WEBVTT - America's Health Care System DOES NOT Work

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<v Speaker 1>Thirty eight days to go until that noon hour when

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<v Speaker 1>Donald Trump raises his hand and swears the oath, the

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<v Speaker 1>same thirty five words that George Washington swore and Teddy

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<v Speaker 1>Roosevelt swore that every president of the United States has

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<v Speaker 1>promised to preserve, protect, and defend the Constitution of the

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<v Speaker 1>United States. This is the warning. Donald Trump is the

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<v Speaker 1>only president in American history who openly transgressed against that oath,

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<v Speaker 1>desecrated it when he ordered a mob to storm the

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<v Speaker 1>capital on the day the election was to be officially

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<v Speaker 1>certified that he lost. During his time Magazine Man of

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<v Speaker 1>the Year interview, Donald Trump has promised to stay within

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<v Speaker 1>the boundaries of the law. We should hope, we should pray.

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<v Speaker 1>Let's see. But one of the things that's broken about

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<v Speaker 1>American politics anthus America's media, is this dogma that politics

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<v Speaker 1>on the river of life sits at the headwaters, that

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<v Speaker 1>it is not something that lies below the culture, for example,

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<v Speaker 1>and that's exactly where it lies. And some of the

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<v Speaker 1>most out of touch people in the country are the

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<v Speaker 1>people who are responsible for communicating to the whole of

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<v Speaker 1>the country and image a reflection the news of what

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<v Speaker 1>is happening in that country, the corporate leaders who make

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<v Speaker 1>tens of millions of dollars a year, who speak in

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<v Speaker 1>platitudes and live a life far far removed from ordinary Americans.

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<v Speaker 1>This morning, I'm in Lake Havasu, Arizona, the west coast

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<v Speaker 1>of Arizona, as they like to say. I've driven across

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<v Speaker 1>much of the country, taking the route down old Route

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<v Speaker 1>sixty six across an international boundary in Michigan, came through

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<v Speaker 1>Saint Louis, on through to Amarillo, Texas, to Santa Fe,

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<v Speaker 1>New Mexico, and now Lake Havasu, Arizona. These places are

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<v Speaker 1>seldom talked about on the national news. When is the

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<v Speaker 1>last time that Santa Fe and what's happening there was

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<v Speaker 1>featured on national broadcast. There's an irony about this moment,

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<v Speaker 1>this era where everything is instantly connected. When you drive

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<v Speaker 1>across the country and you see the trains rolling across prairies,

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<v Speaker 1>when you see the tractor trailers forging across the plains,

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<v Speaker 1>you see the electrical lines that before they were electrical lines,

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<v Speaker 1>were telegraph lines, and as those telegraph lines went up,

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<v Speaker 1>they connected the country. It was possible to know in

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<v Speaker 1>San Francisco what had happened in New York on the

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<v Speaker 1>same day. Ultimately, these wires were strewn across oceans. Kind

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<v Speaker 1>became connected. Look at this, it's the first image of

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<v Speaker 1>the Earth, taken in nineteen forty six. This was the

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<v Speaker 1>horizon from Alan Shepherd's first flight in nineteen sixty eight,

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<v Speaker 1>the first time in all of humanity an image of

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<v Speaker 1>the Earth set against the blackness of space, taken by

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<v Speaker 1>the Apollo eight astronauts as they made their circumnavigation of

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<v Speaker 1>the Moon on Christmas Eve. All of this a forward

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<v Speaker 1>momentum towards a mutual connectivity where it became possible for

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<v Speaker 1>all of the world's people to be connected to all

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<v Speaker 1>of the world's events at once. And so what had

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<v Speaker 1>been a news that was parochial became instantly global, wired together,

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<v Speaker 1>connected together by satellites above, cables below, and wires running

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<v Speaker 1>through our daily lives, bringing the images from the street

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<v Speaker 1>into our homes. In the world, as a shrank became

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<v Speaker 1>more understandable. People traveled by the thousands of first, and

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<v Speaker 1>then tens of thousands, and hundreds of thousands, and millions,

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<v Speaker 1>and tens and hundreds of millions, and then billions of

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<v Speaker 1>people on the move traveling around the world and yet

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<v Speaker 1>in this Internet age, during this time where everything that

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<v Speaker 1>is knowable can be accessed and known, the horizon inexorably shrank.

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<v Speaker 1>Instead of bringing the news of what's happening to all

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<v Speaker 1>of the places in the country with the belief and

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<v Speaker 1>conviction that every place matters, Instead, what the biggest media

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<v Speaker 1>companies did was packaged together a very narrow slice of

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<v Speaker 1>America and gave it to the American peace people shoved

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<v Speaker 1>it down their throats on these panels. I've sat on

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<v Speaker 1>a lot of them, on MSNBC, on CNN, on all

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<v Speaker 1>of these networks. The truth is, most of the people talking, debating,

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<v Speaker 1>arguing live within ten to fifteen blocks of one another.

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<v Speaker 1>They've not been to Amarillo, or to Santa Fe, or

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<v Speaker 1>driven the highways and through the small towns that are

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<v Speaker 1>constantly ignored. The world they live in is profoundly cloistered.

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<v Speaker 1>And within that world there is a ranking of sorts,

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<v Speaker 1>a hierarchy, and within it a wisdom that is so

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<v Speaker 1>narrow and so confined that it can become delusory. And

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<v Speaker 1>so in this sphere of delusion there exists a culture

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<v Speaker 1>in which a segment of the tribe is the global

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<v Speaker 1>sea EO like Sir Andrew Whitty, chair of the United

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<v Speaker 1>Health Group, he was United Healthcare CEO Brian Thompson's boss.

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<v Speaker 1>The assassination of CEO Brian Thompson by Luigi Mangione is

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<v Speaker 1>not a seminal event, but rather a predictable one, and

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<v Speaker 1>so is the reaction. And the reaction is not a

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<v Speaker 1>particular indictment of this time, but a reaction that would

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<v Speaker 1>stand through all time. When power is confronted and gunned down, knifed, killed,

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<v Speaker 1>murdered in the type of way that Brian Thompson was,

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<v Speaker 1>it has been and always will be politicized. Luigi Mangione

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<v Speaker 1>is a killer. He's an assassin. Let's watch Piers Morgan's

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<v Speaker 1>finest moment with Taylor Lorenz, the disgraced internet journalist formerly

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<v Speaker 1>of The New York Times and The Washington Post.

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<v Speaker 2>Why would you be in such a celebratory mood about

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<v Speaker 2>the execution of another human being. Aren't you supposed to

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<v Speaker 2>be on the caring sharing left, where you know you

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<v Speaker 2>believe in the sanctity of life.

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<v Speaker 3>I do believe in the sanctity of life, and I

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<v Speaker 3>think that's why I felt, along with so many other

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<v Speaker 3>Americans joy. Unfortunately, you know because it seriously I mean execution,

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<v Speaker 3>maybe not joy, but certainly not no, certainly not empathy.

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<v Speaker 1>Indeed, I could go on for hours and hours and

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<v Speaker 1>hours about where the road to anarchy leads, specifically in America,

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<v Speaker 1>it leads to a fascist strong man in the White House,

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<v Speaker 1>and it will lead to abuses of power to boggle

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<v Speaker 1>the imagination in the name of protecting the people. It

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<v Speaker 1>always works that way. Nobody should be confus used about

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<v Speaker 1>what Luigi Mangione is. A privileged young man with all

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<v Speaker 1>of the opportunity in the world, struck, like many, by

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<v Speaker 1>a mental health decline that as yet is inexplicable and unknowable,

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<v Speaker 1>but we'll find out all of the details. And that

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<v Speaker 1>mental health crisis saw him suffer. We know, alone, cut

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<v Speaker 1>off from his friends and family who could not reach him,

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<v Speaker 1>until he walked through a gateway, a portal of evil,

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<v Speaker 1>and he killed a man, an executive who led a

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<v Speaker 1>company that makes billions, inflicting misery on millions. That's the

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<v Speaker 1>business model. Now, when you pay for insurance, the expectation

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<v Speaker 1>is when you need it, you'll have it, and the

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<v Speaker 1>agreement will be kept. United Healthcare is notorious as a

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<v Speaker 1>company that says no. The bullet casing left behind contained

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<v Speaker 1>a message, and that message is corporate strategy. It's about deny, deny, deny,

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<v Speaker 1>and the denials inflict misery, bankruptcy, stress, pain, and a

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<v Speaker 1>denial of care that shortens lives, makes the end of

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<v Speaker 1>life more painful, and makes living much harder than it

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<v Speaker 1>needs to be for ordinary Americans. Now, I have spent

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<v Speaker 1>years of my career advising CEOs, athletes, presidents, prime ministers, senators, judges,

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<v Speaker 1>you name it, a lot of them in crisis situations.

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<v Speaker 1>When you're in a crisis, when you're in a hole,

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<v Speaker 1>the golden rule is very simple, put down the shovel

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<v Speaker 1>and stop digging, which, if you're a leader in one

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<v Speaker 1>of the global bullshit industries, that gets translated into stop

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<v Speaker 1>up talking, don't move, do less, don't make the situation worse.

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<v Speaker 1>But of course, in this era, nobody can comprehend the

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<v Speaker 1>simple wisdom of a man like Chief Joseph, who said

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<v Speaker 1>speaking truth requires few words. When CEOs find themselves in

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<v Speaker 1>a desperate space, there are a couple of predictable avenues

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<v Speaker 1>where they can go and communicate with tremendous efficiency to

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<v Speaker 1>the global elite, and one of those places, or the

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<v Speaker 1>editorial pages of the nation's greatest newspapers, The New York Times,

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<v Speaker 1>the Washington Post, the Atlantic Magazine, the Wall Street Journal,

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<v Speaker 1>and there's a few more. And so it is that

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<v Speaker 1>Andrew Witty, who was Brian Thompson's boss at the United

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<v Speaker 1>Healthcare Group, has gone to the pages of the New

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<v Speaker 1>York Times, and there Andrew Whitty subjects the reader to many,

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<v Speaker 1>many paragraphs of platitudes, platitudes about healthcare, platitudes and lies

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<v Speaker 1>about his company, about his intentions, and about what is

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<v Speaker 1>happening to ordinary people at the hands of his company. Now,

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<v Speaker 1>the entire editorial is deceptive, starting with this at the beginning,

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<v Speaker 1>mister Andrew Witty. But that's not how he was introduced

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<v Speaker 1>when he took over the company. The CEO of the group,

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<v Speaker 1>this former advisor to the governor of Gangzhou, China. Yes,

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<v Speaker 1>in the People's Republic, the communist governor of Gangzhou, China.

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<v Speaker 1>Andrew Whitty was his advisor. Which I don't say to disparage,

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<v Speaker 1>other than to make the point that he probably doesn't

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<v Speaker 1>really care about the lives of ordinary Americans, because Andrew

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<v Speaker 1>Witty is not an ordinary American, has never been an

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<v Speaker 1>ordinary American. He's a British subject. Sir Andrew Whitty is

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<v Speaker 1>not an American. And so when he's dressed up like

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<v Speaker 1>one in the New York Times, mister Andrew Whitty, and

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<v Speaker 1>within the company he's known as Sir Andrew Whitty, it's purposeful,

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<v Speaker 1>purposefully deceptive. It's aimed at making a connection. But the

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<v Speaker 1>truth of the matter is, Sir Andrew makes twenty three

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<v Speaker 1>million dollars a year. That is three one hundred and

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<v Speaker 1>fifty seven times more than the United Healthcare worker that

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<v Speaker 1>he purports to speak for in this paragraph, which is

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<v Speaker 1>an astonishment, if I may read it. The people of

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<v Speaker 1>United Healthcare Group or nurses, doctors, patients and client advocates,

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<v Speaker 1>technologists and more, they all come to work each day

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<v Speaker 1>to provide health services for millions of Americans in need.

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<v Speaker 1>Let me just say, as a customer of United Healthcare

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<v Speaker 1>and is somebody that has had to have a spinal

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<v Speaker 1>fusion surgery and somebody who because of an injury, will

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<v Speaker 1>have another back surgery. United Healthcare is a brutal, brutal company.

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<v Speaker 1>It is miserable to deal with. It exists in a

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<v Speaker 1>space where it purposefully antagonizes the people that pay it

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<v Speaker 1>money by inflicting on them an imprisonment of impossibility to

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<v Speaker 1>ever be able to successfully navigate their labyrinth of challenges, denials,

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<v Speaker 1>their maize, their bureaucracy of no that enriches the shareholder

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<v Speaker 1>at the expense of the patient, serving as a type

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<v Speaker 1>of poisonous middleman, that adds lost, that adds complexity, and

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<v Speaker 1>adds misery to millions and millions of people. It is

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<v Speaker 1>the business strategy, and to pretend otherwise is to add

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<v Speaker 1>more insult on top of the misery. The simple truth is,

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<v Speaker 1>Sir Andrew doesn't care. And what makes that most clear

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<v Speaker 1>are the platitudes of the New York Times editorial. Within it,

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<v Speaker 1>there is not one sentence that acknowledges what it is

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<v Speaker 1>that United Healthcare could do to lessen the misery it inflicts. Instead,

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<v Speaker 1>it is calls to who knows what? I will begin reading,

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<v Speaker 1>but before I do, let me make this point. Nobody

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<v Speaker 1>ever tells these people shut up, don't talk, don't do anything,

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<v Speaker 1>announce changes. Instead, They've been conduct all their life to

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<v Speaker 1>believe that when they open their mouth, what emerges is genius,

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<v Speaker 1>and that all problems can be solved with the invocation

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<v Speaker 1>of the language of corporate platitude written by some pr

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<v Speaker 1>man overpaid to service, the dressing up of the denial

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<v Speaker 1>of claims that are at the heart of the company's strategy.

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<v Speaker 1>Let me give you some examples from the piece. We

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<v Speaker 1>know the healthcare system does not work as well as

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<v Speaker 1>it should, and we understand people's frustrations with it. No

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<v Speaker 1>one would design a system like the one we have,

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<v Speaker 1>and no one did. It's a patchwork built over decades.

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<v Speaker 1>Our mission is to help make it work better. We

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<v Speaker 1>are willing to partner with anyone as we always have

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<v Speaker 1>healthcare providers, employers, patients, pharmaceutical companies, government and others to

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<v Speaker 1>find ways to deliver high quality care and lower costs.

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<v Speaker 1>Hit is all bullshit. The American people see it, they

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<v Speaker 1>understand it. The news media doesn't see it because they

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<v Speaker 1>don't cover it, they don't comprehend it, and they don't

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<v Speaker 1>travel to the places where the American people are because

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<v Speaker 1>the world, as its shrunk, has become more remote and

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<v Speaker 1>more isolated, adding to the misery. The truth of the

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<v Speaker 1>matter is people are not alone in dealing with this company.

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<v Speaker 1>Everybody who deals with it, from the doctor, from the nurse,

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<v Speaker 1>from the provider to the patient. Every part of the

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<v Speaker 1>healthcare system, except for the bureaucracy, except for the companies,

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<v Speaker 1>knows and disdains United Healthcare because they appreciate it for

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<v Speaker 1>what it is. A cancer on the healthcare system. Let

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<v Speaker 1>me keep reading. Healthcare is both intensely personal and very complicated,

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<v Speaker 1>and the reason behind coverage decisions are not well understood.

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<v Speaker 1>We share there some of the responsibility for that. Together

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<v Speaker 1>with employers, governments, and others who pay for care, we

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<v Speaker 1>need to improve how we explain what insurance covers and

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<v Speaker 1>how decisions are made. Behind each decision lies a comprehensive

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<v Speaker 1>and continually updated body of clinical evidence focused on achieving

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<v Speaker 1>the best health outcomes in ensuring patient safety. Blah blah

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<v Speaker 1>blah blah, meaningless corporate tease and jargon. It is a lie.

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<v Speaker 1>While the health system is not perfect, every corner of

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<v Speaker 1>it is filled with people who try to do their

0:17:43.800 --> 0:17:49.359
<v Speaker 1>best for those they serve. Is Sir Andrew comparing himself

0:17:49.440 --> 0:17:53.080
<v Speaker 1>to the brain surgeon who has spent twenty years of

0:17:53.480 --> 0:17:58.320
<v Speaker 1>their lives honing an exactitude a skill. Is he comparing

0:17:58.440 --> 0:18:03.160
<v Speaker 1>himself to the attention who cleans the bedpen who tends

0:18:03.480 --> 0:18:07.040
<v Speaker 1>to the sores and the wounds and cleans the blood

0:18:07.080 --> 0:18:10.399
<v Speaker 1>and the stains and the puke. Is he comparing himself

0:18:10.640 --> 0:18:14.040
<v Speaker 1>to the labor and delivery nurse? Is he comparing himself

0:18:14.119 --> 0:18:17.199
<v Speaker 1>to the person who holds the hand of the dying patient? This,

0:18:17.400 --> 0:18:20.880
<v Speaker 1>sir Andrew, who makes twenty three million dollars a year.

0:18:21.080 --> 0:18:24.520
<v Speaker 1>What sir Andrew does, what his great skill is, is

0:18:24.600 --> 0:18:28.399
<v Speaker 1>reading a spreadsheet. What Sir Andrew is great at doing

0:18:28.760 --> 0:18:32.600
<v Speaker 1>is appreciating that the human being can be reduced to

0:18:32.720 --> 0:18:36.400
<v Speaker 1>a cog, to a nothing, to a number that if

0:18:36.560 --> 0:18:40.360
<v Speaker 1>enough of them can be said no to who deserve

0:18:40.720 --> 0:18:44.280
<v Speaker 1>to have their treatments paid for because that's what their

0:18:44.359 --> 0:18:49.119
<v Speaker 1>insurance guarantees. That he's a genius, the greatest doctor of

0:18:49.119 --> 0:18:52.000
<v Speaker 1>them all, But he's not. What he is is a

0:18:52.000 --> 0:18:56.399
<v Speaker 1>global scumbag and a businessman who's been knighted because he

0:18:56.480 --> 0:19:01.520
<v Speaker 1>can surf the wave of a very complicated business. Let

0:19:01.520 --> 0:19:06.199
<v Speaker 1>me keep reading from his essay of platitudes. Clearly, we

0:19:06.320 --> 0:19:10.080
<v Speaker 1>are not there yet. We understand and share the desire

0:19:10.200 --> 0:19:14.119
<v Speaker 1>to build a healthcare system that works better for everyone.

0:19:14.600 --> 0:19:19.880
<v Speaker 1>That is the purpose of our organization. No, sir Andrew,

0:19:20.160 --> 0:19:24.040
<v Speaker 1>the purpose of your organization is to return shareholder profit,

0:19:24.480 --> 0:19:28.560
<v Speaker 1>and none benefit more than you do, Sir Andrew. The

0:19:28.680 --> 0:19:33.320
<v Speaker 1>United States and the United Kingdom are said to share

0:19:33.680 --> 0:19:39.640
<v Speaker 1>a special relationship, and Americans have a fondness for British subjects.

0:19:39.920 --> 0:19:43.120
<v Speaker 1>Here's the truth. We have a lot of Brits in America,

0:19:43.400 --> 0:19:46.840
<v Speaker 1>like the one running the Washington Post newsroom, doing a

0:19:46.880 --> 0:19:51.239
<v Speaker 1>lot of damage to important institutions. And so when you

0:19:51.320 --> 0:19:55.119
<v Speaker 1>hear Sir Andrew just because he speaks English does not

0:19:55.280 --> 0:19:58.159
<v Speaker 1>make him one of us. He's not, And when he

0:19:58.280 --> 0:20:01.600
<v Speaker 1>pretends to be, it's a offensive. The truth of the

0:20:01.640 --> 0:20:04.720
<v Speaker 1>matter is, and I say this as a customer of

0:20:04.760 --> 0:20:10.720
<v Speaker 1>the company, it's a wretched, miserable misery machine. It does

0:20:10.760 --> 0:20:17.439
<v Speaker 1>so intentionally, purposefully. Nobody who deals with United Healthcare doesn't

0:20:17.480 --> 0:20:21.960
<v Speaker 1>get it. So Sir Andrew should save his empty words

0:20:22.480 --> 0:20:27.040
<v Speaker 1>and his platitudes, and Democrats should appreciate that it is

0:20:27.160 --> 0:20:31.520
<v Speaker 1>time to begin to think, in this moment of defeat,

0:20:31.800 --> 0:20:35.840
<v Speaker 1>about what comes next and how to talk to ordinary Americans,

0:20:36.320 --> 0:20:39.200
<v Speaker 1>not in the platitude in the language of Sir Andrew,

0:20:39.480 --> 0:20:43.000
<v Speaker 1>but in the plain English of men like Franklin Roosevelt.

0:20:43.320 --> 0:20:45.640
<v Speaker 1>There's a lot at stake right now, and a lot

0:20:45.680 --> 0:20:49.520
<v Speaker 1>of people in America really are hurting, and they fell

0:20:49.640 --> 0:20:53.160
<v Speaker 1>for a lie because at least the liar had enough

0:20:53.200 --> 0:20:57.040
<v Speaker 1>interest to lie to them. Being seen is always better

0:20:57.080 --> 0:21:00.480
<v Speaker 1>than being ignored, even if you're seen by the most

0:21:00.520 --> 0:21:05.479
<v Speaker 1>awful amongst us. Sir Andrew somehow feels pressure. He feels

0:21:05.520 --> 0:21:08.199
<v Speaker 1>like this story is about him somehow, and so he

0:21:08.280 --> 0:21:11.720
<v Speaker 1>decided he would start talking, he would start dancing, he

0:21:11.760 --> 0:21:15.760
<v Speaker 1>would start the jive and chuck. But it doesn't work.

0:21:16.080 --> 0:21:19.840
<v Speaker 1>Maybe it does to a deluded CEO class that will

0:21:20.119 --> 0:21:23.040
<v Speaker 1>call him and write them a note and say, wow,

0:21:23.119 --> 0:21:27.000
<v Speaker 1>Sir Andrew, that was great. What a notp aad brilliant,

0:21:27.359 --> 0:21:31.359
<v Speaker 1>brilliant genius, What a leader you are? Might you speak

0:21:31.359 --> 0:21:35.600
<v Speaker 1>at Davos? What can you tell us there, Sir Andrew?

0:21:35.680 --> 0:21:39.800
<v Speaker 1>Maybe you can join a panel and talk about trust.

0:21:40.280 --> 0:21:45.919
<v Speaker 1>This is the warning. I'm Steve Schmidt. This is the warning,

0:21:46.040 --> 0:21:49.400
<v Speaker 1>and I invite you to join. Subscribe on our substack,

0:21:49.600 --> 0:21:57.200
<v Speaker 1>on our YouTube channel, follow us. Welcome to the community.