1 00:00:00,800 --> 00:00:03,000 Speaker 1: On this episode of news World. If you like the 2 00:00:03,040 --> 00:00:04,920 Speaker 1: plan you have, you can keep it. If you like 3 00:00:05,000 --> 00:00:07,360 Speaker 1: the doctor you have, you can keep your doctor too. 4 00:00:07,440 --> 00:00:09,760 Speaker 1: We have to pass the bill so that you can 5 00:00:10,440 --> 00:00:12,600 Speaker 1: find out what is in it. What I'm going to 6 00:00:12,720 --> 00:00:16,800 Speaker 1: do is pass Obamacare with a public option become Bidencare. 7 00:00:17,000 --> 00:00:20,440 Speaker 1: Not one single person of private insurance would lose their 8 00:00:20,480 --> 00:00:24,759 Speaker 1: insurance under my plan, nor did they under Obamacare. We 9 00:00:24,960 --> 00:00:29,000 Speaker 1: are long past the time to guarantee healthcare in the 10 00:00:29,120 --> 00:00:32,159 Speaker 1: United States. I hope that we will move forward with 11 00:00:32,240 --> 00:00:35,360 Speaker 1: a single pay, a Medicare for all program, which I 12 00:00:35,400 --> 00:00:37,599 Speaker 1: think ultimately is the way we're going to go as 13 00:00:37,600 --> 00:00:40,760 Speaker 1: a nation. If we're going to solve the need for comprehensive, 14 00:00:40,880 --> 00:00:44,160 Speaker 1: universal and cost effective healthcare for all of our people, 15 00:00:44,200 --> 00:00:46,440 Speaker 1: We're going to reform health insurance in America with the 16 00:00:46,479 --> 00:00:48,920 Speaker 1: power of the free market. That's the American way that 17 00:00:48,920 --> 00:00:52,360 Speaker 1: we meet our healthcare needs. We will never let socialism 18 00:00:52,560 --> 00:00:59,040 Speaker 1: destroy American healthcare. This is new due to the virus 19 00:00:59,080 --> 00:01:02,240 Speaker 1: I'm recording from see you may notice a difference in 20 00:01:02,320 --> 00:01:08,920 Speaker 1: audio quality. I'm going to talk about a Trump Republican 21 00:01:08,959 --> 00:01:12,960 Speaker 1: approach to health and healthcare. How can we create a 22 00:01:13,000 --> 00:01:20,560 Speaker 1: better system for better health, longer lives, greater convenience, lower costs, 23 00:01:21,000 --> 00:01:25,600 Speaker 1: and more choices. Clearly, the current system does not meet 24 00:01:26,120 --> 00:01:29,120 Speaker 1: that standard, nor does it meet the needs of the 25 00:01:29,120 --> 00:01:34,240 Speaker 1: American people. Having spent well over twenty years studying health 26 00:01:34,240 --> 00:01:37,280 Speaker 1: and healthcare and written a book on it called Saving 27 00:01:37,280 --> 00:01:40,240 Speaker 1: Lives and Saving Money, and helped found a Center for 28 00:01:40,319 --> 00:01:45,200 Speaker 1: Health Transformation, I would argue that at least of the 29 00:01:45,240 --> 00:01:48,400 Speaker 1: current cost of healthcare is are necessary, but that it 30 00:01:48,480 --> 00:01:51,559 Speaker 1: cannot be solved by bureaucracy. So I want to share 31 00:01:51,600 --> 00:01:53,600 Speaker 1: with you, but I think will lead to a better 32 00:01:53,640 --> 00:02:06,800 Speaker 1: system at lower costs with better health. The fact is 33 00:02:07,160 --> 00:02:11,160 Speaker 1: you and your doctor are not in control. Big systems 34 00:02:11,160 --> 00:02:14,400 Speaker 1: are in control. Hospital systems, some of which are now 35 00:02:14,440 --> 00:02:18,760 Speaker 1: gigantic drug companies, many of which are now multi billion 36 00:02:18,800 --> 00:02:24,240 Speaker 1: dollar worldwide systems. Insurance companies, which are almost all billion 37 00:02:24,280 --> 00:02:30,680 Speaker 1: dollar bureaucracies. Employers can finally govern bureaucracies. All of those 38 00:02:31,560 --> 00:02:34,920 Speaker 1: set the framework within which you and your doctor try 39 00:02:34,919 --> 00:02:38,320 Speaker 1: to function, whether it's what you're allowed to do, where 40 00:02:38,320 --> 00:02:41,520 Speaker 1: you're allowed to go, how much will be charged, what 41 00:02:41,639 --> 00:02:45,720 Speaker 1: you can legally be told. The result is that the 42 00:02:45,840 --> 00:02:49,680 Speaker 1: cost are too high. The red tape is too frustrating. 43 00:02:50,400 --> 00:02:53,040 Speaker 1: There are constant surprises, the number of people who talk 44 00:02:53,080 --> 00:02:58,160 Speaker 1: to me about going in for a particular procedure, even 45 00:02:58,200 --> 00:03:00,720 Speaker 1: if they've been told the cost of the procedure, and 46 00:03:00,760 --> 00:03:03,960 Speaker 1: then being surprised. One person pointed out that their insurance 47 00:03:04,040 --> 00:03:08,520 Speaker 1: company covered the hospital, it covered the surgeon, it covered 48 00:03:08,560 --> 00:03:13,440 Speaker 1: the operating room. Oh, it didn't cover the anesthesiologist. So 49 00:03:13,960 --> 00:03:16,359 Speaker 1: when they get out of the hospital one morning, here 50 00:03:16,360 --> 00:03:18,760 Speaker 1: comes the bill. I think it was eight thousand dollars. 51 00:03:18,800 --> 00:03:20,760 Speaker 1: But they had no idea it was coming because they 52 00:03:20,760 --> 00:03:23,920 Speaker 1: had no idea that the nesstesiologist was in fact not 53 00:03:24,080 --> 00:03:27,120 Speaker 1: part of the approved system. So there are constant surprises 54 00:03:27,400 --> 00:03:32,359 Speaker 1: that make people feel very insecure and frankly at times 55 00:03:32,400 --> 00:03:35,320 Speaker 1: anxiety written about having to deal with the health system. 56 00:03:35,680 --> 00:03:39,120 Speaker 1: But the bottom line is simple, you are not in charge, 57 00:03:39,200 --> 00:03:42,920 Speaker 1: and your doctor is not in charge. Furthermore, we're in 58 00:03:42,960 --> 00:03:45,480 Speaker 1: a system right now where pre existing conditions are not 59 00:03:45,560 --> 00:03:50,080 Speaker 1: always covered. There's far too long a gap between scientific 60 00:03:50,160 --> 00:03:54,760 Speaker 1: laboratory breakthroughs and your medicine cabinet or your doctor's office. 61 00:03:55,160 --> 00:03:59,040 Speaker 1: There's no transparency on cost and quality. You don't know 62 00:03:59,200 --> 00:04:02,000 Speaker 1: going in out of five places you could have gone 63 00:04:02,400 --> 00:04:05,560 Speaker 1: what each cost, what their quality record is. There's not 64 00:04:05,680 --> 00:04:08,680 Speaker 1: enough preventive effort. Part of it's our own fault, we 65 00:04:08,880 --> 00:04:11,640 Speaker 1: don't particularly like to change our behavior, but part of 66 00:04:11,680 --> 00:04:15,400 Speaker 1: it is that the system is not geared to fund prevention. 67 00:04:15,840 --> 00:04:19,600 Speaker 1: The system is geared to fund treatment after prevention has failed. 68 00:04:20,160 --> 00:04:24,039 Speaker 1: There's not enough chronic disease management. And a very high 69 00:04:24,080 --> 00:04:26,960 Speaker 1: percent of all health costs come from people who have 70 00:04:27,080 --> 00:04:32,239 Speaker 1: chronic diseases, which gradually, over time makes them sicker and sicker. Finally, 71 00:04:32,520 --> 00:04:36,000 Speaker 1: with all of this going on, prices keep going up, 72 00:04:36,680 --> 00:04:39,839 Speaker 1: and so insurance keeps going up. And I want emphasize this, 73 00:04:40,600 --> 00:04:44,720 Speaker 1: you can't have cheap insurance if you have an expensive 74 00:04:44,760 --> 00:04:48,440 Speaker 1: health system, because the insurance has to cost enough to 75 00:04:48,480 --> 00:04:51,120 Speaker 1: cover the cost of the health system. So the longer 76 00:04:51,160 --> 00:04:54,880 Speaker 1: the health system rises in cost, the more inevitably the 77 00:04:54,920 --> 00:04:58,680 Speaker 1: insurance systems in risk. So I think, if our goal 78 00:04:58,880 --> 00:05:03,280 Speaker 1: is less expensive insurance, we have to find ways to 79 00:05:03,320 --> 00:05:07,560 Speaker 1: get to less expensive healthcare. For fifty five years now, 80 00:05:07,600 --> 00:05:11,480 Speaker 1: since Lundon Johnson and the Great Society, we've tried bureaucratic 81 00:05:11,520 --> 00:05:15,120 Speaker 1: cost controls. I was actually working with the Reagan administration 82 00:05:15,480 --> 00:05:18,359 Speaker 1: as a junior congressman. As they impose the series of 83 00:05:18,400 --> 00:05:22,200 Speaker 1: bureaucratic cost controls. All these things always sound great. Get 84 00:05:22,240 --> 00:05:25,160 Speaker 1: a bunch of academics with PhDs, they run the right 85 00:05:25,200 --> 00:05:29,200 Speaker 1: computer models, they give this great presentation, they have terrific 86 00:05:29,240 --> 00:05:31,720 Speaker 1: power point. They only have one problem. They're not in 87 00:05:31,720 --> 00:05:35,600 Speaker 1: touch with reality. It doesn't work. So what happens though, 88 00:05:36,000 --> 00:05:40,159 Speaker 1: because we have a bureaucratic focus, we look for cost controls, 89 00:05:40,200 --> 00:05:44,560 Speaker 1: which means the government bureaucracies get more powerful, the insurance 90 00:05:44,600 --> 00:05:49,880 Speaker 1: company bureaucracies get more powerful, the hospital bureaucracies get more powerful, 91 00:05:50,120 --> 00:05:54,920 Speaker 1: the pharmaceutical middlemen become more powerful, the company human resource 92 00:05:54,960 --> 00:05:58,839 Speaker 1: department of bureaucracy becomes more powerful. A simple example of 93 00:05:58,839 --> 00:06:01,560 Speaker 1: this is consider the number of times you have to 94 00:06:01,560 --> 00:06:04,880 Speaker 1: fill in exactly the same form. I've known people who, 95 00:06:04,960 --> 00:06:09,839 Speaker 1: frankly and going around a hospital to different departments, have 96 00:06:09,960 --> 00:06:12,000 Speaker 1: filled in the same form three or four times in 97 00:06:12,040 --> 00:06:14,960 Speaker 1: the same day one It makes you under why are 98 00:06:15,000 --> 00:06:18,040 Speaker 1: all the forms necessary? And be makes you wonder why 99 00:06:18,480 --> 00:06:21,200 Speaker 1: that's not all electronics you do at once, and then 100 00:06:21,200 --> 00:06:25,120 Speaker 1: everybody gets to share it. To sum up, the current 101 00:06:25,160 --> 00:06:30,799 Speaker 1: system is too expensive, too bureaucratic, both public and private, 102 00:06:31,200 --> 00:06:36,719 Speaker 1: and focused on others. Making decisions about your life. Now, 103 00:06:36,880 --> 00:06:41,120 Speaker 1: there have been two dominant patterns of reform. First, try 104 00:06:41,200 --> 00:06:45,200 Speaker 1: to fix around the edges without really challenging the power structure. 105 00:06:45,839 --> 00:06:48,440 Speaker 1: This is sort of putting band aids over various things. 106 00:06:48,720 --> 00:06:52,200 Speaker 1: And of course what happens is these large, powerful systems, 107 00:06:52,200 --> 00:06:58,000 Speaker 1: whether they're hospitals, pharmaceuticals, insurance companies, unime it. They just adjust. 108 00:06:58,920 --> 00:07:01,919 Speaker 1: They hire people who specialty is teaching them how to 109 00:07:01,960 --> 00:07:05,080 Speaker 1: find the money to doing exactly what you would expect 110 00:07:05,480 --> 00:07:10,480 Speaker 1: if you believed in how people behave. And so every 111 00:07:10,520 --> 00:07:14,440 Speaker 1: shallow reform since the nineteen sixties just led the big 112 00:07:14,480 --> 00:07:18,840 Speaker 1: systems to figure out profit optimization. They figured out they 113 00:07:18,880 --> 00:07:21,440 Speaker 1: work around, they figured out a new device, they figured 114 00:07:21,480 --> 00:07:23,440 Speaker 1: out a way to call something a little bit different. 115 00:07:23,760 --> 00:07:27,240 Speaker 1: But the key was the more rules there are, the 116 00:07:27,280 --> 00:07:30,360 Speaker 1: more cost there are, and the more complexity there is. 117 00:07:30,640 --> 00:07:33,880 Speaker 1: So there are whole layers in the health system of 118 00:07:34,000 --> 00:07:37,240 Speaker 1: the experts at finding money. They don't do anything for 119 00:07:37,280 --> 00:07:40,800 Speaker 1: your health, they don't do anything for science, they don't 120 00:07:40,800 --> 00:07:43,120 Speaker 1: do anything that improves the life of people around them. 121 00:07:43,240 --> 00:07:45,360 Speaker 1: For what they do do is to make sure that 122 00:07:45,400 --> 00:07:49,920 Speaker 1: their clients optimize their income. And that's where we are 123 00:07:50,360 --> 00:07:53,920 Speaker 1: and that's why that system, which has been tried again 124 00:07:53,960 --> 00:07:57,640 Speaker 1: and again and again, it's the alternative to a purely 125 00:07:57,720 --> 00:08:02,120 Speaker 1: government run system. So servities who've been afraid to actually 126 00:08:02,160 --> 00:08:05,720 Speaker 1: take on the core of the system keep foxing around 127 00:08:05,720 --> 00:08:09,040 Speaker 1: at the margins, trying to find some clever devices that 128 00:08:09,160 --> 00:08:13,440 Speaker 1: will fix things without infuriating the large structures who all 129 00:08:13,480 --> 00:08:17,360 Speaker 1: have such a giant vested interest. My point would be 130 00:08:17,400 --> 00:08:19,240 Speaker 1: having watched this and looked at it and worked on it. 131 00:08:19,320 --> 00:08:21,640 Speaker 1: Now I think I first gave my first speech on 132 00:08:22,160 --> 00:08:26,520 Speaker 1: healthcare in nineteen seventy four. Every shallow reformed since the 133 00:08:26,600 --> 00:08:31,000 Speaker 1: nineteen sixties simply led the big systems to figure out 134 00:08:31,160 --> 00:08:34,319 Speaker 1: how to get around them. So the longer you've had 135 00:08:34,320 --> 00:08:37,960 Speaker 1: bureaucracies putting out rules, the more of the hospitals or 136 00:08:38,000 --> 00:08:41,760 Speaker 1: the pharmaceutical companies or the insurance companies, the more people 137 00:08:41,800 --> 00:08:45,559 Speaker 1: they hired to get around the rules that the bureaucracy 138 00:08:45,559 --> 00:08:48,040 Speaker 1: ad just issued. My best friend from high school was 139 00:08:48,040 --> 00:08:50,120 Speaker 1: a tax lawyer, and he made a great deal of 140 00:08:50,160 --> 00:08:53,520 Speaker 1: money and was paid in particular by Disney. And he 141 00:08:53,679 --> 00:08:56,000 Speaker 1: told me one time his job was to figure out 142 00:08:56,440 --> 00:09:00,679 Speaker 1: the next loophole faster than the irs could close. Oldpole 143 00:09:01,120 --> 00:09:03,520 Speaker 1: and as long as Disney is making money out of 144 00:09:03,559 --> 00:09:07,360 Speaker 1: home finding new loopholes, he had a long career. I'll 145 00:09:07,400 --> 00:09:10,400 Speaker 1: think about that, because that's what happens with the health system. 146 00:09:10,520 --> 00:09:13,280 Speaker 1: The bureaucracy has come up with some new device that's 147 00:09:13,280 --> 00:09:16,480 Speaker 1: going to save money, and lots of really smart people 148 00:09:16,840 --> 00:09:19,400 Speaker 1: propertly start bringing out how to get around them. Now, 149 00:09:19,800 --> 00:09:24,080 Speaker 1: the less solution to that is to create more bureaucracy 150 00:09:24,520 --> 00:09:28,720 Speaker 1: with even more restrictions, so that biden Care would build 151 00:09:28,720 --> 00:09:32,679 Speaker 1: an Obamacare which built on the earlier government programs. And 152 00:09:32,760 --> 00:09:35,760 Speaker 1: you can almost raw a chart from Lyndon Johnson in 153 00:09:35,920 --> 00:09:39,079 Speaker 1: the beginning of really big government bureaucracies all the way 154 00:09:39,200 --> 00:09:42,760 Speaker 1: up to what Biden is currently proposing. In every case, 155 00:09:43,320 --> 00:09:47,120 Speaker 1: power is centered in bureaucrats, the system is defined and 156 00:09:47,280 --> 00:09:51,760 Speaker 1: driven by abstract rules rather than personal realities. And in 157 00:09:51,800 --> 00:09:55,680 Speaker 1: every case that we've seen so far, the Left relies 158 00:09:55,720 --> 00:09:59,839 Speaker 1: on tax subsidies which get bigger and bigger, and cost 159 00:10:00,040 --> 00:10:03,480 Speaker 1: overruns which gradually crush the system. So what happens is 160 00:10:04,160 --> 00:10:05,960 Speaker 1: they set something up, Oh, it's really going to be 161 00:10:06,040 --> 00:10:09,160 Speaker 1: very affordable, Well, except it's not affordable. Well, I guess 162 00:10:09,160 --> 00:10:11,439 Speaker 1: we're going to find some more money out of government 163 00:10:11,640 --> 00:10:14,280 Speaker 1: to make it possible. And then you either do one 164 00:10:14,360 --> 00:10:16,640 Speaker 1: or two things. You run bigger and bigger deficits, or 165 00:10:16,679 --> 00:10:19,360 Speaker 1: you raise taxes more and more. In either case, what 166 00:10:19,480 --> 00:10:23,839 Speaker 1: happens is because an unreformed health system is going to 167 00:10:23,920 --> 00:10:27,920 Speaker 1: steadily increase in costs. And remember this is almost one 168 00:10:28,000 --> 00:10:30,880 Speaker 1: fifth of the total economy, so if it's increasing in 169 00:10:31,000 --> 00:10:33,960 Speaker 1: cost it's eating up a lot of the economy. And 170 00:10:34,080 --> 00:10:37,920 Speaker 1: the result is all of these costs overruns then crush 171 00:10:38,000 --> 00:10:43,640 Speaker 1: the economy, leading to fewer jobs, lower take hovey, more dependency, 172 00:10:43,920 --> 00:10:48,720 Speaker 1: and ultimately bigger government. Now Biden, for example, strongly supports 173 00:10:48,720 --> 00:10:52,520 Speaker 1: a public option. He says, quote that the bureaucrats of 174 00:10:52,600 --> 00:10:55,400 Speaker 1: the national state of health should set the value of 175 00:10:55,400 --> 00:10:58,000 Speaker 1: what you get another So how far away from you 176 00:10:58,080 --> 00:11:01,080 Speaker 1: that is some people you've never met, in a room 177 00:11:01,080 --> 00:11:03,840 Speaker 1: you've never visited, who have no clue what your personal 178 00:11:03,880 --> 00:11:06,800 Speaker 1: life is or your personal health is. They're now going 179 00:11:06,800 --> 00:11:13,480 Speaker 1: to define value. And it's fascinating because inevitably value based 180 00:11:13,520 --> 00:11:16,800 Speaker 1: systems lead to rationally and you see this with Obamacare. 181 00:11:17,080 --> 00:11:20,960 Speaker 1: For example, MD Anderson may be the finest cancer center 182 00:11:20,960 --> 00:11:25,840 Speaker 1: in the world, it is not currently eligible for people 183 00:11:26,000 --> 00:11:28,360 Speaker 1: who have Obamacare. You can go to the website and 184 00:11:28,400 --> 00:11:32,000 Speaker 1: look at it, and in fact, something like ninety percent 185 00:11:32,480 --> 00:11:35,880 Speaker 1: of the National Cancer Institute Centers of Excellence are not 186 00:11:36,360 --> 00:11:40,800 Speaker 1: available if you're an Obamacare because what happens is they 187 00:11:40,840 --> 00:11:43,240 Speaker 1: start looking for how to be cheap. The British health 188 00:11:43,240 --> 00:11:46,320 Speaker 1: system is notorious for this, which is why women in 189 00:11:46,360 --> 00:11:49,120 Speaker 1: Britain who have breast cancer are much less likely to 190 00:11:49,160 --> 00:11:52,760 Speaker 1: survive than women in the United States because they don't 191 00:11:52,920 --> 00:11:56,360 Speaker 1: want to pay for first class diagnostics. They don't want 192 00:11:56,360 --> 00:11:59,040 Speaker 1: to pay for first class treatments, they don't want to 193 00:11:59,160 --> 00:12:03,080 Speaker 1: pay for class doctors, and the result as a continuous 194 00:12:03,120 --> 00:12:17,839 Speaker 1: brain as people go to other countries. Hi, I'm Giano Calblow. 195 00:12:17,920 --> 00:12:20,640 Speaker 1: This week on Allow with Giano Calblow, I talked to 196 00:12:20,679 --> 00:12:23,280 Speaker 1: Pete hats At, a veteran and a host on Fox 197 00:12:23,400 --> 00:12:26,480 Speaker 1: and Friends Weekend. We talk about his prediction for the election, 198 00:12:26,800 --> 00:12:29,320 Speaker 1: what a biding here this administration might look like, and 199 00:12:29,440 --> 00:12:32,000 Speaker 1: his experience as an advocate for veterans. If you love 200 00:12:32,040 --> 00:12:34,920 Speaker 1: our veterans, listen to All Out with Giano Caldwell, the 201 00:12:35,040 --> 00:12:38,800 Speaker 1: sworn Enemy of PC culture, every Monday on the iHeartRadio 202 00:12:38,840 --> 00:12:47,480 Speaker 1: app Apple Podcast or wherever you get your podcast. Here's 203 00:12:47,520 --> 00:12:52,040 Speaker 1: the key difference. In the model that we believe in 204 00:12:52,960 --> 00:12:55,199 Speaker 1: the center of authorities should be you and your doctor. 205 00:12:55,960 --> 00:12:59,000 Speaker 1: You should set values, you should decide what you're wanting 206 00:12:59,040 --> 00:13:03,040 Speaker 1: to pay for. But in the other model, the center 207 00:13:03,080 --> 00:13:06,920 Speaker 1: of authority are bureaucrats who quote experts, and the experts 208 00:13:06,960 --> 00:13:10,920 Speaker 1: are always theoretical academics who have interesting ideas, many of 209 00:13:10,920 --> 00:13:13,600 Speaker 1: which end up with death panels, and which were real 210 00:13:14,000 --> 00:13:18,080 Speaker 1: until they were beaten down politically. So how do we 211 00:13:18,120 --> 00:13:21,280 Speaker 1: get to better care if in fact the left can't 212 00:13:21,280 --> 00:13:25,199 Speaker 1: do it? We believe we can build a better personalized 213 00:13:25,240 --> 00:13:31,920 Speaker 1: healthcare system with better outcomes, less cost, and greater convenience. 214 00:13:32,440 --> 00:13:35,360 Speaker 1: Now I know that sounds almost like it's too perfect 215 00:13:35,400 --> 00:13:38,719 Speaker 1: to be true, But here's the key question. This is 216 00:13:38,760 --> 00:13:43,480 Speaker 1: what defines versus everything else in redesigning a failed system 217 00:13:43,880 --> 00:13:47,160 Speaker 1: and moving it towards a steadily more and more powerful 218 00:13:47,480 --> 00:13:50,840 Speaker 1: and more and more capable system. Are you a client 219 00:13:51,520 --> 00:13:54,520 Speaker 1: or a customer? When you go in as a patient, 220 00:13:55,480 --> 00:13:57,840 Speaker 1: should you be seen as a client or as a customer. 221 00:13:57,960 --> 00:14:02,920 Speaker 1: Here's the difference. Clients are always subservient to the bureaucracy. 222 00:14:03,360 --> 00:14:08,840 Speaker 1: It's the bureaucrat who has the authority, not the person. Customers, 223 00:14:08,880 --> 00:14:11,880 Speaker 1: on the other hand, are the center of authority, and 224 00:14:11,960 --> 00:14:15,200 Speaker 1: the person who's serving them has to worry about the customer. 225 00:14:15,840 --> 00:14:18,800 Speaker 1: So if you walk into McDonald's and you want a 226 00:14:18,840 --> 00:14:21,640 Speaker 1: fish filet, they have an obligation to figure out how 227 00:14:21,680 --> 00:14:24,080 Speaker 1: to get you a fish filet. And if they say, 228 00:14:24,120 --> 00:14:26,160 Speaker 1: you're just one of our clients, we have a really 229 00:14:26,240 --> 00:14:29,600 Speaker 1: good deal on the chicken, and so we're going to 230 00:14:29,640 --> 00:14:31,240 Speaker 1: give you a chicken, whether you want it or not, 231 00:14:31,920 --> 00:14:34,440 Speaker 1: you'd walk out because you're the center of authority. They're not. 232 00:14:35,200 --> 00:14:38,760 Speaker 1: But in a bureaucracy, when you go in, you're told 233 00:14:38,800 --> 00:14:41,120 Speaker 1: this is what's going to happen, and this is how 234 00:14:41,240 --> 00:14:43,560 Speaker 1: it's going to be taken care of. And by the way, 235 00:14:43,840 --> 00:14:46,120 Speaker 1: one of our experts, or we have a panel of 236 00:14:46,200 --> 00:14:50,160 Speaker 1: experts who've defined on value. Now McDonald's has an easy 237 00:14:50,200 --> 00:14:52,320 Speaker 1: way to figure out value. What are you willing to 238 00:14:52,320 --> 00:14:55,000 Speaker 1: pay for it? And what will you order? And that 239 00:14:55,160 --> 00:14:59,360 Speaker 1: defines their behavior because it's centered on you, not on them. 240 00:15:00,040 --> 00:15:03,080 Speaker 1: This actually us back to a classic study and what's 241 00:15:03,120 --> 00:15:06,920 Speaker 1: called the Austrian school of economics. What happened was in 242 00:15:06,960 --> 00:15:09,760 Speaker 1: eighteen eighty and nineteen hundred the group of economists in 243 00:15:09,880 --> 00:15:14,040 Speaker 1: Vietna went down to study prices at the fish market. 244 00:15:14,400 --> 00:15:18,560 Speaker 1: This was before they had refrigerators, and they suddenly realized 245 00:15:19,080 --> 00:15:23,160 Speaker 1: that the price of fish changed all day. That when 246 00:15:23,160 --> 00:15:24,880 Speaker 1: the fish came in first day in the morning, they 247 00:15:24,920 --> 00:15:28,360 Speaker 1: were fresh, and they were bought by people who were 248 00:15:28,360 --> 00:15:31,040 Speaker 1: going to serve them at a nice dinner, and so 249 00:15:31,120 --> 00:15:35,600 Speaker 1: they drew a very nice price since there was no refrigerator. 250 00:15:36,280 --> 00:15:37,920 Speaker 1: As the day went on, the fish got to be 251 00:15:37,960 --> 00:15:40,800 Speaker 1: a lot less fresh and the price started to drop. 252 00:15:41,480 --> 00:15:44,480 Speaker 1: And then as they studied it, they realized the same 253 00:15:44,600 --> 00:15:49,480 Speaker 1: person would come back on different days at different times 254 00:15:50,160 --> 00:15:52,920 Speaker 1: to pay different amounts with the fish, and it was 255 00:15:52,960 --> 00:15:55,800 Speaker 1: a function of how they were valuing what they were 256 00:15:55,800 --> 00:15:57,920 Speaker 1: going to do. So maybe if they were just cooking 257 00:15:57,960 --> 00:16:01,520 Speaker 1: for their family, they'd buy a less expensive fish, but 258 00:16:01,560 --> 00:16:04,160 Speaker 1: if they were cooking for guests, they'd buy a more 259 00:16:04,240 --> 00:16:08,880 Speaker 1: expensive fish. And what the Austrian school concluded was that 260 00:16:09,040 --> 00:16:15,760 Speaker 1: it is impossible for a bureaucracy to understand pricing because 261 00:16:15,800 --> 00:16:20,720 Speaker 1: pricing is decided all day, every day by you, and 262 00:16:20,880 --> 00:16:23,680 Speaker 1: they can't possibly get in your head and make all 263 00:16:23,720 --> 00:16:26,920 Speaker 1: of these decisions. So they came up with an entire 264 00:16:27,000 --> 00:16:32,440 Speaker 1: model of a market centric system. Now that contrasts radically 265 00:16:33,040 --> 00:16:36,520 Speaker 1: with the kind of pressure that a centralized bureaucratic system 266 00:16:36,600 --> 00:16:40,240 Speaker 1: has because in a simplized bureaucratic system, they've got to 267 00:16:40,240 --> 00:16:44,720 Speaker 1: have a committee somewhere that defines price and defines value. 268 00:16:45,160 --> 00:16:49,160 Speaker 1: And they're not talking about themselves, they're not the patients, 269 00:16:49,880 --> 00:16:52,760 Speaker 1: they're not setting with the standards. They don't actually know 270 00:16:52,800 --> 00:16:56,640 Speaker 1: what the real value is. So here's the challenge, and 271 00:16:56,680 --> 00:17:00,360 Speaker 1: this has been the great challenge, which President Trump take 272 00:17:00,400 --> 00:17:03,440 Speaker 1: it on far more than any other president. To be 273 00:17:03,520 --> 00:17:07,639 Speaker 1: a customer, you have to have a market, and to 274 00:17:07,720 --> 00:17:11,959 Speaker 1: have a market you have to have both information and power. 275 00:17:12,960 --> 00:17:17,080 Speaker 1: That is, if you're a customer and you don't know 276 00:17:17,080 --> 00:17:21,439 Speaker 1: what anything costs, you can't make any decisions because you 277 00:17:21,520 --> 00:17:25,680 Speaker 1: have no knowledge, it's all random. Or if the prices 278 00:17:25,680 --> 00:17:29,640 Speaker 1: are already been set by some bureaucracy and they're not negotiable, 279 00:17:30,400 --> 00:17:32,919 Speaker 1: it doesn't matter what your opinion is, You're to do 280 00:17:32,960 --> 00:17:35,320 Speaker 1: it or not do. On the other hand, if you 281 00:17:35,359 --> 00:17:37,960 Speaker 1: don't have the power to say yes or no, just 282 00:17:38,119 --> 00:17:41,879 Speaker 1: knowing about it doesn't help you anything because you can't 283 00:17:41,880 --> 00:17:45,440 Speaker 1: respond to the change and information. So for a real 284 00:17:45,520 --> 00:17:48,240 Speaker 1: market to work. For you to truly be a customer, 285 00:17:48,760 --> 00:17:53,640 Speaker 1: you have to have both information and power. Now compare 286 00:17:53,680 --> 00:17:56,600 Speaker 1: that to the current system and think to yourself, who 287 00:17:56,640 --> 00:18:00,600 Speaker 1: has the information and who has the power. With each 288 00:18:00,640 --> 00:18:04,479 Speaker 1: year since nineteen sixty five, more and more power and 289 00:18:04,520 --> 00:18:10,040 Speaker 1: information gets centralized higher and higher. So in an ideal 290 00:18:10,200 --> 00:18:14,720 Speaker 1: left wing world, somebody in Washington had health and human services, 291 00:18:15,200 --> 00:18:19,159 Speaker 1: would have artificial intelligence systems, and would have perfect knowledge 292 00:18:19,160 --> 00:18:22,800 Speaker 1: of the entire country and would define for you what 293 00:18:22,960 --> 00:18:27,360 Speaker 1: getting a mammogram is worth, at what age, under what circumstances, 294 00:18:27,560 --> 00:18:30,840 Speaker 1: with what family backgrouph. Well, the total volume of that 295 00:18:31,000 --> 00:18:34,080 Speaker 1: is astonishing and almost guarantees you're going to get into 296 00:18:34,119 --> 00:18:38,520 Speaker 1: the politics of some people saying, well, maybe that general 297 00:18:38,560 --> 00:18:40,560 Speaker 1: principle is good for everybody else, but I'd like you 298 00:18:40,600 --> 00:18:43,600 Speaker 1: to give me an opportunity to sort of break the rules. 299 00:18:44,000 --> 00:18:47,840 Speaker 1: And that's how these kinds of central bureaucracies become corrupted. 300 00:18:48,160 --> 00:18:50,600 Speaker 1: That's why in the Soviet system you had such a 301 00:18:50,720 --> 00:18:55,720 Speaker 1: huge level of people who were basically operating outside the system. 302 00:18:55,760 --> 00:18:57,679 Speaker 1: I understand what the real rules are of it. By 303 00:18:57,720 --> 00:19:01,040 Speaker 1: the way, I happen to have a fifth of vodka, 304 00:19:01,440 --> 00:19:03,440 Speaker 1: and maybe we could talk a little bit more about this, 305 00:19:03,840 --> 00:19:06,840 Speaker 1: and so a great deal of Soviet system degenerated because 306 00:19:06,880 --> 00:19:09,920 Speaker 1: people constantly look for ways to get what they want, 307 00:19:09,960 --> 00:19:13,080 Speaker 1: even if the bureaucracy says no. So if we're going 308 00:19:13,080 --> 00:19:17,760 Speaker 1: to have a real market, the first great requirement is transparency. 309 00:19:18,280 --> 00:19:21,720 Speaker 1: And here President Trump has taken a leadership role, which 310 00:19:21,840 --> 00:19:25,560 Speaker 1: is very controversial among the various groups who make money 311 00:19:25,560 --> 00:19:28,600 Speaker 1: out of your health. Next year, you're going to be 312 00:19:28,600 --> 00:19:32,879 Speaker 1: able to find price and quality information for the first 313 00:19:32,920 --> 00:19:35,760 Speaker 1: time in modern history, and that's going to lead to 314 00:19:35,840 --> 00:19:41,040 Speaker 1: tremendous revelation. There are examples of five or six hospitals 315 00:19:41,520 --> 00:19:44,120 Speaker 1: in the same area. They can have as much as 316 00:19:44,119 --> 00:19:47,200 Speaker 1: a forty or fifty percent of difference in the price 317 00:19:47,240 --> 00:19:50,800 Speaker 1: of delivering a baby, with no difference in quality outcome. 318 00:19:51,359 --> 00:19:54,640 Speaker 1: And in fact, in some places, the less expensive hospital 319 00:19:54,920 --> 00:19:57,679 Speaker 1: has a better track record than the more expensive. But 320 00:19:57,720 --> 00:20:00,760 Speaker 1: of course you don't know that as we don't currently 321 00:20:00,800 --> 00:20:04,159 Speaker 1: have systems that required that information to be made public. 322 00:20:04,720 --> 00:20:08,680 Speaker 1: We do know that in places like lasic surgery or 323 00:20:08,760 --> 00:20:13,000 Speaker 1: plastic surgery or orthodonics, where people can check for price 324 00:20:13,040 --> 00:20:17,840 Speaker 1: and quality, that it drives prices down dramatically. Lasic surgery 325 00:20:18,080 --> 00:20:22,440 Speaker 1: has become just unbelievably inexpensive compared to what it costs 326 00:20:22,520 --> 00:20:25,919 Speaker 1: twenty years ago. So one of the first big steps 327 00:20:25,920 --> 00:20:30,240 Speaker 1: in the right direction is to have an absolute commitment 328 00:20:30,520 --> 00:20:34,159 Speaker 1: to transparency in both price and quality. President Trump has 329 00:20:34,200 --> 00:20:37,000 Speaker 1: already moved in that direction, and that means to really 330 00:20:37,119 --> 00:20:39,919 Speaker 1: change the whole game, because for the first time you 331 00:20:40,040 --> 00:20:43,680 Speaker 1: begin to have the initial characteristics of a customer, you'll 332 00:20:43,720 --> 00:20:47,440 Speaker 1: have knowledge about what your choices are in both quality 333 00:20:47,480 --> 00:20:50,080 Speaker 1: and cost. The second thing I think you've got to 334 00:20:50,119 --> 00:20:54,160 Speaker 1: do is eliminate pre existing conditions as a problem. It's 335 00:20:54,200 --> 00:20:57,119 Speaker 1: still true today that you can find yourself in a 336 00:20:57,160 --> 00:21:01,080 Speaker 1: situation where you cannot get insurance coverage or the price 337 00:21:01,200 --> 00:21:04,240 Speaker 1: is so exorbited that for all practical purposes you can't 338 00:21:04,240 --> 00:21:08,280 Speaker 1: get That has to be fixed because people have a deep, 339 00:21:08,440 --> 00:21:12,919 Speaker 1: passionate belief that no one should be left behind to 340 00:21:13,040 --> 00:21:17,800 Speaker 1: suffer from bad health conditions just because of a weakness 341 00:21:17,800 --> 00:21:21,200 Speaker 1: in the insurance system. And again President Trump has signed 342 00:21:21,240 --> 00:21:24,560 Speaker 1: an executive order we're moving towards a system where we 343 00:21:24,640 --> 00:21:30,040 Speaker 1: believe a guaranteed coverage system will guarantee everybody's ability to 344 00:21:30,160 --> 00:21:34,160 Speaker 1: buy insurance that is both affordable and that covers any 345 00:21:34,200 --> 00:21:39,160 Speaker 1: condition they already have. That's a very central reform if 346 00:21:39,200 --> 00:21:42,040 Speaker 1: in fact, people are going to be comfortable with the 347 00:21:42,080 --> 00:21:45,040 Speaker 1: health system. When I wrote my book Saving Lives and 348 00:21:45,080 --> 00:21:47,480 Speaker 1: Saving Money, I put in that order because I wanted 349 00:21:47,520 --> 00:21:51,199 Speaker 1: to emphasize that health is first of all a moral 350 00:21:51,280 --> 00:21:54,320 Speaker 1: issue in which we are trying to save lives, and 351 00:21:54,440 --> 00:21:58,359 Speaker 1: only secondarily an economic issue in which we're trying to 352 00:21:58,440 --> 00:22:03,359 Speaker 1: save money. And thinking through the preexisting condition system and 353 00:22:03,440 --> 00:22:07,680 Speaker 1: developing the guaranteed coverage system, which would have a modest 354 00:22:07,720 --> 00:22:11,800 Speaker 1: transfer of money in order to focus on unique cases 355 00:22:12,160 --> 00:22:16,600 Speaker 1: and guarantee that nobody gets priced into dying unnecessarily or 356 00:22:16,640 --> 00:22:22,159 Speaker 1: suffering unnecessarily. That's central to I think a morally legitimate system. 357 00:22:22,320 --> 00:22:24,399 Speaker 1: We don't just need to make sure that people with 358 00:22:24,440 --> 00:22:27,720 Speaker 1: pre existing conditions get coverage, they also need to get 359 00:22:27,720 --> 00:22:30,960 Speaker 1: the care they really need. Most people with pre existing 360 00:22:31,000 --> 00:22:34,919 Speaker 1: conditions has some sort of chronic illness. The Trump geop 361 00:22:35,040 --> 00:22:39,399 Speaker 1: approach allows for the creation of specialized plans that partner 362 00:22:39,440 --> 00:22:42,480 Speaker 1: with the best doctors and hospitals, ones that are left 363 00:22:42,480 --> 00:22:45,800 Speaker 1: out of Obamacare plans to help you manage your illness 364 00:22:46,160 --> 00:22:49,640 Speaker 1: and stay in the best health. President Trump created these 365 00:22:49,640 --> 00:22:53,520 Speaker 1: plans in Medicare advantage this year. The GOP approach would 366 00:22:53,520 --> 00:22:56,000 Speaker 1: allow for the creation of these plans in individual market, 367 00:22:56,440 --> 00:23:10,000 Speaker 1: but right now you can't have them. Hi, this is new. 368 00:23:10,520 --> 00:23:12,359 Speaker 1: I want to invalue to sign up for a yearly 369 00:23:12,400 --> 00:23:16,159 Speaker 1: subscription to my Inner Circle membership club for at a 370 00:23:16,200 --> 00:23:18,760 Speaker 1: critical time in our history, for the outcome of the 371 00:23:18,800 --> 00:23:21,760 Speaker 1: next election will set us in a course of two 372 00:23:22,040 --> 00:23:26,320 Speaker 1: very different American teachers. As a member of My Inner Circle, 373 00:23:26,680 --> 00:23:31,080 Speaker 1: you'll receive exclusive invitations to join my video conferences with 374 00:23:31,240 --> 00:23:35,800 Speaker 1: two twenty election updates and my analysis of the upcoming 375 00:23:35,840 --> 00:23:40,400 Speaker 1: presidential debates. Here's a special offer for my podcast listeners. 376 00:23:41,080 --> 00:23:45,320 Speaker 1: Join my Inner Circle today and newsinner circle dot com 377 00:23:45,359 --> 00:23:47,080 Speaker 1: and if you sign up for a one or two 378 00:23:47,160 --> 00:23:51,320 Speaker 1: year membership, you'll receive a limited edition Inner Circle Challenge 379 00:23:51,320 --> 00:23:55,439 Speaker 1: Point exclusive to five hundred members only as part of 380 00:23:55,480 --> 00:23:59,160 Speaker 1: your membership welcome package. And as an Inner Circle member, 381 00:23:59,480 --> 00:24:03,800 Speaker 1: you'll even invitation to attend my members only event Live 382 00:24:03,920 --> 00:24:07,439 Speaker 1: with Newt, a discussion on the next presidential debate, and 383 00:24:08,119 --> 00:24:11,199 Speaker 1: there are many other benefits of membership. Sign up for 384 00:24:11,280 --> 00:24:14,440 Speaker 1: a one or two year membership today and Newts inner 385 00:24:14,480 --> 00:24:28,320 Speaker 1: Circle dot com that's newts, Inner Circle dot Com. I 386 00:24:28,400 --> 00:24:31,880 Speaker 1: think other great breakthroughs are going to both increase convenience 387 00:24:32,160 --> 00:24:36,880 Speaker 1: and lower costs. One has accelerated dramatically because of COVID nineteen, 388 00:24:37,240 --> 00:24:40,920 Speaker 1: and that's telehealth or telemedicine. More and more people gem 389 00:24:40,960 --> 00:24:44,880 Speaker 1: to realize that you can now have access to your 390 00:24:44,920 --> 00:24:48,680 Speaker 1: doctor without travel. You can have access in a way 391 00:24:49,000 --> 00:24:51,800 Speaker 1: that the doctor gets all the information they need and 392 00:24:51,880 --> 00:24:54,600 Speaker 1: that you can say both a tremendous amount of time 393 00:24:54,880 --> 00:24:57,600 Speaker 1: and a tremendous amount of money. This will be particularly 394 00:24:57,640 --> 00:25:02,320 Speaker 1: important in rural America and particularly important for senior citizens 395 00:25:02,400 --> 00:25:05,840 Speaker 1: who find it more difficult to go places. It's also 396 00:25:05,880 --> 00:25:09,640 Speaker 1: going to provide much greater access for veterans who may 397 00:25:09,680 --> 00:25:12,600 Speaker 1: live a long way from a veterans hospital. So telehealth 398 00:25:12,680 --> 00:25:16,440 Speaker 1: or telemedicine is going to become a dramatically bigger part 399 00:25:16,480 --> 00:25:19,320 Speaker 1: of the system. One of the things we're working on, 400 00:25:19,359 --> 00:25:22,800 Speaker 1: and this is where the President's driving effort and vaccines 401 00:25:23,359 --> 00:25:27,520 Speaker 1: may become a model for how we deal with dramatic 402 00:25:27,600 --> 00:25:31,880 Speaker 1: breakthroughs in science. You're right at the early stages between 403 00:25:31,960 --> 00:25:37,040 Speaker 1: artificial intelligence, understanding more and more about DNA and various 404 00:25:37,040 --> 00:25:41,520 Speaker 1: breakthroughs and materials, technology, and in biology. We're right at 405 00:25:41,520 --> 00:25:44,640 Speaker 1: the edge of a revolution and how we take care 406 00:25:44,680 --> 00:25:49,280 Speaker 1: of people truly personalized health, in which we will be 407 00:25:49,320 --> 00:25:53,080 Speaker 1: able to identify you as a unique person, understand exactly 408 00:25:53,080 --> 00:25:57,359 Speaker 1: what your DNA requires, and develop a solution for you 409 00:25:57,800 --> 00:26:01,040 Speaker 1: to maintain your health. That requires the kind of thing 410 00:26:01,080 --> 00:26:05,080 Speaker 1: the President is doing with the effort to create vaccines, 411 00:26:05,520 --> 00:26:07,679 Speaker 1: in that we want to be able to apply that 412 00:26:07,720 --> 00:26:11,400 Speaker 1: across the board everywhere we look. We want to focus 413 00:26:11,400 --> 00:26:15,080 Speaker 1: on really big breakthroughs and on maximizing the rate in 414 00:26:15,200 --> 00:26:18,399 Speaker 1: which we improve people's lives. For example, I'm told that 415 00:26:18,440 --> 00:26:21,119 Speaker 1: we're within four or five years of being able to 416 00:26:21,119 --> 00:26:24,720 Speaker 1: cure sickle cell anemia for a number of Americans, prickly 417 00:26:24,760 --> 00:26:29,359 Speaker 1: African Americans. Sickle cell anemia is a very painful, very 418 00:26:29,600 --> 00:26:35,080 Speaker 1: debilitating disease which shortens life dramatically. Being able to get 419 00:26:35,119 --> 00:26:38,280 Speaker 1: that cured, being able to accelerate getting that to the market, 420 00:26:38,640 --> 00:26:42,400 Speaker 1: being able to make sure that everybody who potentially will 421 00:26:42,440 --> 00:26:45,440 Speaker 1: suffer from sickle cell anemia has access to that kind 422 00:26:45,440 --> 00:26:49,400 Speaker 1: of cure. That's an enormous improvement in the quality of life. 423 00:26:49,840 --> 00:26:54,399 Speaker 1: We're seeing breakthroughs in creating Alzheimer and it's conceivable that 424 00:26:54,480 --> 00:26:57,879 Speaker 1: by twenty fifty Alzheimer's will no longer be a major threat. 425 00:26:58,320 --> 00:27:00,280 Speaker 1: In fact, one of the things we're looking at great 426 00:27:00,320 --> 00:27:04,040 Speaker 1: deal at Ginistreet sixty is the very concept of aging. 427 00:27:05,119 --> 00:27:08,320 Speaker 1: One very exciting new approach looks at all the various 428 00:27:08,359 --> 00:27:13,680 Speaker 1: age related diseases like dementia, frailty, heart disease, cancer, and others, 429 00:27:13,720 --> 00:27:16,359 Speaker 1: and instead of trying to treat them as separate diseases, 430 00:27:16,760 --> 00:27:19,040 Speaker 1: looks at the common root of all of them, which 431 00:27:19,119 --> 00:27:21,879 Speaker 1: is that your risk increases as you age. So the 432 00:27:21,920 --> 00:27:25,080 Speaker 1: approach is to treat the actual things that happen to 433 00:27:25,119 --> 00:27:28,200 Speaker 1: your cells as you age that makes you more susceptible 434 00:27:28,240 --> 00:27:31,320 Speaker 1: to them as a way to treat and ultimately prevent 435 00:27:31,880 --> 00:27:35,760 Speaker 1: the various diseases. And in fact, you may be capable 436 00:27:35,760 --> 00:27:38,680 Speaker 1: of living in a very healthy way for much much 437 00:27:38,760 --> 00:27:41,920 Speaker 1: longer than you think. And so that would change everything 438 00:27:42,400 --> 00:27:45,800 Speaker 1: and would require us to really contemplate if we start 439 00:27:45,840 --> 00:27:48,800 Speaker 1: becoming a country where people are one hundred and ten, 440 00:27:48,840 --> 00:27:51,159 Speaker 1: one hundred and fifteen, one hundred twenty years old and 441 00:27:51,240 --> 00:27:55,720 Speaker 1: relatively healthy and active. That's a very different environment than 442 00:27:55,760 --> 00:27:58,960 Speaker 1: anything human race has ever seen before. Part of this 443 00:27:59,000 --> 00:28:01,719 Speaker 1: will lead to I think with all this new science 444 00:28:01,760 --> 00:28:06,600 Speaker 1: and all these new applications to specialize plans for chronic conditions. 445 00:28:06,600 --> 00:28:09,840 Speaker 1: So if you have diabetes, for example, or if you 446 00:28:10,440 --> 00:28:13,879 Speaker 1: have hemophilia, or if you have a kidney disease, we 447 00:28:13,960 --> 00:28:18,760 Speaker 1: may discover that there are very creative ways to provide 448 00:28:18,760 --> 00:28:22,879 Speaker 1: both for treatment and insurance for your particular conditions in 449 00:28:22,960 --> 00:28:26,960 Speaker 1: a way which maximizes the effectiveness of you leading a 450 00:28:27,000 --> 00:28:30,440 Speaker 1: full life despite having a chronic condition. One of the 451 00:28:30,480 --> 00:28:33,439 Speaker 1: things that the President has done is he allows tax 452 00:28:33,480 --> 00:28:37,320 Speaker 1: free health plans, so that you can have a savings 453 00:28:37,320 --> 00:28:40,800 Speaker 1: account that's tax free. You can then use that to 454 00:28:40,960 --> 00:28:43,920 Speaker 1: pay for the insurance you want, and you can work 455 00:28:43,920 --> 00:28:47,600 Speaker 1: with your employer, so suddenly your insurance follows you, it 456 00:28:47,720 --> 00:28:51,480 Speaker 1: doesn't follow your job. That's really important because if you 457 00:28:51,560 --> 00:28:54,240 Speaker 1: move towards a system where you can have an insurance 458 00:28:54,280 --> 00:28:57,040 Speaker 1: plan which allows you to have a fairly large amount 459 00:28:57,080 --> 00:29:02,680 Speaker 1: of money for relatively small conditions, the price people pay 460 00:29:03,560 --> 00:29:06,920 Speaker 1: goes down radically if they don't have to go through 461 00:29:07,080 --> 00:29:10,840 Speaker 1: an insurance bureaucracy. If you're a doctor, somebody walks in 462 00:29:11,360 --> 00:29:14,920 Speaker 1: and they're willing to pay cash. It is amazing how 463 00:29:15,000 --> 00:29:19,200 Speaker 1: much less expensive it is in fact, cash paying patients 464 00:29:19,360 --> 00:29:24,840 Speaker 1: normally pay forty percent less than patients who have an 465 00:29:24,840 --> 00:29:28,240 Speaker 1: insurance plan that has paperwork and has the time value 466 00:29:28,280 --> 00:29:30,600 Speaker 1: of money. The doctor has to hire somebody to take 467 00:29:30,640 --> 00:29:33,000 Speaker 1: care of paperwork. Then they've got to get weight around 468 00:29:33,000 --> 00:29:35,440 Speaker 1: to get paid. Then usually only pay part of what 469 00:29:35,520 --> 00:29:37,600 Speaker 1: they charge, so then they have to come back to you, 470 00:29:37,920 --> 00:29:39,720 Speaker 1: and so they get the rest out of you. Well, 471 00:29:39,760 --> 00:29:41,480 Speaker 1: if you walk in and say, look, I got cash, 472 00:29:41,840 --> 00:29:44,080 Speaker 1: what are you going to charge? The places where it's 473 00:29:44,080 --> 00:29:47,480 Speaker 1: currently working in Wichita, Kansas is a good example. You 474 00:29:47,560 --> 00:29:52,080 Speaker 1: see doctors take forty percent less because they eliminate all 475 00:29:52,080 --> 00:29:54,920 Speaker 1: the bureaucracy, all the waiting around. And one of the 476 00:29:54,920 --> 00:29:57,720 Speaker 1: places that this is beginning to emerge on a large 477 00:29:57,720 --> 00:30:00,520 Speaker 1: scale are the Walmart health centers. There only a few 478 00:30:00,560 --> 00:30:03,080 Speaker 1: of them right now. The Walmart plans to keep rolling 479 00:30:03,080 --> 00:30:05,440 Speaker 1: them out. To give an idea the difference in price, 480 00:30:05,960 --> 00:30:09,760 Speaker 1: the Walmart health center charges thirty dollars for annual checkup. 481 00:30:10,080 --> 00:30:11,560 Speaker 1: I don't know what you paid the last time he 482 00:30:11,560 --> 00:30:13,680 Speaker 1: had Daniel set up. How bet it was a lot more. 483 00:30:13,920 --> 00:30:16,840 Speaker 1: They charge twenty five dollars for a dental exam. They 484 00:30:16,920 --> 00:30:19,560 Speaker 1: charge twenty five dollars for teeth plenty. We're going to 485 00:30:19,640 --> 00:30:23,600 Speaker 1: find that the danger in the kind of Biden big government, 486 00:30:23,920 --> 00:30:29,080 Speaker 1: big bureaucracy approaches. All of these new innovative applications, all 487 00:30:29,120 --> 00:30:32,360 Speaker 1: these efforts to bring in new technology and new approaches, 488 00:30:32,600 --> 00:30:36,760 Speaker 1: all these get crushed by bureaucracy. If you're forced into 489 00:30:36,800 --> 00:30:40,320 Speaker 1: a one size fits all government defined healthcare have plan 490 00:30:40,720 --> 00:30:45,800 Speaker 1: with government bureaucrast supervising everything, all of these new innovative 491 00:30:46,160 --> 00:30:51,080 Speaker 1: price lowering, product improving things just kind of disappear. One 492 00:30:51,120 --> 00:30:53,720 Speaker 1: of the things that's really fascinating is you can begin 493 00:30:53,760 --> 00:30:57,320 Speaker 1: to have plans that have own networks. So instead of 494 00:30:57,360 --> 00:31:02,560 Speaker 1: having as Obamacare did cutting out nine of the expert 495 00:31:02,680 --> 00:31:06,920 Speaker 1: cancer centers as defined by the National Answer Institute, you 496 00:31:06,960 --> 00:31:08,680 Speaker 1: can go where you think you need to go for 497 00:31:08,720 --> 00:31:13,000 Speaker 1: whatever your problem is. Finally, the development of association health 498 00:31:13,040 --> 00:31:17,240 Speaker 1: plans by President Trump and Republicans has allowed small businesses 499 00:31:17,280 --> 00:31:20,560 Speaker 1: all across America to come together and to begin to 500 00:31:20,680 --> 00:31:24,760 Speaker 1: organize their own insurance plans and their own approaches in ways, 501 00:31:24,760 --> 00:31:27,360 Speaker 1: some of which are very innovative. And that's the key 502 00:31:27,600 --> 00:31:30,000 Speaker 1: what I wanted to get across. As we're right at 503 00:31:30,000 --> 00:31:34,240 Speaker 1: the edge of a generation of very dramatic breakthroughs in 504 00:31:34,360 --> 00:31:37,320 Speaker 1: science and technology, with at the edge of a generation, 505 00:31:37,800 --> 00:31:41,360 Speaker 1: or a very dramatic entrepreneurship finding new, better, or less 506 00:31:41,400 --> 00:31:44,880 Speaker 1: expensive ways to do things. Nothing will kill that faster 507 00:31:45,520 --> 00:31:49,760 Speaker 1: than going to a centralized, big government bureaucratic system that 508 00:31:49,800 --> 00:31:52,520 Speaker 1: has to issue the same rules for everybody, has to 509 00:31:52,560 --> 00:31:56,840 Speaker 1: police everybody, and which inevitably use power to the big boys. 510 00:31:57,440 --> 00:32:02,040 Speaker 1: Big bureaucracies love working with big hospitals and big pharmaceuticals 511 00:32:02,080 --> 00:32:05,320 Speaker 1: and big insurance companies because they can all get in 512 00:32:05,320 --> 00:32:08,320 Speaker 1: the same room and work out a deal. But they 513 00:32:08,360 --> 00:32:12,720 Speaker 1: don't like is millions of small businesses, hundreds of thousands 514 00:32:12,720 --> 00:32:16,920 Speaker 1: of independent doctors, and tens of millions of individual citizens 515 00:32:16,920 --> 00:32:21,400 Speaker 1: as patients going off on their own, being innovative, focusing 516 00:32:21,400 --> 00:32:24,280 Speaker 1: on a better future, and doing what they think makes sense. 517 00:32:25,120 --> 00:32:27,680 Speaker 1: I do believe it's possible that we can get to 518 00:32:27,720 --> 00:32:30,920 Speaker 1: a system of better care for everybody. We can do 519 00:32:30,960 --> 00:32:34,240 Speaker 1: it in a way that it is less expensive, provides 520 00:32:34,280 --> 00:32:38,840 Speaker 1: a more rapid transition of science into your life to 521 00:32:39,000 --> 00:32:42,239 Speaker 1: save you, and at the same time does so in 522 00:32:42,280 --> 00:32:46,080 Speaker 1: a way which is more convenient and provides for our 523 00:32:46,120 --> 00:32:50,520 Speaker 1: children grandchildren. Just a dramatically better health future. And that's 524 00:32:50,520 --> 00:32:53,120 Speaker 1: why I'm committed to making sure that we don't go 525 00:32:53,200 --> 00:32:57,160 Speaker 1: down the road of a bigger government, more bureaucracy, more 526 00:32:57,280 --> 00:33:01,800 Speaker 1: distant system that will inevitably bankrupt the country through transfer 527 00:33:01,800 --> 00:33:05,560 Speaker 1: of funds and at the same time cripple all of 528 00:33:05,640 --> 00:33:09,120 Speaker 1: us by blocking the best technology, the best science, and 529 00:33:09,280 --> 00:33:17,280 Speaker 1: trapping us into an entire cycle of mediocrity. News World 530 00:33:17,400 --> 00:33:20,240 Speaker 1: is produced by Gingwish three sixty and i Art Media. 531 00:33:20,480 --> 00:33:23,760 Speaker 1: Our executive producer is Debbie Meyers, and our producer is 532 00:33:23,800 --> 00:33:27,720 Speaker 1: Garnsey slam. Our researcher is Rachel Peterson. The artwork for 533 00:33:27,760 --> 00:33:31,520 Speaker 1: the show was created by Steve Pennelly. Special thanks to 534 00:33:31,600 --> 00:33:34,719 Speaker 1: the team at Gingwich three sixty. Please email me with 535 00:33:34,800 --> 00:33:38,720 Speaker 1: your questions at Gingwich three sixty dot com slash questions. 536 00:33:39,040 --> 00:33:43,160 Speaker 1: I'll answer a selection of questions in future episodes. If 537 00:33:43,160 --> 00:33:45,720 Speaker 1: you've been enjoying new Tworld, I hope you'll go to 538 00:33:45,760 --> 00:33:49,160 Speaker 1: Apple Podcasts and both rate us with five stars and 539 00:33:49,320 --> 00:33:52,000 Speaker 1: give us a review so others can learn what it's 540 00:33:52,000 --> 00:33:55,200 Speaker 1: all about. I'm new Gangwich. This is New twil