We create a public expectation that more is better, which isn't actually true so people seek more. The documents are coming out in these court suits, it looks worse and worse. I mean, an obvious one is nutrition, which is almost omitted from medical education. ROBERT YATES, INFANTRY, U.S. ARMY: Been shot. OK. Now you're going to get the scissors. About 70 percent of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks or smaller heart attacks or having what we call unstable angina. You bike to work today? It's much better to try to work at a deeper level. 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. MARTIN: Barely? UNIDENTIFIED FEMALE: Hello, Mr. Fields. And feel yourself observing all these constantly changing sensations and thoughts and feelings. So that's rewarding for me. It's just a terrible tragedy for patients. Do you think that will make a difference? So we're going to open up some chi? UNIDENTIFIED FEMALE: (INAUDIBLE) I'm tired of it. detail. YATES: I was on Parazasin just for nightmares. That's good. And that is where the affordable care act can help which is bringing more competition to the bidding and pricing of these items. And that's the problem. Not having to eat all these pills. I was shutting down emotionally. Came off the mountain with only eight. On my way. Exhale. NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. That was the message that, you know, I think was the you got from that documentary. GUPTA: I want to point out something. I say, radical? 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. Meditation takes the place of that. Still bothers me to this day. Compared to having your chest cut open? I need some help over here. Heart cath, get another stent. It only reduces symptoms. Have you -- UNIDENTIFIED FEMALE: 2008. And finally, keep in mind that what is charged and what is ultimately paid are two different numbers. 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. People with chronic disease who come in and out of hospitals, bouncing in and out of ERs, that's what they need, someone to really take an interest. CARNES: Release the breath in a smooth, even stream out. And some people even that are getting stents don't have symptoms. We want more tests. 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. It goes into the other areas, and it's just not sustainable. When I'm running and it's a hot day and I feel like giving up, it never fails. So, if you have a patient comes in, you get paid a certain amount because you do a stent. It was -- with a huge amount of skepticism and resistance. ORNISH: The limitations of high-tech medicine have never been clearer. Now that Medicare is going to cover the heart disease program, the next step will be type 2 diabetes. You just never get to the bottom of what's causing all of these problems that they are having. We have to be mindful to those points in time where you can intervene and say enough's enough. UNIDENTIFIED MALE: I quit drinking, too. That ended and it rose quickly. UNIDENTIFIED FEMALE: They are all combined. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: You know how people say it takes a village to raise a child? MARTIN: OK? Can adding Avandia help you? Putting patients first. Probably put him on the bottom on the other side. Instead of basing things on outcomes, on how good of a job we're doing, the government sets the reimbursement completely on the number of patients that we see. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. Aliens in the Attic/Transcript. Who's next? Healthcare, it's headed for really, really bad trouble. And I think that's a good place to start. You know, without the use of fancy technology and expensive pharmaceutical medications. If you look at a hospital bill, you might see an IV bag charge. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. UNIDENTIFIED REPORTER: Did you have, you know, a lot of money at stake here? UNIDENTIFIED MALE: No. It's not true in France and Germany. Escape Fire. We spend one heck of a lot of money. And chromosomes have all genetic information on them. Event marketing. This is what he's got left. He's taken 10 tablets. Those are the kind of things that would actually have an impact. I just had been ignoring it, because I thought, you know, I'm only 34 years old. NISSEN: We're not saying that people are doing these procedures for profit. They are patients with heart failure, they are morbidly obese patients. There's been a lot of change in me in that transition between La Clinica and here. This is what you do for a living. We have a disease management system. GRUBER: Premiums will rise. 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. UNIDENTIFIED FEMALE: How are you? NISSEN: Finally, the FDA put severe restrictions on the drug. My first thought is, that's why I'm running, because I know what that person is like. 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. To get the best results, use these formatting tips: To force the start of a new caption . I mean, everyone wants that probably in every system. CAIN: Exactly. UNIDENTIFIED MALE: I'd be chomping narcotics. 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. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. WEIL: This is a problem with a lot of our suppressive treatments. You say there's a lot of Yvonnes (ph) out there, the patient we just met. 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. YATES: I meditate, and it has opened up a whole new world for me. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. UNIDENTIFIED FEMALE: No. It's hard to say good-bye to the patients. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. the play Tom is seen standing in a fire escape during many acts. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. I mean, the average price tag for a single hospital admission can be really eye-popping. People say you're doing this radical intervention. Impressive. 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. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. OSBORN: Oh, it's so beautiful! That Medicare bidding demonstration. Sometimes I go to the hospital and that's the only health care I ever got. It's not just we know it, we actually can go and visit it. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. 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. UNIDENTIFIED FEMALE: OK. You know? That also happened in the 1990s. So, I went into the hospital and they told me I had had a heart attack. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. (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. That is how many medications I was on. Simply the same way the hospitals and physicians. Expand the Transcripts and captions section if closed, then select Upload. I think five or six of them are on the waiting list. A flower for you. Format your transcript file. I need to speak with the crisis worker. UNIDENTIFIED MALE: I did yesterday. The present healthcare system doesn't work. DR. LESLIE CHO, CARDIOLOGIST, CLEVELAND CLINIC: How are you? But, that's not the whole story. MARTIN: What I do every day, buddy. You didn't think you could take care of patients and get reimbursed enough to do the work you need to do. CARNES: We'll end the practice today with the completing statements. Everybody is doing their job, we just design the jobs wrong. They couldn't get insurance. UNIDENTIFIED MALE: Yes. He's got Lunesta and also has Valium. 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. JONAS: If the military is able to successfully integrate acupuncture, meditation, and mind body, yoga, then we'll find that the culture at large will learn how to adopt it, and it will have a transformative effect on our healthcare system. I was 35 at the time and was scheduled for open-heart surgery. We're not talking about a handful of people here. You just look different. UNIDENTIFIED MALE: Soldiers' use of prescription drugs has tripled in the past five years. I'm not sure what is what. It doesn't always work. You also want to engage the billing representatives and the financial representatives of the hospital in that discussion and have them understand, I need an explanation of these charges. But I decided to give it a shot. This suture costs about $200. The next group of people are people that have tried medical therapy, that are on medical therapy and failing. You just never get to the bottom of what's causing al he these problems they're having. You're doing this radical intervention, you know, I say radical? GUPTA: Doctor Rice, What do you think about that. And my doctor told him he wouldn't recommend taking me because he didn't think I would live the year. (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. We've set up a system that often pushes physicians and hospitals in the entire health care system into doing more. Losing the sensation in your feet is part of the progression of diabetes, OK? Maintaining my pain. (END VIDEO CLIP) GUPTA: And Yvonne I the patient in that video. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. And the disease care system actually -- I mean, if it really was honest with itself, it doesn't want you to die and it doesn't want you to get well. 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." The, you know, the food that we eat and the nutrition that we put in our body, that's been around since the beginning of time. And the company did nothing. Escape Fire: The Fight To Save American Health Care Aired March 10, 2013 - 20:00 ET THIS IS A RUSH TRANSCRIPT. During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. I mean, where did that idea come from? BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. He tried to get the other smoke jumpers to join him, and nobody did. Look at this. (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. I have an insurance now perhaps. UNIDENTIFIED MALE: How's your pain, sir? And in some ways, I think of a lot of what's happening in health care is kind of dark matter. Is that a fair message? GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. No soldier should have to go through this. RICE: And I was surprised about this, particularly the data. YATES: I've chose to get off all narcotics, all medicine, everything. It's addictive. What would happen? So he figured I was going to die because I was in such bad shape. Let me just take a listen to you. To feel that way when you come home is demoralizing. UNIDENTIFIED CHILD: There we go. more . GUPTA: So you're salaried. It was a great life. DR. SANJAY GUPTA,. The small wire cage you see there is the actual step. That's it. Fifteen years later, you can't walk into your average hospital today and get acupuncture after an operation. If it's a radiologist, they get paid for each CT scan they deliver. The patient just fell off the litter. The New Zealand and the United States, only two countries in the world where you can advertise prescription drugs. When they have insurance and they have access to usual source of care, primary care. If you talk to the employees around here that have lost 35, 50, 60, 100 pounds, they will tell you without a doubt they have a better quality of life. And sometimes push the plate away. I can't be having heart problems. GUPTA: You feel better when you're healthier too. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. You are going to hear from many different voices with varying opinions and backgrounds tonight. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. UNIDENTIFIED FEMALE: Oh. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. They did not tell the FDA, and they did not tell patients. So tired of it. The answers among us, and only by accepting the fact that the American healthcare system is badly broken and the status quo isn't working, is bankrupting our nation, will we be able to seek out the escape fires, the potential solutions, and create a sustainable and patient centered system for the future. It's a happy time in my life right now. If you're on a fixed income, what are you going to do for your family? Thank you all. The answer is among us. And how do we shift this huge enterprise of disease intervention in that direction. What do you think of that? Our forefathers in medicine were really about patients. Prevention is cost effective. GUPTA: Erin, what did you think about that particular theme? DAVENPORT-ENNIS: It's very difficult and often, you will need to make an appointment. UNIDENTIFIED FEMALE: OK. Just do something. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. 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. Up some chi, that 's a radiologist, they might need a tube! Disease program, the next two years, we change medical practice and we change medical practice and we medical... 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