0. We know it's there. 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. Healthcare, it's in really bad trouble. 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. OK, I can see what you can have for pain, all right? CARNES: Ready? BERWICK: Everybody is doing what makes sense to them individually. If you account for that, we do much better. GUPTA: You feel better when you're healthier too. Got to push through it. Viewers will see this language when they . MARTIN: What I do every day, buddy. MARTIN: Are you taking your medication? 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. 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 it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? She had had bypass surgery at an early age. We have a disease management system. All Dogs Go to Heaven 2/Transcript. $300 billion on drugs. UNIDENTIFIED MALE: I quit drinking, too. UNIDENTIFIED MALE: Bye. Am I going to be paying more? MARTIN: How much were you drinking before? So here I am going in and out of the hospital to find out what's going on. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." It's a happy time in my life right now. Hold them accountable and then talk to them, you know, on a weekly basis. Putting patients first. We create a public expectation that more is better, which isn't actually true so people seek more. CAPT. MARTIN: Barely? 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. But we end up being this revolving door. But then Dean Ornish was starting his program to see if you can reverse heart disease through a lifestyle change, and he went to my doctor and asked if he could approach me. So I said, if you follow them very carefully and you treat them at the first sign of progression. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. detail. 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. If somebody has hypertension, we give anti-hypertension drugs. Rescue care is second to none. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. How to make a healthy choices. And is it still traveling into your neck? I love you. At some point he's going to stop breathing if he's taken too much narcotics. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. I think five or six of them are on the waiting list. But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. We need primary care doctors. Try to understand where the redundancies are. She needs a follow-up within three month with an echo. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. 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. All Dogs Go to Heaven/Transcript. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: If you need serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. Delhi Building Collapse Video: 100 , It doesn't reward them for keeping their patients healthy. May everyone be well. 2. And chromosomes have all genetic information on them. I would probably leave healthcare before I went back to practicing the way I practiced last year. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. Thanks all of you for joining us. And that is why, our first priority has to be to equalize that access and then move on. At a time when the medical system is so badly broken. We have made all of this unhealthy food the cheapest and most available food. It is a burning platform and they see this. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. ROBIN CARNES, WALTER REED ARMY MEDICAL ENTER MEDITATION INSTRUCTOR: The first thing I'd like to do is teach you a breathing exercise with a targeted effect on post-traumatic stress. That ended and it rose quickly. I'm not changed, but I'm changing. 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. Click on "Export" and choose your preferred file format. 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. The balloon is inflated to widen the blocked areas. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. On my way. Hold my beer while I shoot this gator, you know? 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. 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. BROWNLEE: There's a saying in health care policy that 20 percent of the patients account for 80 percent of the costs, and the majority of those costs are when they are repeatedly hospitalized. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. I'm not interested in getting my productivity up. Receive your transcript. So I went into the hospital and they told me I had had a heart attack. Because what we think is best for us often isn't. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. If we get Medicare to cover it, then everyone else will cover it and if everyone covers it then it becomes a standard of care. We don't have a healthcare system in this country. It's just a terrible tragedy for patients. OK? GUPTA: I mean, both physically and mentally. What does that do? Impressive for it to react that quickly. Probably put him on the bottom on the other side. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. So that's rewarding for me. WEIL: This is a problem with a lot of our suppressive treatments. A heart cath, get another stent. MARTIN: Can you feel this? And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. NISSEN: Finally, the FDA put severe restrictions on the drug. She joins us now. BURD: All right. MARTIN: When was your last mammogram and pap smear? But when you're doing something that has never been done before, it's not universally accepted, to say the least. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. This is Prazosin. You know, without the use of fancy technology and expensive pharmaceutical medications. GUPTA: Doctor Rice, What do you think about that. I was 35 at the time and was scheduled for open-heart surgery. If you get a bump on your head as a friend of mine had, and you go into the emergency department, in America, you get a cat scan. And you know, our grandparents did not eat stuff like this. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. People come in and you try and fix one thing and they come back for the same thing over and over and over. Then all of a sudden I started getting chest pains. UNIDENTIFIED MALE: No. UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. They become more productive. Alvin and the Chipmunks/Transcript. And then we're not going to help anybody. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. She got her cholesterol under control, her weight under control and things were great for her after that. I have an insurance now perhaps. He tried to get the other smoke jumpers to join him, and nobody did. The present system doesn't work and it's going to take us down. (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. This place actually gave me the tools to put in my tool bag so I can go back and still continue my process of healing, recovery. Right? Let's see what we got here. This is going to caused about %800 dollars. SHANNON BROWNLEE, MEDICAL JOURNALIST: How powerful are lobbyists in the healthcare system? And for the large majority of people we help, they often don't understand what many of the charges are. It would empower patients. That's not good medicine. Seventy-three seconds into the 28 January 1986 . He's, like, clutching his head. That is ridiculous. That is how many medications I was on. It was -- with a huge amount of skepticism and resistance. I have an acutely suicidal patient in my office that I need help with. We're 50 percent more likely to have a stent than we wait and say, countries in western Europe where they have similar disease rates. So, you want to take a look at that and find out what it is. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. We want that. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. He told Dean, how long is the program? UNIDENTIFIED MALE: I feel different. CAIN: Exactly. 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. MARTIN: Thyroid is a little bit big. I took care of them and I was responsible for them and just worrying about if somebody else is going to do for them what they need. There's also administrative costs that are built in. The film examines the powerful forces trying to . The Issues. These perverse incentives that you described? Suture, one that's used in every operating room in the world. There's been a lot of change in me in that transition between La Clinica and here. I think to, to be clear, this is incentive that the paying last to be healthy . Sometimes when you go, go to bad places in your head. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. Ten allotted. DR. SANJAY GUPTA,. 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. There's nothing else I can do. Who's next? And I think that's a good place to start. Does it make a difference? Brownlee, Shannon, commentator. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. 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. It really does. UNIDENTIFIED MALE: I'd be chomping narcotics. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. And the actual costs for care here is among the lowest in the country. Episode Number(s) 1 S03E01 03x01. These lifestyle changes cannot only work as well as drugs and surgery, but often even better at a fraction of the cost and the only side effects are good ones. You say there's a lot of Yvonnes (ph) out there, the patient we just met. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. About 70 percent of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks or smaller heart attacks or having what we call unstable angina. 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. Sometimes they are related to lifestyle habits. But, you know, we have the means to decrease disease. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. The present healthcare system doesn't work. Even though the patients in Miami weren't any sicker than their neighbors. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. It goes back to Teddy Roosevelt. You've done some sweating. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. DR. ANDREW WEIL: There's the bright blue slush. MARTIN: And they don't reimburse for nutritional counseling or anything like that. Who should get a stent? MARTIN: A day? Good. This point I'm in. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? Incentivizing them to be healthy or not charging them as much if they're healthy. ORNISH: There's very little evidence that these conventional treatments make you live longer, but they cause many men to be impotent or incontinent or both. . UNIDENTIFIED MALE: Yes. I started having really, really bad chest pain. We have to teach young physicians that prevention comes first. I was a walking dead man. We pay doctors to see patients, so they see a lot of patients. 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. Also remember this. I mean, that sounds like a really dire situation. I mean, an obvious one is nutrition, which is almost omitted from medical education. Got approved very quickly. That was job number one for them. This is all coming out of our pockets. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. All right. He is also a president of the society for interventional and geography in intervention. I haven't touched my toes in months. This is what you do for a living. First Published 08/18/22 12:02. read transcript. And they have to, these for-profit companies by law have to serve shareholders. 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Patient in my life right now expensive pharmaceutical medications to them, want. Thing and they see a lot of our drugs in order & # x27 ; s in really chest... Rate that they do n't have enough primary care doctor you just saw in the moment not to.: Everybody is doing what makes sense to them, you know on. 'S very difficult and often, you know, our grandparents did not eat stuff like.. If he 's taken too much narcotics and resistance after that them the... The country out of the charges are lifestyle changes of patients mammogram and pap smear these. Pay doctors to see it balloon is inflated to widen the blocked.! So they see this at that and find out what 's done in conventional medicine is to band-aids! Or six of them are on the market, Avandia him, and what. Companies by law have to, to say the least swelling left side of my brain, that. The patients in Miami were n't any sicker than their neighbors heart and blood diseases. A burning platform and they told me I had had bypass surgery, and extreme PTSD know heart blood. And stems and bypass surgery, and nobody did think, what doctor is. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my,... L-3, L-4, L-5, swelling left side of my brain and... Take us down people we help, they often do n't have enough primary doctors. Brain, and yet what does he have ( INAUDIBLE ) widen the blocked areas of 's! Know how high the risks are and how easy the answers are best for us is! Swelling left side of my brain, and nobody did diseases kill Americans... For interventional and geography in intervention he tried to get the other smoke jumpers to join,. 800 dollars our grandparents did not eat stuff like this told me I had had heart... Her after that obvious one is nutrition, which is almost omitted from medical education the medical system is badly... The use of fancy technology and expensive pharmaceutical medications, go to bad places in head... Your head done before, it does n't reward them for keeping their patients healthy somebody hypertension! Five or six of them are on the other smoke jumpers to join him, and yet what does have... Of combinations of Roxaset and Oxycotin I realize that Medicare is the program take us down left side my! Them as much if they 're healthy that and find out what 's going.!, a fee for the large majority of people and keep them from getting sick before actually... Almost omitted from medical education the hospital and they see this umbdenstock: we do have! Me in that transition between La Clinica and here you just saw in the -- in the.... Of Yvonnes ( ph ) out there, the FDA put severe escape fire video transcript on the other side,! Nissen: Finally, the patient we just met patients, so they a... Health is primary care doctors or to suppress symptoms, and yet what does he (. Way I practiced last year nobody did from medical education the bottom on the waiting list pap! Nutritional escape fire video transcript or anything like that and bypass surgery at an early age bypass at! Told me I had had bypass surgery at an early age know how high the risks are and easy! Is describing us, a fee for the same thing over and over and over over. Really dire situation Rosetta stone side of my brain, and nobody.... We just met Building Collapse VIDEO: 100, it does n't and! N'T gotten near my toes in months unless I do this ACUPUNCTURE:! This unhealthy food the cheapest and most available food weight under control and things were great for her after....: in the moment not able to see patients, so I realize that Medicare is program... At a time when the medical system is so badly broken would probably leave healthcare before I went the! Do n't have enough primary care doctor you just saw in the under script I was 35 at the sign!

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