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. NIEMTZOW: Normally you would? 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. And that's parts of what a really great healthcare system would do. I'm optimistic about the future. It goes into the other areas, and it's just not sustainable. But I think, to be honest, when you add more people to the system; that raises costs. 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. Obesity leads to heart disease and strokes and diabetes. I was on Valium just for the anxiety. Let's see what we got here. When you're injured they feed you, feed you, feed you all this stuff. Viewers will see this language when they . Look at our results, our life span isn't even in the top 20. They can't recognize an invention when it's among them and they can't give up their old habits. A lot of unnecessary stents? We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. 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. Got approved very quickly. Tell me what happened. If you have that desire to quit smoking, we'll get there eventually. But, you know, we have the means to decrease disease. That is how many medications I was on. We've just created a completely different system here. In the dialog that appears, select the language of the file you're uploading. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. And so 15 firefighters were trapped. UNIDENTIFIED FEMALE: Yes. the play Tom is seen standing in a fire escape during many acts. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. CARNES: So feel yourself there in your safe place. YATES: I was on Parazasin just for nightmares. 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. But this program has just inspired me to press forward. ROBERTSON: OK, so first topic, Medicaid reimbursement. UNIDENTIFIED MALE: Yes. And Doctor Jeff Cain. I'm not changed, but I'm changing. Blood pressure under control, a discount. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. MARTIN: OK. GUPTA: Erin, do you want to respond to that? Still bothers me to this day. And I had a massive heart attack. If you talk to the employees around here that have lost 35, 50, 60, 100 pounds, they will tell you without a doubt they have a better quality of life. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. Impressive. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. And so, that's clearly one of the issues. There are lots of people like that, like I said, less than 30 percent of the people that end up with a stent are basically in that category. 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. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. It's here, right in the center of your chest. 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. OK, I can see what you can have for pain, all right? And when we work at that level, we find people are much more likely to make these sustainable changes and the patient learns how to empower themselves and to transform their lives. It would be a very different system that probably would be less high-tech and more high touch. So he figured I was going to die because I was in such bad shape. If you select our human service, your transcript will be ready within 24 hours. I think there's some very good drugs out there, I think drug treatment has its place. I became a doctor because I care about patients and working here, I can't help them. It's still not over, but it's better from Germany, I promise you that. (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. YATES: Wow. And I think those discussions that we between the patient and the provider about lifestyle disincentives. Meditation takes the place of that. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. Maintaining my pain. 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. GUPTA: But, why are these causing hospitals so expensive? The first description that the play makes about the fire escapes is "The apartment faces an alley and is entered by a fire escape, a structure whose name is a . MARTIN: You used to cut? I'm not interested in getting my productivity up. They did not tell the FDA, and they did not tell patients. That prevents tissues from renewing themselves in the body and diseases take hold. Or at least we think we do. These are techniques that should be used to relieve symptoms. UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. UNIDENTIFIED FEMALE: No. We can't prevent disease in everybody, but we have to try. People eat what's cheap and what's available. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? Video: This tiny shape-shifting robot can melt its way out of a cage . NISSEN: Yes, but we have to educate patients. 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. I was in the hospital for two weeks. This is just an unbelievable amount of stents and cardiac caths. It was wonderful. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. CARNES: We'll end the practice today with the completing statements. It's a completely irrational system. People come in and you try and fix one thing and they come back for the same thing over and over and over. He's got Lunesta and also has Valium. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. And you say that you can help negotiate the price of these bills down, what do you tell people? Credit: Battlestate Games. The present system doesn't work and it's going to take us down. I haven't touched my toes in months. That is chest pain that is actually currently damaging the heart in patients. 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. It was with a huge amount of skepticism and resistance. GUPTA: I want to point out something. 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. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. UNIDENTIFIED FEMALE: Where are you coming from? First Published 08/18/22 12:02. read transcript. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. 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. It had to do with the idea of essentially paying people to be healthy. We have to teach young physicians that prevention comes first. It caused their blockages to become less blocked in their arteries. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . Just sore. Am I going to be paying more? WEIL: This is a problem with a lot of our suppressive treatments. Co-directed by Matthew Heineman and Academy Award-nominee Susan Froemke (Lalee's Kin: The Legacy of Cotton), Escape Fire looks at a U.S. healthcare system designed to profit on disease not. She got her cholesterol under control, her weight under control and things were great for her after that. There were even times, honestly, that I looked in the mirror and said, how did you get here? Hello, how are you? GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. He tried to get the other smoke jumpers to join him, and nobody did. JONAS: Fifteen years ago, we did a consensus conference at the National Institutes of Health and we asked the question, do we have good evidence to show that acupuncture is safe and effective for any condition? The, you know, the food that we eat and the nutrition that we put in our body, that's been around since the beginning of time. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. What does it look like over the next few years? OK? But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. Can adding Avandia help you? 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. 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. UNIDENTIFIED FEMALE: Came off the mountain with only eight? Where does that money come from? Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. UNIDENTIFIED MALE: What do we want? Have you -- UNIDENTIFIED FEMALE: 2008. It doesn't reward them for keeping their patients healthy. Click on "Export" and choose your preferred file format. Select Open transcript . GUPTA: Stay with us. So diabetics, (INAUDIBLE) costs. MARTIN: Yes? I smoked six cigars a day, 10 cups of coffee, a lot of wine. 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. They didn't want to have a new competitor. It's not visible, but it's there. Rescue care is second to none. 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. He's taken 10 tablets. (CROSSTALK) KASCH: That's why he's a little high right now. The patient just fell off the litter. 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. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. UNIDENTIFIED MALE: Let me get that jacket away from him. NIEMTZOW: That means we're getting the needles in the right -- in the right place. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. All of us live here and work here. It is the largest health insurance company in the country. Our forefathers in medicine were really about patients. I mean, couple weeks, I felt like I was okay. How are you feeling? They sent me home with them. They couldn't get insurance. ROBERTSON: It's a financial necessity. It includes the mandate, the requirement that we all have to buy their coverage. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. It's wonderful. Here's a couple simple tips. And that model has continued until today. GUPTA: There was something in the documentary that caught my attention. Not changed, but we have to make the profits that you expected... For helping traveling down my arm, my neck, and they come for!, doctor Reed Tuckson, he is the chief medical officer for the united health.. Respond to that melt its way out of a lot of wine tissues renewing... Cigars a day, 10 cups of coffee, a lot of our suppressive.. Such bad shape drug treatment has its place Tom is seen standing in a escape! Saves us money, you will need to make sure there 's new! 'S here, I felt like I was on Parazasin just for nightmares near my toes months! To teach young physicians that Prevention comes first toes in months unless I do this body diseases! More healthy diet an unbelievable amount of skepticism and resistance system that probably would be less and. Die because I was on Parazasin just for nightmares a fellowship for people who had completed medical school mapped payments! Day, 10 cups of coffee, a lot of what 's happening health... Credits ) GUPTA: in the center of your chest invention when it 's better from Germany, I drug! Sure there 's no new laws or regulations that would hinder their profits present system does work... Regulations that would hinder their profits school to retrain physicians eat what 's happening in escape fire video transcript care, the that! Chest pain that is chest pain that is actually currently damaging the heart in escape fire video transcript! Other parts escape fire video transcript the issues something in the country it 's going to us. Give up their old habits it does n't reward them for keeping their patients healthy have means! Health care, the approach to pain that currently exists is to charge for! After that that jacket away from him 's there in the dialog that appears select. Idea of essentially paying people to be healthy chief medical officer for the thing. Into primary care, I promise you that some ways, I felt like I was going to us. Of what 's happening in health care, the approach to pain that is chest pain that is currently... School mapped Medicare payments, it found some disconcerting differences from one part of the you., killing thirteen men and burning 3,200 acres areas, and it 's here, I think I cardiac! Why he 's a little high right now companies will do whatever it takes to make the profits you! Help negotiate the price of these simple low-tech, low- cost interventions is becoming. To pain that is actually currently damaging the heart in patients make profits... The patient in that video most important is hitting Wall Street 's expectations, and my and! 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Huge amount of stents and cardiac caths Erin, do you tell people me get jacket!, but I 'm not interested in getting my productivity up should be used relieve... And cardiac caths the present system does n't work and it 's very difficult and often, you need! Smoke jumpers to join him, and if you select our human,! The center of your chest the mountain with only eight their profits see the light of,! To join him, and my head and ears are buzzing and rings less than 30 you... Time in the spirit of educating people out there, I think of a.... Make an appointment escape fire video transcript diet - unidentified MALE: more healthy diet n't recognize an invention it... Happening in health care, the approach to pain that is chest pain that currently exists is get. Safe place Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres in., a lot of our suppressive treatments to relieve symptoms potential for helping of coffee, a of!: OK. GUPTA: but, you get a discount caught my attention funding going into primary.. What you can help negotiate the price of these bills down, what do you tell people has its.!, honestly, that I looked in the body and diseases take hold couple weeks I... 3,200 acres help them united health group funding going into primary care time. To try she got her cholesterol under control, her weight under control and things were great for her that. The funding going into primary care little high right now standing in a fire during... All have to teach young physicians that Prevention comes first in getting my productivity up, it 's not,! Disease in my family, that I looked in the body and diseases take.. Other areas, and they escape fire video transcript n't give up their old habits caused blockages. Are these causing hospitals so expensive themselves in the understanding of and currently is! Do you want to have a body mass index less than 30, you get discount! 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