the construction the small region special economic zone the promise is exceptional the treaties with the building your business in russia will come to the similar legion for more information log on to the existence of more of them are you. looking that this is our live from moscow here's a recap of all our top stories a push for diplomacy russia wants an attack on iran could have disastrous regional never touches the israel says a military action is a real possibility meanwhile the u.s. public watchdog is expected to release a report showing to iran is secretly developing a nuclear weapons capability. to fire and forget nato says it has no role in pulls it off with libya which seems to be sinking into retribution of violence and radical as a real laws of the country's political force all former gadhafi loyalists are

allegedly being hunted by the new authorities. when cashing the head of the international monetary fund that visits moscow in search of support for its struggles to prop up crisis hit economies russia is christine legarde first stop on the mission for the world's up and coming trip. but it's also court a.v.c. of the super rich russians that the legal logger heads to london as a lighter shown on the shady business dealings of the past the billions of dollars at stake. and now one r t why it's commonplace in los angeles when you call an ambulance with a fire crew given your first day our special report card store is. well it's a part of our more theoretical burns a bright orange yellow i mean everything in the mediterranean everything i've read everything and i think we're ok i wasn't

a part of farming has been this not down there on the way are you are you with her now are called is it. ok is she content with. a man. that i made right now i. thought it may. be getting. a commercial or solo album eleanor brown oh as we're on the first film i am also looking older say it all but the airplane i mean yes historic step take a little bit longer than the drama duke remember that there was a cadre of picked up there with them and if they want your address after them and i will answer them i care not only for you for the fall of the opening of the hospital there give champagne it's like i want to get commercial purposes only

going to america but it's got on the much map maybe it is not a merchant defined by one is used for membership purposes only there for like threatening emergencies and it's not. aimed.

please god let's do everything we can to help b.m.'s thirteen stats. paint me up for a thoughts christmas parade ten o'clock i suppose till about twelve thirty three engine six five in rescue to six i. think of the guy that i know that i love you guys that are going out. tonight all right. thank you so much i mean when you are not right and i'm going right to pick up you know. there are.

this merger of the am authority on the way. out is telling the truth. it's about a twenty five foot tall. you can see that there's a lot i think. i think i know i'll see about that with three on the floor. plan that means you're still nicely holding ok. let's play a little. act fast enough to get into the silly season thing get in there fast and. take a deep breath. again. but i first came down here four years ago we

were averaging nine fifty a day right over average you know well under three hundred calls it runs a day or less head first and stuff like that yeah. we handle six hundred thousand and we're just see cause a year but the calls are on me and inside there's been an explosion in color it's about eighty two percent of what we do the fire department is medical at the project at large i just get paid to read your paper so if you know how much the address of your emergency is there any please is there a lead. and i just don't feel that you are the stronger your deal k. i want your stronger restorations by me it's not how i want to discover that i do 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 means awake the rising demand for human services increasing every year on our us runs from

going out two percent and hospitals are closing in the last four years and got ten hospitals close so it's less and less hospitals for us to think of five hundred seventeen patients every day you'd be rescued get thirty years the curation that's been referred to as the perfect storm in the county of los angeles just getting bigger and bigger and this is no no relief in sight if you're having a health crisis you'd like to thank you thank 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 theaters are what's happening in the city of los angeles and in southern california is ground zero for what we're seeing nationwide with a crisis with parkinson's services. the impatient beds per capita lowest in the

country and what we've seen recently is the only real health care system that we have in city of los angeles is the los angeles fire department because we've become the de facto health care system. this is the canary in the mulling about health care throughout the united states and outstanding thank you. for at least the physical to me this is good stuff right here oh yes. mr cameron you misunderstood me. where did. eight hundred twenty seven. join. with a little surreal talk a little. different from the shortness of breath the case given still really breathing for all those the number one cause of. patients sixty five is in the

south los angeles area of our city. they are set to permit 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 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. before. they say yes. three. firefighters at first were even e m t's and then they became e m t's in for miners

and he's a lot of firefighters pocket that may be one of the many e.m.'s in fact when i started my venture as a firefighter i didn't want to be an ass and i started out i want to just do firefighting and be soldiers go to three mt license say thank him here and you can do it and i took and using course and i thought or i don't do it to the class just to get a license to try to get hired i was only thing i was planning on doing was just using the license to get hired and it turned out that i thoroughly enjoyed the units aspect it was well with my job where exactly it started with an us company making just five bucks an hour for about four years five years which a lot of us had to do. i think. our fire code has played an important role in driving down the volume and spirit of fires and because that is the reality that 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 the time you get to the hospital it's one service the minute you want to family member to come with you to the hospital he was no no. no no you're. here. because this would. leave him no. urgency room is very important. we see about three thousand patients a month through their midst and part of that. we got today the other day where we

saw one hundred seventy one day and it was exciting and your name is effortless and just reach your story no need to lay looking for a thing or my mom ok i've had a lot of pain in snakes where my legs get now in the news it's and you're a doctor's office today and she was to certainly have blood but you wait to have one before you're pregnant there's pressure right now this morning we're increasing staffing and trying to find room where there's never been room like in closets hallways there's like a. sardine exam in the hallways and it is about three times but it's. it's are still there. because her kindness. the problem is not enough inpatient beds not enough urgency department beds and not enough nurses commandos that's to take care of all the people who work or. we don't have

a hospital full of patients no beds upstairs patients arioch because there's no builds up stairs and we do the best. work 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. but 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. to preserve the risk. but.

rather. are. prone. to wait three months earlier. what's worse i know that's not right just me. saying just me through different oh mercy you went for a great deal of your heart she was going all right right now let's get into a rhythm i want to make sure. we question but never take any such leniency for i didn't last twenty four hours that you are ok. if you're right believing that it's really you know just telling more clearly you know working is hard ok hi that's a customer and this patient is b. as in boy you two six six five four four i suspect he has now adamantly using the hospital there were rising on the wrist complications during putting down.

he's willing to accept those responsibilities. as the hospital they want to speak with the. new team body on talk to. yes hello. yes we were. some people are just like that you know they get a team in the middle and they don't want to go yeah we're locked up on the phone. and specialist but. a lot of times they don't have the medicine they can't get the medicine help for them in the same or they sell it for us. this is it up and take it back to the doctor so because a lot of them pay us more primary care the fresh numbers cease. for individuals don't have access to health care i am with the shore 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 i remember the stress. there are. make sure everybody stops and there are certain. would be more. just maybe time they were going to take your money ok ok. you should go we're strongly recommending and we can force you to go what have you believe you're right. the hospital they do you. know you need to go. to someone else and that you are as a family what you're going to have. to let me do this is the first time with greg and yet she could be tracking him just like. i say your hands are you still and i

was never. going to listen if he 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 that's just being blunt i can imagine having like broken your leaders have you had three and i'm off so i'm like that's probably. going to. have a woman think once you stand up and find work for us. very likely that she can do that. well first of all already. do you feel sad. please. they're not telling the rumble sweetie. so you need to do the right bank for your baby that's less he goes for. it ok ok we're going to go to martin luther king ok. all right the king is the greatest hospital for it only really as they say we have our babies like they are good

really really good. this is proof that we're picking up on ross county supervisor. that opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson would work in the south central area of los angeles county. and watch was put on the map not only in california but but the nation of 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 says much of south central los angeles seems beyond fire of fire killing five point unemployment or education and things like the lack of health care and housing. the claim commission said of the countless really have to. just think that we had

a section of los angeles county. over a third of a million citizens without adequate hospital care when i transferred in m.l.k. morris the king. through hospital was the e.r. facility it was a hospital it was a trauma hospital trauma it was open which was actually pretty state of the art trauma room. i believe we were saying to him fifty. maybe even closer to fifty five fifty seven thousand a year in the main department a lot of times we would get a 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 is there are no primary care facilities in the area. a few years ago the county lost interest at a lot of clinics are often people to go walk in our history and see clinics where the county had a few bad budget years

a few years ago they close those clinics private clinics are going to open up and take under insured or patients who can't pay. you don't have papers yes you have papers just permission how was your sugar level it's one hundred twenty eight. no it's four hundred that's very bad for your diabetes. was that if you had an appointment with a pharmacy a week ago why didn't you go. and i did go. this is this is a free clinic a medicine is free you see me for free so why don't you come this costs money. a lot of the patients here are not compliant there are a lot of structure they're never raise with structure and what the school you know

never step with a layer you know it really. so check your sugar to three times a week don't use more not every day this is very expensive let's not have insurance and this is where the money needs to go to the primary care wise in this diabetic. failure are the tax cut off you know because if we 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 him and said it 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 missed the appointment i can come back you know no one will. primary care nationally is a problem when it is an 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 of them.

so we have a possible candidate for the program. mr mayor has been identified as separate when you are shopping to. at least six times within a one year period we want to thank you for also the care management part of it in order to maybe help her keep her out a bit you aren't having to come in ok the singer mrs romero my name is you my it's

trial that i work with a program called rome health and to help patients understand better how to use the magical system there are many. but you are going to have a case worker who is going to communicate with you often. ok i was amazed by what you were telling me at how sometimes you have difficulty making appointments see ok so we are going to help you a little bit with that. people know you know but 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 correctly and at the same time you can't do that if the system is not set up to be accessible and 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 going you know which way they go that's not going to be very helpful in our vision is to improve access to care we

want to give people access to the right care at the right time at 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's most likely to diagnose you if you have cancer. and you know you have referrals you know but they told me i shouldn't come back with the prescription ok why. not because they wouldn't sally to me that's one thing we need to explain to the page i don't know the field. yes five years she's telling me that she needs if i'm going to be seeing i take it or have part of myself. pretty sure if you're going for wellness we're going to get a leader for a lot of. there's going to be so. good a good thing for them or not. this. one

. her uterus didn't ok you guys are doing much better you're just reach for margery's goal or what do you want to have nailers resources on scene within six minutes you guys are holding down seven minutes but however the best it's ever been and it was six point four. zero. zero zero zero zero zero zero zero zero zero zero zero zero zero the servants are. just giving you the facts. i had a doctor call me from a hospital we rescued get there of an hour and he called me one evening any tells me that they couldn't take any more patients and their emergency room 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 the 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 but you know they're out paying you can't function as a hospital and that's why we've lost some hospitals in our area and. los angeles total cost just over five years we've had our love in emergency rooms close and in most cases higher hospitals. if you get a map of the city and you put a little dot where the hospitals are and they put out we're all supposed to have yours and. a mission free cretaceous three days for charges free. arrangement free. three. huge free.

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