there were no more interesting. services to expect or ask what it's ok i wasn't a party farmer has been this patch and they're on the way are you are you with her now i'll miss you. ok is she conscious. i am a. i'll. call it. a commercial. oh. no. it won't let me. explain. why they say the bad a bit long in the. sense that i am well satisfied where with that. awful man i am i am now i can not only for you for the quality of of the hospital

there you have some strange. want to use for my purposes only. yet it is not a murder. is used for my purposes only. it is not. god

let's do everything we can to help b.m.s. thirteen standards. today is the parade thoughts christmas parade ten o'clock goes to about twelve thirty three engine six five rescue to six by. three for the good of you guys that know you got the better to going out. on a yacht all right but in. any case so much i mean when you are not right now going

right to that but you know what i'm going to. there are there are. this merger of the amateurs already on the way. just tell me the route. it's about a twenty five foot tall. you can see that there is a lot of things. i think i know i'll see about the a three on the floor. particularly your children that's the whole thing ok. let's play a little lucky. act fast enough to get into the silly season

again they're fast and. take a deep breath. to get. my first computer four years ago we were averaging nine fifty a day right there we're averaging over twelve hundred three hundred calls on runs a day i could well have first. got to get. the 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 are out there just get it seven for you now is the address of your emergency is there any please is there bleeding. all right if you don't believe you are the strong one year deal case i want your toher rescue reactions from me is that i want to have a rest are you there with the right now or your i can it's 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 nice runs are going up two percent and hospitals are closing in the last four years and 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 they evaluate your situation it's been referred to as a perfect storm in the county of los angeles just getting big. you're in big or in this there's no no relief in sight if you're having a health crisis you'd like to thank you think out 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 severe if 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 in-patient 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 have become the de facto health care system this is the canary in the morning of health care throughout the united states. standing thank you i thought. oh my. god. orderly statistical to me it's just a big step for here oh yes. mr tabor you miss the city. service. eight hundred twenty seven. joining. us

a little surreal. if the sure this is the case if you're still really breathing for those the number one color of 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 fort unfortunately can't keep personnel that long there are 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. the. theme through and see.

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 they knew one of the many e.m.'s in fact when i started my venture as a firefighter i didn't want to do your mass and i started out i want to just do firefighting and they told us go get your empty license i said i can carry it and you do it and i took an e.m.t. course and i thought all right i'll do it took the class just to get the 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 an ambulance company making just five bucks an hour for about four years five years which a lot of us had to do. i 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. and all of them see medical services from 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 him to know. now here now that you're. here. because this. is. really cool and you know this. urgency really is very important.

we see about three thousand patients a month through the murder scene part but. we had a day the other day where we saw hundred ten in one day and it was exciting and your name is effortless and just reach your sorry buddy the lady you looking for and i think her my mom a lot ok i've had a lot of pain and inflames where we made legs now in the news bulletins and you were in a doctor's office today and she was concerned he had blood finally he had one before when you're pregnant there's pressure right now this morning we're increasing staff in and trying to find room where there's never been room like you know closets hallways things like that. sarge examining the hallways because it is about three times it's. over. because her kindness. the problem is not enough inpatient beds not enough urgency

department beds and not enough nurses to members that 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 we were 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. rescue a search engine far easier to rescue. my person. rather

. than very. wrong. in season way too much this year. what's worse i know the sort of 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 right right now let's get into a rhythm i want to make sure. we question but i haven't taken any such lately and i think i was twenty four hours that in. terms of believing that a treatment. was just on a more clear you know we're going to start ok high that sequence number in the spacious b. as in boy you two six six five four four six five he is now adamantly refusing the

hospital there were rising on the wrists complication up to and including down. willing to accept those responsibilities. i miss the hospital i want to speak with you. know every team body on talk to. yeah hello. yes. some people are just like that they're you know they get the tree man they don't want to they don't want to go yeah we're locked up on the point. and specialist 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 use. of this is it up and take it back to the doctor. so because of that a lot of them tell us more primary care that fresh somebody sees.

for individuals don't have access to health care or ambulance 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 am in the service. there are there are other. i'm not really. i make sure everybody stops and men are starting. to want to be more. just resigned they were 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 baby right. let's go to hospital maybe it over fifty. only you. will only go jr who's a month and that where you are as

a family what you're going to have already let me do this is for first time bring him home with crack and yeah and she could meet contracting and just. as a young man to do this it was that it was no longer just 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 grammar 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 that i have a woman think once you stand up in front walk for us. like we can be that. what pressures were already. are you feel stan. lee. 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

ok ok all right the king is the greatest hospital for it only right yes now they say we have our babies like they are really really good. this is proof that we're picking them up on raw founders county supervisor. that opens the door a. hospital monday morning at eight o'clock this hospital be open to the patients. watson will be welcome 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 thousand six hundred five because of the riots six days of rioting in a negro section of los angeles left behind scenes reminiscent of war torn city much of south central los angeles scene just beyond fire up fire killing five by unemployment or education and things like

a lack of health care and. the mccollum commission said that the county must bill a 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 more use of king. 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 and. i believe we were saying to in fifty. maybe even closer to fifty five fifty seven thousand a year in the main 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 that area. a few years

ago the county law center said a lot of clinics are awful people could go walk in off the street and see clinics in the county and 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. you don't have papers yes you have papers just permission how was your sugar level it's one hundred twenty eight. no it's four hundred that's very bad for your diabetes. they can see that you had an appointment with a pharmacy a week ago why didn't you go. i did go. 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 are not compliant they don't want to structure their never raise with structure of what the school you know never step with a layer. getting it 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 the primary care why in this diabetic we prevent from getting you know failure or attacks a leg cut off you know because if they if they don't treat it we see 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 every one user she's been to. at least six times within the one year period we want

to care for also the care management part of me in order to maybe help her keep her out of that yard having to come in ok to say mrs romero come to see my name is. i work with a program called road to house and to help the patient understand better how to use the medical system settings them out maybe. but you are going to have a case to occur who is going to communicate with you often and 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 to go and 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 in 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 al did prescription 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 favorite saying she's telling me that she gets that but that may be seen i get it you don't know if i must. be sure be sure going for wellness we'll get together later for i know. there's got to.

get a good thing for them or not. this. year. because they're right. we have a twenty eight. thirty risk here in ok you guys are doing much better you're just about reach but margery's goal of what he wanted to have in 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 for one hundred forty. three. year old boy all 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 room 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 well 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 they're out 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 coal in the last. five years we've had a love and 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 it out we're all supposed for the yours and. wealthy british scientists on. time to try to find.

markets why not. find out what's really happening to the global economy with mike stronger for a no holds barred look at the global financial headlines tune in to conjure reports . more news today violence is once again flared up. these are the images the world has been seeing from the streets of canada. giant corporations are old today.

she's available in the cell and is tied to her toes. twenty feet the how would pose a hotel to be sure to tell it be hotel hotel while show his the groom's return the show with her turn to see toy p.

hoto kuvasz photo photo saloon hotel resort evergreen goldberg totally pig friend victoria hotel gloria prince hutto hope springs resort and spa tied to a hotel while she didn't impose a photo of. the western toy to be evergreen closer in time to tell you learned as her till to an ambassador inside the hotel points pushchairs and i would print certainly the splendid hotel in touch with the hotel in touch your world the digital guru gold how would international flood to change every green lol he told in total of. the latest news and the week's top stories on our t.v. the apec summit and the wind sees asia in the pacific powerful economies. possible possible game changing in the free trade zone. the prime ministers of both italy

and greece fall and new governments are appointed as their countries drowning in debt. plus a un report claims arend could be seeking to obtain a nuclear weapon but teheran slams the allegations as a u.s. backed smear campaign. very warm welcome to you karen taraji we start off with the creation of a landmark free trade zone dominated talks at this year's apec summit which brings together the leaders of asian pacific rim countries barack obama hosted the get together in hawaii and met up with to me that means video of to turn over some pretty hot topics artie's honest brings us more from honolulu. the final day of the apec summit a two day gathering here in honolulu and this day is really bringing the most important to meeting on.