was the part of. our own more interested in responding services to their extinction or ask what he's going to find a 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. i am 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 zero wise best there at the battle of law in the. senate amplified

where was the want your awesome am i am i am i cannot family for you for the quality of the hospital the. want to use for my purposes only. that it is not a murder. is used for my purposes only as a life threatening emergency it is not.

god let's do everything we can to help b.m.s. thirteen standards all of. today's the parade thoughts christmas parade ten o'clock goes till about the twelve thirty three engine six five rescue to six by. people going you guys that know you've got the budget on i. want you got all right

with him. and hate you so much i mean when you are not right now going right to the death of the family. there are. this merger of the amateur radio on the way. out is telling the truth. it's about a twenty five foot tall. you can see where that thing that there's a god. i see i don't see about the with tears on the floor. upon the new year till next morning ok. let's clear the lot. you don't act fast enough to get into the silly

season again get in there fast and. take a deep breath. again. my first computer four years ago we were averaging nine fifty a day right there we're averaging over twelve hundred thirty one hundred calls on runs a day i could well have first. got yes. we handle six hundred thousand americans see calls a year but the calls are on me i'm inside there's been an explosion in color it's about eighty two percent of what we do the fire departments medical. roger or i'll . just get it every so often at home is the address of your emergency is there any please is there bleeding. and i just don't believe you are the strong one year deal k. i want your time her rescue arrangements for me is that 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 or 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 the value eight years that you ration has 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 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 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 lois 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 are outstanding thank you five. zero zero. five. orly statistical information it's just a big step for here oh yeah. mr tabor us into the. service. eight hundred twenty seven. joining us. with

a little surreal. is the sure this is the case if the school really breathed for those the number one called the. 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. thief through see.

the firefighters at first were even e.m.t. and then they became e m t's and for my understanding that 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 mask i started out i want to just do firefighting and they told us go to tree mt license i said i can't carry any feeling and i took an e.m.t. course and i thought all right i'll 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 thoroughly enjoyed the events aspect of it as well my job where it was that it started with any company making those 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 that we need is more ambulances. ten years ago but half the analysts 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 tell the 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 want you know to know. that you. care. to go see this lady. and.

please him know this. urgent soon is very important. we see about three thousand patients a month through demurred city park but. we had a day the other day where we saw hundred ten in one day and it was exciting and your name is stephanie said just reach your sorry buddy the lady you looking for the thing on her mind hump a lot ok and had a lot of pain and it's laying eggs where my legs get now in the news bulletins and you're in a doctor's office today and she was concerned he had blood finally had one before when you're pregnant there's pressure right now this morning we're increasing staff feeding and trying to find a room where there's never been a room like you know closets hallways things like that. so arctic sea i mean the whole we could use about three times it's.

discourteous the problem is not enough in-patient beds not enough urgency department beds and not enough nurses to members there 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 you can we're we can't turn them away. 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.

rose crazy things are easier to rescue. my person. rather. than be very. strong. and see you way too much that you are. what's worse i know that should read just me . to spank really. you can play it just makes little difference for the receiver whether or grunting with your heart just going all right right now let's get on with your rhythm i want to make sure. we question but never take any such lady as he was 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 high that sequence number in the

special is b. as in boy u two six six five four four six five he is now adamantly using the hospital there were rising on the wrists complication up to and including down. willing to accept those responsibilities. i'm so hostile they want to speak with you. know the team by the on talk to. yeah. yeah. some people are just like their you know they get the tree man they don't want to they don't want to go yeah we're locked up i'm at a point. and specialist but. a lot of times they don't have the medicine they can't get the. medicine is headed for the medicine or they sell it for that. this is it up and take it back to the

doctor. so because of that a lot of them tend to use more for primary care the fresh somebody sees. for individuals don't have access to health care or ambulance to show up what are 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. i'm not really. i make sure everybody stops and there are certain. you want to be tomorrow. you just resign we're going to hear martin luther king ok not that i know. you should go we're strongly recommending it we can't force you to go one have a good healthy behavior right. let's go to hospital and you know fifty i know you.

won't go to dinner who's a mom and that right you know as a family what you're going to have. to let me do this is for first time for him with crack and yet she could meet contracting and just. as a young man to do this it was that will have an old 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 grandma leaders have you had three and i pass it off so i'm not next project that you have i'm not. going to get yes i think that i have a woman think once you stand up and try to walk for us. i like when i see can be that. person is already. or you feel standing. when. they are not telling you not to run the sweetie. so you need to do the right thing for your baby that's less your goals. ok ok

ok we're going to go to martin luther king ok ok question are the king is the greatest hospital for it only right yes or they say i mean are babies like they are really really good. this is proof that we're picking them up on live from those county supervisor. that opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson with the broken 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 the 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 fire killing five by

unemployment or education and things like a lack of health care. my grown commission said that the county must really 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 you sticking. 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 and. i believe we were saying to in 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 were no primary care facilities in that area. a few years ago the county law center said a lot of clinics are open where people could go walk in off the street and see clinics where 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. you know 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 said where they are 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 a primary care why in this diabetic you prevent from getting you know feel your heart attacks leg cut off you know because 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 thank you for also the care management part of it in order to. help her keep her on it that you aren't having to come in ok the same mrs romero 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 maybe. but if you are going to have a case to occur who is going to communicate with you often 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. they call me out there how can i help you know maybe if they didn't give me these 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 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 without the prescription or the k. why. they wouldn't salad to me that's one thing we need to explain to the fish and i don't know the field. yes five years she's telling me that she gets it that i maybe see they're going to take it on and off i must. be sure be sure going for wellness will get together later for

a lot of. it's going to. get a good thing for them or not. this. year. they're right. we have twenty eight. that are really interested 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 point four. zero the super necessary just give 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. you know paying you can't function as a hospital and that's why we've lost so many hospitals in our area and. in los angeles total 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 dock where the hospitals are and you put a dog we're all supposed were the yours and.

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pressure raises the alarm against israel planning to bomb iran's nuclear facilities saying such action would have disastrous consequences for the region. that of the international monetary fund is in moscow looking for the kremlin is help in getting to europe out of the financial cloud mind. than russia is kristie lovebirds first stop on a mission to the world's top ten coming financial powers. and russian tycoon is romana a brahma venture and boris berezovsky slug it out in a multibillion dollar court battle in london where evidence has turned the spotlight on the legit shady business dealings of the past. hello i'm karen tara chan you're with our t.v. broadcasting to la.