Takes about 15 minutes for you. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. People talk about two-minute doctors. They are going to healthcare. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. YATES: Wow. But these companies will do whatever it takes to make sure there's no new laws or regulations that would hinder their profits. It is the largest health insurance company in the country. 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. Our life span isn't even in the top 20. MARTIN: How much were you drinking before? You're doing this radical intervention, you know, I say radical? It should bring some of these costs down, because now more people are actually, you're not spreading the costs out over a few people, but rather more. detail. UNIDENTIFIED MALE: What are you going to do at work? WENDELL POTTER, FORMER HEAD OF COMMUNICATIONS, CIGNA: I don't recall any time telling a lie, but I know that there are many times that I didn't disclose full information, and I was the company's chief spokesman. I would probably leave healthcare before I went back to practicing the way I practiced last year. They told no one. American healthcare costs are rising so rapidly that they could reach $4.2 trillion annually, roughly 20% of our gross domestic product, within ten years. GUPTA: There was something in the documentary that caught my attention. UNIDENTIFIED FEMALE: Do you have any pain right now? NISSEN: Now, the leading cause of death in diabetes is heart disease. 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. When you're injured they feed you, feed you, feed you all this stuff. UNIDENTIFIED MALE: At the executive level, what's most important is hitting Wall Street's expectations, and they have to. the play Tom is seen standing in a fire escape during many acts. Firefighters said they received about 12 calls . BURD: Yes. The study was conducted by Dr. Dean Ornish, who looked at patients with early stage prostate cancer. I'm interested in helping patients. YATES: OK. 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. You know, they'll actually fix it. ORNISH: We found that after a year, the men who made these intensive lifestyle changes, their physical heart disease improved. Select Open transcript . UNIDENTIFIED FEMALE: Yes. GUPTA: In the spirit of educating people out there, I think I have cardiac disease in my family. She had had bypass surgery at an early age. When you're in the inner circle of the health insurance company, what's most important is meeting Wall Street's expectations. 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 MALE: I did yesterday. 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. ROBIN CARNES, WALTER REED ARMY MEDICAL ENTER MEDITATION INSTRUCTOR: The first thing I'd like to do is teach you a breathing exercise with a targeted effect on post-traumatic stress. NISSEN: Yes. I had difficulty sleeping at night. I mean, I can't think of a single negative in doing this. What that means is, the money we spend on prevention improves our health greatly per dollar spent. And there's a lot of talk about who's going to pay for it, and that's really important. UNIDENTIFIED REPORTER: The Safeway supermarket chain looked for a way to rein in spiraling premiums and hit in what seems to be a win-win solution. There's the bright blue slush. A different perspective that there's a different way of doing things, that it's possible. (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. Thanks for watching. In our model, the physician acts as a quarterback. Considering that hospitalization itself is listed as the third leading . They'll say, it took years to develop something like this, the research and development costs are significant. UNIDENTIFIED FEMALE: I just -- MARTIN: What were you trying to do? I started having really, really bad chest pain. It's unseen, but it's there and it's very, very powerful. WEIL: Right. And interestingly, patients really respond to that. We just have to do it differently. We take grains and we've turned them into products like this, which rapidly raise blood sugar, provoke insulin responses, cause insulin resistance, promote weight gain in genetically susceptible people, which is most of us. We have some challenges with access and affordability. One of the three men who survived the Montana fire did so through an ingenious solution and a leap of faith by making an escape fire. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. Log in to your account. Probably put him on the bottom on the other side. (COMMERCIAL BREAK). Can adding Avandia help you? We have a disease management system. But this program has just inspired me to press forward. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. 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. WEIL: In the 1950s, Americans took pharmaceutical medication at about 10 percent of the rate that they do now. DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Physicians are well intentioned. You can't have a cafeteria that doesn't have calorie counts on it. This is incentives the system so that patient have a less specifically to be of picking the right choice. May everyone be happy. Impressive for it to react that quickly. Type the text of what was said in your video and save it as a plain text file (.txt). I'm really, really pleased. PROTESTERS: Now. BERWICK: The healthcare system isn't affordable anymore. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. Afghanistan? I decided out of curiosity to go check this out. If it's a radiologist, they get paid for each CT scan they deliver. So, I went into the hospital and they told me I had had a heart attack. MARTIN: Because of the bottom line, because of the cuts that are coming through the government, if it came to the point where they couldn't pay me anymore, that would suck, but I'm not afraid. MARTIN: Thyroid is a little bit big. CHO: Oh, my God. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. OK. Bend down. It is an IV like this, about $280 just for the IV bag. 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. NISSEN: There's litigation involved and the company set aside $6 million to settle lawsuits. The check that I get back from the insurance company after that was billed is $40. The independent safety officials at the FDA estimates somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. UNIDENTIFIED FEMALE: Just take a couple of minutes to kind of arrive. We just spent $1,000. And I say that as doctor. The kinds of interventions that we have come to favor in this country are inherently costly because they are dependent on expensive technology, and that includes pharmaceutical drugs. Most insurance companies will follow Medicare's lead, so I realize that Medicare is the Rosetta stone. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. Yes, this is Dr. Martin over at La Clinica. So, if there's a concern someone has a tumor, they who use a needle like this. 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. That is ridiculous. All my health issues have gone away. BROWNLEE: We spend $300 billion a year on pharmaceuticals. It's all about the reimbursement. The folks who were there were not trying to shirk their responsibilities. Also remember this. DR. VALERIE MONTGOMERY RICE, EXECUTIVE VICE PRESIDENT, DEAN, MOREHOUSE SCHOOL OF MEDICINE: I think it comes down to three things. I can't be having heart problems. UNIDENTIFIED MALE: How's your pain, sir? More tests, more drugs, more time in the hospital, more invasive operations than patients in other parts of the country. UNIDENTIFIED FEMALE: Nine months? Carry a lot of weight because I'm infantry. I ultimately had a crisis of conscience, because I was not at all proud of what I was doing. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. 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. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. So I decided to leave. 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. People come in and you try and fix one thing and they come back for the same thing over and over and over. Yvonne came to se me when she was sort of at her wit's end. Literally, 30 patients an hour. Did you indeed have four different blood transfusions, you and your family may only recall one or two. (CROSSTALK) UNIDENTIFIED MALE: That's not -- yes. I know you're heading home and you're excited. Upload captions and transcripts. Most diseases don't happen overnight. Have you -- UNIDENTIFIED FEMALE: 2008. Sometimes I go to the hospital and that's the only health care I ever got. I'd have my pizza, I'd have my comics, I'd have my DVDs, and that was the weekend. There's been a lot of change in me in that transition between La Clinica and here. There's the cost of covering people who simply don't have insurance or can't pay. ORNISH: There's very little evidence that these conventional treatments make you live longer, but they cause many men to be impotent or incontinent or both. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: If you need serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. But so what, right? But something maybe you didn't know, when you look at a hospital bill, it's not just the cost of the supplies. And we're going to be doing CPR on a patient. Power your marketing strategy with perfectly branded videos to drive better ROI. I think five or six of them are on the waiting list. It used to be me. BERWICK: Everybody is doing what makes sense to them individually. OSBORNE: I have lost -- since last year I've lost 21 pounds. UNIDENTIFIED FEMALE: I think we have about 25 patients for today for Dr. Martin. GUPTA: So, tell me how that would work? Are my premiums going to go up? And when we come back, just how much does profit play a role in all these treatment decisions. And that being applied to health care just doesn't work. And welcome home. This is major reason why we see kids getting fat in this country. UNIDENTIFIED FEMALE: OK, I need some help over here. It's not visible, but it's there. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. If somebody has an infection, we give anti-infectious agents. 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. I mean, an obvious one is nutrition, which is almost omitted from medical education. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED FEMALE: I can't tell you how shocked we were when we saw her the first time because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. 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