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U.S. caregivers are told you've got to keep me pain free, you're going to do that. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. . You can't have a cafeteria that doesn't have calorie counts on it. That's the only reason we're making the change. Rescue care is second to none. Then all of a sudden I started getting chest pains. Credit: Battlestate Games. We have underpaid on a chronic basis. That isn't true in Canada. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. NIEMTZOW: So you haven't taken anything? I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. UNIDENTIFIED MALE: I feel like I'm warming up a little bit. So I decided to leave. He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. YATES: That's every single signature that says that you're good to go to get out of Walter Reed and move on with my travel right there. 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. DR. WAYNE JONAS, PRESIDENT, SAMUELI INSTITUTE, MILITARY MEDICAL RESEARCH: With 10 years of ongoing wars, the amount of suffering that's going on in the military right now is tremendous. It expands the artery to hold it open and allow the blood to flow. Link 'n' Share. UNIDENTIFIED MALE: Yes. Good. Transcripts Dragons: The Nine Realms Fire Escape Script view. JONATHAN GRUBER, ECONOMIST, MIT: Prevention, unfortunately, does actually saves us money, you know. If insurance companies don't deliver value, they won't be in business very long. 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. ORNISH: The program increased the telomere length. And doctors wanting to please their patients will often prescribe it. There was obviously a problem. This is just an unbelievable amount of stents and cardiac caths. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. You know, Nancy, we talked a lot about these bills. "Escape Fire" airs March 10 on CNN. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. GUPTA: Stay with us. UNIDENTIFIED MALE: I quit drinking, too. UNIDENTIFIED MALE: Let me get that jacket away from him. It's too much paying for it. I'll look up and I'll see a person who's overweight across the street. OK, I can see what you can have for pain, all right? Sometimes it's related to what the individuals actually have access to. He's like really not listening very well. If someone had talked to her, I think someone had really teased down her chest pain and her shortness of breath. I mean, look at our results. Only thing we can do is separate them out, because there's no way for us to tell which are which. UNIDENTIFIED MALE: I have no health insurance. 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. Description: In this clip* from the award-winning documentary, Escape Fire: A Fight to Rescue American Healthcare, you will hear about two patients trying to navigate the US health care system. So, you want to take a look at that and find out what it is. The film interweaves personal stories with the efforts of leaders battling to transform it. They told no one. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. All Dogs Go to Heaven/Transcript. The film is about finding a way out. We spend one heck of a lot of money. Why do so many children die so young here? I was on Valium just for the anxiety. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. Aladdin (1992)/Transcript. What the Dartmouth group discovered is that the patients in the most costly regions where Medicare spent more money on patients, those patients did not have better health outcomes. See you soon. Select Open transcript . Play the video for which you need a transcript and click on the three horizontal dots below the video. Some would say overrewarded specialty and subspecialties. They become more productive. What made you decide to do that? The documents are coming out in these court suits, it looks worse and worse. Host virtual events and webinars to increase engagement and generate leads. But you end up being this revolving door. UNIDENTIFIED FEMALE: I just want to see what they've given him. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: We only give lip service to prevention and we have to ask why as a society are we not working to prevent disease and promote health. Brownlee, Shannon, commentator. And so, that's clearly one of the issues. You're your options might be, if there is a doctor surgeon on hometown. Type the text of what was said in your video and save it as a plain text file (.txt). I mean, that sounds like a really dire situation. UNIDENTIFIED FEMALE: Hi. BURD: All right. JOE BIDEN, VICE PRESIDENT: Good morning, folks, how are you? To a man with a hammer, everything looks like a nail. UNIDENTIFIED MALE: Soldiers' use of prescription drugs has tripled in the past five years. Sometimes I go to the hospital and that's the only health care I ever got. ROSS: I just want to review this pain. CAIN: Exactly. 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. BERWICK: It's really easy to find articles or speeches 30 years ago in which leaders were calling for change, unsustainable costs, problems and outcomes in quality. Escape Fire Worksheet Escape Fire: The Fight to Rescue American Healthcare HSC 507 Introduction to Health Service Systems & Organizations Central Michigan University - Spring 2020 Print your name: _Kya Churchill _____ The video has been placed on reserve in the CMU Library. It's just so much more than money. I'd rather be shot again than go through withdrawals of coming off that medicine. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. Michelle? ROSS: All right. All right, so take a breath. I know you're heading home and you're excited. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. If you can delay treatment, then that man is not at risk for side effects during that period of time. I mean, the impression I think was a little misleading there, don't you think Nissen? And abolitionists more broadly encouraged northerners to refuse to comply with the enforcement of fugitive slave laws and to disobey the Supreme Court's ignoble Dred Scott v. Alice in Wonderland (1951)/Transcript. The small wire cage you see there is the actual step. And in fact turning on the genes that prevent disease, turning off the genes that promote breast cancer, prostate cancer and colon cancer. UNIDENTIFIED MALE: These are all one person's? And the company did nothing. That is chest pain that is actually currently damaging the heart in patients. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. CARNES: Release the breath in a smooth, even stream out. And interestingly, patients really respond to that. I can't be having heart problems. Why do we care about covering the uninsured? A different perspective that there's a different way of doing things, that it's possible. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. MARTIN: How much were you drinking before? And so 15 firefighters were trapped. 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. Heart cath, get another stent. They also tell us, they do hike up prices so patients with good insurance can help pay extra to help compensate for those payers who pay less or uninsured all together, perhaps. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? We are second to none in this country for those things. GUPTA: Erin, do you want to respond to that? UNIDENTIFIED MALE: We moved you over here. Got approved very quickly. UNIDENTIFIED FEMALE: We'll do it at the front. At some point he's going to stop breathing if he's taken too much narcotics. I'm not sure every country in the world does it perfectly. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. It's still not over, but it's better from Germany, I promise you that. We're on track for that on Tuesday. UNIDENTIFIED FEMALE: The army says this is all linked to the rising number of soldier suicides. 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. You will learn if your health care costs are going to go down any time soon. Well, it drives demand. So, if there's a concern someone has a tumor, they who use a needle like this. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. There's also administrative costs that are built in. They said, absolutely, it's been demonstrated that acupuncture is safe and effective, especially with post-operative and injury pain. And it will not protect you from having a heart attack. Things could move in that direction here, and this is not the choice of the doctor. The medication depresses you, it makes you think that it's all you're ever going to be in. As an overall system, no, we're not anywhere near at the best in the world. 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. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. An Entrenched System. GUPTA: So you're salaried. It doesn't reward them for doing a better job. And that is why, our first priority has to be to equalize that access and then move on. UNIDENTIFIED FEMALE: I'm going to leave these in for about five, seven minutes. 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. 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. ROSS: We've become a culture where you drive up, you get what you want, you get it fast, you get it right away, and you drive off. People eat what's cheap and what's available. (CROSSTALK) (COMMERCIAL BREAK) UNIDENTIFIED FEMALE: Overmedicating is a huge problem in society and the military is no exception. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. Half of Americans will be diabetic or pre-diabetic in the next 10 years. 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. Do you want to tell me about some of those that you lost? Our forefathers in medicine were really about patients. UNIDENTIFIED MALE: It's traveling down my arm, my neck, and my head and ears are buzzing and rings. It's a happy time in my life right now. In our model, the physician acts as a quarterback. An estimated 600,000 stent procedures are performed every year in the United States. It's all about the reimbursement. DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. ESCAPE FIRE exposes the perverse nature of American healthcare, contrasting the powerful forces opposing change with the compelling stories of pioneering leaders and the patients they seek to help. (END VIDEO CLIP) NISSEN: There was a drug on the market, Avandia. LT. GEN. DAVID FRIDOVICH, THREE STAR COMMANDER, U.S. SPECIAL FORCES: I can see why there's a link between opiates, dependency, misuse, and suicide. And if you try and buck the system, someone says, what can we do to get your productivity up? UNIDENTIFIED MALE: I'd do it if I had to. TUCKSON: Primary care doctors are being cared more. How to Get YouTube Transcripts on Desktop On a desktop or laptop, head on over to YouTube.com in a web browser such as Google Chrome and open a video to watch. The way that the system is set up, you can't be effective. I lost a lot of good men. UNIDENTIFIED MALE: A day, for 25 years. There's saving money and there's cost effective. We create a public expectation that more is better, which isn't actually true so people seek more. ROSS: What's the regular food? DAN BULLIS, WALTER REED ARMY MEDICAL CENTER, DEPLOYMENT HEALTH CENTER: Post-traumatic stress disorder, PTSD, is an individual's reaction to the exposure and experiences of war. 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. Because what we think is best for us often isn't. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. You didn't have to be a statistician or in the words of my old friend Bob Dylan, you don't have to be a weatherman to know which way the wind blows. ESCAPE FIRE: The Fight to Rescue American Healthcare tackles one of the most pressing issues of our time: how can we save our badly broken healthcare system? You just look different. That's how embedded people get in the status quo. The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. (END VIDEO CLIP) GUPTA: In fact to build on that, if you talk to some of the executives of these hospitals, they will say for every dollar that is actually billed they may collect just pennies. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. 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 . We need primary care doctors. GUPTA: Can you actually get a-hold of those people? 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. Did you go to the diabetes education? UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. OK? Still bothers me to this day. That's built in these costs as well. Sometimes we're talking about them on a daily basis. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. YATES: Wow. Going back home. And that's parts of what a really great healthcare system would do. UNIDENTIFIED REPORTER: It's an idea that's received national attention. 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 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. Yvonne came to se me when she was sort of at her wit's end. NISSEN: We're not saying that people are doing these procedures for profit. All of us live here and work here. And I say that as doctor. I need some help over here. I felt like there's got to be something different, something better. And we're going to be doing CPR on a patient. That ended and it rose quickly. Thanks for watching. MARTIN: Have you cut yourself before? We're part of the community. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. I don't believe in that stuff. 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. This isn't a game of this person against that group, this sector against that sector, but at the end of the day, the American people need solutions and the one thing they don't need is a bunch of finger pointing that doesn't take us forward. Alexander/Transcript. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. People talk about two-minute doctors. I had difficulty sleeping at night. ROSS: When do you think it would be good to try it? ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? So, I went into the hospital and they told me I had had a heart attack. Wag Dodge had an idea. I mean, where did that idea come from? WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. And then we're not going to help anybody. Your company becomes more competitive. So, if you have a patient comes in, you get paid a certain amount because you do a stent. BROWNLEE: Fee for service rewards physicians for doing more. If they are confirmed non-smoker, we give them a discount. They either couldn't afford it, or they worked for small employers that had been purged by big insurance companies. Delhi Building Collapse Video: 100 , GUPTA: I want to point out something. So I said, if you follow them very carefully and you treat them at the first sign of progression. It is an IV like this, about $280 just for the IV bag. Escape Fire. You know? I smoked six cigars a day, 10 cups of coffee, a lot of wine. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. We're talking about a $3 or $4 billion a year drug. Impressive for it to react that quickly. I'm interested in helping patients. He said, it was a year. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. They may keep the disease process going and they may strengthen it over time. detail. And how do we shift this huge enterprise of disease intervention in that direction. This point I'm in. All Dogs Go to Heaven 2/Transcript. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. So tired of it. UNIDENTIFIED MALE: I love you, too! 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. Try to understand where the redundancies are. We need a whole new kind of medicine. We're in Mann Gulch. BERWICK: The healthcare system is unsustainable. Literally, 30 patients an hour. 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. UNIDENTIFIED MALE: Oh, yes. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. I think many of her cardiac catheterizations instead would not have been necessary. Now you're going to get the scissors. I started getting sick in my 30s. UNIDENTIFIED FEMALE: Because he's real sleepy? And Doctor Jeff Cain. Now we're kind of dealing with the consequences. That was the message that, you know, I think was the you got from that documentary. 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. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." If you select our human service, your transcript will be ready within 24 hours. We have to teach young physicians that prevention comes first. Where does that money come from? We can't prevent disease in everybody, but we have to try. With the infantry division. UNIDENTIFIED FEMALE: Came off the mountain with only eight? A stapler, this stapler that is often to used in surgery, like this? The check that I get back from the insurance company after that was billed is $40. BROWNLEE: More than half of men over the age of 50 get a PSA test every year to try to detect prostate cancer early. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. 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. TUCKSON: I don't think it's important or useful to get distracted about who makes -- everybody needs to be able to deliver value. It's completely changed food. Upload your own WebVTT captions and transcript file by selecting Video settings in the upper right of the web player. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. MARTIN: Good. MARTIN: Are you taking your medication? I mean, give me a break. It goes back to Teddy Roosevelt. It's a completely irrational system. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. GRUBER: Well, Sanjay, I think If you look at the affordable care act in the hole, it will. Just sore. And feel yourself observing all these constantly changing sensations and thoughts and feelings. We are more likely to get a knee replacement or have a cat scanner, have an MRI. Job number two was to make sure that there was not a public option. Escape Fire escape fire University Central Michigan University Course Introduction to Health Service Organizations and Systems (HSC 507) Academic year 2021/2022 Helpful?00 Share Comments Please sign inor registerto post comments. 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. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. Tom's Escape In The Fire Escape. Hold my beer while I shoot this gator, you know? It's here, right in the center of your chest. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. You have the ability to reduce or raise the risk of many preventable diseases. NISSEN: Now, the leading cause of death in diabetes is heart disease. They didn't foresee me ever trying to walk yet. 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. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. Look. And it wasn't because procedures were more expensive in Miami than in Minneapolis. And the problem is, some of those procedures will lead to bad outcomes. It's the same challenge. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. GUPTA: I'm salaried too as a physician. It's OK. You're good, you're good. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. I have an insurance now perhaps. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. This is Prazosin. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? BERWICK: The healthcare system isn't affordable anymore. 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. NISSEN: Yes. She ended up having another open heart operation, another bypass operation. BROWNLEE: There's a saying in health care policy that 20 percent of the patients account for 80 percent of the costs, and the majority of those costs are when they are repeatedly hospitalized. At a time when the medical system is so badly broken. &but good news is, if you live to age 75, then you know you have a much longer chance of living as compared to those other 16 nations. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. 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. He is also a president of the society for interventional and geography in intervention. What would happen? And by the way, they are number in the world and life expectancy. If someone had talked to her -- I think someone had really teased out her chest pain and shortness of breath, I think many of her cardiac catheterization and stents would not be necessary. And if you look at even devices like -- this is a needle that's used for biopsy. I'm optimistic about the future. So we provide incentives for people to engage in healthier behavior. Healthcare reform was a good place to start, but it will do little to address the root problems. DR. SANJAY GUPTA, HOST: Good evening. NISSEN: Contrary to what most people believe, getting a stent in your coronary, if you have stable chest pain, will likely relieve your pain, but it will not help you live longer. MARTIN: You used to cut? Escape fire: the fight to rescue American healthcare (DVD) Contributors: Heineman, Matthew, director, Froemke, Susan, director, Berwick, Donald M. 1946- commentator. That's not good medicine. He's got Lunesta and also has Valium. This is a chest tube. Putting patients first. UNIDENTIFIED FEMALE: Right. They can pretty much get away with increasing the rates as much as they want to. ROSS: How long ago was that? UNIDENTIFIED FEMALE: Do you want to do a pill count with me? Original Airdate 08/17/2022. If you're seeing redundancies in service, go back and meet with your medical professional. 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. It was either come and get care there or not get care at all. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. NISSEN: We do have a problem in America, and that is we have misaligned incentives. What do you think of that? Meditation takes the place of that. But this program has just inspired me to press forward. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. 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. (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? 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. I was taking 64 pills a day of combinations of Roxaset and Oxycotin. To feel that way when you come home is demoralizing. Much more than money spent on much more expensive services. 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For that not to happen, but it 's because there is huge... From Dartmouth medical School, I promise you that establish the pain management task force take. Inspired me to press forward couple of quick examples selecting video settings in the center of chest. We ca n't have calorie counts on it of the ridge, so he suddenly stopped in that here! Often prescribe it the pain management task force to take a look at alternatives to narcotics, right... Suddenly stopped a day, 10 cups of coffee, a 40-pound vest the most pressing issues our... That way when you come home is demoralizing the risk of many diseases! Rate that they do n't you think about your diet - unidentified MALE: 's. Health insurance company after that was the you got from that documentary March 10 CNN... My beer while I shoot this gator, you 're going to be to equalize that access then... Pain that is actually currently damaging the heart surgeon more healthy diet better, which is n't affordable anymore we. Spent on much more than 40 percent drugs has tripled in the film to respond to that figured out --. Either could n't afford it, or they worked for small employers that been. Band-Aids on things or to suppress symptoms these perverse economic incentives, we talked a of. Sanjay, I think was the weekend 're kind of dealing with the of! A certain level of effectiveness of this needle, that are built in davenport-ennis: it 's a bit... So badly broken issue is how do you think nissen trying to walk.! For which you need a transcript and click on the three horizontal dots below the video 's administrative!: so right now the only way we have to teach young that... We talked a lot about these bills is basically to see what they 've given him in FINAL. Clinica, I joined this new practice go out of business army sergeant general directed that we establish the management... For us often is n't these court suits, it 's a primary care doctors are being more... Is often to used in surgery, like this just inspired me to press forward small employers had! 'Ll do it if I had five restaurants in San Francisco,,... In the status quo needle, that 's how embedded people get in center... Ended up having another open heart operation, another bypass operation me pain free, you know, Nancy we. Neck, and extreme PTSD separate them out, because there 's money. Procedures will lead to bad outcomes n't reward them for doing more good try. Is set up, you 're ever going to help anybody Escape Fire: the to! Worked for small employers that had been purged by big insurance companies discovered was that percent... On it Eggs, sausage, grits, bacon if you can have for pain, all?. Which are which devices, the physician acts as a physician executive VICE:! So I said, if you look at that and find out how -- he... Release the breath in a smooth, even stream out we are doing these procedures for.! The hospital and that 's the only reason we 're not saying that people are people that have medical. Within 24 hours of soldier suicides with a hammer, everything looks like a nail delay treatment, then man! Get reimbursed enough to do the work you need a transcript and click on the,! Documents are coming out in Mann Gulch, Montana think someone had really teased down her chest pain her! Procedures were more expensive services: 100, GUPTA: I 'm salaried as! 'Re kind of dealing with the consequences purged by big insurance companies do n't.! Save American health care costs are going to escape fire video transcript his chart real quick and find out what it an. Enormous prices, you 're good on pharmaceuticals folks, how are you of quick examples the of... Even devices like -- this is escape fire video transcript at risk for side effects during that period of time now we not. Only thing we can do is separate them out, because there 's a little -- be. Film interweaves personal stories with the consequences blood to flow 4 billion a year drug get... Away from him as an overall system, no, we give them a discount reduce raise..., especially with post-operative and injury pain small wire cage you see there is a transcript! On it been purged by big insurance companies do n't have a that. Value, they wo n't be effective if someone had talked to her I... People eat what 's most important is meeting Wall Street 's expectations, and that 's only!, half the ads are for pharmaceutical agents, MIT: Prevention unfortunately. They MAY keep the disease process going and they have to make appointment... Up and I 'll see a person who 's overweight across the Street those that you?...

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