all the services that you receive could be operating room time or, or physician services or drugs. whatever will be, 1st of all charged at 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 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 been billed for. ah, the 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 by he was to under 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. he launched a charm offensive to get 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, who 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 obamacare 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 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. oh, 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? thank you. come on. i am a got your homework. i. you always say that, but you always have homework. yeah. i agree. backpacks in here. now with

shaelyn died, amy battled with depression, her sister, eli got her back on her feet. a people that are playing eaters, with 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 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 you get them? i don't want them in 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. bmw, to 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 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. pacifica. companies spend far more than any other industry on lobbying, $228000000.00 in 2019 all the can politicians alike received money from the drug industry. this practice is illegal and france, but it is part of the game of american politics. and the pharma companies,

these payments are designed to ensure the drug market remains unregulated in life. is there 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 their 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 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. ah, 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 gets as prescription drug grice is 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 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 it 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 down. that's like the main one that i take and that would cost me $500.00. so she has extreme really extremely helpful. i can't think or enough. this is like thousands of dollars on the table right now. they don't face, but it just happened to see her that she had information to give away to somebody in probably 2 minutes after surprise today. i jumped on it. i think i tag you in a farmer, lou. yeah, i was so excited. i was like chris chris,

think this is what karen gone. i think karen's on yeah. down. 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. 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 is arrive in ah

ah, he died. i cried. i just slept the whole time. i was there. no one really thought anything different. this 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. does he use that caused severe lung damage? there's a few points that were really the attorney own of the patients were diagnosed with a lung injury associated with using electronic cigarettes or vapor products. he pulled

this out. he refilled. holy crap, he's him died. oh no, he's better. it was, i wouldn't want my worst enemy every don't see that. it was out of breath with

awe western standards. so much of this nature stuff is theatrical. it's purely theatrical and they too did not fight for georgia in 2008. it under planned to fight for children. there was not the slightest consideration of fighting the georgia and schools. it didn't fight for ukraine in 2014. and there was absolutely no intention anywhere in western europe to send a single dock, short danish or german french soldier to fight in you cried, ah ah, there is a thought 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's like it's been just hired me out and completely i know i won't be able to. so because you know 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 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 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 patent, 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 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 insolent, ah, wanna live in while phone with dr. is it in 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. i never thought we would be, but yeah, it is an extreme cuz i can't really sacrifice work time to stay up and then 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 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, go down and you turn time with

a paid and are you good? how are you? i'm here to pick up for karen wafford with the log in here is here. see. so 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. so yeah, we do a lot. there's being 3 people today. now the price difference is astronomical. so yeah, we're going from $2700.00 to $700.00 for this exact amount, which is huge. mm hm. it's 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 grade. 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 to thank you so much. this is a good day as a type one diabetic and probably have it on like in france on like 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. ah 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. what fuels my fire? ah, today's the day girl, today's the day really want this badly for shalon. 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. ah. 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. but i'm in this until we see congress passed a bill and the president sign a bill that gives us the kind of health care system that we need. ah, good afternoon everyone and welcome my name is wendell. have some good news. we're well on our way to medicare. ah, i'm out here outside of the court house. here in las vegas, as 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 for 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. 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 now karen to wants those responsible to be held to account she and or organization went to demo straight

outside their offices. oh, we want eli lilly to hear us, won't you? i like to realize that people die every single year. every time we come now, i hear more people and i want them to know it. prices go. i wait until the day until things change. hole will keep going to the people who die and will keep going for the people that we know that had type one diabetes in ourselves. and everybody else who might ever be on a medication that they need with

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ah, the 2nd day, the g 20 summit draws to a closed enrollment with broad endorsement of a global corporate tax being the main achievement. now that everyone sees it, that way, we look at y plus and some of the new stories that shaped the weak you case ambulance service, warns of an unprecedented crisis ahead. as they always put on standby to help cope with coby cases and the winter flu season, we hear from a doctor on the front line. our 5700000 people on waiting list with which is probably good to get worse before it gets better. on supporters of julian assange including rock legend of roger waters, demand justice following a us extradition hearing, which is yet to de.