DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: We only give lip service to prevention and we have to ask why as a society are we not working to prevent disease and promote health. Also remember this. If you ask the manufacturers a device like this, why so much money? Little did I know that it was followed by years of the same thing over and over and over again. Rescue care is second to none. Yes, this is Dr. Martin over at La Clinica. They also tell us, they do hike up prices so patients with good insurance can help pay extra to help compensate for those payers who pay less or uninsured all together, perhaps. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. And interestingly, patients really respond to that. You're doing this radical intervention, you know, I say radical? DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: With 10 years of ongoing wars, the amount of suffering that's going on in the military right now is tremendous. I'm Dr. Sanjay Gupta. And, you know, you kind of get busy. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. And they have to, these for-profit companies by law have to serve shareholders. 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. It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. If you account for that, we do much better. GUPTA: I mean, both physically and mentally. 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. I'm optimistic about the future. We pay hospitals to be full, so they try to be full. She joins us now. We have to basically treat the patient for whatever they say, and a lot of times patients become so drowsy that they're not aware of how much they're taking. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. UNIDENTIFIED MALE: I have no health insurance. UNIDENTIFIED MALE: Oh, yes. Until my doctor said to me, I don't know what else to do for you. They did not tell the FDA, and they did not tell patients. People say you're doing this radical intervention. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. The present system doesn't work and it's going to take us down. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. And that's the problem. Look. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. I mean, the average price tag for a single hospital admission can be really eye-popping. UNIDENTIFIED MALE: No. We want more procedures. And yet the outcomes, the survival rates are at the highest levels. Not just the health, but healthcare, the health of a nation. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. 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. We're not talking about a handful of people here. NISSEN: Yes. Literally, 30 patients an hour. Healthcare, it's headed for really, really bad trouble. UNIDENTIFIED MALE: Yes. You know, Nancy, we talked a lot about these bills. Exhale. UNIDENTIFIED MALE: I'd do it if I had to. I was on anti-depressants. BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. 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. It was -- with a huge amount of skepticism and resistance. What we don't know, is that a fundamental change? If you're in the system, do you access of if you are insured, if you are living in a safe neighborhood, your outcomes are great in America. Yvonne Osborn began suffering from severe chest pain at the age of 34. I had to do something. 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. UNIDENTIFIED MALE: Let me get that jacket away from him. So we took the men with prostate cancer. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. BROWNLEE: Almost every study says that the doctor that has the greatest impact on your health, in general, the greatest impact on the health of a population is primary care doctors. This is major reason why we see kids getting fat in this country. WARD: For a long period of time I was hiding. I smoked six cigars a day, 10 cups of coffee, a lot of wine. So, I went into the hospital and they told me I had had a heart attack. Doctor , let me start with you. And to me, that's not the only issue. They can pretty much get away with increasing the rates as much as they want to. Let me distinguish two terms. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. You just never get to the bottom of what's causing all of these problems that they are having. PROTESTERS: Healthcare. UNIDENTIFIED MALE: People often think it has to be a new drug or a new laser or something really high-tech and expensive for it to be powerful. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. CINDY ROBERTSON, ADMINISTRATOR, MD-COLOMBIA FAMILY HEALTH CENTER: We're the only clinic in this community county, so it's about 20,000 people overall. You have all these stents, and these stents, once they go in, they never come out and are part of you. At some point he's going to stop breathing if he's taken too much narcotics. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? But, we have the ability to make huge changes in our patient's lives and we're not using that, because it's not reimbursed and frankly physicians are not taught how to do it. Now we're kind of dealing with the consequences. War's hell, it's always hell. Co-directed by Matthew Heineman and Academy Award-nominee Susan Froemke (Lalee's Kin: The Legacy of Cotton), Escape Fire looks at a U.S. healthcare system designed to profit on disease not. That is chest pain that is actually currently damaging the heart in patients. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. Stay tuned because afterwards, we're going to have a very important discussion regarding what we can all do to live longer and healthier lives and maybe avoid unnecessary costs and procedures. They can pretty much get away with increasing the rates as much as they want to. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. He's, like, clutching his head. UNIDENTIFIED MALE: Yes. I am back in the chest pain center with a pretty sick patient, and I'm going to need you to call attending phone, too. It rewards them for delivering more care. Compared to having your chest cut open? Right? It's not true in France and Germany. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. People come in and you try to fix one thing and they come back for the same thing over and over and over. GUPTA: Erin, what did you think about that particular theme? UNIDENTIFIED MALE: A platoon of 23. And remember that you can return to this place at any time during the meditation. So, if there's a concern someone has a tumor, they who use a needle like this. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. UNIDENTIFIED MALE: Six and over. I'm going to the emergency department. But it's more than cost. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. (COMMERCIAL BREAK) SHANNON BROWNLEE, MEDICAL JOURNALIST: Dark matter is a discovery by astronomers that there is a huge amount of the universe that we can't see. OK? But you end up being this revolving door. There's a contradiction to what we do. Thank you all. Putting patients first. Our life span isn't even in the top 20. If somebody has hypertension, we give anti-hypertension drugs. He is also a president of the society for interventional and geography in intervention. I mean, everyone wants that probably in every system. All right, so take a breath. So we're going to open up some chi? Credit: Battlestate Games. They didn't foresee me ever trying to walk yet. CARNES: I will be at your side should anything challenging come up for you. He's got Lunesta and also has Valium. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. You know, they'll actually fix it. WGRZ reported that crews encountered heavy fire and thick smoke coming from the building at 747 Main St., after they got the call at 10:08 a.m. A Mayday was called early in the operation. UNIDENTIFIED FEMALE: Oh, my god. Obesity leads to heart disease and strokes and diabetes. It's just so much more than money. ROBERTSON: It's a financial necessity. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. Never needed you. We have to teach young physicians that prevention comes first. &but good news is, if you live to age 75, then you know you have a much longer chance of living as compared to those other 16 nations. We're glad to have you home. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. Event marketing. It would empower patients. And so, that's clearly one of the issues. Thanks for watching. If you can delay treatment, then that man is not at risk for side effects during that period of time. Published Feb 22, 2001. The costs are going through the roof and the ability to help these service members and their families recover and repair and come back to a functional life is getting less and less. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. What we do with waste in healthcare. UNIDENTIFIED FEMALE: OK. Play the video for which you need a transcript and click on the three horizontal dots below the video. The answer is among us. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. And water, they are saying, I'm going to have to give up to get there. And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. ORNISH: There's very little evidence that these conventional treatments make you live longer, but they cause many men to be impotent or incontinent or both. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. Dodge survived, nearly unharmed. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. And the owners of those pockets do not want anything to fundamentally change. I haven't touched my toes in months. You know, the ads always end with the same phrase, ask your doctor. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. WEIL: Most of this huge effort of the healthcare industry is devoted to intervention in established disease and the majority of that disease is lifestyle related and preventable. Sometimes we're talking about them on a daily basis. As an overall system, no, we're not anywhere near at the best in the world. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. Can adding Avandia help you? People eat what's cheap and what's available. And for the large majority of people we help, they often don't understand what many of the charges are. You are going to hear from many different voices with varying opinions and backgrounds tonight. DR. CLIVE ALONZO, HOSPITAL INTERNIST, CROWN POINT, INDIANA: My medical training was just focused on giving these patients pharmaceuticals or giving them expensive tests to treat the condition after it occurred. Just sore. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. UNIDENTIFIED MALE: I do it again on Friday. I think five or six of them are on the waiting list. Did you have a good day today? Healthcare reform was a good place to start, but it will do little to address the root problems. But when you're doing something that has never been done before, it's not universally accepted, to say the least. See you soon. MARTIN: How are you today? When you're injured they feed you, feed you, feed you all this stuff. That is ridiculous. MARTIN: OK? MARTIN: And they don't reimburse for nutritional counseling or anything like that. We have a lot more power over how healthy we are than we are willing to take credit for or willing to take responsibility for. And the company did nothing. Original Airdate 08/17/2022. The documents are coming out in these court suits, it looks worse and worse. It was a great life. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. The emergency department is the safety net of health care. And that being applied to health care just doesn't work. I'm Dr. Sanjay Gupta. MARTIN: What I do every day, buddy. Why do so many children die so young here? But I decided to give it a shot. 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. SGT. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. I actually practice emergency medicine at the University of Virginia in Charlottesville. Impressive for it to react that quickly. 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. And we see that suffering. MARTIN: Barely? And that model has continued until today. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. And healthcare doesn't need to be immune to that. 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. You just never get to the bottom of what's causing al he these problems they're having. It is a burning platform and they see this. That's the only reason we're making the change. Came off the mountain with only eight. I lost him. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. GUPTA: And I want to leave all of you at home with a thought as well. An estimated 600,000 stent procedures are performed every year in the United States. I'll look up and I'll see a person who's overweight across the street. MARTIN: How much were you drinking before? If we get Medicare to cover it, then everyone else will cover it and if everyone covers it then it becomes a standard of care. And ironically, it was only two hours away at the Cleveland Clinic. Suture, one that's used in every operating room in the world. We're really mortgaging the future. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. It is the largest health insurance company in the country. Link 'n' Share. DR. SANJAY GUPTA, HOST: Good evening. But I think, to be honest, when you add more people to the system; that raises costs. And I knew what I was doing for a living was making it necessary for those folks to stand in line to wait for care in animal stalls and barns. And from that point on I realized that I don't want to be on this. People go in and out of health plans. NISSEN: Yes, but we have to educate patients. I don't believe in that stuff. BULLIS: Soldier know if they go to war and they get a leg blown off, your medic is going to take care of you and the same thing needs to apply that if you have post-traumatic stress. There was obviously a problem. MARSHALL: Me, personally, I'm on a salary. UNIDENTIFIED MALE: Yes. 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. UNIDENTIFIED FEMALE: You need to get up and pee? 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. They couldn't get insurance. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. We're dealing with the health of the nation. You know? They'll say, it took years to develop something like this, the research and development costs are significant. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. It used to be me. I'm not interested in getting my productivity up. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. For example, in 2007, the average Medicare recipient in Miami tallied more than $15,000 in health care bills, whereas a recipient in Minneapolis only cost the government about half that amount. SGT. Determine, did you indeed have two MRI's during the course of one week? Okay. UMBDENSTOCK: Why? Heart cath, get another stent. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? Receive your transcript. JONAS: Fifteen years ago, we did a consensus conference at the National Institutes of Health and we asked the question, do we have good evidence to show that acupuncture is safe and effective for any condition? WEIL: Where are you from? And if they have a relationship with you, feeling truncated. We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. There's saving money and there's cost effective. Instead of basing things on outcomes, on how good of a job we're doing, the government sets the reimbursement completely on the number of patients that we see. (END VIDEO CLIP) NISSEN: I was doing a Google search, and what I found was a Web site in the United Kingdom where the clinical trials done with Avandia were actually partially disclosed. DR. ANDREW WEIL: There's the bright blue slush. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. I mean, the impression I think was a little misleading there, don't you think Nissen? And abolitionists more broadly encouraged northerners to refuse to comply with the enforcement of fugitive slave laws and to disobey the Supreme Court's ignoble Dred Scott v. And the disease care system actually -- I mean, if it really was honest with itself, it doesn't want you to die and it doesn't want you to get well. And here's the secret, healthier people cost less money too. This is all coming out of our pockets. Everybody is doing their job, we just design the jobs wrong. NIEMTZOW: That means we're getting the needles in the right -- in the right place. I never had a personal doctor, family doctor, nothing, all my life. There's the bright blue slush. NISSEN: Now, the leading cause of death in diabetes is heart disease. 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. The only other country, by the way, is New Zealand. 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. ROSS: What's the regular food? Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. I'd rather be shot again than go through withdrawals of coming off that medicine. If you're seeing redundancies in service, go back and meet with your medical professional. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . She's still taking her Lexapro, but it's obviously not doing the job. UNIDENTIFIED FEMALE: We'll do it at the front. I'm interested in helping patients. If you have that desire to quit smoking, we'll get there eventually. It caused their blockages to become less blocked in their arteries. OK. This is going to caused about %800 dollars. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. It would be a very different system that probably would be less high-tech and more high touch. And people do. MARTIN: Good. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. We even found that when you change your lifestyle, over 500 genes were changed. It takes a village to make an unhealthy patient healthy. And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. We just spent $1,000. They may be a member of a health plan for a year and maybe no longer. And it will not protect you from having a heart attack. Because what we think is best for us often isn't. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. Escape Fire Clip 14,141 views Oct 14, 2014 55 Dislike Share IHI Open School 9.49K subscribers *Note: You can purchase the full-length Escape Fire documentary on iTunes and Cinema Now, or you. It's about saving the health of a nation. It's just a terrible tragedy for patients. NISSEN: You know, DVT and pulmonary emboli. Aliens in the Attic/Transcript. How are you feeling? And feel yourself observing all these constantly changing sensations and thoughts and feelings. It's unseen, but it's there and it's very, very powerful. We say they don't prevent heart attacks, they don't lengthen life. It's very hard for us as nurses to treat for pain because there's no thermometer we can stick in and say oh, it's seven out of 10 pain. BERWICK: The healthcare system isn't affordable anymore. These lifestyle changes cannot only work as well as drugs and surgery, but often even better at a fraction of the cost and the only side effects are good ones. And how to know if you're being prescribed unnecessary procedures. YATES: Wow. 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. It had to do with the idea of essentially paying people to be healthy. How to Get YouTube Transcripts on Desktop On a desktop or laptop, head on over to YouTube.com in a web browser such as Google Chrome and open a video to watch. 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. It's addictive. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. The present healthcare system doesn't work. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? And Doctor Nissen is in salaried as well. You've done some sweating. So here I am going in and out of the hospital to find out what's going on. But, the American people are going to want something like that and that is going to be their perception. DR. SANJAY GUPTA,. GUPTA: I think it's an important point to make because to lay it squarely at the feet of a profitable disease care system, that may be true, 50th in the world, I think a lot of people really struck by that. You can export to TXT, DOCX, PDF, HTML, and many . Maintaining my pain. Escape Fire. Cost about $1200. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. $300 billion on drugs. Anybody else would laugh, you know? YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? At a time when the medical system is so badly broken.

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