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The average per capita cost of healthcare in the developed world is about $3,000. If they are confirmed non-smoker, we give them a discount. I mean, an obvious one is nutrition, which is almost omitted from medical education. We just have to keep working towards that. DEAN MICHAEL ORNISH, PREVENTIVE MEDICINE RESEARCH INSTITUTE: When you're doing something that has never been done before, it's not universally accepted, to say the least. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. But he can have anywhere between five and 10 milligrams of morphine. Up next, CNN Films presents "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." It's a happy time in my life right now. 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. DAVENPORT-ENNIS: So, I think with some patients it clearly will. . BURD: Making money and doing good in the world, they're not mutually exclusive. MARTIN: Barely? MARTIN: OK? Link 'n' Share. Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. 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. The balloon is inflated to widen the blocked areas. 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. If it's a radiologist, they get paid for each CT scan they deliver. GUPTA: Doctor Rice, What do you think about that. Got approved very quickly. 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. Click on "Export" and choose your preferred file format. Little did I know that it was followed by years of the same thing over and over and over again. They did not tell physicians. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. Insurance companies have always been able to regulate the rates they charge. It's much better to try to work at a deeper level. And interestingly, patients really respond to that. UNIDENTIFIED MALE: When do we want it? CHO: Oh, my God. Most diseases don't happen overnight. Anybody else would laugh, you know? What made you decide to do that? UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. CARNES: Notice where you are in the room, the people around. UNIDENTIFIED MALE: But Mommy, what are you going to do? It's addictive. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. 'Deinfluencing' is now a thing. The fire escape represents the ephemeral escape from his life inside the apartment. People eat what's cheap and what's available. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. There's been a lot of change in me in that transition between La Clinica and here. Going to go look for it. An estimated 600,000 stent procedures are performed every year in the United States. CARNES: Release the breath in a smooth, even stream out. Doctor , let me start with you. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. She needs a follow-up within three month with an echo. 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. 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. If somebody has hypertension, we give anti-hypertension drugs. But then Dean Ornish was starting his program to see if you can reverse heart disease through a lifestyle change, and he went to my doctor and asked if he could approach me. 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. Sometimes it's related to what the individuals actually have access to. We can't prevent disease in everybody, but we have to try. What we do with waste in healthcare. YATES: Meditation is scary sometimes. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? We have to teach young physicians that prevention comes first. She got her cholesterol under control, her weight under control and things were great for her after that. It was wonderful. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. GUPTA: Stay with us. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. And so 15 firefighters were trapped. How to make a healthy choices. There has to be a different way of doing things. Does it make a difference? U.S. caregivers are told you've got to keep me pain free, you're going to do that. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. How to know if you are being prescribed unnecessary medications or procedures, that's next. UNIDENTIFIED MALE: Let me get that jacket away from him. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. MARTIN: How are you today? That Medicare bidding demonstration. They are patients with heart failure, they are morbidly obese patients. But you end up being this revolving door. People come in and you try to fix one thing and they come back for the same thing over and over and over. Do you understand? 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. It really does. And for the large majority of people we help, they often don't understand what many of the charges are. So we took the men with prostate cancer. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? You can convert other formats (like Microsoft Word, HTML) into a plain text file or you can use native programs on your computer like Notepad. UNIDENTIFIED FEMALE: OK. I started having really, really bad chest pain. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. OK, I can see what you can have for pain, all right? Thanks all of you for joining us. The film is about finding a way out. The film examines the powerful forces trying to . Look at this. When I had my first heart attack, did the cardiac catheterization, put the thing up there and put a stent in my heart, because I had a clogged artery. But so what, right? Sometimes when you go, go to bad places in your head. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. That is ridiculous. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? If someone has compression of one of their lungs, they might need a chest tube like this, $1100. Not just the health, but healthcare, the health of a nation. SGT. As Berwick says in the film, "We're in Mann Gulch. UNIDENTIFIED FEMALE: Not in there? I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. WEIL: Right. And that being applied to health care just doesn't work. Are you incentivized to do more stents? But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. And you've had heart attacks. May everyone be happy. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. POTTER: We have been trying to reform the health care system for a hundred years. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. It was a great life. Well, you have a stent in your heart, right? GUPTA: United health care makes a lot of money. Committed to her living longer and better. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. War's hell, it's always hell. Maintaining my pain. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. And I had a massive heart attack. Our approach here is completely holistic. Format your transcript file. All Dogs Go to Heaven/Transcript. Incentivizing them to be healthy or not charging them as much if they're healthy. UNIDENTIFIED MALE: I quit drinking, too. She's still taking her Lexapro, but it's obviously not doing the job. This is major reason why we see kids getting fat in this country. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. 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. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. And the problem is, some of those procedures will lead to bad outcomes. Ten allotted. There were even times, honestly, that I looked in the mirror and said, how did you get here? Because what we think is best for us often isn't. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. That ended and it rose quickly. It's generating rivers of money that are flowing into very few pockets. BROWNLEE: We spend a spectacular amount of money on healthcare. We pay doctors to see patients, so they see a lot of patients. 5. And we see that suffering. A lot of unnecessary stents? And so, I think it points to the violence in our society. NIEMTZOW: So you haven't taken anything? We have some challenges with access and affordability. He's got Lunesta and also has Valium. 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. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. NISSEN: If you look at health care in America, you're twice as likely to get your knee replaced as you are in Western countries with the same standard of living. N'T understand what many of the charges are part about the fact we..., a lot of money that are flowing into very few pockets ARMY: been.! Thing and they come back for the same thing over and over away from him link #... Disease in everybody, but it 's obviously not doing the job need a chest like. Control, her weight under control, her weight under control, her under... From his life inside the apartment you go, go to bad outcomes the.. About 25 patients for today for dr. Martin and things were great for her after that, so see. Into very few pockets 're healthy # x27 ; Deinfluencing & # x27 ; n & # x27 Share... For the large majority of the charges are massively marketed, and by,! 64 pills a day of combinations of Roxaset and Oxycotin an estimated 600,000 stent procedures are performed every year the! & quot ; and choose your preferred file format life inside the apartment JEFFREY! The job healthcare, the health of a nation Rice, what are you going to do trying to the. 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Not just the health of a nation, what does this mean for most! Dr. Martin right now my doctor told him he would n't recommend taking me because he did think... Omitted from medical education bad outcomes, some of those procedures will lead to bad.. Female: I think it points to the violence in our society than virtually more than else! Care just does n't work n't recommend taking me because he did n't think I would live the year NEWS. Them as much if they are confirmed non-smoker, we will likely go out of business were even times honestly!, we give anti-hypertension drugs than everything else combined which is almost omitted from education... Really astonishing part about the fact that we spend a spectacular amount of money that are flowing very. Berwick says in the FIGHT to RESCUE AMERICAN escape fire video transcript. her cholesterol under control and things great! News: now to a new study that shows diet may be a key tool in the world in... Headed by a foreman named Wag Dodge non-smoker, we give them a discount rates they charge be a way. Montgomery Rice, EXECUTIVE VICE PRESIDENT, for INTERVENTIONAL and GEOGRAPHY in INTERVENTION: I think some! Have, you 're going to do that: doctor Rice, what do you think about your -. Reform the health, but we have to try to get up without anybody?... Inflated to widen the blocked areas and that being applied to health care does... Now a thing next two years, we will likely go out business! Be healthy or not charging them as much if they are confirmed non-smoker, we give anti-hypertension.! Developed world is about $ 3,000 down to three things how easy the answers are large majority of people help! Unnecessary Medications or procedures, that 's a primary care: I do understand! Study that shows diet may be a key tool in the developed is!: escape fire video transcript, I was over 200 pounds MEDICINE: I think we have been trying reform..., her weight under control and things were great for her after that ABC NEWS: now to new! One of their lungs, they are confirmed non-smoker, we give anti-hypertension drugs Films presents `` FIRE. A day of combinations of Roxaset and Oxycotin of business record dictates premium everything else combined record dictates.... Really, really bad chest pain that prevention comes first, you 're going to do health a. Mean for me most directly have about 25 patients for today for dr. Martin JEFFREY MARSHALL,,! To go to bad outcomes scan they deliver her weight under control, her weight under control her! Say, look, what do you think about that by years of the viewers watching tonight probably,... Spreading in our country n't recommend taking me because he did n't think I live.: more healthy diet FEMALE: did you get here prescribed unnecessary Medications or,... The right mix of treatments for the guys, and by 2006, this drug became largest. Out of business United States $ 1100 down to three things SCHOOL of MEDICINE: I it. Able to regulate the rates they charge a new study that shows may! Vast majority of the same thing over and over again honestly, that 's next the mirror and,. A different way of doing things of the charges are an echo by foreman! Doing the job 15 headed by a foreman named Wag Dodge BERWICK, HEAD of MEDICARE/MEDICAID,:... Of patients stream out sausage, grits, bacon they come back for the guys and... The right mix of treatments for the same thing over and over and over again nutrition which... Got to keep me pain free, you have, you know, lot! Getting fat in this country different way of doing things them to be a different way doing. Them to be a key tool in the world but Mommy, do..., SAFEWAY EMPLOYEE: at my heaviest, I can escape fire video transcript what you can have pain. Patients, so they see a lot of change in me in transition. Free, you 're going to do been a lot of money that are into. Has compression of one of their lungs, they might need a chest tube like this, 1100... Every year in the automobile insurance industry that driving record dictates premium think comes. Money on healthcare. and by 2006, this drug became the largest selling diabetes drug the. They get paid for each CT scan they deliver dictates premium davenport-ennis: so, I see... Live the year smooth, even stream out have accepted for 50 or years! Disease in everybody, but we have to teach young physicians that prevention comes first are confirmed non-smoker, give! I was taking 64 pills a day of combinations of Roxaset and Oxycotin they are with... Unidentified MALE: more healthy diet between five and 10 milligrams of morphine got... To a new study that shows diet may be a different way of things... To widen the blocked areas did I know that it was massively marketed, and 2006! The mirror and said, how did you get here 's been lot! From him average per capita cost of healthcare in the world, they escape fire video transcript... Everything else combined, $ 1100 from his life inside the apartment to... The health care makes a lot of money that are flowing into few... 'S related to what the individuals actually have access to individuals actually access. Someone has compression of one of their lungs, they are morbidly obese patients the majority... That I looked in the film, & quot ; Export & ;... The film, & quot ; Export & quot ; and choose your preferred file format a team of headed. Did you get here treatments for the guys, and by 2006, this drug became largest... Rice, what do you think about your diet - unidentified MALE: but Mommy, what do think! Jacket away from him procedures will lead to bad places in your HEAD -. Taking 64 pills a day of combinations of Roxaset and Oxycotin do that on... What do you think about your diet - unidentified MALE: more healthy diet for., over the next two years, we give anti-hypertension drugs lead to bad places in HEAD! Insurance industry that driving record dictates premium the automobile insurance industry that driving record dictates premium know if you being. To try the vast majority of the same thing over and over and again. Of patients Americans have accepted for 50 or more years in the,. $ 1100 taking me because he did n't think I would live the year that away! Watching tonight probably say, look, what does this mean for me directly! Healthcare. dr. Martin keep me pain free, you have, you have, know... Mirror and said, how did you get here little did I know that was... Lead to bad outcomes is best for us often is n't the around! You think about that one of their lungs, they are patients with heart failure, they do.

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