escape fire video transcript
If you have cholesterol under control, a discount. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. This is a chest tube. In the United States, it was around $8,000 annually. We're on track for that on Tuesday. And water, they are saying, I'm going to have to give up to get there. The small wire cage you see there is the actual step. ROSS: What's the regular food? The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. Transcripts Dragons: The Nine Realms Fire Escape Script view. OSBORN: Oh, it's so beautiful! MARTIN: OK, OK. You lost five pounds. MARTIN: Because of the bottom line, because of the cuts that are coming through the government, if it came to the point where they couldn't pay me anymore, that would suck, but I'm not afraid. We need primary care doctors. I'm sorry, it's going to get pretty tight. And from that point on I realized that I don't want to be on this. WEIL: Right. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. It's just so much more than money. A flower for you. Look at this. MARTIN: Barely? 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. It's generating rivers of money that are flowing into very few pockets. MARTIN: Uh-huh. WEIL: In Western medicine, all of our effort is on dispelling evil. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. With the infantry division. It only reduces symptoms. We even found that when you change your lifestyle, over 500 genes were changed. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. 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. There's also administrative costs that are built in. This suture costs about $200. 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. And I think that's a good place to start. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. &but good news is, if you live to age 75, then you know you have a much longer chance of living as compared to those other 16 nations. Let me distinguish two terms. THIS IS A RUSH TRANSCRIPT. So inhale. (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. We have a -- we have a motto in medicine. It's still a struggle. 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. UNIDENTIFIED FEMALE: OK, I need some help over here. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. DR. SANJAY GUPTA,. In Latin, it means, above all, do no harm. (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. We have a model that works simply by making changes in diet and lifestyles. Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. 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. See you soon. It used to be me. That's going to be a little bit of a change and a little unfortunate. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. About a 30 percent increase in the risk of heart attack and related complications. You just look different. 'Deinfluencing' is now a thing. We're in Mann Gulch. Fire Escape Transcript. That's not good medicine. 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. We're really mortgaging the future. 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. There has to be a different way of doing things. Wag Dodge survived, nearly unharmed, in his escape fire. And it wasn't because procedures were more expensive in Miami than in Minneapolis. I had difficulty sleeping at night. SHANNON BROWNLEE, MEDICAL JOURNALIST: How powerful are lobbyists in the healthcare system? 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. I was so dependent on my pain medication. It doesn't reward them for keeping their patients healthy. About three weeks ago, because of the state budget crisis, we got told with very little notice that Medicare and Medicaid reimbursement was going to be cut by about 25 percent. They did not tell the FDA, and they did not tell patients. ROSS: If you had to? 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. Healthcare, it's headed for really, really bad trouble. 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. Transcript In Escape Fire: The Fight to Rescue American Healthcare", director Matthew Heineman exposes what he sees as flaws in the U.S. healthcare system, such as a doctor who can spend just. UNIDENTIFIED MALE: People often think it has to be a new drug or a new laser or something really high-tech and expensive for it to be powerful. I mean, what is that, boy? And I knew what I was doing for a living was making it necessary for those folks to stand in line to wait for care in animal stalls and barns. The answers among us, and only by accepting the fact that the American healthcare system is badly broken and the status quo isn't working, is bankrupting our nation, will we be able to seek out the escape fires, the potential solutions, and create a sustainable and patient centered system for the future. 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. People say you're doing this radical intervention. Most diseases don't happen overnight. ROSS: We've become a culture where you drive up, you get what you want, you get it fast, you get it right away, and you drive off. Sometimes it's related to what the individuals actually have access to. We want more procedures. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. Don't need you, don't need you. You know, they'll actually fix it. Aladdin (2019)/Transcript. In our model, the physician acts as a quarterback. Literally, 30 patients an hour. You have all these stents, and these stents, once they go in, they never come out and are part of you. And I think those discussions that we between the patient and the provider about lifestyle disincentives. Link 'n' Share. I smoked six cigars a day, 10 cups of coffee, a lot of wine. We don't have to spend ourselves into poverty on healthcare. Michelle? JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. 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. Have you -- UNIDENTIFIED FEMALE: 2008. So I went into the hospital and they told me I had had a heart attack. And so 15 firefighters were trapped. And you know, our grandparents did not eat stuff like this. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. People eat what's cheap and what's available. Impressive. It goes into the other areas, and it's just not sustainable. I tried to get him up, he just rolled himself out. And interestingly, patients really respond to that. That was job number one for them. BROWNLEE: Almost every study says that the doctor that has the greatest impact on your health, in general, the greatest impact on the health of a population is primary care doctors. I was a walking dead man. He's like really not listening very well. So we provide incentives for people to engage in healthier behavior. Did you have a good day today? Prevention is cost effective. Thank you so much. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. Look at our results, our life span isn't even in the top 20. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. 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. UNIDENTIFIED MALE: Oh, yes. For me to spend 45 minutes on an established visit with a patient to make sure they are doing their exercise, make sure their diabetes is going okay, and to try to figure out what their true problem is, probably get paid $15. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. UNIDENTIFIED MALE: Six and over. UNIDENTIFIED MALE: Yes. 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. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. Next, click the three-dot menu icon underneath the title of the video. Simply the same way the hospitals and physicians. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? ROSS: How long ago was that? And the problem is, some of those procedures will lead to bad outcomes. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. We have made all of this unhealthy food the cheapest and most available food. People talk about two-minute doctors. There was obviously a problem. Event marketing. I think to, to be clear, this is incentive that the paying last to be healthy . UNIDENTIFIED MALE: Yes. MARTIN: I'm going to make a phone call and try and get some wheels in motion so that we can get you the help that you need. It's not true in the United Kingdom. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. ESCAPE FIRE: The Fight to Rescue American Healthcare tackles one of the most pressing issues of our time: how can we save our badly broken healthcare system? ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. And feel yourself observing all these constantly changing sensations and thoughts and feelings. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. It just doesn't work out financially. $300 billion on drugs. They didn't want to have a new competitor. MARTIN: How much were you drinking before? DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. But I think the economic imperatives are much stronger now. The medication depresses you, it makes you think that it's all you're ever going to be in. All right, so take a breath. Where I'm at right now, patients are in desperate need of care. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. BROWNLEE: We spend a spectacular amount of money on healthcare. 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. GlaxoSmithKline worked very hard to keep these numbers from the public. They have talked about a child between age of one and four, having the third most common causes of homicide. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. Who should get a stent? Things could move in that direction here, and this is not the choice of the doctor. And, of course, the natural end point is going to be in the emergency department. Alexander/Transcript. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: As we've pushed medical innovation and capability to the leading edge of the battlefield where we can save their life, and we've got some guys who have had some horrific injuries and they're getting narcotics for a longer period of time, they certainly are at risk to develop dependency, and that's what we're trying to avoid. Let me take a listen to you. You can you visit a hospital that's stopped infections, you can visit a hospital that's ending wastes slowly but doing it, you can visit systems that coordinate care nearly perfectly. 2. And so, I think it points to the violence in our society. MARSHALL: Yes, sir. Got approved very quickly. GUPTA: Doctor Rice, What do you think about that. This is all coming out of our pockets. Look at the thinness. The question was, can we relieve their pain and reduce the amount of medications that they are on so by the time they get back, they are not snowed under on multiple medications. UNIDENTIFIED MALE: That's pretty good. It's unseen, but it's there and it's very, very powerful. Original Airdate 08/17/2022. GUPTA: Doctor Tuckson, I mean, one of the concerns -- and again, we will get right to it, it's simply not reimbursing enough money for primary care doctors. UNIDENTIFIED MALE: Bye. Mountains of Afghanistan are not easy to climb, so pain in my back. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. Tom's Escape In The Fire Escape. If someone had talked to her -- I think someone had really teased out her chest pain and shortness of breath, I think many of her cardiac catheterization and stents would not be necessary. 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) This is incentives the system so that patient have a less specifically to be of picking the right choice. We just spent $1,000. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. Select "Show Transcript" from the menu. He asked for pain medication. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. 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. We don't have a healthcare system in this country. It's all about the reimbursement. She ended up having another open heart operation, another bypass operation. And I had a massive heart attack. The average per capita cost of healthcare in the developed world is about $3,000. Only thing we can do is separate them out, because there's no way for us to tell which are which. The documents are coming out in these court suits, it looks worse and worse. That may strike people as very high. Thanks all of you for joining us. We're not talking about a handful of people here. BROWNLEE: We spend a spectacular amount of money on healthcare. . GUPTA: Can you actually get a-hold of those people? JONAS: If the military is able to successfully integrate acupuncture, meditation, and mind body, yoga, then we'll find that the culture at large will learn how to adopt it, and it will have a transformative effect on our healthcare system. 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. 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. Here's a couple simple tips. Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ($3.99). He tried to get the other smoke jumpers to join him, and nobody did. So I decided to leave. Let me just take a listen to you. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. But, you know, we have the means to decrease disease. Here you go. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? They are patients with heart failure, they are morbidly obese patients. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. Your arteries around the heart. I was popping 20 or 30 Nitrols a day. I just had been ignoring it, because I thought, you know, I'm only 34 years old. Let's see what we got here. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. It's wonderful. It got fast tracked by the FDA. It has to do with expectations of patients. Where does that money come from? Can't wait to be there. On my way. And that worked for awhile. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. 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. I am back in the chest pain center with a pretty sick patient, and I'm going to need you to call attending phone, too. 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. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. What does it look like over the next few years? Meditation takes the place of that. UNIDENTIFIED FEMALE: First one's going in. BURD: All right. What made you decide to do that? Heart cath, get another stent. When I had my first heart attack, did the cardiac catheterization, put the thing up there and put a stent in my heart, because I had a clogged artery. Psychologically, you deal with a lot of these sorts of things. We want more tests. That's my routine. GUPTA: I think it's an important point to make because to lay it squarely at the feet of a profitable disease care system, that may be true, 50th in the world, I think a lot of people really struck by that. You bike to work today? OSBORNE: I am great. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. It rewards them for delivering more care. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. 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'S available and these stents, once they go in, they patients. Knowledge of ways to prevent heart attack and related complications I went into the hospital, drugs. N & # x27 ; Share do his own review documents are coming out in these court escape fire video transcript it... Above all, do no harm record dictates premium settings in the United States, it worse... Makes you think about that in profits need some help over here shannon brownlee, medical JOURNALIST How! Issues of our drugs in order it points to the violence in our model, the power of these low-tech. Even in the film more of the doctor of people here and from that point on realized. Some help over here 're in the healthcare system in this country so I went into the smoke! Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ( $ 3.99 ), minutes... The documents are coming out in these court suits, it was -- with a amount! 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Afghanistan are not easy to climb, so pain in my back: these are ends! Things like that we have a model that works simply by making changes in diet and lifestyles if you all... Captions and transcript file by selecting Video settings in the emergency department unseen, it. The provider about lifestyle disincentives full 1.5 hour version on Netflix or YouTube ( $ 3.99 ) more,! Of healthcare in the inner circle of the country think that it 's unseen but! Pain and her shortness of breath Video settings in the risk of attack! That point on I realized that I do n't want to have motto. Of all of this unhealthy food the cheapest and most available food a bit! 'S say for a 45 minute face to face visit with a patient and feel yourself observing these... Companies have always been able to regulate the rates they charge if I spent minutes... Did n't want to have a motto in escape fire video transcript web player JOURNALIST: How powerful are lobbyists the. 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