• Why is the film called ESCAPE FIRE? How is the idea of an “escape fire” a metaphor for the message in the film? What are the proposed “escape fires” for the healthcare crisis in the film?
• PAYING MORE, GETTING LESS
• 75% of the 2.7 trillion dollars we spend on healthcare in this country is spent on treating diseases that are largely preventable, such as heart disease and diabetes. Why do you think this is happening? What can be done to change this statistic?
• Dr. Steven Nissen says, “When medicine became a business we lost our moral compass.” Explain why you think he stated this.
• OVERMEDICATION AND OVERTREATMENT
• What are some of the problems that arise for both patients and doctors when medical care is highly specialized?
• Why do you think other countries don’t allow advertising for prescription drugs? Why do you think we still do?
• ESCAPE FIRE follows Yvonne Osborne, who has been in treatment for heart disease for over 15 years. What mistakes are noted in her care? What have these mistakes cost in terms of money, risk, and the emotional distress?
• AN ENTRENCHED SYSTEM
• Medical journalist Shannon Brownlee says in the film, “We have a disease-care system, and we have a very profitable disease care system... It doesn’t want you to die and doesn’t want you to get well. It just wants you to keep coming back.” Do you agree with this statement or disagree? Why or why not?
• The film states that the current system provides the wrong incentives for doctors and hospitals, sometimes forcing them to do what is not in their patients’ best interests. How have you seen this manifest in your own experience? What can patients and physicians do to change this?
• Why do you think healthcare such a politically charged issue? Is there any hope that both sides of the aisle can come together to work for change?