Imagine a child who was taught by those around him to believe that who or what he is is unacceptable, repulsive and deserving of deep unrelenting shame. He fashioned for himself an alternate reality and alter ego where he is the hero, flawless and beyond reproach. Grossly overcompensating for his innate sense of defectiveness, his sole aim in life is to evade his belief that he is deeply unlovable by striving to achieve the adulation and recognition of others by all means necessary, even if it means costing lives and leaving a trail of destruction. One could say that Macchiarini is in a psychic prison of his own making, unable to break free from being a wretched automaton driven by his insatiable ego because he cannot stand to face his mistakes and therefore has to commit to his own con or risk utter obliteration.
There are millions of Paolo Macchiarinis walking amongst us. As much as this Paolo Macchiarini would love to think that he is an exceptional human being and just short of godliness, he is not. As egregious and intelligent as he was to make it as far as he did, he also had help from those around him who saw him as a fast ticket to fame and fortune. A Paolo Macchiarini who was not fatally shamed in childhood could have used his intellect for good. Instead he has destroyed lives and continues to live in his fantasy world. He might have only received a sentence of 30 months in prison, but he has already been sentenced to a lifetime of self-hatred and self-delusion. The documentary would have been more complete with a look into his formative years and testimonies from those who knew him before the ignominious events at the Karolinska Institute.