whatever will be, 1st of all charged as what's called the charge master price, which is usually a very high price that is far in excess of what the hospital needs to pay to deliver the service. the chargemaster is a list of items, hospital services, billable to a patient. every hospital maintains its own chargemaster and sets its own prices or each item medical procedures, drugs, diagnostic evaluations, and so on. in the chargemaster is assigned a unique code and a set price, which is not related to the patient. so its impossible for them to know exactly what they been billed for. ah, the hospital systems employ all kinds of people to work in, as coders as their job is to provide particular codes that will make the most money. and so the idea is there's a, there's

a nation about up coding which is a, you have a patient who need an appendectomy, will they need an appendectomy? but they were actually with severe complications. and so you can make the situation worse than it was or appear worse than it was in order to get a higher level of reimbursement. and that just drives that spending in the system. and so you go into the hospital and you just have no idea what you're gonna have to pay and that it's terrified ah, in 2019, donald trump signed an executive order requiring hospitals to make their price information public a step toward transparency. but with his health care reform plan, his main priority was to undo obamacare. he made it a campaign, pledge ah,

begins with immediately repealing and replacing the disaster known as obamacare. prison front is determined to try to get rid of anything that president obama did. he's trying to undo the obama legacy piece by piece, including the affordable care donald trump proposed his reform, trump care who's a was to replace obamacare, which was to socialist for his liking. continuing the republican tradition, he wanted to keep state intervention to a minimum. once elected president, trump carried out his plan. he launched a charm offensive to get it through congress. ah, action is not a choice. it is a necessity. so i am calling on all democrats and republicans in congress to work with us to save americans from this imploding,

obamacare disaster predominantly republican, the house of representatives passed the reform bill. mister johnson, i, he had one last obstacle to hurdle the vote of the senate, which was much more divided needed every vote that they could get to undo obamacare and john mccain whose conservative republican was the last one to vote. and he voted by lifting his hand and threw in thumbs down. ah, the eyes are 49. the names are 51. motion is not agree to the members not agree to

. he decided to do something different and that's fine. and i say we still have a chance to go, we're going to do it eventually when obamacare couldn't be reversed all, it won't take it apart. piece by piece. donald trump signed multiple bills into law . each targeting a different aspect of obamacare, you think will help you. yeah. you know, one thing i really learned is i learned with you as you would have started with infrastructure at the beginning of this year, the trump administration came in and made the tack 0. so that now there is no obligation for people to get insurance, so healthy people won't get insurance and that will make it more expensive for everyone else at symbolically it was kind of, you know, ha, you know, we're going to pull apart as much as we can and i think obamacare is, is over,

this is something i'm very proud of. great for our country. great for the american people. thank you all for building on this momentum. donald trump has continued his attack on obamacare, and the number of uninsured americans is on the rise again. oh, it is cost. some people their lives, like shaylynn amy's daughter. ah, hey. did you make this for me? yeah, thank you. come on, i'm going to do homework. i'm home. you always say that, but you always have homework. yeah, i bring you back. texted here with shaelyn died. so amy battled with depression, her sister ellie got her back on her feet. a people that are playing eaters,

a work i put a lot of effort and that's come a long way. i just remember like i didn't know what to do. maybe it found it selfish, but i've already lost lin. i lose you still because that's what i felt like was going to happen, like you were just gonna stay in bed and just die with her. i want it to at that time. i know you did it. so could you get a i don't want them increasing numbers of americans are voicing their desire for a fair health system. i mean, one of their main demands is reduction in drug prices over prices arisen by an average of 30 percent over the past 5 years. for instance, the price of ad there and as the drug has increased by almost $200.00

for big pharma, the united states is a gold mine, a market worth some $500000000000.00. and drug companies can set their own prices. ah, drug prices in our country are much higher than the rest of the world for the exact same drug. often in the same package may be, the language might be different in france. in the u. k, the government negotiates directly with drug companies. this is not the case in the nighted states, a golden opportunity for manufacturers who are fighting to maintain the system vest because we have so little regulation of drug companies in this country. and the reason for that is because the drug companies have the most

powerful lobby in washington. i can tell you it's not in the millions, it's not in the 10s of millions. it's not in the hundreds of millions. it's in the billions of dollars that drug companies spend over the last 20 years. getting their way with congress. suitable companies spend far more than any other industry on lobbying $228000000.00 in 2019 alone in democrat and republican politicians alike received money from the drug industry . this practice is illegal in france, but it is part of the game of american politics. in the pharma companies, these payments are designed to ensure the drug market remains unregulated in life. is there

a health care system is based on competition, but competition in the health care system works the opposite of how it works in the grocery store. so what we found with drug pricing is what i call it sticky price. and, you know, you would think out there are 3 insulin makers, so they would compete and offer undercut each other on price. what happens instead? because they're all making such good money is $1.00 tries to raise their price, you know, they'll say, oh, you know, why are we sell in this for $50.00? we could sell it for a 100, a vile and they do it. and the other 2 go a look, they're getting away with it, someone's paying. so they all go up to that sticky ceiling. and the price has just gone up and up been mm. insulin manufacturers are under fire, including eli lilly, an american farm, a giant. the company doubled the price of its insulin over 5 years.

it was headed by alex sr. need yet to lower prescription drug prices. donald trump had no qualms about nominating this man to be the secretary of health and human services. camera likes. going to get those prescription drug prices way down. a little bit of an extra right. it's kind of come rocketing down. just like the fox watching the hen house, it's just rhetoric because when you hire someone like alex days are to run health and human services, nothing is really meaningful. is going to happen because he's going to be there protecting the interest of the company and the industry that he came out with

the price surge has meant karen no longer goes to the pharmacy and has to find other ways to get insulin. ah, are you good, thank you for coming. i really appreciate it. awesome. wow. humalog that that's like the main one that i take and that would cost me $500.00. so she has extremely, extremely helpful. i can't think or enough. this is like thousands of dollars on the table right now. they don't face, but it just happened to see her that she had information. wanted to give away to somebody in probably 2 minutes after surprise today i jumped on it. i think i tag you in a farmer, lou. yeah, i was so excited. i was like chris chris, this is think this is like hearing on i think it is on. yeah. i remember called her and she said it's all her off and is, does she end up usually having extra?

does she not know or? and her doctor switch her to a new type of insulin. so she had an abundance in her fridge, and instead of throwing it away, she wanted to find somebody who could use that. it does feel like i'm dealing drugs like they come in with bag of insulin and we do a quick trade. mm. mm hm. so i have a few people in my life right now that are giving me their extra we're doing what we have to do is arrive and to ah oh, when ela seemed wrong,

when old rules just don't hold any new rules that you have to say proud disdain becomes the attitude and engagement equals the trail. when so many find themselves worlds apart, we choose to look for common ground. does your a path to strategic vision for the future? what kind of relationship will it develop with china? europe stands at a crossroads will remain dependent on washington as a junior partner or will, europe ought to play the role of a great power on the world stage. one of the worst ever mess shootings in america was in las vegas in 2017. the tragedy exploded a little of the real las vegas,

where many se elected officials are controlled by casino owners. the dank is shooting, revealed where the obvious pd really is. and now it's part of the stem machine. most of the american public barely remembers that it happens. that just shows you the power of money in las vegas. the powerful showed that true colors when the pandemic head, the most contagious contagion, there we've seen in decades, and then you have a mayor who doesn't care. so here's care on goodman offering the lives of the vegas residence. to be the control group to the shiny facades conceal a deep indifference to the people vice could have been saved if they were to take an action. absolutely keep the registering and keep the slot machines. dinging vegas is a money machine, is a huge cash register that is ran by people who don't care about people's lives being lost. ah,

there is a lot of a lot of fear and i'm live like this for so many years. why i'm? i mean, just diabetes by itself is exhausting, is completely exhausting. even if i had everything than any. and, you know, it just hired me out and completely i know i won't be able to song because you know, before before, like all the inform price stuff, a behind the skyrocketing drug prices is a 3 headed hydro, to health insurers. and a 3rd player with

a pivotal that obscure role the p b m's or pharmacy benefit management providers. on behalf of the health sector, these companies negotiate prescription drug prices with the manufacturers. intermediaries with murky practices, who are the cornerstone of the system. in other words, the drug companies, the health ensures and the pharmacy benefit managers make deals on what the prices will be on what the reimbursement rates will be. and we don't know what those are since we consider it a business. those prices are often are generally considered trade secrets, so we don't even know who's telling the truth. they're all complicit in making this mask. they all act independently and they all blame each other. so it's very hard to get anything done because everyone says, yes, that's a mass, but it's his fault. mm.

another aggressive strategy is deployed by all the major pharmacy companies to retain market share at all costs. they keep generic competitors out of the market. they do this by taking advantage of americas protective patent laws, a new sample of ways that the brand name drug companies keep the free market from working. the lower cost generic from coming to market is called ever greening. by tweaking the patent, it's able to ever green the patent to maintain the pattern, preventing a generic drug company from introducing a drug, even on the earlier patton you marrow. one of the world's best selling drugs in the u. s. has 254 patents. so it's really hard to get generics into this country at the

moment because drugs are protected by multiple patents. the example that is most horrific and gross is insolent, ah, long a slab in while one would drive is it to the cooper with starting pre pharmacy to get treatment. some americans have to travel abroad for the 1st time karen and eric have come to canada or insulin is much cheaper. ah, we're doing it now right now we would be, but yeah, it is an extreme cuz i can't really sacrifice work time to stay up and,

and coover to have a vacation or anything. it's just going to get the insulin incoming that i only get a 7 vacation day. it's a little frustrating, just that i had to use a vacation day to fly to another country to get a basic medication from a country that is pretty well developed. and so it's a little tiring, but still exciting because i'm so excited for this friday. mm. mm. purchasing medication in a foreign country, bringing it back to united states is illegal, but tolerated karen's american prescription is accepted here with pharmacy right there. that's road. yeah, good. and then you turn time

with a hey, and are you good? how are you? i'm here to pick up for karen wafford with the log in. i here is here with see. so for, for just the insulin we're a little under $700.00. okay. yeah, that sounds great. all right, so kind of round me out for the year now. yeah. we do a lot. there's been 3 people today. well, the price difference is astronomical. so yeah, we're going from $2700.00 to $700.00 for this exact amount, which is

a huge. mm hm. going through customs. do they ever like dave or like asked like go through stuff like that on my yeah. yeah. so you can be transparent with allowed to bring in a personal supply rate. what they don't want is people bring it across to try to sell it exactly where i can't. thank you enough. i mean, it means a world they are doing that. so really appreciative and i'm sure we'll be back. thank you. thank you. when i think you so much this is a good day as a type one diabetic, probably have it on like in france, unlike in most european countries on like in canada, we don't view access to health care as a human,

right. we believe it's acceptable somehow that a human being in the rich in one of the richest countries in the world can walk and to a pharmacy and not be able to pick up their dad diabetes drug because they can't pay for it ah, with in the united states there is a safety that though the emsella act, ah, it requires all publicly funded hospitals to stabilize patients in need of emergency care. ah, but one 3rd of facilities slot, this law. ah

amy beliefs, her daughter shaelyn would still be alive if the hospital had respected its legal obligation. ah, when this is all i have left, if i'm remembering my why, why am i fighting so much? why am i sacrificing? i never want to lose track of that. lose sight of that flat fuels. my fire ah, today's the day karl, today's the day. i really want this badly for shalon amy decided to sue the hospital for noncompliance with am till today. she will finally find out that the district of nevada court has approved the lawsuit. ah,

to change the system. wendell is continuing his political fight. ah, i, it's gonna be a long journey. i don't know when it's going to and i think that it's just a matter of time. it's a matter of when not if that we're going to get for medicare for all. i'm in this until we see congress passed a bill and the president sign a bill that gets us to kind of healthcare system a good afternoon, everyone and welcome. when it is wendell potter has some good news. we're well on our way to medicare. ah, maybe i'm out here at the porch house here in las vegas and

all my friends in my brothers this, this is the revolution. know that we had victory today. we survived the summary judgement and celine's case, or the impala violations were asserting, and it's a good day. mm. as for amy, the trial will be in a few months time. i can't bring showing back that i can fight to ensure that they stop doing this to other people. and i look forward to that. i'm very excited about it. and i can't wait to let the rest of the world know that we're going to, we're going to trial. we'll see him in court with a karen to wants

those responsible to be held to recount she in or organization went to deb straight outside their offices. oh. 7 we want eli lilly to hear us, won't you? i lily to realize that people die every single year. every time we come out here more people and i, we want them to know what the prices go. i intimidate until things change whole will keep going to the people who die and will keep going for the people that we know that had type one diabetes in ourselves. and everybody else who might ever be on a medication that they need to with

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ah ah, ah, ah, i know, ah ah, if you want something done, right, do it yourself. the acronym d i y, i e, do it yourself has now become the name for an eugene road. online videos. we do provide her with more than a year away. any family herself still that you had known you never was more than any more than a drug. got her spoken deal it. people use scrap materials and whatever's at hand

to rig up all kinds of stuff from household items to pump action. squid guns, furniture company for my freshman longest, there must be a fellow much more poor with the best part is people want to watch. millions of viewers spend hours seeing how a person they've never met. and who's half way round the world, assembles the contraption. no one else needs me, talk to a corporate right to filter for and you know, it's just more of my feet. when you minute, cities like user id was looking at the glutton lily for flu type, which unfortunately victory still could with

freedom or a possible 175 year prison sentence. juliana sanchez faith rests in the you. case high court extradition appeal hearing to b. u. s. for the whistleblower starts today in london. fuel by a desire to save money amid soaring prices, german drivers are popping out of the country to fill their tanks, where it's much cheaper we hear from somebody cheaper than germany. the price is her 3rd. you said lower. that's why we hear. of course everyone is worried about prices. i've heard they could tripled next year. so don's prime minister is released following the military coup in the country outside the u. s. fries as millions of dollars in economic.