we go, let's take a quick look at our top story at this hour. british prime minister boris johnson is fighting for his political survival after 2 of his most senior ministers presided. finance minister wishes to knock and help secretary sergeant javin say the government under johnson's leadership is no longer competent or acting in the national interest. attorneys update at this hour. don't forget, there's always more news and analysis on our website. i. d, w dot com, or you can force all of us on twitter and instagram after at d to lee units, and claire richardson and of berlin for me and the team. thank you so much for watching and imagine how many portion of lunch are so now in the world climate change division kaufman stores. this is my plan, the way from just one week. how much work can really do

we still have time to work on going on with it. ah. in chicago shopped, i'd say i was shocked when i found out i had diabetes. suddenly i had to give myself an insulin shot in the stomach. ever since i was diagnosed, it is a fact in my life, i'm 29. there's no foreseeable future for children for us because of the finances and because of my health, we are currently estimating something over 400000000 people with diabetes today in the world. we like to describe this as a global catastrophe. slow motion. so i've you together the order to be losses put

together, health care costs, medical costs. it's astronomical. i mean, we know that the pharmaceutical industry is relating to diabetes and make you on a minute. it's a wonderful i do a lot for the doors and she now me so i was born in 1963 early in february 1975. i went to a concert job. when i got home i felt tired and very weak and it says, i think i spent the night drinking water and peeing. wow. the next day i did blood tests now and was told i had type one diabetes, give it to do tica. type one diabetes at strikes

without warning musician batt handbook and that's pancreas stopped producing insulin 45 years ago. medical science has yet to explain fully why poor to find the cure for the disease. diabetes is insidious and people's lives are often severely disruptive. to doing it again, when i get over, it showed point 81. so there's always a delay. thank you. i'm not thinking about the show your motion. i'm wondering what i'll do if i have too much sugar, richard. cool. i'll be exhausted. and not having enough is also a problem with will take something to eat on stage. with that. yeah, he did his exam on your debit for a type one diabetic. yeah, the injection is

a relatively minor hassle in the list of inconveniences. and then the some things are much worse. you only 10 jobs a day to feel ok is fine. increase. what's exhausting is constantly calculating whether you have too much sugar or insulated food. we do constantly thinking about all those constraints. you don't to trying to think ahead. the insulin you inject acts a lot more slowly than a insulin, the pancreas produces. don't you have to anticipate? there's lots of things every day that are much more of an inconvenience than shots . guarantees will be approved, for example. ah, the body needs a certain amount of sugar to function at different levels of exertion. even the smallest activity requires energy. the metabolic system gets the sugar it needs

from reserves in the blood. if blood sugar levels become too low, the result is hypoglycemia. but too much sugar in the blood can trigger hyperglycemia. the pancreas regulates sugar in the blood of healthy people. the or again, produces insulin of vital hormone. if this process is disrupted, the result is what is known as type one diabetes. ah, without insulin blood sugar levels rise causing organs to fail, patients fall into a coma and will eventually die if not treated. several synthetic insulin

injections a day help patients regulate their blood sugar levels. ah, as the consumer society emerged in the 1960s, a 2nd kind of diabetes type 2 started to become more common lifestyles and eating habits were changing. go on, take it. all right, ma'am. people started consuming more fats and sugars and exercising less. prepare and korea's had to start creating more and more insulin to offset the high levels of glucose or sugar in the blood. and sometimes it would stop working properly. the amount of sugar in food continually increase during the 20th century. processed

meals, soft drinks and foods rich and carbohydrates were consumed and large amounts. ah, the number of diabetes patients climbed rapidly within just a few decades from 50000000 to 430000000 worldwide 90 percent suffer from type 2 diabetes. the cases were initially concentrated in western countries in europe and the u. s. then they spread around the world 30 years ago, diaby. these was where in china to day one in 10 adults has it. the chronic disease has also spread in africa. a 150 percent increase in cases is expected by 2050. ah,

it's slightly of it is, isn't it gases with hawks a toggle type 2 diabetes and is a classic common disease or cultural disease be out in the 1960 often had less than one percent of the population in germany was diabetic. and today did often we estimate between 9 and 11 percent before cold and diabetes hub. the disease creeps up on its victims, unannounced until suddenly serious health problems appear. law of the low dr. boseman. good morning. let's take a blood sample. come with me. ah . the hood looks, look, i've yet

a hub and he's a quote for conflict. the elevated blood sugar levels carry the threat of complications, but many diseases can develop. opal micro vascular problems are the main concerns which and can occur in the eyes and kidneys by the nerves as well because they could possibly be damaged by narrowed blood vessels. so does the major blood vessels in the neck and heart are also at risk? lisa, cool, that means people with diabetes face as statistically higher risk of heart attack than people who've actually already had wanda's and who don't have diabetes. so i need to refer to them. one of the most beer complications is diabetic foot and it happens when the nurse no longer function correctly. but the kind of by the feet made then no longer feel many sensations when people step on thanks as dornen, they get wounds on their feet and leg sign. but don't notice that person the then

become infected illnesses. and that's when the real problems that can lead to amputation began be seen to, i'm put, that's all field. good to dorothy does that hurt? diabetes is one of the leading causes of amputation in europe in the us. the disease can also attack the kidneys. and as a result is a main cause of dialysis and kidney transplants that she'll speak with dorsey see me. the pharmaceutical industry reacted quickly to the rapid rise in type 2 diabetes of 3. want to reach glass. i can check with blue link builder. missy me don't nice someone let. in the 1980s, a wide range of treatments were introduced with advertising campaigns that promised a happy and care free life. additional bits of that energetic little dick was able

to michelle thomas young, elizabeth k, i went, oh, a whole range of pills became available to help patients lower their blood sugar oral anti diabetics ah, the drugs to control the disease but not cure it. patients had to take them for life, and their price kept rising. diabetes had become too expensive. communities around the world sounded the alarm, the disease cost health care systems, about $760000000000.00 a year. worldwide. there is a un declaration on di visas in 2006 because of its potential to cripple any

health care system. ah, because of its costs. ah, and to actually up the potential to affect the productivity of the country with the number of people with diabetes. ah, that need treatment. but those are also invalids because of diabetes and on able to work because of their diabetic complications. it is the only other condition apart from h i. v aids that has the un declaration, a in 1921 canadian doctors, frederick panting, and charles h best discovered insulin and made industrial production possible. the revolutionary innovation saved thousands of lives. children who were facing certain

death were treated with spectacular success. ah, the canadian researchers sold their patent for a symbolic dollar to lily, an american pharmaceutical company for commercial production. could you tell me anything about insurance, what it is and how it's made? well, it's not made expected. it come from animal pack. yes. the plant work day and night to supply the democracy and use as many tons of pack that each week supposed to the bank comes from abroad and arrived at the factory deep throes. it is reduced to a pace and mixed with alcohol, which dissolved the engine and then follows a long and complex processes which gradually remove all the impurities

in the manufacturing process was continually refined. today, 3 companies compete for new patents. really, the danish company, noble nor disk, and sanofi of france. human insulin based on the human gene for insulin, eventually emerged and led to an increase in price. in some countries, human insulin can be 10 times more expensive than insulin derived from animals. it became possible to take the human instrument, you simply cut out from the chromosome of humans, put the gene into little microorganism. we use a yeast like a baker, yeast, or beer yeast that we put the gene in there. and then the ye cell starts making entering. so that's called genetically engineered engine, and that means we can deliver engine to the whole world because we have no capacity problem. if we need, which is build a new factory,

french, pharmaceutical company, sanofi that announced the development of a new improved and even revolutionary insulin in 2000 lantus noon as an analog insulin. it was similar to human insulins but with a modified gene. so no fees innovation prolonged its effect, but came at a hefty price in france, a dose of lantus then cost $46.00 euros, a dose of human insulin sold for 18. ah, the analog insulin reduced the number of times a diabetic would have to inject themselves to just once every 24 hours. pierre shall say over, saw the lantus launch and thinks it was

a major advanced level duka launches come. so to sean answered in a tune as an insulin solution, lantus was a real revolutionary bus. children did change to the lives of diabetic patients. the cheaper especially type one diabetic who had their last injection at 10 p. m. for example, middle land then had to set the alarm for 5 am. for another injection, eric to the hypo glycemic striking in the night, had always been a threat with fatal consequences. at those to the of pastry who has any marketing, the marketing was brilliant. atp convincing people, it was much slower than the other, so it really didn't slow insulin existed in 1975 because with, when i only did one job a day look secure, this is us reno sanofi also wanted to type 2 diabetes patients to profit from what they called their wonder drug. these diabetics had traditionally only been prescribed injections. if anti diabetic pills no longer worked

go sip a cylinder to do the elderly basil incidentally, you miss it. they la down the hill down there it up on for its hype to patients who were moved on to injections. it was the last stage of ministry they were on death row digit buddhism, as the simplicity of lantus lowered the fear of insulin injections man, and they began using it earlier to host these patients were then also able to benefit from the drug pittsville depot, showing a demona judicial issued inches hill ah, glucose levels in the blood or blood sugar results are too complex for non medical people to understand that's why sanofi introduced a user friendly marker with the gleich aided haemoglobin or long term blood sugar test h b,

a one see mm. hm the company started and major prevention campaign with a simple message that anyone could understand. long term blood sugar levels below 7 percent are okay. above 7 are problematic. a stroke of marketing genius within just a few years, lantus became a pharmaceutical block buster. in 2015 the year of its greatest sales. and just before the patent expired, lantus accounted for 20 percent of sanofi sales. more than 6000000000 euros. ah.

but a doctor from germany through cold water on lantus this victory lap. peters davinsky was head of equate germany is independent institute for quality and efficiency in health care near 30000 fear hutch with in 2000 good warm blenders, all the joint committees to the highest body overseeing health care in germany of tar commissioned eg, big to evaluate this insolent gorgine lanta with respect to possible additional benefits on face sister or the objective was to determine if the greater cost of the drug was reflected in greater benefits. where this is, if it costs the health care system a lot at reason when they wanted to know if it was justified a mere course and you know,

because ultimately every one was paying for it or not health insurers. the result was that there was no significant difference. she given that lantus was not superior lunch with medically speaking, the analog insulin was no more effective than other drugs. pharmaceutical representatives disagreed expressway and loss of us could see. i'm explaining it badly. the li of hope was if you ask a patient taking insulin to abandon their analog insulin and go back to the old insulin i dug and tell them not to worry. there's no disadvantages in like it will not many would agree yet, but my mom, so he's when you get a whole new when you philippa belford ship, us, he was, i don't remember who the statement is unjustified, but marshall too. i think it's rather strange to procure you as the dea lighter funds on north georgia. for the head of san okey, germany invited me to visit the company in frankfort to discuss the results for you

that i was happy to go home. but at the start of the visit setting me, he showed me apartment buildings where lots of people depended on sanofi for me and said how many of their existences would be at risk if we stood by our institutes assessment for an because then we also know be workers would lose their jobs about robert for you. they put pressure on you. i tried. i don't want people to lose their jobs. this me, but i still need an object of the valuation of drugs or not just of insolent people, but of all of them. and we don't have that when not in any european country kind rural patient. the german authorities stood firm. patients with type 2 diabetes using lantus would only be reimbursed for the cost of a corresponding dose of human insulin. but so no fees, drug kept selling, well, sales remain tie and patients grew accustomed to paying more

other countries, including france, have also questioned the superior efficacy of lantus. but nothing has changed. so no fees. block buster remains the world's best selling insulin since 2015. so no fees, competitors novo, nor disk, and really have also marketed long lasting analog insulin. and they to justify the high price with attractive promises. the companies say that higher production costs contributed to analog insulin being comparatively more expensive than human insulin. but researchers at the university of geneva disagree they looked at the question of why one of 2

diabetes patients world wide has no access to insulin. and it is, it's all ali's as seen on that. ok, so book a few k flexibly difficulties. austrian, you men, we were told that analog insulin is much harder to produce than human control. and we wanted to know a little more about the cost of manufacture of iaa we got together with then colleagues to determine the manufacturing cost us by looking at each section of the production line such and the public yesterday an appeal could be much el camino totally madell plum yaki vocal subway jail, flipping that we sent the cost of all the raw materials required for a vial of insulin. makisia, then added regulatory costs, which are significant or i'm them. regulatory costs are the expense of licensing a product to submit clinical trials are required to demonstrate the drugs effectiveness here in mouse. we also included a profit margin and the investment costs for infrastructure of love,

closer to the manufacturing cost for human insulin is between $2.50 and $3.50. a vile health, flexible for most analog insulin products. and it's about the same. honda c o, a godly pred, ronco false val, he's all off. luckily. thus junior men that don't viola, looking at the selling price in france, a vile of human insulin costs around $13.00 euros high school. whereas an analog insulin, such as lantus, costs almost double $25.00 euros a vial, a bunch and pull it. there are 3 conclusions. first, the final price or the patient or for the health care system is not justified by the manufacturing costs. learn exec industrial, all the difference in manufacturing costs between human and analog. insulin does not justify the price difference involved in chin. and 3rd, he tells him the profit margins for the pharmaceutical industry on these insulin products are enormous in the local text it to know when

the pharmaceutical giants dominance has tragic consequences. in the us, within a decade, the price of insulin has risen tenfold. even though a 10th of the population suffers from diabetes, many can no longer afford the vital hormone despite costly health insurance policies. yeah. people know, like maybe i pay a $260.00 premium a month. that's just to have the right to say i have insurance, and my deductible is $14000.00, which means i would have to pay for my insulin. and for my doctors visits and my other medical supplies out of pocket until i reach that 14000 dollar mark

before they'll help me pay for my insulin. and not many people can afford to pay an extra $14000.00 out of their income every year. it's almost impossible for my husband and right now my insulin comes from my doctor and it comes from my friends. my mom has friends that are also like maybe type 2 diabetic and they have an excess of insulin that they don't use. so they've been kind enough to give that insulin to me and my doctor when he has patients that pass away, which is unfortunately happened recently. he gave me over a year supply of insulin. so thankfully, i won't be paying that money right now because it would have been catastrophic for me if i would have had to pay the money for then swan every month ah huffmans where you can manage to

lose. i really don't know. i'm sorry. i really knew that's those thing. i've been fortunate, not apt experience yet, but it us sit in the back moment. ah, my name is elizabeth and i'm the founder of to you on international. we're a diabetes advocacy organization that takes no funding from pharmaceutical companies. and we advocate for everybody with type one diabetes, specifically access to the things that we need to survive. this company right behind me has raised the price of their insulin over 1000 percent lou. and we believe that access to insulin is a human right. this is a global problem. people are dying in every corner of the world. people are dying

here in the united states of america. what's supposed to be the wealthiest country in the world was supposedly the best health care system in the world. this is not the way that it should be. this company is putting profits over people, and we're here to say that that is not okay and that something needs to be done about it. medicines for people. 0, one more time. medicines for people. oh, there. it truly is a crisis. people are rationing their insulin, so they're taking less than they should take or trying to not take any. they're trying to adjust their, their diet and their insulin intake. and this is so, so dangerous people are dying because of that. and they're cutting years off their life because they just simply can't afford it. my husband, i don't, in our future, we won't be able to buy a home. we can't afford that right now. we won't be able to have children. that's

an expense that we wouldn't be able to afford. so i, i would say the biggest things we've sacrificed is just the traditional family life . that's something that we're not sure full, ever get to experience. we've lived a very international married life for 8 years. and although, you know, i'm very, you know, have loved our time together and it's been very hard. we've had a lot of challenges. we, we don't get to experience the things people are age, are getting to experience. the next step here is to deliver some of these insulin vials that we have created. so this is a vial of humalog with a label taken off and a message inside. what we've done is we've said these are the things that we sacrifice for the cost of insulin. i'm nicole has brought some of alex ashes that are in one of these vials to show the sacrifice the ultimate sacrifice that they made. because he couldn't afford the insulin.

alec was feasting, accost at $1300.00 a month for insulin and diabetic supplies. elac work full time as a restaurant manager for a small family owned company who did not provide health insurance for its employees . alec made decent money and because of this, he did not qualify for assistance of any kind, not from the insulin makers, not from the state, and not from the federal government. without anyone knowing alec began to ration his remaining insulin, because at the time he went to the pharmacy, he did not have enough in his bank account to spend the 1300 required. alec began to adjust his diet, take less insulin than his body required to make it to payday alex body was found 3 days prior to payday. alec died from diabetic ketoacidosis due to a lack of insulin in his body.

ah, at the start of 2019 the u. s. congress demanded pharmaceutical companies that justify the enormous rises and price. the 3 big insulin producers blamed the us health care system. and the large number of distributors stay the subcommittee on oversight and investigations is holding a hearing entitled, quote, priced out of a life saving drug, getting answers on the rising cost of insulin. so mr. mason from eli lilly who is making a profit from these increases in insulin prices. you know, i think you, 1st of all, we don't want any one, not bill for dur insulin who is making a profit with his increases in insulin prices that patients have to pay for our net prices. the parts that we receive are going down, are you, are you making a profit or the ceos of your company's making, these profits are our net prices. the prices we receive has gone down to 2000 to

not. well, somebody is making a profit, somebody's getting richer on the backs of our patients. a mr. lang from nova nor disk. what entity in this supply chain is prioritizing affordability and access of insulin for patients. or we like to think we are, i mean we, we participate as many formulators as we can, as i've mentioned, that is critically, most important. we have patients system assistant programs as well as co pay system pro who is making a profit thing. well our nets are going down as well, but there is a small profit that your nets but your overall, your overall profits for the company and ceo's have been going up, haven't day. no our, our profit take home pay ensemble and relatively stable from c, e o. pay hasn't gone up in the past several years. his pay has increased yet, okay. after the hearing, the 3 company is pledged to reduce prices for the poorest patients, but it was no more than a p r. stunt. patience in the us,

unlike their european counterparts, are not supported by generous reimbursement systems. for most american diabetics. insulin remains a luxury item. the price of the synthetically made hormone is just one problem facing diabetics. another can have fatal consequences for patience. big thick to keep their blood sugar levels below the famed 7 percent limit. many type to diabetics take many drugs and by doing so, put their lives in danger of fallen. hobbies just wanted da madigan house out stint a year and an air of foxes hotel. i found out from our physician, she had an office near here. she did an annual check done and said that my blood

sugar level because the long term average age b a one sea level was too high and that i had to take medicine days 2 whole you miss and don, me to come in. could name the owner, and i lived with that for many years. but then during that time my blood sugar levels shot up to about 11 percent at all. it would be your base of is what's in when my weight was at its highest and at about one 114115 kilos. it's a 100 foot of think of as well. and i need him on the tablet and for by the way it was actually only just bells and variable, although i gradually took more and more of them in saline. and then i injected insulin for about 7 years. the hobby shadow, not him ear snares. i am not him, isn't leibniz, who voiced unmounted? that was after the 1st time when i noticed that my body was shaking, and my blood pressure wasn't quite right. when i measured my blood sugar,

my device that i was below 60 does the sea and it was blinking red and saying it was no longer measurable, but under 60 buyers. and then it came to the incident at the end of august and beyond where i nearly ended up in a coma in the august, we still get locked up who will ship? rosco mon flow here too. severe hypoglycemia could have caused the patient, his life. it was a result of an obsessive attempt to keep his blood sugar level below 7 percent in 2008, a study shook what had been established treatment protocols. it showed that the higher the level of drug consumption to keep blood sugar low. the greater the risk for patients regularly taking medicine to reduce h. b, a one. sea levels increased the risk of hypoglycemia and heart disease. left is a phys all it is a studio becomes fear, media, commencement,

whitfield of medic, medical by hundreds of people in the study were treated with lots of medications or fashion up to 5. as i recall, the study showed that it was probably the wrong approach. the intensive decreases in glycemic, all could reduce complications in the nurse and eyes house in fact. but what we really wanted was to reduce the risk of heart attacks and strokes, but that didn't happen lawyer. and so that's why the correct approach is not to focus on blood sugar levels in the short, but rather on the study of diabetes. so now you need an overall picture of the cardio metabolic syndrome is um, with all the risk factors. and that's how we succeeded cool factor. on 400. it was done, cynthia, for could it be anything he said ok. single puzzle is stuck, approves of its cyclone. so hyperglycemia is toxic. the evidence is incontestable. the more sugar you have in your blood, the greater the vascular toxicity schools have you, but it doesn't follow that if you have hyperglycemia,

lowering the level will reduce the risk of c. m. if you have a risk marker, luke, the higher it is, the greater the risk as a linear or automatic reduction does not necessarily reduce risk of being major studies have shown that trying to hard to lower glass, same yet increases risk, low quantities don't the hard looks alamo, less the multi cuz she really made it so. paradoxically, it's been shown that if you use intensive treatments to reduce glycemic by too much to reach a bigger as close as possible to that of a non diabetic weapon, said, you might think you're as healthy as a non diabetic person. he but you're worse off than if you had left the glycemic high, is it not only do patients have more complications than non diabetic situations, but they have more than people with higher blood sugar magazine. they end up in the hospital with serious hypoglycemia. it's due to medication and can be severe.

mortality has been increased greasy, sympathetic, somebody, they will go from when i'm not anti he hunter. yeah, i had this near coma experience and said, i don't ever want to have that again. mr. stringer come with me with like mit john they've reached training. i no longer takes drugs and the blood tests show that after 3 decades with tied to diabetes, a kind of remission. a retreat of the illness has sat in, his doctors suggested a radical approach developed by a british team of researchers. it involved a strict diet he quit eating carbohydrates sugars for 3 weeks, and instead drank

a low calorie soy based drink. strong weight loss is generally needed to get tied to diabetes into remission. and to find the of it us and the up along a gloved. i my diabetes in my diabetes because i know english are what's copa then that's when it was long believed that if you had time to diabetes of yeah, then once a diabetic, always a diabetic. and then an english research team published a sensational studying. they went and bound subjects that had been suffering from diabetes for some years and, and had them radically lose weight or she cleaners they were able to show that this could cause remission in almost half to 80 percent of the subjects. so depending on how much weight a person had lost hosea and that without a serious operation, t just by radically losing weight by should lose it is if, if they've learned from very in depth m r, i exams that if there's too much fat on the pancreas and then insulin production

falls with the bulk, but that doesn't mean that it's broken just that the cells are no longer able to produce insulin. aagot mia ins within if the fat is removed from the pancreas, then the insulin producing cells are again able to produce more of the hormone in response to stimulation. yes. and then blood sugar levels fall yamisha as own from it. we've done similar experiment and had comparable experiences here in dusseldorf . come into, come, we've managed to allow people who are on insulin to only rely on pills or from pills into a complete remission. and i think that's where we're headed for the future. if a patient lose his weight, but he can stop taking diabetes, drugs and blood pressure, medication upset, and i may be able to prevent any operations can roughly him either a bullet soon for can eagerly and fe we've discovered a universal remedy in lifestyle. i and it works and very different areas, dance sheet and if you were to take all these sicknesses together and is

a good lump, then you'd save lots and lots of money and good. let good. then be invested in this area far. hm. bus one done. it isn't, but as a general opinion is that won't work. the i so we don't have to do it in jack on. and that is a problem for politicians. and then there are the associations that represent the pharmaceutical industries interests and are truly cindy and different one is from university holla and who have no interest in this at all. and, and that always makes me suspicious us and sat one day thus mark. mm hm. um, it was still teaching college a few 1000 patients in europe in the us have already tried this method. it demands strict discipline, lots of motivation. and only a 3rd of tied to diabetics can hope to be healed by it. the majority will have to continue taking medication with to post them. and again,

you is looking ahead. i think we will when see the problem is knowing when says hodges is what we're saying will become incontrovertible evidence within a few years. it printed the teachers in the mean time with many diabetics will die unnecessarily with them. some will have had more medical treatment and national july, and too much will have been spent pointlessly on overpriced treatments. each study showed it, but the diabetic industrial complex will be swept away. alexa, deputy, going to see eddie, somebody diabetes is more than just a question of blood sugar. the illness has revealed evils within the food and pharmaceutical industries. and of governments don't react, diabetes will continue to spread. mm

ah. ah, they're volatile in times of crisis. bread and gasoline, high prices for fuel and staple foods or a button on the world's population with hunger and policy threatened to disrupt

society. and how can we stop this calles and what options do politicians and business leaders have made in germany? in 30 minutes on d, w. o and co mike speaking, how can this passionate hatred of a people be explained? a gold top? where does it come from? come all swept the history of antisemitism. is a history of stigmatization and exclusion of religious and political power struggles in the christian christianity wants to convey that is why christianity you like the figure of the jew as any parent, some hope of sla it's a history of slender of hatred and violence is the puppies for lynn on the

jews were considered servants of evil. they simply told you about the most atrocious chapter under, within 6 years, a 3rd of our people were exterminating 6000000 jews, like microbes to be annihilated. even 77 years after the holocaust hatred towards jews is still pervasive. a history of anti semitism this week on d w. o. ah, this is dw news, and these are our top stories to senior ministers have resigned from the british government, putting further pressure on prime minister boris johnson at to resign the health secretary sagging job it and the fire.