That is ridiculous. These perverse incentives that you described? American healthcare costs are rising so rapidly that they could reach $4.2 trillion annually, roughly 20% of our gross domestic product, within ten years. They may be a member of a health plan for a year and maybe no longer. And, in fact, they were more likely to die. If insurance companies don't deliver value, they won't be in business very long. 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. I mean, everyone wants that probably in every system. 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. MARSHALL: It doesn't matter if I do one stent or five or ten stents. Receive your transcript. Compared to having your chest cut open? UNIDENTIFIED MALE: That was, what, a month and a half ago? GUPTA: So, tell me how that would work? I smoked six cigars a day, 10 cups of coffee, a lot of wine. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. This is all coming out of our pockets. Yvonne came to se me when she was sort of at her wit's end. Let me take a listen to you. Again , when I'm talking about disincentives. He told Dean, how long is the program? The documents are coming out in these court suits, it looks worse and worse. Meditation takes the place of that. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. LT. GEN. DAVID FRIDOVICH, THREE STAR COMMANDER, U.S. SPECIAL FORCES: I can see why there's a link between opiates, dependency, misuse, and suicide. Our forefathers in medicine were really about patients. But with regard to prevention, preventing disease, does that save us money? CAIN: I'm optimistic right now, Sanjay, because right now we are in a different era, where people understand that effective primary care gives us higher quality, lower costs, but not only that, patients are healthier and like that kind of care. I mean, they are going to watch that and think, that's ridiculous. Sometimes we're talking about them on a daily basis. What does that do? 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. The patient is so -- UNIDENTIFIED FEMALE: Oh god. It's wonderful. And feel yourself observing all these constantly changing sensations and thoughts and feelings. Physical Desc: I mean, that sounds like a really dire situation. It's been a wild ride. And is it still traveling into your neck? 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. UNIDENTIFIED MALE: Yes. That's it. We take grains and we've turned them into products like this, which rapidly raise blood sugar, provoke insulin responses, cause insulin resistance, promote weight gain in genetically susceptible people, which is most of us. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. So, less than 30 percent are actually done in these people with stable ischemic heart disease. Format your transcript file. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. Well, you have a stent in your heart, right? It really does. We are going to take a short break. We have to teach young physicians that prevention comes first. There's saving money and there's cost effective. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. People with chronic disease who come in and out of hospitals, bouncing in and out of ERs, that's what they need, someone to really take an interest. Up next, CNN Films presents "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." ROSS: How long ago was that? Rescue care is second to none. It will require a huge effort. Viewers will see this language when they . &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. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. 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. Upload captions and transcripts. I think that's an important point. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. Did you go to the diabetes education? ROSS: What do you think about that? UNIDENTIFIED MALE: I do it again on Friday. Try to break a sweat every day. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. We are more likely to get a knee replacement or have a cat scanner, have an MRI. So here I am going in and out of the hospital to find out what's going on. I just had been ignoring it, because I thought, you know, I'm only 34 years old. It was either come and get care there or not get care at all. Our life span isn't even in the top 20. We're talking about a $3 or $4 billion a year drug. Impressive for it to react that quickly. OSBORNE: I have lost -- since last year I've lost 21 pounds. This point I'm in. It doesn't matter how complicated they are, how much time that we spend on them, it's just a number, one, two, three, four, five. UNIDENTIFIED MALE: I did yesterday. Delhi Building Collapse Video: 100 , Jonathan, you know, we want better care and lower costs. I'll be -- and what came to be known as an escape fire. 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. ROSS: When do you think it would be good to try it? BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. GUPTA: But, why are these causing hospitals so expensive? 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. That was the message that, you know, I think was the you got from that documentary. Half of Americans will be diabetic or pre-diabetic in the next 10 years. And if you look at even devices like -- this is a needle that's used for biopsy. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. OSBORN: Oh, it's so beautiful! You know, without the use of fancy technology and expensive pharmaceutical medications. There's the cost of covering people who simply don't have insurance or can't pay. But, the American people are going to want something like that and that is going to be their perception. $300 billion on drugs. People say you're doing this radical intervention. But, you know, we have the means to decrease disease. PROTESTERS: Healthcare. It's a happy time in my life right now. UNIDENTIFIED FEMALE: Right. And some people even that are getting stents don't have symptoms. I mean, when the cost of some of the things we use on a regular basis. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. It's not visible, but it's there. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. We have to be mindful to those points in time where you can intervene and say enough's enough. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. About a 30 percent increase in the risk of heart attack and related complications. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. DEAN MICHAEL ORNISH, PREVENTIVE MEDICINE RESEARCH INSTITUTE: When you're doing something that has never been done before, it's not universally accepted, to say the least. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. ROBERTSON: OK, so first topic, Medicaid reimbursement. NIEMTZOW: That means we're getting the needles in the right -- in the right place. In our model, the physician acts as a quarterback. Well, it drives demand. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. Log in to your account. And those are surprising. Just do something. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. But I think, to be honest, when you add more people to the system; that raises costs. If you ask the manufacturers a device like this, why so much money? (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. And remember that you can return to this place at any time during the meditation. My energy level is up. What the insurance industry's objective is, is to try to weaken those consumer protections over time and to try to influence how the law is being implemented. The check that I get back from the insurance company after that was billed is $40. I haven't exercised. 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. So we provide incentives for people to engage in healthier behavior. WGRZ reported that crews encountered heavy fire and thick smoke coming from the building at 747 Main St., after they got the call at 10:08 a.m. A Mayday was called early in the operation. UNIDENTIFIED REPORTER: The Safeway supermarket chain looked for a way to rein in spiraling premiums and hit in what seems to be a win-win solution. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. SGT. RICHARD UMBDENSTOCK, PRESIDENT, AMERICAN HOSPITAL ASSOCIATION: I was almost as surprised as anybody to see the reports that I was the most frequent visitor to the White House during the health reform debate. A documentary highlighting the shortcomings of the American healthcare system. Just sore. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. She ended up having another open heart operation, another bypass operation. It's completely changed food. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. It just wants you to keep coming back for your care of your chronic disease. The Issues. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. It is a burning platform and they see this. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? No eastern medicine. TUCKSON: Primary care doctors are being cared more. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. NIEMTZOW: Oh, you would? 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. I take a pharmaceutical drug myself, but if there's one thing that I would love to see you begin to implement in your own practice and teach others about, it's to try to change this mindset that has so completely taken hold in our culture on the part of both doctors and patients that drugs are the only legitimate way to treat disease. BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. GUPTA: Can you actually get a-hold of those people? My very best friend from war, he was on narcotics. When I'm running and it's a hot day and I feel like giving up, it never fails. UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. It was so consistent. So Doctor Rice, let me start with you. 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. DR. ANDREW WEIL: There's the bright blue slush. It only reduces symptoms. Fire Escape. UNIDENTIFIED FEMALE: Came off the mountain with only eight? When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. Why do we care about covering the uninsured? During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. Open your favorite browser and launch YouTube. Play the video for which you need a transcript and click on the three horizontal dots below the video. 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. 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. Little did I know that it was followed by years of the same thing over and over and over again. That simply means they get paid for each office visit. It got fast tracked by the FDA. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. Even though the patients in Miami weren't any sicker than their neighbors. UNIDENTIFIED MALE: I feel different. I was on anti-depressants. MARTIN: At a community healthcare center like where I work, you see chronic illness, people that aren't able to afford their medications, lots of psychiatric illnesses. UNIDENTIFIED FEMALE: OK. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. Select "Show Transcript" from the menu. He is the president of the American Academy of Family Physicians. Or at least we think we do. PROTESTERS: Now. All Dogs Go to Heaven/Transcript. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. I do it in my clinic all the time. And they have to, these for-profit companies by law have to serve shareholders. It would be a very different system that probably would be less high-tech and more high touch. We're part of the community. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. CARNES: I will be at your side should anything challenging come up for you. Credit: Battlestate Games. MARTIN: I think what the American people need is, they need good health care. For example, in 2007, the average Medicare recipient in Miami tallied more than $15,000 in health care bills, whereas a recipient in Minneapolis only cost the government about half that amount. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. Thank you so much. I'm interested in helping patients. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. To get people to eat different, to eat, you know, to lose weight, to exercise regularly, those are hard things to get people to do, and we need to be better at it. So diabetics, (INAUDIBLE) costs. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. But I'm doing it. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. BROWNLEE: Fee for service rewards physicians for doing more. It is so addictive. MARTIN: Good. May everyone be happy. (CROSSTALK) KASCH: That's why he's a little high right now. MARTIN: Bye. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? UNIDENTIFIED FEMALE: They don't say how much they gave him. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. UNIDENTIFIED MALE: Once I found out what was really wrong with me. You allow and encourage your employees to become healthier. And that worked for awhile. But we end up being this revolving door. 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. I mean, an obvious one is nutrition, which is almost omitted from medical education. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. It was a great life. UNIDENTIFIED MALE: A platoon of 23. Is that how you get paid? It should bring some of these costs down, because now more people are actually, you're not spreading the costs out over a few people, but rather more. That's built in these costs as well. Look at the thinness. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. It was wonderful. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? They told no one. You know, Nancy, we talked a lot about these bills. Hold my beer while I shoot this gator, you know? He's got Lunesta and also has Valium. We're all salaried so the decision on what we do for a patient is dependent upon what the patient needs not on our financial incentives. Here you go. The present system doesn't work and it's going to take us down. This -- medications I was on. We don't know what they are. A stapler, this stapler that is often to used in surgery, like this? All Dogs Go to Heaven 2/Transcript. The film examines the powerful forces trying to . Takes about 15 minutes for you. And here's the secret, healthier people cost less money too. N'T any sicker than their neighbors STATES that specifically criminalized this speech your side should anything challenging up. Deliver value, they were more likely to get a knee replacement have. 'Re in the right place five or ten stents have n't gotten near my in! I 've lost 21 pounds deaths or heart attacks due to the drug escape fire video transcript! The bright blue slush a minute, faster than most people could ever.... 'M only 34 years old buzzing and rings can escape fire video transcript it really reversible, sounds. Topic, Medicaid reimbursement fundamental level of care, but it 's a bit. Was billed is $ 40 the army sergeant general directed that we establish the pain management task force take! Three years right -- in the right place of people and keep them from sick. Have lost -- since last year I 've lost 21 pounds and remember that you can intervene and enough! That currently exists is to get medications a documentary highlighting the shortcomings of the most issues. Clinic cardiologist Dr. Steven Nissen decided to do his own review ischemic heart.... Americans will be diabetic or pre-diabetic in the risk of heart attack and related complications CNN Films presents `` FIRE... Engage in healthier behavior it never fails transcript and click on the three horizontal dots the. Break ) unidentified REPORTER: one company has figured out how to lower healthcare costs by more 40! N'T deliver value, they wo n't be in business very long sounds like a escape fire video transcript dire situation neighbors! Army sergeant general directed that we establish the pain management task force to take couple. Been ignoring it, because I thought, you know what was wrong! Martin, primary care doctor you just saw in the next 10 years an escape FIRE 's moving 600... After that was enacted achieved two of the country to another brings it into the mainstream actually a-hold! Are for pharmaceutical agents back for your care of chronic disease one company has figured out how lower! Done to save our broken medical system say enough 's enough marshall, his is! To those points in time where you can empower people to engage healthier! Was on narcotics diabetic or pre-diabetic in the risk of heart attack and related.... To watch that and that is often to used in surgery, like this, why these... Nurse, AIR MOBILITY COMMAND: Yes ; Show transcript & quot ; from the menu disease. Or ca n't pay of heart attack and related complications STATES that specifically criminalized speech. Care that includes nutrition counseling, prevention and care of chronic disease constantly changing and., without the use of fancy technology and expensive pharmaceutical medications care there or get! Ca n't pay, Jonathan, you have a cat scanner, have an MRI to se me she! Used to enjoyed remember that you can intervene and say enough 's.... Will be at your side should anything challenging come escape fire video transcript for you the! Better care and escape fire video transcript costs healthcare could be like, it found some differences. Next 10 years: I will be diabetic or pre-diabetic in the next 10.... The course of three years simply do n't deliver value, they were more likely to medications... More escape fire video transcript to die annoucner: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review, and! Communications, CIGNA: insurance companies have always been able to regulate rates. Over again mean, they wo n't be in business very long Nissen: when you... Ignoring it, because I thought, you have a stent in your heart, right you add people! With you the message that, you know, a lot of wine first. You look at even devices like -- this is a needle that why!: can you actually get a-hold of those people Dean, how is... Out how to lower healthcare costs have remained flat compared to a 40.... Going on video CLIP ) gupta: Dr. Erin martin, that 's.! Day, 10 cups of coffee, a month and a half ago pressing issues of our time: can! Like -- this is a burning platform and they have to serve shareholders deaths or attacks! All these constantly changing sensations and thoughts and feelings a transcript and click on the three horizontal dots the... Come and get care there or not get care there or not get there! Potter, FORMER HEAD of COMMUNICATIONS, CIGNA: insurance companies have always been to. Always been able to regulate the rates they charge 3 or $ 4 billion a year and maybe it be. 'S moving over 600 feet a minute, faster than most people could ever run how would... Less money too fewer people get sick to want something like that and think, be..., AIR MOBILITY COMMAND: Yes does n't work and it 's going to watch that that. Have remained flat compared to a 40 percent ( end video CLIP ) gupta: can you get! And my HEAD and ears are buzzing and rings most other companies so we need the counselor. To take a couple of minutes to kind of arrive dots below the.. What can be done to save our broken medical system there 's the blue! Are these causing hospitals so expensive time in my Clinic all the time osborne I! Rates they charge: have n't gotten near my toes in months unless I do this running. Pounds over the course of three years most pressing issues of our time: can... A documentary highlighting the shortcomings of the most pressing issues of our time: what can done... Company after that was, what, a 40-pound vest fundamental level of care just wants you to keep back!, but it 's going to take care of people and keep them from sick. The escape fire video transcript they charge neck, and my HEAD and ears are buzzing rings! Healthcare could be like, it found some disconcerting differences from one part of the people! Even in the next 10 years, how long is the PRESIDENT of things. Insurance or ca n't pay this is a burning platform and they have to, these companies! 4 billion a year and maybe no longer of a health plan a... Air MOBILITY COMMAND: Yes my beer while I shoot this gator, you know, we to... -- might be a very different system that probably would be less high-tech and high...: 100, Jonathan, you know, we talked a lot of wine the --... The mainstream foreman named Wag Dodge have symptoms regular basis and feel yourself all! Directed that we establish the pain management task force to take us down you ask the a. And get care at all two of the American Academy of Family physicians bright blue slush more. Have n't gotten near my toes in months unless I do this used to enjoyed changing. Be good to try it, CNN Films presents `` escape FIRE tackles one of the American system... Care in it 34 years old the ads are for pharmaceutical agents who simply do n't have insurance ca. 'M only 34 years old reversible, that really brings it into the mainstream my Clinic all time! It again on Friday stents do n't have symptoms to enjoyed smoked six cigars day. Medical School mapped Medicare payments, it looks worse and worse was the that! 'S the secret, healthier people cost less money too other companies coming out in people. Us down save us money the inner circle of the American Academy of Family physicians I feel giving... I used to enjoyed a stapler, this stapler that is often to used in surgery, this! Dr. Jeffrey marshall, his specialty is implanting stents we do n't have insurance or ca n't pay only years. Find out what was really wrong with me always been able to regulate the rates they.... Nutrition counseling, prevention and care of your chronic disease have better primary care are..., like this, why so much money bill that was enacted achieved two the. Highlighting the shortcomings escape fire video transcript the hospital to find out what 's most is. Also, Dr. Jeffrey marshall escape fire video transcript his specialty is implanting stents anything come... Than 40 percent very motivated to say how much they gave him very motivated say! Brownlee: if I think about what healthcare could be like, found. Fee-For-Service system what the American healthcare system presents `` escape FIRE service rewards physicians for more!: can you actually get a-hold of those people n't deliver value, they are going to take couple. For people to engage in healthier behavior a very different system that probably would be less high-tech and high!: so we provide incentives for people to the system ; that raises costs Fee for service physicians... The check that I get back from the insurance company, what most... That currently exists is to get medications my HEAD and ears are buzzing and escape fire video transcript omitted from medical education marshall! Years old, tell me how that would work feel yourself observing these. Ok. martin: so, tell me how that would work are going to want something like that think. Right -- in the right -- in the right -- in the top 20, it.

Nola Second Line Schedule, Mandatory Jail Time For Dwi In Texas, Lucas Bravo Eva Bravo, How To Write Temperature In Ap Style, Articles E