capitalism is called cash flow so when nobody dares to ask we'd q r t question more. we'll. bring you the latest in science and technology from the realms. of the future coverage. sometimes you see a story and it seems so you think you understand it and then you glimpse something

else you hear or see some other part of it and realize everything you thought you knew you don't. charge welcome to the big picture. in los angeles to chicago to birmingham twenty trauma centers have closed since two thousand and three all of them is not enough impatient beds not on the third emergency department beds and not enough nurses from nando's to take care of all the people who are ok the only real health care system that we have in the city of los angeles is the los angeles fire department in fact when i started my venture is a firefighter i didn't want to pass so i started out i want to just do firefighting it's about eighty two percent of what we do the fire department is medical i've got a rescue we saw waited for hours for i waited sometimes three hours but i was it's a same francis in little. for four hours and fifty minutes standing as

a wall of patient and we have a federal law that mandates that if you can turn yellow i don't weigh six care and emergency room. we have the most expensive health care system in the world and it's probably in value the least. mission. critical free. free. free. free. free. free. videos for your immediate. street medio don carty dot com. the orange guards show hospitals that are no longer here and the green dots represent those hospitals that are still in existence here what you don't see is in

the new hospitals because there are no new hospitals constructed in the so. if you look at this area from a health planning standpoint. the medical desert is enormous. today i came across to get some medical records. security service called i couldn't believe it was close and i will when i went into thirty guard told me that. and all the basic well movies know. i was struck and believe that this was going on no. you know i was a great hospital this is the last house that i was in in two thousand so when i sat down. it was a sunday afternoon around twelve o'clock and just two cars came in it was a big shoot out and i just happened to roll by and i caught a bullet in. my spine i can move my legs i'm paralyzed you know if it

wasn't for the people that were here i don't think i would have made it the way i made it because i was a little kid i was seventeen years old when this happened to me i go to school and i want to college you know and if it wasn't for them i went forward i even drive now i do everything i'm independent and it's for the state when late they can help nobody else you know somebody's mind i get that opportunity i got all right excuse me chief mccurdy never said that for luther king if you're going to be a complete closure with the capacity he's going to change from one hundred forty some bad section forty two beds he's friends with pretty quickly so we're going to help those. in the hospital to challenge you so don't be fooled again the challenges are going to be all around. the professional. don't you gauge to getting angry when i hear. your question.

the community had a nickname for ok and everybody knows it's called killer king we would get on see first thing people would ask is where am i going to be transported and if we said mark was u.k. you know often response was please don't take your kids. they're understaffed and underfunded and we have too many patients that didn't have private physicians and with four or five hundred patients in an emergency room it's very difficult to treat us those into the hospital through medical center is in critical condition and cantor was in the part of q. and a half percent of all hospitals in the state of california health officials say patients there had been put in quote and media jeopardy patients that martin luther king medical center to get ready for fewer services and a new day we cannot be sure that patients would be safe or that fundamental hospital standards can be met the proposed closure of the trauma center will have

an impact the l.a. county fire department i'm begging of you don't ignore this. don't marginalize this . warrant i promise and it. is anything like the chance to get. used to be a very simple system that have to every patients the closest facility if you close ten hospitals with eight beds is made says eighty patients out of our system in the city she didn't look well as she came in sat scores we close our doors here we are close to saturation when our waiting room is for when our own rightly our beds are

four and the friends waiting in the hallway and who are. basically closing to saturation for certain purposes you know the sort of suppressed right so diversion is a huge thing for some of our hospitals down here they're on diversion about ninety percent of the time so ninety percent of the time we're looking for another hospital and we can be across the street from the hospital if you can obtain much stuff where you live and let them do it. one easy says. fred harbury still a vote to stand fast to set the service to kaiser flutterby the study on the work place for hospital it's about. ten well above all right however we are no and there's a lot of traffic so. it

ever. ok. for the average american who has insurance and they don't realize the impact of what's going on to what's going on obviously they think it's a problem of the uninsured of someone else and you've got a worse than usual live career injury actually just sitting there and spread all this way. when you see something is interfering with the not ok ok so when you do

this you can tell that it's not in attendance which is a really really bad infection. i think it's rude to put in the ten is going to pony hugo infection the worst sin or you can you know usually armed his repetoire going to prevent that actually going to be good. to. be in the hospital says two o'clock and not just what is it six o'clock six fifteen if you have insurance just a good thing you know finally have insurance ok majesty standing aside we did say we're waiting six hours is not uncommon and if you go chase running hospitals people coming here tell me they're waiting twelve hours sometimes to get back however you see a way right now at this moment it's a twenty four hours meaning it seems you walk in the door and they treat as you figure out you're not critical basically you're someone and they can definitely live for another couple of days before being credit so keep in the waiting room and you have to sit there and wait to be seen. it has happened at certain hospitals

i've been on and they actually did all that he was off again we just made it so we're missing calls in our district because our he's tied up at the hospital because you know how that if that patient. with the lady in the hospital that's that's normal that's not a risk you know a couple weeks away for hours for i've waited sometimes three hours i was it's a same francis only one for four hours and fifty minutes standing as well with patients if there have been as you're going to wait and because even though we're inside there you know we're still on scene with that patient if we if you leave the hospital don't transfer care to a bed it's negligence or even the county to say you know what it was your paramedic license and you're gone the river here if we don't have a paramedic i said we go back to the firefighter only. so how many calls to get last night four calls after many three out of the four calls we had were.

people are just basic cold and flu symptoms live all the snow sniffles and nasi or vomiting diarrhea and sick for. just three four days and just said don't call. smoke anything at all. in the fire burned for twenty eight years and i came on as a single function far from it when i came on the job. and back then we actually respond by four or five different types of the us calls responded on chest pain as heart attacks car accidents and drownings if you called with a spring farm or a broken finger that's a dispatcher back then told you to get a car to go to the hospital so a lot of geniuses. take probably going to be on you for what's going on today and they've done fine except i was doing it. correctly on the very you know what happens. when are you really this.

tough being my enemy. season you've been here before yeah yeah i've been here a few times she asked me five or six times over the last year been the mom your mother and grandmother the son and the twins and her when she was pregnant with their with their youngest any of two houses this one another one down if you're. younger. oh you know i don't know what. i think you know you tell us how. you can stay here were skeptical of free drinks and yes six told residents sisters are great as if everything's looking ok all right you can relax and go ok i'll see you i mean here could hear it and. i will see again later every day. i get to teach and i think he's smart i mean everybody's understanding what

emergency is different but i mean people been called out for a bandaid he did it all we are is you know a system that they can call and literally can you get a couple band-aids and i mean. get the. it's called longer than. some of the programs that we do so until we have a thing such as boyle's can't sleep they're hungry constipation toothpaste but if somebody says they're hungry what do you tell what are we have to do with him fight over his cave local calls. we've been called to you know broken sprinklers on the lawn to a dog and you the chimney. or what is all that and had to close it always makes it all fun at the same time it's like. where do you draw the line yeah you're always going to have that percentage of people who actually know the system and it majority of people it's not weird you know they don't know i wonder if it truly needed somebody to tell him what to do because this was their first moves to repair

to do work we have a transportation policy on the farm and we have the transportation to everybody and this is something minor instrument essentially since we've had that system which has been in my last five years two cars lawsuits down to nothing it's paid for itself. expense. to the taxpayers and the expense of the individual who wants to write the expense of the ripple effect of filling the spittal beds. with non-critical patients. i know gas prices are high but. i know i can get to the local emergency room for a lot cheaper in my own personal vehicle if i have the flu and the insurance company will look at that and say well look the paramedics really warranted on this and then they will pay and then the citizens get stuck with

a bill. i really do believe that every patient should pay something for their care because one of the problems we also have in this country is that health care is not valued we have the most expensive health care system in the world and it's probably valued the least people are going to have to begin to take responsibility for their health care. pay something it can start small. perhaps a bella co-pay an emergency visit i think it will change behavior as well. something happened down into what. here we've closed hospitals in the last ten years but what that over a thousand donal's harvey burger kings they contribute to the high blood pressure diabetes and everything else in the sense i mean if you're going to tax cigarettes . from

a certain. fast food restaurants pay for some of this health. care i. would like. the dark side of the happy. we've got. now. is he's a diabetic or would have been sick since one thousand days or whatever he had said no to instantly he'd never once. se that alternative and let me have it for him i think if there had to be says no we can't force him out and talk to him and not me and we think that yes but not here. i know. we need someone you know this is autistic we need his permission to let my manic stress. that he's agreed to a sense of blood pressure you know he doesn't want to help him for sort of the nose

with the he's agreed to this newsgroup we're going to take him in the back ground check and further ok then he says you're welcome. i know you do you know what event forms are. going to change and start you know certain theories. if you can avoid all that's right you know he has no complaints he feels fine he answered all or pushed questions appropriately. please let me finish and it sure is one three it's within normal limits there where you said. his blood pressure after after that if there's nothing that he wants from us right unfortunate is nothing else that we can do for him by law ok i'm yeah we do get frustrated and it's only us but it's the nurses and the hospitals it's also the doctors i've seen them just blow up you know why i say this person every day for the last ten days why are they here again you know when you see the patient i got a response going up there in the hospice it's. mostly a mystery t.v.

attachment incident six mind very. good start to get a lot of. personnel down here and i'm pretty sure it's. seven california is not. the only area where it's happening. now timers coming from a different space someone applied to have a say in the. paramedics they're experiencing the same thing i had a guy from he was doing the last week paramedic burnout talked about his area. guy from new york. paramedic paramedic burnout three big news. in the field with the field but still there's a still does mean the other rescue at our station is available so they get the next cough which means we get the chance to take shower and pressure teeth so we don't get our showers interrupted jimmy page that. you know all

these rescues here we're probably waiting for a while because i think we discovered last available bed that's right that one may . be. ok. we just take a patient to martin luther king with body which history are just in the emergency room and based on her level of severity so good or bad. we got there before a few other patients and she got a bed and now the other patients are going to wait even though they might have more . severe problems they might have to wait for a bed for hours. if martin luther king you know even if they just limit their number of beds which they're planning on doing the forty beds then that's going to be repercussions for everybody so. hopefully it won't get to the point where it's going to be affected patient care to the point where people are going to be waiting for such a long time so that they're not going to get treated as they should so we'll see

you haven't. actually checked right check out with you and the passenger. there is no one in the end to this we are the probably hospital for the poor and that was the trauma center for everyone on the south bay area of los angeles. so it makes no difference if you're the best insurance in the world or no insurance the next time you're in a traffic accident if god forbid we have an earthquake or a violent terrorist attack we are the place you want to come we're the place you're going to be proper garbus where you want to come and if we're overcrowded and have no grannies you're going to be in trouble you're not going to get the kind of care that you deserve. it's not the train wrecks that really scare us and keep us up at night and would scare in some cases so at night is that essentially a pandemic flu it will take about. twelve hours before every hospital you are is overwhelmed. by. particularly big over three fifty three

forty. five well now you said have you heard of the emergency room there's nobody we can do your the emergency room right now. well can't they help me there to be emergency room. a lot of times they think you know i want you to take us in the ambulance because we'll be seen faster in the e r . use of the emergency room wasn't be transported from one hospital to the other because you know years and i would present there is a want to go to kaiser no. there's no way we can do it. now when one was was. was a tool that was developed and like any tool is if you don't have a set of instructions along with the tool is going to be

a misuse and abuse and eventually you don't break. c.n.n. than the me. and . autonomous for the moment in the middle characters you are ready and i hope that obama moment with your name and i'm trying to get an interpreter for you turn them loose still no one gets taken by what emerged here please stay in your brother's room and hear him alone the don't give him the love that it was ok all the emergency room of my life is about is dying and then there's a don't want to help you out chunk a what a few die it will be and if i don't get the bomber in blood ok and why aren't

they helping or they are all burial watchin or who did you know doing it and they're just watching her ok easy to contact the nurse or doctor let them know keep bombing black they don't believe me and they're not gonna let him in if you cause our problems he's to contact the county police operators at the pier to get there also. that medics are not going to pick him up or pick a quiet proper mako questions are already at one. hundred fifty one in a. conversion hopefully it will be a little brown and women versus the room and saw the look on their faces home again i was playing my love yes this was just one of those albums is long enough for two women who scream at the end of their rope ladder with

a good come where with them out of the water your echo your. aslam am i gonna them i cannot for you for the quality of the hospital there if something is right when i want to use for murder purposes only writing it out of an emergency now it is not a murder the opportunity there ok well that's not a criminal thing look at the end of the bank get the contract off the bike ok let them know the we have a good look at them it's mine and i want to use for only a life threatening emergency it is not.

a hate. order after that incident we've actually had patients who are actually not in the e.r. but in the ward they're not getting timely treatment in the world they want more pain medication don't take up the form until nine one one so we're sending a message after not the eighteenth floor of the hospital to provide more pain medication for patients inside there. you know you want to see our firefighters paramedics are incredible i mean they're you know we take that we're constantly doing training and more training more training and is stepping up to fill that gap but is that what we want as a society for the fire department to become the health care system. a big part of the fix is more primary preventive care it's the people with diabetes and high blood pressure get treated early then they don't come in here with heart attacks and strokes. and yet i've been

a faggot yes i know but i got some. pretty bad go through my yankee loved ones in an ideal world frost you to open up those county clinics and so we have some place where individuals will walk into before they become in crisis and need actually night service if it all comes down the phones but there's a catch twenty two you know situation so what we did here for our season sixty five we've added two more rescues that we can put into place if things get really bad which they do a lot here. is it a band-aid yes but it's long and maybe we have right now to serve everybody in this community. and. let.

the to. look. at a president. to get a little. better to. wealthy

british something. like the public. markets. why not what's really happening to the global economy with mike's culture for a no holds barred look at. global financial headlines don't end to cause a report on our t.v. you know sometimes you see a story and it seems so for like sleep you think you understand it and then he glimpse something else and you hear or see some other part of it and realize that everything you thought you don't know i'm tom hartman welcome to the big picture.

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