He overdosed. WARD: For a long period of time I was hiding. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. That's how embedded people get in the status quo. 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. 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. Thanks all of you for joining us. And it's just the last thing that you're really concerned about. It's the best treatment and it saves lives, period. I had difficulty sleeping at night. 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. And I think we're in a great deal of trouble because of that. 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. UNIDENTIFIED MALE: Six and over. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. UNIDENTIFIED FEMALE: Nine months? I was on Trizadon. And for the large majority of people we help, they often don't understand what many of the charges are. Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. And I say that as doctor. The present system doesn't work and it's going to take us down. 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. With their city in ruins, the people of London finally realized the only escape from the devastation of . Do you understand? Did you indeed have four different blood transfusions, you and your family may only recall one or two. Delhi Building Collapse Video: 100 , As an overall system, no, we're not anywhere near at the best in the world. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. And healthcare doesn't need to be immune to that. They didn't want to have a new competitor. You almost forget that what you're doing is providing healthcare. Because of this program that's here, the yoga. The Issues. Most diseases don't happen overnight. 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. I feel like I'm changing. 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. We say they don't prevent heart attacks, they don't lengthen life. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. So putting more money into innovations and all of these things, yes, they're need in certain instances, especially emergency care, and things like that. UNIDENTIFIED FEMALE: Right. Eight IEDs through this deployment. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. UNIDENTIFIED FEMALE: Came off the mountain with only eight? I was a walking dead man. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. You just never get to the bottom of what's causing all of these problems that they are having. We just spent $1,000. She ended up having another open heart operation, another bypass operation. Select Open transcript . There's nothing else I can do. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. 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. (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: I got my blood sugar under control. Power your marketing strategy with perfectly branded videos to drive better ROI. When they have insurance and they have access to usual source of care, primary care. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. This is all coming out of our pockets. The fire overtook the crew, killing 13 men and burning 3,200 acres. 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. People come in and you try and fix one thing and they come back for the same thing over and over and over. UNIDENTIFIED MALE: A platoon of 23. UNIDENTIFIED MALE: Not, not when I'm doing that. Well, it drives demand. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. UNIDENTIFIED FEMALE: How are you? There's saving money and there's cost effective. Look at our results, our life span isn't even in the top 20. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. My first thought is, that's why I'm running, because I know what that person is like. What we don't know, is that a fundamental change? Hold my beer while I shoot this gator, you know? It has to do with expectations of patients. A lot of unnecessary stents? Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. She got her cholesterol under control, her weight under control and things were great for her after that. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. All my health issues have gone away. 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. Rescue care is second to none. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. And here's the secret, healthier people cost less money too. It is important to keep in mind. NISSEN: Good morning. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. There has to be a different way of doing things. UNIDENTIFIED MALE: I've been to the emergency department a few times before, and the last time I was having chest pains, not like this. Does it make a difference? It has to do with the training of physicians. But, the American people are going to want something like that and that is going to be their perception. $300 billion on drugs. Something like that. Now you're going to get the scissors. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. Determine, did you indeed have two MRI's during the course of one week? UNIDENTIFIED FEMALE: Because he's real sleepy? Your harm's heavy, your leg's heavy. UNIDENTIFIED MALE: Nine months. YATES: The pain, it's hard, you know, it's really hard. And that model has continued until today. Look. They had to live with some of the new consumer protections in the bill that does make it illegal for companies to just cancel someone's policy because of a preexisting condition. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. It goes back to Teddy Roosevelt. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. She joins us now. What do you think? UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. (BEGIN VIDEO CLIP) DR. ERIN MARTIN, PRIMARY CARE: As a primary care physician, we are supposed to be the people that are making sure the patients don't get sick and they have everything they need to maintain health. And I thought, once I get this, I won't have the blockages anymore. UNIDENTIFIED MALE: Yes. I'd rather be shot again than go through withdrawals of coming off that medicine. We have some challenges with access and affordability. Your company becomes more competitive. BERWICK: It's really easy to find articles or speeches 30 years ago in which leaders were calling for change, unsustainable costs, problems and outcomes in quality. Right? It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. (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 have to play this game with what does this patient need and how much time am I willing to spend with them, because the administration is telling you you need to see more patients, we're in the red. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: As we've pushed medical innovation and capability to the leading edge of the battlefield where we can save their life, and we've got some guys who have had some horrific injuries and they're getting narcotics for a longer period of time, they certainly are at risk to develop dependency, and that's what we're trying to avoid. They may be a member of a health plan for a year and maybe no longer. It's hard to say good-bye to the patients. It was so consistent. And the company did nothing. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. That's good. UNIDENTIFIED MALE: No. You just never get to the bottom of what's causing al he these problems they're having. UNIDENTIFIED FEMALE: When I was a kid. UNIDENTIFIED MALE: Yes. 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. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. It's not visible, but it's there. GUPTA: I want to point out something. I was so dependent on my pain medication. Fifteen years later, you can't walk into your average hospital today and get acupuncture after an operation. Respiratory shutdown. So here I am going in and out of the hospital to find out what's going on. BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. When I was at U.S. News and World Report, I wrote cover stories about how great the newest and greatest treatment and pill and procedure was. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. OK, I can see what you can have for pain, all right? Our approach here is completely holistic. DAVENPORT-ENNIS: So, I think with some patients it clearly will. UNIDENTIFIED FEMALE: Yes. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. They did not tell the FDA, and they did not tell patients. I said, there's got to be a better way. Did you have a good day today? We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. The patient just fell off the litter. There's also administrative costs that are built in. 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? Is that how you get paid? The folks who were there were not trying to shirk their responsibilities. All right, so take a breath. 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. People go in and out of health plans. Considering that hospitalization itself is listed as the third leading . If you can delay treatment, then that man is not at risk for side effects during that period of time. And yet the outcomes, the survival rates are at the highest levels. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? BURD: All right. That may strike people as very high. I take a pharmaceutical drug myself, but if there's one thing that I would love to see you begin to implement in your own practice and teach others about, it's to try to change this mindset that has so completely taken hold in our culture on the part of both doctors and patients that drugs are the only legitimate way to treat disease. Firefighters said they received about 12 calls . Type the text of what was said in your video and save it as a plain text file (.txt). I don't believe in that stuff. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. We're the only providers for. For me to spend 45 minutes on an established visit with a patient to make sure they are doing their exercise, make sure their diabetes is going okay, and to try to figure out what their true problem is, probably get paid $15. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: If you need serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. UNIDENTIFIED MALE: Once I found out what was really wrong with me. 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. I mean, the average price tag for a single hospital admission can be really eye-popping. American healthcare costs are rising so rapidly that they could reach $4.2 trillion annually, roughly 20% of our gross domestic product, within ten years. And that's parts of what a really great healthcare system would do. 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. We even found that when you change your lifestyle, over 500 genes were changed. Jonathan, you know, we want better care and lower costs. BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. Meditation takes the place of that. And Doctor Nissen is in salaried as well. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. Fire Escape Transcript. What we do with waste in healthcare. OSBORNE: I am great. Maybe even a provider service. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. 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. 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. Much more than money spent on much more expensive services. When medicine became a business, we lost our moral compass. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. You know? UNIDENTIFIED MALE: I feel like I'm warming up a little bit. Try to break a sweat every day. We have a disease management system. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. It had to do with the idea of essentially paying people to be healthy. ORNISH: The limitations of high-tech medicine have never been clearer. They have talked about a child between age of one and four, having the third most common causes of homicide. Aladdin (2019)/Transcript. Thank you all. Committed to her living longer and better. 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. Fire Escape. MARTIN: Have you cut yourself before? So, a hospital like the one you just saw there. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. ROBERTSON: It's a financial necessity. We cut people open, re-bypass their blocked arteries and he would tell them they were cured, and they'd go home and more often than not eat the same junk food, smoke, and not manage stress, not exercise, and then often their bypasses would clog up, so we cut them open, we bypass their bypass, sometimes multiple times. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. She needs a follow-up within three month with an echo. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. We create a public expectation that more is better, which isn't actually true so people seek more. 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. I have an acutely suicidal patient in my office that I need help with. Alexander/Transcript. A heart cath, get another stent. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. UNIDENTIFIED FEMALE: First one's going in. YATES: I was in the worst place in Afghanistan. MARTIN: Are you taking your medication? Not just the health, but healthcare, the health of a nation. You know, they'll actually fix it. I was 35 at the time and was scheduled for open-heart surgery. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. UNIDENTIFIED FEMALE: Do you have any pain right now? ROSS: I just want to review this pain. But he can have anywhere between five and 10 milligrams of morphine. Thanks for watching. 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. They'll say, it took years to develop something like this, the research and development costs are significant. It's still not over, but it's better from Germany, I promise you that. I think there's some very good drugs out there, I think drug treatment has its place. Escape Fire. We have made all of this unhealthy food the cheapest and most available food. Credit: Battlestate Games. UNIDENTIFIED FEMALE: We'll do it at the front. I lost him. I'm Dr. Sanjay Gupta. UNIDENTIFIED MALE: Good, how have you been? UNIDENTIFIED MALE: Bye. What would happen? 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. All right? Transcripts Dragons: The Nine Realms Fire Escape Script view. The emergency department is the safety net of health care. People come in and you try to fix one thing and they come back for the same thing over and over and over. That simply means they get paid for each office visit. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. We're in Mann Gulch. So, we decided to give you a look at a typical operating room bill and that breaks down. And how to know if you're being prescribed unnecessary procedures. 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. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. POTTER: We have been trying to reform the health care system for a hundred years. And I had a massive heart attack. If it's a radiologist, they get paid for each CT scan they deliver. Said in your VIDEO and Save it as a plain text file (.txt ) from the devastation.! 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