A question about releasing Sicko worldwide

I’ve got a question that has been bugging me ever since the international Moore fanbase have decided to take Sicko at face value;

What is the purpose of releasing a film that is hyper-specifically about the US health insurance business in the rest of the world?  What purpose is being served?  It doesn’t apply to anyone else in the world except US citizens.  Why is it released in Norway, Spain, Australia, Denmark, etc.?  Why am I getting email from every country in Europe over this?  How can this information in any way pertain to them?  It’s not like it’s a fair analysis of the business.  It’s not a documentary.  It’s a hyper-specific polemic about a situation that applies to US citizens with health insurance.  So why drum up so much business with college kids all over the world?

I have two answers.  One is to make as much money as possible.  Nothing more, nothing less.  Nothing wrong with that either, if one is honest about one’s intentions, that is.

Moore cashes in on anti-American sentiment the world over by releasing this movie to as many foreign markets as possible.  He knows that as hard as it is for us to verify some of the outrageous claims, it will be impossible and even undesirable for people in other nations to fact-check.  They want it to be true and already trust him.

The second is a logical extension of the first reason; it helps him de-value and denigrate the United States.  He’s never loved this country, in fact he’s openly hated everything from the people to the highest levels of government (the same government he is now pretending he wants in charge of health care).  The worse off we seem to everyone else in the world, the more he gets to be “right” about it all.  If that means stretching the truth, making things up and leaving things out, then so be it.

Can anyone give me a reason for releasing Sicko internationally that doesn’t fall into one of those two categories?