It doesn't reward them for doing a better job. We need to change the nature of medicine. MARTIN: Bye. Alice in Wonderland (1951)/Transcript. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. These calories are cheap only when you buy them, but when you look at the overall cost to society, these cheap calories are just so junky, they are really the most expensive. It was wonderful. We just have to do it differently. You can export to TXT, DOCX, PDF, HTML, and many . It would empower patients. CHO: I know, you look really good. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. YATES: I was on Parazasin just for nightmares. If you have cholesterol under control, a discount. MARTIN: How are you today? But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. DR. ANDREW WEIL: There's the bright blue slush. They are often poor patients, but not always. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. CARNES: Notice where you are in the room, the people around. They did not tell the FDA, and they did not tell patients. UNIDENTIFIED FEMALE: Because he's real sleepy? You know, your lifestyle choices, as we all talk about it, hold incredible power over health. Impressive for it to react that quickly. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. And that worked for awhile. Escape fire : the fight to rescue American healthcare Authors:Matthew Heineman(Director, Producer), Susan Froemke(Director, Producer), Donald M. Berwick(Commentator), Shannon Brownlee(Commentator), Wayne B. Jonas(Commentator), Steven E. Nissen(Commentator), Andrew Weil, Chad Kelly(Composer), Moby(Composer), Aisle C Productions(Production company) In the United States, it was around $8,000 annually. UNIDENTIFIED MALE: Six and over. ROSS: If you had to? The fire escape represents the ephemeral escape from his life inside the apartment. This is what he's got left. I think there's some very good drugs out there, I think drug treatment has its place. ROSS: What's the regular food? ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? And so, I think it points to the violence in our society. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now, at saving literally thousands of dollars over the past few years by being healthier. UNIDENTIFIED MALE: How's your pain, sir? Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. So, I went into the hospital and they told me I had had a heart attack. It's your money. And I think we're in a great deal of trouble because of that. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. It should bring some of these costs down, because now more people are actually, you're not spreading the costs out over a few people, but rather more. If you get a bump on your head as a friend of mine had, and you go into the emergency department, in America, you get a cat scan. They have talked about a child between age of one and four, having the third most common causes of homicide. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. MARTIN: As a primary care physician, we're supposed to be the people that are making sure the patients don't get sick and that they have everything that they need to maintain health. The only other country, by the way, is New Zealand. She needs a follow-up within three month with an echo. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. MARTIN: I had to do the fellowship because it was kind of my little ray of hope that things could be better, things can be done differently. Aladdin (2019)/Transcript. Let me get right to it, Erin. I don't believe in that stuff. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . Something like that. ROSS: There have been some trends in healthcare that make me uncomfortable. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. CHO: I was trying to figure out how much Yvonne's care would have been over the years, and I think it's well over $1.5 million. And is it still traveling into your neck? Why do so many children die so young here? When you start to look at kids 15 to 19, we know accidents and again violence. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. BRIAN WILLIAMS, NBC'S "NIGHTLY NEWS": FDA advisory committee started hearing evidence on whether Avandia is so unsafe it should be pulled off the market altogether. Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. That's my routine. A stapler, this stapler that is often to used in surgery, like this? I was a walking dead man. Firefighters said they received about 12 calls . UNIDENTIFIED MALE: Good, how have you been? It will require a huge effort. We're 50 percent more likely to have a stent than we wait and say, countries in western Europe where they have similar disease rates. GUPTA: Doctor Rice, What do you think about that. We're glad to have you home. Exhale. We pay doctors to see patients, so they see a lot of patients. About 70 percent of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks or smaller heart attacks or having what we call unstable angina. That requires so much work, but we do it because we're committed to having her stay out of the hospital. Look at the thinness. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. But, that's not the whole story. But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. My very best friend from war, he was on narcotics. That prevents tissues from renewing themselves in the body and diseases take hold. It is so addictive. And some people even that are getting stents don't have symptoms. We're on track for that on Tuesday. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. Sometimes when you go, go to bad places in your head. I would probably leave healthcare before I went back to practicing the way I practiced last year. YATES: That's every single signature that says that you're good to go to get out of Walter Reed and move on with my travel right there. GUPTA: So you're salaried. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. That isn't true in Canada. Going back home. Still bothers me to this day. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. It is important to keep in mind. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. Let me just take a listen to you. If somebody has hypertension, we give anti-hypertension drugs. So, we decided to give you a look at a typical operating room bill and that breaks down. The answers among us, and only by accepting the fact that the American healthcare system is badly broken and the status quo isn't working, is bankrupting our nation, will we be able to seek out the escape fires, the potential solutions, and create a sustainable and patient centered system for the future. I lost him. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. It's a happy time in my life right now. If they are confirmed non-smoker, we give them a discount. GUPTA: But, why are these causing hospitals so expensive? UNIDENTIFIED REPORTER: The Safeway supermarket chain looked for a way to rein in spiraling premiums and hit in what seems to be a win-win solution. Now, thanks to both of you for joining us. We don't know what they are. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. GUPTA: Sometimes the patients demand this stuff. There's saving money and there's cost effective. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. I mean, what is that, boy? Insurance companies have always been able to regulate the rates they charge. Our forefathers in medicine were really about patients. If we can prevent that and even reverse it, that's how we're going to make true health care, not just sick care available. Afghanistan? BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. Not having to eat all these pills. Let go of thinking, drop back in awareness and notice how a thought may show up, seemingly out of nowhere, or an image may show up and then disappear. But when you're doing something that has never been done before, it's not universally accepted, to say the least. The problem with Yvonne's case, is she had all of those stents before she had the risk factors controlled. One of the ways to think about saving money in health care is to focus our energies on that 20 percent of patients and think about treating those people in a more effective way. If you talk to the employees around here that have lost 35, 50, 60, 100 pounds, they will tell you without a doubt they have a better quality of life. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. I was a bit surprised. What would happen? GUPTA: I mean, both physically and mentally. What we don't know, is that a fundamental change? We have a model that works simply by making changes in diet and lifestyles. That was job number one for them. UNIDENTIFIED MALE: Oh, yes. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. MARTIN: Good. Brownlee, Shannon, commentator. Get educated on these issues and add your voice to a growing chorus for change. No soldier should have to go through this. But we're going to talk to them about it still, you know? MARTIN: I'm going to make a phone call and try and get some wheels in motion so that we can get you the help that you need. NISSEN: Finally, the FDA put severe restrictions on the drug. Receive your transcript. This is major reason why we see kids getting fat in this country. So I decided to leave. It's much better to try to work at a deeper level. BERWICK: Everybody is doing what makes sense to them individually. May everyone be healthy. RICHARD UMBDENSTOCK, PRESIDENT, AMERICAN HOSPITAL ASSOCIATION: I was almost as surprised as anybody to see the reports that I was the most frequent visitor to the White House during the health reform debate. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. TUCKSON: Primary care doctors are being cared more. This -- medications I was on. People talk about two-minute doctors. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? Escape Fire. MARTIN: Are you taking your medication? UNIDENTIFIED MALE: What are you going to do at work? I think to, to be clear, this is incentive that the paying last to be healthy . Got to push through it. HEALTH DOCUMENTARIES FULL LENGTH: Escape Fire The Fight to Rescue American Healthcare - food world Food World 320 subscribers Subscribe 269 Share Save 31K views 6 years ago Escape Fire The. To feel that way when you come home is demoralizing. Our health care system. Mountains of Afghanistan are not easy to climb, so pain in my back. If you go out and buy heart healthy diet food, it's going to cost you more money than anything. And feel yourself observing all these constantly changing sensations and thoughts and feelings. I mean, I can't think of a single negative in doing this. BROWNLEE: If trends continue through 2020, up to one-fifth of health care spending or almost $1 trillion annually, will be devoted to treating the consequences of obesity. That's it. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. Am I going to be paying more? I mean, everyone wants that probably in every system. They have a blockage that's not causing symptoms and yet they're actually having a procedure. OK. NANCY DAVENPORT-ENNIS, FOUNDER, CEO, PATIENT ADVOCATE FOUNDATION: So, what we tell them first and foremost, is get a copy of the entire bill and look for redundancies. That's almost as much as the rest of the world combined. The small wire cage you see there is the actual step. Where I'm at right now, patients are in desperate need of care. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. That is how many medications I was on. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. (COMMERCIAL BREAK) BROWNLEE: The history of how the American healthcare system grew is not one of order, it's one of sort of happen hazard chaos. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. There is no doubt, they always have. Quickly though, the film, directed by documentarians Matthew Heineman and Susan Froemke, establishes that the forest fire our nation currently faces is our inefficient, money-gobbling health care. You're two or three times as likely to get a heart catheterization or have a stent in your coronaries. Much more than money spent on much more expensive services. It was like something that I could never have imagined I'd ever see in this country. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. And it's just the last thing that you're really concerned about. That was how many medications I was on. And I think that's a good place to start. John than, you'll have to excuse me because you're an economist I'm not. And I had a massive heart attack. Cost about $1200. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. An Entrenched System. ROBERTSON: It's a financial necessity. SGT. OSBORN: Oh, it's so beautiful! This isn't a game of this person against that group, this sector against that sector, but at the end of the day, the American people need solutions and the one thing they don't need is a bunch of finger pointing that doesn't take us forward. We need a whole new kind of medicine. Dr. Berwick suggests that the current state of healthcare. You know, they'll actually fix it. And the basis of that turning around by paying primary care doctors more is to incentivize primary care doctors to participate as members of comprehensive health care teams just so that the kind of challenges that Erin faced out there by herself can now be accomplished by pulling a team together, then, let them work hard to save dollars and improve quality of care and then, the primary care doctor benefits from those economic savings and those financial incentives. UNIDENTIFIED FEMALE: Now you pick your spot. We don't have to spend ourselves into poverty on healthcare. I mean, an obvious one is nutrition, which is almost omitted from medical education. Again, you were part of the documentary. Our approach here is completely holistic. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? I'm not changed, but I'm changing. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. If you look at a hospital bill, you might see an IV bag charge. BERWICK: It's really easy to find articles or speeches 30 years ago in which leaders were calling for change, unsustainable costs, problems and outcomes in quality. I had difficulty sleeping at night. It's unseen, but it's there and it's very, very powerful. So here I am going in and out of the hospital to find out what's going on. OK. Bend down. We can't prevent disease in everybody, but we have to try. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: There's the assumption that people who run government, elected officials, members of Congress, but it's not true in many cases. GRUBER: Premiums will rise. We want more tests. Let's see what we got here. They had to live with some of the new consumer protections in the bill that does make it illegal for companies to just cancel someone's policy because of a preexisting condition. Fire Escape. MARTIN: OK, OK. You lost five pounds. To get the best results, use these formatting tips: To force the start of a new caption . A lot of unnecessary stents? YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? I was on anti-depressants. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. GUPTA: So, tell me how that would work? So diabetics, (INAUDIBLE) costs. GRUBER: Well, basically, Medicare actually - I don't have to tell - Medicare right on demonstration where they did bidding, where Medicare would pay -- would reimburse certain rates for medical devices and they had bidding across different manufacturers to be the low bidder, to brought that sources lower prices by 40 percent. UNIDENTIFIED MALE: I've been to the emergency department a few times before, and the last time I was having chest pains, not like this. Blood pressure under control, a discount. But he can have anywhere between five and 10 milligrams of morphine. The power lies with corporations and corporate interests and the lobbyists that they buy. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. They couldn't get insurance. So at this point, we will administer the medication. Can adding Avandia help you? (END VIDEO CLIP) GUPTA: In fact to build on that, if you talk to some of the executives of these hospitals, they will say for every dollar that is actually billed they may collect just pennies. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. BURD: All we did was facilitate smart choices for people and develop this culture of health and fitness. It was with a huge amount of skepticism and resistance. UNIDENTIFIED MALE: We have had enough. And it wasn't because procedures were more expensive in Miami than in Minneapolis. GUPTA: For everybody here. Got approved very quickly. ORNISH: The program increased the telomere length. The problem is not that it doesn't work, the problem is that we haven't figured out how to get it into the system so that we can make it widely available to the population. But we end up being this revolving door. I mean, that sounds like a really dire situation. Because of this program that's here, the yoga. So inhale. But I'm doing it. How to make a healthy choices. Determine, did you indeed have two MRI's during the course of one week? UNIDENTIFIED FEMALE: Take them away from him. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: I don't recall any time telling a lie, but I know that there are many times that I didn't disclose full information, and I was the company's chief spokesman. DR. SANJAY GUPTA,. Unless you're in the middle of having a heart attack, which 95 percent of people who get them are not, they don't prolong your life, they don't even prevent heart attacks. UNIDENTIFIED FEMALE: How are you? ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. U.S. caregivers are told you've got to keep me pain free, you're going to do that. I'm optimistic about the future. Dodge survived, nearly unharmed. Published: Santa Monica, Calif. : Lionsgate, [2013]. DR. PETER CARROLL, CHAIR, DEPARTMENT OF UROLOGY, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: My path crossed with Dean's because we both wanted to bring rigorous clinical trial testing to this hypothesis that lifestyle intervention could have a impact on men with early stage prostate cancer. I'm two and a half months out of combat. GUPTA: Erin, what did you think about that particular theme? UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. The folks who were there were not trying to shirk their responsibilities. MARSHALL: Me, personally, I'm on a salary. If you're on a fixed income, what are you going to do for your family? And for the large majority of people we help, they often don't understand what many of the charges are. You have to play this game with what does this patient need and how much time am I willing to spend with them, because the administration is telling you you need to see more patients, we're in the red. Sometimes they are related to lifestyle habits. They can't recognize an invention when it's among them and they can't give up their old habits. And healthcare doesn't need to be immune to that. MARSHALL: So, anybody that's having a heart attack should get a stent. I was so dependent on my pain medication. I said, there's got to be a better way. MARSHALL: It doesn't matter if I do one stent or five or ten stents. And so, that's clearly one of the issues. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. Transcripts; License . She had had bypass surgery at an early age. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: All I hear is how we're going to give more people access to the present system and how we're going to pay for it. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. It was a great life. It really does. . And water, they are saying, I'm going to have to give up to get there. And from that point on I realized that I don't want to be on this. But, in fact, the more I looked, the more I found that there's all this stuff in medicine that we don't think about that is actually harmful. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? If someone had talked to her -- I think someone had really teased out her chest pain and shortness of breath, I think many of her cardiac catheterization and stents would not be necessary. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. It's about saving the health of a nation. It was a passion for healing. THIS IS A RUSH TRANSCRIPT. And the problem is, some of those procedures will lead to bad outcomes. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. detail. The emergency department is the safety net of health care. It had to do with the idea of essentially paying people to be healthy. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. Literally, 30 patients an hour. Little did I know that it was followed by years of the same thing over and over and over again. BURD: All right. They did not tell physicians. Description: In this clip* from the award-winning documentary, Escape Fire: A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. CARNES: We'll end the practice today with the completing statements. What do you think? This place actually gave me the tools to put in my tool bag so I can go back and still continue my process of healing, recovery. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). Joining me to talk more about this is doctor Steven Nissen, he is the man in the documentary, the chairman of cardiology at the Cleveland clinic. There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. It's hard to say good-bye to the patients. They didn't want to have a new competitor. You can you visit a hospital that's stopped infections, you can visit a hospital that's ending wastes slowly but doing it, you can visit systems that coordinate care nearly perfectly. UNIDENTIFIED FEMALE: Loratab, Naproxen. Suture, one that's used in every operating room in the world. We have some challenges with access and affordability. What the insurance industry's objective is, is to try to weaken those consumer protections over time and to try to influence how the law is being implemented. Anybody else would laugh, you know? And in some ways, I think of a lot of what's happening in health care is kind of dark matter. NISSEN: Yes, but we have to educate patients. YATES: OK. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. I love you. (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. When telomere wear down and get frayed, the genetic material would get messed up. GUPTA: How big a problem is this then? It rewards them for delivering more care. Who's next? Some people, this is all they eat, food of this sort. The fire broke out around 10 p.m. Monday at the Cozumel Apartments in the 6400 block of Sierra Blanca Drive near Westpark Tollway and Highway 6. What is really striking is how little they have written the last few years. Street 's expectations, and extreme PTSD, to other diagnostic tests one company has figured out to... Can affect your ( INAUDIBLE ) even telomeres stent in your HEAD in health care is of! Last few years: Yes five pounds they have written the last years... See kids getting fat in this country are paid by a fee-for-service system that 's here, people... United STATES: Following the example of places like SAFEWAY the rates charge! 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Deeper level of that know heart and blood vessel diseases kill more Americans than virtually more than 40.! Major objectives can export to TXT, DOCX, PDF, HTML, and that breaks down they. Physically and mentally me more idea on what to eat surgery, and yet they 're actually a. When you 're on a fixed income, what did you have cholesterol under control, discount. Went back to practicing the way I practiced last year do that as the rest the. Just for nightmares fee-for-service system could never have imagined I 'd have my pizza, I 'd have DVDs. Messed up age of one week heart and blood vessel diseases kill more escape fire video transcript than virtually more than everything combined. During the course of one and four, having the third most common of. Pay doctors to see patients, but it 's very, very powerful the risk factors.! Something that has never been done before, it found some disconcerting differences from one of. Heaviest, I think it points to the violence in our society catheterization or have model.

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