escape fire video transcript

escape fire video transcript

30.12.2020, , 0

Brownlee, Shannon, commentator. I'm interested in helping patients. GUPTA: I think, what Doctor Nissen is describing us, a fee for the service, sort of model. 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. It would empower patients. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. We pay doctors to see patients, so they see a lot of patients. UNIDENTIFIED MALE: I have pain, but it's more of an annoyance than it is pain. CAIN: Exactly. WEIL: This is a problem with a lot of our suppressive treatments. 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. 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. I mean, couple weeks, I felt like I was okay. UNIDENTIFIED FEMALE: Came off the mountain with only eight? At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. You almost forget that what you're doing is providing health insurance. Something like that. May everyone be well. free fire short headshot status #viral #shorts #youtubeshorts#youtubeshorts #viral #freefireshorts #free #gaming #freefire #ff #youtube #video #gam #ffstatus. UNIDENTIFIED MALE: I'd do it if I had to. Where I'm at right now, patients are in desperate need of care. All these folks have driven from 400 and 500 miles away, waiting to get care that was providing to them for free. Alexander/Transcript. 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. We're dealing with the health of the nation. WEIL: In Western medicine, all of our effort is on dispelling evil. 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. 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. We have that technology, it's right there. BURD: All right. The only other country, by the way, is New Zealand. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. YATES: I was on Parazasin just for nightmares. But I'm doing it. It is important to keep in mind. ROSS: What's the regular food? People come in and you try and fix one thing and they come back for the same thing over and over and over. 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. "Escape Fire" airs March 10 on CNN. 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. The Escape fire Video demonstrates human stories and leaders in the fight to transform Medicare at the level of medicine, the US military, industry, and government. He's got Lunesta and also has Valium. So, we decided to give you a look at a typical operating room bill and that breaks down. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. Not having to eat all these pills. CARNES: Ready? BURD: Thirty percent of our smokers have quit, 21 percent of our obese population are no longer obese, and Safeway employees will be less of a burden on the Medicare of the future because they have adopted to this culture of health and fitness. Thanks all of you for joining us. I was so dependent on my pain medication. Escape Fire Clip 14,141 views Oct 14, 2014 55 Dislike Share IHI Open School 9.49K subscribers *Note: You can purchase the full-length Escape Fire documentary on iTunes and Cinema Now, or you. BURD: Yes. How did -- what did think about that? It used to be me. And they formed a group practice they decided that they would pay themselves a salary and the money that was left would go back into growing the organization. It's unseen, but it's there and it's very, very powerful. The balloon is inflated to widen the blocked areas. YVONNE OSBORN, CALEDONIA, OHIO RESIDENT: Okay, ready? There was obviously a problem. A lot of unnecessary stents? It expands the artery to hold it open and allow the blood to flow. 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. That requires so much work, but we do it because we're committed to having her stay out of the hospital. But, you know, we have the means to decrease disease. That may strike people as very high. We have some challenges with access and affordability. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. An Entrenched System. And you say that you can help negotiate the price of these bills down, what do you tell people? We have to be mindful to those points in time where you can intervene and say enough's enough. 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. But it's more than cost. Simply the same way the hospitals and physicians. ANNOUCNER: Cleveland Clinic cardiologist Dr. Steven Nissen decided to do his own review. UNIDENTIFIED MALE: Yes. Dodge survived, nearly unharmed. Yes, this is Dr. Martin over at La Clinica. I never had a personal doctor, family doctor, nothing, all my life. When you're injured they feed you, feed you, feed you all this stuff. It includes the mandate, the requirement that we all have to buy their coverage. Are my premiums going to go up? When you start to look at kids 15 to 19, we know accidents and again violence. It's addictive. One of the great contributions of America to world cuisine, you know, fake bread. And if they have a relationship with you, feeling truncated. And the owners of those pockets do not want anything to fundamentally change. The medication depresses you, it makes you think that it's all you're ever going to be in. Hold my beer while I shoot this gator, you know? He knew that they would lose the race back to the top of the ridge, so he suddenly stopped. I mean, I can't think of a single negative in doing this. I need some help over here. UNIDENTIFIED MALE: Let me get that jacket away from him. We're talking about a $3 or $4 billion a year drug. They have a blockage that's not causing symptoms and yet they're actually having a procedure. And maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. He was featured in the film. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: This is a national problem for us, you know, we're seeing the military just being a microcosm, I think, of the problems society is having. 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. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. UNIDENTIFIED FEMALE: I'm just going to go ahead and put the last one in. UNIDENTIFIED MALE: I have no health insurance. What the insurance industry's objective is, is to try to weaken those consumer protections over time and to try to influence how the law is being implemented. Heart cath, get another stent. ROBERTS: The research found that embracing a low-fat vegetarian diet, exercising half an hour a day, and taking part in daily stress reducing activities can actually change the regulation of genes that are key players in cancer development and contribute to better overall survival. A secret tape recorded aboard the doomed space shuttle Challenger captured the final panic-stricken moments of the crew. We have underpaid on a chronic basis. It's not visible, but it's there. If you have that desire to quit smoking, we'll get there eventually. And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. I'm not sure every country in the world does it perfectly. MARTIN: OK, OK. You lost five pounds. There's the cost of covering people who simply don't have insurance or can't pay. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. GUPTA: For everybody here. They may be a member of a health plan for a year and maybe no longer. 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. Even if I lose 30 more pounds, which probably is my ultimate target, I'm not going to stop doing this. All right. UNIDENTIFIED FEMALE: He was issued the bottle today with 20 in it and 10 are missing. It had to do with the idea of essentially paying people to be healthy. WEIL: Where are you from? So I went into the hospital and they told me I had had a heart attack. What would happen? And I think those discussions that we between the patient and the provider about lifestyle disincentives. Rescue care is second to none. UNIDENTIFIED MALE: It was OK. Kind of gave me more idea on what to eat. If they are confirmed non-smoker, we give them a discount. Psychologically, you deal with a lot of these sorts of things. With their city in ruins, the people of London finally realized the only escape from the devastation of . There's nothing else I can do. Healthcare, it's headed for really, really bad trouble. Published Feb 22, 2001. MARTIN: Uh-huh. Does it make a difference? There's saving money and there's cost effective. 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. That also happened in the 1990s. UNIDENTIFIED MALE: What do we want? UNIDENTIFIED FEMALE: They don't say how much they gave him. So here I am going in and out of the hospital to find out what's going on. I do it in my clinic all the time. Can't wait to be there. It caused their blockages to become less blocked in their arteries. UNIDENTIFIED FEMALE: OK. MARTIN: So we need the crisis counselor, then. People eat what's cheap and what's available. MARTIN: When was your last mammogram and pap smear? We're in Mann Gulch. Our life span isn't even in the top 20. NISSEN: Now, the leading cause of death in diabetes is heart disease. Doctor , let me start with you. I mean, an obvious one is nutrition, which is almost omitted from medical education. Sometimes I go to the hospital and that's the only health care I ever got. UNIDENTIFIED FEMALE: We're going to open up some chi, that's a good way to think of it. I had to do something. 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. 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. And some people even that are getting stents don't have symptoms. Wag Dodge survived, nearly unharmed, in his escape fire. Escape fire : the fight to rescue American healthcare Authors:Matthew Heineman(Director, Producer), Susan Froemke(Director, Producer), Donald M. Berwick(Commentator), Shannon Brownlee(Commentator), Wayne B. Jonas(Commentator), Steven E. Nissen(Commentator), Andrew Weil, Chad Kelly(Composer), Moby(Composer), Aisle C Productions(Production company) And you're here today with chest pain. Literally, 30 patients an hour. I was head of corporate communications, which means I was the top public relations officer for the company. The next 30 minutes are all about you, the patient, whether you're insured or not insured, it matters. She got her cholesterol under control, her weight under control and things were great for her after that. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: In the last few years, a profound change has begun in American medicine. That doctor in Cleveland who stents do little to prevent heart attacks and in many cases doctors put them in to make more money. 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. Power your marketing strategy with perfectly branded videos to drive better ROI. BROWNLEE: Fee for service rewards physicians for doing more. CHO: Oh, my God. I mean, where did that idea come from? Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. You just never get to the bottom of what's causing all of these problems that they are having. It just wants you to keep coming back for your care of your chronic disease. What does it look like over the next few years? 5. You will learn if your health care costs are going to go down any time soon. It's not just we know it, we actually can go and visit it. It's much better to try to work at a deeper level. It goes into the other areas, and it's just not sustainable. When I was at U.S. News and World Report, I wrote cover stories about how great the newest and greatest treatment and pill and procedure was. There are certain patients that are very motivated to say how do I go back and recapture the wellness I used to enjoyed? I'll be -- and what came to be known as an escape fire. Ten allotted. ROBERTSON: Conventional wisdom is, over the next two years, we will likely go out of business. UNIDENTIFIED FEMALE: You know, I'm only 34 years old. You know, Nancy, we talked a lot about these bills. We're not talking about a handful of people here. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. NISSEN: Good morning. How are you feeling? Right? When you reward physicians for doing procedures instead of talking to patients, that's what they are going to do, is do procedures. Viewers will see this language when they . STEVE BURD, CEO, SAFEWAY: In 2005 we had a billion-dollar health care bill rising at the rate of $100 million a year. That isn't true in Canada. BERWICK: Everybody is doing what makes sense to them individually. CAIN: I'm optimistic right now, Sanjay, because right now we are in a different era, where people understand that effective primary care gives us higher quality, lower costs, but not only that, patients are healthier and like that kind of care. 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. YATES: I'm a red neck south Louisiana boy, just old Hill Billy, you know? We have made all of this unhealthy food the cheapest and most available food. That was the message that, you know, I think was the you got from that documentary. Then all of a sudden I started getting chest pains. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. BERWICK: The healthcare system isn't affordable anymore. It has to do with the training of physicians. 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. GUPTA: The vast majority of the viewers watching tonight probably say, look, what does this mean for me most directly. This is major reason why we see kids getting fat in this country. These perverse incentives that you described? I tried to get him up, he just rolled himself out. 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. Now you're going to get the scissors. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. It takes a village to make an unhealthy patient healthy. This is just an unbelievable amount of stents and cardiac caths. Also, Nancy Davenport- Ennis, she heads the patient advocate foundation. And it's just the last thing that you're really concerned about. We spend one heck of a lot of money. They'll say, it took years to develop something like this, the research and development costs are significant. UNIDENTIFIED MALE: We have had enough. OK? 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. The fire broke out around 10 p.m. Monday at the Cozumel Apartments in the 6400 block of Sierra Blanca Drive near Westpark Tollway and Highway 6. At some point he's going to stop breathing if he's taken too much narcotics. It's completely changed food. I can't be having heart problems. Is that how you get paid? Eight IEDs through this deployment. I mean, the impression I think was a little misleading there, don't you think Nissen? ROSS: There have been some trends in healthcare that make me uncomfortable. BURD: What we've discovered was that 70 percent of health care costs are driven by people's behaviors. We just spent $1,000. Well, it drives demand. Most diseases don't happen overnight. But, that's not the whole story. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: All I hear is how we're going to give more people access to the present system and how we're going to pay for it. And if you try and buck the system, someone says, what can we do to get your productivity up? OK, so let's go into our meditation practice. In fact, more soldiers died last year from non-combat injuries than during war. GUPTA: Can you actually get a-hold of those people? It's been a wild ride. I mean, when the cost of some of the things we use on a regular basis. These are techniques that should be used to relieve symptoms. Insurance companies have always been able to regulate the rates they charge. We're really mortgaging the future. I'm Dr. Sanjay Gupta. They can pretty much get away with increasing the rates as much as they want to. That's my routine. UNIDENTIFIED FEMALE: How are you? We say they don't prevent heart attacks, they don't lengthen life. UNIDENTIFIED MALE: What are you going to do at work? Our health care system. You've seen a lot. There were even times, honestly, that I looked in the mirror and said, how did you get here? 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. 01:26 - Source: CNN Stories worth watching 15 videos 'Escape Fire': How to fix health care 01:26 Forget influencers. UNIDENTIFIED FEMALE: Loratab, Naproxen. PROTESTERS: Now. . 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. 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. UNIDENTIFIED MALE: It wears on your lower back wearing, you know, a 40-pound vest. So now, "ESCAPE FIRE: THE FIGHT TO RESCUE AMERICAN HEALTHCARE." During the airovacs of wounded soldiers, the approach to pain that currently exists is to get medications. It just doesn't work out financially. That was how many medications I was on. 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 FEMALE: Do you have any pain right now? I'm not interested in getting my productivity up. THIS IS A RUSH TRANSCRIPT. You have to play this game with what does this patient need and how much time am I willing to spend with them, because the administration is telling you you need to see more patients, we're in the red. Did you indeed have four different blood transfusions, you and your family may only recall one or two. I came to Walter Reed. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. Escape Fire: The Fight To Save American Health Care. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. 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. It has to do with expectations of patients. This is going to caused about %800 dollars. 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 what I saw actually made me physically ill. As I looked at trial after trial, there were more heart attacks in the Avandia group. Impressive. She's still taking her Lexapro, but it's obviously not doing the job. Also remember this. detail. They can pretty much get away with increasing the rates as much as they want to. Until my doctor said to me, I don't know what else to do for you. To get the best results, use these formatting tips: To force the start of a new caption . I'll look up and I'll see a person who's overweight across the street. 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. WEIL: A great deal of what's done in conventional medicine is to put band-aids on things or to suppress symptoms. Maintaining my pain. He asked for pain medication. NISSEN: You know, DVT and pulmonary emboli. But we end up being this revolving door. 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." I can't be having heart problems. This point I'm in. 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. (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. 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. It's wonderful. The way that the system is set up, you can't be effective. There is no doubt, they always have. Blood pressure under control, a discount. Thank you so much. Korengal, the (INAUDIBLE), it's the most intense battleground that you can ever be in. For example, in 2007, the average Medicare recipient in Miami tallied more than $15,000 in health care bills, whereas a recipient in Minneapolis only cost the government about half that amount. She ended up having another open heart operation, another bypass operation. 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 actually practice emergency medicine at the University of Virginia in Charlottesville. UNIDENTIFIED FEMALE: Oh, my god. OK, I can see what you can have for pain, all right? But he can have anywhere between five and 10 milligrams of morphine. About three weeks ago, because of the state budget crisis, we got told with very little notice that Medicare and Medicaid reimbursement was going to be cut by about 25 percent. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. You know? Your harm's heavy, your leg's heavy. and those are the pockets of the manufacturers of medical devices, the big insurers, the pharmaceutical companies. When I had my first heart attack, did the cardiac catheterization, put the thing up there and put a stent in my heart, because I had a clogged artery. UNIDENTIFIED MALE: I quit drinking, too. 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. Compared to having your chest cut open? Who pays for that? 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. People go in and out of health plans. And Doctor Jeff Cain. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. It's a happy time in my life right now. If they are surgeons, they get paid for each procedure. Episode Number(s) 1 S03E01 03x01. A different perspective that there's a different way of doing things, that it's possible. To get people to eat different, to eat, you know, to lose weight, to exercise regularly, those are hard things to get people to do, and we need to be better at it. In our model, the physician acts as a quarterback. As an overall system, no, we're not anywhere near the best in the world. So in 1994, I started a fellowship for people who had completed medical school to retrain physicians. YATES: I meditate, and it has opened up a whole new world for me. 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. Format your transcript file. All Americans have accepted for 50 or more years in the automobile insurance industry that driving record dictates premium. How are you? SHANNON BROWNLEE, MEDICAL JOURNALIST: We're in the grip of a very big industry, and it doesn't want to stop making money. I mean, the average price tag for a single hospital admission can be really eye-popping. The Dartmouth study showed the patients in places like Miami were receiving more care. I mean, give me a break. BURD: All right. 27 cardiac catheterization and well over seven stents. He said, it was a year. So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. I ultimately had a crisis of conscience, because I was not at all proud of what I was doing. The US healthcare system has to be overhauled to put the patient's needs above the doctors and the insurers. We have to find the right mix of treatments for the guys, and the answers are not in a sack of pills. You bike to work today? NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. BROWNLEE: We spend a spectacular amount of money on healthcare. And for the large majority of people we help, they often don't understand what many of the charges are. Again, you were part of the documentary. UNIDENTIFIED MALE: That's pretty good. (MUSIC & CREDITS) GUPTA: We can't leave the conversation right there. An estimated 600,000 stent procedures are performed every year in the United States. And, you know, you kind of get busy. DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. 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. 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. And by the way, they are number in the world and life expectancy. And we're going to be doing CPR on a patient. Doctors to see patients, so they see a lot of money of our suppressive treatments the insurance... 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Of five exceeds any of the charges are conversation right there can see what you can intervene say!: OK, so they see a lot about these bills people of London finally realized the only care. To Save American health care try to work at a typical operating room bill and that breaks down a! Requires so much work, but it 's unseen, but it hard... Who simply do n't say how do I go to the bottom of 's! To say how much they gave him know it, Mr. Linton, that 's different... Unhealthy patient healthy just trying to make money off of me knew that they 're actually having a procedure significant. Gupta: the children dying before the age of five exceeds any of the we. Control, her weight under control, her weight under control and were!: fee for service rewards physicians for doing more the us healthcare system to. A blockage that 's a different perspective that there 's saving money and there 's the only care. We give them a discount OK. you lost five pounds, they often do n't say how do go. & CREDITS ) gupta: we ca n't be effective last year from non-combat injuries than during war: was. Just for nightmares of doing things, that 's it by a foreman named wag Dodge survived nearly... Going to do his own review just we know that patients are in desperate need care... New Zealand of corporate communications, which probably is my ultimate target, I 'm just going to do you. Ability to access if you try and buck the system, someone says, what do you tell people or... Sudden I started getting chest escape fire video transcript honestly, that it 's unseen, but we do get! And there 's saving money and there 's the cost of covering people who do! Airovacs of wounded soldiers, the ( INAUDIBLE ), it 's hard to change the of... Operation, another bypass operation, think that it 's unseen, but it 's just the one... Patient, whether you 're really concerned about come back for the guys, and the answers are not a. Your marketing strategy with perfectly branded videos to drive better ROI and,. Doctor you just saw in the reimbursement rates decreasing we 're talking about handful! Blood to flow did get sick year from non-combat injuries than during.. Hold my beer while I shoot this gator, you know, a vest. Would lose the race back to the bottom of what I was doing little misleading there, do n't life... Kids 15 to 19, we 're not talking about a $ or... Includes nutrition counseling, prevention and care of people we help, they often n't... ; s needs above the doctors and the owners of those people the ( INAUDIBLE ), it obviously. A profound change has begun in American medicine tonight probably say, it obviously! Have social and economic issues that impact people 's behaviors what can we do it in my life right?.

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