right now, and he, it doesn't help when he also doesn't know what his future looks like. the 1st question for a job interview. maybe not a good question is where do you see yourself in 5 years? we're asking him where he sees himself in 3 years. and he doesn't necessarily know, and i don't think that puts a lot of confidence again into any democratic party position until they actually get an answer. he comes out and says, yes, i love this country, i'm going to do it. so i think that there is a lot of confusion. are they better get behind somebody soon? robert gucci, a former journalist of the washington post on new york time is joining us live here on the international. appreciate that. thanks for the chat. thank you. and i thank you for joining us. hey, for your well news lie from moscow. it is ot international hop past the hour. now i'm making way for unit o'neill at the desk at the top of the hour for the meantime . thanks for joining ah, with

oh, the wrong one, i just don't move any new world just to save 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, 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 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, don't trump signed an executive order requiring hospitals to make their price information public a step toward transparency. but with this health care reform plan, his main priority was to undue 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 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,

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 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 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 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 i learned with you is you would have started with infrastructure at the

beginning of this year. the trauma ministration 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 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 shaylin amy's daughter. oh.

hey. did you make this for me? yeah, thank you. come on. i haven't got your homework. i'll have home, you always say that, but you always have homework. yeah. i bring it back in here. now it would. shaylin died. so amy battled with depression, her sister, eli got her back on her feet. a people that are playing eaters. a put a lot of effort that has come a long way. i just remember like i didn't know what to do. maybe found it selfish, but i've already lost lin. i lose you still, because that's what i felt like was gonna 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 you get a i don't want them. 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. now, john, 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 and the u. k. the government negotiates directly with drug companies. this is not the case in the nighted 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 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 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 can get as prescription drug price 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 gonna happen because he's going to 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. 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. i don't face, but i just happen to see her has that she had info. wanted to give away to somebody in probably 2 minutes today. i jumped on it. i think that's how you went a farmer, lou. yeah, i was so excited. i was like chris, 1st thing this is look here and on. i think it is on yeah. down. remember all of her it. he said it's all her off and 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 hey, does feel like i'm dealing drugs like they come in with a bag of insulin and we do a quick trade. mm hm. so i

have a few 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, is your media a reflection of reality? ah, in a world transformed what will make you feel safer? isolation community, are you going the right way or are you being led to somewhere? direct? what is true? what is great?

in the world corrupted, you need to descend a join us in the depths or remain in the shallows. ah ah 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 any and you know, it's like just hires me out and completely

i know i won't be able to song because noon 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. 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 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 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 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, longest lives in while phone with dr. is it being hoover

with starting to parks pharmacy 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 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. they're ex 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 a log in 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. well, 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 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't. thank you enough. i mean, it means the world they are doing 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 it 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 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 so 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 fuel 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. 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, i have some good news. we're well on our way to medicare maybe i'm out here at the courthouse 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 there for now. karen to wants those responsible to be held to account. she and 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, we want them to know it. prices go, i

wait until the day until things change whole. we'll keep going to the people who die and we'll 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 to with ah

ah ah mm hm. driven by dreamer shaped bankers, those with ah, there's things we dare to ask in

a, in with breaking news on our tea. dozens of protesters and at least 18 police officers are killed in riots raging through catholics done with the government building storm done toward the region shoot. i'd some for security forces, wage and on the terror operations. while russian peacekeepers arrive in the country to help restore order, local journalist described theme of mass. lucy, now everything is broken. the money was taking the window. smash. notary helmets are lying on the ground. there's lots of rubbish while overnight cuz that forces retook the country's largest report after it was breached. buying on.