I had difficulty sleeping at night. And Doctor Nissen is in salaried as well. Jonas, Wayne B., commentator. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. SGT. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. MARTIN: I think what the American people need is, they need good health care. Aladdin and the King of Thieves/Transcript. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. So, we decided to give you a look at a typical operating room bill and that breaks down. UNIDENTIFIED MALE: Yes. One of the great contributions of America to world cuisine, you know, fake bread. They can pretty much get away with increasing the rates as much as they want to. They have a blockage that's not causing symptoms and yet they're actually having a procedure. 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. UNIDENTIFIED FEMALE: We'll do it at the front. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. And that was the first study showing that heart disease was reversible. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. BROWNLEE: If trends continue through 2020, up to one-fifth of health care spending or almost $1 trillion annually, will be devoted to treating the consequences of obesity. You know, Nancy, we talked a lot about these bills. We want more procedures. We just have to do it differently. We know it's there. And it's just the last thing that you're really concerned about. 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. I know you're heading home and you're excited. So Doctor Rice, let me start with you. GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? 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. Delhi Building Collapse Video: 100 , UNIDENTIFIED FEMALE: These are all name brand. 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 . Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. It's still a struggle. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. that is going to raise cause. 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. The average per capita cost of healthcare in the developed world is about $3,000. And yet the outcomes, the survival rates are at the highest levels. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. I mean -- but you have to have the time to educate your patient. I can't be having heart problems. UNIDENTIFIED MALE: Nine months. 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. PROTESTERS: Healthcare. BERWICK: Everybody is doing what makes sense to them individually. So, I went into the hospital and they told me I had had a heart attack. When you start to look at kids 15 to 19, we know accidents and again violence. Yvonne Osborn began suffering from severe chest pain at the age of 34. And is it still traveling into your neck? UNIDENTIFIED MALE: Let me get that jacket away from him. WEIL: Right. The fire overtook the crew, killing 13 men and burning 3,200 acres. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. I've spent more than 30 years of doing studies showing that heart disease can be reversed by changing what we eat, how we respond to stress, how much we exercise, and how much love and support we have in our lives. What does that do? the play Tom is seen standing in a fire escape during many acts. I mean, to talk about how we shift toward -- away from disease intervention toward disease prevention and health promotion, I mean, that -- that requires a massive rethinking about medicine and healthcare at all levels of society. We have made all of this unhealthy food the cheapest and most available food. Seventy percent of all the deaths in diabetes are heart disease. Because they're not using health care now. If you have cholesterol under control, a discount. ORNISH: The program increased the telomere length. Much more than money spent on much more expensive services. 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. Thanks all of you for joining us. Rescue care is second to none. YATES: Meditation is scary sometimes. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. That was job number one for them. The Issues. Select Open transcript . ROSS: How long ago was that? UNIDENTIFIED MALE: Oh, yes. Our healthcare premium starts here, and if you have a body mass index less than 30, you get a discount. But we're going to talk to them about it still, you know? 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. He's, like, clutching his head. From a patient perspective, from a physician perspective, you want to make sure obviously, that people are being educated correctly. And that's because our system reimburses people for doing tasks and doing procedures, not for necessarily making people healthier. And I think we're in a great deal of trouble because of that. An estimated 600,000 stent procedures are performed every year in the United States. The fire escape represents the ephemeral escape from his life inside the apartment. 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. Some would say overrewarded specialty and subspecialties. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. BULLIS: Soldier know if they go to war and they get a leg blown off, your medic is going to take care of you and the same thing needs to apply that if you have post-traumatic stress. 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. He had -- he had Percocet then he has Marco which is Percocet. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. And some people even that are getting stents don't have symptoms. The patient just fell off the litter. UNIDENTIFIED MALE: I'd be chomping narcotics. How long were you there? When telomere wear down and get frayed, the genetic material would get messed up. 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. We're part of the community. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. I'm two and a half months out of combat. We just have to keep working towards that. MARSHALL: Yes, sir. I'm really, really pleased. So we took the men with prostate cancer. Just sore. It is a burning platform and they see this. YATES: Wow. Wag Dodge had an idea. People come in and you try and fix one thing and they come back for the same thing over and over and over. 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. It caused their blockages to become less blocked in their arteries. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. And you say that you can help negotiate the price of these bills down, what do you tell people? A stapler, this stapler that is often to used in surgery, like this? Until my doctor said to me, I don't know what else to do for you. You will learn if your health care costs are going to go down any time soon. It was a great life. There's also administrative costs that are built in. And, you know, you kind of get busy. Half of Americans will be diabetic or pre-diabetic in the next 10 years. I'm Dr. Sanjay Gupta. And how do we shift this huge enterprise of disease intervention in that direction. The small wire cage you see there is the actual step. (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. It's a completely irrational system. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. I mean, that sounds like a really dire situation. 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. 'Deinfluencing' is now a thing. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. And so 15 firefighters were trapped. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. Came off the mountain with only eight. Transcripts Dragons: The Nine Realms Fire Escape Script view. 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. We want that. First Published 08/18/22 12:02. read transcript. DR. ANDREW WEIL: There's the bright blue slush. And then we're not going to help anybody. This -- medications I was on. We have underpaid on a chronic basis. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? You know? And people do. That's almost as much as the rest of the world combined. Committed to her living longer and better. MARTIN: Uh-huh. An Entrenched System. MARTIN: Good. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. UNIDENTIFIED MALE: Oh, yes. But with regard to prevention, preventing disease, does that save us money? YATES: The pain, it's hard, you know, it's really hard. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. In our model, the physician acts as a quarterback. And Doctor Jeff Cain. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. It got fast tracked by the FDA. Our health care system. The only way that you can continue to make the profits that you are expected to make is to charge more for the policies. 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. We are second to none in this country for those things. 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. Have you -- UNIDENTIFIED FEMALE: 2008. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. I just had been ignoring it, because I thought, you know, I'm only 34 years old. And sometimes push the plate away. NISSEN: We're not saying that people are doing these procedures for profit. They are going to healthcare. 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 . She joins us now. The film is about finding a way out. They did not tell the FDA, and they did not tell patients. Power your marketing strategy with perfectly branded videos to drive better ROI. . 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." It's not just we know it, we actually can go and visit it. ROSS: All right. He told Dean, how long is the program? But so what, right? I just could not continue doing what I was doing. It rewards them for delivering more care. And how to know if you're being prescribed unnecessary procedures. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. In Latin, it means, above all, do no harm. MARSHALL: So, anybody that's having a heart attack should get a stent. You bike to work today? As an overall system, no, we're not anywhere near at the best in the world. UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. UNIDENTIFIED MALE: Bye. BROWNLEE: We spend a spectacular amount of money on healthcare. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. When you're injured they feed you, feed you, feed you all this stuff. And the fire spread around him. 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. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. This is going to caused about %800 dollars. GUPTA: There was something in the documentary that caught my attention. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. And they have a hard time believing that these simple choices that we make in our lives each day can make such a powerful difference. MARSHALL: Me, personally, I'm on a salary. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. This is what you do for a living. 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. The film interweaves personal stories with the efforts of leaders battling to transform it. GUPTA: Can you actually get a-hold of those people? Who's next? This drug was the number one selling diabetes drug in the world in 2006. That is ridiculous. UNIDENTIFIED MALE: Good, how have you been? UNIDENTIFIED MALE: Six and over. Let me just take a listen to you. We don't have to spend ourselves into poverty on healthcare. But it's more than cost. People say you're doing this radical intervention. Because what we think is best for us often isn't. CARNES: I will be at your side should anything challenging come up for you. The present healthcare system doesn't work. Thank you so much. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. 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. 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