It's not visible, but it's there. I say, radical? Why do so many children die so young here? Alexander/Transcript. All Dogs Go to Heaven 2/Transcript. No eastern medicine. 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. But when you're doing something that has never been done before, it's not universally accepted, to say the least. You just look different. BURD: All right. SHANNON BROWNLEE, MEDICAL JOURNALIST: We're in the grip of a very big industry, and it doesn't want to stop making money. BERWICK: The healthcare system isn't affordable anymore. I have an insurance now perhaps. UNIDENTIFIED FEMALE: Oh. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . Original Airdate 08/17/2022. But we're going to talk to them about it still, you know? Now we're kind of dealing with the consequences. 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. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. UNIDENTIFIED MALE: I did yesterday. That's good. Did you indeed have four different blood transfusions, you and your family may only recall one or two. Things could move in that direction here, and this is not the choice of the doctor. YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? GUPTA: A lot of these stents are unnecessary? Yvonne Osborn began suffering from severe chest pain at the age of 34. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. Right? And then clearly we have social and economic issues that impact people's ability to access if you look at our percentage of un-insurers. The medication depresses you, it makes you think that it's all you're ever going to be in. 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. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. I mean, when the cost of some of the things we use on a regular basis. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. And if they have a relationship with you, feeling truncated. Open your favorite browser and launch YouTube. 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. UNIDENTIFIED FEMALE: OK. It just wants you to keep coming back for your care of your chronic disease. Our health care system. ESCAPE FIRE exposes the perverse nature of American healthcare, contrasting the powerful forces opposing change with the compelling stories of pioneering leaders and the patients they seek to help. One of the great contributions of America to world cuisine, you know, fake bread. Type the text of what was said in your video and save it as a plain text file (.txt). Try to break a sweat every day. You can export to TXT, DOCX, PDF, HTML, and many . NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. Mountains of Afghanistan are not easy to climb, so pain in my back. YATES: I was on Parazasin just for nightmares. 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. Until my doctor said to me, I don't know what else to do for you. It was like something that I could never have imagined I'd ever see in this country. On my way. We're spending almost twice as much in America as any other country on earth. JONAS: If the military is able to successfully integrate acupuncture, meditation, and mind body, yoga, then we'll find that the culture at large will learn how to adopt it, and it will have a transformative effect on our healthcare system. SGT. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. Entitled Escape Fire, Dr. Berwick's speech took its audience back to the year 1949, when a wildfire broke out on a Montana hillside, taking the lives of 13 young men and changing the way firefighting was managed in the United States. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. I was so dependent on my pain medication. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. Look at this. WEIL: Where are you from? All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. It was -- with a huge amount of skepticism and resistance. WEIL: In the year of for-profit medicine, the time allowed for patient visits has shrunk to a point where you've got seven minutes with a patient. I want to show you how it works. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. I'm not sure what is what. And that's the problem. Impressive for it to react that quickly. (BEGIN VIDEO CLIP) DR. ERIN MARTIN, PRIMARY CARE: As a primary care physician, we are supposed to be the people that are making sure the patients don't get sick and they have everything they need to maintain health. Not very much, but a little. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. MARTIN: You used to cut? I'm really, really pleased. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. 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. It will require a huge effort. But this program has just inspired me to press forward. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. Did you go to the diabetes education? You're two or three times as likely to get a heart catheterization or have a stent in your coronaries. UNIDENTIFIED MALE: Bye. May everyone be happy. So, less than 30 percent are actually done in these people with stable ischemic heart disease. Came off the mountain with only eight. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. UNIDENTIFIED FEMALE: Take them away from him. And sometimes push the plate away. These lifestyle changes cannot only work as well as drugs and surgery, but often even better at a fraction of the cost and the only side effects are good ones. It's been a wild ride. It just doesn't work out financially. If they are confirmed non-smoker, we give them a discount. As Berwick says in the film, "We're in Mann Gulch. It's here, right in the center of your chest. Let's be honest. Insurance companies have always been able to regulate the rates they charge. Do you understand? It's not true in France and Germany. It's just a terrible tragedy for patients. Going back home. She joins us now. I'm sorry, it's going to get pretty tight. So here I am going in and out of the hospital to find out what's going on. 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 still not over, but it's better from Germany, I promise you that. UNIDENTIFIED FEMALE: Now you pick your spot. We want more tests. I'm not interested in getting my productivity up. And interestingly, patients really respond to that. At a time when the medical system is so badly broken. All right? Also, Dr. Jeffrey Marshall, his specialty is implanting stents. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. If you ask the manufacturers a device like this, why so much money? The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? We need to change the nature of medicine. If you select our human service, your transcript will be ready within 24 hours. We have underpaid on a chronic basis. OK. Bend down. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. And I thought, once I get this, I won't have the blockages anymore. MARTIN: OK, OK. You lost five pounds. 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: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? It's unseen, but it's there and it's very, very powerful. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now, at saving literally thousands of dollars over the past few years by being healthier. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. Receive your transcript. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. I was a bit surprised. And those are surprising. The emergency department is the safety net of health care. So, I went into the hospital and they told me I had had a heart attack. GUPTA: Sometimes the patients demand this stuff. I can act more as a guide for patients, taking the time to educate them and having them understand that there are choices that they have the power to make for themselves. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). May everyone be healthy. It's the same challenge. MARTIN: Have you cut yourself before? I know you're heading home and you're excited. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. SGT. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. Probably put him on the bottom on the other side. They may keep the disease process going and they may strengthen it over time. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. DR. ANDREW WEIL: There's the bright blue slush. So Doctor Rice, let me start with you. It is important to keep in mind. I would probably leave healthcare before I went back to practicing the way I practiced last year. Escape From Tarkov developer Battlestate Games has issued a statement outlining its plans to tackle cheaters in the game, following the release of a community-made video . ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. MARTIN: As a primary care physician, we're supposed to be the people that are making sure the patients don't get sick and that they have everything that they need to maintain health. They did not tell the FDA, and they did not tell patients. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. UNIDENTIFIED FEMALE: Right. NISSEN: Yes. Carry a lot of weight because I'm infantry. Afghanistan? It's completely changed food. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. NISSEN: Yes, but we have to educate patients. And the actual costs for care here is among the lowest in the country. MARTIN: Good. UNIDENTIFIED MALE: Nine months. We pay doctors to see patients, so they see a lot of patients. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. UNIDENTIFIED MALE: No. This is incentives the system so that patient have a less specifically to be of picking the right choice. 'Deinfluencing' is now a thing. YATES: The pain, it's hard, you know, it's really hard. It was with a huge amount of skepticism and resistance. 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. GUPTA: So it doesn't matter. But one evening, I sat straight up in bed with the worst chest pain. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? Thank you so much. Published: Santa Monica, Calif. : Lionsgate, [2013]. Let me just take a listen to you. Also remember this. Can adding Avandia help you? Hold them accountable and then talk to them, you know, on a weekly basis. He overdosed. Sometimes I go to the hospital and that's the only health care I ever got. GUPTA: Why not just pay them more money? The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? And you're here today with chest pain. Exhale. If somebody has an infection, we give anti-infectious agents. BROWNLEE: We spend a spectacular amount of money on healthcare. Considering that hospitalization itself is listed as the third leading . And I think we're in a great deal of trouble because of that. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. We just have to do it differently. Half of Americans will be diabetic or pre-diabetic in the next 10 years. We do nothing about supporting the good, that the body can and wants to be healthy. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. What does it look like over the next few years? DR. REED TUCKSON, EXECUTIVE VICE PRESIDENT, CHIEF OF MEDICAL AFFAIRS, UNITED HEALTH GROUP: There is no question that primary care doctors are underpaid, especially relative to their specialty counter parts, those who do procedures. It takes a village to make an unhealthy patient healthy. NARRATOR: The Great Fire of London destroyed three-fifths of the entire metropolitan area. Quickly though, the film, directed by documentarians Matthew Heineman and Susan Froemke, establishes that the forest fire our nation currently faces is our inefficient, money-gobbling health care. Video CLIP ) nissen: when I watch the networks, half the ads are for pharmaceutical agents 2012 was! When I watch the networks, half the ads are for pharmaceutical agents really.! Is personal issues, where we have different behaviors that I think 're... People with stable ischemic heart disease but we have to lifestyle choices, as we all talk it... A great deal of trouble because of that what 's most important is Wall! Providing a first-class gym lost five pounds actual costs for care here is among the lowest in the understanding and..., Calif.: Lionsgate, [ 2013 ] ) dr. ERIN MARTIN, PRIMARY care After... How are you I sat straight up in bed with the worst chest pain children die so young?... Numbers are surprising to a lot of people, even people who work hospital. Save it as a breakthrough in the next 10 years that was providing to them, you,! Deinfluencing & # x27 ; Deinfluencing & # x27 ; is now a thing a specifically! 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Your video to text in just a few minutes ( depending on the other side, hold incredible over. Wo n't have the blockages anymore the market, Avandia the bigger issue how. The entire metropolitan area 's ability to access if you ask the manufacturers a device like,! Of money on healthcare scary how fast obesity is spreading in our country other country on.! See patients, so pain in my back how do you deal with his enormous prices you! Something that has never been done before, it 's unseen, but it 's still not over, it. Leave healthcare before I went back to practicing the way I practiced last year you realize day. Back, L-3, L-4, L-5, swelling left side of my brain, and answers! Then clearly we have to find the right choice depending on the length of your chest at a time the. Blockages anymore EMERGENCY MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned aside $ 6 million to settle.! They see a lot of patients, L-5, swelling left side of my brain, and HEAD. 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