1
00:00:01,560 --> 00:00:03,920
Speaker 1: When you're ready to ride Metro, we want you to

2
00:00:03,960 --> 00:00:06,560
Speaker 1: know we're ready for you. Here are just a few

3
00:00:06,559 --> 00:00:08,399
Speaker 1: of the people at Metro to tell you how we're

4
00:00:08,440 --> 00:00:12,119
Speaker 1: doing our part to keep riders safe. We're cleaning before

5
00:00:12,680 --> 00:00:15,320
Speaker 1: half to the Great Queen. You have found halfs out

6
00:00:15,320 --> 00:00:20,360
Speaker 1: of suns of stasist, no mask, no Metro need one.

7
00:00:20,480 --> 00:00:23,239
Speaker 1: We have a few extras at Metro. We're doing our

8
00:00:23,280 --> 00:00:25,920
Speaker 1: part to keep the DC area moving. Find out more

9
00:00:25,920 --> 00:00:33,200
Speaker 1: at well mata dot com slash doing our part so man.

10
00:00:33,240 --> 00:00:35,199
Speaker 1: In the last couple of days, we've had come interesting

11
00:00:35,240 --> 00:00:38,400
Speaker 1: conversations on the national level about healthcare right. You got

12
00:00:38,840 --> 00:00:43,239
Speaker 1: the the self declared or media declared leader for the

13
00:00:43,280 --> 00:00:46,720
Speaker 1: Democratic nomination, Kamala Harris sing we eliminate need to eliminate

14
00:00:46,840 --> 00:00:50,760
Speaker 1: private health insurance companies. He got Howard Schultz, former CEO

15
00:00:50,800 --> 00:00:53,639
Speaker 1: of Starbucks, thing, that's a terrible idea. I'm joined by

16
00:00:53,640 --> 00:00:58,440
Speaker 1: old Michael Bloomberg. Yeah. Well, this is most likely the

17
00:00:58,600 --> 00:01:02,360
Speaker 1: biggest political slash economic story of the next decade. And

18
00:01:02,680 --> 00:01:05,120
Speaker 1: for the longest time, we've appealed to Craig got Wall's

19
00:01:05,280 --> 00:01:09,880
Speaker 1: previously known as Craig the Obamacare Lawyer, the artist previously

20
00:01:09,920 --> 00:01:12,800
Speaker 1: known as we're thinking we need a new moniker for you, Craig,

21
00:01:12,800 --> 00:01:18,440
Speaker 1: because it's not about Obamacare. Craig the healthcare guru attorney.

22
00:01:18,920 --> 00:01:22,760
Speaker 1: I'll take that. What do you think, Jack, Craig, the

23
00:01:22,920 --> 00:01:28,680
Speaker 1: healthcare pretty good? Normally think of guru's wearing robes. Don't

24
00:01:28,720 --> 00:01:32,200
Speaker 1: be stuck in your conventional I will adjust my recording

25
00:01:32,319 --> 00:01:37,360
Speaker 1: some sort of turban alright, so listen. As an introduction,

26
00:01:38,480 --> 00:01:41,920
Speaker 1: here is here are some poll numbers from the Kaiser

27
00:01:41,959 --> 00:01:47,480
Speaker 1: Health folks about the popularity of the idea of universal healthcare,

28
00:01:47,560 --> 00:01:50,760
Speaker 1: Medicare for all, that sort of thing. And while it

29
00:01:50,840 --> 00:01:53,280
Speaker 1: is interesting in what it indicates about our opinion on

30
00:01:53,320 --> 00:01:58,040
Speaker 1: that topic, it also is an absolutely beautiful three sixty

31
00:01:58,120 --> 00:02:03,240
Speaker 1: degree spherical disc encription of the American voter. Listen to this, please.

32
00:02:03,640 --> 00:02:06,440
Speaker 1: A Kaiser Family Foundation Poule put support for Medicare for

33
00:02:06,560 --> 00:02:09,239
Speaker 1: all at fift oh and asked if that means it

34
00:02:09,240 --> 00:02:13,119
Speaker 1: would lead to delays and getting medical tests and treatment,

35
00:02:13,160 --> 00:02:16,280
Speaker 1: opposed it, and if it threatens the current Medicare program

36
00:02:17,320 --> 00:02:20,480
Speaker 1: opposed that, And if it requires most Americans to pay

37
00:02:20,520 --> 00:02:26,120
Speaker 1: more in taxes opposed here provide Medicare for all taxes

38
00:02:26,160 --> 00:02:28,119
Speaker 1: would have to go up to pay for it, while

39
00:02:28,200 --> 00:02:31,880
Speaker 1: quality choice and access to care would go down. All right,

40
00:02:32,040 --> 00:02:35,840
Speaker 1: here is what I mean. The American voters are squarely

41
00:02:36,040 --> 00:02:40,240
Speaker 1: in favor of this policy until they know the first

42
00:02:40,440 --> 00:02:43,760
Speaker 1: thing about it. Yeah, we don't need the healthcare guru.

43
00:02:43,880 --> 00:02:47,320
Speaker 1: We need Thomas Jefferson and John Adams in here to

44
00:02:47,760 --> 00:02:50,520
Speaker 1: explain whether or not democracy can work where people are

45
00:02:50,639 --> 00:02:52,800
Speaker 1: whether or not people are smart enough to govern themselves

46
00:02:52,800 --> 00:02:56,560
Speaker 1: direct democracy, because ominously that that is very troubling. Isn't

47
00:02:56,600 --> 00:03:04,280
Speaker 1: that stunning? Isn't that stunning in favor of surgery until

48
00:03:04,400 --> 00:03:06,280
Speaker 1: you mentioned that they have to cut you open to

49
00:03:06,360 --> 00:03:10,600
Speaker 1: do it, then against it? Right then? Alright, So Creig,

50
00:03:10,680 --> 00:03:13,839
Speaker 1: let's get into the guts of the most interesting part

51
00:03:13,880 --> 00:03:16,560
Speaker 1: of the stuff you sent us to me was the

52
00:03:16,680 --> 00:03:21,959
Speaker 1: question of how much each patient costs per year the

53
00:03:22,040 --> 00:03:24,840
Speaker 1: various ways medical care provided through the government or private

54
00:03:24,840 --> 00:03:28,520
Speaker 1: insurance in America, and how misleading those numbers can be.

55
00:03:28,600 --> 00:03:30,000
Speaker 1: Can you run that down for us kind of quick

56
00:03:30,000 --> 00:03:31,960
Speaker 1: and we'll jump in ount. Yeah, and think about this

57
00:03:32,040 --> 00:03:35,160
Speaker 1: as I'm going through this, think about um, the current way,

58
00:03:35,360 --> 00:03:36,840
Speaker 1: just think about that poll we just heard. In the

59
00:03:36,840 --> 00:03:40,840
Speaker 1: current way, the media and the public works and why uh,

60
00:03:40,880 --> 00:03:42,200
Speaker 1: you know, getting to the end of the story, I

61
00:03:42,240 --> 00:03:45,200
Speaker 1: think the punchline is we will end up socialized by

62
00:03:45,200 --> 00:03:46,920
Speaker 1: which is what I've said all along in here, I

63
00:03:47,440 --> 00:03:49,960
Speaker 1: have been saying that it's bad for my business. It's

64
00:03:50,000 --> 00:03:52,080
Speaker 1: that's not a self that that is not something I

65
00:03:52,080 --> 00:03:54,720
Speaker 1: am hoping for, obviously, but that's where I think we're going.

66
00:03:54,760 --> 00:03:57,640
Speaker 1: So if you look at the cost per person of

67
00:03:57,720 --> 00:04:00,440
Speaker 1: person on Medicaid, remember Medicaid is for is what we

68
00:04:00,960 --> 00:04:04,120
Speaker 1: do for the people of low income. It's only three thousand,

69
00:04:04,120 --> 00:04:06,720
Speaker 1: five hundred dollars per person per year. Boy, that's really

70
00:04:06,760 --> 00:04:10,920
Speaker 1: efficient medical care, incredibly efficient. That's right. Now, if you

71
00:04:10,920 --> 00:04:12,960
Speaker 1: look at the cost per person in the v A

72
00:04:13,160 --> 00:04:15,360
Speaker 1: of per person treated. The v A likes to talk

73
00:04:15,400 --> 00:04:18,320
Speaker 1: about per person covered, but there are millions of people

74
00:04:18,360 --> 00:04:20,640
Speaker 1: that never get in and get treatment in a given year.

75
00:04:20,680 --> 00:04:24,280
Speaker 1: So if you look at just per person treated, it's

76
00:04:24,839 --> 00:04:28,640
Speaker 1: seven fifty per year. Noways still, let's less than tender.

77
00:04:29,279 --> 00:04:31,640
Speaker 1: It's not bad, it's not bad. You're right now. If

78
00:04:31,640 --> 00:04:34,160
Speaker 1: you look at the cost of Medicare again, remember now

79
00:04:34,200 --> 00:04:36,599
Speaker 1: Medicare is for the old sters, so it's gonna generally

80
00:04:36,600 --> 00:04:38,400
Speaker 1: cost a little bit more because you're dealing with the

81
00:04:38,440 --> 00:04:42,920
Speaker 1: elder population thirteen thousand, five hundred per year. And then

82
00:04:42,960 --> 00:04:46,680
Speaker 1: when you look at what an employer pays on average nationwide,

83
00:04:47,160 --> 00:04:51,279
Speaker 1: it's also thirteen thousand, five hundred per year. So a

84
00:04:51,320 --> 00:04:52,880
Speaker 1: lot of people would look at that and say, well,

85
00:04:52,880 --> 00:04:55,360
Speaker 1: wait a minute. If you're paying thirteen thousand, five hundred

86
00:04:55,360 --> 00:04:58,040
Speaker 1: for Medicare and you're paying thirteen thousand, five hundred already

87
00:04:58,040 --> 00:05:01,880
Speaker 1: for employer coverage, why can't it we just move those

88
00:05:01,920 --> 00:05:04,520
Speaker 1: dollars around and roll out Medicare for all because it's

89
00:05:04,520 --> 00:05:08,120
Speaker 1: the same overall cost structure as employer coverage. Okay, and

90
00:05:08,160 --> 00:05:11,120
Speaker 1: here comes the great part, the numbers behind the numbers. Yeah. Now,

91
00:05:11,160 --> 00:05:13,120
Speaker 1: this is the part where it gets hard and where

92
00:05:13,160 --> 00:05:16,440
Speaker 1: I predict politicians will be unable to cut through and

93
00:05:16,480 --> 00:05:21,159
Speaker 1: the media and the public will not understand. We have

94
00:05:21,440 --> 00:05:24,279
Speaker 1: a phenomenon in healthcare called the Medicare price shift, and

95
00:05:24,360 --> 00:05:28,960
Speaker 1: basically it's driven because legislatively, for thirty plus years now,

96
00:05:29,400 --> 00:05:32,479
Speaker 1: Medicare and Medicaid are only allowed to inflate at one

97
00:05:32,520 --> 00:05:35,240
Speaker 1: percent per year. So what a doctor gets paid to

98
00:05:35,279 --> 00:05:37,480
Speaker 1: treat you can only be one percent more next year

99
00:05:37,480 --> 00:05:39,719
Speaker 1: than what he received this year. If it's within Medicare

100
00:05:39,720 --> 00:05:43,920
Speaker 1: and Medicaid all right, However, healthcare clearly goes up by

101
00:05:43,960 --> 00:05:46,360
Speaker 1: four to five percent per year every year, just raw

102
00:05:46,480 --> 00:05:49,800
Speaker 1: healthcare inflation. So what does that mean, Well, it means

103
00:05:49,839 --> 00:05:53,800
Speaker 1: you have to take the thirty of the population that's

104
00:05:53,839 --> 00:05:58,440
Speaker 1: on private medicine, private healthcare, and that's where the negotiation happens.

105
00:05:58,440 --> 00:06:01,440
Speaker 1: So instead of increasing the cost of your private insurance

106
00:06:01,480 --> 00:06:04,200
Speaker 1: by five four to five percent each year, it has

107
00:06:04,240 --> 00:06:07,919
Speaker 1: to go up every year to account for the fact

108
00:06:08,000 --> 00:06:11,520
Speaker 1: that otherwise hospitals and doctors would be making less than

109
00:06:11,520 --> 00:06:13,760
Speaker 1: it costs them to treat you. This is what we

110
00:06:13,800 --> 00:06:16,880
Speaker 1: call the hidden tax within Medicare, the cost shift. So

111
00:06:17,240 --> 00:06:19,880
Speaker 1: just to summarize the first time I've understood why that happens.

112
00:06:19,960 --> 00:06:21,960
Speaker 1: That's interesting. Tell me if I got this right, Craig.

113
00:06:22,360 --> 00:06:25,400
Speaker 1: So you have your universal people who need healthcare, everybody

114
00:06:25,400 --> 00:06:28,680
Speaker 1: on the big government healthcare plans. The government is reimbursing

115
00:06:28,680 --> 00:06:31,840
Speaker 1: the doctors and below their costs, and and it's I mean,

116
00:06:31,880 --> 00:06:36,560
Speaker 1: it's way less in the case of its Medicare, right, Medicaid,

117
00:06:37,000 --> 00:06:40,240
Speaker 1: the low income one sometimes pays half of what a

118
00:06:40,400 --> 00:06:42,920
Speaker 1: raw cost is to a doctor, right, but they have

119
00:06:43,120 --> 00:06:45,880
Speaker 1: to take at least some of those patients by law,

120
00:06:46,320 --> 00:06:51,000
Speaker 1: so well, they have to take some of them. I

121
00:06:51,040 --> 00:06:53,839
Speaker 1: wouldn't say by law, but politically it's necessary. Right. You

122
00:06:53,880 --> 00:06:56,039
Speaker 1: can't just say I'm not going to take any government healthcare.

123
00:06:56,080 --> 00:06:59,400
Speaker 1: If Kaiser, for instance, announced and started single you al Kaiser,

124
00:06:59,440 --> 00:07:01,600
Speaker 1: but they lose favor with the government a big way,

125
00:07:01,640 --> 00:07:05,000
Speaker 1: it would be disastrous. So anyway, all these medical companies

126
00:07:05,040 --> 00:07:09,800
Speaker 1: and are taking losses essentially or not getting compensated enough

127
00:07:09,840 --> 00:07:12,280
Speaker 1: to keep the doctors employed, and doctors are leaving the

128
00:07:12,320 --> 00:07:18,520
Speaker 1: industry in the droves. Somebody has to pay super premium extra.

129
00:07:18,760 --> 00:07:21,920
Speaker 1: That's right to keep that going. And that's private health

130
00:07:22,160 --> 00:07:26,840
Speaker 1: insurance consumers. And it's just become right now where the

131
00:07:26,920 --> 00:07:29,800
Speaker 1: amount we pay as a private employer is about mirroring

132
00:07:29,840 --> 00:07:32,800
Speaker 1: exactly what medicare is. Go figure. Now, that's why these

133
00:07:32,840 --> 00:07:35,239
Speaker 1: people are starting to say, let's just go in medicare

134
00:07:35,280 --> 00:07:37,520
Speaker 1: for all, because on the surface everything looks like the

135
00:07:37,560 --> 00:07:40,160
Speaker 1: same cost, but the reality is so One way to

136
00:07:40,200 --> 00:07:44,920
Speaker 1: think about it is, if a medical procedure costs a dollar, okay, Medicaid,

137
00:07:45,160 --> 00:07:47,920
Speaker 1: the low income one is only reimbursing like sixty five

138
00:07:48,000 --> 00:07:50,760
Speaker 1: cents on that dollar Medicare, the one we do for

139
00:07:50,800 --> 00:07:53,480
Speaker 1: old stars, reimburses about eighty five cents on that dollar.

140
00:07:53,800 --> 00:07:57,040
Speaker 1: Private healthcare reimburses about a hundred and thirty percent of

141
00:07:57,120 --> 00:08:00,680
Speaker 1: that dollar buck thirty. So every time time, every year

142
00:08:00,680 --> 00:08:02,800
Speaker 1: that goes forward. Next year, Medicare is going to go

143
00:08:02,840 --> 00:08:04,560
Speaker 1: up by one percent, your plan is going to go

144
00:08:04,640 --> 00:08:08,360
Speaker 1: up by nine and that's gonna keep marching forward infinity

145
00:08:08,560 --> 00:08:11,280
Speaker 1: to match health care inflation. And why this really matters

146
00:08:11,400 --> 00:08:13,840
Speaker 1: in terms of public policy is if you're trying to

147
00:08:13,880 --> 00:08:17,520
Speaker 1: figure out what Medicare for all would cost, for instance,

148
00:08:17,560 --> 00:08:22,040
Speaker 1: that's right, it is vastly more than the cost per

149
00:08:22,080 --> 00:08:24,800
Speaker 1: person times the number of people who would be right involved.

150
00:08:24,800 --> 00:08:28,440
Speaker 1: Because the private insurance industry, which is subsidizing all of this,

151
00:08:29,040 --> 00:08:32,360
Speaker 1: pouring money to make all those medical things possible at

152
00:08:32,360 --> 00:08:35,320
Speaker 1: the cost that will be eliminated in Kamala Harris's world.

153
00:08:35,559 --> 00:08:37,600
Speaker 1: And so all of a sudden, you sign up for

154
00:08:37,640 --> 00:08:40,640
Speaker 1: Medicare for all in it is you know, more expensive

155
00:08:40,720 --> 00:08:42,280
Speaker 1: or whatever then you even thought it was gonna be.

156
00:08:42,400 --> 00:08:46,160
Speaker 1: To make it perfectly clear, you believe Howard Schultz and

157
00:08:46,200 --> 00:08:48,800
Speaker 1: Michael Bloomberg are more right than Kamala Harris on their

158
00:08:48,800 --> 00:08:51,840
Speaker 1: production fundantly. More right. One other thing people aren't repeating

159
00:08:51,840 --> 00:08:56,200
Speaker 1: in this latest Kamala Harris issue is remember, Obamacare on

160
00:08:56,320 --> 00:08:59,560
Speaker 1: paper is scheduled to cost US two trillion dollars over

161
00:08:59,559 --> 00:09:03,240
Speaker 1: ten years years. Okay, when we price out medicare for

162
00:09:03,320 --> 00:09:07,160
Speaker 1: all healthcare, economists and actuaries hired by the federal government,

163
00:09:07,200 --> 00:09:10,960
Speaker 1: not me, say that cost is thirty two trillion over

164
00:09:11,040 --> 00:09:15,360
Speaker 1: ten years. Oh my god, sixteenfold? Right yeah wow. So

165
00:09:15,480 --> 00:09:17,040
Speaker 1: but and I think a lot of our listeners might

166
00:09:17,040 --> 00:09:18,760
Speaker 1: get hung up on this, especially people who have never

167
00:09:18,760 --> 00:09:20,240
Speaker 1: heard you before, because you said at the beginning you

168
00:09:20,240 --> 00:09:24,800
Speaker 1: think we're gonna be at socialized medicine within ten years roughly.

169
00:09:25,080 --> 00:09:28,040
Speaker 1: Why do you say that? Because and that's not your wish,

170
00:09:28,080 --> 00:09:30,319
Speaker 1: that's what you think is going to happen. You get

171
00:09:30,360 --> 00:09:32,200
Speaker 1: paid to figure out what you think is going to happen.

172
00:09:32,200 --> 00:09:35,000
Speaker 1: I get my compensation lies in the fact that I'm

173
00:09:35,000 --> 00:09:39,000
Speaker 1: accurate for employers. Um. Look, I say that just because

174
00:09:39,040 --> 00:09:43,960
Speaker 1: of somebody who has read orwell read Huxley and read

175
00:09:44,040 --> 00:09:47,320
Speaker 1: these novels and read Iron Rand and now sees what's

176
00:09:47,320 --> 00:09:49,600
Speaker 1: happening in the modern media where everything has to be

177
00:09:49,640 --> 00:09:52,520
Speaker 1: a twitter bite, and if the twitter bite is private

178
00:09:52,520 --> 00:09:55,839
Speaker 1: employer healthcare costs thirteen five per person and Medicare costs

179
00:09:55,840 --> 00:09:59,000
Speaker 1: thirteen five per person. Why do we have profit on

180
00:09:59,080 --> 00:10:01,720
Speaker 1: people's sickness. Let's get rid of that and put everybody

181
00:10:01,760 --> 00:10:05,480
Speaker 1: that wins the twitter bite wins the the explanation of

182
00:10:05,520 --> 00:10:08,360
Speaker 1: the Medicare costs shift and the inflation of prices over here,

183
00:10:08,480 --> 00:10:11,160
Speaker 1: squeezing the balloon and making it fat over there. That

184
00:10:11,240 --> 00:10:14,840
Speaker 1: doesn't win politically unless we have somebody incredibly gifted who's

185
00:10:14,880 --> 00:10:17,040
Speaker 1: able to make that case on a national level. And

186
00:10:17,120 --> 00:10:19,760
Speaker 1: I just haven't seen that happen in twenty years of politics.

187
00:10:19,800 --> 00:10:21,920
Speaker 1: And I don't even know if that would exist in

188
00:10:22,000 --> 00:10:25,080
Speaker 1: the modern attention span anyway. I don't even know if

189
00:10:25,080 --> 00:10:27,160
Speaker 1: it's possible. I don't know if anybody's got the patience

190
00:10:27,160 --> 00:10:31,200
Speaker 1: for an explanation. Right, Craig got Wallas. Craig the healthcare

191
00:10:31,240 --> 00:10:36,880
Speaker 1: guru is with us. Um. Yeah, the sirens song of

192
00:10:37,000 --> 00:10:41,560
Speaker 1: quote unquote free is just irresistible to governments, UM, and

193
00:10:41,600 --> 00:10:46,160
Speaker 1: to people, to voters, and the idea that um, for instance,

194
00:10:46,320 --> 00:10:48,559
Speaker 1: you know over in Great Britain are close allies of

195
00:10:48,600 --> 00:10:52,720
Speaker 1: modern society. They're not paying for medical care. It's free.

196
00:10:52,760 --> 00:10:56,120
Speaker 1: I mean number one. Nothing's free Canada or Canada. Right.

197
00:10:56,559 --> 00:10:58,160
Speaker 1: We got this great note from a listener. I don't

198
00:10:58,160 --> 00:10:59,319
Speaker 1: know if you've heard it the other day. She was

199
00:10:59,360 --> 00:11:05,400
Speaker 1: talking about living in England and how there is the cheap, crappy, unresponsive,

200
00:11:05,559 --> 00:11:08,320
Speaker 1: abusive like the v A on a bad day, like

201
00:11:08,400 --> 00:11:11,680
Speaker 1: the post office on a bad day, government healthcare, or

202
00:11:11,760 --> 00:11:14,079
Speaker 1: if you have the money, you have private doctors who

203
00:11:14,080 --> 00:11:16,800
Speaker 1: treat you like kings and queens um and and that

204
00:11:16,840 --> 00:11:19,520
Speaker 1: will be the situation in the United States. And I

205
00:11:19,520 --> 00:11:21,640
Speaker 1: would submit to you for a lot of people who

206
00:11:21,720 --> 00:11:25,080
Speaker 1: are working class people or or struggling, the quality of

207
00:11:25,080 --> 00:11:29,280
Speaker 1: their health care will get worse abundantly. So where this goes,

208
00:11:29,320 --> 00:11:31,240
Speaker 1: by the way, which we haven't actually talked a lot

209
00:11:31,280 --> 00:11:34,000
Speaker 1: about in my years on the show, is we can't

210
00:11:34,000 --> 00:11:36,480
Speaker 1: afford Medicare for all. They can say that they could

211
00:11:36,480 --> 00:11:38,680
Speaker 1: get elected on it, like i've heard you guys talking about,

212
00:11:38,760 --> 00:11:42,120
Speaker 1: is maybe AOC's goal. Where we could end up is

213
00:11:42,240 --> 00:11:45,640
Speaker 1: Medicaid for all. Now, remember Medicaid is the low income

214
00:11:45,640 --> 00:11:48,839
Speaker 1: one that pays doctors something like sixty cents on the dollar.

215
00:11:49,360 --> 00:11:51,640
Speaker 1: That's when we end up with the English system, where

216
00:11:51,679 --> 00:11:53,720
Speaker 1: the the amount of doctors that take it is less

217
00:11:53,720 --> 00:11:56,200
Speaker 1: than a third of all doctors. And those that actually

218
00:11:56,200 --> 00:11:58,600
Speaker 1: get good care are the ones that by this concierge

219
00:11:58,720 --> 00:12:01,480
Speaker 1: care over and above with the state from Medicaid is

220
00:12:01,480 --> 00:12:03,920
Speaker 1: the one that the current stats are you have better

221
00:12:04,000 --> 00:12:07,840
Speaker 1: health results without it than with it. That's nothing. There

222
00:12:07,840 --> 00:12:10,720
Speaker 1: are university studies done on false states that show your

223
00:12:10,720 --> 00:12:13,679
Speaker 1: health outcome is is maybe the same, maybe worse if

224
00:12:13,679 --> 00:12:16,240
Speaker 1: you have because it takes because it's a false sense

225
00:12:16,240 --> 00:12:18,440
Speaker 1: of security and you think you have coverage, but it

226
00:12:18,480 --> 00:12:20,560
Speaker 1: takes so long to get in and see a doctor

227
00:12:20,600 --> 00:12:23,360
Speaker 1: that things get worse. Interesting, we had another note from

228
00:12:23,360 --> 00:12:26,240
Speaker 1: a beloved listener, b J who's a VET and has

229
00:12:26,280 --> 00:12:29,200
Speaker 1: skin cancer and just called and they said, come on

230
00:12:29,240 --> 00:12:33,280
Speaker 1: in in May skin cancer. And that's the v A.

231
00:12:33,640 --> 00:12:36,240
Speaker 1: And you know, the v A in some places trying

232
00:12:36,320 --> 00:12:39,360
Speaker 1: really hard, but it's in dire need to reform. And

233
00:12:39,440 --> 00:12:43,320
Speaker 1: that's a very small universe vet's compared to the population

234
00:12:43,320 --> 00:12:46,200
Speaker 1: of the United States, you know it. In preparation for

235
00:12:46,240 --> 00:12:48,000
Speaker 1: this point, I did a little research on the v

236
00:12:48,120 --> 00:12:50,200
Speaker 1: A and what I found was a couple interesting stats

237
00:12:50,200 --> 00:12:52,440
Speaker 1: that you guys will love. One is the v A

238
00:12:52,559 --> 00:12:55,240
Speaker 1: reported recently, the VA reported their average weight time is

239
00:12:55,280 --> 00:12:57,720
Speaker 1: eight days for a primary care doctor. When that was

240
00:12:57,800 --> 00:13:01,880
Speaker 1: independently verified, verified by an editor, it was twenty seven days.

241
00:13:02,080 --> 00:13:05,160
Speaker 1: Holy k. So then the v A put in this

242
00:13:05,200 --> 00:13:08,080
Speaker 1: new care program, this new choice program that said, look,

243
00:13:08,240 --> 00:13:10,240
Speaker 1: if your weight's going to be more than thirty, used

244
00:13:10,240 --> 00:13:12,120
Speaker 1: to be thirty. Now it's twenty days, you can go

245
00:13:12,120 --> 00:13:13,920
Speaker 1: out and see another doctor, you can go out and

246
00:13:13,960 --> 00:13:16,959
Speaker 1: see a private doctor. Well, that auditor also found out

247
00:13:17,000 --> 00:13:19,559
Speaker 1: that the average weight time in that program is fifty

248
00:13:19,600 --> 00:13:22,720
Speaker 1: two days because of all the bureaucracy involved to get

249
00:13:22,760 --> 00:13:25,719
Speaker 1: approval to get to twenty, because of all the paperwork

250
00:13:25,800 --> 00:13:28,040
Speaker 1: to get the past. That's right, So it doubled your

251
00:13:28,080 --> 00:13:29,920
Speaker 1: normal weight time. So that was that was like the

252
00:13:30,240 --> 00:13:37,080
Speaker 1: Beethoven's fifth Symphony of illustrating bureaucracy government healthcare. Hey, we

253
00:13:37,200 --> 00:13:39,480
Speaker 1: we need asounding. We have got to take a break.

254
00:13:39,480 --> 00:13:42,560
Speaker 1: Do you how about this? If you do, you have

255
00:13:42,600 --> 00:13:45,440
Speaker 1: a question text US four one five two nine five

256
00:13:45,520 --> 00:13:49,080
Speaker 1: kf TC foe five k f tc. Is there anything

257
00:13:49,120 --> 00:13:51,439
Speaker 1: we haven't struck on you'd like to ask you wonder about?

258
00:13:51,520 --> 00:13:53,160
Speaker 1: All right, let's go to break that. The idea that

259
00:13:53,160 --> 00:13:57,160
Speaker 1: we're gonna have socialized healthcare by is troubling. According to Craig,

260
00:13:57,200 --> 00:14:03,160
Speaker 1: you're listening to the arms Strong in Getty Show Conscience

261
00:14:03,920 --> 00:14:11,280
Speaker 1: of the Nation, looking at a mixed batch of the

262
00:14:11,320 --> 00:14:16,800
Speaker 1: texts as we talked with our healthcare guru. Um, a

263
00:14:16,800 --> 00:14:18,760
Speaker 1: lot of people always bring up the deductibles because that

264
00:14:18,880 --> 00:14:21,080
Speaker 1: that strikes people. That's that's one of the rubber meets

265
00:14:21,120 --> 00:14:23,680
Speaker 1: the road for a lot of people every year. Deductible,

266
00:14:23,920 --> 00:14:26,040
Speaker 1: that's where you really notice things. UM. I'm in that

267
00:14:26,080 --> 00:14:29,240
Speaker 1: situation right now. Um, but you said something. God, you

268
00:14:29,280 --> 00:14:31,320
Speaker 1: said it to me when Joe was getting his cool

269
00:14:31,360 --> 00:14:35,400
Speaker 1: new hip. When you're riding up the prices in our

270
00:14:35,440 --> 00:14:40,360
Speaker 1: healthcare system Joe for an unnecessary hip. Fun benefited me.

271
00:14:40,560 --> 00:14:42,280
Speaker 1: And I asked you what the near term is and

272
00:14:42,320 --> 00:14:44,920
Speaker 1: you said things are going to get slower, more expensive,

273
00:14:44,920 --> 00:14:49,280
Speaker 1: and worse. That's still the case absolutely. As they'll move

274
00:14:49,400 --> 00:14:52,400
Speaker 1: toward a Medicaid for all type of system, you're gonna

275
00:14:52,440 --> 00:14:56,640
Speaker 1: have exactly what your listener wrote in about these incredibly

276
00:14:56,720 --> 00:14:58,680
Speaker 1: long wait times. It'll be similar to the v A

277
00:14:58,840 --> 00:15:00,640
Speaker 1: or anything else you hear about out with respect to

278
00:15:00,720 --> 00:15:03,640
Speaker 1: socialized medicine. Why would you expect it to be anything else?

279
00:15:04,000 --> 00:15:08,040
Speaker 1: Because you were promised by a really gifted politician that

280
00:15:08,120 --> 00:15:10,520
Speaker 1: it would be wonderful, it would be a utopia, and

281
00:15:11,160 --> 00:15:14,640
Speaker 1: all for that siren song over and over and over again. Yes, yes,

282
00:15:14,880 --> 00:15:16,880
Speaker 1: you know. I try to explain to my kids there

283
00:15:16,920 --> 00:15:20,400
Speaker 1: are political messages you will hear through your life that

284
00:15:20,560 --> 00:15:23,960
Speaker 1: are the Hey, I got these speakers from where I work.

285
00:15:24,800 --> 00:15:29,360
Speaker 1: They are well crafted lies that get the gullible. They

286
00:15:30,160 --> 00:15:32,760
Speaker 1: capture the gullibles imagination over and over and over again

287
00:15:32,800 --> 00:15:35,040
Speaker 1: through history. It's just the way mankind works. And it's

288
00:15:35,040 --> 00:15:37,560
Speaker 1: a shame. We got this email. Why healthcare so expensive?

289
00:15:37,560 --> 00:15:40,160
Speaker 1: Why does it keep going up? Thirty seconds or live

290
00:15:40,600 --> 00:15:43,080
Speaker 1: exactly there? There are there are a hundred page papers

291
00:15:43,080 --> 00:15:44,840
Speaker 1: written on that, and those are the shorter ones. UM.

292
00:15:45,360 --> 00:15:48,640
Speaker 1: The shortest answer, the easiest thing to latch onto is UH.

293
00:15:48,760 --> 00:15:50,720
Speaker 1: As we talk about healthcare going up four to five

294
00:15:51,160 --> 00:15:55,000
Speaker 1: raw amount every year, roughly of that is drugs, so

295
00:15:55,160 --> 00:15:58,680
Speaker 1: our x is clearly the biggest driver in healthcare. UM.

296
00:15:58,760 --> 00:16:01,480
Speaker 1: Pharmaceutical companies now out. A lot of that has to

297
00:16:01,520 --> 00:16:03,800
Speaker 1: do with the fact that there's so much research and

298
00:16:03,840 --> 00:16:06,240
Speaker 1: development that goes on in that system because it is

299
00:16:06,280 --> 00:16:09,280
Speaker 1: still a profit driven system. So that's where companies can

300
00:16:09,320 --> 00:16:12,680
Speaker 1: funnel their efforts. Um, when you get into a hundred

301
00:16:12,680 --> 00:16:15,040
Speaker 1: percent socialized system where you take the profit out of

302
00:16:15,040 --> 00:16:17,520
Speaker 1: things like that, we won't get a lot of new drugs,

303
00:16:17,560 --> 00:16:19,760
Speaker 1: and drugs will be cheaper as we're all using existing

304
00:16:19,800 --> 00:16:22,080
Speaker 1: generics as a as a really short answer, but much

305
00:16:22,160 --> 00:16:26,360
Speaker 1: less innovation and much less Yeah, and you gotta remember, uh,

306
00:16:26,400 --> 00:16:28,560
Speaker 1: the United States is the is the number one western

307
00:16:28,600 --> 00:16:31,280
Speaker 1: country where profits still exists in healthcare. So it's not

308
00:16:31,360 --> 00:16:35,160
Speaker 1: just drugs, it's better m RI I technology, better CT scans,

309
00:16:35,360 --> 00:16:39,360
Speaker 1: uh faster ways to build amazing titanium and porcelain hips.

310
00:16:39,840 --> 00:16:41,960
Speaker 1: So we've got stuff exists, We've got one minute. We

311
00:16:42,040 --> 00:16:44,360
Speaker 1: got this. Texas is a good one. Maybe this is unanswerable.

312
00:16:44,600 --> 00:16:46,840
Speaker 1: What should I do? A one text or ask, which

313
00:16:46,920 --> 00:16:48,800
Speaker 1: is a good question other than you know, vote in

314
00:16:48,840 --> 00:16:50,440
Speaker 1: such a way that you think you can stop this.

315
00:16:50,640 --> 00:16:53,080
Speaker 1: What do you do? Just save your money, try to

316
00:16:53,120 --> 00:16:55,680
Speaker 1: be healthy. Is there anything you could do with the

317
00:16:55,840 --> 00:16:58,640
Speaker 1: coming world of healthcare? YEA, save your money, try to

318
00:16:58,680 --> 00:17:00,440
Speaker 1: be healthy and enroll in an h F. Say if

319
00:17:00,440 --> 00:17:04,520
Speaker 1: your employer offers that all the money, all that money

320
00:17:04,520 --> 00:17:07,000
Speaker 1: in the HSD and then don't spend the money. Is

321
00:17:07,040 --> 00:17:09,240
Speaker 1: one thing I tell people max out what you put

322
00:17:09,240 --> 00:17:10,840
Speaker 1: in the HSD, and then when you go to the

323
00:17:10,840 --> 00:17:13,080
Speaker 1: doctor to pay pay out of pocket. Don't touch the

324
00:17:13,200 --> 00:17:15,399
Speaker 1: HSD because you're gonna need that when you retire and

325
00:17:15,400 --> 00:17:17,760
Speaker 1: you you're gonna need that. Definitely keep it forever and

326
00:17:17,800 --> 00:17:20,720
Speaker 1: you're gonna need that money when we go Medicaid, the

327
00:17:20,760 --> 00:17:25,640
Speaker 1: Healthcare Guru first to a series of chests. When you're

328
00:17:25,680 --> 00:17:28,120
Speaker 1: ready to ride Metro, we want you to know we're

329
00:17:28,160 --> 00:17:30,399
Speaker 1: ready for you. Here are just a few of the

330
00:17:30,440 --> 00:17:32,560
Speaker 1: people at Metro to tell you how we're doing our

331
00:17:32,640 --> 00:17:38,119
Speaker 1: part to keep riders safe. We're cleaning before you have

332
00:17:38,160 --> 00:17:42,560
Speaker 1: found hay Stunt of Sound of Stasistro, no mask, no

333
00:17:42,720 --> 00:17:46,360
Speaker 1: Metro one. We have a few extras at Metro. We're

334
00:17:46,400 --> 00:17:49,160
Speaker 1: doing our part to keep the DC area moving. Find

335
00:17:49,200 --> 00:17:51,359
Speaker 1: out more at well Not a dot com slash doing

336
00:17:51,359 --> 00:17:51,840
Speaker 1: our part