Cristi Puiu’s most recent film, The Death of Mr. Lazarescu (2005), is a bleak and enduring look into the conditions of the Romanian health system. The film opens up to Mr. Lazarescu looking nauseous and weak. Lazarescu’s headache dominates the pain and suffering that he’s forced to bear throughout the film. The pain begins in his stomach and eventually consumes his mind. His aching stomach leads him to believe that it is an ulcer problem because he has a medical history, specifically a surgery, involving a stomach ulcer. His self-diagnosis however is constantly ignored because each person he encounters has his or her own “medical” opinion about his condition. Many people (nurses, doctors, family, neighbors) resolve that the issue is not his stomach ulcer but instead correlated to his drinking habits. Lazarescu’s visceral illness shows how the body affects the mind. For instance, as his condition worsens his “mind” output also deteriorates. We witness this deterioration as we impatiently wait with him and the nurse in these various hospitals. We are forced to contemplate not only his suffering but also our own temporal fate.
We learn that throughout the day Lazarescu uses both medication and alcohol in attempts to suppress his nauseating condition. The attempts however are ineffective, and by the end of the night Lazarescu is calling for an ambulance. The peculiar thing about this part of the film is that his desire to receive treatment isn’t at all urgent. He never directly asks for an ambulance to arrive right away; instead it is his neighbor who has to finally call, demanding an ambulance, and acknowledging the seriousness of Lazarescu’s illness. Lazarescu’s patience might be because he is accustomed to the third rate medical assistance provided to citizens in Romania. The film on a whole addresses these issues of debt, power, and bureaucratic dysfunction that exist in Romania.
The long takes and lengthy duration of the film exposes us to this sense of hopelessness that many Romanians are forced to live under day in a day out. The film’s intensity lies in our impatience toward the system of bureaucratic hierarchy and social destitution made apparent in the film. This reality Puiu emphasizes both cinematographically and narratively. The film directly comments on the stereotypical medical film or show. In these depictions the medical world is glamorized and the doctors and nurses are glorified for their devoted contributions. This however is not the reality, doctors and nurses are as much human as Lazarescu, and they also have everyday problems both at work and at home. The long takes (shots) of the film don’t just emphasize Lazarescu long lugubrious wait but also the long and exhausting hours that doctors and nurses invest in their jobs, which are often under-paying and or under-staffed, making shifts more strenuous and workers tenuous (again, an instance where physical deterioration influences the mind or psychology of a person). Another important cinematographic element of the film is Puiu’s use of hand-held camera movement. The rigid and jerky camera movement creates a sort of uneasiness within the viewer. This in effect creates a very visceral experience and influences the viewer to feel as discomposed as Lazarescu.
Lazarescu’s character is important because his character is average. The various faults and vices of Lazarescu at times hinder his treatment and service provided for him. Puiu uses this character to generate sympathy, not because Lazarescu is a “good guy”, but because Lazarescu is an ordinary elder. This demographic is a dominating part of the population that Puiu is trying to voice about. Moreover, he emphasizes the numerous troubles and tribulations of Lazarescu, which relates the audience to their problems as well. Lazarescu is a human being, and should not deserve to be tossed from one health institution to the next. However, the reality is that he is a living, breathing, dying individual who is being ignored and such is the case for so many others.
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