And now I'm -- 25 years later and I'm in pretty good shape. We have to be mindful to those points in time where you can intervene and say enough's enough. There's no crisis worker at lunchtime? They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. You almost forget that what you're doing is providing healthcare. I mean, where did that idea come from? That's almost as much as the rest of the world combined. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. 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. Now you're going to get the scissors. You don't necessarily make a lot of investments in preventive care for someone who's not going to be a part of your health plan for a long period of time. Prevention is cost effective. People say you're doing this radical intervention. Let's be honest. There is no doubt, they always have. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. Rescue care is second to none. But I decided to give it a shot. MARSHALL: Yes, sir. And feel yourself observing all these constantly changing sensations and thoughts and feelings. I mean -- but you have to have the time to educate your patient. UNIDENTIFIED MALE: Yes. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. BERWICK: The healthcare system is unsustainable. Let me just take a listen to you. GUPTA: How big a problem is this then? 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. NIEMTZOW: Any pain? It's your money. You can't have a cafeteria that doesn't have calorie counts on it. Look at this. 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. So, if there's a concern someone has a tumor, they who use a needle like this. That isn't true in Canada. Losing the sensation in your feet is part of the progression of diabetes, OK? And interestingly, patients really respond to that. So I decided to leave. Seventy-three seconds into the 28 January 1986 . Format: DVD Edition: Widescreen. 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. So here I am going in and out of the hospital to find out what's going on. 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. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. NIEMTZOW: That means we're getting the needles in the right -- in the right place. Jonathan, you know, we want better care and lower costs. 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. Upload captions and transcripts. When medicine became a business, we lost our moral compass. DR. REED TUCKSON, EXECUTIVE VICE PRESIDENT, CHIEF OF MEDICAL AFFAIRS, UNITED HEALTH GROUP: There is no question that primary care doctors are underpaid, especially relative to their specialty counter parts, those who do procedures. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. It turns out lots and lots of men who had a cancer that didn't need to be treated, but they got treated anyway and it was causing a lot of harm. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. And then we're not going to help anybody. I lost him. 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. It's all about the reimbursement. 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. UNIDENTIFIED MALE: Once I found out what was really wrong with me. And I think those discussions that we between the patient and the provider about lifestyle disincentives. Also, Dr. Jeffrey Marshall, his specialty is implanting stents. So tired of it. But I think, to be honest, when you add more people to the system; that raises costs. All Dogs Go to Heaven 2/Transcript. But it's more than cost. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? That simply means they get paid for each office visit. 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. I mean, couple weeks, I felt like I was okay. If you get a bump on your head as a friend of mine had, and you go into the emergency department, in America, you get a cat scan. Is that how you get paid? ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. CINDY ROBERTSON, ADMINISTRATOR, MD-COLOMBIA FAMILY HEALTH CENTER: We're the only clinic in this community county, so it's about 20,000 people overall. Her cholesterol was never well controlled, and her high blood pressure was never well controlled. more . ERIC WARD, SAFEWAY EMPLOYEE: At my heaviest, I was over 200 pounds. 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. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. She needs a follow-up within three month with an echo. I mean, everyone wants that probably in every system. Aliens in the Attic/Transcript. 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. Thank you all. We're on track for that on Tuesday. It was with a huge amount of skepticism and resistance. 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. It goes back to Teddy Roosevelt. Are my premiums going to go up? I'm two and a half months out of combat. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. If you ask the manufacturers a device like this, why so much money? The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. You allow and encourage your employees to become healthier. Joining me to talk more about this is doctor Steven Nissen, he is the man in the documentary, the chairman of cardiology at the Cleveland clinic. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. All right. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. The film is about finding a way out. UNIDENTIFIED FEMALE: Yes, that's why you don't want him to fall again. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. (COMMERCIAL BREAK) DR. PAMELA ROSS, EMERGENCY MEDICINE, UNIVERSITY OF VIRGINIA: Hello, Dr. Ross. So at this point, we will administer the medication. GUPTA: And I want to leave all of you at home with a thought as well. UNIDENTIFIED MALE: Soldiers' use of prescription drugs has tripled in the past five years. But, the American people are going to want something like that and that is going to be their perception. YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? What do you think of that? They can pretty much get away with increasing the rates as much as they want to. Our forefathers in medicine were really about patients. Dr. Berwick suggests that the current state of healthcare. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. And to me, that's not the only issue. 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. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. Don't need you, don't need you. It's just so much more than money. MARTIN: Can you feel this? They didn't foresee me ever trying to walk yet. GUPTA: You feel better when you're healthier too. CARNES: We'll end the practice today with the completing statements. SGT. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. And people do. Hold them accountable and then talk to them, you know, on a weekly basis. Invisible as it is, it's just as significant as a bullet wounds to the -- to the head or chest. 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. CAIN: Exactly. 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. Psychologically, you deal with a lot of these sorts of things. The answer is among us. ORNISH: The program increased the telomere length. We just have to do it differently. You have all these stents, and these stents, once they go in, they never come out and are part of you. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. All right. TUCKSON: Primary care doctors are being cared more. But one evening, I sat straight up in bed with the worst chest pain. We have to teach young physicians that prevention comes first. 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. GUPTA: So, tell me how that would work? We are more likely to get a knee replacement or have a cat scanner, have an MRI. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. So we're going to open up some chi? The emergency department is the safety net of health care. MARTIN: I had to do the fellowship because it was kind of my little ray of hope that things could be better, things can be done differently. It was -- with a huge amount of skepticism and resistance. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. ROSS: If you had to? GRUBER: For everybody. This is what he's got left. WEIL: Right. And in some ways, I think of a lot of what's happening in health care is kind of dark matter. All of us live here and work here. And all insurance companies are saying is your behavior should drive the premium. Underrewarded primary care. Students also viewed Com presentation 2 - This is an informative speech outline for com 101. We pay hospitals to be full, so they try to be full. UNIDENTIFIED MALE: How's your pain, sir? And the company did nothing. It's addictive. And Doctor Nissen is in salaried as well. The film interweaves personal stories with the efforts of leaders battling to transform it. Adding Avandia can help. Why do so many children die so young here? UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? It's getting rid of the bad thing. I don't believe in that stuff. This is going to caused about %800 dollars. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. I haven't touched my toes in months. The folks who were there were not trying to shirk their responsibilities. MARTIN: OK. UNIDENTIFIED FEMALE: Hello, Mr. Fields. When they have insurance and they have access to usual source of care, primary care. MARTIN: How are you today? They did not tell the FDA, and they did not tell patients. It's nice to know that I've got a long time to spend with my family and I'm going to get to see my son grow older and go to college and all that fun stuff. UNIDENTIFIED MALE: Let me get that jacket away from him. 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