seeing how a person they've never met and whose half way round the world assembles the contraption. no one else needs me to take up the arrange to fill for her in which could just more have my feet. when you my new cities like user id was looking at the glutton lou for future pushing which correctly still couldn't to what we've got to do is identify the threats that we have. it's crazy confrontation, let it be an arms race is on offensive. very dramatic development. only personally, i'm going to resist. i don't see how that strategy will be successful, very critical time time to sit down and talk to maximize their profits. hospitals resort to overcharging patience.

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 are 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 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 terrifying. ah. in 2019, donald trump signed an executive order requiring hospitals to make their price information public

a step toward transparency 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. was selected president. trump carried out his plan. it launched a charm offensive to get it through congress. ah, matching 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 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. 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 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 cost, some people their lives like shaylynn. amy's daughter. oh hey. did you make this for me? thank you. come on. i haven't got your homework. i'm home. you always say that but

you always have homework. yeah. i bring it back in here. no, it's with shaelyn died. so amy battled with depression, her sister ellie, got her back on her feet. a people that are playing eaters is typically a good. 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. i've already lost lynn. i lose 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 wanted to at that time, i know you did, i, did you get a i don't want them at 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 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 may be, 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 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, 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 selling 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, include eli lilly, an american farm, a giant, ah, 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. camera likes. 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 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 it. health services. i've wow. humalog that's down. that's like the main one that i take and that would cost me $500.00. so she has a 6 dreamily, extremely helpful. i can't think are enough. this is like, you know, thousands of dollars on the table right now. i just happen to see has this, you have internet to give away to somebody in probably 2 minutes today. i jumped on

it. i think i have you in a farmer, lou. yeah, i was so excited. i was like chris chris, think this is like hearing on i think i remember her id. 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 survive and to join me

every thursday on the alex silent. sure. i'll be speaking to guess with the world politics sport business. i'm sure business, i'll see you then. oh, you have to understand that so much of this nato stuff is theatrical. it's purely theatrical and they shoot did not fight for georgia in 2008. it unto planned to fight for children. there was not the slightest consideration for 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 short german french soldier to fight in you cried, ah

ah, there is a thought of a lot of fear and i'm live life is 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 we knew before before, like all the insulin price stuff ah, behind the skyrocketing drug prices is

a $3.00 headed hydra. to health insurers and a 3rd player with a pivotal but obscure roll. the pm's are 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, 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 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 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 being coover with starting to parks free 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 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 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. right. mm. with pharmacy

right there. 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 glenn. log quick to 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. 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 them. you're 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 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. 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 flip fuels. my fire, ah, today's a day girl, today's the day really want this badly for shannon 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 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.

maybe 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, 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 really to realize that people die every single year. every time we come out here more people and i, we want them to know what the price is gonna go. i wait until the day until things change we 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 the medication that they need with

ah ah ah ah

oh, driven by drill shaped banks concur. some of those with dares sinks. we dare to ask when he died. i cried. i just kind of slut the whole time out there. no one really thought anything different news is all about. i just i feel good on the

way for the surgery, his lungs failed. thirty's jackets. 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 attorney. all of the patients were diagnosed with a lung injury associated with using electronic cigarettes or vapor products. the pull this out, if you really felt holy crap, he's gonna die. oh no, he's the better it was. i wouldn't want my worst enemy to ever go through. god, it was out of breath

with ah ah, the g 20 summit wraps up in rome with broad endorsement of the global corporate tax, the main achievement, but not everyone sees it that way. we look at why orders of joint astonished including rock legend, roger waters demand justice following us expedition appeal hearing, which is yet to deliver its verdict. angry. and i'm so bad, and i'm so disgusted with the united kingdom and an anti joe biden song called let's go. brandon was deleted from youtube for containing medical misinformation. however, it was quickly climbed to the top of america's itunes hip hop chart. ah.