GUPTA: I want to point out something. A flower for you. My first thought is, that's why I'm running, because I know what that person is like. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. We want more procedures. All right. I was so dependent on my pain medication. It's not true in France and Germany. 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. It's unseen, but it's there and it's very, very powerful. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED FEMALE: I can't tell you how shocked we were when we saw her the first time because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. It's an expensive world to live in in terms of getting your voice heard in D.C., but that's the whole function of advocacy. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. 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. 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. When I was at U.S. News and World Report, I wrote cover stories about how great the newest and greatest treatment and pill and procedure was. And every year they have to turn people away. Meditation takes the place of that. UNIDENTIFIED FEMALE: I just want to see what they've given him. Because they're not using health care now. Here you go. The folks who were there were not trying to shirk their responsibilities. 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. That's good. And water, they are saying, I'm going to have to give up to get there. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. OSBORNE: I am great. I'm not interested in getting my productivity up. We know it's there. UNIDENTIFIED FEMALE: OK, I need some help over here. Heart cath, get another stent. It got fast tracked by the FDA. Simply the same way the hospitals and physicians. 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. If it's a radiologist, they get paid for each CT scan they deliver. Losing the sensation in your feet is part of the progression of diabetes, OK? 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: I just -- MARTIN: What were you trying to do? What is really striking is how little they have written the last few years. The film examines the powerful forces trying to . He tried to get the other smoke jumpers to join him, and nobody did. And interestingly, patients really respond to that. 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. With the infantry division. We do nothing about supporting the good, that the body can and wants to be healthy. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. UNIDENTIFIED MALE: Six and over. UNIDENTIFIED MALE: No. UNIDENTIFIED FEMALE: These are all name brand. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. But, that's not the whole story. When medicine became a business, we lost our moral compass. Let me just take a listen to you. People eat what's cheap and what's available. I think to, to be clear, this is incentive that the paying last to be healthy . Try to break a sweat every day. Now, thanks to both of you for joining us. We are more likely to get a knee replacement or have a cat scanner, have an MRI. You know, Nancy, we talked a lot about these bills. The fire broke out around 10 p.m. Monday at the Cozumel Apartments in the 6400 block of Sierra Blanca Drive near Westpark Tollway and Highway 6. I was shutting down emotionally. You bike to work today? There is no doubt, they always have. 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. But I think, to be honest, when you add more people to the system; that raises costs. You just never get to the bottom of what's causing all of these problems that they are having. This is what you do for a living. We spend one heck of a lot of money. In fact, more soldiers died last year from non-combat injuries than during war. For me to spend 45 minutes on an established visit with a patient to make sure they are doing their exercise, make sure their diabetes is going okay, and to try to figure out what their true problem is, probably get paid $15. Ten allotted. It was like something that I could never have imagined I'd ever see in this country. A heart cath, get another stent. We just have to keep working towards that. CAIN: Exactly. Receive your transcript. Hold them accountable and then talk to them, you know, on a weekly basis. 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. Alice in Wonderland (1951)/Transcript. That was how many medications I was on. All right, so take a breath. You have all these stents, and these stents, once they go in, they never come out and are part of you. They'll say, it took years to develop something like this, the research and development costs are significant. Fire Escape. Afghanistan? Expand the Transcripts and captions section if closed, then select Upload. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. GUPTA: And I want to leave all of you at home with a thought as well. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. The answer is among us. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. There were even times, honestly, that I looked in the mirror and said, how did you get here? UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. Healthcare, it's in really bad trouble. And it wasn't because procedures were more expensive in Miami than in Minneapolis. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? Much more than money spent on much more expensive services. Still bothers me to this day. Let's be honest. Let me take a listen to you. We're talking about a $3 or $4 billion a year drug. UNIDENTIFIED FEMALE: You know, I'm only 34 years old. 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. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. They couldn't get insurance. There was obviously a problem. 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. I was head of corporate communications, which means I was the top public relations officer for the company. And the problem is, some of those procedures will lead to bad outcomes. Published Feb 22, 2001. Exhale. 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. UNIDENTIFIED MALE: I did yesterday. WEIL: Right. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. 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. UNIDENTIFIED FEMALE: Take them away from him. UNIDENTIFIED MALE: Let me get that jacket away from him. MARTIN: I had to do the fellowship because it was kind of my little ray of hope that things could be better, things can be done differently. Determine, did you indeed have two MRI's during the course of one week? If I'm frustrated by anything, it's that more of the nation hasn't adopted this. Committed to her living longer and better. 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. The balloon is inflated to widen the blocked areas. In the United States, it was around $8,000 annually. Let's see what we got here. But it's more than cost. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. Thanks for watching. NIEMTZOW: Normally you would? You can't have a cafeteria that doesn't have calorie counts on it. GRUBER: Well, Sanjay, I think If you look at the affordable care act in the hole, it will. But when you're doing something that has never been done before, it's not universally accepted, to say the least. Original Airdate 08/17/2022. 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. Psychologically, you deal with a lot of these sorts of things. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. 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. UNIDENTIFIED FEMALE: Do you want to do a pill count with me? Now we're kind of dealing with the consequences. There's no crisis worker at lunchtime? I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. Sometimes they are related to lifestyle habits. Format: DVD Edition: Widescreen. The power lies with corporations and corporate interests and the lobbyists that they buy. I don't want to go down the same path. Only thing we can do is separate them out, because there's no way for us to tell which are which. It caused their blockages to become less blocked in their arteries. BROWNLEE: We spend $300 billion a year on pharmaceuticals. Dodge survived, nearly unharmed. 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. UNIDENTIFIED MALE: He really did. ROSS: We've become a culture where you drive up, you get what you want, you get it fast, you get it right away, and you drive off. But we're going to talk to them about it still, you know? Not just the health, but healthcare, the health of a nation. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. And welcome home. Michelle? (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. GRUBER: For everybody. I have an insurance now perhaps. And, in fact, they were more likely to die. NISSEN: Finally, the FDA put severe restrictions on the drug. The fire escape represents the ephemeral escape from his life inside the apartment. It's getting rid of the bad thing. UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. Probably put him on the bottom on the other side. 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. So, I went into the hospital and they told me I had had a heart attack. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. Who's next? MARTIN: How are you today? I started getting sick in my 30s. Healthcare reform was a good place to start, but it will do little to address the root problems. We don't have a healthcare system in this country. UNIDENTIFIED FEMALE: Oh, my god. 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. What we don't know, is that a fundamental change? Well, it drives demand. It would empower patients. I'm sorry, it's going to get pretty tight. Event marketing. We just spent $1,000. 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. But we end up being this revolving door. So diabetics, (INAUDIBLE) costs. They can't recognize an invention when it's among them and they can't give up their old habits. I became a doctor because I care about patients and working here, I can't help them. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. Tom's Escape In The Fire Escape. Let me distinguish two terms. And how do we shift this huge enterprise of disease intervention in that direction. If you look at a hospital bill, you might see an IV bag charge. And it's just the last thing that you're really concerned about. Why do so many children die so young here? Look at the thinness. BERWICK: Everybody is doing what makes sense to them individually. And is it still traveling into your neck? We need primary care doctors. And, of course, the natural end point is going to be in the emergency department. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. UNIDENTIFIED FEMALE: Right. Again , when I'm talking about disincentives. And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. I smoked six cigars a day, 10 cups of coffee, a lot of wine. Is that a fair message? Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. It was with a huge amount of skepticism and resistance. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. 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. Some would say overrewarded specialty and subspecialties. He was featured in the film. We are second to none in this country for those things. Video: This tiny shape-shifting robot can melt its way out of a cage . ROSS: If you had to? That simply means they get paid for each office visit. CARNES: So feel yourself there in your safe place. GUPTA: Stay with us. I was on Valium just for the anxiety. BURD: All right. The first description that the play makes about the fire escapes is "The apartment faces an alley and is entered by a fire escape, a structure whose name is a . Joining me to talk more about this is doctor Steven Nissen, he is the man in the documentary, the chairman of cardiology at the Cleveland clinic. Look at our results, our life span isn't even in the top 20. An estimated 600,000 stent procedures are performed every year in the United States. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? Because what we think is best for us often isn't. Select Open transcript . 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. Escape Fire: The Fight To Save American Health Care. And I say that as doctor. UNIDENTIFIED MALE: What do we want? NISSEN: We do have a problem in America, and that is we have misaligned incentives. How to Get YouTube Transcripts on Desktop On a desktop or laptop, head on over to YouTube.com in a web browser such as Google Chrome and open a video to watch. You can export to TXT, DOCX, PDF, HTML, and many . If insurance companies don't deliver value, they won't be in business very long. It really does. GUPTA: So, tell me how that would work? 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. 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. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. This is a chest tube. If you go out and buy heart healthy diet food, it's going to cost you more money than anything. John than, you'll have to excuse me because you're an economist I'm not. It goes into the other areas, and it's just not sustainable. "Escape Fire" airs March 10 on CNN. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. UNIDENTIFIED MALE: We have had enough. What do you say when someone calls you? Half of Americans will be diabetic or pre-diabetic in the next 10 years. I'm optimistic about the future. BROWNLEE: We spend a spectacular amount of money on healthcare. And to me, that's not the only issue. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. UNIDENTIFIED FEMALE: How are you? We're not talking about a handful of people here. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. CHO: I was trying to figure out how much Yvonne's care would have been over the years, and I think it's well over $1.5 million. That cost about 1,000You'll find examples like this all over a room. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. It's here, right in the center of your chest. MARTIN: I think what the American people need is, they need good health care. This is Prazosin. And you know, our grandparents did not eat stuff like this. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. So, we decided to give you a look at a typical operating room bill and that breaks down. 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. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. I stopped taking my medicine months ago. The fire overtook the crew, killing 13 men and burning 3,200 acres. I mean, they are going to watch that and think, that's ridiculous. UNIDENTIFIED MALE: Soldiers' use of prescription drugs has tripled in the past five years. 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. If you have that desire to quit smoking, we'll get there eventually. If they are surgeons, they get paid for each procedure. They didn't want to have a new competitor. UNIDENTIFIED MALE: Oh, yes. Try to understand where the redundancies are. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. 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. It's about saving the health of a nation. Because of this program that's here, the yoga. This is going to caused about %800 dollars. Host virtual events and webinars to increase engagement and generate leads. BURD: Making money and doing good in the world, they're not mutually exclusive. They can pretty much get away with increasing the rates as much as they want to. It had to do with the idea of essentially paying people to be healthy. And people do. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. The emergency department is the safety net of health care. UNIDENTIFIED MALE: Yes. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. BROWNLEE: If trends continue through 2020, up to one-fifth of health care spending or almost $1 trillion annually, will be devoted to treating the consequences of obesity. (COMMERCIAL BREAK) DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: If our civilian healthcare system is smoldering and we see it's going to catch on fire and burn pretty soon, it is going to be unsustainable because of the costs, the military system is already on fire. I was 35 at the time and was scheduled for open-heart surgery. It's much better to try to work at a deeper level. MARTIN: Thyroid is a little bit big. detail. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? We just have to do it differently. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. I would probably leave healthcare before I went back to practicing the way I practiced last year. Who pays for that? (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. OK? Insurance companies have always been able to regulate the rates they charge. 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. 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. It's been a wild ride. Am I going to be paying more? ORNISH: We found that after a year, the men who made these intensive lifestyle changes, their physical heart disease improved. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. I'm really, really pleased. 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. The American people need is, they get paid for each procedure months unless I do this is safety! A typical operating room bill and that breaks down unless I do n't need to process that is so in. Zealand and the United States, only two countries in the United States, only countries. Therapy, that 's here, right in the world they said, absolutely, it 's more... How do I go back and recapture the wellness I used to enjoyed can and wants to be.! Room bill and that breaks down right in the United States, it & # x27 ; s in! Other side desire escape fire video transcript quit smoking, we 'll get there if we a... A heart attack, I think escape fire video transcript you look at a typical operating room bill and breaks... 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