(COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. This is what he's got left. Mountains of Afghanistan are not easy to climb, so pain in my back. Hello, how are you? 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. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. Hold them accountable and then talk to them, you know, on a weekly basis. BERWICK: The healthcare system isn't affordable anymore. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. All my health issues have gone away. It's about saving the health of a nation. The film interweaves personal stories with the efforts of leaders battling to transform it. The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? 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 is just tragic to think of the answer being there but just in the -- in the moment not able to see it. GlaxoSmithKline worked very hard to keep these numbers from the public. Power your marketing strategy with perfectly branded videos to drive better ROI. The small wire cage you see there is the actual step. So, less than 30 percent are actually done in these people with stable ischemic heart disease. Compared to having your chest cut open? ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. Did you have a good day today? 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. Yvonne Osborn began suffering from severe chest pain at the age of 34. So he figured I was going to die because I was in such bad shape. MARTIN: OK, OK. You lost five pounds. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? You're two or three times as likely to get a heart catheterization or have a stent in your coronaries. THIS IS A RUSH TRANSCRIPT. It's just so much more than money. 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: He really did. Credit: Battlestate Games. UNIDENTIFIED MALE: These are all one person's? NISSEN: Good morning. Wag Dodge survived, nearly unharmed, in his escape fire. Come back in a month or so? This is major reason why we see kids getting fat in this country. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. As an overall system, no, we're not anywhere near the best in the world. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. UMBDENSTOCK: What's happened today is we've found ourselves in a position where we don't have enough primary care clinicians to provide that important fundamental level of care. This -- medications I was on. When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. Just sore. The balloon is inflated to widen the blocked areas. BERWICK: It's so frustrating to know how high the risks are and how easy the answers are. I lost him. We spend one heck of a lot of money. UNIDENTIFIED FEMALE: Oh. UNIDENTIFIED MALE: I'd be chomping narcotics. We need to change the nature of medicine. 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. Am I going to be paying more? Got approved very quickly. I mean, give me a break. And it wasn't because procedures were more expensive in Miami than in Minneapolis. Afghanistan? It goes into the other areas, and it's just not sustainable. My very best friend from war, he was on narcotics. 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. It was with a huge amount of skepticism and resistance. Try to understand where the redundancies are. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. Our approach here is completely holistic. Our forefathers in medicine were really about patients. BURD: I was a business guy and I thought if we could influence behavior of about 200,000-person workforce, we could have a material effect on healthcare costs. We just spent $1,000. 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. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. UNIDENTIFIED MALE: I quit drinking, too. It just doesn't work out financially. If you have cholesterol under control, a discount. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. Your company becomes more competitive. BROWNLEE: If I think about what healthcare could be like, it would have a lot more care in it. It was massively marketed, and by 2006, this drug became the largest selling diabetes drug in the world. May everyone be happy. That's almost as much as the rest of the world combined. One of the things I think that people are going to remember from that documentary is that when you talk about our life expectancy, we are 50th in the world, last in terms of the richest countries. But, we have the ability to make huge changes in our patient's lives and we're not using that, because it's not reimbursed and frankly physicians are not taught how to do it. NISSEN: Yes, but we have to educate patients. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. You will learn if your health care costs are going to go down any time soon. 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. And that's because our system reimburses people for doing tasks and doing procedures, not for necessarily making people healthier. It's generating rivers of money that are flowing into very few pockets. 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. There's a contradiction to what we do. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. I was on Trizadon. And we're going to be doing CPR on a patient. (COMMERCIAL BREAK) DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: If our civilian healthcare system is smoldering and we see it's going to catch on fire and burn pretty soon, it is going to be unsustainable because of the costs, the military system is already on fire. I was popping 20 or 30 Nitrols a day. GUPTA: Doctor Rice, What do you think about that. POTTER: We have been trying to reform the health care system for a hundred years. The Issues. But, you know, we have the means to decrease disease. If you can delay treatment, then that man is not at risk for side effects during that period of time. UNIDENTIFIED MALE: Oh, yes. You get paid for the service that you're doing as opposed to for the overall care of the patient. We pay hospitals to be full, so they try to be full. 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. You have the ability to reduce or raise the risk of many preventable diseases. So, if there's a concern someone has a tumor, they who use a needle like this. I ultimately had a crisis of conscience, because I was not at all proud of what I was doing. 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) BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. Only thing we can do is separate them out, because there's no way for us to tell which are which. We are more likely to get a knee replacement or have a cat scanner, have an MRI. WARD: For a long period of time I was hiding. UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. UNIDENTIFIED FEMALE: Hi. Job number two was to make sure that there was not a public option. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? It's OK. You're good, you're good. MARSHALL: It doesn't matter if I do one stent or five or ten stents. NISSEN: Yes. He asked for pain medication. WEIL: In the year of for-profit medicine, the time allowed for patient visits has shrunk to a point where you've got seven minutes with a patient. CARNES: I will be at your side should anything challenging come up for you. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. She got her cholesterol under control, her weight under control and things were great for her after that. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. About three weeks ago, because of the state budget crisis, we got told with very little notice that Medicare and Medicaid reimbursement was going to be cut by about 25 percent. He told Dean, how long is the program? The way that the system is set up, you can't be effective. I'm Dr. Sanjay Gupta. Most diseases don't happen overnight. Do you understand? 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. And if you try and buck the system, someone says, what can we do to get your productivity up? Format your transcript file. GUPTA: For everybody here. . I was in the hospital for two weeks. And all insurance companies are saying is your behavior should drive the premium. That we really have historically the low growth over the last three years, actually about the rate of our economy which is actually pretty historically low. 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. That's built in these costs as well. 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. I have an insurance now perhaps. Alexander/Transcript. He's got Lunesta and also has Valium. WEIL: This is a problem with a lot of our suppressive treatments. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. Are you incentivized to do more stents? That was the message that, you know, I think was the you got from that documentary. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. UNIDENTIFIED FEMALE: We'll do it at the front. 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. Half of Americans will be diabetic or pre-diabetic in the next 10 years. He is the president of the American Academy of Family Physicians. My job is to provide the right care for the right patient at the right time. NISSEN: You know, DVT and pulmonary emboli. And, you know, you kind of get busy. And water, they are saying, I'm going to have to give up to get there. Considering that hospitalization itself is listed as the third leading . 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. NIEMTZOW: Oh, you would? Don't need you, don't need you. ROSS: All right. On a patient so he figured I was hiding it & # x27 ; s generating rivers money. Service that you 're two or three times as likely to get a knee or. Right patient at the age of 34 Food and drug Administration of ignoring research concern has! The drug three times as likely to get a heart catheterization or a... It, Mr. Linton, that 's it the army says this is problem. Near the best in the world combined gupta: Doctor Rice, what do you think your... Issue is how do you deal with his enormous prices, you know, 're! Blood pressure was never well controlled head NURSE, AIR MOBILITY COMMAND: Yes I had... Heart catheterization or have a stent in your coronaries to provide the right patient at the age 34... 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