These for- profit companies by law have to serve shareholders. Does it make a difference? UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. What we do with waste in healthcare. And if you look at even devices like -- this is a needle that's used for biopsy. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. 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. If somebody has hypertension, we give anti-hypertension drugs. 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. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. Escape Fire. And, of course, the natural end point is going to be in the emergency department. It was important to keep expressing the hospital's position. BERWICK: The healthcare system isn't affordable anymore. You know, Nancy, we talked a lot about these bills. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. This point I'm in. GUPTA: So, tell me how that would work? That was the message that, you know, I think was the you got from that documentary. 1 hr 39 min PG-13 Documentary A powerful and thought-provoking documentary that exposes the U.S. healthcare system as one designed to profit on disease rather than health. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. Do you want to tell me about some of those that you lost? 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. Job number two was to make sure that there was not a public option. 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. Little did I know that it was followed by years of the same thing over and over and over again. 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 MALE: Once I found out what was really wrong with me. Only thing we can do is separate them out, because there's no way for us to tell which are which. That's not good medicine. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: As we've pushed medical innovation and capability to the leading edge of the battlefield where we can save their life, and we've got some guys who have had some horrific injuries and they're getting narcotics for a longer period of time, they certainly are at risk to develop dependency, and that's what we're trying to avoid. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. UNIDENTIFIED FEMALE: When I was a kid. 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. A flower for you. We're the only providers for. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. The balloon is inflated to widen the blocked areas. BROWNLEE: There's a saying in health care policy that 20 percent of the patients account for 80 percent of the costs, and the majority of those costs are when they are repeatedly hospitalized. 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. I mean, give me a break. It just wants you to keep coming back for your care of your chronic disease. And how to know if you're being prescribed unnecessary procedures. And there's a lot of talk about who's going to pay for it, and that's really important. We have a -- we have a motto in medicine. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? 1. s03e01 - Fire Escape Tran script. UNIDENTIFIED MALE: Oh, yes. Transcripts; License . When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. 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. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. I'll be -- and what came to be known as an escape fire. We have made all of this unhealthy food the cheapest and most available food. The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? This is all coming out of our pockets. It had to do with the idea of essentially paying people to be healthy. It's OK. You're good, you're good. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. Everybody is doing their job, we just design the jobs wrong. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? This is Prazosin. Aladdin (1992)/Transcript. GUPTA: You feel better when you're healthier too. People come in and you try to fix one thing and they come back for the same thing over and over and over. UNIDENTIFIED FEMALE: Do you have any pain right now? Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. But, that's not the whole story. Everybody agrees on that. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. 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. Not having to eat all these pills. And the disease care system actually -- I mean, if it really was honest with itself, it doesn't want you to die and it doesn't want you to get well. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. When telomere wear down and get frayed, the genetic material would get messed up. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. 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. 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. 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. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. The problem with Yvonne's case, is she had all of those stents before she had the risk factors controlled. It takes a village to make an unhealthy patient healthy. But we end up being this revolving door. We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. ORNISH: The program increased the telomere length. It's too much paying for it. We just spent $1,000. MARTIN: I think what the American people need is, they need good health care. MARTIN: Can you feel this? Why do we care about covering the uninsured? So we took the men with prostate cancer. They'll say, it took years to develop something like this, the research and development costs are significant. This is a chest tube. There's also administrative costs that are built in. They told no one. OK? So we provide incentives for people to engage in healthier behavior. CARNES: I will be at your side should anything challenging come up for you. 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. You almost forget that what you're doing is providing health insurance. That ended and it rose quickly. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. MARTIN: Good. YATES: I've chose to get off all narcotics, all medicine, everything. He is also a president of the society for interventional and geography in intervention. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. We don't have to spend ourselves into poverty on healthcare. And we're going to be doing CPR on a patient. Afghanistan? Jonas, Wayne B., commentator. I mean, the average price tag for a single hospital admission can be really eye-popping. We're on track for that on Tuesday. So, you want to take a look at that and find out what it is. UNIDENTIFIED MALE: When do we want it? No eastern medicine. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. Your arteries around the heart. We pay hospitals to be full, so they try to be full. They promised me that I could make the practice whatever I wanted it to be, and if I don't want to see six patients an hour, I don't have to see six patients an hour. ROSS: How long ago was that? (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? Just sheer numbers, $2.7 trillion per year. MARTIN: Barely? UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now, at saving literally thousands of dollars over the past few years by being healthier. Episode Number(s) 1 S03E01 03x01. 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