare of individuals through the 
beneficent use of health sciences may be requisite in exercising ones 
enlightened self interest. However beneficence and autonomy are not 
sufficient to provide equal distribution of burdens and benefits, that 
is, justice in extraordinary circumstances of injustice. Building 
requires blueprints. In 1948, five years after Maslow’s ‘A theory of Human Motivation,’
 the Universal Declaration of Human Rights (UDHR)  was ratified by the 
newly minted United Nations.The UDHR operationalized Maslow’s hierarchy 
in service of building more just societies. Freedom of the press,and 
more, is addressed in Article 19 of the UDHR:
“Everyone
 has the right to freedom of opinion and expression; this right includes
 freedom to hold opinions without interference and to seek, receive and 
impart information and ideas through any media and regardless of 
frontiers.” 
In combination with a campaign to stop impunity for those murdering journalists there are calls for the international courts to consider the murder of journalist as crimes against humanity, A Mighty Heart is worth second look as it struggles to speak truth to article 19 of the declaration of human rights.
Watch:
A Mighty Heart (35mm) directed by Michael Winterbottom USA Paramount Vantage.
2007(108 min) 
Read:
Pearl, Mariane (2003). A Mighty Heart. with Sarah Crichton. New York City: Charles Scribner's Sons. ISBN 978-0-7432-4442-8.
For More Information see: 
The International Federation of Journalists http://www.ifj.org/campaigns/ end-impunity/ accessed August 31, 2015
United Nations Press Freedom Day 2015 http://webtv.un.org/search/ world-press-freedom-day-side- event/4224398140001?term= world+press+freedom+day  accessed August 31, 2015 accessed
National Writers Union Co-Sponsors Press Freedom Day at the United Nations https://nwu.org/nwu-co- sponsors-world-press-freedom- event-at-the-united-nations/
The Universal Declaration of Human Rights http://www.un.org/en/ documents/udhr/ accessed August 31, 2015.

2 comments:
Glad to have discovered your blog, a connection made via Twitter (@medethicsandme). New film may be worth your attention for this blog: "Time Out of Mind," starring Richard Gere. I've not seen it yet, and from the review it's not specifically medical or bioethical story. And yet, the central character represents a growing patient population, variably known as unbefriended or unrepresented or even "incapacitated and alone," and making ethical medical decisions for them is increasingly a challenge.
Review: http://www.nytimes.com/2015/09/09/movies/review-richard-gere-in-time-out-of-mind-a-life-adrift-on-the-margins.html?ref=arts&_r=1
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