MARTIN: Good. I said, there's got to be a better way. We have some challenges with access and affordability. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. Escape Fire: The Fight to Rescue American Healthcare is a 2012 feature-length documentary directed by Matthew Heineman and Susan Froemke and released by Roadside Attractions. Sometimes they are related to lifestyle habits. That may strike people as very high. I'm not sure every country in the world does it perfectly. Do you think that will make a difference? Escape Fire: The Fight To Save American Health Care. That we really have historically the low growth over the last three years, actually about the rate of our economy which is actually pretty historically low. But I think, to be honest, when you add more people to the system; that raises costs. And that was the first study showing that heart disease was reversible. that is going to raise cause. And I hope our new generation of health professionals will catalyze this social movement that's necessary and enough people get aroused enough about the situation and see it for what it is and then start some kind of grassroots movement to change the political balance of power. It's OK. You're good, you're good. Just do something. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. My job is to provide the right care for the right patient at the right time. We spend one heck of a lot of money. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. If it's a radiologist, they get paid for each CT scan they deliver. Because I've gotten a lot of inspiration from the fellowship. Never needed you. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. There's the cost of covering people who simply don't have insurance or can't pay. But he can have anywhere between five and 10 milligrams of morphine. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. UNIDENTIFIED FEMALE: Nine months? more . The answers among us, can we please stop and think and make sense of the situation and get our way out of it? LT. COL. BETTY GARNER, RESEARCHER, U.S. ARMY: Welcome to Germany. 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. Determine, did you indeed have two MRI's during the course of one week? To get the best results, use these formatting tips: To force the start of a new caption . It would be a very different system that probably would be less high-tech and more high touch. So here I am going in and out of the hospital to find out what's going on. YATES: The pain, it's hard, you know, it's really hard. GUPTA: Doctor Rice, What do you think about that. I can't be having heart problems. And if you look at even devices like -- this is a needle that's used for biopsy. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. An estimated 600,000 stent procedures are performed every year in the United States. He overdosed. So we're going to open up some chi? UNIDENTIFIED MALE: Oh, yes. Most diseases don't happen overnight. . It's about saving the health of a nation. But it's more than cost. Just sheer numbers, $2.7 trillion per year. And it will not protect you from having a heart attack. We could do 1,000 studies with a million patients, it would remain on the fringes, it's all about the Benjamins, as (INAUDIBLE) would say. Select Open transcript . I do it in my clinic all the time. It's addictive. A stapler, this stapler that is often to used in surgery, like this? 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. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. 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. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. We're glad to have you home. MARTIN: OK, OK. You lost five pounds. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. PROTESTERS: Now. I think many of her cardiac catheterizations instead would not have been necessary. You know? Brownlee, Shannon, commentator. OSBORNE: I have lost -- since last year I've lost 21 pounds. And when we come back, just how much does profit play a role in all these treatment decisions. As an overall system, no, we're not anywhere near the best in the world. So we took the men with prostate cancer. Are you incentivized to do more stents? Putting patients first. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. What's wrong with medical education is that it simply doesn't address whole subject areas that are absolutely essential to understanding human beings, health, illness, and treatment. We have a disease management system. UNIDENTIFIED MALE: Oh, yes. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. Seventy percent of all the deaths in diabetes are heart disease. (LAUGHTER) Infinitely. As an overall system, no, we're not anywhere near at the best in the world. People talk about two-minute doctors. We're part of the community. OK. Bend down. (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. We have made all of this unhealthy food the cheapest and most available food. UNIDENTIFIED FEMALE: When I was a kid. 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. It's not whole food as nature produces it. ROSS: I just want to review this pain. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. That was the message that, you know, I think was the you got from that documentary. It really does. They are patients with heart failure, they are morbidly obese patients. You say there's a lot of Yvonnes (ph) out there, the patient we just met. Much more than money spent on much more expensive services. These are techniques that should be used to relieve symptoms. A lot of unnecessary stents? If they are surgeons, they get paid for each procedure. All right. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. It's still a struggle. NISSEN: We do have a problem in America, and that is we have misaligned incentives. 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. What we do with waste in healthcare. UNIDENTIFIED MALE: But Mommy, what are you going to do? There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? 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. 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. My first thought is, that's why I'm running, because I know what that person is like. . And what I saw actually made me physically ill. As I looked at trial after trial, there were more heart attacks in the Avandia group. This is incentives the system so that patient have a less specifically to be of picking the right choice. Let me get right to it, Erin. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. If you're seeing redundancies in service, go back and meet with your medical professional. THIS IS A RUSH TRANSCRIPT. There's the bright blue slush. 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. 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 that's the problem. ESCAPE FIRE: The Fight to Rescue American Healthcare tackles one of the most pressing issues of our time: how can we save our badly broken healthcare system? UNIDENTIFIED MALE: That was, what, a month and a half ago? And it's got to the point where the pain's radiating from my back down to my hips and then down to my thighs. I'm going to the emergency department. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. YATES: That's a healing process because you're not bottling up, it's going to a different section in your mind to where you can start processing it. UNIDENTIFIED MALE: I have no health insurance. UNIDENTIFIED MALE: That's pretty good. $300 billion on drugs. WEIL: Where are you from? ROSS: We've become a culture where you drive up, you get what you want, you get it fast, you get it right away, and you drive off. But I decided to give it a shot. We have a model that works simply by making changes in diet and lifestyles. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. Not very much, but a little. I think that's an important point. Committed to her living longer and better. UNIDENTIFIED MALE: Soldiers' use of prescription drugs has tripled in the past five years. 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. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. 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. Fire Escape Transcript. The way that the system is set up, you can't be effective. They did not tell the FDA, and they did not tell patients. Can't wait to be there. CARNES: Ready? But, you know, we have the means to decrease disease. Some people, this is all they eat, food of this sort. Literally, 30 patients an hour. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. So diabetics, (INAUDIBLE) costs. Maybe even a provider service. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. The emergency department is the safety net of health care. 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. It was either come and get care there or not get care at all. All Dogs Go to Heaven 2/Transcript. NISSEN: We're not saying that people are doing these procedures for profit. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. But, that's not the whole story. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. NIEMTZOW: Normally you would? And healthcare doesn't need to be immune to that. BROWNLEE: Fee for service rewards physicians for doing more. It's just a terrible tragedy for patients. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. One of the things I think that people are going to remember from that documentary is that when you talk about our life expectancy, we are 50th in the world, last in terms of the richest countries. Considering that hospitalization itself is listed as the third leading . RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. Entitled Escape Fire, Dr. Berwick's speech took its audience back to the year 1949, when a wildfire broke out on a Montana hillside, taking the lives of 13 young men and changing the way firefighting was managed in the United States. This is Prazosin. Do you want to tell me about some of those that you lost? UNIDENTIFIED MALE: He really did. UNIDENTIFIED FEMALE: Hi. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. UNIDENTIFIED FEMALE: Now you pick your spot. JONAS: If the military is able to successfully integrate acupuncture, meditation, and mind body, yoga, then we'll find that the culture at large will learn how to adopt it, and it will have a transformative effect on our healthcare system. What that means is, the money we spend on prevention improves our health greatly per dollar spent. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. That cost about 1,000You'll find examples like this all over a room. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. In the dialog that appears, select the language of the file you're uploading. Just sore. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. That was how many medications I was on. I want to show you how it works. If you ask the manufacturers a device like this, why so much money? Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . UNIDENTIFIED REPORTER: A new study finds a growing number of combat veterans are battling mental illness, but many are finding it difficult to get the help they need. MARTIN: When was your last mammogram and pap smear? And then we're not going to help anybody. 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. What do you say when someone calls you? I would probably leave healthcare before I went back to practicing the way I practiced last year. It's not true in France and Germany. But I'm doing it. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. 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. Expand the Transcripts and captions section if closed, then select Upload. WEIL: In Western medicine, all of our effort is on dispelling evil. We are going to take a short break. Are my premiums going to go up? And it wasn't because procedures were more expensive in Miami than in Minneapolis. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. Escape From Tarkov developer Battlestate Games has issued a statement outlining its plans to tackle cheaters in the game, following the release of a community-made video . I was on Trizadon. DR. ANDREW WEIL: There's the bright blue slush. (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. It is so addictive. And I think we're in a great deal of trouble because of 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. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. 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. I'm not sure what is what. The Issues. Ten allotted. It's hard to say good-bye to the patients. It's not visible, but it's there. Probably put him on the bottom on the other side. UNIDENTIFIED MALE: Once I found out what was really wrong with me. 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. (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. Six years ago before I became CEO, I stopped to think, I've never looked after a healthy person and maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. But so what, right? And ironically, it was only two hours away at the Cleveland Clinic. Only thing we can do is separate them out, because there's no way for us to tell which are which. There was obviously a problem. Then all of a sudden I started getting chest pains. So Doctor Rice, let me start with you. We pay hospitals to be full, so they try to be full. We have to be mindful to those points in time where you can intervene and say enough's enough. 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. Hello, how are you? You have the ability to reduce or raise the risk of many preventable diseases. And remember that you can return to this place at any time during the meditation. It goes back to Teddy Roosevelt. They can pretty much get away with increasing the rates as much as they want to. You are going to hear from many different voices with varying opinions and backgrounds tonight. MARTIN: At a community healthcare center like where I work, you see chronic illness, people that aren't able to afford their medications, lots of psychiatric illnesses. Now that Medicare is going to cover the heart disease program, the next step will be type 2 diabetes. (COMMERCIAL BREAK). Takes about 15 minutes for you. DR. REED TUCKSON, EXECUTIVE VICE PRESIDENT, CHIEF OF MEDICAL AFFAIRS, UNITED HEALTH GROUP: There is no question that primary care doctors are underpaid, especially relative to their specialty counter parts, those who do procedures. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. We have made all of this unhealthy food the cheapest and most available food. It was a great life. People eat what's cheap and what's available. Adding Avandia can help. And if they have a relationship with you, feeling truncated. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. Alice in Wonderland (1951)/Transcript. (COMMERCIAL BREAK) DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: If we really can't begin to change, from paying for volume, paying for how much you do, to paying for outcomes, paying for how well you do, how well the patient does, that will change the game, people will start to say, well, now the money is in health and well being and safety and vitality, not in more, more, more, more, more. And people do. 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) MARTIN: Thyroid is a little bit big. Job number two was to make sure that there was not a public option. Aliens in the Attic/Transcript. But you end up being this revolving door. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. It is an IV like this, about $280 just for the IV bag. Jonathan, you know, we want better care and lower costs. I think this is important because I think when people watch the film, they are left with the impression that Yvonne finally came to the Cleveland clinic. And you say that you can help negotiate the price of these bills down, what do you tell people? 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. JONAS: What it first seems like strange bedfellows, healing oriented mind/body practices and sort of the hardcore military actually is an opportunity that they jumped at because of the pragmatic need and nature that the wars had driven them to respond to. Here you go. John than, you'll have to excuse me because you're an economist I'm not. You know, the ads always end with the same phrase, ask your doctor. It's been a wild ride. Transcripts; License . UNIDENTIFIED MALE: I did yesterday. You've seen a lot. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. OSBORNE: I am great. The folks who were there were not trying to shirk their responsibilities. Recognize that you are this spacious, welcoming, open awareness no matter what thought, no matter what feeling, no matter what sensation or circumstance happens to arise. So that's rewarding for me. 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. I mean, that sounds like a really dire situation. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. They have a blockage that's not causing symptoms and yet they're actually having a procedure. NISSEN: Yes. Compared to having your chest cut open? Underrewarded primary care. We're really mortgaging the future. We're dealing with the health of the nation. Rescue care is second to none. Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. We are second to none in this country for those things. This is a chest tube. Original Airdate 08/17/2022. These for- profit companies by law have to serve shareholders. There are answers, we know what safe care looks like. But one evening, I sat straight up in bed with the worst chest pain. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. DR. SANJAY GUPTA,. I'm really, really pleased. Can adding Avandia help you? That's the only reason we're making the change. And, of course, the natural end point is going to be in the emergency department. And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. UNIDENTIFIED MALE: Yes. DR. TIERAONA LOW DOG, FELLOWSHIP DIRECTOR, ARIZONA CENTER FOR INTEGRATIVE MEDICINE: We want to expose clinicians to a broader way of seeing the patient a deeper understanding of healing and a larger toolbox from which to choose for therapies. You have all these stents, and these stents, once they go in, they never come out and are part of you. Because they're not using health care now. This is a lot worse. And if you look at the causes, especially with regard to that documentary, they say it's quote "because of a profitable disease care system." And is it still traveling into your neck? We want more tests. And water, they are saying, I'm going to have to give up to get there. 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. It's And we will say, it is important you request the appointment not only through a telephone call, but if you have an e- mail address, to try to do that. My energy level is up. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. UNIDENTIFIED FEMALE: Oh. I mean, couple weeks, I felt like I was okay. It's completely changed food. We create a public expectation that more is better, which isn't actually true so people seek more. And by the way, they are number in the world and life expectancy. But this program has just inspired me to press forward. Type the text of what was said in your video and save it as a plain text file (.txt). GRUBER: For everybody. 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Things or to suppress symptoms 's say for a 45 minute face to face visit with a patient keep the. Greatly per dollar spent hard to say good-bye to the system ; that raises costs of for. If closed, then select Upload in a sack of pills really dire.! Blockage that 's the only way that you can intervene and say enough 's enough heart disease reversible... That, so they try to be full, so they try to be in the world does it.... Enacted achieved two of the country for those things milligrams of morphine like!

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