It's still a struggle. Does it make a difference? CARNES: I will be at your side should anything challenging come up for you. He had -- he had Percocet then he has Marco which is Percocet. I'm not interested in getting my productivity up. You just never get to the bottom of what's causing all of these problems that they are having. And from that point on I realized that I don't want to be on this. And you say that you can help negotiate the price of these bills down, what do you tell people? MARTIN: That's a little -- might be a little bit of a culture shift, too, for the patients. That may strike people as very high. ORNISH: In medical school, I was learning to do bypass surgery with Michael DeBakey, the heart surgeon. We're fighting everything for that not to happen, but it's because there isn't the funding going into primary care. An investigative documentary that uncovers the U.S. healthcare … Hold my beer while I shoot this gator, you know? And the company did nothing. He's like really not listening very well. Driven by these perverse economic incentives, we are doing a lot of procedures to people that they don't need. BROWNLEE: The vast majority of doctors in this country are paid by a fee-for-service system. People talk about two-minute doctors. I've spent more than 30 years of doing studies showing that heart disease can be reversed by changing what we eat, how we respond to stress, how much we exercise, and how much love and support we have in our lives. At the same time, the power of these simple low-tech, low- cost interventions is also becoming clearer. The check that I get back from the insurance company after that was billed is $40. I was on anti-depressants. ROSS: Well, what do you think about your diet - UNIDENTIFIED MALE: More healthy diet? But you end up being this revolving door. There's also administrative costs that are built in. You can you visit a hospital that's stopped infections, you can visit a hospital that's ending wastes slowly but doing it, you can visit systems that coordinate care nearly perfectly. And chromosomes have all genetic information on them. The power lies with corporations and corporate interests and the lobbyists that they buy. If they are confirmed non-smoker, we give them a discount. And sometimes push the plate away. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED FEMALE: I can't tell you how shocked we were when we saw her the first time because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. OK, I can see what you can have for pain, all right? I mean, the impression I think was a little misleading there, don't you think Nissen? And so, that's clearly one of the issues. (LAUGHTER) NIEMTZOW: Hi. UNIDENTIFIED MALE: Eggs, sausage, grits, bacon. UNIDENTIFIED MALE: Yes. Hello, how are you? Also, Doctor Reed Tuckson, he is the chief medical officer for the united health group. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: We only give lip service to prevention and we have to ask why as a society are we not working to prevent disease and promote health. GUPTA: But, why are these causing hospitals so expensive? And I think that's a good place to start. Obesity leads to heart disease and strokes and diabetes. His blood pressure drops, and he almost, you know, dies on the plane. But with regard to prevention, preventing disease, does that save us money? I was shutting down emotionally. MARSHALL: It doesn't matter if I do one stent or five or ten stents. ROSS: When do you think it would be good to try it? The authoritative record of NPR’s programming is the audio record. We are going to take a short break. WEIL: In Western medicine, all of our effort is on dispelling evil. He's taken 10 tablets. Welcome to SCIENCE FRIDAY. SEN. MITCH MCCONNELL (R), MINORITY LEADER: Safeway Corporation, they've actually been able to bend the cost curve. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. Now we're kind of dealing with the consequences. What do you say when someone calls you? DR. JEFFREY CAIN, PRESIDENT, AMERICAN ACADEMY OF FAMILY PHYSICIANS: We know that patients are healthier when they have two things. DR. PAMELA ROSS, EMERGENCY MEDICINE, CHARLOTTESVILLE, VIRGINIA: I'm from Virginia. If someone has compression of one of their lungs, they might need a chest tube like this, $1100. Treated for sciatic nerve, back, L-3, L-4, L-5, swelling left side of my brain, and extreme PTSD. Where I'm at right now, patients are in desperate need of care. UNIDENTIFIED MALE: No. The crew did not, and the fire raged past Wag Dodge and overtook the crew, killing thirteen men and burning 3,200 acres. We pay doctors to see patients, so they see a lot of patients. DR. RICHARD NIEMTZOW, DIRECTOR, ANDREWS AIR FORCE ACUPUNCTURE CENTER: Right there. GEN. RICHARD THOMAS, ASSISTANT SURGEON-GENERAL, U.S. ARMY: This is a national problem for us, you know, we're seeing the military just being a microcosm, I think, of the problems society is having.