Tuesday, August 2, 2016

Movie Review: "Concussion"


Concussion (2015)

PG-13

3.5 Stars out of 5
Director                                Peter Landesman
Writer                                   Peter Landesman (screenplay), Jeanne Marie Laskas (GQ Article)
Cinematography                 Salvatore Totino
Editing                                  William Goldenberg

Will Smith                            Dr. Bennet Omalu
Alec Baldwin                       Dr. Julian Bailes
Albert Brooks                      Dr. Cyril Wecht
Gugu Mbatha-Raw             Prema Mutiso

David Morse                       “Iron” Mike Webster
Luke Wilson                        Roger Goodell
Matthew Willig                  Justin Strzelczyk



 

“Finishing the game is the same as winning the game.”

Mike Webster

“You think you’re being a good American. The NFL owns a day the week, the same one once owned by the Church.”

Dr. Wecht to Dr. Omalu

There was an excellent movie in 1999, “The Insider” (from the always brilliant writer/director Michael Mann). It is in fact one my Top Ten Movies from the past 25 years. The critics loved it, the public, not so much. What it did so well and what “Concussion” largely fails to do, is to build real tension within its story of a major American industry’s efforts to kill the science being used to discredit the products sold by that industry. The product in question in “The Insider” was tobacco; pretty clearly a villain to most Americans in 2016. This was most definitely not the case throughout most of the 20th century. Mann did not leave his kid gloves on with his film as he excoriates “Big Tobacco”. The product in question in “Concussion” is NFL football. And if tobacco products were easily seen as a villain by many Americans, even before they were proven to be so, this is definitely not the case with America’s most popular professional sporting event. Writer/director Peter Landesman knows the popularity of football and the financial reach of the NFL, and as such his movie (likely with some nudging from corporate parent Sony Pictures – according to leaked internal memos) does leave his kid gloves on as he tries to take a somewhat evenhanded approach to the now proven link between concussions sustained while playing football and high rates of dementia amongst their retired player veterans.

“Concussion” was inspired by a September 14 2009 GQ article by Jeanne Marie Laskas, “Bennet Omalu, Concussions and the NFL”. It is a hard hitting article that pulls no punches. Landesman’s movie discusses much of what is wrong with how the NFL reacted to Omalu’s report on the effects of concussions as detailed in the article, but struggles to find a dramatic arc to the story. The story begins with a moving portrayal by David Morse of retired Pittsburg Steeler’s center, “Iron” Mike Webster. Webster is giving a speech following an award ceremony in his honor. Webster reels slightly, he seems to speak with some difficulty and to stand up straight. There is a sense that something is amiss, but it is not clear what that something is.

The film then turns to an unrelated trial where we meet Dr. Bennet Omalu (Will Smith). He is a forensic pathologist in the Allegheny County Coroner’s office and is at the trial on behalf of the accused. He is faced with some skepticism from the district attorney about Omalu’s credentials. Omalu quickly disabuses the DA’s concern over Omalu’s medical credibility via a long list of medical degrees and fellowships. Was Omalu’s competency questioned due to his race or thick Nigerian accent? It is not clear, but it is a theme that will be repeated throughout the movie: people will automatically discount him from Dr. Omalu to Mr. Omalu, and amongst his medical colleagues, his scientific acumen will often be discounted from scientist to merely “someone working in the county coroner’s office”. The movie will take pains to make this point of barely suppressed racism.

The movie will also in this first scene with Omalu make a mistake that will carry on throughout the movie with many examples. In this case, the viewer is teased with the knowledge that Omalu may have brought forth via his training and genius facts that would reverse the verdict against the accused, but the viewer will never know. The story is introduced, but dropped without resolution. The film has many examples of errors that I will loosely categorize as continuity mistakes. Two more big ones include a loss of a sense of the passage of time to the viewer, and a very sloppy introduction of minor actors. That is to say, how much time has passed during the film’s progression, is it months or years; it is far from clear. And who are the various members in the NFL cast of characters? We see them grimace and say rude things about Omalu, but are they minor actors within the NFL or major ones? Again, the viewer will be very hard pressed to puzzle most of them out.

As the movie progresses, we see Webster’s condition deteriorate. It is heartbreaking. If the viewer thinks about Webster at 25 or any of his colleagues, they were among America’s most fit, most athletic citizens. Then they retire in their 30’s, and by the time they are in their 50’s, they are decrepit or mad or both. To watch how Webster and the others (the movie will show in minor detail several more) as their mental and physical conditions worsen, is truly shocking. Has the movie exaggerated these situations? Google San Diego Charger Junior Seau’s death in 2012 to review a case that is not in the movie, but is very compelling on the effects of multiple concussions. You will be persuaded of the danger that awaits many retired NFL players.

At Webster’s death, Omalu will find a problem he cannot readily explain. He sees it as his duty to the deceased and their families to find an explanation. How did someone at 50 go mad when there were no physiological, anatomical or historical evidence for it? Omalu will with the support of the coroner, Dr. Cyril Wecht (a somewhat serious Albert Brooks) begin an investigation that he will pay for with his own money. Wecht will support him politically, as will a couple more, but for the most part, Omalu will be running alone a gauntlet to get the investigation done, published, and most significantly understood by the NFL and American public.

Omalu will find microscopic tears in the neuronal cells of the Webster’s brain. He will name them Chronic Traumatic Encephalopathy or CTE; they cannot be found via medical imaging such CT scans. Omalu will theorize their origin is related to how the human brain is untethered in the skull, and as such can move with great force into the interior wall of the skull during a collision. He will eventually write a peer-reviewed paper with Dr. Wecht and local Neurologist Guru, Dr. Steve Dekosky. As with others within the medical world, it was a struggle for Omalu to get Dekosky attention, let alone his respect. But the data was irrefutable, and the paper written. Part of Omalu’s argument used to persuade DeKosky was a comparison of various animal species that can withstand repeated head collisions (e.g. woodpecker or male rams). Omalu noted that a concussion can occur at 60G’s and that a typical head to head football collision is roughly 100G’s. He concluded with his calculations that Webster had suffered some 70,000 such collisions from the time he started as a child player to his last day as a Pro player.

These arguments are persuasive to anyone willing to listen. They should have been more than sufficient to at least get meetings with the NFL to discuss them. Poor Dr. Omalu did not understand the priorities of the NFL. Little did he know that player safety was a very distant second to profits. Omalu’s paper will begin a program of denial and professional disgrace that the NFL will direct towards Omalu and Wecht. Had one more player in this drama not entered the story, Omalu’s research may well have been buried and forgotten until the next scientist with the right about of curiosity, ability and integrity chose to investigate it. In this case, a new medical doctor comes onto the scene, Dr. Julian Bailes (well played by Alec Baldwin).

Bailes is the former team-doctor to the Steelers and someone who consider Mike Webster a friend as much as a patient. Bailes had opportunity to personally watch Webster’s descent into madness. He also carried a burden of guilt. This guilt stemmed from his days as the team’s doctor where he would do everything he could to get a player back into the game as quickly as possible, no matter the consequences. Bailes will lend his credibility and NFL connections to Omalu’s efforts. This will result in a summit called by the NFL’s commissioner, Roger Goodell (Luke Wilson). Omalu will not be allowed to speak, but Bailes will. Omalu is frustrated and humiliated. But in the end, the result is the same as if he had spoken, the NFL will publically conclude that there is no connection between football and concussions, let alone the madness and the CTE Omalu’s research had identified.

What will cause a sea change within the NFL or at least within the players and their union is the growing number of suicides and insane behavior in their retired players. It will raise eyebrows when Justin Strzelczyk (Matthew Willig) drives his car into oncoming traffic, but it is the suicide death by a gunshot to the head by NFL insider Dave Duerson that gets the most attention. Duerson was not only a retired player but had in fact begun to mount a campaign for mayor. Like other NFL insiders, he chose to ignore the evidence and instead focused his ire at Omalu over the losses he imagined would come if the NFL were constrained in some manner. He like others assumed there was only one path forward, no change to current NFL policies; any other path would lead to corporate death. When his own life became threatened by CTE, when he could no longer assuredly control his anger, when he recognized he was a threat to his family, he finally decided the wealth he personally gained from his association with the NFL was too high a price to pay. Just like so many other examples in life, one more man whose decisions in life had been guided by his pocketbook, will too late realize that his life and that of his family faced greater dangers by decisions made solely on the basis of greed than by making decision on the evidence brought forth by science.

As I write above, there is much to admire about “Concussion” and unfortunately a number of things to decry. The acting by Smith and Baldwin is first rate; it is a major pity, Smith was not nominated for an Oscar as Best Actor (his curious Nigerian accent notwithstanding). The best scene in the movie is one by a river where Omalu is re-assured by his wife Prema (Gugu Mbatha-Raw); her role is generally understated, but she provides reassurance to Omalu throughout the movie; most especially in this scene. The editing is also quite good. There are several storylines that must be melded seamlessly in order to create a unified whole, and film editor William Goldenberg does a very good job of it. The direction by Peter Landesman coupled with the cinematography by Salvatore Totino capture in slow motion a kind of grace in the various plays of football. It is the writing and the possible political motivations behind it to tone down the accusations against the NFL where this movie disappoints. With respect to the science, there is virtually none shown or explained. We briefly see a microscopic view of a torn neuron, but no explanation to speak of; even the pitch made by Omalu to Dekosky focuses on the animal parallels of head butts. Given so little real science as presented in this movie, it is no wonder, that the NFL was unconvinced.

The final scenes of this movie are where it is both successful and a disappointment. On the one hand, the closing graphics tell us that 28% of all NFL players will have CTEs and that the NFL settled some 5000 player originated lawsuits over concussions with the stipulation that no admission of a connection between concussion and player injury be made. Sounds pretty conclusive, right? And yet when the writer/director and studio had a good opportunity to show a picture of what was at stake, they pulled back. This final image is of two twelve year olds playing football. They launch themselves at one another; their heads are aimed for a horrific, but all too common collision. The film ends without the collision. There may well be reasons not to have staged this hit with actual actors, I understand the need for safety (and wish the NFL did so too). But it feels like a kind of cinematic cop out. It reminds me of the half steps this movie takes in truly taking on the NFL. I came away partly shocked by this movie’s revelations, but mostly with the conviction that either the NFL got to Sony, or Sony was too afraid to go after them and their constituency.

Bottom-line: this movie is watchable, but far from a great expose of a problem that in all probability affects every child in America playing football. A nice aspect of the movie is watching an immigrant with such a love for America that he will state at one point, “America is where God sent his favorite people”; it is a thought provoking moment that stands in contrast to the NFL’s greed. But if you want to see a truly great expose of Big Business burying the science that exposes their unscrupulous malfeasance, go see “The Insider”.

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