treatments to doctors and for patients we were joined in the studio by the host of the news with rick sanchez rick sanchez who is also the founder of a managed care company in south florida that that was recently listed as the fastest growing health care company in america by magazine and we're also joined from new york by global regulatory attorney myles edwards we kicked off the conversation by asking mr edwards how this is come.

treatments to doctors and for patients we were joined in the studio by the host of the news with rick sanchez rick sanchezwho is also the founder of a managed care company in south florida that was recently listed as the fastest growing health care company in america by magazine and we're also joined from new york by global regulatory attorney myles edwards we kicked off the conversation by asking mr edwards how this is compliant with hipaa laws. it does fit in the hipper laws and what's really interesting about this situation is the u.s. government is investigating them but it's a health and human services civil rights division which is investigating them specifically to determine whether this information will be used to make insurance determinations that is when you apply for an insurance policy will something that occurred in your background influenced that decision though in my opinion what you're building is what i call a lifestyle. index which is where they take your medical records and enter graded with all the other information google has ever collected upon you and determine whether you're a good

have a lot to get to today so joining us here in the studio is the host of the news with rick sanchez rick sanchezguy they have you here by the way he's also the founder of a managing care company in south florida that was recently listed as the fastest growing health care company in america by magazine and from new york global regulatory attorney myles edwards and miles i want to actually begin with you here because the regulatory agency looking into this deal is considering whether or not hipaa laws have been broken now we know this that the feds have required that medical records be digitized but that is not what's happening here in fact all the records that google is obtaining are already digitize so one you have the issue of the records being put into the cloud which already.

rick sanchez rick sanchez guy they have you here by the way he's also the founder of a managing care company in south florida that was recently listed as the fastest growing health care company in america by magazine and from new york global regulatory attorney myles edwards and miles i want to actually begin with you here because the regulatory agency looking into this deal is considering whether or not hipaa laws have been broken now we know this that the feds have required that medical records be digitized but that is not what's happening here in fact all the records that google is obtaining are already digitized so one you have the issue of the records being put into the cloud which already puts them at risk of hacking exposure but to google is collecting these records to build future business products how does that fit into hipaa laws. well it does fit in the hipper laws and what's really interesting about this situation is the u.s. government is investigating them but it's a health and human services civil rights division which is investigating them specifically to determine whether this information will be used to make insurance to terminations that is when you apply for an insurance policy will something that occurred in your background influence that decision now in my opinion what they're building is what i call a life style index which is where they take your medical records and integrate it with all the other information google has ever collected upon you and determine whether you're a good insurance risk or not which is really going beyond what that information was meant for so not only is there a civil rights component to it but there's also a question of did it violate hipaa i say yes no one knew about this situation this project nightingale until a whistleblower within the project basically went ahead and dumped this information on dailymotion and so what happened is there was no information that individual's records were being used in this manner no consent which while 8 separate and i would also say that the way that the information was used and stored and the security protocols around it certainly did not meet him yet that was the question is going to follow up with what we know right but the big question has to be whether or not consent plays a role here exactly so right that's the other big issue here and that's the other issue of a company like a google having access to so many records and connected social media health care history but now it's all of these patients so are we looking at a potential future where insurance companies can access and these data and analytics and determine whether or not people can get coverage are denied claims well let's try and make this a simple as we can for everybody who's trying to understand what is incumbent upon us as a doctor or a provider when it comes to medical. that's the data that we collect from the patients yes doctors or doctors offices are allowed to share certain data but according to the 1996 law which established how that information is shared it has to be for a medical function in other words christie you go to see your doctor she gives you a referral to see another doctor and then your doctor sends your data your file over to that doctor because there's a reason for them to have that i see no reason in the world where someone would be able to use that dict of that information from that law to then say well we're going to share with google which has nothing the hell to do with medicine so that's the real problem here this information is sacrosanct and it's being shared with a company which shares and collects data but then legally alive they are structured as a business us here thanks and its stock has a business associate to google that technology provider that is assisting doctors with their information so they're an independent party thought that is a claim that there are you know and i get that but the point is and i think that you make a valid point there the point is this 96 law the way it's structured say just because they're your business partner doesn't mean you have the right to share information they have to be a business partner that then allows you to share because there's a specific medical function that's going to be served for the patient not for the business for the patient and i think miles will probably agree with me that seems to be what's missing here well and then miles to that point i mean isn't the part of the issue here the fact that we're looking at google not just delving into this part of health care that they're in right now right but they're developing a i with this and i don't want this to be missed in this discussion because the ai component of it goes far beyond just collecting and processing information they're actually building a new business model a new business tools of the future right. here's the question is with this a i do we get to the point in the future where there there are machine learning that's telling doctors what they can and cannot do let's say the doctor doesn't follow that and now health insurance companies say we don't have to pay on that claim because you didn't follow what the machines told you to do. is that were absolutely absolutely there is not enough health care professionals to cover the medical needs in the united states in fact health information data doubles every 73 days and you're going to use a to do diagnostic you're going to do this to develop tools to help doctors absolutely but what's going to drive it is this information this lifestyle index and it's going to determine who gets treatment who doesn't get treatment who gets insurance and who doesn't get insurance and this is what the frightening point about it is not only do i believe that google has violated heppell but they probably filed late several state privacy laws as well you know by going ahead with project nightingale and you know can i can i say something here that sometimes gets lost and in this discussion the expectation of privacy that a patient has when he goes to a doctor is at a premium is so important the reason i would go to see my doctor and tell him something very private about myself that i wouldn't even want my family to know about me is because i have an expectation that that information is never going to get out the damage that we do to the patient and to our medical system if we allow this type of thing to happen is unbelievable in terms of what it could do down the line because it would mean that in the future i may not want to go to my doctor i'm going to get on a plane and go to mexico the next time i need a checkup because you don't have that connection and then lastly and i know we're short on time here but something miles said about state regulatory laws and rick i want to ask about this right you know illinois has this biometric law that essentially everyone is getting sued for a video dr pepper we were everyone sued under this thing because they don't get consent no one gave consent for this it's been going on for over a year and there's been no consent how do you do you get around the miles will tell you and most practices if you're a provider even if you just have let's say somebody working answering phones for exam. that person has to be checked out to make sure that they're not accidentally sharing information even if it's just well this stuff so i mean most doctors go through this very rigorous process to make sure something like this doesn't happen and they usually get fined $4000.00 for one violation we're talking about $10000000.00 people here where their data was already filed with right will this is a major violation i can't see it any other way and miles i think then just very quickly go ahead. yeah and i just want to say there's

rick sanchez rick sanchez who is also the founder of a managed care company and south florida that was recently listed as the fastest growing health care company in america by magazine and we're also joined from new york by global regulatory attorney myles edwards we kicked off the conversation by asking mr edwards how this is compliant with hipaa laws. as does fit in the hip or laws and what's really interesting about the situation is the u.s. government is investigating them but it's a health and human services civil rights division which is investigating them specifically to determine whether this information will be used to make insurance to terminations that is when you apply for an insurance policy will something that occurred in your background influence that decision though in my opinion what you're building is what i call a life style index which is where they take your medical records and integrate it with all the other information google has ever collected upon you and determine whether you're a good insurance risk or not which is really going beyond what that information was meant for so not only is there a civil rights component to it but there's also a question of did it violate hipaa i say yes no one knew about this situation this project nightingale. well until a whistle blower within the project basically went ahead and dumped this information on dailymotion and so what happened is there was no information that individual's records were being used in this manner no consent which violates hipaa and i would also say that the way that the information was used and stored and the security protocols around it certainly did not meet him yet that was the question is going to follow up with what we know to rebut the big question has to be whether or not consent plays a role here exactly so rick that's the other big issue here and that's the other issue of a company like a google having access to so many records and connected social media health care history fitness of these patients so are we looking at a potential future where insurance companies can access and these data and analytics and determine whether or not people can get coverage or are denied claims well let's try and make this a simple as we can for everybody who's trying to understand what is incumbent upon us as a doctor or a provider when it comes to medical records that's the data that we collect from the patients yes doctors or doctors offices are allowed to share certain data but according to the 1996 law which established how that information is shared it has to be for a medical function in other words christie you go to see your doctor she gives you a referral to see another doctor and then your doctor send your data your file over to that doctor because there's a reason for them to have that i see no reas

rick sanchez host of the news that rick sanchez and dr john dombrowski are both on here to measure health care costs around the world we have a jeff beck show today so let's get right to it. singapore and the european union announced a free trade agreement between the 2 countries that will take effect later this month a trade deal has been in the works for almost a decade and it's scheduled to take effect on november 21st singapore will remove all tariffs on the products that are entering the country while the e.u. will remove tariffs on 84 percent of all singapore products that are entering the e.u. within the 1st year and how the the additional 16 percent will be removed over a 3 to 5 year period singapore is the e.u.'s largest trading partner in asia southeast region with a total of bilateral trade of over $58000000.00 in goods and just over $56000000.00 worth of trade in services and the agreement includes sections on renewable energy investments e-commerce and even intellectual property theft president of the european commission john carr juncker said this is the european union's 1st bilateral trade agreement with a south east asian country a building block towards a closer relationship between europe and one of the most dynamic regions in the world while european commissioner for trade cecilia on strong said our trade agreement with singapore provides further evidence of our commitment to fair and rules based trade the agreement will benefit workers farmers and companies of all sizes both here and in singapore. opinions competition commissioner margaret vest a juror wants to take a deeper look at apple pay use top regulator previously had sent out a questionnaire to merchants asking if they had been told to use apple pay instead of competing payment services on thursday bester spoke about the situation at the web summit tech conference in lisbon portugal saying we've been asking quite a number of questions because we get many many concerns when it comes to apple pay for peer competition reasons people see it it becomes increasingly difficult to compete in the market for easy payments last year best of her told reuters she would be open to investigating the tech giant's payment service if someone lodged a formal complaint now joining us now to discuss this and other regulatory concerns mispresent are brought up in lisbon is international regulatory attorney miles edwards thanks for being here for us thank you now miles what are the regulatory concerns that we're seeing specifically around apple pay with the e.u. she didn't mention the specific issues besides a little bit anticompetitive nature. sure so these are issues that were brought up originally by the danish consumer council and primarily there and i trust issues so pais platform in europe is you know only a platform that has the capability of what they call an f c which is the capability to do in-store payments and why that's extraordinarily important it means that we chat pay and samsung pay cannot work on i phones what's extraordinarily troubling as well is that the way that apple pay works on apple phones it's the default payment system which means that it blocks out all other payment systems and it makes it extraordinarily anti-competitive and those are the concerns of concern so you should be able to use whatever payment system you want on your i phone now another item that has come up also regarding apple pay is the e.u. is currently investigating apple pay regarding spotify spotify is claiming that 35 percent of its subscription revenues are going directly to apple and they feel that that's extraordinarily anti-competitive well and vested or has been exceptionally harsh on some of these american tech companies but in lisbon she's she has says that she sees no limits to how ai can support what we do as humans now doesn't the advent of ai just strengthen the position of these tech giants like google amazon apple and even facebook. well it does to a degree but i mean there's a really a myriad of european union regulations including for example the g.d.p. are which places extraordinarily rich high restrictions on a and so what she's saying is which is extraordinarily interesting is that she's not opposed to ai itself but she is opposed to anything that would. impinge upon privacy or security and she really wants to go out and regulate data and the use of data much more now she's also under sort of a regulatory mandate from the e.u. to impose ethical guidelines on social media platforms. based basically within a 100 days and so she wants to keep. she wants to keep the social media platforms running but she also has to find a reasonable regulatory framework in which this can all operate effectively well i just feel like and i feel like miles on the ai point that you know when we talk about this as and merging technology what we're looking at here though is that this is learning and it's grabbing all of our data and aggregating that into making them be able to sell more to us and things like that so i mean i understand what you're saying but does that still become a huge problem for them. it becomes an extraordinary lead large problem for them and if they want to expand in other areas it's all about data and so now we have a situation as i mentioned almost a year ago on this program regarding the g.d.p. are in the right to be forgotten and the european union and companies are still struggling with that currently we have the c c.p.a. which is a california privacy law which is what i call g.d.p. or light which is going to become effective in the united states and in 2020 so there's a myriad of concerns about it and i think what she's saying is there has to be a way that i can work but it's going to have to work within you know certain regulatory guidelines and those guidelines can't kill it but still provide it to be you know extraordinarily entrepreneurial but on the other hand it can't be at i competitive or anything that would look like it's involved in antitrust law like you mentioned she's not completely against these technologies but she has no doubt billions of dollars in fines to some of these tech companies like google and facebook and says it again she's not completely against them so what do you really making of her position on this and how do you think these tech giants are going to move forward with that. well i think what they're going to have to do is they're going to have to find a way to really and run to and what i mean by that is they should be looking right now at creating their own ethical guidelines which they can provide to the european union and i mentioned this before on this program that i think the best way for them to do it is to form some sort of self regulatory organisation or an association that can be adopted in the european union where they can basically manage themselves promote their own ethical guidelines that would help her out you know extraordinarily well but when we go back and we look at the fines of fines in a lot of ways we're completely justified. as these social media giants were doing things that really impacted upon individual and personal freedom and privacy and even some of the right are already doing it i think all things so having somebody to see these these an article guidelines what probably helped just a little bit all that was international regulatory attorney miles outwards thank you so much for your time thank you. the international monetary fund says it's ready to start conversations with argentina's president elect alberto fernandez regarding the future of a contentious $57000000000.00 loan from the organization i.m.f. spokesman jerry rice spoke about their readiness to engage in washington on thursday the managing director chris communiqué were given congratulated. president elect for an end this on his election and reiterated the funds readiness to engage with them mr fernandez and his administration to help argentina address the important challenges facing the economy there and to pave the way for inclusive and sustainable growth. mr fernandez who defeated president murray c.e.o. mark cree in october made renegotiating the i.m.f. loan a key player in his campaign the president elect spoke about the situation in an interview with congress on korea on r.t. spanish this week. everyone knows that the interim are still monetary fund is arm accomplice to what happened everyone knows that european leaders who moment complained about loans granted by the are and have you know that everyone knows that i firmly believe that we will negotiate properly and we must told the truth because good work is to pay off the debt and not to a very do it at this time no meeting between fernandez and the i.m.f. has been scheduled. the mall works in russia is up this week on the heels of a milestone for the end access the exchange cross the 3000 mark for the 1st time ever according to an analyst despite the sub par performance of stock markets in the country russia and i quote days are among the best performing in the world now moving to asia we start in japan as the nikkei index actually is up on the week following optimism in the united states the end of a fresh one year high at friday's open on the easing of trade tensions now moving over to china the shanghai index was hovering barely up on the week on friday afternoon despite sloping downward in the final hours of trading now this comes after the end ex-pro $3000.00 mark on tuesday on the hopes for a trade resolution and looking elsewhere in east asia the hong saying in hong kong finished up on the week as well so according to bloomberg stocks are rallying at their strongest level this wasn't the protest began several months ago earlier this summer but reports on the end x. also cited some trade optimism as a reason for the surge now moving over to india the sense that the index was hovering slightly up on friday afternoon for the week this was despite a steep drop in trading on friday the cause for this drop seems to be from a moody's report that downgraded their outlook of the indian economy from state. this was according to the times of india how do you down under to australia the a.s.x. is up for the week this has been driven thanks in part to several stocks that are were rallying later in the week now one stock of no on the index their payment service this is up a whole 17 percent following a partnership with amazon in the nation then heading over to south africa the all shares also up on the week following a surge early in trading on monday now let's turn things over to pratt for a look at europe and the americas thank you sarah we kick things off in france at the cac index where things have been steadily climbing this week and finished up on friday it finished the week on a bit of a down note despite charging following those trade talks that you'll see as a common theme overall during this market report then over in germany the dax is also up over $200.00 points since monday which according to analysts jumped close to a 2 year highs following tariff hopes and now let's hop across the channel to the united kingdom where the let's see actually finished up as well on the week and guess what the reason was u.s. china trade talks looking very positive mirroring several other indexes the footsie cooled in the final 2 days of the trading this week but still managed to finish in the green then we hop across the atlantic to brazil for the best but you know it's been holding just above the threshold to stay in a positive territory for the week after a roller coaster cycle and the week was boosted by a positive trade hopes but it also took a bit of a beating following the bust of the nation's oil auctions now we're going to move north to north america where mexico where the bingo was up for the week it began on monday with a dip to start off however rallied on the hopes of a trade resolution then heading up north to the u.s. we actually have a bit of a mixed picture this week the new york stock exchange is up on the week barely green surging on thursday of course positive trade hopes but sloped late thursday and friday morning before maintaining a slight gains this afternoon. the s. and p. is also trading up this week slightly on friday afternoon barely squeaked past the monday opening after a cool down later in the week and finally we have approached our 1st red arrow of the week you'd see right there it's in the tech heavy nasdaq exchange now as of friday afternoon it was just barely in the red and this comes after hitting a record close early this week finally we had to the great white north where the ts exit stage finished the week up on guess what trade optimism overall it's been a solid week for global stocks so don't worry about that that has been your weekly global stock market report. time now for a quick break but hang here because when we return health care continues to be one of the main concerns among citizens in both the u.s. and abroad but how does each nation stack up later today ricksanchez host of the news with rick sanchez and dr john dombrowski are both on hand to measure health care costs around the world hasn't got a break here are the numbers at the close. nobody wants to look at the wildfires and say the obvious number one the taxes are being misused they're not being adequately distributed to where they are needed on the infrastructure side because there's a government failure number 2 climate change regardless of whether you believe it's happening or not the damage that is going to be applied to your pocketbook that you will pay for climate change whether you believe it or not you know it's still the price is still there. to my hardest to a dashboard. but if it's. not a late bloomer we keep. missing. something telling officiality make us tell. the sun could 1. 100 a bunch from. the uk include the whole thing. but was unable to put this in. them. at all just so you don't know many of the young they have. too much smoke the soup . to sing on. the to. quit c

and abroad but how does each nation stack up later today rick sanchez host of the news that rick sanchez and dr john dombrowski are both on hand to measure health care cost around the world we have a jam packed show today so let's get right to it. singapore and the european union announced a free trade agreement between the 2 countries that will take effect later this month a trade deal has been in the works for almost a decade and it's god's will to take effect on november 21st singapore will remove all tariffs on the products that are entering the country while the e.u. will remove tariffs on 84 percent of all singapore products that are entering the e.u. within the 1st year and how the the additional 16 percent will be removed over a $3.00 to $5.00. your period singapore is the e.u.'s largest trading partner in asia southeast region with a total of bilateral trade of over $58000000.00 in goods and just over $56000000.00 worth of trade in services and the agreement includes sections on renewable energy investments e-commerce and even intellectual property theft president of the europea

and abroad but how does each nation stack up later today rick sanchez host of the news with rick sanchez and dr john dombrowski are both on here to measure health care cost around the world we have a jam packed show today so let's get right to it. singapore and the european union announced a free trade agreement between the 2 countries that will take effect later this month a trade deal has been in the works for almost a decade and it's god's will to take effect on november 21st singapore will remove all tariffs on the products that are entering the country while the e.u. will remove tariffs on $84.00 per.

rick sanchez host of the news with rick sanchez and dr john dombrowski are both on hand to measure health care costs around the world as we go to break here are the numbers at the close. in my iphone or have a 1000 times the capability of the of the computers and we had on board the space for the top were mean it's ridiculous that in my back pocket i have much much more capability than we had in the hood and the entire apollo program. you mentioned again this is 35 he ever but a career and include involves using your arsenal in your computer and things like that in an office. perhaps you sort of getting from that circular to going to have to stop doing all this and this is tell you lou the minutes before. my world became smaller and smaller and smaller until i ended up living it in a box. or out of a very strong magnetic field on a cart held in my head. it's like a real hard pressure on my skin burns and that wireless access point out there just continues on with our students in the school it's. just continually our citizens in this microwave radiation it is certainly electoral small and skilling. chinese e-commerce is preparing to launch a hong kong share that's offering to raise as much as $15000000000.00 later this month now 2 sources familiar with the matter told reuters the company plans to seek approval from hong kong's listing committee just next week next thursday that is according to deal logic data if the transaction is approved this would be the world's largest cross border secondary listing the chinese e-commerce giant currently holds the record for the biggest initial public offering for its $25000000000.00 flow in new york this is back in 2014 ali baba which started singles day in 2009 sold $30800000000.00 worth of goods on that day of november 11th now let's compare that that's 3 times as large as cyber monday is deal that analysts are paying that will be approximately $10000000000.00 and last week ali baba posted stronger than expected 2nd quarter sales those rose 40 percent from last year to just over $16650000000.00 had been working on an august listing in hong kong but those plans were actually put on hold amid the anti-government protests that created this financial uncertainty in the region. german industrial titan thiessen corruptness take bids from buyers to purchase its lucrative elevator business in a deal worth upwards of $20000000000.00 group's made up of private equity firms as well as some of the company's competitors are looking to get in the bidding process these increases elevator business offers a constant stream of revenue from the servicing and maintenance of the equipment a group of activists investors are pushing for the sale of the elevator portion of the business due to the 2 track process the company has been on since september according to sources close to the company at the same crap c.e.o. martinez mare's is open to the full sale of the elevator portion of the business. there's a lot of talk these days about magic care for all or even whether the government should be involved in the business of health care here in the united states it's become a linchpin for some candidates in the democratic primaries there are some heated arguments being made on all sides so today we're bringing in one of our colleagues host of the news with rick sanchez who also happens to have a lot of experience in the health care industry now aside from his duties here rick is the founder of a managing care company in south florida that was actually recently listed as the fastest growing health care company in america by inc magazine now also joined by one of the most prestigious pain specialist here in the washington d.c. area and founder of the washington pain center dr john dombrowski gentlemen thank you think we're we're excited to dive right into this now explains explain what is medicare why is it so important does it actually save money is it too expensive we're hearing both sides i'm a proponent of it i believe that managed care which is essentially what that even is is a good way for essentially the government alongside the private sector to provide health care for people in such a way so that you keep them healthy and incentivize doctors to create preventative medicine which in the end is really important and i'll just give you o

rick sanchez host of the news with rick sanchez and dr john dombrowski are both on hand to measure health care costs around the world as we go to break here are the numbers at the close. join me every so straight on the all excited i'm sure i'll be speaking to get us to the world of politics this list i'm sure both of those i'll see you then. nobody wants to look at the wildfires and say the obvious number one the taxes are being misused and they're not being adequately distributed to where they are needed on the infrastructure side because there's a government failure number 2 climate change regardless of whether you believe it's happening or not the damage that is going to be applied to your pocketbook that you will pay for climate change whether you believe it or not you know it's still the price is still there. just to my hardest to i dashboards to continue. dhanush optimism of. optimism and to be watching as you. were. going to write louis key. senators. the sake of nature because he must. make us tell. his son and clung to my mother 100 neighbors who. says. it's. the monkey so move the whole thing. but isn't what the cut is in those days you just said come. and see. it all you know so you don't get all still many of those young. guy so much smoke the soup gets used still so not to sing on. such. small seemed wrong when all the words just don't hold. any beliefs yet to shape our disdain to educate and in. equal to trail. when so many find themselves worlds apart. choose to look for common ground. chinese e-commerce is preparing to launch a hong kong share that's offering to raise as much as $15000000000.00 later this month now 2 sources familiar with the matter told reuters the company plans to seek approval from hong kong's listing committee just next week next thursday that is according to deal logic data if the transaction is approved this would be the world's largest cross border secondary listing the chinese e-commerce giant currently holds the record for the biggest initial public offering for its $25000000000.00 flow in new york this was back in 2014 ali baba which started singles day in 2009 sold $30800000000.00 worth of goods on that day of november 11th now let's compare that that's 3 times as large as cyber monday is deal that analysts are paying that will be approximately $10000000000.00 and last week ali baba posted stronger than expected 2nd quarter sales those rose 40 percent from last year to just over $16650000000.00 had been working on an august listing in hong kong but those plans were actually put on hold amid the anti-government protests that created this financial uncertainty in the region. german industrial titan thiessen krupp is taking a bid from buyers to purchase its lucrative elevator business in a deal worth upwards of $20000000000.00 group's made up of private equity firms as well as some of the company's competitors are looking to get in the bidding process these incomes elevator business offers a constant stream of revenue from the servicing and maintenance of the equipment a group of activists investors are pushing for the sale of the elevator portion of the business due to the 2 truck process the company has been on since september according to sources close to the company at the same corrupt c.e.o. martinez mare's is open to the full sale of the elevator portion of the business. there's a lot of talk these days about magic care for all or even whether the government should be involved in the business of health care here in the united states it's become a linchpin for some candidates in the democratic primaries there are some heated arguments being made on all sides so today we're bringing in one of our colleagues host of the news with rick sanchez who also happens to have a lot of experience in the health care industry now aside from his duties here rick is the founder of a managing care company in south florida that was actually recently listed as the fastest growing health care company in america by inc magazine now also joined by one of the most prestigious pain specialist here in the washington d.c. area and founder of the washington pain center dr john dombrowski gentlemen thank you think we're excited to dive right into this now explains explain what is medicare why is it so important does it actually save money is it too expensive we're hearing both sides i'm a proponent of it i believe that managed care which is essentially what that even is is a good way for essentially the government alongside the private sector to provide health care for people in such a way so that you keep them healthy and incentivize doctors to create preventative medicine which in the end is really important and i'll just give you one sta