UNIDENTIFIED FEMALE: Where are you coming from? It just wants you to keep coming back for your care of your chronic disease. 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. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. This drug was the number one selling diabetes drug in the world in 2006. 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. Alvin and the Chipmunks/Transcript. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. NISSEN: Good morning. UNIDENTIFIED FEMALE: Yes. that is going to raise cause. 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. But it's more than cost. Receive your transcript. I'll be -- and what came to be known as an escape fire. Your arteries around the heart. SGT. When you go over into a war zone where you see your buddies die or you get injured, that's going to tax anybody. I mean, the average price tag for a single hospital admission can be really eye-popping. We're the only providers for. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. I feel like I'm changing. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). Am I going to be paying more? It's just so much more than money. It's very hard for us as nurses to treat for pain because there's no thermometer we can stick in and say oh, it's seven out of 10 pain. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. Where I'm at right now, patients are in desperate need of care. Seventy-three seconds into the 28 January 1986 . And you're here today with chest pain. So I decided to leave. We're on track for that on Tuesday. This is incentives the system so that patient have a less specifically to be of picking the right choice. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. UNIDENTIFIED FEMALE: These are all name brand. DR. ANDREW WEIL: There's the bright blue slush. The film examines the powerful forces trying to . That may strike people as very high. CARNES: I will be at your side should anything challenging come up for you. I don't believe in that stuff. GUPTA: I want to point out something. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. Maybe even a provider service. Where does that money come from? And that worked for awhile. I lost him. Takes about 15 minutes for you. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. WARD: For a long period of time I was hiding. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. If you look at a hospital bill, you might see an IV bag charge. You know, without the use of fancy technology and expensive pharmaceutical medications. You're doing this radical intervention, you know, I say radical? UNIDENTIFIED MALE: A day, for 25 years. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. How did -- what did think about that? We need primary care doctors. I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. Here you go. And when we work at that level, we find people are much more likely to make these sustainable changes and the patient learns how to empower themselves and to transform their lives. What do you say when someone calls you? UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? I mean, when the cost of some of the things we use on a regular basis. I smoked six cigars a day, 10 cups of coffee, a lot of wine. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. GRUBER: Well, basically, Medicare actually - I don't have to tell - Medicare right on demonstration where they did bidding, where Medicare would pay -- would reimburse certain rates for medical devices and they had bidding across different manufacturers to be the low bidder, to brought that sources lower prices by 40 percent. These perverse incentives that you described? There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. If you have that happen in Germany or England, they say, here's a list of instructions, if you have problems come back and see us. It is so addictive. Mountains of Afghanistan are not easy to climb, so pain in my back. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. But I think the economic imperatives are much stronger now. 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. Now we're kind of dealing with the consequences. We want more tests. You know? GUPTA: Erin, do you want to respond to that? ROSS: When do you think it would be good to try it? There are answers, we know what safe care looks like. She ended up having another open heart operation, another bypass operation. In the United States, it was around $8,000 annually. ROSS: What's the regular food? ROSS: There have been some trends in healthcare that make me uncomfortable. WEIL: Where are you from? UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. Your company becomes more competitive. It's your money. UNIDENTIFIED FEMALE: OK. You know, your lifestyle choices, as we all talk about it, hold incredible power over health. I think there's some very good drugs out there, I think drug treatment has its place. Our life span isn't even in the top 20. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. You know? They told no one. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. As Berwick says in the film, "We're in Mann Gulch. Physical Desc: . 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. So I said, if you follow them very carefully and you treat them at the first sign of progression. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. (END VIDEO CLIP) NISSEN: I was doing a Google search, and what I found was a Web site in the United Kingdom where the clinical trials done with Avandia were actually partially disclosed. 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. We are second to none in this country for those things. No soldier should have to go through this. 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. About a 30 percent increase in the risk of heart attack and related complications. That's not good medicine. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. SHANNON BROWNLEE, MEDICAL JOURNALIST: How powerful are lobbyists in the healthcare system? I have an acutely suicidal patient in my office that I need help with. 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. NISSEN: I do. Why do so many children die so young here? Good. They have talked about a child between age of one and four, having the third most common causes of homicide. People eat what's cheap and what's available. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. Viewers will see this language when they . If you have that desire to quit smoking, we'll get there eventually. War's hell, it's always hell. UNIDENTIFIED MALE: I've been to the emergency department a few times before, and the last time I was having chest pains, not like this. It goes back to Teddy Roosevelt. Doctor , let me start with you. 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. See you soon. OK? The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. But with regard to prevention, preventing disease, does that save us money? Dodge survived, nearly unharmed. She had bypass surgery in her 30, 27 cardiac cauterization and well over seven stents before she went to the Cleveland clinic for treatment. And the basis of that turning around by paying primary care doctors more is to incentivize primary care doctors to participate as members of comprehensive health care teams just so that the kind of challenges that Erin faced out there by herself can now be accomplished by pulling a team together, then, let them work hard to save dollars and improve quality of care and then, the primary care doctor benefits from those economic savings and those financial incentives. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. I mean, where did that idea come from? UNIDENTIFIED FEMALE: OK. Literally, 30 patients an hour. He or she assembles a team of five other people to work with, a nurse, a yoga teacher, an exercise physiologist, a registered dietitian, and a clinical psychologist. What the insurance industry's objective is, is to try to weaken those consumer protections over time and to try to influence how the law is being implemented. I'm sorry, it's going to get pretty tight. And that is why, our first priority has to be to equalize that access and then move on. MARTIN: I bill $213, let's say for a 45 minute face to face visit with a patient. But we end up being this revolving door. MARTIN: OK, OK. You lost five pounds. MARTIN: Bye. 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. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. I was head of corporate communications, which means I was the top public relations officer for the company. MARSHALL: So, anybody that's having a heart attack should get a stent. May everyone be healthy. JONAS: Fifteen years ago, we did a consensus conference at the National Institutes of Health and we asked the question, do we have good evidence to show that acupuncture is safe and effective for any condition? BURD: You can't say you're interested in a culture of health and fitness without providing a first-class gym. UNIDENTIFIED MALE: Oh, yes. It expands the artery to hold it open and allow the blood to flow. I'm Dr. Sanjay Gupta. UNIDENTIFIED MALE: When do we want it? I am back in the chest pain center with a pretty sick patient, and I'm going to need you to call attending phone, too. We want more specialists. So, I went into the hospital and they told me I had had a heart attack. Simply the same way the hospitals and physicians. It's a happy time in my life right now. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. All Dogs Go to Heaven/Transcript. Just do something. They'll say, it took years to develop something like this, the research and development costs are significant. 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. Heart cath, get another stent. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. 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. That is how many medications I was on. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. It's about saving the health of a nation. Not very much, but a little. more . I'm not sure every country in the world does it perfectly. There's the bright blue slush. We don't have to spend ourselves into poverty on healthcare. (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. And doctors wanting to please their patients will often prescribe it. Anybody else would laugh, you know? UNIDENTIFIED FEMALE: They don't say how much they gave him. Healthcare, it's headed for really, really bad trouble. BERWICK: The healthcare system is unsustainable. There's nothing else I can do. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. And, of course, the natural end point is going to be in the emergency department. It's been a wild ride. As an overall system, no, we're not anywhere near at the best in the world. They did not tell the FDA, and they did not tell patients. And so, one of the good news, the exciting news is, is that there's a lot of energy now to turn that around. He asked for pain medication. GUPTA: There was something in the documentary that caught my attention. Hold them accountable and then talk to them, you know, on a weekly basis. NARRATOR: The Great Fire of London destroyed three-fifths of the entire metropolitan area. Then all of a sudden I started getting chest pains. How are you feeling? MARTIN: I think what the American people need is, they need good health care. It's not true in France and Germany. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. We have made all of this unhealthy food the cheapest and most available food. We have that technology, it's right there. Tell me what happened. NIEMTZOW: So you haven't taken anything? I'm interested in helping patients. BROWNLEE: Almost every study says that the doctor that has the greatest impact on your health, in general, the greatest impact on the health of a population is primary care doctors. He's got Lunesta and also has Valium. And sometimes push the plate away. YATES: I was in the worst place in Afghanistan. Just sheer numbers, $2.7 trillion per year. I mean, I can't think of a single negative in doing this. (BEGIN VIDEO CLIP) DR. ERIN MARTIN, PRIMARY CARE: As a primary care physician, we are supposed to be the people that are making sure the patients don't get sick and they have everything they need to maintain health. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. YATES: That's a healing process because you're not bottling up, it's going to a different section in your mind to where you can start processing it. They did not tell physicians. When you're injured they feed you, feed you, feed you all this stuff. I think five or six of them are on the waiting list. Now as you know heart and blood vessel diseases kill more Americans than virtually more than everything else combined. Is that a fair message? And you say that you can help negotiate the price of these bills down, what do you tell people? There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? UNIDENTIFIED MALE: So uncomfortable and I need to pee again. I say, radical? 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. UNIDENTIFIED FEMALE: I just want to see what they've given him. It was important to keep expressing the hospital's position. We know it's there. Select Open transcript . People come in and you try and fix one thing and they come back for the same thing over and over and over. He told Dean, how long is the program? Fifteen years later, you can't walk into your average hospital today and get acupuncture after an operation. If you're in the system, do you access of if you are insured, if you are living in a safe neighborhood, your outcomes are great in America. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. It was so consistent. 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 . I was in the hospital for two weeks. We're in Mann Gulch. They didn't foresee me ever trying to walk yet. And people do. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. Because what we think is best for us often isn't. What does it look like over the next few years? OSBORNE: I have lost -- since last year I've lost 21 pounds. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. UNIDENTIFIED FEMALE: You need to get up and pee? Did you have a good day today? So, if there's a concern someone has a tumor, they who use a needle like this. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. Next, click the three-dot menu icon underneath the title of the video. She's still taking her Lexapro, but it's obviously not doing the job. It was with a huge amount of skepticism and resistance. What do you think of that? That also happened in the 1990s. UNIDENTIFIED FEMALE: OK, I need some help over here. UNIDENTIFIED MALE: We have had enough. YATES: I was on Parazasin just for nightmares. CARNES: We'll end the practice today with the completing statements. It was wonderful. It's not true in the United Kingdom. And so, I think it points to the violence in our society. Half of Americans will be diabetic or pre-diabetic in the next 10 years. 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