JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? 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. Your arteries around the heart. That's going to be a little bit of a change and a little unfortunate. I'd rather be shot again than go through withdrawals of coming off that medicine. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. Simply the same way the hospitals and physicians. Afghanistan? How to make a healthy choices. I was a walking dead man. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? (END VIDEO CLIP) NISSEN: I was doing a Google search, and what I found was a Web site in the United Kingdom where the clinical trials done with Avandia were actually partially disclosed. How are you feeling? There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? Select "Show Transcript" from the menu. MARTIN: You used to cut? What would happen? The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. 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. That prevents tissues from renewing themselves in the body and diseases take hold. Where I'm at right now, patients are in desperate need of care. Those are the kind of things that would actually have an impact. It's just a terrible tragedy for patients. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. Rescue care is second to none. It had to do with the idea of essentially paying people to be healthy. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. First Published 08/18/22 12:02. read transcript. Co-directed by Matthew Heineman and Academy Award-nominee Susan Froemke (Lalee's Kin: The Legacy of Cotton), Escape Fire looks at a U.S. healthcare system designed to profit on disease not. Next, click the three-dot menu icon underneath the title of the video. UNIDENTIFIED MALE: Once I found out what was really wrong with me. Again , when I'm talking about disincentives. I can't be having heart problems. When telomere wear down and get frayed, the genetic material would get messed up. But this program has just inspired me to press forward. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. UNIDENTIFIED FEMALE: You know, I'm only 34 years old. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? Jonas, Wayne B., commentator. But with regard to prevention, preventing disease, does that save us money? NISSEN: Contrary to what most people believe, getting a stent in your coronary, if you have stable chest pain, will likely relieve your pain, but it will not help you live longer. BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. The film is about finding a way out. 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. And they have a hard time believing that these simple choices that we make in our lives each day can make such a powerful difference. And I thought, once I get this, I won't have the blockages anymore. (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. 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. Because they're not using health care now. BROWNLEE: We spend a spectacular amount of money on healthcare. The only other country, by the way, is New Zealand. You can export to TXT, DOCX, PDF, HTML, and many . Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? We have to teach young physicians that prevention comes first. 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. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. How are you? I lost a lot of good men. CAPT. You allow and encourage your employees to become healthier. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. It's about saving the health of a nation. This is incentives the system so that patient have a less specifically to be of picking the right choice. We're the only providers for. WEIL: It could get worse. The average per capita cost of healthcare in the developed world is about $3,000. When they have insurance and they have access to usual source of care, primary care. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. May everyone be healthy. They have a blockage that's not causing symptoms and yet they're actually having a procedure. UNIDENTIFIED FEMALE: How are you? Insurance companies have always been able to regulate the rates they charge. UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. Firefighters said they received about 12 calls . Cost about $1200. MARTIN: Thyroid is a little bit big. I was head of corporate communications, which means I was the top public relations officer for the company. The folks who were there were not trying to shirk their responsibilities. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. Psychologically, you deal with a lot of these sorts of things. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. 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. 0. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? Healthcare, it's in really bad trouble. 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. And ironically, it was only two hours away at the Cleveland Clinic. 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. 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. BERWICK: The healthcare system isn't affordable anymore. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. Now that Medicare is going to cover the heart disease program, the next step will be type 2 diabetes. Aladdin (2019)/Transcript. I was on anti-depressants. We're talking about a $3 or $4 billion a year drug. You know, Nancy, we talked a lot about these bills. It really does. 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. It was with a huge amount of skepticism and resistance. BURD: All we did was facilitate smart choices for people and develop this culture of health and fitness. Do you understand? BURD: Thirty percent of our smokers have quit, 21 percent of our obese population are no longer obese, and Safeway employees will be less of a burden on the Medicare of the future because they have adopted to this culture of health and fitness. (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. War's hell, it's always hell. Episode Number(s) 1 S03E01 03x01. I don't believe in that stuff. Things could move in that direction here, and this is not the choice of the doctor. CARNES: Release the breath in a smooth, even stream out. TUCKSON: Primary care doctors are being cared more. Seventy-three seconds into the 28 January 1986 . Power your marketing strategy with perfectly branded videos to drive better ROI. I know you're heading home and you're excited. The film interweaves personal stories with the efforts of leaders battling to transform it. MARTIN: When was your last mammogram and pap smear? It only reduces symptoms. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. Dodge survived, nearly unharmed. Type the text of what was said in your video and save it as a plain text file (.txt). And sometimes push the plate away. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. Much more than money spent on much more expensive services. 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. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. Fire Escape Transcript. JONAS: What it first seems like strange bedfellows, healing oriented mind/body practices and sort of the hardcore military actually is an opportunity that they jumped at because of the pragmatic need and nature that the wars had driven them to respond to. We have a model that works simply by making changes in diet and lifestyles. Do you want to tell me about some of those that you lost? Thank you all. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. 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. I mean, when the cost of some of the things we use on a regular basis. 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. But one evening, I sat straight up in bed with the worst chest pain. The fire escape represents the ephemeral escape from his life inside the apartment. And the actual costs for care here is among the lowest in the country. You almost forget that what you're doing is providing health insurance. I felt like there's got to be something different, something better. A lot of unnecessary stents? 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. UNIDENTIFIED MALE: Good, how have you been? I do it in my clinic all the time. Let me take a listen to you. The fire overtook the crew, killing 13 men and burning 3,200 acres. GUPTA: You feel better when you're healthier too. We have a disease management system. All right? We say they don't prevent heart attacks, they don't lengthen life. They can't recognize an invention when it's among them and they can't give up their old habits. I haven't touched my toes in months. GUPTA: United health care makes a lot of money. DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: With 10 years of ongoing wars, the amount of suffering that's going on in the military right now is tremendous. UNIDENTIFIED FEMALE: When I was a kid. Yvonne Osborn began suffering from severe chest pain at the age of 34. Aliens in the Attic/Transcript. I imagine the other smoke jumpers thought the guy was crazy, but his idea was this. So Doctor Rice, let me start with you. And if you look at the causes, especially with regard to that documentary, they say it's quote "because of a profitable disease care system." UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. We're dealing with the health of the nation. You don't necessarily make a lot of investments in preventive care for someone who's not going to be a part of your health plan for a long period of time. Compared to having your chest cut open? DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. 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. I mean, an obvious one is nutrition, which is almost omitted from medical education. Just sore. They are going to healthcare. It was either come and get care there or not get care at all. People go in and out of health plans. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. Am I going to be paying more? Students also viewed Com presentation 2 - This is an informative speech outline for com 101. See you soon. It's unseen, but it's there and it's very, very powerful. And the owners of those pockets do not want anything to fundamentally change. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. He's like really not listening very well. I smoked six cigars a day, 10 cups of coffee, a lot of wine. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. And those are surprising. It goes into the other areas, and it's just not sustainable. I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. People come in and you try to fix one thing and they come back for the same thing over and over and over. I was in the hospital for two weeks. Who pays for that? 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. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. 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. UNIDENTIFIED MALE: When do we want it? In Latin, it means, above all, do no harm. We could do 1,000 studies with a million patients, it would remain on the fringes, it's all about the Benjamins, as (INAUDIBLE) would say. I'm going to the emergency department. MARSHALL: Me, personally, I'm on a salary. This suture costs about $200. It's not just we know it, we actually can go and visit it. And that's parts of what a really great healthcare system would do. So diabetics, (INAUDIBLE) costs. Adding Avandia can help. And Doctor Nissen is in salaried as well. GlaxoSmithKline worked very hard to keep these numbers from the public. What does it look like over the next few years? If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. 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. 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 MALE: How's your pain, sir? Meditation takes the place of that. That was the message that, you know, I think was the you got from that documentary. 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