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  • >> THANK YOU ALL FOR JOINING US

  • THIS AFTERNOON FOR "NOW THIS" IN

  • A CONVERSATION WITH PRESIDENTIAL

  • CANDIDATE ANDREW YANG FRESH OFF

  • THE POLK COUNTY STEAK FRY STAGE,

  • I AM SUE DINSDALE THE EXECUTIVE

  • DIRECTOR OF IOWA CITIZEN ACTION

  • NETWORK AND WE HAVE BEEN WORKING

  • WITH THE MAIN STREET ALLIANCE

  • FOR ABOUT THE LAST 11 YEARS.

  • AND IT'S SO PERFECT THAT WE ARE

  • HAVING IT HERE IN THIS SPOT.

  • BECAUSE ONE DAY WHEN I WAS

  • STARTING TO ORGANIZE AND FIND

  • SMALL BUSINESS OWNERS AND WE

  • WERE ORGANIZING AROUND

  • HEALTHCARE, I WALKED BY A LITTLE

  • SHOP ABOUT A BLOCK AWAY AND

  • THERE WAS A T-SHIRT IN THE

  • WINDOW THAT SAID AMERICA.

  • ONLY THE INSURED SURVIVE.

  • SO I WENT IN AND VISITED WITH

  • THE OWNER, MIKE DRAPER.

  • AND ENDED UP FACILITATING A TRIP

  • FOR HIM TO D.C. TO TESTIFY

  • BEFORE CONGRESS.

  • >> GOOD FOR YOU.

  • >> ABOUT THE IMPORTANCE OF

  • HEALTHCARE FOR SMALL BUSINESS

  • OWNERS.

  • SO THAT IS THE FOCUS OF OUR

  • CONVERSATION TODAY.

  • WE MIT HIT ON A FEW OTHER TOPICS

  • TOOK BUT WE'LL START WITH SOME

  • HEALTHCARE QUESTIONS.

  • >> THAT'S AN EXPERIENCE I CAN

  • RELATE TO VERY DIRECTLY.

  • I RAN A SMALL BUSINESS AND

  • HEALTHCARE WAS ONE OUR BIGGEST

  • EXPENSES.

  • THE WORST PART ABOUT IF IS ALL

  • OF THE INCENTIVES ATTACHED TO IT

  • WERE VERY MUCH THE OPPOSITE WHAT

  • WHAT YOU WOULD WANTS.

  • WHERE IF YOU TIRED SOMEONE YOU

  • HAD TO FACTOR IN HEALTHCARE

  • EXPENSES.

  • IF YOU HAD TO CONSIDER WHETHER

  • SOMEONE WAS A FULL-TIME EMPLOYEE

  • OR A CONTRACTOR, ALL OF A SUDDEN

  • WHEN THEY TURNED TO FULL-TIME

  • EMPLOYEE THEIR HEALTHCARE

  • EXPENSES WOULD BE MUCH, MUCH

  • HIGHER.

  • WHICH IS THE OPPOSITE OF WHAT

  • YOU WANT YOU WOULD LIKE TO

  • ENCOURAGE A BUSINESSLIKE MINE TO

  • HIGHER PEOPLE.

  • AND THE PRICES ONLY WENT IN ONE

  • DIRECTION, EVER.

  • YOU NEVER GET GOOD NEWS.

  • GOOD NEWS YOUR HEALTH INSURANCE

  • IS CHEAPER.

  • WHY HAVE WE NEVER ACTUALLY HEARD

  • THAT?

  • AND PERHAPS THE WORST PART, WAS

  • THAT YOU HAD TO HAVE PERIODIC

  • REALLY DIFFICULT CONVERSATIONS

  • WITH YOUR STAFF.

  • >> RIGHT.

  • >> BECAUSE YOU ARE LIKE, HEY,

  • GUYS, INSURANCE COSTS WENT UP

  • AGAIN, SO WE ARE GOING TO COVER

  • THIS, BUT WE WANT LIKE YOU TO

  • COVER THIS.

  • AND LIKE, YOU KNOW, SO THAT

  • STINKS.

  • AND THEN WHEN WE HAD TO ACTUALLY

  • CHANGE COVERAGE, THEN IT BECAME

  • THIS MASSIVE PROCESS BECAUSE

  • PEOPLE OBVIOUSLY HAVE VERY

  • STRONG FEELINGS ABOUT THEIR

  • HEALTHCARE COVERAGE.

  • AND THERE WAS A BIG PART OF ME

  • THAT JUST THOUGHT HOW RIDICULOUS

  • IS THIS?

  • LIKE I AM RUNNING A BUSINESS, IN

  • MY CASE IT WAS AN EDUCATION

  • BUSINESS, I SHOULD NOT BE LIKE

  • GIVING MYSELF BRAIN DAMAGE

  • TRYING TO FIGURE OUT ALL THESE

  • INSURANCE PLANS.

  • AND I SHOULD NOT BE HAVING THESE

  • CONVERSATIONS WITH MY WORKERS

  • THAT END UP BEING VERY PERSONAL.

  • SOME OF THEM HAVE HEALTH

  • SITUATIONS SOME HAVE FAMILY

  • MEMBERS, SOME ARE FAMILY

  • PLANNING MODE, ET CETERA, ET

  • CETERA.

  • AND I THOUGHT TO MYSELF, THIS

  • ENTIRE SET OF OBLIGATIONS

  • FALLING ON EMPLOYER THIS IS WAY

  • IS NOT WHAT WE SHOULD WANT AS A

  • COUNTRY.

  • BECAUSE WE SHOULD BE ENCOURAGING

  • BUSINESSES TO HIRE PEOPLE RIGHT

  • AND LEFT.

  • >> EXACT.

  • >> I TO TREAT THEM WELL, TO GIVE

  • THEM BENEFITS, WE SHOULD BE

  • ENCOURAGING PEOPLE TO CHANGE

  • JOBS AND START NEW BUSINESS FIST

  • THAT'S WHAT THEY WANT.

  • RIGHT NOW OUR HEALTH INSURANCE

  • SYSTEM KEEPS PEOPLE LOCKED IN

  • PLACE THERE IS A TECHNICAL

  • ECONOMIC TOMORROW FOR IT.

  • IT'S CALLED JOB LOCK.

  • THERE ARE MILLIONS OF AMERICANS

  • IN JOB LOCK RIGHT NOW.

  • WHERE THEY ARE ON THE FENCE TOO

  • FAST WHETHER THIS IS WHAT THEY

  • SHOULD BE DOING, BUT THEN THEY

  • THINK, WELL, I CAN'T LEAVE

  • BECAUSE OF MY HEALTHCARE.

  • HOW MANY OF YOU KNOW SOMEONE IN

  • THAT SITUATION OR YOURSELF?

  • WE ALL DO.

  • I AM ALL FOR PEOPLE STAYING PUT

  • IN THAT'S WHERE THEY BELONG.

  • BUT I'M NOT FOR PEOPLE STAYING

  • PUT BECAUSE STILL LIKE THEY WERE

  • NO CHOICE.

  • ECONOMY WIDE AND SOCIETY AT THIS

  • WIDE DYNAMISM IS A POSITIVE

  • THING.

  • PEOPLE STARTING NEW BUSINESS IS

  • HIS INCREDIBLY POSITIVE THING

  • AND I AM 100 PERCENT SURE THAT

  • OUR HEALTHCARE COSTS RIGHT NOW

  • ARE STIFLING PEOPLE FROM

  • STARTING BUSINESSES IN MANY

  • CONTEXT HERE AND IOWA.

  • >> AND WE DO FIND THAT WHEN WE

  • TALK TO SMALL BUSINESS OWNERS

  • AROUND THE STATE, IT'S A BIG

  • ISSUE.

  • IT'S THE BIGGEST ISSUE FOR THEM.

  • >> IT'S ONE OF THE THINGS THAT

  • KEEPS PEOPLE FROM TAKING A RISK

  • AND STARTING IS A BUSINESS.

  • AN SOMEONE WHO HAS DONE THAT

  • IT'S REALLY DIFFICULT.

  • THE LAST THING YOU WANT TO DO IS

  • ADD IN ANOTHER FACTOR OF

  • DIFFICULTY AND COST AND ANXIETY

  • AND I FRANKLY EVERYBODY

  • RELATIONSHIP STRESS.

  • WHERE IF YOU ARE A PERSON WHO --

  • LIKE I AM MARRIED AND HAVE TWO

  • KIDS, IF YOU DECIDE TO MAKE THAT

  • CHANGE, THAT'S NOT JUST YOU YOU

  • HAVE TO TURN TO YOUR FAMILY AND

  • PARTNER, SAYING HEY, I WANT TO

  • START THIS BUSINESS BUT WE RELY

  • UPON MY JOB FOR HEALTHCARE

  • COVERAGE, SO HOW ABOUT WE CUT

  • BACK ON THAT.

  • OR HOW ABOUT WE FIND SOME OTHER

  • WAY.

  • THESE CONVERSATIONS HAPPEN EVERY

  • DAY.

  • IMAGINE IF IT WAS A DIFFERENT

  • CONVERSATION HEY, I WANT TO

  • START THIS BUSINESS AND

  • HEALTHCARE WAS PROVIDED BY OUR

  • GOVERNMENT.

  • IN THE PUBLIC SECTOR AND YOU

  • WOULD GET RID OF THIS GIANT

  • OBSTACLE.

  • RIGHT NOW, ONE OF THE -- THERE

  • ARE SO MANY STATISTICS IN

  • AMERICA THAT ARE TO ME VERY,

  • VERY DISCOURAGING.

  • BUT ONE OF THEM IS THAT THE

  • RATES OF BUSINESS FORMATION AND

  • ENTREPRENEURSHIP ARE AT

  • MULTI-DECK EIGHT LOWS IN THE

  • COUNTRY.

  • SO WE TALK ABOUT AMERICA AS A

  • HOME OF ENTREPRENEURSHIP, BUT WE

  • ARE MAKING IT MUCH, MUCH HARDER

  • FOR PEOPLE TO ACTUALLY START

  • BUSINESSES AND THIS IS DOUBLY

  • TRUE FOR YOUNG PEOPLE.

  • IF YOU LOOK AT BUSINESS

  • FORMATION RATES FOR YOUNGER

  • AMERICANS, THEY ARE ALSO AT ALL

  • TIME OR HISTORIC LOWS AND

  • SOMETHING THAT WE HAVE TO TURN

  • AROUND.

  • >> VERY GOOD.

  • WELL, WE HAVE A GREAT GROUP OF

  • PEOPLE HERE AND I KNOW THEY HAVE

  • LOTS OF QUESTIONS FOR YOU.

  • SO WOULD YOU LIKE TO START.

  • >> YEAH.

  • I AM KYLIE ROSE A STUDENT AT

  • DRAKE UNIVERSITY.

  • AND IT'S MY SENIOR YEAR, AND

  • SOMETHING THAT I JUST NOTICED AS

  • A YOUNG WOMAN IS THAT THERE IS

  • NOT A LOT OF ACCESS TO BASIC

  • CONTRACEPTIVE CARE, ESPECIALLY

  • IN LOW-INCOME COMMUNITIES.

  • MY QUESTION FOR YOU IS HOW AS

  • PRESIDENT WOULD YOU MAKE BASIC

  • CONTRACEPTION MORE AVAILABLE?

  • >> I AM IN MEDICARE FOR ALL CAMP

  • THAT WE NEED A QUALITY PUBLIC

  • OPTION.

  • AND IF YOU HAD A PUBLIC OPTION,

  • I AM NOT IN THE CAMP THAT YOU

  • SHOULD GET RID OF ALL PRIVATE

  • INSURERS IMMEDIATELY.

  • THE GOAL OF THE PUBLIC OPTION

  • SHOULD BE TO DEMONSTRATE IT'S A

  • SUPERIOR OPTION TO WHAT ELSE IS

  • OUT THERE BASED ON COST AND

  • COVERAGE AND EFFICACY.

  • BUT IF YOU HAD A PUBLIC OPTION,

  • ONE OF THE FIRST THINGS THAT YOU

  • WOULD BE DOING IS MAKING BASIC

  • CON EXTRA ACCEPT TIFF CARE

  • AVAILABLE TO ANYONE WHO WANTS

  • IT.

  • AND I SAY THIS WITH 100 PERCENT

  • QUALITY CONTRA SEVEN TIFF CONTRA

  • YOU ARE HELPING WOMEN MAKE PLANS

  • ABOUT THEIR PROFESSIONAL LIVES

  • AND CAREERS AND THAT ACTUALLY

  • ADDS A LOT TO YOUR ECONOMIC

  • PRODUCTIVITY.

  • WOMEN ARE IN MY MIND THE

  • GREATEST UNDER APPRECIATED AND

  • UNTAPPED RESOURCE HERE IN THIS

  • COUNTRY.

  • AND YOU THINK IT'S LIKE, WHAT DO

  • YOU MEAN?

  • WOMEN ARE ALREADY -- NO, THEY

  • ARE NOT.

  • I AM TOTALLY SURE OF THIS

  • BECAUSE I HAVE SEEN THE

  • OBSTACLES PRESENTS TO WOMEN

  • TRYING TO START BUSINESSES BUSID

  • HAVING QUALITY CONTRACEPTIVE

  • CARE SHOULD NOT BE AN OBSTACLE

  • AT ALL.

  • IT WOULD PAY FOR ITSELF MANY,

  • MANY TIMES OVER.

  • >> KIND OF FOLLOWING ALONG OWE

  • THAT LINE.

  • A WOMAN'S RIGHT TO CHOICE WHAT

  • HAPPENED WITH HER BODY, ARE

  • YOU --

  • >> I AM FOR WOMEN'S REPRODUCTIVE

  • RIGHTS AS FUNDAMENTAL HUMAN

  • RIGHTS.

  • I THINK IT'S EMBARRASSING THAT

  • MALE LEGISLATORS HAVE AN OPINION

  • ON THIS.

  • WE SHOULD JUST LEAVE THE ROOM

  • AND LET WOMEN FIGURE IT OUT.

  • COME BACK AND THE WOMEN TELL US

  • WHAT THEY WANT TO DO.

  • I HAVE A FEELING I KNOW WHICH

  • WAY THEY WOULD DECIDE.

  • BUT FOR -- NOW, IN THE ABSENCE

  • OF THAT SITUATION.

  • THEN I WOULD CHAMPION WOMEN'S

  • REPRODUCTIVE RIGHTS THAT HIGH

  • LEFT LEVELS, INCLUDING ADDING

  • SUPREME YOUR JUSTICES.

  • THERE IS NOTHING SAYING THAT WE

  • NEED NINE SUPREME COURT JUSTICE

  • WE JUST REMEMBER THAT BUT IN OUR

  • HISTORY THERE HAVE BEEN FIVE,

  • 11, 12.

  • SO I AM ALL FOR PROTECTING

  • WOMEN'S REPRODUCTIVE RIGHTS IN

  • THE MOST FUNDAMENTAL WAYS.

  • >> THANK YOU.

  • >> I AM KEVIN PETERSON I LIVE IN

  • WEST DES MOINES I HAVE A

  • LIFESTYLE WELLNESS COMPANY.

  • CALLED PETERSON HOLISTIC

  • SERVICES IN URBAN DALE AND I

  • HAVE BEEN A HEALTH AND WELLNESS

  • PROVIDER FOR OVER 10 YEARS.

  • I HAVE GONE FLEW HEALTH CONS

  • FORMS ACTION MYSELF I LOST

  • 150 POUNDS OVER THE YEARS.

  • I KNOW ABOUT HEALTH

  • TRANSFORMATION IT'S SOMETHING

  • THIS COUNTRY REALLY NEEDS.

  • AND AS A PROVIDER, I REALLY

  • BELIEVE THAT THE HEART AND SOUL

  • OF THAT TRANSFORMATION IS CLEAN

  • NUTRITION AND NUTRITION

  • EDUCATION, FUNCTIONAL FITNESS

  • TRAINING AND THINGS LIKE THAT.

  • WHAT I WANT TO KNOW FOR YOU IS

  • WHERE IN YOUR PLATFORM, WHERE IN

  • YOUR MANAGING OF THIS HEALTHCARE

  • SYSTEM.

  • ARE THOSE TRULY PREVENTIVE

  • MEASURES OF NUTRITION AND

  • FUNCTION THE MOVEMENT THAT ARE

  • REALLY ARE THAT HEART AND SOUL

  • OF HEALTH -- CARRYING ON HEALTH

  • AND PREVENTING DISEASE?

  • >> I LOVE THIS QUESTION SO MUCH.

  • I WANT TO SHAKE YOUR HAND.

  • [ LAUGHTER ]

  • >> I HIT THE NAIL ON THE HEAD IN

  • SO MANY WAYS.

  • AND I WAS TALKING TO MARK CUBAN,

  • DO YOU KNOW WHO HE IS?

  • >> YEAH.

  • >> MARK CUBAN SAID TO ME THAT

  • ONE OF THE BIG PROBLEMS IN

  • HEALTHCARE, IS FOOD AND

  • NUTRITION.

  • AND THAT IF YOU HAD BUILDING UP

  • ALL OF THIS HEALTH DEBT, IF YOU

  • WILL, BY EATING CRAP AND THE

  • REST OF IT, IT ENDS UP COST OUR

  • SOCIETY IN BOTH HUMAN AND

  • ECONOMIC WAYS.

  • AND SO THE QUESTION IS HOW DO

  • YOU GO EARLIER IN THE FOOD CHAIN

  • AND MAKE IT SO THAT PEOPLE HAVE

  • BETTER NUTRITION AND EDUCATION

  • ABOUT NUTRITION, BETTER ACCESS

  • TO DECENT HEALTHY FOOD INSTEAD

  • OF THE CRAP ON THE CORNER.

  • AND THE CRAP COT CORNER WE ALL

  • KNOW IS MUCH, MUCH CHEAPER SO IF

  • YOU ARE IN ANY ECONOMIC PROBLEMS

  • THE EASY THING DO IS IT'S

  • FREAKING DOLLAR MENU TIME.

  • >> I AM STAGGERED AT HOW MUCH

  • FAST FOOD YOU CAN BUY FOR A VERY

  • LOW AMOUNT OF MONEY.

  • THE DOLLAR MENU BLOWS MY MIND.

  • I DON'T EN INDULGE IN THE DOLLAR

  • MENU IF AT ALL.

  • ANYWAY, I DIGRESS, THERE ARE

  • VERY IMPORTANT THINGS THAT WE

  • CAN DO TO HELP MOVE SOCIETY IN

  • THE DIRECTION YOU ARE

  • DESCRIBING.

  • NUMBER ONE, IS AS YOU ALL KNOW,

  • MY FLAGSHIP PROPOSAL IS TO PUT A

  • THOUSAND DOLLARS A MONTH IN TO

  • PEOPLE'S HANDS IF THEY HAD THAT

  • ECONOMIC BOOT OFF THEIR THROATS,

  • THEN THEY COULD MAKE A CHOICE TO

  • PURSUE EATING MORE FRESH FOOD,

  • FRUIT AND VEGETABLE, LESS FAST

  • FOOD.

  • AND THEN SOME OF THOSE RETAILERS

  • AND PROVIDERS WOULD ACTUALLY GO

  • TO THE NEIGHBORHOODS.

  • BECAUSE WE KNOW RIGHT NOW IF YOU

  • ARE AT WHOLE FOODS YOU ARE NOT

  • GOING ANYWHERE NEAR, YOU KNOW,

  • LIKE SOME POOR NEIGHBORHOOD.

  • THEY CAN'T AFFORD MY STUFF.

  • IF MORE PEOPLE CAN AFFORD YOUR

  • STUFF, THEN MAYBE YOU DO END UP

  • TRYING TO GET THERE.

  • SO THAT'S BIG MOVE NUMBER ONE.

  • BIG MOVE NUMBER TWO.

  • IS THAT RIGHT NOW, WE HAVE BOTH

  • AN ECONOMY MEASURED AROUND

  • PRODUCTIVE AND A HEALTHCARE

  • SYSTEM DESIGNED AROUND COST AND

  • REVENUE.

  • BOTH OF THESE THINGS OF LEADING

  • US IN THE WRONG DIRECTION, GD

  • IT.

  • P IS AT RECORD HIGHS BUT OUR

  • LIFE EXPECTANCY DID IS GOING

  • DOWN, WHAT DO YOU LISTEN TO?

  • LIFE EXPECTANCY WHAT GOOD IS

  • PRODUCTIVE IF YOU ARE TYING.

  • I I WOULD TAKE GDP AND A PLAINLY

  • THIS MEASUREMENT IS 100 YEAR OLD

  • OLD AND OUT OF DATE,

  • INCREASINGLY USELESS AND LOW

  • RELATIONSHIPS TO ACTUALLY HOW WE

  • ARE DOING WHICH IS OUR HEALTH

  • AND LIFE EXPECTANCY, WELLNESS.

  • OUT MENTAL HEALTH, FREEDOM FROM

  • SUBSTANCE ABUSE, CHILD SUCCESS

  • RACE, CLEAN AIR AND WATER I

  • WOULD MAKE THOSE THE

  • MEASUREMENTS OF THE NEW ECONOMY.

  • ALL THE ENERGIES GOING TOWARDS

  • TRYING TO INCREASE YOUR GDP

  • WOULD BE GOING TOWARDS TRYING TO

  • INCREASE OUR WELL BEING AND LOOK

  • AROUND THE COMMUNITIES AND SAY A

  • LOT OF PEOPLE ARE EATING VERY

  • POORLY, A LOT OF PEOPLE COULD BE

  • MADE MUCH, MUCH HEALTHIER AND

  • THE GREAT THING IS THAT IT WOULD

  • SAVE US A TON OF MONEY, IF YOU

  • HAVE PEOPLE WHO ARE DEVELOPING

  • DIABETES DISCUSS SHOWING UP FOR

  • TREATMENTS AT EARLIER AGES

  • THAT'S INCREDIBLY EXPENSIVE AND

  • WE BEAR THAT COST NOT JUST IN

  • THE TREATMENT.

  • BUT ALSO BECAUSE THOSE PEOPLE

  • BECOME LESS PRODUCTIVE, THEY

  • BECOME SICKER EARLIER AND HAVE

  • PROBLEMS, SO THERE WAS ONE STUDY

  • THAT SHOWED IF YOU WERE TO

  • ALLEVIATE POVERTY, YOU WOULD

  • INCREASE GDP BY $700 BILLION

  • JUST ON THE BASES OF BET

  • EVERYONE INDICATION AND HEALTH

  • OUTCOMES, YOU HAVE PEOPLE

  • HEALTHIER LONGER AND THEY WOULD

  • GET MORE STUFF DONE.

  • THE BIG MOVE IS TO CHANGE OUR

  • ACTUAL MEASUREMENTS TO

  • CORRESPOND WITH THE WORK THAT

  • YOU ARE DOING.

  • CAN YOU IMAGINE DES MOINES

  • GETTING LIKE A HEALTH AND

  • WELLNESS SCORE THE SAME WAY AS

  • GETTING SPORTS SCORES, ON THE

  • NEWS, EVERY QUARTER IT WOULD BE

  • LIKE, HEY, HOUR WE DOING THIS

  • QUARTER IT WOULD BE LIKE THIS.

  • AND THEN, YOU KNOW, I HAVE A

  • FEELING WE COULD GROW YOUR

  • BUSINESS A GREAT DEAL.

  • BECAUSE OF THE PEOPLE THAT WOULD

  • NEED OR SHOULD BE USING YOUR

  • BUSINESS, WHAT PERCENTAGE

  • ACTUALLY PURSUE THIS REGIMENT

  • THAT WE ARE TALKING ABOUT?

  • PROBABLY TWO, THREE, FOUR, 5%.

  • IT'S LIKE VERY, VERY LOW.

  • >> I THINK A LOT OF THE BARRIER

  • IS REALLY IN RIGHT NOW THE

  • INSURANCE COVERAGE.

  • YOU KNOW, I THINK PEOPLE ARE

  • WANTING

  • WANTING AND CRAVE THIS

  • INFORMATION AND GUIDANCE.

  • I THINK THE YOUNGER AGAIN RAISE

  • WOULD BENEFIT FROM THIS

  • CONVERSATION THEY QUAIL HEAR

  • ABOUT THE VALUE OF NUTRITION AND

  • CLEAN EATING.

  • BUT IT IS THE FOLKS IN THEIR MID

  • 30s IN TO THERAPISTs THAT

  • HAVE GONE THROUGH THIS BOOM OF

  • NEVERRED FOODS AND THEY HAVE TO

  • GO THROUGH A PROCESS TO GET

  • THEMSELVES OUT OF IT.

  • >> SOUNDS BEING LIKE YOU WENT

  • THROUGH THAT PERSONALLY?

  • >> I AB ABSOLUTELY WENT THROUGH

  • THAT PERSONALLY AND I WORK TO

  • TAKE THINGS THROUGH THAT

  • PROCESS.

  • >> GOOD FOR YOU YOU ARE SUCH A

  • ROLE MODEL.

  • >> THANK YOU.

  • >> THE THIRD WAITS IS WE MAKE IT

  • SO YOUR WORK IS MAINSTREAM AND

  • YOU GO IN TO THE GUT OF THE

  • HEALTHCARE SYSTEM.

  • WHY ARE WE SPENDING OUR GDP ON

  • HEALTHCARE.

  • >> IT'S BECAUSE IT'S NOT

  • DESIGNED TO MAKE US HEALTHY IT'S

  • DESIGNED TO GENERATE REVENUE.

  • YOU HAVE DEVICE COMPANIES AND

  • DRUG COMPANIES AND HEALTH

  • INSURANCE COMPANY THAT SAYS ALL

  • HAVE RECORD-HIGH PROFIT MARGINS.

  • THEY ARE PROFITING OFF OF US

  • IT'S THIS TROUBLING WEIGHT ON

  • OUR ECONOMY AND SOCIETY AND YOU

  • HAVE TO CHANGE INCENTIVES AND I

  • AM INSPIRED BY THE RESULTS THAT

  • CLEVELAND CLINIC WHERE DOCTORS

  • GET PAID A FLAT SALARY AND THEY

  • THINK YOU NEED TO PRESCRIBE

  • FEWER PROCEDURES BECAUSE THEY

  • DON'T GET PAID BASED UPON HOW

  • MANY PROCEDURES THEY DO.

  • AND THEIR OUTCOMES ARE BETTER

  • THAN OTHER HOSPITALS BECAUSE WE

  • ARE OVER TREATING THINGS, WE

  • OVER TREAT BECAUSE PEOPLE DON'T

  • WANT TO GET SUED YOU CAN ONLY

  • GET SUED FOR NOT DOING THE

  • THING, IT'S LIKE I DECIDED YOU

  • DIDN'T NEED IT IF SOMETHING

  • HAPPENS I COULD BE SUED AND I

  • GUESS I WILL SAY YOU NEED IT IT.

  • SO YOU WIND UP BUILDING UP ALL

  • OF THIS COST.

  • IF YOU COULD CHANGE IMAGINE A

  • HOSPITAL'S INCENTIVE BEING TIED

  • TO HOW HEALTHY PEOPLE ARE

  • LOCALLY.

  • YOU KNOW WHAT THAT HOSPITAL

  • WOULD UP VEST IN, HIS SERVICE,

  • YOU KNOW WHAT WE NEED TO DO.

  • WE NEED TOMORROW INDICATE PEOPLE

  • ON NUTRITION, GET BETTER FOOD,

  • WE NEED TO TRY TO -- THE IDEAL

  • DESIGN OF A HOSPITAL WOULD BE A

  • HOSPITAL DESIGNED TO PEOPLE

  • PEOPLE FROM NOT SHOWING UP TO

  • THAT HOSPITAL.

  • IF NO ONE SHOWED YOU RIGHT NOW

  • THE HOSPITAL WOULD GO OUT OF

  • BUSINESSLIKE THAT MUCH BECAUSE

  • THE HOSPITAL NEEDS TO HAVE ANY

  • NEED TO DO THINGS TO GET THEM

  • PAID.

  • THESE ARE BIG CHANGES BUT MORE

  • FEASIBLE THAN YOU ALL THINK.

  • OR WATCHING THIS DO YOU THINK.

  • NUMBER ONE EVERYONE GETTING A

  • THOUSAND DOLLARS A MONTH IT

  • SOUNDS LYING A FANTASY ALL IT

  • TAKES IS THE MAJORITY OF

  • AMERICANS SAYING WE ARE GOING DO

  • THAT.

  • IT'S DONE, THEY DID IT IN ALASKA

  • IT'S BEEN IN EFFECT FOR 40

  • YEARS, YOU JUST NEED A MAJORITY

  • OF US AND CONGRESS SAYING WE CAN

  • DO IT.

  • AND DO IT.

  • DEFINITION OF GDP ALL IT TAKES

  • IS PRESIDENT YOUNG GOING TO THE

  • BUREAU ECONOMIC ANALYSIS SAYING

  • THE GDP IS OUT DATED AND DUMB

  • AND WE'LL UPDATE IT AND I'LL

  • PRESENT THESE NUMBERS TO YOU

  • THAT STAYED OF THE UNION EVERY

  • YEAR, NOTHING CAN PREVENT ME

  • FROM DOING THAT.

  • HERE ARE THE NUMBERS, EIGHT

  • AMERICANS ARE DOING OF DRUGS

  • EVERY HOUR THAT'S HORRIFYING,

  • WE'LL TRY TO GET THAT DOWN.

  • YOU HAVE REAL PROBLEMS AND

  • PRESENT THEM.

  • THE THIRD ONE IS THE HARDEST

  • GETTING THE HEALTHCARE SYSTEMS

  • INCENTIVES TIED TO OUR HEALTH

  • AND WELLNESS THAT, ONE IS NOT

  • EASY.

  • I'M HOOP I TO SAY PROMISING

  • EXPERIENCES ARE HAPPENING IN

  • THAT SPACE RIGHT FOUND AROUND

  • SOMETHING CALLED VALUE-BASED

  • MEDICINE.

  • IF YOU ARE PRODUCING VALUE WITH

  • PATIENTS HE GET COMMENTS AND

  • PUBLIC OPTION IS A HUGE STEP IN

  • THAT DIRECTION.

  • AS SOON AS THE GOVERNMENT

  • ASSUMES THE COST FOR 10s OF

  • MILLIONS OF AMERICANS, ALL OF A

  • SUDDEN THE GOVERNMENT'S

  • INCENTIVES ARE TO TRY TO GET YOU

  • HEALTHIER THAT WOULD END UP

  • MAINSTREAMING A LOT OF WHAT YOU

  • ARE DOING FOR YOUR CUSTOMERS.

  • >> NEXT UP.

  • >> HI.

  • MY NAME IS JESSE MAY.

  • AND I AM A BIRTH DUE LOS ANGELES

  • HERE IN DES MOINES.

  • >> GOOD FOR YOU, THAT'S

  • INCREDIBLE.

  • THIS MIGHT BE TOO MUCH

  • INFORMATION AND WE USE AID DOULA

  • AND AS THE HUSBAND AND FATHER I

  • LOVED HER.

  • >> THAT'S WHAT ALL THE HUSBANDS

  • SAY, TOO, YES, THANK YOU SO

  • MUCH.

  • >> DOULAS ARE AMAZING AND THIS

  • DUE HA LA IN PARTICULAR IS

  • AMAZING WHAT'S YOUR NAME.

  • >> JESSE MAY.

  • >> THE DO LOS ANGELES WHO LIVES

  • WHERE?

  • >> DES MOINES.

  • >> SO IF YOU ARE ANYWHERE NEAR

  • DES MOINES AND NEED A De LEEUW

  • BEING IT'S JESSE MAY.

  • >> THANK YOU.

  • OKAY, MY QUESTION IS DIRECTIONED

  • TOWARDS THIS.

  • OUR NATION IS STRAGGLE TO GO

  • KEEP MOTHERS HEALTHY, SAFE AND

  • ALIVE.

  • AND DISPROPORTIONATELY, BLACK

  • MOTHERS AND IMMIGRANT MONTH

  • NEVERS AND [ INAUDIBLE ] SURE

  • MONTH

  • MOTHERS SEPARATE RATES THREE TO

  • FIVE TIMES OF WHITE WOMEN IN

  • THIS COUNTRY.

  • WHEN PRESIDENT, WHAT STEPS WILL

  • YOU TAKE THAT FEDERAL AND STATE

  • LEVELS TO DECREASE THE MATERNAL

  • MORTALITY RATE AND INCREASE

  • MATERNAL HEALTH AS A WHOLE IN

  • THIS COUNTRY?

  • >> THIS IS VERY PERSONAL FOR ME.

  • I HAVE FRIEND THAT HAVE

  • STRUGGLED WITH MA TERM HEALTH.

  • A LOT OF IT IS SOCIOECONOMIC.

  • IF YOU ARE IN A POOR AREA, POOR

  • NEIGHBORHOOD.

  • YOU HAVE WORSE OR NONEXISTENT

  • PRENADAL CARE.

  • NUTRITION.

  • VITAMINS LEADING UP.

  • IN EXTREME CASES MIGHT HAVE A

  • DRUG PROBLEM AND SOMETIMES SAID

  • CHILD IS BORN INHERITING THOSE

  • PROBLEMS.

  • BUT THE STATISTICS AROUND THIS

  • IT, SHOULD BE SHOCKING TO

  • AMERICANS.

  • BECAUSE OUR -- OUR LIFE

  • EXPECTANCY ORRIN FANT MORTALITY

  • RATE IS A TOTAL ABERRATION

  • RELATIVE TO OTHER DEVELOPED

  • COUNTRIES.

  • IF YOU LOOK AT A LIST IT'S LIKE

  • OTHER DEVELOPED COUNTRIES AND

  • THE UNITED STATES, AND A LOT

  • THAT HAVE IS BECAUSE OF THE

  • ECONOMIC AND EQUITYS THAT YOU

  • POINT OUT.

  • A LOT OF IT IS BECAUSE OF LIKE

  • BLACK WELL, BLACK MOMS,

  • IMMIGRANT MOMS DON'T HAVE THE

  • RESOURCES THEY NEED.

  • THEY NEEDED RESOURCES TO HAVE AT

  • LEAST A CHANCE TO HELP THE BABY

  • DEVELOP IN A HEALTHY WAY AND

  • NEED TO TIE THESE INSTITUTIONS

  • INCENTIVES TO HAVE AN INFANT

  • MORTALITY RATE FRANKLY WITHIN

  • THE NATIONAL NORMS OR STANDARDS

  • AND THIS HAPPENS IMMEDIATELY

  • AFTER BIRTH BUT I THINK IT'S

  • CRUCIAL.

  • ONLY FOUR COUNTRIES DON'T HAVE

  • MANDATORY PAID MATERNAL LEAVE

  • FOR NEW MOMS THE UNITED STATES

  • OF AMERICA, SWAZ EILAND, LASSO

  • THOUGH AND PAPUA NEW GUINEA, I

  • WOULD SUGGEST THIS IS IN THE A

  • LIST WE BELONG ON IT JUST GOES

  • TO SHOW HOW PATHOLOGICALLY

  • ANTI-MOM, ANTI-FAMILY THIS

  • DOESN'T ARE YOU IS.

  • I WAS SHOCKED MYSELF WHEN MY

  • WIFE GAVE BIRTH LIKE JUST HOW

  • RIDICULOUS THE PROCESS WAS

  • AGAINST HER IT FELT LIKE AT

  • EVERY TURN.

  • I FEEL VERY PASSIONATELY ABOUT

  • THIS.

  • MY WIFE DECIDED TO PURSUE

  • NATURAL WILD BIRTH WITH A DOULA

  • SO I APPLAUD WHAT YOU DO FOR A

  • LIVING.

  • AND WE HAD A TREMENDOUS

  • EXPERIENCE WITH THAT AND WOULD

  • RECOMMEND IT TO OTHERS.

  • OBJECT OBVIOUSLY

  • IT'S VERY PERSONAL FOR THE

  • MOTHER ON WHAT SHE DECIDES TO DO

  • BUT THAT WORKED TODAY US.

  • >> YOU TALKED ABOUT THE PAID

  • FAMILY MEDICAL LEAVE AND

  • CHILDCARE AND THOSE ARE ISSUES

  • THAT YOU DON'T NORMALLY THINK OF

  • SMALL BUSINESSES BEING EXCITED

  • ABOUT, BUT THEY ARE.

  • THERE ARE PLANS OUT THERE IN

  • IOWA, TWO OPPOSING PLANS WE HAVE

  • A COUPLE OF OUR CONGRESSIONAL

  • REPRESENTATIVES SIGNING ONTO THE

  • FAMILY ACT AND THAN WE HAVE OUR

  • SENATOR WHO WANTS TO ROB SOCIAL

  • SECURITY EARNINGS.

  • TO PAY FOR PAID FAMILY MEDICAL

  • LEAVE.

  • HOW WOULD YOU PAY FOR THAT?

  • AND THEN WHAT WOULD WE DO ABOUT

  • LIKE CHILDCARE DESERT, OR

  • EXORBITANT COST OF CHILDCARE

  • THAT WE WANT THE CHILDCARE

  • WORKERS TO BE PAID, BECAUSE THEY

  • ARE PROBABLY THE MOST IMPORTANT

  • PEOPLE IN A CHILD'S LIFE ASIDE

  • FROM THEIR PARENTS.

  • >> THIS IS ANOTHER EXAMPLE OF US

  • SHOEING OURSELVES IN THE FOOT IN

  • TERMS OF HOW WE THINK ABOUT

  • COSTS.

  • IT'S VERY CLEAR FROM THE DATA

  • PAYING FOR PAID MATERNAL LEAVE

  • IT PAYS FOR ITSELF.

  • IT PAYS IN TERMS OF THE WOMAN

  • STAYING IN THE CORK FORCE AND I

  • AM SURE CHILD DEVELOPMENT AND

  • THE REST OF IT.

  • AS SOMEONE WHO HAS RAN A SMALL

  • BUSINESS I WAS HAPPY TO PAY FOR

  • THINGS IN THAT DIRECTION I THINK

  • IT SHOULD NOT COME OFF THE

  • SHOULDERS OF THE SMALL BUSINESS

  • IT'S SOCIETY THAT WILL BENEFIT

  • SOCIETY BENEFITS IN THAT WOMAN

  • IS ABLE TO RETURN TO WORK IN A

  • CERTAIN TIME FRAME.

  • SOCIETY BENEFITS IF THE KID IS

  • DEVELOPED.

  • >> DON'T FORGET ABOUT THE

  • FATHERS TOO.

  • >> THE FATHER, IDEALLY YOU WOULD

  • HAVE MATERNITY LEAVE, YES, BUT

  • ALSO SHARED PA PARENT THE LEAVE

  • AND THE PARENTS CAN CAN DIVVY IP

  • BUT IT SHOULD NOT COME OFF THE

  • BACKS OF EMPLOYERS.

  • ALL YOUR FINANCIAL INCENTIVES

  • ARE TO THE TO DO THE WRONG THING

  • IT'S TERRIBLE.

  • >> IT IS.

  • >> AS A PERSON YOU ARE TRYING TO

  • DO THE RIDE THING.

  • >> Reporter: BUT WAIT A MINUTE,

  • WHY ARE TREMENDOUS TRYING TO

  • MAKE IS SO HARD TO DO THE WRONG

  • THING.

  • AS A SEWED WE SHOULD DO THE

  • RIGHT THING AND THEN YOU SHOULD

  • FOCUS YOUR BUSINESS AND NOT HAVE

  • TO MAKE DIFFICULT HUMAN

  • DECISIONS ALL THE TIME.

  • >> THANK YOU.

  • >> AS YOU CAN TELL I LIVED IT.

  • IT'S A BIZARRE SYSTEM.

  • >> IT'S INTERESTING IN IOWA WHEN

  • I TALK TO PEOPLE ABOUT PAID

  • FAMILY MEDICAL LEAVE THEY DON'T

  • KNOW WHAT I AM TALKING ABOUT.

  • IT'S NOT AN ISSUE THAT'S REALLY

  • RISEN UP AND SO I THINK WE ALL

  • NEED TO WORK ON MAKING THAT AN

  • ISSUE IN THE NEXT ELECTION.

  • >> THIS IS THE BIG

  • TRANSFORMATION.

  • I CHANGE ECONOMIC MEASUREMENTS

  • TO BE HUMAN PROGRESS, ALL OF THE

  • SUDDEN DAY-CARE PAYS FOR ITSELF.

  • MATERNAL LEAVE PAYS FOR ITSELF.

  • THAT'S THE PERHAPS THAT COUNTRY

  • HAS GOTTEN IN TO WE SEE

  • EVERYTHING AS AN ECONOMIC INPUT

  • AND THAT EVERYTHING HAS TO BE

  • ABOUT CAPITAL EFFICIENCY THEN

  • YOU HAVE VERY RIDICULOUS

  • OUTCOMES FROM THAT.

  • IT'S LIKE, HEY, YOU ARE GOING TO

  • LOSE YOUR JOB IN A COAL MINE

  • MAYBE WE'LL TURN NEW TO CODERS,

  • EVEN THOUGH THAT MAKES ZERO

  • SENSE, THE ONLY WAY YOU THINK

  • THAT'S I HAVE BEEN POSSIBLE IS

  • IF YOU GET BRAIN WASHED THAT

  • ECONOMIC VALUE IS THE SAME THING

  • AS HUMAN VALUE.

  • IF ANYTHING, WE HAVE TO GO THE

  • OTHER DIRECTION AND SAY, HUMAN

  • VALUE IS ECONOMIC VALUE.

  • AND THEN ALL OF A SUDDEN,

  • CHILDCARE, EDUCATION, NURTURING,

  • CARE GIVING IT ALL BECOMES

  • INVESTMENTS I

  • INVESTMENTS INSTEAD OF EXPENSE

  • LINES, THAT HAS TO BE THE

  • DIRECTION WE GO.

  • IF YOU KNOW ANYTHING ABOUT MY

  • CAMPAIGN YOU KNOW I AM ABOUT

  • TRYING TO EVOLVE THE NBA TO THE

  • 21st CENTURY ECONOMY, ALL OF A

  • LOT OF THE CAPITAL EFFICIENT

  • JOBS ARE GOING TO GET USURPED BY

  • MACHINES, CLEARLY.

  • THERE ARE SELF DRIVING TRUCKS ON

  • THE HIGHWAYS RIGHT NOW DRIVING A

  • TRUCK IS THE MOST COMMON JOB IN

  • 29 STATES.

  • WHAT IS THE PATH FORWARD?

  • THE ONLY PATH FORWARD THAT WINS

  • FOR US IS IF WE CHANGE OUR

  • ECONOMIC MEASUREMENTS TO BE

  • HUMAN FLOURISHING AND THEN MOVE

  • IN THAT DIRECTION AS FAST AS

  • POSSIBLE.

  • >> THANK YOU.

  • >> MY NAME IS JAMIE AM A CURRENT

  • MEDICAL STUDENT HERE IN IOWA.

  • BUT I AM ORIGINALLY FROM A

  • ORIGINALLY A MEDICALLY UNDER

  • SERVED COMMUNITY IN WASHINGTON

  • STATE.

  • MY QUESTION IS ABOUT EDUCATION,

  • STAGGERING AMOUNTS OF DEBT --

  • >> 200K EASY.

  • >> QUARTER OF A MILLION UP TO --

  • >> MORE?

  • >> YEAH.

  • COMBINING UNDER GRAD DEBT ALONG

  • WITH THAT LEADING IN TO ALMOST

  • HALF A MILLION DOLLARS FOR SOME

  • OF MY FRIENDS .

  • >> WOW.

  • I WAS TRYING TO BE CONSERVATIVE.

  • IT'S MORE LIKE THREE OR 400K.

  • >> I MEAN, IT'S I KNOW FROM

  • GOING IN TO GRADUATION, AND

  • GOING LOOKING FOR A RESIDENCY

  • POSITION OR LOOKING FOR A JOB

  • GOING ON AND SO SO FORTH, THAT A

  • WEIGHT THAT MYSELF AND A LOT OF

  • PEERS WILL BE FEELING.

  • EVEN THOUGH PEOPLE LIKE US WOULD

  • WANT TO GO IN TO SERVE SOME OF

  • THESE COMMUNITIES LIKE MEDICALLY

  • UNDER SERVED COMMUNITIES THAT WE

  • ARE FROM.

  • >> I HAVE SUCH STRONG FEELINGS

  • ABOUT THIS.

  • CONTINUES.

  • >> MY QUESTION TO YOU WOULD BE

  • HOW IN YOUR FIRST DAY AS

  • PRESIDENT WOULD YOU MAKE

  • GRADUATE MEDICAL EDUCATION MORE

  • AFFORDABLE AND ACCESSIBLE

  • ESPECIALLY THOSE FROM LOW INCOME

  • FAMILIES SO THAT THEY CAN GO

  • BACK AND SERVE THE COMMUNITIES

  • THAT THEY CAME FROM?

  • >> I LOVE THIS QUESTION SO MUCH.

  • AND IT'S SO PROFOUND, I HAVE A

  • QUESTION FOR THAT NO ONE EVER

  • THINKS ABOUT.

  • WHY ARE THERE TWO FEW DOCTORS IN

  • THE UNITED STATES OF AMERICA?

  • IS IT BECAUSE THERE IS A

  • SHORTAGE OF YOUNG PEOPLE WHO

  • WANT TO BECOME DOCTORS?

  • NO.

  • IT'S BECAUSE WE HAVE

  • ARTIFICIALLY CONSTRAINEDDED THE

  • SUPPLY OF DOCTORS FOR DECADES.

  • WE HAVE MADE IT INCREDIBLY

  • EXPENSIVE TO EDUCATE DOCTORS,

  • AND WE HAVE SAID GUESS WHAT, WE

  • ARE NOT GOING INCREASE THE

  • NUMBER OF SLOTS.

  • THIS IS ESSENTIALLY THE AMA

  • MEDICAL LOBBY ARTIFICIAL

  • CONSTRAINING SUPPLIES SO THAT

  • THEY CAN KEEP EARNINGS VERY,

  • VERY HIGH.

  • AND THE COST OF EDUCATION IS

  • SKYROCKETED.

  • I SOUNDS LIKE YOU WILL SO

  • SEVERAL HUNDRED THOUSAND DOLLARS

  • I OWED $100,000 MYSELF IN SCHOOL

  • LOANS SO I KNOW HOW ONEROUS IT

  • IS.

  • HERE IS WHAT WE DO, TAKE SMART

  • PEOPLE THAT WANTS TO BE DOCTORS

  • AND SAY, GREAT, YOU GOT IN TO

  • MEDICAL SCHOOL.

  • THERE WERE A LOT OF OTHER PEOPLE

  • THAT WANTED TO BE DOING TOUR BUD

  • THEY SHUT THE DOOR ON THEM AND

  • THEN THROW HUNDREDS OF THOUSANDS

  • OF DOLLARS OF DEBT AND MAYBE YOU

  • WANTED TO BE A PRIMARY CARE

  • DOCTOR IN AN UNDERSERVED AREA

  • BUT WE ARE SETTING UP THE

  • INCENTIVES SO IT'S VERY

  • DIFFICULT FOR YOU DO THAT.

  • WE HAVE A MASSIVE DEBT AND IF

  • YOU GO FOR THAT AREA YOU MAKE

  • LESS MONEY IN A MORE DIFFICULT

  • ENVIRONMENT.

  • SO WHEN YOU ARE IN TRAINING YOUR

  • EN UP INCENTIVES ARE TO

  • SPECIALIZE AND DO SOMETHING MORE

  • LUCRATIVE AND NOT PRIMARY CARE,

  • NOT FAMILY MEDICINE.

  • AND THEN AFTER YOU SPECIALIZE,

  • THEN YOUR INCENTIVES ARE TO GO

  • TO A DENSELY POPULATED URBAN

  • AREA THAT WILL PAY NEW YOUR

  • SPECIALTY A LOT OF MONEY.

  • I MADE A JOKE THAT LAST DEBATE

  • THAT I AM ASIAN AND I KNOW DOOR

  • DOCTORS BUT THEY ARE TRUE FACT I

  • AM ASIAN AND I KNOW A LOT OF

  • DOCTORS THEY LIVED VERSIONS OF

  • THIS SHOWED UP TO MEDICAL SCHOOL

  • AND YOU ARE IN THE SYSTEM AND

  • WAIT A MINUTE, I OWE HOW MUCH?

  • WHAT?

  • IT'S LIKE I GUESS I SHOULD STICK

  • AROUND AND GET THAT FELLOWSHIP

  • IN, YOU KNOW, ANESTHESIOLOGIST,

  • TERM TO GO.

  • AND DERMATOLOGY, NOW I HAVE

  • THIS THING, IF I GO TO THE

  • COASTAL CITY I CAN MAKE A KILLII

  • GUESS THAT'S MY MOVE.

  • THOSE ARE THE INCENTIVES WE SET

  • UP.

  • WHAT DO WE NEED DO?

  • FIRST?

  • THE SHORT-TERM WE SHOULD FORGET

  • A LOT OF THE MEDICAL SCHOOL DEBT

  • FOR SOMEONE WHO DECIDES TO GO TO

  • AN UNDERSERVED AREA.

  • I THINK ABOUT 30% OF THE COUNTRY

  • IS A PRIMARY CARE DESERT WHERE

  • PEOPLE CAN'T ACCESS PRIMARY CARE

  • DOCTORS.

  • THE BIG THING WE NEED TO DO,

  • THOUGH, WE NEED TO BREAK THE

  • STRANGLE HOLD OF THE MEDICAL

  • LOBBY ON TREATING PATIENTS.

  • BECAUSE THE FACT IS IN THIS ERA.

  • IF YOU HAVE A NURSE TRACK TIPS

  • THE OR PRIMARY CARE SPECIALIST

  • SUPPLEMENTED BY AI THAT CAN TELL

  • THEM, YOU KNOW, WHAT THIS IS

  • LIST FOR YOU, A.I. AT THIS POINT

  • CAN SUPPLEMENT A HUMAN DIAGNOSIS

  • IN SOME CASES IT CAN DO A LOT OF

  • THE WORK.

  • RIGHT NOW IT'S SUPERIOR TO A

  • HUMAN RADIOLOGIST ON IDENTIFYING

  • TUMORS ON A RADIOLOGIST FILM

  • BECAUSE SOFTWARE CAN SEE SHADES

  • OF GRAY THAT HUMANS CAN'T THEY

  • CAN REFERENCE DATA POINTS WHERE

  • A HUMAN CAN ONLY REFERENCE

  • HUNDREDS OF THOUSANDS.

  • WE NEED TO MAKE THAT RESOURCE

  • AVAILABLE TO MORE AMERICANS BY

  • SAYING, LOOK, THIS INFURIATES ME

  • YOU GO TO THE DOCTOR AND SAY

  • THERE ARE NOT ENOUGH DOCTORS,

  • HOW ABOUT WE LET NURSE PRACTICE

  • PRACTITIONERS SEE PATIENTS IN

  • RURAL AREAS THAT DON'T HAVE

  • DOCTORS, WHAT DO YOU THINK THE

  • MEDICAL LOBBY SAYS ABOUT THAT?

  • NO, IT'S A DOCTOR.

  • IT HAS TO BE A DOCTOR.

  • THAT'S MESSED UP.

  • YOU HAVE TO EITHER INCREASE THE

  • SUPPLY AND WE'LL PUT MONEY TO

  • WORK TO HEM YOU DO THAT.

  • AND WE HAVE TO LOOSEN UP

  • LICENSES RESTRICTIONS.

  • THERE IS ANOTHER TRAP IN THE

  • DOCTOR WORLD THAT YOU'LL SEE, IS

  • THAT YOU HAVE STATE BY STATE

  • LICENSING.

  • AND THE STATE BY STATE LICENSING

  • MAKES VERY LITTLE SENSE BECAUSE

  • FRANKLY, IF YOU ARE A DORK

  • QUALIFIED IN IOWA, YOU COULD

  • PROBABLY SEE HUMAN PATIENTS IN

  • MINNESOTA.

  • HUMAN ANATOMY IS MORE OR LESS

  • THE SAME ACROSS STATE LINES IT'S

  • NOT LIKE MINUTE MINNESOTANS HAV.

  • >> YOU NEVER KNOW.

  • >> SO WHY IS IT STATE BY STATE?

  • AGAIN, JUST THE LOBBYIST TRYING

  • TO PROTECT SRAEFR JUSTICE

  • BUSINESSES YOU LOWER THE

  • LICENSING REQUIREMENTS AND MAKE

  • MEDICAL TRAINING MORE PORTABLE

  • AND INCREASE THE SUPPLY AND TRY

  • TO GET THE COST DOWN AND YOU

  • FORGIVE THE DEBT AND THEN YOU

  • HOPEFULLY PROVIDE NEW WAYS FOR

  • PEOPLE GETTING CARE.

  • THIS IS OBVIOUSLY, YOU KNOW, I

  • HAVE I AM PASSIONATE ABOUT THIS

  • BECAUSE I SEE HOW DEEP THE EN

  • FISH IS IS

  • EFFICIENCIES ARE BECAUSE MY

  • FRIENDS ARE DOCTORS LITTLE YOU

  • FEEL LIKE YOU HAVE NO CHOICE

  • BECAUSE WE HAVE SADDLED YOU WITH

  • LIFE-CHANGING DEBT.

  • I DON'T THINK THAT IS

  • NECESSARILY THE RIGHT WAY TO

  • INCENTIVIZE DOCTORS TO DO THE

  • RIGHT THING, IT'S LIKE I WAS

  • TALKING ABOUT SMALL BUSINESS

  • OWNERS IT'S LIKE WE ARE GOING TO

  • ASK YOU TO DO THE RIGHT THING

  • BUT WE'LL HAVE ALL YOUR

  • INCENTIVES BEING THE OTHER

  • DIRECTION IT'S THE SAME WITH

  • DOCTORS WE WANT TO YOU RETURN TO

  • YOUR COMMUNITY AND SEE POOR

  • PEOPLE WHO NEED A FAMILY DOCTOR,

  • BUT WE ARE GOING TO ACTUALLY

  • MAKE IT MUCH, MUCH EASIER FOR

  • YOU TO GO LIKE TRY TO BECOME AN

  • ORTHOPEDIC SURGEON IN NEW YORK

  • CITY.

  • >> VERY GOOD.

  • YOU JUST MENTIONED SMALL

  • BUSINESS OWNERS, AND I JUST WANT

  • TO MAKE A COMMENT TO PEOPLE THAT

  • ARE LISTENING ONLINE, THAT WE

  • ARE HOLDING THIS IN A SMALL

  • BUSINESS AND IN A COFFEE SHOP

  • WHERE THE BARISTA IS WORKING

  • REALLY HARD OVER THERE.

  • SO IF YOU ARE HEARING SOME

  • NOISES THAT DON'T SOUND LIKE YOU

  • ARE IN SOMEONE'S LIVING ROOM,

  • THAT'S WHY.

  • AND WE ARE VERY HAPPY THAT MIKE

  • DRAPER LET US USE HIS STORE

  • TODAY FOR THIS EVENT.

  • AND YOU ARE UP.

  • >> SURE.

  • >> HI, I AM AUBREY MASSMAN, I AM

  • ALSO A MEDICAL STUDENT IN MY

  • THIRD YEAR STARTING TO CLINICAL

  • CO ROTATIONS SO FINALLY GETTING

  • OUT IN TO THE WORLD AND SEEING

  • PATIENTS HERE IN IOWA AND I WANT

  • TO ASK ABOUT MENTAL HEALTH I

  • NOTICE THAT'S A PRETTY BIG

  • DISPARITY ESPECIALLY HERE IN

  • IOWA.

  • WE ARE RANKED AS THE LAST IN THE

  • COUNTRY ON INPATIENT PSYCHIATRIC

  • UNITS PER CAP PA.

  • AND SO I I WOULD LIKE TO ASK

  • FIRST OF ALL, I KNOW YOU TALK

  • ABOUT EXEC OPINIONSING ACCESS TO

  • MENTAL HEALTH HOW DO YOU BOLSTER

  • THAT WORKFORCE, I KNOW THE BIG

  • ISSUE HERE IS A LACK OF SUPPLY.

  • AND YOU ALSO HAVE MENTIONED IN

  • THE PAST IS UP LAMB THAT GO WITH

  • A.I. AND I WANT TO KNOW HOW YOU

  • DO THAT IN SUCH A DIFFICULT

  • FIELD.

  • >> MY BROTHER SAY PSYCHOLOGY

  • PROFESS ORAL SO I HAVE STRONG

  • FEELINGS ABOUT THE FACT THAT WE

  • ARE IN THE MIDST OF A MENTAL

  • HEALTH CRISIS IN THIS COUNTRY

  • GOING UNADDRESSED AND ONE OF THE

  • BIG PRINCIPAL IS HIS THAT MENTAL

  • HEALTH IS HEALTH.

  • AND THERE ARE SOME EFFORTSES TO%

  • INTEGRATE MENTAL HEALTH WITH

  • TREATMENTS THAT PEOPLE SEEK.

  • IMAGINE SOMEONE SHOWING UP TO

  • THE HOSPITAL WITH A RANGE OF

  • ISSUES, LET'S CALL THEM DRUG

  • ADDITIONS.

  • A LOT OF THESE THINGS HAVE

  • PSYCHOLOGICAL TIE INS SO THERE

  • WAS ONE FACILITY.

  • THEY PREFER TO YOU THE THERAPIST

  • DOWN THE HALL.

  • AND THE THERAPIST SEES YOU TOO.

  • AND AND THEY HAVE BETTER HEALTH

  • OUTCOMES THAN A STAND-ALONE

  • FACILITY.

  • BUT THAT DOESN'T ADDRESS WHAT

  • YOU ARE TOPPING ABOUT THE LACK

  • OF PROVIDERS.

  • THERE IS NO SHORTAGE OF PEOPLE

  • THAT WANT THE ROLES, THEY ARE

  • MAKING IT HARD AND EXPENSIVE FOR

  • SOMEONE TO ACTUALLY GET THOSE

  • ROLES.

  • PART OF IT IS IF THEY SHIFT OUR

  • MEANT LITTLE HEALTH AND WE SAY

  • WE ARE NOT INVESTING MUCH IN THE

  • MENTAL HEALTH OF PEOPLE IN A

  • PARTICULAR AREA.

  • AND THEN OVERTIME, THE

  • GOVERNMENT@OUGHT TO FILL THOSE

  • GAPS.

  • IT WOULD LOOK UP AND SAYING

  • WELL, LITERALLY IT'S THE

  • GOVERNMENT'S JOB TO MAKE US

  • STRONGER AND HEALTHIER, IF YOU%

  • ARE LOOKING UP AND SAYING, WELL,

  • PEOPLE ARE UNHEALTHY IN THAT

  • AREA BECAUSE, GUESS WHAT, THEY

  • KNOW PSYCHOLOGISTS, NO

  • THERAPISTS, NO COUNSELORS, THE

  • GOVERNMENT WOULD SAY LET'S

  • CHANGE THAT AND YOU PUT

  • RESOURCES TO WORK.

  • PEOPLE KNOW PEOPLE.

  • I SNOW SOMEBODY WHO WOULD LOVE

  • TO ENTER THIS FIELD.

  • WE HAVE MADE THE TRAINING

  • DIFFICULT TO ACCESS, EXPENSIVE,

  • WE HAVE SET UP IN MY MIND, VERY

  • ART FINISH BARRIERS AROUND TEST

  • SCORES, IT'S LIKE YOU NEED TO BE

  • A FREAKING GENIUS TO -- TO LIKE

  • GET CERTAIN DEGREES AND IT'S

  • TOTALLY UNNECESSARY.

  • THERE ARE A LOT OF PEOPLE THAT

  • WOULD BE EXCELLENT IN ROLES

  • HELPING OTHER PEOPLE.

  • WE NEED TO OPEN IT UP SO PEOPLE

  • CAN BE IN THAT POSITION.

  • >> WHEN WE ARE TALKING ABOUT

  • MENTAL HEALTH, A LOT OF PEOPLE,

  • YOU KNOW, WHERE THEY END UP IS

  • IN OUR JAILS AND PRISON SYSTEM.

  • >> VERY MUCH SO.

  • >> I THINK THAT'S A BIG, BICK

  • ISSUE WHEN IT COMES TO THAT.

  • AND WHAT CAN WE DO ABOUT THAT?

  • WITH USED TO HAVE FACILITIES IN

  • IOWA IN EVERY COUNT THAT I

  • PEOPLE CAN GO TO AND NOW THEY

  • ARE LIKE, WHAT, THREE IN THE

  • STATE, MAYBE?

  • I MEAN, IT'S --

  • >> IT'S ALL TIED TOGETHER.

  • WE HAVE THIS INCREDIBLY PUNITIVE

  • SYSTEM OF MASS INCARCERATION AND

  • IN SOMEONE IS MENTALLY ILL AND

  • STRUGGLING AND COMMITS SOMETHING

  • CRIMINAL WE JUST THROW THEM IN

  • JAIL AND THINGS IN MANY CASES

  • JUST GET WORSE IN JAIL.

  • >> RIGHT.

  • >> COMPOUND THAT GO, WE HAVE

  • PRIVATE PRISONS.

  • SO THEIR ECONOMIC INCENTIVES ARE

  • ACTUALLY TO TREATY FAIRLY POORLY

  • BECAUSE THEY CAN SAVE MONEY AND

  • THEN IF YOU COME BACK, THEY MAKE

  • MORE MONEY.

  • >> RIGHT.

  • >> THAT'S A GHASTLY SET OF

  • INCENTIVES, AS I THINK YOU CAN

  • TELL, I AM ABOUT TRYING TO GET

  • THE RIGHT INCENTIVES IN PLACE SO

  • THAT WE CAN DO THE RIGHT THING.

  • IT'S ONE OF MY GREAT

  • FRUSTRATIONS IS THAT ESSENTIALLY

  • RIGHT NOW THE INCENTIVES IN

  • AMERICAN LIFE ARE GEM CORRUPT.

  • WHERE THEY ARE ALL ABOUT

  • MAXIMIZING THE BOTTOM LINE IN

  • EVERY DIRECTION.

  • AND THE BOTTOM LINE AND THE

  • HUMAN BOTTOM LINE ARE DID I

  • VERGEING IN VERY IMPORTANT WAYS,

  • SO IF YOU HAVE A PRIVATE PRISON

  • AND YOU ARE TRYING TO BE

  • MAXIMALLY PROFIT AM, YOU CUT

  • CORN ORES TREATMENT.

  • YOU DON'T CARE ABOUT RECIDIVISM

  • AT ALL.

  • AND SO WHAT YOU HAVE TO DO IS IN

  • MY MIND GET RID OF PRIVATE

  • PRISONS IN NOT AN AREA WHERE

  • PROFIT MOTIVATION MAKES ANY

  • SENSE AND THEN YOU WOULD PAY

  • JAILS BASED UPON SUCCESS

  • PRESSURES LIKE REHABILITATION

  • AND REENTERING SOCIETY AND

  • TREATMENT OF MENTAL ILLNESSES

  • AND YOU KNOW WHAT WILL HELP A

  • LOT.

  • IS WHEN THEY OUT IF THEY HAVE A

  • THOUSAND BUCKS A MONTH AND THERE

  • IS NO JOB WAITING FOR THEM WITH

  • A THOUSAND BUCKS A MONTH PEOPLE

  • WOULD BE HAPPY TO SEE THEM.

  • HEY, I AM YOU THE ON.

  • GREAT, YOU BROUGHT A DID I HAVE

  • DID HE WANT WITH YOU.

  • IT'S UNFORTUNATE THAT PROBABLY

  • WOULD CHANGE THE RAY PEOPLE

  • REACT.

  • >> HI, I AM RYAN MORSE JETER AND

  • IS A LIVE HERE IN DES MOINES.

  • ONE OF THE THINGS THAT

  • CAPTIVATED MYSELF AND MY FAMILY

  • ABOUT YOUR CAMPAIGN IS, YOUR

  • WANT AND OUR NEED TO CHANGE THE

  • WAY THAT WE MEASURE WHAT A

  • SUCCESSFUL SOCIETY AND

  • SUCCESSFUL ECONOMY LOOK LIKE.

  • AND I ALSO REALLY LOVE THE FACT

  • THAT YOU WANT TO USE POWER POINT

  • DECKS TO DO SOME OF THIS.

  • I WORK FOR A LARGE CORPORATION,

  • I SEE A LOT OF POWER POINT

  • DECKS, SOME ARE BETTER SOME ARE

  • WORSE BUT THEY ALL GET THE

  • INFORMATION ACROSS FAIRLY

  • SIMPLY, THEY ARE EASILY TO

  • UNDERSTAND.

  • I GUESS I HAVE TWO QUESTIONS.

  • FIRST QUESTION WOULD BE CAN YOU

  • PROMISE THE AMERICAN PEOPLE THAT

  • YOU WON'T USE A SHARPIE TO

  • ADJUST ANY OF THOSE

  • PRESENTATIONS?

  • >> YES, THUMBS UP, AWESOME.

  • >> SECOND QUESTION WOULD BE HOW

  • TO YOU PLAN TO IMPLEMENT SOME OF

  • THESE CHANGES IN THE WAY WE

  • APPRECIATE YOU ARE, YOU ANSWERED

  • SOME BEFORE IN REGARDS TO GDP.

  • ARE YOU LOOKING FOR A CUMULATIVE

  • NUMBER OR PUT TOGETHER A POWER

  • POINT PRESS TAKES WITH DIFFERENT

  • NUMBERS THAT SHOW YOU HAVE A WAY

  • YOU WANT TO SHOW US, WHAT, I

  • GUESS SCORE, HOW DO WE SCORE

  • THIS?

  • >> WELL, THANK YOU, AND YOU SEE

  • THE VISION VERY CLEARLY, A GDP

  • IS LEADING US OFF A CLIFF AND

  • IT'S AT RECORD HIGH, ALSO RECORD

  • HIGHS SUICIDES, DRUG OVERDOSES,

  • ANXIETY, STRESS, IT'S THE

  • OPPOSITE OF WHAT WE NEED.

  • NOW, I AM HAPPY TO SAY WE HAVE

  • MEASUREMENTS FOR THINGS LIKE

  • LIKE EXPECTANCY OBVIOUSLY.

  • WE HAVE MEASUREMENTS, THEY ARE

  • NOT WHAT THEY SHOULD BE FOR

  • THINGS LIKE MENTAL HEALTH, DRUG

  • OVERDOSE RATES AND DEATHS OF

  • DESPAIR, CHILDHOOD SUCCESS RATE

  • TORQUE SOME DEGREE, TO SOME

  • DEGREE WE HAVE ENVIRONMENTAL

  • QUALITY MEASUREMENTS LIKE YOU

  • HAVE SOME LIMITED SENSE OF HOW

  • CLEAN OUR AIR AND WATER ARE.

  • AND I AM HAPPY TO SAY THAT ME

  • GOING DOWN THE STREET TO THE

  • BUREAU OF ECONOMIC ANALYSIS AND

  • SAYING, GUESS WHAT, THESE ARE

  • THE NEW PRESSURES AND REPORTING

  • GDP YOU USE THESE AND USING THE

  • POWER POINT SAYING, ALL RIGHT,

  • HERE IS OUR CURRENT LIFE

  • EXPECTANCY, 78.4, GOING DOWN FOR

  • THREE YEARS.

  • THAT IS NOT NORMAL.

  • THAT HAS NOT HAPPENED IN 100

  • YEARS.

  • WHAT ARE THE MOVES WE CAN MAKE

  • QUICKLY TO HELP REVERSE THIS

  • DECLINE IN LIFE EVENING PECK

  • TANS I.

  • RIGHT NOW THE TWO BIG PROBLEMS

  • ARE SUICIDES AND DRUG OVERDOSES

  • SO YOU SAY IF EIGHT AMERICANS

  • ARE DIEING OF DRUGS EVERY HOUR,

  • THAT IS HORRIFYING.

  • AND WAY TOO HIGH.

  • AND SO THEN HOW ARE REGOING TO

  • GET THOSE NUMBERS DOWN IN A

  • SHORT PERIOD OF TIME.

  • NUMBER LIKE THE AMERICAN

  • SCORECARD YOU GET USED TO SAY

  • AND SAY THE AMERICAN SCORECARD

  • IS GETTING BETTER OR WORSE AND

  • THEN INDIVIDUAL MEASUREMENTS FOR

  • DEATH, DESPAIR FOR LIFE EXPECT

  • TANS I, MENTAL HEALTH AND THEN

  • AFTER WE GOT GOOD AT THAT IT.

  • YOU COULD INTERVIEWS

  • MEASUREMENTS HE YOU WANT FOR

  • THINGS LIKE ASSOCIATES YOUR

  • ECONOMIC FAIRNESS AND CULTURAL

  • DYNAMISM YOU COULD BE HEY, IF

  • THERE IS LIKE -- LET'S SAY, FOR

  • EXAMPLE, INSTEAD OF ARTISTS

  • DOING SOME BEAUTIFYING DES

  • MOINES, THAT ACTUALLY LIKE GETS

  • A TICK SOMEWHERE.

  • THAT'S AFTER YOU GET VERY, VERY

  • SOPHISTICATED.

  • THE BASIC MEASUREMENTS ARE

  • THERE.

  • AND MOST OF THE AMERICAN PEOPLE

  • WOULD UNDERSTAND IMMEDIATELY.

  • IF I SAY LIFE EXPECTANCY, YOU

  • GET IT.

  • IF I SAY DRUG OVERDOSES EVERYONE

  • GETS IT UNFORTUNATELY.

  • OVERTIME THIS IS JUST WHAT ANY

  • IN MY MIND EFFECTIVE

  • ORGANIZATION WOULD DO.

  • IS THAT YOU LOOK AT WHAT THE

  • REAL PROBLEMS ARE, AND THEN YOU

  • START TRYING TO ATTACK THEM.

  • BUT YOU HAVE TO KNOW WHAT THE

  • BASELINE IS?

  • >> BUT THANK YOU FOR SEEING THE

  • VISION.

  • THIS IS A VISION OF A HUMAN

  • CERTAINTIED ECONOMY.

  • OR HUMAN CAPITALISM FOR SURE.

  • >> WE SEAT VISION FOR SHORT.

  • >> GREAT.

  • DO YOU SEE THE VISION, I AM NOT

  • SUPPOSED TO LOOK AT YOU.

  • [ LAUGHTER ]

  • >> OKAY, SO I THINK I AM THE

  • LAST MEDICAL STUDENT IN THE

  • ROOM.

  • [ LAUGHTER ]

  • >> MY NAME IS ALEXI AM A SECOND

  • YEAR MEDICAL STUDENTS IN DES

  • MOINES, MY QUESTION IS KIND OF

  • CENTERED ON ABORTION.

  • SO AS WE ALL KNOW, WOMEN'S

  • REPRODUCTIVE RIGHTS ARE

  • CURRENTLY UNDER ATTACK ALL

  • ACROSS COUNTRY.

  • SPECIFICALLY I THINK MOST

  • NOTABLY BY LIMITING ACCESS TO

  • SAFE AND COMPETENT ABORTION

  • SERVICES.

  • LIKE WOMEN ARE CERTAINLY WE TALK

  • ABOUT THE DESERT OF LIKE PRIMARY

  • HEALTHCARE DEBTS EFFORTS DESERTO

  • DRIVE HOURS AND HOURS WITH

  • MANDATORY WAITING PERIODS FORK

  • ME PERSONALLYING I AM HOPING TO

  • SPECIAL EYES IN REPRODUCTIVE

  • MEDICINE SO THIS IS A

  • PARTICULARLY IMPORTANT KIND OF

  • TREND THAT I HAVE BEEN PAYING

  • ATTENTION TO.

  • WHAT IS YOUR PLAN SPECIFICALLY

  • TO ADDRESS THESE ATTACKS ON

  • WOMEN'S RIGHTS WITHIN YOUR FIRST

  • 100 DAYS IN OFFICE?

  • >> I WOULD LIKE TO CODIFY ROW V

  • WADE IN TO LAW.

  • THE RESOURCES AVAILABLE FOR

  • PLANNED PARENTHOOD AND WOMEN'S

  • REPRODUCTIVE RIGHTS SENTERS

  • AROUND THE COUNTRY RIM.

  • TO ME THESE CENTERS ARE, ONE,

  • IMPORTANT FOR HEALTH.

  • LIKE WOMEN'S HEALTH IS HEALTH.

  • BUT, TWO, THERE IS LIKE A REAL

  • EQUITY ISSUE BECAUSE AS YOU ARE

  • SAYING, THAT IN YOU LIVE IN A

  • POOR AREA, THEN IT'S MUCH, MUCH

  • HARDER AND THAT TO ME IS

  • NAUGHTON 1KWRU6D.

  • SO WE NEED TO PUT RESOURCES TO

  • WORK TO TO PUT HE CAN WIT I IN

  • THAT.

  • MY PROPOSE IS TO GIVE EVERYBODY

  • A THOUSAND DOLLARS A MONTH WHICH

  • WOULD HELP BALANCE SAID

  • INEQUITIES BETWEEN JUNE

  • COMMUNITIES, QUICKLY.

  • THE MAIN THING IS TO TRY TO

  • REVERSE THE ATTACKS AND

  • REPRODUCTIVE RIGHTS AND GET

  • CENTERS TO PROVIDE THIS CARE.

  • >> WOULD YOU PUSH FOR

  • LEGISLATION TO KIND OF LIKE DOWN

  • REGULATE TRACK LAWS.

  • THE TARGETED REGULATION OF

  • ABORTION PROVIDERS A LOT OF

  • THOSE LOOK AT LEGISLATION INNING

  • SID CUT

  • INSIDIOUS,, DOCTORS PASSIONATE

  • ABOUT IT AND WILL GIVE ABORTIONS

  • THERE ARE GAG RULES DO YOU HAVE

  • PLANS TO PUSH FOR LEGISLATION

  • THAT WOULD BASICALLY BE THOSE

  • LAWS?

  • >> TO ME THERE SHOULD BE NOTHING

  • STAND BE

  • STANDING BETWEEN WHAT A DOCTOR

  • THINKS IS RIGHT FOR THE PATIENT

  • AND NOTHING FOR EXPECTANT MOM

  • FROM PURSUING THAT CARE, TO ME

  • WE HAVE TO RESPECT WOMEN'S

  • RIGHTS TO CHOOSE AND THAT

  • INCLUDES NOT JUST THROWING UP

  • BARRIERS IN THE WAY.

  • >> I AM A VERY UNIQUE POSITION

  • BECAUSE I AM A SOCIAL WORKER

  • HERE IN DES MOINES AS I CARE FOR

  • MY SPECIAL NEEDS DAUGHTER I WORK

  • FOR A SMALL BUSINESS WHERE I

  • CAN'T AFFORD HEALTH INSURANCE.

  • IRONICALLY ENOUGH THE REASON I

  • AM HERE IS BECAUSE MY DAUGHTER

  • LOST HER MEDICATION AND MY

  • QUESTION TO YOU HAS DIRECT LINKS

  • TO BIG FARM.

  • ONE OF HER MEDICATIONS, SO SHE

  • LOST A MONTH'S -- A MONTH'S

  • SUPPLY OF MEDICATION.

  • ONE OF NOT SCRIPTS, JUST ONE,,

  • ON GOOD RX SIEVE HUNDRED $89 AND

  • THAT'S THE GENERIC VERSION,

  • THAT'S ONE OF THE FOUR PILLS

  • THAT SHE HAS TO TAKE.

  • IN ADDITION TO HEALTHCARE BEING

  • AS EXPENSIVE AS IT IS FOR SMALL

  • BUSINESSES AND THE FACT THAT I

  • AM A PRODUCT OF THAT SMALL

  • BUSINESS.

  • YOU ALSO HAVE PREEXISTING

  • CONDITIONS BUT WE STILL ALSO

  • HAVE BIG FARM.

  • AND NBA THIS INDUSTRY THAT IS

  • LUCRATIVE AND RIDICULOUS.

  • WHAT WOULD YOU DO ABOUT THAT?

  • >> WELL, FIRST, THANK YOU FOR

  • EVERYTHING THAT YOU DO, ONE OF

  • MY BOYS IS AUTISTIC AND TO ME,

  • BEING NEUROLOGICALLY ATYPICAL IS

  • THE NEW NORMAL.

  • BUT I UNDERSTAND WHAT PARENTS

  • DO.

  • YOU KNOW.

  • I I AM ONE.

  • SO THANK YOU.

  • WHY IS IT THAT DRUG PRICES ONLY

  • GO IN ONE DIRECTION?

  • WHY DO THEY ONLY GO UP?

  • SO I HAVE A FOUR-POINT PLAN TO

  • REVERSE THE INCREASES IN DRUG

  • PRICE THAT'S THINK WOULD WORK

  • QUICKLY.

  • IF YOU NEGOTIATE ON BEHALF OF

  • THE AMERICAN PEOPLE YOU WILL NOT

  • BELIEVE THIS H RIGHT NOW THE

  • GOVERNMENT IS NOT ALLOWED TO

  • NEGOTIATE FOR LOWER DRUG PRICES

  • ON BEHALF OF AMERICAN PEOPLE

  • BECAUSE THE DRUG LOB IS A SO

  • POWERFUL OF COURSE THEY MADE IT

  • SO YOU CAN'T EVERYBODY

  • NEGOTIATE.

  • THAT'S NUMBER ONE, NEGOTIATE NO

  • LOWER PRICES, NUMBER TWO, IS YOU

  • ADOPT INTERNATIONAL STANDARDS

  • FOR THE COST OF DRUGS AND

  • PROVIDE -- APPLY IT TO AMERICAN

  • DRUG COMPANIES.

  • YOU ARE ALSO NOT GOING TO

  • BELIEVE THIS, AMERICAN DRUG

  • COMPANIES ROUTINELY CHARGE US

  • TWO, THREE, FOUR TIMES AS MUCH

  • AS THEY CHARGE FOR THE SAME

  • DRUGS IN OTHER COUNTRIES.

  • IN MANY CASE WEST SIX IS A DIED

  • THE DEVELOPMENT OF THAT YOUNG.

  • SO WHAT WE'LL SAY IS WE'LL HAVE

  • I PRICING SCHEDULE SAY YOU

  • CANNOT CHARGE THE AMERICAN

  • PEOPLE MORE THAN YOU ARE

  • CHARGING OTHER PEOPLE BASED ON A

  • COST AVERAGE.

  • NUMBER THREE, WE HAVE THE

  • ABILITY TO ENFORCEBLY LICENSE

  • YOUR DRUG IF YOU DO NOT ABIDE BY

  • NUMBER TWO AND WE HAVE OUR OWN

  • MANUFACTURING FACILITIES TO

  • MANUFACTURE THE DRUG UNDER OUR

  • OWN LICENSE.

  • THAT'S LIKE A HARMER, IF YOU

  • HAVE YOUR OWN GOVERNMENT

  • FACILITIES.

  • DO YOU THINK DRUG COMPANIES

  • WOULD COMPETE THEIR PRICES YOU U

  • WERE CONTROLLED IF THEY SAY THAT

  • WAS THE OUTCOME IF THEY GOAL

  • GAUGE US.

  • THIS IS THE ONLY WAY FOR IT TO

  • WORK THE ONLY WAY FOR THEM IS TO

  • STICK IT TO US AND PROFIT THE

  • HIGHEST ABILITY THAT THEY CAN.

  • AND YOU KIND UP IN SITUATIONS

  • LIKE YOURS WHERE, YOU KNOW, YOU

  • CAN'T AFFORD THE DRUGS THAT YOU

  • NEED.

  • AND THEY DON'T CARE.

  • THEIR INCENTIVES ARE ALL TO JUST

  • TRY AND SQUEEZE MORPH I OUT OF

  • US.

  • THE HEALTHCARE HAS RUN AMUCK AND

  • THE GOVERNMENT IS WAY BEHIND THE

  • CURVE AND HELD CAPTIVE.

  • OUR GOVERNMENT RIGHT NOW IS NOT

  • OUR GOVERNMENT IN MANY RESPECTS.

  • THIS MAY SOUND FAR AFIELD BUT I

  • THINK IT'S IMPORTANT.

  • I HAVE BEEN RUNNING FOR

  • GOVERNMENT FOR MONTHS, PEOPLE

  • AND MONEY ARE IN TWO DIFFERENT

  • PLACES, IF A THOUSAND IOWANS OR

  • 10,000 IOWANS VOTE FOR YOU

  • THAT'S TREMENDOUS, BUT YOU HAVE

  • ALL THE MONEY COMING FROM THE

  • CORPORATES.

  • LIKE THE DRUG INDUSTRY SPEND

  • HUNDREDs OF MILLIONS OF

  • DOLLARS LOBBYING.

  • IF YOU ARE A POLITICIAN YOU ARE

  • RESPONSIVE TO THE MONEY, YOU CAN

  • COUNT THE MONEY, YOU KNOW, YOU

  • CAN SEE IT IN YOUR BANK ACCOUNT.

  • AND THEIR FOOD IS NICER, LIKE

  • THE PEOPLE ARE, YOU KNOW, THE

  • PEOPLE ARE BETTER DRESSED.

  • AND SOME OF THEM CAN GIVE YOU A

  • JOB AFTER.

  • SO IF YOU ARE A LEGISLATOR YOUR

  • EN SENSITIVE IS TO GO TOWARDS

  • THE MON, THE WAY WE OVERCOME IN

  • IS TO MAKE IT SO THE DRUG

  • COMPANIES CAN'T STICK IT TO US

  • AT EVERY TURN YOU GIVE EVERY

  • AMERICANA DID YOU WANT HUNDRED

  • 100 DEMOCRACY DOLLARS THAT WE

  • CAN GIVE TO ANY CAMPAIGN WE

  • WOULD THIS WOULD WASH OUT THE

  • LOBBYIST FACTOR BY 8-1, IF YOU

  • GET ENOUGH PEOPLE BEHIND YOU

  • SAYING PRESIDENT YANG AND YOU

  • SHOULD KNOW I AM RIGHT NOW

  • FUELED ENTIRELY BY SMALL DOLLAR

  • DONATIONS.

  • THE AVERAGE DONATION TO MY

  • CAMPAIGN IS $25 ONLINE, MY FANS

  • ARE EVERYBODY CHEAPER THAN

  • BERNIES.

  • I HAVE NO CORPORATE MONEY TO PER

  • ANSWER TO.

  • IF I GO TO THE LEGISLATURE AND

  • SAY, HEY, GUYS, GUESS WHAT, DRUG

  • COMPANIES ARE RUNNING A MUCK.

  • WE HAVE THIS FOUR-POINT PLAN TO

  • BRING THE PRICES YOU REMEMBERED

  • CONTROL.

  • OVEN TO GET THE LEGISLATORS TO

  • GO AGAINST THE COR THE PRACTICE

  • MASTERS THE ONLY WAY TO THEY DO

  • THAT IS IF THEY SEE SIDING FOR

  • THE PEOPLE -- WITH THE PEOPLE IS

  • GOOD FOR THEM.

  • HOW WILL THEY DO THE RIGHT THING

  • FIGURE WE HAVE THE MONEY.

  • THAT'S THE ONLY WAY.

  • THIS IS THE WHY TO SAY I THINK

  • DETERMINED TO HAVING DRUG

  • COMPANIES WORK FOR US RATHER

  • THAN SUBJECT TO THEIR ARBITRARY

  • PRICE INCREASES.

  • >> HI, ANDREW, MY NAME IS

  • MICHAEL AND I AM UNIQUELY

  • PRIVILEGED TO COME FROM A FAMILY

  • WHO HAS BEEN GIVEN A HEART FOR

  • MENTAL HEALTH.

  • AND MORE SPECIFICALLY, IN THE

  • LAST FIVE TO 10 YEARS, DRUG

  • ADDICTION.

  • I HAVE HAD THE OPPORTUNITY TO

  • WORK THAT POLK COUNTY JAIL WITH

  • AN ALTERNATIVE SENTENCING

  • PROGRAM, AS WELL ALSO MY DAD WHO

  • HAS WORK ED IN THAT ALTERNATIVE

  • SENTENCING PROGRAM, FOR PEOPLE

  • WITH NONVIOLENT DRUG-BASED

  • OFFENSES.

  • MY QUESTION, IS HOW YOU WOULD

  • DEAL WITH THE RESIT JIM RECIDIVS

  • FOR THESE MEN AND WOMEN AND

  • LOOKING ATTA DICK, WHAT YOUR

  • PLAN IS MOVING FORWARD FOR THESE

  • PEOPLE WHOSE LIFE HAVE HIS BEEN

  • UP TURNED EITHER BY BIG

  • PHARMACEUTICAL COMPANIES THAT

  • HAVE EFFECTIVELY MADE THEM

  • ADDICTED OR JUST THROUGH THE WAY

  • THAT LIFE HAS FALLEN UPON THEM?

  • >> CONGRATULATIONS FOR ALL THAT

  • YOU AND YOUR FAMILY HAVE DONE.

  • WHY DO WE HAVE AN OPIOID

  • EPIDEMIC THIS COUNTRY?

  • BECAUSE PURDUE PHARMA

  • DISTRIBUTED MILLIONS OF OKAY

  • ICON TIFF PREVISIONS AND MADE

  • 10s OF BILLIONS OF DOLLARS

  • THEY DO THE FINED FIVE OR

  • 600 MILLION WHICH SOUND LIKE A

  • LOT THAT UNTIL YOU KNOW THEY

  • MADE THIRD BILLION THEY NOT A 2%

  • FINE AND THEY ARE SOME OF THE

  • RICHEST PEOPLE IN THE COUNTRY.

  • THEY DISTRIBUTED MILLIONS OF

  • OXYCONTIN PRECIPITATIONS THERE

  • WAS ONE POINT WHERE THERE I WAS

  • MORE PRESUMPTIONS THAN HUMAN

  • BEINGS IN THE STATE OF OHIO.

  • WHO CAN LOOK AT THAT AND SAY

  • IT'S APPROPRIATE.

  • IT DOESN'T MAKE SENSE, THEY

  • MARKETED IT AS A NONADDICTIVE

  • WONDER DRUG.

  • IT WAS SUPER KICK TIFF.

  • THE OXI ADDICTION HAS SPEARED

  • NOW IN TO HEROINE AND FENTANYL.

  • AND OTHER OPIATES THAT ARE

  • CHEAPER.

  • EASIER TO GET.

  • AID AMERICANS DIEING EVERY HOUR,

  • COUNTLESS OTHERS LIFED IMPACTED.

  • OR?

  • SOME CASES RUINED.

>> THANK YOU ALL FOR JOINING US

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