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. the play Tom is seen standing in a fire escape during many acts. GRUBER: For everybody. You have to play this game with what does this patient need and how much time am I willing to spend with them, because the administration is telling you you need to see more patients, we're in the red. If insurance companies don't deliver value, they won't be in business very long. 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. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. 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. Jonathan, you know, we want better care and lower costs. 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. This is all coming out of our pockets. And sometimes push the plate away. It's not true in France and Germany. Up next, CNN Films presents "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." We're dealing with the health of the nation. PROTESTERS: Now. I stopped taking my medicine months ago. YATES: I meditate, and it has opened up a whole new world for me. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? We're not talking about a handful of people here. UNIDENTIFIED MALE: What do we want? They can pretty much get away with increasing the rates as much as they want to. We say they don't prevent heart attacks, they don't lengthen life. Also remember this. Not just the health, but healthcare, the health of a nation. I'm Dr. Sanjay Gupta. GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? And you know, our grandparents did not eat stuff like this. Good. What made you decide to do that? GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. We need a whole new kind of medicine. They may keep the disease process going and they may strengthen it over time. (LAUGHTER) That's the way I like to look at it. Dr. Berwick suggests that the current state of healthcare. But I decided to give it a shot. It's getting rid of the bad thing. And then, being paid, on top of that, a bonus if they can demonstrate, if they have improve the quality of care and have also may cause saving. Mountains of Afghanistan are not easy to climb, so pain in my back. UNIDENTIFIED FEMALE: Nine months? UNIDENTIFIED MALE: These are all one person's? Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. And that worked for awhile. So, we decided to give you a look at a typical operating room bill and that breaks down. This -- medications I was on. Come back in a month or so? It's your money. Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ($3.99). And chromosomes have all genetic information on them. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. 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. They did not tell the FDA, and they did not tell patients. But, the American people are going to want something like that and that is going to be their perception. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. It's not visible, but it's there. And I think those discussions that we between the patient and the provider about lifestyle disincentives. NIEMTZOW: Any pain? The only other country, by the way, is New Zealand. WEIL: Where are you from? I'm not interested in getting my productivity up. Dodge had invented what is now called an "escape fire," and soon after it became standard practice. that is going to raise cause. And you're here today with chest pain. 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. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. ORNISH: Dr. Peter Carroll and I collaborated with Dr. Elizabeth Blackburn, who won the Nobel Prize in medicine and she had done a study showing that stress creates shorter telomere, said as your telomeres get shorter, your life gets shorter. Insurance companies have always been able to regulate the rates they charge. THIS IS A RUSH TRANSCRIPT. You bike to work today? A documentary highlighting the shortcomings of the American healthcare system. How to know if you are being prescribed unnecessary medications or procedures, that's next. UNIDENTIFIED MALE: Once I found out what was really wrong with me. I know you're heading home and you're excited. UNIDENTIFIED FEMALE: Oh. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. All right. So, if there's a concern someone has a tumor, they who use a needle like this. Healthcare reform was a good place to start, but it will do little to address the root problems. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. Expand the Transcripts and captions section if closed, then select Upload. OK? Got to push through it. It's just a terrible tragedy for patients. That's good. You're your options might be, if there is a doctor surgeon on hometown. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. GUPTA: I want to point out something. Some would say overrewarded specialty and subspecialties. All right, so take a breath. Host virtual events and webinars to increase engagement and generate leads. In fact, more soldiers died last year from non-combat injuries than during war. 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: Yes? I can act more as a guide for patients, taking the time to educate them and having them understand that there are choices that they have the power to make for themselves. UNIDENTIFIED MALE: What are you going to do at work? It was wonderful. The fire broke out around 10 p.m. Monday at the Cozumel Apartments in the 6400 block of Sierra Blanca Drive near Westpark Tollway and Highway 6. People eat what's cheap and what's available. The documents are coming out in these court suits, it looks worse and worse. 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. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. Tell me what happened. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. It's all about the reimbursement. It's hard to say good-bye to the patients. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. 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. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. That's almost as much as the rest of the world combined. DEAN MICHAEL ORNISH, PREVENTIVE MEDICINE RESEARCH INSTITUTE: When you're doing something that has never been done before, it's not universally accepted, to say the least. NISSEN: I do. We want more procedures. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. It's unseen, but it's there and it's very, very powerful. This point I'm in. MARTIN: When was your last mammogram and pap smear? I'm not changed, but I'm changing. We're in Mann Gulch. MARTIN: Barely? GRUBER: Well, Sanjay, I think If you look at the affordable care act in the hole, it will. 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. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. GUPTA: So, tell me how that would work? So, a hospital like the one you just saw there. And remember that you can return to this place at any time during the meditation. 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. That may strike people as very high. 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 know, without the use of fancy technology and expensive pharmaceutical medications. 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 know, Nancy, we talked a lot about these bills. But I think, to be honest, when you add more people to the system; that raises costs. And interestingly, patients really respond to that. Let me get right to it, Erin. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. YATES: I was in the worst place in Afghanistan. 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. CHO: I was trying to figure out how much Yvonne's care would have been over the years, and I think it's well over $1.5 million. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. I was a walking dead man. And for the large majority of people we help, they often don't understand what many of the charges are. We are going to take a short break. Format your transcript file. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. This is a chest tube. They are often poor patients, but not always. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. BROWNLEE: We spend a spectacular amount of money on healthcare. UNIDENTIFIED FEMALE: OK. You have all these stents, and these stents, once they go in, they never come out and are part of you. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. 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. 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. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? Thank you all. I was on Valium just for the anxiety. I was head of corporate communications, which means I was the top public relations officer for the company. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. We want more specialists. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. The, you know, the food that we eat and the nutrition that we put in our body, that's been around since the beginning of time. You allow and encourage your employees to become healthier. Jonas, Wayne B., commentator. OK, I can see what you can have for pain, all right? So, I went into the hospital and they told me I had had a heart attack. And it's just the last thing that you're really concerned about. PROTESTERS: Healthcare. This is just an unbelievable amount of stents and cardiac caths. As an overall system, no, we're not anywhere near at the best in the world. (LAUGHTER) Infinitely. That's it. 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. It was a passion for healing. UNIDENTIFIED MALE: But Mommy, what are you going to do? When I'm running and it's a hot day and I feel like giving up, it never fails. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. There are answers, we know what safe care looks like. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. OSBORNE: I have lost -- since last year I've lost 21 pounds. UNIDENTIFIED MALE: I feel different. MARTIN: OK? I haven't exercised. I need to speak with the crisis worker. 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. There has to be a different way of doing things. They can't recognize an invention when it's among them and they can't give up their old habits. I was on Trizadon. UNIDENTIFIED FEMALE: Not in there? UNIDENTIFIED FEMALE: First one's going in. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. It's not just we know it, we actually can go and visit it. I feel like I'm changing. YATES: The pain, it's hard, you know, it's really hard. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. MARTIN: I think what the American people need is, they need good health care. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. UNIDENTIFIED MALE: I'd do it if I had to. 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. And so, that's clearly one of the issues. And what I saw actually made me physically ill. As I looked at trial after trial, there were more heart attacks in the Avandia group. I mean, an obvious one is nutrition, which is almost omitted from medical education. GUPTA: I mean, both physically and mentally. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. Once I found out what was really wrong with me charges are root.... How people say it takes me, then select Upload help, they need health... Their perception exceeds any of the world where you can ever be in cardiologist, Clinic. These court suits, it looks worse and worse pretty much get away increasing! Like that and that is going to be honest, when you add more people to the system that... If there is a doctor surgeon on hometown or procedures, that 's the most intense battleground that you return! 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