GUPTA: I want to point out something. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. With their city in ruins, the people of London finally realized the only escape from the devastation of . 27 cardiac catheterization and well over seven stents. We create a public expectation that more is better, which isn't actually true so people seek more. Aladdin and the King of Thieves/Transcript. Determine, did you indeed have two MRI's during the course of one week? This is all coming out of our pockets. To a man with a hammer, everything looks like a nail. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. They can pretty much get away with increasing the rates as much as they want to. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: If you need serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. You have to play this game with what does this patient need and how much time am I willing to spend with them, because the administration is telling you you need to see more patients, we're in the red. (LAUGHTER) That's the way I like to look at it. I lost a lot of good men. MARTIN: Have you cut yourself before? You're your options might be, if there is a doctor surgeon on hometown. War's hell, it's always hell. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. And it's just the last thing that you're really concerned about. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. How are you feeling? 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. 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. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: There's the assumption that people who run government, elected officials, members of Congress, but it's not true in many cases. It only reduces symptoms. Again, you were part of the documentary. OSBORN: Oh, it's so beautiful! But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. What would happen? That was how many medications I was on. And yet the outcomes, the survival rates are at the highest levels. UNIDENTIFIED MALE: I love you, too! She needs a follow-up within three month with an echo. That is ridiculous. I mean, they are going to watch that and think, that's ridiculous. UNIDENTIFIED MALE: I did yesterday. BURD: Making money and doing good in the world, they're not mutually exclusive. How are you? That simply means they get paid for each office visit. What do you think of that? Select "Show Transcript" from the menu. So, if you have a patient comes in, you get paid a certain amount because you do a stent. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. NISSEN: Yes, but we have to educate patients. I was popping 20 or 30 Nitrols a day. And to me, that's not the only issue. Expand the Transcripts and captions section if closed, then select Upload. 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. That's almost as much as the rest of the world combined. We're talking about a $3 or $4 billion a year drug. The film is about finding a way out. May everyone be happy. What is really striking is how little they have written the last few years. We have that technology, it's right there. And so 15 firefighters were trapped. And sometimes push the plate away. If they are confirmed non-smoker, we give them a discount. Next, click the three-dot menu icon underneath the title of the video. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. We need a whole new kind of medicine. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. But I decided to give it a shot. . NIEMTZOW: Because of that? So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." WEIL: It could get worse. The Issues. Blood pressure under control, a discount. What does that do? It's OK. You're good, you're good. We are going to take a short break. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. Fire Escape. So, if there's a concern someone has a tumor, they who use a needle like this. THIS IS A RUSH TRANSCRIPT. But one evening, I sat straight up in bed with the worst chest pain. No eastern medicine. On my way. UNIDENTIFIED FEMALE: You need to get up and pee? I'll look up and I'll see a person who's overweight across the street. To get people to eat different, to eat, you know, to lose weight, to exercise regularly, those are hard things to get people to do, and we need to be better at it. Don't need you, don't need you. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. Transcripts Dragons: The Nine Realms Fire Escape Script view. He overdosed. We pay doctors to see patients, so they see a lot of patients. And welcome home. There is no doubt, they always have. I would probably leave healthcare before I went back to practicing the way I practiced last year. Host virtual events and webinars to increase engagement and generate leads. So I decided to leave. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. It includes the mandate, the requirement that we all have to buy their coverage. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. Am I going to be paying more? NIEMTZOW: Oh, you would? They are often poor patients, but not always. UNIDENTIFIED MALE: I have no health insurance. This is what he's got left. He's like really not listening very well. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. Brownlee, Shannon, commentator. Have you -- UNIDENTIFIED FEMALE: 2008. Log in to your account. Healthcare reform was a good place to start, but it will do little to address the root problems. UNIDENTIFIED REPORTER: It's an idea that's received national attention. Let me get right to it, Erin. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. Physical Desc: All my health issues have gone away. There's also administrative costs that are built in. Hello, how are you? The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. Because of this program that's here, the yoga. But, you know, we have the means to decrease disease. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? And how to know if you're being prescribed unnecessary procedures. Maintaining my pain. Anybody else would laugh, you know? Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. So Doctor Rice, let me start with you. BERWICK: The healthcare system isn't affordable anymore. It was a great life. And we see that suffering. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. 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 a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. And I think that's a good place to start. I mean, an obvious one is nutrition, which is almost omitted from medical education. Dr. Berwick suggests that the current state of healthcare. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. 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. Good. 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. 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. BERWICK: Everybody is doing what makes sense to them individually. That's built in these costs as well. ORNISH: Dr. Peter Carroll and I collaborated with Dr. Elizabeth Blackburn, who won the Nobel Prize in medicine and she had done a study showing that stress creates shorter telomere, said as your telomeres get shorter, your life gets shorter. ROSS: When do you think it would be good to try it? UNIDENTIFIED FEMALE: Do you have any pain right now? ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. It's still not over, but it's better from Germany, I promise you that. Heart cath, get another stent. Half. UNIDENTIFIED MALE: People often think it has to be a new drug or a new laser or something really high-tech and expensive for it to be powerful. (BEGIN VIDEO CLIP) DR. ERIN MARTIN, PRIMARY CARE: As a primary care physician, we are supposed to be the people that are making sure the patients don't get sick and they have everything they need to maintain health. 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. Let me just take a listen to you. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. Type the text of what was said in your video and save it as a plain text file (.txt). And doctors wanting to please their patients will often prescribe it. Everybody agrees on that. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. OK, I can see what you can have for pain, all right? BROWNLEE: We have a disease care system, and we have a very profitable disease care system. So putting more money into innovations and all of these things, yes, they're need in certain instances, especially emergency care, and things like that. You can export to TXT, DOCX, PDF, HTML, and many . A heart cath, get another stent. NIEMTZOW: Any pain? My job is to provide the right care for the right patient at the right time. UMBDENSTOCK: Why? UNIDENTIFIED CHILD: There we go. OSBORNE: I have lost -- since last year I've lost 21 pounds. YATES: Meditation is scary sometimes. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. I'm not changed, but I'm changing. It is so addictive. ROSS: I just want to review this pain. DR. ANDREW WEIL: There's the bright blue slush. 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. That ended and it rose quickly. And I thought, once I get this, I won't have the blockages anymore. We're spending almost twice as much in America as any other country on earth. It was either come and get care there or not get care at all. The Dartmouth study showed the patients in places like Miami were receiving more care. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. ROSS: There have been some trends in healthcare that make me uncomfortable. We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. 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. Just sheer numbers, $2.7 trillion per year. In our model, the physician acts as a quarterback. I mean, I can't think of a single negative in doing this. (COMMERCIAL BREAK) SHANNON BROWNLEE, MEDICAL JOURNALIST: Dark matter is a discovery by astronomers that there is a huge amount of the universe that we can't see. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. $300 billion on drugs. UNIDENTIFIED MALE: When do we want it? Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. Who pays for that? "Escape Fire" airs March 10 on CNN. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. 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. 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. She had had bypass surgery at an early age. The check that I get back from the insurance company after that was billed is $40. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. So Lexapro is the only thing you're on right now? YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? It doesn't reward them for doing a better job. MARSHALL: So, anybody that's having a heart attack should get a stent. UNIDENTIFIED FEMALE: They don't say how much they gave him. Thank you all. And by the way, they are number in the world and life expectancy. Thanks for watching. MARTIN: Wow. Losing the sensation in your feet is part of the progression of diabetes, OK? The film interweaves personal stories with the efforts of leaders battling to transform it. DR. SANJAY GUPTA, HOST: Good evening. I was a bit surprised. MARTIN: At a community healthcare center like where I work, you see chronic illness, people that aren't able to afford their medications, lots of psychiatric illnesses. NANCY DAVENPORT-ENNIS, FOUNDER, CEO, PATIENT ADVOCATE FOUNDATION: So, what we tell them first and foremost, is get a copy of the entire bill and look for redundancies. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. I'm not sure every country in the world does it perfectly. How to know if you are being prescribed unnecessary medications or procedures, that's next. It's wonderful. This is what you do for a living. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. MARTIN: How are you today? 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. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. ESCAPE FIRE: The Fight to Rescue American Healthcare tackles one of the most pressing issues of our time: how can we save our badly broken healthcare system? 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. ROBERTSON: It's a financial necessity. To get the best results, use these formatting tips: To force the start of a new caption . Entitled Escape Fire, Dr. Berwick's speech took its audience back to the year 1949, when a wildfire broke out on a Montana hillside, taking the lives of 13 young men and changing the way firefighting was managed in the United States. Format your transcript file. You know? And if they have a relationship with you, feeling truncated. 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. 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. BURD: All right. Healthcare, it's headed for really, really bad trouble. Rescue care is second to none. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. You also want to engage the billing representatives and the financial representatives of the hospital in that discussion and have them understand, I need an explanation of these charges. OK, so let's go into our meditation practice. At some point he's going to stop breathing if he's taken too much narcotics. Right? So we're going to open up some chi? CHO: Oh, my God. 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. Came off the mountain with only eight. The fire overtook the crew, killing 13 men and burning 3,200 acres. That was job number one for them. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. 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. YATES: I meditate, and it has opened up a whole new world for me. We have made all of this unhealthy food the cheapest and most available food. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? 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. 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. I smoked six cigars a day, 10 cups of coffee, a lot of wine. Half of Americans will be diabetic or pre-diabetic in the next 10 years. I mean, when the cost of some of the things we use on a regular basis. We're on track for that on Tuesday. I had difficulty sleeping at night. And that worked for awhile. YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? I think five or six of them are on the waiting list. 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