He tried to get the other smoke jumpers to join him, and nobody did. They couldn't get insurance. UNIDENTIFIED MALE: Well, that had to be something to do with my diabetes. 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. Now we're kind of dealing with the consequences. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. Mountains of Afghanistan are not easy to climb, so pain in my back. She ended up having another open heart operation, another bypass operation. 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. How are you feeling? And doctors wanting to please their patients will often prescribe it. Is that how you get paid? CARNES: Notice where you are in the room, the people around. How to know if you are being prescribed unnecessary medications or procedures, that's next. We're part of the community. If we have better primary care that includes nutrition counseling, prevention and care of chronic disease, fewer people get sick. And if you try and buck the system, someone says, what can we do to get your productivity up? MARTIN: Yes? 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. Our forefathers in medicine were really about patients. GUPTA: I think the numbers are surprising to a lot of people, even people who work in hospital. 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. 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. That was the message that, you know, I think was the you got from that documentary. What does it look like over the next few years? Open your favorite browser and launch YouTube. I mean, they are going to watch that and think, that's ridiculous. He's taken 10 tablets. NISSEN: Because of the money that's involved, getting people to do the right thing for the American people has become extremely difficult. I'll be -- and what came to be known as an escape fire. UNIDENTIFIED MALE: I lost about 120 pounds over the course of three years. I need some help over here. 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. Takes about 15 minutes for you. Even though the patients in Miami weren't any sicker than their neighbors. 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. Let go of thinking, drop back in awareness and notice how a thought may show up, seemingly out of nowhere, or an image may show up and then disappear. The problem with Yvonne's case, is she had all of those stents before she had the risk factors controlled. Frankly, be suspicious of doctors who recommend one and frankly, think that they're just trying to make money off of me. You have all these stents, and these stents, once they go in, they never come out and are part of you. 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. The Dartmouth study showed the patients in places like Miami were receiving more care. WARD: I was chronically coming down with colds, and I knew that there was a history of cancer in my family, diabetes, heart disease. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. 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. 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. 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. It argues that American medical treatment is largely focused on getting people into hospitals and giving them drugs, two profit centers that are hugely expensive and supported by massive lobbying campaigns. Here you go. MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. Where does that money come from? We're on track for that on Tuesday. So he figured I was going to die because I was in such bad shape. We've just created a completely different system here. She had had bypass surgery at an early age. Because I've gotten a lot of inspiration from the fellowship. GUPTA: So you're salaried. It is a burning platform and they see this. KATY KASCH, HEAD NURSE, AIR MOBILITY COMMAND: Yes. OK, I can see what you can have for pain, all right? There are answers, we know what safe care looks like. BURD: Yes. You know? In Latin, it means, above all, do no harm. It would be so wonderful if their chronic health conditions could be prevented through effective primary care. Determine, did you indeed have two MRI's during the course of one week? ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? With their city in ruins, the people of London finally realized the only escape from the devastation of . MARTIN: At a community healthcare center like where I work, you see chronic illness, people that aren't able to afford their medications, lots of psychiatric illnesses. YATES: That's a healing process because you're not bottling up, it's going to a different section in your mind to where you can start processing it. And so behavior becomes a form of currency for people to accomplish their lifestyle changes. No eastern medicine. NISSEN: Finally, the FDA put severe restrictions on the drug. And the owners of those pockets do not want anything to fundamentally change. That requires so much work, but we do it because we're committed to having her stay out of the hospital. But so what, right? We are going to take a short break. So tired of it. Smoke jumpers were parachuted in a team of 15 headed by a foreman named Wag Dodge. UNIDENTIFIED FEMALE: We'll do it at the front. They sent me home with them. UNIDENTIFIED MALE: Yes. UNIDENTIFIED MALE: Not, not when I'm doing that. 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. It has to do with expectations of patients. What we do with waste in healthcare. It was with a huge amount of skepticism and resistance. Impressive. CARROLL: We found that the men who underwent lifestyle intervention, their PSA rates generally went down and they were less likely to require treatment. Okay. When a team from Dartmouth Medical School mapped Medicare payments, it found some disconcerting differences from one part of the country to another. What would happen? 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. We're saying that the system has created incentives in subtle and not so subtle ways drives more procedures. He lit a match and he lit a fire at his own feet. 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. Your arteries around the heart. So Doctor Rice, let me start with you. People say you're doing this radical intervention. We have a -- we have a motto in medicine. I'm interested in helping patients. UNIDENTIFIED CHILD: There we go. I'm not sure every country in the world does it perfectly. COSGROVE: Cleveland Clinic was founded by four physicians, and they realized they did better working as a team than as individual practitioners. NISSEN: What gives lobbyists power is the amount of money they have for campaign contributions. So that's rewarding for me. Exhale. Then all of a sudden I started getting chest pains. Alexander/Transcript. UNIDENTIFIED MALE: Yes. We are second to none in this country for those things. WGRZ reported that crews encountered heavy fire and thick smoke coming from the building at 747 Main St., after they got the call at 10:08 a.m. A Mayday was called early in the operation. I mean, what is that, boy? The fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. NISSEN: Yes. A flower for you. Both of these approaches are necessary, but it would be great if we had a better balance in Western medicine. ROSS: Do you have any eating habits -- UNIDENTIFIED MALE: No, I eat the regular food and stuff. Because what we think is best for us often isn't. The small wire cage you see there is the actual step. But he can have anywhere between five and 10 milligrams of morphine. UNIDENTIFIED FEMALE: OK. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. 5. I lost him. That prevents tissues from renewing themselves in the body and diseases take hold. It is an IV like this, about $280 just for the IV bag. How to make a healthy choices. 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. Aladdin and the King of Thieves/Transcript. I can't be having heart problems. The documents are coming out in these court suits, it looks worse and worse. NISSEN: When I watch the networks, half the ads are for pharmaceutical agents. And interestingly, patients really respond to that. Committed to her living longer and better. DR. ELIZABETH BLACKBURN, NOBEL PRIZE IN MEDICINE, 2009, UNIVERSITY OF CALIFORNIA SAN FRANCISCO: Telomere are the ends of chromosomes. The bigger issue is how do you deal with his enormous prices, you were just talking about with Nancy? MARTIN: Uh-huh. CARNES: We'll end the practice today with the completing statements. Yes, this is Dr. Martin over at La Clinica. Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. There's saving money and there's cost effective. UNIDENTIFIED MALE: So right now the only way we have to make up the difference is basically to see more people. There's been a lot of change in me in that transition between La Clinica and here. It rewards them for delivering more care. UNIDENTIFIED FEMALE: You know, I'm only 34 years old. Going back home. And Doctor Nissen is in salaried as well. I smoked six cigars a day, 10 cups of coffee, a lot of wine. 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. 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. (COMMERCIAL BREAK) DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: If we really can't begin to change, from paying for volume, paying for how much you do, to paying for outcomes, paying for how well you do, how well the patient does, that will change the game, people will start to say, well, now the money is in health and well being and safety and vitality, not in more, more, more, more, more. UNIDENTIFIED REPORTER: Safeway's healthcare costs have remained flat compared to a 40 percent jump for most other companies. They can pretty much get away with increasing the rates as much as they want to. It will require a huge effort. It was like something that I could never have imagined I'd ever see in this country. 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." DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: The problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. The army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. What do you think? We're spending almost twice as much in America as any other country on earth. And healthcare doesn't need to be immune to that. Something like that. NISSEN: I do. 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 . It was -- with a huge amount of skepticism and resistance. It was a great life. It just wants you to keep coming back for your care of your chronic disease. That's the only reason we're making the change. 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. UNIDENTIFIED MALE: A day, for 25 years. I came to Walter Reed. It doesn't reward them for keeping their patients healthy. To see if lifestyle changes can affect your (INAUDIBLE) even telomeres. But, you know, we have the means to decrease disease. That's how embedded people get in the status quo. If you have that desire to quit smoking, we'll get there eventually. 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. It sounded like it was so bad that you basically had to leave your practice. MARTIN: Wow. DR. ERIN MARTIN, PRIMARY CARE: I got to go to work. And then we're not going to help anybody. ROSS: OK, what was it, Mr. Linton, that finally made you say, okay, that's it. The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. DR. ANDREW WEIL: There's the bright blue slush. Again, you were part of the documentary. GUPTA: You know, one can't help but walk away from the documentary, Doctor , frankly, they are scared of stents. BROWNLEE: We spend a spectacular amount of money on healthcare. So inhale. Everybody agrees on that. We need a whole new kind of medicine. It is just tragic to think of the answer being there but just in the -- in the moment not able to see it. I think there's some very good drugs out there, I think drug treatment has its place. ESCAPE FIRE tackles one of the most pressing issues of our time: what can be done to save our broken medical system? It is important to keep in mind. Transcripts Dragons: The Nine Realms Fire Escape Script view. ROSS: How long ago was that? BERWICK: The healthcare system isn't affordable anymore. ROSS: When do you think it would be good to try it? DR. DON BERWICK, HEAD OF MEDICARE/MEDICAID, 2010-2011: It's scary how fast obesity is spreading in our country. GUPTA: For everybody here. But, one of the arguments seems to be, you add more people to the system, you get a lot more people insured. NISSEN: We do have a problem in America, and that is we have misaligned incentives. And remember that you can return to this place at any time during the meditation. That's going to be a little bit of a change and a little unfortunate. UNIDENTIFIED MALE: That's pretty good. The patient just fell off the litter. I mean, give me a break. I'm really, really pleased. He had -- he had Percocet then he has Marco which is Percocet. And chromosomes have all genetic information on them. WEIL: In Western medicine, all of our effort is on dispelling evil. A form of currency for people to accomplish their lifestyle changes can affect your ( INAUDIBLE ) even telomeres to. 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