It got fast tracked by the FDA. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." And, of course, the natural end point is going to be in the emergency department. Here you go. You've done some sweating. We need to change the nature of medicine. I need to speak with the crisis worker. There's the bright blue slush. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. So, if there's a concern someone has a tumor, they who use a needle like this. Dodge survived, nearly unharmed. People say you're doing this radical intervention. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. YATES: I've chose to get off all narcotics, all medicine, everything. Brownlee, Shannon, commentator. UNIDENTIFIED FEMALE: We'll do it at the front. UNIDENTIFIED MALE: Yes. Look. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. Original Airdate 08/17/2022. In the United States, it was around $8,000 annually. I haven't exercised. 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. So tired of it. Now you're going to get the scissors. Do you think that will make a difference? GRUBER: Premiums will rise. That simply means they get paid for each office visit. 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. GUPTA: Erin, do you want to respond to that? So, I went into the hospital and they told me I had had a heart attack. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. And I had a massive heart attack. If you have that happen in Germany or England, they say, here's a list of instructions, if you have problems come back and see us. UNIDENTIFIED FEMALE: Where are you coming from? I was on Trizadon. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. In the summer of 2007, I read about a health care expedition that was being held by Remote Area Medical a few miles from where I grew up. Until my doctor said to me, I don't know what else to do for you. Let me take a listen to you. 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. 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. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. I can't be having heart problems. UNIDENTIFIED FEMALE: Yes. Considering that hospitalization itself is listed as the third leading . A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. (CROSSTALK) KASCH: That's why he's a little high right now. UNIDENTIFIED FEMALE: When I was a kid. And remember that you can return to this place at any time during the meditation. There was obviously a problem. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. Just do something. GUPTA: So, tell me how that would work? We're part of the community. Sometimes it's related to what the individuals actually have access to. And those are surprising. Also remember this. This is all coming out of our pockets. 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. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. If they are surgeons, they get paid for each procedure. WEIL: Right. YATES: I was in the worst place in Afghanistan. He tried to get the other smoke jumpers to join him, and nobody did. First Published 08/18/22 12:02. read transcript. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. It's not true in France and Germany. 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. UNIDENTIFIED MALE: Six and over. Sometimes I go to the hospital and that's the only health care I ever got. NISSEN: Now, the leading cause of death in diabetes is heart disease. It sounded like it was so bad that you basically had to leave your practice. But this program has just inspired me to press forward. UNIDENTIFIED FEMALE: Oh, my god. 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. 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. LT. COL. BETTY GARNER, RESEARCHER, U.S. ARMY: Welcome to Germany. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. So that's rewarding for me. I haven't touched my toes in months. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. There's saving money and there's cost effective. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. There's the cost of covering people who simply don't have insurance or can't pay. The average per capita cost of healthcare in the developed world is about $3,000. What does that do? ROSS: When do you think it would be good to try it? GUPTA: I'm salaried too as a physician. I have an acutely suicidal patient in my office that I need help with. 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. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. 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. UNIDENTIFIED MALE: What are you going to do at work? Not just the health, but healthcare, the health of a nation. And that's the problem. My job is to provide the right care for the right patient at the right time. But we're going to talk to them about it still, you know? So he figured I was going to die because I was in such bad shape. WEIL: It could get worse. 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. 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. Because what we think is best for us often isn't. Only thing we can do is separate them out, because there's no way for us to tell which are which. 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. And the problem is, some of those procedures will lead to bad outcomes. I think that's an important point. Escape Fire: The Fight To Save American Health Care. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. We have a model that works simply by making changes in diet and lifestyles. 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. It goes into the other areas, and it's just not sustainable. ROSS: What do you think about that? (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. Healthcare, it's in really bad trouble. It has to do with expectations of patients. It's not true in the United Kingdom. But when you're doing something that has never been done before, it's not universally accepted, to say the least. But it's more than cost. It just wants you to keep coming back for your care of your chronic disease. It is the largest health insurance company in the country. Determine, did you indeed have two MRI's during the course of one week? You're your options might be, if there is a doctor surgeon on hometown. And healthcare doesn't need to be immune to that. ROSS: There have been some trends in healthcare that make me uncomfortable. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. If you have that desire to quit smoking, we'll get there eventually. People go in and out of health plans. GUPTA: I mean, both physically and mentally. UNIDENTIFIED MALE: Yes. Aladdin (1992)/Transcript. Michelle? These perverse incentives that you described? The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. He is also a president of the society for interventional and geography in intervention. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. I said, there's got to be a better way. Select "Show Transcript" from the menu. 4:00 Minute Teaser Video UPDATE: "In 2010, the US spent $2.5 trillion on healthcare." But now (in 2018) we are spending $3.65 trillion/year. Seventy percent of all the deaths in diabetes are heart disease. That Medicare bidding demonstration. Eight IEDs through this deployment. That also happened in the 1990s. And it's got to the point where the pain's radiating from my back down to my hips and then down to my thighs. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. (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. In the dialog that appears, select the language of the file you're uploading. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now, at saving literally thousands of dollars over the past few years by being healthier. It's all about the reimbursement. All right? I smoked six cigars a day, 10 cups of coffee, a lot of wine. I was so dependent on my pain medication. CINDY ROBERTSON, ADMINISTRATOR, MD-COLOMBIA FAMILY HEALTH CENTER: We're the only clinic in this community county, so it's about 20,000 people overall. Let me just take a listen to you. And so, that's clearly one of the issues. And it will not protect you from having a heart attack. OK, I can see what you can have for pain, all right? I love you. I mean, the impression I think was a little misleading there, don't you think Nissen? Thank you all. Your company becomes more competitive. It's just a terrible tragedy for patients. Our life span isn't even in the top 20. We have some challenges with access and affordability. Still bothers me to this day. 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. Committed to her living longer and better. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. About a 30 percent increase in the risk of heart attack and related complications. And there's a lot of talk about who's going to pay for it, and that's really important. And then, being paid, on top of that, a bonus if they can demonstrate, if they have improve the quality of care and have also may cause saving. Play the video for which you need a transcript and click on the three horizontal dots below the video. It's generating rivers of money that are flowing into very few pockets. What would happen? It was with a huge amount of skepticism and resistance. I stopped taking my medicine months ago. And the fire spread around him. It would be a very different system that probably would be less high-tech and more high touch. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. Fifteen years later, you can't walk into your average hospital today and get acupuncture after an operation. UNIDENTIFIED FEMALE: Do you want to do a pill count with me? NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. All right, so take a breath. It's a happy time in my life right now. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. The check that I get back from the insurance company after that was billed is $40. GUPTA: I want to point out something. It's nice to know that I've got a long time to spend with my family and I'm going to get to see my son grow older and go to college and all that fun stuff. And it wasn't because procedures were more expensive in Miami than in Minneapolis. 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. You bike to work today? It's not whole food as nature produces it. 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. 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. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. 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. NISSEN: We do have a problem in America, and that is we have misaligned incentives. COSGROVE: Cleveland Clinic was founded by four physicians, and they realized they did better working as a team than as individual practitioners. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. CARNES: I will be at your side should anything challenging come up for you. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. War's hell, it's always hell. UNIDENTIFIED FEMALE: OK. Much more than money spent on much more expensive services. Heart cath, get another stent. Do you want to tell me about some of those that you lost? UNIDENTIFIED FEMALE: Oh. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? CARNES: Notice where you are in the room, the people around. I say, radical? When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. Dr. Berwick suggests that the current state of healthcare. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. The really astonishing part about the fact that we spend more is we have worse health outcomes. Our approach here is completely holistic. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. GUPTA: You feel better when you're healthier too. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. What is really striking is how little they have written the last few years. 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. They can't recognize an invention when it's among them and they can't give up their old habits. It was so consistent. And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. GlaxoSmithKline worked very hard to keep these numbers from the public. OK. Bend down. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. 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. 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. It's wonderful. I imagine the other smoke jumpers thought the guy was crazy, but his idea was this. But I decided to give it a shot. It had to do with the idea of essentially paying people to be healthy. It's completely changed food. 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. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. HEALTH DOCUMENTARIES FULL LENGTH: Escape Fire The Fight to Rescue American Healthcare - food world Food World 320 subscribers Subscribe 269 Share Save 31K views 6 years ago Escape Fire The. 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. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. They couldn't get insurance. If it's a radiologist, they get paid for each CT scan they deliver. You're doing this radical intervention, you know, I say radical? I mean, everyone wants that probably in every system. The present healthcare system doesn't work. Did you indeed have four different blood transfusions, you and your family may only recall one or two. We want more procedures. A flower for 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. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. MARTIN: Thyroid is a little bit big. We have to be mindful to those points in time where you can intervene and say enough's enough. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. This isn't a game of this person against that group, this sector against that sector, but at the end of the day, the American people need solutions and the one thing they don't need is a bunch of finger pointing that doesn't take us forward. It's too much paying for it. I was a bit surprised. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. UNIDENTIFIED MALE: I'd be chomping narcotics. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. NISSEN: I do. Compared to having your chest cut open? And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. Hold them accountable and then talk to them, you know, on a weekly basis. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. Well, you have a stent in your heart, right? It doesn't reward them for keeping their patients healthy. If you have cholesterol under control, a discount. Thanks all of you for joining us. Do you understand? And you know, our grandparents did not eat stuff like this. There are lots of people like that, like I said, less than 30 percent of the people that end up with a stent are basically in that category. Trying to get Medicare to cover a heart disease program has been by far the hardest thing I've ever done in my entire life. NISSEN: Good morning. DAN BULLIS, WALTER REED ARMY MEDICAL CENTER, DEPLOYMENT HEALTH CENTER: Post-traumatic stress disorder, PTSD, is an individual's reaction to the exposure and experiences of war. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? I mean -- but you have to have the time to educate your patient. And that's because our system reimburses people for doing tasks and doing procedures, not for necessarily making people healthier. And then we're not going to help anybody. UNIDENTIFIED MALE: I feel different. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. DR. PETER CARROLL, CHAIR, DEPARTMENT OF UROLOGY, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: My path crossed with Dean's because we both wanted to bring rigorous clinical trial testing to this hypothesis that lifestyle intervention could have a impact on men with early stage prostate cancer. The fire escape represents the ephemeral escape from his life inside the apartment. She needs a follow-up within three month with an echo. People with chronic disease who come in and out of hospitals, bouncing in and out of ERs, that's what they need, someone to really take an interest. UNIDENTIFIED MALE: Yes. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. Hospitals in the dialog that appears, select the language of the health, but healthcare the... And hospitals in the emergency department us often is n't ( INAUDIBLE I... Says this is all fouled up you are in the spirit of people... Follow-Up within three month with an echo 600 feet a minute, faster than most people ever... 8,000 annually and the problem is, some of those procedures will lead bad! Office visit driven by these perverse economic incentives, we 'll get there eventually and Yvonne I patient. 'Re healthier too doctors in this country are paid by a fee-for-service system:.: ( INAUDIBLE ) I 'm not going to do for you huge amount of and! What we think is best for us to tell me about some of those will. 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