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. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. Half. Wag Dodge survived, nearly unharmed, in his escape fire. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. I was head of corporate communications, which means I was the top public relations officer for the company. The present healthcare system doesn't work. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. UNIDENTIFIED FEMALE: You need to get up and pee? I'm not changed, but I'm changing. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. May everyone be happy. I'm not interested in getting my productivity up. My job is to provide the right care for the right patient at the right time. DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. There has to be a different way of doing things. But I think the economic imperatives are much stronger now. 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: In the year of for-profit medicine, the time allowed for patient visits has shrunk to a point where you've got seven minutes with a patient. You know, the ads always end with the same phrase, ask your doctor. 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. Sometimes we're talking about them on a daily basis. I'm not sure every country in the world does it perfectly. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. UNIDENTIFIED MALE: No. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. I was popping 20 or 30 Nitrols a day. It doesn't reward them for keeping their patients healthy. ORNISH: I thought, most things in biology go both ways, so if bad things make your telomere shorter, maybe good things will make them longer. That was job number one for them. You're doing this radical intervention, you know, I say radical? You will learn if your health care costs are going to go down any time soon. Just do something. WARD: For a long period of time I was hiding. At some point he's going to stop breathing if he's taken too much narcotics. 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. We don't have to spend ourselves into poverty on healthcare. To feel that way when you come home is demoralizing. Is that a fair message? NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. 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 FEMALE: Came off the mountain with only eight? 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. We have made all of this unhealthy food the cheapest and most available food. We don't have a healthcare system in this country. That cost about 1,000You'll find examples like this all over a room. WEIL: This is a problem with a lot of our suppressive treatments. About 70 percent of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks or smaller heart attacks or having what we call unstable angina. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. It's about saving the health of a nation. And that being applied to health care just doesn't work. They may keep the disease process going and they may strengthen it over time. People talk about two-minute doctors. 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. It's all about the reimbursement. Compared to having your chest cut open? Don't need you, don't need you. CAIN: I'm optimistic right now, Sanjay, because right now we are in a different era, where people understand that effective primary care gives us higher quality, lower costs, but not only that, patients are healthier and like that kind of care. We don't know what they are. It's too much paying for it. You just never get to the bottom of what's causing all of these problems that they are having. If somebody has hypertension, we give anti-hypertension drugs. Thanks all of you for joining us. WEIL: Where are you from? ROBERTS: The research found that embracing a low-fat vegetarian diet, exercising half an hour a day, and taking part in daily stress reducing activities can actually change the regulation of genes that are key players in cancer development and contribute to better overall survival. Try to break a sweat every day. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. 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. That was the message that, you know, I think was the you got from that documentary. Look at this. And chromosomes have all genetic information on them. It's still a struggle. We're glad to have you home. We even found that when you change your lifestyle, over 500 genes were changed. OK. GUPTA: For everybody here. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. And you've had heart attacks. And interestingly, patients really respond to that. Physical Desc: UNIDENTIFIED FEMALE: Nine months? Alice in Wonderland (1951)/Transcript. MARTIN: Wow. I'm really, really pleased. 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. CARNES: Release the breath in a smooth, even stream out. Look at our results, our life span isn't even in the top 20. UNIDENTIFIED FEMALE: Hi. SGT. UNIDENTIFIED FEMALE: You know, I'm only 34 years old. (LAUGHTER) That's the way I like to look at it. You almost forget that what you're doing is providing healthcare. I mean, to talk about how we shift toward -- away from disease intervention toward disease prevention and health promotion, I mean, that -- that requires a massive rethinking about medicine and healthcare at all levels of society. Published: Santa Monica, Calif. : Lionsgate, [2013]. 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 answers among us, can we please stop and think and make sense of the situation and get our way out of it? A stapler, this stapler that is often to used in surgery, like this? He's got Lunesta and also has Valium. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. Afghanistan? 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. I mean, they are going to watch that and think, that's ridiculous. UNIDENTIFIED MALE: Bye. UNIDENTIFIED CHILD: There we go. UNIDENTIFIED MALE: Oh, yes. They are patients with heart failure, they are morbidly obese patients. But when you're doing something that has never been done before, it's not universally accepted, to say the least. What is really striking is how little they have written the last few years. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. MARTIN: What I do every day, buddy. The present system doesn't work and it's going to take us down. We need a whole new kind of medicine. NIEMTZOW: So you haven't taken anything? Not very much, but a little. CHO: I know, you look really good. 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. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. All Dogs Go to Heaven/Transcript. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. And the company did nothing. It got fast tracked by the FDA. I'm optimistic about the future. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. Jonas, Wayne B., commentator. Impressive. It was -- with a huge amount of skepticism and resistance. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. That was how many medications I was on. UNIDENTIFIED MALE: What are you going to do at work? I mean, everyone wants that probably in every system. Try to understand where the redundancies are. It takes a village to make an unhealthy patient healthy. MARTIN: Good. And we're going to be doing CPR on a patient. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. Some people, this is all they eat, food of this sort. It's unseen, but it's there and it's very, very powerful. MARTIN: I think what the American people need is, they need good health care. MARTIN: Are you taking your medication? We do nothing about supporting the good, that the body can and wants to be healthy. If you go out and buy heart healthy diet food, it's going to cost you more money than anything. And I think we're in a great deal of trouble because of that. UNIDENTIFIED FEMALE: OK, I need some help over here. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. GUPTA: Can you actually get a-hold of those people? Who's next? We are going to take a short break. And for the large majority of people we help, they often don't understand what many of the charges are. It's not true in the United Kingdom. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? Still bothers me to this day. She needs a follow-up within three month with an echo. The fire overtook the crew, killing 13 men and burning 3,200 acres. 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. UNIDENTIFIED MALE: But Mommy, what are you going to do? CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. So that's rewarding for me. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? Co-directed by Matthew Heineman and Academy Award-nominee Susan Froemke (Lalee's Kin: The Legacy of Cotton), Escape Fire looks at a U.S. healthcare system designed to profit on disease not. And is it still traveling into your neck? OSBORNE: I have lost -- since last year I've lost 21 pounds. GUPTA: How big a problem is this then? They did not tell physicians. Where I'm at right now, patients are in desperate need of care. MARSHALL: It doesn't matter if I do one stent or five or ten stents. So inhale. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. I just had been ignoring it, because I thought, you know, I'm only 34 years old. I mean, when the cost of some of the things we use on a regular basis. 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. GUPTA: A lot of these stents are unnecessary? DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: With 10 years of ongoing wars, the amount of suffering that's going on in the military right now is tremendous. One of the three men who survived the Montana fire did so through an ingenious solution and a leap of faith by making an escape fire. You didn't have to be a statistician or in the words of my old friend Bob Dylan, you don't have to be a weatherman to know which way the wind blows. She had had bypass surgery at an early age. It was a passion for healing. This is all coming out of our pockets. And how to know if you're being prescribed unnecessary procedures. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. UNIDENTIFIED MALE: He really did. I haven't exercised. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. It's not just we know it, we actually can go and visit it. (CROSSTALK) KASCH: That's why he's a little high right now. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. Healthcare reform was a good place to start, but it will do little to address the root problems. Adding Avandia can help. I mean, where did that idea come from? I lost a lot of good men. 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. Receive your transcript. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. Respiratory shutdown. CARNES: Notice where you are in the room, the people around. People go in and out of health plans. YATES: That's a healing process because you're not bottling up, it's going to a different section in your mind to where you can start processing it. And water, they are saying, I'm going to have to give up to get there. I mean, that sounds like a really dire situation. We have some challenges with access and affordability. 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. It's not true in France and Germany. UNIDENTIFIED FEMALE: Where are you coming from? UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. Again , when I'm talking about disincentives. He overdosed. We have to teach young physicians that prevention comes first. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. UNIDENTIFIED FEMALE: Oh. Open your favorite browser and launch YouTube. Click on "Export" and choose your preferred file format. 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. GRUBER: For everybody. If you can delay treatment, then that man is not at risk for side effects during that period of time. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. We are second to none in this country for those things. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. All right. Here's a couple simple tips. WEIL: In Western medicine, all of our effort is on dispelling evil. CARNES: Ready? Alexander/Transcript. Well, you have a stent in your heart, right? And every year they have to turn people away. Sometimes it's related to what the individuals actually have access to. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. I never had a personal doctor, family doctor, nothing, all my life. It's completely changed food. And from that point on I realized that I don't want to be on this. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. Fire Escape Transcript. My first thought is, that's why I'm running, because I know what that person is like. And if they have a relationship with you, feeling truncated. But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. And those are surprising. 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. Our approach here is completely holistic. I'm Dr. Sanjay Gupta. And the actual costs for care here is among the lowest in the country. Some would say overrewarded specialty and subspecialties. But with regard to prevention, preventing disease, does that save us money? Also, Dr. Jeffrey Marshall, his specialty is implanting stents. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. People eat what's cheap and what's available. UNIDENTIFIED MALE: A day, for 25 years. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. Meditation takes the place of that. MARTIN: OK? I mean, give me a break. Escape Fire: The Fight To Save American Health Care. Firefighters said they received about 12 calls . I want to give to people and I want to help people, and I wasn't able to find that here. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. If you have cholesterol under control, a discount. So Lexapro is the only thing you're on right now? It's much better to try to work at a deeper level. NISSEN: I do. BROWNLEE: Fee for service rewards physicians for doing more. CHO: Oh, my God. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. YATES: Meditation is scary sometimes. I actually practice emergency medicine at the University of Virginia in Charlottesville. POTTER: We have been trying to reform the health care system for a hundred years. 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. Did you have a good day today? Just sore. We can't prevent disease in everybody, but we have to try. 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. We're the only providers for. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. I want to show you how it works. That's good. People eat what's cheap and what's available. Probably put him on the bottom on the other side. UNIDENTIFIED MALE: Yes. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. It goes into the other areas, and it's just not sustainable. MARTIN: Yes? So I said, if you follow them very carefully and you treat them at the first sign of progression. We're part of the community. 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. If you talk to the employees around here that have lost 35, 50, 60, 100 pounds, they will tell you without a doubt they have a better quality of life. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. It only reduces symptoms. Now you're going to get the scissors. BROWNLEE: We spend a spectacular amount of money on healthcare. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. And that was the first study showing that heart disease was reversible. When you're injured they feed you, feed you, feed you all this stuff. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. 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. (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. If someone had talked to her -- I think someone had really teased out her chest pain and shortness of breath, I think many of her cardiac catheterization and stents would not be necessary. SHANNON BROWNLEE, MEDICAL JOURNALIST: We're in the grip of a very big industry, and it doesn't want to stop making money. I started getting sick in my 30s. An Entrenched System. It just doesn't work out financially. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. UNIDENTIFIED MALE: We all know there's things we can do and they make us feel good and we like to do them, but we're going to feel really bad if our doors close. She ended up having another open heart operation, another bypass operation. UNIDENTIFIED MALE: These are all one person's? Job number two was to make sure that there was not a public option. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. UNIDENTIFIED MALE: We moved you over here. It is an IV like this, about $280 just for the IV bag. ORNISH: The limitations of high-tech medicine have never been clearer. 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. UNIDENTIFIED FEMALE: These are all name brand. This drug was the number one selling diabetes drug in the world in 2006. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. Where does that money come from? UNIDENTIFIED REPORTER: It's an idea that's received national attention. Trouble because of that every country in the world ; t work was issued the today! 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