Sometimes they are related to lifestyle habits. And that's parts of what a really great healthcare system would do. I mean, what is that, boy? ROSS: If you had to? It goes back to Teddy Roosevelt. He had -- he had Percocet then he has Marco which is Percocet. You just never get to the bottom of what's causing al he these problems they're having. It was important to keep expressing the hospital's position. SGT. Thanks all of you for joining us. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. (LAUGHTER) That's the way I like to look at it. We are second to none in this country for those things. So that's rewarding for me. 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 . I'm not sure what is what. Ten allotted. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now in saving literally thousands of dollars over the past few years by being healthier. Compared to having your chest cut open? What we don't know, is that a fundamental change? UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. They can pretty much get away with increasing the rates as much as they want to. That's the only reason we're making the change. There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. DR. CLIVE ALONZO, HOSPITAL INTERNIST, CROWN POINT, INDIANA: My medical training was just focused on giving these patients pharmaceuticals or giving them expensive tests to treat the condition after it occurred. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. MARTIN: How are you today? UNIDENTIFIED FEMALE: Now you pick your spot. Because what we think is best for us often isn't. Simply the same way the hospitals and physicians. At a time when the medical system is so badly broken. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. CHO: I was trying to figure out how much Yvonne's care would have been over the years, and I think it's well over $1.5 million. And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. Video: This tiny shape-shifting robot can melt its way out of a cage . UNIDENTIFIED MALE: Yes. It just doesn't work out financially. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. They have a blockage that's not causing symptoms and yet they're actually having a procedure. 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. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). Now we're kind of dealing with the consequences. There was obviously a problem. He was featured in the film. 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 started getting sick in my 30s. To a man with a hammer, everything looks like a nail. How did -- what did think about that? And that model has continued until today. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. If we can prevent that and even reverse it, that's how we're going to make true health care, not just sick care available. What would happen? YATES: I was in the worst place in Afghanistan. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. We need primary care doctors. UNIDENTIFIED FEMALE: When I was a kid. (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 next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. Probably put him on the bottom on the other side. You almost forget that what you're doing is providing healthcare. We can't prevent disease in everybody, but we have to try. THIS IS A RUSH TRANSCRIPT. Got to push through it. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? $300 billion on drugs. And if you look at the causes, especially with regard to that documentary, they say it's quote "because of a profitable disease care system." Log in to your account. NIEMTZOW: Oh, you would? He's like really not listening very well. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. We want more procedures. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. MARTIN: Wow. When they have insurance and they have access to usual source of care, primary care. 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. They did not tell physicians. PROTESTERS: Healthcare. You also want to engage the billing representatives and the financial representatives of the hospital in that discussion and have them understand, I need an explanation of these charges. If insurance companies don't deliver value, they won't be in business very long. The Dartmouth study showed the patients in places like Miami were receiving more care. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? And I had a massive heart attack. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. Host virtual events and webinars to increase engagement and generate leads. The average per capita cost of healthcare in the developed world is about $3,000. And healthcare doesn't need to be immune to that. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? 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. Respiratory shutdown. What does that do? An estimated 600,000 stent procedures are performed every year in the United States. Now that Medicare is going to cover the heart disease program, the next step will be type 2 diabetes. I mean, couple weeks, I felt like I was okay. Hello, how are you? 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. And chromosomes have all genetic information on them. It's the best treatment and it saves lives, period. MARTIN: And they don't reimburse for nutritional counseling or anything like that. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. 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. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. MARTIN: Barely? UNIDENTIFIED MALE: What do we want? But he can have anywhere between five and 10 milligrams of morphine. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. That was the message that, you know, I think was the you got from that documentary. It's just so much more than money. How to make a healthy choices. UNIDENTIFIED FEMALE: OK. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. We're really mortgaging the future. 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. ROSS: What's the regular food? Expand the Transcripts and captions section if closed, then select Upload. UNIDENTIFIED FEMALE: First one's going in. (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 MALE: But Mommy, what are you going to do? Where I'm at right now, patients are in desperate need of care. It doesn't reward them for doing a better job. And welcome home. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. You are going to hear from many different voices with varying opinions and backgrounds tonight. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. It was a passion for healing. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. Format your transcript file. You almost forget that what you're doing is providing health insurance. Not very much, but a little. I was in the hospital for two weeks. But so what, right? 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 I thought, once I get this, I won't have the blockages anymore. How to know if you are being prescribed unnecessary medications or procedures, that's next. Are you incentivized to do more stents? MARTIN: Because of the bottom line, because of the cuts that are coming through the government, if it came to the point where they couldn't pay me anymore, that would suck, but I'm not afraid. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: I don't recall any time telling a lie, but I know that there are many times that I didn't disclose full information, and I was the company's chief spokesman. 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. WEIL: This is a problem with a lot of our suppressive treatments. Escape Fire escape fire University Central Michigan University Course Introduction to Health Service Organizations and Systems (HSC 507) Academic year 2021/2022 Helpful?00 Share Comments Please sign inor registerto post comments. 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. So, you want to take a look at that and find out what it is. You've seen a lot. I became a doctor because I care about patients and working here, I can't help them. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. I have an insurance now perhaps. NISSEN: Yes, but we have to educate patients. I'm not changed, but I'm changing. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. He's got Lunesta and also has Valium. 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. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. But one evening, I sat straight up in bed with the worst chest pain. Quickly though, the film, directed by documentarians Matthew Heineman and Susan Froemke, establishes that the forest fire our nation currently faces is our inefficient, money-gobbling health care. They told no one. Just do something. They may keep the disease process going and they may strengthen it over time. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. That's how embedded people get in the status quo. 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. 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. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. We're dealing with the health of the nation. I'm two and a half months out of combat. And Doctor Jeff Cain. And you're here today with chest pain. MARTIN: OK, OK. You lost five pounds. All of us live here and work here. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. Transcripts Dragons: The Nine Realms Fire Escape Script view. GUPTA: Can you actually get a-hold of those people? She ended up having another open heart operation, another bypass operation. Again , when I'm talking about disincentives. We've just created a completely different system here. Delhi Building Collapse Video: 100 , (LAUGHTER) NIEMTZOW: Hi. BURD: All right. And I knew what I was doing for a living was making it necessary for those folks to stand in line to wait for care in animal stalls and barns. That was job number one for them. He lit a match and he lit a fire at his own feet. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. 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. 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. Okay. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. UNIDENTIFIED MALE: I have no health insurance. BROWNLEE: We spend a spectacular amount of money on healthcare. As an overall system, no, we're not anywhere near the best in the world. GUPTA: Doctor Tuckson, I mean, one of the concerns -- and again, we will get right to it, it's simply not reimbursing enough money for primary care doctors. What is really striking is how little they have written the last few years. He tried to get the other smoke jumpers to join him, and nobody did. It's been a wild ride. MARTIN: You used to cut? UNIDENTIFIED MALE: We moved you over here. I just had been ignoring it, because I thought, you know, I'm only 34 years old. And the problem is, some of those procedures will lead to bad outcomes. That is ridiculous. I think to, to be clear, this is incentive that the paying last to be healthy . MARTIN: OK. 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. These calories are cheap only when you buy them, but when you look at the overall cost to society, these cheap calories are just so junky, they are really the most expensive. Just sheer numbers, $2.7 trillion per year. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. I mean, the impression I think was a little misleading there, don't you think Nissen? First Published 08/18/22 12:02. read transcript. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. WEIL: Most of this huge effort of the healthcare industry is devoted to intervention in established disease and the majority of that disease is lifestyle related and preventable. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. I need some help over here. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? Only thing we can do is separate them out, because there's no way for us to tell which are which. OSBORNE: I have lost -- since last year I've lost 21 pounds. GUPTA: For everybody here. I mean, where did that idea come from? And all insurance companies are saying is your behavior should drive the premium. 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. BURD: All we did was facilitate smart choices for people and develop this culture of health and fitness. She joins us now. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. You know, Nancy, we talked a lot about these bills. Some would say overrewarded specialty and subspecialties. I mean, look at our results. It was like something that I could never have imagined I'd ever see in this country. Sometimes when you go, go to bad places in your head. Going back home. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. He is also a president of the society for interventional and geography in intervention. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. I was on Trizadon. I came to Walter Reed. It's about saving the health of a nation. Thank you so much. If somebody has hypertension, we give anti-hypertension drugs. We have that technology, it's right there. NISSEN: We're not saying that people are doing these procedures for profit. Type the text of what was said in your video and save it as a plain text file (.txt). UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? That's it. They become more productive. This drug was the number one selling diabetes drug in the world in 2006. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? CARNES: Notice where you are in the room, the people around. All Dogs Go to Heaven/Transcript. You allow and encourage your employees to become healthier. There's no crisis worker at lunchtime? We pay hospitals to be full, so they try to be full. Right? When telomere wear down and get frayed, the genetic material would get messed up. How are you? UNIDENTIFIED FEMALE: OK. The question was, can we relieve their pain and reduce the amount of medications that they are on so by the time they get back, they are not snowed under on multiple medications. So he figured I was going to die because I was in such bad shape. And sometimes push the plate away. So here I am going in and out of the hospital to find out what's going on. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. We spend one heck of a lot of money. It has to do with the training of physicians. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. GUPTA: Doctor Rice, What do you think about that. Is that a fair message? 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. UNIDENTIFIED MALE: No. 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 REPORTER: It's an idea that's received national attention. (CROSSTALK) KASCH: That's why he's a little high right now. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. Again, you were part of the documentary. Alvin and the Chipmunks/Transcript. They are often poor patients, but not always. I actually practice emergency medicine at the University of Virginia in Charlottesville. That ended and it rose quickly. 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. 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? ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. GUPTA: I think it's an important point to make because to lay it squarely at the feet of a profitable disease care system, that may be true, 50th in the world, I think a lot of people really struck by that. Do you understand? CAIN: Exactly. Blood pressure under control, a discount. 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. Joining me to talk more about this is doctor Steven Nissen, he is the man in the documentary, the chairman of cardiology at the Cleveland clinic. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. A documentary highlighting the shortcomings of the American healthcare system. 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