in broadcasting live direct from the heart of moscow this is archie i'm sean thomas and these are your headlines in the leaning tower of perilous coney finally falls he's going prime minister stands down after parliament approves a new austerity package intended as a last line of defense against crumbling confidence in its economy mr berlusconi was met with cheers and cheers of the presidential palace where he ended his resignation is a likely successor is euro crisis mario monti. russian and u.s.

presidents meet to discuss the most pressing issues between the countries on the sidelines of the apec summit in hawaii among the topics on the table are the missile defense shield in europe and child adoption standards. the arab league suspends a syria recommending sanctions against the country in an effort to force president assad to end of the deadly unrest that has claimed more than three and a half thousand lives a move one supported washington and you well critics are concerned it could be a repeat of the libya military intervention. with l a's a paramedic's at full stretch it seems the city's firefighters are now the medical first responders our next report explains what. oh the part of i'm with the editor burns they've already low my name is. misremembered everything i do i think that it would be ok i wasn't a party farmer has been this button or on the way are you are you with her now on hold is it. ok to contest it with.

a minimum of. around right now i am going up our way and. what emerges over the following you will be overwhelmed so as we're on the first film i'll toss a little peculiar to say it all the rest of our sleigh i.d.'s historic steps a day after babbitt lot of good women do premed that they have well sadly at their best where we've been at a point yet you're at the direct aftermath and i am damned i cannot tell me if you are the policy of the of the hospitals or your champagne just like i want to hear it for mercy purposes only recognizable it's out of the much ma'am it is it is not a merchant the plank i want is used for mercy purposes only there for like

threatening emergencies it is not. aimed. since.

you. got it let's do everything we can to help you miss thirteen stats a little news today is the parade wants christmas parade ten o'clock goes til boston twelve thirty between engine six five and rescue two six by. the. name of the guys that know me you. better know not. how you got it all right but in. any case so much i mean when you are not right and i'm going right to the death of the am i going to make sure. there are.

this merger fiamma story on the way. just tell me off the roof. it's about a twenty five foot tall. and so. there's a lot. i think i may say about the attorneys on the floor. particularly here till next week whole thing i think. it's clear. you know fast enough to get into the silly season and get in there fast and. take a deep breath. again. quite risky down here four years ago we were averaging nine fifty

a day. for every average american player actually underwrite calls my runs today because i have first. got here. we handle six hundred thousand were to see calls a year but the calls are on the inside there's been an explosion in call load it's about eighty two percent of what we do the fire department's medical. roger. they just get rid of him at home as the address of your emergency is immediately is because they're bleeding. and i just don't believe you are the strong one year deal kay i want your time her rescue operations running i want to discover 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. codgers be the way the rising demand for human services increasing every year on our us runs are going out two percent and hospitals are closing in the last four years about ten hospitals close

so it's less and less hospitals for us to take care of five hundred seventeen patients every day you're going to rest for good for the evaluators the curation that's been referred to as the perfect storm in the county of los angeles just getting bigger and bigger 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 had 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 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 the city of los angeles is the los angeles fire

department because we do become the de facto health care system. this is the canary in the morning of health care throughout the united states. outstanding thank you. orderly statistical to me you see it still for here oh yeah. fifteen for you mistakes in the. service. eight hundred twenty seven. joining. with a little coffee. is good for the shortness of breath which it will still really prevent from those the number one call the. station sixty five is in the south los angeles area of arson. they actually have to paramedic rescues down there one of

our busiest engine companies we have in the city los angeles and forth 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 say yes. three. firefighters at first were even ian cheeks and then they became even teasing from miners any to lot of firefighters pocket that i mean one of the many

a mass impact when i started my venture is a firefighter i didn't want to be a mask i started out wanting just you firefighters and police told us go get your mt license i said i can't carry them to me and i took an e.m.t. course and 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 thoroughly enjoyed it mr aspect of it as well with my job where it was that it started with any company making a good spy poxon 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 what we need is more able it's. just. ten years ago with half the analysts is that we have now now we have all of them some medical services in the

city of los angeles. on the time you dial nine one one here in our dispatch center tell the 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 you to know. that you. get. to go see this leg. please and know this. urgency really is very unfair can. we see about three thousand patients a month through their mercy or 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 looking for a finger in her mind hump along ok i've had a lot of pain in the slayings where my legs can now in the news it's you're a doctor's office today and she was can certainly help but find a way to have one before you're pregnant there's a pressure right now. we're increasing the staffing and trying to find room where there's never been room like you know closets hallways things like that. sarge exam you know how we could use about three times let's. say or so there. are certain things. the problem is not enough inpatient beds not enough or nurses in apartment beds and not enough nurses from members that's to take care of all the people who work or. we don't have a hospital focused patient no birds upstairs one with patients in our yard because

there's no builds up stairs and we do the best we can we're we can't turn them away . and we have a federal law that mandates that if 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 were they would call their doctor. or research the rest of. my business. rather.

than sit and wait for months earlier. what's worse right now the breath just being there for this bank really. you can play just me through different procedure well for one thing let your heart just all right right now let's get into rhythm to make sure. we question what if it's again essentially as he was in the last twenty four hours that ok. you're right the eating of the tree mean you know just on a more clear you know we're going to start ok had that sickness number in the spacious b. as in boy you two six six five four four six five on me he has now i'm only using the hospital there were rising on that wrist complication i'm doing putting down i'm. going to accept those responsibilities.

hospital they want to speak with you. know the team body on talk in. yellow. some people are just like that you know they get a dream in the middle and they don't want to go yeah we're left up at the point. as specialist but. a lot of times they don't have the medicine they can't get the medicine the kind of for the medicine or they sell it for the big. issues it 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 or even with the show up with our current medics 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 i remember the service. there are. really. make sure everybody's taxes are certain. you want to be more. just resigned ok we're going to take your money ok ok that's the way. you should go we're strongly recommending it we can't force you to go one have a good healthy baby right. those going to hospital maybe you. know you. won't we'll let you know who's month and that you're a family what you're going to have. to let me do this is her first time i was pregnant and she could be contracting in just. as a young man to do this it was that all of the greatest 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 mean having a growth under a leadership you had three and i was it tough so i'm not going from didn't you know nothing about it. if you didn't think that i have a woman think once you stand up in front walk forth. that like we just see you can do that well first of all already. are you still standing. please. they are not telling you not to run will soon. so you need to do the right bank and go baby that's less he goes look. at ok ok we're going to your money ok ok i'll just across the road the king is the greatest hospital for it's only right yes now they say to me in our baby's life they are really missing. this is proof that.

ross found was county supervisor. that opens the door. monday morning at eight o'clock this hospital be open to the patients. watson would welcome the sound central area of los angeles county. and watch was put on the map not only in california but the commission 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 city much of south central los angeles scenes of beyond fire up fire fuel and fire by unemployment or education and things like a lack of health care and. my own commission said the countess believe half of. this 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 i mean ok for you sixteen. true hospital was the e.r. 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 part a lot of times we would get a 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 the area. a few years ago the county los angeles had a lot of clinics are open were people could go walk in off the street and see clinics in the county 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 just permission just as i was your sugar level it's one hundred twenty. one no it's four hundred that's very bad for your diabetes. because if you had an appointment with a pharmacy a week ago why didn't you go see my 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 because costs money. a lot of the patients here are not in high and they don't want to structure their never raise with structure they want the school you know they were there for the laird and every. so check your sugar to three times

a week don't use more not every day this is very expensive close to not have insurance but this is where the money is to go to primary care wise and this diabetic you know failure already taxed a leg cut off you know because if you don't sit on the streets and then two years later l.a. county hospital you've got to treat it as a cost five hundred thousand dollars to separate if you miss your next appointment or any other appointment you can find a new clinic oh yes if i miss the point i can come back. 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 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 out it that you aren't having to. ok the saying this is romero congress my

name is you might as well i work with a program called road to health care and to help the patient understand better how to use the medical system threatening them or maybe. but if you are going to have a caseworker rather he's going to communicate with you often they will create is there mr you were telling me about how sometimes you have difficulty making appointments say ok so we are going to help you a little bit with that. they call me you know 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 me 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 a 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 in our vision is to improve access to care and want to get people access to the right care at the right time to the right place

and we need to incentivise financially our primary care providers are physicians this is your family medicine doctor that you go to see for a cold but also the person who's most likely to diagnose you if you have to answer . and you know you have refills you know but they told me i shouldn't come back without their prescription ok why. because they wouldn't to me that's one thing we need to explain to the page i don't know the feeling. yes five if you're just telling me to take me it's ok that i'm going to be seen are going to be sort of enough i'm not. sure if you're going for wellness we're going to get a leader for all right. let's go to. a good thing for you no more. this year it's already here. you know you're right. we're going to be. under really risk.

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 got his roll them down seven minutes flat however the best it's ever been and it was six point one four. year old daughter the supervisor. was giving you the facts. i had a doctor call me from a hospital but we refuse get there and no and he called me one evening any tells me that they couldn't take any more patients at their mercy. so i asked him to explain exactly what he meant he says we need to free our beds for our people and i said i will which people are your people people that were bringing them from these low income areas are paying they don't have insurance they got to get treated they got

to be seen but they're not paying you can't function as a hospital and that's why we lost in the us it was an area in the last socialist hellhole in the last just over five years we've had a love and a merchant see rooms closed only in most cases of higher hospitals. if you give a map of the city and you pretty well doctor the hospitals or you put it out we're all supposed for the yars and the.

all. the.

man. would be so much bryson if you only bounced some money from funds to impressionists. some piece from stone tots he don't come. from. atlanta. just so. just so. it's to. come up.