These lifestyle changes cannot only work as well as drugs and surgery, but often even better at a fraction of the cost and the only side effects are good ones. UNIDENTIFIED FEMALE: Now you pick your spot. There's also administrative costs that are built in. Your arteries around the heart. The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? 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. And chromosomes have all genetic information on them. Alvin and the Chipmunks/Transcript. How are you? And it will not protect you from having a heart attack. We say they don't prevent heart attacks, they don't lengthen life. I just could not continue doing what I was doing. I said, there's got to be a better way. Healthcare, it's headed for really, really bad trouble. I mean, that sounds like a really dire situation. It's completely changed food. We create a public expectation that more is better, which isn't actually true so people seek more. We need a whole new kind of medicine. But with regard to prevention, preventing disease, does that save us money? 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. What that means is, the money we spend on prevention improves our health greatly per dollar spent. I mean, give me a break. And Doctor Nissen is in salaried as well. (LAUGHTER) That's the way I like to look at it. Just sore. 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. Firefighters said they received about 12 calls . Thanks all of you for joining us. I need to speak with the crisis worker. Here's a couple simple tips. UNIDENTIFIED FEMALE: OK. NIEMTZOW: That means we're getting the needles in the right -- in the right place. How to make a healthy choices. When medicine became a business, we lost our moral compass. That's it. There has to be a different way of doing things. You know, Nancy, we talked a lot about these bills. And, you know, you kind of get busy. UNIDENTIFIED MALE: I quit drinking, too. Expand the Transcripts and captions section if closed, then select Upload. THIS IS A RUSH TRANSCRIPT. 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. At some point he's going to stop breathing if he's taken too much narcotics. And that is why, our first priority has to be to equalize that access and then move on. Impressive for it to react that quickly. Get educated on these issues and add your voice to a growing chorus for change. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. Trying to get Medicare to cover a heart disease program has been by far the hardest thing I've ever done in my entire life. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. GUPTA: Doctor Rice, What do you think about that. PROTESTERS: Healthcare. All my health issues have gone away. We don't have a healthcare system in this country. It includes the mandate, the requirement that we all have to buy their coverage. My energy level is up. So tired of it. Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. I do it in my clinic all the time. I became a doctor because I care about patients and working here, I can't help them. They promised me that I could make the practice whatever I wanted it to be, and if I don't want to see six patients an hour, I don't have to see six patients an hour. MARTIN: How much were you drinking before? The next group of people are people that have tried medical therapy, that are on medical therapy and failing. Aladdin (2019)/Transcript. Committed to her living longer and better. It's not true in the United Kingdom. You also want to engage the billing representatives and the financial representatives of the hospital in that discussion and have them understand, I need an explanation of these charges. Prevention is cost effective. We're on track for that on Tuesday. And, of course, the natural end point is going to be in the emergency department. Does it make a difference? Our health care system. ROSS: If you had to? Not having to eat all these pills. MARTIN: Thyroid is a little bit big. And they formed a group practice they decided that they would pay themselves a salary and the money that was left would go back into growing the organization. This is what he's got left. So I decided to leave. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? 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. Your harm's heavy, your leg's heavy. We're the only providers for. I mean, they are going to watch that and think, that's ridiculous. . So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. (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. It's not whole food as nature produces it. Is that how you get paid? And water, they are saying, I'm going to have to give up to get there. It is so addictive. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. We need a whole new kind of medicine. And how to know if you're being prescribed unnecessary procedures. 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. You can't have a cafeteria that doesn't have calorie counts on it. The only other country, by the way, is New Zealand. WEIL: It could get worse. BROWNLEE: We spend a spectacular amount of money on healthcare. This -- medications I was on. It was -- with a huge amount of skepticism and resistance. At a time when the medical system is so badly broken. All right? It got fast tracked by the FDA. The answers among us, and only by accepting the fact that the American healthcare system is badly broken and the status quo isn't working, is bankrupting our nation, will we be able to seek out the escape fires, the potential solutions, and create a sustainable and patient centered system for the future. We know it's there. And I think those discussions that we between the patient and the provider about lifestyle disincentives. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. The emergency department is the safety net of health care. UNIDENTIFIED MALE: I did yesterday. ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. The answer is among us. RICE: And I was surprised about this, particularly the data. UNIDENTIFIED MALE: I'd do it if I had to. All Dogs Go to Heaven/Transcript. It rewards them for delivering more care. You bike to work today? Where does that money come from? I'm not sure what is what. 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. MARTIN: You used to cut? UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. YATES: OK. And they have to, these for-profit companies by law have to serve shareholders. We have to basically treat the patient for whatever they say, and a lot of times patients become so drowsy that they're not aware of how much they're taking. Receive your transcript. Power your marketing strategy with perfectly branded videos to drive better ROI. MARTIN: I think what the American people need is, they need good health care. If you have that desire to quit smoking, we'll get there eventually. UNIDENTIFIED FEMALE: Take them away from him. Log in to your account. We want that. UNIDENTIFIED MALE: I have no health insurance. 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. Healthcare, it's in really bad trouble. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. This drug was the number one selling diabetes drug in the world in 2006. DR. ANDREW WEIL: There's the bright blue slush. It had to do with the idea of essentially paying people to be healthy. Some people, this is all they eat, food of this sort. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. That ended and it rose quickly. People say you're doing this radical intervention. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? 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. More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. Co-directed by Matthew Heineman and Academy Award-nominee Susan Froemke (Lalee's Kin: The Legacy of Cotton), Escape Fire looks at a U.S. healthcare system designed to profit on disease not. I mean, everyone wants that probably in every system. WEIL: Where are you from? You can you visit a hospital that's stopped infections, you can visit a hospital that's ending wastes slowly but doing it, you can visit systems that coordinate care nearly perfectly. There's been a lot of change in me in that transition between La Clinica and here. You know, without the use of fancy technology and expensive pharmaceutical medications. He said, it was a year. YATES: I was on Parazasin just for nightmares. They have a blockage that's not causing symptoms and yet they're actually having a procedure. I say, radical? When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. Compared to having your chest cut open? 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. To get the best results, use these formatting tips: To force the start of a new caption . GUPTA: So it doesn't matter. UNIDENTIFIED FEMALE: Oh, my god. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? If you look at a hospital bill, you might see an IV bag charge. And from that point on I realized that I don't want to be on this. That isn't true in Canada. Takes about 15 minutes for you. The Dartmouth study showed the patients in places like Miami were receiving more care. 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. 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. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. 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