UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. And so 15 firefighters were trapped. Here's a couple simple tips. Got to push through it. And we're going to be doing CPR on a patient. (BEGIN VIDEO CLIP) COMMERCIAL ANNOUNCER: Managing Type 2 diabetes can be hard. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. It was like something that I could never have imagined I'd ever see in this country. Does it make a difference? 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. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. You've seen a lot. The small wire cage you see there is the actual step. And when we come back, just how much does profit play a role in all these treatment decisions. BERWICK: The healthcare system isn't affordable anymore. (END VIDEO CLIP) NISSEN: I was doing a Google search, and what I found was a Web site in the United Kingdom where the clinical trials done with Avandia were actually partially disclosed. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. WEIL: This is a problem with a lot of our suppressive treatments. Also remember this. We have a disease management system. To get the best results, use these formatting tips: To force the start of a new caption . I was head of corporate communications, which means I was the top public relations officer for the company. Mountains of Afghanistan are not easy to climb, so pain in my back. MARTIN: It was a dire situation and there are many times that myself and my colleagues would have the conversation of, you know, we are going to miss something, this could be really bad, and actually having the fear that this was going to be harmful to our patients at some point. Hold them accountable and then talk to them, you know, on a weekly basis. It was a great life. And people do. 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. DR. CLIVE ALONZO, HOSPITAL INTERNIST, CROWN POINT, INDIANA: My medical training was just focused on giving these patients pharmaceuticals or giving them expensive tests to treat the condition after it occurred. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. Link 'n' Share. What that means is, the money we spend on prevention improves our health greatly per dollar spent. Your arteries around the heart. We do nothing about supporting the good, that the body can and wants to be healthy. What we don't know, is that a fundamental change? The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. 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. It doesn't reward them for keeping their patients healthy. Those are the kind of things that would actually have an impact. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. I can't be having heart problems. (END VIDEO CLIP) GUPTA: Time to introduce Dr. Valerie Montgomery Rice, she's Dean at the Morehouse school of medicine. When they have insurance and they have access to usual source of care, primary care. 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. In the United States, it was around $8,000 annually. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? Recognize that you are this spacious, welcoming, open awareness no matter what thought, no matter what feeling, no matter what sensation or circumstance happens to arise. 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? But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. There were even times, honestly, that I looked in the mirror and said, how did you get here? The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? 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. Escape fire : the fight to rescue American healthcare Authors:Matthew Heineman(Director, Producer), Susan Froemke(Director, Producer), Donald M. Berwick(Commentator), Shannon Brownlee(Commentator), Wayne B. Jonas(Commentator), Steven E. Nissen(Commentator), Andrew Weil, Chad Kelly(Composer), Moby(Composer), Aisle C Productions(Production company) 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. UNIDENTIFIED MALE: Nine months. 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. How to make a healthy choices. BURD: All right. I'm not sure every country in the world does it perfectly. Adding Avandia can help. 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. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . Click on "Export" and choose your preferred file format. DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: With 10 years of ongoing wars, the amount of suffering that's going on in the military right now is tremendous. NISSEN: Yes. And so, that's clearly one of the issues. People eat what's cheap and what's available. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. If you have that desire to quit smoking, we'll get there eventually. She joins us now. UNIDENTIFIED FEMALE: Now you pick your spot. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. It's a completely irrational system. We need a whole new kind of medicine. I need some help over here. I do it in my clinic all the time. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. Psychologically, you deal with a lot of these sorts of things. And you're here today with chest pain. We're the only providers for. They did not tell the FDA, and they did not tell patients. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. 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. It is an IV like this, about $280 just for the IV bag. Michelle? MARTIN: OK? It really does. We need a whole new kind of medicine. Did you indeed have four different blood transfusions, you and your family may only recall one or two. Escape Fire. GUPTA: But, why are these causing hospitals so expensive? I came to Walter Reed. So, if you have a patient comes in, you get paid a certain amount because you do a stent. Don't need you, don't need you. 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. UNIDENTIFIED MALE: Yes. A different perspective that there's a different way of doing things, that it's possible. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? That's going to be a little bit of a change and a little unfortunate. He overdosed. UNIDENTIFIED MALE: Bye. It was a passion for healing. No soldier should have to go through this. They are often poor patients, but not always. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. Something like that. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. Healthcare reform was a good place to start, but it will do little to address the root problems. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. You just never get to the bottom of what's causing all of these problems that they are having. As an overall system, no, we're not anywhere near at the best in the world. That is how many medications I was on. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. Let's see what we got here. 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. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. And I think we're in a great deal of trouble because of that. Aladdin (2019)/Transcript. It goes back to Teddy Roosevelt. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. When medicine became a business, we lost our moral compass. Sometimes it's related to what the individuals actually have access to. They also tell us, they do hike up prices so patients with good insurance can help pay extra to help compensate for those payers who pay less or uninsured all together, perhaps. Your harm's heavy, your leg's heavy. And so, I think it points to the violence in our society. 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. Let me distinguish two terms. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. 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. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. Respiratory shutdown. UNIDENTIFIED MALE: Yes. UNIDENTIFIED FEMALE: Not in there? UNIDENTIFIED FEMALE: You need to get up and pee? MARTIN: You used to cut? DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. That isn't true in Canada. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. There are answers, we know what safe care looks like. It takes a village to make an unhealthy patient healthy. 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. ROBERTSON: Right. 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