But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. It's all about the reimbursement. Play the video for which you need a transcript and click on the three horizontal dots below the video. So here I am going in and out of the hospital to find out what's going on. And it's treated with things like angioplasty and stems and bypass surgery, and yet what does he have (INAUDIBLE)? MARSHALL: It doesn't matter if I do one stent or five or ten stents. UNIDENTIFIED FEMALE: We'll do it at the front. May everyone be healthy. Obesity leads to heart disease and strokes and diabetes. I'm sorry, it's going to get pretty tight. But I decided to give it a shot. We're on track for that on Tuesday. But with regard to prevention, preventing disease, does that save us money? So, we decided to give you a look at a typical operating room bill and that breaks down. We're glad to have you home. Much more than money spent on much more expensive services. MARTIN: Yes? Transcripts; License . Not having to eat all these pills. 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. Our forefathers in medicine were really about patients. He's, like, clutching his head. Yes, this is Dr. Martin over at La Clinica. They told no one. Let me distinguish two terms. I was a walking dead man. And yet the outcomes, the survival rates are at the highest levels. We have made all of this unhealthy food the cheapest and most available food. And here's the secret, healthier people cost less money too. Going to go look for it. Official Trailer Watch the full 1.5 hour version on Netflix or YouTube ($3.99). This is all coming out of our pockets. Your company becomes more competitive. On my way. People come in and you try and fix one thing and they come back for the same thing over and over and over. 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. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. OSBORNE: I have lost -- since last year I've lost 21 pounds. Literally, 30 patients an hour. And so, I think it points to the violence in our society. It is so addictive. Are you incentivized to do more stents? So to make up that difference in the reimbursement rates decreasing we're changing the shorter appointments next week. DR. TIERAONA LOW DOG, FELLOWSHIP DIRECTOR, ARIZONA CENTER FOR INTEGRATIVE MEDICINE: We want to expose clinicians to a broader way of seeing the patient a deeper understanding of healing and a larger toolbox from which to choose for therapies. WEIL: Most of this huge effort of the healthcare industry is devoted to intervention in established disease and the majority of that disease is lifestyle related and preventable. PROTESTERS: Now. Dodge had invented what is now called an "escape fire," and soon after it became standard practice. So Doctor Rice, let me start with you. People eat what's cheap and what's available. The Issues. OK. Bend down. UNIDENTIFIED FEMALE: Loratab, Naproxen. Firefighters said they received about 12 calls . And there's a lot of talk about who's going to pay for it, and that's really important. ROSS: If you had to? UNIDENTIFIED MALE: Not, not when I'm doing that. 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. It's wonderful. 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. The costs are going through the roof and the ability to help these service members and their families recover and repair and come back to a functional life is getting less and less. Link 'n' Share. 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. We just have to keep working towards that. It's still a struggle. MARSHALL: You and I both know, it's hard to change the habits of a lifestyle. In Latin, it means, above all, do no harm. And you say that you can help negotiate the price of these bills down, what do you tell people? It's here, right in the center of your chest. It's hard to say good-bye to the patients. Your harm's heavy, your leg's heavy. You've done some sweating. But we're going to talk to them about it still, you know? Again, you were part of the documentary. Just sore. MARTIN: Can you feel this? (BEGIN VIDEO CLIP) GUPTA: To give you a couple of quick examples. UNIDENTIFIED MALE: Yes. BURD: All right. I took care of them and I was responsible for them and just worrying about if somebody else is going to do for them what they need. So tired of it. 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. They are going to healthcare. (END VIDEO CLIP) GUPTA: Dr. Erin Martin, that's a primary care doctor you just saw in the film. But we end up being this revolving door. You allow and encourage your employees to become healthier. I became a doctor because I care about patients and working here, I can't help them. We tend to just see the light of healthcare, we see the goodness of health care, the potential for helping. UNIDENTIFIED MALE: Yes. We need a whole new kind of medicine. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. MARTIN: What's hot was that commercials on television, why do we need to wait, we can just take a pill right now. UNIDENTIFIED FEMALE: I just want to see what they've given him. May everyone be well. I'll be -- and what came to be known as an escape fire. Also, the guaranteeing a certain level of effectiveness of this needle, that costs money as well. BROWNLEE: We spend a spectacular amount of money on healthcare. That's good. UNIDENTIFIED FEMALE: I'm going to check his chart real quick and find out how -- what he got at the CASF. Healthcare reform was a good place to start, but it will do little to address the root problems. It's not just we know it, we actually can go and visit it. Impressive for it to react that quickly. I was a bit surprised. It got fast tracked by the FDA. BROWNLEE: The doctor that has the greatest impact on your health is primary care doctors. It's the same challenge. &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. It's been a wild ride. MARSHALL: Me, personally, I'm on a salary. If it happened to me, it happens to a whole lot more people that are almost invisible to the system. And then, being paid, on top of that, a bonus if they can demonstrate, if they have improve the quality of care and have also may cause saving. The problem is not that it doesn't work, the problem is that we haven't figured out how to get it into the system so that we can make it widely available to the population. UNIDENTIFIED FEMALE: If there is a 50-minute queue, I'm sure we can probably squeeze them into the schedule. DR. SANJAY GUPTA, CNN CHIEF MEDICAL CORRESPONDENT: Dr. Dean Ornish has studied and written about diet and heart disease for decades. Jonathan Gruber, he is an economist in MIT who helped design Governor Romney's health care law in Massachusetts, also helped design Obama care. We have underpaid on a chronic basis. In our model, the physician acts as a quarterback. It's all about the numbers and how many millions of dollars, if not billions of dollars, you're earning in profits. GUPTA: Doctor Tuckson, I mean, one of the concerns -- and again, we will get right to it, it's simply not reimbursing enough money for primary care doctors. I need some help over here. Come back in a month or so? MARTIN: Thyroid is a little bit big. I imagine the other smoke jumpers thought the guy was crazy, but his idea was this. And we see that suffering. UNIDENTIFIED FEMALE: He was issued this bottle today with 20 in it and 10 are missing. I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. (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. BULLIS: Catching it very, very early after their exposure and allowing them to process that is so critical in the long-term recovery. UNIDENTIFIED MALE: So uncomfortable and I need to pee again. But, in fact, the more I looked, the more I found that there's all this stuff in medicine that we don't think about that is actually harmful. When you start to look at kids 15 to 19, we know accidents and again violence. Not just the health, but healthcare, the health of a nation. People eat what's cheap and what's available. They are patients with heart failure, they are morbidly obese patients. Try to understand where the redundancies are. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. MARTIN: Bye. The Dartmouth study showed the patients in places like Miami were receiving more care. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). We don't have to spend ourselves into poverty on healthcare. This is major reason why we see kids getting fat in this country. It's too much paying for it. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. Is that a fair message? Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. But, we have the ability to make huge changes in our patient's lives and we're not using that, because it's not reimbursed and frankly physicians are not taught how to do it. Aladdin and the King of Thieves/Transcript. UNIDENTIFIED FEMALE: OK. Transcripts Dragons: The Nine Realms Fire Escape Script view. Sometimes we're talking about them on a daily basis. See you soon. I can't be having heart problems. I came to Walter Reed. . And welcome home. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. UNIDENTIFIED FEMALE: OK, I need some help over here. Blood pressure under control, a discount. 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. Log in to your account. Right? You have the ability to reduce or raise the risk of many preventable diseases. I had no knowledge of ways to prevent heart attack or stroke or cancer or things like that. I take a pharmaceutical drug myself, but if there's one thing that I would love to see you begin to implement in your own practice and teach others about, it's to try to change this mindset that has so completely taken hold in our culture on the part of both doctors and patients that drugs are the only legitimate way to treat disease. I'm going to the emergency department. Wag Dodge survived, nearly unharmed, in his escape fire. Rescue care is second to none. DR. CLIVE ALONZO, HOSPITAL INTERNIST, CROWN POINT, INDIANA: My medical training was just focused on giving these patients pharmaceuticals or giving them expensive tests to treat the condition after it occurred. We've just created a completely different system here. We are second to none in this country for those things. It's the best treatment and it saves lives, period. The way that the system is set up, you can't be effective. It's a happy time in my life right now. A lot of that comes you spoke - we spoke about are driven by people who don't have access to the system. 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. If you have cholesterol under control, a discount. Don't need you, don't need you. Sometimes it's related to what the individuals actually have access to. I was on anti-depressants. BROWNLEE: The really astonishing part about the fact that we spend more is we have worst health outcomes. UNIDENTIFIED FEMALE: You realize one day, wow, I haven't worked out. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. And the actual costs for care here is among the lowest in the country. Have you -- UNIDENTIFIED FEMALE: 2008. Try to break a sweat every day. He asked for pain medication. RICE: And I was surprised about this, particularly the data. Here you go. Everybody agrees on that. We have made all of this unhealthy food the cheapest and most available food. Power your marketing strategy with perfectly branded videos to drive better ROI. Why do we care about covering the uninsured? 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. more . 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. BROWNLEE: We have a disease care system, and we have a very profitable disease care system. These lifestyle changes cannot only work as well as drugs and surgery, but often even better at a fraction of the cost and the only side effects are good ones. (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. Again , when I'm talking about disincentives. Can't wait to be there. That was the message that, you know, I think was the you got from that documentary. DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: In 1949, a forest fire broke out in Mann Gulch, Montana. RICE: You know, I think, the biggest incentive for patients is that they are going to leave a higher quality at longer life. Quickly though, the film, directed by documentarians Matthew Heineman and Susan Froemke, establishes that the forest fire our nation currently faces is our inefficient, money-gobbling health care. It had to do with the idea of essentially paying people to be healthy. They become more productive. What made you decide to do that? 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. The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? Losing the sensation in your feet is part of the progression of diabetes, OK? Who should get a stent? And that being applied to health care just doesn't work. BARACK OBAMA, PRESIDENT OF THE UNITED STATES: Following the example of places like Safeway. He is also a president of the society for interventional and geography in intervention. They had to live with some of the new consumer protections in the bill that does make it illegal for companies to just cancel someone's policy because of a preexisting condition. 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. The documents are coming out in these court suits, it looks worse and worse. Job number two was to make sure that there was not a public option.