Transcripts For CSPAN2 Q A 20130112 : vimarsana.com

Titled escape fire the fight to rescue American Healthcare. Its currently available in select theaters, on itunes and video on demand. Cspan matt heineman, one of the things that her bio sheet is youve developed a multimedia undertaking other Young Americans project. What was there . Guest thursday project called our time. I actually studied history in college. I do intention of being the filmmaker. I actually wanted to be a teacher and i got rejected from teacher erika inserted was sitting around trying to decide what to do and we had this plan to drive across the country for three months of interviewing kids from all walks of life to figure out what our generation is about to get sponsorship money, bought an rv and ended up driving around the country. That was my first film. I learned a ton about filmmaking , a ton about life and i fill them up with the process. With a blogger, you know, shot a film, church raided the. From that film, it led me to his job at hbo and started me down this crazy path of making documentary films. Cspan one question about teach for america. How big of an ego destroyer is that when they dont take you . How many young people try to become teach for america . Guest i couldnt believe it. I thought, im trying to help people and be a teacher and you get it, but it hurt. I wouldnt be sitting here if that hadnt happened. I ended up interviewing wendy kopp from teach for america for my first son, so it came full circle. Cspan go back to the project of going around the country. Where did you go, how many people really do how much did it cost you . Guest in fall 2005 a data for three of of my best friends. It was really cheap. We were scrapping together money from family and friends. We get sponsorship money from nantucket nectars and penske corp. , but he was really bootstraps, rest guerrilla filmmaking. Id never held a camera before, never taken a civil class before. It is just learning as we went. It is really an exhilarating experience. What an honor to go up to anyone across the country and get their story and speaks them about truth sendups of their lives. It was a meaningful experience. It was wonderful because we have this wide range of characters. Have theater views are planned. Mark from facebook to a drug dealer, to the cancer researcher, to homeless kids. Cspan what did you learn about young people . Guest i learned a lot. And learned that no matter where, is sort of cliche, but i matter where youre from, no matter what your background is, everyone has a burning desire to be better, do better, improve themselves. I want to wait for my trip because we went in without these preconceived notions that people in other generations are calling us apathetic and spoonfed and i walked to a feeling inspired our generation, you know, does want to fix this country, does want to fix this world. I dont know if its going to happen overnight. I think our world is changing every day. The way we communicate, the way we effect change is going to be different than my father and grandmother grew up up in the 60s. We are not up there in the streets protesting. We communicate and spread information in a much different way. Cspan so where does you grew up . Guest i was born in d. C. , grew up in connecticut, went to school in new hampshire. Cspan what this tapestry of your family . What do your parents do . Guest my mother is a journalist, a science writer. Cspan was her name heineman . Guest christine russell. She kept her maiden name. My dad, then heineman started out in the Public Sector and ended his career working for generally let trick and now teaches in boston. Cspan this is the wellknown then heineman. Was this other also wellknown . Explain not. This is the first deadline this review, but how do they fit into the past . Guest i had a very my parents and my grandmother are amazing people and i feel very lucky. Cspan what did they do . Guest my grandfather was a selfmade man. His father actually killed himself in 1929 after the stock rocket crash and was left alone to fend for his family. Went to school, claimed his plan to law school and started out as a lawyer and started running northwest railroad and a number of other businesses in chicago. With very specific advisor to president johnson and i think my dad and i inherited a lot of their social believes and i carry a lot of that into the filmmaking i do for sure. Cspan by the decided dartmouth to study history . Guest i didnt know what else to study. I didnt know what i want to do with my life. I didnt have a lot of direction. I played sports in college and id always been fascinated by history. Ive been fascinated by the civil war, took a trip in high school to gettysburg and let history, so i decided to major in it and it really taught me to be analytical, to think critically about events. I try to learn from the past to affect the future. Bright co. Why film . What did you think film would do for you . Didgeridoo film apartheid . Guest tape, video. Cspan y video . Guest i stumbled into it. I fell in love with the process and film has this amazing power to really tell stories in a way that touches audiences and touches people this early in a way that the written form cant do. I mean, you can really speak great social truths through the power of the documentary form. It such a malleable form. In this film, escape fire, which im sure will talk about, we shot talking head interviews, list it on fire, had animation. It was really a hybrid form with all these different techniques that we used to really tell the story of our broken Health Care System. So its a beautiful form and i love documentaries. Cspan will get to escape fire in just a second. Go back to the first documentary. I was a documentary with the travel across the country . Guest we thought we were going to make a documentary and we shot 150 hours of footage. We didnt know what we were doing. We were filming, meeting people and following archived and came home three months later and said what the heck are we going to do with this . Final cut pro, a cheap editing program, read some books and started playing around with the footage. I ended up cutting together a short film. We renew our lens three months after katrina, saying it a a little short about the day we were there. I can, i kind of was amazed about how movie no place to do this and i just dont love the process. Draco and then we ended up coming together a film. We at film festivals, kept getting good and kept getting people are saying this really brilliant, but im not sure if it is for a period eventually i got in the hands of an executive at hbo and he brought me in and said id love film. We love the film here. We dont want to buy it, we want to hire you to help reduce the alzheimers project, which is a Public Health campaign they were doing. So is hired as one of their producers. Cspan you still have all the video you havent used . Guest i continue to edit the film and found it to the documentary channel four is now available on amazon and hulu and other digital platforms. Cspan and the name . Guest our time. Cspan how did that go . On my home site is still there, on demand i believe. Guest you can still watch on demand. You can buy it on dvd, stream it online as well. Again, i submitted my film, and ended up getting hired as a producer. Cspan whited hbo want to do this project . Guest hbo they are a wonderful channel because they produce a ton of content, but they are socially conscious and every couple years they produce large Public Health campaigns. They first did one on cancer, benediction. I worked on the alzheimers project and is recently did a Public Health campaign on obesity. Cspan what did you learn . Over the big things you learn from the alzheimers project and how many different shows further . Guest these four different films. I was a producer on one of them called momentum and science, which is sort of where we are in the sign of alzheimers. There is a film for children. As a film for caregivers. And ive learned a ton. Id gone from working on my own in a closet in my apartment, editing my first film to working with oscar nominated Emmy Award Winning filmmakers who became a mentor is. John hoffman, you know, the executive and producer of the project, who hired me has really been a mentor. Hes a wonderful man has been very kind to me throughout my career. I also collaborated with susan domke. Intimately we got along really well and ended up deciding to work on our latest on together. Cspan who is susan from key . Guest a multiawardwinning documentary filmmaker. Her first film is greater and shes made over 30 films in her career. So its really been a privilege is a privilege working at hbo with such talent and the resort of my film school. Cspan how close are you to your 30th birthday . Guest a year away from a 30 earth day. Cspan youve done all this in your 29 . Guest yet. Cspan the recently asked a year besides his back on us because youre the documentary justreleased event last month or so about whether . Guest the film is called escape fire the fight to rescue American Healthcare and its really about how online our hope is system is broken. Why does it want to change and people out there trying to change it. We started making the film in 2009 just as the Health Health e debate was heating up and theres so much fear and confusion around the topic. It was dividing our country, the topic of hope here. I think both susan and i really wanted to understand, you know, how the system came to be, why did this perverse system exists . We also wanted to find solutions and people out there chained to change it. So we didnt want to make it just a polemic. We wanted a film highlighted solutions well. Cspan lets jump into a cut. We have about 10 minutes every hour and 39 minute documentary that we will run during this discussion. Lets jump and you can tell us the people we are seeing. I need some help over here. Did he try to get up without anybody knowing . Aegis ruled himself out. Hes really not listening very well. We dont want them to fall again. Now they put him on the other side. Im going to find out what the guy. Hes like clutching his head. He was issued this bottle today. Hes taken 10 tablets. That is ridiculous. He could stop breathing if he took too much. Cspan where are you . Guest we are in a matter that flight from brownstein, germany to Andrews Air Force base and we are really looking up the military is a microcosm for the rest of america and that they have the default alliance on pharmaceutical drugs. In america we spent 300 billion a year on drugs, its almost as much as the rest of the combined. So we really wanted to try to explore this and we ended up deciding to explore it to the military. You cannot must not pick up the paper every day and not see something about overmedication or suicide in the military. So when we heard that the military is trying to fix this problem and that they were trying to do a study to see if acupuncture could work in lieu of drugs on this matter that flight, it just the sort of a homeless story we wanted to explore and it took us about a year to get access to get on that plane. With permission from the u. S. Air force, u. S. Army, took a long, long time. I was sweating while its right before new year in 20 time. Finally at the last minute we got permission to get on the plane and what received they are as we dont see that people are not steady. We ended up following a character called sergeant jesu is heavily, heavily overmedicated. What we see in the clip is what happens when we have a fragmented system, when we have a bunch of different doctors not looking out for a whole person. Theres no way a human being should be on as many jokes as he was on that plane. He almost died. Cspan he holds up a bag full of containers of pills. Guest nurses and docs just couldnt figure out what he was fond, how many drugs he was on and his Blood Pressure dropped to a dangerous level, where he almost died. The whole plan was literally on shutdown. Everyone was on high alert. Cspan that was in the air . Guest we were in the air across the atlantic. Greenstein and germany to Andrews Air Force base. Searching gates, the young man we see in that clip has really handed it being the heart and soul of escape fire, of our film. Somebody we ended up following for about six months. Cspan did he agree before or after that you could use this . Guest he agree before. Cspan to be shy and something . Guest we basically got free rein with the military. Obviously within reason, but for patients that we were following intimately, we needed a release from nonand the military needs a release as well. So he signed some paint before we got on a plane. Cspan did the military have any say to what you could use . Guest now. Cspan how many people on the plane . Guest way we work is really intimately, so as nonintrusive as possible. It was just myself, my cinematographer and may soundman, miller. I was filming a little bit as well. The key to the scene is not that wouldve worked. In many ways, thats the emotional crux of the film and where we really started getting to the belly of the beast of our system and see one of the most raw moments of our film. None of that wouldve happened if we hadnt been able to plug into the nurses had said studio to understand what is happening because it was so noisy and i you couldnt even hear yourself think or talk. Cspan where he Sergeant Robert gates today . Guest we ended up following him for many months as they said and he ended up entering himself into an Innovative Program at walter reid, with the ended up using acupuncture, meditation, using other techniques to wean him off the drugs he was on and through this program he was able to walk out at walter reid on his own two feet. So i really commend the military for two things. For one, allowing us to tell the story, both the good and the bad, but for recognizing this problem, by recognizing that there is this problem of overmedication and they are looking outside the box ideas on how to fix it. Thats the whole thesis of the film, divided for a escape fire is the status quo is not working i would need to look outside the box ideas. Reiko explained because we havent seen it, what is escape fire . Guest short version or one version . Guest cspan soupy blood and idea so people have an idea. Guest basically would have been with the force Fire Fighters were dropped dead to fight this fire. The latest and greatest technology filled this hubris. They called it a 10 00 fire. Suddenly they found the wind shifted directions and found themselves running in the leader of the group that they match, bring the area around 10 so when the fire came and overtook him, hed be safe in what is now known as an escape fire. He called for his men to join him, but nobody did. They kept running up a hill for dear life. They all died and he survived unharmed in this escape fire. Its a metaphor that our Health Care System is burning ember of burning at the show, sticking to the status quo were the answer is right in front of us. Cspan heres another couple of people we see a lot of in a documentary. The former journalist, Sharon Brownlee and doc to leslie choate. Sharon bromley was with u. S. News at one point. Why did you pick her as a spokesperson . Guest she had written a book called overtreated and not the wizard is seminal for us in understanding more is not better , that moore can hurt us. It was her book to explain that to eyes and therefore i sought her out to be in our film. Cspan here she is in others. The vast majority are paid by a feeforservice system. That means they get paid for each office visit. If their surgeons, they get paid for each procedure. If its a radiologist, they get paid for each ct scan they deliver. Cspan if i spent five minutes for you, you probably get paid 1500. For me to spend 45 minutes on an established visit with the patient to make sure theyre doing exercise, making sure diabetes is okay and to figure out whether to problem says, probably get paid 15. Its a completely irrational system. Feeforservice rewards physicians for doing more. It does not reward them for doing a better job. It doesnt report them for keeping patients healthy. It rewards them for giving more care. Cspan what the doctors think of the feeforservice . Did you find out . Guest it is an antiquated, broken, perverse system that nobody is happy with, that is a predominately in which medicine is ran worst in our country. We pay for pieces that we get pieces. As they explain in the clip, we pay for individual procedures. We pay for prescribing drugs. Each service that a doctor provide is paid for. When you pay forvize to d more. Youre not incentivized to whats right for the patient. Or incentivize to get my pills. So the problem with that is you dont really get to the bottom of whats wrong with somebody unnecessarily. You dont have time to spend 45 minutes to understand whats going on with their heart condition, whether there are other ways of changing the lifestyle or other aims. Its much easier to say who go into the lab and put a stent in. Cspan how did you get to the Cleveland Clinic you have in the documentary, how did you find you find asner . Guest we were reading the New York Times and theres an article about a doctor outside of washington d. C. Who is basically putting in way too many stands. This article explains overtreatment and not one of the doctors quoted was the head of cardiology at the Cleveland Clinic. So we gave him a call and asked him to be in our film and he agreed and it threw him that we learned more about the clinic as a model for health care. In speaking with them, one of dr. Shows patience. Cspan here is here is more to continue that part of the story. How are you . I have great. She came to see me when she was at her with sand. She had had bypass surgery at an early age. 27 cardiac catheterization and well over 7 cents. This is just an unbelievable amount of students. Im sorry, its going to get pretty tight. I cant tell you how shocked we were when we saw her for the first time because he was a young woman whose diabetes is not well controlled or her cholesterol is well controlled in her high Blood Pressure is never well controlled. If some one had talked to her, someone would see her chest pain and shortness of breath. Many of them would not have been necessary. 27 catheterizations . How often was that the case . Guest thats an extreme case, but not that extreme. So many people have students that dont meet them. In fact, 97 dont actually im helpful or useful. Cspan why do they do it . Guest because that is that they are to do. Its easier to put in a stints been spending time getting them to change their lifestyle by putting them in cardiac rehab. Frankly apace why are. It paid 1500 or how often actually wanted to generate more money and take care of patients . Guest im not a senate. I dont think people going to messenger people, to make money off of people, though he set up a system that allows them to profit off of sickness. To profit off of doing procedures. If those are the incentives given, what are you going to do . Snr film, two men with a hammer, everything looks like a nail that really holds true when it comes to the feeforservice model that theyre paid that way, taught that way. Thats what they do. Cspan the woman, you cant osborne, what were your with her . Guest castine is incredibly important. We never like to film people and leave them on the cutting room floor as such is possible. When we filmed someone, were very judicious in finding who we want to film in speaking to them at length before hand. And so, its a several week on process and finding her. Reiko who is dr. Leslie choate . Guest head of cardiology for the womens clinic at the Cleveland Clinic. Cspan she talks about the fact that she gets 15 to talk to someone for 45 minutes in 1500 to do you catheterization. Guest she sang a Traditional Medicine thats happened at the Cleveland Clinic its a different model, where they are paid on salary. So she doesnt get paid anymore to do more. She doesnt get paid anymore to get more care. She gets paid a flat salary and incentivize to do a better job. Cspan ive never seen a case or is only 15 for a visit. Guest is how much the doctors themselves get paid. Not the hospital. Riker weve got another doctor you feature, a young woman with a small child, we search out the saw, aaron martin. Very she . Guest shoes in hood river oregon. Cspan buddy to go to her . Guests are dr. Martin represented the frustration about this. We as americans, Everyday Americans who arent in the medical field, most americans arent happy with health care, but what i didnt really realize just how unhappy. Bizarre. 50 without. 50 of doctors who get out of medicine if they could. It represents not only the frustration of doctors, but the frustration of primary care doc or is, which is really the basis of health care. We have a succession with the specialists. The specialists get paid more. Doctors appointment device to going to Specialty Care and we have this primary care physician. Primary care is the basis of health care. Its how we have preventive care, how we move from having a disease care system. Cspan shes in a Community Health care clinic. What was the situation there pays for that clinic . Guest thats the sort of government run clinic. They mostly get paid by the state enter medicare and medicaid. Cspan lets introduce everybody to dr. Martin. Instead of basing things on outcomes and how good of a job we are doing, it is the number of patients that we see. It doesnt matter how complicated they are. Vicious number one, two, three, four, five. You have to play how much time and id like to send it down because the administration is telling you you need to seamer patience. Simmons is what can we do to get your productivity up . Im not interested in getting productivity up. Im interested in helping patients. Cspan what happened here . Guest shed come as you can see in this clip was not happy with where she lives. She was not happy with being forced to put bandaid fixes and much deeper problems. She was handcuffed by the system. She was for his to see so many patients, so she was so frustrated she ended up leaving. We followed her name on a sheet ekes out a different clinic that perhaps will allow her to succeed in a more meaningful way. Cspan window to oregon and videotaped her she was leaving not . For each end up . Guest she ended up going to a fellowship with dr. Andrew weill, who is a big turkana of preventive medicine. What he has done this he thinks theres a gap gap in medical education that most medical schools only spent four hours on micturition. If you look at her disease, i dont know the exact number, but theres a huge percentage of Heart Disease based on nutrition and lifestyle choices. Heart disease is the number one in america. I think what hes trying to do is basically bring some doctors out of the country of reteach agree teaches them anyway, a much more holistic look at the body, teaches them preventive medicine, nutrition and other things. These are not just primary care doctors. These are specialists as well. So she goes to the clinic. Excuse me, goes to the Fellowship Program where she was reinvigorated by an end to find another clinic to process data. Cspan so when they see the very wellknown book writer, lecturer and d. And r. Nash and nice, who was going to say i now know where theyre coming from . Guest i think a lot of people view dr. Lyle and dr. Ornish is french. There is, who advocate for alternative medicine. I think that is an unfair viewpoint. First of all you think theyre both incredibly smart and passionate about fixing our Health Care System. They both strongly believe we need to move away from this disease care system to match mark preventive aids Health Care System. Dr. Weil himself is dedicating himself to education and through education he can change the culture of medicine. Dr. Ornish has used science to show that lifestyle can reverse Heart Disease. Its amazing what hes done recently. Hes shown that telomeres, the ends of your chromosomes. And when youre stressed, telomeres get lessons. Meat on it well, and exercise to get lessons. Youre much more successful that when you increase your lifestyle, if you exercise more, if you eat right, if you destress, you can link to your telomeres and protect yourself against disease. Cspan this gentleman is somewhat known in this town because he was a recess appointment to run medicaid and medicare, to her per week. The republicans blocked him, that people would write the republicans liked him associate democrats. What led to your decision in your documentary . Two things. I think hes one of the few people that can fix our system. The reason why we were that to happen is that he wrote an essay which was previously a speech he gave called escape fire. For a year and a half, it is called a tale of two systems, which is pretty much the most boring film title of all time and we would literally scratching our heads, feet couldnt figure out what to call. Someone sent us this essay called escape fire, in which we look at our brain Health Care System and a forest fire. When we read that, we knew what we wanted to call her film. We sought him out to be interviewed for the film. Ultimately, ended up being a seasick character, coming in and out as one of her experts that we we to the film. Cspan once again the former u. S. News reporter and dr. Berwick. Lets watch. We spend a spectacular amounts of money on health care. 2. 7 trillion per year. The average per capita cost of health care in the developed world is about 3000. In the United States, it was around 8000 annually. We spent one heck of a lot of money. Health care system isnt affordable anymore. Pacer that . This is all coming out of our pockets. Its your money. The really astonishing part about the fact we spend more as we have worse health outcomes. If you need complex cardiac surgery, youre lucky to be in this country. Rescue kerry is second to none. As an overall system, were not anywhere near the best in the world. Look at our results, our lifespan isnt even in the top 20. We have a disease care system and we have a very profitable disease care system. The disease care system, if it really was honest with itself, it doesnt want you to die and doesnt want you to get well. He just wants you to keep coming back for your care of your chronic disease. Cspan polls show that a lot of americans think what the best in the world. Read the best best health care anywhere. Theyre happy with the Health Care System. Whos going to be the most unhappy with this film . Guest people always ask us, who are the villains . Cspan i didnt ask you that. I want to know who you think will be unhappy and not point of view is just baloney. Guest i think the status quo will be unhappy with the film. The status quo was really powerful. Andy lyle says theres rivers of money trencher very few pockets and the owners of the pockets dont want to see anything change in the owners the big insurers, pharmaceutical industries, and you know, theyre making a lot of money off of this sick care system, disease care system we have and they dont want to see anything change. But what we see the clip is we spent twice as much if any other developed country in the world, but we are at or near the bottom on almost every measure propels care. Into vitality, we are rethinking the 28th. Literally, i never macek of health, we are at or near the bottom. Clearly we are spending more, but getting way less than this has to change. Cspan one of those that was obviously invisibly critical of the Insurance Companies as a former Insurance Company executive by the name of Wendell Potter. Who is he . Guest a former executive at sigma who visited a place called remote area medical. Remote area medical was started by tv personality from britain. It would send airplanes into third world countries to provide health care. They realize theres places in the u. S. That once getting but equally needed that type of care. So he literally flies in these jumbo jets provides health care to fairgrounds, nascar crowns. And when Wendell Potter went to visit one of these missions, he saw thousands thousands of uninsured people who were standing in line to get health care and animal stalls and barns. He was denying people access to care. He was with insurance at the time . Guest he didnt realize he was doing. Draco did he speak out before he left the company for after . Guest he stated the company a couple months and couldnt keep looking at himself in the merida cited to resign. Cspan hardisty make us money now . Guest he wrote a book about his experience and he speaks in lectures and writes. Cspan have the Insurance Companies done anything to stop them . Guest he doesnt like them called a whistleblower. He is not really whistleblower. Evan is hard to stop and because hes a really grounded a lot of whistleblowers are extreme and polarizing. Hes really wellliked by everyone. Even people in the industry. So he doesnt have too many enemies. Too many people dont like him, but he started unveiling something people sort of arty neo, the really speaking the truth about it. Cspan here is Wendell Potter. Guest theres the assumption that people who run governments are elected officials, members of congress. But its not true in many cases. The power lies of corporate interests on this obvious. Good morning folks, how are you . I was almost as surprised as anybody to see the reports i was the most frequent visitor to the white house during the Health Reform debate. It was important to keep expressing the hospitals position. Its an expensive world to live and in terms of getting your voice heard in d. C. But thats the whole that idiocy. How powerful our lobbyists and the Health Care System . Infinitely. Cspan why did the head of the American Hospital Association Talk to you . Guest they wanted to give their perspective that we wanted the above lobbyists. I dont think hes a bad guy at all. I think you just doing his job. His job is to advocate on behalf of hospitals and thats the way our system is set up. Cspan Shannon Brian laughed about the hospital thing. What did the Health Care Industry get for that 1. 1 brilliant . Guest the Health Care Industry, specifically insurance got it though that didnt have a public option and was essentially giving them 30 million more customers. The real winners it got many more customers. Many people dont think about it that way, but thats sort of what happened. Cspan how much money do you spend pharmaceuticals . Guest 300 billion. Cspan that 1. 1 billion was small pharmaceuticals . Guest now, a number of Different Health care lobbyists. Its unclear exactly what the hospitals offering the bill. One of the things that is a beneficial thing coming out of the bill for sure is that theres many demonstration projects in which they are trying to examine forms of payment, were hospitals and instead of getting paid for feeforservice, incited doing more, they are giving it up sum of money and saying you have to take care of these people and be more judicious in how you pay for them. So its much more of an emphasis on quality versus quantity and remains to be seen whether thats going to work. Cspan you say you are not cynical, but he went through the whole alzheimers discussion for hbo. Ive been to this documentary on health care. If you watch her documentary, the Pharmaceuticals Get knocked. The government gets knocked by the fact that they determined, as we saw the doctors had seen so many patients today in order to make the money and all that. Are we better off today than we were before the Health Care Bill was passed . How did you come out of this . Guest you now, i think with our film would really try to be agnostic politically. So many of these documentaries, you sort of walk out of them feeling depressed and hopeless and we really did not want to make that type of film. From day one, we wanted a film that highlighted not just problems for solutions, but also that wasnt partisan, wasnt tied to a piece of legislation that essentially would allow a sane and menfolk complication. To bring all stakeholders to the table. Cspan heres the ceo said wei. Why did you check him . Guest it was a model that both sides sort of lauded as how the private sector can be part of solution. Cspan lets watch steve bird. One company figured out how to Lower Health Care costs by more than 40 . Its an idea with national attention. A safeway Supermarket Chain looked for a way to rename printemps and had to is a winwin solution. In 2005, with a billion Health Care Bill granting that 100 billion a year. Diabetics and prescriptions you can see how many scripts and the average script. What we discovered with 70 of Health Care Costs are given by peoples behaviors. And i had the affair was 200 pounds. I have made pizza, comics, dvds and that was the weekend. U. S. One day i havent worked out, have been exercising to get busy and its the last thing you really concerned about. I was chronically having colds and if there is a history of cancer and my family, diabetes, Heart Disease. I was a walking dead man. As a business guy that if we could influence behavior over 200,000 person workforce, we could have effects on Health Care Costs. The easiest starting point was in the 30,000 nonunion workforce. I believe within four years, all of our employees get this health care plan. A billion dollars Health Care Bill growing up in a hundred Million Dollars a year. It seems like you like you put through in this documentary, stop eating so much and exercise. Guest yeah, 75 of Health Care Costs, three quarters of Health Care Costs go to preventable diseases, some forms of cancer, diabetes, so we as a society need to figure out how to come more healthy. For me to incentivize people to do so, give them resources to do so. Stop subsidizing the wrong foods. I mean, its a multifactorial problem. Americans are lazy people. I think what we see in the film and real experience on a daily lives, if we dont go to the doctor and get a pill to fix something im aware and happy. So one of the messages they really hope comes across in this film is that we do have this amazing power to heal, that we do have ownership over our own health. Sure, some people have genetic predisposition and because of their socioeconomic status dont have the same resources, but within all of us, we have this capacity for healing. Cspan can you tell us how much this costs you to do . Guest the film . I dont know. I dont feel comfortable. Cspan who funded it . Guest we had one investor, but the majority came from grants, from foundations and individuals across the country who believed in what we were doing. Cspan how could somebody get this if they wanted . Guest we just released in theaters across the country. Its also available on itunes and videoondemand. Cspan do you want to make money with this . Guest i think, no. Of course i need money to live in pictures on the table and to get by, but first, the film is much more than just a film, just a commercial product. We hope the film can be used for social good and we seen that happen already. Two weeks ago rescreened over 62 medical schools across the country, all in one night. I was at Johns Hopkins just north of here and just to see the energy for change. Theres really this powerful movement out there that people want to change the system, that people want to fix this problem. A week later we screened at the pentagon, hosted by the u. S. Surgeon general. She said this film is going to propel us how we Practice Health care in the military. Thats powerful stuff. But i am most optimistic about if i dont know if we can weep for change to happen in washington. I dont know if we can weep for national change. But i must to mistake about this change happening at a local level, community by community, clinic to clinic. Final clip for a discussion. Dr. Nissen from the Cleveland Clinic. The commercials on television, why do we need to wait . We can take a pill right now. When i watch the networks, half the answer for pharmaceutical agents. The its not sure canada, united kingdom, france, germany. The only other countries new zealand. New zealand and United States or the other two countries to advertise prescription drugs. What does that do . It drives demand. The ads always end with the same phrase. Ask your doctor. And people do. And doctors wanting to please patients who often prescribe it. Cspan do you know when they started, having pharmaceutical ads on television . Guest to be honest, i dont know. I think was in the 70s, but im not exactly sure. We are the only other country other than new zealand allowed to do this. Cspan why are we the only ones . And why new zealand . Guest thats a good question. Why are we allowed to . Of god, who knows. Its really restless leg syndrome. Some of these agencies have created diseases that we otros around and people are making millions of dollars off and. Cspan did you look into why we see the stats on the evening news shows for the advertisement paid for your left arm i fall off, yearbyyear microwave and they go on and on about what the side effects are. Why do they have to do that . Why do they do . Guest they are legally obligated to lessen side effects. It was a law passed to force them to list the side effects. We have a sequence in the film, listing all the side effects. Your head will fall off, arm will fall off. Your private parts will fall off. I mean, its crazy that these things happen to people and for giving to people that have the side effects. In the film, we see the story of india, a judge used for diabetes and ended up killing between 50 and 200,000 people because the Company Really sat on the evidence and had to hack that this is causing heart attacks and a subset of patients. Cspan what is next for you . Guest i dont know. I dont have any plans for another film. And dedicated to getting this film out there. I believe in this message and i plan on traveling around the country with the film. Right now or in the traditional release in theaters on demand in itunes, but i want to continue to take the films in two medical schools and businesses. We are planning on doing some what the va and i want to continue to work with the military, to really make sure this film can have an impact. Cspan for those who like documentary filmmaking, what is the big lesson you learned in doing this particular film that will never do again . Guest boy, i dont know if im ever going to take on such a big topic like this. I think one of the biggest hurdles for us was twofold. One, health care, health care when you scratch beneath the surface is a pretty boring, wonky subject. So we really from day one high to figure out how to make it interesting. Its also such a complex topic. President since Teddy Roosevelt had to fix this problem. So to make it digestible for audiences come it took us three and a half years to make the film. So i think what i find personally for myself and for my next film, i want to match driven, following one person or institution and have it not say a larger truth. Cspan just a rapper, born in d. C. , grew up in connecticut, went to dartmouth, did a whole project traveling across the country. The name of the island is what again . Guest is called our time. Cspan and the alzheimers project in what youre . Guest of us are the producers and i came out in 2009. Cspan this documentary is called escape fire the fight to rescue American Healthcare. Our guest has been trained for and we thank you. Guest thank you so much. For a dvd copy of the program, call 18776627726. For free transcripts or to give comments about this program, visi a