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 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, the 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 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, 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 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 at once. then the trumpet, 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 tac 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. oh, it is caused some people their lives, like shaylynn amy's daughter. oh. hey. did you make this for me? yeah, thank you. my name and i do homework. i'm home. you always say that, but you always have homework. yeah, i bring it back in here. you know it would. shaylin died. amy battled with depression, her sister ellie got her back on her feet. a

people that are playing eaters is a good. 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's selfish. i've already lost lynn. mallows you too. 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, i did, or did you get a i don't want them and 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 have risen 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, 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 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 pharma companies, these payments are designed to ensure the drug market remains unregulated

in right to say or 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, 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 $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 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 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, 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 hand 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 gonna 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 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'm here 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 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, survive in ah

ah, he died. i cried. i just had slept the whole time out there. no one really thought anything different, neither salt. i, 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 doctor started talking about a new wide spread disease that caused severe lung damage. there's a few points that were really the attorney all 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 the better it was. i wouldn't want my worst enemy ever go through that. it was out of breath. the british and american governments have often been accused of destroying lives in their own interests. what you see in this, these techniques, is to stay devising message to essentially destroy the personality of an individual by scientific means. this is how one doctors, theories were allegedly used in psychological warfare against prisoners deemed a danger to the state. that was the foundation for the method of psychological interrogation, psychological, tortured jace, disseminated within the u. s. intelligence community, and worldwide among allies for the next 30 years. send out,

make them say they still live with the consequences today. ah 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

you know, before, before, like all the inform price stuff that a behind the skyrocketing drug prices is a 3 headed hydro, the 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 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 mass. 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 evergreen 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, longest live in while i'm home and drive it to the cover. like 3 green starting marks,

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. i never thought 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 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 karen's american prescription is accepted here with pharmacy right there. that's road. 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. can i hear is here. see. so for just the insulin we're a little under $700.00. okay. yeah. 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. 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 i go through stuff like that on my yeah. yeah . so you can be transparent with them. you 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 need, i thank you so much. this is a 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 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. ah 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, that fuels my fire. ah,

they said a girl 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 with i'm, 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 signed a bill that gives us the 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, maybe 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 a karen to wants those responsible to be held to account. she in or organization went to deb straight outside their offices. oh, 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 it. prices go here. i wait until the day until things change. hole will keep going to the people who die and we'll keep

going for the people that we know that type one diabetes in ourselves and everybody else who might ever be on the medication that they need to live with . ah ah

ah with ah ah, if you want something done right,

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which critically still critic ah support. as of june, the songs claim washington's promised to allow him to serve his sentence that his homeland australia should not be trusted. tax as the you case, high court deliberates on whether to hand him over to the americans. high profile figures have spoken in supporting the whistleblower. be able to read the rest of your a supermarket prison in the united states. what kind of life with no crime? i've been telling the world the truth a solution to the energy crisis base and other big issues have been discussed as an economic forum and bait tendency to have verona where prominent few future shaping voices from europe and asia and getting together.