Have you -- UNIDENTIFIED FEMALE: 2008. Receive your transcript. And how do we shift this huge enterprise of disease intervention in that direction. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. It used to be me. Not having to eat all these pills. All right. Expand the Transcripts and captions section if closed, then select Upload. Committed to her living longer and better. Get educated on these issues and add your voice to a growing chorus for change. That's built in these costs as well. I'm sorry, it's going to get pretty tight. It includes the mandate, the requirement that we all have to buy their coverage. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. Until my doctor said to me, I don't know what else to do for you. The only other country, by the way, is New Zealand. And all insurance companies are saying is your behavior should drive the premium. Seventy percent of all the deaths in diabetes are heart disease. BROWNLEE: We spend $300 billion a year on pharmaceuticals. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. MARTIN: OK? 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. Dr. Berwick suggests that the current state of healthcare. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. If you select our human service, your transcript will be ready within 24 hours. And the problem is, some of those procedures will lead to bad outcomes. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? Why do so many children die so young here? Thank you so much. NISSEN: We're not saying that people are doing these procedures for profit. The documents are coming out in these court suits, it looks worse and worse. Do you think that will make a difference? UNIDENTIFIED FEMALE: Right. I want to show you how it works. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. UNIDENTIFIED MALE: Oh, yes. 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. To a man with a hammer, everything looks like a nail. We don't have a healthcare system in this country. Let me take a listen to you. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. Where I'm at right now, patients are in desperate need of care. 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. 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. 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. Your harm's heavy, your leg's heavy. But I decided to give it a shot. Now we're kind of dealing with the consequences. I say, radical? This is all coming out of our pockets. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. OSBORN: I've started doing research about where in the United States do I have to go to get the best heart care. UNIDENTIFIED FEMALE: Hi. And if you try and buck the system, someone says, what can we do to get your productivity up? YATES: OK. UNIDENTIFIED MALE: Yes. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. 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. Are my premiums going to go up? YATES: I meditate, and it has opened up a whole new world for me. detail. Yvonne Osborn began suffering from severe chest pain at the age of 34. The first description that the play makes about the fire escapes is "The apartment faces an alley and is entered by a fire escape, a structure whose name is a . We have a -- we have a motto in medicine. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. GUPTA: United health care makes a lot of money. We're part of the community. As an overall system, no, we're not anywhere near at the best in the world. It's still not over, but it's better from Germany, I promise you that. 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. Okay. And I think we're in a great deal of trouble because of that. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? 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. ROSS: What do you think about that? Published Feb 22, 2001. GUPTA: I'm salaried too as a physician. UNIDENTIFIED MALE: When do we want it? 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. Determine, did you indeed have two MRI's during the course of one week? Something like that. So that's rewarding for me. 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. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. If insurance companies don't deliver value, they won't be in business very long. So, if there's a concern someone has a tumor, they who use a needle like this. 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. Putting patients first. UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. Where does that money come from? SGT. 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. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. CARNES: We'll end the practice today with the completing statements. And that's the problem. Also remember this. UNIDENTIFIED FEMALE: Because he's real sleepy? 5. UNIDENTIFIED MALE: That was, what, a month and a half ago? Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). It would empower patients. I mean, I can't think of a single negative in doing this. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. How did -- what did think about that? Let me get right to it, Erin. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. Can't wait to be there. GUPTA: So, tell me how that would work? I want to give to people and I want to help people, and I wasn't able to find that here. What does that do? Ten allotted. Let's be honest. We are going to take a short break. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. 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. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? With the infantry division. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. Escape Fire: The Fight To Save American Health Care. 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. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. If you account for that, we do much better. BROWNLEE: We spend a spectacular amount of money on healthcare. You've seen a lot. UNIDENTIFIED MALE: Yes. I do it in my clinic all the time. Alice in Wonderland (1951)/Transcript. Healthcare, it's headed for really, really bad trouble. The kinds of interventions that we have come to favor in this country are inherently costly because they are dependent on expensive technology, and that includes pharmaceutical drugs. Does it make a difference? ROBIN CARNES, WALTER REED ARMY MEDICAL ENTER MEDITATION INSTRUCTOR: The first thing I'd like to do is teach you a breathing exercise with a targeted effect on post-traumatic stress. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. On my way. 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. MARTIN: How are you today? It caused their blockages to become less blocked in their arteries. And ironically, it was only two hours away at the Cleveland Clinic. So, less than 30 percent are actually done in these people with stable ischemic heart disease. 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. Dodge survived, nearly unharmed. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. NIEMTZOW: 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. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. This point I'm in. There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. 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. With their city in ruins, the people of London finally realized the only escape from the devastation of . ROSS: When do you think it would be good to try it? From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. 0. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? This is what you do for a living. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. 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. NISSEN: You know, DVT and pulmonary emboli. We do nothing about supporting the good, that the body can and wants to be healthy. Not very much, but a little. WARD: For a long period of time I was hiding. UNIDENTIFIED FEMALE: Nine months? The Issues. If you're seeing redundancies in service, go back and meet with your medical professional. the play Tom is seen standing in a fire escape during many acts. 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. They didn't want to have a new competitor. Simply the same way the hospitals and physicians. If somebody has hypertension, we give anti-hypertension drugs. Sometimes I go to the hospital and that's the only health care I ever got. And doctors wanting to please their patients will often prescribe it. 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 . It's still a struggle. So, a hospital like the one you just saw there. And every year they have to turn people away. Carry a lot of weight because I'm infantry. It was important to keep expressing the hospital's position. 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. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. MARTIN: What I do every day, buddy. The balloon is inflated to widen the blocked areas. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. Did you have a good day today? UNIDENTIFIED FEMALE: Came off the mountain with only eight? We pay doctors to see patients, so they see a lot of patients. Jonathan, you know, we want better care and lower costs. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. I was shutting down emotionally. There's the cost of covering people who simply don't have insurance or can't pay. 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. All right? And it wasn't because procedures were more expensive in Miami than in Minneapolis. (CROSSTALK) KASCH: That's why he's a little high right now. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. We're on track for that on Tuesday. Maintaining my pain. That's how embedded people get in the status quo. The present healthcare system doesn't work. I just had been ignoring it, because I thought, you know, I'm only 34 years old. GlaxoSmithKline worked very hard to keep these numbers from the public. This is going to caused about %800 dollars. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. I mean, when the cost of some of the things we use on a regular basis. Respiratory shutdown. Escape Fire. 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. When you start to look at kids 15 to 19, we know accidents and again violence. It's all about the reimbursement. 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. If they are surgeons, they get paid for each procedure. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. UNIDENTIFIED MALE: Not, not when I'm doing that. Rescue care is second to none. UNIDENTIFIED MALE: How's your pain, sir? UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. An estimated 600,000 stent procedures are performed every year in the United States. We don't know what they are. UNIDENTIFIED CHILD: There we go. Escape Fire Worksheet Escape Fire: The Fight to Rescue American Healthcare HSC 507 Introduction to Health Service Systems & Organizations Central Michigan University - Spring 2020 Print your name: _Kya Churchill _____ The video has been placed on reserve in the CMU Library. And those are surprising. And you've had heart attacks. 4:00 Minute Teaser Video UPDATE: "In 2010, the US spent $2.5 trillion on healthcare." But now (in 2018) we are spending $3.65 trillion/year. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. And here's the secret, healthier people cost less money too. Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ($3.99). Log in to your account. NISSEN: Finally, the FDA put severe restrictions on the drug. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. Escape Fire premiered at the Sundance Film Festival, [1] opened in select theaters on October 5, 2012, and was simultaneously released on iTunes and Video-on-Demand. Blood pressure under control, a discount. UNIDENTIFIED FEMALE: Where are you coming from? And you're here today with chest pain. And if they have a relationship with you, feeling truncated. And remember that you can return to this place at any time during the meditation. 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. That isn't true in Canada. I think many of her cardiac catheterizations instead would not have been necessary. GUPTA: But, why are these causing hospitals so expensive? UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. Power your marketing strategy with perfectly branded videos to drive better ROI. An Entrenched System. Even though the patients in Miami weren't any sicker than their neighbors. ORNISH: The program increased the telomere length. GRUBER: Well, Sanjay, I think If you look at the affordable care act in the hole, it will. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? The answer is among us. GUPTA: Can you actually get a-hold of those people? 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. OSBORNE: I am great. Video: This tiny shape-shifting robot can melt its way out of a cage . UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. CHO: I know, you look really good. 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. People with chronic disease who come in and out of hospitals, bouncing in and out of ERs, that's what they need, someone to really take an interest. Wag Dodge survived, nearly unharmed, in his escape fire. I can't be having heart problems. And people do. At some point he's going to stop breathing if he's taken too much narcotics. NISSEN: Now, the leading cause of death in diabetes is heart disease. This is Prazosin. GUPTA: Why not just pay them more money? More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. 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. BERWICK: The healthcare system is unsustainable. He asked for pain medication. Came off the mountain with only eight. Losing the sensation in your feet is part of the progression of diabetes, OK? We just have to keep working towards that. Original Airdate 08/17/2022. A different perspective that there's a different way of doing things, that it's possible. That ended and it rose quickly. May everyone be well. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. NISSEN: I do. About three weeks ago, because of the state budget crisis, we got told with very little notice that Medicare and Medicaid reimbursement was going to be cut by about 25 percent.

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