set 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 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 it's impossible for them to know exactly what they've 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 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, that begins with immediately repealing and replacing the disaster known as obamacare. oh,

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 from 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, was elected president. trump carried out his plan. it launched a charm offensive to get it through congress. 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, past the reform bill. mister johnson, i he had one last obstacle to hurdle the voter, 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 agree to the amendments 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 trumpet, ministration 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 that learn 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 fall 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. it is caused 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 in here with shaelyn died that amy battled with depression, her sister ellie got her back on her feet. a people that are playing eaters, a put

a lot of effort. this has 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 thought it was gonna happen. like you were just gonna stay in bed and just die with her. i wanted to at that time, i know you did, i did. 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 advair 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 in the night, it 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. miss circle companies spend far more than any other industry on lobbying, $228000000.00 in 2019 alone. a 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 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, oh, there are 3 insulin makers so they would compete and offer under cut 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 out, 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 i've 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 career. alex is 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 gonna 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 health services. i've 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 thank her enough. this is like thousands of dollars on the table right now. on facebook, i just happen to see her. she hadn't wanted to give away the money in probably 2 minutes after i jumped on it. i think i have you in a farmer lu. yeah. i was so excited. i was like chris chris, think this is what karen on. i think karen's on yeah. down. remember all of her a. he 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 that. it does feel like i'm dealing drugs like they come in with bag of insulin and we do a quick trade in. so i have people in my life right now that are giving me their extra we're doing what we have to do is arrive in ah, so and you say this statistic that 90 percent of the well the cell by 10 percent of the population and they added trillions of dollars to their network. 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, kind of life expectancy is down into mortality is up wealth, an income gap between widening to 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 qualify with die. i cried. and i just slept the whole time. i was there. no one really thought anything differently this all thought, i just didn't feel good on the way for the surgery, his lungs failed. 30 seconds when 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 the target. all of the patients were diagnosed with a lung injury associated with using electronic cigarettes or facing products. he pulled this out. he refilled. holy crap, he's gonna die. oh no, he's to be better. it was, i wouldn't want my worst enemy to every off ah matter for us. no one else seemed wrong. when all 3,

just don't hold any you? yes, to shape out. disdain becomes the attitude and engagement equals the trail. when so many find themselves worlds apart, we choose to look for common ground news. there's a lot of a lot of fear in our lives 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's like it's been just hires me out. google, you know,

i won't be able. 2 to song because no before, before, like all the inform price stuff that a behind the skyrocketing drug prices is a $3.00 headed hydro, the health insurers and a 3rd player with a pivotal but 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 pharma 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 jamara, 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, along a slab. and while we drive it to the enclosure with starting

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 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 and coming 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 really excited since the one for this. right?

mm. mm. purchasing medication in a foreign country, bringing it back to united states is illegal, but tolerated guarantee. american prescription is accepted here with pharmacy. they're ex road. mm. yeah, good, and then you turn in with a paid and are you good? how are you? i'm here to pick up for karen wafford with a log in here is here with see so for just the insulin

were a little under $700.00. okay. yeah. yeah. that sounds great. all right, so kind of round me out for the year. yeah, yeah. we do a lot with 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. it's been going through customs. do they ever like dave or really fast. they go through stuff like that on my yeah. yeah. so you can be transparent with allowed to bring in a personal supply. great. what they don't want is people bring it across to try to sell it by where i can. thank you enough. i mean, it means a world they are doing that. i really appreciative and i'm sure we'll be back.

thank you. i think he was when i think you so much this is as good day as a type one diabetic. probably have, he's 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 em tele 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 believes her daughter shaylin 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 wanted 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 shannon amy decided to sue the hospital for noncompliance with m til today she will finally find out at the district of nevada court has approved the lawsuit. ah, to change the system. wendell is continuing his political fight. ah, 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 to 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 that we need. ah,

good afternoon everyone and welcome my name is wendell porter. i have some good news. we're well on our way to medicare ah, i'm out here at the court house here in las vegas, and i guess all my friends in my bos assistance, 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. ah, as for amy, the try 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 move on to trial. we'll see him in court with barbara barbara. now karen to wants those responsible to be held to recount. she and or organization went to straight outside their offices. oh, we want you. i will wait to hear us, won't you? i lily to realize that people die every single year. every time we come now, i hear more people and i want them to know it. i

eat until the day until things change hole who keep going to the people who die and will keep one for the people that we know that type one diabetes in ourselves and everybody else who might ever be on a medication that they need to live with ah

ah ah if you want something done right, do it yourself. the acronym d i y i do it yourself, has now become the name for a new genre of online videos. and you do, coupled with martha, i need so i made herself scold a deal as no one you can have the was more or less did any more that up. so the spoke a deal, it deep will use scrap materials and won't have is at hand to rig up all kinds of stuff from household items to pump action. squid guns, furniture company for my voucher longer must be out of well,

much more poor were still. the best part is people want to watch. millions of viewers spend url is seeing how a person they've never met and who's half way round the world assembles of contraption. no one else needs to be taught trickery, arranged to fill for her, and in which could just wanted my fee. when you mine you said if you'd like user g was looking at the club, lou for future pushing for critics. we still couldn't join me every thursday on the alex silent. sure. but i'll be speaking to guess of the world of politics, sport business. i'm sure business, i'll see you then. ah

ah, taking heat out of the market. european gas prices fall after vladimir putin orders the russian energy giant gals problem to op supplies to europe also had in the program today a key figure from january's capitol hill riots who was caught on camera encouraging people to storm the building was quietly removed from the f b, i most wanted list prompting questions about his background. as the fates of julian assange is debated in the u. k. high court, the whistle blowers, supporters demand his freedom. one m e p told us it's time the government stepped. it is probably needs a political process rather than a traditional process. the politicians, the.