they should have invested in n h s, laboratories and in local public health teams. these are the kinds of things which people have been saying for a month now. are you little evidence that they've done that? next, all you know commentary, explosion challenges facing us health care system for you gave us a tennis mental plus one dealership of oliver will take the whole seat in half an hour time to be with you throughout the night and give you the nightly news update to join us again in half an hour stop. ah, harold is driven by dreams shaped banks, concur sent those with

dares sinks. we dare to ask oh, to maximize their profits. hospitals resort to overcharging patients. when you go to the hospital, the services that you receive could be operating room time or physician services or drugs. whatever will be, 1st of all charge to add 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 charge master is a list of items, hospital services, billable to a patient. every hospital maintains its own chargemaster and said 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, hospital systems employ all kinds of people to work in as coders, and their job is to provide particular codes that will make the most money. and the idea is there's a, there's a notion 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, that begins with immediately repealing and replacing the disaster known as obamacare. ah, prison front is determined to try to get rid of anything that president obama did is 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. it launched a charm offensive to get through congress. ah, matching is not yours, it is a necessity. so i am calling on all democrats and republicans in congress to were with us to save americans from this imploding. obamacare disaster predominantly republican, the house of representatives passed the reform bill. mister johnson, i had one last obstacle to hurdle the vote of the senate, which was much more divided. they 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 agreed 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 obama care couldn't be reversed all at once. then the trump administration worked on a variety of other tactics to take it apart, piece by piece. ah, 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 is you would have started with infrastructure at the beginning of this year. the child 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. 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 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. oh. hey. did you make this for me? yeah, thank you. come on. i haven't got your homework, i'll have homework. you always say that, but you always have homework. yeah, i bring it back in here. now with shaelyn died. so amy battled with depression, her sister, eli got her back on her feet. ah, your people that are playing eaters, it's a well, i put a lot of effort that has come a long way. i just remember like, i didn't know what to do. maybe it found that selfish. i've already lost lynn. i

lose you till. 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 wanted to at that time. i know you did it. so did 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 drunk prices in our country

are much higher than the rest the world for the exact same drug, often in the same package, maybe the language might be different in france. in the u. k, the government negotiates directly with drug companies. this is not the case united 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, 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. pharmaceutical companies spend far more than any other

industry, a lobbying, $228000000.00 in 2019 alone. democrat and republican politicians alike received money from the drug industry. this practice is illegal and france, but it is part of the game of american politics. ah, and the farmer companies, these payments are designed to ensure the drug market remains unregulated in right to sarah 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 in an 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 yet to lower prescription drug prices. donald trump had no qualms about nominating this man to be the secretary of health and human services career. alex, going to get those prescription drug prices way down as a little bit of an extra. right. it's gonna come rocketing down. it's like the fox watching the hen house. it's just rhetoric because when you hire someone like alex lays 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, oh good. how are you? i'm good. thank you for coming. i really appreciate it. this is i 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, you know, thousands of dollars on the table right now. on facebook. it just happened to see her, but she hadn't wanted to give away to somebody in probably 2 minutes after 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 i think this is what karen gone. i think i can go on. yeah, i don't remember. i called her and she said it's all her off and is, does she end up usually having extra? does she not know or 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 it. it does feel like i'm dealing drugs like they come in with the bag of insulin and we do a quick trade. mm. mm. so i have a people in my life right now that are giving me their extra we're doing what we have to do, survive in oh,

he died. i cried, and i just kind of split the whole time out there. no one really thought anything different. you just all thought i just didn't feel good on the way for the surgery, his lungs failed 30 seconds, but i killed him. i had gotten stuck with so many needles that day in 2019 don't to started talking about a new wide spread disease that caused severe lung damage. there's a few points that were really to turn in. all of the patients were

diagnosed with a lung injury associated with using electronic cigarettes or facing products. the pull this out if you refilled holy crap, he's gonna die. oh no, he's the better it was. i wouldn't want my worst enemy every go through that was out of breath. join me every thursday on the alex salmon. sure. and i'll be speaking to guess in the world of politics, sport, business. i'm show business. i'll see you then. mm . blue. there is a lot of a lot of fear and i've lived 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 that i need, 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 hydra. to health insurers and a 3rd player with a pivotal but obscure roll. the p. b ends 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 insurers 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 considered 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, it'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 in the pattern preventing a generic drug company from introducing a drug. even on the earlier patent, 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 insulin ah, longest slides in while phone, which i'm is it being cooper with starting to parks, pharmacy to get treatment. some americans have to travel abroad for the 1st time, karen and eric have come to canada where insulin is much cheaper. ah, we're doing it. i never thought we would be, but yeah, it is an extreme cuz i can't really sacrifice work time to stay up in vancouver to have a vacation or anything. it's just going to get the insulin incoming back. 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's pretty well developed. and so it's a little tiring, but still exciting because i'm so excited insulin for this friday. mm. mm. purchasing medication in a foreign country, bringing it back to you tonight. it states is illegal, but tolerated karen's american option is accepted here. a pharmacy right? there you go down and you turn in turner. mm

hm. okay, and are you good? how are you? i'm here to pick up for karen wafford with a log put in here is your recei. so for just the insulin were a little under $700.00. okay. yeah, that sounds great. all right. so kind of round me out for the year. so yeah. we do a lot. there's been 3 people today. wow. 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. been going through customs,

do they ever like dave or? i asked i go through stuff like that on my yeah. yeah. so you can be transparent with them. you love to bring in a personal supply. great. 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 really appreciative and i'm sure we'll be back. thank you. i thank you. when i think you so much i this is as good day as a type one diabetic and probably have his ah, unlike in france, unlike in most european countries, unlike 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 writ in one of the richest countries in the world can walk in

to a pharmacy and not be able to pick up their dad diabetes drug because they can't pay for it. ah, a in the united states there is the 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. oh i amy believes her daughter shaelyn would still be alive if the hospital had respected its legal obligation. ah,

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. let fuels my fire. ah, today's the day girl, today's the day. i'm really one this badly for a amy decided to sue the hospital for non compliance with m til today she will finally find out to the district of nevada court has approved the lawsuit. ah, to change the system. wendell is continuing his political fight. a new is going to 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 to medicare for all. what i'm in this until we see congress passed a bill and the president sign a bill that gets us to kind of health care system. the really a good afternoon. everyone in wilton is. wendell has some good news. we're well on our way to medicare time out here, outside of the court house. here in las vegas, this all my friends and 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 hm. as for amy, the try will be in a few months time. i can't bring show in 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 for a karen to wants those responsible to be held, to recount. she and or organization went to demonstrate outside their offices.

oh, we want eli lilly to hear us, won't you? i really to realize that people die every single year. every time we come now, i hear more people and i, we want him to know it was the price is gonna go i until today, until things changed to keep going to the people who died will keep one for the people that we know that had type one diabetes in ourselves and everybody else who might ever be on the medication that they need to with

ah ah ah mm for oh, so you've seen this statistic that 90 percent of the well the cell by 10 percent of the population and they added trillions of dollars to their networking, since the pandemic, one would look out onto the american landscape and look at all the wonderful innovation. these folks have brought people to their lives. oh, wait,

hold on. life expectancy is down into mortality is up. well, some income gap isn't widening. genie coefficient looks terrible, death of despair are exploding. so i think it's natural to conclude that all this money printing is not feeding amera talk or see is back that speeding attack a stock or see rule by the least qualified a european gas prices for a patient tells russian and john gas prone to russia top supplying americans a, losing faith and jo biden's ability to turn the economy round up to code. it was

new pulling showering. it's democrats here on becoming disillusioned. the faucet is also the freedom or possible 175 year prison sentence jr. and a soldiers, a fate rests in the hands of the u. k. high court. as an appeal hearing on a us extradition request get some to way and the you oldest potentate, co op a 1000000 years every single day until it's a bonded a country.