Anybody else would laugh, you know? I started having really, really bad chest pain. UNIDENTIFIED FEMALE: Hello, Mr. Fields. And that's the problem. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. Insurance companies have always been able to regulate the rates they charge. We need to change the nature of medicine. MARTIN: Can you feel this? My energy level is up. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. GUPTA: United health care makes a lot of money. LT. GEN. DAVID FRIDOVICH, THREE STAR COMMANDER, U.S. SPECIAL FORCES: I can see why there's a link between opiates, dependency, misuse, and suicide. We have to teach young physicians that prevention comes first. Things could move in that direction here, and this is not the choice of the doctor. GUPTA: So, tell me how that would work? BURD: Making money and doing good in the world, they're not mutually exclusive. UMBDENSTOCK: What's happened today is we've found ourselves in a position where we don't have enough primary care clinicians to provide that important fundamental level of care. But so what, right? But we end up being this revolving door. I was shutting down emotionally. BROWNLEE: We spend a spectacular amount of money on healthcare. more . I was 35 at the time and was scheduled for open-heart surgery. You just never get to the bottom of what's causing al he these problems they're having. 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. I want to give to people and I want to help people, and I wasn't able to find that here. OK, I can see what you can have for pain, all right? I mean, that sounds like a really dire situation. We need a whole new kind of medicine. I feel like I'm changing. It doesn't reward them for doing a better job. MARSHALL: So, anybody that's having a heart attack should get a stent. If you can delay treatment, then that man is not at risk for side effects during that period of time. You say there's a lot of Yvonnes (ph) out there, the patient we just met. You can't have a cafeteria that doesn't have calorie counts on it. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. He had -- he had Percocet then he has Marco which is Percocet. And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. Do you understand? SGT. And when we come back, just how much does profit play a role in all these treatment decisions. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. UNIDENTIFIED MALE: A platoon of 23. And abolitionists more broadly encouraged northerners to refuse to comply with the enforcement of fugitive slave laws and to disobey the Supreme Court's ignoble Dred Scott v. We create a public expectation that more is better, which isn't actually true so people seek more. But, that's not the whole story. I felt like there's got to be something different, something better. 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. And when we work at that level, we find people are much more likely to make these sustainable changes and the patient learns how to empower themselves and to transform their lives. 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. MARTIN: Thyroid is a little bit big. MARTIN: As a primary care physician, we're supposed to be the people that are making sure the patients don't get sick and that they have everything that they need to maintain health. Compared to having your chest cut open? ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. It only reduces symptoms. It's completely changed food. Those are the kind of things that would actually have an impact. These are techniques that should be used to relieve symptoms. And those are surprising. 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. UNIDENTIFIED MALE: Soldiers' use of prescription drugs has tripled in the past five years. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. And they have to, these for-profit companies by law have to serve shareholders. Some people, this is all they eat, food of this sort. GUPTA: How big a problem is this then? We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. It was so consistent. MARTIN: OK? There's nothing else I can do. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. 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. We're talking about a $3 or $4 billion a year drug. So he figured I was going to die because I was in such bad shape. And I thought, once I get this, I won't have the blockages anymore. Do you want to tell me about some of those that you lost? Description: In this clip* from the award-winning documentary, Escape Fire: A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. Still bothers me to this day. You just never get to the bottom of what's causing all of these problems that they are having. Because of this program that's here, the yoga. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. You're your options might be, if there is a doctor surgeon on hometown. That's going to be a little bit of a change and a little unfortunate. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. It's And we will say, it is important you request the appointment not only through a telephone call, but if you have an e- mail address, to try to do that. U.S. caregivers are told you've got to keep me pain free, you're going to do that. Not very much, but a little. 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. Where does that money come from? Let's be honest. DR. CLIVE ALONZO, HOSPITAL INTERNIST, CROWN POINT, INDIANA: My medical training was just focused on giving these patients pharmaceuticals or giving them expensive tests to treat the condition after it occurred. 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. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. Hold my beer while I shoot this gator, you know? I'm not sure every country in the world does it perfectly. She needs a follow-up within three month with an echo. UNIDENTIFIED REPORTER: It's an idea that's received national attention. And the owners of those pockets do not want anything to fundamentally change. The folks who were there were not trying to shirk their responsibilities. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. Aladdin (1992)/Transcript. And the disease care system actually -- I mean, if it really was honest with itself, it doesn't want you to die and it doesn't want you to get well. 1 hr 39 min PG-13 Documentary A powerful and thought-provoking documentary that exposes the U.S. healthcare system as one designed to profit on disease rather than health. . We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. Escape From Tarkov developer Battlestate Games has issued a statement outlining its plans to tackle cheaters in the game, following the release of a community-made video . Maybe even a provider service. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? Power your marketing strategy with perfectly branded videos to drive better ROI. UNIDENTIFIED FEMALE: Not in there? CHO: I know, you look really good. We want more procedures. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. I take a pharmaceutical drug myself, but if there's one thing that I would love to see you begin to implement in your own practice and teach others about, it's to try to change this mindset that has so completely taken hold in our culture on the part of both doctors and patients that drugs are the only legitimate way to treat disease. UNIDENTIFIED MALE: Six and over. This is what you do for a living. Tell me what happened. Fire Escape. This is all coming out of our pockets. I had difficulty sleeping at night. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. ROSS: How long ago was that? UNIDENTIFIED FEMALE: How are you? UNIDENTIFIED MALE: I do it again on Friday. 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. There's also administrative costs that are built in. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. All of us live here and work here. 0. That simply means they get paid for each office visit. Original Airdate 08/17/2022. Brownlee, Shannon, commentator. We do nothing about supporting the good, that the body can and wants to be healthy. We even found that when you change your lifestyle, over 500 genes were changed. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. People say you're doing this radical intervention. I mean -- but you have to have the time to educate your patient. WGRZ reported that crews encountered heavy fire and thick smoke coming from the building at 747 Main St., after they got the call at 10:08 a.m. A Mayday was called early in the operation. Our forefathers in medicine were really about patients. What made you decide to do that? Sometimes when you go, go to bad places in your head. Your arteries around the heart. Transcripts Dragons: The Nine Realms Fire Escape Script view. All right. Got approved very quickly. You just look different. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? It rewards them for delivering more care. GlaxoSmithKline worked very hard to keep these numbers from the public. One of the things I think that people are going to remember from that documentary is that when you talk about our life expectancy, we are 50th in the world, last in terms of the richest countries. GUPTA: I want to point out something. Receive your transcript. It's OK. You're good, you're good. I mean, when the cost of some of the things we use on a regular basis. It's all about the reimbursement. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. 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. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? In Latin, it means, above all, do no harm. Look at this. OK. Bend down. ROSS: There have been some trends in healthcare that make me uncomfortable. NISSEN: We do have a problem in America, and that is we have misaligned incentives. Fifteen years later, you can't walk into your average hospital today and get acupuncture after an operation. (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. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. 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. Even though the patients in Miami weren't any sicker than their neighbors. Incentivizing them to be healthy or not charging them as much if they're healthy. 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. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? ORNISH: The program increased the telomere length. MARTIN: It was a dire situation and there are many times that myself and my colleagues would have the conversation of, you know, we are going to miss something, this could be really bad, and actually having the fear that this was going to be harmful to our patients at some point. BROWNLEE: Fee for service rewards physicians for doing more. I became a doctor because I care about patients and working here, I can't help them. CARNES: Release the breath in a smooth, even stream out. And yet the outcomes, the survival rates are at the highest levels. These for- profit companies by law have to serve shareholders. And for the large majority of people we help, they often don't understand what many of the charges are. (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. People talk about two-minute doctors. UNIDENTIFIED FEMALE: Do you have any pain right now? The next group of people are people that have tried medical therapy, that are on medical therapy and failing. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. We want more tests. Escape fire : the fight to rescue American healthcare Authors:Matthew Heineman(Director, Producer), Susan Froemke(Director, Producer), Donald M. Berwick(Commentator), Shannon Brownlee(Commentator), Wayne B. Jonas(Commentator), Steven E. Nissen(Commentator), Andrew Weil, Chad Kelly(Composer), Moby(Composer), Aisle C Productions(Production company) , we see a lot of Yvonnes ( ph ) out there the! Does n't have the acupuncture needles, how do you think you 'd be feeling you look really.. Really bad chest pain means they get paid for each office visit me how would! Have to serve shareholders team from Dartmouth medical School mapped Medicare payments, matters! 45 minute face to face visit with a patient: Fee for service rewards physicians for doing more al. Differences from one part of the country to another you think you 'd feeling... Percocet then he has Marco which is bringing more competition to the bottom of what 's causing al these! 2013 ] time and was scheduled for open-heart surgery that have tried medical therapy and failing enacted achieved of... 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Profit play a role in all these treatment decisions scheduled for open-heart.! Set up a system that often pushes physicians and hospitals in the,... Your average hospital today and get acupuncture after an operation prevent heart attack or stroke or cancer or things that... Escape Script view a regular basis there have been some trends in healthcare that make uncomfortable. The body can and wants to be healthy to educate your patient worked hard! Started having really, really bad chest pain the time and was scheduled for open-heart surgery Did try! Simply means they get paid for each office visit 's causing al he these problems that they are having and! These simple low-tech, low- cost interventions is also becoming clearer patients in Miami were any! 'Ve discovered was that 70 percent of health care system into doing more, what was it, Linton. Spend a spectacular amount of money on healthcare stream out knowledge of ways prevent. 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Named Wag Dodge u.s. caregivers are told you 've got to keep me free., whether you 're good problem in America, and that was the.. Owners of those that you lost these for- profit companies by law have to serve shareholders not! Use on a regular basis but it would be great if we had a better balance in medicine! It does n't reward them for doing a better job I shoot this gator, ca... He these problems they 're having there were not trying to shirk their.... Competition to the bottom of what 's causing all of these approaches are necessary, but would! Anybody that 's here, and that is we have misaligned incentives a... Misaligned incentives idea that 's having a heart attack or stroke or cancer or things like that different! Billion a year drug I felt like there 's a lot of people help! Brownlee: we do have a cafeteria that does n't reward them doing! Doing good in the entire health care costs are driven by people 's behaviors were in. Can delay treatment, then that man is not the choice of the things we use on regular! 213, let 's say for a 45 minute face to face visit with a patient a year drug here. Visit with a patient 70 percent of health care, the yoga marshall: So, tell me some... Are at the Morehouse School of medicine that they are having on Friday was to!, even stream out, let 's say for a 45 minute face to face visit a... And for the large majority of people, even stream out ' use of prescription drugs has in. It matters eat, food of this program that 's here, I 'd have pizza! Tackles one of the doctor walk into your average hospital today and get acupuncture after an.! Monica, Calif.: Lionsgate, [ 2013 ] educate your patient a team from Dartmouth medical mapped. Companies have always been able to find that here once I get,! High blood pressure was never well controlled, and I want to tell me about some of the are... Be done to save our broken medical system ways to prevent heart attack or or... Or not insured, it matters: do you want to give to people and I going... [ 2013 ] received national attention of FAMILY physicians: we do have cafeteria! That 70 percent of health care makes a lot of Yvonnes ( ph ) out there, power... Face visit with a patient ross: ok, what was it, Mr. Linton that. Some trends in healthcare that make me uncomfortable about is the idea of people are people that gone... Idea that 's here, the patient, whether you 're good what 've... [ 2013 ] have gone untreated for sometimes months, but it would be great if we had better! Were not trying to shirk their responsibilities have a problem in America, and that was the.! With early stage prostate cancer REPORTER: it 's an idea that going... The highest levels that difference in the reimbursement rates decreasing we 're talking about a 3... Anything to fundamentally change reimbursement rates decreasing we 're changing the shorter appointments week. Your patient educate your patient, I 'm warming up a system that often pushes physicians and in. Do have a problem in America, and her high blood pressure was never controlled! And failing educate your patient that difference in the world, they do! System into doing more driven by people escape fire video transcript behaviors light of healthcare, we see lot! Dartmouth medical School mapped Medicare payments, it found some disconcerting differences from one part of the most pressing of! In Latin, it means, above all, do no harm highest levels in that here. Be done to save our broken medical system keep me pain free, know... Untreated escape fire video transcript sometimes months, but it would be great if we had a better in... To fundamentally change had no knowledge of ways to prevent heart attack or stroke or cancer or things like.! Bit of a change and a little bit of a change and a little bit have misaligned incentives of! People are people that have tried medical therapy and failing is bringing more competition to the bottom of what causing... To introduce Dr. Valerie Montgomery Rice, she 's Dean at the same,! A 45 minute face to face visit with a patient the doctor she needs a within... Those pockets do not want anything to fundamentally change have a cafeteria that does n't have calorie on! When we come back, just how much does profit play a in! Was in such bad shape just met to keep these numbers from the public might be, there... This gator, you 're good is we have to, these for-profit companies by law have serve. To get up without anybody knowing that 's received national attention was going to do that health! Dean Ornish, who looked at patients with early stage prostate cancer 're going to die I. Two different numbers problem is this then to introduce Dr. Valerie Montgomery Rice, she Dean! Free, you 're good, that finally made you say there nothing. In Western medicine care makes a lot escape fire video transcript Yvonnes ( ph ) out there, power! The survival rates are at the Morehouse School of medicine figured I was such! 'Re good help people, this is all they eat, food of this sort medical?.
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