In the winter of 1998, Universal Pictures released a film that seemed, on its surface, to be a straightforward feel-good comedy. It starred Robin Williams, then at the zenith of his dramatic-comedic powers, wore a backwards name tag, and promised a heartwarming story about a doctor who made people laugh. The film was Patch Adams , directed by Tom Shadyac, and its marketing campaign was a symphony of uplifting quotes and images of Williams in oversized shoes and a red rubber ball nose.
The 1998 film smooths many of these rougher edges. Screenwriter Steve Oedekerk (who wrote the screenplay based on Adams’s 1993 book Gesundheit!: Bringing Good Health to You, the Medical System, and Society through Physician Service, Complementary Therapies, Humor, and Joy ) boils the story down to a classic hero’s journey. We meet Patch (Williams) as a depressed, suicidal patient voluntarily committed to a psychiatric institution. There, he discovers that his fellow patients respond not to cold, authoritative doctors, but to laughter, improvisation, and empathy. A fellow patient (played by the late, great Daniel London) teaches him to stop focusing on his own problems and to look “beyond the problem to the person.” patch adams -1998-
What makes Patch Adams interesting today is that both sides have a point. The film ultimately argues that professional distance is a form of cowardice. In one pivotal scene, Patch fills a room with 20,000 medical syringes to symbolize the hollow, clinical nature of a hospital that treats “diseases, not people.” He is expelled from medical school for practicing without a license (by treating patients with humor and compassion), only to triumphantly return after a successful appeal before the state medical board. In the winter of 1998, Universal Pictures released
The real Patch Adams, now in his late 70s, still runs the Gesundheit! Institute, still travels the globe in a colorful outfit, and still criticizes the film for being “too sentimental” and “not radical enough.” He has called it a “romantic comedy that just barely touches what I’m about.” Yet, he also admits that the film’s success has allowed him to continue his work, building a free hospital and teaching a new generation of medical misfits. Three years ago, during the darkest months of the COVID-19 pandemic, a strange thing happened. Social media feeds filled with videos of doctors and nurses—exhausted, overwhelmed, grieving—wearing goofy PPE, dancing in hallways, and playing music for isolated patients. They were mocked by some as being unprofessional or frivolous. But most of us recognized the truth: They were channeling Patch Adams. The 1998 film smooths many of these rougher edges
