A lot of unnecessary stents? That isn't true in Canada. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. It was with a huge amount of skepticism and resistance. We say they don't prevent heart attacks, they don't lengthen life. NISSEN: If you look at health care in America, you're twice as likely to get your knee replaced as you are in Western countries with the same standard of living. And that model has continued until today. I think that's an important point. That was the message that, you know, I think was the you got from that documentary. There were even times, honestly, that I looked in the mirror and said, how did you get here? 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. I was a bit surprised. MARTIN: Good. They couldn't get insurance. GUPTA: A lot of these stents are unnecessary? NISSEN: Good morning. Or at least we think we do. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. If they are confirmed non-smoker, we give them a discount. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? UNIDENTIFIED MALE: We have had enough. NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. 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. She needs a follow-up within three month with an echo. Maintaining my pain. UNIDENTIFIED FEMALE: OK. Escape Fire premiered at the Sundance Film Festival, [1] opened in select theaters on October 5, 2012, and was simultaneously released on iTunes and Video-on-Demand. (LAUGHTER) That's the way I like to look at it. Never needed you. 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. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. The power lies with corporations and corporate interests and the lobbyists that they buy. 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. 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. A stapler, this stapler that is often to used in surgery, like this? Because what we think is best for us often isn't. I'm two and a half months out of combat. So at this point, we will administer the medication. 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. 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. Maybe even a provider service. And I think that's a good place to start. That Medicare bidding demonstration. (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. That's how embedded people get in the status quo. Our forefathers in medicine were really about patients. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. UNIDENTIFIED MALE: Once I found out what was really wrong with me. So we're going to open up some chi? MARTIN: And they don't reimburse for nutritional counseling or anything like that. They sent me home with them. We're spending almost twice as much in America as any other country on earth. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. And now I'm -- 25 years later and I'm in pretty good shape. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. We want more procedures. I'd rather be shot again than go through withdrawals of coming off that medicine. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. GUPTA: Doctor Rice, What do you think about that. To feel that way when you come home is demoralizing. 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. And some people even that are getting stents don't have symptoms. But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. Exhale. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. 0. What would happen? Do you understand? ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? Did you indeed have four different blood transfusions, you and your family may only recall one or two. It would be a very different system that probably would be less high-tech and more high touch. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. My energy level is up. He told Dean, how long is the program? 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. Cost about $1200. MARTIN: OK, OK. You lost five pounds. Our life span isn't even in the top 20. And it wasn't because procedures were more expensive in Miami than in Minneapolis. We want more tests. He's, like, clutching his head. So that's rewarding for me. We're part of the community. 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. You almost forget that what you're doing is providing healthcare. UNIDENTIFIED FEMALE: OK, I need some help over here. Things could move in that direction here, and this is not the choice of the doctor. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. There is no doubt, they always have. And that's the problem. This is what you do for a living. There's also administrative costs that are built in. UNIDENTIFIED FEMALE: Nine months? 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. 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. And the disease care system actually -- I mean, if it really was honest with itself, it doesn't want you to die and it doesn't want you to get well. And if you try and buck the system, someone says, what can we do to get your productivity up? ORNISH: There's very little evidence that these conventional treatments make you live longer, but they cause many men to be impotent or incontinent or both. I'm not changed, but I'm changing. He is the president of the American Academy of Family Physicians. I actually practice emergency medicine at the University of Virginia in Charlottesville. Simply the same way the hospitals and physicians. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. Physical Desc: 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. 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. GUPTA: You feel better when you're healthier too. I lost a lot of good men. What's wrong with medical education is that it simply doesn't address whole subject areas that are absolutely essential to understanding human beings, health, illness, and treatment. Is that how you get paid? He is also a president of the society for interventional and geography in intervention. In fact, more soldiers died last year from non-combat injuries than during war. 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. UNIDENTIFIED FEMALE: When I was a kid. UNIDENTIFIED MALE: I feel different. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. Now, thanks to both of you for joining us. 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. 27 cardiac catheterization and well over seven stents. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. Until my doctor said to me, I don't know what else to do for you. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. MARTIN: Barely? But I think, to be honest, when you add more people to the system; that raises costs. MARTIN: I think what the American people need is, they need good health care. "Escape Fire" airs March 10 on CNN. I mean, when the cost of some of the things we use on a regular basis. The really astonishing part about the fact that we spend more is we have worse health outcomes. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. Why do we care about covering the uninsured? Got to push through it. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. I mean, everyone wants that probably in every system. I became a doctor because I care about patients and working here, I can't help them. Meditation takes the place of that. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. There's the cost of covering people who simply don't have insurance or can't pay. UNIDENTIFIED MALE: I'd be chomping narcotics. Mountains of Afghanistan are not easy to climb, so pain in my back. And yet the outcomes, the survival rates are at the highest levels. We have made all of this unhealthy food the cheapest and most available food. It doesn't reward them for keeping their patients healthy. It got fast tracked by the FDA. 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. Recognize that you are this spacious, welcoming, open awareness no matter what thought, no matter what feeling, no matter what sensation or circumstance happens to arise. CARNES: We'll end the practice today with the completing statements. 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. This is incentives the system so that patient have a less specifically to be of picking the right choice. And so 15 firefighters were trapped. An estimated 600,000 stent procedures are performed every year in the United States. 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. He was featured in the film. (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. That is chest pain that is actually currently damaging the heart in 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. Only thing we can do is separate them out, because there's no way for us to tell which are which. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. 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. Compared to having your chest cut open? The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. UNIDENTIFIED MALE: How's your pain, sir? UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. NISSEN: You know, DVT and pulmonary emboli. Yvonne Osborn began suffering from severe chest pain at the age of 34. UNIDENTIFIED FEMALE: Oh, my god. 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. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. Can adding Avandia help you? I have an acutely suicidal patient in my office that I need help with. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. Most diseases don't happen overnight. (LAUGHTER) NIEMTZOW: Hi. Next, click the three-dot menu icon underneath the title of the video. UNIDENTIFIED FEMALE: First one's going in. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. If you're seeing redundancies in service, go back and meet with your medical professional. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. Carry a lot of weight because I'm infantry. 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. UNIDENTIFIED FEMALE: Right. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). And is it still traveling into your neck? GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. And if you look at the causes, especially with regard to that documentary, they say it's quote "because of a profitable disease care system." WEIL: Right. 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. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. UNIDENTIFIED MALE: A day, for 25 years. Unless you're in the middle of having a heart attack, which 95 percent of people who get them are not, they don't prolong your life, they don't even prevent heart attacks. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. Click on "Export" and choose your preferred file format. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. The Dartmouth study showed the patients in places like Miami were receiving more care. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. 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. 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 problem is not that it doesn't work, the problem is that we haven't figured out how to get it into the system so that we can make it widely available to the population. YATES: OK. UNIDENTIFIED FEMALE: I just want to see what they've given him. All right. ROSS: If you had to? So I said, if you follow them very carefully and you treat them at the first sign of progression. It only reduces symptoms. No eastern medicine. How to know if you are being prescribed unnecessary medications or procedures, that's next. You didn't have to be a statistician or in the words of my old friend Bob Dylan, you don't have to be a weatherman to know which way the wind blows. There's the bright blue slush. We've just created a completely different system here. UNIDENTIFIED MALE: Oh, yes. Delhi Building Collapse Video: 100 , 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. They become more productive. The fire escape represents the ephemeral escape from his life inside the apartment. (END VIDEO CLIP) NISSEN: I was doing a Google search, and what I found was a Web site in the United Kingdom where the clinical trials done with Avandia were actually partially disclosed. I haven't exercised. 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