UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. And if you try and buck the system, someone says, what can we do to get your productivity up? It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. There were even times, honestly, that I looked in the mirror and said, how did you get here? And that is why, our first priority has to be to equalize that access and then move on. No soldier should have to go through this. Sometimes I go to the hospital and that's the only health care I ever got. TUCKSON: Primary care doctors are being cared more. Insurance companies have always been able to regulate the rates they charge. 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. The patient just fell off the litter. The film examines the powerful forces trying to . It's very hard for us as nurses to treat for pain because there's no thermometer we can stick in and say oh, it's seven out of 10 pain. GUPTA: So it doesn't matter. We want more procedures. I think five or six of them are on the waiting list. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. I mean, give me a break. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: We only give lip service to prevention and we have to ask why as a society are we not working to prevent disease and promote health. UNIDENTIFIED FEMALE: Now you pick your spot. And feel yourself observing all these constantly changing sensations and thoughts and feelings. MARTIN: Thyroid is a little bit big. Escape Fire. 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. MARTIN: Yes? 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. Are my premiums going to go up? And from that point on I realized that I don't want to be on this. UNIDENTIFIED FEMALE: Loratab, Naproxen. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. That isn't true in Canada. And if you look at even devices like -- this is a needle that's used for biopsy. That was how many medications I was on. It would be a very different system that probably would be less high-tech and more high touch. Now we're kind of dealing with the consequences. If they are confirmed non-smoker, we give them a discount. But I think, to be honest, when you add more people to the system; that raises costs. Published Feb 22, 2001. So we're going to open up some chi? Something like that. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. In our model, the physician acts as a quarterback. I had to do something. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. I haven't exercised. It is the largest health insurance company in the country. With their city in ruins, the people of London finally realized the only escape from the devastation of . Takes about 15 minutes for you. 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. That prevents tissues from renewing themselves in the body and diseases take hold. Mountains of Afghanistan are not easy to climb, so pain in my back. GUPTA: Sometimes the patients demand this stuff. That requires so much work, but we do it because we're committed to having her stay out of the hospital. MARTIN: Are you taking your medication? Because they're not using health care now. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. MARTIN: And they don't reimburse for nutritional counseling or anything like that. Literally, 30 patients an hour. And if they have a relationship with you, feeling truncated. DAVENPORT-ENNIS: So, I think with some patients it clearly will. 'Deinfluencing' is now a thing. Everybody is doing their job, we just design the jobs wrong. 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. The easiest starting point was in the 30,000 non-union workforce, and I believe that within four years all of our employees will get this kind of healthcare plan. This isn't a game of this person against that group, this sector against that sector, but at the end of the day, the American people need solutions and the one thing they don't need is a bunch of finger pointing that doesn't take us forward. UNIDENTIFIED MALE: Yes. Yvonne Osborn began suffering from severe chest pain at the age of 34. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. 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. Don't need you, don't need you. Log in to your account. WEIL: In Western medicine, all of our effort is on dispelling evil. And all insurance companies are saying is your behavior should drive the premium. I don't want to go down the same path. One of the great contributions of America to world cuisine, you know, fake bread. 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. DR. PETER CARROLL, CHAIR, DEPARTMENT OF UROLOGY, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: My path crossed with Dean's because we both wanted to bring rigorous clinical trial testing to this hypothesis that lifestyle intervention could have a impact on men with early stage prostate cancer. These for- profit companies by law have to serve shareholders. Thank you all. I was head of corporate communications, which means I was the top public relations officer for the company. 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. Original Airdate 08/17/2022. A different perspective that there's a different way of doing things, that it's possible. We are second to none in this country for those things. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. They had to live with some of the new consumer protections in the bill that does make it illegal for companies to just cancel someone's policy because of a preexisting condition. I lost him. He lit a match and he lit a fire at his own feet. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. 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. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? How to Get YouTube Transcripts on Desktop On a desktop or laptop, head on over to YouTube.com in a web browser such as Google Chrome and open a video to watch. How are you feeling? With the infantry division. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. When you're injured they feed you, feed you, feed you all this stuff. And the actual costs for care here is among the lowest in the country. 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 so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. It expands the artery to hold it open and allow the blood to flow. 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. Instead of basing things on outcomes, on how good of a job we're doing, the government sets the reimbursement completely on the number of patients that we see. Come back in a month or so? So tired of it. They have a blockage that's not causing symptoms and yet they're actually having a procedure. You will learn if your health care costs are going to go down any time soon. So, I went into the hospital and they told me I had had a heart attack. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . It's much better to try to work at a deeper level. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. This suture costs about $200. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. People say you're doing this radical intervention. Format: DVD Edition: Widescreen. You can't have a cafeteria that doesn't have calorie counts on it. It's completely changed food. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? But with regard to prevention, preventing disease, does that save us money? Video: This tiny shape-shifting robot can melt its way out of a cage . If you can delay treatment, then that man is not at risk for side effects during that period of time. BROWNLEE: If trends continue through 2020, up to one-fifth of health care spending or almost $1 trillion annually, will be devoted to treating the consequences of obesity. People talk about two-minute doctors. We pay doctors to see patients, so they see a lot of patients. The folks who were there were not trying to shirk their responsibilities. I was on Trizadon. Tom's Escape In The Fire Escape. Well, it drives demand. That's almost as much as the rest of the world combined. All right. POTTER: We have been trying to reform the health care system for a hundred years. It doesn't reward them for doing a better job. OK? 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. MARTIN: OK? UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. GUPTA: Erin, what did you think about that particular theme? (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. 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. UNIDENTIFIED MALE: We all know there's things we can do and they make us feel good and we like to do them, but we're going to feel really bad if our doors close. And remember that you can return to this place at any time during the meditation. That cost about 1,000You'll find examples like this all over a room. It's just so much more than money. And chromosomes have all genetic information on them. And it wasn't because procedures were more expensive in Miami than in Minneapolis. So here I am going in and out of the hospital to find out what's going on. That was the message that, you know, I think was the you got from that documentary. $300 billion on drugs. The power lies with corporations and corporate interests and the lobbyists that they buy. It's addictive. But you end up being this revolving door. She got her cholesterol under control, her weight under control and things were great for her after that. That Medicare bidding demonstration. ROSS: All right. I decided out of curiosity to go check this out. Everybody agrees on that. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. It was wonderful. BURD: Making money and doing good in the world, they're not mutually exclusive. SHANNON BROWNLEE, MEDICAL JOURNALIST: How powerful are lobbyists in the healthcare system? UNIDENTIFIED FEMALE: You need to get up and pee? We spend one heck of a lot of money. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. A lot of unnecessary stents? There is no doubt, they always have. Healthcare, it's headed for really, really bad trouble. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. Thank you so much. So at this point, we will administer the medication. And that model has continued until today. This is major reason why we see kids getting fat in this country. And Doctor Jeff Cain. 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. 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. Is that how you get paid? One of the ways to think about saving money in health care is to focus our energies on that 20 percent of patients and think about treating those people in a more effective way. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. They may be a member of a health plan for a year and maybe no longer. Six years ago before I became CEO, I stopped to think, I've never looked after a healthy person and maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. Just sore. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. Ten allotted. The balloon is inflated to widen the blocked areas. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. But one evening, I sat straight up in bed with the worst chest pain. We've just created a completely different system here. BROWNLEE: Fee for service rewards physicians for doing more. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. Just sheer numbers, $2.7 trillion per year. MARTIN: How are you today? (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. She had had bypass surgery at an early age. YATES: I was in the worst place in Afghanistan. Link 'n' Share. And it's just the last thing that you're really concerned about. I don't believe in that stuff. Let's see what we got here. I just had been ignoring it, because I thought, you know, I'm only 34 years old. It was a passion for healing. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. If you ask the manufacturers a device like this, why so much money? Aladdin (2019)/Transcript. 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. 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. 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 have an insurance now perhaps. It is an IV like this, about $280 just for the IV bag. (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. And those are surprising. &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. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. Afghanistan? The small wire cage you see there is the actual step. I became a doctor because I care about patients and working here, I can't help them. 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. I need some help over here. We have that technology, it's right there. DR. SANJAY GUPTA,. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. It caused their blockages to become less blocked in their arteries. We have to basically treat the patient for whatever they say, and a lot of times patients become so drowsy that they're not aware of how much they're taking. 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. And healthcare doesn't need to be immune to that. Half. THIS IS A RUSH TRANSCRIPT. If somebody has an infection, we give anti-infectious agents. People come in and you try to fix one thing and they come back for the same thing over and over and over. It was important to keep expressing the hospital's position. The medication depresses you, it makes you think that it's all you're ever going to be in. Right? Her cholesterol was never well controlled, and her high blood pressure was never well controlled. And I think we're in a great deal of trouble because of that. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. GUPTA: Can you actually get a-hold of those people? 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