UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. 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. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. UNIDENTIFIED FEMALE: You need to get up and pee? They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. He's taken 10 tablets. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. It's the best treatment and it saves lives, period. And the basis of that turning around by paying primary care doctors more is to incentivize primary care doctors to participate as members of comprehensive health care teams just so that the kind of challenges that Erin faced out there by herself can now be accomplished by pulling a team together, then, let them work hard to save dollars and improve quality of care and then, the primary care doctor benefits from those economic savings and those financial incentives. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. GUPTA: Erin, do you want to respond to that? We want more procedures. Your company becomes more competitive. This is a chest tube. UNIDENTIFIED MALE: I love you, too! All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. It's hard to say good-bye to the patients. She needs a follow-up within three month with an echo. GUPTA: How big a problem is this then? UNIDENTIFIED MALE: I feel different. They told no one. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. Our life span isn't even in the top 20. It was with a huge amount of skepticism and resistance. Those are the kind of things that would actually have an impact. Got to push through it. That ended and it rose quickly. And the owners of those pockets do not want anything to fundamentally change. 1. s03e01 - Fire Escape Tran script. And I think those discussions that we between the patient and the provider about lifestyle disincentives. MARTIN: You used to cut? And every year they have to turn people away. They are going to healthcare. This is Prazosin. We know it's there. ESCAPE FIRE exposes the perverse nature of American healthcare, contrasting the powerful forces opposing change with the compelling stories of pioneering leaders and the patients they seek to help. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. BROWNLEE: We spend a spectacular amount of money on healthcare. Compared to having your chest cut open? And remember that you can return to this place at any time during the meditation. MARSHALL: It doesn't matter if I do one stent or five or ten stents. GUPTA: There was something in the documentary that caught my attention. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. Select Open transcript . 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. Original Airdate 08/17/2022. Physical Desc: ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. NIEMTZOW: So you haven't taken anything? It's a happy time in my life right now. That's the only reason we're making the change. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. 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? May everyone be well. They can't recognize an invention when it's among them and they can't give up their old habits. That requires so much work, but we do it because we're committed to having her stay out of the hospital. I lost him. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. 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? Incentivizing them to be healthy or not charging them as much if they're healthy. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. UNIDENTIFIED MALE: Bye. There's been a lot of change in me in that transition between La Clinica and here. No soldier should have to go through this. If you ask the manufacturers a device like this, why so much money? UNIDENTIFIED MALE: Good, how have you been? Because what we think is best for us often isn't. What the Dartmouth group discovered is that the patients in the most costly regions where Medicare spent more money on patients, those patients did not have better health outcomes. TUCKSON: Primary care doctors are being cared more. It's still a struggle. YATES: I was on Parazasin just for nightmares. That's how embedded people get in the status quo. Open your favorite browser and launch YouTube. Instead of basing things on outcomes, on how good of a job we're doing, the government sets the reimbursement completely on the number of patients that we see. But so what, right? Host virtual events and webinars to increase engagement and generate leads. 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. UNIDENTIFIED MALE: I do it again on Friday. It has to do with the training of physicians. It turns out lots and lots of men who had a cancer that didn't need to be treated, but they got treated anyway and it was causing a lot of harm. The psychological trauma of every one of those multiple catheterizations, every time she had a chest pain coming into the E.R., and unfortunately, there are lots of Yvonnes out there. NISSEN: We're not saying that people are doing these procedures for profit. You almost forget that what you're doing is providing healthcare. YATES: I was in the worst place in Afghanistan. So he figured I was going to die because I was in such bad shape. So that's rewarding for me. NIEMTZOW: Oh, you would? UNIDENTIFIED FEMALE: Take them away from him. OK? UNIDENTIFIED FEMALE: Now you pick your spot. The question was, can we relieve their pain and reduce the amount of medications that they are on so by the time they get back, they are not snowed under on multiple medications. UNIDENTIFIED MALE: Yes. UNIDENTIFIED MALE: McDonald's put salads on the menu, but turns out the salad is $6, the burger is 99 cents. How are you feeling? 27 cardiac catheterization and well over seven stents. I mean, I can't think of a single negative in doing this. OSBORNE: I have lost -- since last year I've lost 21 pounds. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. We're not talking about a handful of people here. Maybe even a provider service. A heart cath, get another stent. Healthcare, it's in really bad trouble. People go in and out of health plans. UNIDENTIFIED MALE: I'd be chomping narcotics. detail. Also remember this. May everyone be healthy. When I was at U.S. News and World Report, I wrote cover stories about how great the newest and greatest treatment and pill and procedure was. He asked for pain medication. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. If somebody has an infection, we give anti-infectious agents. UMBDENSTOCK: Why? Most diseases don't happen overnight. What does that do? You just never get to the bottom of what's causing all of these problems that they are having. We don't know what they are. I imagine the other smoke jumpers thought the guy was crazy, but his idea was this. BROWNLEE: Fee for service rewards physicians for doing more. 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. I don't believe in that stuff. MARTIN: OK? GlaxoSmithKline worked very hard to keep these numbers from the public. Not having to eat all these pills. 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. 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. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. UNIDENTIFIED FEMALE: Hello, Mr. Fields. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. It's wonderful. I was on Valium just for the anxiety. And how to know if you're being prescribed unnecessary procedures. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." And you're here today with chest pain. Do you think that will make a difference? It's And we will say, it is important you request the appointment not only through a telephone call, but if you have an e- mail address, to try to do that. YATES: OK. I had difficulty sleeping at night. They sent me home with them. OK. Bend down. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. And it will not protect you from having a heart attack. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. Next, click the three-dot menu icon underneath the title of the video. I think that's an important point. And it wasn't because procedures were more expensive in Miami than in Minneapolis. 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. So tired of it. 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. If you go out and buy heart healthy diet food, it's going to cost you more money than anything. It really does. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. 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