Ving Rhames does a boisterous, accomplished job as a fellow driver, although even his persona is reduced to caricature. Scorsese is confused between bright, wry humor and mordant pseudo-social commentary, resulting in a mix of sketches patching together a slipshod emotional quilt.
Some moments are excellent, while others wobble weak in the knees.
Although the manic highs and lows of ambulance paramedics provide material for Cage's fine performance, shoddy direction destabilizes any force the movie might have achieved and cliched voice-overs knock it down.