What did Rachel mean when she said Samara “just wanted to be heard”?
In life, Samara tended to bombard those around her with mental imagery in an attempt to communicate. In death, however, the need to be heard extends to the video curse — Samara wants people to know exactly what she went through, hence the seven-day death sentence, the nosebleeds (a side-effect of electroshock therapy, which Samara may have been subjected to in the ward), and ultimately the manner in which her victims meet their end.