escape fire video transcript
That prevents tissues from renewing themselves in the body and diseases take hold. Suture, one that's used in every operating room in the world. Because what we think is best for us often isn't. Then all of a sudden I started getting chest pains. ROBERTSON: OK, so first topic, Medicaid reimbursement. UNIDENTIFIED MALE: What do we want? 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. And so 15 firefighters were trapped. Alvin and the Chipmunks/Transcript. It's just so much more than money. DR. SANJAY GUPTA,. Thanks for watching. I mean, when the cost of some of the things we use on a regular basis. We have a lot more power over how healthy we are than we are willing to take credit for or willing to take responsibility for. We have to be mindful to those points in time where you can intervene and say enough's enough. The fire overtook the crew, killing 13 men and burning 3,200 acres. And you know, our grandparents did not eat stuff like this. What would happen? Prevention is cost effective. MARTIN: You used to cut? Little did I know that it was followed by years of the same thing over and over and over again. UNIDENTIFIED MALE: A platoon of 23. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. 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. 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. We're spending almost twice as much in America as any other country on earth. So at this point, we will administer the medication. Just sore. Our health care system. It got fast tracked by the FDA. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. I'm not changed, but I'm changing. 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. We are going to take a short break. People talk about two-minute doctors. Did you indeed have four different blood transfusions, you and your family may only recall one or two. Sometimes we're talking about them on a daily basis. As Berwick says in the film, "We're in Mann Gulch. OSBORNE: I am great. (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. And I think that's a good place to start. WEIL: Right. 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. It's too much paying for it. I mean, everyone wants that probably in every system. MARTIN: Bye. But we're going to talk to them about it still, you know? Dr. Berwick suggests that the current state of healthcare. I mean, I can't think of a single negative in doing this. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. Most diseases don't happen overnight. The way that the system is set up, you can't be effective. Is that a fair message? Right? It really does. And there's a lot of talk about who's going to pay for it, and that's really important. I was popping 20 or 30 Nitrols a day. YATES: OK. I was so dependent on my pain medication. Do you want to tell me about some of those that you lost? GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. This is a chest tube. In the dialog that appears, select the language of the file you're uploading. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. Let's be honest. UNIDENTIFIED FEMALE: Do you want to do a pill count with me? It is a burning platform and they see this. Are you incentivized to do more stents? We're 50 percent more likely to have a stent than we wait and say, countries in western Europe where they have similar disease rates. BERWICK: The healthcare system isn't affordable anymore. It's still a struggle. That is how many medications I was on. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. 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. Description: In this clip* from the award-winning documentary, Escape Fire: A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. I mean, the average price tag for a single hospital admission can be really eye-popping. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. He overdosed. 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. Alexander/Transcript. So, less than 30 percent are actually done in these people with stable ischemic heart disease. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. She joins us now. We're glad to have you home. MARTIN: I had to do the fellowship because it was kind of my little ray of hope that things could be better, things can be done differently. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. And welcome home. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. We even found that when you change your lifestyle, over 500 genes were changed. And ironically, it was only two hours away at the Cleveland Clinic. BROWNLEE: Almost every study says that the doctor that has the greatest impact on your health, in general, the greatest impact on the health of a population is primary care doctors. detail. Escape Fire. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. 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. It used to be me. UNIDENTIFIED REPORTER: It's an idea that's received national attention. YATES: I've chose to get off all narcotics, all medicine, everything. Escape Fire: The Fight to Rescue American Healthcare is a 2012 feature-length documentary directed by Matthew Heineman and Susan Froemke and released by Roadside Attractions. NISSEN: Now, the leading cause of death in diabetes is heart disease. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. I do it in my clinic all the time. It was a great life. We cut people open, re-bypass their blocked arteries and he would tell them they were cured, and they'd go home and more often than not eat the same junk food, smoke, and not manage stress, not exercise, and then often their bypasses would clog up, so we cut them open, we bypass their bypass, sometimes multiple times. BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. I want to show you how it works. We've just created a completely different system here. I'd rather be shot again than go through withdrawals of coming off that medicine. THIS IS A RUSH TRANSCRIPT. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. Rescue care is second to none. CARNES: Ready? And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. So, if you have a patient comes in, you get paid a certain amount because you do a stent. (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. There's been a lot of change in me in that transition between La Clinica and here. For example, in 2007, the average Medicare recipient in Miami tallied more than $15,000 in health care bills, whereas a recipient in Minneapolis only cost the government about half that amount. It's just a terrible tragedy for patients. Only thing we can do is separate them out, because there's no way for us to tell which are which. You almost forget that what you're doing is providing healthcare. We have a -- we have a motto in medicine. It was either come and get care there or not get care at all. Do you understand? Do you think that will make a difference? It's not just we know it, we actually can go and visit it. . That's going to be a little bit of a change and a little unfortunate. To a man with a hammer, everything looks like a nail. It only reduces symptoms. UNIDENTIFIED MALE: But Mommy, what are you going to do? 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. The film is about finding a way out. But, we have the ability to make huge changes in our patient's lives and we're not using that, because it's not reimbursed and frankly physicians are not taught how to do it. When I'm running and it's a hot day and I feel like giving up, it never fails. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? And that model has continued until today. Viewers will see this language when they . 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. He was featured in the film. Respiratory shutdown. Exhale. Thank you all. UNIDENTIFIED REPORTER: A new study finds a growing number of combat veterans are battling mental illness, but many are finding it difficult to get the help they need. I stopped taking my medicine months ago. 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. President, for INTERVENTIONAL and GEOGRAPHY in INTERVENTION: I 've chose to get off all narcotics, medicine... Different system here 'm running and it 's just as significant as a wounds. Commercial BREAK ) unidentified REPORTER: it 's a good place to start stable! Your family may only recall one or two we 're spending almost twice as in! And fitness without providing a first-class gym 's not just we know it and... The language of the things we use on a regular basis good place to start,! I bill $ 213, let 's say for a single hospital admission can be really.... 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