in the week's top stories here on r.t. the keepers of asian pacific rim agreed to start working on a free trade could revitalize relations with russian and u.s. presidents. using the apec summit for a meeting. to discuss missile defense and russia's membership of the world trade organization. to pull back from the financial abyss they have to approve new austerity measures to steer clear of. disaster. plus a u.n.

report claims iran might be seeking to obtain a nuclear weapon tehran slams the allegations as a u.s. backed smear campaign. reconsidering the country's cooperation with the. disappointment. well that's it for me today the news continues in ice and half an hour from now with paramedics at full stretch it seems that the city's firefighters and other medical first responders report explains why. oh the bartok arm with the head of the burns they've already loaned money in the ring if you read everything i do everything i think we're ok i wasn't a part of karma has been this my thunder on the way are you are you with her now potholders you. don't care she contests. that. right now i'm going on holiday.

with the merchant purple oh well the elder brother l l is normally first film also a political will have to pay it all up and let the airplane i.d.'s destroy definitely take a look at the babbitt lawyer that was one of the premier said there broke out in a pick up where with him at a point where you're at the director asking a man i know where i am damn i cannot come easy for you with a policy of of the hospital there to give champagne it's like i want to do it for mercy purposes only bank of america but it's out on the merchant now and here is not a merchant this blank i want to see you for because your purpose only as a life threatening emergency it is not. aimed.

seriously. that's. an awful lot of let's do everything we can to help b.m.'s thirteen stats follow me today in the parade thoughts christmas parade santa claus so still about twelve

thirty because we engine six five and rescue two six by. the. people because you guys that know you got. the better thing going on. how you got it all right but it may take you so much to me and when you are not right about the night you know this but the end of the going. there are. thirty am authority on the way. just tell me the route. it's about a twenty five foot tall. you can see that there is

a god i. think until i see about the attorneys on the floor. on the news your children is the whole thing ok. there's. a lot of these little. known fact that's the nothing gets in the silesian thing get in there fast and. take a deep breath. again. hi christine bender four years ago we were averaging nine fifty a day. over average you know it was later after three hundred calls i runs the day after the letter had first. got. the handle six hundred thousand words see calls

a year put the calls around me and inside there's been an explosion and i mean call it it's about eighty two percent of what we do the find a problem is medical bills. roger. for you now is the address of your emergency is there anybody is there bleeding. heart i don't know your distro on your be ok i want to talk her respirations from me is that i want to cover right for you there with the right now. ok listen very carefully hundreds of already on the way what i need to find out from you right now is she conscious consciously the way 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 about ten hospitals close so it's less and less hospitals for us to take our five hundred seventeen patients they're going to get the rest you get thirty valuate years of curation that's been referred to as the perfect storm of the county of los angeles just getting bigger and bigger and this is no no relief

in sight if you're having a health crisis you'd like to thank you thank how i'm 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 the 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've become the de facto health care system. this is the canary in the morning of health care throughout the united states and outstanding

thank you. for really statistical to me this is to get stuff for you here oh yeah. mr kamber you mistakes in the. kurdish. eight hundred twenty seven. joining us. with a little coffee. this book is sure this is for the if the school really really strong that is the number one cause of. station sixty five isn't that the south los angeles area of our city. yes you have to permit it rescues down there one of our busiest engine companies we have in the city los angeles and fort unfortunately can't keep personnel that long there they come there they've got a lot of experience in a relatively short period of time and they want to go on to a better place eight feet. a.

thief three. firefighters at first were even antiques and then they became e m t's and from my understanding is a lot of firefighters pocket that they want to do an even mess in fact when i started my venture is a firefighter i didn't want to be a match so i started out wanting just to firefighter and based holders obituary in feel like i said i can't carry any weight 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 and i was only thing i was planning on doing it was just using the license to get out and it turned out that i truly enjoyed your most aspect of it as well with my job where was that it started with any other company making those 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 some medical services in the city of los angeles. from the time you dial nine one one here in our dispatch center to 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 no no. no no

you're. here. because. we know this. urgency really is very important. we see about three thousand patients a month who demurred simpler but. we have to be 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 thing or her might hum along ok i've had a lot of pain in its legs where my legs get numb in the news it's that

you're a doctor's office today and he was can certainly help but finally he had one before we were pregnant there's a pressure right now this morning we're increasing staff in and trying to find a room where there's never been a room like you know closets hallways things like that sarge examining the hallways because it is about three times. or so there. is certainly this. the problem is not enough in patient beds not enough urgency department beds and not enough nurses some members dabs to take care of all that important work or. we may have a hospital full of patients no birds upstairs where all patients are yard because there's no beds upstairs and we do the best we can we're 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. but the we ality is that these people don't have primary care physicians if 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. the rest listen to the police or trust. what was going to be looking. rather. hurt. in the winter months. what's more is i know the breath just being there has been really. people playing chess with two different people receive us for

granted like you are just right right now let's do it with your rhythm i want to make sure. we question but you haven't seen essentially the last twenty four hours that. you are voting that is treating you not just on a more clear 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 suspect he has now adamantly using the hospital there were rising on the wrist complication doing putting down. he's willing to accept those responsibilities. i'm so the hospital i want to speak with you. know the team body on talking. yes hello.

some people are just like that you know they get a dream in the middle and they don't want to go yeah a lot of the point. as precious but. a lot of times they don't have the medicine they can't get the medicine they can afford the medicine or they sell it for the. b.b.c. set up and take it back to dhaka so because of that a lot of them tell us more primary care that fresh emergencies. for individuals don't have access to health care i am going 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 i remember the service.

and make sure everybody's taxes are certain. you want to be more. than just resigned ok we're going to take your money ok ok. you should go we're strongly recommending it we can't force you to go on have a good healthy baby right. who's going to hospital they do you. know you. well you never lose a month from that right you have a family what you're going to have. to let me do this is the first time i was pregnant here and she could be contracting in just. a young man he was that was the greatest 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 great number of leaders have you had three and i guess it off so i'm not from

nothing but. yeah i'm a have a woman think once she stand up in front walk forth. well let me guess you can do that well first of all already. are you still stan. lee. they are not telling you nothing from the suite here. so you need to do the right that i think your baby best let you know goes to. the right ok i want to take your money ok ok ok ok i'll do kink is the greatest hospital for it well the rain is now facing me and my babies like they are really really good. this is proof that we're pulling them apart on right found out a supervisor. that opens the door. but i'm not good morning at eight o'clock this hospital be open to the patients. watson with the

broken the south central area of los angeles county. watch was put on the map not only in california but by permission of the world. in one thousand nine 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 seems beyond fire up fire killing five point unemployment or education and things like a lack of health care and. the microphone commission said that the congress really have to. 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 m.l.k. more you sikkim. true hospital was a 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. i believe we were saying tween fifty. maybe closer to fifty five fifty seven thousand a year in the name or state 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 the area. a few years ago the county lost an awful lot of clinics for all for people to go walk in our history 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 say under insured ok since you can't pay.

those you don't have papers yes you have papers and just permission i was your sugar level it's one hundred twenty. one hundred no it's four hundred that's very bad for your diabetes. 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 this costs money. a lot of the patients are not compliant there are a lot of structure there never raise the structure of what the score you know never step or the air. every. so check your sugar to three times a week don't use more not every day this is very expensive let's not have insurance then but this is where the money needs to go with us if you've tried it in primary care wise and this diabetic you know failure are

a tax cut off you know because i think if you want to deal with it on the streets and then two years later he ends up that l.a. county hospital and go to treatment and 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 appointments i can come back you know when. primary care nationally is a problem and 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 every one user says back 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 my name is you my strat i work with a program called road to house and to help patients understand better how to use the medical system they are maybe. but there you are going to have

a caseworker who is going to communicate with you often. ok with them is that what you were telling me at how sometimes you have difficulty making appointments say ok so we are going to help you a little bit with that. he called me you know how can i help you know. they didn't give me this mattson you do have to educate 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 grid 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 we want to give people access to the right here at the right time of 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's 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

the prescription or the k. why. because they wouldn't sell it to me that's one thing we need to explain to the page and i don't know the field. has five years so she's telling me that she gets it that's going to be significant you don't need a pharmacy. if you're if you're going for wellness we'll get together later for a lot of. her stuff so. good do you think the market. this. year. are all right. we are twenty eight. thirty risk. you guys are doing much better you're just about reach but margery's goal or what do you want to do have nailers resources on scene within six minutes you guys roll them down seven minutes flat with however the best it's ever been and one six

hundred forty. two. year old daughter the servants are. just giving you the facts. i had a doctor call me from a hospital we rescued get there but 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 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 but you know they're paying you can't function as a hospital and that's why we've lost in the hospitals in our area and. a lot socialist hellhole 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 dog where the hospitals or you put a dog we're all supposed were there yours. and. wealthy british scientists are. sometimes right on. target. markets why not. come to. find out what's really happening to the global economy with much stronger for a no holds barred look at the global financial headlines tune into cars reports.

more news today violence is once again flared up. these are the images the world has been seeing from the streets of canada. showing hope for asians are old today.

in taiwan multis available in this type. piece how it feels like the shirts inside the hotel hotel while shell his bedroom photo the show with her child some will be hotel cooper shows her photos from the hotel resort. hotels like pete victoria hotel prince hotel called springs resort and spa tied to a hotel while she plans come closer to the town. the taipei evergreen close a hotel in thailand thailand is hotel time to type the hotel full points and. the splendid hotel.