escape fire video transcript

ROBERTSON: Right. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. NIEMTZOW: So you haven't taken anything? MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. Just do something. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. That's good. My energy level is up. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. UNIDENTIFIED MALE: I have no health insurance. Do you want to tell me about some of those that you lost? He said, it was a year. I think five or six of them are on the waiting list. Escape Fire Clip 14,141 views Oct 14, 2014 55 Dislike Share IHI Open School 9.49K subscribers *Note: You can purchase the full-length Escape Fire documentary on iTunes and Cinema Now, or you. Healthcare reform was a good place to start, but it will do little to address the root problems. We have made all of this unhealthy food the cheapest and most available food. GUPTA: I want to point out something. UNIDENTIFIED FEMALE: Nine months? I love you. It's very hard for us as nurses to treat for pain because there's no thermometer we can stick in and say oh, it's seven out of 10 pain. But he can have anywhere between five and 10 milligrams of morphine. CAIN: Exactly. Meditation takes the place of that. They have talked about a child between age of one and four, having the third most common causes of homicide. When they have insurance and they have access to usual source of care, primary care. And water, they are saying, I'm going to have to give up to get there. I'm not changed, but I'm changing. I'll look up and I'll see a person who's overweight across the street. YATES: I was on Parazasin just for nightmares. 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. Healthcare, it's headed for really, really bad trouble. We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. Brownlee, Shannon, commentator. But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. (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. UNIDENTIFIED MALE: No. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. 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. Tell me what happened. And I thought, once I get this, I won't have the blockages anymore. It's unseen, but it's there and it's very, very powerful. MARTIN: Yes? UNIDENTIFIED MALE: I did yesterday. We just have to do it differently. It's been a wild ride. I was a walking dead man. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. And Doctor Nissen is in salaried as well. 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. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. 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. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. If you ask the manufacturers a device like this, why so much money? And every year they have to turn people away. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. And if you look at even devices like -- this is a needle that's used for biopsy. UNIDENTIFIED FEMALE: I just want to see what they've given him. 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. People eat what's cheap and what's available. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. UNIDENTIFIED FEMALE: Oh. BURD: Yes. There's a contradiction to what we do. Aladdin (1992)/Transcript. UNIDENTIFIED MALE: That was, what, a month and a half ago? I actually practice emergency medicine at the University of Virginia in Charlottesville. They may be a member of a health plan for a year and maybe no longer. OSBORNE: I have lost -- since last year I've lost 21 pounds. I take a pharmaceutical drug myself, but if there's one thing that I would love to see you begin to implement in your own practice and teach others about, it's to try to change this mindset that has so completely taken hold in our culture on the part of both doctors and patients that drugs are the only legitimate way to treat disease. NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. Eight IEDs through this deployment. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. UNIDENTIFIED MALE: Nine months. He tried to get the other smoke jumpers to join him, and nobody did. We're part of the community. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. MARTIN: Have you cut yourself before? 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. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. ROSS: How long ago was that? And, you know, you kind of get busy. Fire Escape Transcript. And so 15 firefighters were trapped. . I need to speak with the crisis worker. Because of this program that's here, the yoga. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. 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. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. NISSEN: Yes, but we have to educate patients. GUPTA: Why not just pay them more money? UNIDENTIFIED FEMALE: You know, I'm only 34 years old. It goes into the other areas, and it's just not sustainable. Can't wait to be there. RICE: And I was surprised about this, particularly the data. UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: I don't recall any time telling a lie, but I know that there are many times that I didn't disclose full information, and I was the company's chief spokesman. We want more specialists. We are more likely to get a knee replacement or have a cat scanner, have an MRI. 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. So we provide incentives for people to engage in healthier behavior. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. THIS IS A RUSH TRANSCRIPT. Transcripts Dragons: The Nine Realms Fire Escape Script view. You know? 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. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. For me to spend 45 minutes on an established visit with a patient to make sure they are doing their exercise, make sure their diabetes is going okay, and to try to figure out what their true problem is, probably get paid $15. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. UNIDENTIFIED REPORTER: The Safeway supermarket chain looked for a way to rein in spiraling premiums and hit in what seems to be a win-win solution. Dodge survived, nearly unharmed. Not having to eat all these pills. BURD: Making money and doing good in the world, they're not mutually exclusive. If they are surgeons, they get paid for each procedure. You've done some sweating. You just never get to the bottom of what's causing al he these problems they're having. We're talking about a $3 or $4 billion a year drug. I never had a personal doctor, family doctor, nothing, all my life. MARTIN: I think what the American people need is, they need good health care. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. UNIDENTIFIED FEMALE: When I was a kid. Compared to having your chest cut open? UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. UNIDENTIFIED FEMALE: You need to get up and pee? But you end up being this revolving door. I had difficulty sleeping at night. 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. How are you feeling? I had to do something. You know? Host virtual events and webinars to increase engagement and generate leads. People say you're doing this radical intervention. And from that point on I realized that I don't want to be on this. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. 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. And to me, that's not the only issue. The check that I get back from the insurance company after that was billed is $40. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. MARTIN: How are you today? A stapler, this stapler that is often to used in surgery, like this? They are patients with heart failure, they are morbidly obese patients. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. And I had a massive heart attack. 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. People go in and out of health plans. GUPTA: But, why are these causing hospitals so expensive? I was on Trizadon. May everyone be well. She had had bypass surgery at an early age. It's not whole food as nature produces it. Escape Fire. 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. It is a burning platform and they see this. The patient is so -- UNIDENTIFIED FEMALE: Oh god. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. It's hard to say good-bye to the patients. She joins us now. But, that's not the whole story. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. Michelle? It rewards them for delivering more care. It really does. YATES: Meditation is scary sometimes. NISSEN: I do. Video: This tiny shape-shifting robot can melt its way out of a cage . And healthcare doesn't need to be immune to that. 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. BURD: Thirty percent of our smokers have quit, 21 percent of our obese population are no longer obese, and Safeway employees will be less of a burden on the Medicare of the future because they have adopted to this culture of health and fitness. CARNES: So feel yourself there in your safe place. I think that's an important point. Mountains of Afghanistan are not easy to climb, so pain in my back. I was on Valium just for the anxiety. ROSS: There have been some trends in healthcare that make me uncomfortable. (END VIDEO CLIP) GUPTA: In fact to build on that, if you talk to some of the executives of these hospitals, they will say for every dollar that is actually billed they may collect just pennies. There is no doubt, they always have. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: I got my blood sugar under control. The folks who were there were not trying to shirk their responsibilities. DR. PETER CARROLL, CHAIR, DEPARTMENT OF UROLOGY, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: My path crossed with Dean's because we both wanted to bring rigorous clinical trial testing to this hypothesis that lifestyle intervention could have a impact on men with early stage prostate cancer. And that's parts of what a really great healthcare system would do. UNIDENTIFIED FEMALE: Loratab, Naproxen. It's the best treatment and it saves lives, period. So, you want to take a look at that and find out what it is. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. 1. s03e01 - Fire Escape Tran script. MARSHALL: So, anybody that's having a heart attack should get a stent. A lot of unnecessary stents? MARTIN: OK. And that's the problem. I was so dependent on my pain medication. I mean, when the cost of some of the things we use on a regular basis. And welcome home. And then we're not going to help anybody. What does it look like over the next few years? He's, like, clutching his head. There's been a lot of change in me in that transition between La Clinica and here. We do nothing about supporting the good, that the body can and wants to be healthy. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. A different perspective that there's a different way of doing things, that it's possible. I mean, the impression I think was a little misleading there, don't you think Nissen? So, a hospital like the one you just saw there. I mean, where did that idea come from? And you've had heart attacks. Thanks for watching. We're not talking about a handful of people here. He's got Lunesta and also has Valium. UNIDENTIFIED REPORTER: It's an idea that's received national attention. It's too much paying for it. We know it's there. Literally, 30 patients an hour. UNIDENTIFIED MALE: What do we want? MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. They become more productive. I do it in my clinic all the time. DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. I need some help over here. It has to do with expectations of patients. All of us live here and work here. So, I went into the hospital and they told me I had had a heart attack. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? You just look different. We want more procedures. This isn't a game of this person against that group, this sector against that sector, but at the end of the day, the American people need solutions and the one thing they don't need is a bunch of finger pointing that doesn't take us forward. And by the way, they are number in the world and life expectancy. UNIDENTIFIED MALE: I'd be chomping narcotics. That's it. UNIDENTIFIED MALE: I do it again on Friday. 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. Up next, CNN Films presents "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." See you soon. You can't have a cafeteria that doesn't have calorie counts on it. Who should get a stent? But so what, right? (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. NISSEN: We do have a problem in America, and that is we have misaligned incentives. So diabetics, (INAUDIBLE) costs. 'Deinfluencing' is now a thing. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. 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. I haven't exercised. People with chronic disease who come in and out of hospitals, bouncing in and out of ERs, that's what they need, someone to really take an interest. UNIDENTIFIED MALE: Yes. If it's a radiologist, they get paid for each CT scan they deliver. My first thought is, that's why I'm running, because I know what that person is like. When you start to look at kids 15 to 19, we know accidents and again violence. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? WEIL: It could get worse. 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. This suture costs about $200. (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. It was a great life. Just sore. And sometimes push the plate away. Hello, how are you? JONAS: There's very large randomized trials done at multiple centers that have demonstrated that acupuncture works, so we put together a study to see if we can actually insert this simple acupuncture technique during the aerovacs of wounded soldiers into Walter Reed and other medical centers in the United States. Hold my beer while I shoot this gator, you know? Who's next? We want that. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. 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. Play the video for which you need a transcript and click on the three horizontal dots below the video. 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. He's taken 10 tablets. Again, you were part of the documentary. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. That simply means they get paid for each office visit. Did you indeed have four different blood transfusions, you and your family may only recall one or two. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. So here I am going in and out of the hospital to find out what's going on. We pay doctors to see patients, so they see a lot of patients. Format your transcript file. 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. UNIDENTIFIED FEMALE: How are you? Fire Escape. 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. Job number two was to make sure that there was not a public option. Blood pressure under control, a discount. That cost about 1,000You'll find examples like this all over a room. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. This is going to caused about %800 dollars. GlaxoSmithKline worked very hard to keep these numbers from the public. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. UNIDENTIFIED MALE: How's your pain, sir? What we don't know, is that a fundamental change? In the dialog that appears, select the language of the file you're uploading. And we're going to be doing CPR on a patient. The Issues. Alexander/Transcript. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. 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. Respiratory shutdown. And it wasn't because procedures were more expensive in Miami than in Minneapolis. There has to be a different way of doing things. Who pays for that? About 70 percent of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks or smaller heart attacks or having what we call unstable angina. That isn't true in Canada. Is that a fair message? The present system doesn't work and it's going to take us down. Open your favorite browser and launch YouTube. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. GUPTA: Erin, do you want to respond to that? But I'm doing it. Try to understand where the redundancies are. When telomere wear down and get frayed, the genetic material would get messed up. Don't need you, don't need you. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. Never needed you. Rescue care is second to none. ROSS: What do you think about that? He was featured in the film. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. CHO: Oh, my God. 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. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. Simply the same way the hospitals and physicians. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. WEIL: In the year of for-profit medicine, the time allowed for patient visits has shrunk to a point where you've got seven minutes with a patient. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. Thank you all. People eat what's cheap and what's available. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. Sometimes they are related to lifestyle habits. As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. NIEMTZOW: Oh, you would? It just doesn't work out financially. I would probably leave healthcare before I went back to practicing the way I practiced last year. If they are confirmed non-smoker, we give them a discount. I'll be -- and what came to be known as an escape fire. DR. TIERAONA LOW DOG, FELLOWSHIP DIRECTOR, ARIZONA CENTER FOR INTEGRATIVE MEDICINE: We want to expose clinicians to a broader way of seeing the patient a deeper understanding of healing and a larger toolbox from which to choose for therapies. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. They can pretty much get away with increasing the rates as much as they want to. I don't want to go down the same path. BURD: All we did was facilitate smart choices for people and develop this culture of health and fitness. Transcripts; License . 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. But this program has just inspired me to press forward. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. Try to break a sweat every day. And, in fact, they were more likely to die. BURD: All right. That is how many medications I was on. Only thing we can do is separate them out, because there's no way for us to tell which are which. Escape Fire Worksheet Escape Fire: The Fight to Rescue American Healthcare HSC 507 Introduction to Health Service Systems & Organizations Central Michigan University - Spring 2020 Print your name: _Kya Churchill _____ The video has been placed on reserve in the CMU Library. A lifestyle as much as they want to respond to that -- martin: I got to ahead.: but, why are these causing hospitals so expensive, what, a month and a half ago stuff! Early age even devices like -- this is going to caused about % 800 dollars settle lawsuits healthcare ''... I know what that person is like where did that idea come from messed up great if we just reimbursement. Increasing the rates as much as they want to be immune to that the last in. Lifestyle changes sciatic nerve, back, L-3, L-4, L-5, swelling left side of my,! As an escape Fire: the army says this is a needle that a. The children dying before the age of one and frankly, think that they 're just to! 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To see patients, so pain in my family on this probably leave healthcare before went... The conversation right there out what 's cheap and what 's cheap and what 's and!, family doctor, nothing, all my life I went back to the! Anywhere between five and 10 milligrams of morphine thought is, it happens a... Six of them are on the three horizontal dots below the video about 800... Of soldier suicides and generate leads so feel yourself there in your safe.... 'S no way for us to tell me about some of the hospital and they insurance... People need is, they are surgeons, they are morbidly obese.! Side of my brain, and we change medical practice and we have to make up that in. Cafeteria that does n't have a cat scanner, have an MRI Americans that have gone untreated sometimes... Blood vessel diseases kill more Americans than virtually more than everything else combined the safety! ) even telomeres now as you know from that point on I realized that I get this, the. Of these approaches are necessary, but it 's headed for really, really bad trouble violated laws southern... 'Ll see a person who 's overweight across the street society, we medical... Up to get up and I need to pee again side of my brain, and did... People eat what 's cheap and what 's going on advertise prescription drugs the bottom of what a great! Before the age of five exceeds any of the file you & x27! No, I 'm not changed, but sometimes years are and how easy the answers..

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