We're part of the community. I actually practice emergency medicine at the University of Virginia in Charlottesville. She had had bypass surgery at an early age. And there's nothing that people sort of get more antsy about is the idea of people profiting off of other's misery. 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. Our approach here is completely holistic. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. Something like that. The Issues. Sometimes we're talking about them on a daily basis. War's hell, it's always hell. The Escape fire Video demonstrates human stories and leaders in the fight to transform Medicare at the level of medicine, the US military, industry, and government. Afghanistan? UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. What do you think of that? 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 not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. GRUBER: Premiums will rise. That cost about 1,000You'll find examples like this all over a room. BERWICK: The healthcare system isn't affordable anymore. UNIDENTIFIED MALE: A platoon of 23. You are going to hear from many different voices with varying opinions and backgrounds tonight. With the infantry division. Let me just take a listen to you. He told Dean, how long is the program? Job number two was to make sure that there was not a public option. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. And I think those discussions that we between the patient and the provider about lifestyle disincentives. She joins us now. I was a walking dead man. So that's rewarding for me. 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. UNIDENTIFIED MALE: What do we want? The film examines the powerful forces trying to . &but good news is, if you live to age 75, then you know you have a much longer chance of living as compared to those other 16 nations. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. Okay. CAPT. MARTIN: How much were you drinking before? They didn't foresee me ever trying to walk yet. Adding Avandia can help. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. In fact, more soldiers died last year from non-combat injuries than during war. Wag Dodge survived, nearly unharmed, in his escape fire. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. And remember that you can return to this place at any time during the meditation. You know? Rescue care is second to none. Got to push through it. If they are surgeons, they get paid for each procedure. Your harm's heavy, your leg's heavy. I had difficulty sleeping at night. Because of this program that's here, the yoga. OK? That isn't true in Canada. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. Psychologically, you deal with a lot of these sorts of things. The emergency department is the safety net of health care. Putting patients first. You know, the ads always end with the same phrase, ask your doctor. We've just created a completely different system here. UNIDENTIFIED MALE: I quit drinking, too. They are going to healthcare. WEIL: This is a problem with a lot of our suppressive treatments. ORNISH: We found that after a year, the men who made these intensive lifestyle changes, their physical heart disease improved. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. Much more than money spent on much more expensive services. I mean, when the cost of some of the things we use on a regular basis. 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. UNIDENTIFIED MALE: I do it again on Friday. NIEMTZOW: If you didn't have the acupuncture needles, how do you think you'd be feeling? Next, click the three-dot menu icon underneath the title of the video. 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. I was on anti-depressants. If we can prevent that and even reverse it, that's how we're going to make true health care, not just sick care available. What would happen? As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. BERWICK: The healthcare system is unsustainable. I lost a lot of good men. I'm Dr. Sanjay Gupta. And that model has continued until today. 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. It caused their blockages to become less blocked in their arteries. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. Look at this. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. Still bothers me to this day. That's how embedded people get in the status quo. 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. The patient is so -- UNIDENTIFIED FEMALE: Oh god. 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 . I want to show you how it works. WEIL: Where are you from? So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. Then all of a sudden I started getting chest pains. 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. And so 15 firefighters were trapped. We have to basically treat the patient for whatever they say, and a lot of times patients become so drowsy that they're not aware of how much they're taking. The balloon is inflated to widen the blocked areas. 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. Again , when I'm talking about disincentives. That's built in these costs as well. Format your transcript file. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. UNIDENTIFIED FEMALE: Oh, my god. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? UNIDENTIFIED FEMALE: Do you want to do a pill count with me? And it wasn't because procedures were more expensive in Miami than in Minneapolis. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. I have an acutely suicidal patient in my office that I need help with. The film interweaves personal stories with the efforts of leaders battling to transform it. We're dealing with the health of the nation. Or at least we think we do. So I decided to leave. GUPTA: I'm salaried too as a physician. All Dogs Go to Heaven 2/Transcript. MARTIN: Good. 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. 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. How to make a healthy choices. He's, like, clutching his head. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. BROWNLEE: We spend a spectacular amount of money on healthcare. It's about saving the health of a nation. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. In Latin, it means, above all, do no harm. BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. An estimated 600,000 stent procedures are performed every year in the United States. That's going to be a little bit of a change and a little unfortunate. 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. It's unseen, but it's there and it's very, very powerful. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. 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. About 70 percent of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks or smaller heart attacks or having what we call unstable angina. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. A lot of unnecessary stents? One of the ways to think about saving money in health care is to focus our energies on that 20 percent of patients and think about treating those people in a more effective way. The documents are coming out in these court suits, it looks worse and worse. Aladdin and the King of Thieves/Transcript. NIEMTZOW: So you haven't taken anything? My very best friend from war, he was on narcotics. Who's next? MARTIN: A day? Some people, this is all they eat, food of this sort. I took care of them and I was responsible for them and just worrying about if somebody else is going to do for them what they need. Try to understand where the redundancies are. UNIDENTIFIED FEMALE: I just want to see what they've given him. NISSEN: Good morning. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. Those are the kind of things that would actually have an impact. It's not just we know it, we actually can go and visit it. UNIDENTIFIED MALE: Oh, yes. Look at our results, our life span isn't even in the top 20. UNIDENTIFIED FEMALE: Now you pick your spot. May everyone be healthy. OK. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. And from that point on I realized that I don't want to be on this. Healthcare, it's headed for really, really bad trouble. There's saving money and there's cost effective. ROBERTSON: Right. MARTIN: Can you feel this? He's got Lunesta and also has Valium. UNIDENTIFIED FEMALE: How are you? The only other country, by the way, is New Zealand. And it's just the last thing that you're really concerned about. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. UNIDENTIFIED FEMALE: Yes. And I thought, once I get this, I won't have the blockages anymore. CARNES: I will be at your side should anything challenging come up for you. . It would be so wonderful if their chronic health conditions could be prevented through effective primary care. Format: DVD Edition: Widescreen. So, if there's a concern someone has a tumor, they who use a needle like this. People come in and you try to fix one thing and they come back for the same thing over and over and over. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. I haven't touched my toes in months. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. 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. You don't necessarily make a lot of investments in preventive care for someone who's not going to be a part of your health plan for a long period of time. 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. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. That's my routine. I take a pharmaceutical drug myself, but if there's one thing that I would love to see you begin to implement in your own practice and teach others about, it's to try to change this mindset that has so completely taken hold in our culture on the part of both doctors and patients that drugs are the only legitimate way to treat disease. It got fast tracked by the FDA. Tumor, they get paid for each procedure 's going to be a unfortunate. 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