And from that point on I realized that I don't want to be on this. ORNISH: The program increased the telomere length. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. The folks who were there were not trying to shirk their responsibilities. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? And so, that's clearly one of the issues. 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. Look. NISSEN: We're not saying that people are doing these procedures for profit. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. NISSEN: Contrary to what most people believe, getting a stent in your coronary, if you have stable chest pain, will likely relieve your pain, but it will not help you live longer. That cost about 1,000You'll find examples like this all over a room. Now you're going to get the scissors. 'Deinfluencing' is now a thing. He or she assembles a team of five other people to work with, a nurse, a yoga teacher, an exercise physiologist, a registered dietitian, and a clinical psychologist. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. In our model, the physician acts as a quarterback. 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. What we don't know, is that a fundamental change? But this program has just inspired me to press forward. This is a lot worse. ROSS: What do you think about that? And to me, that's not the only issue. And, of course, the natural end point is going to be in the emergency department. CAIN: Exactly. The really astonishing part about the fact that we spend more is we have worse health outcomes. UNIDENTIFIED MALE: I'd do it if I had to. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. If somebody has hypertension, we give anti-hypertension drugs. Get educated on these issues and add your voice to a growing chorus for change. UNIDENTIFIED MALE: A platoon of 23. I want to give to people and I want to help people, and I wasn't able to find that here. I would probably leave healthcare before I went back to practicing the way I practiced last year. I think there's some very good drugs out there, I think drug treatment has its place. So I decided to leave. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. And doctors wanting to please their patients will often prescribe it. If you're on a fixed income, what are you going to do for your family? NIEMTZOW: Because of that? Eight IEDs through this deployment. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. UNIDENTIFIED MALE: I love you, too! I haven't touched my toes in months. 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." It is the largest health insurance company in the country. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. MARTIN: What I do every day, buddy. It's just so much more than money. 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. I mean, that sounds like a really dire situation. Yvonne came to se me when she was sort of at her wit's end. And I thought, once I get this, I won't have the blockages anymore. Only thing we can do is separate them out, because there's no way for us to tell which are which. We have made all of this unhealthy food the cheapest and most available food. That requires so much work, but we do it because we're committed to having her stay out of the hospital. I'm Dr. Sanjay Gupta. 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. UNIDENTIFIED FEMALE: OK. What the Dartmouth group discovered is that the patients in the most costly regions where Medicare spent more money on patients, those patients did not have better health outcomes. Host virtual events and webinars to increase engagement and generate leads. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? Wag Dodge had an idea. ROBERTS: The research found that embracing a low-fat vegetarian diet, exercising half an hour a day, and taking part in daily stress reducing activities can actually change the regulation of genes that are key players in cancer development and contribute to better overall survival. WEIL: Where are you from? We say they don't prevent heart attacks, they don't lengthen life. Okay. Cost about $1200. Are my premiums going to go up? Healthcare, it's headed for really, really bad trouble. NIEMTZOW: Normally you would? Try to understand where the redundancies are. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. SGT. This -- medications I was on. Half of Americans will be diabetic or pre-diabetic in the next 10 years. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. How to make a healthy choices. LT. COL. BETTY GARNER, RESEARCHER, U.S. ARMY: Welcome to Germany. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. It doesn't reward them for keeping their patients healthy. And then we're not going to help anybody. When telomere wear down and get frayed, the genetic material would get messed up. 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. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. 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. 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. And they have to, these for-profit companies by law have to serve shareholders. When I'm running and it's a hot day and I feel like giving up, it never fails. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. 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. 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. But we're going to talk to them about it still, you know? What do you think of that? UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. The Escape fire Video demonstrates human stories and leaders in the fight to transform Medicare at the level of medicine, the US military, industry, and government. Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. (LAUGHTER) Infinitely. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. Format your transcript file. BROWNLEE: We spend $300 billion a year on pharmaceuticals. UNIDENTIFIED MALE: Yes. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. It's not visible, but it's there. I was on anti-depressants. These perverse incentives that you described? and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. You're doing this radical intervention, you know, I say radical? Come back in a month or so? Mountains of Afghanistan are not easy to climb, so pain in my back. Anybody else would laugh, you know? ESCAPE FIRE exposes the perverse nature of American healthcare, contrasting the powerful forces opposing change with the compelling stories of pioneering leaders and the patients they seek to help. You get paid for the service that you're doing as opposed to for the overall care of the patient. MARTIN: How much were you drinking before? People eat what's cheap and what's available. The easiest starting point was in the 30,000 non-union workforce, and I believe that within four years all of our employees will get this kind of healthcare plan. It's too much paying for it. Event marketing. I was shutting down emotionally. Hello, how are you? You've seen a lot. 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? 1. s03e01 - Fire Escape Tran script. It's just a terrible tragedy for patients. It's the same challenge. UNIDENTIFIED FEMALE: Nine months? And the fire spread around him. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. I'll be -- and what came to be known as an escape fire. It's nice to know that I've got a long time to spend with my family and I'm going to get to see my son grow older and go to college and all that fun stuff. UNIDENTIFIED MALE: Six and over. Also remember this. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. That's how embedded people get in the status quo. MARSHALL: So, anybody that's having a heart attack should get a stent. UNIDENTIFIED MALE: I quit drinking, too. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. NIEMTZOW: Oh, you would? They didn't foresee me ever trying to walk yet. Why do so many children die so young here? UNIDENTIFIED MALE: That's pretty good. And some people even that are getting stents don't have symptoms. This is major reason why we see kids getting fat in this country. Published Feb 22, 2001. CARNES: I will be at your side should anything challenging come up for you. WEIL: It could get worse. They have talked about a child between age of one and four, having the third most common causes of homicide. What do you say when someone calls you? No soldier should have to go through this. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. UNIDENTIFIED MALE: Bye. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. Tom's Escape In The Fire Escape. Everybody agrees on that. The average per capita cost of healthcare in the developed world is about $3,000. That's it. MARTIN: OK? GUPTA: For everybody here. BROWNLEE: We spend a spectacular amount of money on healthcare. And so, I think it points to the violence in our society. There's the cost of covering people who simply don't have insurance or can't pay. 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. And now I'm -- 25 years later and I'm in pretty good shape. I was a walking dead man. UNIDENTIFIED MALE: I did yesterday. UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. Thank you so much. If you look at a hospital bill, you might see an IV bag charge. UNIDENTIFIED MALE: I have no health insurance. WEIL: In the year of for-profit medicine, the time allowed for patient visits has shrunk to a point where you've got seven minutes with a patient. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. They become more productive. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. What does that do? All Dogs Go to Heaven/Transcript. This is just an unbelievable amount of stents and cardiac caths. UNIDENTIFIED FEMALE: I just want to see what they've given him. So at this point, we will administer the medication. 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. The, you know, the food that we eat and the nutrition that we put in our body, that's been around since the beginning of time. UNIDENTIFIED FEMALE: Do you want to do a pill count with me? GUPTA: Why not just pay them more money? MARTIN: You used to cut? DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. All of us live here and work here. And that is why, our first priority has to be to equalize that access and then move on. There's nothing else I can do. 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. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. It just wants you to keep coming back for your care of your chronic disease. Who pays for that? DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? She needs a follow-up within three month with an echo. CAPT. Came off the mountain with only eight. You have the ability to reduce or raise the risk of many preventable diseases. I can act more as a guide for patients, taking the time to educate them and having them understand that there are choices that they have the power to make for themselves. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. I smoked six cigars a day, 10 cups of coffee, a lot of wine. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. UNIDENTIFIED FEMALE: These are all name brand. MARTIN: Barely? I'm not sure every country in the world does it perfectly. SGT. And we're going to be doing CPR on a patient. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. People come in and you try to fix one thing and they come back for the same thing over and over and over. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. So, you want to take a look at that and find out what it is. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. Select "Show Transcript" from the menu. But I'm doing it. And that being applied to health care just doesn't work. Format: DVD Edition: Widescreen. CARNES: So feel yourself there in your safe place. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. (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. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. Ten allotted. And I think we're in a great deal of trouble because of that. Well, you have a stent in your heart, right? What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. ROSS: What's the regular food? And the company did nothing. Why do we care about covering the uninsured? UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. Compared to having your chest cut open? 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. UNIDENTIFIED FEMALE: They don't say how much they gave him. It goes into the other areas, and it's just not sustainable. First Published 08/18/22 12:02. read transcript. And welcome home. We need a whole new kind of medicine. MARSHALL: It doesn't matter if I do one stent or five or ten stents. Transcripts; License . All right, so take a breath. NISSEN: You know, DVT and pulmonary emboli. Healthcare, it's in really bad trouble. And sometimes push the plate away. Your company becomes more competitive. Probably put him on the bottom on the other side. So here I am going in and out of the hospital to find out what's going on. What made you decide to do that? GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: This is a national problem for us, you know, we're seeing the military just being a microcosm, I think, of the problems society is having. GUPTA: I want to point out something. The present system doesn't work and it's going to take us down. You didn't have to be a statistician or in the words of my old friend Bob Dylan, you don't have to be a weatherman to know which way the wind blows. ROSS: I just want to review this pain. That simply means they get paid for each office visit. We pay hospitals to be full, so they try to be full. Firefighters said they received about 12 calls . UMBDENSTOCK: Why? Everybody is doing their job, we just design the jobs wrong. the play Tom is seen standing in a fire escape during many acts. GUPTA: Stay with us. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. We even found that when you change your lifestyle, over 500 genes were changed. Dr. Berwick suggests that the current state of healthcare. Rescue care is second to none. Log in to your account. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. (CROSSTALK) KASCH: That's why he's a little high right now. Just do something. A documentary highlighting the shortcomings of the American healthcare system. UNIDENTIFIED MALE: I feel different. UNIDENTIFIED FEMALE: Loratab, Naproxen. But with regard to prevention, preventing disease, does that save us money? If you have that desire to quit smoking, we'll get there eventually. There was obviously a problem. Published: Santa Monica, Calif. : Lionsgate, [2013]. We are more likely to get a knee replacement or have a cat scanner, have an MRI. 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. And the actual costs for care here is among the lowest in the country. Meditation takes the place of that. BERWICK: The healthcare system isn't affordable anymore. We're the only providers for. ROBERTSON: It's a financial necessity. Now we're kind of dealing with the consequences. GUPTA: Doctor Rice, What do you think about that. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. We just spent $1,000. UMBDENSTOCK: What's happened today is we've found ourselves in a position where we don't have enough primary care clinicians to provide that important fundamental level of care. Underrewarded primary care. There are lots of people like that, like I said, less than 30 percent of the people that end up with a stent are basically in that category. I mean, to talk about how we shift toward -- away from disease intervention toward disease prevention and health promotion, I mean, that -- that requires a massive rethinking about medicine and healthcare at all levels of society. UNIDENTIFIED MALE: Yes. This suture costs about $200. WARD: For a long period of time I was hiding. They can't recognize an invention when it's among them and they can't give up their old habits. NISSEN: Now, the leading cause of death in diabetes is heart disease. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. Not very much, but a little. She joins us now. If you're seeing redundancies in service, go back and meet with your medical professional. And Doctor Jeff Cain. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. So inhale. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. And they have a hard time believing that these simple choices that we make in our lives each day can make such a powerful difference. Compared to having your chest cut open? Impressive. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED FEMALE: I can't tell you how shocked we were when we saw her the first time because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. I had difficulty sleeping at night. You've done some sweating. Do you understand? Where does that money come from? But I think the economic imperatives are much stronger now. UNIDENTIFIED FEMALE: OK, I need some help over here. 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. MARTIN: Wow. He tried to get the other smoke jumpers to join him, and nobody did. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. That's going to be a little bit of a change and a little unfortunate. I could hardly just about walk three steps and I'd have to stop and rest. UNIDENTIFIED MALE: Nine months. To get people to eat different, to eat, you know, to lose weight, to exercise regularly, those are hard things to get people to do, and we need to be better at it. When medicine became a business, we lost our moral compass. I mean, couple weeks, I felt like I was okay. They sent me home with them. OK? There's saving money and there's cost effective. Hold them accountable and then talk to them, you know, on a weekly basis. This is going to caused about %800 dollars. Just sheer numbers, $2.7 trillion per year. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. Because what we think is best for us often isn't. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. This is Prazosin. But one evening, I sat straight up in bed with the worst chest pain. She got her cholesterol under control, her weight under control and things were great for her after that. Doctor , let me start with you. He's taken 10 tablets. And you say that you can help negotiate the price of these bills down, what do you tell people? Berwick suggests that the current state of healthcare been able to regulate the rates they.... 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