WEBVTT FILE

1
00:00:00.870 --> 00:00:01.871
[upbeat music]

2
00:00:01.914 --> 00:00:03.177
- [Reporter] As
us hospitals begin

3
00:00:02.000 --> 00:00:07.000
Downloaded from
YTS.MX

4
00:00:03.220 --> 00:00:05.744
to buckle under the weight
of the new coronavirus,

5
00:00:05.788 --> 00:00:08.965
doctors and nurses issued a
grim plea for more supplies

6
00:00:08.000 --> 00:00:13.000
Official YIFY movies site:
YTS.MX

7
00:00:09.009 --> 00:00:11.837
to treat patients and
to protect themselves.

8
00:00:11.881 --> 00:00:12.882
- This is a big,

9
00:00:12.925 --> 00:00:14.623
big issue for the whole system.

10
00:00:14.666 --> 00:00:16.277
- [Reporter] Healthcare
payments are keeping

11
00:00:16.320 --> 00:00:18.757
many local residents
from getting the
treatments they need.

12
00:00:18.801 --> 00:00:22.631
- 37% of Americans go
without recommended care.

13
00:00:22.674 --> 00:00:28.376
- Your statement says
please pay $220,850.

14
00:00:28.419 --> 00:00:29.333
- Right.

15
00:00:29.377 --> 00:00:30.465
- [Reporter] The
amount she owed,

16
00:00:30.508 --> 00:00:32.641
more than $40,000.

17
00:00:32.684 --> 00:00:33.990
- I'm not human to them.

18
00:00:34.034 --> 00:00:36.036
I'm a dollar sign.

19
00:00:36.079 --> 00:00:37.472
- [Reporter] The average
cost of treatment

20
00:00:37.515 --> 00:00:39.952
for patients rose to $63,000.

21
00:00:39.996 --> 00:00:42.607
- [Reporter] $17,000
for a lab test.

22
00:00:42.651 --> 00:00:45.132
50,000 for a stay in the NICU.

23
00:00:45.175 --> 00:00:46.742
- [Reporter] From $18 a tablet,

24
00:00:46.785 --> 00:00:49.049
jumping to $750 a tablet.

25
00:00:49.092 --> 00:00:51.486
- [Reporter] About 34 million
Americans know someone

26
00:00:51.529 --> 00:00:54.532
who died because they couldn't
pay for medical treatment.

27
00:00:54.576 --> 00:00:55.925
- [Reporter] You have surgery

28
00:00:55.968 --> 00:00:57.666
and you get a medical bill
six months later saying

29
00:00:57.709 --> 00:00:59.233
you owe thousands of dollars.

30
00:00:59.276 --> 00:01:02.062
- We have to do something
about the price of healthcare.

31
00:01:02.105 --> 00:01:03.324
- It's a right in our country

32
00:01:03.367 --> 00:01:04.803
and you should have a
right to healthcare.

33
00:01:04.847 --> 00:01:08.677
- [Crowd] Justice in healthcare.
Justice in healthcare.

34
00:01:08.720 --> 00:01:10.592
- Our healthcare is in a crisis.

35
00:01:10.635 --> 00:01:12.637
This bubble is going to burst.

36
00:01:12.681 --> 00:01:17.686
[heartbeat monitor flatlining
and relaxing piano music]

37
00:01:19.949 --> 00:01:21.820
[upbeat dramatic music]

38
00:01:21.864 --> 00:01:26.869
- [Narrator] Healthcare, is
it a right or a privilege?

39
00:01:30.916 --> 00:01:33.484
Do we want a system
based on profit

40
00:01:35.095 --> 00:01:36.748
or rather prevention?

41
00:01:41.318 --> 00:01:44.843
Will we place our future
in the hands of bureaucrats

42
00:01:45.757 --> 00:01:46.845
or that of the people?

43
00:01:48.282 --> 00:01:50.936
These are the
questions to ponder.

44
00:01:55.419 --> 00:01:57.900
Our healthcare system is broken.

45
00:01:57.943 --> 00:02:01.033
Rising costs and
growing inefficiencies

46
00:02:01.077 --> 00:02:03.993
are putting a heavy
burden on the economy.

47
00:02:04.863 --> 00:02:07.692
It seems like everyone
has a story to tell.

48
00:02:14.482 --> 00:02:17.137
[dramatic music]

49
00:02:24.840 --> 00:02:28.452
[ambulance siren wailing]

50
00:02:29.323 --> 00:02:32.152
[monitor beeping]

51
00:02:38.984 --> 00:02:41.596
[wind rustling in trees]

52
00:02:41.639 --> 00:02:44.729
- My father was going
to the doctor, he said,

53
00:02:44.773 --> 00:02:48.168
but didn't see a man
rear-ended my truck.

54
00:02:48.211 --> 00:02:50.779
And I blew out my other shoulder

55
00:02:50.822 --> 00:02:52.563
and tore the ligament out of it.

56
00:02:52.607 --> 00:02:57.220
And my left elbow they had to
reconstruct the nerves in it.

57
00:02:57.264 --> 00:03:00.528
That particular
brace they gave me

58
00:03:00.571 --> 00:03:04.488
after my thumb surgery
when I woke up paralyzed,

59
00:03:04.532 --> 00:03:07.839
because the nerves in my
leg aren't working right

60
00:03:07.883 --> 00:03:11.103
and the muscles and
I got a clubfoot now.

61
00:03:11.147 --> 00:03:15.586
- Did you get any sort of
therapy inpatient anywhere?

62
00:03:15.630 --> 00:03:19.721
- Well, there was a
problem at the hospital.

63
00:03:19.764 --> 00:03:23.855
I was there a week and
they wanted me to go to

64
00:03:25.161 --> 00:03:27.032
a inpatient rehab.

65
00:03:27.076 --> 00:03:30.427
And so we were waiting
there to get the okay to go.

66
00:03:30.471 --> 00:03:33.909
The lady came out and said
I was a good candidate

67
00:03:33.952 --> 00:03:35.519
and that they would take me.

68
00:03:35.563 --> 00:03:37.913
And we were waiting and
waiting to go for a couple

69
00:03:37.956 --> 00:03:42.918
of days at the hospital
and we never got a call

70
00:03:42.961 --> 00:03:46.356
or anything and we kept asking
the doctor when we're going?

71
00:03:46.400 --> 00:03:48.750
And he said I don't know.

72
00:03:48.793 --> 00:03:52.406
So finally, we waited
another day and came home

73
00:03:52.449 --> 00:03:54.886
and found out that
the insurance company

74
00:03:54.930 --> 00:03:59.151
didn't send all the
approvals to the rehab center

75
00:03:59.195 --> 00:04:01.937
and they wouldn't take
me until they got them.

76
00:04:01.980 --> 00:04:06.681
And so I've never gotten to
go to the inpatient rehab yet.

77
00:04:06.724 --> 00:04:10.206
And that happened
actually three times.

78
00:04:10.250 --> 00:04:13.514
The hematologist
recommended for them

79
00:04:13.557 --> 00:04:18.693
to massage out the edema in
my leg three times a day.

80
00:04:18.736 --> 00:04:21.522
But when the insurance
company was told they said

81
00:04:21.565 --> 00:04:25.395
they don't have enough
funds for that to be done.

82
00:04:25.439 --> 00:04:28.746
[somber piano music]

83
00:04:28.790 --> 00:04:31.227
The one thing we have
a problem with is

84
00:04:31.271 --> 00:04:34.839
when the doctor
orders something that,

85
00:04:34.883 --> 00:04:37.494
because the insurance
has to pay for it

86
00:04:37.538 --> 00:04:39.496
and they don't always know,

87
00:04:39.540 --> 00:04:44.980
I guess, or they have vendors
that set those appointments up

88
00:04:45.023 --> 00:04:49.941
or therapy places and
it's a different person

89
00:04:49.985 --> 00:04:53.728
that calls every time that
don't even know what's going on.

90
00:04:53.771 --> 00:04:56.557
And it takes four
or five vendors just

91
00:04:56.600 --> 00:04:57.906
to get one appointment.

92
00:04:59.777 --> 00:05:02.867
And sometimes it's
weeks and months even

93
00:05:02.911 --> 00:05:04.782
before they get
all that worked out

94
00:05:04.826 --> 00:05:08.525
while you're just sitting
there waiting for therapy

95
00:05:08.569 --> 00:05:09.831
and things like that.

96
00:05:11.311 --> 00:05:15.706
What really doesn't make
sense to me is I needed a MRI

97
00:05:15.750 --> 00:05:19.710
and so I called around and
asked what they cost for

98
00:05:19.754 --> 00:05:21.016
with my insurance?

99
00:05:21.059 --> 00:05:25.760
And they gave me a price
to $1,200 to about $800

100
00:05:27.370 --> 00:05:28.893
with my insurance.

101
00:05:29.938 --> 00:05:31.331
Then I called around to some,

102
00:05:31.374 --> 00:05:33.811
I said what if I
just pay you cash,

103
00:05:33.855 --> 00:05:37.162
I don't want a receipt
or anything for it

104
00:05:37.206 --> 00:05:39.730
and it was 295 out the door.

105
00:05:39.774 --> 00:05:42.733
And I didn't go
towards my deductible

106
00:05:42.777 --> 00:05:45.867
but I don't understand why
I could pay 295 instead

107
00:05:45.910 --> 00:05:49.653
of $800 gets billed
my insurance.

108
00:05:50.872 --> 00:05:52.439
That doesn't make sense to me.

109
00:05:54.310 --> 00:05:55.877
[somber piano music]

110
00:05:55.920 --> 00:06:00.229
- We got married in 1985 at
the First Presbyterian Church.

111
00:06:02.274 --> 00:06:04.102
So we're married
34 years this year.

112
00:06:07.976 --> 00:06:09.847
Well, after he came home from
the hospital they sent him

113
00:06:09.891 --> 00:06:13.590
to different doctors
trying to figure out

114
00:06:13.634 --> 00:06:16.419
what all had gone wrong
during his surgery?

115
00:06:16.463 --> 00:06:19.683
And they were looking at
parts and pieces of him

116
00:06:19.727 --> 00:06:22.860
and finally, we got
a referral approved

117
00:06:22.904 --> 00:06:26.037
for the psychologist
and we went there

118
00:06:26.081 --> 00:06:28.257
for a full day evaluation.

119
00:06:28.300 --> 00:06:32.174
We got a phone call from
the therapist saying

120
00:06:32.217 --> 00:06:35.699
that the 13th meeting was
to be the last session

121
00:06:35.743 --> 00:06:37.397
because they had
received an email

122
00:06:37.440 --> 00:06:39.050
from the insurance
company saying

123
00:06:39.094 --> 00:06:40.748
that they were cutting
off the sessions.

124
00:06:40.791 --> 00:06:44.099
They weren't gonna authorize
any more and it had to end.

125
00:06:44.142 --> 00:06:47.450
So that next day we
went to his last session

126
00:06:47.494 --> 00:06:52.455
and he was very upset
the last day we met.

127
00:06:53.848 --> 00:06:57.286
- They said they wanted
me to keep coming

128
00:06:57.329 --> 00:07:00.811
but the insurance wouldn't
authorize any more.

129
00:07:01.899 --> 00:07:03.379
- And he looked at the
therapist and said,

130
00:07:03.423 --> 00:07:04.554
oh, you're leaving.

131
00:07:04.598 --> 00:07:05.860
And she said I'm not leaving,

132
00:07:05.903 --> 00:07:08.863
I'll still be here but
you've done really well.

133
00:07:08.906 --> 00:07:11.996
And he started crying
and was very upset

134
00:07:12.040 --> 00:07:14.738
because she's impacting
him so positively.

135
00:07:14.782 --> 00:07:19.482
- It seems like all they
do is one doctor refers you

136
00:07:19.526 --> 00:07:21.571
to another doctor.

137
00:07:21.615 --> 00:07:26.576
They're doctors, but they
only wanna treat one thing

138
00:07:26.620 --> 00:07:29.797
and you may have other
things wrong with you

139
00:07:29.840 --> 00:07:34.105
but they won't even look at
you and all you can do is wait

140
00:07:34.149 --> 00:07:35.716
to go see another doctor

141
00:07:35.759 --> 00:07:38.501
to treat whatever other
problems you have.

142
00:07:38.545 --> 00:07:41.852
So you end up seeing
multiple doctors--

143
00:07:41.896 --> 00:07:43.158
- Who don't talk

144
00:07:43.201 --> 00:07:44.594
to each other.
- Who don't talk to each other

145
00:07:44.638 --> 00:07:46.901
and all they wanna
look at is your big toe

146
00:07:46.944 --> 00:07:48.990
if that's what kind
of doctor they are.

147
00:07:50.905 --> 00:07:54.691
What's aggravating is you
can't even see the other doctor

148
00:07:54.735 --> 00:07:57.259
until that doctor refers
you to that doctor,

149
00:07:57.302 --> 00:08:00.218
so that's two months
later sometimes

150
00:08:00.262 --> 00:08:01.916
just to get some
kind of treatment.

151
00:08:03.874 --> 00:08:06.486
[somber music]

152
00:08:14.798 --> 00:08:16.496
- My name is Angelica.

153
00:08:17.758 --> 00:08:22.066
I am 24 years old
and my first story

154
00:08:22.110 --> 00:08:25.461
about healthcare
is that when I was

155
00:08:25.505 --> 00:08:29.770
around elementary
school I was diagnosed

156
00:08:29.813 --> 00:08:31.902
with type two diabetes.

157
00:08:32.990 --> 00:08:37.429
Since then, when I found
out I was heartbroken.

158
00:08:38.605 --> 00:08:39.388
I was little.

159
00:08:39.431 --> 00:08:40.868
I didn't know what to do.

160
00:08:40.911 --> 00:08:42.957
I didn't know what
was good or bad.

161
00:08:43.827 --> 00:08:47.788
I've seen people pass
away and it's so hard

162
00:08:47.831 --> 00:08:50.051
because my parents
tell me, you know,

163
00:08:50.094 --> 00:08:53.707
take care of yourself 'cause
that could happen to you.

164
00:08:53.750 --> 00:08:55.273
You can lose a leg.

165
00:08:55.317 --> 00:08:56.840
You can lose a finger.

166
00:08:56.884 --> 00:08:58.712
You can lose anything.

167
00:08:58.755 --> 00:08:59.756
[Angelica sniffing]

168
00:08:59.800 --> 00:09:02.324
- For me, my
surprise came at 45.

169
00:09:02.367 --> 00:09:04.282
I noticed something,

170
00:09:04.326 --> 00:09:05.588
I ignored it.

171
00:09:05.632 --> 00:09:06.763
Then I went to see my doctor

172
00:09:06.807 --> 00:09:08.591
because I'm sure it's nothing

173
00:09:08.635 --> 00:09:10.419
but let's just get
it out of the way.

174
00:09:10.462 --> 00:09:11.812
Well, she couldn't
find anything,

175
00:09:11.855 --> 00:09:13.335
referred me to somebody else.

176
00:09:13.378 --> 00:09:14.945
She couldn't find anything,

177
00:09:14.989 --> 00:09:17.731
we need to do a colonoscopy.

178
00:09:17.774 --> 00:09:18.819
Bingo,

179
00:09:19.907 --> 00:09:21.386
there it was.

180
00:09:21.430 --> 00:09:23.954
I had to then see a surgeon
to figure out what it was,

181
00:09:23.998 --> 00:09:25.608
probably wasn't good.

182
00:09:25.652 --> 00:09:28.916
It ended up being stage
three colon cancer.

183
00:09:28.959 --> 00:09:30.482
- I was 37 years old,

184
00:09:30.526 --> 00:09:33.616
never been in the hospital
other than being born.

185
00:09:33.660 --> 00:09:34.835
Woke up, had chest pains,

186
00:09:34.878 --> 00:09:36.358
went to the hospital.

187
00:09:36.401 --> 00:09:38.882
That morning they gave me
a quadruple bypass surgery.

188
00:09:38.926 --> 00:09:41.755
Later on, 12 years later,

189
00:09:41.798 --> 00:09:44.845
I guess, I had chest pains,

190
00:09:44.888 --> 00:09:45.933
went back to the hospital.

191
00:09:45.976 --> 00:09:47.717
I had bypass surgery again.

192
00:09:47.761 --> 00:09:50.111
- I became sick with
this mysterious illness.

193
00:09:50.154 --> 00:09:50.894
One of the doctors,

194
00:09:50.938 --> 00:09:52.069
I'm a nurse.

195
00:09:52.113 --> 00:09:54.942
I was completing my
bachelor's degree

196
00:09:54.985 --> 00:09:57.118
and I could barely even think,

197
00:09:57.161 --> 00:09:58.249
have any memory,

198
00:09:58.293 --> 00:09:59.860
short term memory.

199
00:09:59.903 --> 00:10:01.557
Went to an infectious
disease doctor

200
00:10:01.601 --> 00:10:03.951
that treats at the
hospital where I worked

201
00:10:03.994 --> 00:10:05.909
and he basically looked
at me and told me I needed

202
00:10:05.953 --> 00:10:07.389
to go see a psychiatrist,

203
00:10:07.432 --> 00:10:09.478
that all my symptoms
were in my head.

204
00:10:09.521 --> 00:10:11.045
- You have to fight
tooth and nail to prove

205
00:10:11.088 --> 00:10:14.439
why you are actually sick
or why you are actually this

206
00:10:14.483 --> 00:10:15.745
and that and then
you have to prove

207
00:10:15.789 --> 00:10:17.573
that you did not
do it to yourself.

208
00:10:17.617 --> 00:10:21.359
- When I got diagnosed
with cancer they fired me,

209
00:10:22.230 --> 00:10:24.058
and that was from a
health institution.

210
00:10:24.101 --> 00:10:26.930
- As time went on I got worse.

211
00:10:26.974 --> 00:10:29.933
I would have to do injections
and injections aren't cheap.

212
00:10:29.977 --> 00:10:33.720
I'm not gonna lie to you
guys that one injection

213
00:10:33.763 --> 00:10:35.809
that I need to take $600,

214
00:10:35.852 --> 00:10:41.510
and I need to take them mostly
every Monday and it's hard.

215
00:10:41.553 --> 00:10:43.599
I can't afford that.

216
00:10:43.643 --> 00:10:48.735
In my job I get paid
maybe $200 a week.

217
00:10:48.778 --> 00:10:50.519
- Over 15 doctors
that I visited,

218
00:10:50.562 --> 00:10:53.914
I found a nurse practitioner
and I came back positive

219
00:10:53.957 --> 00:10:56.394
for tick borne illness.

220
00:10:57.352 --> 00:10:59.615
The main one for me
was ehrlichiosis,

221
00:10:59.659 --> 00:11:02.009
Coxsackie virus, Epstein-Barr,

222
00:11:03.010 --> 00:11:07.710
Parvo virus, and I had quite
a bit positive line bands.

223
00:11:07.754 --> 00:11:10.365
- It's training in healthcare
and the lack of training

224
00:11:10.408 --> 00:11:11.714
and the lack of empathy.

225
00:11:11.758 --> 00:11:13.237
I remember waking
up after surgery,

226
00:11:13.281 --> 00:11:16.327
then the pain
instantaneously kicked in.

227
00:11:16.371 --> 00:11:17.807
I'm like, oh my goodness.

228
00:11:17.851 --> 00:11:18.765
Wow, that hurts.

229
00:11:18.808 --> 00:11:19.766
Holy cow, that hurts.

230
00:11:19.809 --> 00:11:21.942
They couldn't calm my pain,

231
00:11:21.985 --> 00:11:23.813
so they kept giving
me different pain meds

232
00:11:23.857 --> 00:11:26.076
to try to make it better
and it didn't work.

233
00:11:26.120 --> 00:11:27.034
And I said, oh my goodness,

234
00:11:27.077 --> 00:11:28.252
what are we doing,

235
00:11:28.296 --> 00:11:29.166
what are we doing
after different times?

236
00:11:29.210 --> 00:11:30.951
Who knows how much it's costing,

237
00:11:30.994 --> 00:11:32.735
but they kept giving
me different things.

238
00:11:32.779 --> 00:11:34.302
And the nurse
finally said, well,

239
00:11:34.345 --> 00:11:36.870
if we can't calm you down you're
gonna have a heart attack.

240
00:11:36.913 --> 00:11:41.178
- Once I got to the surgeon
we had several meetings.

241
00:11:41.222 --> 00:11:46.618
We had the surgery
and he cut a nerve

242
00:11:46.662 --> 00:11:48.838
that was very
important to your body,

243
00:11:48.882 --> 00:11:52.494
the nerve that controls your
brain and your GI system.

244
00:11:52.537 --> 00:11:54.801
So my GI system no longer works.

245
00:11:58.718 --> 00:12:01.416
- I lost my 17-year-old
daughter to suicide

246
00:12:01.459 --> 00:12:04.201
on March 28, 2017.

247
00:12:04.245 --> 00:12:07.465
[somber piano music]

248
00:12:10.904 --> 00:12:13.733
The run-around that we
received so many times

249
00:12:13.776 --> 00:12:15.604
throughout her
illness which went on

250
00:12:15.647 --> 00:12:16.866
for you know a good six,

251
00:12:16.910 --> 00:12:19.434
seven years, was depressing.

252
00:12:20.304 --> 00:12:23.786
It was frustrating and it's
just not where we need to be.

253
00:12:23.830 --> 00:12:25.353
Some of the things
that went on, I mean,

254
00:12:25.396 --> 00:12:28.312
it began at the beginning with
her seeing a psychologist,

255
00:12:28.356 --> 00:12:32.752
her seeing a doctor
and of course was

256
00:12:32.795 --> 00:12:36.973
It never failed multiple times

257
00:12:37.017 --> 00:12:38.932
that once she would
get on a medication

258
00:12:38.975 --> 00:12:41.195
that was actually working
insurance would say,

259
00:12:41.238 --> 00:12:42.500
well, now you need to change it

260
00:12:42.544 --> 00:12:44.938
because it's too expensive.

261
00:12:44.981 --> 00:12:48.811
- The the whole
medical merry-go-round

262
00:12:48.855 --> 00:12:51.161
because this is
what we have to do,

263
00:12:51.205 --> 00:12:53.816
is we have to fund the
medical merry-go-round.

264
00:12:53.860 --> 00:12:54.686
- I got in debt.

265
00:12:55.731 --> 00:12:57.777
It was so much money.

266
00:12:57.820 --> 00:12:59.779
Healthcare didn't help me.

267
00:12:59.822 --> 00:13:02.303
They left me there like nothing.

268
00:13:02.346 --> 00:13:05.001
They said I got rejected
because of the fact

269
00:13:05.045 --> 00:13:06.611
that I'm diabetic.

270
00:13:06.655 --> 00:13:09.789
- I was not worth it to the
healthcare system to be treated.

271
00:13:09.832 --> 00:13:11.094
- Went back for my
six-week checkup,

272
00:13:11.138 --> 00:13:12.574
we weren't done.

273
00:13:12.617 --> 00:13:13.923
It was in the lymph nodes.

274
00:13:13.967 --> 00:13:17.318
So I decided on an
aggressive form of treatment

275
00:13:17.361 --> 00:13:19.276
which meant chemo and radiation.

276
00:13:19.320 --> 00:13:21.539
And I would go to
this facility for,

277
00:13:21.583 --> 00:13:22.758
in all total with the surgery,

278
00:13:22.802 --> 00:13:24.020
about a year's time.

279
00:13:24.064 --> 00:13:28.764
It cost a lot and it
cost a lot many times.

280
00:13:28.808 --> 00:13:31.723
- When you're hitting
$10,000 deductibles

281
00:13:31.767 --> 00:13:34.117
and your copays don't
count and you have to pay

282
00:13:34.161 --> 00:13:36.728
for labs and you have
to pay for X-rays,

283
00:13:36.772 --> 00:13:39.209
and you go to the pharmacy
and you get a medicine

284
00:13:39.253 --> 00:13:40.863
that they think is
a trial medicine,

285
00:13:40.907 --> 00:13:43.866
and they tell your
copay is $3,000.

286
00:13:43.910 --> 00:13:47.130
Well, at $3,000 you
walk away and say,

287
00:13:47.174 --> 00:13:49.741
I guess I don't
need that medicine,

288
00:13:49.785 --> 00:13:52.701
or I need it but I don't
have $3,000 to pay.

289
00:13:52.744 --> 00:13:55.095
- It's not the $99 or $33
or 189 for a family anymore.

290
00:13:57.880 --> 00:14:02.885
People are paying up to
$1,500 a month for healthcare

291
00:14:02.929 --> 00:14:04.060
for their whole family.

292
00:14:04.104 --> 00:14:06.280
And add that with
the rise of housing,

293
00:14:06.323 --> 00:14:10.240
you're paying 15 to $3,000
a month for housing,

294
00:14:10.284 --> 00:14:12.982
depending on what type
of housing do you have.

295
00:14:13.940 --> 00:14:15.289
So people cannot afford it.

296
00:14:15.332 --> 00:14:17.813
- Haley was hospitalized
many times with suicidal

297
00:14:19.075 --> 00:14:20.598
attempts.

298
00:14:20.642 --> 00:14:22.209
And she was in the hospital,

299
00:14:22.252 --> 00:14:24.559
she was in the inpatient for
sometimes six to eight weeks.

300
00:14:24.602 --> 00:14:26.387
But the minute that you started

301
00:14:26.430 --> 00:14:29.694
to see the light come back in
her eyes insurance would say,

302
00:14:29.738 --> 00:14:31.131
okay, you're done,

303
00:14:31.174 --> 00:14:32.480
it's time for you to get out.

304
00:14:32.523 --> 00:14:34.090
- These hospitals,
mega hospitals are

305
00:14:34.134 --> 00:14:35.309
just reaping and pillaging.

306
00:14:35.352 --> 00:14:37.441
It's like, what can
we get away with?

307
00:14:37.485 --> 00:14:40.096
How much can we
charge this person?

308
00:14:40.140 --> 00:14:42.359
As soon as some
physician tells you

309
00:14:42.403 --> 00:14:43.621
have excellent insurance,

310
00:14:43.665 --> 00:14:44.927
you should be
leaving that office.

311
00:14:44.971 --> 00:14:48.235
- Supposedly, healthcare
is supposed to help you.

312
00:14:48.278 --> 00:14:49.540
It's supposed to

313
00:14:50.846 --> 00:14:52.413
help you with anything you can.

314
00:14:52.456 --> 00:14:53.370
It's not helping me.

315
00:14:53.414 --> 00:14:55.633
It's making me in debt.

316
00:14:55.677 --> 00:14:56.765
- We move forward.

317
00:14:56.808 --> 00:14:58.071
In the healthcare
system, you know,

318
00:14:58.114 --> 00:14:59.942
you know it, you hear it.

319
00:14:59.986 --> 00:15:00.943
Now it's you.

320
00:15:00.987 --> 00:15:02.945
So how do you adapt?

321
00:15:02.989 --> 00:15:05.861
How do you get diagnosis?

322
00:15:05.905 --> 00:15:07.384
Which path should you take?

323
00:15:07.428 --> 00:15:09.473
There's no book for that.

324
00:15:09.517 --> 00:15:12.737
- I have been from doctor
to doctor to doctor.

325
00:15:12.781 --> 00:15:13.956
They don't look at
the side effects.

326
00:15:14.000 --> 00:15:16.089
They don't research anything.

327
00:15:16.132 --> 00:15:18.265
It's all just cookbook medicine.

328
00:15:18.308 --> 00:15:19.570
One, two, three,

329
00:15:19.614 --> 00:15:20.615
if you don't have one
of these three things,

330
00:15:20.658 --> 00:15:21.746
you're more complex.

331
00:15:21.790 --> 00:15:24.880
I'm sorry, I don't
have time for you.

332
00:15:26.882 --> 00:15:28.101
- We fought for our daughter.

333
00:15:28.144 --> 00:15:29.319
I didn't give up.

334
00:15:31.408 --> 00:15:32.975
But there just wasn't
enough out there

335
00:15:33.019 --> 00:15:34.411
and there wasn't
enough resources.

336
00:15:34.455 --> 00:15:35.717
So like I said,

337
00:15:35.760 --> 00:15:38.633
she was in a place in
Maitland, Florida and

338
00:15:40.200 --> 00:15:41.027
there's a big,

339
00:15:41.070 --> 00:15:42.724
huge list of hospitals.

340
00:15:42.767 --> 00:15:44.030
So then you go to
your insurance.

341
00:15:44.073 --> 00:15:45.857
Okay, which one's on this?

342
00:15:45.901 --> 00:15:47.076
And then you find
one that's on there.

343
00:15:47.120 --> 00:15:49.861
Oh, well that's for
sexually abused children

344
00:15:49.905 --> 00:15:52.429
or that's for addicts and
that was not our daughter.

345
00:15:52.473 --> 00:15:53.778
Our daughter had mental illness.

346
00:15:53.822 --> 00:15:56.607
I didn't wanna expose
her to any more things.

347
00:15:56.651 --> 00:15:59.523
So in March, 2017,

348
00:15:59.567 --> 00:16:01.395
I found a place in
Knoxville, Tennessee,

349
00:16:01.438 --> 00:16:04.702
which was that one step up from
what we had been in before.

350
00:16:08.576 --> 00:16:11.013
So she was not
looking forward to

351
00:16:11.057 --> 00:16:13.102
and didn't wanna go
back to the hospital,

352
00:16:13.146 --> 00:16:14.408
so I waited to tell her.

353
00:16:14.451 --> 00:16:15.713
I thought, okay,

354
00:16:15.757 --> 00:16:17.324
she's at an appointment
with her psychologist

355
00:16:17.367 --> 00:16:18.499
on Tuesday night.

356
00:16:18.542 --> 00:16:20.327
So my husband was
gonna meet me there.

357
00:16:20.370 --> 00:16:21.719
I picked up Haley from,

358
00:16:21.763 --> 00:16:25.027
well, I went home
to pick up Haley.

359
00:16:25.071 --> 00:16:26.724
She wasn't home.

360
00:16:26.768 --> 00:16:28.335
That was the day
she went missing.

361
00:16:28.378 --> 00:16:30.859
She was missing for 10 days
before she was ultimately found

362
00:16:30.902 --> 00:16:33.035
and she had taken her own life,

363
00:16:34.950 --> 00:16:37.561
but I'll never say
suicide took my daughter.

364
00:16:37.605 --> 00:16:39.520
Mental illness took my daughter.

365
00:16:39.563 --> 00:16:43.828
- If we had a healthcare
system that was pro health

366
00:16:43.872 --> 00:16:48.746
and we really focused
on prevention,

367
00:16:48.790 --> 00:16:51.097
rather than treating symptoms,

368
00:16:51.140 --> 00:16:53.055
our healthcare
costs will go down

369
00:16:53.099 --> 00:16:55.753
and there would be a lot
healthier people walking

370
00:16:55.797 --> 00:16:57.407
around the United States.

371
00:16:57.451 --> 00:17:01.237
- And I ended up having to pay
five or $6,000 out of pocket.

372
00:17:01.281 --> 00:17:04.762
Well, five or $6,000 not
knowing that you're gonna have

373
00:17:04.806 --> 00:17:10.290
to pay is kind of cuts
into other things in life

374
00:17:10.333 --> 00:17:11.639
that you would like to do.

375
00:17:11.682 --> 00:17:15.338
And you have to forfeit
those to be able to pay

376
00:17:15.382 --> 00:17:17.427
and then you worry about, well,

377
00:17:17.471 --> 00:17:19.647
what does the future hold?

378
00:17:19.690 --> 00:17:22.650
What am I gonna have
wrong with me next?

379
00:17:22.693 --> 00:17:23.694
- Practically my whole life

380
00:17:23.738 --> 00:17:24.956
I've been rejected
with healthcare.

381
00:17:25.000 --> 00:17:28.656
I've not gotten
one, single penny,

382
00:17:28.699 --> 00:17:29.961
not at all.

383
00:17:30.005 --> 00:17:33.008
- Seeing people discounted
and tossed aside,

384
00:17:33.052 --> 00:17:34.836
they should be onto
their next phase

385
00:17:34.879 --> 00:17:35.967
of their life but they weren't.

386
00:17:36.011 --> 00:17:37.056
They needed help.
They needed care.

387
00:17:37.099 --> 00:17:38.796
They needed somebody
to guide them

388
00:17:38.840 --> 00:17:41.016
and people were just giving up.

389
00:17:41.060 --> 00:17:44.367
And it was just so
disheartening for me to see that

390
00:17:44.411 --> 00:17:46.282
because many didn't
know what to do.

391
00:17:46.326 --> 00:17:49.503
I just, I can't believe that
there's not more empathy

392
00:17:49.546 --> 00:17:50.808
and more care.

393
00:17:50.852 --> 00:17:53.463
- It's sad that people
have to pick healthcare,

394
00:17:53.507 --> 00:17:55.944
food, your housing,

395
00:17:55.987 --> 00:17:58.816
it shouldn't even be like
that but that's how it is.

396
00:17:58.860 --> 00:18:02.559
- Until we start getting
more help and more resources

397
00:18:02.603 --> 00:18:05.475
for people I don't know how
we're gonna change this epidemic

398
00:18:05.519 --> 00:18:07.738
because that's what
it's turning into.

399
00:18:07.782 --> 00:18:09.392
- You're almost ready
to pay any price

400
00:18:09.436 --> 00:18:12.439
but there becomes a point
that you cannot continue.

401
00:18:19.228 --> 00:18:22.666
[dramatic violin music]

402
00:18:31.936 --> 00:18:33.590
- [Narrator] Our
Congressmen were elected

403
00:18:33.634 --> 00:18:35.897
to represent the
will of the people.

404
00:18:35.940 --> 00:18:38.334
If only it were so simple.

405
00:18:38.378 --> 00:18:41.163
- And the answer is the
greed and corruption

406
00:18:41.207 --> 00:18:42.860
of the drug companies.

407
00:18:42.904 --> 00:18:45.863
- [Narrator] Device of
party line politics,

408
00:18:45.907 --> 00:18:48.953
special interest lobbying
and bureaucratic entanglement

409
00:18:49.867 --> 00:18:52.479
all account for something
quite different.

410
00:19:00.574 --> 00:19:02.706
- If you look at the
US healthcare system,

411
00:19:02.750 --> 00:19:05.622
in many ways we have the best
healthcare system anywhere

412
00:19:05.666 --> 00:19:06.710
in the world.

413
00:19:06.754 --> 00:19:09.539
[dramatic music]

414
00:19:10.671 --> 00:19:14.805
Our outcomes at the top
if you need high level,

415
00:19:14.849 --> 00:19:18.635
intensive medicine anywhere
in the world you're gonna look

416
00:19:18.679 --> 00:19:20.159
at the United States.

417
00:19:20.202 --> 00:19:22.248
It's why people from from
all over the world come here

418
00:19:22.291 --> 00:19:23.988
when they need the
best healthcare

419
00:19:24.032 --> 00:19:25.903
that the world has to offer.

420
00:19:27.296 --> 00:19:28.341
You have quality,

421
00:19:28.384 --> 00:19:30.256
you have cost and
you have access.

422
00:19:30.299 --> 00:19:32.519
We're doing very well
on quality, again,

423
00:19:32.562 --> 00:19:35.217
highest quality available
anywhere in the world.

424
00:19:35.261 --> 00:19:38.655
The cost is the most
expensive healthcare anywhere

425
00:19:38.699 --> 00:19:40.179
in the world, driven by,

426
00:19:40.222 --> 00:19:43.660
in large part prescription
drugs and some of the rules

427
00:19:43.704 --> 00:19:45.184
that revolve around
the distribution

428
00:19:45.227 --> 00:19:47.447
and use of prescription drugs.

429
00:19:47.490 --> 00:19:51.233
But on access we have done
better in recent years

430
00:19:51.277 --> 00:19:54.018
of making healthcare
more accessible to people

431
00:19:54.062 --> 00:19:55.716
but there are people
who can't afford it,

432
00:19:55.759 --> 00:19:59.110
people whose life circumstance
doesn't allow them

433
00:19:59.154 --> 00:20:01.417
the opportunity to purchase
healthcare insurance

434
00:20:01.461 --> 00:20:03.767
for themselves or
for their families,

435
00:20:03.811 --> 00:20:05.595
and that's a big
problem in this country.

436
00:20:05.639 --> 00:20:08.946
The folks that don't have
healthcare don't disappear,

437
00:20:08.990 --> 00:20:10.252
they still live their lives

438
00:20:10.296 --> 00:20:12.341
and they still walk
among us in society.

439
00:20:12.385 --> 00:20:14.561
They're our friends and
neighbors and co-workers

440
00:20:14.604 --> 00:20:15.866
and members of our families.

441
00:20:15.910 --> 00:20:17.172
And when you don't
have healthcare

442
00:20:17.216 --> 00:20:19.957
and you get sick you
go to the hospital,

443
00:20:20.001 --> 00:20:21.785
and you show up and
you will get treated.

444
00:20:21.829 --> 00:20:23.874
And somebody is gonna pay
for the cost of that care.

445
00:20:23.918 --> 00:20:26.747
You may not pay for it but
somebody is going to pay for it

446
00:20:26.790 --> 00:20:29.793
and that's the unfortunate
cost shift that happens

447
00:20:29.837 --> 00:20:32.579
when the insurance
premiums come in

448
00:20:32.622 --> 00:20:34.624
and they're up 12 to 15%.

449
00:20:34.668 --> 00:20:35.973
Part of the reason for that is

450
00:20:36.017 --> 00:20:38.280
because they're covering
the costs of the people

451
00:20:38.324 --> 00:20:40.587
who can't afford
healthcare on their own.

452
00:20:40.630 --> 00:20:43.372
They get treated but the
bill comes to somebody else.

453
00:20:43.416 --> 00:20:44.765
- I think there are a lot

454
00:20:44.808 --> 00:20:46.723
of ethical dilemmas
today in healthcare.

455
00:20:46.767 --> 00:20:51.467
I think one is the idea that
you have to treat everybody

456
00:20:51.511 --> 00:20:54.949
and this concept about
religion coming into play.

457
00:20:54.992 --> 00:20:56.516
As a healthcare provider myself,

458
00:20:56.559 --> 00:20:59.301
when I went to school
we were taught in ethics

459
00:20:59.345 --> 00:21:00.607
that you treat everybody.

460
00:21:00.650 --> 00:21:02.130
You don't look at
who the person is,

461
00:21:02.173 --> 00:21:03.262
who they love,

462
00:21:03.305 --> 00:21:04.915
what their religion is,

463
00:21:04.959 --> 00:21:05.960
what country they came from,

464
00:21:06.003 --> 00:21:07.353
any of those things,

465
00:21:07.396 --> 00:21:09.485
that this is your
ethical obligation

466
00:21:09.529 --> 00:21:11.095
to treat everyone the same.

467
00:21:11.139 --> 00:21:13.881
And what I'm seeing today
is that there are people

468
00:21:13.924 --> 00:21:14.969
who are saying,

469
00:21:15.012 --> 00:21:17.276
we don't wanna
treat those, thems.

470
00:21:17.319 --> 00:21:18.973
I call them, the thems.

471
00:21:19.016 --> 00:21:23.151
Them dejour, whoever
the them happens to be.

472
00:21:23.194 --> 00:21:27.634
And that's very scary to me
because we have always believed

473
00:21:27.677 --> 00:21:28.983
in this country ethically,

474
00:21:29.026 --> 00:21:30.941
that's part of your
code of ethics is

475
00:21:30.985 --> 00:21:32.769
that you treat
everyone the same.

476
00:21:34.380 --> 00:21:39.733
- The main idea of profit
motive is that people are driven

477
00:21:39.776 --> 00:21:42.736
to do things and they're
driven to do things for profit,

478
00:21:42.779 --> 00:21:44.868
and profit doesn't
always mean money.

479
00:21:44.912 --> 00:21:47.349
Profit can mean leadership.

480
00:21:47.393 --> 00:21:49.612
Profit can mean extra
time with your family.

481
00:21:49.656 --> 00:21:52.441
Profit can mean a
better community.

482
00:21:52.485 --> 00:21:55.575
Whatever profit means to
you or the individual,

483
00:21:55.618 --> 00:21:57.316
is something that drives them.

484
00:21:57.359 --> 00:22:00.449
So we mainly understand
this in the workplace

485
00:22:00.493 --> 00:22:03.539
that a business is in
business to profit.

486
00:22:03.583 --> 00:22:05.889
But what we don't think about
is the second level there,

487
00:22:05.933 --> 00:22:08.979
that an employee is
working for that business

488
00:22:09.023 --> 00:22:13.636
to profit themselves and the
profit doesn't usually go

489
00:22:13.680 --> 00:22:15.334
along necessarily
with the company's.

490
00:22:15.377 --> 00:22:16.596
They wanna pay their mortgage.

491
00:22:16.639 --> 00:22:17.814
They wanna pay their car bill.

492
00:22:17.858 --> 00:22:19.555
They wanna spend time
with their family

493
00:22:19.599 --> 00:22:23.733
and that doesn't mean making
more money for the business.

494
00:22:23.777 --> 00:22:26.780
A manager understands the profit
motives of their employees,

495
00:22:26.823 --> 00:22:29.043
then they can be
a better manager.

496
00:22:29.086 --> 00:22:31.437
And so what I do in the
book is talk about that

497
00:22:31.480 --> 00:22:33.134
but then we expand
it out and we talk

498
00:22:33.177 --> 00:22:35.310
about profit motives in media,

499
00:22:35.354 --> 00:22:37.704
profit motives in politics,

500
00:22:37.747 --> 00:22:39.401
profit motives in healthcare.

501
00:22:40.750 --> 00:22:43.753
So profit motives in healthcare
are really interesting

502
00:22:43.797 --> 00:22:47.061
because the patient is
only paying for about 10%

503
00:22:47.104 --> 00:22:48.497
of the healthcare they receive,

504
00:22:48.541 --> 00:22:49.933
and that's 10 cents
on the dollar.

505
00:22:49.977 --> 00:22:52.893
So if you went into
a grocery store

506
00:22:52.936 --> 00:22:54.895
and you were only paying
10 cents on the dollar

507
00:22:54.938 --> 00:22:57.288
for whatever you could buy,

508
00:22:57.332 --> 00:23:00.596
you would buy a lot
more groceries or

509
00:23:00.640 --> 00:23:03.077
It would change the way
that you shop and in fact

510
00:23:03.120 --> 00:23:04.818
that is what we
see in healthcare.

511
00:23:04.861 --> 00:23:09.213
People have these gold-plated
plans that they don't use much

512
00:23:09.257 --> 00:23:10.998
of and don't get
the value out of,

513
00:23:11.041 --> 00:23:13.392
but since they're only
paying 10 cents on the dollar

514
00:23:13.435 --> 00:23:15.481
and since the companies
get to write it off

515
00:23:15.524 --> 00:23:18.919
of their taxes we
see this expansion

516
00:23:18.962 --> 00:23:21.400
in what we're paying
for in healthcare.

517
00:23:21.443 --> 00:23:23.271
We have these
government regulations

518
00:23:23.314 --> 00:23:28.015
that really change the
way that the hospitals

519
00:23:28.058 --> 00:23:31.758
and the doctors and
the practices think

520
00:23:31.801 --> 00:23:34.456
because if a patient's only
paying 10 cents on the dollar

521
00:23:34.500 --> 00:23:37.590
and the hospital's getting
reimbursed by the government

522
00:23:37.633 --> 00:23:38.852
or an insurance company,

523
00:23:38.895 --> 00:23:41.376
then the patient is
no longer the client,

524
00:23:41.420 --> 00:23:42.943
they're no longer the payer.

525
00:23:42.986 --> 00:23:45.946
And so instead of the hospital

526
00:23:45.989 --> 00:23:48.470
or the doctor treating the
patient they're thinking

527
00:23:48.514 --> 00:23:50.733
of billing and they're
thinking of the businesses

528
00:23:50.777 --> 00:23:54.302
and they're thinking about
the insurance companies.

529
00:23:54.345 --> 00:23:55.825
- Healthcare costs too much.

530
00:23:55.869 --> 00:23:58.654
We're having to pay too much
because it costs too much.

531
00:23:58.698 --> 00:24:02.005
We're perhaps using it too
often or not using it correctly.

532
00:24:02.049 --> 00:24:04.007
There's a lot of focus
now on the drug companies

533
00:24:04.051 --> 00:24:05.792
and drug prices
are of course very,

534
00:24:05.835 --> 00:24:09.317
very high and something clearly
needs to be done about it.

535
00:24:09.360 --> 00:24:12.233
When drug companies are
only funding five to 10%

536
00:24:12.276 --> 00:24:15.628
of your your budget
it's a lot easier

537
00:24:15.671 --> 00:24:17.325
to speak out about
something than

538
00:24:17.368 --> 00:24:19.980
when they're paying
a far higher amount.

539
00:24:20.023 --> 00:24:24.201
They say that they represent
patients, consumers,

540
00:24:24.245 --> 00:24:27.291
but they never say
anything about drug prices

541
00:24:27.335 --> 00:24:28.989
because they're
getting so much money

542
00:24:29.032 --> 00:24:30.686
from the drug companies.

543
00:24:30.730 --> 00:24:33.559
The other things that was
resonated for me the most

544
00:24:33.602 --> 00:24:36.431
when I started covering
healthcare was seeing the list

545
00:24:36.475 --> 00:24:38.825
of the countries that spend
the most on healthcare

546
00:24:38.868 --> 00:24:41.915
and the countries that
have the sickest people.

547
00:24:41.958 --> 00:24:44.831
And we spend the
most and among the

548
00:24:44.874 --> 00:24:47.486
developed countries, we
have the sickest people.

549
00:24:47.529 --> 00:24:49.705
So there's gotta be
a better way to do it

550
00:24:49.749 --> 00:24:51.402
and one of the things
the other countries

551
00:24:51.446 --> 00:24:55.363
are doing much better is
offering social services.

552
00:24:55.406 --> 00:24:57.887
- Profit motive is really
broken in healthcare

553
00:24:57.931 --> 00:25:00.586
because what you
want is a doctor,

554
00:25:00.629 --> 00:25:04.590
patient relationship where
the patient is the client

555
00:25:04.633 --> 00:25:07.201
and therefore the hospital
and the insurance company

556
00:25:07.244 --> 00:25:11.379
and the employer are all
focused on treating the patient.

557
00:25:11.422 --> 00:25:12.902
And in this case they're not,

558
00:25:12.946 --> 00:25:14.904
they're all focused
on saving money

559
00:25:14.948 --> 00:25:16.819
for whoever the payer is.

560
00:25:17.951 --> 00:25:19.822
- The number of times
you go to the doctor,

561
00:25:19.866 --> 00:25:22.869
the number of tests and
services that they order

562
00:25:22.912 --> 00:25:23.826
and that they run,

563
00:25:23.870 --> 00:25:25.175
the more often they're paid.

564
00:25:25.219 --> 00:25:29.310
And there was no incentive
to keep costs down

565
00:25:29.353 --> 00:25:31.530
because the more
treatment you provide,

566
00:25:31.573 --> 00:25:32.835
the more you're
going to be paid.

567
00:25:32.879 --> 00:25:34.489
We are moving away from that.

568
00:25:34.533 --> 00:25:37.797
We're moving to a value-based
reimbursement society

569
00:25:37.840 --> 00:25:40.756
where you're expected to
provide high quality care

570
00:25:40.800 --> 00:25:42.584
at the lowest possible cost.

571
00:25:42.628 --> 00:25:44.499
Currently when you
go to the doctor

572
00:25:44.543 --> 00:25:46.936
and you end up having a surgery,

573
00:25:46.980 --> 00:25:48.895
you'll get seven different
bills in the mail.

574
00:25:48.938 --> 00:25:50.592
You'll get one from the surgeon,

575
00:25:50.636 --> 00:25:52.072
one from the primary
care physician,

576
00:25:52.115 --> 00:25:53.595
one from the anesthesiologist,

577
00:25:53.639 --> 00:25:54.857
one from the people
who took your blood,

578
00:25:54.901 --> 00:25:55.728
one from the X-ray,

579
00:25:55.771 --> 00:25:57.425
on and on it goes.

580
00:25:57.468 --> 00:25:59.906
And in the past they
haven't coordinated as well

581
00:25:59.949 --> 00:26:02.517
as they possibly could
have so there was a lack

582
00:26:02.561 --> 00:26:04.519
of coordination, a
lack of cost control,

583
00:26:04.563 --> 00:26:06.913
and again, no incentive
to keep costs down

584
00:26:06.956 --> 00:26:10.830
because you're reimbursed
based upon the volume of care,

585
00:26:10.873 --> 00:26:12.788
not the quality of care.

586
00:26:12.832 --> 00:26:14.921
So the way you solve
the problem of cost

587
00:26:14.964 --> 00:26:18.620
in part is by cracking
that part of the system,

588
00:26:18.664 --> 00:26:21.710
getting in to value-based
arrangements where people,

589
00:26:21.754 --> 00:26:24.844
physicians, providers
are reimbursed based

590
00:26:24.887 --> 00:26:26.585
upon the quality of care,

591
00:26:26.628 --> 00:26:28.587
not the quantity of
care that's offered.

592
00:26:29.762 --> 00:26:31.546
People have taken a
step back to think,

593
00:26:31.590 --> 00:26:34.244
well, I'm more comfortable
with government intervention

594
00:26:34.288 --> 00:26:35.942
in the healthcare
system because none

595
00:26:35.985 --> 00:26:38.727
of those bad things I was
told were going to happen

596
00:26:38.771 --> 00:26:40.337
have actually happened.

597
00:26:40.381 --> 00:26:43.906
So the debate today is framed
by a much greater acceptance

598
00:26:43.950 --> 00:26:45.734
in the public of
government intervention

599
00:26:45.778 --> 00:26:47.127
in the healthcare system.

600
00:26:47.170 --> 00:26:49.912
So when a candidate talks
about Medicare for All

601
00:26:49.956 --> 00:26:51.522
or single-payer
healthcare system

602
00:26:51.566 --> 00:26:53.916
there are policy
implications to that,

603
00:26:53.960 --> 00:26:55.178
when you dig deeper,

604
00:26:55.222 --> 00:26:56.658
that may concern the public.

605
00:26:56.702 --> 00:26:59.661
But the theory of it is
not nearly as concerning

606
00:26:59.705 --> 00:27:01.881
to the public as it
has been in the past.

607
00:27:02.751 --> 00:27:05.449
Regulatory capture
is an economic theory

608
00:27:05.493 --> 00:27:09.366
that was put forward by
George Stigler in 1971,

609
00:27:09.410 --> 00:27:11.717
Nobel Prize winning economist.

610
00:27:11.760 --> 00:27:14.850
And he argued that
it was possible

611
00:27:14.894 --> 00:27:17.592
within a regulated
environment for the industry

612
00:27:17.636 --> 00:27:19.028
that was being regulated

613
00:27:19.072 --> 00:27:21.988
to control the
regulatory authority.

614
00:27:22.031 --> 00:27:25.644
So the theory of regulatory
capture is exactly that,

615
00:27:25.687 --> 00:27:28.124
that you have entities
that are being regulated,

616
00:27:28.168 --> 00:27:30.736
that through campaign
contributions,

617
00:27:30.779 --> 00:27:33.086
through political and
other public activities

618
00:27:33.129 --> 00:27:36.916
gain a dominance within the
regulatory authority over

619
00:27:36.959 --> 00:27:38.831
which they're being regulated.

620
00:27:38.874 --> 00:27:41.747
Regulatory capture
in the healthcare

621
00:27:41.790 --> 00:27:43.705
let's say, the
prescription drug market,

622
00:27:43.749 --> 00:27:46.229
where the Food and Drug
Administration looks first

623
00:27:46.273 --> 00:27:49.232
to the pharmaceutical companies
and asks their opinion

624
00:27:49.276 --> 00:27:52.540
of things before they make
a determination on drugs.

625
00:27:52.583 --> 00:27:54.977
The same would go for
healthcare providers.

626
00:27:55.021 --> 00:28:00.809
And the issue with the theory
of regulatory capture is,

627
00:28:00.853 --> 00:28:04.813
I think, the view that in
all cases it's gonna lead

628
00:28:04.857 --> 00:28:06.032
to bad outcomes.

629
00:28:06.075 --> 00:28:07.990
You have people who
are making decisions

630
00:28:08.034 --> 00:28:11.211
that are not in the public's
best interest based upon

631
00:28:11.254 --> 00:28:14.736
an industry dominance
of the regulatory body.

632
00:28:14.780 --> 00:28:17.826
I get asked all the time from
my experience at Washington,

633
00:28:17.870 --> 00:28:20.742
what are the most
powerful lobbying groups

634
00:28:20.786 --> 00:28:22.265
that you see in Washington?

635
00:28:22.309 --> 00:28:24.311
And clearly the gun industry,

636
00:28:24.354 --> 00:28:25.834
the Israel lobby,

637
00:28:25.878 --> 00:28:28.271
the AARP, the seniors lobby,

638
00:28:28.315 --> 00:28:31.057
they're all in and of
themselves very powerful.

639
00:28:31.100 --> 00:28:32.449
But as a group,

640
00:28:32.493 --> 00:28:35.888
as an industry no
group yields more power

641
00:28:35.931 --> 00:28:37.890
or participates more forcefully

642
00:28:37.933 --> 00:28:40.631
in the advocacy process than
the healthcare industry.

643
00:28:40.675 --> 00:28:43.765
You have the pharmaceutical
companies, Big Pharma,

644
00:28:43.809 --> 00:28:46.159
you have the
generic drug makers,

645
00:28:46.202 --> 00:28:48.465
you have the pharmaceutical
distributors,

646
00:28:48.509 --> 00:28:50.163
you have the hospitals,

647
00:28:50.206 --> 00:28:51.599
you have the physicians,

648
00:28:51.642 --> 00:28:53.557
you have the medical
device industry,

649
00:28:53.601 --> 00:28:54.733
you have consumers,

650
00:28:54.776 --> 00:28:56.212
you have all sides.

651
00:28:56.256 --> 00:28:58.693
There are probably
hundreds of people sitting

652
00:28:58.737 --> 00:29:00.782
around their kitchen tables
all across the country

653
00:29:00.826 --> 00:29:03.916
with the bills out looking
at their healthcare expenses,

654
00:29:03.959 --> 00:29:05.700
thinking about what
it means for them?

655
00:29:05.744 --> 00:29:07.920
It's the largest
driver of bankruptcies,

656
00:29:07.963 --> 00:29:10.313
of any issue in the country.

657
00:29:10.357 --> 00:29:12.881
20% of our GDP
goes to healthcare.

658
00:29:12.925 --> 00:29:15.623
The money that's
involved in healthcare

659
00:29:15.666 --> 00:29:18.757
in this country leads to
a huge public discussion

660
00:29:18.800 --> 00:29:20.802
about the future of
our healthcare system.

661
00:29:20.846 --> 00:29:23.283
The problem with the
perception people have

662
00:29:23.326 --> 00:29:26.112
of lobbying within the
healthcare industry is the money

663
00:29:26.155 --> 00:29:28.767
that gets spent to
influence outcomes,

664
00:29:28.810 --> 00:29:30.377
and that's when you
run into the danger

665
00:29:30.420 --> 00:29:32.814
of not having the most
effective outcome.

666
00:29:34.163 --> 00:29:35.991
- I think we need
very strong leadership

667
00:29:36.035 --> 00:29:37.123
in some of these areas,

668
00:29:37.166 --> 00:29:39.386
just basic things
that we used to do

669
00:29:39.429 --> 00:29:42.171
that we're not
doing anymore, why?

670
00:29:42.215 --> 00:29:43.738
If they get sick,

671
00:29:43.782 --> 00:29:46.872
if the thems get sick they
expose the uses to getting sick

672
00:29:46.915 --> 00:29:50.223
and that's not really
looked at today anymore.

673
00:29:50.266 --> 00:29:53.922
So I think we need some strong
leadership in Washington,

674
00:29:53.966 --> 00:29:56.882
people to speak out the way
they used to speak out and say,

675
00:29:56.925 --> 00:29:57.970
this just isn't right.

676
00:29:58.013 --> 00:29:59.406
- In the Senate,

677
00:29:59.449 --> 00:30:02.844
most of the senators have
issue-driven staffers.

678
00:30:02.888 --> 00:30:05.934
So they'll have somebody
dedicated solely to healthcare,

679
00:30:05.978 --> 00:30:08.632
somebody dedicated
solely to taxes,

680
00:30:08.676 --> 00:30:10.983
somebody dedicated solely
to foreign affairs.

681
00:30:11.026 --> 00:30:13.724
In the House generally
there are three people

682
00:30:13.768 --> 00:30:15.509
with a portfolio of issues,

683
00:30:15.552 --> 00:30:18.599
domestic policy which includes
healthcare, education,

684
00:30:18.642 --> 00:30:19.948
social security, those issues,

685
00:30:19.992 --> 00:30:23.343
a budget person that
looks at budget and taxes,

686
00:30:23.386 --> 00:30:26.041
and a foreign affairs person
that looks at the military

687
00:30:26.085 --> 00:30:28.609
and trade in foreign
affairs issues.

688
00:30:28.652 --> 00:30:31.481
And the problem is
there's sometimes a lack

689
00:30:31.525 --> 00:30:33.832
of coordination
between the policies

690
00:30:33.875 --> 00:30:36.312
because when you deal with
healthcare you're dealing

691
00:30:36.356 --> 00:30:38.271
with the tax system
in this country.

692
00:30:38.314 --> 00:30:41.622
You're not just dealing
with providing healthcare,

693
00:30:41.665 --> 00:30:43.885
you're dealing with how
you pay for it as well,

694
00:30:43.929 --> 00:30:46.801
and if the Congressional Office
doesn't deal with that well

695
00:30:46.845 --> 00:30:48.629
they lose part of that debate.

696
00:30:48.672 --> 00:30:50.022
And that's why it's so difficult

697
00:30:50.065 --> 00:30:54.156
to have healthcare reform
discussed in those silos

698
00:30:54.200 --> 00:30:55.810
of how are we gonna pay for it,

699
00:30:55.854 --> 00:30:58.900
what's the level of care and
what's the quality of care?

700
00:30:58.944 --> 00:31:01.163
You really do have to
look at it all together

701
00:31:01.207 --> 00:31:03.078
and that's difficult
to do with an issue

702
00:31:03.122 --> 00:31:05.124
that's as big as healthcare.

703
00:31:05.167 --> 00:31:06.777
[dramatic upbeat music]

704
00:31:06.821 --> 00:31:07.909
- I'm here in McLean,

705
00:31:07.953 --> 00:31:10.303
surrounded by some
of the biggest,

706
00:31:10.346 --> 00:31:12.044
most expensive houses
you've ever seen

707
00:31:12.087 --> 00:31:14.829
and they're owned by
people who are lobbyists

708
00:31:14.873 --> 00:31:19.007
so there's a lot of corporate
interests at play here.

709
00:31:19.051 --> 00:31:21.227
Even if you don't care
about these people,

710
00:31:21.270 --> 00:31:22.837
you are paying for them

711
00:31:22.881 --> 00:31:25.318
and economically it
doesn't make sense

712
00:31:25.361 --> 00:31:28.887
for them to not have
care, covered care.

713
00:31:28.930 --> 00:31:31.759
- If you don't have the
support of the American people

714
00:31:31.802 --> 00:31:33.848
behind you it is gonna
be very difficult

715
00:31:33.892 --> 00:31:34.980
to pass legislation.

716
00:31:35.023 --> 00:31:38.809
When people come in and you as

717
00:31:38.853 --> 00:31:40.115
the people who are
setting the budget

718
00:31:40.159 --> 00:31:42.422
for the country it's
a zero sum game.

719
00:31:42.465 --> 00:31:44.163
And you have to decide this year

720
00:31:44.206 --> 00:31:47.862
are we gonna spend more
money on MS or Alzheimer's

721
00:31:47.906 --> 00:31:52.911
or cancer or HIV or
diabetes or heart disease?

722
00:31:52.954 --> 00:31:55.304
How are we gonna spread
that money around?

723
00:31:55.348 --> 00:31:58.917
And that is so powerful and
that's why healthcare is unique.

724
00:31:58.960 --> 00:32:01.180
And for all the
money that's spent

725
00:32:01.223 --> 00:32:03.356
on lobbying in this country,

726
00:32:03.399 --> 00:32:05.445
that's what wins the day.

727
00:32:05.488 --> 00:32:06.707
It's not money,

728
00:32:06.750 --> 00:32:08.752
it's the face of the
people that are impacted

729
00:32:08.796 --> 00:32:09.928
by healthcare the most.

730
00:32:12.191 --> 00:32:15.629
[upbeat humming music]

731
00:32:21.896 --> 00:32:24.203
- [Narrator] With over a
trillion dollar deficit

732
00:32:24.246 --> 00:32:27.597
and the national debt
exceeding $23 trillion dollars,

733
00:32:27.641 --> 00:32:31.732
can the economy withstand the
cost of universal healthcare

734
00:32:31.775 --> 00:32:35.040
with unchecked spending?

735
00:32:35.083 --> 00:32:36.258
- My name's Carl Asche.

736
00:32:36.302 --> 00:32:38.173
I'm a PhD economist.

737
00:32:38.217 --> 00:32:41.829
I've been working in
healthcare economics

738
00:32:41.872 --> 00:32:43.352
for all of my career.

739
00:32:43.396 --> 00:32:46.268
A lot of us endure what I
call is financial toxicity.

740
00:32:46.312 --> 00:32:48.792
Healthcare in itself is very
expensive in our country

741
00:32:48.836 --> 00:32:52.361
and I'm not always confident
that it's being spent

742
00:32:52.405 --> 00:32:54.755
in the most appropriate manner.

743
00:32:54.798 --> 00:32:58.280
The United States spent
roughly $3.65 trillion

744
00:32:58.324 --> 00:32:59.803
on healthcare services,

745
00:32:59.847 --> 00:33:02.806
which represents a 4.4% increase

746
00:33:02.850 --> 00:33:04.939
from the year before in 2017.

747
00:33:04.983 --> 00:33:07.289
The quality of healthcare
and related services,

748
00:33:07.333 --> 00:33:09.291
are they justified by the costs?

749
00:33:11.990 --> 00:33:15.776
- My name's Ken Kies and I'm a
tax lawyer in Washington, DC.

750
00:33:15.819 --> 00:33:18.561
[dramatic upbeat music]

751
00:33:18.605 --> 00:33:21.651
One might wonder as you
think about what we do

752
00:33:21.695 --> 00:33:25.003
in healthcare currently and
social security and so on,

753
00:33:25.046 --> 00:33:27.179
what about the debt we
already have accrued?

754
00:33:27.222 --> 00:33:28.963
For millennials in particular,

755
00:33:29.007 --> 00:33:33.663
the 23 trillion total government
debt that we currently

756
00:33:33.707 --> 00:33:37.015
have should be alarming
because we're adding

757
00:33:37.058 --> 00:33:38.799
about a trillion a year to it.

758
00:33:38.842 --> 00:33:42.281
And the problem is at
the political level

759
00:33:42.324 --> 00:33:44.631
almost no one is talking
about it anymore,

760
00:33:44.674 --> 00:33:47.068
and to me that's more
alarming than ever.

761
00:33:47.112 --> 00:33:49.331
And it's both Democrats
and Republicans.

762
00:33:49.375 --> 00:33:53.379
It's as if it doesn't exist
and yet for young people,

763
00:33:53.422 --> 00:33:54.945
the millennial generation,

764
00:33:54.989 --> 00:33:56.730
they're being stuck with it.

765
00:33:56.773 --> 00:33:58.906
That's a big change from, say,

766
00:33:58.949 --> 00:34:00.734
when I was at the
Joint Committee in '97

767
00:34:00.777 --> 00:34:04.999
and we did the '97 budget deal
which was a bipartisan deal

768
00:34:05.043 --> 00:34:06.218
between Bill Clinton,

769
00:34:06.261 --> 00:34:07.697
a Democrat president,

770
00:34:07.741 --> 00:34:11.223
Newt Gingrich, the Sepublican
Speaker of the House,

771
00:34:11.266 --> 00:34:12.876
did a deal.

772
00:34:12.920 --> 00:34:15.749
We balanced the budget and
paid off half a trillion

773
00:34:15.792 --> 00:34:18.578
of debt by 9.11, 2001.

774
00:34:18.621 --> 00:34:21.581
Most people can't even
imagine paying off any debt

775
00:34:21.624 --> 00:34:24.627
at this point and so we're
adding a trillion a year

776
00:34:24.671 --> 00:34:27.717
under our current
spending levels.

777
00:34:27.761 --> 00:34:30.198
So when we think
about spending more

778
00:34:30.242 --> 00:34:31.330
at the federal government level,

779
00:34:31.373 --> 00:34:32.809
no matter what
you're talking about,

780
00:34:32.853 --> 00:34:35.769
you have to realize we
already have an enormous debt

781
00:34:35.812 --> 00:34:39.251
and it should be something
that scares everyone.

782
00:34:41.166 --> 00:34:43.733
What's the bad news for
millennials who are concerned

783
00:34:43.777 --> 00:34:46.606
about paying $1,000 a
month for health insurance?

784
00:34:46.649 --> 00:34:50.871
The bad news is most people
like their health insurance

785
00:34:50.914 --> 00:34:52.264
because they like healthcare.

786
00:34:52.307 --> 00:34:55.919
What other countries
have done to lower costs

787
00:34:55.963 --> 00:34:59.140
is something that Americans
are not prepared to do,

788
00:34:59.184 --> 00:35:00.881
which is ration healthcare.

789
00:35:00.924 --> 00:35:02.187
That's what the UK does.

790
00:35:02.230 --> 00:35:03.710
That's what Canada does.

791
00:35:03.753 --> 00:35:06.539
Americans have come
to really expect

792
00:35:06.582 --> 00:35:10.717
that they're gonna have
healthcare relatively on demand.

793
00:35:10.760 --> 00:35:14.024
They don't like sitting in
emergency rooms waiting.

794
00:35:14.068 --> 00:35:18.159
It's a real dilemma that
we face because we like

795
00:35:18.203 --> 00:35:21.597
what we have but we don't
like what we're paying for it.

796
00:35:21.641 --> 00:35:24.600
So the question is do we
wanna give up what we have

797
00:35:24.644 --> 00:35:27.429
or do we wanna find
somebody else to pay for it?

798
00:35:27.473 --> 00:35:30.040
And the problem is the
somebody else is gonna

799
00:35:30.084 --> 00:35:32.869
be the millennials too
because it's gonna come

800
00:35:32.913 --> 00:35:34.001
in the form of taxes.

801
00:35:34.044 --> 00:35:36.917
For employers providing
health insurance

802
00:35:36.960 --> 00:35:38.788
it's a deductible expense,

803
00:35:38.832 --> 00:35:41.051
which of course makes sense
because it's part of the cost

804
00:35:41.095 --> 00:35:42.488
of employing people.

805
00:35:42.531 --> 00:35:44.881
So there's a lot of interactions
with the tax system,

806
00:35:44.925 --> 00:35:48.450
both individual income
tax and corporate tax,

807
00:35:48.494 --> 00:35:51.845
that are relate to the health
insurance system that we have.

808
00:35:51.888 --> 00:35:55.675
Corporate taxes only produce
about 200 billion a year

809
00:35:55.718 --> 00:36:00.680
of revenues out of multiple
trillions that we collect.

810
00:36:00.723 --> 00:36:03.683
Our tax system basically
collects money from individuals

811
00:36:03.726 --> 00:36:07.643
in the form of social security
taxes and income taxes.

812
00:36:07.687 --> 00:36:09.428
That's where most of
the money comes from.

813
00:36:09.471 --> 00:36:11.908
The estate tax which
gets a lot of attention

814
00:36:11.952 --> 00:36:14.998
because it's a tax on people
when they're wealthy and die,

815
00:36:15.042 --> 00:36:16.870
it doesn't produce
that much money either.

816
00:36:16.913 --> 00:36:18.915
There are no easy
answers here in terms

817
00:36:18.959 --> 00:36:21.614
of changing the status
quo to something

818
00:36:21.657 --> 00:36:24.660
that's more acceptable because
people like their healthcare.

819
00:36:25.487 --> 00:36:28.621
- Modern monetary theory
in a nutshell says

820
00:36:28.664 --> 00:36:30.492
that the government can
print as much currency

821
00:36:30.536 --> 00:36:33.756
as it wants and there will
never be any net effect

822
00:36:33.800 --> 00:36:36.106
on purchasing power
of that currency.

823
00:36:36.150 --> 00:36:38.892
Meaning that lots of free
stuff can be promised

824
00:36:38.935 --> 00:36:40.937
to everyone whether
it be college,

825
00:36:40.981 --> 00:36:43.244
medical services, jobs,

826
00:36:43.288 --> 00:36:47.770
food, housing and anything else
the general populace demands

827
00:36:47.814 --> 00:36:48.858
from the government.

828
00:36:48.902 --> 00:36:50.556
So if they print
100 currency units,

829
00:36:50.599 --> 00:36:52.949
they just tax the
rich the same amount.

830
00:36:52.993 --> 00:36:55.909
So 100 goes in
and 100 comes out.

831
00:36:55.952 --> 00:36:58.085
And their way of thinking
is a simple transaction

832
00:36:58.128 --> 00:36:59.913
and the net cost is a wash.

833
00:36:59.956 --> 00:37:03.743
However, history tells us
this is never what happens.

834
00:37:03.786 --> 00:37:05.832
Every flat currency in
the world in the course

835
00:37:05.875 --> 00:37:07.137
of the last hundred years

836
00:37:07.181 --> 00:37:10.271
that disappeared
suffered its demise

837
00:37:10.315 --> 00:37:11.838
because of this very theory.

838
00:37:11.881 --> 00:37:14.275
This can be summed up that
there is a limited amount

839
00:37:14.319 --> 00:37:17.060
of wealth but an unlimited
number of currency units.

840
00:37:17.104 --> 00:37:19.976
Modern monetary theory
is the road being paved

841
00:37:20.020 --> 00:37:21.021
to economic health.

842
00:37:22.414 --> 00:37:23.937
- You know, there's
a lot of proposals

843
00:37:23.980 --> 00:37:26.374
that are being made by various
presidential candidates

844
00:37:26.418 --> 00:37:29.769
to expand the role of government
in healthcare, for example.

845
00:37:29.812 --> 00:37:33.163
And so that does raise
the question of do we have

846
00:37:33.207 --> 00:37:35.862
to worry about what
government's already providing

847
00:37:35.905 --> 00:37:37.080
and can we afford it?

848
00:37:37.124 --> 00:37:39.344
The social security
system, for example,

849
00:37:39.387 --> 00:37:42.303
we know by about 2032 or 2033,

850
00:37:42.347 --> 00:37:43.783
which is not far away,

851
00:37:43.826 --> 00:37:46.699
it is gonna hit a point where
there's no reserves left

852
00:37:46.742 --> 00:37:48.309
in the social
security trust fund

853
00:37:48.353 --> 00:37:50.877
and incoming taxes
will only be adequate

854
00:37:50.920 --> 00:37:53.140
to pay 70% of benefits.

855
00:37:53.183 --> 00:37:54.707
Now, that's a horrific thought

856
00:37:54.750 --> 00:37:58.188
that we're gonna cut social
security benefits 30%,

857
00:37:58.232 --> 00:38:00.147
that's just not gonna happen.

858
00:38:00.190 --> 00:38:04.891
So we already know that
we have other demands

859
00:38:04.934 --> 00:38:07.110
that we're gonna have to
fund one way or another,

860
00:38:07.154 --> 00:38:09.852
without expanding
existing programs.

861
00:38:09.896 --> 00:38:11.071
That's part of what we have

862
00:38:11.114 --> 00:38:14.335
to think about as we
consider whether to,

863
00:38:14.379 --> 00:38:15.902
for example, expand healthcare

864
00:38:15.945 --> 00:38:17.599
that's provided by
the federal government

865
00:38:17.643 --> 00:38:20.950
because we already know that
we have obligations staring us

866
00:38:20.994 --> 00:38:23.823
in the face within
a decade or so

867
00:38:23.866 --> 00:38:26.913
that are gonna demand
enormous resources.

868
00:38:28.001 --> 00:38:30.482
A reasonable question
one might pose is,

869
00:38:30.525 --> 00:38:33.311
can we improve the healthcare
system by taking money

870
00:38:33.354 --> 00:38:34.877
that we're already spending

871
00:38:34.921 --> 00:38:37.706
at the federal government
level and spend it

872
00:38:37.750 --> 00:38:40.143
on healthcare rather than where
we're spending it currently?

873
00:38:40.187 --> 00:38:42.972
If you walk out and interview
20 people on the street

874
00:38:43.016 --> 00:38:45.018
and say where should
we cut spending?

875
00:38:45.061 --> 00:38:47.847
They will all say get
rid of foreign aid.

876
00:38:47.890 --> 00:38:51.198
Foreign aid represents
such a minor part

877
00:38:51.241 --> 00:38:55.245
of the federal government
spending that it's barely a blip

878
00:38:55.289 --> 00:38:59.119
in terms of the total that
the federal government spends.

879
00:38:59.162 --> 00:39:01.730
You have to realize what
the federal government is,

880
00:39:01.774 --> 00:39:04.951
it's an insurance
company with an army.

881
00:39:04.994 --> 00:39:06.126
And when I say that,

882
00:39:06.169 --> 00:39:08.911
what I mean is the
three biggest pieces

883
00:39:08.955 --> 00:39:10.783
of the federal government
aren't social security,

884
00:39:10.826 --> 00:39:13.916
Medicare and
Medicaid and defense.

885
00:39:13.960 --> 00:39:18.573
You add interest on the
national debt and you have 80%,

886
00:39:18.617 --> 00:39:21.271
90% of total federal
government spending.

887
00:39:21.315 --> 00:39:24.797
So then what that means is
if you wannna reallocate,

888
00:39:24.840 --> 00:39:27.669
you would have to take
money from defense

889
00:39:27.713 --> 00:39:29.367
and spend it on healthcare

890
00:39:29.410 --> 00:39:30.803
because that's
where the money is.

891
00:39:30.846 --> 00:39:34.023
Everything else
is small potatoes.

892
00:39:34.067 --> 00:39:35.895
- Coverage of healthcare
in the context

893
00:39:35.938 --> 00:39:39.202
of the 2020 Democratic
presidential campaign amounts

894
00:39:39.246 --> 00:39:41.857
to asking a yes or a no
question about support

895
00:39:41.901 --> 00:39:43.119
for Medicare For All.

896
00:39:43.163 --> 00:39:45.383
The Medicare for All
crowd accuses the others

897
00:39:45.426 --> 00:39:47.123
of being incrementalists.

898
00:39:47.167 --> 00:39:48.995
And the Medicare
For All critics say

899
00:39:49.038 --> 00:39:51.737
that this is the pie in the
sky stuff that won't work.

900
00:39:51.780 --> 00:39:54.174
What's missing here is any
deep analysis of the cost

901
00:39:54.217 --> 00:39:56.089
and feasibility of
Medicare For All,

902
00:39:56.132 --> 00:39:57.395
and more important,

903
00:39:57.438 --> 00:39:59.397
what some of the
alternatives might look like?

904
00:39:59.440 --> 00:40:02.443
So unless the candidates can
get beyond the talking points

905
00:40:02.487 --> 00:40:05.968
to connect their plans to
these pocketbook concerns,

906
00:40:06.012 --> 00:40:08.580
any plan will have trade
offs and landmines.

907
00:40:08.623 --> 00:40:11.496
More healthcare costs
more and we have to decide

908
00:40:11.539 --> 00:40:12.410
how to pay for it?

909
00:40:15.238 --> 00:40:17.806
- The thing about
healthcare also,

910
00:40:17.850 --> 00:40:19.939
that people like the
healthcare they have,

911
00:40:19.982 --> 00:40:20.896
they expect to get it.

912
00:40:20.940 --> 00:40:22.158
And you might say, well,

913
00:40:22.202 --> 00:40:23.725
we're spending too much
money on healthcare.

914
00:40:23.769 --> 00:40:25.945
That's a pretty common
notion that you hear.

915
00:40:25.988 --> 00:40:29.209
The rest of the world
spends 15% on healthcare,

916
00:40:29.252 --> 00:40:30.123
10% on healthcare,

917
00:40:30.166 --> 00:40:31.646
why are we spending 20%?

918
00:40:31.690 --> 00:40:34.040
Well, it's one way
to spend our money.

919
00:40:34.083 --> 00:40:36.346
We could be spending
it on alcohol,

920
00:40:36.390 --> 00:40:37.739
which I'm okay with.

921
00:40:37.783 --> 00:40:39.393
It's not the worst
thing in the world

922
00:40:39.437 --> 00:40:41.830
to be spending money on which
is to provide good healthcare.

923
00:40:41.874 --> 00:40:45.704
And there's a reason many
people around the world come

924
00:40:45.747 --> 00:40:47.923
to the United States to
the Cleveland Clinic,

925
00:40:47.967 --> 00:40:49.490
the Mayo to you-name-it,

926
00:40:49.534 --> 00:40:51.971
it's 'cause we provide the
best healthcare in the world.

927
00:40:53.059 --> 00:40:55.975
There are reasons that the
current system actually

928
00:40:56.018 --> 00:40:58.804
has a lot to be said for it.

929
00:40:58.847 --> 00:41:00.849
- It is clear that
the healthcare system

930
00:41:00.893 --> 00:41:02.808
in the United States needs
to change in the future,

931
00:41:02.851 --> 00:41:04.940
to limit spending while
maintaining quality

932
00:41:04.984 --> 00:41:06.464
and expanding access.

933
00:41:06.507 --> 00:41:09.118
For us to get to the point
where we can show the impact

934
00:41:09.162 --> 00:41:11.120
of a alternate payment plan,

935
00:41:11.164 --> 00:41:15.516
improving our economy and the
quality care for our patients

936
00:41:15.560 --> 00:41:17.039
we need better data.

937
00:41:17.083 --> 00:41:20.042
A lot of these proposals
are wonderful in the sense

938
00:41:20.086 --> 00:41:24.482
that they offer us hope
that money will be saved.

939
00:41:24.525 --> 00:41:25.657
But at the end of the day,

940
00:41:25.700 --> 00:41:28.747
I still worry about
the quality of care.

941
00:41:28.790 --> 00:41:30.792
Affordable healthcare
as I understand it

942
00:41:30.836 --> 00:41:34.927
is something we
all aspire towards.

943
00:41:34.970 --> 00:41:36.972
The path to getting
there is convoluted.

944
00:41:37.016 --> 00:41:39.845
The sheer magnitude of what
we're experiencing now,

945
00:41:39.888 --> 00:41:44.197
which is roughly $3.65
trillion is daunting in itself.

946
00:41:44.240 --> 00:41:45.938
These facts speak
for themselves.

947
00:41:45.981 --> 00:41:47.635
We have a real issue here.

948
00:41:48.549 --> 00:41:53.423
- Imagine that we were to
experience another ramp up

949
00:41:53.467 --> 00:41:57.297
in interest rates like we
experienced in the 1980 period,

950
00:41:57.340 --> 00:41:58.341
which by the way,

951
00:41:58.385 --> 00:41:59.691
happened in like
a two-year period.

952
00:41:59.734 --> 00:42:01.693
It would mean our borrowing
costs would triple

953
00:42:01.736 --> 00:42:05.523
but nobody seems to care
and people keep talking

954
00:42:05.566 --> 00:42:08.482
about an inflation as
being a consequence of this

955
00:42:08.526 --> 00:42:11.441
and yet inflation has
been astonishingly low

956
00:42:11.485 --> 00:42:13.443
for a number of years now.

957
00:42:13.487 --> 00:42:16.359
But I personally believe that
there is a point out there

958
00:42:16.403 --> 00:42:18.884
and I don't know where it is
or when it's gonna happen,

959
00:42:18.927 --> 00:42:21.756
when there's gonna be a
consequence to all of this.

960
00:42:21.800 --> 00:42:24.106
It just seems to me you
can't borrow this kind

961
00:42:24.150 --> 00:42:25.847
of money indefinitely without

962
00:42:25.891 --> 00:42:28.197
having some significant impact.

963
00:42:28.241 --> 00:42:30.591
- There's a storm brewing
and quite honestly,

964
00:42:30.635 --> 00:42:31.810
we can't afford this.

965
00:42:31.853 --> 00:42:33.289
It's totally out of
control, it's crazy.

966
00:42:33.333 --> 00:42:35.553
[dramatic music]

967
00:42:35.596 --> 00:42:36.858
- One of the things

968
00:42:36.902 --> 00:42:38.817
when I started covering
the Affordable Care Act

969
00:42:38.860 --> 00:42:39.861
and through now,

970
00:42:39.905 --> 00:42:41.863
one of the things
I've noticed is

971
00:42:41.907 --> 00:42:45.650
that just as it's
wonderful that people

972
00:42:45.693 --> 00:42:49.479
in Downtown Washington where
I work with kids of color,

973
00:42:49.523 --> 00:42:51.003
teaching them health reporting,

974
00:42:51.046 --> 00:42:54.746
just as they have insurance
now it's not doing as much

975
00:42:54.789 --> 00:42:56.269
for them as it should be doing,

976
00:42:56.312 --> 00:42:59.185
just as the people that
I hear from all the time

977
00:42:59.228 --> 00:43:02.797
who are self-employed say it's
not doing enough for them.

978
00:43:02.841 --> 00:43:05.234
They might as well have
catastrophic insurance.

979
00:43:05.278 --> 00:43:07.410
They can't afford
to go to the doctor.

980
00:43:08.586 --> 00:43:09.891
- Obamacare, the
Affordable Care Act

981
00:43:09.935 --> 00:43:13.025
has had a real significant
impact on people.

982
00:43:13.068 --> 00:43:15.636
People don't have to worry
about not being insured.

983
00:43:15.680 --> 00:43:18.247
I don't think I know
anybody who doesn't

984
00:43:18.291 --> 00:43:19.727
have a pre existing condition.

985
00:43:19.771 --> 00:43:21.816
I mean, in my world with
people with disabilities,

986
00:43:21.860 --> 00:43:23.775
there are a lot of
people with disabilities

987
00:43:23.818 --> 00:43:27.430
who if they didn't have
Medicaid or Medicare,

988
00:43:27.474 --> 00:43:29.824
would not have
coverage for, say,

989
00:43:29.868 --> 00:43:31.783
they needed a wheelchair
or they need physical

990
00:43:31.826 --> 00:43:34.394
or occupational therapy
because maybe something

991
00:43:34.437 --> 00:43:36.788
is becoming weaker
or there's something

992
00:43:36.831 --> 00:43:38.224
that needs to be fine tuned.

993
00:43:38.267 --> 00:43:41.836
- Politically, I listen
to a lot of people talk

994
00:43:41.880 --> 00:43:43.359
about Medicare for All.

995
00:43:43.403 --> 00:43:45.971
I don't think there's enough
people that are willing

996
00:43:46.014 --> 00:43:49.365
to give up their commercial
insurance that they like.

997
00:43:49.409 --> 00:43:51.933
I happen to have commercial
insurance that I like.

998
00:43:51.977 --> 00:43:57.460
I don't love the network
but I like it and if I were

999
00:43:57.504 --> 00:44:02.509
to have fewer choices I'd
be very unhappy of doctors.

1000
00:44:02.552 --> 00:44:04.076
So I do,

1001
00:44:04.119 --> 00:44:08.558
I think there's a tremendous
benefit in having everybody,

1002
00:44:09.951 --> 00:44:12.432
particularly the less
fortunate and the sicker,

1003
00:44:12.475 --> 00:44:15.261
have access to healthcare
that is affordable,

1004
00:44:15.304 --> 00:44:17.872
if not free is great.

1005
00:44:18.830 --> 00:44:20.919
- There is a lack of
understanding about healthcare

1006
00:44:20.962 --> 00:44:22.485
and payment options.

1007
00:44:22.529 --> 00:44:24.705
Every time I hear Medicare
for All I get a little scared

1008
00:44:24.749 --> 00:44:29.623
because there's a difference
between Medicare and Medicaid.

1009
00:44:29.667 --> 00:44:32.887
The financing end is one
but I'm most interested

1010
00:44:32.931 --> 00:44:34.062
in the services provided.

1011
00:44:34.106 --> 00:44:35.585
So for example,

1012
00:44:35.629 --> 00:44:38.719
Medicaid provides a whole
slew of services for people

1013
00:44:38.763 --> 00:44:41.113
with disabilities
that Medicare doesn't.

1014
00:44:41.156 --> 00:44:43.898
And the idea of
getting rid of Medicaid

1015
00:44:43.942 --> 00:44:45.813
and giving everyone
Medicare doesn't help a lot

1016
00:44:45.857 --> 00:44:46.901
of the people I serve.

1017
00:44:46.945 --> 00:44:48.424
So for example,

1018
00:44:48.468 --> 00:44:50.818
if you have a spinal cord
injury and you need someone

1019
00:44:50.862 --> 00:44:53.081
to get you out of bed in the
morning so you can go to work,

1020
00:44:53.125 --> 00:44:55.214
and someone to put
you to bed at night so

1021
00:44:55.257 --> 00:44:56.694
that you can go back to sleep,

1022
00:44:56.737 --> 00:44:59.174
Medicaid covers those
kinds of services.

1023
00:44:59.218 --> 00:45:01.829
Someone to come in and
cook a couple of meals,

1024
00:45:01.873 --> 00:45:04.745
get you ready for the
day, that's covered,

1025
00:45:04.789 --> 00:45:06.181
help you get your medication,

1026
00:45:06.225 --> 00:45:09.837
help transfer you from
your wheelchair to the bed,

1027
00:45:09.881 --> 00:45:10.925
those things are covered.

1028
00:45:10.969 --> 00:45:12.274
They're not covered
under Medicare.

1029
00:45:12.318 --> 00:45:14.929
So getting rid of
Medicaid and putting it

1030
00:45:14.973 --> 00:45:17.802
into Medicare is
scary because a lot

1031
00:45:17.845 --> 00:45:19.673
of services are
healthcare go away.

1032
00:45:19.717 --> 00:45:22.415
If you have a job and
you need someone to come

1033
00:45:22.458 --> 00:45:24.286
and catheterize you at work,

1034
00:45:24.330 --> 00:45:25.766
Medicaid will pay for that.

1035
00:45:25.810 --> 00:45:28.029
If you're within a
certain income bracket

1036
00:45:28.073 --> 00:45:30.902
or if you can buy into Medicaid
there's a special program

1037
00:45:30.945 --> 00:45:32.338
that lets you buy into Medicaid.

1038
00:45:32.381 --> 00:45:34.688
So if you get a job and
depending on the state,

1039
00:45:34.732 --> 00:45:36.081
I'm not gonna get into the weeds

1040
00:45:36.124 --> 00:45:37.865
but there are
certain requirements,

1041
00:45:37.909 --> 00:45:39.388
you can keep Medicaid,

1042
00:45:39.432 --> 00:45:40.999
pay for it,

1043
00:45:41.042 --> 00:45:43.436
buy into it so that you have
this independence in services.

1044
00:45:43.479 --> 00:45:45.525
Medicare for All
doesn't cover that.

1045
00:45:45.568 --> 00:45:47.092
So it kind of scares
me when they talk

1046
00:45:47.135 --> 00:45:49.877
about Medicare for All that
it doesn't look at the weeds,

1047
00:45:49.921 --> 00:45:51.792
it looks at the clouds.

1048
00:45:51.836 --> 00:45:55.230
- People that are paying
a lot of money out

1049
00:45:55.274 --> 00:45:59.365
of pocket every month and
these crazy high deductibles,

1050
00:45:59.408 --> 00:46:01.367
it is like
catastrophic insurance,

1051
00:46:01.410 --> 00:46:02.803
it's hard to convince people,

1052
00:46:02.847 --> 00:46:05.588
particularly young people
that you really need it

1053
00:46:05.632 --> 00:46:09.070
in case you get cancer or one
of these other awful diseases

1054
00:46:09.114 --> 00:46:11.899
and this really is
better than it was

1055
00:46:11.943 --> 00:46:14.815
before the Affordable
Care Act where people

1056
00:46:14.859 --> 00:46:16.425
that had cancer as an example,

1057
00:46:16.469 --> 00:46:18.036
couldn't get insurance.

1058
00:46:18.079 --> 00:46:20.603
There's gotta be
a better solution.

1059
00:46:20.647 --> 00:46:23.911
It has to be something where
insurance is more affordable

1060
00:46:23.955 --> 00:46:27.480
and doctors are willing
to take the insurance.

1061
00:46:27.523 --> 00:46:30.309
The young people and their
parents in Washington

1062
00:46:30.352 --> 00:46:31.571
who I work with,

1063
00:46:31.614 --> 00:46:33.399
it's almost impossible for them

1064
00:46:33.442 --> 00:46:35.662
to find a mental
health provider.

1065
00:46:35.705 --> 00:46:39.144
I have friends that
are in their 50s

1066
00:46:39.187 --> 00:46:43.322
who just lost their primary
care doctors here in McLean,

1067
00:46:43.365 --> 00:46:45.324
Virginia, or Great Falls,

1068
00:46:45.367 --> 00:46:47.108
an even wealthier
town next door.

1069
00:46:47.152 --> 00:46:50.677
Their doctors have now gone
concierge so they wanted

1070
00:46:50.720 --> 00:46:53.245
to find a regular doctor
that takes their insurance

1071
00:46:53.288 --> 00:46:55.856
and they cannot find a
doctor that will take them

1072
00:46:55.900 --> 00:46:57.336
and they're perfectly healthy.

1073
00:46:59.251 --> 00:47:01.949
The Department of Health
and Human Services is trying

1074
00:47:01.993 --> 00:47:06.171
out some interesting
possibilities how

1075
00:47:06.214 --> 00:47:09.565
of healthcare down while
making people healthier,

1076
00:47:09.609 --> 00:47:11.611
but boy, it's very slow going.

1077
00:47:11.654 --> 00:47:14.309
[relaxing music]

1078
00:47:16.877 --> 00:47:20.315
[relaxing dramatic music]

1079
00:47:25.190 --> 00:47:27.235
- [Narrator] Wouldn't it
be nice if there were a way

1080
00:47:27.279 --> 00:47:30.804
to save money while also
bypassing bureaucracy

1081
00:47:30.848 --> 00:47:33.763
and improving the provider,
patient relationship?

1082
00:47:38.072 --> 00:47:40.074
- So I've been advocating
for free-market healthcare

1083
00:47:40.118 --> 00:47:41.771
for a long time.

1084
00:47:41.815 --> 00:47:46.820
And in that time I have had
a congressional healthcare,

1085
00:47:47.777 --> 00:47:51.869
I've had a healthcare plan
that was provided to me

1086
00:47:51.912 --> 00:47:53.435
by the State of Florida,

1087
00:47:53.479 --> 00:47:57.265
I had one from the National
Center for Policy Analysis.

1088
00:47:57.309 --> 00:48:02.749
And now I run my own business
and I had a great plan there.

1089
00:48:02.792 --> 00:48:07.710
Obamacare passed and
I had a worse plan

1090
00:48:07.754 --> 00:48:08.929
that cost more money

1091
00:48:08.973 --> 00:48:11.758
and I've slowly been
getting a worse plan

1092
00:48:11.801 --> 00:48:13.455
that cost more money.

1093
00:48:13.499 --> 00:48:15.109
And then I looked
around and said,

1094
00:48:15.153 --> 00:48:17.546
I've been advocating for
free-market healthcare

1095
00:48:17.590 --> 00:48:19.244
for 10 years.

1096
00:48:19.287 --> 00:48:20.898
These healthcare
sharing ministries,

1097
00:48:20.941 --> 00:48:22.769
I've heard good
stories about them.

1098
00:48:22.812 --> 00:48:24.510
I've seen them
doing good things.

1099
00:48:24.553 --> 00:48:26.729
So I actually
joined one last year

1100
00:48:26.773 --> 00:48:29.907
and it's been interesting.

1101
00:48:29.950 --> 00:48:31.909
I still think it's
the Wild West.

1102
00:48:31.952 --> 00:48:33.432
It's an emerging market.

1103
00:48:33.475 --> 00:48:35.913
The frontiersman were called
frontiersman for a reason,

1104
00:48:35.956 --> 00:48:38.741
they were out on the
edge doing something.

1105
00:48:38.785 --> 00:48:40.743
But when you look at the
economics behind them,

1106
00:48:40.787 --> 00:48:42.223
the economics is solid.

1107
00:48:42.267 --> 00:48:43.485
If you look at their books,

1108
00:48:43.529 --> 00:48:44.530
the books are solid.

1109
00:48:44.573 --> 00:48:46.880
If you read stories on the way

1110
00:48:46.924 --> 00:48:49.578
that they've paid for patients,

1111
00:48:49.622 --> 00:48:50.884
they're all solid.

1112
00:48:50.928 --> 00:48:52.190
And in fact,

1113
00:48:52.233 --> 00:48:53.843
it's one of the biggest
things in this market,

1114
00:48:53.887 --> 00:48:57.064
is that they all don't
want anybody to mess up

1115
00:48:57.108 --> 00:48:58.805
because since it's cutting edge

1116
00:48:58.848 --> 00:49:00.415
and since it's a
little different

1117
00:49:00.459 --> 00:49:03.897
than the being a Blue Cross
and Blue Shield member,

1118
00:49:03.941 --> 00:49:06.117
they don't want anybody
to have a problem.

1119
00:49:06.160 --> 00:49:07.814
And so they're all kind
of working together

1120
00:49:07.857 --> 00:49:10.991
to make sure that the
system works for people.

1121
00:49:11.035 --> 00:49:13.472
And so I've had a great
experience being on it.

1122
00:49:13.515 --> 00:49:16.562
There's a learning curve
because you have to unlearn some

1123
00:49:16.605 --> 00:49:20.740
of the things that you have
been used to from insurance.

1124
00:49:20.783 --> 00:49:22.133
But it's wild,

1125
00:49:22.176 --> 00:49:24.004
even the people that work
at the offices are kind

1126
00:49:24.048 --> 00:49:27.225
of amazed at the prices
that you end up getting

1127
00:49:27.268 --> 00:49:29.053
because you're paying cash.

1128
00:49:29.096 --> 00:49:30.619
It's really kind
of a good feeling

1129
00:49:30.663 --> 00:49:33.231
to push the healthcare
system ourselves

1130
00:49:33.274 --> 00:49:37.583
while being insured in
some form or fashion.

1131
00:49:37.626 --> 00:49:40.890
- Obamacare helped sick
people access coverage

1132
00:49:40.934 --> 00:49:43.154
that they maybe couldn't
have in certain cases

1133
00:49:43.197 --> 00:49:44.372
which is kind of a lie.

1134
00:49:44.416 --> 00:49:46.548
Because before
Obamacare most people

1135
00:49:46.592 --> 00:49:48.463
who were sick could get care,

1136
00:49:48.507 --> 00:49:49.856
it might've been a
bit more expensive

1137
00:49:49.899 --> 00:49:51.118
and run by the state government.

1138
00:49:51.162 --> 00:49:53.120
It's called a reinsurance pool

1139
00:49:53.164 --> 00:49:54.730
for the sick, uninsured pool.

1140
00:49:54.774 --> 00:49:56.732
And otherwise, if you
are somewhat healthy,

1141
00:49:56.776 --> 00:49:59.779
your private insurance on
the individual state level

1142
00:49:59.822 --> 00:50:00.867
is pretty affordable.

1143
00:50:00.910 --> 00:50:02.347
And Medicaid was
there for the poor,

1144
00:50:02.390 --> 00:50:04.479
Medicare for the
old and disabled.

1145
00:50:04.523 --> 00:50:06.568
We had a pretty good system.

1146
00:50:06.612 --> 00:50:10.529
Now it's a pretty good
system for the people

1147
00:50:10.572 --> 00:50:11.834
who are really sick,

1148
00:50:11.878 --> 00:50:13.923
their premiums are
subsidized a bit.

1149
00:50:13.967 --> 00:50:15.534
For the vast upper middle class,

1150
00:50:15.577 --> 00:50:17.492
they're getting hurt
by having to pay

1151
00:50:17.536 --> 00:50:19.929
what effectively is a
mortgage for healthcare.

1152
00:50:19.973 --> 00:50:22.193
So they're either
leaving insurance,

1153
00:50:22.236 --> 00:50:23.803
as a million people
have for sharing

1154
00:50:23.846 --> 00:50:25.500
to get coverage
that's affordable,

1155
00:50:25.544 --> 00:50:27.894
or they're going
uninsured which is risky.

1156
00:50:27.937 --> 00:50:29.156
I don't know what
they're doing to qualify

1157
00:50:29.200 --> 00:50:30.462
for a subsidy on the exchange,

1158
00:50:30.505 --> 00:50:31.854
but if you don't have
a subsidy you're paying

1159
00:50:31.898 --> 00:50:33.769
over a grand a
month in healthcare

1160
00:50:33.813 --> 00:50:36.337
and then several thousand
dollars in deductible.

1161
00:50:36.381 --> 00:50:39.688
So effectively, you have
become a cash-pay patient

1162
00:50:39.732 --> 00:50:41.386
because it's hard
to reach 5,000,

1163
00:50:41.429 --> 00:50:43.170
$10,000 of a deductible.

1164
00:50:43.214 --> 00:50:45.129
Most people don't get that sick.

1165
00:50:45.172 --> 00:50:48.480
10% of Americans spend three
grand on healthcare a year.

1166
00:50:48.523 --> 00:50:50.917
So those who use it
are sick and need it,

1167
00:50:50.960 --> 00:50:52.092
they need the help.

1168
00:50:52.136 --> 00:50:54.573
The vast majority need
something cheaper,

1169
00:50:54.616 --> 00:50:57.054
less comprehensive, just make
sure you don't go bankrupt

1170
00:50:57.097 --> 00:51:00.013
from cancer, a heart
attack or a bad accident.

1171
00:51:00.057 --> 00:51:02.624
You can pay little and
have that protection.

1172
00:51:02.668 --> 00:51:05.105
It doesn't pre pay for
things you might want,

1173
00:51:05.149 --> 00:51:06.933
but there's trade offs in life.

1174
00:51:06.976 --> 00:51:10.893
[relaxing dramatic music]

1175
00:51:10.937 --> 00:51:12.721
- My name is Jeff Kanter.

1176
00:51:12.765 --> 00:51:14.810
I'm the founder of
yourfreedomhub.com

1177
00:51:14.854 --> 00:51:17.291
and we are a disruptor
in the freedom industry.

1178
00:51:17.335 --> 00:51:19.032
So we're also involved in
healthcare and a variety

1179
00:51:19.076 --> 00:51:21.904
of other areas all about
freedom for individuals.

1180
00:51:21.948 --> 00:51:23.993
What we're able to do is
provide you an assistant,

1181
00:51:24.037 --> 00:51:25.517
as it were,

1182
00:51:25.560 --> 00:51:27.301
so you've got an expert in
the field to be your helper.

1183
00:51:27.345 --> 00:51:29.216
So if you're a member
with us as an example,

1184
00:51:29.260 --> 00:51:31.349
you just call a simple phone
number and you're talking

1185
00:51:31.392 --> 00:51:32.959
to a health expert who
can help you figure out

1186
00:51:33.002 --> 00:51:34.917
how to get a better
pricing on an MRI,

1187
00:51:34.961 --> 00:51:35.831
find a different doctor,

1188
00:51:35.875 --> 00:51:37.920
shop around for surgeries.

1189
00:51:37.964 --> 00:51:39.661
'Cause again, you probably
don't know how to do that.

1190
00:51:39.705 --> 00:51:41.272
You don't have
the time, for one,

1191
00:51:41.315 --> 00:51:43.274
you don't have the interest
in learning any of that stuff

1192
00:51:43.317 --> 00:51:44.536
but you want the solution.

1193
00:51:44.579 --> 00:51:45.754
So we're gonna give
you a fast way to get

1194
00:51:45.798 --> 00:51:47.756
to the most proper
solution possible.

1195
00:51:47.800 --> 00:51:50.672
- A million people who
are fairly well-to-do

1196
00:51:50.716 --> 00:51:53.501
or even have modest income have
left insurance for sharing.

1197
00:51:53.545 --> 00:51:54.894
They've bit the bullet,

1198
00:51:54.937 --> 00:51:57.288
they're happy, they're
accessing the same doctors

1199
00:51:57.331 --> 00:51:59.725
in the hospital but they're
just paying half as much,

1200
00:51:59.768 --> 00:52:01.596
so they're happy.

1201
00:52:01.640 --> 00:52:04.208
Then there are those
who like the idea

1202
00:52:04.251 --> 00:52:05.687
of becoming a cash patient.

1203
00:52:05.731 --> 00:52:08.168
You'll see for primary
care what are called

1204
00:52:08.212 --> 00:52:11.867
direct primary care practices
proliferating nationwide.

1205
00:52:11.911 --> 00:52:14.740
And especially if you're kind
of a high user of healthcare,

1206
00:52:14.783 --> 00:52:16.916
if you have a lot of meds,

1207
00:52:16.959 --> 00:52:18.526
if you're a chronically
diseased person,

1208
00:52:18.570 --> 00:52:20.049
you're gonna go in a lot,

1209
00:52:20.093 --> 00:52:23.531
pay it, pay that monthly fee
of 75 bucks or 100 bucks.

1210
00:52:23.575 --> 00:52:26.578
Your primary care physician
will give you unlimited

1211
00:52:26.621 --> 00:52:27.883
or low cost care.

1212
00:52:27.927 --> 00:52:30.843
He has access or she has
access to lab's tests,

1213
00:52:30.886 --> 00:52:34.063
good recommendations,
24-hour access for the kids

1214
00:52:34.107 --> 00:52:35.717
who are gonna have the
cold in the of the night.

1215
00:52:35.761 --> 00:52:37.719
That's a great innovation
in the market, DPC.

1216
00:52:37.763 --> 00:52:40.809
It will cut the cost of
a catastrophic in half

1217
00:52:40.853 --> 00:52:43.943
and will also double your
money in a spending account,

1218
00:52:43.986 --> 00:52:45.510
we call it a medical
spending account

1219
00:52:45.553 --> 00:52:47.947
for the low level stuff that
you know you're gonna have,

1220
00:52:47.990 --> 00:52:49.209
if you're gonna have
maintenance meds,

1221
00:52:49.253 --> 00:52:51.037
you wanna go to the
chiropractor more often.

1222
00:52:51.080 --> 00:52:53.126
There's now a Forbes feature
medical spending account

1223
00:52:53.170 --> 00:52:54.780
that doubles your
money over three years,

1224
00:52:54.823 --> 00:52:57.913
effectively making all your
out of pocket 50% less.

1225
00:52:57.957 --> 00:53:01.090
So Health Excellence Plus
is the name of that solution

1226
00:53:01.134 --> 00:53:03.310
where not necessarily
the primary care part

1227
00:53:03.354 --> 00:53:06.313
but the sharing for the
expensive stuff and the account

1228
00:53:06.357 --> 00:53:09.925
for your first dollar
discretionary stuff is
pretty cheap

1229
00:53:09.969 --> 00:53:12.667
for 400, 300 a month.

1230
00:53:12.711 --> 00:53:15.279
So that's gonna make
people's eyes open up

1231
00:53:15.322 --> 00:53:16.889
and we make you
into a cash payer,

1232
00:53:16.932 --> 00:53:18.456
so now there's no networks.

1233
00:53:18.499 --> 00:53:20.719
And we didn't even talk about
how insurers handcuff you

1234
00:53:20.762 --> 00:53:24.070
with networks that exclude
the best doctors or hospitals.

1235
00:53:24.113 --> 00:53:27.073
That's something that we're
definitely telling people about.

1236
00:53:27.116 --> 00:53:28.205
It's not just your price,

1237
00:53:28.248 --> 00:53:29.771
it's also the
handcuffs and networks.

1238
00:53:29.815 --> 00:53:32.209
We make you into a cash
payer so there's no networks

1239
00:53:32.252 --> 00:53:33.645
and there's no
need for networks.

1240
00:53:33.688 --> 00:53:35.516
We'll help you shop nationwide,

1241
00:53:35.560 --> 00:53:36.430
wherever you wanna go to,

1242
00:53:36.474 --> 00:53:38.215
medical tourism internationally,

1243
00:53:38.258 --> 00:53:40.869
more natural care where
a lot of folks wanna go.

1244
00:53:40.913 --> 00:53:43.698
Health Excellence Plus is
to plan for the individual,

1245
00:53:43.742 --> 00:53:47.136
family or small business
person in open enrollment

1246
00:53:47.180 --> 00:53:48.616
to cut your costs in half,

1247
00:53:48.660 --> 00:53:50.879
become a cash shopping patient
and really take control

1248
00:53:50.923 --> 00:53:52.403
of this awful health system.

1249
00:53:52.446 --> 00:53:54.448
- The question oftentimes
is how important is it

1250
00:53:54.492 --> 00:53:55.623
to be a cash payer?

1251
00:53:55.667 --> 00:53:57.538
And the reality is
it's very important.

1252
00:53:57.582 --> 00:53:59.714
The market understands
pricing signals.

1253
00:53:59.758 --> 00:54:00.933
Everyone's familiar
with going to a corner

1254
00:54:00.976 --> 00:54:02.804
where there's a gas
station every corner

1255
00:54:02.848 --> 00:54:04.719
and they're all
fighting for that price.

1256
00:54:04.763 --> 00:54:07.809
So I get to see the pricing
signals and I know where to go.

1257
00:54:07.853 --> 00:54:09.289
Same thing when it
comes to medical care,

1258
00:54:09.333 --> 00:54:10.856
if I don't understand
what anything costs,

1259
00:54:10.899 --> 00:54:12.858
all I'm worried about
is what's my copay?

1260
00:54:12.901 --> 00:54:15.382
So the idea of cash is
at the whole program

1261
00:54:15.426 --> 00:54:17.602
and anything I'm gonna
have done is all defined

1262
00:54:17.645 --> 00:54:18.907
on one set price.

1263
00:54:18.951 --> 00:54:20.822
So I can decide as a consumer

1264
00:54:20.866 --> 00:54:22.650
which is the place
I wanna patronize

1265
00:54:22.694 --> 00:54:24.783
and without a pricing signal
I'm never gonna know that.

1266
00:54:24.826 --> 00:54:27.525
So being a cash payer
is mission-critical

1267
00:54:27.568 --> 00:54:30.049
to the success of
healthcare in America.

1268
00:54:30.092 --> 00:54:32.704
So we call it
medical cost sharing.

1269
00:54:32.747 --> 00:54:35.315
Oftentimes, under the
concept of sharing it's more

1270
00:54:35.359 --> 00:54:36.664
of a religious approach.

1271
00:54:36.708 --> 00:54:38.753
But realistically, it's
a very old mentality

1272
00:54:38.797 --> 00:54:39.885
of how to deal with things.

1273
00:54:39.928 --> 00:54:41.408
It's everybody pooling
their resources.

1274
00:54:41.452 --> 00:54:44.324
A common occurrence is to
talk about the Amish because

1275
00:54:44.368 --> 00:54:46.848
in the Amish community they
don't really have insurance.

1276
00:54:46.892 --> 00:54:48.589
Because let's say
your barn burns down,

1277
00:54:48.633 --> 00:54:51.897
tomorrow every neighbor shows
up to build you a new barn.

1278
00:54:51.940 --> 00:54:53.986
So the same thing
with the community of

1279
00:54:54.029 --> 00:54:56.031
is everybody's pooled
their financial resources,

1280
00:54:56.075 --> 00:54:57.990
so if anybody within
that community actually

1281
00:54:58.033 --> 00:54:59.731
has a medical expense
we're gonna be able

1282
00:54:59.774 --> 00:55:01.080
to make sure that that's met.

1283
00:55:01.123 --> 00:55:03.735
And it's a most
effective methodology

1284
00:55:03.778 --> 00:55:06.564
because it's very ethical
and it's very inexpensive

1285
00:55:06.607 --> 00:55:07.869
by comparison 'cause
you're not layering

1286
00:55:07.913 --> 00:55:10.872
it up with a lot of
added costs and stuff

1287
00:55:10.916 --> 00:55:12.657
built in there
for no good reason

1288
00:55:12.700 --> 00:55:14.746
just to pump up the price.

1289
00:55:14.789 --> 00:55:17.792
It's like any little cartel
that formulates over time.

1290
00:55:17.836 --> 00:55:19.751
If you can kinda get
control of an industry

1291
00:55:19.794 --> 00:55:22.580
and then there's only a
couple players after a while,

1292
00:55:22.623 --> 00:55:24.408
they tend to start
to collude together.

1293
00:55:24.451 --> 00:55:26.105
Whenever any cartel formulates,

1294
00:55:26.148 --> 00:55:28.803
its sole goal is monopolization
of what's going on

1295
00:55:28.847 --> 00:55:31.153
and to thwart anybody
entering that market.

1296
00:55:31.197 --> 00:55:33.068
And invariably they have
got the participation

1297
00:55:33.112 --> 00:55:34.722
of government when
it comes to that,

1298
00:55:34.766 --> 00:55:36.115
because they have lobbyists

1299
00:55:36.158 --> 00:55:39.336
and they patronize them
as far as getting votes

1300
00:55:39.379 --> 00:55:40.728
or giving them
money for campaigns,

1301
00:55:40.772 --> 00:55:42.817
and in return, they're
gonna help pass

1302
00:55:42.861 --> 00:55:44.906
those regulations
that they're seeking.

1303
00:55:44.950 --> 00:55:46.952
So it's definitely a
fixed little world.

1304
00:55:48.388 --> 00:55:49.694
- Yeah, have you ever
heard someone say,

1305
00:55:49.737 --> 00:55:50.869
"Have you considered sharing?"

1306
00:55:50.912 --> 00:55:52.740
Well, it's half the
cost of insurance.

1307
00:55:52.784 --> 00:55:54.351
It's the third way
in politics too.

1308
00:55:54.394 --> 00:55:55.961
And you know what, it's not new.

1309
00:55:56.004 --> 00:55:57.005
It's 100 years old,

1310
00:55:57.049 --> 00:55:58.442
it's mutual aid.

1311
00:55:58.485 --> 00:56:00.226
Most folks before World
War II got their healthcare

1312
00:56:00.269 --> 00:56:01.793
through groups that
they belonged to

1313
00:56:01.836 --> 00:56:02.968
and they paid a monthly fee,

1314
00:56:03.011 --> 00:56:04.665
they had a kitty to
pay all the bills.

1315
00:56:04.709 --> 00:56:06.058
Sometimes they had
an in-house doctor

1316
00:56:06.101 --> 00:56:08.234
that was part of large
systems they belonged to.

1317
00:56:08.277 --> 00:56:11.585
We're engaged in a big
change taking on the cartel

1318
00:56:11.629 --> 00:56:13.413
where 90% of people
get their healthcare

1319
00:56:13.457 --> 00:56:15.372
through insurance companies
that they don't like.

1320
00:56:15.415 --> 00:56:16.895
We're here to empower patients

1321
00:56:16.938 --> 00:56:18.375
and to give them more choices

1322
00:56:18.418 --> 00:56:20.855
so that we can save this
market and make it better,

1323
00:56:20.899 --> 00:56:22.857
not more controlled and worse.

1324
00:56:25.643 --> 00:56:28.167
- The advantages of
being a cash-pay patient

1325
00:56:28.210 --> 00:56:30.909
are actually kind
of almost hysterical

1326
00:56:30.952 --> 00:56:34.086
if other people weren't
getting taken advantage of

1327
00:56:34.129 --> 00:56:35.566
by the system.

1328
00:56:35.609 --> 00:56:38.046
But if you go to Keith Smith's
Oklahoma Surgery Center,

1329
00:56:38.090 --> 00:56:40.440
you'll pay about 10%
of what you would pay

1330
00:56:40.484 --> 00:56:42.137
at the hospital down the street,

1331
00:56:42.181 --> 00:56:45.445
and that's just because
he doesn't have a full

1332
00:56:45.489 --> 00:56:47.578
billing staff that
he has to hire.

1333
00:56:47.621 --> 00:56:51.669
He doesn't have to wait 90
to 180 days for payment,

1334
00:56:51.712 --> 00:56:54.628
and then not be sure if he's
going to get the payment.

1335
00:56:54.672 --> 00:56:57.239
And because of this system

1336
00:56:57.283 --> 00:56:59.764
where he can get payment
now, he can even negotiate.

1337
00:56:59.807 --> 00:57:01.940
So instead of
getting paid in cash,

1338
00:57:01.983 --> 00:57:03.245
he's gotten paid in Bitcoin.

1339
00:57:03.289 --> 00:57:05.552
It's kind of an exciting
thing in healthcare

1340
00:57:05.596 --> 00:57:10.862
to see when you're paying
with cash what changes.

1341
00:57:10.905 --> 00:57:13.865
And even going to your
normal doctor's office,

1342
00:57:13.908 --> 00:57:17.477
you can see price cuts
of anywhere from 10%

1343
00:57:17.521 --> 00:57:21.699
to 90% on different
procedures or office visits.

1344
00:57:23.309 --> 00:57:25.964
- I mean, the goal also is
about your wealth, right?

1345
00:57:26.007 --> 00:57:27.792
I mean, in reality, there's
two important things

1346
00:57:27.835 --> 00:57:28.836
in your world,

1347
00:57:28.880 --> 00:57:30.011
your health and your wealth.

1348
00:57:30.055 --> 00:57:31.273
You need both of those.

1349
00:57:31.317 --> 00:57:32.971
Everything else kind
of builds off of those.

1350
00:57:33.014 --> 00:57:34.451
So when it comes to your wealth,

1351
00:57:34.494 --> 00:57:36.801
there's a lot of areas that
you need to think about,

1352
00:57:36.844 --> 00:57:38.367
my personal finances,

1353
00:57:38.411 --> 00:57:40.369
my cost of healthcare,

1354
00:57:40.413 --> 00:57:41.893
how much I spend,

1355
00:57:41.936 --> 00:57:43.068
where do I get the money to
pay for all those things?

1356
00:57:43.111 --> 00:57:45.723
So we've got a few
different mechanisms.

1357
00:57:45.766 --> 00:57:46.898
In the healthcare world,

1358
00:57:46.941 --> 00:57:48.421
most people are
understanding the idea

1359
00:57:48.465 --> 00:57:49.857
of a health savings account.

1360
00:57:49.901 --> 00:57:51.511
And so we're able to
help you with those too

1361
00:57:51.555 --> 00:57:53.121
where you can actually
get money invested.

1362
00:57:53.165 --> 00:57:54.862
Most people just
have it set aside.

1363
00:57:54.906 --> 00:57:56.081
They think a little tax break,

1364
00:57:56.124 --> 00:57:57.648
but they're not
growing that money.

1365
00:57:57.691 --> 00:57:59.737
And the government's
giving you permission

1366
00:57:59.780 --> 00:58:00.825
to grow that money,

1367
00:58:00.868 --> 00:58:02.348
so we're gonna help
them understand

1368
00:58:02.391 --> 00:58:03.958
how they can grow dollars
in a health savings account.

1369
00:58:04.002 --> 00:58:06.526
But then also we have a medical
benefit savings account,

1370
00:58:06.570 --> 00:58:07.919
which as Charles was mentioning,

1371
00:58:07.962 --> 00:58:10.225
allows you to double your
dollars and even more,

1372
00:58:10.269 --> 00:58:12.271
to pay for first
dollar medical expense,

1373
00:58:12.314 --> 00:58:13.838
because that's the challenge
for a lot of people.

1374
00:58:13.881 --> 00:58:15.753
I've got my insurance
or whatever it may be

1375
00:58:15.796 --> 00:58:16.971
if something bad happens,

1376
00:58:17.015 --> 00:58:18.495
but you know what, I
have a lot of other

1377
00:58:18.538 --> 00:58:20.322
independent things I
have to spend money on.

1378
00:58:20.366 --> 00:58:21.628
Where does that money come from?

1379
00:58:21.672 --> 00:58:23.717
And so that's another
area we wanna address

1380
00:58:23.761 --> 00:58:25.502
to make sure that
you're covered in terms

1381
00:58:25.545 --> 00:58:27.112
of where you're gonna
provide for yourself

1382
00:58:27.155 --> 00:58:28.766
from one extreme to the other.

1383
00:58:30.115 --> 00:58:32.509
- Now, when we look
out into the long run,

1384
00:58:32.552 --> 00:58:35.860
what we need is a
patient-doctor relationship,

1385
00:58:35.903 --> 00:58:37.339
a doctor-patient relationship,

1386
00:58:37.383 --> 00:58:38.602
and the way that we do that is

1387
00:58:38.645 --> 00:58:39.951
by giving the patient the power,

1388
00:58:39.994 --> 00:58:41.822
making the patient the payer.

1389
00:58:41.866 --> 00:58:43.824
So health savings accounts

1390
00:58:43.868 --> 00:58:47.524
are really the primary
solution for that.

1391
00:58:47.567 --> 00:58:50.570
John Goodman wants
to make them Roth

1392
00:58:50.614 --> 00:58:51.702
health savings accounts,

1393
00:58:51.745 --> 00:58:53.921
which makes them
post-tax dollars,

1394
00:58:53.965 --> 00:58:58.099
and that is a way to further
make healthcare money

1395
00:58:58.143 --> 00:58:59.927
more equal to other money.

1396
00:58:59.971 --> 00:59:01.407
And so really,

1397
00:59:01.450 --> 00:59:03.844
when you get into the economics
of healthcare spending,

1398
00:59:03.888 --> 00:59:06.847
instead of having cheap
dollars for healthcare,

1399
00:59:06.891 --> 00:59:09.546
you should have a choice
between healthcare,

1400
00:59:09.589 --> 00:59:12.549
savings and buying
should all be equal.

1401
00:59:14.289 --> 00:59:15.856
- Within the
healthcare industry,

1402
00:59:15.900 --> 00:59:18.772
I have created a
distribution system

1403
00:59:18.816 --> 00:59:22.820
for a cash-based
platform that really

1404
00:59:22.863 --> 00:59:25.736
enables the free market
system to sort of begin

1405
00:59:25.779 --> 00:59:28.826
to change things from
a system right now

1406
00:59:28.869 --> 00:59:32.917
that doesn't work very well
for patients or providers.

1407
00:59:32.960 --> 00:59:35.354
So what our program
does is it takes

1408
00:59:35.397 --> 00:59:38.792
a technology that
is very inclusive,

1409
00:59:38.836 --> 00:59:42.970
and acts as a platform
which allows physicians

1410
00:59:43.014 --> 00:59:46.452
to receive cash payments
for medical services

1411
00:59:46.495 --> 00:59:48.889
that they decide how much
they'd like for them to cost,

1412
00:59:48.933 --> 00:59:50.978
and allows them to
put their services

1413
00:59:51.022 --> 00:59:53.720
really onto a free
market type of platform.

1414
00:59:53.764 --> 00:59:56.636
We go to employers and we say,

1415
00:59:56.680 --> 00:59:58.812
let us talk to your
employees about making sure

1416
00:59:58.856 --> 01:00:00.901
that whatever doctors
that they'd like to see

1417
01:00:00.945 --> 01:00:02.642
on that platform be on there,

1418
01:00:02.686 --> 01:00:04.513
then we set up a
system that lets them

1419
01:00:04.557 --> 01:00:08.082
pay cash for everything
that they might need

1420
01:00:08.126 --> 01:00:10.215
as a healthcare consumer,

1421
01:00:10.258 --> 01:00:13.479
except for hospitalizations
and emergencies,

1422
01:00:13.522 --> 01:00:14.872
which is really the only thing

1423
01:00:14.915 --> 01:00:19.528
that you need a catastrophic
insurance plan for.

1424
01:00:19.572 --> 01:00:22.662
- I still believe in a place--

1425
01:00:22.706 --> 01:00:25.752
- Going back to 1990
when Bill Clinton

1426
01:00:25.796 --> 01:00:27.885
becomes president and his wife

1427
01:00:27.928 --> 01:00:29.843
tried to take over
the healthcare system

1428
01:00:29.887 --> 01:00:32.672
by shoving everyone into HMOs

1429
01:00:32.716 --> 01:00:34.456
with Medicare pricing controls,

1430
01:00:34.500 --> 01:00:37.503
that woke me up and a lot
of folks to the alternative,

1431
01:00:37.546 --> 01:00:40.593
which is to open
markets to allow supply

1432
01:00:40.637 --> 01:00:42.639
to expand and
prices to come down

1433
01:00:42.682 --> 01:00:44.292
and options to expand,

1434
01:00:44.336 --> 01:00:46.381
and people to shop around
like any other markets

1435
01:00:46.425 --> 01:00:47.774
and get what they want,

1436
01:00:47.818 --> 01:00:50.559
whether it's allopath
natural, here or overseas.

1437
01:00:50.603 --> 01:00:53.606
So we work with
all the innovators

1438
01:00:53.650 --> 01:00:56.870
both in politics and
in entrepreneurship,

1439
01:00:56.914 --> 01:00:58.567
namely healthcare disruption,

1440
01:00:58.611 --> 01:01:01.832
with various events
like weekly podcasts

1441
01:01:01.875 --> 01:01:04.922
where we give the cash
patients that we create

1442
01:01:04.965 --> 01:01:07.838
some examples of the best
doctors and hospitals

1443
01:01:07.881 --> 01:01:10.710
and integrated therapists
that are accessible

1444
01:01:10.754 --> 01:01:12.930
to them because we
make them cash payers.

1445
01:01:12.973 --> 01:01:15.149
And that is the secret
niche in this debate

1446
01:01:15.193 --> 01:01:17.238
that is not discussed anywhere.

1447
01:01:17.282 --> 01:01:18.979
If you don't create cash payers

1448
01:01:19.023 --> 01:01:20.546
and help them shop around,

1449
01:01:20.589 --> 01:01:22.896
you can't have a supply
and demand in a market.

1450
01:01:22.940 --> 01:01:24.724
The demand is flat,
it's horrible.

1451
01:01:24.768 --> 01:01:26.334
People right now
are slapping down

1452
01:01:26.378 --> 01:01:28.206
third party insurance
cards and expecting

1453
01:01:28.249 --> 01:01:29.642
someone else to pay for it.

1454
01:01:29.686 --> 01:01:30.904
That's unsustainable.

1455
01:01:30.948 --> 01:01:33.820
You can't have smart
others running a market.

1456
01:01:33.864 --> 01:01:35.561
You have to run the market.

1457
01:01:35.604 --> 01:01:37.563
We give you the
cash to shop around.

1458
01:01:37.606 --> 01:01:40.305
And then politically, as
people educate themselves

1459
01:01:40.348 --> 01:01:43.090
paying cash to save money
and learn about choices,

1460
01:01:43.134 --> 01:01:45.440
they start to be
suspicious of the people

1461
01:01:45.484 --> 01:01:47.573
in control who tell
them they can't access

1462
01:01:47.616 --> 01:01:49.836
a life-saving drug
or a natural therapy,

1463
01:01:49.880 --> 01:01:51.969
or go overseas, or see this kind

1464
01:01:52.012 --> 01:01:53.884
of payment company,
et cetera, et cetera.

1465
01:01:53.927 --> 01:01:55.842
- There's so much
information out there,

1466
01:01:55.886 --> 01:01:57.322
we don't know who to trust,

1467
01:01:57.365 --> 01:01:59.890
but they trust their
benefits broker.

1468
01:01:59.933 --> 01:02:01.805
So benefits brokers are really,

1469
01:02:01.848 --> 01:02:03.937
and a lot of people
are saying this,

1470
01:02:03.981 --> 01:02:08.289
are the key to really
helping mobilize

1471
01:02:08.333 --> 01:02:11.379
this free market system
that's out there.

1472
01:02:11.423 --> 01:02:13.686
And so we seek to
work with folks

1473
01:02:13.730 --> 01:02:14.818
that are in that arena.

1474
01:02:14.861 --> 01:02:16.776
All the big healthcare systems,

1475
01:02:16.820 --> 01:02:18.865
they wanna be the
center of excellence,

1476
01:02:18.909 --> 01:02:21.955
but they're gonna at some point

1477
01:02:21.999 --> 01:02:24.523
come to a reckoning
where they realize

1478
01:02:24.566 --> 01:02:27.482
that they've got to become
much more consumer-friendly

1479
01:02:27.526 --> 01:02:30.790
and pay attention to all
the things that other

1480
01:02:30.834 --> 01:02:33.314
industries have had to
pay attention to as well.

1481
01:02:33.358 --> 01:02:36.187
We're not trying
to cut anybody out.

1482
01:02:36.230 --> 01:02:39.190
We just have a
system that arranges

1483
01:02:39.233 --> 01:02:41.975
for anyone who can add
value and bring the things

1484
01:02:42.019 --> 01:02:44.761
that consumers need
and want to really

1485
01:02:44.804 --> 01:02:46.806
stay as healthy as possible.

1486
01:02:46.850 --> 01:02:47.851
There's plenty of room for them

1487
01:02:47.894 --> 01:02:49.678
if they're doing
the right things.

1488
01:02:50.854 --> 01:02:52.812
- One of the things
we see on Capitol Hill

1489
01:02:52.856 --> 01:02:55.859
is actually something
that the founders set up,

1490
01:02:55.902 --> 01:02:59.079
and that's that it's
actually hard to pass a law,

1491
01:02:59.123 --> 01:03:00.472
it's hard to pass a bill.

1492
01:03:00.515 --> 01:03:01.386
We have the House,

1493
01:03:01.429 --> 01:03:03.780
and the House is representative,

1494
01:03:03.823 --> 01:03:04.998
they're called representatives,

1495
01:03:05.042 --> 01:03:08.045
but it's representative
of the country.

1496
01:03:08.088 --> 01:03:09.873
The House is hot,
it's the teacup.

1497
01:03:09.916 --> 01:03:11.788
You never know what's
gonna come out of it,

1498
01:03:11.831 --> 01:03:14.312
and you never know what
they're going to say,

1499
01:03:14.355 --> 01:03:17.706
but they're representative
of the country at large.

1500
01:03:17.750 --> 01:03:18.751
And then you have the Senate,

1501
01:03:18.795 --> 01:03:21.493
and the Senate is
the tea saucer.

1502
01:03:21.536 --> 01:03:23.364
So it sits below the hot tea,

1503
01:03:23.408 --> 01:03:27.412
and so when the hot tea
spills out into the Senate,

1504
01:03:27.455 --> 01:03:28.805
it's the cooling place.

1505
01:03:28.848 --> 01:03:30.328
So in the Senate,

1506
01:03:30.371 --> 01:03:32.983
one senator can stand
up and stop a bill,

1507
01:03:33.026 --> 01:03:35.420
and that I think is
an important thing

1508
01:03:35.463 --> 01:03:37.770
for the country
because that means

1509
01:03:37.814 --> 01:03:40.817
that the minority is
always represented.

1510
01:03:40.860 --> 01:03:43.863
But it can be frustrating
when we wanna pass a bill.

1511
01:03:43.907 --> 01:03:45.560
We want something to pass now,

1512
01:03:45.604 --> 01:03:48.825
but one senator can
stand up and stop it.

1513
01:03:48.868 --> 01:03:51.305
All of the senators
have to understand

1514
01:03:51.349 --> 01:03:53.917
how important a
free-market healthcare is,

1515
01:03:53.960 --> 01:03:56.223
how important a functioning
healthcare market

1516
01:03:56.267 --> 01:03:57.921
is for it to work.

1517
01:03:59.531 --> 01:04:01.098
- People are
typically very smart.

1518
01:04:01.141 --> 01:04:02.360
Oftentimes I've had dealings,

1519
01:04:02.403 --> 01:04:03.796
and I've been in the
industry over 30 years,

1520
01:04:03.840 --> 01:04:06.538
and I've had dealings with
some inner city areas.

1521
01:04:06.581 --> 01:04:07.887
And the person in that area

1522
01:04:07.931 --> 01:04:09.454
may not be a highly
educated person

1523
01:04:09.497 --> 01:04:10.759
as far as book-learned,

1524
01:04:10.803 --> 01:04:12.849
but the reality is that
they're extremely smart

1525
01:04:12.892 --> 01:04:14.415
when it comes to common sense.

1526
01:04:14.459 --> 01:04:16.243
So that's a universal
trait most people

1527
01:04:16.287 --> 01:04:18.419
have across all
spectrums and colors

1528
01:04:18.463 --> 01:04:20.160
and ages and whatever it may be

1529
01:04:20.204 --> 01:04:21.727
if you allow that to occur.

1530
01:04:21.770 --> 01:04:23.337
And so that's what's
been the passion

1531
01:04:23.381 --> 01:04:25.731
is how do we get more
autonomy and freedom

1532
01:04:25.774 --> 01:04:27.820
into all markets, and
the most egregious

1533
01:04:27.864 --> 01:04:29.126
by far is health.

1534
01:04:29.169 --> 01:04:30.823
So that's really kind
of the low-hanging fruit

1535
01:04:30.867 --> 01:04:32.042
because it affects everybody,

1536
01:04:32.085 --> 01:04:33.217
everybody's gonna get
sick at one point.

1537
01:04:33.260 --> 01:04:35.610
And if that's not a free market,

1538
01:04:35.654 --> 01:04:37.308
we're all gonna suffer.

1539
01:04:37.351 --> 01:04:39.527
Your health is gonna be
affected one way or another,

1540
01:04:39.571 --> 01:04:40.964
and you would think
it'd be really important

1541
01:04:41.007 --> 01:04:42.313
for people to pay
attention to that,

1542
01:04:42.356 --> 01:04:43.749
and sadly they don't.

1543
01:04:43.792 --> 01:04:46.143
So we're here to
stimulate traffic,

1544
01:04:46.186 --> 01:04:47.884
to get people to
become more aware,

1545
01:04:47.927 --> 01:04:49.798
and frankly, when everybody
does become aware,

1546
01:04:49.842 --> 01:04:51.278
they get more involved.

1547
01:04:51.322 --> 01:04:54.020
- And what that's doing
is building the grassroots

1548
01:04:54.064 --> 01:04:56.849
information of what's
going on in the system.

1549
01:04:56.893 --> 01:04:58.938
The more people that
are Medi-Share members,

1550
01:04:58.982 --> 01:05:00.157
healthcare sharing members,

1551
01:05:00.200 --> 01:05:02.724
the more people that
go to a DPC practice,

1552
01:05:02.768 --> 01:05:05.858
the more voters understand
about what's going on,

1553
01:05:05.902 --> 01:05:07.642
the more Congress will listen.

1554
01:05:07.686 --> 01:05:10.732
So when you look at a staffer,

1555
01:05:10.776 --> 01:05:12.473
they're 28 years old,

1556
01:05:12.517 --> 01:05:14.780
they don't make much money,

1557
01:05:14.823 --> 01:05:17.217
they're up working
in the Capitol

1558
01:05:17.261 --> 01:05:18.915
to make America a better place,

1559
01:05:18.958 --> 01:05:21.961
but the people that are
coming in to the office

1560
01:05:22.005 --> 01:05:24.485
that might offer
them a better future

1561
01:05:24.529 --> 01:05:27.488
happened to be the
lobbyists for the hospitals

1562
01:05:27.532 --> 01:05:29.795
in the big healthcare providers.

1563
01:05:29.838 --> 01:05:32.102
Those are the people that
come in with the money.

1564
01:05:32.145 --> 01:05:33.842
So if you're a staffer
and you're looking

1565
01:05:33.886 --> 01:05:35.322
to help somebody,

1566
01:05:35.366 --> 01:05:37.890
are you going to
help a sharing plan

1567
01:05:37.934 --> 01:05:41.067
that only has one
lobbyists on Capitol Hill

1568
01:05:41.111 --> 01:05:44.984
that isn't paid the same
as the middle Blue Cross

1569
01:05:45.028 --> 01:05:46.464
and Blue Shield lobbyist?

1570
01:05:46.507 --> 01:05:48.988
Their profit motive is to help

1571
01:05:49.032 --> 01:05:50.990
the big healthcare
providers more.

1572
01:05:51.034 --> 01:05:54.472
So what we have to do is
change the grassroots,

1573
01:05:54.515 --> 01:05:56.865
we have to educate voters,

1574
01:05:56.909 --> 01:05:58.955
we have to change
the marketplace.

1575
01:05:58.998 --> 01:06:00.565
And I think that we're
on our way to that,

1576
01:06:00.608 --> 01:06:02.436
but it's going to be a long road

1577
01:06:02.480 --> 01:06:04.177
before we get all the way there.

1578
01:06:05.439 --> 01:06:07.224
- I started covering
Washington the year

1579
01:06:07.267 --> 01:06:09.835
that Reagan got
inaugurated and Tip O'Neill

1580
01:06:09.878 --> 01:06:11.663
was a Speaker of the House.

1581
01:06:11.706 --> 01:06:13.926
I used to know President
Reagan's chief speechwriter,

1582
01:06:13.970 --> 01:06:16.711
and I knew Tip O'Neill's press
secretary, Chris Matthews,

1583
01:06:16.755 --> 01:06:18.757
and President Reagan
used to get together

1584
01:06:18.800 --> 01:06:20.802
and they got along,
they disagreed.

1585
01:06:20.846 --> 01:06:23.327
It's very sad that that
doesn't happen anymore,

1586
01:06:23.370 --> 01:06:25.372
and I find it really unfortunate

1587
01:06:25.416 --> 01:06:27.505
that we're not seeking
a middle ground.

1588
01:06:27.548 --> 01:06:29.028
But I do see promise,

1589
01:06:29.072 --> 01:06:31.204
and I see things like
the Koch brothers

1590
01:06:31.248 --> 01:06:33.337
have a foundation Stand Together

1591
01:06:33.380 --> 01:06:35.948
that's working on
health, education,

1592
01:06:35.992 --> 01:06:37.384
criminal justice reform.

1593
01:06:37.428 --> 01:06:39.952
More people just need to
realize there are ways

1594
01:06:39.996 --> 01:06:42.824
to solve the problem
by working together.

1595
01:06:42.868 --> 01:06:44.870
It doesn't have
to be so divisive.

1596
01:06:44.913 --> 01:06:48.091
[slow dramatic music]

1597
01:07:01.365 --> 01:07:04.585
[moves to slow music]

1598
01:07:06.544 --> 01:07:08.067
- [Narrator] Inefficiencies
in the healthcare

1599
01:07:08.111 --> 01:07:10.809
system are avoidable.

1600
01:07:10.852 --> 01:07:13.072
What if there was a
way to predict risk,

1601
01:07:13.116 --> 01:07:17.598
promote prevention,
coordinate complex care,

1602
01:07:17.642 --> 01:07:21.211
and consolidate medical
records at the same time?

1603
01:07:21.254 --> 01:07:23.474
Well, now there is.

1604
01:07:23.517 --> 01:07:26.303
[uplifting music]

1605
01:07:35.747 --> 01:07:37.749
- Daniel, how you doing?

1606
01:07:40.882 --> 01:07:43.015
So my name is Paul Roberts,

1607
01:07:43.059 --> 01:07:45.974
and I'm the owner of
Roberts Consulting,

1608
01:07:46.018 --> 01:07:48.586
which is a medical
case management firm.

1609
01:07:48.629 --> 01:07:49.804
I've been a medical case manager

1610
01:07:49.848 --> 01:07:51.937
and RN for about 20 years.

1611
01:08:02.165 --> 01:08:05.298
Over that time, those 20 years,

1612
01:08:05.342 --> 01:08:08.214
it taught me what's
really important,

1613
01:08:08.258 --> 01:08:10.129
which is patient advocacy.

1614
01:08:10.173 --> 01:08:14.177
A lot of times, insurance
companies wanna cut costs,

1615
01:08:14.220 --> 01:08:15.613
they wanna cut corners.

1616
01:08:15.656 --> 01:08:19.051
But my view of things
is we're nurses,

1617
01:08:19.095 --> 01:08:22.098
we went into nursing because
we care about people.

1618
01:08:22.141 --> 01:08:26.145
I've seen the problems with
the current healthcare system.

1619
01:08:26.189 --> 01:08:28.800
I've been able to
develop an alternative

1620
01:08:28.843 --> 01:08:31.150
healthcare plan to the current

1621
01:08:31.194 --> 01:08:33.152
mainstream healthcare
in the country.

1622
01:08:35.111 --> 01:08:38.157
I call the plan
Coordinated Care for All,

1623
01:08:38.201 --> 01:08:41.813
and the parts of the
plan include prediction,

1624
01:08:41.856 --> 01:08:45.295
education, prevention,
efficiency,

1625
01:08:45.338 --> 01:08:46.774
and cost containment.

1626
01:08:46.818 --> 01:08:48.907
Starting with prediction,

1627
01:08:48.950 --> 01:08:53.303
it's now possible
to look at genetics,

1628
01:08:53.346 --> 01:08:56.480
family history, and
current medical status,

1629
01:08:56.523 --> 01:08:59.526
and integrate those
in a functional way

1630
01:08:59.570 --> 01:09:03.182
to predict outcomes and risk.

1631
01:09:03.226 --> 01:09:06.751
Education is important
because patients

1632
01:09:06.794 --> 01:09:10.189
need to understand how
to prevent a condition,

1633
01:09:10.233 --> 01:09:13.149
and also the deterioration
of that condition.

1634
01:09:14.280 --> 01:09:18.632
Prevention is important
because obviously

1635
01:09:18.676 --> 01:09:21.505
you need to make sure
that a certain condition,

1636
01:09:21.548 --> 01:09:23.071
or at least the deterioration

1637
01:09:23.115 --> 01:09:25.117
of a condition doesn't progress.

1638
01:09:25.161 --> 01:09:27.032
You can provide the education,

1639
01:09:27.075 --> 01:09:29.208
and you can have a
focus on prevention,

1640
01:09:29.252 --> 01:09:31.515
but it doesn't necessarily mean

1641
01:09:31.558 --> 01:09:32.864
that someone will do it.

1642
01:09:32.907 --> 01:09:36.737
We know there are a
lot of competing forces

1643
01:09:36.781 --> 01:09:38.478
and motivational factors.

1644
01:09:38.522 --> 01:09:40.219
We have to account for that.

1645
01:09:40.263 --> 01:09:45.181
So my plan is not something
that says we expect

1646
01:09:45.224 --> 01:09:49.576
everybody to follow this
prevention protocol.

1647
01:09:50.490 --> 01:09:52.275
So there's really
a couple different

1648
01:09:52.318 --> 01:09:53.711
kinds of case management.

1649
01:09:53.754 --> 01:09:56.017
There's telephonic
case management.

1650
01:09:56.061 --> 01:09:59.760
A medical case manager, an
RN, is on the telephone,

1651
01:09:59.804 --> 01:10:02.720
they're coordinating care
kind of behind the scenes.

1652
01:10:02.763 --> 01:10:03.982
And then there's
also what's called

1653
01:10:04.025 --> 01:10:05.288
field case management.

1654
01:10:05.331 --> 01:10:06.593
With field case management,

1655
01:10:06.637 --> 01:10:08.900
you're actually going
out into the community

1656
01:10:08.943 --> 01:10:10.989
on site with the
doctor and the patient.

1657
01:10:11.032 --> 01:10:14.471
Field case management
is actually useful

1658
01:10:14.514 --> 01:10:17.952
in more complex and
catastrophic cases.

1659
01:10:17.996 --> 01:10:20.128
Medical case management
is usually reserved

1660
01:10:20.172 --> 01:10:24.872
for people that have some
condition that is advanced,

1661
01:10:24.916 --> 01:10:27.701
or requires that
kind of coordination.

1662
01:10:27.745 --> 01:10:30.704
One of the primary
roles of a medical

1663
01:10:30.748 --> 01:10:34.273
case manager is to
coordinate medical care.

1664
01:10:34.317 --> 01:10:38.843
A lot of times a person's
medical care is very complex,

1665
01:10:38.886 --> 01:10:41.585
and they can't handle
it on their own,

1666
01:10:41.628 --> 01:10:43.804
and they need
someone to advocate

1667
01:10:43.848 --> 01:10:45.066
and do that for them.

1668
01:10:45.110 --> 01:10:47.808
A medical case manager,
a registered nurse,

1669
01:10:47.852 --> 01:10:51.464
is in a position to
understand the medical side

1670
01:10:51.508 --> 01:10:53.771
of things and make
sure things don't slip

1671
01:10:53.814 --> 01:10:54.902
through the cracks,

1672
01:10:54.946 --> 01:10:56.948
that everybody's
on the same page,

1673
01:10:56.991 --> 01:10:59.472
things happen, and
they get coordinated.

1674
01:10:59.516 --> 01:11:02.040
If you don't have
medical case management,

1675
01:11:02.083 --> 01:11:04.303
a lot of times
what can happen is

1676
01:11:04.347 --> 01:11:07.306
you get a delay in treatments,

1677
01:11:07.350 --> 01:11:10.701
there's misunderstandings,
miscommunications.

1678
01:11:10.744 --> 01:11:13.747
I think that RNs are
good at conveying

1679
01:11:13.791 --> 01:11:15.445
information to a patient,

1680
01:11:15.488 --> 01:11:17.403
because for one
thing, they care,

1681
01:11:17.447 --> 01:11:21.407
and because they
understand what's going on

1682
01:11:21.451 --> 01:11:22.756
from a medical side,

1683
01:11:22.800 --> 01:11:25.716
but also really from
a interpersonal side.

1684
01:11:25.759 --> 01:11:28.458
A lot of times, medical cases,

1685
01:11:28.501 --> 01:11:30.416
they're handled by an adjuster

1686
01:11:30.460 --> 01:11:31.896
or what's called
a claims examiner.

1687
01:11:31.939 --> 01:11:34.420
This is somebody
that they're great,

1688
01:11:34.464 --> 01:11:36.466
but they don't
necessarily understand

1689
01:11:36.509 --> 01:11:37.728
the medical side of things.

1690
01:11:37.771 --> 01:11:39.556
And they administer the claim,

1691
01:11:39.599 --> 01:11:42.123
they pay the benefits
and all the stuff

1692
01:11:42.167 --> 01:11:43.255
that goes along with that,

1693
01:11:43.299 --> 01:11:44.735
but they don't
necessarily understand

1694
01:11:44.778 --> 01:11:46.345
the medical terminology,

1695
01:11:46.389 --> 01:11:48.173
or even what's
going on medically.

1696
01:11:48.216 --> 01:11:50.915
It helps to have somebody
with medical training

1697
01:11:50.958 --> 01:11:55.485
in the middle to collaborate
and interpret that information.

1698
01:11:56.442 --> 01:12:00.577
RNs understand a wider
breadth across a larger

1699
01:12:00.620 --> 01:12:02.274
spectrum of the
healthcare field.

1700
01:12:02.318 --> 01:12:05.799
They're used to dealing
with the best doctors,

1701
01:12:05.843 --> 01:12:08.802
some of the best
ancillary treatment,

1702
01:12:08.846 --> 01:12:10.891
for example, physical therapy,

1703
01:12:10.935 --> 01:12:12.545
the doctor orders an MRI.

1704
01:12:12.589 --> 01:12:14.286
That's gonna happen somewhere.

1705
01:12:14.330 --> 01:12:16.897
So a medical case
manager understands

1706
01:12:16.941 --> 01:12:18.551
the best resources for that.

1707
01:12:18.595 --> 01:12:22.947
RNs also know the most
efficient pathways to recovery.

1708
01:12:22.990 --> 01:12:26.167
They can also identify when
there's over-utilization.

1709
01:12:26.211 --> 01:12:28.692
The identification
of over-utilization

1710
01:12:28.735 --> 01:12:31.651
is helpful because
you're flagging

1711
01:12:31.695 --> 01:12:33.479
when something is used too much.

1712
01:12:33.523 --> 01:12:36.482
And you're not making
a decision on the use,

1713
01:12:36.526 --> 01:12:37.962
you're simply identifying it.

1714
01:12:38.005 --> 01:12:41.269
And then another doctor, an MD,

1715
01:12:41.313 --> 01:12:44.447
would have say over
whether or not something

1716
01:12:44.490 --> 01:12:46.100
is actually over-utilized.

1717
01:12:46.144 --> 01:12:48.712
And so developing
this healthcare plan,

1718
01:12:48.755 --> 01:12:52.977
I realized we have something
that's so important

1719
01:12:53.020 --> 01:12:55.414
to use and it's
just underutilized.

1720
01:12:55.458 --> 01:12:58.765
The idea that I had
was let's expand that.

1721
01:12:58.809 --> 01:13:01.551
Let's broaden medical
case management

1722
01:13:01.594 --> 01:13:03.117
to the entire healthcare sector.

1723
01:13:04.380 --> 01:13:07.078
- With a case manager,
you have people who,

1724
01:13:07.121 --> 01:13:09.559
by definition of
managing your care,

1725
01:13:09.602 --> 01:13:11.125
of working with the physician,

1726
01:13:11.169 --> 01:13:13.824
of working with all the
specialists that you see

1727
01:13:13.867 --> 01:13:15.739
and trying to keep
you well and healthy

1728
01:13:15.782 --> 01:13:18.524
and out of the system so
that you make good decisions.

1729
01:13:18.568 --> 01:13:21.005
And that extends not
just from the doctor's

1730
01:13:21.048 --> 01:13:22.528
office or the hospital setting,

1731
01:13:22.572 --> 01:13:24.008
but to your home as well,

1732
01:13:24.051 --> 01:13:26.793
helping you maintain your
chronic health condition,

1733
01:13:26.837 --> 01:13:28.186
if that's the situation,

1734
01:13:28.229 --> 01:13:29.622
helping you stay healthy,

1735
01:13:29.666 --> 01:13:31.494
if you've had a
condition in the past,

1736
01:13:31.537 --> 01:13:33.800
and working with the
insurance company

1737
01:13:33.844 --> 01:13:35.454
to make sure that the billing

1738
01:13:35.498 --> 01:13:37.282
that goes along with
that is as clean

1739
01:13:37.325 --> 01:13:38.675
as it can possibly be.

1740
01:13:38.718 --> 01:13:40.416
- I am a medical case manager,

1741
01:13:40.459 --> 01:13:43.767
and I can tell you a story
that happened this week.

1742
01:13:43.810 --> 01:13:46.073
It's an amazing service.

1743
01:13:46.117 --> 01:13:49.207
I have friends that live in
the Washington DC metro area.

1744
01:13:49.250 --> 01:13:51.688
I came from Miami after
living there many years,

1745
01:13:51.731 --> 01:13:54.691
and their mother was
really, really sick,

1746
01:13:54.734 --> 01:13:56.040
and she's like 96.

1747
01:13:56.083 --> 01:13:57.868
And she was going to
doctors' appointments,

1748
01:13:57.911 --> 01:13:59.260
she didn't know
what was happening

1749
01:13:59.304 --> 01:14:00.740
to her at those
doctors' appointments,

1750
01:14:00.784 --> 01:14:02.612
and so I called a friend of mine

1751
01:14:02.655 --> 01:14:05.615
who's a case manager
and I got them together,

1752
01:14:05.658 --> 01:14:08.182
I made a marriage,
and now this woman is,

1753
01:14:08.226 --> 01:14:11.925
I think she's gonna live
another 10 years past 100.

1754
01:14:11.969 --> 01:14:13.274
Her blood counts were off,

1755
01:14:13.318 --> 01:14:14.711
they were all over the place,

1756
01:14:14.754 --> 01:14:17.235
and the case manager
was able to go in there

1757
01:14:17.278 --> 01:14:19.150
and look at the history
and say to the doctor,

1758
01:14:19.193 --> 01:14:20.804
"Well, what are you
doing about this?

1759
01:14:20.847 --> 01:14:22.414
"You tell her to come
back in two weeks,

1760
01:14:22.458 --> 01:14:25.330
"you test it, it's off
again, what's the plan?"

1761
01:14:25.373 --> 01:14:26.766
And now there's a plan,

1762
01:14:26.810 --> 01:14:28.812
and there's a plan
for her whole life.

1763
01:14:28.855 --> 01:14:30.727
We're looking at the
house, the house,

1764
01:14:30.770 --> 01:14:32.337
certain things, getting
rid of throw rugs

1765
01:14:32.380 --> 01:14:34.774
so she doesn't fall, we're
looking at prevention,

1766
01:14:34.818 --> 01:14:36.863
we're looking at
her whole situation

1767
01:14:36.907 --> 01:14:39.083
and looking at what her
individual needs are.

1768
01:14:39.126 --> 01:14:41.085
And that in a nutshell
is case management,

1769
01:14:41.128 --> 01:14:42.695
is what does this person need,

1770
01:14:42.739 --> 01:14:44.262
how can we get it for her,

1771
01:14:44.305 --> 01:14:46.046
and how can we make
her life better?

1772
01:14:47.961 --> 01:14:49.746
- When we have your orders for,

1773
01:14:49.789 --> 01:14:51.269
let's say upcoming surgery,

1774
01:14:51.312 --> 01:14:53.532
we'll need a pre-op
clearance, we'll need labs,

1775
01:14:53.576 --> 01:14:56.013
chest X-rays, maybe an MRI, CT.

1776
01:14:56.056 --> 01:14:57.318
Giving all that information,

1777
01:14:57.362 --> 01:15:00.278
giving the orders directly
to case management

1778
01:15:00.321 --> 01:15:01.975
representative, and
they have a direct line

1779
01:15:02.019 --> 01:15:03.890
of communication
that those orders

1780
01:15:03.934 --> 01:15:06.850
can get to that person in
more an efficient process

1781
01:15:06.893 --> 01:15:08.721
in that way that
can be expedited.

1782
01:15:08.765 --> 01:15:10.680
- Most people wanna
do the right thing,

1783
01:15:10.723 --> 01:15:12.551
but they just have a
hard time doing it.

1784
01:15:12.595 --> 01:15:14.031
I get too busy.

1785
01:15:14.074 --> 01:15:15.293
It's like a New
Year's resolution.

1786
01:15:15.336 --> 01:15:16.512
I'm real good for a week or so,

1787
01:15:16.555 --> 01:15:17.425
and the next thing you know,

1788
01:15:17.469 --> 01:15:18.818
I'm back to eating Fritos.

1789
01:15:18.862 --> 01:15:20.298
You need someone that's
gonna help keep you

1790
01:15:20.341 --> 01:15:23.083
on track and kinda hold
your hand and kinda...

1791
01:15:23.127 --> 01:15:24.476
Every time you start
to roll off course,

1792
01:15:24.520 --> 01:15:26.086
they'll just bop
you back on there.

1793
01:15:26.130 --> 01:15:28.611
- Case management, it's
a big part of healthcare.

1794
01:15:28.654 --> 01:15:30.177
We manage people as cash payers.

1795
01:15:30.221 --> 01:15:33.050
We tell you to go pay cash
and you have a discount,

1796
01:15:33.093 --> 01:15:34.312
that's all we want you to do.

1797
01:15:34.355 --> 01:15:36.227
'Cause most people
are so controlled

1798
01:15:36.270 --> 01:15:37.794
by the third party system,

1799
01:15:37.837 --> 01:15:39.578
they don't know how to be
cash payers or cash shoppers.

1800
01:15:39.622 --> 01:15:41.928
We discover that through
operations in life.

1801
01:15:41.972 --> 01:15:43.887
So we give 'em a concierge
to hold their hand.

1802
01:15:43.930 --> 01:15:46.498
- Prevention is the
key to the whole thing,

1803
01:15:46.542 --> 01:15:48.718
because keeping people
healthy and well

1804
01:15:48.761 --> 01:15:51.459
and out of the healthcare
system is the ultimate

1805
01:15:51.503 --> 01:15:53.723
way to prevent healthcare
costs from going up.

1806
01:15:53.766 --> 01:15:56.203
Because if you're not
utilizing the services,

1807
01:15:56.247 --> 01:15:57.509
there's nothing pay for,

1808
01:15:57.553 --> 01:15:59.598
so you're not paying
for the services

1809
01:15:59.642 --> 01:16:01.861
except for your insurance.

1810
01:16:01.905 --> 01:16:04.516
The prevention side is
keeping you out of the system.

1811
01:16:04.560 --> 01:16:06.910
And it's like going over
Niagara Falls, right?

1812
01:16:06.953 --> 01:16:10.914
If you stop somebody from
going over the falls,

1813
01:16:10.957 --> 01:16:13.830
you have saved a lot of
bad things from happening.

1814
01:16:13.873 --> 01:16:15.919
Once they've already
gone over the falls,

1815
01:16:15.962 --> 01:16:17.050
you clean up the mess

1816
01:16:17.094 --> 01:16:18.617
and that's a lot
different circumstance.

1817
01:16:18.661 --> 01:16:20.880
So if you prevent people
from getting sick,

1818
01:16:20.924 --> 01:16:22.229
if you help people with chronic

1819
01:16:22.273 --> 01:16:25.319
healthcare conditions
to manage and maintain

1820
01:16:25.363 --> 01:16:27.495
rather than getting very sick

1821
01:16:27.539 --> 01:16:29.628
because of those health issues,

1822
01:16:29.672 --> 01:16:31.804
you're most importantly
gonna improve

1823
01:16:31.848 --> 01:16:33.284
the quality of life for people

1824
01:16:33.327 --> 01:16:35.155
that ultimately is
what's most important,

1825
01:16:35.199 --> 01:16:37.680
but you're also going
to save a ton of money

1826
01:16:37.723 --> 01:16:40.726
because you're not gonna be
providing those services.

1827
01:16:40.770 --> 01:16:43.686
- Medical records are strewn
about, it's fragmented.

1828
01:16:43.729 --> 01:16:46.689
As a case manager, it's
hard to get medical

1829
01:16:46.732 --> 01:16:50.867
records in a timely
way for treatment

1830
01:16:50.910 --> 01:16:52.303
and coordination of care.

1831
01:16:52.346 --> 01:16:54.871
So by consolidating
medical records,

1832
01:16:54.914 --> 01:16:56.829
we're really
improving efficiency.

1833
01:16:57.830 --> 01:17:01.355
Telemedicine as a part
of this efficiency model

1834
01:17:01.399 --> 01:17:03.967
makes sense because
a lot of folks

1835
01:17:04.010 --> 01:17:05.272
just don't have access.

1836
01:17:05.316 --> 01:17:08.145
If someone is living
out in a rural area,

1837
01:17:08.188 --> 01:17:10.713
maybe they only have
access to one provider.

1838
01:17:10.756 --> 01:17:12.671
But with telemedicine,
you're giving them

1839
01:17:12.715 --> 01:17:14.804
access to many providers.

1840
01:17:14.847 --> 01:17:19.983
- Telemedicine is definitely
an important adjunct,

1841
01:17:20.026 --> 01:17:25.336
and our organization
offers telemedicine.

1842
01:17:25.379 --> 01:17:29.296
It's also especially helpful
for behavioral health.

1843
01:17:29.340 --> 01:17:31.821
It's a very important adjunct

1844
01:17:31.864 --> 01:17:34.954
and it allows medical
care to be delivered

1845
01:17:34.998 --> 01:17:39.872
to people who might not
otherwise have healthcare.

1846
01:17:39.916 --> 01:17:42.745
And for instance, think
of a health visitor

1847
01:17:42.788 --> 01:17:47.010
who's visiting a poor
family in a rural area.

1848
01:17:48.315 --> 01:17:50.970
They can't travel
into the center

1849
01:17:51.014 --> 01:17:52.929
where the physician is,

1850
01:17:52.972 --> 01:17:55.714
and it's probably not
financially viable

1851
01:17:55.758 --> 01:17:57.890
for the physician
to make a house call

1852
01:17:57.934 --> 01:17:59.718
50 miles out into the country.

1853
01:17:59.762 --> 01:18:01.720
But the health visitor can go.

1854
01:18:01.764 --> 01:18:03.766
They can set up
their video camera

1855
01:18:03.809 --> 01:18:06.638
so that the physician
can see the patient,

1856
01:18:06.682 --> 01:18:08.292
the patient can see them.

1857
01:18:08.335 --> 01:18:10.729
They have a stethoscope
so the physician

1858
01:18:10.773 --> 01:18:13.079
can listen to the
patient's heartbeat.

1859
01:18:13.123 --> 01:18:15.778
- I think telemedicine
offers tremendous

1860
01:18:15.821 --> 01:18:17.780
possibilities in healthcare.

1861
01:18:17.823 --> 01:18:20.739
You can't even
find a psychiatrist

1862
01:18:20.783 --> 01:18:22.741
or a psychologist
that will take you

1863
01:18:22.785 --> 01:18:24.612
if you're paying out of pocket,

1864
01:18:24.656 --> 01:18:26.745
and you have the money
to pay out of pocket.

1865
01:18:26.789 --> 01:18:29.617
What happens to the person
who doesn't have the time,

1866
01:18:29.661 --> 01:18:31.097
they have an hourly job,

1867
01:18:31.141 --> 01:18:33.709
they have every reason to
be depressed and anxious.

1868
01:18:33.752 --> 01:18:35.449
I mean, here in
Northern Virginia,

1869
01:18:35.493 --> 01:18:37.669
we're depressed and anxious
perhaps genetically,

1870
01:18:37.713 --> 01:18:40.106
but perhaps because
we're worried our kid

1871
01:18:40.150 --> 01:18:41.717
isn't gonna get into Princeton.

1872
01:18:41.760 --> 01:18:43.066
There's First World problems,

1873
01:18:43.109 --> 01:18:45.764
and then you have the
very real challenges

1874
01:18:45.808 --> 01:18:46.765
of the less fortunate,

1875
01:18:46.809 --> 01:18:48.811
and they need to be able to see

1876
01:18:48.854 --> 01:18:50.029
a mental health professional,

1877
01:18:50.073 --> 01:18:51.814
and they need a
lot more education

1878
01:18:51.857 --> 01:18:54.860
about why these are
not character flaws.

1879
01:18:54.904 --> 01:18:58.081
- With the cost containment
aspect of the model,

1880
01:18:58.124 --> 01:19:01.606
what I'm really referring
to is legislation

1881
01:19:01.649 --> 01:19:04.304
for the pharmaceutical industry,

1882
01:19:04.348 --> 01:19:07.394
and also standardization
of billing practices

1883
01:19:07.438 --> 01:19:09.179
with surgery centers
and hospitals.

1884
01:19:09.222 --> 01:19:11.311
One of the ways to contain costs

1885
01:19:11.355 --> 01:19:14.750
is through pharmaceutical
legislation.

1886
01:19:14.793 --> 01:19:18.797
It's not really fair, is
it, if one drug company

1887
01:19:18.841 --> 01:19:23.715
increases their profits
500% in one year.

1888
01:19:23.759 --> 01:19:24.760
That's crazy.

1889
01:19:24.803 --> 01:19:26.849
We need something
to control that.

1890
01:19:26.892 --> 01:19:30.548
Also, we have an opioid
epidemic in America,

1891
01:19:30.591 --> 01:19:34.639
and so legislation
to curb opiate abuse

1892
01:19:34.682 --> 01:19:35.640
is also important.

1893
01:19:35.683 --> 01:19:37.729
Another cost containment feature

1894
01:19:37.773 --> 01:19:40.645
is hospitals and
surgical centers

1895
01:19:40.688 --> 01:19:44.823
that have unstandardized
billing practices.

1896
01:19:44.867 --> 01:19:47.913
So for example, you
may have a procedure

1897
01:19:47.957 --> 01:19:50.089
in one hospital
at a certain cost,

1898
01:19:50.133 --> 01:19:53.049
and you can shop around and find

1899
01:19:53.092 --> 01:19:56.530
a very different cost
structure at another hospital.

1900
01:19:56.574 --> 01:19:58.489
If you don't have
universal healthcare,

1901
01:19:58.532 --> 01:20:00.491
really what you have
is the current system,

1902
01:20:00.534 --> 01:20:03.102
which is what's called
as the private sector.

1903
01:20:03.146 --> 01:20:05.670
So you've got different
insurance companies

1904
01:20:05.713 --> 01:20:07.063
that are large conglomerates,

1905
01:20:07.106 --> 01:20:08.716
and they're fighting each other,

1906
01:20:08.760 --> 01:20:10.718
it's a very competitive game,

1907
01:20:10.762 --> 01:20:12.459
and they're trying
to get more patients.

1908
01:20:12.503 --> 01:20:15.245
Universal Healthcare is
great at consolidating

1909
01:20:15.288 --> 01:20:17.725
all of this into one system.

1910
01:20:17.769 --> 01:20:19.945
You can still use
these principles

1911
01:20:19.989 --> 01:20:21.599
in the private sector as well,

1912
01:20:21.642 --> 01:20:24.732
and it's okay if private
companies are competing

1913
01:20:24.776 --> 01:20:26.734
with a universal
healthcare system.

1914
01:20:26.778 --> 01:20:29.912
My vision in order to
combine all of these ideas

1915
01:20:29.955 --> 01:20:34.481
together in a functional
way is a centralized

1916
01:20:34.525 --> 01:20:38.485
computer system that
is prevention-based,

1917
01:20:38.529 --> 01:20:40.879
provides education
automatically,

1918
01:20:40.923 --> 01:20:42.663
triggers case management,

1919
01:20:42.707 --> 01:20:46.189
whether that's telephonic
or field case management,

1920
01:20:46.232 --> 01:20:50.802
and also combines and
consolidates medical records.

1921
01:20:50.846 --> 01:20:53.370
You can use genetic information,

1922
01:20:53.413 --> 01:20:56.547
along with family history
and current medical status

1923
01:20:56.590 --> 01:20:58.984
to predict outcomes
and risks as well.

1924
01:20:59.028 --> 01:21:02.248
- Technology, and I was
gonna say on the horizon,

1925
01:21:02.292 --> 01:21:03.641
except that it's here,

1926
01:21:03.684 --> 01:21:06.426
that allows interconnectivity

1927
01:21:06.470 --> 01:21:08.951
is a fantastic achievement.

1928
01:21:08.994 --> 01:21:11.823
It's gonna revolutionize
healthcare.

1929
01:21:11.867 --> 01:21:15.783
There's a national push,

1930
01:21:15.827 --> 01:21:19.875
in fact the HITECH Act of 2010,

1931
01:21:19.918 --> 01:21:22.878
the one that talked about HIPAA,

1932
01:21:22.921 --> 01:21:25.793
also created an Office of
the National Coordinator,

1933
01:21:25.837 --> 01:21:30.233
ONC, and they have
called together a number

1934
01:21:30.276 --> 01:21:35.978
of private government
collaborations consortia

1935
01:21:36.021 --> 01:21:38.154
to work on interconnectivity.

1936
01:21:38.197 --> 01:21:40.896
Interconnectivity is now here.

1937
01:21:40.939 --> 01:21:43.768
So they know where your medical,

1938
01:21:43.811 --> 01:21:45.813
every doctor you've
ever been to,

1939
01:21:45.857 --> 01:21:48.729
where you've been is available.

1940
01:21:48.773 --> 01:21:50.993
If you give permission,

1941
01:21:51.036 --> 01:21:54.170
your doctors is going
to be able to have

1942
01:21:54.213 --> 01:21:57.738
that integrated into
their electronic

1943
01:21:57.782 --> 01:21:59.958
medical record system,

1944
01:22:00.002 --> 01:22:02.526
and that's gonna be a huge boom.

1945
01:22:03.788 --> 01:22:08.010
The integration of genomics
with the information

1946
01:22:08.053 --> 01:22:10.838
in the electronic medical record

1947
01:22:10.882 --> 01:22:13.798
and with the history in
the physical examination

1948
01:22:13.841 --> 01:22:16.975
is gonna have a profound
impact on medicine.

1949
01:22:17.019 --> 01:22:19.282
- A personalized
medicine, as they call it,

1950
01:22:19.325 --> 01:22:21.719
or understanding
through genetics

1951
01:22:21.762 --> 01:22:24.374
as to how a particular
treatment might better

1952
01:22:24.417 --> 01:22:25.723
manage the person's illness,

1953
01:22:25.766 --> 01:22:27.072
all that comes into play.

1954
01:22:27.116 --> 01:22:30.162
So as we gather all this
data through genomics,

1955
01:22:30.206 --> 01:22:32.208
what have you, it all
works towards better

1956
01:22:32.251 --> 01:22:34.819
diagnosing and better
managing a patient ultimately.

1957
01:22:36.560 --> 01:22:37.909
- When you look at the future

1958
01:22:37.953 --> 01:22:40.172
of where we're going with
our healthcare system,

1959
01:22:40.216 --> 01:22:43.610
it is miraculous the things
that we're going be able to do,

1960
01:22:43.654 --> 01:22:45.743
to take a drop of
blood from somebody

1961
01:22:45.786 --> 01:22:49.268
and look at their DNA
and know what diseases

1962
01:22:49.312 --> 01:22:51.662
they're susceptible
to or likely to get

1963
01:22:51.705 --> 01:22:53.098
throughout their lifetime.

1964
01:22:53.142 --> 01:22:55.796
- If you have a pre-existing
condition, it's okay.

1965
01:22:55.840 --> 01:22:57.885
Everyone is covered.

1966
01:22:57.929 --> 01:23:01.889
And it's also okay
if the private sector

1967
01:23:01.933 --> 01:23:04.196
competes with this plan.

1968
01:23:04.240 --> 01:23:06.416
So we're not cutting
out the private sector

1969
01:23:06.459 --> 01:23:08.505
and saying, "You can't compete."

1970
01:23:08.548 --> 01:23:11.638
And either way, I
think it's beneficial

1971
01:23:11.682 --> 01:23:13.901
for either a universal
healthcare system

1972
01:23:13.945 --> 01:23:17.122
or the private system to
adopt these principles

1973
01:23:17.166 --> 01:23:18.515
of case management.

1974
01:23:18.558 --> 01:23:20.691
The reason it's important
to have case management

1975
01:23:20.734 --> 01:23:24.303
in either system is because
it improves efficiency

1976
01:23:24.347 --> 01:23:27.437
and it helps to
reduce medical costs.

1977
01:23:28.612 --> 01:23:30.309
- I'm not a liberal,
I'm not a conservative,

1978
01:23:30.353 --> 01:23:32.833
I'm just looking at
this as an individual

1979
01:23:32.877 --> 01:23:37.229
and I really see how things
have really gone wrong,

1980
01:23:37.273 --> 01:23:40.493
and it's refreshing
to see something,

1981
01:23:40.537 --> 01:23:42.060
some of the things
that are being done

1982
01:23:42.104 --> 01:23:43.975
to make people healthier.

1983
01:23:44.019 --> 01:23:46.064
- Healthcare should not
be a political issue.

1984
01:23:46.108 --> 01:23:47.370
It's become one.

1985
01:23:47.413 --> 01:23:50.851
But much of what we do
seeks to make healthcare

1986
01:23:50.895 --> 01:23:51.852
an apolitical issue.

1987
01:23:51.896 --> 01:23:53.941
It's really about people,

1988
01:23:53.985 --> 01:23:55.639
it's not politics,

1989
01:23:55.682 --> 01:23:57.249
and we try to do
everything we can

1990
01:23:57.293 --> 01:23:58.859
to keep it in that vein.

1991
01:23:58.903 --> 01:24:01.079
- I think that there
is a way forward

1992
01:24:01.123 --> 01:24:03.386
and there's always going
to be a way forward

1993
01:24:03.429 --> 01:24:05.083
for a solution on Capitol Hill.

1994
01:24:05.127 --> 01:24:06.867
I wouldn't be working in DC,

1995
01:24:06.911 --> 01:24:08.478
I wouldn't be walking
the halls of Congress

1996
01:24:08.521 --> 01:24:10.132
if I didn't think
there was a solution.

1997
01:24:10.175 --> 01:24:12.699
- Healthcare is a unique issue

1998
01:24:12.743 --> 01:24:14.179
unlike any other political issue

1999
01:24:14.223 --> 01:24:16.747
that we deal with in that
it touches everybody.

2000
01:24:16.790 --> 01:24:20.011
Every business, every
family, every individual

2001
01:24:20.055 --> 01:24:22.970
in this country
every day in some way

2002
01:24:23.014 --> 01:24:24.798
deals with the
cost of healthcare.

2003
01:24:24.842 --> 01:24:28.715
- Because of the burden
of Medicare-for-all,

2004
01:24:28.759 --> 01:24:31.718
it's important to
have an alternative

2005
01:24:31.762 --> 01:24:34.982
that is much more
cost-effective.

2006
01:24:35.026 --> 01:24:39.813
Medicare-for-all costs
about $3.5 trillion a year,

2007
01:24:39.857 --> 01:24:41.815
and it's important for
people to understand,

2008
01:24:41.859 --> 01:24:44.514
that places a huge
burden on the economy.

2009
01:24:44.557 --> 01:24:46.472
But the plan that
I've developed,

2010
01:24:46.516 --> 01:24:50.781
you save about 40% of that,
which is $1.4 trillion,

2011
01:24:50.824 --> 01:24:53.653
and that's important
to save the economy.

2012
01:24:53.697 --> 01:24:56.917
[inspirational music]

2013
01:25:03.315 --> 01:25:05.926
- [Narrator] The healthcare
system is broken,

2014
01:25:05.970 --> 01:25:08.015
but it doesn't have to be.

2015
01:25:08.059 --> 01:25:10.888
Whether we subscribe to
Universal Healthcare,

2016
01:25:10.931 --> 01:25:14.021
the private system,
or a combination,

2017
01:25:14.065 --> 01:25:17.242
innovative options like
free-market healthcare

2018
01:25:17.286 --> 01:25:21.028
and coordinated care for
all provide solutions.

2019
01:25:21.899 --> 01:25:25.511
Perhaps more innovation
is just on the horizon.

2020
01:25:26.556 --> 01:25:29.994
Legislative change
needs your support.

2021
01:25:42.441 --> 01:25:43.834
- My name is Paul Roberts.

2022
01:25:43.877 --> 01:25:47.142
I'm the executive
producer and the writer

2023
01:25:47.185 --> 01:25:50.188
for the documentary
"Diagnosing Healthcare".

2024
01:25:50.232 --> 01:25:51.711
I've been in case management,

2025
01:25:51.755 --> 01:25:56.194
medical case management
for about 20 years

2026
01:25:56.238 --> 01:26:00.242
and own my own medical
case management company,

2027
01:26:01.199 --> 01:26:06.030
and in that time
understood the value

2028
01:26:06.073 --> 01:26:08.380
of medical case management.

2029
01:26:08.424 --> 01:26:11.514
And what I mean is
coordination of care,

2030
01:26:12.515 --> 01:26:14.604
making sure everybody's
on the same page,

2031
01:26:14.647 --> 01:26:16.910
things aren't falling
through the cracks,

2032
01:26:16.954 --> 01:26:21.437
going to bat for patients
and being a patient advocate.

2033
01:26:22.394 --> 01:26:24.396
And so I understood
the value of this,

2034
01:26:24.440 --> 01:26:27.225
and I started
questioning why is this

2035
01:26:27.269 --> 01:26:31.229
really only being
used in the workers'

2036
01:26:31.273 --> 01:26:35.320
comp sector mostly, with
a few other exceptions,

2037
01:26:35.364 --> 01:26:37.670
maybe hospital discharge
and that sort of thing?

2038
01:26:37.714 --> 01:26:39.890
And why can't this be expanded,

2039
01:26:39.933 --> 01:26:44.024
the skillset be expanded to
the wider healthcare sector?

2040
01:26:44.895 --> 01:26:46.505
To me it didn't make sense, so.

2041
01:26:46.549 --> 01:26:49.160
So I started thinking
about it and developing

2042
01:26:49.204 --> 01:26:52.250
this healthcare plan
that I have that's called

2043
01:26:52.294 --> 01:26:55.253
Coordinated Care for All,

2044
01:26:55.297 --> 01:26:58.343
which is kind of a play
on Medicare-for-all,

2045
01:26:58.387 --> 01:26:59.736
coordinated care for all,

2046
01:27:01.694 --> 01:27:05.220
but it's really using
those same principles

2047
01:27:05.263 --> 01:27:07.700
to improve the
efficiency of the system.

2048
01:27:07.744 --> 01:27:10.834
I actually, I saw these
presidential candidates

2049
01:27:10.877 --> 01:27:14.272
one after another saying, well,

2050
01:27:14.316 --> 01:27:17.493
we don't really have any
other choices for healthcare.

2051
01:27:17.536 --> 01:27:19.712
We have basically
Medicare-for-all,

2052
01:27:19.756 --> 01:27:21.627
which is universal healthcare,

2053
01:27:21.671 --> 01:27:23.499
or we basically have nothing,

2054
01:27:23.542 --> 01:27:28.243
or an expansion
on Obamacare, ACA.

2055
01:27:28.286 --> 01:27:31.202
I'm thinking, well, I
have these other ideas,

2056
01:27:31.246 --> 01:27:34.336
why not write to these
presidential candidates

2057
01:27:34.379 --> 01:27:35.989
and see if I can
get their attention

2058
01:27:36.033 --> 01:27:38.949
and share these ideas with them.

2059
01:27:38.992 --> 01:27:42.169
Well, I wrote to each
one, never heard back.

2060
01:27:43.345 --> 01:27:44.998
Tried writing to my congressman

2061
01:27:45.042 --> 01:27:47.479
and working with my congressman,

2062
01:27:47.523 --> 01:27:48.611
didn't get anywhere.

2063
01:27:51.483 --> 01:27:54.660
I've got friends that
are lobbyists in DC

2064
01:27:54.704 --> 01:27:56.706
that have been doing it 20 years

2065
01:27:56.749 --> 01:27:58.098
and just not moving the ball,

2066
01:27:58.142 --> 01:28:02.102
just not getting anywhere
with healthcare reform.

2067
01:28:02.146 --> 01:28:05.367
So I thought, well,
what's it gonna take?

2068
01:28:05.410 --> 01:28:08.152
We need this
grassroots movement.

2069
01:28:09.458 --> 01:28:10.502
And that's where I get the idea

2070
01:28:10.546 --> 01:28:13.462
of doing a documentary
is to create

2071
01:28:13.505 --> 01:28:16.987
a grassroots movement
to urge Congress

2072
01:28:17.030 --> 01:28:18.771
for change for the better.

2073
01:28:18.815 --> 01:28:20.251
Yeah, the production process,

2074
01:28:20.295 --> 01:28:22.732
we just finished
filming, as you know.

2075
01:28:24.081 --> 01:28:29.304
And I've been very happy
with the filming process.

2076
01:28:29.347 --> 01:28:32.568
And now we're going to be moving
on to the editing process,

2077
01:28:33.656 --> 01:28:38.051
and I'm looking forward
to being involved in that.

2078
01:28:38.095 --> 01:28:39.357
That's pretty exciting.

2079
01:28:39.401 --> 01:28:41.098
I mean, I think
everybody is affected

2080
01:28:41.141 --> 01:28:43.143
by healthcare in one
way or the other.

2081
01:28:43.187 --> 01:28:44.536
We're all affected by it.

2082
01:28:45.407 --> 01:28:47.670
And I see these
gross inefficiencies,

2083
01:28:47.713 --> 01:28:51.848
and I formulated a
more comprehensive plan

2084
01:28:51.891 --> 01:28:54.807
for that reason
incorporating prevention,

2085
01:28:54.851 --> 01:28:59.464
education, and genetics and
all these different things,

2086
01:28:59.508 --> 01:29:01.597
consolidation of medical records

2087
01:29:01.640 --> 01:29:02.946
along with case management.

2088
01:29:02.989 --> 01:29:06.602
So I'm trying to do my part.

2089
01:29:06.645 --> 01:29:09.779
Yeah, and I'm just
hoping that other people

2090
01:29:09.822 --> 01:29:11.998
get that and
understand the value

2091
01:29:12.042 --> 01:29:13.739
and share that
with other people.

2092
01:29:14.479 --> 01:29:16.960
[gentle music]