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. So tired of it. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. It's unseen, but it's there and it's very, very powerful. What we don't know, is that a fundamental change? 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. 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. There are answers, we know what safe care looks like. We have a disease management system. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. UNIDENTIFIED FEMALE: OK. We have a model that works simply by making changes in diet and lifestyles. And when we come back, just how much does profit play a role in all these treatment decisions. MARSHALL: It doesn't matter if I do one stent or five or ten stents. UNIDENTIFIED MALE: Not, not when I'm doing that. He tried to get the other smoke jumpers to join him, and nobody did. So, I went into the hospital and they told me I had had a heart attack. Half of Americans will be diabetic or pre-diabetic in the next 10 years. You will learn if your health care costs are going to go down any time soon. How are you feeling? UNIDENTIFIED MALE: I feel different. It's generating rivers of money that are flowing into very few pockets. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. OK, I can see what you can have for pain, all right? People go in and out of health plans. Get educated on these issues and add your voice to a growing chorus for change. 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. The, you know, the food that we eat and the nutrition that we put in our body, that's been around since the beginning of time. The power lies with corporations and corporate interests and the lobbyists that they buy. The patient just fell off the litter. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. UNIDENTIFIED FEMALE: Right. If they are surgeons, they get paid for each procedure. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. I tried to get him up, he just rolled himself out. 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. Our approach here is completely holistic. UNIDENTIFIED FEMALE: Nine months? UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. You just never get to the bottom of what's causing al he these problems they're having. But I decided to give it a shot. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. 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. 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. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. And some people even that are getting stents don't have symptoms. I mean, everyone wants that probably in every system. And, of course, the natural end point is going to be in the emergency department. UNIDENTIFIED MALE: Six and over. You know, they'll actually fix it. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now, at saving literally thousands of dollars over the past few years by being healthier. And they formed a group practice they decided that they would pay themselves a salary and the money that was left would go back into growing the organization. Firefighters said they received about 12 calls . We say they don't prevent heart attacks, they don't lengthen life. GRUBER: Premiums will rise. BROWNLEE: We spend $300 billion a year on pharmaceuticals. That Medicare bidding demonstration. I was shutting down emotionally. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. 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. He overdosed. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. And chromosomes have all genetic information on them. I mean, the impression I think was a little misleading there, don't you think Nissen? Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. It's not just we know it, we actually can go and visit it. There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. An estimated 600,000 stent procedures are performed every year in the United States. The kinds of interventions that we have come to favor in this country are inherently costly because they are dependent on expensive technology, and that includes pharmaceutical drugs. MARSHALL: Yes, sir. 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. 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. It caused their blockages to become less blocked in their arteries. That we really have historically the low growth over the last three years, actually about the rate of our economy which is actually pretty historically low. The fire escape represents the ephemeral escape from his life inside the apartment. UNIDENTIFIED MALE: I love you, too! 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. Receive your transcript. UNIDENTIFIED FEMALE: I just want to see what they've given him. If you have that desire to quit smoking, we'll get there eventually. OK? UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. It takes a village to make an unhealthy patient healthy. CARNES: Notice where you are in the room, the people around. Thank you so much. People eat what's cheap and what's available. 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. He's, like, clutching his head. Episode Number(s) 1 S03E01 03x01. UNIDENTIFIED FEMALE: Now you pick your spot. I was a bit surprised. I could hardly just about walk three steps and I'd have to stop and rest. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. . But we end up being this revolving door. 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. And those are surprising. I'm not sure every country in the world does it perfectly. Good. UNIDENTIFIED MALE: Oh, yes. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. Link 'n' Share. And people do. ROBERTSON: It's a financial necessity. MARTIN: And they don't reimburse for nutritional counseling or anything like that. Because I've gotten a lot of inspiration from the fellowship. OSBORNE: I am great. Select "Show Transcript" from the menu. Everybody agrees on that. BURD: All right. It's your money. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. You can export to TXT, DOCX, PDF, HTML, and many . And if they have a relationship with you, feeling truncated. That's going to be a little bit of a change and a little unfortunate. Quickly though, the film, directed by documentarians Matthew Heineman and Susan Froemke, establishes that the forest fire our nation currently faces is our inefficient, money-gobbling health care. It would empower patients. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. OK? UMBDENSTOCK: Why? (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. Do you understand? And in some ways, I think of a lot of what's happening in health care is kind of dark matter. NIEMTZOW: So you haven't taken anything? It was wonderful. 2. DAN BULLIS, WALTER REED ARMY MEDICAL CENTER, DEPLOYMENT HEALTH CENTER: Post-traumatic stress disorder, PTSD, is an individual's reaction to the exposure and experiences of war. To get the best results, use these formatting tips: To force the start of a new caption . YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? It was either come and get care there or not get care at all. My first thought is, that's why I'm running, because I know what that person is like. Try to understand where the redundancies are. UNIDENTIFIED MALE: That's pretty good. We create a public expectation that more is better, which isn't actually true so people seek more. Hello, how are you? If you're in the system, do you access of if you are insured, if you are living in a safe neighborhood, your outcomes are great in America. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. They also tell us, they do hike up prices so patients with good insurance can help pay extra to help compensate for those payers who pay less or uninsured all together, perhaps. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: This is a national problem for us, you know, we're seeing the military just being a microcosm, I think, of the problems society is having. We need a whole new kind of medicine. (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. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. But, in fact, the more I looked, the more I found that there's all this stuff in medicine that we don't think about that is actually harmful. I just could not continue doing what I was doing. 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. This is a lot worse. Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ($3.99). 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. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. So we provide incentives for people to engage in healthier behavior. 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