If they are surgeons, they get paid for each procedure. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. And I had a massive heart attack. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. PROTESTERS: Healthcare. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. OK, I can see what you can have for pain, all right? Never needed you. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. I mean, the impression I think was a little misleading there, don't you think Nissen? And I thought, once I get this, I won't have the blockages anymore. The only other country, by the way, is New Zealand. It expands the artery to hold it open and allow the blood to flow. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. UNIDENTIFIED FEMALE: OK, I need some help over here. I'm Dr. Sanjay Gupta. Episode Number(s) 1 S03E01 03x01. So he figured I was going to die because I was in such bad shape. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. Maybe even a provider service. And you know, our grandparents did not eat stuff like this. That's it. OK. Link 'n' Share. I mean, they are going to watch that and think, that's ridiculous. Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. WEIL: This is a problem with a lot of our suppressive treatments. 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 much better to try to work at a deeper level. UNIDENTIFIED MALE: Oh, yes. DAVENPORT-ENNIS: So, I think with some patients it clearly will. She needs a follow-up within three month with an echo. Did you go to the diabetes education? UNIDENTIFIED MALE: When do we want it? We have made all of this unhealthy food the cheapest and most available food. It's hard to say good-bye to the patients. Because I've gotten a lot of inspiration from the fellowship. Alexander/Transcript. Much more than money spent on much more expensive services. Little did I know that it was followed by years of the same thing over and over and over again. Do you want to tell me about some of those that you lost? Who's next? Psychologically, you deal with a lot of these sorts of things. We just have to keep working towards that. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. Dodge had invented what is now called an "escape fire," and soon after it became standard practice. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. And that is why, our first priority has to be to equalize that access and then move on. But with regard to prevention, preventing disease, does that save us money? It's not whole food as nature produces it. GUPTA: For everybody here. It's getting rid of the bad thing. I was 35 at the time and was scheduled for open-heart surgery. Carry a lot of weight because I'm infantry. People say you're doing this radical intervention. Also remember this. BURD: All right. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. When they have insurance and they have access to usual source of care, primary care. He's, like, clutching his head. But, you know, we have the means to decrease disease. This is just an unbelievable amount of stents and cardiac caths. (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. I mean, everyone wants that probably in every system. Healthcare reform was a good place to start, but it will do little to address the root problems. You're doing this radical intervention, you know, I say radical? And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. MARTIN: I think what the American people need is, they need good health care. 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. It's just a terrible tragedy for patients. Firefighters said they received about 12 calls . 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. There's the cost of covering people who simply don't have insurance or can't pay. (COMMERCIAL BREAK) DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: If we really can't begin to change, from paying for volume, paying for how much you do, to paying for outcomes, paying for how well you do, how well the patient does, that will change the game, people will start to say, well, now the money is in health and well being and safety and vitality, not in more, more, more, more, more. So diabetics, (INAUDIBLE) costs. That's going to be a little bit of a change and a little unfortunate. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. 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. 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. UNIDENTIFIED FEMALE: How are you? UNIDENTIFIED MALE: I have no health insurance. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. CAIN: Exactly. I lost him. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. MARSHALL: So, anybody that's having a heart attack should get a stent. We have a model that works simply by making changes in diet and lifestyles. There's the bright blue slush. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. We just spent $1,000. 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. Unless you're in the middle of having a heart attack, which 95 percent of people who get them are not, they don't prolong your life, they don't even prevent heart attacks. ROSS: All right. All right, so take a breath. MARTIN: What I do every day, buddy. I haven't exercised. ROSS: What's the regular food? Not having to eat all these pills. But, that's not the whole story. Aladdin (1992)/Transcript. Can adding Avandia help you? Let me just take a listen to you. There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. 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. Type the text of what was said in your video and save it as a plain text file (.txt). UNIDENTIFIED FEMALE: Hello, Mr. Fields. And there's a lot of talk about who's going to pay for it, and that's really important. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. GUPTA: But, why are these causing hospitals so expensive? UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. Sometimes I go to the hospital and that's the only health care I ever got. And chromosomes have all genetic information on them. 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. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. We can't prevent disease in everybody, but we have to try. Are you incentivized to do more stents? I feel like I'm changing. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. So, we decided to give you a look at a typical operating room bill and that breaks down. And that being applied to health care just doesn't work. Your company becomes more competitive. POTTER: We have been trying to reform the health care system for a hundred years. MARTIN: Because of the bottom line, because of the cuts that are coming through the government, if it came to the point where they couldn't pay me anymore, that would suck, but I'm not afraid. 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. Aladdin and the King of Thieves/Transcript. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. And yet the outcomes, the survival rates are at the highest levels. Viewers will see this language when they . Why do we care about covering the uninsured? She ended up having another open heart operation, another bypass operation. I say, radical? I was on Valium just for the anxiety. Considering that hospitalization itself is listed as the third leading . On my way. They can pretty much get away with increasing the rates as much as they want to. BROWNLEE: Fee for service rewards physicians for doing more. May everyone be healthy. To get people to eat different, to eat, you know, to lose weight, to exercise regularly, those are hard things to get people to do, and we need to be better at it. If you have that desire to quit smoking, we'll get there eventually. UNIDENTIFIED MALE: What do we want? He asked for pain medication. DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. OK? That ended and it rose quickly. But this program has just inspired me to press forward. UNIDENTIFIED MALE: Let me get that jacket away from him. I felt like there's got to be something different, something better. It was either come and get care there or not get care at all. Expand the Transcripts and captions section if closed, then select Upload. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. He told Dean, how long is the program? I said, there's got to be a better way. MARSHALL: Me, personally, I'm on a salary. UNIDENTIFIED MALE: We have had enough. There has to be a different way of doing things. Underrewarded primary care. Afghanistan? 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. We don't have to spend ourselves into poverty on healthcare. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. Wag Dodge survived, nearly unharmed, in his escape fire. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. It doesn't always work. 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. You bike to work today? DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: All I hear is how we're going to give more people access to the present system and how we're going to pay for it. In the dialog that appears, select the language of the file you're uploading. These for- profit companies by law have to serve shareholders. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. He is also a president of the society for interventional and geography in intervention. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." You know? It's a completely irrational system. Most diseases don't happen overnight. It's completely changed food. I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. Escape Fire premiered at the Sundance Film Festival, [1] opened in select theaters on October 5, 2012, and was simultaneously released on iTunes and Video-on-Demand. But he can have anywhere between five and 10 milligrams of morphine. UNIDENTIFIED FEMALE: Oh, my god. If you're in the system, do you access of if you are insured, if you are living in a safe neighborhood, your outcomes are great in America. John than, you'll have to excuse me because you're an economist I'm not. UNIDENTIFIED FEMALE: OK. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. NANCY DAVENPORT-ENNIS, FOUNDER, CEO, PATIENT ADVOCATE FOUNDATION: So, what we tell them first and foremost, is get a copy of the entire bill and look for redundancies. But I decided to give it a shot. You can't have a cafeteria that doesn't have calorie counts on it. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. What made you decide to do that? I mean, I can't think of a single negative in doing this. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. Takes about 15 minutes for you. They didn't foresee me ever trying to walk yet. Anybody else would laugh, you know? OK, so let's go into our meditation practice. We say they don't prevent heart attacks, they don't lengthen life. Look at this. 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. They may keep the disease process going and they may strengthen it over time. It was with a huge amount of skepticism and resistance. GUPTA: Why not just pay them more money? You know, Nancy, we talked a lot about these bills. You just never get to the bottom of what's causing al he these problems they're having. BERWICK: The healthcare system is unsustainable. It's just so much more than money. UNIDENTIFIED FEMALE: Right. Select Open transcript . They'll say, it took years to develop something like this, the research and development costs are significant. I'm really, really pleased. 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. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. Rescue care is second to none. YATES: I've chose to get off all narcotics, all medicine, everything. UNIDENTIFIED MALE: Oh, yes. It goes into the other areas, and it's just not sustainable. CAPT. And the fire spread around him. CARNES: So feel yourself there in your safe place. It is a burning platform and they see this. It's not just we know it, we actually can go and visit it. The first description that the play makes about the fire escapes is "The apartment faces an alley and is entered by a fire escape, a structure whose name is a . So, a hospital like the one you just saw there. UNIDENTIFIED MALE: Yes. UNIDENTIFIED MALE: Yes. My energy level is up. Impressive. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. Now we're kind of dealing with the consequences. And it wasn't because procedures were more expensive in Miami than in Minneapolis. It had to do with the idea of essentially paying people to be healthy. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. UNIDENTIFIED FEMALE: Yes. Did you indeed have four different blood transfusions, you and your family may only recall one or two. GUPTA: So, tell me how that would work? 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. It really does. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. YATES: That's a healing process because you're not bottling up, it's going to a different section in your mind to where you can start processing it. If you have that happen in Germany or England, they say, here's a list of instructions, if you have problems come back and see us. Meditation takes the place of that. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . The Issues. OSBORN: I've started doing research about where in the United States do I have to go to get the best heart care. American healthcare costs are rising so rapidly that they could reach $4.2 trillion annually, roughly 20% of our gross domestic product, within ten years. They are often poor patients, but not always. UNIDENTIFIED MALE: Once I found out what was really wrong with me. Came off the mountain with only eight. NIEMTZOW: Oh, you would? It will require a huge effort. Compared to having your chest cut open? The costs are going through the roof and the ability to help these service members and their families recover and repair and come back to a functional life is getting less and less. How did -- what did think about that? 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. I would probably leave healthcare before I went back to practicing the way I practiced last year. I think there's some very good drugs out there, I think drug treatment has its place. UNIDENTIFIED FEMALE: Take them away from him. 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. 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. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. It is the largest health insurance company in the country. You can convert other formats (like Microsoft Word, HTML) into a plain text file or you can use native programs on your computer like Notepad. It sounded like it was so bad that you basically had to leave your practice. 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. The power lies with corporations and corporate interests and the lobbyists that they buy. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. This is major reason why we see kids getting fat in this country. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. I had difficulty sleeping at night. It's OK. You're good, you're good. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. It was like something that I could never have imagined I'd ever see in this country. You have all these stents, and these stents, once they go in, they never come out and are part of you. Going back home. 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. You allow and encourage your employees to become healthier. So, you want to take a look at that and find out what it is. COSGROVE: Cleveland Clinic was founded by four physicians, and they realized they did better working as a team than as individual practitioners. MARTIN: A day? UNIDENTIFIED REPORTER: It's an idea that's received national attention. No soldier should have to go through this. He said, it was a year. A documentary highlighting the shortcomings of the American healthcare system. That was how many medications I was on. There is no doubt, they always have. Does it make a difference? Select "Show Transcript" from the menu. With the infantry division. UNIDENTIFIED MALE: I did yesterday. And now I'm -- 25 years later and I'm in pretty good shape. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. And sometimes push the plate away. To get the best results, use these formatting tips: To force the start of a new caption . The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. I think this is important because I think when people watch the film, they are left with the impression that Yvonne finally came to the Cleveland clinic. UNIDENTIFIED FEMALE: These are all name brand. 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. CHO: Oh, my God. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. ESCAPE FIRE: The Fight to Rescue American Healthcare tackles one of the most pressing issues of our time: how can we save our badly broken healthcare system? ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? UNIDENTIFIED FEMALE: Came off the mountain with only eight? 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 I'm doing it. Is that a fair message? 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. YATES: Meditation is scary sometimes. In fact, more soldiers died last year from non-combat injuries than during war. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. UNIDENTIFIED MALE: These are all one person's? 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. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. People talk about two-minute doctors. I haven't touched my toes in months. The medication depresses you, it makes you think that it's all you're ever going to be in. Our forefathers in medicine were really about patients. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. Let me take a listen to you. So, I went into the hospital and they told me I had had a heart attack. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. We're part of the community. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. They are going to healthcare. 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. (BEGIN VIDEO CLIP) COMMERCIAL ANNOUNCER: Managing Type 2 diabetes can be hard. Video: This tiny shape-shifting robot can melt its way out of a cage . ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. I ultimately had a crisis of conscience, because I was not at all proud of what I was doing. Upload captions and transcripts. You know, they'll actually fix it. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. And that model has continued until today. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. We're glad to have you home. Probably put him on the bottom on the other side. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. Those are the kind of things that would actually have an impact. Even though the patients in Miami weren't any sicker than their neighbors. Do you think that will make a difference? I was so dependent on my pain medication. A flower for you. Then all of a sudden I started getting chest pains. We've just created a completely different system here. 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. We want more tests. BROWNLEE: We spend a spectacular amount of money on healthcare. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? ROSS: There have been some trends in healthcare that make me uncomfortable. When telomere wear down and get frayed, the genetic material would get messed up.
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