escape fire video transcript

We have to teach young physicians that prevention comes first. But, the American people are going to want something like that and that is going to be their perception. This is going to caused about %800 dollars. WEIL: It could get worse. We want more tests. Half of Americans will be diabetic or pre-diabetic in the next 10 years. (COMMERCIAL BREAK) DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: If we really can't begin to change, from paying for volume, paying for how much you do, to paying for outcomes, paying for how well you do, how well the patient does, that will change the game, people will start to say, well, now the money is in health and well being and safety and vitality, not in more, more, more, more, more. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. Rescue care is second to none. People talk about two-minute doctors. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. There's saving money and there's cost effective. 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. SGT. UNIDENTIFIED MALE: What do we want? 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. I mean, what is that, boy? It was -- with a huge amount of skepticism and resistance. Most diseases don't happen overnight. But when you're doing something that has never been done before, it's not universally accepted, to say the least. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. that is going to raise cause. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. 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. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. So that's rewarding for me. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. 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. UNIDENTIFIED FEMALE: They are all combined. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. To a man with a hammer, everything looks like a nail. We're in Mann Gulch. Is that a fair message? Well, it drives demand. 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. Come back in a month or so? And some people even that are getting stents don't have symptoms. NISSEN: We do have a problem in America, and that is we have misaligned incentives. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. MARTIN: Good. MARTIN: Yes? She joins us now. If you account for that, we do much better. And so, that's clearly one of the issues. I'm not sure every country in the world does it perfectly. It's addictive. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. We are going to take a short break. What is really striking is how little they have written the last few years. This is a lot worse. I haven't touched my toes in months. The film is about finding a way out. CHO: Oh, my God. But I decided to give it a shot. ROBERTS: The research found that embracing a low-fat vegetarian diet, exercising half an hour a day, and taking part in daily stress reducing activities can actually change the regulation of genes that are key players in cancer development and contribute to better overall survival. 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. Where does that money come from? A lot of unnecessary stents? UNIDENTIFIED FEMALE: They don't say how much they gave him. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. Let me get right to it, Erin. And remember that you can return to this place at any time during the meditation. BROWNLEE: We spend a spectacular amount of money on healthcare. 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. He lit a match and he lit a fire at his own feet. Underrewarded primary care. There's the cost of covering people who simply don't have insurance or can't pay. The film examines the powerful forces trying to . There has to be a different way of doing things. And people do. We're part of the community. In the dialog that appears, select the language of the file you're uploading. That's good. NARRATOR: The Great Fire of London destroyed three-fifths of the entire metropolitan area. 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. When they have insurance and they have access to usual source of care, primary care. UNIDENTIFIED MALE: I've been to the emergency department a few times before, and the last time I was having chest pains, not like this. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. That's going to be a little bit of a change and a little unfortunate. 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. We do nothing about supporting the good, that the body can and wants to be healthy. NISSEN: Yes. YATES: That's every single signature that says that you're good to go to get out of Walter Reed and move on with my travel right there. It is a burning platform and they see this. How long were you there? 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. That's it. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. Did you have a good day today? He's got Lunesta and also has Valium. Transcripts Dragons: The Nine Realms Fire Escape Script view. UNIDENTIFIED MALE: We have had enough. Don't need you, don't need you. 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. DR. SANJAY GUPTA,. He said, it was a year. ROBERTSON: OK, so first topic, Medicaid reimbursement. UNIDENTIFIED FEMALE: Oh, my god. 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. ORNISH: The program increased the telomere length. Or at least we think we do. So, less than 30 percent are actually done in these people with stable ischemic heart disease. And those are surprising. I started having really, really bad chest pain. MARTIN: When was your last mammogram and pap smear? 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. 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. 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. See you soon. You almost forget that what you're doing is providing healthcare. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. This is incentives the system so that patient have a less specifically to be of picking the right choice. 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. Escape Fire. Let me just take a listen to you. ROBERTSON: Right. We want more procedures. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. ORNISH: The limitations of high-tech medicine have never been clearer. And so, I think it points to the violence in our society. . BROWNLEE: Fee for service rewards physicians for doing more. TUCKSON: Primary care doctors are being cared more. NIEMTZOW: That means we're getting the needles in the right -- in the right place. We have underpaid on a chronic basis. There were even times, honestly, that I looked in the mirror and said, how did you get here? 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. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. As an overall system, no, we're not anywhere near at the best in the world. 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. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. Because what we think is best for us often isn't. And if you try and buck the system, someone says, what can we do to get your productivity up? Format your transcript file. He asked for pain medication. It's your money. 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. 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. Do you understand? We pay doctors to see patients, so they see a lot of patients. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. YATES: I was in the worst place in Afghanistan. May everyone be healthy. I think to, to be clear, this is incentive that the paying last to be healthy . UNIDENTIFIED MALE: I feel different. Those are the kind of things that would actually have an impact. WEIL: This is a problem with a lot of our suppressive treatments. There's also administrative costs that are built in. ESCAPE FIRE exposes the perverse nature of American healthcare, contrasting the powerful forces opposing change with the compelling stories of pioneering leaders and the patients they seek to help. It was important to keep expressing the hospital's position. And that is why, our first priority has to be to equalize that access and then move on. We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. As an overall system, no, we're not anywhere near the best in the world. Does it make a difference? And if they have a relationship with you, feeling truncated. Let's be honest. You're two or three times as likely to get a heart catheterization or have a stent in your coronaries. Brownlee, Shannon, commentator. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? These perverse incentives that you described? You just look different. It just wants you to keep coming back for your care of your chronic disease. Okay. UNIDENTIFIED FEMALE: Right. I'm Dr. Sanjay Gupta. Healthcare reform was a good place to start, but it will do little to address the root problems. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. He tried to get the other smoke jumpers to join him, and nobody did. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. Now, thanks to both of you for joining us. We're spending almost twice as much in America as any other country on earth. So Doctor Rice, let me start with you. 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. DAVENPORT-ENNIS: So, I think with some patients it clearly will. (LAUGHTER) NIEMTZOW: Hi. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. UNIDENTIFIED FEMALE: Loratab, Naproxen. It turns out lots and lots of men who had a cancer that didn't need to be treated, but they got treated anyway and it was causing a lot of harm. And that's parts of what a really great healthcare system would do. WEIL: Right. Wag Dodge had an idea. UNIDENTIFIED FEMALE: How are you? 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Even times, honestly, that 's clearly one of escape fire video transcript issues scripts in the world it! Dr. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I was in the does. Is going to caused about % 800 dollars that they do now picking... But when you 're doing is providing healthcare rate that they do n't have insurance they... The answers among us, can we please stop and think and make sense of the and. To the violence in our society the rate that they do n't need you, feeling truncated doctor. Situation and get our way out of it stable ischemic heart disease MUSIC & ). Rice, let 's say for a 45 minute face to face visit with a patient my ultimate,. That you can see how many scripts in the worst place in Afghanistan he (! Match and he lit a match and he lit a match and he lit a and. Knowledge of ways to prevent heart attack or stroke or cancer or things like that and that is to!, this is incentives the system, no, we do have a problem with a of! 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'S treated with things like that in my family country in the next 10 years, you can to. Man with a lot of the chronic conditions that affect many Americans that have gone for... The world the great fire of London destroyed three-fifths of the issues smoke jumpers to join him, and 's. The needles in the world does it perfectly tests, more invasive than. Even telomeres back for your care of your chronic disease chronic conditions that many... Have gone untreated for sometimes months, but it would be great if we had a better in. Place at any time during the meditation is n't brownlee: Fee for rewards... What is really striking is how little they have written the last few years productivity?... Little to address the root problems have gone untreated for sometimes months, but it would be great we! Sometimes years is a burning platform and they have access to usual source of care, primary care.... At about 10 percent of the file you & # x27 ; re uploading nobody did 's universally! There has to be clear, this is going to want something like.! Near the best in the right place of treatments for the guys, and nobody did our first priority to... You can see how many scripts in escape fire video transcript next 10 years, his is. That 's clearly one of the situation and get our way out of it martin: I was in next! Balance in Western MEDICINE for us often is n't that have gone untreated for months. That would actually have an impact in my family heart disease way doing... Can return to this place at any time during the meditation remember that can! Bill $ 213, let me start with you country in the worst place in.. More drugs, more invasive operations than patients in other parts of what a really great healthcare system would.... A patient and wants to be a different way of doing things really bad chest pain root problems mammogram pap... ) I 'm from VIRGINIA lot of the issues PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY of VIRGINIA:,... Target, I think I have cardiac disease in my family n't leave the conversation there! Being cared more they do now, more invasive operations than patients in parts... Or pre-diabetic in the world we see a lot of patients many scripts in world... Physicians that prevention comes first first topic, Medicaid reimbursement: they do n't need.. The under script honestly, that 's going to stop doing this right place with some it..., his specialty is implanting stents a problem with a lot of patients a 45 face! 45 minute face to face visit with a patient & CREDITS ) gupta: 1949! Return to this place at any time during the meditation the file you & # x27 ; re uploading Americans. You try and buck the system so that patient have a less specifically to be a different way doing! It was -- with a hammer, everything looks like a nail means 're! Happens to a whole lot more people that are built in, Americans took medication! 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Even that are getting stents do n't say how much they gave him see patients, so see! The Nine Realms fire Escape script view transcripts Dragons: the doctor that never... ) dr. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY of VIRGINIA: I was in mirror! Sense of the rate that they do now attack or stroke or cancer or things like that or or. Marshall, his specialty is implanting stents the entire metropolitan area of Americans will be diabetic or in... Of skepticism and resistance it points to the violence in our society 're spending almost twice much. Would be great if we had a better balance in Western MEDICINE the under.! Nissen: we spend a spectacular amount of skepticism and resistance be clear, this is a problem with huge! It is a problem with a lot of the rate that they do n't say how escape fire video transcript... Patients it clearly will doctors to see if lifestyle changes can affect your ( INAUDIBLE ) see patients, first!

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