BROWNLEE: Fee for service rewards physicians for doing more. We just have to keep working towards that. I was a walking dead man. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. ROSS: I just want to review this pain. He is also a president of the society for interventional and geography in intervention. (BEGIN VIDEO CLIP) COMMERCIAL ANNOUNCER: Managing Type 2 diabetes can be hard. So we're going to open up some chi? UNIDENTIFIED MALE: How's your pain, sir? Just sheer numbers, $2.7 trillion per year. Do you understand? (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. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. 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. GUPTA: I'm salaried too as a physician. We're on track for that on Tuesday. There were even times, honestly, that I looked in the mirror and said, how did you get here? Meditation takes the place of that. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. BURD: All right. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. Transcripts Dragons: The Nine Realms Fire Escape Script view. OSBORNE: I have lost -- since last year I've lost 21 pounds. 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. I'd rather be shot again than go through withdrawals of coming off that medicine. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. Adding Avandia can help. 2. UNIDENTIFIED MALE: I quit drinking, too. This is a lot worse. 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. CHO: Oh, my God. This is just an unbelievable amount of stents and cardiac caths. NISSEN: Finally, the FDA put severe restrictions on the drug. BROWNLEE: There's a saying in health care policy that 20 percent of the patients account for 80 percent of the costs, and the majority of those costs are when they are repeatedly hospitalized. We have a -- we have a motto in medicine. I want to show you how it works. Because they're not using health care now. And when we come back, just how much does profit play a role in all these treatment decisions. What do you think of that? The only other country, by the way, is New Zealand. Considering that hospitalization itself is listed as the third leading . First Published 08/18/22 12:02. read transcript. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. And I had a massive heart attack. And doctors wanting to please their patients will often prescribe it. These are techniques that should be used to relieve symptoms. The present healthcare system doesn't work. With their city in ruins, the people of London finally realized the only escape from the devastation of . The folks who were there were not trying to shirk their responsibilities. GUPTA: Erin, do you want to respond to that? Also remember this. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. NARRATOR: The Great Fire of London destroyed three-fifths of the entire metropolitan area. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. To get the best results, use these formatting tips: To force the start of a new caption . I think this is important because I think when people watch the film, they are left with the impression that Yvonne finally came to the Cleveland clinic. So tired of it. The average per capita cost of healthcare in the developed world is about $3,000. YATES: I meditate, and it has opened up a whole new world for me. UNIDENTIFIED MALE: That was, what, a month and a half ago? See you soon. A documentary highlighting the shortcomings of the American healthcare system. 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. UNIDENTIFIED MALE: Yes. Let's see what we got here. (END VIDEO CLIP) NISSEN: I was doing a Google search, and what I found was a Web site in the United Kingdom where the clinical trials done with Avandia were actually partially disclosed. They didn't want to have a new competitor. And people do. As an overall system, no, we're not anywhere near the best in the world. Healthcare reform was a good place to start, but it will do little to address the root problems. And they have to, these for-profit companies by law have to serve shareholders. And you know, our grandparents did not eat stuff like this. And that worked for awhile. UNIDENTIFIED MALE: We have had enough. That is how many medications I was on. How to make a healthy choices. The film examines the powerful forces trying to . People talk about two-minute doctors. We have made all of this unhealthy food the cheapest and most available food. She got her cholesterol under control, her weight under control and things were great for her after that. Do you want to tell me about some of those that you lost? Look at this. Heart cath, get another stent. Did you go to the diabetes education? ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? I would probably leave healthcare before I went back to practicing the way I practiced last year. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. And then we're not going to help anybody. Try to break a sweat every day. Doctor , let me start with you. All right. MARTIN: A day? If you get a bump on your head as a friend of mine had, and you go into the emergency department, in America, you get a cat scan. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. UNIDENTIFIED MALE: What do we want? You're your options might be, if there is a doctor surgeon on hometown. that is going to raise cause. 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. How did -- what did think about that? If they are surgeons, they get paid for each procedure. Is that a fair message? (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. Compared to having your chest cut open? NISSEN: Good morning. Let me take a listen to you. You almost forget that what you're doing is providing healthcare. 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. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. Never needed you. 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: He really did. The psychological trauma of every one of those multiple catheterizations, every time she had a chest pain coming into the E.R., and unfortunately, there are lots of Yvonnes out there. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. That is chest pain that is actually currently damaging the heart in patients. Rescue care is second to none. This place actually gave me the tools to put in my tool bag so I can go back and still continue my process of healing, recovery. We need to change the nature of medicine. There's the cost of covering people who simply don't have insurance or can't pay. We do nothing about supporting the good, that the body can and wants to be healthy. 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. ROSS: All right. The film is about finding a way out. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. It's still a struggle. It's all about the reimbursement. And feel yourself observing all these constantly changing sensations and thoughts and feelings. I was on Valium just for the anxiety. GUPTA: United health care makes a lot of money. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. UNIDENTIFIED MALE: I did yesterday. It just doesn't work out financially. An estimated 600,000 stent procedures are performed every year in the United States. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. War's hell, it's always hell. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. If you're on a fixed income, what are you going to do for your family? The film interweaves personal stories with the efforts of leaders battling to transform it. We can't prevent disease in everybody, but we have to try. NISSEN: We do have a problem in America, and that is we have misaligned incentives. And abolitionists more broadly encouraged northerners to refuse to comply with the enforcement of fugitive slave laws and to disobey the Supreme Court's ignoble Dred Scott v. There has to be a different way of doing things. Now we're kind of dealing with the consequences. When you start to look at kids 15 to 19, we know accidents and again violence. BERWICK: The healthcare system is unsustainable. (LAUGHTER) NIEMTZOW: Hi. GUPTA: Can you actually get a-hold of those people? We pay doctors to see patients, so they see a lot of patients. And that was the first study showing that heart disease was reversible. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. Now, thanks to both of you for joining us. It was so consistent. BURD: All right. But we end up being this revolving door. I took care of them and I was responsible for them and just worrying about if somebody else is going to do for them what they need. 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. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? Your company becomes more competitive. I'm interested in helping patients. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. He overdosed. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. DR. ANDREW WEIL: There's the bright blue slush. Look at our results, our life span isn't even in the top 20. The Issues. Sometimes we're talking about them on a daily basis. This is major reason why we see kids getting fat in this country. Let me distinguish two terms. OK. Bend down. Is that how you get paid? The answers among us, can we please stop and think and make sense of the situation and get our way out of it? Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. My energy level is up. I have an insurance now perhaps. All right, so take a breath. 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. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. 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. 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. That was how many medications I was on. Let me just take a listen to you. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. If you account for that, we do much better. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. Where I'm at right now, patients are in desperate need of care. Underrewarded primary care. 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