The Impact of ‘Escape Fire’ and What Comes Next

This post was written by Glenn Sabin

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In his excellent post, “Revisiting Escape Fire: The War to Rescue Our Health,” integrative health publisher and thought leader John Weeks questions the impact of this highly regarded documentary as a truly effective healthcare delivery game changer, and he appeals for a harder-hitting sequel to help finish the job.

But before we discuss what a sequel might cover, it’s important to consider the uneven impact the original has had since its airing and some of the reasons for these limitations.

Background, Numbers and Reach

Produced by Susan Froemke and Matthew Heineman, “Escape Fire: The Fight to Rescue American Healthcare,” premiered January 2012 at Sundance Film Festival. Recipient of a Silverdocs award, the documentary was subsequently featured at other select film festivals before hitting the big screen—all six of them!—that October. It was simultaneously released on iTunes and Video-on-Demand.

Gross U.S. theater receipts: An anemic $97,316.

When CNN Films later purchased U.S. television rights to the documentary, airing it this past March 2013, Escape Fire was finally accessible to a larger audience. Its special broadcast drew 642,000 total viewers, including 251,000 in the coveted 25-54 demographic.

Escape Fire, CNN Films’ very first documentary was ironically a project they did not produce. Presumably a successful acquisition, CNN reports that the program enjoyed an impressive “159% viewership increase over the network’s year-to-date average.”

Of course, distribution and ratings alone rarely drive change. True sea change quite often results from the relentless determination and influence of one or more highly inspired individuals who are single-mindedly moved to replace old failed concepts with transformational new ways of thinking.

Such is the case with Senator Richard Blumenthal (D-CT). After viewing a military screening, he was so inspired that he wrote and successfully shepherded a bi-partisan amendment to the National Defense Authorization Act that was passed in the Senate in late 2012. This amendment would have allowed the Veterans Health Administration to establish a prescription drug take-back program, and it would have increased integrative medicine interventions (namely yoga, acupuncture and meditation). Its goal was to prevent what has become the commonplace over-medication of our service men and women and to reduce tragically high suicide rates. Unfortunately the amendment did not win final passage in the 112th Congress.

Even though the amendment did not pass, the film’s focus on clear health benefits for US service men and women motivated a senior lawmaker to take direct action to expand access to integrative therapies for them. So despite its limited public awareness, Escape Fire resonated with an important supporter in a position to do something. The question is: How to broaden and sustain that awareness, and thus reach more decision makers?

What Comes Next?

I principally agree with everything Weeks lays out in his essay. He’s essentially saying that while poignant and compelling, the documentary in and of itself may not accelerate us to the critical tipping point beyond which integrative health becomes the standard of care.

As Weeks points out, the film didn’t include all the “prescriptions.” But really, how could it have?

As such, and as inspirational as it is, Escape Fire is really a singular effort, as opposed to one component of a well-coordinated, multi-modality synergistic approach to a “wholistic” problem. Sound familiar?

Our fledgling and still fragmented integrative healthcare space does not yet possess a sophisticated and well-funded lobbying machine: an enterprise supported by a large consumer database with which to coordinate and activate folks behind unified calls-to-action.

Such coordination is not rocket science. It is what successfully drives most causes (good or bad) and industries today, and it would have certainly given Escape Fire the requisite foundation on which to build and coordinate its marketing and messaging strategy. I don’t mean to suggest that it is not hard work that takes time… and plenty of resources. The Integrative Healthcare Policy Consortium (IHPC) has been diligently working to fill this role. But with its limited resources—human and fiscal—the bulk of its current lobbying energy has been rightly focused on the important non-discrimination provisions of PPACA Section 2706 to ensure that this law is properly implemented in each state. No small task.

Transforming the payer model as prescribed in the PPACA (see ACOs, PCMHs) will take more than a slight shift in economic incentives to bring about better patient outcomes and substantive cost-savings. Nationally, we need more salaried, outcomes-based healthcare delivery models in which clinicians are well compensated based on results, not on the volume of services and procedures they order. The examples set by the Cleveland and Mayo Clinics are good places to start.

Ultimately, the transformation envisioned in Escape Fire will take more than this fledgling integrative health movement itself to spearhead and coordinate all that needs doing. This is a HUGE gig. It will require tons of political capital, a daunting prospect made even more challenging in the present environment in which neither side of the congressional aisle has much in reserve.

And we should honestly ask ourselves can even a discussion about achieving these goals be meaningful without the participation of the affinity stakeholders in preventive medicine, in lifestyle and environmental medicine, as well as those in markets that are outside the care culture whose work in nutrition, exercise, healthy places is also asserting a whole-person health value that begins even before diagnosis is required.

The integrative health industry has certainly earned its rightful place at the table of transformation. As far as I know, true prevention remains the only magic bullet “cure” for most chronic disease, including the malignant varieties. Our industry not only understands this better than most, it is organized—from its educational establishment, to a licensed clinical culture that is heavy on primary care—to move us in that direction.

This is the message that Escape Fire delivers in a very powerful, often inspirational way. But it needs repeating. And repeating. In a coherent, organized and consistent context. How would you script “Escape Fire: The Sequel”?

Please share your thoughts in the comments section below.

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Dec 7, 2013 · Comment (1)

   

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Understood…..Escape Fire is not going to singularly cause a renovation in our insurance model nor was it intended to do that; the role and practices of integrative health care needs to be developed to scale, on the plus side, you can find a myriad of small shop alternative health centers popping up around the country with growing number of users but all outside the system; until we break the stranglehold that the mega-billion dollar PUBLIC companies have in our insurance and pharmaceutical industries, meaningful change cannot occur; public companies need to be prohibited from participating in an effective health care model at least at the principle decision-making delivery level; by definition of their existence, it’s not in their interest for integrative health care changes to occur and they’re not going to graciously close their doors or reduce their current profits in the name of better healthcare; the public needs to wake up to realize the low quality of health care we’re receiving at such an astronomically high cost and at the expense of their health; that awareness is truly lacking in any meaningful numbers; more and more credible messengers like the ones in Escape Fire need to carry the baton and deliver the messages over and over; our armed services is a great place to make significant inroads and changes in the manner of their health care services and bring a higher level of public awareness as the government can direct its dollars to the alternative providers; effective action with the remainder of the public generally only follows anger and complete frustration; we’re being spun a web of deceit by the third party providers and the pharmas; it’s understood our models for care need to be radically changed but how will that be in the powers to be interests? furthermore, the bulk of our current health care providers are ill-equipped to provide integrative health care services; Obamacare is not the answer as it’s enhancing the power positions of the pharmas and 3rd party entities; its proponents are spinning certain issues to the public (30 million more covered…reduction of pre-existing limitations, etc.) in order to duck the much larger realities that it failed to change the fundamental role of these mega-giants on our healthcare system or install a single payer; in fact these entities will make even larger sums of money under Obamacare; ..the whole roof is leaking and the government is patting itself on the back for purchasing 2 new shingles and is attempting to convince us they did us a favor!!! should it really make a difference where you purchase your insurance and where in the country you get sick? why can pharmas market their drugs on TV? what a joke; there’s no pollyanna answer; we need the ability to organize and redirect our current insurance dollars to am alternative provider system; the current insurers will not idly sit by if this should occur; it’s not that long ago that our major car manufacturers purchased electric cars and crushed them to stop that movement….it’s taken almost 50 years for that to reignite; integrative healthcare is facing that same dynamic from the pharmas and insurers that are trying to crush them; we need to get more truths about how other countries are producing better outcomes; why are companies sending their high cost employees overseas to have various surgeries performed and picking up the tab for a significant other to go along?…all at a 1/3 of the price here; why are the same drugs less than 1/2 the price buying them from pharmacies outside this country? we have to stop throwing more and more dollars at a broken system; it can’t be fixed! it needs to be reinvented; while it’s nice that one representative appears enraged by the current truths, the pharmas and insurers are in the hip pockets of the vast majority of our national and state representatives so who’s gong to vote to restrain their practices? not exactly a formula for change; we need to figure out a way to start up a competitive integrative health care system and for those electing that route redirect their current expenditures to it; I stopped watching SNL recently…it’s more entertaining to watch drug ads with their litany of disclaimers until you realize it’s not a Woody Allen movie….it’s the future of our health.

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