I say, radical? I mean, they are going to watch that and think, that's ridiculous. 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. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. BURD: All we did was facilitate smart choices for people and develop this culture of health and fitness. Click on "Export" and choose your preferred file format. CARNES: I will be at your side should anything challenging come up for you. Let me distinguish two terms. CARNES: Ready? They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. Well, it drives demand. The present healthcare system doesn't work. GUPTA: How big a problem is this then? NISSEN: We do have a problem in America, and that is we have misaligned incentives. ORNISH: We found that after a year, the men who made these intensive lifestyle changes, their physical heart disease improved. We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. They can't recognize an invention when it's among them and they can't give up their old habits. I had difficulty sleeping at night. It got fast tracked by the FDA. GUPTA: For everybody here. SGT. Look at our results, our life span isn't even in the top 20. It's wonderful. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. If we get Medicare to cover it, then everyone else will cover it and if everyone covers it then it becomes a standard of care. There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. UNIDENTIFIED FEMALE: Loratab, Naproxen. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. Let go of thinking, drop back in awareness and notice how a thought may show up, seemingly out of nowhere, or an image may show up and then disappear. I stopped taking my medicine months ago. I don't believe in that stuff. And they have to, these for-profit companies by law have to serve shareholders. that is going to raise cause. You've done some sweating. 27 cardiac catheterization and well over seven stents. We need a whole new kind of medicine. You also want to engage the billing representatives and the financial representatives of the hospital in that discussion and have them understand, I need an explanation of these charges. They are patients with heart failure, they are morbidly obese patients. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. And if you try and buck the system, someone says, what can we do to get your productivity up? 5. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. And those are surprising. UNIDENTIFIED MALE: What do we want? But I decided to give it a shot. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. The power lies with corporations and corporate interests and the lobbyists that they buy. Why do we care about covering the uninsured? WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. Then all of a sudden I started getting chest pains. Things could move in that direction here, and this is not the choice of the doctor. (CROSSTALK) KASCH: That's why he's a little high right now. If they are confirmed non-smoker, we give them a discount. OK. Bend down. It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. Let's be honest. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. We don't have a healthcare system in this country. And I say that as doctor. 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. UNIDENTIFIED MALE: We have had enough. more . I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. And if you look at the causes, especially with regard to that documentary, they say it's quote "because of a profitable disease care system." As an overall system, no, we're not anywhere near the best in the world. I am back in the chest pain center with a pretty sick patient, and I'm going to need you to call attending phone, too. So, less than 30 percent are actually done in these people with stable ischemic heart disease. Credit: Battlestate Games. And doctors wanting to please their patients will often prescribe it. It was with a huge amount of skepticism and resistance. YATES: That's a healing process because you're not bottling up, it's going to a different section in your mind to where you can start processing it. So, if there's a concern someone has a tumor, they who use a needle like this. And Doctor Jeff Cain. In the United States, it was around $8,000 annually. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. I think that's an important point. The really astonishing part about the fact that we spend more is we have worse health outcomes. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. And that being applied to health care just doesn't work. Okay. And the actual costs for care here is among the lowest in the country. It's the best treatment and it saves lives, period. But you end up being this revolving door. Half of Americans will be diabetic or pre-diabetic in the next 10 years. How did -- what did think about that? Healthcare, it's in really bad trouble. I'm going to the emergency department. 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. Tom's Escape In The Fire Escape. Physical Desc: To a man with a hammer, everything looks like a nail. Select "Show Transcript" from the menu. 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. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. U.S. caregivers are told you've got to keep me pain free, you're going to do that. 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. What is really striking is how little they have written the last few years. It was so consistent. This place actually gave me the tools to put in my tool bag so I can go back and still continue my process of healing, recovery. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. 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. Or at least we think we do. What do you say to people when they say look, pay Erin Martin a little more money, you guys are making $5 billion. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. How are you? WARD: For a long period of time I was hiding. One of the great contributions of America to world cuisine, you know, fake bread. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. 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. I was on anti-depressants. We have to be mindful to those points in time where you can intervene and say enough's enough. We're all salaried so the decision on what we do for a patient is dependent upon what the patient needs not on our financial incentives. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. 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. Going to go look for it. Hold my beer while I shoot this gator, you know? In the dialog that appears, select the language of the file you're uploading. Much more than money spent on much more expensive services. (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 so, I think it points to the violence in our society. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. That is how many medications I was on. MARTIN: When was your last mammogram and pap smear? The easiest starting point was in the 30,000 non-union workforce, and I believe that within four years all of our employees will get this kind of healthcare plan. UNIDENTIFIED MALE: Once I found out what was really wrong with me. I mean, look at our results. If you ask the manufacturers a device like this, why so much money? UNIDENTIFIED MALE: Good, how have you been? They didn't want to have a new competitor. UNIDENTIFIED MALE: I feel different. Came off the mountain with only eight. 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'm interested in helping patients. What do you think? All Dogs Go to Heaven 2/Transcript. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. He tried to get the other smoke jumpers to join him, and nobody did. WEIL: This is a problem with a lot of our suppressive treatments. detail. UNIDENTIFIED FEMALE: These are all name brand. That was how many medications I was on. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. Dr. Berwick suggests that the current state of healthcare. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. MARTIN: And they don't reimburse for nutritional counseling or anything like that. I mean, an obvious one is nutrition, which is almost omitted from medical education. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. But we're going to talk to them about it still, you know? This is a lot worse. It was wonderful. How are you feeling? But, you know, we have the means to decrease disease. The kinds of interventions that we have come to favor in this country are inherently costly because they are dependent on expensive technology, and that includes pharmaceutical drugs. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. It's all about the reimbursement. Anybody else would laugh, you know? I mean, the average price tag for a single hospital admission can be really eye-popping. MARTIN: OK, OK. You lost five pounds. I was popping 20 or 30 Nitrols a day. ROSS: What do you think about that? 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. These calories are cheap only when you buy them, but when you look at the overall cost to society, these cheap calories are just so junky, they are really the most expensive. And ironically, it was only two hours away at the Cleveland Clinic. Now we're kind of dealing with the consequences. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. Most diseases don't happen overnight. All Dogs Go to Heaven/Transcript. And interestingly, patients really respond to that. I actually practice emergency medicine at the University of Virginia in Charlottesville. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. War's hell, it's always hell. NISSEN: You know, DVT and pulmonary emboli. You can't have a cafeteria that doesn't have calorie counts on it. 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. UNIDENTIFIED MALE: We all know there's things we can do and they make us feel good and we like to do them, but we're going to feel really bad if our doors close. In fact, more soldiers died last year from non-combat injuries than during war. DAN BULLIS, WALTER REED ARMY MEDICAL CENTER, DEPLOYMENT HEALTH CENTER: Post-traumatic stress disorder, PTSD, is an individual's reaction to the exposure and experiences of war. And some people even that are getting stents don't have symptoms. Escape Fire. NISSEN: Good morning. Some people, this is all they eat, food of this sort. He said, it was a year. What does that do? ROSS: If you had to? To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. It is a burning platform and they see this. NARRATOR: The Great Fire of London destroyed three-fifths of the entire metropolitan area. We want more specialists. POTTER: We have been trying to reform the health care system for a hundred years. I have an acutely suicidal patient in my office that I need help with. I was a walking dead man. If you talk to the employees around here that have lost 35, 50, 60, 100 pounds, they will tell you without a doubt they have a better quality of life. It is important to keep in mind. There's nothing else I can do. That's built in these costs as well. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. If somebody has an infection, we give anti-infectious agents. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED FEMALE: 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, her cholesterol was never well controlled and her high blood pressure was never well controlled. Never needed you. 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. We are going to take a short break. And the problem is, some of those procedures will lead to bad outcomes. There was obviously a problem. He asked for pain medication. I was a bit surprised. MARTIN: I think what the American people need is, they need good health care. UNIDENTIFIED MALE: When do we want it? Not just the health, but healthcare, the health of a nation. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. UNIDENTIFIED MALE: I love you, too! UNIDENTIFIED FEMALE: Now you pick your spot. GUPTA: Erin, what did you think about that particular theme? Let me just take a listen to you. That's it. BERWICK: Everybody is doing what makes sense to them individually. UNIDENTIFIED FEMALE: You know, I'm only 34 years old. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. MARTIN: A day? ROBERTSON: Right. Look. This is Prazosin. LT. GEN. DAVID FRIDOVICH, THREE STAR COMMANDER, U.S. SPECIAL FORCES: I can see why there's a link between opiates, dependency, misuse, and suicide. She got her cholesterol under control, her weight under control and things were great for her after that. If someone had talked to her -- I think someone had really teased out her chest pain and shortness of breath, I think many of her cardiac catheterization and stents would not be necessary. This is incentives the system so that patient have a less specifically to be of picking the right choice. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. 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. MARTIN: What I do every day, buddy. 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. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. There is no doubt, they always have. It's not true in the United Kingdom. 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. UNIDENTIFIED FEMALE: Hello, Mr. Fields. But, that's not the whole story. I need some help over here. It has to do with the training of physicians. 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. May everyone be happy. Your company becomes more competitive. Sometimes they are related to lifestyle habits. JONAS: What it first seems like strange bedfellows, healing oriented mind/body practices and sort of the hardcore military actually is an opportunity that they jumped at because of the pragmatic need and nature that the wars had driven them to respond to. 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. Description: In this clip* from the award-winning documentary, Escape Fire: A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. They can pretty much get away with increasing the rates as much as they want to. So at this point, we will administer the medication. 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. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: This is a national problem for us, you know, we're seeing the military just being a microcosm, I think, of the problems society is having. I'm not sure what is what. You can convert other formats (like Microsoft Word, HTML) into a plain text file or you can use native programs on your computer like Notepad. Now you're going to get the scissors. But I'm doing it. UNIDENTIFIED MALE: I'd be chomping narcotics. It's completely changed food. We spend one heck of a lot of money. Do you want to tell me about some of those that you lost? Host virtual events and webinars to increase engagement and generate leads. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. 2. What would happen? But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. It caused their blockages to become less blocked in their arteries. You know, they'll actually fix it. If you account for that, we do much better. UNIDENTIFIED MALE: I did yesterday. OSBORNE: I have lost -- since last year I've lost 21 pounds. As an overall system, no, we're not anywhere near at the best in the world. It would empower patients. Because they're not using health care now. And sometimes push the plate away. YATES: I've chose to get off all narcotics, all medicine, everything. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. You say there's a lot of Yvonnes (ph) out there, the patient we just met. Rescue care is second to none. It's a happy time in my life right now. ROSS: How long ago was that? The small wire cage you see there is the actual step. How long were you there? 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. There's the bright blue slush. RICE: And I was surprised about this, particularly the data. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. Receive your transcript. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. But this program has just inspired me to press forward. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. They can pretty much get away with increasing the rates as much as they want to. All right? Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. And then we're not going to help anybody. UNIDENTIFIED MALE: Oh, yes. If you're seeing redundancies in service, go back and meet with your medical professional. I want to show you how it works. So we took the men with prostate cancer. That ended and it rose quickly. UNIDENTIFIED MALE: Nine months. Delhi Building Collapse Video: 100 , NIEMTZOW: Oh, you would? Link 'n' Share. Transcript In Escape Fire: The Fight to Rescue American Healthcare", director Matthew Heineman exposes what he sees as flaws in the U.S. healthcare system, such as a doctor who can spend just. And the owners of those pockets do not want anything to fundamentally change. MARTIN: Are you taking your medication? I felt like there's got to be something different, something better. Until my doctor said to me, I don't know what else to do for you. It had to do with the idea of essentially paying people to be healthy. It's just a terrible tragedy for patients. Is that how you get paid? A documentary highlighting the shortcomings of the American healthcare system. OK, so let's go into our meditation practice. GUPTA: I want to point out something. UNIDENTIFIED MALE: But Mommy, what are you going to do? About a 30 percent increase in the risk of heart attack and related complications. It's the same challenge. DR. SANJAY GUPTA, HOST: Good evening. It was -- with a huge amount of skepticism and resistance. You know, without the use of fancy technology and expensive pharmaceutical medications. And I think those discussions that we between the patient and the provider about lifestyle disincentives. (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: I got my blood sugar under control. Former head of COMMUNICATIONS, CIGNA: insurance companies have always been able to regulate the rates much., we will administer the medication what the American healthcare & quot ; Export & quot ; Escape:! Feel like I 'm only 34 years old in our society next group of are... The use of fancy technology and expensive pharmaceutical medications like I 'm only 34 old! In service, go back and meet with your medical professional of.! Essentially paying people to be healthy ) out there, the approach pain. 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