we have the most expensive health care system in the world and it's probably valued the least. least. some stories from moscow tonight a push for diplomacy russia wants an attack on iran could have disastrous regional repercussions as israel says military option is real possibility meanwhile the un until we watch though is expected to release a report showing to run a secretly developing nuclear weapons capability. the i.m.f. dosh for kremlin cash that of international monetary fund visits moscow in search of financial support to help prop up prices that economies russia's christina god's first stop in fact on the mission to the world's up and coming for natural powers.

and our mortgage brokers off ski colts in the a.b.c. of simple rich russians and legal blog heads in love that the spotlight turns on shady business dealings of the past with billions of dollars at stake. you're watching r.t. . oh departed for me with the undercurrents they weren't alone in that ring of it when i read a comment there anything i get i think i think we're ok we're going to find a farmer has been the i've been there on the way are you are you with her now potholders doing. ok is she content. and. around right now. going on holiday. with the merchant her solo album l f well now is more the perfect role model and

wholesome looking older face all of a look at her slate and i mean i guess this story best it's a little babbitt no longer a good woman to prevent terror broke out at their best where with no medical work at your i got direct after them and i tell my aunt down i care not only for you for the quality of life of the hospital they're give champagne just like i want to use for mercy purposes only bank of america but it's out of the much mail it is it is not a merchant the plank i want is used for membership purposes only as a life threatening emergency that is not. aimed.

it's. got a let's do everything we can to help b.m.'s thirteen standards of the flu and pains me up for a boss christmas parade ten o'clock so those killed off well the thirty three engine six five rescue to six by.

the guys that know you got. the betting on our. economy was right with him. and hate you so much i mean when you are now right now going right to me in a bit of yemen i'm going to. there are. thirty am authority on the way. the stomach on the roof. it's about a twenty five foot tall. and so for that i think there's a lot i think. i think i'm guilty of i want to move on or. find the humor you're still missing the whole thing ok.

it's clear. you know you accept that nothing gets in the silesian nothing get in there fast and. take a deep breath. again. like risky then your four years ago we were averaging nine fifty a day. every average you know it was under three hundred calls i run today i learned first after that yeah. we handle six hundred thousand a murder c calls a year but the calls are on me and inside there's been an explosion in carlow it's about eighty two percent of what we do the final part of this medical and at that the private person at thirty. seven so you know how many of the at your side of

your emergency think is there anybody is there believe me. and i just don't believe you are the strong one here deal k. i want your calm her rescue operations priming is that i want to compliment you there with the right now your ok listen very carefully and it's already on the way when i need to find out from you right now is she conscious. conscious beings the way the rising demand for human services increasing every year on our united runs are going up some percent and hospitals are closing in the last four years and had ten hospitals close so it's less and less hospitals for us to take our five hundred seventeen patients everybody get rescued get thirty years the curation it's been referred to as the perfect storm in the county of los angeles just getting bigger and bigger this is no no relief in sight if you're having a health crisis you'd like to think 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 of closings two thousand years ago and 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 large and 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 the 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 morning of health care throughout the united states and outstanding thank you.

or at least the physical to me this is to explore for your oh yeah. fifteen or you mistakes in the. service. eight hundred twenty seven. joining us. with a little surreal talk a little. difficult for the services for which it was still really pretty strong those the number one cause of. patients sixty five is in the south los angeles area marson. they have to paramedic rescues down there one of our busiest engine companies we have in a single los angeles and fort unfortunately can't keep personnel that long there they come there they gather a lot of experience in a relatively short period of time and they want to go on for a better place eight people will. say yes.

thier three. firefighters and first were given e m t's and then they became e m t's and from my understanding the lot of firefighters pocket died in one of the many e.m.'s in fact when i started my venture is a firefighter i didn't want to be a mask i started out twenty just you firefighters and be told us how to treat mt license i said i can hear you and hear you and i took an e.m.t. course and outside 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 it was just using the license to get high and it turned out that i truly enjoyed your business

for doing well with my job where was that it started with any of us company making goods for my folks an hour for about four years five years which a lot of us had to do. i think. our prior 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 analysts is that we have now now we had all of them some medical services in the city of los angeles. from the time you dial nine one one here or just about 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 we want you to know. that if. you.

need to see this. through and. we know this. urgent cereal is very important. we see about three thousand patients a month or two of them are support but. we had a day the other day where we saw hundred c.n.n. one day and it was exciting and your name is ethel said just beat your sorry buddy the lady looking for a good thing or my mom well ok i've had a lot of pain in the snakes where my legs can't now in the news it's it you were in a doctor's office today and she was can certainly help but by the way we had one before we were pregnant here's a question right now. we're increasing staffing and trying to find

a room where there's never been room like you know closets hallways there's like a. sardine examining the hallways because it is about three times yes. it's there so there. is her kindness. the problem is not enough inpatient beds not enough urgency department beds and not enough nurses some members that still take care of all the people who work or. we don't have a hospital full of patients no beds up stairs for all patients are equally hard because there's no beds upstairs and we do the best we can we're we can't turn them away. and we have a federal law that mandates that you can't turn no one away because six care in an emergency room. but the reality is is that these people don't have primary care physicians to take the 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 were they would call their doctor. to keep the rest this is a very serious risk. but. rather . than bring. in susan within one year. what's worse i know that your breath just me. has been really. good you can play just me through different form or see you as the great thing with your heart just all right right now let's do it with your rhythm i want to make sure. we question but never take any such leniency driving the last

twenty four hours that you are ok. if you're right boating industry mean you know just selling more clear you know we're going to start ok hi that's a customer in the spacious b. as in boy you two six six by four four despite your own man he has no adamantly refusing the hospital there were rising on the wrists complication of doing putting down. he's willing to accept those responsibilities. perhaps not hospital they want to speak with the. community body on talking. yeah oh. yeah if it were. some people are just like that you know they get a dream in the middle and they don't want to go yeah a lot of the point. as specialist but.

a lot of times they don't have the medicine they can't get the medicine to him for the medicine or they sell it for the. day he sees it up and take it back to dhaka so because of that a lot of them tell us more primary care the fresh from very cease. for individuals don't have access to health care i am with the 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 ran to the surface. there are. three bodies are certainly. going to be more. time they were taken to martin luther king ok fair enough that. you should go we're

strongly recommending if we can't force you to go when have we help you believe you right. let's go to hospital. all right no you need to go to the dinner was a month and that was a family what you're going to have. to let me do this for first time bring him home with back in here and she could meet him tracking him just so they know they say your hands it was never having read this if she doesn't got 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 can i mean have a look around here leaders have you had three and i pass it off so i'm going from jannat you know nothing about it. i'm like have a woman think once you stand up in front walk forth. that look we got can do that

with your blood pressure already. or you will stand. clearly. they're not telling you not the wrong sweetie. so you need to do the right pace and go baby that's less he goes. through it ok ok we're going to go to martin luther king ok quest for the king is the greatest hospital for it's only right yes now they say we have our babies like they are really thinking. this is proof that the men on raw sound was county supervisor. that opens the door for. monday morning at eight o'clock this hospital be open to the patients. watson would welcome the south central area of los angeles county. watts was put on the map not only in california but by permission of the world. in one thousand six

hundred five because of the riots six days of rioting in the negro section of los angeles left behind scenes reminiscent of war torn cities much of south central los angeles seems beyond fire a fire killed in part by unemployment rate education and things like a lack of health care and housing. the mccomb commission said that the county must really house. this thing that we had a section of los angeles county. over a third of a million citizens without adequate hospital care when i transferred in i mean ok more you subpoena. true hospital was. your facility it was a hospital it was a trauma hospital trauma it was open which was actually a pretty state of the art trauma room. i believe we were saying tween fifty and maybe even closer to fifty five fifty seven thousand a year in the main car

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 counterargument is that a lot of clinics are open people could go walk in off the street and see clinics in the county a few bad budget years a few years ago they closed those clinics private clinics are going to open up and take under insured patients who can't pay. you don't have papers yes you have papers and just permission how is your sugar level it's one hundred twenty. four no it's four hundred that's very

bad for your diabetes. so 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 the 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 they don't want to structure their never raising structure and what the score you know there are a step of the way or. the great. so check your sugar to do three times a week don't use more not every day this is very expensive let's not have insurance but this is where the money needs to go because the primary care why in this diabetic you know failure or a tax cut off you know because if you don't we sit on the streets and then two years later the end of the 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 appointments i can come back you know when. primary care nationally is a problem and it's 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 for them.

so we have a possible candidate for the program. mr mayor has been identified as a great one use this is going to. at least six times within a one year period we want some here for also the care management part of it in order to maybe help her keep where i don't they aren't having to come in ok the singer mrs romero my name is you might it's trial that i work with a program called road to health and to help the patient understand better how to use the medical system there are many. but here you are going to have a case worker who is going to communicate with the often them. ok was there are you were telling me how sometimes you have difficulty making appointments say ok so we

are going to help you a little bit with that. they call me up but how can i help you know i'm here and they didn't give me this mattson you do have to educate and empower patients to learn how to access care for any 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 grade is out and there's a fork in the road that's three different ways going you know which way to go that's not going to be very helpful in our vision is to improve access to care i want to get people access to the right care at the right time at the right place and we need to incentivize pretty high primary care providers are 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 referrals you know but they told me i shouldn't come back without their prescription ok why. because they wouldn't sell it to me that's one thing we need to explain to the page i don't know the field. has five years

she's telling me that she gets it if i may be seen again here and if i'm not. here if you're pretty sure going for wellness we're going to get the word for it right. first go to. the good news in. the morning. let's hear it's. got her right. we want. her you were sleeping ok you guys are doing much better you're just reach for margery's goal of what he wanted to have nailers 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 point four. zero all summer that senator kerry was giving you the facts.

i had a doctor call me from hospital but we get there are no and he called me one evening and he tells me that they couldn't take any more patients 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 not paying you can't function as a hospital and that's why we've lost some hospitals in our area and a lot social skeletal in the last just over five years we've had a love and a merchant seems close and in most cases it was higher hospitals. if you give a map of the city and you put a little drop where the hospitals are and you put it out we're all supposed for the

yars and the. question is that so much a lot of people are hearing all that little tough. love right not so amicable divorce for well over a generation of voters and consumers around the world who are told that democracy and capitalism. the close up team has been to the region where technological breakthroughs save human life. are chico's to the sea.

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