had been suffering for years with no relief for finally felt like. they were getting to be alive again in a way they hadn't for years and that they consider to be the best thing that happened to me if i wasn't on this vacation i just wouldn't be able to do the things that i'm doing now there's no question the best strongest and most opioids have serious medical side effects patients are just a.t.m. machines. or you push buttons. you can do pharmaceutical companies so we're not entirely transparent to the thank you. and we're told they were non-addictive when in fact they were and we don't get taught in medical schools about this is that we induce we only get told about illnesses that we're supposed to cure. thinking that doctors are always right so if you have a prescription it's easy and we talk about opioid painkillers we are centrally

talking about heroin the drug companies are the cartel. doctors are the pushers and the pharmacists are the suppliers. see there's not a city in the united states right now the. major opiate addiction problem and it's not just in cities it's in rural or in fact in some places it's worse in rural areas than anywhere else at the peak of the epidemic millions of people in the united states were prescribed 259000000 prescriptions of opioids and that means on average every adult is on one opiate you know once or twice a year if not more scares the living out of me opioids are a major category of medical spending according to the centers for disease control it's about. $24000000000.00 in direct cost for the medications and other $75000000000.00 in health care. costs people are doing and oxycontin $8010.00 pack

a day that's a $1000.00 worth of medication to kids who are spending hundreds of dollars a day if not thousands. of her own walked into. and it's cheap. really cheap really inexpensive and readily available the shame of addiction keeps us from knowing the actual numbers but at least 2000000 americans and probably millions more are addicted to prescription opioids prescription drugs. causing more deaths for example than car accidents from 1909 to 2070 over 500000 americans have died from an opioid overdose more than all the americans killed on the battlefield since world war 2. we have iraq and rapes an infant born like the president of children and winding up in the foster care system because their parents are addicted kids growing up without parents parents who have

lost children you have families decimated you have towns destroyed to think that it started off with in a company in stanford connecticut that had some marketing material this is the worst manmade epidemic in the history of american medicine it's very clear when one looks at the overprescribing of opioids that's led to this public health crisis that the medical community really forgot the 1st of all which is do no harm. opioids are among the world's oldest known drugs there are medical religious and recreational use predates recorded history. these early drugs such as opium codeine and morphine were extract it from poppy flowers and it's some kind of mystery of nature why did the poppy plant create morphine that can bind to the 'd opioid. scepter is in human brains and probably that's

a mystery of nature will never be able to answer but that is the case because it's chemically similar to the compounds that her own brain makes an 874 an english chemist by mixing morphine and other assets created a powerful opioid that was eventually called di a seattle morphine nothing much resulted from his discovery 23 years later a german chemist working for what is now the bayer pharmaceutical corporation created the same substance baier quickly promoted the drug is less dangerous than morphine as well as a cough suppressant because of the heroic feelings recipients experienced they called it heroin heroin is a very slight chemical manipulation of the morphine molecule makes the compound heroin much more fat soluble the brain is mostly fat so if someone is exposed to heroin it gets into the brain many many times faster than morphine would

the more rapid a drug gets to the break we were told in humans the more apt it's to cause a high this heroic drug originally promoted as a cough suppressant and for other common conditions were soon diverted and abused in 1904 the united states congress banned heroin declaring it a dangerous addictive illegal narcotic it probably would take too long for me to. provide a theory of why as americans we have. such love affairs with with drugs that potentially can kill us opioid addiction led doctors to fear its use for anything but short term acute pain or end of life palliative care that was a time when the medical community did understand that opioids needed to be prescribed. there obviously important medicines for easing suffering at the end of life that play an important role when used on a short term. basis for severe acute pain for example after major surgery then

chile's scientists started creating new semi synthetic opioids similar to heroin in 1917 oxy code was one of several semi synthetic opioids developed in germany you literally start with opium to make hydrocodone and oxy caught on in the effects that hydrocodone oxy co don't produce in the brain are indistinguishable from the effects produced by heroin if you give an experienced heroin user oxy called tone and heroin it's hard for that heroin user to tell which is which in fact if you ask them which they like a little bit better and unlike a blind taste test which was a study they did as columbia university the oxy code is preferred to the heroin so one of saying is that when we talk about opioid pain medicine worse since they talking about her own health and 8092 doctors joan perdue gray and george

bring them started their per do frederick company on manhattan's lower east side and 1952 it was sold to 2 other doctors raymond and moto. in the intervening years they expanded the company to other states moving their headquarters to stanford connecticut and changing the name for produce a private family many of them are doctors many that are philanthropists. a lot of money billions but they are now i hear typical rich people yachts dating models things like that their intellectual people they care about science cancer research on arts a 3rd brother doctor or 3rd sacker revolutionised form a suitable advertisers are there originated a blitz marketing of drugs aimed at general practitioners through medical conventions as with well known doctor endorsements direct mailing and a sales force giving out free samples and perks. vallium for the response you know

wand and trust is 963 campaign for the new tranquilizer value counted it as a safe non-addictive stress reliever women particularly were targeted to cure the every day stress of being a wife and mom valuing became the 1st $1000000000.00 profit drug leading to an addiction crisis by the mid 1970 s. and 1987 dr arthur sackler died a very rich man his successful marketing strategies continued to live on a per do pharma. to do began focusing on pain management in 1972 they patented content a controlled drug release system produced form a believe that if they could link their 12 hour time release system content to an opioid pain reliever it could be marketed for chronic pain without the sudden rush or heroin high to the brain there is an inherent larger to making large acting

opioids because obviously convenience you know if you're doses in a day you'd also have fewer repeats and troughs right so you wouldn't have that sudden potential respiratory depression on your own how to bridge your pain at the time opioids had limited use for short term acute end of life pain neither are markets where fortunes are made you know all of their sales materials for targeted to get to get the drugs out of the oncology suites and into the hands of local practitioners to do began funding organizations that endorsed long term use of opioids for common conditions in 1993 they established partners against pain quote to help alleviate unnecessary suffering by advancing standards of chronic pain care through education 996 saw the launch of the 12 hour extended release in thetic opioid designed to be safe for both acute and low. long term

chronic pain they called their new revolutionary drug oxycontin. the next step was to convince the skeptical medical profession of the safety and effectiveness of their powerful pain reliever per do at the time it launched in 1996 really opened a new territory in terms of aggressive promotion of narcotics they did things that really had never been seen before oxycontin was really one of the 1st painkiller is that was marketed to general internists and the public for moderate pain they are the company that sort of a bridge unaided to the playbook inspired by the arthur sackler playbook producer launched a marketing campaign to sell oxycontin through multiple levels of attack. let's number one educate the medical community from 1906 to 2001 purdue conducted

national pain management and speaker training conferences and resource in florida arizona and california there in appropriately influencing maybe even corrupting 5000 doctors nurse practitioners and nurses to to sell the kool-aid several videos were created named both doctors and patients to encourage the use of opioids as a long term safe methods to treat chronic pain one such video was entitled i got my life back the video centers around dr allen spano sent his patients personal success stories thanks to oxycontin i got a lot back now maybe not can enjoy every day. since i've been on this new pain medication and i have not missed one day of work these videos were seen by about 15000 doctors through direct marketing seminars and medical school.

chose seemed wrong. when old rules just don't hold. any old belief yet to shape out just they become educated and in games from an equals betrayal. when so many find themselves worlds apart we choose to look for common ground. they can come and blow our brains out at any given time if we can't really do anything actually america is the only country in the world where you can kill people. war illegally get away with. all the fire crawls still

brilliant all the trouble here's the point it's hollow ploy to k.k.k. exists because america wants it to exist they are the biggest terrorist group to ever operate in this country and they're dead to me they're worse also in the people who destroyed the world trade centers of the scroll quite. know what's a clip of she will be no use to you. but you might so reese at the k. it was sad because through most of the late. but not something you didn't see immediately what's happened today they can put us in the mood and at the point put up by the smithsonian bush and hear it and look at what we can do that at the day i

. see they have a catholic yes. yes fuck. ya. you cannot be vulgar with me yet you want. we now know that in patients who have no history of substance abuse no history of chemical dependency the likelihood that the treatment of paid using it opioid drug which is prescribed by a doctor will need to addiction is extremely low people like russell portnoy and many others were teaching that addiction was rare and these false words and that we

should be comforting people in chronic pain just like we have learned to convert people with cancer pain and in fact if you don't do that you're probably going to be found wanting these are what is termed in the industry a k o well or a key opinion leader and if a drug company can hire these k o l's they don't have to do the promotion themselves and in fact a lot of what the k o l say to other doctors and other practitioners doesn't have to meet the same level of scrutiny by the f.d.a. doesn't have to even conform to the labeling instructions for the drug of a generation of physicians were trained that opioids were effective for chronic pain and unsafe to have some number to promote the drug they increase their sales force and their physician called list these sales reps were offered lucrative bonuses their average compensation

a produce sales rep was about $55000.00 but they could get that increased by an extra 250000 dollars bonus if they could get enough doctors writing prescriptions if you can increase your salary 5 fold you're going to cut corners who's the doctor writing the prescription for is that just a drug mill prescription office those questions just were not asked health care professionals received all kinds of promotional perks oxycontin fishing hats stuffed plush toys musical compact disks and of course the proverbial free lunch pharmaceutical companies were off this all the time to get penn soon bugs then. prescription pads for their products were written and that's why he had to do was sign it you could take him out to lunch you can go to meetings you go to the meetings and there's a reception by those guys knew what they were doing and they must have been good at it or they wouldn't have done it but what happened is they sort of. gray shape the physician to them to be beholding for the goodies that they provided for them

they're all guidelines for what the sales rep can and can't say but you're not saying and that lunch i'm not saying in on that lunch there's no recording or transcript of it you know who's primary care doctors who fell for this began prescribe thing aggressively people always say follow the money there's considerable amount of money involved in the in the prescribing of opiates purdue paid honoraria speaking and teaching fees to doctors boarding the oxycontin bandwagon he was taking about $100000.00 a year. and then we looked to see how much the drugs that he was writing prescriptions for were costing us and so the drugs he wrote for those drug companies cost us $500000.00 a year so they can easily target dark jurors that are covering 80 percent of all of the narcotic prescriptions and that's what produced it blitz number 3 get the state

and federal regulatory agencies on board as well as the legislative branches big pharma is one of the most powerful lobby groups in washington they have armies of lobbyists that they use to reward congresspeople to reward senators most of it is done legally and above the board and in fact if you look at the websites that are out there you can see how much money is paid by each drug company to each senator and each congressman but there's also a lot of sort of dark money that goes for you know political action committees and other organization. since that that we really don't know about in our system of special interest politics. the special interests unfortunately often are the ones that carry the day when it comes to produce pharma there was essentially an unholy alliance between. the company executives and the advisory

board of the f.d.a. they reviewed the drug big pharma is supposed to be regulated by the f.d.a. but unfortunately through the badoo for laws big pharma is actually paying the f.d.a. . very large sums of money to review their drug applications so the f.d.a. doesn't do independent testing i've never bought into and that has taken account on the drug companies clinical trials for them i was investigating whether or. where their company executives were essentially writing the advisory decision. that legitimized approving this struck the joint commission that accredits health care organizations mandated pain is treated like the 5th vital signs as patients routinely had their temperature and blood pressures checked doctors were expected to ask each person to rate their pain on

a scale from $1.00 to $10.00 doctors and hospitals were mohnish to if they did not treat this pain the joint commission developed this pain as the 5th vital sign. as part of a grant to that was provided to them by the pharmaceutical company purdue pharma the joint commission on accreditation of health care organizations recently defined and adopted stringent pain standards on the basic thrust of our new standards is that organizations and practitioners have an obligation to ask the patient even if the patient doesn't look like he or she is in pain ask them to be surprised to hear when you go to a doctor's office how they ask you or are you having pain. though you may go for a raise that has nothing to do with pain which just added lighter fluid to the fire because because it became equivalent to say if you have pain you need opioids. at least in the united states you know 2 plus. you know probably not for making too

close 1000000 on oxy contemn produce marketing of oxycontin and it's depending on how you look at it very successful very tragic all the marketing legislative maneuvering cash and free giveaways handed to doctors and politicians might have been justified if opioids were a safe effective non-addictive treatment for chronic pain but they weren't my personal experience that it wasn't working. that i was watching many of my patients deteriorate. a few deaths. retrospect clearly related to my prescription produce on sales reps were saying that the rate of addiction is only one percent. with r.c. con and that was clearly just false when you go back to look at the original data on which the just which there claim that that opioid use or pain medicine used for for treating pain doesn't cause addiction is scary and the right of addiction among

pain patients who are treated by don't tolls is much less than one percent cited a study by porter and chick few bothered to check out the source of this critical statistic in 197917 years before the creation introduction of oxycontin. dr herschel jek used boston university's new crude database to satisfy his curiosity of how many hospitalized patients became addicted to opioids grad student jane porter helped compile the statistics dr jacques rogge house press secretary typed it up and submitted it to the new england journal of medicine. short letter was one of the many printed in january of 1980 the power graph simply stated the statistics and made no conclusion. what everybody was citing as evidence that we didn't have to worry about getting our patients addicted in some cases this was being described as a landmark study it was this one paragraph

a letter to the editor this of course would tell you nothing about the risk of addiction when you put a patient on long term opioids but it turns out in fact they have always been just as addictive as we always knew they were there for many hundreds if not thousands of years when people used the obviously and in the early derivatives of opium for pain control. as patients began to exhibit symptoms of tolerance and addiction to do former was quick to pacify fears we were often taught that tolerance imply the diction but it wasn't tolerance just means that you may need to increase the dose of the drug to get the same effect but that doesn't go along with compulsive use of the trial it doesn't go along with the other things there with the concept of pseudo addiction what we were told was that if you had a patient coming in early who looked addicted that it wasn't addiction it was

a pseudo addiction pseudo addiction is a fairly new term i came in about 990 but it's crucial pseudo addiction is. when a patient is looking the life of a drug addict because pursuing high in relief so pseudo addiction is a relief seeking behavior in this state as drug addiction produces remedy for so-called pseudo addiction actually endangered lives if you had a patient who appeared addicted to educational message was that you should increase the dose of the opioid. give them more opioids and sure enough if you give somebody who's addicted all of the pills that they could possibly want they do stop coming and are only there they spend the day and narcotic stupor on the sofa the average daily dose went from about 80 milligrams

a day to over 140 milligrams exactly just within a couple of years and it's shifted tremendously from the slightly weaker schedule 3 opioids to the stronger longer acting schedule. so by now the horse is out the door is closed you've got people running around thinking believing that they need these opiates to have a peaceful successful life completely pain free will the price that they paid was the dependency in addiction to opiates dr peter grace research assistant professor with the university of colorado boulder published a study indicating that opioids like oxycontin when used long term increase chronic pain rather than the long term use that really isn't scientifically justified and i'll study actually suggested. the long term effects my not just baby absence of benefit but actually that diet might be causing a long term time release of opioids when crushed snorted or injected.

rushed to the brain similar if not better than a legal heroin. young people began diverting the drugs described or stolen from medicine cabinets to get high this to lead to addiction and overdose the children using oxy codeine by children i mean people between the ages of 12 when they're starting up to 25 all those children they crush the oxy code and they can get a whole day supply out of a sustained release but they became 2 kinds of opioid addicts the abusers and those unknowingly addicted to a drug their trust a doctor had prescribed in the 1990. he's linda jian nadi from exeter new hampshire sought treatment for back pain and fibromyalgia at her local clinic at one point i was on $115.00 milligrams however they do have that now patches plus oxycontin oxy kodo i had

a woman that lives in my building said to me to drive like you across and that was because of the opiates i don't drink so why and you never did anything other than what you would prescribe is and then write another practice was the off label use of drugs this is the use of drugs to treat elements other than what they were designed for off label use is not illegal or regulated by the f.d.a. doctors began prescribing oxycontin for migraines and depression there's no law against writing the drug for an off label use so there might be the drug detail guy comes in your office and you know with a wink and a nod and says hey you might want to use that try try that drug for this because some other doctors we know have used it for that even though it's not approved for that in addition to oxycontin other opioids were put off label use one of which was methadone a drug used to treat heroin addiction. destruction

of nature is connected to this thing. that's when there's a lesson. we need to be listening for us we're going to repeat this over and over if you continue to destroy the last wild places on earth and we don't are these kinds of these. bests right her cocaine. those were 4 bucks for dia under 50 said the judge everybody use cocaine crack cocaine you can smoke it this is worse like 1530. 20. score came to this is about a $15.00 bet and people smoke this one bigger 2nd sweetie you don't find

these drugs in any city any united states that you walk along as you or want to get about the. i make money. and that's what i did every day. ah no team no crowd. no shots no. action belts because. when the well struck no arrests were. points your thirst for action.

well coming up views from around the world live from central london this is r.t. u.k. . tensions continue to flare i made on going black line is the motto demonstrations we hear from a community advocate. the government claims it's coronavirus test and trade system will be world class despite the statistics showing a 3rd of people testing positive could not be reached says it's claims the trucking element of the system won't be ready for use in densely populated areas until at least next year i'll be talking to a technology expert. whistleblowers from 23 institutions accused cambone

bosses of withholding information about residents testing positive for covert 19. and a migrant health care workers are still being austere pay hundreds of pounds in health service charges that's despite a government promise they would be exempt from the fee we hear from a group representing frontline staff. about crimes not of protests are continuing around the world spawned by the death of on armed black man george floyd in the us at the hands of a white police officer tensions continue to flare between demonstrators and the police with violence on both sides of the debate in the u k. cantar black lives matter protesters were filmed chanting go back to africa to demonstrators in the town of protestant north of london 2 men were filmed assaulting police officers in at me in london

a move that conservative london merril candidates shorn daily also linked to recent protests or protests of also led to rouse over memorials for statues of slave traders targeted by demonstrators in bristol and would cost a statue which was thrown into the harbor by protesters on sunday as be retrieved by the local council is being kept in a secure location with plans to eventually place it in a museum while all storage is in paul in the southern english county of dorset say the statue of the founder of the scout movement robert baden-powell now won't be removed despite concerns it could be targeted baden powell is accused of racism and supporting at all for hitler. or community advocate sword again told me the public took a stand to remove the statue of edward colston but they all thought it is and how acting. concerned but you have to realize until all the protests the dems have been pulled down in the 1st place is only being pulled down today by members of the public so many. who are damaged but those bozos have

made it all straight where it is really moral. and highlighted by these that you should raise 3 people who given their old ways you know history but we don't have larry rather than the museum or other location where the problem is that doesn't vandalism tarnish the movement itself. what is it and what is the organizing riders really fast lane and the slave owners the most of the being bought in the state traders some form or shape we got growth and of these people and this gallery is linked to receiving who and then you have money. which we as a black community i am a black woman have to look at nelson's column analysis don't even wonder why with the liberating a man who was a criminal not a cold but the police have to try to careful line don't they they don't want to inflame things they want to allow democracy and protest to continue but they also

don't want to let people do exactly what they want which might be criminal so they do have a fine line to tread don't they. do but also instill the. government's little voice into that it's simply it's all happened recalls didn't. look good sound all these monuments very quickly people looking at the sites so the public don't have to get involved in taking that anymore because in counseling you doing that they're ready to look at the documents yes they. may well one managed to base businessman has set his sights on trademarking the black lives matter protest slogans just mitri wants to use the slogans for clothing responds and other goods he's applied to trademark the phrase i can't breathe which were the final words of george freud as well as the movement's name black lives matter he says any money raised will be used to help in

a city children in manchester or trade not reporter tim lentz told me applications like this aren't usually viewed very favorably. speaking of the 50 applications already around well mostly in the us which i guess isn't a surprise and so on notice the greeks registration i think generally are the offices don't take too kindly to applications that seem to take advantage of clue movements all while terms are seen as kind of positive for society is the history intended these campaigns likens it to brands this is the 1st of application is it. no. sadly if any friends and that become publicly globally not it's almost definite that someone or an entity will try and claim time out rights for it so i think one of those well known examples of this was surely up to the college captain mascara paris overload of the well there was

a mild case and so he says we try. and the french like the office are unaware they rejected it in the 1st couple of danger after the massacre the people wanting to take control of it to have a monopoly on clothing tap and a monopoly on various bits and services and the ip office actually released a public statement saying any attempt of this we're going to reject it because it's it's clear it's it's it's a phrase for the public and i think i don't like that but as matter. and time slate george broad i think people would generally agree to probably be in the public sphere. the health secretary has claimed that the government's testing tray system will be world class despite reports showing a 3rd of people testing positive could not be reached well that says it's claimed the tracking element apple up the system won't be ready for use in some areas until at least next year or on this r.t.u. case is around joins me now either he says so it seems like the government's new

scheme simply doesn't work does it well there are still a number of kinks that the government have to work out with regards to the test and tracing system that certainly for sure of course is a system whereby the government have employed 25000 contact traces and essentially how the system works is people take a test those who have tested positive then tell the contact traces that they have tested positive and those traces then take the names of people who have been in contact with those patients or those people and then contact them to self isolate but we can have a look at some of the latest figures or the new figures with regards to the 1st rolling out of this system over 8000 people who have tested positive for coded 19 have had their information or their case transferred to that tracing system 67 percent of people handed over the names and contact details of those that they had been in touch with and

a 3rd of them either couldn't be reached or didn't provide contacts for themselves and those they've been in contact with that means it's far more difficult for those contact traces to then get in touch with people and tell them that you have to self isolate however more than 30000 people have been identified by the system and 20 almost 27000 of them have been contacted and told to self i say no that doesn't mean those people have been found to have been testing positive for the dieting but they might have been in contact with someone who has and so to stop the spread. the theory goes everyone involved in that network if you will of that chain is then told to self isolate now the former health secretary jeremy hunt says that test and trace simply won't work if just a small number of proportions of those who are testing positive are traced or are contacted through the system but the current health secretary but hancock has been

defending it and saying that the government's intention is for the rollout of a world class system today were able to publish some of the initial statistics about the 1st week of operation of n.h.s. test and trace and baroness harding will take us through these figures in a moment but i just wanted to put them in a bit of context they paint a positive picture as we will see when we go through the figures firstly remember that they represent just the 1st 7 days of this service and yet it's already had a huge impact the system is working well and as we've both said from the start we will keep improving it it will keep getting better and i think you'll see from these figures why we are confident that it will be world class but there are a number of other issues out of been raised that with the there are some who have problems with perhaps the privacy aspects of it and fear this is just another

surveillance tool by the government while the deputy mayor fire from london fiona twice cross has said that the system won't be able to trace or track people who live in crowded places for example in tower blocks and tower buildings as it might throw up a false contact for example it might suggest that people have been in contact with each other when they haven't but the official who's in charge of the test and trace program has recognised the right issues which need to be ironed out but say that eventually those issues will be resolved. but together we know the refer the improvements we can make to the system the data shows that $4807.00 of the contacts we identified didn't confirm to us that they would self isolate this doesn't necessarily mean that these people aren't self isolating some of them we've been unable to reach some of the people in this category would have already been told by their friends to self isolate and only

a small minority don't want to self isolate now another plank in the government's overall strategy to deal with covert 9 has of course been the advice for people to maintain social distancing that's been a 2 meter distance that's far but there was pressure on the government from within conservative party ranks and even the cabinet itself to reduce that from 2 meters down to one meter which is the recommend recommended distant put forward by the world health organization and it's thought that one meets the distancing will allow pubs restaurants bars and other outlets to open the door the doors and fire that the economy's going. and in the meantime he said it's also a look at the government's response to the coronavirus in terms of how it also affects itself and its own approval rating 2nd a bit of a hit has an absolutely since the beginning of the covert 19 prices there have been a number of different responses by the public to the government initially very positive with both the prime minister himself personally and the government

receiving positive public approval ratings but a recent poll by you gov suggests that perhaps the tide is turning the government's approval rating is now down to 32 percent that's down 3 points from the previous week the disapproval rate is 49 percent of people saying they disapprove of how the government handled things that's up 5 percent while on a personal level boris johnson's ratings are down to 43 percent and overtaken by the labor leader kiss and it's thought that the turning point perhaps in how the government have been perceived by the public was the dominant comings of the of course travelled up to the room the 260 mile journey while locked down was going on but perhaps less mr cummings this trip and more the government's real hesitance to punish him in any way for doing so is perhaps reflects badly on them because these fools and numbers it was should say in time of talent to isa thank you very much

indeed. what to discuss the government's test and trade scheme i'm now joined by technology expert bill new bill thank you for joining us how crucial is the cap to the test and trace him and he doesn't seem to be working despite the health secretary's claims doesn't. the app itself was never going to be a miracle cure it was only going to be supplementary to a more traditional tracing a methodology where you have to actually phone up and drive people down because this that was never going to be comprehensive the problem that we've had is that at the outset the u.k. took chose to take a very ideological approach rather than a technological one and therefore we've taken a very different path from almost the whole of the rest of the world in regard to the technology that we've adopted to implement for this up well the technology that we are we have. a taken on then we've heard that the app won't work in tablets we heard it he says report there i mean this will have

a major effect on its efficiency won't it. yes but then this was always predicted one of the problems here is any technology expert such as myself would have told you right at the outset that things like crowded buildings like tower blocks or large apartment buildings where you got a lot of people in proximity where penetration through the wall by bluto thing is entirely possible could have been predicted right at the outset and there are a whole host of other issues that we were going to face the thing is we were offered a a.p.i. developed by apple and google which almost all the rest of the world to use it and they have an enormous number of developers behind that to try and solve these kind of issues and so one is going to problems by striking out on our own and doing our own thing we have chosen to take a different path we have alarmed some people that this part might not speak as good at protecting your privacy because it's a centralized approach but also when we come into problems like this we simply don't have all of the senior developers of these technology giants and the rest of

the world all working to help us with our problems because we've taken a different path than we're on our own on top of that the usability of this app is it credibly poor or it will run your phone down you have to keep your phone on the whole time and you can't use any of the other apps on the phone was your doing so and the chances are it will run your battery low and then it will be useless anyway and all of these problems could have been predicted the outset if the government to take a sense more technology oriented approach rather than ideological one let's also look at how easy it is to fix is it easy to fix is it expensive to fix it if say would we be better off actually sweat swapping to another type of app well we took this path and i think those ideologues who are running it and who chose to go in this direction are going to be enormously rigs uk reluctant to give it up now there would be and there are enormous amounts of

a going to our pipes but as they do. as we are we're late to do lockdown we were late on tracing we were late on. testing we were late with our protective equipment and now we're going to be late with the up and i don't think that the people behind this that took this ideological approach are going to admit that they took the wrong direction well is the app that's been designed by appling google considerably better i mean as you said it was all the information in the tech giants behind it yes well that is actually an i.p.o. so that is the underlying technology of which you can build up and a whole load of companies around the world putting an enormous amount of effort into developing and refining applications based on this platform to google apple or provide it. on our own doing our own thing for ideological reasons and that's now coming back to haunt us there isn't a case of this is all far too late anyway well we were too late while why you set off in this particular direction to make things even worse result. exactly how what

would you do then given if you had to fix the situation what moves would you do now . i think we need to do something in parallel rather than just back our own laws we possibly need to look at what the rest of the world are doing on the other approach and look to see we can potentially jump horses and go in the other direction because i fear that we're going to end up with a bit of a white elephant it. will build new on those words thank you very much indeed. well meanwhile whistleblowers across 23 care homes have accused their bosses of intentionally keeping information from them about residents who've tested positive for corona virus. all i could think of was how many types have we been in there and who did i come into contact with after that the senior said it was true but that we should play it down as it would make us look sloppy and upset all the families that

it was ok as the resident did not seem to have any symptoms how can you trust them all that banging on about having tests and this is what they do when a case is flagged up when i found out i was so mad i asked the manager why they had not told us and was going to happen again she just gave me a dirty look and said what's all the fuss about ok homes have proved controversial for the government during the pandemic after it was accused of sending patients back into homes without being tested for the virus prime minister boris johnson has refuted the claims they medical professionals would only just charge patients if they were medically fit according to statistics washed up to date around 12000 people have died with coronavirus in care homes and family members who've lost loved ones have also voiced their grievances. i remember the last day i saw my mum we hugged each other really tight i keep seeing her face that last time i wish i could go back in time and take her out of her she would still be alive one of the

stuff rang me they said someone would covert was being admitted from hospital they were really scared i promised i would not say they told me it spread around the whole hall my dad is dead he should not be dead i can't believe my mum has gone this is the worst pain i have ever felt my mum was elderly but she had a lot of time left she was always so full of life she filled my world now she is gone and all i can think of is why why i like this suffering so much we also of the whistleblower report eileen chubb told me people need to learn from the mistakes made in care homes to really fix the problems. social care has been a major problem for a long time i mean you know we all know the horror stories and bad care homes and stay open or they're given a good rating and they shouldn't and they don't deserve that i think that we need

to look at the social care system and completely change things in the future we need to learn from this really learn from it not just pour money into it but fix it actually fix it and i think that's why we need a full inquiry into what's happened here and i think as well as social care staff they're treated their lives are of no value that's how that's how they feel and that's the evidence that's coming across to us their lives don't matter at all and they're put in risk every day and they do they do a brilliant job there's good stuff in every care home this bad stuff and some homes and there's bad homes but mostly there's good start doing their best and their contact you know it's because they care and you know what they're saying is showing something is really very well and it should not be happening could it be the case that some home simply didn't know about some of the cases themselves you know and

there's no question about that in every single case i think that there might be a question over some of the cases where the the person that had the infection didn't have any symptoms and maybe the care home owners thought that that didn't mean they were infectious i think this very little guidance given to care homes a lot of care homes are operating on a wing and a prayer or making out what the rules are themselves. deciding if somebody is infectious or not is not a question for care homeowners it's a question for actual testing. well let's look at how the crowd of ours is affecting the u.k. official government figures confirm the u.k. death toll has reached 41279 that's a daily increase of 150 want. an h.s.a. england house reported 83 hospital deaths. for 45 across all settings

wells' 6 in northern ireland was reported want you to. add let's look at how to make this pairing globally. the number of cases has time to have a 7400000 according to johns hopkins university which collates will. be more than 417000 deaths and i was 3400000 the congress. coming up after the break. my good health care workers are still being asked to pay an annual health service surcharge just going to government promised we have more doctors who.

lead. so what we've got to do is identify the threats that we have it's crazy

confrontation let it be an arms race is on offer and scary dramatic development is only going to exist i don't see how that strategy will be successful very critical time to sit down and tom. welcome back nani you migrants working in the national health service are still required to pay the $400.00 pound health surcharge in order to renew their visa that's despite assurances from the u.k. government last month that the charge would be scrapped for those working at the frontline of the pandemic. the government's use and came after conservative party backbenchers joined a labor party push to give an exemption before the feeding creases to 624 pounds in october but many n.h.s. contracts changeover in august making the summer period of very busy time for visa

reallocations from non easy why good health care staff and because the government has yet to issue new guidance on the issue they're still being asked to pay or potentially face the home office rejecting their application or paid annually the surcharge currently contributes around $900000000.00 pounds to the n.h.s. but many foreign health care staff work in low paid jobs like cleaners porters and kara's so for a migrant family of 4 the total cost of the surcharge can be in the thousands of pounds while the government didn't confirm the n.h.s. workers would be reimbursed for reimbursed even if they paid the surcharge now it did say information on changes to the scheme would be coming soon. we are incredibly grateful for all the hard work the health workers and care workers continue to do in the fight against corona virus we are working through how to implement changes to the immigration health surcharge we know that it is important to get this right and further details will be announced shortly or doctors

association spokesperson dr very dull and wallowed told me the failure of the government to react quickly was leaving many foreign doctors in limbo a few of them are biting the bullet and just going ahead with the news applications hoping in the future they might get a refund which obviously isn't very. they don't have much confidence in it and others are just waiting to see if we can do anything about it because they were promised and now it's not coming true so we're getting quite a lot of e-mails as the doctors association we carry from a lot of very upset doctors saying that what is going on what should we do should we carry on and we have had to try and highlight this is an issue now or do you have any faith or are you being reassured that those affected will get refunds even if they do have to pay now. there are no there are no reassurance of the tour and that and there's actually been explicitly written in the e-mails to these doctors who are applying to the home office floor and i think that's also

a source of anger as well because now they have to make a choice do they just a bit out of the out. and just hope it happens or what do they do we really don't know at the moment also moving on as well your organization is also taking legal action to force the inquiry as they say as soon as possible into the government's p.p.s. supply do you think that will happen in due course anyway that. it might happen in due course it might have been a few months or in a few years but the reason that we've chosen to do a legal inquiry. a report by the institute for fiscal studies says that corona virus has exposed to different exacerbated inequalities across the u.k. according to the document britain's lowest earners have been hit hardest by business closures among them young people and ethnic minority workers have been worst affected it also exposed a gender gap finding mothers are taking on significantly more childcare responsibilities and household chores than fathers children from private schools

are twice as likely to be taught online than those in state education and the think tank also found a notable divide between poor and rich neighborhoods when it comes to death rates though the i.f.'s says there have been some positive outcomes from lock down including increases in productivity for remote workers though economics and development expert dr guy standing told me the chancellor really similar is failing to provide adequate financial security to british people. he's chosen to throw billions of pounds in a particular way so he's used taxpayers' money and bank of england has contributed with quantitative easing again so they're spending a lot of money but this spending the money on the road and then not providing basic income security to the population that is what is required and i think that i'm

more convinced than ever that we need a basic income scheme in order to bring vied across the board. economic security for people to have the resilience to recover from this at the moment the measures they've introduced are increasing inequality and are creating a bunch of trade problem going forward so that it's a compilation of negatives that i don't believe it is solving the crisis britain has before worse than any other european country in terms of incidence of this disease and deaths from the disease and i believe with the mission issue policies that we've got into meaning those that are being recommended by this report that actually we're going to continue to be the worst performing country in europe. and lots of them are saying you can't have the top of the enron colleagues on our team america want to make a difference here in montana. we

go to work.