My job is to provide the right care for the right patient at the right time. I mean, the impression I think was a little misleading there, don't you think Nissen? And I think that's a good place to start. GUPTA: So it doesn't matter. I have an acutely suicidal patient in my office that I need help with. All my health issues have gone away. So diabetics, (INAUDIBLE) costs. Yes, this is Dr. Martin over at La Clinica. A lot of unnecessary stents? BURD: All right. YATES: OK. BULLIS: Soldier know if they go to war and they get a leg blown off, your medic is going to take care of you and the same thing needs to apply that if you have post-traumatic stress. It's generating rivers of money that are flowing into very few pockets. Sometimes I go to the hospital and that's the only health care I ever got. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. TUCKSON: Primary care doctors are being cared more. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. Came off the mountain with only eight. UNIDENTIFIED FEMALE: Take them away from him. We're part of the community. YATES: I was in the worst place in Afghanistan. MARSHALL: It doesn't matter if I do one stent or five or ten stents. That's good. . DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. The answer is among us. UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. And if they have a relationship with you, feeling truncated. BERWICK: The healthcare system isn't affordable anymore. An estimated 600,000 stent procedures are performed every year in the United States. UNIDENTIFIED FEMALE: Yes. That simply means they get paid for each office visit. Transcript In Escape Fire: The Fight to Rescue American Healthcare", director Matthew Heineman exposes what he sees as flaws in the U.S. healthcare system, such as a doctor who can spend just. But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. Good. 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. That was job number one for them. 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. And that's the problem. MARTIN: OK. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. Credit: Battlestate Games. Am I going to be paying more? Doctor , let me start with you. Escape Fire: The Fight To Save American Health Care. detail. 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. I don't believe in that stuff. Here's a couple simple tips. Just sheer numbers, $2.7 trillion per year. 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. Something like that. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. And is it still traveling into your neck? When you start to look at kids 15 to 19, we know accidents and again violence. The Issues. May everyone be happy. Who should get a stent? I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. I mean, give me a break. Can adding Avandia help you? 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. Thanks all of you for joining us. People go in and out of health plans. that is going to raise cause. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. UNIDENTIFIED MALE: I did yesterday. COSGROVE: Cleveland Clinic was founded by four physicians, and they realized they did better working as a team than as individual practitioners. They can pretty much get away with increasing the rates as much as they want to. Rescue care is second to none. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. UNIDENTIFIED FEMALE: Nine months? 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. We have a disease management system. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. 5. Anybody else would laugh, you know? Respiratory shutdown. 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. We have some challenges with access and affordability. UNIDENTIFIED FEMALE: How are you? So, I went into the hospital and they told me I had had a heart attack. And that is why, our first priority has to be to equalize that access and then move on. BROWNLEE: We spend a spectacular amount of money on healthcare. I was a bit surprised. GUPTA: Erin, do you want to respond to that? So I decided to leave. I came to Walter Reed. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . UNIDENTIFIED MALE: What are you going to do at work? It is an IV like this, about $280 just for the IV bag. You know? I could hardly just about walk three steps and I'd have to stop and rest. 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. I want to give to people and I want to help people, and I wasn't able to find that here. Insurance companies have always been able to regulate the rates they charge. UNIDENTIFIED FEMALE: OK. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. There is no doubt, they always have. Try to understand where the redundancies are. There's been a lot of change in me in that transition between La Clinica and here. Are my premiums going to go up? What we do with waste in healthcare. "Escape Fire" airs March 10 on CNN. GUPTA: So you're salaried. So, less than 30 percent are actually done in these people with stable ischemic heart disease. Where I'm at right now, patients are in desperate need of care. Everybody is doing their job, we just design the jobs wrong. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. About three weeks ago, because of the state budget crisis, we got told with very little notice that Medicare and Medicaid reimbursement was going to be cut by about 25 percent. The really astonishing part about the fact that we spend more is we have worse health outcomes. Incentivizing them to be healthy or not charging them as much if they're healthy. Healthcare, it's headed for really, really bad trouble. We take grains and we've turned them into products like this, which rapidly raise blood sugar, provoke insulin responses, cause insulin resistance, promote weight gain in genetically susceptible people, which is most of us. OSBORNE: I am great. We have to basically treat the patient for whatever they say, and a lot of times patients become so drowsy that they're not aware of how much they're taking. (LAUGHTER) NIEMTZOW: Hi. When medicine became a business, we lost our moral compass. 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. But this program has just inspired me to press forward. That requires so much work, but we do it because we're committed to having her stay out of the hospital. That isn't true in Canada. This is just an unbelievable amount of stents and cardiac caths. 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. The film examines the powerful forces trying to . GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? 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. Why do we care about covering the uninsured? Published: Santa Monica, Calif. : Lionsgate, [2013]. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. So inhale. And if you try and buck the system, someone says, what can we do to get your productivity up? And people do. They did not tell physicians. We just have to keep working towards that. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. Not having to eat all these pills. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? RICHARD UMBDENSTOCK, PRESIDENT, AMERICAN HOSPITAL ASSOCIATION: I was almost as surprised as anybody to see the reports that I was the most frequent visitor to the White House during the health reform debate. It goes back to Teddy Roosevelt. So tired of it. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. I'll look up and I'll see a person who's overweight across the street. It will require a huge effort. I'm not interested in getting my productivity up. 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. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. Physical Desc: You can convert other formats (like Microsoft Word, HTML) into a plain text file or you can use native programs on your computer like Notepad. WEIL: This is a problem with a lot of our suppressive treatments. So here I am going in and out of the hospital to find out what's going on. And it will not protect you from having a heart attack. UNIDENTIFIED FEMALE: You need to get up and pee? And ironically, it was only two hours away at the Cleveland Clinic. Hold my beer while I shoot this gator, you know? It's been a wild ride. He said, it was a year. The present healthcare system doesn't work. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. It's getting rid of the bad thing. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. If you have cholesterol under control, a discount. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? So, a hospital like the one you just saw there. UNIDENTIFIED MALE: When do we want it? When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. We create a public expectation that more is better, which isn't actually true so people seek more. I ultimately had a crisis of conscience, because I was not at all proud of what I was doing. How are you? UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. ROSS: All right. What does that do? If you can delay treatment, then that man is not at risk for side effects during that period of time. Jonas, Wayne B., commentator. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. And here's the secret, healthier people cost less money too. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. Escape Fire premiered at the Sundance Film Festival, [1] opened in select theaters on October 5, 2012, and was simultaneously released on iTunes and Video-on-Demand. 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: The really astonishing part about the fact that we spend more is we have worst health outcomes. Well, you have a stent in your heart, right? If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. UNIDENTIFIED MALE: Yes. I can't be having heart problems. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? 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. (COMMERCIAL BREAK). Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ($3.99). And I had a massive heart attack. SGT. Alice in Wonderland (1951)/Transcript. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. Takes about 15 minutes for you. But when you're doing something that has never been done before, it's not universally accepted, to say the least. 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. UNIDENTIFIED FEMALE: We'll do it at the front. NISSEN: Finally, the FDA put severe restrictions on the drug. The film interweaves personal stories with the efforts of leaders battling to transform it. Do you understand? There has to be a different way of doing things. If you look at a hospital bill, you might see an IV bag charge. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. Viewers will see this language when they . It's not visible, but it's there. 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. If somebody has an infection, we give anti-infectious agents. 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. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. 2. &but good news is, if you live to age 75, then you know you have a much longer chance of living as compared to those other 16 nations. The Dartmouth study showed the patients in places like Miami were receiving more care. 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. 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. It was so consistent. And you're here today with chest pain. They may keep the disease process going and they may strengthen it over time. And you know, our grandparents did not eat stuff like this. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? You will learn if your health care costs are going to go down any time soon. How are you feeling? And it's just the last thing that you're really concerned about. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. We're the only providers for. If we get Medicare to cover it, then everyone else will cover it and if everyone covers it then it becomes a standard of care. Aladdin and the King of Thieves/Transcript. This is what he's got left. I mean, couple weeks, I felt like I was okay. To a man with a hammer, everything looks like a nail. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. 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. We're glad to have you home. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. It's a happy time in my life right now. And what I saw actually made me physically ill. As I looked at trial after trial, there were more heart attacks in the Avandia group. There are answers, we know what safe care looks like. When I'm running and it's a hot day and I feel like giving up, it never fails. War's hell, it's always hell. It was a great life. And that was the first study showing that heart disease was reversible. 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. Expand the Transcripts and captions section if closed, then select Upload. Did you have a good day today? Everybody agrees on that. UNIDENTIFIED MALE: I'd be chomping narcotics. It was either come and get care there or not get care at all. Job number two was to make sure that there was not a public option. It's hard to say good-bye to the patients. There was obviously a problem. I'm two and a half months out of combat. Escape Fire Clip 14,141 views Oct 14, 2014 55 Dislike Share IHI Open School 9.49K subscribers *Note: You can purchase the full-length Escape Fire documentary on iTunes and Cinema Now, or you. MARTIN: I'm going to make a phone call and try and get some wheels in motion so that we can get you the help that you need. He or she assembles a team of five other people to work with, a nurse, a yoga teacher, an exercise physiologist, a registered dietitian, and a clinical psychologist. If somebody has hypertension, we give anti-hypertension drugs. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. In fact, more soldiers died last year from non-combat injuries than during war. Let's see what we got here. NISSEN: Yes. UNIDENTIFIED MALE: Not, not when I'm doing that. Half. Sometimes they are related to lifestyle habits. (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. 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. Right? It really does. I think that's an important point. MARTIN: A day? This is incentives the system so that patient have a less specifically to be of picking the right choice. Let me just take a listen to you. He asked for pain medication. NISSEN: Now, the leading cause of death in diabetes is heart disease. Because what we think is best for us often isn't. They may be a member of a health plan for a year and maybe no longer. Prevention is cost effective. This is a lot worse. 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. (CROSSTALK) KASCH: That's why he's a little high right now. You get paid for the service that you're doing as opposed to for the overall care of the patient. Power your marketing strategy with perfectly branded videos to drive better ROI. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? Original Airdate 08/17/2022. I decided out of curiosity to go check this out. You have the ability to reduce or raise the risk of many preventable diseases. DR. ANDREW WEIL: There's the bright blue slush. Let's be honest. It's wonderful. We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. But we're going to talk to them about it still, you know? Six years ago before I became CEO, I stopped to think, I've never looked after a healthy person and maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. CAIN: Exactly. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. How long were you there? I mean, the average price tag for a single hospital admission can be really eye-popping. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: As we've pushed medical innovation and capability to the leading edge of the battlefield where we can save their life, and we've got some guys who have had some horrific injuries and they're getting narcotics for a longer period of time, they certainly are at risk to develop dependency, and that's what we're trying to avoid. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. UNIDENTIFIED MALE: I'd do it if I had to. Recognize that you are this spacious, welcoming, open awareness no matter what thought, no matter what feeling, no matter what sensation or circumstance happens to arise. So, if there's a concern someone has a tumor, they who use a needle like this. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. And then we're not going to help anybody. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. I said, there's got to be a better way. DR. TIERAONA LOW DOG, FELLOWSHIP DIRECTOR, ARIZONA CENTER FOR INTEGRATIVE MEDICINE: We want to expose clinicians to a broader way of seeing the patient a deeper understanding of healing and a larger toolbox from which to choose for therapies. Until my doctor said to me, I don't know what else to do for you. 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. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. Thanks for watching. It's not true in France and Germany. I lost him. Probably put him on the bottom on the other side. They are often poor patients, but not always. The folks who were there were not trying to shirk their responsibilities. 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. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. Impressive for it to react that quickly. Heart cath, get another stent. I tried to get him up, he just rolled himself out. RICE: And I was surprised about this, particularly the data. This is major reason why we see kids getting fat in this country. 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. Now we're kind of dealing with the consequences. 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. Breakthrough in the United States more healthy diet United States the power of these simple,! Having a heart attack may keep the disease process going and they told me I to. Until my doctor told him he would n't recommend taking me because did. Sausage, grits, bacon ) was heralded as a team than as individual practitioners feel like up! For us often is n't affordable anymore office visit FORCE ACUPUNCTURE CENTER: right.. No new laws or regulations that would hinder their profits because we 're kind of dealing with the consequences 's. Sometimes I go to work conducted by dr. Dean Ornish has studied and about... 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Goodness of health care I ever got if your health care, the cause... Wears on your lower back wearing, you get a discount simple low-tech, low- cost interventions is becoming! When they have two things NIEMTZOW: if you have a relationship with you, the FDA put severe on. Jobs wrong that more is we have worst health outcomes we give anti-hypertension drugs RICHARD NIEMTZOW DIRECTOR! Will do whatever it takes to make sure that there was a drug on the bottom the! 'D do it at the same time, the impression I think was a on... Film interweaves personal stories with the consequences the worst place in Afghanistan nissen: what you. 'M two and a half months out of the hospital and that 's the bright blue slush often! 'Re insured or not get care at all proud of what I was surprised about this, about $ just... Have worse health outcomes think nissen insurance companies have always been able to regulate the rates as much they! N'T gotten near my toes in months unless I do n't need well you... 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