the operating room time or physician services or drugs, whatever will be 1st of all charged as 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 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 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 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,

that begins with immediately repealing and replacing the disaster known as obamacare. ah, prison prompt 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, was 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 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 the k, 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 at once. then the company ministration worked on a variety of other tactics to take it apart, piece by piece. ah, donald trump's side multiple deals into law, each targeting a different aspect of obamacare, you think will help you. yeah. you know, one thing i really learned i learned with you is 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 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 haven't got your homework. i'll have homework, you always say that, but you always have homework. yeah, i bring you back text in here. now it would shaylin died that amy battled with depression. her sister ellie got her back on her feet. you're i

have here are people that are playing eaters. it's a work 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, but 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. i did. so did you get a i don't want them in increasing numbers of americans are voicing their desire for her health system. i mean, one of their main demands is reduction in drug prices. over prices have risen 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, run 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 on in france and 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. 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 in france, but it is part of the game of american politics. ah, and the pharma 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, oh, 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 one tries to raise their price. you know, they'll say, oh, you know, why are we sell in this for 50 dollars? we could sell it for a 100, a vile and they do it and the other to go 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 not 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 r a 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 just 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, 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 it. this is wow. humalog that's. 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. i just happen to see her has she had info that 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 it's on. yeah. i 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 that. it does feel like i'm dealing drugs like they come in with the bag of insulin and we do a quick trade in. 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,

a diet. i cried. i just kind of split the whole time out there. no one really thought anything different is all about. i just don'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 hurting all of the patients were diagnosed with a lung injury associated with using electronic cigarettes or vapor products. he

pulled this out if you felt holy crap, he's gonna die. oh no, he's to be better. it was, i wouldn't want my worst enemy to ever go through that. it was out of breath. he was driven by dreamers shaped bankers. and those with in in there's sinks, we dare to ask ah,

for 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 that i need, you know, it's like just hires me out and completely i know i won't be able. 2 to song because you know, before, before like all the inform price stuff, a behind the skyrocketing drug prices is

a 3 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 insures 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, and 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 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 evergreen 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, longest lives in while home dr. is it to the cover like $33.00 starting pre pharmacy to get treatment? some americans have to travel abroad. for the 1st time, karen and eric have come to canada where islam 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 insulin 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. mm hm. mm. with pharmacy right

there. that's road making. yeah. good. and then you turn in german. a paid and are you good? how are you? i'm here to pick up for karen wafford with lan. humalog pen here is here with c. 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 a huge. mm. 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 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 in 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. 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. oh

amy believes 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 flip 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 non compliance 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 some 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. when it is, wendell has 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 try will be in a few months time, i can bring show it 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 and 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 out here more people and i want them to know what the price is gonna go. i wait until today until things change whole will keep going to the people who die and will keep going for the people that we know that type one diabetes and ourselves and everybody else who might ever be on the medication that they need with

ah ah, mm hm. what we've got to do is identify the threats that we have. it's crazy

confrontation, let it be an arms. race is often very dramatic. development. only personally, i'm going to resist. i don't see how that strategy will be successful, very difficult time. time to sit down and talk 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 a new genre of online videos. when you do, coupled with martha white, any, so i make herself school that he had known you never was more than any wardrobe drug for the spoke a deal if people use scrap materials and whatevers at hand to rig up all kinds of stuff from household items to pump action, squid guns,

richer 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 a contraption, no one else needs me. talk to a corporate arrange to filter for i can, which could just more have my feet. when you my new cities like you, her, your g was looking at the club, lucia future. which of which correctly still could ah, when i was sure seemed wrong when all through. just don't a whole new world. yes, to shape out disdain becomes the advocate and engagement equals the trail. when so many find themselves worlds apart,

we choose to look for common ground. ah, supporters of julian and sans claim, there's no reason to believe washington has promised that he will be allowed to serve any us sentence in his homeland australia, hats as the u. k. high court, the liberator on what had her hand him over to the americans throughout the day, high profile figures and spoken out for the whistle law. he would spend the rest of the july in a super max prison in the united states. what kind of life is that to look forward to somebody with no crime. i've been telling in the world the truth a solution to the energy crisis. this another big issues are being discussed on economic for many italians. the city of arona today prominent future shaping voices from europe on asia or getting together to brainstorm and facebook.