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. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. We need a whole new kind of medicine. ROSS: What's the regular food? Look at our results, our life span isn't even in the top 20. GUPTA: A lot of these stents are unnecessary? We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. UNIDENTIFIED FEMALE: They are all combined. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. I mean, an obvious one is nutrition, which is almost omitted from medical education. MEL LEFER, PETALUMA, CALIFORNIA: 25 years ago I had five restaurants in San Francisco. And how to know if you're being prescribed unnecessary procedures. Yes, this is Dr. Martin over at La Clinica. He is also a president of the society for interventional and geography in intervention. UNIDENTIFIED MALE: We moved you over here. WEIL: This is a problem with a lot of our suppressive treatments. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. He said, it was a year. I mean, the impression I think was a little misleading there, don't you think Nissen? Compared to having your chest cut open? Most diseases don't happen overnight. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. A stapler, this stapler that is often to used in surgery, like this? That's almost as much as the rest of the world combined. Respiratory shutdown. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. They'll say, it took years to develop something like this, the research and development costs are significant. And that's because our system reimburses people for doing tasks and doing procedures, not for necessarily making people healthier. Here you go. That may strike people as very high. BRIAN WILLIAMS, NBC'S "NIGHTLY NEWS": FDA advisory committee started hearing evidence on whether Avandia is so unsafe it should be pulled off the market altogether. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. This point I'm in. UNIDENTIFIED MALE: Let me get that jacket away from him. We know it's there. GUPTA: There was something in the documentary that caught my attention. Cost about $1200. I was 35 at the time and was scheduled for open-heart surgery. Underrewarded primary care. UNIDENTIFIED FEMALE: Hi. BERWICK: If you need real serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. MARTIN: It was a dire situation and there are many times that myself and my colleagues would have the conversation of, you know, we are going to miss something, this could be really bad, and actually having the fear that this was going to be harmful to our patients at some point. BERWICK: The healthcare system isn't affordable anymore. And from that point on I realized that I don't want to be on this. UMBDENSTOCK: We don't have enough primary care clinicians to provide that important fundamental level of care. If you select our human service, your transcript will be ready within 24 hours. UNIDENTIFIED FEMALE: How are you? Half of Americans will be diabetic or pre-diabetic in the next 10 years. I don't want to go down the same path. WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: There's the assumption that people who run government, elected officials, members of Congress, but it's not true in many cases. Going back home. Come back in a month or so? So we provide incentives for people to engage in healthier behavior. 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 MALE: That was, what, a month and a half ago? That's it. The documentary "Escape Fire: The Fight to Rescue American Healthcare" makes this argument with stunning clarity. All right. That is how many medications I was on. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. UNIDENTIFIED REPORTER: It's an idea that's received national attention. Did you indeed have four different blood transfusions, you and your family may only recall one or two. Thank you so much. MARTIN: Yes? My energy level is up. No soldier should have to go through this. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. Mountains of Afghanistan are not easy to climb, so pain in my back. And when we come back, just how much does profit play a role in all these treatment decisions. OK, so let's go into our meditation practice. Those are the kind of things that would actually have an impact. That's how embedded people get in the status quo. 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. 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. Dodge survived, nearly unharmed. And is it still traveling into your neck? We have that technology, it's right there. Going to go look for it. 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. They become more productive. 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 . OK. DEAN MICHAEL ORNISH, PREVENTIVE MEDICINE RESEARCH INSTITUTE: When you're doing something that has never been done before, it's not universally accepted, to say the least. 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. We don't have to spend ourselves into poverty on healthcare. Only thing we can do is separate them out, because there's no way for us to tell which are which. This is major reason why we see kids getting fat in this country. 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. If you have cholesterol under control, a discount. It's completely changed food. You know? May everyone be healthy. OK, I can see what you can have for pain, all right? ORNISH: Dr. Peter Carroll and I collaborated with Dr. Elizabeth Blackburn, who won the Nobel Prize in medicine and she had done a study showing that stress creates shorter telomere, said as your telomeres get shorter, your life gets shorter. John than, you'll have to excuse me because you're an economist I'm not. I have an acutely suicidal patient in my office that I need help with. It's not true in the United Kingdom. It's still a struggle. Am I going to be paying more? But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. If I'm frustrated by anything, it's that more of the nation hasn't adopted this. I never had a personal doctor, family doctor, nothing, all my life. 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. But we end up being this revolving door. Do you understand? GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. It is so addictive. It takes a village to make an unhealthy patient healthy. It's the best treatment and it saves lives, period. Blood pressure under control, a discount. Good. And you're here today with chest pain. I felt like there's got to be something different, something better. It is an IV like this, about $280 just for the IV bag. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. (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. MARTIN: Barely? KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. What does that do? I'm interested in helping patients. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. NISSEN: I do. DAVENPORT-ENNIS: So, I think with some patients it clearly will. We're glad to have you home. And that is why, our first priority has to be to equalize that access and then move on. that is going to raise cause. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. RICE: And I was surprised about this, particularly the data. And, you know, you kind of get busy. Okay. But I decided to give it a shot. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. (COMMERCIAL BREAK). They didn't foresee me ever trying to walk yet. 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. At a time when the medical system is so badly broken. It goes back to Teddy Roosevelt. And Doctor Jeff Cain. We are second to none in this country for those things. She got her cholesterol under control, her weight under control and things were great for her after that. 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. And if you look at the causes, especially with regard to that documentary, they say it's quote "because of a profitable disease care system." Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. Michelle? Our life span isn't even in the top 20. Our forefathers in medicine were really about patients. What is really striking is how little they have written the last few years. MARTIN: What I do every day, buddy. UNIDENTIFIED FEMALE: OK. 1 hr 39 min PG-13 Documentary A powerful and thought-provoking documentary that exposes the U.S. healthcare system as one designed to profit on disease rather than health. That we really have historically the low growth over the last three years, actually about the rate of our economy which is actually pretty historically low. A heart cath, get another stent. If you're on a fixed income, what are you going to do for your family? The present system doesn't work and it's going to take us down. BURD: All right. People go in and out of health plans. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. But I think the economic imperatives are much stronger now. Dodge had invented what is now called an "escape fire," and soon after it became standard practice. Sometimes when you go, go to bad places in your head. Alvin and the Chipmunks/Transcript. When I'm running and it's a hot day and I feel like giving up, it never fails. It expands the artery to hold it open and allow the blood to flow. Still bothers me to this day. 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. Transcripts; License . There is no reason that exact approach can't be applied across the board to drugs, to other diagnostic tests. CHO: I know, you look really good. So, less than 30 percent are actually done in these people with stable ischemic heart disease. We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. That simply means they get paid for each office visit. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: As we've pushed medical innovation and capability to the leading edge of the battlefield where we can save their life, and we've got some guys who have had some horrific injuries and they're getting narcotics for a longer period of time, they certainly are at risk to develop dependency, and that's what we're trying to avoid. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. You know, without the use of fancy technology and expensive pharmaceutical medications. That was how many medications I was on. Transcripts Dragons: The Nine Realms Fire Escape Script view. I mean, give me a break. I mean, where did that idea come from? So we took the men with prostate cancer. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. Let's be honest. UNIDENTIFIED FEMALE: Prescriptions, you can see how many scripts in the under script. I was on Valium just for the anxiety. It was so consistent. And Doctor Nissen is in salaried as well. Do you understand? PROTESTERS: Now. You're doing this radical intervention, you know, I say radical? UNIDENTIFIED FEMALE: Do you have any pain right now? They may keep the disease process going and they may strengthen it over time. We see a lot of the chronic conditions that affect many Americans that have gone untreated for sometimes months, but sometimes years. So, I went into the hospital and they told me I had had a heart attack. And the problem is, some of those procedures will lead to bad outcomes. And they have a hard time believing that these simple choices that we make in our lives each day can make such a powerful difference. Thanks all of you for joining us. Aladdin (1992)/Transcript. Healthcare reform was a good place to start, but it will do little to address the root problems. Half. You almost forget that what you're doing is providing health insurance. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. $300 billion on drugs. But when you're doing something that has never been done before, it's not universally accepted, to say the least. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. There's the cost of covering people who simply don't have insurance or can't pay. ORNISH: The program increased the telomere length. And then clearly we have social and economic issues that impact people's ability to access if you look at our percentage of un-insurers. detail. A flower for you. Frederick Douglass forcefully advocated for others to escape slavery, and in doing so violated laws in southern states that specifically criminalized this speech. UNIDENTIFIED MALE: These are all one person's? (CROSSTALK) UNIDENTIFIED FEMALE: Did he try to get up without anybody knowing? Alexander/Transcript. GUPTA: How big a problem is this then? ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. Do you want to tell me about some of those that you lost? We're the only providers for. Because what we think is best for us often isn't. (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: I got my blood sugar under control. UNIDENTIFIED MALE: How's your pain, sir? Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. 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. 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