This movie will pass a lot of people by because it requires political awareness and being smart enough to understand the themes behind the simple characters of the movie. I don't often write reviews but I really enjoyed this movie and found it to be an intelligent comedy with a particular focus on the US health care system. There is an array of talented actors on display playing some wacky characters. It's a disappointment to see the review scores so low but unfortunately the mainstream cinema goer and critics would much rather see a new brainless action movie. I've heard the film had some issues getting funded but I'm glad it got released. I highly recommend it - 8/10.