intimidating to selling investments and cheap. the next to me why it's not so unusual in los angeles to call an ambulance and end up with a fire crew giving you first aid. was the part of far more theatrical burns three or zero more interested in restoring service to expect us ok i wasn't a party farmer has been this patch on their on the way are you are you with her now i'll miss you. ok is she conscious. right. now i'll only. look at her. own little brown oh it will hurt it won't let me all the

looking over. her quite well i mean if you are back there at the battle but no longer he would let me do remember the ample fat a little bit but where would that edible want your advice your at that awful man i am i am i cannot family for you for the quality of of the hospital to give something like i want to use for much purposes only that are put it out of an emergency. it is not a murder plank someone has use for mercy purposes only as a life threatening emergency it is not.

god let's do everything we can to help you miss thirteen standards. today is the parade thoughts christmas parade ten o'clock goes till about well thirty three engine six five and rescue two six by.

three for the good of you guys that know you got the better going out. on you got it all right with him. and it is over to me and when you are not right and i'm going right you don't put them up. there are aware of. this merger of the amateur radio on the way. just tell me off the roof. it's about a twenty five foot tall. you can see or think that there's a god. i think i know i'll see about lilith through it on the floor. particularly when you're told that it's the whole thing ok.

let's play a little lucky. you don't act fast enough to get into the silly season and get in there fast and. take a deep breath. to get. my first computer four years ago we were averaging nine fifty a day. or average you know it well under three hundred calls i run today i could well have first of all that. we handle six hundred thousand americans see calls a year but the calls are on the m.s.i. there's been an explosion in color it's about eighty two percent of what we do the fire department is medical. roger or. several in our home is the address of your emergency is there any please is there bleeding. and i don't

believe you are the strong one year deal k. i want your toher rescue regions for me so i want to have a rest are you there with the right now your ok listen very carefully and it's already on the way what i need to find out from you right now is she conscious conscious beings awake the rising demand for a my services increasing every year are you nuts runs are going up two percent and hospitals are closing in the last four years and that ten hospitals close so it's less and less hospitals thruster take our five hundred seventeen patients every day the rest you get there they evaluate your situation it's been referred to as a perfect storm in the county of los angeles just getting bigger and bigger in this there's no. no relief in sight if you're having a health crisis you'd like to thank you can count on getting quick treatment in a hospital emergency room across the country today many emergency rooms were packed e.r. visits have grown thirty two percent in the last decade but there are seven percent

fewer emergency rooms from los angeles to chicago to birmingham twenty trauma centers have closed since two thousand seaters you know what's happening in the city of los angeles and in southern california is ground zero for what we're seeing nationwide with the crisis with emergency services. the inpatient beds per capita lowest in the country and what we've seen recently is the only real health care system that we have in the city of los angeles is the los angeles fire department because we have become the de facto health care system. this is the canary in the mauling of health care throughout the united states. outstanding thank you i. think. poorly

statistical information is to see big stuff right here oh yeah. mystic timber you miss incident. where did. eight hundred twenty seven. jungle and. it's a little surreal. if you go to sure this is really the case if you're still really breathing for those the ones who call the. station sixty five is in the south los angeles area of our city and they actually have two paramedic rescues down there one of our busiest engine companies we have in the city los angeles and fort unfortunately can't keep personnel that long there are they come there they grab a lot of experience in a relatively short period of time and they want to go on to a better place. people will. say yes.

i think through six. firefighters and first we're even e.m.t. and then they became e m t's and from my understanding it's a lot of firefighters pocket that maybe one of the e.m.'s in fact when i started my venture is a firefighter i didn't want to be a mass and i started out. i want to just do firefighting and they told us go get your mt license i said i can't hear you can't do it and i took an e.m.t. course and i thought all right i'll do it took the class just to get a license to try to get hired i was only thing i was planning on doing it was just using the license to get high and it turned out that i thoroughly enjoyed the events aspect of it as well my job where it was that it started with any us company

making good five bucks an hour for about four years five years which a lot of us had to do. our fire code has played an important role in driving down the volume and spirit of fires and because that is the reality what we need is more ambulances. ten years ago with half the evidence is that we have now now we have all of them see medical services in the city of los angeles. from the time you dial nine one one here in our dispatch center tel time you get to the hospital it's one service the one you want to family member to come with you to the hospital we walk you know to know. that you're. here.

to go see this. lady and you know this. urgent c room is very important. we see about three thousand patients a month through the murder scene part but. we had a day the other day where we saw hundred ten in one day and it was exciting and your name is effortless and just reach your story no need to lay you looking for i think her my mom a lot ok i've had a lot of pain and it's laying eggs where my legs get now in the news bulletins and you are in a doctor's office today and she was can certainly have blood by the way he had one before you're pregnant there's pressure right now this morning we're increasing staff in and trying to find room where there's never been room like you know

closets hallways things like that. so arctic sea i mean the whole we have it is about three times it's. discourteous the problem is not enough in-patient beds not enough urgency department beds and not enough nurses to man those best to take care of all the people who are here. we may have a hospital full of patients no beds upstairs where all patients in our yard because there's no beds upstairs and we do the best we were we can't turn them away. and we have a federal law that mandates that you can't turn no one away who seeks care in an emergency room. the reality is is that these people don't have primary care physicians that they can call so you're going to end up in the emergency room and i think that if we had a system where everyone had access to care they would.

this would not be happening because they would they would call their doctor. rescue racers are easier to rescue. my person or. rather. right right from. wrong. in season two way too much this year. what's worse i know that sort of breath just me. to spank really. you can play it just makes little difference for the receiver whether or grunting with your heart just go right right now let's get into a rhythm i want to make sure. we question but never take any such leniency in the

last twenty four hours that in. terms of voting no to treatment you know just on a more clear you know we're going to start ok had that sequence number in the spacious b. as in boy you two six six five four four six five he is now adamantly refusing the hospital there were rising on the wrists complication up to and including. willing to accept those responsibilities. i'm so hostile they want to speak with the. new team by the on talk to. yeah oh. yeah. some people are just like that they're you know they get the dream and they don't want to they don't want to go yeah we're locked up i was a boy. and specialist but.

a lot of times they don't have the medicine they can't get the. medicine is kind of for the medicine or they sell it for the use. of this is it up and take it back to the doctor. so because of that a lot of them tell us more primary care the fresh somebody sees. for individuals don't have access to health care or ambulance to show up with our paramedics on there and that's it that's the closest thing those people see a doctor over here so we're actually a doctor in a box if you will and our ambulance service here and. there are there are but. i'm not really. i make sure everybody stops and starts. to want to be more. just maybe sometimes we're going to hear martin luther king ok that's the way. you

should go we're strongly recommending it we can't force you to go when i have a good healthy baby right. let's go to hospital maybe you know fifty i know you. won't go to dinner who's a month doesn't that you know as a family what you're going to have already let me do this as a service not bring him home with crack and yet she could meet the tracking and just i think. as a young man to do this it was that although i didn't know you know goodness if she doesn't want to go with us well the worst possible case scenario is the baby can come out good and that's just being we're not going to sugarcoat it it's just being blunt i mean i'm going to have a grammar leaders have you had three and i pass it off so i'm not next project that you haven't enough. to do yet i think that you actually have a woman think once you stand up and find walks for us. i like when i see can be that. blood pressure already. or you feel standing. clearly.

they're not telling you not to run the sweetie. so you need to do the right thing for your baby that's less you can also look. ok ok ok we're going to hear martin luther king ok ok quest for the king is the greatest hospital shortly right yes or they say i mean my baby is like they are really really good. this is proof that we're picking them up on raw samples county supervisor. that opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson would welcome the south central area of los angeles county. wants was put on the map not only in california but the but the mission to the world. in one thousand six hundred five because of the riots six days of rioting in

a negro section of los angeles left behind seems reminiscent of war torn city much of south central los angeles seem to be on fire up fire killing five by unemployment or education and things like the lack of health care and. the mccollum commission said that the county must really hospital. just think that we had a section of los angeles county. over a third of american citizens without adequate hospital care. when i transferred in more you sticking. true hospital was the e.r. facility it was a hospital it was a trauma hospital trauma it was open which was actually a pretty state of the art trauma and. i believe we were saying to him fifty. maybe even closer to fifty five fifty seven thousand a year in the main mercy department

a lot of times we would get the diabetic and coma who knew something was wrong but didn't have the means to go to the doctor's office. again that goes to the problem that there are no primary care facilities in that area. a few years ago the county last year said a lot of clinics are open for people to go walk in off the street and see clinics in the county and a few bad budget years a few years ago they closed those clinics private clinics are going to open up and take under insured or patients who can't pay. and you don't have papers yes you have papers just permission how is your sugar level it's one hundred twenty eight. no it's four hundred that's very

bad for your diabetes. because they can see that you had an appointment with the pharmacy a week ago why didn't you go. i did go. this is this is a free clinic the medicine is free you see me for free so why didn't you come this costs money. a lot of the patients here and all comply and they don't want to structure their never raise with structure of what the school you know never stuck with a layer you know. so check your sugar two to three times a week don't use more not every day this is very expensive to not have insurance but this is where the money needs to go because if you've treated primary care why in this diabetic we prevent from getting you know failure our attacks leg cut off you know because if they don't we see them on the streets and then two years later he ends up at l.a. county hospital you've got to treat it as a cost five hundred thousand dollars. if you miss your next appointment or any

other appointment you can find a new clinic oh yes if i miss the appointment i can come back you know when. primary care nationally is a problem when it is and especially a problem here in los angeles county where do you go for primary care physicians first of all the country is not training enough for them.

so we have a possible candidate for the program. mr mayor has been identified as every one user she's been to. at least six times within the one year period we want to hear for also the care management part of it in order to maybe help her keep her out of that yard and having to come in ok to say mrs romero come to see my name is . i work with a program called road to house and to help the patient understand better how to use the medical system settings them maybe. but even going to have a case to occur is going to communicate with you often and they. use them as the way you were telling me how sometimes you have difficulty making appointments see ok so we are going to help you a little bit with that. all money out there how can i help you know maybe if they

didn't give me this mattson you do have to educate and empower patients to learn how to access care quickly and at the same time you can't do that if the system is not set up to be accessible if you're educating the patient to go down a road where the bridge is out and there's a fork in the road there's three different ways to go and you know which way to go that's not going to be very helpful. our vision is to improve access to care we want to give people access to the right care at the right time in the right place and we need to incentivize financially our primary care providers our physicians this is your family medicine doctor that you go see for a cold but also the person who is most likely to diagnose you if you have cancer. and you know you have refills you know but they told me i shouldn't come back with al did prescription for the k y in the not because they wouldn't salad to me that's one thing we need to explain to the fish and i don't know the feel. yes favorite

saying she's telling me that she gets it that i may be seen i get it you don't know if i must. be sure be sure for wellness we'll get together later for a lot of. birds go to. get a good thing for them or not. this. year. they're right. we have twenty eight. thirty risk here in ok you guys are doing much better you're just about reach but margery's goal of what he wanted to have been a last resource on scene within six minutes you guys are holding down seven minutes flat however the best it's ever been and it was six for one for. the super necessary this gives you the facts.

i had a doctor call me from a hospital but we rescued get there of no and he called me one evening any tells me that they couldn't take any more patients and their merger. so i asked him to explain exactly what he meant and he says we need to free our beds for our people and i said i will which people are your people. people that we're bringing them from these lower income areas are paying they don't have insurance they got to get treated they got to be seen. paying you can't function as a hospital and that's why we've lost some hospitals an aryan. cold a lost over five years we've had a love and emergency rooms close and in most cases entire hospitals. if you give a map of the city and you put a little dot where the hospitals are and you put a dot we're all supposed for the yours and.

wealthy british scientists on some time to. find. markets why not. come to. find out what's really happening to the global economy with mike stronger or a no holds barred look at the global financial headlines tune in to conjure reports

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a surge in extremist. for democracy. unconcerned about what's next he's got. the race to stop europe from drowning in a sea of debt she heads to moscow to see for russia can come to the rescue. to russian tycoon titans six and a half billion dollars and their reputations reports on the high cost drama playing out. costing live twenty four hours a day this is the welcome to the program libya's to gadhafi world. towards radical islam with strict. flags and evidence that it's barely a week sin.