ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. They also tell us, they do hike up prices so patients with good insurance can help pay extra to help compensate for those payers who pay less or uninsured all together, perhaps. The present healthcare system doesn't work. Takes about 15 minutes for you. (LAUGHTER) NIEMTZOW: Hi. GUPTA: There was something in the documentary that caught my attention. This suture costs about $200. DAVENPORT-ENNIS: So, I think with some patients it clearly will. They didn't foresee me ever trying to walk yet. UNIDENTIFIED MALE: That's pretty good. You can export to TXT, DOCX, PDF, HTML, and many . But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. 0. You just look different. 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. ROBERTSON: Right. 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. We are going to take a short break. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. That was how many medications I was on. I mean, the impression I think was a little misleading there, don't you think Nissen? But this program has just inspired me to press forward. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. And the problem is, some of those procedures will lead to bad outcomes. that is going to raise cause. They didn't want to have a new competitor. Power your marketing strategy with perfectly branded videos to drive better ROI. UNIDENTIFIED FEMALE: Do you want to do a pill count with me? BROWNLEE: Fee for service rewards physicians for doing more. Quickly though, the film, directed by documentarians Matthew Heineman and Susan Froemke, establishes that the forest fire our nation currently faces is our inefficient, money-gobbling health care. 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. UNIDENTIFIED MALE: Yes. Dodge had invented what is now called an "escape fire," and soon after it became standard practice. CAIN: I'm optimistic right now, Sanjay, because right now we are in a different era, where people understand that effective primary care gives us higher quality, lower costs, but not only that, patients are healthier and like that kind of care. So I went into the hospital and they told me I had had a heart attack. You say there's a lot of Yvonnes (ph) out there, the patient we just met. That also happened in the 1990s. So, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. I stopped taking my medicine months ago. The answers among us, can we please stop and think and make sense of the situation and get our way out of it? So, you want to take a look at that and find out what it is. Rescue care is second to none. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. It was -- with a huge amount of skepticism and resistance. And that model has continued until today. And I thought, once I get this, I won't have the blockages anymore. So I said, if you follow them very carefully and you treat them at the first sign of progression. When they have insurance and they have access to usual source of care, primary care. Try to understand where the redundancies are. When I'm running and it's a hot day and I feel like giving up, it never fails. GlaxoSmithKline worked very hard to keep these numbers from the public. How to know if you are being prescribed unnecessary medications or procedures, that's next. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. I mean, everyone wants that probably in every system. But one evening, I sat straight up in bed with the worst chest pain. The film examines the powerful forces trying to . GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. People go in and out of health plans. 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. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. UNIDENTIFIED MALE: No. It's hard to say good-bye to the patients. YATES: Meditation is scary sometimes. The balloon is inflated to widen the blocked areas. YATES: OK. 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. It was wonderful. UNIDENTIFIED CHILD: There we go. He is the president of the American Academy of Family Physicians. These are techniques that should be used to relieve symptoms. Video: This tiny shape-shifting robot can melt its way out of a cage . NISSEN: Yes, but we have to educate patients. This is major reason why we see kids getting fat in this country. All of us live here and work here. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. Because of this program that's here, the yoga. CARNES: Notice where you are in the room, the people around. UNIDENTIFIED MALE: Yes. And yet the outcomes, the survival rates are at the highest levels. It doesn't matter how complicated they are, how much time that we spend on them, it's just a number, one, two, three, four, five. WEIL: Right. NISSEN: I do. 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. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. So here I am going in and out of the hospital to find out what's going on. 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. Literally, 30 patients an hour. Select "Show Transcript" from the menu. Do you understand? And, you know, you kind of get busy. 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." And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. You can't have a cafeteria that doesn't have calorie counts on it. Also remember this. We're glad to have you home. Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. Credit: Battlestate Games. And I hope our new generation of health professionals will catalyze this social movement that's necessary and enough people get aroused enough about the situation and see it for what it is and then start some kind of grassroots movement to change the political balance of power. The power lies with corporations and corporate interests and the lobbyists that they buy. And that's parts of what a really great healthcare system would do. And that was the first study showing that heart disease was reversible. They are patients with heart failure, they are morbidly obese patients. 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. OK. 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. If you're on a fixed income, what are you going to do for your family? UNIDENTIFIED FEMALE: No. CHO: I know, you look really good. It's not visible, but it's there. UNIDENTIFIED FEMALE: Oh. Impressive. No eastern medicine. This point I'm in. It's completely changed food. We have a -- we have a motto in medicine. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. (COMMERCIAL BREAK) DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: If we really can't begin to change, from paying for volume, paying for how much you do, to paying for outcomes, paying for how well you do, how well the patient does, that will change the game, people will start to say, well, now the money is in health and well being and safety and vitality, not in more, more, more, more, more. An Entrenched System. Let's see what we got here. We're spending almost twice as much in America as any other country on earth. All right? BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? Michelle? That prevents tissues from renewing themselves in the body and diseases take hold. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. Thanks all of you for joining us. On my way. Impressive for it to react that quickly. UNIDENTIFIED MALE: I'd be chomping narcotics. But then Dean Ornish was starting his program to see if you can reverse heart disease through a lifestyle change, and he went to my doctor and asked if he could approach me. And the actual costs for care here is among the lowest in the country. NISSEN: Finally, the FDA put severe restrictions on the drug. I became a doctor because I care about patients and working here, I can't help them. WEIL: In Western medicine, all of our effort is on dispelling evil. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. And I think that's a good place to start. BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. If you go out and buy heart healthy diet food, it's going to cost you more money than anything. It's addictive. Underrewarded primary care. So at this point, we will administer the medication. We've just created a completely different system here. GUPTA: And I want to leave all of you at home with a thought as well. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. We don't know what they are. That's built in these costs as well. This is what he's got left. And sometimes push the plate away. You've done some sweating. 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. 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 . Tell me what happened. But I think the economic imperatives are much stronger now. MARSHALL: Me, personally, I'm on a salary. DR. JEFFREY MARSHALL, PRESIDENT, FOR INTERVENTIONAL AND GEOGRAPHY IN INTERVENTION: I don't believe so. All right, so take a breath. Did you go to the diabetes education? Aliens in the Attic/Transcript. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. I haven't exercised. We have a model that works simply by making changes in diet and lifestyles. This is Prazosin. 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. And people do. I'll look up and I'll see a person who's overweight across the street. (COMMERCIAL BREAK). So, we decided to give you a look at a typical operating room bill and that breaks down. GUPTA: You feel better when you're healthier too. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. You just never get to the bottom of what's causing all of these problems that they are having. With the infantry division. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. And that's because our system reimburses people for doing tasks and doing procedures, not for necessarily making people healthier. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. The fire overtook the crew, killing 13 men and burning 3,200 acres. Don't need you, don't need you. The patient is so -- UNIDENTIFIED FEMALE: Oh god. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. MARTIN: Good. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. Do you think that will make a difference? So we're going to open up some chi? (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. Alvin and the Chipmunks/Transcript. They are going to healthcare. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now, at saving literally thousands of dollars over the past few years by being healthier. 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 FEMALE: I just want to see what they've given him. Respiratory shutdown. We have a disease management system. Adding Avandia can help. 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. ROSS: When do you think it would be good to try it? (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. 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. We have some challenges with access and affordability. UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. ROSS: How long ago was that? The answer is among us. Probably put him on the bottom on the other side. 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. Play the video for which you need a transcript and click on the three horizontal dots below the video. UNIDENTIFIED MALE: I'd do it if I had to. You allow and encourage your employees to become healthier. Escape Fire: The Fight To Save American Health Care. UNIDENTIFIED MALE: Without the financial incentives, there's no way I could have gotten to the point that I am now in saving literally thousands of dollars over the past few years by being healthier. UNIDENTIFIED MALE: But Mommy, what are you going to do? We have to be mindful to those points in time where you can intervene and say enough's enough. Try to break a sweat every day. 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. Insurance companies have always been able to regulate the rates they charge. The problem is not that it doesn't work, the problem is that we haven't figured out how to get it into the system so that we can make it widely available to the population. 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. (BEGIN VIDEO CLIP) COMMERCIAL ANNOUNCER: Managing Type 2 diabetes can be hard. Dr. Berwick suggests that the current state of healthcare. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? Suture, one that's used in every operating room in the world. They have talked about a child between age of one and four, having the third most common causes of homicide. I lost him. And here's the secret, healthier people cost less money too. Some people, this is all they eat, food of this sort. It goes back to Teddy Roosevelt. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. Most diseases don't happen overnight. I decided out of curiosity to go check this out. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. That's almost as much as the rest of the world combined. At a time when the medical system is so badly broken. MARSHALL: It doesn't matter if I do one stent or five or ten stents. UNIDENTIFIED MALE: I have no health insurance. We're talking about a $3 or $4 billion a year drug. 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escape fire video transcript