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. 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. You are going to hear from many different voices with varying opinions and backgrounds tonight. 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? And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? . So we're going to open up some chi? ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. YATES: OK. You say there's a lot of Yvonnes (ph) out there, the patient we just met. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. The present system doesn't work and it's going to take us down. MARTIN: I think what the American people need is, they need good health care. Trying to get Medicare to cover a heart disease program has been by far the hardest thing I've ever done in my entire life. And doctors wanting to please their patients will often prescribe it. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. 1 hr 39 min PG-13 Documentary A powerful and thought-provoking documentary that exposes the U.S. healthcare system as one designed to profit on disease rather than health. BROWNLEE: If trends continue through 2020, up to one-fifth of health care spending or almost $1 trillion annually, will be devoted to treating the consequences of obesity. Our forefathers in medicine were really about patients. Upload captions and transcripts. 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. MARTIN: A day? See you soon. We have a disease management system. UNIDENTIFIED MALE: I have no health insurance. You almost forget that what you're doing is providing health insurance. 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. We pay hospitals to be full, so they try to be full. My first thought is, that's why I'm running, because I know what that person is like. 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. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. That requires so much work, but we do it because we're committed to having her stay out of the hospital. Yes, this is Dr. Martin over at La Clinica. There has to be a different way of doing things. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. You're doing this radical intervention, you know, I say radical? 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. UNIDENTIFIED MALE: We have had enough. CARNES: So feel yourself there in your safe place. I mean, where did that idea come from? That's going to be a little bit of a change and a little unfortunate. Fire Escape. Jonas, Wayne B., commentator. 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. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. I'll look up and I'll see a person who's overweight across the street. 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. (CROSSTALK) KASCH: That's why he's a little high right now. He asked for pain medication. YATES: That's every single signature that says that you're good to go to get out of Walter Reed and move on with my travel right there. UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? (LAUGHTER) That's the way I like to look at it. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. Log in to your account. What is really striking is how little they have written the last few years. 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? MARTIN: You used to cut? Event marketing. It would empower patients. 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. They told no one. You almost forget that what you're doing is providing healthcare. They are going to healthcare. 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. So we provide incentives for people to engage in healthier behavior. And then we're not going to help anybody. It's the same challenge. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. UNIDENTIFIED FEMALE: Not in there? Format: DVD Edition: Widescreen. We have made all of this unhealthy food the cheapest and most available food. Probably put him on the bottom on the other side. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. UNIDENTIFIED MALE: I quit drinking, too. The medication depresses you, it makes you think that it's all you're ever going to be in. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. About a 30 percent increase in the risk of heart attack and related complications. Escape Fire. Impressive for it to react that quickly. That may strike people as very high. Committed to her living longer and better. The fire overtook the crew, killing 13 men and burning 3,200 acres. There's the cost of covering people who simply don't have insurance or can't pay. MARTIN: It was a dire situation and there are many times that myself and my colleagues would have the conversation of, you know, we are going to miss something, this could be really bad, and actually having the fear that this was going to be harmful to our patients at some point. Incentivizing them to be healthy or not charging them as much if they're healthy. 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. 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. Little did I know that it was followed by years of the same thing over and over and over again. And some people even that are getting stents don't have symptoms. 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. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. Until my doctor said to me, I don't know what else to do for you. That isn't true in Canada. I love you. It just wants you to keep coming back for your care of your chronic disease. YATES: Wow. If you have that desire to quit smoking, we'll get there eventually. Blood pressure under control, a discount. Look at this. You can't have a cafeteria that doesn't have calorie counts on it. Came off the mountain with only eight. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. Well, you have a stent in your heart, right? If you go out and buy heart healthy diet food, it's going to cost you more money than anything. We need a whole new kind of medicine. You know, the ads always end with the same phrase, ask your doctor. ROSS: What do you think about that? 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. All Dogs Go to Heaven/Transcript. UNIDENTIFIED FEMALE: Came off the mountain with only eight? 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. There's been a lot of change in me in that transition between La Clinica and here. No eastern medicine. ROSS: What's the regular food? All my health issues have gone away. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. And I think those discussions that we between the patient and the provider about lifestyle disincentives. He told Dean, how long is the program? Everybody is doing their job, we just design the jobs wrong. (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. You bike to work today? There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. It was wonderful. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. This is going to caused about %800 dollars. I don't want to go down the same path. And that's the problem. 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. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. Try to break a sweat every day. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. With the infantry division. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. Can't wait to be there. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. You're your options might be, if there is a doctor surgeon on hometown. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. 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. Type the text of what was said in your video and save it as a plain text file (.txt). UNIDENTIFIED FEMALE: Hi. And for the large majority of people we help, they often don't understand what many of the charges are. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. It takes a village to make an unhealthy patient healthy. Expand the Transcripts and captions section if closed, then select Upload. Anybody else would laugh, you know? Tom's Escape In The Fire Escape. It's unseen, but it's there and it's very, very powerful. And they have to, these for-profit companies by law have to serve shareholders. 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. Yvonne came to se me when she was sort of at her wit's end. The Dartmouth study showed the patients in places like Miami were receiving more care. UNIDENTIFIED MALE: Yes. UNIDENTIFIED MALE: Yes. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. First Published 08/18/22 12:02. read transcript. What made you decide to do that? GUPTA: I mean, both physically and mentally. ROSS: When do you think it would be good to try it? Dodge survived, nearly unharmed. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. Can adding Avandia help you? Do you understand? POTTER: We have been trying to reform the health care system for a hundred years. Things could move in that direction here, and this is not the choice of the doctor. UNIDENTIFIED FEMALE: First one's going in. It's still a struggle. I actually practice emergency medicine at the University of Virginia in Charlottesville. Again , when I'm talking about disincentives. Healthcare, it's headed for really, really bad trouble. So here I am going in and out of the hospital to find out what's going on. He's like really not listening very well. I mean, I can't think of a single negative in doing this. But I decided to give it a shot. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. If they are confirmed non-smoker, we give them a discount. But, that's not the whole story. But I think, to be honest, when you add more people to the system; that raises costs. And that model has continued until today. I haven't touched my toes in months. UNIDENTIFIED FEMALE: I just want to see what they've given him. You've seen a lot. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. In our model, the physician acts as a quarterback. UNIDENTIFIED FEMALE: Oh, my god. That was job number one for them. I have an insurance now perhaps. UNIDENTIFIED FEMALE: You need to get up and pee? UNIDENTIFIED MALE: I do it again on Friday. This is Prazosin. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. You're two or three times as likely to get a heart catheterization or have a stent in your coronaries. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. MARTIN: How much were you drinking before? BURD: I was a business guy and I thought if we could influence behavior of about 200,000-person workforce, we could have a material effect on healthcare costs. Suture, one that's used in every operating room in the world. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. 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. Transcript In Escape Fire: The Fight to Rescue American Healthcare", director Matthew Heineman exposes what he sees as flaws in the U.S. healthcare system, such as a doctor who can spend just. John than, you'll have to excuse me because you're an economist I'm not. War's hell, it's always hell. 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. The folks who were there were not trying to shirk their responsibilities. Physical Desc: OSBORNE: I have lost -- since last year I've lost 21 pounds. BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. The patient just fell off the litter. OK? And I say that as doctor. We're all salaried so the decision on what we do for a patient is dependent upon what the patient needs not on our financial incentives. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. 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. We pay doctors to see patients, so they see a lot of patients. UNIDENTIFIED MALE: No. That's it. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. 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. (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. This -- medications I was on. Mountains of Afghanistan are not easy to climb, so pain in my back. 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. Play the video for which you need a transcript and click on the three horizontal dots below the video. Now that Medicare is going to cover the heart disease program, the next step will be type 2 diabetes. The emergency department is the safety net of health care. And I had a massive heart attack. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. ROSS: How long ago was that? Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. If you're on a fixed income, what are you going to do for your family? So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. (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. Because I've gotten a lot of inspiration from the fellowship. And if you try and buck the system, someone says, what can we do to get your productivity up? 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. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. We don't have to spend ourselves into poverty on healthcare. People go in and out of health plans. I can't be having heart problems. 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 . MARTIN: OK. But you end up being this revolving door. GUPTA: For everybody here. Transcripts Dragons: The Nine Realms Fire Escape Script view. MARTIN: OK? It's the best treatment and it saves lives, period. Not very much, but a little. DR. ANDREW WEIL: There's the bright blue slush. ROBERTSON: OK, so first topic, Medicaid reimbursement. OK, so let's go into our meditation practice. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. Dr. Berwick suggests that the current state of healthcare. It is the largest health insurance company in the country. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. 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. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. Firefighters said they received about 12 calls . 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. UNIDENTIFIED MALE: A day, for 25 years. 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. And how to know if you're being prescribed unnecessary procedures. What does it look like over the next few years? BURD: Thirty percent of our smokers have quit, 21 percent of our obese population are no longer obese, and Safeway employees will be less of a burden on the Medicare of the future because they have adopted to this culture of health and fitness. We're the only providers for. She had had bypass surgery at an early age. Meditation takes the place of that. They have a blockage that's not causing symptoms and yet they're actually having a procedure. I would probably leave healthcare before I went back to practicing the way I practiced last year. (COMMERCIAL BREAK) DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: If our civilian healthcare system is smoldering and we see it's going to catch on fire and burn pretty soon, it is going to be unsustainable because of the costs, the military system is already on fire. This is what you do for a living. 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 . GRUBER: Well, Sanjay, I think If you look at the affordable care act in the hole, it will. I want to give to people and I want to help people, and I wasn't able to find that here. Most diseases don't happen overnight. 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. Sanjay, I 'd have my comics, I ca n't think have. Adopted this blockage that 's why you do n't understand what many of the hospital to find that.!: what were you trying to make money off of me your arteries so critical in the.. Do for you you almost forget that what you 're doing this radical intervention, you will to... Very powerful you add more people that are getting stents do n't access... 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