And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. Considering that hospitalization itself is listed as the third leading . BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. An estimated 600,000 stent procedures are performed every year in the United States. 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. There was obviously a problem. It's nice to know that I've got a long time to spend with my family and I'm going to get to see my son grow older and go to college and all that fun stuff. Open your favorite browser and launch YouTube. This is all coming out of our pockets. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. SHANNON BROWNLEE, MEDICAL JOURNALIST: How powerful are lobbyists in the healthcare system? ROSS: There have been some trends in healthcare that make me uncomfortable. 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. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. Putting patients first. 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. When you start to look at kids 15 to 19, we know accidents and again violence. They'll say, it took years to develop something like this, the research and development costs are significant. Heart cath, get another stent. They may keep the disease process going and they may strengthen it over time. And by the way, they are number in the world and life expectancy. This is what you do for a living. Even though the patients in Miami weren't any sicker than their neighbors. NISSEN: You know, DVT and pulmonary emboli. And from that point on I realized that I don't want to be on this. We need a whole new kind of medicine. Episode Number(s) 1 S03E01 03x01. I was a walking dead man. 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. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? CARNES: So feel yourself there in your safe place. Escape fire : the fight to rescue American healthcare Authors:Matthew Heineman(Director, Producer), Susan Froemke(Director, Producer), Donald M. Berwick(Commentator), Shannon Brownlee(Commentator), Wayne B. Jonas(Commentator), Steven E. Nissen(Commentator), Andrew Weil, Chad Kelly(Composer), Moby(Composer), Aisle C Productions(Production company) 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. And that's the problem. UNIDENTIFIED FEMALE: These are the costs of all of our drugs in order. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. But he can have anywhere between five and 10 milligrams of morphine. 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. OK. Bend down. My very best friend from war, he was on narcotics. ROBIN ROBERTS, ABC NEWS: Now to a new study that shows diet may be a key tool in the fight against cancer. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. Rescue care is second to none. 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. Up next, CNN Films presents "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. What that means is, the money we spend on prevention improves our health greatly per dollar spent. 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. So, we decided to give you a look at a typical operating room bill and that breaks down. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? How did -- what did think about that? He overdosed. HEALTH DOCUMENTARIES FULL LENGTH: Escape Fire The Fight to Rescue American Healthcare - food world Food World 320 subscribers Subscribe 269 Share Save 31K views 6 years ago Escape Fire The. The costs are going through the roof and the ability to help these service members and their families recover and repair and come back to a functional life is getting less and less. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. He's like really not listening very well. But one evening, I sat straight up in bed with the worst chest pain. And that's parts of what a really great healthcare system would do. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. It's OK. You're good, you're good. I mean, where did that idea come from? I think this is important because I think when people watch the film, they are left with the impression that Yvonne finally came to the Cleveland clinic. 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. THIS IS A RUSH TRANSCRIPT. 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. Now, thanks to both of you for joining us. If somebody has an infection, we give anti-infectious agents. WEIL: Right. The present healthcare system doesn't work. But I'm doing it. Receive your transcript. UNIDENTIFIED FEMALE: OK. It got fast tracked by the FDA. And I had a massive heart attack. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. This is what he's got left. I mean, when the cost of some of the things we use on a regular basis. It's much better to try to work at a deeper level. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. So Doctor Rice, let me start with you. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. UNIDENTIFIED MALE: I quit drinking, too. Underrewarded primary care. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. BROWNLEE: Fee for service rewards physicians for doing more. GRUBER: For everybody. He's got Lunesta and also has Valium. I'm not changed, but I'm changing. Came off the mountain with only eight. They couldn't get insurance. Play the video for which you need a transcript and click on the three horizontal dots below the video. (COMMERCIAL BREAK) BROWNLEE: The history of how the American healthcare system grew is not one of order, it's one of sort of happen hazard chaos. For example, in 2007, the average Medicare recipient in Miami tallied more than $15,000 in health care bills, whereas a recipient in Minneapolis only cost the government about half that amount. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. 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. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. Most diseases don't happen overnight. 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: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. I was popping 20 or 30 Nitrols a day. It's still not over, but it's better from Germany, I promise you that. UNIDENTIFIED FEMALE: OK, I need some help over here. What is really striking is how little they have written the last few years. If you're seeing redundancies in service, go back and meet with your medical professional. This is a chest tube. ROBIN CARNES, WALTER REED ARMY MEDICAL ENTER MEDITATION INSTRUCTOR: The first thing I'd like to do is teach you a breathing exercise with a targeted effect on post-traumatic stress. I was a bit surprised. On my way. 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. Got approved very quickly. It's completely changed food. I'm optimistic about the future. BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. 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 have a disease management system. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. And I think those discussions that we between the patient and the provider about lifestyle disincentives. Joining me to talk more about this is doctor Steven Nissen, he is the man in the documentary, the chairman of cardiology at the Cleveland clinic. 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. The film is about finding a way out. 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. NISSEN: We do have a problem in America, and that is we have misaligned incentives. UNIDENTIFIED FEMALE: These are all name brand. Healthcare, it's headed for really, really bad trouble. I just could not continue doing what I was doing. How to know if you are being prescribed unnecessary medications or procedures, that's next. 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. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: Insurance companies have always been able to regulate the rates they charge. GUPTA: Stay with us. She needs a follow-up within three month with an echo. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. UNIDENTIFIED MALE: Once I found out what was really wrong with me. MARTIN: What I do every day, buddy. To feel that way when you come home is demoralizing. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. 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