there were no more interested in responding services except for us to foreigners ok it wasn't a part of farming has been this patch on their on the way are you are you with her now i'll miss you. ok is she conscious. i am. not following. a commercial zero zero zero zero zero zero zero zero zero zero zero zero zero zero zero zero. zero zero zero zero zero zero zero zero zero zero zero zero zero zero why they go into battle but knowing the. amplifier. where was. awesome and i am i am i cannot family for you

for the quality of the hospital there. want to use for. it out of an emergency yet it is not a merger. is used for purposes only. emergencies it is not.

god let's do everything we can to help b.m.s. thirteen standards. today is the parade thoughts christmas parade ten o'clock or so goes till about the twelve thirty three engine six five rescue to six by. people because you guys that know you got. the betting on our. economy got it all right in may and it is over to me and you are now right now going right to the

death of yemen i'm going to hold it. there are we there are going to. this merger of the embassies already on the way. out is telling the truth. it's about a twenty five foot fall. consider that there is a lot of things. i think i don't see about the a three on the floor. particularly your children as a whole thing ok. let's play a little lucky. you don't act fast enough to get into the silly season the can get in there fast and. take

a deep breath. to get. my first computer four years ago we were averaging nine fifty a day right there we're averaging over twelve hundred three hundred calls right runs a day there could well have first. got yes. we handle six hundred thousand a murder c calls a year but the calls are on the admin side there's been an explosion in call load it's about eighty two percent of what we do the fire departments medical. roger are out at thirty. seven for you now is the address of your emergency is there any please is there bleeding. and i don't know if you are the strong one year deal k i want your toher rescue regions from e bay i want to have a restaurant for you there with the right now with your i can it's 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 service is increasing every year are you nice 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 think out 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

for capital 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 become the de facto health care system this is the canary in the morning of health care throughout the united states that outstanding thank you i thought. oh. surely statistical to me this is a big step for here oh yeah. mr tabor university to. serve beer. eight hundred twenty seven. joined. with a little surreal. is the sure this is the case if the school really breathing for

those the number one color. station sixty five is in the south los angeles area of our city. they actually have to paramedic rescues down there one of our busiest companies we have in the city of 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 see the. theme through see.

the firefighters at first were even e.m.t. and then they became e m t's and for minor standees a lot of firefighters pocket that maybe one of the many 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 want to just do firefighting and they told us go get your mt license i said i can carry it and 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 truly enjoyed the most aspect it was well my job where it was that it started with emulous company making just 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 time you get to the hospital it's one service what you want to family member to come with you to the hospital we want him to know. that you're. here. to go see this lake. city and you know. there are mergence who really is very important.

we see about three thousand patients a month through demurred suit 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 sorry buddy the late you looking for the thing or 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 were in a doctor's office today and she was concerned he had 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. starting to see every in the hallways because 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 a search for you so you could rescue. my person. rather

. you are very. wrong. and see you way too much that your. what's worse i know the breath just being there for this bank really. you can play it just makes little difference or ever see your way or the great thing with your heart just go right right now let's get into rhythm i want to make sure. we question but i haven't taken any sex lately and the last twenty four hours that in. terms of voting no to treat me. well just on a more clear you know work it is hard ok high 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 down. willing to accept those responsibilities. i miss the hospital i want to speak with you. know the team by the on talk to. yeah oh. yeah there were. some people are just like there you know they get the tree man 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 big. issues it up and take it back to a doctor. so because of that a lot of them tend to use more primary care the fresh emergencies.

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. there are there are going to. make sure everybody stops and starts. to want to be more. just resigned ok 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 and you know fifty. only you. will only go to dinner was a month and that where you are as a family what you're going to have. to let me do this is

a service that brings him almost kragen here and she could meet contracting and just. as a young man to do this it was that i didn't know 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'm not going to have a grammar leaders have you had three and i pass it off so i'm on next project that you have a message. if you think that i have a woman think once you stand up and try to walk forth. i like when i see can be that what pressures are already. or you feel stan. lee. 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 go to such luck. ok ok ok we're going to go to martin luther king ok ok ok ok all right the king is the

greatest hospital for it is only right yes now they say we have our babies like they are really really good. this is proof that we're picking up on was found was county supervisor. looking at it opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson will broke in 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 nine hundred sixty five because of the riots six days of rioting in a negro section of los angeles left behind the scenes reminiscent of war torn city much of south central los angeles seemed to be on fire up the fire killing five by unemployment or education and things like a lack of health care and. my own commission said that the

county must believe hospital. 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 on m.l.k. more use to king. true hospital always be 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 and. 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 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 people could go walk in off the street and see clinics when the county had 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. 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 a free clinic the medicine is free you see me for free so why didn't you come

because costs money. a lot of the patients here are not compliant they don't want to structure their never raise with structure of what the school you know never step with a layer. 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 you prevent from getting you know failure or attacks leg cut off you know because if they if they don't treat it with them on the streets and then two years later he ends up at l.a. county hospital you've got to treat it as if 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 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 so great when you are shopping 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 i get that you aren't having to come in ok to say mrs romero i'm going to see my name is. i work with a program called road to health and to help the patient understand better how to use the medical system settings them out maybe. but if you are going to have a case to occur who is going to communicate with you often. use them as the way you were telling me how sometimes you have difficulty making appointments c ok so we're going to help you a little bit with that. oh my you know 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 going 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 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 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 why. they wouldn't salad to me that's one thing we need to explain to the feet of the field. yes five she's telling me that she gets it that i may be seen i get it you don't need a pharmacy. this year be sure for wellness we'll get together later for i know. there's got to.

get a good thing for them or not. this. year. they're right. we have twenty eight. hundred waivers we didn't 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 just gives you the facts. i had a doctor call me from a hospital but we rescued get there of unknown 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 aren't paying they don't have insurance they've got to get treated they've got to be seen. throughout paying you can't function as a hospital and that's why we've lost so many hospitals in our ian. in los angeles cold in the last just over five years we've had a love in 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 or you put a dog we're all supposed were the yours and.

a very warm welcome to you this is your news today protesters on the. street they have. been canceling the chances to get the status of the human experiment. you will see this right. lizzie trying to make sense of global economy and it's all change things as financial templates. to maintain confidence in markets and. wants to be seen trade imbalances recession look keep the nations close to collapsing in

some plain looking for clues humph. to fail so we play bass again feelable thing is a us question seven and a smash the ceiling team feels it like ultimate in the clubs isn't up in st the i.m.f. the world strikes me on just programs increase that to an economist. close

up team has been to the region where technological breakthroughs save human lives. on she goes to the sea. her unusual ways to protect me. were from a pioneer place local cuisine to the highest pitch. but her future developments depend on the way. she likes coast should close up on our t.v. . to the stories on our

see russia raises the law against israel bombing to bomb iran's nuclear facilities say such an action would have disastrous consequences for the region. and also the head of the international monetary fund is in moscow looking for the kremlin is helping getting europe although the financial board. banned russian oligarchs and ramana abramovich on the breeze birdsall states like a timeout and a multi-billion dollar court battle in london where evidence has turned the spotlight on the trade to business dealings of the. headlines up next here on our talk show and on this edition of his guest debate on how the latest changes in the walls financial system have influenced global politics.