1 00:00:00,480 --> 00:00:04,120 Speaker 1: Fellow conspiracy realist. We returned to you this evening with 2 00:00:04,240 --> 00:00:11,160 Speaker 1: a classic episode about a terrible, terrible conspiracy that continues 3 00:00:12,360 --> 00:00:16,959 Speaker 1: today in twenty twenty four and continued far before we 4 00:00:17,079 --> 00:00:19,800 Speaker 1: first spoke about this in twenty nineteen. 5 00:00:21,040 --> 00:00:24,919 Speaker 2: Oh yeah, and we've learned so much more about the 6 00:00:24,960 --> 00:00:28,760 Speaker 2: prison system and healthcare, you know, as two separate things 7 00:00:28,800 --> 00:00:31,880 Speaker 2: since that time. I'm specifically thinking back to the discussion 8 00:00:31,920 --> 00:00:34,640 Speaker 2: you guys had with the Lava for Good folks, like 9 00:00:34,760 --> 00:00:38,600 Speaker 2: all the different hosts there, and just learning about the 10 00:00:38,720 --> 00:00:41,960 Speaker 2: dangers of the prison system. But the weirdest thing, the 11 00:00:41,960 --> 00:00:45,680 Speaker 2: weirdest thing for me was learning from them through you guys, 12 00:00:46,040 --> 00:00:50,320 Speaker 2: that private prisons are actually way smaller of a deal 13 00:00:50,600 --> 00:00:53,880 Speaker 2: than I thought because there's so fewer of them. 14 00:00:54,360 --> 00:00:56,160 Speaker 3: But yet they're the ones that get all the headlines. 15 00:00:56,240 --> 00:00:59,680 Speaker 2: Right, Yeah, well that's the headlines, and that's at least 16 00:00:59,720 --> 00:01:02,800 Speaker 2: my perception. And the reason why that was mind blowing 17 00:01:02,840 --> 00:01:06,800 Speaker 2: to me is because I imagined there was pretty good healthcare 18 00:01:06,959 --> 00:01:10,000 Speaker 2: for prisoners because there is a profit motive to keep 19 00:01:10,040 --> 00:01:13,600 Speaker 2: that prisoner alive and in jail, because the private prison 20 00:01:13,840 --> 00:01:18,120 Speaker 2: gets money per person per bed, right, But that's not 21 00:01:18,959 --> 00:01:21,360 Speaker 2: that's not the way it goes in most prisons. 22 00:01:22,440 --> 00:01:24,679 Speaker 3: Accurate. Let's check out the episode. 23 00:01:25,520 --> 00:01:29,960 Speaker 4: From UFOs to Psychic Powers and government conspiracies. History is 24 00:01:30,080 --> 00:01:34,360 Speaker 4: riddled with unexplained events. You can turn back now or 25 00:01:34,480 --> 00:01:36,440 Speaker 4: learn this stuff they don't want you to know. 26 00:01:37,360 --> 00:01:40,559 Speaker 1: A production of iHeart Radios How Stuff Works. 27 00:01:49,600 --> 00:01:51,520 Speaker 2: Hello, welcome back to the show. My name is Matt, 28 00:01:51,560 --> 00:01:52,160 Speaker 2: my name is Nolan. 29 00:01:52,280 --> 00:01:54,120 Speaker 1: They call me Ben. When we were joined with our 30 00:01:54,200 --> 00:01:58,160 Speaker 1: super producer Paul Michigan, control decand most importantly, you are you. 31 00:01:58,160 --> 00:02:01,760 Speaker 1: You are here that makes this stuff they don't want 32 00:02:01,800 --> 00:02:05,240 Speaker 1: you to know. We've been going down some dark alley 33 00:02:05,240 --> 00:02:10,200 Speaker 1: ways figuratively speaking or conversationally speaking in the past few episodes, 34 00:02:10,560 --> 00:02:13,440 Speaker 1: and you know, honestly, we're getting to a point where 35 00:02:13,480 --> 00:02:17,280 Speaker 1: maybe we should do something a little more lighthearted in 36 00:02:17,320 --> 00:02:19,639 Speaker 1: the future. Well that's not true. We have a lighthearted 37 00:02:19,680 --> 00:02:23,679 Speaker 1: interview for the Legend of Cocaine Island that's out now 38 00:02:23,800 --> 00:02:27,080 Speaker 1: by the time you hear this. So that's a fun listen, right. 39 00:02:26,960 --> 00:02:30,520 Speaker 2: Right, Yeah, We've got stuff unicorns don't want you to 40 00:02:30,560 --> 00:02:31,320 Speaker 2: know on the slate. 41 00:02:31,720 --> 00:02:35,080 Speaker 1: M Okay, yeah, I know. Well it's weird because I 42 00:02:35,160 --> 00:02:38,640 Speaker 1: was thinking I was reading something about unicorns oddly enough, 43 00:02:38,639 --> 00:02:42,519 Speaker 1: now that you mentioned this, wherein someone who was a 44 00:02:43,680 --> 00:02:46,280 Speaker 1: zoologist of some sort of another said, based on the 45 00:02:46,320 --> 00:02:48,560 Speaker 1: fact that they had a single horn, and based on 46 00:02:48,600 --> 00:02:50,760 Speaker 1: the fact that was positioned in the center of their 47 00:02:50,800 --> 00:02:55,080 Speaker 1: forehead facing forward, what that tells us about their behavior. 48 00:02:55,400 --> 00:02:58,920 Speaker 1: It's very similar to rhinos. So unicorns, if they did exist, 49 00:02:59,040 --> 00:03:03,160 Speaker 1: would probably be legerent, antagonistic animals, capable of great violence. 50 00:03:03,280 --> 00:03:06,400 Speaker 3: They'd be very stabby, and that's something unicorns don't want 51 00:03:06,440 --> 00:03:06,920 Speaker 3: you to know. 52 00:03:06,919 --> 00:03:11,200 Speaker 2: That's right, not the profile, Yeah, exactly, all the glitter 53 00:03:11,720 --> 00:03:13,320 Speaker 2: and all the shininess. 54 00:03:13,040 --> 00:03:14,440 Speaker 1: And they're weird thing with virgins. 55 00:03:14,520 --> 00:03:17,079 Speaker 3: Have you seen that movie Legend with a very very 56 00:03:17,120 --> 00:03:17,840 Speaker 3: young Tom. 57 00:03:17,680 --> 00:03:20,120 Speaker 1: Cruise and a very awesome Tim Curry. 58 00:03:19,960 --> 00:03:22,800 Speaker 3: Very awesome Tim Currey wearing a giant rubber satan suit, 59 00:03:22,960 --> 00:03:25,079 Speaker 3: And there's a whole thing where they like the unicorns 60 00:03:25,080 --> 00:03:27,320 Speaker 3: play a big part in that, very very important. 61 00:03:27,320 --> 00:03:31,760 Speaker 1: There's also the animated The Last Unicorn, which is really sad. Yeah. 62 00:03:31,840 --> 00:03:36,160 Speaker 2: Yeah, I was thinking about the Brie Larson, her directorial debut, 63 00:03:36,560 --> 00:03:38,560 Speaker 2: something about the Unicorn Store something to that. 64 00:03:38,560 --> 00:03:41,360 Speaker 3: Effects on Netflix. Now it is is it spoiler alert? 65 00:03:41,440 --> 00:03:43,920 Speaker 3: Does not seem to have anything to actually do with unicorns, 66 00:03:44,040 --> 00:03:45,360 Speaker 3: I know, just putting that out. 67 00:03:45,280 --> 00:03:47,320 Speaker 1: Well, thank you guys, you've saved me a few hours. 68 00:03:47,360 --> 00:03:49,240 Speaker 3: No, it else has absolutely nothing to do with unicorns. 69 00:03:49,360 --> 00:03:53,800 Speaker 1: The healthcare in the prison systems. So the US healthcare 70 00:03:53,880 --> 00:03:57,000 Speaker 1: system is by any measure, no matter how you look 71 00:03:57,040 --> 00:03:59,280 Speaker 1: at it, no matter what your opinion is, and everybody 72 00:03:59,320 --> 00:04:03,240 Speaker 1: has opinions about this, by any measure, it's anomalous. One 73 00:04:03,280 --> 00:04:07,240 Speaker 1: of the world's wealthiest countries with one of the world's 74 00:04:07,320 --> 00:04:14,080 Speaker 1: worst performing healthcare sticks. You know, like not in comparison 75 00:04:14,200 --> 00:04:18,080 Speaker 1: to very very impoverished countries so much as in comparison 76 00:04:18,120 --> 00:04:23,640 Speaker 1: to other countries we would consider peer countries economically. Right. Yeah, 77 00:04:23,680 --> 00:04:26,240 Speaker 1: And there's the one thing we all agree on is 78 00:04:26,279 --> 00:04:31,719 Speaker 1: that this thing is rife with problems. It's lousy with 79 00:04:31,880 --> 00:04:34,760 Speaker 1: problems and things that don't work, and it's complicated by 80 00:04:34,760 --> 00:04:36,520 Speaker 1: the fact that there is a ton of money wrapped 81 00:04:36,600 --> 00:04:41,400 Speaker 1: up in this issue. Doctors make a ton of money, hospitals, 82 00:04:41,839 --> 00:04:45,160 Speaker 1: of course, insurance companies make tons of money. There's a 83 00:04:45,200 --> 00:04:48,080 Speaker 1: lot writing on this, and that means there's also extensive 84 00:04:48,160 --> 00:04:51,880 Speaker 1: propaganda in play. We will hear some people say, well, 85 00:04:51,960 --> 00:04:56,080 Speaker 1: the entire problem with US healthcare is that it is 86 00:04:56,120 --> 00:05:00,200 Speaker 1: to a great degree run by privatized insurance companies, that 87 00:05:00,240 --> 00:05:03,280 Speaker 1: they're the root of the problem as they continually put 88 00:05:03,320 --> 00:05:07,400 Speaker 1: profits over the greater good. For some people, that's fighting words. 89 00:05:07,400 --> 00:05:09,719 Speaker 1: For other people, it's like, you know, shrug, dot gift, 90 00:05:10,120 --> 00:05:13,800 Speaker 1: that's what companies do, that's what for profit businesses do. 91 00:05:14,160 --> 00:05:17,080 Speaker 1: Other people say, no, it's broken. But the problem is 92 00:05:17,200 --> 00:05:22,120 Speaker 1: not honest, red blooded American business. It's that the government 93 00:05:22,240 --> 00:05:25,560 Speaker 1: is involved. And every time Uncle Sam is involved in something, 94 00:05:26,760 --> 00:05:29,800 Speaker 1: it's going to be ruinous because the government is inefficient 95 00:05:29,880 --> 00:05:33,440 Speaker 1: and corrupt. Sometimes that's a sincere argument. Sometimes it's a 96 00:05:33,480 --> 00:05:35,920 Speaker 1: Star of the Beast argument. Depends on what you hear about. 97 00:05:36,200 --> 00:05:39,919 Speaker 1: And today's episode is not about that cartoonishly tragically comic 98 00:05:40,080 --> 00:05:43,919 Speaker 1: state of medical care in the US overall. That's probably 99 00:05:43,920 --> 00:05:47,320 Speaker 1: its own podcast. Today's episode instead is about one of 100 00:05:47,360 --> 00:05:50,839 Speaker 1: the worst case scenarios for anyone who lives in this 101 00:05:50,920 --> 00:05:54,760 Speaker 1: country and ever gets sick orrever needs some sort of 102 00:05:54,800 --> 00:05:58,640 Speaker 1: medical treatment. Healthcare in prison. 103 00:06:00,120 --> 00:06:01,760 Speaker 2: Two things you don't want to be a part of. 104 00:06:01,880 --> 00:06:05,719 Speaker 2: Sick and incarcerated. So just to get a better understanding 105 00:06:05,760 --> 00:06:08,839 Speaker 2: of this problem, it's best to start with some statistics. 106 00:06:08,839 --> 00:06:11,000 Speaker 2: We all love those. So let's look at just the 107 00:06:11,080 --> 00:06:14,839 Speaker 2: US population in general. As of twenty eighteen, the population 108 00:06:14,920 --> 00:06:18,000 Speaker 2: in this country was three hundred and twenty seven point 109 00:06:18,040 --> 00:06:21,480 Speaker 2: two million human beings. Twenty eight point seven percent of 110 00:06:21,520 --> 00:06:24,880 Speaker 2: the population is under the age of eighteen, so you know, 111 00:06:25,200 --> 00:06:28,279 Speaker 2: that's almost a third of the people very very young. 112 00:06:29,120 --> 00:06:32,200 Speaker 2: About fifteen point six of the population is over the 113 00:06:32,240 --> 00:06:35,880 Speaker 2: age of sixty five. And then that leaves the people 114 00:06:35,880 --> 00:06:39,560 Speaker 2: who are not minors, you know, who are eighteen and 115 00:06:39,600 --> 00:06:44,320 Speaker 2: they're also not they're above eighteen below senior citizen, which 116 00:06:44,360 --> 00:06:47,240 Speaker 2: are going to be the primary, the primary age range 117 00:06:47,240 --> 00:06:49,440 Speaker 2: for people who are incarcerated. 118 00:06:49,160 --> 00:06:53,880 Speaker 1: Right right, the regular, the regular Joe's and James. This 119 00:06:54,000 --> 00:06:57,800 Speaker 1: is interesting that fifteen point six percent number for elderly 120 00:06:57,839 --> 00:07:01,920 Speaker 1: and senior citizens makes sense because do in large part 121 00:07:02,000 --> 00:07:04,280 Speaker 1: to the way the healthcare system here does or does 122 00:07:04,360 --> 00:07:10,960 Speaker 1: not work, We have a disturbingly low life expectancy compared 123 00:07:10,960 --> 00:07:14,120 Speaker 1: to other what are called first world countries or other 124 00:07:14,200 --> 00:07:18,960 Speaker 1: developed countries is a better phrase. So's that's the population 125 00:07:19,040 --> 00:07:21,760 Speaker 1: by the numbers. What about the medical stuff? Do we 126 00:07:21,800 --> 00:07:23,120 Speaker 1: have any stats for that? 127 00:07:23,800 --> 00:07:27,520 Speaker 3: Yeah, so the US spends way more on healthcare than 128 00:07:27,600 --> 00:07:33,040 Speaker 3: any other nation. On this here globe three and forty 129 00:07:33,080 --> 00:07:37,640 Speaker 3: eight dollars per person, which amounts nearly eighteen percent of GDP, 130 00:07:38,480 --> 00:07:42,280 Speaker 3: which seems bonkers to me. Government funded Medicare and Medicaid 131 00:07:42,360 --> 00:07:44,920 Speaker 3: account for more than a dollar of every three dollars 132 00:07:45,000 --> 00:07:48,280 Speaker 3: of US healthcare spending, and a dollar every four dollars 133 00:07:48,400 --> 00:07:52,200 Speaker 3: in the federal budget. The entire federal budget, we know 134 00:07:52,800 --> 00:07:55,440 Speaker 3: is a is like seems like one of those imaginary numbers, 135 00:07:55,560 --> 00:07:57,200 Speaker 3: you know, the trillions. 136 00:07:57,400 --> 00:08:03,080 Speaker 1: Yeah, it's largely, it is largely a series of which 137 00:08:03,160 --> 00:08:06,440 Speaker 1: is promises, increasingly ambitious pitches. I was going to say 138 00:08:06,760 --> 00:08:10,240 Speaker 1: from Congress. Absolutely, and and it's been growing, right, it's 139 00:08:10,280 --> 00:08:12,760 Speaker 1: been growing Medicare at least that more than twice the 140 00:08:12,840 --> 00:08:15,920 Speaker 1: rate of inflation. It's forecast to accelerate as what we 141 00:08:16,000 --> 00:08:23,080 Speaker 1: call the baby boomer generation ages increasingly into that elderly demographic. 142 00:08:23,720 --> 00:08:28,400 Speaker 1: So that's one thing upon which we cannot blame millennials. Sorry, 143 00:08:28,560 --> 00:08:30,760 Speaker 1: I know some of us in the audience are dig that. 144 00:08:31,120 --> 00:08:34,280 Speaker 2: But yeah, and then that's just for Medicare. That's that's 145 00:08:34,320 --> 00:08:36,640 Speaker 2: the part that the government helps out with, right, right, 146 00:08:36,720 --> 00:08:39,320 Speaker 2: And that's for people who do have Medicare, you're considered 147 00:08:39,360 --> 00:08:42,480 Speaker 2: to have healthcare. There are a lot of other healthcare 148 00:08:42,559 --> 00:08:45,880 Speaker 2: comes from employers, kind of like what we have sitting 149 00:08:45,920 --> 00:08:48,440 Speaker 2: in this room, including Michigan control over there. 150 00:08:48,520 --> 00:08:53,520 Speaker 1: You're absolutely right, Matt twenty sixteen. Private health insurance covered 151 00:08:54,720 --> 00:08:58,800 Speaker 1: more people than the government does. So you pay like 152 00:08:58,880 --> 00:09:03,040 Speaker 1: think of think of every country as a club. We've 153 00:09:03,080 --> 00:09:08,160 Speaker 1: said this before in previous episodes. The concept of taxes, 154 00:09:08,480 --> 00:09:12,880 Speaker 1: the concept of taxation is at heart in a very 155 00:09:12,920 --> 00:09:17,080 Speaker 1: oversimplified way, it's the same thing as paying dues to 156 00:09:17,200 --> 00:09:23,240 Speaker 1: a club, country club perhaps, sure, a country club, a 157 00:09:23,320 --> 00:09:26,920 Speaker 1: chess club that has a nice HQ, if they have those. 158 00:09:27,400 --> 00:09:31,040 Speaker 1: The idea is, you pay into this thing, and because 159 00:09:31,080 --> 00:09:34,520 Speaker 1: you've paid into this thing, you get certain rights. So 160 00:09:34,600 --> 00:09:37,800 Speaker 1: you're a country club, a golf club, whatever. That goes 161 00:09:37,840 --> 00:09:40,000 Speaker 1: to the maintenance of the place, but it also goes 162 00:09:40,000 --> 00:09:43,040 Speaker 1: to the maintenance of things you use. So the argument 163 00:09:43,080 --> 00:09:45,080 Speaker 1: that people will have is that, well, if you pay 164 00:09:45,160 --> 00:09:49,920 Speaker 1: taxes here in a country, then those taxes should guarantee 165 00:09:49,920 --> 00:09:53,400 Speaker 1: some of your rights, guarantee some maintenance, and then arguably 166 00:09:54,120 --> 00:09:56,480 Speaker 1: they could be in a situation where they pay to 167 00:09:56,679 --> 00:10:01,040 Speaker 1: help keep you alive or at least make your existence 168 00:10:01,080 --> 00:10:03,199 Speaker 1: a little bit less painful than it would be without 169 00:10:03,200 --> 00:10:06,800 Speaker 1: health insurance. Again, not everybody agrees with that. A lot 170 00:10:06,840 --> 00:10:09,520 Speaker 1: of people think privatization is the answer. So that's why 171 00:10:09,559 --> 00:10:13,920 Speaker 1: employer based coverage covers more than half of the population 172 00:10:14,120 --> 00:10:16,320 Speaker 1: for part or all the calendar year. And then there's 173 00:10:16,360 --> 00:10:20,000 Speaker 1: Medicaid nineteen point four percent, Medicare sixteen point seven percent, 174 00:10:20,480 --> 00:10:23,600 Speaker 1: what's called direct purchase, I go out and buy my 175 00:10:23,640 --> 00:10:27,120 Speaker 1: own stuff sixteen point two percent of people either thought 176 00:10:27,120 --> 00:10:28,920 Speaker 1: that was a good idea or were forced to do 177 00:10:28,960 --> 00:10:33,760 Speaker 1: it through things like Cobra right, or military coverage four 178 00:10:33,800 --> 00:10:36,160 Speaker 1: point six percent. You're going to lay your life on 179 00:10:36,200 --> 00:10:39,200 Speaker 1: the line for a country. The least we can do is, 180 00:10:39,440 --> 00:10:41,760 Speaker 1: you know, not put you in the poorhouse if you 181 00:10:41,800 --> 00:10:45,640 Speaker 1: have cancer, although that still happens. But this number doesn't 182 00:10:45,679 --> 00:10:50,000 Speaker 1: answer everything, because despite all these different kind of partial 183 00:10:50,080 --> 00:10:53,800 Speaker 1: band aids for keeping people alive and healthy, twenty eight 184 00:10:53,800 --> 00:10:57,160 Speaker 1: point five million people in this country have no form 185 00:10:57,160 --> 00:11:01,600 Speaker 1: of health insurance whatsoever all the year, all the livelong day. 186 00:11:02,080 --> 00:11:05,360 Speaker 2: Yeah, eight point eight percent. At least that's as of 187 00:11:05,520 --> 00:11:06,320 Speaker 2: twenty seventeen. 188 00:11:06,679 --> 00:11:10,480 Speaker 1: Right, that number may have gone up or down a 189 00:11:10,480 --> 00:11:14,120 Speaker 1: little bit, but it hasn't moved a ton yet. It 190 00:11:14,160 --> 00:11:17,319 Speaker 1: may very well in the near future, in the next 191 00:11:17,320 --> 00:11:18,960 Speaker 1: three ten years. Right. 192 00:11:20,240 --> 00:11:22,480 Speaker 3: Not to mention the fact that I don't know how 193 00:11:22,480 --> 00:11:24,679 Speaker 3: this figures is the puzzle here, but I think it's 194 00:11:24,720 --> 00:11:27,360 Speaker 3: fascinating and it certainly should be part of the conversation. 195 00:11:27,880 --> 00:11:31,760 Speaker 3: It costs an average of thirty one thousand dollars per 196 00:11:31,880 --> 00:11:36,720 Speaker 3: inmate per year to incarcerate an individual. It's like tax 197 00:11:36,840 --> 00:11:39,760 Speaker 3: payer money. So it's just crazy to me that if 198 00:11:39,760 --> 00:11:42,360 Speaker 3: we're paying that much to incartrate a person, yet people 199 00:11:42,400 --> 00:11:46,760 Speaker 3: outside of the prison system, we wouldn't even consider spending 200 00:11:46,880 --> 00:11:49,360 Speaker 3: that much on them and their well being. 201 00:11:49,920 --> 00:11:50,280 Speaker 2: It is. 202 00:11:51,000 --> 00:11:53,880 Speaker 1: It is cheaper, or it has been for a number 203 00:11:53,880 --> 00:11:59,280 Speaker 1: of years. It is cheaper for the United States, on 204 00:11:59,360 --> 00:12:03,160 Speaker 1: a state and federal level to send someone to community 205 00:12:03,240 --> 00:12:07,960 Speaker 1: college for two to four years and pay for their 206 00:12:08,400 --> 00:12:11,200 Speaker 1: dorm or their apartment than it is to incarcerate them. 207 00:12:11,559 --> 00:12:18,120 Speaker 1: And that's something I learned via Little Wayne originally true story, 208 00:12:17,880 --> 00:12:21,640 Speaker 1: but yeah, but it's true. It's we can get into 209 00:12:21,679 --> 00:12:24,960 Speaker 1: the political reasons for that, because the argument here doesn't 210 00:12:24,960 --> 00:12:27,280 Speaker 1: bear out when you look at the math. It bears 211 00:12:27,320 --> 00:12:30,040 Speaker 1: out when you look at what people like voting for, right, 212 00:12:30,160 --> 00:12:32,520 Speaker 1: which is a little bit of a simplified way to 213 00:12:32,520 --> 00:12:34,680 Speaker 1: say it, but it's true, and it's a big business. 214 00:12:34,840 --> 00:12:37,760 Speaker 1: The US locks up a lot of people. I was 215 00:12:37,800 --> 00:12:41,000 Speaker 1: thinking about this earlier. I was going to say they 216 00:12:41,040 --> 00:12:43,040 Speaker 1: lock up tons of people, and then I read back 217 00:12:43,040 --> 00:12:45,000 Speaker 1: through it, and it's true. If you do the math 218 00:12:45,040 --> 00:12:47,680 Speaker 1: on how much a single person weighs, and you do 219 00:12:47,760 --> 00:12:49,840 Speaker 1: the math on how many people are locked up, we 220 00:12:49,920 --> 00:12:52,839 Speaker 1: are literally locking up tons and tons of people, tons 221 00:12:52,880 --> 00:12:56,600 Speaker 1: of human flesh. Our prison population rate is roughly seven 222 00:12:56,679 --> 00:13:00,000 Speaker 1: hundred per one hundred thousand. That makes it the second 223 00:13:00,240 --> 00:13:04,679 Speaker 1: highest incarceration rate of two hundred and twenty two countries 224 00:13:04,880 --> 00:13:08,840 Speaker 1: tracked by the Institute for Criminal Policy Research, and that 225 00:13:09,000 --> 00:13:15,560 Speaker 1: is such a large net to cast the ICPR study 226 00:13:16,480 --> 00:13:19,440 Speaker 1: right now, the UN doesn't recognize two hundred and twenty 227 00:13:19,480 --> 00:13:23,280 Speaker 1: two countries, so they gave everybody a chance. This country 228 00:13:23,559 --> 00:13:27,480 Speaker 1: locks up a half million more than China, and that 229 00:13:27,559 --> 00:13:31,560 Speaker 1: has a population five times larger than the US. This country, 230 00:13:31,760 --> 00:13:33,720 Speaker 1: and this is a statistic that many of us have 231 00:13:33,800 --> 00:13:36,320 Speaker 1: heard before, and I wish it wasn't still true. This 232 00:13:36,400 --> 00:13:40,400 Speaker 1: country holds twenty five percent of the world's prison population. 233 00:13:40,559 --> 00:13:46,679 Speaker 1: Twenty five percent. Yeah, it's worse though, because the statistic 234 00:13:46,720 --> 00:13:49,720 Speaker 1: that follows right after, we're only five percent of the 235 00:13:49,760 --> 00:13:53,960 Speaker 1: people in the world, which means that, if you think 236 00:13:54,000 --> 00:13:56,760 Speaker 1: about it, just from living here, you have one of 237 00:13:56,800 --> 00:13:59,760 Speaker 1: the highest chances in the world of going to prison. 238 00:14:00,480 --> 00:14:02,800 Speaker 2: Yep, Okay, So what was it we said, three hundred 239 00:14:02,800 --> 00:14:07,040 Speaker 2: and twenty seven something million people in the United States. Well, 240 00:14:07,120 --> 00:14:11,720 Speaker 2: the American criminal justice system holds within it incarcerated human 241 00:14:11,720 --> 00:14:16,920 Speaker 2: beings two point three million people. That's crazy. There are 242 00:14:17,120 --> 00:14:20,840 Speaker 2: and it holds them in over seventeen hundred state prisons. 243 00:14:21,240 --> 00:14:23,760 Speaker 2: There are one hundred and two federal prisons, and then 244 00:14:23,920 --> 00:14:28,600 Speaker 2: eighteen over eighteen hundred juvenile correctional facilities. Then there are 245 00:14:28,600 --> 00:14:31,080 Speaker 2: also like that. Okay, and that's just starting right. Then 246 00:14:31,120 --> 00:14:33,960 Speaker 2: you go down another level. You get to the local jails. 247 00:14:33,960 --> 00:14:36,360 Speaker 2: They wouldn't even be really called a prison, just a jail, 248 00:14:36,400 --> 00:14:38,920 Speaker 2: a holding cell kind of thing. There are three thy 249 00:14:39,040 --> 00:14:41,800 Speaker 2: one hundred and sixty three of those, and there are 250 00:14:41,840 --> 00:14:46,720 Speaker 2: also eighty Native American like they're called Indian country jails. 251 00:14:48,520 --> 00:14:50,560 Speaker 2: Well that's not even talk, dude. We're not even thinking 252 00:14:50,560 --> 00:14:53,440 Speaker 2: about military prisons, the brig yeah, and the oh, the 253 00:14:53,480 --> 00:14:56,720 Speaker 2: detention facilities like immigration facilities. 254 00:14:56,280 --> 00:15:00,920 Speaker 3: The bizarre and labyrinthine network of detention centers. Yeah, that's 255 00:15:01,160 --> 00:15:03,680 Speaker 3: that's that's a whole on other conversation. 256 00:15:03,200 --> 00:15:06,480 Speaker 1: There, one of which was famously until quite recently, a 257 00:15:06,520 --> 00:15:10,840 Speaker 1: series of fences set up under a bridge. Yeah, civil 258 00:15:10,920 --> 00:15:16,280 Speaker 1: commitment centers, state psychiatric hospitals, which are still around, mostly privatized, 259 00:15:16,280 --> 00:15:17,920 Speaker 1: but still exists to some degree. 260 00:15:18,040 --> 00:15:21,840 Speaker 2: You can be held without against your will in those facilities. 261 00:15:21,280 --> 00:15:25,440 Speaker 1: And prisons in US territories which occupy an even more 262 00:15:27,120 --> 00:15:33,000 Speaker 1: murky legal space, including Gano, including Guantanamo. Yeah, every year 263 00:15:33,200 --> 00:15:37,200 Speaker 1: six hundred and twenty six thousand people walk out of prison, 264 00:15:38,000 --> 00:15:42,720 Speaker 1: but they go to jail ten point six million times 265 00:15:42,960 --> 00:15:47,800 Speaker 1: each year. Jail and prison are as as many people will, 266 00:15:47,840 --> 00:15:50,600 Speaker 1: as many people attest. Jail and prison are two very 267 00:15:51,080 --> 00:15:56,440 Speaker 1: different beasts. Jail churn is pretty high because most people 268 00:15:56,480 --> 00:15:58,720 Speaker 1: in jail have not been convicted. 269 00:15:58,960 --> 00:15:59,680 Speaker 2: They're just waiting. 270 00:15:59,760 --> 00:16:05,040 Speaker 1: Yeah, they've been arrested. They're desperately using that trope and fiction. 271 00:16:05,120 --> 00:16:08,480 Speaker 1: They're one phone call to get a bail bondsman, or 272 00:16:08,520 --> 00:16:11,000 Speaker 1: to get some money together to get out before they 273 00:16:11,040 --> 00:16:14,080 Speaker 1: have to go to trial, or in many, many, many, 274 00:16:14,200 --> 00:16:19,480 Speaker 1: many cases, they are too poor. And you know, justice 275 00:16:19,560 --> 00:16:21,720 Speaker 1: is a slot machine that only takes dollars. 276 00:16:21,880 --> 00:16:25,720 Speaker 3: So if jail is like a holiday, in prison is 277 00:16:25,880 --> 00:16:30,120 Speaker 3: like a living community of some kind in an apartment building. 278 00:16:30,400 --> 00:16:34,040 Speaker 1: Yeah yeah, So again, jail is like kind of like 279 00:16:34,120 --> 00:16:36,560 Speaker 1: a slot machine that only takes dollars. So other people 280 00:16:36,600 --> 00:16:39,080 Speaker 1: are too poor to make bail and they have to 281 00:16:39,120 --> 00:16:42,400 Speaker 1: stay behind bars until their trial. And we've all seen 282 00:16:42,480 --> 00:16:45,960 Speaker 1: these stories, right, There's somebody who has arrested for something. 283 00:16:46,080 --> 00:16:49,360 Speaker 1: Maybe it's a case, wrong place, wrong time, but they 284 00:16:49,360 --> 00:16:52,600 Speaker 1: can't make bail, and so they're in jail for what months, 285 00:16:53,000 --> 00:16:55,080 Speaker 1: and then they go to trial and the judge is like, 286 00:16:55,160 --> 00:16:56,040 Speaker 1: who is this guy? 287 00:16:56,480 --> 00:17:00,000 Speaker 3: Not to mention they're in jail because they've done something. 288 00:17:00,160 --> 00:17:02,360 Speaker 3: Then they can't make bail, so then they lose their 289 00:17:02,480 --> 00:17:06,040 Speaker 3: jobs because they're sitting in jail, and it just creates 290 00:17:06,080 --> 00:17:09,159 Speaker 3: this cycle of being able to not afford anything that 291 00:17:09,200 --> 00:17:11,920 Speaker 3: the system foists upon you, especially then once you are 292 00:17:12,119 --> 00:17:15,080 Speaker 3: convicted and then have some kind of you know, fee 293 00:17:15,119 --> 00:17:17,240 Speaker 3: schedule that you have to deal with, but you've lost 294 00:17:17,280 --> 00:17:20,639 Speaker 3: your job and become unemployable again, probably another conversation, but 295 00:17:20,680 --> 00:17:22,439 Speaker 3: it's a problematic cycle. 296 00:17:23,280 --> 00:17:26,439 Speaker 1: And this number might surprise some folks. Met you recently 297 00:17:26,440 --> 00:17:29,240 Speaker 1: gave us the statistics of some people in jail. But 298 00:17:29,480 --> 00:17:32,199 Speaker 1: of those people in jail, only about one hundred and 299 00:17:32,320 --> 00:17:35,960 Speaker 1: fifty thousand or so on any given day have actually 300 00:17:36,000 --> 00:17:39,320 Speaker 1: been convicted, and most of them to take your holiday 301 00:17:39,359 --> 00:17:45,159 Speaker 1: in comparison or the apartment comparisons. They're generally serving sentences 302 00:17:45,240 --> 00:17:48,480 Speaker 1: that are less than a year, and almost half a 303 00:17:48,520 --> 00:17:52,600 Speaker 1: million people are locked up purely because of drug offenses. 304 00:17:53,560 --> 00:17:57,840 Speaker 1: So mainstream media, right, we all know and love our 305 00:17:57,920 --> 00:18:02,679 Speaker 1: favorite fiction films and stories, often depicts the incarcerated population 306 00:18:03,600 --> 00:18:07,639 Speaker 1: in some in some wild extremes, right, there are two 307 00:18:07,800 --> 00:18:12,239 Speaker 1: or three big stereotypes we see people incarcerated. There are 308 00:18:12,560 --> 00:18:15,480 Speaker 1: either woefully disenfranchised, you know what I mean, The system 309 00:18:15,560 --> 00:18:18,640 Speaker 1: is broken. It crushed my life, you know, I got 310 00:18:18,720 --> 00:18:23,320 Speaker 1: arrested wrongfully, but I lost everything while I was waiting 311 00:18:23,359 --> 00:18:25,600 Speaker 1: for my day in court. Or there might be the 312 00:18:25,640 --> 00:18:30,160 Speaker 1: other extreme where these people are absolute suicide squad level 313 00:18:30,359 --> 00:18:35,119 Speaker 1: monsters and the state is being too nice by putting 314 00:18:35,119 --> 00:18:37,639 Speaker 1: these people in time out for life and should just 315 00:18:37,760 --> 00:18:40,879 Speaker 1: kill them. And then you'll see things like red and 316 00:18:40,960 --> 00:18:45,960 Speaker 1: Shawshank redemption right, who who has attained wisdom or higher 317 00:18:46,040 --> 00:18:50,199 Speaker 1: enlightenment despite their physical confines and stuff like that. But 318 00:18:50,280 --> 00:18:54,040 Speaker 1: regardless of how these people are depicted in fiction, life 319 00:18:54,040 --> 00:18:57,000 Speaker 1: on the inside is not like what you'll see in 320 00:18:57,040 --> 00:18:59,879 Speaker 1: a lot of those things. Like what's that HBO series 321 00:19:00,080 --> 00:19:03,600 Speaker 1: OZ got praised for being a little more realistic than most. 322 00:19:03,840 --> 00:19:06,840 Speaker 3: Yeah, that show is insanely good. It was also like 323 00:19:06,880 --> 00:19:09,680 Speaker 3: one of the early big HBO dramas, So it has 324 00:19:09,760 --> 00:19:13,480 Speaker 3: this look of like video where it looks very real, 325 00:19:13,520 --> 00:19:16,000 Speaker 3: almost like you're watching a play, but it's like it's 326 00:19:16,119 --> 00:19:18,480 Speaker 3: I love everything about that shows it's super great. 327 00:19:18,560 --> 00:19:19,320 Speaker 2: Does it hold up? 328 00:19:19,760 --> 00:19:20,240 Speaker 1: It does? 329 00:19:20,480 --> 00:19:20,800 Speaker 2: Okay? 330 00:19:20,840 --> 00:19:22,560 Speaker 3: I mean I don't know. It's a little data because 331 00:19:22,560 --> 00:19:25,320 Speaker 3: it's super square, like the framing or whatever. And also 332 00:19:25,680 --> 00:19:27,560 Speaker 3: some of the some of the performances are a little 333 00:19:27,560 --> 00:19:30,200 Speaker 3: over the top, but no, the stuff that it covers, 334 00:19:30,920 --> 00:19:34,159 Speaker 3: it's very theatrical, but it's also very grounded in reality. 335 00:19:34,200 --> 00:19:38,000 Speaker 1: Mmm, sort of a harbinger of the gritty realism of 336 00:19:38,240 --> 00:19:43,960 Speaker 1: Orange is the New Black. So, regardless of any of 337 00:19:44,040 --> 00:19:47,280 Speaker 1: us listening now, regardless of our stance on the prison system, 338 00:19:47,960 --> 00:19:51,320 Speaker 1: whether you think it's chugging right along, whether it's the 339 00:19:51,359 --> 00:19:54,600 Speaker 1: best we can do, even if it's not perfect, whether 340 00:19:54,640 --> 00:19:57,080 Speaker 1: you think it's broken, whether you think it's a system 341 00:19:57,160 --> 00:20:02,080 Speaker 1: meant to oppress certain demographics here in this country. It's 342 00:20:02,119 --> 00:20:06,280 Speaker 1: clear that crime does continue inside the walls of penitentiaries. 343 00:20:06,520 --> 00:20:10,520 Speaker 1: There are gangs everywhere. People love all the vices still, 344 00:20:10,600 --> 00:20:17,040 Speaker 1: you know what I mean, drugs, sensual pleasure, old fashioned violence, 345 00:20:17,560 --> 00:20:19,760 Speaker 1: and the chances of that kind of violence are always 346 00:20:19,840 --> 00:20:23,280 Speaker 1: somewhere in the cards. But to activist policymakers and others, 347 00:20:23,560 --> 00:20:26,560 Speaker 1: there is another criminal in the mix here. And it's 348 00:20:26,640 --> 00:20:29,520 Speaker 1: not a criminal that you're going to see on America's 349 00:20:29,560 --> 00:20:32,639 Speaker 1: Most Wanted. It's not a criminal that you will see 350 00:20:32,640 --> 00:20:37,760 Speaker 1: in a highly publicized OJ Simpson level trial, right. 351 00:20:37,920 --> 00:20:40,679 Speaker 2: No, you would see them in the ads in between 352 00:20:40,720 --> 00:20:41,560 Speaker 2: those programs. 353 00:20:41,840 --> 00:20:46,760 Speaker 1: That's right, we're talking about insurance companies. Wait, our insurance 354 00:20:46,760 --> 00:20:51,439 Speaker 1: companies criminals. You might be saying, kind of, let's have 355 00:20:51,480 --> 00:21:03,199 Speaker 1: a word from our sponsor. Is where it gets crazy. 356 00:21:03,320 --> 00:21:07,440 Speaker 1: So well, let's call this part healthcare, profit and public perception. 357 00:21:08,560 --> 00:21:12,600 Speaker 1: In twenty seventeen, the Bureau of Justice Statistics released a 358 00:21:12,720 --> 00:21:16,199 Speaker 1: study and they said that nearly half of the people 359 00:21:16,280 --> 00:21:20,560 Speaker 1: held in jails suffer from some sort of mental illness, 360 00:21:21,040 --> 00:21:24,879 Speaker 1: and more than a quarter have a severe condition such 361 00:21:24,920 --> 00:21:29,679 Speaker 1: as bipolar disorder. And again as we as we noted 362 00:21:29,720 --> 00:21:34,440 Speaker 1: with jail, many of the people in jail are just waiting, 363 00:21:34,520 --> 00:21:38,359 Speaker 1: they're churning through. They haven't been convicted and sentenced to 364 00:21:39,520 --> 00:21:42,800 Speaker 1: that misdemeanor. That's less than a year. But in the 365 00:21:42,840 --> 00:21:46,560 Speaker 1: same year twenty seventeen, the Bureau reported that about two 366 00:21:46,880 --> 00:21:51,760 Speaker 1: thirds of sentenced inmates in jail suffer from drug addiction 367 00:21:52,040 --> 00:21:56,840 Speaker 1: or dependency. And that conclusion they made this is the 368 00:21:56,880 --> 00:22:01,280 Speaker 1: scary part. It comes from numbers in two thousand and 369 00:22:01,359 --> 00:22:04,440 Speaker 1: seven to two thousand and nine, which means it largely 370 00:22:04,520 --> 00:22:09,320 Speaker 1: does not account for the opioid crisis. Wow. 371 00:22:09,800 --> 00:22:15,800 Speaker 2: Yeah, Wow, that's uh, that's tough. Well, well, here's the 372 00:22:15,840 --> 00:22:18,160 Speaker 2: other thing. So you've got a life sentence, let's say 373 00:22:18,160 --> 00:22:19,960 Speaker 2: you're going to be in prison for a long time. 374 00:22:20,000 --> 00:22:22,440 Speaker 2: You're also going to be dealing with just what happens 375 00:22:22,440 --> 00:22:25,600 Speaker 2: to your body as you're getting older. Just age related stuff, right, 376 00:22:25,680 --> 00:22:29,439 Speaker 2: like all kinds of diseases, all kinds of stuff that 377 00:22:29,480 --> 00:22:32,880 Speaker 2: you need medication for, stuff that you need maybe even 378 00:22:32,960 --> 00:22:38,320 Speaker 2: some I don't know, recovery, physical recovery from and work on. 379 00:22:38,800 --> 00:22:41,679 Speaker 2: And these people are dealing with that. There's also you know, 380 00:22:41,720 --> 00:22:44,760 Speaker 2: we talked about the addiction, the mental illness, and when 381 00:22:44,760 --> 00:22:47,320 Speaker 2: you put these together, kind of as you're saying, Ben 382 00:22:47,560 --> 00:22:51,399 Speaker 2: getting older, being addicted to something, probably maybe continuing to 383 00:22:51,400 --> 00:22:55,360 Speaker 2: be addicted while you're in while you're incarcerated, and then 384 00:22:55,400 --> 00:22:57,800 Speaker 2: also you know, having to deal with the mental illness. 385 00:22:57,800 --> 00:23:00,600 Speaker 2: It all kind of just adds up into this pretty 386 00:23:00,640 --> 00:23:05,520 Speaker 2: brutal thing where you're going to be probably experiencing withdrawal symptoms, 387 00:23:05,600 --> 00:23:09,960 Speaker 2: especially early on in your situation there. So, like I guess, 388 00:23:10,000 --> 00:23:13,360 Speaker 2: the first year of prison, which is what you were saying, 389 00:23:13,400 --> 00:23:15,119 Speaker 2: a lot of people actually only spend about a year 390 00:23:15,119 --> 00:23:17,520 Speaker 2: and there it can be extremely rough on your health. 391 00:23:17,840 --> 00:23:22,479 Speaker 1: Oh yeah, absolutely. I mean imagine if you are, if 392 00:23:22,520 --> 00:23:27,320 Speaker 1: you are encountering withdrawal symptoms from some sort of drug addiction, 393 00:23:27,720 --> 00:23:33,560 Speaker 1: and the medical staff on hand says we're not going 394 00:23:33,640 --> 00:23:36,320 Speaker 1: to give you your drug of choice, but then another 395 00:23:36,320 --> 00:23:39,120 Speaker 1: inmate sidles up to you, maybe in the yard, and says, hey, 396 00:23:39,600 --> 00:23:42,199 Speaker 1: I can help you out if you do something for me. 397 00:23:43,280 --> 00:23:48,320 Speaker 1: Dangerous times right, And now, I guess we can take 398 00:23:48,320 --> 00:23:51,760 Speaker 1: a moment to talk about the politics here, because I'm 399 00:23:51,800 --> 00:23:55,800 Speaker 1: sure as we're exploring this, a lot of us are thinking, well, 400 00:23:56,600 --> 00:24:00,960 Speaker 1: people aren't in prison for good behavior. No one has 401 00:24:01,000 --> 00:24:04,480 Speaker 1: ever helped an old lady across the street so many 402 00:24:04,560 --> 00:24:07,119 Speaker 1: times that they got put in jail, you know what 403 00:24:07,200 --> 00:24:10,960 Speaker 1: I mean. You don't go there for being an honors student. 404 00:24:11,920 --> 00:24:16,359 Speaker 1: In terms of like civic mindedness, so there's this kind 405 00:24:16,359 --> 00:24:20,240 Speaker 1: of callous or colder argument that says, well, why should 406 00:24:20,280 --> 00:24:22,199 Speaker 1: we take care of these people if they are a 407 00:24:22,240 --> 00:24:28,520 Speaker 1: detriment to society? Because of that attitude or because of 408 00:24:28,560 --> 00:24:32,360 Speaker 1: that you know, that school of thought, it's very difficult 409 00:24:32,520 --> 00:24:38,560 Speaker 1: for politicians to argue in favor of advocacy for people 410 00:24:38,600 --> 00:24:42,320 Speaker 1: who have medical conditions while they are incarcerated, you know 411 00:24:42,359 --> 00:24:46,400 Speaker 1: what I mean. Like back in the eighties especially, it 412 00:24:46,640 --> 00:24:52,200 Speaker 1: was political suicide to say we should still treat human 413 00:24:52,240 --> 00:24:56,320 Speaker 1: beings as humans, because then it would be immediately equated 414 00:24:56,400 --> 00:25:02,480 Speaker 1: with being quote unquote soft on crime. And another difficulty 415 00:25:02,480 --> 00:25:05,679 Speaker 1: there a twists there is that it's very difficult in 416 00:25:05,680 --> 00:25:09,080 Speaker 1: many cases for felons to vote. So until the demographics 417 00:25:09,080 --> 00:25:11,320 Speaker 1: that are far more likely to get arrested and far 418 00:25:11,359 --> 00:25:17,000 Speaker 1: more likely to serve longer sentences are voting in larger 419 00:25:17,119 --> 00:25:22,040 Speaker 1: proportionate numbers, then politicians aren't going to go out of 420 00:25:22,080 --> 00:25:24,760 Speaker 1: their way to be I mean largely. It's true. It's 421 00:25:24,760 --> 00:25:27,959 Speaker 1: sad and it's kind of disgusting, but they're not going 422 00:25:28,000 --> 00:25:30,800 Speaker 1: to go out of the way to represent someone who 423 00:25:30,840 --> 00:25:34,680 Speaker 1: they don't see as capable of handing a benefit to them. 424 00:25:35,320 --> 00:25:38,199 Speaker 1: I mean, it's a huge downfall of our species, right, 425 00:25:38,240 --> 00:25:40,919 Speaker 1: everything is quid pro quo and stuff you should Know 426 00:25:40,960 --> 00:25:44,000 Speaker 1: has a great episode about how altruism doesn't really exist, 427 00:25:44,600 --> 00:25:45,720 Speaker 1: but no one wants to hear that. 428 00:25:45,520 --> 00:25:49,119 Speaker 2: That's depressing, right, yeah, So well, really fast, I just 429 00:25:49,119 --> 00:25:53,720 Speaker 2: want to talk about something with you guys. Something I 430 00:25:53,720 --> 00:25:55,400 Speaker 2: don't know if this even really fits in the show, 431 00:25:55,440 --> 00:25:58,439 Speaker 2: but something I think we can apply to this is 432 00:25:58,480 --> 00:26:02,040 Speaker 2: the fact that unless you have experienced something in your life, 433 00:26:02,160 --> 00:26:05,680 Speaker 2: or you know someone directly who has experienced something, it's 434 00:26:05,800 --> 00:26:10,479 Speaker 2: very difficult to have true empathy about a situation. And 435 00:26:10,520 --> 00:26:15,680 Speaker 2: I take this to the concept of quitting smoking or 436 00:26:15,720 --> 00:26:18,840 Speaker 2: attempting to quit smoking. Now, just hear me out really fast. 437 00:26:19,280 --> 00:26:21,680 Speaker 2: For a lot of people who have never been addicted 438 00:26:21,720 --> 00:26:26,160 Speaker 2: to something like nicotine and attempted and failed to quit 439 00:26:26,920 --> 00:26:30,240 Speaker 2: that substance or something like that, a lot of people 440 00:26:31,040 --> 00:26:35,400 Speaker 2: will have, at least I've noticed in my experience very 441 00:26:35,440 --> 00:26:39,560 Speaker 2: negative thoughts on alternatives to quitting smoking even or you know, 442 00:26:39,640 --> 00:26:43,640 Speaker 2: other things like that, Like they have an immediate negative 443 00:26:43,680 --> 00:26:46,760 Speaker 2: reaction to something like that unless you are someone who 444 00:26:46,760 --> 00:26:50,480 Speaker 2: has actually attempted and failed to do something like quitting smoking, 445 00:26:50,840 --> 00:26:52,359 Speaker 2: And so I wonder if it's the same thing with 446 00:26:52,400 --> 00:26:54,720 Speaker 2: the prison system and a lot of these other things 447 00:26:54,720 --> 00:26:57,840 Speaker 2: where unless you have that direct experience with it, it's 448 00:26:58,000 --> 00:27:01,360 Speaker 2: very difficult to even see it outside of the negative 449 00:27:01,400 --> 00:27:06,360 Speaker 2: context which has already built up around it societally experiential knowledge. 450 00:27:06,480 --> 00:27:09,640 Speaker 1: Right, like the uh like how the stem cell conversation 451 00:27:09,920 --> 00:27:14,520 Speaker 1: changed when people who were politicians opposed to stem cell 452 00:27:14,600 --> 00:27:17,840 Speaker 1: research realized the benefits it could have for people that 453 00:27:17,880 --> 00:27:18,840 Speaker 1: they personally knew. 454 00:27:19,560 --> 00:27:22,320 Speaker 2: Right, Yeah, I mean I think so, I mean even 455 00:27:22,359 --> 00:27:26,120 Speaker 2: the CBD oil, Yes, absolutely, you know, I. 456 00:27:26,040 --> 00:27:31,359 Speaker 1: Think it's it's weird because here in here in Georgia, Atlanta, Georgia, 457 00:27:31,359 --> 00:27:36,240 Speaker 1: where we record this podcast, uh one, regardless of where 458 00:27:36,280 --> 00:27:39,919 Speaker 1: you fall in drug criminalization. Uh. I thought it was 459 00:27:40,000 --> 00:27:44,040 Speaker 1: hilarious when we had some we had some politicians when 460 00:27:44,119 --> 00:27:49,280 Speaker 1: the CBDU the Medical Medicinal CBD Bill or whatever was called, 461 00:27:49,320 --> 00:27:53,119 Speaker 1: was first past, the politicians who approved of it spent 462 00:27:53,400 --> 00:27:57,920 Speaker 1: the majority of their time assuring everyone that no one 463 00:27:57,920 --> 00:28:01,359 Speaker 1: would enjoy it. I don't worry. No one is gonna 464 00:28:01,359 --> 00:28:04,320 Speaker 1: have fun. This is just for people with epilepsy. 465 00:28:04,560 --> 00:28:06,119 Speaker 2: So you're sure you cannot get high. 466 00:28:06,760 --> 00:28:09,640 Speaker 1: If I thought people would have anything like a good 467 00:28:09,680 --> 00:28:13,080 Speaker 1: time on this, I would be burning down the capitol. 468 00:28:13,720 --> 00:28:16,280 Speaker 1: You know what I mean. I'm still mad that people 469 00:28:16,320 --> 00:28:17,400 Speaker 1: Fox trot. 470 00:28:17,720 --> 00:28:19,600 Speaker 3: He is burning down the capitol. When you smoke a 471 00:28:19,600 --> 00:28:21,800 Speaker 3: bunch of weed in the capitol, Uh. 472 00:28:21,880 --> 00:28:25,119 Speaker 1: Little known fact. Yeah, it's part of the that's part 473 00:28:25,200 --> 00:28:27,480 Speaker 1: of the Georgia congressional slang. 474 00:28:28,800 --> 00:28:32,359 Speaker 3: They say their prayer and then they spark up a doobie. 475 00:28:32,840 --> 00:28:34,640 Speaker 2: Yeah, guy Fox, I don't know if you remember him. 476 00:28:34,840 --> 00:28:37,440 Speaker 2: He thought that barrel was actually full of doobies. 477 00:28:38,840 --> 00:28:46,920 Speaker 1: Yeah no, yeah, yeah, yeahah yes and right. So the 478 00:28:46,920 --> 00:28:51,640 Speaker 1: the reason the politics matter here, the reason they're so fundamental, 479 00:28:52,320 --> 00:28:58,840 Speaker 1: is because this means that exkews the budget allocations for 480 00:28:58,920 --> 00:29:01,600 Speaker 1: a lot of jails and pin tentries. You want to 481 00:29:01,640 --> 00:29:05,880 Speaker 1: spend a lot of money securing the place, right, making 482 00:29:05,920 --> 00:29:10,360 Speaker 1: it hard to walk out of. But why would you 483 00:29:11,000 --> 00:29:14,600 Speaker 1: spend money on healthcare, especially if it means you could 484 00:29:14,600 --> 00:29:18,360 Speaker 1: be accused of going soft on crime. This problem is 485 00:29:18,440 --> 00:29:22,400 Speaker 1: exacerbated in jails that are in rural or poor counties, 486 00:29:22,960 --> 00:29:25,120 Speaker 1: which happens a lot. Jails will tend to be in 487 00:29:25,200 --> 00:29:29,360 Speaker 1: rural and poor counties because they can be advertised as 488 00:29:29,360 --> 00:29:32,360 Speaker 1: a source of jobs right for an ailing community. So 489 00:29:32,600 --> 00:29:36,080 Speaker 1: administrators complain, you know, they say, look, I don't have 490 00:29:36,240 --> 00:29:39,520 Speaker 1: the resources. I can't make the numbers work. How am 491 00:29:39,520 --> 00:29:43,600 Speaker 1: I supposed to hire, train, and supervise doctors and nurses 492 00:29:44,120 --> 00:29:49,960 Speaker 1: right like GPS, let alone specialized medical care? Like, what 493 00:29:50,800 --> 00:29:52,959 Speaker 1: what on earth am I going to be able to 494 00:29:53,080 --> 00:29:58,840 Speaker 1: do to incentivize a medical health professional to work with me? 495 00:29:59,000 --> 00:30:01,520 Speaker 1: I certainly can't pay her or him as much as 496 00:30:01,520 --> 00:30:06,800 Speaker 1: they can make in the private sector, So increasingly they 497 00:30:06,880 --> 00:30:10,520 Speaker 1: turn to for profit companies. And this is a field 498 00:30:10,640 --> 00:30:13,520 Speaker 1: of healthcare that a lot of people have probably not 499 00:30:13,600 --> 00:30:15,600 Speaker 1: heard about. I don't know if any of us heard 500 00:30:15,600 --> 00:30:19,680 Speaker 1: about it beforehand. I certainly didn't. Correctional health care, so 501 00:30:19,760 --> 00:30:22,840 Speaker 1: think of like blue Cross, Blue Shield, just for people 502 00:30:23,040 --> 00:30:28,840 Speaker 1: in lock up. They pledge to deliver quality care, while 503 00:30:29,800 --> 00:30:34,640 Speaker 1: very very attractive to administrators, containing cost. It's part of 504 00:30:34,680 --> 00:30:37,520 Speaker 1: a trend that started back in the nineteen eighties during 505 00:30:37,520 --> 00:30:41,480 Speaker 1: the Reagan administration, where the idea was that in general, 506 00:30:41,600 --> 00:30:44,760 Speaker 1: we will start to privatize things. We as a country 507 00:30:44,760 --> 00:30:50,200 Speaker 1: in general will privatize things because we'll be cutting the 508 00:30:50,240 --> 00:30:53,920 Speaker 1: fat and having cost as the Having costs as the 509 00:30:54,200 --> 00:30:58,680 Speaker 1: bottom line will encourage more nimbles, slimmed down and more 510 00:30:58,720 --> 00:31:05,400 Speaker 1: efficient operations. This trend accelerated after the nineties, right when 511 00:31:05,440 --> 00:31:10,200 Speaker 1: we had a ton of tough sentencing laws like mandatory 512 00:31:10,240 --> 00:31:13,960 Speaker 1: sentencing and stuff. The Violent Crime Control Law Enforcement Act 513 00:31:14,080 --> 00:31:19,240 Speaker 1: nineteen ninety four made the number of people in jails 514 00:31:19,240 --> 00:31:22,720 Speaker 1: and prisons jump from about three hundred thousand to more 515 00:31:22,760 --> 00:31:26,960 Speaker 1: than two million today. Yeah so. 516 00:31:27,120 --> 00:31:30,560 Speaker 3: According to a twenty eighteen study from the Pew Charitable Trusts, 517 00:31:30,880 --> 00:31:33,800 Speaker 3: more than half of the states hire private companies to 518 00:31:33,880 --> 00:31:39,000 Speaker 3: provide at least some of that prison healthcare services. Those 519 00:31:39,000 --> 00:31:42,440 Speaker 3: prison healthcare services the companies they negotiate these multi year 520 00:31:42,440 --> 00:31:46,040 Speaker 3: contracts with each jail and prison that they serve. Medical 521 00:31:46,080 --> 00:31:50,080 Speaker 3: staff and prescription drugs, and outside services such as hospital stays, 522 00:31:50,560 --> 00:31:54,880 Speaker 3: constitute the bulk the line to share of these costs. Oftentimes, 523 00:31:54,920 --> 00:31:59,080 Speaker 3: the companies receive a per day, per individual rate, so 524 00:31:59,160 --> 00:32:04,720 Speaker 3: profits depend on keeping costs below that amount. Sometimes contracts 525 00:32:04,800 --> 00:32:08,280 Speaker 3: include provisions that increase a company's potential profit if it 526 00:32:08,320 --> 00:32:12,400 Speaker 3: holds down transfers to hospitals or to other outside providers. Ben, 527 00:32:12,640 --> 00:32:14,520 Speaker 3: can you help us unpack this because I don't know 528 00:32:14,520 --> 00:32:17,080 Speaker 3: about you, but this seems a little on the shady side. 529 00:32:17,480 --> 00:32:23,200 Speaker 1: For sure, your spider sense is correct. Sometimes this stuff 530 00:32:23,200 --> 00:32:25,920 Speaker 1: can get lost in the legal language. But this is 531 00:32:25,920 --> 00:32:31,360 Speaker 1: a very important turn in the story here. The companies, 532 00:32:31,560 --> 00:32:38,520 Speaker 1: these private health providers for prisons have negotiated these things 533 00:32:38,520 --> 00:32:44,160 Speaker 1: that say, look, we will make more money if everyone 534 00:32:44,280 --> 00:32:47,280 Speaker 1: is and this is just for sake of argument. If 535 00:32:47,320 --> 00:32:52,239 Speaker 1: everyone is limited to four hundred dollars a day, the 536 00:32:52,280 --> 00:32:55,800 Speaker 1: medical care for all these inmates is four hundred dollars 537 00:32:55,840 --> 00:32:58,080 Speaker 1: per person per day or less, and as probably is 538 00:32:58,160 --> 00:33:07,200 Speaker 1: less than we will make another profit. Furthermore, if x 539 00:33:07,280 --> 00:33:09,480 Speaker 1: number of people or less than that go to a 540 00:33:09,520 --> 00:33:13,600 Speaker 1: hospital per year or to a specialist off site, then 541 00:33:13,720 --> 00:33:17,840 Speaker 1: we'll make another We'll make another windfall, another bonus. So 542 00:33:19,320 --> 00:33:22,440 Speaker 1: we know that private health insurance follows the same thing. 543 00:33:22,520 --> 00:33:27,160 Speaker 1: It's not a new game, right. They want to avoid 544 00:33:27,240 --> 00:33:30,320 Speaker 1: unnecessary tests and procedures. You probably hear that a lot 545 00:33:30,800 --> 00:33:34,080 Speaker 1: back in the old death panel argument days. But this 546 00:33:34,240 --> 00:33:38,000 Speaker 1: is very important. This means that if someone in jail 547 00:33:38,080 --> 00:33:41,160 Speaker 1: or in prison believes that their health or even their 548 00:33:41,240 --> 00:33:44,400 Speaker 1: life is in jeopardy. They can't do what any of 549 00:33:44,480 --> 00:33:46,680 Speaker 1: us do. They can't just call nine to one one. 550 00:33:47,240 --> 00:33:51,480 Speaker 1: They can't, you know, they can't play the great medical 551 00:33:51,560 --> 00:33:54,560 Speaker 1: debt game that's killing this country and pay eleven grand 552 00:33:54,680 --> 00:34:00,520 Speaker 1: for an ambulance over time. Instead, they have to hope 553 00:34:00,560 --> 00:34:03,480 Speaker 1: and pray. If they are the religious type, that someone 554 00:34:03,520 --> 00:34:06,520 Speaker 1: in the prison believes that they are exhibiting the signs 555 00:34:06,560 --> 00:34:08,640 Speaker 1: of a stroke and they have to hope and pray 556 00:34:08,680 --> 00:34:11,399 Speaker 1: that it's a minor stroke, or they have to hope 557 00:34:11,400 --> 00:34:14,839 Speaker 1: and pray that the diabetes doesn't catch up to them 558 00:34:15,040 --> 00:34:18,120 Speaker 1: and they get some help before they go into insulin shock. 559 00:34:19,000 --> 00:34:22,720 Speaker 1: There are no comprehensive statistics about the prevalence of private 560 00:34:22,760 --> 00:34:27,200 Speaker 1: healthcare companies in jail, and that makes sense because why 561 00:34:27,239 --> 00:34:29,719 Speaker 1: would you want people to know that outside of maybe 562 00:34:29,800 --> 00:34:32,640 Speaker 1: a trade show where you're pitching to a warden. There 563 00:34:32,680 --> 00:34:36,400 Speaker 1: you go, well, we do have some stuff. We know 564 00:34:36,480 --> 00:34:42,279 Speaker 1: that the National Commission on Correctional Healthcare has accredited these 565 00:34:42,320 --> 00:34:46,520 Speaker 1: programs around the country, and seventy percent of the jails 566 00:34:46,560 --> 00:34:51,600 Speaker 1: it inspects outsource their medical services and when they outsource. 567 00:34:51,680 --> 00:34:55,160 Speaker 1: These for profit companies have a pretty big chunk of 568 00:34:55,200 --> 00:34:56,400 Speaker 1: those contracts. 569 00:34:58,040 --> 00:35:01,920 Speaker 2: Oh boy, So let's get into what we know about 570 00:35:01,960 --> 00:35:05,880 Speaker 2: some of this stuff. Just it's gonna get even deeper 571 00:35:05,920 --> 00:35:15,839 Speaker 2: and darker. After a quick word from our sponsor, we're back. 572 00:35:15,920 --> 00:35:21,640 Speaker 1: So we've been talking in general terms about private companies, right, 573 00:35:21,680 --> 00:35:24,840 Speaker 1: private healthcare companies. But let's name a few because we 574 00:35:24,880 --> 00:35:25,480 Speaker 1: have some names. 575 00:35:25,560 --> 00:35:28,600 Speaker 2: Right. So we've got at least one big one, and 576 00:35:28,640 --> 00:35:31,680 Speaker 2: it used to be called Correct Care Solutions, and that's 577 00:35:31,719 --> 00:35:33,399 Speaker 2: the one that I had heard of before, but it's 578 00:35:33,440 --> 00:35:36,839 Speaker 2: now called well Path. And there's also Corizon Health. It 579 00:35:36,840 --> 00:35:40,279 Speaker 2: looks like Horizon but with a C. Those are two 580 00:35:40,280 --> 00:35:41,760 Speaker 2: of the bigger players. 581 00:35:42,800 --> 00:35:45,400 Speaker 3: Is that like a kronat kind of Yeah? 582 00:35:45,480 --> 00:35:49,279 Speaker 2: Okay, so it's on the horizon, but it's correction. It's 583 00:35:49,280 --> 00:35:50,720 Speaker 2: the Correction Horizon of health. 584 00:35:51,040 --> 00:35:54,920 Speaker 1: It used to be called Correctional Medical Services Incorporated, and 585 00:35:54,960 --> 00:35:59,480 Speaker 1: then before that it was Prison Health Services Incorporated. Kind 586 00:35:59,480 --> 00:36:03,440 Speaker 1: of like Backwater or Academi or EXE. Just changed up 587 00:36:03,440 --> 00:36:06,360 Speaker 1: a little bit, Just change the names. It'll be fine, 588 00:36:06,520 --> 00:36:08,960 Speaker 1: it'll be grand. What an adventure. 589 00:36:09,680 --> 00:36:13,560 Speaker 2: Yeah, well, there's a reason why those names changed. Just 590 00:36:13,600 --> 00:36:16,680 Speaker 2: like you said with Blackwater, well, with Blackwater, it was 591 00:36:16,719 --> 00:36:20,200 Speaker 2: about public perception, right with some scandals that were occurring. 592 00:36:20,239 --> 00:36:23,080 Speaker 2: When we say scandals, we mean pretty much murder that 593 00:36:23,239 --> 00:36:27,240 Speaker 2: was occurring. With these companies, it's because they've been sued 594 00:36:27,560 --> 00:36:30,239 Speaker 2: a lot. The two of them together combined have been 595 00:36:30,280 --> 00:36:33,960 Speaker 2: sued about fifteen hundred times in the past past five years, 596 00:36:34,440 --> 00:36:37,239 Speaker 2: and a lot of those were over, you know, accusations 597 00:36:37,239 --> 00:36:40,719 Speaker 2: of things like neglect and malpractice and in dozens of 598 00:36:40,760 --> 00:36:46,080 Speaker 2: cases even wrongful injury or up to death. Carizon, one 599 00:36:46,080 --> 00:36:48,840 Speaker 2: of those companies, was the defendant in more than one 600 00:36:48,840 --> 00:36:52,160 Speaker 2: thousand cases, so of those fifteen hundred. 601 00:36:52,280 --> 00:36:56,320 Speaker 1: And it's interesting because Karison cares for about one hundred 602 00:36:56,320 --> 00:37:01,760 Speaker 1: and eighty thousand people day to day. Well Passed, in contrast, 603 00:37:01,840 --> 00:37:06,040 Speaker 1: handles about two hundred and fifty thousand people day to day. Wow. 604 00:37:06,560 --> 00:37:11,960 Speaker 1: Representatives for both companies say, well, these lawsuits are often flimsy, frivolous, 605 00:37:12,080 --> 00:37:16,520 Speaker 1: or inconclusive, and we know, you know again, people aren't 606 00:37:16,560 --> 00:37:19,520 Speaker 1: in jail or prison for being on their best behavior. 607 00:37:20,040 --> 00:37:24,000 Speaker 1: From what we understand, the vast majority of people are 608 00:37:24,000 --> 00:37:26,799 Speaker 1: inmates are just trying to get through their time and 609 00:37:26,960 --> 00:37:33,000 Speaker 1: get out and the other side of the bars gives 610 00:37:33,080 --> 00:37:37,239 Speaker 1: us a different perspective. The prison guards can assure us 611 00:37:37,560 --> 00:37:40,759 Speaker 1: that there are multiple people who do have mental health problems. 612 00:37:40,960 --> 00:37:45,879 Speaker 1: You know, they're flinging pooh. Maybe there's some people malingering, 613 00:37:45,920 --> 00:37:50,279 Speaker 1: which means faking an illness simply to change up their 614 00:37:50,360 --> 00:37:52,560 Speaker 1: routine to get out somewhere, you know what I mean. 615 00:37:53,920 --> 00:37:56,880 Speaker 1: But be that as it may, it doesn't negate the 616 00:37:56,920 --> 00:38:01,120 Speaker 1: fact that these cases of wrongful injury or death have 617 00:38:01,400 --> 00:38:05,600 Speaker 1: been decreed. Legitimate public interest lawyers have brought class action 618 00:38:05,800 --> 00:38:11,520 Speaker 1: suits alleging inadequate healthcare across the entire system. There are multiple, 619 00:38:11,600 --> 00:38:16,160 Speaker 1: multiple examples of this, unfortunately some which end in death. 620 00:38:16,719 --> 00:38:21,200 Speaker 1: But we've got let's just do one example from Arizona. 621 00:38:21,280 --> 00:38:24,360 Speaker 3: So in Arizona, civil rights groups filed a class action 622 00:38:24,480 --> 00:38:28,280 Speaker 3: suit in twenty twelve. A year later, after the state 623 00:38:28,360 --> 00:38:32,839 Speaker 3: passed legislation privatizing prison healthcare, it signed a contract with 624 00:38:33,400 --> 00:38:38,239 Speaker 3: Coruson to provide medical services in those prisons. Then, in 625 00:38:38,280 --> 00:38:42,600 Speaker 3: twenty fifteen, a federal district court that sought to resolve 626 00:38:42,680 --> 00:38:45,680 Speaker 3: the suit approved a settlement in which the state pledged 627 00:38:45,880 --> 00:38:51,560 Speaker 3: to overhaul its care. But last June, Judge David Duncan 628 00:38:51,680 --> 00:38:57,360 Speaker 3: found that quote, widespread and systematic failures remain end quote 629 00:38:57,560 --> 00:39:01,400 Speaker 3: and held the state in contempt, issuing it fines of 630 00:39:01,440 --> 00:39:03,480 Speaker 3: more than one million dollars. 631 00:39:04,280 --> 00:39:12,320 Speaker 1: And that's interesting because when they're defending themselves, the private 632 00:39:13,120 --> 00:39:17,960 Speaker 1: prison insurance companies will say that part of their contract 633 00:39:18,440 --> 00:39:23,960 Speaker 1: indemnifies the state or you know, the party from the 634 00:39:24,000 --> 00:39:28,080 Speaker 1: government that they're contracting with, indemnifies them from legal costs. 635 00:39:28,160 --> 00:39:30,440 Speaker 1: But in the case of Arizona, the judge wasn't having 636 00:39:30,480 --> 00:39:33,959 Speaker 1: it and essentially said, no, don't put this on them. 637 00:39:34,520 --> 00:39:37,880 Speaker 1: You're the ones who agreed to let this happen. In 638 00:39:37,920 --> 00:39:41,280 Speaker 1: the meantime, by the way, while these things are winding 639 00:39:41,320 --> 00:39:45,440 Speaker 1: and wending through the court system, people are dying, you know, 640 00:39:45,719 --> 00:39:49,239 Speaker 1: and many of whom committed crimes. But the ones who 641 00:39:49,239 --> 00:39:52,040 Speaker 1: are dying were not sentenced to the death penalty. And 642 00:39:52,080 --> 00:39:56,280 Speaker 1: the question then becomes, is this sentencing people to death? 643 00:39:56,320 --> 00:39:58,239 Speaker 1: Which I know is a really messed up way to 644 00:39:58,239 --> 00:40:03,160 Speaker 1: look at it, but it's not unfair. According to Steve Cole, 645 00:40:03,400 --> 00:40:05,719 Speaker 1: a journalist wrote an excellent article for The New Yorker 646 00:40:05,760 --> 00:40:09,600 Speaker 1: in twenty nineteen, evidence from cases across the country suggests 647 00:40:09,640 --> 00:40:13,120 Speaker 1: that four decades of policy failures in both healthcare and 648 00:40:13,200 --> 00:40:17,759 Speaker 1: criminal justice reform have left a largely neglected population vulnerable 649 00:40:17,800 --> 00:40:21,000 Speaker 1: and at times at risk, and that for profit companies, 650 00:40:21,040 --> 00:40:24,239 Speaker 1: which were promoted as a solution have instead become an 651 00:40:24,320 --> 00:40:27,400 Speaker 1: integral part of a troubled system. They were supposed to 652 00:40:27,440 --> 00:40:30,160 Speaker 1: fix it back in the eighties, and all they did 653 00:40:30,440 --> 00:40:32,000 Speaker 1: was fix their profit margins. 654 00:40:32,280 --> 00:40:34,759 Speaker 2: Yeah, and now it's become too big to fail in 655 00:40:34,760 --> 00:40:37,000 Speaker 2: a way you can't really remove it. 656 00:40:36,200 --> 00:40:40,839 Speaker 1: It even goes even goes down to the food, right, 657 00:40:40,920 --> 00:40:43,360 Speaker 1: because we joke about food all the time. But food's 658 00:40:43,400 --> 00:40:44,040 Speaker 1: part of your health. 659 00:40:44,680 --> 00:40:48,840 Speaker 2: It's a massive part of your health. Yo, are what 660 00:40:48,920 --> 00:40:51,200 Speaker 2: you eat, buddy, And it really is like the simplest 661 00:40:51,520 --> 00:40:54,880 Speaker 2: thing to say that. My wife, My wife and I 662 00:40:54,920 --> 00:40:59,360 Speaker 2: have an ongoing joke argument about that about how important 663 00:40:59,360 --> 00:41:02,799 Speaker 2: your food is. She likes to eat a lot more 664 00:41:02,840 --> 00:41:06,080 Speaker 2: healthy than I do. And I just like the good 665 00:41:06,120 --> 00:41:08,080 Speaker 2: tasting stuff, you know, you know. 666 00:41:08,080 --> 00:41:11,719 Speaker 1: Stuff that you evolved to seek out, right. 667 00:41:12,080 --> 00:41:17,120 Speaker 2: Yeah, the sugar, salt, yeah, mostly the fats, like the bacons. 668 00:41:17,239 --> 00:41:18,640 Speaker 3: You also like the heat, though, don't you. 669 00:41:18,719 --> 00:41:20,800 Speaker 2: Man, Yeah, give me the spicy bacon. 670 00:41:20,840 --> 00:41:21,759 Speaker 3: You're a spicy boy. 671 00:41:21,960 --> 00:41:24,719 Speaker 2: I'm good to go. But yeah, it's just one of 672 00:41:24,719 --> 00:41:26,560 Speaker 2: those things where it is true, if you're eating more 673 00:41:26,560 --> 00:41:29,239 Speaker 2: healthy or getting more nutrients, you are in a better 674 00:41:29,280 --> 00:41:30,880 Speaker 2: spot for all the other stuff and you're not going 675 00:41:30,960 --> 00:41:34,360 Speaker 2: to have as many issues, at least theoretically. But we 676 00:41:34,960 --> 00:41:38,040 Speaker 2: got a caller, someone a listener called in from Alabama 677 00:41:38,120 --> 00:41:40,560 Speaker 2: and told us about this story where there was a 678 00:41:40,600 --> 00:41:45,320 Speaker 2: local sheriff's office that was getting they would make money 679 00:41:45,920 --> 00:41:49,759 Speaker 2: off the top of whatever money they didn't spend on 680 00:41:50,719 --> 00:41:54,680 Speaker 2: food for the prison system within the county. And we 681 00:41:54,719 --> 00:41:57,279 Speaker 2: haven't looked into it fully yet. We do have a 682 00:41:57,400 --> 00:42:01,880 Speaker 2: story here from NPR about if sheriff in Alabama that 683 00:42:01,920 --> 00:42:05,280 Speaker 2: the caller was mentioning he took almost a million dollars 684 00:42:05,320 --> 00:42:09,240 Speaker 2: seven and fifty thousand dollars legally. He took this money 685 00:42:10,560 --> 00:42:13,160 Speaker 2: to buy a beach house. Money that was meant to 686 00:42:13,239 --> 00:42:14,920 Speaker 2: feed inmates within his county. 687 00:42:15,200 --> 00:42:21,080 Speaker 1: Yeah, Atawa County, SHAREFF Todd intrickin Todd, if you're listening, 688 00:42:21,560 --> 00:42:25,520 Speaker 1: I hope you enjoy your beach house. What Todd did 689 00:42:25,760 --> 00:42:29,240 Speaker 1: was pocket this, you know, seven hundred and fifty large 690 00:42:30,040 --> 00:42:33,680 Speaker 1: that was supposed to feed inmates of the jail that 691 00:42:33,760 --> 00:42:38,360 Speaker 1: he supervised. Then, according to the Birmingham News, he used 692 00:42:38,520 --> 00:42:41,319 Speaker 1: the money that he pocketed or the majority of it 693 00:42:41,400 --> 00:42:44,760 Speaker 1: to buy a beach house. Because Alabama has this law 694 00:42:44,800 --> 00:42:48,160 Speaker 1: that allows sheriffs to quote keep and retain unspent money 695 00:42:48,360 --> 00:42:53,320 Speaker 1: from jail food provision accounts. So sheriffs across the state 696 00:42:53,440 --> 00:42:57,800 Speaker 1: of Alabama take the money as personal income. 697 00:42:57,560 --> 00:43:00,799 Speaker 3: Like a bonus. Yeah, for like doing a good job, 698 00:43:00,840 --> 00:43:03,360 Speaker 3: because they had like a surplus. 699 00:43:02,960 --> 00:43:05,719 Speaker 1: Kind of Well, it's not attached to doing a good job. 700 00:43:05,800 --> 00:43:08,279 Speaker 1: It's just a I mean, if the good job is 701 00:43:08,280 --> 00:43:12,759 Speaker 1: defined as taking less money to feed people, then they 702 00:43:12,800 --> 00:43:15,480 Speaker 1: can take it. There. It goes both ways, though. People 703 00:43:15,520 --> 00:43:19,080 Speaker 1: are quick to point out if they have a shortfall 704 00:43:19,200 --> 00:43:22,160 Speaker 1: in the budget in that regard, then the sheriff as 705 00:43:22,200 --> 00:43:26,440 Speaker 1: an individual's personally held liable for covering the gap. But 706 00:43:26,680 --> 00:43:28,440 Speaker 1: turns out that they don't really go out of their 707 00:43:28,440 --> 00:43:30,880 Speaker 1: way to spend that much on feeding their inmates. 708 00:43:32,160 --> 00:43:37,040 Speaker 2: Yeah, that's really depressing and messed up sheriff. 709 00:43:37,400 --> 00:43:39,560 Speaker 1: Also, we don't know how many people are doing this, 710 00:43:39,800 --> 00:43:43,600 Speaker 1: because sheriffs across the state apparently have done this for 711 00:43:43,640 --> 00:43:46,560 Speaker 1: a long time. That law dates back to the Depression, 712 00:43:47,160 --> 00:43:50,680 Speaker 1: and according to the Southern Center for Human Rights quote, 713 00:43:50,760 --> 00:43:53,640 Speaker 1: it is presently unknown how much money sheriffs across the 714 00:43:53,640 --> 00:43:56,239 Speaker 1: state have taken because most do not report it as 715 00:43:56,400 --> 00:43:59,120 Speaker 1: income on state financial disclosure forms. 716 00:44:00,120 --> 00:44:04,600 Speaker 2: Yeah, so you're not required to specify any money that 717 00:44:04,640 --> 00:44:06,960 Speaker 2: you take in in this way above two hundred and 718 00:44:06,960 --> 00:44:10,280 Speaker 2: fifty thousand dollars a year. And he brought in seven 719 00:44:10,400 --> 00:44:11,160 Speaker 2: hundred and fifty. 720 00:44:12,440 --> 00:44:16,080 Speaker 1: We have to wonder what they're what they're eating. 721 00:44:16,440 --> 00:44:16,680 Speaker 2: You know. 722 00:44:17,239 --> 00:44:19,239 Speaker 1: It makes me think of do you guys remember the 723 00:44:19,360 --> 00:44:25,000 Speaker 1: controversy of neutral loaf? Do you remember hearing about that? 724 00:44:25,080 --> 00:44:27,839 Speaker 3: Yeah? I do. It was like a food substitute, kind 725 00:44:27,840 --> 00:44:28,800 Speaker 3: of like soilent green. 726 00:44:29,600 --> 00:44:33,040 Speaker 1: Yeah, kind of. It's like the the Okay, you know 727 00:44:33,080 --> 00:44:36,080 Speaker 1: that there's meat loaf, there's neutral loaf, which is also 728 00:44:36,239 --> 00:44:45,840 Speaker 1: called meal loaf because it is it's this unholy amalgamation 729 00:44:46,680 --> 00:44:51,520 Speaker 1: of vegetables, fruit, meat, bread, other grains baked into a 730 00:44:51,760 --> 00:44:56,080 Speaker 1: solid loaf. The ingredients vary, but there is something called 731 00:44:56,160 --> 00:44:56,920 Speaker 1: dairy blend. 732 00:44:57,400 --> 00:45:00,359 Speaker 3: Sounds like fruitcake to me, but. 733 00:45:00,400 --> 00:45:02,360 Speaker 1: With fruitcake they at least keep the shape of the 734 00:45:02,400 --> 00:45:03,600 Speaker 1: fruits right in there. 735 00:45:04,080 --> 00:45:04,360 Speaker 2: Yeah. 736 00:45:04,520 --> 00:45:09,040 Speaker 3: Well, they dice and kind of like also candied and 737 00:45:09,320 --> 00:45:10,279 Speaker 3: gummy looking. 738 00:45:10,080 --> 00:45:13,520 Speaker 1: But they're identifiably fruit, right. I see what you're saying. 739 00:45:13,520 --> 00:45:16,239 Speaker 3: This is just like ground into a pulp into a 740 00:45:16,320 --> 00:45:19,239 Speaker 3: paste and then that's baked into kind of this amalgam 741 00:45:19,239 --> 00:45:20,640 Speaker 3: of god knows. 742 00:45:20,440 --> 00:45:25,040 Speaker 1: What, right, yeah, oh god, And that one even went 743 00:45:25,080 --> 00:45:30,320 Speaker 1: to court several times. In a case called Gordon versus Barnett, 744 00:45:30,440 --> 00:45:34,000 Speaker 1: the District Court for the Western District of Washington ruled 745 00:45:34,040 --> 00:45:37,160 Speaker 1: that someone got all the way to court arguing that 746 00:45:37,239 --> 00:45:41,920 Speaker 1: eating neutral loaf was cruel and unusual punishment. And although 747 00:45:41,920 --> 00:45:44,320 Speaker 1: the court ruled that it was not cruel and unusual, 748 00:45:44,640 --> 00:45:47,920 Speaker 1: it was a punishment and that prisoners should be entitled 749 00:45:47,920 --> 00:45:50,520 Speaker 1: to due process before they have to eat it. It's 750 00:45:50,600 --> 00:45:53,759 Speaker 1: so bad that you have to get like the law 751 00:45:53,920 --> 00:45:56,200 Speaker 1: involved for you to be forced to eat this, at 752 00:45:56,280 --> 00:45:57,720 Speaker 1: least according to that judge. 753 00:45:58,440 --> 00:46:01,839 Speaker 2: Geez, just a just to jump back in this, I'm 754 00:46:01,920 --> 00:46:03,960 Speaker 2: reading a little bit further down in the article. It 755 00:46:04,000 --> 00:46:07,719 Speaker 2: gives a little more context to this. So apparently this 756 00:46:07,800 --> 00:46:11,600 Speaker 2: sheriff and how did we say it in and tracing 757 00:46:12,160 --> 00:46:14,319 Speaker 2: entricn entrican. 758 00:46:14,480 --> 00:46:16,600 Speaker 1: Like the demon, he's in Albata. 759 00:46:16,920 --> 00:46:19,120 Speaker 2: Oh that's ooh, that's really cool. So yeah, so he's 760 00:46:19,120 --> 00:46:23,840 Speaker 2: in Alabama's he's Entrican. So when he came into office, 761 00:46:24,719 --> 00:46:27,720 Speaker 2: the previous sheriff died while he was in office. Okay, 762 00:46:28,040 --> 00:46:32,360 Speaker 2: and this this money, this money that's meant for inmates 763 00:46:32,400 --> 00:46:36,760 Speaker 2: for food, that account got drained and it was given 764 00:46:36,760 --> 00:46:39,520 Speaker 2: to the family of that sheriff that just passed, and 765 00:46:39,520 --> 00:46:42,080 Speaker 2: that was about one hundred and fifty thousand dollars or 766 00:46:42,280 --> 00:46:44,800 Speaker 2: something to that effect. All that money was taken out. 767 00:46:44,960 --> 00:46:47,200 Speaker 2: So then this current sheriff had to take out a 768 00:46:47,239 --> 00:46:50,640 Speaker 2: personal loan one hundred and fifty thousand dollars just to 769 00:46:50,719 --> 00:46:54,040 Speaker 2: keep the inmates fed. And he was paying off that 770 00:46:54,239 --> 00:46:57,080 Speaker 2: for years and years and years. So it is interesting 771 00:46:57,120 --> 00:47:00,040 Speaker 2: how the tides kind of turned with him having to 772 00:47:00,040 --> 00:47:02,520 Speaker 2: take out this initial loan to him getting a beach 773 00:47:02,600 --> 00:47:06,320 Speaker 2: you know, a beach house, and then ultimately owning property 774 00:47:06,360 --> 00:47:09,520 Speaker 2: that's worth over one point seven million dollars through you know, 775 00:47:09,800 --> 00:47:12,880 Speaker 2: all these various things that's he and his wife. And 776 00:47:12,920 --> 00:47:15,160 Speaker 2: then also the fact that he makes about ninety three 777 00:47:15,200 --> 00:47:17,520 Speaker 2: thousand dollars a year as the sheriff of a county, 778 00:47:17,800 --> 00:47:20,640 Speaker 2: just base level, base level, and then he's able to 779 00:47:20,680 --> 00:47:23,960 Speaker 2: make the bonus essentially on this one account that is 780 00:47:24,040 --> 00:47:26,520 Speaker 2: directly tied to the food that would go to inmates. 781 00:47:26,560 --> 00:47:30,600 Speaker 2: That is puzzling and strange, and I will never fully 782 00:47:30,680 --> 00:47:31,239 Speaker 2: understand that. 783 00:47:31,760 --> 00:47:36,840 Speaker 1: And it is legal, it is completely not against the law, yepet. 784 00:47:37,960 --> 00:47:41,319 Speaker 1: So this this is such a brief look, but it 785 00:47:41,400 --> 00:47:43,680 Speaker 1: leads us to the question what is to be done. 786 00:47:43,880 --> 00:47:46,439 Speaker 1: The problem comes down to profit, but it also comes 787 00:47:46,480 --> 00:47:51,200 Speaker 1: down to accountability. Right the healthcare providers say, you know, again, 788 00:47:51,520 --> 00:47:53,960 Speaker 1: we take care of the legal cost in many cases. 789 00:47:54,600 --> 00:47:59,920 Speaker 1: But also this is a ten billion plus dollar industry 790 00:48:00,480 --> 00:48:04,840 Speaker 1: and those companies are obligated to seek profit on behalf 791 00:48:04,880 --> 00:48:08,759 Speaker 1: of their owners. According to David Fothy, the director of 792 00:48:08,840 --> 00:48:13,240 Speaker 1: the National Prison Project at the ACLU American Civil Liberties Union, 793 00:48:13,560 --> 00:48:17,040 Speaker 1: these companies have compelling incentives to cut costs and staff, 794 00:48:17,239 --> 00:48:19,799 Speaker 1: and that can result to denying care. And what is 795 00:48:19,920 --> 00:48:21,920 Speaker 1: literally and I don't know if he was going for 796 00:48:21,960 --> 00:48:25,839 Speaker 1: a pun here a captive market like they can't they 797 00:48:25,840 --> 00:48:30,920 Speaker 1: cannot switch insurance providers, right, They can't say, well, this 798 00:48:31,080 --> 00:48:36,120 Speaker 1: doctor stinks and they misdiagnosed my appendicitis and I almost died. 799 00:48:36,560 --> 00:48:39,759 Speaker 1: I want someone else, and they'll say, no, sorry, you're 800 00:48:40,920 --> 00:48:43,000 Speaker 1: gonna have to stick with this person for at least 801 00:48:43,040 --> 00:48:45,480 Speaker 1: the next two to five years that you're locked up. 802 00:48:46,800 --> 00:48:51,200 Speaker 1: And Fathi says, you know, he says, I don't mean 803 00:48:51,239 --> 00:48:54,560 Speaker 1: to suggest that government run prison healthcare is perfect. It's 804 00:48:54,560 --> 00:48:57,680 Speaker 1: often appallingly deficient. But at least when the government is 805 00:48:57,719 --> 00:49:00,840 Speaker 1: providing the service, there's some measure of oversight, some measure 806 00:49:00,880 --> 00:49:04,680 Speaker 1: of democratic control, and a lot of people may say, well, 807 00:49:05,239 --> 00:49:08,200 Speaker 1: this is a rock and a hard place situation, because 808 00:49:08,360 --> 00:49:12,759 Speaker 1: neither is particularly great for people incarcerated. But then there's 809 00:49:12,760 --> 00:49:16,040 Speaker 1: something weird that we didn't talk about because of the 810 00:49:16,080 --> 00:49:20,400 Speaker 1: way that the law changed to guarantee. For much of 811 00:49:20,960 --> 00:49:25,120 Speaker 1: US history, the idea of prisoners receiving medical care was 812 00:49:25,160 --> 00:49:27,719 Speaker 1: just like bonkers, why would you do that? You know 813 00:49:27,760 --> 00:49:32,399 Speaker 1: what I mean. But as the law has changed, even 814 00:49:32,400 --> 00:49:36,560 Speaker 1: though the prison system is terrible for people who are 815 00:49:37,160 --> 00:49:39,920 Speaker 1: caught up in it, and even though it often increases 816 00:49:39,960 --> 00:49:43,520 Speaker 1: a person's chances of committing a crime or recidivism, which 817 00:49:43,560 --> 00:49:47,320 Speaker 1: is when they return to prison, inmates rights to healthcare 818 00:49:47,600 --> 00:49:53,320 Speaker 1: have actually expanded in comparison to the public the inmates. 819 00:49:53,719 --> 00:49:57,880 Speaker 1: The rulings that gave inmates a right to access to healthcare, 820 00:49:57,880 --> 00:50:02,600 Speaker 1: at least on paper, have never been applied to free citizens. 821 00:50:03,080 --> 00:50:06,000 Speaker 1: I want to say that one more time, inmates access 822 00:50:06,280 --> 00:50:11,480 Speaker 1: to a doctor, to healthcare have been guaranteed in this country, 823 00:50:11,719 --> 00:50:15,560 Speaker 1: at least on paper. If you are listening to this 824 00:50:15,840 --> 00:50:19,080 Speaker 1: and you are not in prison, in that regard, the 825 00:50:19,160 --> 00:50:22,279 Speaker 1: people incarcerated have more rights than you do. 826 00:50:24,320 --> 00:50:28,879 Speaker 2: It doesn't. Yeah, Yeah, it makes you wonder. It makes 827 00:50:28,880 --> 00:50:32,600 Speaker 2: you wonder if sometimes it would be a better move 828 00:50:32,680 --> 00:50:36,240 Speaker 2: to do something to get incarcerated to get your health back. 829 00:50:36,480 --> 00:50:40,680 Speaker 2: If you're in a tight enough spot. That's scary to 830 00:50:40,760 --> 00:50:42,640 Speaker 2: think about. And I will have done that, That's what 831 00:50:42,680 --> 00:50:45,399 Speaker 2: I'm saying. I know it has been done. There are 832 00:50:45,480 --> 00:50:48,160 Speaker 2: specific examples, but just the fact that that is a 833 00:50:48,239 --> 00:50:50,600 Speaker 2: situation you could find yourself in in this country is 834 00:50:50,680 --> 00:50:52,920 Speaker 2: baffling and terrifying. 835 00:50:53,560 --> 00:50:55,319 Speaker 3: And not even to mention that some people do it 836 00:50:55,440 --> 00:50:57,560 Speaker 3: just for shelter, sometimes on purpose. 837 00:50:58,280 --> 00:51:01,200 Speaker 1: Yeah, yeah, it doesn't happen all the time, but people 838 00:51:01,280 --> 00:51:04,879 Speaker 1: do go to jail on purpose. Some people go to 839 00:51:04,960 --> 00:51:07,680 Speaker 1: bring in drugs from the outside one way or another, 840 00:51:07,800 --> 00:51:12,239 Speaker 1: probably ingesting it somehow right and then passing it. In 841 00:51:12,360 --> 00:51:16,080 Speaker 1: twenty twelve, a guy named Frank Morocco of Amherst, New York, 842 00:51:17,239 --> 00:51:21,000 Speaker 1: was unable to afford healthcare for a rare form of leukemia. 843 00:51:21,600 --> 00:51:25,640 Speaker 1: He was released from prison in twenty twelve. He had 844 00:51:25,640 --> 00:51:28,480 Speaker 1: been in jail for twenty years on felony drug charges. 845 00:51:28,640 --> 00:51:30,840 Speaker 1: So he's fifty six years old. So he went in 846 00:51:30,880 --> 00:51:35,520 Speaker 1: when he was thirty six. He had leukemi. He had 847 00:51:35,560 --> 00:51:37,839 Speaker 1: no way to pay for it. He had been incarcerated 848 00:51:37,880 --> 00:51:40,480 Speaker 1: for so long that he walked into a grocery store, 849 00:51:40,880 --> 00:51:43,720 Speaker 1: stepped up to the counter, just stole twenty three bucks 850 00:51:43,800 --> 00:51:46,840 Speaker 1: worth of goods in plain sight so that the employees 851 00:51:46,880 --> 00:51:50,520 Speaker 1: could see him, and then walked out. Got arrested on shoplifting, 852 00:51:50,840 --> 00:51:55,840 Speaker 1: which violated his supervised release, and he was hoping it 853 00:51:55,840 --> 00:51:58,919 Speaker 1: would land him back in prison so that he could 854 00:51:58,960 --> 00:52:00,680 Speaker 1: get some help with his leukemia. 855 00:52:01,640 --> 00:52:02,240 Speaker 2: Did it work. 856 00:52:04,360 --> 00:52:07,400 Speaker 1: It was not reported whether Morocco got the treatment, but 857 00:52:07,480 --> 00:52:10,839 Speaker 1: he was released from prison on the shoplifting charge in 858 00:52:10,880 --> 00:52:12,160 Speaker 1: April of twenty thirteen. 859 00:52:12,360 --> 00:52:18,240 Speaker 2: Wow, well, I guess I hope he did. But again, 860 00:52:18,280 --> 00:52:20,720 Speaker 2: you know, this is such a tough topic because there really, 861 00:52:20,920 --> 00:52:24,680 Speaker 2: there really is such a range of humanity that exists 862 00:52:24,719 --> 00:52:27,560 Speaker 2: within the prison system, and just of you know, depending 863 00:52:27,560 --> 00:52:30,879 Speaker 2: on your sense of morality, it really affects the way 864 00:52:30,880 --> 00:52:34,239 Speaker 2: you're gonna feel about this. It really does. In the 865 00:52:34,520 --> 00:52:39,960 Speaker 2: In the end, every single person in a prison everywhere 866 00:52:40,040 --> 00:52:43,239 Speaker 2: is a human being that that, you know, and the 867 00:52:43,239 --> 00:52:47,480 Speaker 2: best of times and the best of idealism, they deserve 868 00:52:47,600 --> 00:52:51,799 Speaker 2: a shot at being healthy. But if that person has 869 00:52:52,200 --> 00:52:55,560 Speaker 2: you know, heard another in one way, or you know, 870 00:52:55,640 --> 00:52:59,040 Speaker 2: in one fashion or another, it's tough to it's tough 871 00:52:59,080 --> 00:53:02,200 Speaker 2: to stomach the thought of them getting better healthcare than 872 00:53:02,680 --> 00:53:05,640 Speaker 2: just someone who isn't doing so great financially outside of prison. 873 00:53:05,840 --> 00:53:07,240 Speaker 2: This is a really tough topic. 874 00:53:07,440 --> 00:53:09,799 Speaker 1: It is it is. Let's also, I mean, let's take 875 00:53:09,840 --> 00:53:12,400 Speaker 1: a step further and say that one of the reasons 876 00:53:13,239 --> 00:53:16,759 Speaker 1: the prison system in the US has so many problems 877 00:53:17,320 --> 00:53:20,600 Speaker 1: is that it is not a program meant to rehabilitate 878 00:53:20,640 --> 00:53:23,359 Speaker 1: people in along in many ways. 879 00:53:23,440 --> 00:53:26,720 Speaker 2: Makes me think about that Sicko documentary from several years back. 880 00:53:28,640 --> 00:53:31,040 Speaker 1: And we want to hear your take. Thank you for 881 00:53:31,120 --> 00:53:35,000 Speaker 1: taking this strange journey with us. What role do you 882 00:53:35,080 --> 00:53:40,560 Speaker 1: feel private, private medical care or private medical provider should 883 00:53:40,600 --> 00:53:45,200 Speaker 1: play in the US prison system? Is this is this 884 00:53:45,320 --> 00:53:51,680 Speaker 1: something that people incarcerated, you know, somehow deserve, you know? 885 00:53:51,800 --> 00:53:53,920 Speaker 1: Is is that just part of the risk that they 886 00:53:54,040 --> 00:53:59,000 Speaker 1: knowingly or unknowingly took when they committed a crime? How 887 00:53:59,040 --> 00:54:01,720 Speaker 1: how would it be a I'm sure we have several 888 00:54:01,760 --> 00:54:04,680 Speaker 1: people who are saying, right now, you know that I 889 00:54:05,239 --> 00:54:10,319 Speaker 1: pay my taxes, I pay a lot right and I 890 00:54:10,480 --> 00:54:14,040 Speaker 1: still struggle to pay my own medical bills. Why should 891 00:54:14,120 --> 00:54:18,000 Speaker 1: this be better for someone else didn't, who didn't obey 892 00:54:18,040 --> 00:54:21,239 Speaker 1: the rules of our land. And we don't want to 893 00:54:21,280 --> 00:54:24,720 Speaker 1: say it's necessarily better because I think, as we've illustrated here, 894 00:54:25,440 --> 00:54:30,360 Speaker 1: people are dying from easily preventable conditions in prison exactly. 895 00:54:31,520 --> 00:54:34,799 Speaker 1: And that's our classic episode for this evening. We can't 896 00:54:34,840 --> 00:54:36,520 Speaker 1: wait to hear your thoughts. We try to be easy 897 00:54:36,520 --> 00:54:37,240 Speaker 1: to find online. 898 00:54:37,280 --> 00:54:39,560 Speaker 3: Find this at the handle Conspiracy Stuff, where we exist 899 00:54:39,600 --> 00:54:43,080 Speaker 3: on Facebook X and YouTube, on Instagram and TikTok. We're 900 00:54:43,120 --> 00:54:44,040 Speaker 3: conspiracy Stuff. 901 00:54:44,080 --> 00:54:46,919 Speaker 2: Show call our number. It's one eight to three three 902 00:54:47,200 --> 00:54:50,759 Speaker 2: std WYTK. 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