Year: 1999
Director: Martin Scorsese
Screenplay: Paul Schrader, based on the novel Bringing Out the Dead by Joe Connelly
Starring: Nicolas Cage, Patricia Arquette, John Goodman, Ving Rhames, Tom Sizemore
Running Time: 121 minutes
Genre: Drama
New York City, the early 1990s: Burned-out paramedic Frank Pierce (Cage) works the night shift. Depressed, unable to sleep, and wracked with guilt for those he has not been able to save, Frank begins to hallucinate the patients he has lost. After responding to a call about a man suffering cardiac arrest, Frank forms a tentative friendship with the man's daughter Mary (Arquette).
On it's release in 1999, this bleak urban drama was seen as a follow-up to Taxi Driver (1976), another collaboration between director Martin Scorsese and screenwriter Paul Schrader. Both films tell the stories of nocturnal workers in a hellish urban environment, and have strong themes of guilt and redemption. However, while Robert De Niro, as Travis Bickle in Taxi Driver, finds his salvation in violence, Frank Pierce is essentially a compassionate man, trying to do the right thing in a broken, fallen world. The film take place over the course of a weekends Frank and his fellow paramedics make the rounds tending to the sick and wounded of night-time New York, and delivering them to the overcrowded, understaffed and under equipped hospital. Nicolas Cage gives one of his best performances as the haunted Frank Pierce, deathly pale, with sunken red-rimmed eyes, he looks like someone who hasn't slept in weeks, his slow drawl fitting Frank's laconic narration, and even the scenes where Cage delivers some of his more trademark over the top moments, it fits with Frank's mania at that point in the film. Patricia Arquette delivers a quietly powerful performance as compassionate drug addict Mary, who becomes Frank's angel of mercy. Sharing Frank's season in hell are Larry (John Goodman), Frank's friend, Marcus (Ving Rhames), an eccentric devoutly religious paramedic who enjoys flirting with the dispatcher and organises a prayer circle among clubbers while he and Frank try and save an overdose victim; and Tom (Tom Sizemore), a wild paramedic who enjoys beating people up when he's bored. This is a violent, and dark film, which is sometimes hard to watch and often disturbing, but it is visually impressive, with the fast cutting between flashing ambulance lights, and the camera tearing down the streets of New York, it's also very funny, albeit with humour of the darkest variety, such as Frank begging his boss to fire him at the start ion every shift, and some surprisingly surreal imagery. It is a tough watch, and failed at the box office when it was released, but it is one of Scorsese's most powerful and underrated works.