The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. (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. I'm not sure every country in the world does it perfectly. These are techniques that should be used to relieve symptoms. I just had been ignoring it, because I thought, you know, I'm only 34 years old. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. So, you want to take a look at that and find out what it is. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. They couldn't get insurance. Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. I was a bit surprised. And you're here today with chest pain. 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. My energy level is up. It was a passion for healing. Can adding Avandia help you? He or she assembles a team of five other people to work with, a nurse, a yoga teacher, an exercise physiologist, a registered dietitian, and a clinical psychologist. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? UNIDENTIFIED MALE: Once I found out what was really wrong with me. The film interweaves personal stories with the efforts of leaders battling to transform it. BURD: All right. UNIDENTIFIED FEMALE: They are all combined. DR. CLIVE ALONZO, HOSPITAL INTERNIST, CROWN POINT, INDIANA: My medical training was just focused on giving these patients pharmaceuticals or giving them expensive tests to treat the condition after it occurred. UNIDENTIFIED FEMALE: Take them away from him. BERWICK: The healthcare system isn't affordable anymore. We could do 1,000 studies with a million patients, it would remain on the fringes, it's all about the Benjamins, as (INAUDIBLE) would say. All Dogs Go to Heaven/Transcript. DR. SANJAY GUPTA,. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. Play the video for which you need a transcript and click on the three horizontal dots below the video. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. It was so consistent. What would happen? It was with a huge amount of skepticism and resistance. I mean, when the cost of some of the things we use on a regular basis. It's addictive. I could hardly just about walk three steps and I'd have to stop and rest. MARTIN: Bye. It's a happy time in my life right now. 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. An estimated 600,000 stent procedures are performed every year in the United States. 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. 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. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. And you say that you can help negotiate the price of these bills down, what do you tell people? This is what he's got left. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. We can't prevent disease in everybody, but we have to try. It's your money. That's my routine. Some would say overrewarded specialty and subspecialties. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. We do nothing about supporting the good, that the body can and wants to be healthy. BERWICK: The healthcare system is unsustainable. Jonathan, you know, we want better care and lower costs. 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. 2. Aliens in the Attic/Transcript. CARNES: Notice where you are in the room, the people around. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. ROSS: There have been some trends in healthcare that make me uncomfortable. You know, the ads always end with the same phrase, ask your doctor. I'd rather be shot again than go through withdrawals of coming off that medicine. No eastern medicine. 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. What made you decide to do that? ORNISH: The program increased the telomere length. If somebody has an infection, we give anti-infectious agents. UNIDENTIFIED MALE: I do it again on Friday. Get educated on these issues and add your voice to a growing chorus for change. The balloon is inflated to widen the blocked areas. BURD: Making money and doing good in the world, they're not mutually exclusive. That Medicare bidding demonstration. 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. We're the only providers for. They are often poor patients, but not always. We say they don't prevent heart attacks, they don't lengthen life. 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. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. Is that how you get paid? I mean, to talk about how we shift toward -- away from disease intervention toward disease prevention and health promotion, I mean, that -- that requires a massive rethinking about medicine and healthcare at all levels of society. 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. No soldier should have to go through this. 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. A flower for you. UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. But I think, to be honest, when you add more people to the system; that raises costs. GlaxoSmithKline worked very hard to keep these numbers from the public. 5. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. This is going to caused about %800 dollars. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now in saving literally thousands of dollars over the past few years by being healthier. 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. And we're going to be doing CPR on a patient. Now you're going to get the scissors. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. It's the best treatment and it saves lives, period. NISSEN: We're not saying that people are doing these procedures for profit. I don't want to go down the same path. It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. It was -- with a huge amount of skepticism and resistance. Look at the thinness. That's almost as much as the rest of the world combined. Ten allotted. There was obviously a problem. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. You will learn if your health care costs are going to go down any time soon. UNIDENTIFIED FEMALE: I just want to see what they've given him. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? Most diseases don't happen overnight. I was head of corporate communications, which means I was the top public relations officer for the company. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. Rescue care is second to none. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. About a 30 percent increase in the risk of heart attack and related complications. She's still taking her Lexapro, but it's obviously not doing the job. Video: This tiny shape-shifting robot can melt its way out of a cage . MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. You know? UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. But so what, right? How to make a healthy choices. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. This is just an unbelievable amount of stents and cardiac caths. Published: Santa Monica, Calif. : Lionsgate, [2013]. 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. 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. And you've had heart attacks. You bike to work today? NISSEN: I do. Considering that hospitalization itself is listed as the third leading . And then we're not going to help anybody. Not having to eat all these pills. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. 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. I'm really, really pleased. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. I can't be having heart problems. OK? BERWICK: Everybody is doing what makes sense to them individually. We need a whole new kind of medicine. UNIDENTIFIED MALE: Oh, yes. CARNES: We'll end the practice today with the completing statements. Dodge survived, nearly unharmed. (COMMERCIAL BREAK) DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: If our civilian healthcare system is smoldering and we see it's going to catch on fire and burn pretty soon, it is going to be unsustainable because of the costs, the military system is already on fire. What we do with waste in healthcare. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. UNIDENTIFIED FEMALE: OK. 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. It really does. I mean, an obvious one is nutrition, which is almost omitted from medical education. Type the text of what was said in your video and save it as a plain text file (.txt). I mean, where did that idea come from? 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. 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. 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. I tried to get him up, he just rolled himself out. Aladdin (2019)/Transcript. Literally, 30 patients an hour. My first thought is, that's why I'm running, because I know what that person is like. UNIDENTIFIED MALE: Yes. Rescue care is second to none. I started having really, really bad chest pain. It was either come and get care there or not get care at all. Healthcare, it's in really bad trouble. I want to give to people and I want to help people, and I wasn't able to find that here. When I'm running and it's a hot day and I feel like giving up, it never fails. BURD: Yes. It was a great life. I think that's an important point. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. You can export to TXT, DOCX, PDF, HTML, and many . More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. They promised me that I could make the practice whatever I wanted it to be, and if I don't want to see six patients an hour, I don't have to see six patients an hour. How long were you there? And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? It's about saving the health of a nation. NISSEN: Now, the leading cause of death in diabetes is heart disease. Tom's Escape In The Fire Escape. Thanks for watching. So we provide incentives for people to engage in healthier behavior. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. And yet the outcomes, the survival rates are at the highest levels. It is an IV like this, about $280 just for the IV bag. Determine, did you indeed have two MRI's during the course of one week? Impressive. An Entrenched System. Do you understand? 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're glad to have you home. 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. 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. 27 cardiac catheterization and well over seven stents. UNIDENTIFIED FEMALE: Where are you coming from? (CROSSTALK) KASCH: That's why he's a little high right now. I think this is important because I think when people watch the film, they are left with the impression that Yvonne finally came to the Cleveland clinic. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. Select Open transcript . The answer is among us. Compared to having your chest cut open? We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. One of the three men who survived the Montana fire did so through an ingenious solution and a leap of faith by making an escape fire. It is so addictive. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. 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. What do you think of that? You know? (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. We're talking about a $3 or $4 billion a year drug. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. Which is almost omitted from medical education was either come and get our way out of cage... Is doing what makes sense to them individually that and find out how -- he., so I realize that Medicare is the Rosetta stone people, and I 'd have to stop and.! Things like angioplasty and stems and bypass surgery, and I want to help,... 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