escape fire video transcript

GUPTA: There was something in the documentary that caught my attention. Come back in a month or so? WEIL: It could get worse. It's just a terrible tragedy for patients. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. John than, you'll have to excuse me because you're an economist I'm not. What made you decide to do that? Did you have a good day today? 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. 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. What is really striking is how little they have written the last few years. (BEGIN VIDEO CLIP) COMMERCIAL ANNOUNCER: Managing Type 2 diabetes can be hard. What we don't know, is that a fundamental change? The patient just fell off the litter. GUPTA: And I want to leave all of you at home with a thought as well. Good. Ten allotted. GUPTA: A lot of these stents are unnecessary? And feel yourself observing all these constantly changing sensations and thoughts and feelings. First Published 08/18/22 12:02. read transcript. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. In our model, the physician acts as a quarterback. 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. 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. Do you think that will make a difference? This suture costs about $200. DR. SANJAY GUPTA, HOST: Good evening. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). Let me just take a listen to you. Our life span isn't even in the top 20. UNIDENTIFIED MALE: Yes. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. All right, so take a breath. Transcripts; License . That isn't true in Canada. I mean, the average price tag for a single hospital admission can be really eye-popping. And you say that you can help negotiate the price of these bills down, what do you tell people? And people do. Well, you have a stent in your heart, right? 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. 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. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. They told no one. MARTIN: Because of the bottom line, because of the cuts that are coming through the government, if it came to the point where they couldn't pay me anymore, that would suck, but I'm not afraid. MARSHALL: Yes, sir. And some people even that are getting stents don't have symptoms. I started getting sick in my 30s. Stay tuned because afterwards, we're going to have a very important discussion regarding what we can all do to live longer and healthier lives and maybe avoid unnecessary costs and procedures. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? WEIL: This is a problem with a lot of our suppressive treatments. I feel like I'm changing. I just could not continue doing what I was doing. War's hell, it's always hell. 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. POTTER: We have been trying to reform the health care system for a hundred years. UNIDENTIFIED MALE: Yes. She joins us now. 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. It was a passion for healing. Then all of a sudden I started getting chest pains. And sometimes push the plate away. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. Credit: Battlestate Games. Who pays for that? Next, click the three-dot menu icon underneath the title of the video. So we provide incentives for people to engage in healthier behavior. People say you're doing this radical intervention. With their city in ruins, the people of London finally realized the only escape from the devastation of . I haven't touched my toes in months. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. He is the president of the American Academy of Family Physicians. GRUBER: Premiums will rise. Fifteen years later, you can't walk into your average hospital today and get acupuncture after an operation. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. The film interweaves personal stories with the efforts of leaders battling to transform it. At a time when the medical system is so badly broken. How did -- what did think about that? (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: If you need serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. And the actual costs for care here is among the lowest in the country. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. UNIDENTIFIED MALE: I quit drinking, too. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. Our forefathers in medicine were really about patients. But one evening, I sat straight up in bed with the worst chest pain. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. UNIDENTIFIED MALE: Yes. You allow and encourage your employees to become healthier. CHO: I know, you look really good. Maybe even a provider service. What the insurance industry's objective is, is to try to weaken those consumer protections over time and to try to influence how the law is being implemented. I mean, look at our results. I could hardly just about walk three steps and I'd have to stop and rest. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. Hello, how are you? UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. CHO: If I spent five minutes with you and put in one of these stents, probably get paid $1,500. That Medicare bidding demonstration. Your company becomes more competitive. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. How long were you there? UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. I haven't exercised. 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. Incentivizing them to be healthy or not charging them as much if they're healthy. The first description that the play makes about the fire escapes is "The apartment faces an alley and is entered by a fire escape, a structure whose name is a . 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. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. We want that. And, of course, the natural end point is going to be in the emergency department. And so, I think it points to the violence in our society. Respiratory shutdown. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. MARTIN: Wow. OK, I can see what you can have for pain, all right? 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. But, that's not the whole story. 5. 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: Good, how have you been? Dodge survived, nearly unharmed. Look. WGRZ reported that crews encountered heavy fire and thick smoke coming from the building at 747 Main St., after they got the call at 10:08 a.m. A Mayday was called early in the operation. It's not visible, but it's there. She got her cholesterol under control, her weight under control and things were great for her after that. 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. I was on anti-depressants. And if you try and buck the system, someone says, what can we do to get your productivity up? Thanks all of you for joining us. MARTIN: I had to do the fellowship because it was kind of my little ray of hope that things could be better, things can be done differently. 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: I meditate, and it has opened up a whole new world for me. This is what he's got left. Entitled Escape Fire, Dr. Berwick's speech took its audience back to the year 1949, when a wildfire broke out on a Montana hillside, taking the lives of 13 young men and changing the way firefighting was managed in the United States. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: All I hear is how we're going to give more people access to the present system and how we're going to pay for it. NISSEN: Yes. 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. We are second to none in this country for those things. To get people to eat different, to eat, you know, to lose weight, to exercise regularly, those are hard things to get people to do, and we need to be better at it. UNIDENTIFIED MALE: That's pretty good. Your arteries around the heart. And so, that's clearly one of the issues. It's your money. MARTIN: How much were you drinking before? This is just an unbelievable amount of stents and cardiac caths. You're your options might be, if there is a doctor surgeon on hometown. He or she assembles a team of five other people to work with, a nurse, a yoga teacher, an exercise physiologist, a registered dietitian, and a clinical psychologist. If you have cholesterol under control, a discount. When you're injured they feed you, feed you, feed you all this stuff. There's nothing else I can do. These perverse incentives that you described? 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. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. UNIDENTIFIED FEMALE: When I was a kid. BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. NIEMTZOW: Any pain? NIEMTZOW: So you haven't taken anything? OK. You know? UNIDENTIFIED MALE: People often think it has to be a new drug or a new laser or something really high-tech and expensive for it to be powerful. So Lexapro is the only thing you're on right now? We create a public expectation that more is better, which isn't actually true so people seek more. And that model has continued until today. I want to show you how it works. There's also administrative costs that are built in. It used to be me. (COMMERCIAL BREAK). It's still not over, but it's better from Germany, I promise you that. Anybody else would laugh, you know? When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. The film is about finding a way out. If you select our human service, your transcript will be ready within 24 hours. CAIN: Exactly. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. For me to spend 45 minutes on an established visit with a patient to make sure they are doing their exercise, make sure their diabetes is going okay, and to try to figure out what their true problem is, probably get paid $15. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? And if they have a relationship with you, feeling truncated. I tried to get him up, he just rolled himself out. We have some challenges with access and affordability. An estimated 600,000 stent procedures are performed every year in the United States. You just never get to the bottom of what's causing all of these problems that they are having. NISSEN: We do have a problem in America, and that is we have misaligned incentives. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. I lost him. May everyone be happy. What does that do? May everyone be healthy. We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. It should bring some of these costs down, because now more people are actually, you're not spreading the costs out over a few people, but rather more. That's going to be a little bit of a change and a little unfortunate. So I went into the hospital and they told me I had had a heart attack. Escape Fire: The Fight to Rescue American Healthcare is a 2012 feature-length documentary directed by Matthew Heineman and Susan Froemke and released by Roadside Attractions. 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. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. I mean, I can't think of a single negative in doing this. GUPTA: But, why are these causing hospitals so expensive? And when we come back, just how much does profit play a role in all these treatment decisions. MARTIN: Are you taking your medication? GUPTA: Erin, do you want to respond to that? UMBDENSTOCK: Why? As a society, we have to make it easier and more affordable for people to make better lifestyle choices than worse ones. We just have to do it differently. They are patients with heart failure, they are morbidly obese patients. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." I came to Walter Reed. OK. Bend down. 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. When telomere wear down and get frayed, the genetic material would get messed up. We just spent $1,000. Escape Fire: The Fight To Save American Health Care. UNIDENTIFIED FEMALE: Where are you coming from? Half. It doesn't always work. BRIAN WILLIAMS, NBC'S "NIGHTLY NEWS": FDA advisory committee started hearing evidence on whether Avandia is so unsafe it should be pulled off the market altogether. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. If you account for that, we do much better. Thank you so much. I'm sorry, it's going to get pretty tight. Select Open transcript . 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. We need primary care doctors. Cost about $1200. No soldier should have to go through this. They did not tell the FDA, and they did not tell patients. This is major reason why we see kids getting fat in this country. If you're seeing redundancies in service, go back and meet with your medical professional. But I think, to be honest, when you add more people to the system; that raises costs. BROWNLEE: Almost every study says that the doctor that has the greatest impact on your health, in general, the greatest impact on the health of a population is primary care doctors. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. But with regard to prevention, preventing disease, does that save us money? Tom's Escape In The Fire Escape. They are often poor patients, but not always. There are lots of people like that, like I said, less than 30 percent of the people that end up with a stent are basically in that category. Thanks for watching. There's a contradiction to what we do. UNIDENTIFIED MALE: But Mommy, what are you going to do? Escape Fire Background.The video essay Escape Fire (2012) was heralded as a breakthrough in the understanding of and . UNIDENTIFIED MALE: What do we want? That also happened in the 1990s. WEIL: Most of this huge effort of the healthcare industry is devoted to intervention in established disease and the majority of that disease is lifestyle related and preventable. Insurance companies have always been able to regulate the rates they charge. MARTIN: And they don't reimburse for nutritional counseling or anything like that. It's wonderful. UNIDENTIFIED FEMALE: They are all combined. Escape Fire Clip 14,141 views Oct 14, 2014 55 Dislike Share IHI Open School 9.49K subscribers *Note: You can purchase the full-length Escape Fire documentary on iTunes and Cinema Now, or you. And how do we shift this huge enterprise of disease intervention in that direction. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. Have you -- UNIDENTIFIED FEMALE: 2008. GUPTA: I mean, both physically and mentally. May everyone be well. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. MARTIN: What I do every day, buddy. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? What do you think of that? YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? Look at this. RICHARD UMBDENSTOCK, PRESIDENT, AMERICAN HOSPITAL ASSOCIATION: I was almost as surprised as anybody to see the reports that I was the most frequent visitor to the White House during the health reform debate. And for the large majority of people we help, they often don't understand what many of the charges are. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. It is important to keep in mind. It's a completely irrational system. Log in to your account. MARTIN: I think what the American people need is, they need good health care. UNIDENTIFIED MALE: We have had enough. That's almost as much as the rest of the world combined. UNIDENTIFIED FEMALE: Yes. Literally, 30 patients an hour. Do you want to tell me about some of those that you lost? I'm not sure what is what. The answer is among us. Our approach here is completely holistic. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. This point I'm in. The Dartmouth study showed the patients in places like Miami were receiving more care. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. BURD: All we did was facilitate smart choices for people and develop this culture of health and fitness. UNIDENTIFIED MALE: Six and over. It's hard to say good-bye to the patients. MARSHALL: So, anybody that's having a heart attack should get a stent. And that being applied to health care just doesn't work. more . UNIDENTIFIED MALE: I feel like I'm warming up a little bit. Don't need you, don't need you. 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. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? We want more specialists. We want more tests. He is also a president of the society for interventional and geography in intervention. There is no doubt, they always have. OK? UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. 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. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. And the owners of those pockets do not want anything to fundamentally change. YATES: I was in the worst place in Afghanistan. UNIDENTIFIED FEMALE: Oh, my god. UNIDENTIFIED MALE: I'd do it if I had to. 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. 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. UNIDENTIFIED FEMALE: OK. 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. It's unseen, but it's there and it's very, very powerful. UNIDENTIFIED FEMALE: Loratab, Naproxen. 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. And I knew what I was doing for a living was making it necessary for those folks to stand in line to wait for care in animal stalls and barns. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? It's the same challenge. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. What we do with waste in healthcare. Viewers will see this language when they . If you have that desire to quit smoking, we'll get there eventually. I mean, the impression I think was a little misleading there, don't you think Nissen? OSBORNE: I have lost -- since last year I've lost 21 pounds. Select "Show Transcript" from the menu. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. The problem with Yvonne's case, is she had all of those stents before she had the risk factors controlled. It's a happy time in my life right now. 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. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. A flower for you. And that's the problem. Does it make a difference? CARNES: Ready? I think five or six of them are on the waiting list. It's completely changed food. These are techniques that should be used to relieve symptoms. ORNISH: The program increased the telomere length. YATES: That's every single signature that says that you're good to go to get out of Walter Reed and move on with my travel right there. It's an expensive world to live in in terms of getting your voice heard in D.C., but that's the whole function of advocacy. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. And I had a massive heart attack. They can pretty much get away with increasing the rates as much as they want to. UNIDENTIFIED FEMALE: They don't say how much they gave him. Published: Santa Monica, Calif. : Lionsgate, [2013]. No eastern medicine. CARNES: So feel yourself there in your safe place. UNIDENTIFIED MALE: Yes. (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. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. 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. 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