The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. So here I am going in and out of the hospital to find out what's going on. Half of Americans will be diabetic or pre-diabetic in the next 10 years. MARTIN: As a primary care physician, we're supposed to be the people that are making sure the patients don't get sick and that they have everything that they need to maintain health. Literally, 30 patients an hour. 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. Do you think that will make a difference? It is a burning platform and they see this. 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. 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. OK, so let's go into our meditation practice. They told no one. In the dialog that appears, select the language of the file you're uploading. To get the best results, use these formatting tips: To force the start of a new caption . She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. We don't have a healthcare system in this country. GUPTA: Sometimes the patients demand this stuff. I said, there's got to be a better way. These for- profit companies by law have to serve shareholders. And that was the first study showing that heart disease was reversible. And it wasn't because procedures were more expensive in Miami than in Minneapolis. 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. Escape Fire: The Fight To Save American Health Care. Blood pressure under control, a discount. She got her cholesterol under control, her weight under control and things were great for her after that. And ironically, it was only two hours away at the Cleveland Clinic. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. Just sheer numbers, $2.7 trillion per year. They may keep the disease process going and they may strengthen it over time. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. You don't necessarily make a lot of investments in preventive care for someone who's not going to be a part of your health plan for a long period of time. What would happen? ORNISH: We found that after a year, the men who made these intensive lifestyle changes, their physical heart disease improved. 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. GUPTA: But, why are these causing hospitals so expensive? Seventy percent of all the deaths in diabetes are heart disease. A documentary highlighting the shortcomings of the American healthcare system. Now that Medicare is going to cover the heart disease program, the next step will be type 2 diabetes. We have made all of this unhealthy food the cheapest and most available food. 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. I'll be -- and what came to be known as an escape fire. Just sore. And so, I think it points to the violence in our society. Up next, CNN Films presents "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." MARTIN: You used to cut? If you're in the system, do you access of if you are insured, if you are living in a safe neighborhood, your outcomes are great in America. Jonathan, you know, we want better care and lower costs. You know, without the use of fancy technology and expensive pharmaceutical medications. I started getting sick in my 30s. 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. OK? I'm not changed, but I'm changing. What we do with waste in healthcare. I mean, the impression I think was a little misleading there, don't you think Nissen? Why do so many children die so young here? GUPTA: So you're salaried. So we provide incentives for people to engage in healthier behavior. I was a bit surprised. The Issues. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. And if you look at even devices like -- this is a needle that's used for biopsy. NISSEN: We're not saying that people are doing these procedures for profit. He's taken 10 tablets. People say you're doing this radical intervention. It's And we will say, it is important you request the appointment not only through a telephone call, but if you have an e- mail address, to try to do that. We do nothing about supporting the good, that the body can and wants to be healthy. Credit: Battlestate Games. 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. 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. 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 now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." That may strike people as very high. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. There are answers, we know what safe care looks like. And you say that you can help negotiate the price of these bills down, what do you tell people? When I'm running and it's a hot day and I feel like giving up, it never fails. Because of this program that's here, the yoga. It's hard to say good-bye to the patients. UNIDENTIFIED REPORTER: A new study finds a growing number of combat veterans are battling mental illness, but many are finding it difficult to get the help they need. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. 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 . He had -- he had Percocet then he has Marco which is Percocet. MARTIN: OK? The answer is among us. 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. Going back home. How to make a healthy choices. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. Something like that. Everybody is doing their job, we just design the jobs wrong. 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. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. Afghanistan? Here you go. 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. UNIDENTIFIED MALE: I did yesterday. I'm two and a half months out of combat. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. 'Deinfluencing' is now a thing. And I think those discussions that we between the patient and the provider about lifestyle disincentives. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. GRUBER: Well, Sanjay, I think If you look at the affordable care act in the hole, it will. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. UNIDENTIFIED FEMALE: OK. She needs a follow-up within three month with an echo. We are going to take a short break. I would probably leave healthcare before I went back to practicing the way I practiced last year. Published: Santa Monica, Calif. : Lionsgate, [2013]. I was shutting down emotionally. CARNES: I will be at your side should anything challenging come up for you. When they have insurance and they have access to usual source of care, primary care. 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. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. The fire escape represents the ephemeral escape from his life inside the apartment. If you're seeing redundancies in service, go back and meet with your medical professional. One of the great contributions of America to world cuisine, you know, fake bread. A heart cath, get another stent. MARSHALL: Me, personally, I'm on a salary. How long were you there? STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. MARTIN: Bye. They did not tell the FDA, and they did not tell patients. Receive your transcript. We have to be mindful to those points in time where you can intervene and say enough's enough. They didn't want to have a new competitor. MARSHALL: It doesn't matter if I do one stent or five or ten stents. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. GUPTA: There was something in the documentary that caught my attention. Healthcare, it's in really bad trouble. You almost forget that what you're doing is providing healthcare. They can't recognize an invention when it's among them and they can't give up their old habits. Event marketing. 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? If you ask the manufacturers a device like this, why so much money? Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. I'm Dr. Sanjay Gupta. detail. 0. My energy level is up. Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. So diabetics, (INAUDIBLE) costs. So tired of it. And remember that you can return to this place at any time during the meditation. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? For example, in 2007, the average Medicare recipient in Miami tallied more than $15,000 in health care bills, whereas a recipient in Minneapolis only cost the government about half that amount. 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. ORNISH: The limitations of high-tech medicine have never been clearer. SHANNON BROWNLEE, MEDICAL JOURNALIST: We're in the grip of a very big industry, and it doesn't want to stop making money. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. 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. GlaxoSmithKline worked very hard to keep these numbers from the public. Click on "Export" and choose your preferred file format. I just had been ignoring it, because I thought, you know, I'm only 34 years old. 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. Our health care system. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. 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. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. YATES: I was on Parazasin just for nightmares. I have an insurance now perhaps. There's the bright blue slush. If you have cholesterol under control, a discount. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. It doesn't matter how complicated they are, how much time that we spend on them, it's just a number, one, two, three, four, five. Also remember this. 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. I mean, where did that idea come from? It's not true in the United Kingdom. GUPTA: How big a problem is this then? OK. Bend down. I'm not sure what is what. I am back in the chest pain center with a pretty sick patient, and I'm going to need you to call attending phone, too. 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. But with regard to prevention, preventing disease, does that save us money? And so 15 firefighters were trapped. And chromosomes have all genetic information on them. UNIDENTIFIED FEMALE: Do you have any pain right now? That's how embedded people get in the status quo. I think that's an important point. BROWNLEE: Fee for service rewards physicians for doing more. So we took the men with prostate cancer. We have underpaid on a chronic basis. CARNES: Notice where you are in the room, the people around. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. That's it. And Doctor Jeff Cain. I mean, the average price tag for a single hospital admission can be really eye-popping. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. We could do 1,000 studies with a million patients, it would remain on the fringes, it's all about the Benjamins, as (INAUDIBLE) would say. (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. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. NISSEN: Yes. If you can delay treatment, then that man is not at risk for side effects during that period of time. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? Open your favorite browser and launch YouTube. GUPTA: For everybody here. 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. Does it make a difference? UNIDENTIFIED MALE: How's your pain, sir? I'm not interested in getting my productivity up. 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. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. THIS IS A RUSH TRANSCRIPT. BROWNLEE: We spend $300 billion a year on pharmaceuticals. 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. And that's the problem. BROWNLEE: We spend a spectacular amount of money on healthcare. 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. 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. 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. UNIDENTIFIED MALE: Nine months. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. The check that I get back from the insurance company after that was billed is $40. Healthcare, it's headed for really, really bad trouble. And that being applied to health care just doesn't work. Wag Dodge survived, nearly unharmed, in his escape fire. And, of course, the natural end point is going to be in the emergency department. But I think, to be honest, when you add more people to the system; that raises costs. Psychologically, you deal with a lot of these sorts of things. You're doing this radical intervention, you know, I say radical? It was a great life. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. 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. Look at this. 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. Let me take a listen to you. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. UNIDENTIFIED MALE: That's pretty good. the play Tom is seen standing in a fire escape during many acts. Thank you so much. TUCKSON: Primary care doctors are being cared more. UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. Prevention is cost effective. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. It's just a terrible tragedy for patients. 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 say there's a lot of Yvonnes (ph) out there, the patient we just met. The average per capita cost of healthcare in the developed world is about $3,000. She joins us now. Brownlee, Shannon, commentator. He told Dean, how long is the program? Let me distinguish two terms. We are more likely to get a knee replacement or have a cat scanner, have an MRI. COSGROVE: Cleveland Clinic was founded by four physicians, and they realized they did better working as a team than as individual practitioners. 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