UNIDENTIFIED FEMALE: You need to get up and pee? How long were you there? It was wonderful. The problem with Yvonne's case, is she had all of those stents before she had the risk factors controlled. Original Airdate 08/17/2022. But with regard to prevention, preventing disease, does that save us money? Come back in a month or so? It really does. UNIDENTIFIED FEMALE: We'll do it at the front. And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. Description: In this clip* from the award-winning documentary, Escape Fire: A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. Let's see what we got here. And, of course, the natural end point is going to be in the emergency department. If they are surgeons, they get paid for each procedure. I was so dependent on my pain medication. 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. Your company becomes more competitive. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. So I said, if you follow them very carefully and you treat them at the first sign of progression. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. UNIDENTIFIED FEMALE: Yes. UNIDENTIFIED FEMALE: Hello, Mr. Fields. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. We're on track for that on Tuesday. I'm not sure what is what. If you account for that, we do much better. They can't recognize an invention when it's among them and they can't give up their old habits. 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. I think five or six of them are on the waiting list. Escape Fire. And feel yourself observing all these constantly changing sensations and thoughts and feelings. We are second to none in this country for those things. Are my premiums going to go up? It's wonderful. Alvin and the Chipmunks/Transcript. But one evening, I sat straight up in bed with the worst chest pain. UNIDENTIFIED FEMALE: Take them away from him. I mean, the impression I think was a little misleading there, don't you think Nissen? Not having to eat all these pills. Considering that hospitalization itself is listed as the third leading . The fire overtook the crew, killing 13 men and burning 3,200 acres. What the Dartmouth group discovered is that the patients in the most costly regions where Medicare spent more money on patients, those patients did not have better health outcomes. I was in the hospital for two weeks. An Entrenched System. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. Thank you so much. I had to do something. GUPTA: I mean, both physically and mentally. JONAS: There's very large randomized trials done at multiple centers that have demonstrated that acupuncture works, so we put together a study to see if we can actually insert this simple acupuncture technique during the aerovacs of wounded soldiers into Walter Reed and other medical centers in the United States. And I had a massive heart attack. Well, it drives demand. Only thing we can do is separate them out, because there's no way for us to tell which are which. GUPTA: A lot of these stents are unnecessary? (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. MARTIN: Bye. Get educated on these issues and add your voice to a growing chorus for change. 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. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. YATES: OK. It's still not over, but it's better from Germany, I promise you that. I need to speak with the crisis worker. GUPTA: How big a problem is this then? Simply the same way the hospitals and physicians. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. First Published 08/18/22 12:02. read transcript. It's completely changed food. UNIDENTIFIED MALE: I love you, too! GUPTA: So, tell me how that would work? Some people, this is all they eat, food of this sort. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." (COMMERCIAL BREAK) DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: If we really can't begin to change, from paying for volume, paying for how much you do, to paying for outcomes, paying for how well you do, how well the patient does, that will change the game, people will start to say, well, now the money is in health and well being and safety and vitality, not in more, more, more, more, more. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? May everyone be healthy. OK, so let's go into our meditation practice. We have made all of this unhealthy food the cheapest and most available food. Have you -- UNIDENTIFIED FEMALE: 2008. So, if there's a concern someone has a tumor, they who use a needle like this. I'm Dr. Sanjay Gupta. Impressive for it to react that quickly. This is what you do for a living. All my health issues have gone away. Thanks all of you for joining us. If insurance companies don't deliver value, they won't be in business very long. It expands the artery to hold it open and allow the blood to flow. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. I'm optimistic about the future. 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. 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. This is incentives the system so that patient have a less specifically to be of picking the right choice. But we end up being this revolving door. 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. You bike to work today? There's a contradiction to what we do. He tried to get the other smoke jumpers to join him, and nobody did. RICE: And I was surprised about this, particularly the data. UNIDENTIFIED MALE: I'd be chomping narcotics. Heart cath, get another stent. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. So Lexapro is the only thing you're on right now? We know it's there. The small wire cage you see there is the actual step. You've done some sweating. Receive your transcript. And that's parts of what a really great healthcare system would do. I mean, I can't think of a single negative in doing this. I started getting sick in my 30s. UNIDENTIFIED MALE: Oh, yes. THIS IS A RUSH TRANSCRIPT. 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. SGT. I'm not changed, but I'm changing. ORNISH: Dr. Peter Carroll and I collaborated with Dr. Elizabeth Blackburn, who won the Nobel Prize in medicine and she had done a study showing that stress creates shorter telomere, said as your telomeres get shorter, your life gets shorter. It turns out lots and lots of men who had a cancer that didn't need to be treated, but they got treated anyway and it was causing a lot of harm. And for the large majority of people we help, they often don't understand what many of the charges are. But I'm doing it. UNIDENTIFIED FEMALE: No. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. Do you understand? 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. Your arteries around the heart. the play Tom is seen standing in a fire escape during many acts. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. Is that a fair message? NISSEN: Good morning. I'm two and a half months out of combat. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. I mean, that sounds like a really dire situation. GUPTA: Doctor Rice, What do you think about that. I love you. We don't know what they are. GUPTA: Erin, what did you think about that particular theme? Upload captions and transcripts. Because they're not using health care now. She joins us now. 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? Underrewarded primary care. OK? Your harm's heavy, your leg's heavy. And I hope our new generation of health professionals will catalyze this social movement that's necessary and enough people get aroused enough about the situation and see it for what it is and then start some kind of grassroots movement to change the political balance of power. And some people even that are getting stents don't have symptoms. Committed to her living longer and better. It's all about the reimbursement. All right. And it's just the last thing that you're really concerned about. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. And when we work at that level, we find people are much more likely to make these sustainable changes and the patient learns how to empower themselves and to transform their lives. 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. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. Everybody agrees on that. MARTIN: Thyroid is a little bit big. 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. Right? THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. (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. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. ORNISH: The program increased the telomere length. They promised me that I could make the practice whatever I wanted it to be, and if I don't want to see six patients an hour, I don't have to see six patients an hour. As an overall system, no, we're not anywhere near at the best in the world. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. BROWNLEE: We spend $300 billion a year on pharmaceuticals. Look at our results, our life span isn't even in the top 20. In the dialog that appears, select the language of the file you're uploading. 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. You know, the ads always end with the same phrase, ask your doctor. They have talked about a child between age of one and four, having the third most common causes of homicide. We need to change the nature of medicine. But so what, right? And then clearly we have social and economic issues that impact people's ability to access if you look at our percentage of un-insurers. To feel that way when you come home is demoralizing. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. Michelle? Published Feb 22, 2001. GUPTA: I'm salaried too as a physician. NANCY DAVENPORT-ENNIS, FOUNDER, CEO, PATIENT ADVOCATE FOUNDATION: So, what we tell them first and foremost, is get a copy of the entire bill and look for redundancies. It's not true in France and Germany. SHANNON BROWNLEE, MEDICAL JOURNALIST: How powerful are lobbyists in the healthcare system? 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. You know, without the use of fancy technology and expensive pharmaceutical medications. DR. SANJAY GUPTA, HOST: Good evening. 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. We don't have to spend ourselves into poverty on healthcare. UNIDENTIFIED MALE: I'd do it if I had to. UNIDENTIFIED FEMALE: Oh. Or at least we think we do. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. When I'm running and it's a hot day and I feel like giving up, it never fails. 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. How to Get YouTube Transcripts on Desktop On a desktop or laptop, head on over to YouTube.com in a web browser such as Google Chrome and open a video to watch. Half. Sometimes we're talking about them on a daily basis. YATES: I meditate, and it has opened up a whole new world for me. You say there's a lot of Yvonnes (ph) out there, the patient we just met. Prevention is cost effective. Try to understand where the redundancies are. It is so addictive. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. And I thought, once I get this, I won't have the blockages anymore. But when you're doing something that has never been done before, it's not universally accepted, to say the least. I want to give to people and I want to help people, and I wasn't able to find that here. NISSEN: Finally, the FDA put severe restrictions on the drug. Still bothers me to this day. Yes, this is Dr. Martin over at La Clinica. Can adding Avandia help you? There's no crisis worker at lunchtime? NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? And welcome home. The really astonishing part about the fact that we spend more is we have worse health outcomes. And that was the first study showing that heart disease was reversible. And they have to, these for-profit companies by law have to serve shareholders. Here's a couple simple tips. MARTIN: OK, OK. You lost five pounds. A lot of unnecessary stents? 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. 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