Type the text of what was said in your video and save it as a plain text file (.txt). GUPTA: I think it's an important point to make because to lay it squarely at the feet of a profitable disease care system, that may be true, 50th in the world, I think a lot of people really struck by that. Also remember this. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. That's built in these costs as well. The Issues. Now you're going to get the scissors. My job is to provide the right care for the right patient at the right time. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. SHANNON BROWNLEE, MEDICAL JOURNALIST: We're in the grip of a very big industry, and it doesn't want to stop making money. I think there's some very good drugs out there, I think drug treatment has its place. When I'm running and it's a hot day and I feel like giving up, it never fails. 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. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. MARTIN: You used to cut? It doesn't always work. 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. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. Seventy-three seconds into the 28 January 1986 . MARTIN: When was your last mammogram and pap smear? When they have insurance and they have access to usual source of care, primary care. 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. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. 1. s03e01 - Fire Escape Tran script. Trying to get Medicare to cover a heart disease program has been by far the hardest thing I've ever done in my entire life. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. How are you feeling? It's been a wild ride. UNIDENTIFIED MALE: He really did. 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. Probably put him on the bottom on the other side. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. It's about saving the health of a nation. Host virtual events and webinars to increase engagement and generate leads. Can adding Avandia help you? Let's be honest. I started having really, really bad chest pain. MARTIN: Uh-huh. YATES: Meditation is scary sometimes. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. Obesity leads to heart disease and strokes and diabetes. I felt like there's got to be something different, something better. NISSEN: Yes, but we have to educate patients. 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. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. UNIDENTIFIED FEMALE: OK. Credit: Battlestate Games. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. UNIDENTIFIED MALE: Yes. NIEMTZOW: So you haven't taken anything? We have a -- we have a motto in medicine. There are answers, we know what safe care looks like. 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? It just doesn't work out financially. UNIDENTIFIED FEMALE: Loratab, Naproxen. And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. 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. If somebody has hypertension, we give anti-hypertension drugs. 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. NISSEN: We do have a problem in America, and that is we have misaligned incentives. 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. We want more tests. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. ROBERTSON: Right. How to make a healthy choices. But, that's not the whole story. I think five or six of them are on the waiting list. 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. 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. DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. They couldn't get insurance. But we're going to talk to them about it still, you know? Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. I smoked six cigars a day, 10 cups of coffee, a lot of wine. Impressive for it to react that quickly. And to me, that's not the only issue. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. We want that. Try to understand where the redundancies are. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? If you have that desire to quit smoking, we'll get there eventually. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. This point I'm in. (LAUGHTER) That's the way I like to look at it. He's taken 10 tablets. (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. YATES: That's every single signature that says that you're good to go to get out of Walter Reed and move on with my travel right there. I had difficulty sleeping at night. 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. The power lies with corporations and corporate interests and the lobbyists that they buy. 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. It's your money. 5. UNIDENTIFIED FEMALE: Where are you coming from? Sometimes we're talking about them on a daily basis. 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. To feel that way when you come home is demoralizing. We have underpaid on a chronic basis. Try to break a sweat every day. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? She joins us now. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. Only thing we can do is separate them out, because there's no way for us to tell which are which. YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? UNIDENTIFIED MALE: We all know there's things we can do and they make us feel good and we like to do them, but we're going to feel really bad if our doors close. Why do we care about covering the uninsured? GUPTA: But, why are these causing hospitals so expensive? 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. Seventy percent of all the deaths in diabetes are heart disease. 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. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. Because I've gotten a lot of inspiration from the fellowship. Can't wait to be there. 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. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. Viewers will see this language when they . "Escape Fire" airs March 10 on CNN. 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. It's addictive. UNIDENTIFIED FEMALE: Came off the mountain with only eight? (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. 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. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. They have a blockage that's not causing symptoms and yet they're actually having a procedure. And the actual costs for care here is among the lowest in the country. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. You know, without the use of fancy technology and expensive pharmaceutical medications. Hold my beer while I shoot this gator, you know? And yet the outcomes, the survival rates are at the highest levels. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. UNIDENTIFIED REPORTER: It's an idea that's received national attention. NISSEN: Finally, the FDA put severe restrictions on the drug. It doesn't reward them for keeping their patients healthy. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. Log in to your account. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? We need a whole new kind of medicine. And it's just the last thing that you're really concerned about. YATES: I meditate, and it has opened up a whole new world for me. 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. YATES: Wow. Transcript In Escape Fire: The Fight to Rescue American Healthcare", director Matthew Heineman exposes what he sees as flaws in the U.S. healthcare system, such as a doctor who can spend just. You know? They are patients with heart failure, they are morbidly obese patients. They may keep the disease process going and they may strengthen it over time. GUPTA: Doctor Rice, What do you think about that. $300 billion on drugs. This drug was the number one selling diabetes drug in the world in 2006. MARTIN: Barely? You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. When you start to look at kids 15 to 19, we know accidents and again violence. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. That's good. All Dogs Go to Heaven/Transcript. I mean, where did that idea come from? The really astonishing part about the fact that we spend more is we have worse health outcomes. UNIDENTIFIED MALE: Nine months. Do you want to tell me about some of those that you lost? What do you think of that? Do you think that will make a difference? BERWICK: Everybody is doing what makes sense to them individually. As an overall system, no, we're not anywhere near at the best in the world. You allow and encourage your employees to become healthier. 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