this is our see from moscow in our top stories moscow russia is it a new era of energy security for western europe as the landmark moves stream pipeline begins pumping russian castrates in germany and beyond. russia issues another state and wallie against the west an attack on iran is president to me from an event of his it could spell catastrophe for the middle east meanwhile the only time watchdogs about to release a report from surrounds nuclear activities. italian prime ministers won a crucial budget vote but it's lost his majority support in the parliament as

experts fear the country is on its way to becoming the next victim of europe's financial crisis. next tsotsi we follow life in one of los angeles fire departments where usually nearly all crews work mostly or medical emergencies rather than battling flames. i know it's the party form with the other currency but i really worry alone i mean if it makes me think that i did everything right i think we're ok i wasn't a part of burma has been this bad on or on the way are you are you with her now on all these things. ok is she content with. a man when i get that. around right now. going up oh yes i. hear. the commercial first solo album ella girl oh and during the first film when

everyone was looking at they all come up with her slate i.d.'s to start next week and they have to have a bit longer for jimmy to cream after that they're broke out in a pick up where we get that up and we'll get your i gotta get that hospital man i know where i am damn i care not only for you for the quality of the of the hospital there give champagne it's like i want to use for mercy purposes only greg and most of it's not an image map it's not a merchant just blank i want to do commercial purposes only ever like threatening emergencies but it's not.

c.n.n. . dot com live let's do everything we can to help you miss thirteen stats all of the news today is the parade thoughts christmas parade ten o'clock goes till about twelve thirty three engine six five and rescue two six by.

the. way for the guys that know you got that magic on our. i know you have it all right zain. thank you so much i mean when you are now right now going right you never going to get. there are. this merger of the amber story on the way. it is telling the truth. about a twenty five foot tall. you can see that there's a lot of things. i think i know about the attorneys on the floor. on the you

know your children at least the whole thing ok. let's get. lucky. you know access and nothing gets in the silesian again their counsel to. take a deep breath. and. i first came here four years ago we were averaging nine fifty a day. or average you know it was under three hundred calls one runs a day claire had first come on that yes. we handle six hundred thousand i'm going to see calls a year but the calls around me and inside there's been an explosion in call it it's about eighty two percent of what we do the fire departments medical and at the

private person. i get i just get it perfectly now here's the address of your emergency is there any please is there please. and i just don't believe you are the strong one year deal kay i want your son her restorations mommy. i want to come arrest 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 human services increasing every year on our units runs are going up two percent and hospitals are closing in the last four years and got ten hospitals closed so it's less and less hospitals for us to rethink our five hundred seventeen patients everybody the rest you get there to evaluate and if 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 thank you thank our all getting quick treatment in a hospital emergency room across the country 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. and 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 like of urgency 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 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 mauling of health care throughout the united states and outstanding thank you.

for at least the physical to me this is good stuff really here oh yeah. mr kamber you misunderstood me. service. eight hundred twenty seven. joining. us a little surreal talk a little. difficult for the sure this is really the case you're still really breathing from those the number ones call 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 engine companies we have in the city of los angeles and that sort unfortunately can keep personnel that were on 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. before. they say yes.

three. firefighters at first were even ian teeth and then they became e m t's and for minor semi's a lot of firefighters pocket that may be one of the many a mess in fact when i started my ventures a firefighter i didn't want to hear mass and i started out going to just you firefighters and based holders go to three empty license said i can't hear any thing you can do it and i took an e.m.t. course and i thought all right i'll do it to 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 out and it turned out that i truly enjoyed unisex circular

as 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. on the time you dial nine one one here our dispatch center the time you get to the hospital it's one surface the ones you want to family member to come with you to the hospital we want you to know. that it. here.

because. we know this. urgency room is very important. we see about three thousand patients a month through demurred since part of that. we have today the other day where we saw hundred ten one day and it was exciting and your name is effortless and just reach your story no need to lay you looking for a thing or my mom ok i've had a lot of pain and it's lakes where my needs get now in the news. and you're a doctor's office today and she was can certainly help but by the way we had one before we were pregnant there's a pressure right now so when we were increasing staffing and trying to find

a room where there's never been a room like you know closets hallways there's like a sardine exam in the hallways because about three times this. or so there. are certain things. the problem is not enough inpatient beds not enough urgency department beds and not enough nurses some members that's to take care of well the people we work or. we're going to have a hospital full of patients no birds upstairs little patients are we are because there's no beds upstairs and we do the best we can we're we can't turn the lights. 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 because they can call so they'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 please their interest. but personally would. rather. see three three months earlier. what's worse i know this should read just me for this bank really. didn't play just me with two different former c.e.o.'s for the granting of your heart just go right right now let's get into a rhythm i want to make sure for your. very question but he didn't take any sex

leniency drudging was twenty four hours. ok. oh you know i. feel horrible you need to treat me. from understanding more clearly you know working as hard ok hi that's a customer in the spacious b. as in boy you choose six six five four four just like your own man he is now i don't know if he's in the hospital or were rising on that wrist complication of doing putting down. he's willing to accept those responsibilities. i see the hospital they want to speak with you. know it would seem by the on talk to. get through group. some people are just like that you know they get the team in the middle they don't want to go yeah

a lot of point. as precious but. a lot of times they don't have the medicine they can't get the medicine to him for the missing or they sell it for the. b.b.c. set up and take it back to dhaka so because a lot of them tell us more primary care the fresh emergencies. 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 the doctor over here so we're actually a doctor in a box if you will and i remember the service. there are going to. make sure everybody's taxes are certain. you want to be more.

than just resigned ok we're going to your money ok ok not that. you should go we're strongly recommending it we can't force you to go we have been healthy baby right. school hospital they do you. know you need to go to the junior was a month and that you're a family what you're going to have. to let me do this this or person that brings him with dragons and she could be tracking him just. as a young man to this is that i was mentally how do you agree that 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 it's just been blunt i'm going i'm going to have a grandmother leaders and i think oh. i'm going next project has nothing. to do yes i am i. think once you stand up in front walk forth. well let me guess

you can do that but your blood pressure is already. or you feel sad. please. they're not telling you not to run sweetie. so you need to do the right they can go baby that's less you can go to look. at the track they want to go to martin luther king ok quest for the king is the greatest hospital right it's only right yes now they say we are babies right they are good really really good. this is proof that we're going to harm roxanne jones county supervisor. that opens the door for us but on 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 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 scenes from innocent of war torn city much of south central los angeles seem to be on fire up fire killing five point unemployment or education and things like the lack of health care and housing. the migraine commission said of the countless 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 and ok martin luther king. true 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 three in fifty. maybe even

closer to fifty five fifty seven thousand a year in the main mix the 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 is there are no primary care facilities in that area. a few years ago the county lost an awful lot of clinics are often where people could go walk in our history and see clinics when the county had a few bad buggers 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 almost as if i was

your sugar level it's one hundred twenty eight. whole no it's four hundred that's very bad for your diabetes you know. you have an appointment with a pharmacy a week ago why didn't you go. and i did go. this is this is a free clinic and 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 there are is that with a layer you know every. so check your sugar to three times a week of us don't use more not every day this is very expensive let's not have insurance but this is where the money is to go to see the primary care wise in this diabetic. failure are a tax cut off you know because if it's true that we sit on the streets and then two years later the end of that l.a. county hospital you've got to train up and sort of 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 and. 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 for them.

so we have a possible candidate for the program. mr america has been identified as so great when you are stopping to. at least six times within the one year period we want to hear her also the care management part of may in order to maybe help her keep her out of that you are an i.v. . ok to say mrs romero my name is you my it's trial that i work with a program called room to health and to help patients understand better how to use the magical system and i made the call. but you are going to have a caseworker who is going to communicate with you often. ok with them as though 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. he called me you know how can i help you know me and they didn't give me this mattson you do have to educate 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 can you know which way to go that's not going to be very helpful in our vision is to improve access to care we want to get people access to the right here at the right time in the right place we need to incentivize financially our 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 refills you know but they told me i shouldn't come back with i'll do prescription or the k. why. not because they wouldn't sally to me that's one thing we need to explain to

the beach and i don't know the field. has five years she's telling me that she beats it up but i've never seen a good indicator that half of my. peers are pretty sure her wellness will get together later provided. by her study this is. a good thing for the market in the. first. year. go there right. now her uterus. you guys are doing much better you're just about reach but margery's goal what he wanted to have been a last resource on scene within six minutes you guys were holding down seven minutes flat. however the best it's ever been and it was six point. zero.

zero zero zero zero zero zero zero zero zero zero cigarettes or. just give you the facts. i had a doctor call me from a hospital 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 emergency room so i asked him to explain exactly what he meant and he says we needed to free our beds for our people and i said i will which people are your people the people that were bringing them from these lower income areas are paying they don't have insurance they got to get treated they got to be seen for you know they're not paying you can't function as a hospital and that's why we've lost in the hospitals in our area and. a los angeles total a lost just over five years we've had a lot in emergency rooms close and most cases entire hospitals. if you give a map of the city and you put a low doc where the hospitals are and you put it out we're all supposed to have

a yard and the. wealthy british soil some time to try to find. markets why not. come to. find out what's really happening to the global economy with mike's cause or for a no holds barred look at the global financial headlines tune in to congress report on or keep. close up scene was good for them and. for technological breakthroughs save human lives. now our team goes to

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