Titled escape fire the fight to rescue American Healthcare. Its currently available in select theaters, on itunes and video on demand. Cspan matt heineman, one of the things that her bio sheet is youve developed a multimedia undertaking other Young Americans project. What was there . Guest thursday project called our time. I actually studied history in college. I do intention of being the filmmaker. I actually wanted to be a teacher and i got rejected from teacher erika inserted was sitting around trying to decide what to do and we had this plan to drive across the country for three months of interviewing kids from all walks of life to figure out what our generation is about to get sponsorship money, bought an rv and ended up driving around the country. That was my first film. I learned a ton about filmmaking , a ton about life and i fill them up with the process. With a blogger, you know, shot a film, church raided the. From that film, it led me to his job at hbo and started me down this crazy path of making documentary films. Cspan one question about teach for america. How big of an ego destroyer is that when they dont take you . How many young people try to become teach for america . Guest i couldnt believe it. I thought, im trying to help people and be a teacher and you get it, but it hurt. I wouldnt be sitting here if that hadnt happened. I ended up interviewing wendy kopp from teach for america for my first son, so it came full circle. Cspan go back to the project of going around the country. Where did you go, how many people really do how much did it cost you . Guest in fall 2005 a data for three of of my best friends. It was really cheap. We were scrapping together money from family and friends. We get sponsorship money from nantucket nectars and penske corp. , but he was really bootstraps, rest guerrilla filmmaking. Id never held a camera before, never taken a civil class before. It is just learning as we went. It is really an exhilarating experience. What an honor to go up to anyone across the country and get their story and speaks them about truth sendups of their lives. It was a meaningful experience. It was wonderful because we have this wide range of characters. Have theater views are planned. Mark from facebook to a drug dealer, to the cancer researcher, to homeless kids. Cspan what did you learn about young people . Guest i learned a lot. And learned that no matter where, is sort of cliche, but i matter where youre from, no matter what your background is, everyone has a burning desire to be better, do better, improve themselves. I want to wait for my trip because we went in without these preconceived notions that people in other generations are calling us apathetic and spoonfed and i walked to a feeling inspired our generation, you know, does want to fix this country, does want to fix this world. I dont know if its going to happen overnight. I think our world is changing every day. The way we communicate, the way we effect change is going to be different than my father and grandmother grew up up in the 60s. We are not up there in the streets protesting. We communicate and spread information in a much different way. Cspan so where does you grew up . Guest i was born in d. C. , grew up in connecticut, went to school in new hampshire. Cspan what this tapestry of your family . What do your parents do . Guest my mother is a journalist, a science writer. Cspan was her name heineman . Guest christine russell. She kept her maiden name. My dad, then heineman started out in the Public Sector and ended his career working for generally let trick and now teaches in boston. Cspan this is the wellknown then heineman. Was this other also wellknown . Explain not. This is the first deadline this review, but how do they fit into the past . Guest i had a very my parents and my grandmother are amazing people and i feel very lucky. Cspan what did they do . Guest my grandfather was a selfmade man. His father actually killed himself in 1929 after the stock rocket crash and was left alone to fend for his family. Went to school, claimed his plan to law school and started out as a lawyer and started running northwest railroad and a number of other businesses in chicago. With very specific advisor to president johnson and i think my dad and i inherited a lot of their social believes and i carry a lot of that into the filmmaking i do for sure. Cspan by the decided dartmouth to study history . Guest i didnt know what else to study. I didnt know what i want to do with my life. I didnt have a lot of direction. I played sports in college and id always been fascinated by history. Ive been fascinated by the civil war, took a trip in high school to gettysburg and let history, so i decided to major in it and it really taught me to be analytical, to think critically about events. I try to learn from the past to affect the future. Bright co. Why film . What did you think film would do for you . Didgeridoo film apartheid . Guest tape, video. Cspan y video . Guest i stumbled into it. I fell in love with the process and film has this amazing power to really tell stories in a way that touches audiences and touches people this early in a way that the written form cant do. I mean, you can really speak great social truths through the power of the documentary form. It such a malleable form. In this film, escape fire, which im sure will talk about, we shot talking head interviews, list it on fire, had animation. It was really a hybrid form with all these different techniques that we used to really tell the story of our broken Health Care System. So its a beautiful form and i love documentaries. Cspan will get to escape fire in just a second. Go back to the first documentary. I was a documentary with the travel across the country . Guest we thought we were going to make a documentary and we shot 150 hours of footage. We didnt know what we were doing. We were filming, meeting people and following archived and came home three months later and said what the heck are we going to do with this . Final cut pro, a cheap editing program, read some books and started playing around with the footage. I ended up cutting together a short film. We renew our lens three months after katrina, saying it a a little short about the day we were there. I can, i kind of was amazed about how movie no place to do this and i just dont love the process. Draco and then we ended up coming together a film. We at film festivals, kept getting good and kept getting people are saying this really brilliant, but im not sure if it is for a period eventually i got in the hands of an executive at hbo and he brought me in and said id love film. We love the film here. We dont want to buy it, we want to hire you to help reduce the alzheimers project, which is a Public Health campaign they were doing. So is hired as one of their producers. Cspan you still have all the video you havent used . Guest i continue to edit the film and found it to the documentary channel four is now available on amazon and hulu and other digital platforms. Cspan and the name . Guest our time. Cspan how did that go . On my home site is still there, on demand i believe. Guest you can still watch on demand. You can buy it on dvd, stream it online as well. Again, i submitted my film, and ended up getting hired as a producer. Cspan whited hbo want to do this project . Guest hbo they are a wonderful channel because they produce a ton of content, but they are socially conscious and every couple years they produce large Public Health campaigns. They first did one on cancer, benediction. I worked on the alzheimers project and is recently did a Public Health campaign on obesity. Cspan what did you learn . Over the big things you learn from the alzheimers project and how many different shows further . Guest these four different films. I was a producer on one of them called momentum and science, which is sort of where we are in the sign of alzheimers. There is a film for children. As a film for caregivers. And ive learned a ton. Id gone from working on my own in a closet in my apartment, editing my first film to working with oscar nominated Emmy Award Winning filmmakers who became a mentor is. John hoffman, you know, the executive and producer of the project, who hired me has really been a mentor. Hes a wonderful man has been very kind to me throughout my career. I also collaborated with susan domke. Intimately we got along really well and ended up deciding to work on our latest on together. Cspan who is susan from key . Guest a multiawardwinning documentary filmmaker. Her first film is greater and shes made over 30 films in her career. So its really been a privilege is a privilege working at hbo with such talent and the resort of my film school. Cspan how close are you to your 30th birthday . Guest a year away from a 30 earth day. Cspan youve done all this in your 29 . Guest yet. Cspan the recently asked a year besides his back on us because youre the documentary justreleased event last month or so about whether . Guest the film is called escape fire the fight to rescue American Healthcare and its really about how online our hope is system is broken. Why does it want to change and people out there trying to change it. We started making the film in 2009 just as the Health Health e debate was heating up and theres so much fear and confusion around the topic. It was dividing our country, the topic of hope here. I think both susan and i really wanted to understand, you know, how the system came to be, why did this perverse system exists . We also wanted to find solutions and people out there chained to change it. So we didnt want to make it just a polemic. We wanted a film highlighted solutions well. Cspan lets jump into a cut. We have about 10 minutes every hour and 39 minute documentary that we will run during this discussion. Lets jump and you can tell us the people we are seeing. I need some help over here. Did he try to get up without anybody knowing . Aegis ruled himself out. Hes really not listening very well. We dont want them to fall again. Now they put him on the other side. Im going to find out what the guy. Hes like clutching his head. He was issued this bottle today. Hes taken 10 tablets. That is ridiculous. He could stop breathing if he took too much. Cspan where are you . Guest we are in a matter that flight from brownstein, germany to Andrews Air Force base and we are really looking up the military is a microcosm for the rest of america and that they have the default alliance on pharmaceutical drugs. In america we spent 300 billion a year on drugs, its almost as much as the rest of the combined. So we really wanted to try to explore this and we ended up deciding to explore it to the military. You cannot must not pick up the paper every day and not see something about overmedication or suicide in the military. So when we heard that the military is trying to fix this problem and that they were trying to do a study to see if acupuncture could work in lieu of drugs on this matter that flight, it just the sort of a homeless story we wanted to explore and it took us about a year to get access to get on that plane. With permission from the u. S. Air force, u. S. Army, took a long, long time. I was sweating while its right before new year in 20 time. Finally at the last minute we got permission to get on the plane and what received they are as we dont see that people are not steady. We ended up following a character called sergeant jesu is heavily, heavily overmedicated. What we see in the clip is what happens when we have a fragmented system, when we have a bunch of different doctors not looking out for a whole person. Theres no way a human being should be on as many jokes as he was on that plane. He almost died. Cspan he holds up a bag full of containers of pills. Guest nurses and docs just couldnt figure out what he was fond, how many drugs he was on and his Blood Pressure dropped to a dangerous level, where he almost died. The whole plan was literally on shutdown. Everyone was on high alert. Cspan that was in the air . Guest we were in the air across the atlantic. Greenstein and germany to Andrews Air Force base. Searching gates, the young man we see in that clip has really handed it being the heart and soul of escape fire, of our film. Somebody we ended up following for about six months. Cspan did he agree before or after that you could use this . Guest he agree before. Cspan to be shy and something . Guest we basically got free rein with the military. Obviously within reason, but for patients that we were following intimately, we needed a release from nonand the military needs a release as well. So he signed some paint before we got on a plane. Cspan did the military have any say to what you could use . Guest now. Cspan how many people on the plane . Guest way we work is really intimately, so as nonintrusive as possible. It was just myself, my cinematographer and may soundman, miller. I was filming a little bit as well. The key to the scene is not that wouldve worked. In many ways, thats the emotional crux of the film and where we really started getting to the belly of the beast of our system and see one of the most raw moments of our film. None of that wouldve happened if we hadnt been able to plug into the nurses had said studio to understand what is happening because it was so noisy and i you couldnt even hear yourself think or talk. Cspan where he Sergeant Robert gates today . Guest we ended up following him for many months as they said and he ended up entering himself into an Innovative Program at walter reid, with the ended up using acupuncture, meditation, using other techniques to wean him off the drugs he was on and through this program he was able to walk out at walter reid on his own two feet. So i really commend the military for two things. For one, allowing us to tell the story, both the good and the bad, but for recognizing this problem, by recognizing that there is this problem of overmedication and they are looking outside the box ideas on how to fix it. Thats the whole thesis of the film, divided for a escape fire is the status quo is not working i would need to look outside the box ideas. Reiko explained because we havent seen it, what is escape fire . Guest short version or one version . Guest cspan soupy blood and idea so people have an idea. Guest basically would have been with the force Fire Fighters were dropped dead to fight this fire. The latest and greatest technology filled this hubris. They called it a 10 00 fire. Suddenly they found the wind shifted directions and found themselves running in the leader of the group that they match, bring the area around 10 so when the fire came and overtook him, hed be safe in what is now known as an escape fire. He called for his men to join him, but nobody did. They kept running up a hill for dear life. They all died and he survived unharmed in this escape fire. Its a metaphor that our Health Care System is burning ember of burning at the show, sticking to the status quo were the answer is right in front of us. Cspan heres another couple of people we see a lot of in a documentary. The former journalist, Sharon Brownlee and doc to leslie choate. Sharon bromley was with u. S. News at one point. Why did you pick her as a spokesperson . Guest she had written a book called overtreated and not the wizard is seminal for us in understanding more is not better , that moore can hurt us. It was her book to explain that to eyes and therefore i sought her out to be in our film. Cspan here she is in others. The vast majority are paid by a feeforservice system. That means they get paid for each office visit. If their surgeons, they get paid for each procedure. If its a radiologist, they get paid for each ct scan they deliver. Cspan if i spent five minutes for you, you probably get paid 1500. For me to spend 45 minutes on an established visit with the patient to make sure theyre doing exercise, making sure diabetes is okay and to figure out whether to problem says, probably get paid 15. Its a completely irrational system. Feeforservice rewards physicians for doing more. It does not reward them for doing a better job. It doesnt report them for keeping patients healthy. It rewards them for giving more care. Cspan what the doctors think of the feeforservice . Did you find out . Guest it is an antiquated, broken, perverse system that nobody is happy with, that is a predominately in which medicine is ran worst in our country. We pay for pieces that we get pieces. As they explain in the clip, we pay for individual procedures. We pay for prescribing drugs. Each service that a doctor provide is paid for. When you pay forvize to d more. Youre not incentivized to whats right for the patient. Or incentivize to get my pills. So the problem with that is you dont really get to the bottom of whats wrong with somebody unnecessarily. You dont have time to spend 45 minutes to understand whats going on with their heart condition, whether there are other ways of changing the lifestyle or other aims. Its much easier to say who go into the lab and put a stent in. Cspan how did you get to the Cleveland Clinic you have in the documentary, how did you find you find asner . Guest we were reading the New York Times and theres an article about a doctor outside of washington d. C. Who is basically putting in way too many stands. This article explains overtreatment and not one of the doctors quoted was the head of cardiology at the Cleveland Clinic. So we gave him a call and asked him to be in our film and he agreed and it threw him that we learned more about the clinic as a model for health care. In speaking with them, one of dr. Shows patience. Cspan here is here is more to continue that part of the story. How are you . I have great. She came to see me when she was at her with sand. She had had bypass surgery at an early age. 27 cardiac catheterization and well over 7 cents. This is just an unbelievable amount of students. Im sorry, its going to get pretty tight. I cant tell you how shocked we were when we saw her for the first time because he was a young woman whose diabetes is not well controlled or her cholesterol is well controlled in her high Blood Pressure is never well controlled. If some one had talked to her, someone would see her chest pain and shortness of breath. Many of them would not have been necessary. 27 catheterizations . How often was that the case . Guest thats an extreme case, but not that extreme. So many people have students that dont meet them. In fact, 97 dont actually im helpful or u