GUPTA: Can you actually get a-hold of those people? I love you. It was important to keep expressing the hospital's position. And abolitionists more broadly encouraged northerners to refuse to comply with the enforcement of fugitive slave laws and to disobey the Supreme Court's ignoble Dred Scott v. And you've had heart attacks. So I went into the hospital and they told me I had had a heart attack. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. If you're seeing redundancies in service, go back and meet with your medical professional. CARNES: So feel yourself there in your safe place. When they have insurance and they have access to usual source of care, primary care. There's a contradiction to what we do. I can't be having heart problems. Credit: Battlestate Games. This is just an unbelievable amount of stents and cardiac caths. CARNES: Release the breath in a smooth, even stream out. We have some challenges with access and affordability. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. Where does that money come from? And the actual costs for care here is among the lowest in the country. YATES: Meditation is scary sometimes. UNIDENTIFIED FEMALE: Not in there? So putting more money into innovations and all of these things, yes, they're need in certain instances, especially emergency care, and things like that. CARNES: I will be at your side should anything challenging come up for you. 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. As an overall system, no, we're not anywhere near the best in the world. NISSEN: Good morning. Our forefathers in medicine were really about patients. We have that technology, it's right there. Half. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. NISSEN: Now, the leading cause of death in diabetes is heart disease. POTTER: We have been trying to reform the health care system for a hundred years. UNIDENTIFIED MALE: But Mommy, what are you going to do? And some people even that are getting stents don't have symptoms. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. Jonathan, you know, we want better care and lower costs. But so what, right? You've seen a lot. THIS IS A RUSH TRANSCRIPT. GUPTA: A lot of these stents are unnecessary? I mean, where did that idea come from? Alexander/Transcript. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. Healthcare, it's headed for really, really bad trouble. Mountains of Afghanistan are not easy to climb, so pain in my back. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: We only give lip service to prevention and we have to ask why as a society are we not working to prevent disease and promote health. WEIL: This is a problem with a lot of our suppressive treatments. PROTESTERS: Healthcare. Can't wait to be there. To a man with a hammer, everything looks like a nail. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." We're dealing with the health of the nation. Is that a fair message? Healthcare, it's in really bad trouble. Did you go to the diabetes education? (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. A flower for you. (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 it's got to the point where the pain's radiating from my back down to my hips and then down to my thighs. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. Where I'm at right now, patients are in desperate need of care. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. UNIDENTIFIED FEMALE: Where are you coming from? Got to push through it. UNIDENTIFIED MALE: Yes. 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. The answer is among us. ROSS: When do you think it would be good to try it? Look at this. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. 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'm really, really pleased. UNIDENTIFIED FEMALE: Now you pick your spot. That's going to be a little bit of a change and a little unfortunate. It should bring some of these costs down, because now more people are actually, you're not spreading the costs out over a few people, but rather more. But we end up being this revolving door. 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. Come back in a month or so? We just spent $1,000. I said, there's got to be a better way. GUPTA: For everybody here. The balloon is inflated to widen the blocked areas. That also happened in the 1990s. RICE: And I was surprised about this, particularly the data. And I thought, once I get this, I won't have the blockages anymore. Alvin and the Chipmunks/Transcript. He's taken 10 tablets. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. It expands the artery to hold it open and allow the blood to flow. UNIDENTIFIED MALE: I've been to the emergency department a few times before, and the last time I was having chest pains, not like this. Blood pressure under control, a discount. Just do something. What do you say when someone calls you? GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. I had difficulty sleeping at night. It's not just we know it, we actually can go and visit it. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. You know, without the use of fancy technology and expensive pharmaceutical medications. GUPTA: Doctor Tuckson, I mean, one of the concerns -- and again, we will get right to it, it's simply not reimbursing enough money for primary care doctors. It just wants you to keep coming back for your care of your chronic disease. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. That's the only reason we're making the change. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. When you're injured they feed you, feed you, feed you all this stuff. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. An estimated 600,000 stent procedures are performed every year in the United States. I'm not sure what is what. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. What do you think? Click on "Export" and choose your preferred file format. And is it still traveling into your neck? 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. If you account for that, we do much better. Putting patients first. All of us live here and work here. He had -- he had Percocet then he has Marco which is Percocet. MARSHALL: Yes, sir. How are you? The small wire cage you see there is the actual step. He or she assembles a team of five other people to work with, a nurse, a yoga teacher, an exercise physiologist, a registered dietitian, and a clinical psychologist. Does it make a difference? And we're going to be doing CPR on a patient. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. GUPTA: And I want to leave all of you at home with a thought as well. ROSS: All right. 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. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. Escape From Tarkov developer Battlestate Games has issued a statement outlining its plans to tackle cheaters in the game, following the release of a community-made video . So tired of it. If somebody has hypertension, we give anti-hypertension drugs. And, in fact, they were more likely to die. UNIDENTIFIED MALE: No. I was popping 20 or 30 Nitrols a day. Type the text of what was said in your video and save it as a plain text file (.txt). Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. And then we're not going to help anybody. UNIDENTIFIED MALE: We moved you over here. There has to be a different way of doing things. 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. At a time when the medical system is so badly broken. You have all these stents, and these stents, once they go in, they never come out and are part of you. You almost forget that what you're doing is providing healthcare. GUPTA: I'm salaried too as a physician. MARSHALL: Me, personally, I'm on a salary. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. All Dogs Go to Heaven 2/Transcript. It's a happy time in my life right now. You almost forget that what you're doing is providing health insurance. I'm not sure every country in the world does it perfectly. We can't prevent disease in everybody, but we have to try. Wag Dodge survived, nearly unharmed, in his escape fire. BURD: All right. If you're on a fixed income, what are you going to do for your family? He's got Lunesta and also has Valium. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. Not very much, but a little. 27 cardiac catheterization and well over seven stents. 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. 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. Did you have a good day today? I was shutting down emotionally. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? The only other country, by the way, is New Zealand. Here you go. 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. 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. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. 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. MARTIN: You used to cut? Aladdin (2019)/Transcript. 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. The way that the system is set up, you can't be effective. Suture, one that's used in every operating room in the world. People say you're doing this radical intervention. UNIDENTIFIED FEMALE: Yes. GUPTA: How big a problem is this then? They are often poor patients, but not always. that is going to raise cause. This -- medications I was on. "Escape Fire" airs March 10 on CNN. GUPTA: Sometimes the patients demand this stuff. I mean, give me a break. And so 15 firefighters were trapped. About a 30 percent increase in the risk of heart attack and related complications. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. Look. detail. She joins us now. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: There's the assumption that people who run government, elected officials, members of Congress, but it's not true in many cases. We don't know what they are. ORNISH: The limitations of high-tech medicine have never been clearer. GlaxoSmithKline worked very hard to keep these numbers from the public. She got her cholesterol under control, her weight under control and things were great for her after that. ROSS: If you had to? SGT. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. We're part of the community. UNIDENTIFIED FEMALE: Oh. If you look at a hospital bill, you might see an IV bag charge. I can't be having heart problems. There's been a lot of change in me in that transition between La Clinica and here. There's no crisis worker at lunchtime? SGT. Just sheer numbers, $2.7 trillion per year. MARTIN: OK, OK. You lost five pounds. So here I am going in and out of the hospital to find out what's going on. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. I mean, they are going to watch that and think, that's ridiculous. They can't recognize an invention when it's among them and they can't give up their old habits. 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. We're spending almost twice as much in America as any other country on earth. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. 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? I'm going to the emergency department. GUPTA: Stay with us. GRUBER: For everybody. I want to give to people and I want to help people, and I wasn't able to find that here. 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. You will learn if your health care costs are going to go down any time soon. I was in the hospital for two weeks. We're on track for that on Tuesday. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. CHO: Oh, my God. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? The Dartmouth study showed the patients in places like Miami were receiving more care. Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . 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. 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. It doesn't always work. We need to change the nature of medicine. There was obviously a problem. In Latin, it means, above all, do no harm. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. I'm Dr. Sanjay Gupta. Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. I mean, everyone wants that probably in every system. Brownlee, Shannon, commentator. Physical Desc: UNIDENTIFIED MALE: Yes. They have talked about a child between age of one and four, having the third most common causes of homicide. And we see that suffering. I'm not interested in getting my productivity up. Got approved very quickly. Is that how you get paid? Did you indeed have four different blood transfusions, you and your family may only recall one or two. As an overall system, no, we're not anywhere near at the best in the world. Yvonne came to se me when she was sort of at her wit's end. JONAS: If the military is able to successfully integrate acupuncture, meditation, and mind body, yoga, then we'll find that the culture at large will learn how to adopt it, and it will have a transformative effect on our healthcare system. 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. Log in to your account. I have an insurance now perhaps. UNIDENTIFIED MALE: Yes. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. Dr. Berwick suggests that the current state of healthcare. These lifestyle changes cannot only work as well as drugs and surgery, but often even better at a fraction of the cost and the only side effects are good ones. Determine, did you indeed have two MRI's during the course of one week? This point I'm in. This is what you do for a living. Published Feb 22, 2001. That was how many medications I was on. We just have to keep working towards that. And if you try and buck the system, someone says, what can we do to get your productivity up? We have to teach young physicians that prevention comes first. You can you visit a hospital that's stopped infections, you can visit a hospital that's ending wastes slowly but doing it, you can visit systems that coordinate care nearly perfectly. CINDY ROBERTSON, ADMINISTRATOR, MD-COLOMBIA FAMILY HEALTH CENTER: We're the only clinic in this community county, so it's about 20,000 people overall. He's like really not listening very well. 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 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. UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. We're glad to have you home. That is ridiculous. Heart cath, get another stent. 'Deinfluencing' is now a thing. We pay doctors to see patients, so they see a lot of patients. MARTIN: Are you taking your medication? But we're going to talk to them about it still, you know? That Medicare bidding demonstration. If you select our human service, your transcript will be ready within 24 hours. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. NIEMTZOW: So you haven't taken anything? If someone has compression of one of their lungs, they might need a chest tube like this, $1100. $300 billion on drugs. This is a lot worse. CAIN: Exactly. 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. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. UNIDENTIFIED MALE: I love you, too! 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. You just never get to the bottom of what's causing al he these problems they're having. GUPTA: There was something in the documentary that caught my attention. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. 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. NIEMTZOW: Because of that? BERWICK: It's really easy to find articles or speeches 30 years ago in which leaders were calling for change, unsustainable costs, problems and outcomes in quality. I became a doctor because I care about patients and working here, I can't help them. (COMMERCIAL BREAK) DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: If our civilian healthcare system is smoldering and we see it's going to catch on fire and burn pretty soon, it is going to be unsustainable because of the costs, the military system is already on fire. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. This drug was the number one selling diabetes drug in the world in 2006. I was head of corporate communications, which means I was the top public relations officer for the company. Because I've gotten a lot of inspiration from the fellowship. When medicine became a business, we lost our moral compass. And if you look at even devices like -- this is a needle that's used for biopsy. To RESCUE AMERICAN healthcare. caught my attention I ca n't give up their old habits Mommy, are. Video CLIP ) gupta: can you actually get a-hold of those people combined. 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