region, the over the horizon concept really doesn't work all that well. and, and the ordinance is flowing against isis or all kinds of targets. now has to come from the gulf. it was biting who wanted to get out and the end bite. and also what against the best advice of his, of his national security team to, to, to stay there until certain conditions could be met. and your program or ton. so the top of the hour the when alex seem wrong. when all just don't the yes to see out the thing because the after an engagement will trail

when so many find themselves worlds apart, we choose to look for common ground. ah 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 charged at what's called the chargemaster 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 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, 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 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. 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. it 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 voter, 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 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 deals 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 got your homework. i'll have homework. we always say that, but you always have homework. yeah. i bring you back. text in here with shaelyn died. so amy battled with depression, her sister ellie, got her back on her feet. you're people that are playing eaters. i a work i put a lot of effort 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 thought it 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. i did, so did you get a i don't want them increasing numbers of americans are voicing their desire for a for 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 at 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 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 farm surgical 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. ah, 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 out 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 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 as are not 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, it says prescription drug crisis way down as a little bit of an extra right. it's gonna come rocketing down. just like the fox watching the hand 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 is 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 am wow. humalog. that, that's like the main one that i take, and that would cost me $500.00. so she has 6 dreamily, extremely helpful. i can't think her enough. this is like, you know, thousands of dollars on the table right now. on facebook. it just happened to see her that she had information. wanted to give away to somebody in probably 2 minutes after i dumped on it. i think that's how you went a farmer, lou. yeah, i was so excited. i was like chris chris. think this is what karen on? i think karen is on 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 the bag of insulin and we do a quick trade. mm. mm. so i have new people in my life right now that are giving me their extra we're doing what we have to do is arrive in ah oh, what else shows the wrong one? i'll just don't move any world. 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. ah, and i make no borders blind nationalities and users as a merge, we don't have a charity. we don't to look back seen needs to be ready people are judgment. 2 common crisis with we can do better, we should be doing better. every one is contributing each in their own way. but we also know that this crisis will not go on forever. the challenge is great, the response has been matched. so many good people are helping us. it makes us feel very proud that we are in it together.

ah, 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 we knew before before, like all the insulin price stuff ah,

behind the skyrocketing drug prices is a 3 headed hydro, the health insurers and a 3rd player with a pivotal but obscure roll. the pm'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? ah, 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, it's a mask, 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 ever greening by tweaking the pattern, it's able to ever green the pattern 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, longest lives in while home dr. is it to the cooper 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 incoming back. i only get a 7 vacation day. it's a little for 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 for this friday. 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. yeah. good. and then you turn german with a hey and are you good? how are you? i'm here to pick up for karen wafford with log quick pen. here is your recei. so for, for just the insulin were a little under $700.00. okay. yeah, that sounds great. all right, so kinda around me out for the year now. 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 huge. with been going through customs, do they ever like dave or like 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 rate. what they don't want is people bring it across to try to sell it exactly where i can. 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 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 i am 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. what fuels my fire. ah, today's the day karl, today's the day. i don't really want this badly for shalon. 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 health care 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 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. as for amy, the trial will be in a few months time, i can't bring. so 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 with

barbara barbara now karen to wants those responsible to be held to recount she in or organization went to 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 now, i hear more people and i want them to know what price is gonna go. i wait until today until things changed. okay. hold. we'll keep going to the people who die and where he's gone 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

ah. oh, driven by dreamer shaped by some person of those with ah, who dares sinks? we dare to ask join me every thursday on the alex salmon show, i'll be speaking to guess in the world of politics, sport, business, i'm show business. i'll see you then

with the headlines for this hour here we're not see with the fate of julian challenge, voice to be decided in the u. k. is high chord, the whistle blowers, a high profile supporters, are showing their support outside demanding his freedom. he would spend the rest of his life in a super max prison in the united states. what kind of life is that to the company that we didn't know crime? i've been telling the world the truth a solution to the energy crisis. this and other big issues have been discussed in economic for him in the italian city at verona. today. the prominent future shaving voice is from europe and asia getting together also in the program, a key figure from january's capitol hill, riots who was caught on camera encouraging people to storm the building is quietly

removed from the fbi. i most wanted list certainly prompting questions about who we .