I'm Dr. Sanjay Gupta. So tired of it. 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. Sometimes when you go, go to bad places in your head. We have a disease management system. He lit a match and he lit a fire at his own feet. And remember that you can return to this place at any time during the meditation. And it wasn't because procedures were more expensive in Miami than in Minneapolis. I became a doctor because I care about patients and working here, I can't help them. UNIDENTIFIED MALE: These are all one person's? ORNISH: We found that after a year, the men who made these intensive lifestyle changes, their physical heart disease improved. They can't recognize an invention when it's among them and they can't give up their old habits. 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. This suture costs about $200. POTTER: We have been trying to reform the health care system for a hundred years. If we can prevent that and even reverse it, that's how we're going to make true health care, not just sick care available. I was in the hospital for two weeks. BROWNLEE: We spend $300 billion a year on pharmaceuticals. UNIDENTIFIED MALE: I'd be chomping narcotics. I tried to get him up, he just rolled himself out. Our forefathers in medicine were really about patients. But we end up being this revolving door. PROTESTERS: Now. She joins us now. 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. UNIDENTIFIED MALE: We all know there's things we can do and they make us feel good and we like to do them, but we're going to feel really bad if our doors close. It's all about the reimbursement. OK? ROBERTSON: OK, so first topic, Medicaid reimbursement. UNIDENTIFIED MALE: How's your pain, sir? Event marketing. DR. ROBY COSGROVE, CEO, CLEVELAND CLINIC: I've never looked after a healthy person. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. This is major reason why we see kids getting fat in this country. UNIDENTIFIED MALE: Oh, yes. And I think that's a good place to start. Your company becomes more competitive. Is that how you get paid? 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. He is also a president of the society for interventional and geography in intervention. But I think the economic imperatives are much stronger now. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. (CROSSTALK) KASCH: That's why he's a little high right now. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. 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. Well, you have a stent in your heart, right? They'll say, it took years to develop something like this, the research and development costs are significant. But we're going to talk to them about it still, you know? Can adding Avandia help you? NANCY DAVENPORT-ENNIS, FOUNDER, CEO, PATIENT ADVOCATE FOUNDATION: So, what we tell them first and foremost, is get a copy of the entire bill and look for redundancies. With their city in ruins, the people of London finally realized the only escape from the devastation of . Right? BURD: All right. SHANNON BROWNLEE, MEDICAL JOURNALIST: We're in the grip of a very big industry, and it doesn't want to stop making money. Am I going to be paying more? 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: Yes. We have that technology, it's right there. OK. (COMMERCIAL BREAK) BROWNLEE: The history of how the American healthcare system grew is not one of order, it's one of sort of happen hazard chaos. A heart cath, get another stent. UNIDENTIFIED MALE: Yes. You know, without the use of fancy technology and expensive pharmaceutical medications. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. And chromosomes have all genetic information on them. Who should get a stent? UNIDENTIFIED MALE: That's pretty good. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. Fire Escape. This is a chest tube. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. GUPTA: There was something in the documentary that caught my attention. I don't want to go down the same path. People talk about two-minute doctors. We need primary care doctors. MARSHALL: So, anybody that's having a heart attack should get a stent. Log in to your account. And we see that suffering. If insurance companies don't deliver value, they won't be in business very long. And if you try and buck the system, someone says, what can we do to get your productivity up? UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? Again , when I'm talking about disincentives. That's almost as much as the rest of the world combined. This drug was the number one selling diabetes drug in the world in 2006. How to make a healthy choices. To feel that way when you come home is demoralizing. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. I came to Walter Reed. UNIDENTIFIED FEMALE: Do you have any pain right now? ROSS: If you had to? Sit down and look at hospital bills through the perspective of, are any of these services that I don't understand what they are? Michelle? They are often poor patients, but not always. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. If you look at a hospital bill, you might see an IV bag charge. UNIDENTIFIED FEMALE: Now you pick your spot. UNIDENTIFIED FEMALE: They don't say how much they gave him. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. MARTIN: I'm going to make a phone call and try and get some wheels in motion so that we can get you the help that you need. CAPT. And I say that as doctor. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. 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. Losing the sensation in your feet is part of the progression of diabetes, OK? Entitled Escape Fire, Dr. Berwick's speech took its audience back to the year 1949, when a wildfire broke out on a Montana hillside, taking the lives of 13 young men and changing the way firefighting was managed in the United States. 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. Even when bad things happen, it's not because people have bad intentions, it's that our system is all fouled up. It is an IV like this, about $280 just for the IV bag. Original Airdate 08/17/2022. There's a contradiction to what we do. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. CHO: I know, you look really good. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. All Dogs Go to Heaven 2/Transcript. I'm sorry, it's going to get pretty tight. I think a large part of it is personal issues, where we have different behaviors that I think increase our burden of disease. Upload captions and transcripts. So inhale. It was important to keep expressing the hospital's position. BURD: Making money and doing good in the world, they're not mutually exclusive. Got approved very quickly. Look at the thinness. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. UNIDENTIFIED MALE: A day, for 25 years. He's, like, clutching his head. You are going to hear from many different voices with varying opinions and backgrounds tonight. What is really striking is how little they have written the last few years. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. You just look different. Seventy-three seconds into the 28 January 1986 . GUPTA: Doctor Tuckson, I mean, one of the concerns -- and again, we will get right to it, it's simply not reimbursing enough money for primary care doctors. We have underpaid on a chronic basis. Job number two was to make sure that there was not a public option. 'Deinfluencing' is now a thing. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. So here I am going in and out of the hospital to find out what's going on. Half. Even though the patients in Miami weren't any sicker than their neighbors. So, a hospital like the one you just saw there. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. Aladdin (2019)/Transcript. People say you're doing this radical intervention. YATES: Meditation is scary sometimes. And the owners of those pockets do not want anything to fundamentally change. And feel yourself observing all these constantly changing sensations and thoughts and feelings. We need to change the nature of medicine. Rescue care is second to none. John than, you'll have to excuse me because you're an economist I'm not. You bike to work today? Why do so many children die so young here? NISSEN: Now, the leading cause of death in diabetes is heart disease. UNIDENTIFIED REPORTER: A new study finds a growing number of combat veterans are battling mental illness, but many are finding it difficult to get the help they need. We want more tests. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. It's an expensive world to live in in terms of getting your voice heard in D.C., but that's the whole function of advocacy. That prevents tissues from renewing themselves in the body and diseases take hold. I'm not sure what is what. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. Firefighters said they received about 12 calls . CARNES: Notice where you are in the room, the people around. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. It just doesn't work out financially. So at this point, we will administer the medication. Here you go. UNIDENTIFIED MALE: Once I found out what was really wrong with me. BURD: Yes. UNIDENTIFIED FEMALE: Right. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. And you know, our grandparents did not eat stuff like this. We're on track for that on Tuesday. Incentivizing them to be healthy or not charging them as much if they're healthy. Try to break a sweat every day. GUPTA: How big a problem is this then? When I had my first heart attack, did the cardiac catheterization, put the thing up there and put a stent in my heart, because I had a clogged artery. Literally, 30 patients an hour. WEIL: In Western medicine, all of our effort is on dispelling evil. 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