escape fire video transcript
DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. Not just the health, but healthcare, the health of a nation. We spend one heck of a lot of money. Just do something. Our forefathers in medicine were really about patients. 2. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. BURD: Yes. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. She got her cholesterol under control, her weight under control and things were great for her after that. We're glad to have you home. The folks who were there were not trying to shirk their responsibilities. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. NISSEN: Now, the leading cause of death in diabetes is heart disease. UNIDENTIFIED MALE: These are all one person's? They didn't foresee me ever trying to walk yet. It's hard to say good-bye to the patients. And healthcare doesn't need to be immune to that. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. As an overall system, no, we're not anywhere near the best in the world. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. We have some challenges with access and affordability. And Doctor Nissen is in salaried as well. Sometimes we're talking about them on a daily basis. There is no doubt, they always have. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. Fire Escape Transcript. A lot of unnecessary stents? UNIDENTIFIED MALE: Six and over. (COMMERCIAL BREAK). OK? 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 just could not continue doing what I was doing. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. The Issues. Seventy percent of all the deaths in diabetes are heart disease. Some would say overrewarded specialty and subspecialties. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. I mean -- but you have to have the time to educate your patient. Even though the patients in Miami weren't any sicker than their neighbors. Escape Fire escape fire University Central Michigan University Course Introduction to Health Service Organizations and Systems (HSC 507) Academic year 2021/2022 Helpful?00 Share Comments Please sign inor registerto post comments. Or at least we think we do. But with regard to prevention, preventing disease, does that save us money? 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. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. I can't be having heart problems. On my way. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. And from that point on I realized that I don't want to be on this. ROBERTSON: OK, so first topic, Medicaid reimbursement. They had to live with some of the new consumer protections in the bill that does make it illegal for companies to just cancel someone's policy because of a preexisting condition. MARTIN: Are you taking your medication? We just have to keep working towards that. So at this point, we will administer the medication. We don't have to spend ourselves into poverty on healthcare. YATES: OK. It had to do with the idea of essentially paying people to be healthy. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. MARTIN: I think what the American people need is, they need good health care. Open your favorite browser and launch YouTube. Suture, one that's used in every operating room in the world. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. Underrewarded primary care. And for the large majority of people we help, they often don't understand what many of the charges are. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? And remember that you can return to this place at any time during the meditation. GUPTA: A lot of these stents are unnecessary? A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. I'm not changed, but I'm changing. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. Only thing we can do is separate them out, because there's no way for us to tell which are which. Impressive for it to react that quickly. 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. The average per capita cost of healthcare in the developed world is about $3,000. GUPTA: There was something in the documentary that caught my attention. We have made all of this unhealthy food the cheapest and most available food. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. Here you go. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. (COMMERCIAL BREAK) SHANNON BROWNLEE, MEDICAL JOURNALIST: Dark matter is a discovery by astronomers that there is a huge amount of the universe that we can't see. WEIL: Right. It's OK. You're good, you're good. THIS IS A RUSH TRANSCRIPT. It was important to keep expressing the hospital's position. 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. One of the great contributions of America to world cuisine, you know, fake bread. Published Feb 22, 2001. That was how many medications I was on. Because I've gotten a lot of inspiration from the fellowship. Delhi Building Collapse Video: 100 , BROWNLEE: We spend a spectacular amount of money on healthcare. 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. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. I want to give to people and I want to help people, and I wasn't able to find that here. That's built in these costs as well. It is important to keep in mind. All right, so take a breath. They have a blockage that's not causing symptoms and yet they're actually having a procedure. OK. Bend down. (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. An estimated 600,000 stent procedures are performed every year in the United States. We need a whole new kind of medicine. He's like really not listening very well. Transcripts Dragons: The Nine Realms Fire Escape Script view. DR. ANDREW WEIL: There's the bright blue slush. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. BERWICK: Everybody is doing what makes sense to them individually. It's not true in the United Kingdom. UNIDENTIFIED FEMALE: OK. And I think that's a good place to start. She joins us now. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. 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. Tom's Escape In The Fire Escape. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. So, if there's a concern someone has a tumor, they who use a needle like this. It takes a village to make an unhealthy patient healthy. Something like that. So tired of it. Most diseases don't happen overnight. Your arteries around the heart. We're on track for that on Tuesday. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED FEMALE: 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, her cholesterol was never well controlled and her high blood pressure was never well controlled. ORNISH: The limitations of high-tech medicine have never been clearer. And every year they have to turn people away. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. But I'm doing it. If they are confirmed non-smoker, we give them a discount. They can pretty much get away with increasing the rates as much as they want to. And I hope our new generation of health professionals will catalyze this social movement that's necessary and enough people get aroused enough about the situation and see it for what it is and then start some kind of grassroots movement to change the political balance of power. 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. That we really have historically the low growth over the last three years, actually about the rate of our economy which is actually pretty historically low. Some people, this is all they eat, food of this sort. OK, so let's go into our meditation practice. I was 35 at the time and was scheduled for open-heart surgery. And that was the first study showing that heart disease was reversible. Jonas, Wayne B., commentator. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. Considering that hospitalization itself is listed as the third leading . Well, it drives demand. Can't wait to be there. 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. They did not tell physicians. Cost about $1200. Going back home. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. 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. I mean, an obvious one is nutrition, which is almost omitted from medical education. SGT. Who's next? And that is why, our first priority has to be to equalize that access and then move on. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. I think to, to be clear, this is incentive that the paying last to be healthy . Aladdin and the King of Thieves/Transcript. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. What we do with waste in healthcare. Instead of basing things on outcomes, on how good of a job we're doing, the government sets the reimbursement completely on the number of patients that we see. UNIDENTIFIED MALE: I'd be chomping narcotics. That's how embedded people get in the status quo. And the problem is, some of those procedures will lead to bad outcomes. Mountains of Afghanistan are not easy to climb, so pain in my back. That simply means they get paid for each office visit. One of the things I think that people are going to remember from that documentary is that when you talk about our life expectancy, we are 50th in the world, last in terms of the richest countries. UNIDENTIFIED MALE: Oh, yes. BERWICK: The healthcare system is unsustainable. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. Sometimes they are related to lifestyle habits. We're part of the community. I just had been ignoring it, because I thought, you know, I'm only 34 years old. And you say that you can help negotiate the price of these bills down, what do you tell people? 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. BURD: Making money and doing good in the world, they're not mutually exclusive. ROSS: If you had to? What the Dartmouth group discovered is that the patients in the most costly regions where Medicare spent more money on patients, those patients did not have better health outcomes. Thanks all of you for joining us. What we don't know, is that a fundamental change? These for- profit companies by law have to serve shareholders. He was featured in the film. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. You can't have a cafeteria that doesn't have calorie counts on it. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. And so, I think it points to the violence in our society. CARNES: I will be at your side should anything challenging come up for you. Alice in Wonderland (1951)/Transcript. Joining me to talk more about this is doctor Steven Nissen, he is the man in the documentary, the chairman of cardiology at the Cleveland clinic. NISSEN: Yes. That's good. We're spending almost twice as much in America as any other country on earth. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. You can export to TXT, DOCX, PDF, HTML, and many . Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. This drug was the number one selling diabetes drug in the world in 2006. Right? ROBERTSON: Right. The film examines the powerful forces trying to . I'm not sure what is what. So inhale. Are my premiums going to go up? Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. UNIDENTIFIED FEMALE: OK. OK, I can see what you can have for pain, all right? The answer is among us. Does it make a difference? The fire overtook the crew, killing 13 men and burning 3,200 acres. You know, the ads always end with the same phrase, ask your doctor. Rescue care is second to none. She had had bypass surgery at an early age. Let me get right to it, Erin. MARTIN: And they don't reimburse for nutritional counseling or anything like that. So I said, if you follow them very carefully and you treat them at the first sign of progression. Do you want to tell me about some of those that you lost? OK? This suture costs about $200. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. UNIDENTIFIED FEMALE: You need to get up and pee? Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. 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. Look at the thinness. 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. 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. MARTIN: Good. I haven't exercised. Ten allotted. I'm not sure every country in the world does it perfectly. What would happen? DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. I'd rather be shot again than go through withdrawals of coming off that medicine. It's about saving the health of a nation. All Dogs Go to Heaven/Transcript. It's been a wild ride. When you start to look at kids 15 to 19, we know accidents and again violence. UNIDENTIFIED FEMALE: Hello, Mr. Fields. I lost him. UNIDENTIFIED FEMALE: These are all name brand. And it's just the last thing that you're really concerned about. Carry a lot of weight because I'm infantry. Have you -- UNIDENTIFIED FEMALE: 2008. Receive your transcript. 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. As Berwick says in the film, "We're in Mann Gulch. 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. My job is to provide the right care for the right patient at the right time. Determine, did you indeed have two MRI's during the course of one week? (LAUGHTER) Infinitely. 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. 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. 27 cardiac catheterization and well over seven stents. I was so dependent on my pain medication. That's going to be a little bit of a change and a little unfortunate. I'm not interested in getting my productivity up. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? When medicine became a business, we lost our moral compass. Not very much, but a little. It has to do with expectations of patients. WEIL: Most of this huge effort of the healthcare industry is devoted to intervention in established disease and the majority of that disease is lifestyle related and preventable. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. To a man with a hammer, everything looks like a nail. And that's parts of what a really great healthcare system would do. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. As an overall system, no, we're not anywhere near at the best in the world. GlaxoSmithKline worked very hard to keep these numbers from the public. And what I saw actually made me physically ill. As I looked at trial after trial, there were more heart attacks in the Avandia group. It was wonderful. That's it. detail. MARSHALL: So, anybody that's having a heart attack should get a stent. Respiratory shutdown. But, that's not the whole story. I feel like I'm changing. 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. People eat what's cheap and what's available. I mean, what is that, boy? And I had a massive heart attack. (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. The kinds of interventions that we have come to favor in this country are inherently costly because they are dependent on expensive technology, and that includes pharmaceutical drugs. I want to show you how it works. And those are surprising. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. It doesn't reward them for keeping their patients healthy. 4:00 Minute Teaser Video UPDATE: "In 2010, the US spent $2.5 trillion on healthcare." But now (in 2018) we are spending $3.65 trillion/year. Format your transcript file. It's getting rid of the bad thing. They'll say, it took years to develop something like this, the research and development costs are significant. I mean, I can't think of a single negative in doing this. Exhale. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. It's not just we know it, we actually can go and visit it. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. I took care of them and I was responsible for them and just worrying about if somebody else is going to do for them what they need. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. more . They have talked about a child between age of one and four, having the third most common causes of homicide. It's your money. GUPTA: Can you actually get a-hold of those people? I love you. We even found that when you change your lifestyle, over 500 genes were changed. UNIDENTIFIED MALE: Haven't gotten near my toes in months unless I do this. So we took the men with prostate cancer. Did you go to the diabetes education? We need a whole new kind of medicine. You are going to hear from many different voices with varying opinions and backgrounds tonight. We create a public expectation that more is better, which isn't actually true so people seek more. This is what he's got left. That's almost as much as the rest of the world combined. UNIDENTIFIED FEMALE: When I was a kid. I'm Dr. Sanjay Gupta. You just look different. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. The way that the system is set up, you can't be effective. And you know, our grandparents did not eat stuff like this. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? Compared to having your chest cut open? Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. Still bothers me to this day. He overdosed. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? It's the best treatment and it saves lives, period. 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. UNIDENTIFIED MALE: How's your pain, sir? And the actual costs for care here is among the lowest in the country. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. CHO: Oh, my God. I'm Dr. Sanjay Gupta. UNIDENTIFIED FEMALE: I just want to see what they've given him. Got approved very quickly. How long were you there? We're talking about a $3 or $4 billion a year drug. 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. I could hardly just about walk three steps and I'd have to stop and rest. It rewards them for delivering more care. They become more productive. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. And, of course, the natural end point is going to be in the emergency department. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. I felt like there's got to be something different, something better. There's been a lot of change in me in that transition between La Clinica and here. 'Deinfluencing' is now a thing. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. Wag Dodge survived, nearly unharmed, in his escape fire. I actually practice emergency medicine at the University of Virginia in Charlottesville. So here I am going in and out of the hospital to find out what's going on. 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. These perverse incentives that you described? You don't necessarily make a lot of investments in preventive care for someone who's not going to be a part of your health plan for a long period of time. It's too much paying for it. UNIDENTIFIED MALE: Not, not when I'm doing that. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. And you've had heart attacks. BURD: All right. You know, Nancy, we talked a lot about these bills. UNIDENTIFIED MALE: I have no health insurance. Committed to her living longer and better. But he can have anywhere between five and 10 milligrams of morphine. So diabetics, (INAUDIBLE) costs. Job number two was to make sure that there was not a public option. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. All right? (COMMERCIAL BREAK) DR. 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