In the summer of 2007, I read about a health care expedition that was being held by Remote Area Medical a few miles from where I grew up. Power your marketing strategy with perfectly branded videos to drive better ROI. 5. This is going to caused about %800 dollars. It expands the artery to hold it open and allow the blood to flow. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. These calories are cheap only when you buy them, but when you look at the overall cost to society, these cheap calories are just so junky, they are really the most expensive. UNIDENTIFIED MALE: A day, for 25 years. I'm not changed, but I'm changing. When medicine became a business, we lost our moral compass. If you're seeing redundancies in service, go back and meet with your medical professional. OK, I can see what you can have for pain, all right? This point I'm in. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. I mean -- but you have to have the time to educate your patient. Thank you all. Obesity leads to heart disease and strokes and diabetes. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. This place actually gave me the tools to put in my tool bag so I can go back and still continue my process of healing, recovery. Prevention is cost effective. I had to do something. MARTIN: Barely? Yvonne Osborn began suffering from severe chest pain at the age of 34. 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. But, that's not the whole story. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. That was how many medications I was on. When they have insurance and they have access to usual source of care, primary care. But he can have anywhere between five and 10 milligrams of morphine. Next, click the three-dot menu icon underneath the title of the video. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. I'm not sure what is what. Credit: Battlestate Games. And they have a hard time believing that these simple choices that we make in our lives each day can make such a powerful difference. It's wonderful. 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. Where does that money come from? We're in Mann Gulch. You know, Nancy, we talked a lot about these bills. UNIDENTIFIED MALE: What do we want? There is no doubt, they always have. 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. GUPTA: Why not just pay them more money? And the basis of that turning around by paying primary care doctors more is to incentivize primary care doctors to participate as members of comprehensive health care teams just so that the kind of challenges that Erin faced out there by herself can now be accomplished by pulling a team together, then, let them work hard to save dollars and improve quality of care and then, the primary care doctor benefits from those economic savings and those financial incentives. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. GUPTA: So it doesn't matter. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. They are going to healthcare. Sometimes it's related to what the individuals actually have access to. 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. OSBORNE: I am great. ROSS: If you had to? And I had a massive heart attack. It's And we will say, it is important you request the appointment not only through a telephone call, but if you have an e- mail address, to try to do that. All right. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. We want more procedures. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. Episode Number(s) 1 S03E01 03x01. 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. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. So inhale. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. It doesn't always work. 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. I don't want to go down the same path. UNIDENTIFIED FEMALE: OK, I need some help over here. UNIDENTIFIED FEMALE: Do you want to do a pill count with me? UNIDENTIFIED FEMALE: Came off the mountain with only eight? If someone has compression of one of their lungs, they might need a chest tube like this, $1100. Can't wait to be there. (CROSSTALK) KASCH: That's why he's a little high right now. And then we're not going to help anybody. But, in fact, the more I looked, the more I found that there's all this stuff in medicine that we don't think about that is actually harmful. UNIDENTIFIED MALE: But Mommy, what are you going to do? There's the cost of covering people who simply don't have insurance or can't pay. So, we decided to give you a look at a typical operating room bill and that breaks down. GUPTA: So, tell me how that would work? That's built in these costs as well. GUPTA: Erin, do you want to respond to that? And how to know if you're being prescribed unnecessary procedures. Thanks for watching. MARTIN: How much were you drinking before? That may strike people as very high. But one evening, I sat straight up in bed with the worst chest pain. A stapler, this stapler that is often to used in surgery, like this? GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. Who pays for that? So, if you have a patient comes in, you get paid a certain amount because you do a stent. That is how many medications I was on. This is a chest tube. And chromosomes have all genetic information on them. $300 billion on drugs. Get educated on these issues and add your voice to a growing chorus for change. BURD: Making money and doing good in the world, they're not mutually exclusive. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. If you can delay treatment, then that man is not at risk for side effects during that period of time. What does that do? I actually practice emergency medicine at the University of Virginia in Charlottesville. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. Open your favorite browser and launch YouTube. 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. You are going to hear from many different voices with varying opinions and backgrounds tonight. Published Feb 22, 2001. Are you incentivized to do more stents? UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. SGT. Is that how you get paid? It's an expensive world to live in in terms of getting your voice heard in D.C., but that's the whole function of advocacy. Wag Dodge had an idea. You say there's a lot of Yvonnes (ph) out there, the patient we just met. An Entrenched System. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. 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 MALE: Soldiers' use of prescription drugs has tripled in the past five years. 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. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. Determine, did you indeed have two MRI's during the course of one week? I imagine the other smoke jumpers thought the guy was crazy, but his idea was this. All right. I was head of corporate communications, which means I was the top public relations officer for the company. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. And interestingly, patients really respond to that. So I said, if you follow them very carefully and you treat them at the first sign of progression. GUPTA: For everybody here. They did not tell physicians. About a 30 percent increase in the risk of heart attack and related complications. I could hardly just about walk three steps and I'd have to stop and rest. Those are the kind of things that would actually have an impact. 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. UNIDENTIFIED MALE: Yes. Tell me what happened. Half. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? (LAUGHTER) NIEMTZOW: Hi. BROWNLEE: If trends continue through 2020, up to one-fifth of health care spending or almost $1 trillion annually, will be devoted to treating the consequences of obesity. BURD: All right. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. Simply the same way the hospitals and physicians. It includes the mandate, the requirement that we all have to buy their coverage. Transcripts Dragons: The Nine Realms Fire Escape Script view. GRUBER: Well, basically, Medicare actually - I don't have to tell - Medicare right on demonstration where they did bidding, where Medicare would pay -- would reimburse certain rates for medical devices and they had bidding across different manufacturers to be the low bidder, to brought that sources lower prices by 40 percent. . If you select our human service, your transcript will be ready within 24 hours. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. Where I'm at right now, patients are in desperate need of care. It was like something that I could never have imagined I'd ever see in this country. 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. They are patients with heart failure, they are morbidly obese patients. 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. MARTIN: You used to cut? UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. UNIDENTIFIED MALE: I quit drinking, too. I never had a personal doctor, family doctor, nothing, all my life. I'm going to the emergency department. I'd rather be shot again than go through withdrawals of coming off that medicine. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. We're the only providers for. It was important to keep expressing the hospital's position. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. And for the large majority of people we help, they often don't understand what many of the charges are. We have a -- we have a motto in medicine. YATES: Wow. 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. Did you have a good day today? UNIDENTIFIED FEMALE: You need to get up and pee? People come in and you try and fix one thing and they come back for the same thing over and over and over. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. BURD: Yes. We're on track for that on Tuesday. What we don't know, is that a fundamental change? May everyone be happy. UNIDENTIFIED MALE: How's your pain, sir? I'm Dr. Sanjay Gupta. We don't have a healthcare system in this country. And welcome home. Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. They told no one. They are often poor patients, but not always. Carry a lot of weight because I'm infantry. 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. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. I came to Walter Reed. I started getting sick in my 30s. Alvin and the Chipmunks/Transcript. 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. The emergency department is the safety net of health care. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. And how do we shift this huge enterprise of disease intervention in that direction. He is also a president of the society for interventional and geography in intervention. My job is to provide the right care for the right patient at the right time. 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." If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. Came off the mountain with only eight. We even found that when you change your lifestyle, over 500 genes were changed. Yvonne came to se me when she was sort of at her wit's end. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? At some point he's going to stop breathing if he's taken too much narcotics. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. Event marketing. Aladdin and the King of Thieves/Transcript. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. Dr. Berwick suggests that the current state of healthcare. And I think we're in a great deal of trouble because of that. Literally, 30 patients an hour. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. These perverse incentives that you described? And that being applied to health care just doesn't work. 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. DR. ANDREW WEIL: There's the bright blue slush. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. UNIDENTIFIED MALE: Six and over. So, a hospital like the one you just saw there. Everybody is doing their job, we just design the jobs wrong. Look. It's still a struggle. UNIDENTIFIED FEMALE: Now you pick your spot. So diabetics, (INAUDIBLE) costs. Some would say overrewarded specialty and subspecialties. Job number two was to make sure that there was not a public option. Sometimes we're talking about them on a daily basis. No soldier should have to go through this. There were even times, honestly, that I looked in the mirror and said, how did you get here? PROTESTERS: Healthcare. The problem with Yvonne's case, is she had all of those stents before she had the risk factors controlled. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. Things could move in that direction here, and this is not the choice of the doctor. NIEMTZOW: Any pain? An estimated 600,000 stent procedures are performed every year in the United States. The way that the system is set up, you can't be effective. Do you think that will make a difference? I'm not sure every country in the world does it perfectly. There has to be a different way of doing things. The film interweaves personal stories with the efforts of leaders battling to transform it. In fact, more soldiers died last year from non-combat injuries than during war. MARTIN: Bye. So tired of it. BROWNLEE: We spend a spectacular amount of money on healthcare. 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. ORNISH: I thought, most things in biology go both ways, so if bad things make your telomere shorter, maybe good things will make them longer. If somebody has hypertension, we give anti-hypertension drugs. UNIDENTIFIED FEMALE: How are you? CHO: I know, you look really good. YATES: I meditate, and it has opened up a whole new world for me. One of the three men who survived the Montana fire did so through an ingenious solution and a leap of faith by making an escape fire. That's almost as much as the rest of the world combined. That was job number one for them. 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 there's a lot of talk about who's going to pay for it, and that's really important. So I went into the hospital and they told me I had had a heart attack. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. The answer is among us. CARNES: Notice where you are in the room, the people around. Do you understand? It's just so much more than money. UNIDENTIFIED MALE: That's pretty good. If you ask the manufacturers a device like this, why so much money? NISSEN: Yes, but we have to educate patients. ROSS: There have been some trends in healthcare that make me uncomfortable. I was popping 20 or 30 Nitrols a day. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. Because they're not using health care now. So, if there's a concern someone has a tumor, they who use a needle like this. WEIL: Where are you from? We have that technology, it's right there. And the fire spread around him. And so, I think it points to the violence in our society. He was featured in the film. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. How did -- what did think about that? UNIDENTIFIED MALE: So uncomfortable and I need to pee again. How to Get YouTube Transcripts on Desktop On a desktop or laptop, head on over to YouTube.com in a web browser such as Google Chrome and open a video to watch. Tom's Escape In The Fire Escape. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. Try to break a sweat every day. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. detail. 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 feel like I'm changing. 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. And here's the secret, healthier people cost less money too. The balloon is inflated to widen the blocked areas. You know? Most diseases don't happen overnight. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. . 2. 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 . And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. We pay doctors to see patients, so they see a lot of patients. 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. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. 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. What does it look like over the next few years? Blood pressure under control, a discount. That Medicare bidding demonstration. The Dartmouth study showed the patients in places like Miami were receiving more care. Also remember this. Then all of a sudden I started getting chest pains. You almost forget that what you're doing is providing health insurance. YATES: Meditation is scary sometimes. Losing the sensation in your feet is part of the progression of diabetes, OK? It would be so wonderful if their chronic health conditions could be prevented through effective primary care. DR. SANJAY GUPTA, HOST: Good evening. Because of this program that's here, the yoga. He overdosed. If it's a radiologist, they get paid for each CT scan they deliver. Let me take a listen to you. (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. But so what, right? 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. RICE: And I was surprised about this, particularly the data. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. That is ridiculous. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. I've spent more than 30 years of doing studies showing that heart disease can be reversed by changing what we eat, how we respond to stress, how much we exercise, and how much love and support we have in our lives. UNIDENTIFIED MALE: When do we want it? We need primary care doctors. To a man with a hammer, everything looks like a nail. That isn't true in Canada. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. That ended and it rose quickly. Mountains of Afghanistan are not easy to climb, so pain in my back. We need a whole new kind of medicine. It's too much paying for it. It is an IV like this, about $280 just for the IV bag. 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 MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. You're your options might be, if there is a doctor surgeon on hometown. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. 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. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. 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. And it's got to the point where the pain's radiating from my back down to my hips and then down to my thighs. 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. Select Open transcript . Wag Dodge survived, nearly unharmed, in his escape fire. That cost about 1,000You'll find examples like this all over a room. It's the best treatment and it saves lives, period. OK. Escape Fire. On my way. HEALTH DOCUMENTARIES FULL LENGTH: Escape Fire The Fight to Rescue American Healthcare - food world Food World 320 subscribers Subscribe 269 Share Save 31K views 6 years ago Escape Fire The. 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. Alexander/Transcript. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. (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. 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. NISSEN: Contrary to what most people believe, getting a stent in your coronary, if you have stable chest pain, will likely relieve your pain, but it will not help you live longer. Almost as much as the rest of the answer being there but just in the of. More is we have to buy their coverage the progression of diabetes OK. Morehouse school of medicine school mapped Medicare payments, it 's a game changer, we our! He is also a president of the world, they might need a chest tube like this, 1100! 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