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Speaker 1: Candating America. Welcome to the latest edition of Justin He's

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Speaker 1: No Noise. I'm your host, John Solomon, reporting to you

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Speaker 1: as always from Washington, DC, and tonight, Amanda and I

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Speaker 1: are gonna do something a little different. We've been keeping

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Speaker 1: up to speed on all the breaking news stories right

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Speaker 1: the Russia Gate exposure, explosive revelations, the tear US, the

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Speaker 1: Foreign trip, Congress, the Senate. Tonight, We're going to take

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Speaker 1: a deep dive into a single issue because it is

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Speaker 1: a critical condition moment in America, and we don't talk

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Speaker 1: about it, we don't think about it.

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Speaker 2: We moved on.

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Speaker 1: We were reminded five years ago we were too dependent

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Speaker 1: on China for our medical supplies. We promised we fix it,

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Speaker 1: and then we did it well. Today, nearly ninety percent

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Speaker 1: of the ingredients we need for the generic basic medice

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Speaker 1: since we use like antibiotics, anti virals, antiseptics, pain medicines

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Speaker 1: are not in the United States. We rely on foreigners,

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Speaker 1: particularly China and India for that. It leaves us unbelievably vulnerable. Amanda,

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Speaker 1: I've been waiting to do something like this. We've got

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Speaker 1: an all star lineup. This is a really critical issue

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Speaker 1: and it hardly gets talked about in Washington.

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Speaker 3: Yeah, you know, you and I often have the conversation

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Speaker 3: about energy security, and about energy security is national security.

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Speaker 3: I think that pharmaceutical security is a national security issue

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Speaker 3: because you look at what we experienced during COVID and.

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Speaker 4: It's not just PPEs. You know, these.

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Speaker 3: Prescriptions are vital and if you can't have some type

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Speaker 3: of stockpile scenario, the best case scenario is have them

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Speaker 3: manufactured here and don't have the precursors coming from other nations,

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Speaker 3: because you're going to run into shelf life issues with

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Speaker 3: each of these drugs, So why not make it homegrown

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Speaker 3: and homemade.

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Speaker 1: Man, that you're going to hear from amazing guests that

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Speaker 1: we're going to kick off in a little bit with

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Speaker 1: doctor j Batichar or the head of the National Institutes

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Speaker 1: of Health. We've got two members of Congress who are

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Speaker 1: also doctors. But people really care about this, and you

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Speaker 1: can hear from a guy in the Pentagon who tells

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Speaker 1: some amazing stories. We created a depot to store these

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Speaker 1: important ingredients for and.

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Speaker 2: It's empty today.

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Speaker 1: It's empty, and we have military men who might in

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Speaker 1: women who might be injured in the battlefield and sometimes

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Speaker 1: they can't get the pain or other medicines they need

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Speaker 1: because of the shortages that we're already experiencing him. We're

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Speaker 1: not even in a difficult situation with China. That's unacceptable.

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Speaker 1: We're going to have to fix it tonight. The fix

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Speaker 1: begins with a great conversation. We educate you, you go

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Speaker 1: tell you lawmakers what needs to get done. And with that,

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Speaker 1: we're going to kick off with a really special guest,

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Speaker 1: somebody who's been talking about this issue for a long time,

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Speaker 1: and he was right about COVID.

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Speaker 2: All right, folks, I can't think of a better.

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Speaker 1: Way to kick off tonight's conversation than to start it

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Speaker 1: with the director, the brand new director of the National

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Speaker 1: Institutes of Health, a good friend, an honest broker in

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Speaker 1: the medical society.

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Speaker 2: Remember he had it right on the pandemic doctor j

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Speaker 2: out of chart. Doctor. Good to have you on, sir,

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Speaker 2: Nice to be on John. All right, this is a big.

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Speaker 1: Topic, and I think a lot of us we just

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Speaker 1: don't think about it. We go about and for the farmers,

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Speaker 1: he hows our prescription are and about it.

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Speaker 2: We're just happy. But there are some real vulnerabilities.

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Speaker 1: It looks like eighty to ninety percent of the precursors

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Speaker 1: that make most of our drugs aren't in the you know,

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Speaker 1: I say it as an ingredient, and we don't have

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Speaker 1: a lot of manufacturing capability.

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Speaker 2: How serious a moment are we in. It's a serious moment.

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Speaker 5: I mean, I think folks remember from COVID, so all

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Speaker 5: those supply chain shortages drugs who are a major problem.

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Speaker 2: Actually, and if you look back.

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Speaker 5: Even before COVID, we are actually as a country in

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Speaker 5: a precarious position. Basic things like normal sailing salt water

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Speaker 5: that's used in hospitals, it's currently in shortage, and the

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Speaker 5: problem is that we do not have sufficient domestic manufacturing

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Speaker 5: of these basic medical items. And so you know, any

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Speaker 5: any sort of stress at all in the system, and

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Speaker 5: basic medications that Americans should be able to have if

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Speaker 5: they get sick may not be available. So that's something

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Speaker 5: that the Trump administration and our is really deeply concerned

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Speaker 5: about and working hard to fix.

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Speaker 1: Yeah, no, definitely, That's how I learned about it, just

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Speaker 1: talking to folks in the administration that they're really serious about. Now,

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Speaker 1: we had that moment during the pandemic where we couldn't

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Speaker 1: get PPE or antibiotics or any virals and we were like,

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Speaker 1: oh my god, it's really bad.

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Speaker 2: And then I know what happens.

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Speaker 1: We have an attention, a short attention to span in

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Speaker 1: modern America, and it doesn't look like a lot got

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Speaker 1: done during the Biden years to close that gap. Was

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Speaker 1: out a missed moment in history. I think it was.

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Speaker 1: I mean, you know, I have to say again, this

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Speaker 1: is this predates Trump won. This has been been building

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Speaker 1: for a long time. And what's happened is that a

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Speaker 1: lot of the American capacity to produce drugs domestically has

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Speaker 1: shifted overseas. This is just like the other rest of

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Speaker 1: the manufacturing industry, that's sort of This is why I

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Speaker 1: think partly part why President Trump won in twenty seventeen,

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Speaker 1: twenty sixteen was because his promise was to try to

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Speaker 1: start to bring back some of the manufacturing capacity we have,

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Speaker 1: and it applies in spades to drugs.

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Speaker 2: Again, this is something that's been going on for a

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Speaker 2: long time.

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Speaker 5: At the when when COVID hit and there was those shortages,

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Speaker 5: it really was a call to arms, a sort of

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Speaker 5: a bell ringing saying okay, let's fix this. And the

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Speaker 5: Biden administration did not do very much to address it

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Speaker 5: at all, and so we are, if anything, worse position

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Speaker 5: than we were at the beginning of COVID, where so

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Speaker 5: much of our domestic of our manufacturing for drugs relies

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Speaker 5: on the Chinese manufacturing, on Indian manufacturing, and it leaves

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Speaker 5: the United States in a very vulnerable place where if

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Speaker 5: you have a crisis, even when you don't have a crisis,

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Speaker 5: when there's just normal demands for vital medical items, antibiotics,

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Speaker 5: I already mentioned normal saline. All of that is just normal,

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Speaker 5: normal demand. We are in a shortage now of some

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Speaker 5: of those things because we do not have domestic manufacturing

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Speaker 5: that can respond when there is a an increase in demand,

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Speaker 5: as there sometimes is.

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Speaker 1: Yeah, it's the fancy new drugs that make us all

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Speaker 1: the envy of the world. We have the greatest figer

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Speaker 1: industry in the world, and so the new ones are

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Speaker 1: not the problem, but it really is everyone Like when

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Speaker 1: we fall or we get strepped throat, or we need

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Speaker 1: pain medication, or we need saling andto surgery, those are

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Speaker 1: the ones that are really the most risk in this

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Speaker 1: system right now.

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Speaker 2: Right absolutely, the basic drugs.

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Speaker 5: I mean, there's not to say like the more expensive

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Speaker 5: drugs are always available either, right, so's there's still there

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Speaker 5: many problems with that. In fact, my friend Marty Mcarey,

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Speaker 5: who is now the FDA Commissioner, he highlighted a thing

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Speaker 5: which I didn't realize, but he's working to fix. There

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Speaker 5: are these new cell therapies which are these complicated. Essentially,

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Speaker 5: they take the cells out of you, stem cells out

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Speaker 5: of you, and then they edit them and then they

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Speaker 5: put them back into you to fix for instance, like

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Speaker 5: things like sickle cell anemia. Right right, Really promising therapy

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Speaker 5: is often very expensive. It turns out in many of

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Speaker 5: these cell therapies, you take the cells out of them,

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Speaker 5: American patients, send them to China and then bring them

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Speaker 5: back from China whether the Chinese edit them. We ship

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Speaker 5: them to China in order to do the editing and

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Speaker 5: then bring them back and given to Americans. There's no

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Speaker 5: reason why America should not be the hub of this.

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Speaker 5: This is the place where a lot of that technology

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Speaker 5: was invented. The United States should be the place where

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Speaker 5: we developed the capacity to make this available for all

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Speaker 5: Americans who need it.

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Speaker 1: Yeah, that is an amazing fact that I hadn't heard that.

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Speaker 2: That is amazing.

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Speaker 1: All right, So you mentioned China we mentioned India earlier.

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Speaker 1: Those are the two big ones. One do we have

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Speaker 1: a great relationship with India. One we sometimes look very

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Speaker 1: competitive and then occasionally hostile relationship with China. Walk us

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Speaker 1: through the different challenges that each has. Obviously one has

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Speaker 1: hostilities the other. There's been some concerns about India and

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Speaker 1: some quality control issues.

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Speaker 2: How do we tackle both of these in the near future.

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Speaker 5: Yeah, so on India, that was exactly which is that John? Right, So,

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Speaker 5: there've been some scandals frankly in the past regarding Indian

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Speaker 5: manufacturing plants for for medications, and uh, the way forward

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Speaker 5: with that is cooperation with India to allow American FDA

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Speaker 5: inspectors in right. And you know, we've gotten a lot

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Speaker 5: of like that picture of Prime Minister Modi and President

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Speaker 5: Trump is a fantastic example of there's lots and lots

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Speaker 5: of promising kind of exchanges where that kind of collaboration

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Speaker 5: will will result in more oversight and better regulation of

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Speaker 5: the Indian pharmaceutical manufacturing firms, so that we can have

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Speaker 5: a confidence that if you have something manufactured India and

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Speaker 5: it's brought to the United States, that it's you know,

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Speaker 5: it's it's it's it's it's like safe enough for use

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Speaker 5: in Americans, safe safe for use by Americans. So I'm

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Speaker 5: actually quite uh uh, you know, quite hopeful about that.

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Speaker 2: Lots and lots of progress being made on this.

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Speaker 5: Uh Again, it was my friend Marty McCarey that's been

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Speaker 5: involved with a lot of that, and it's the fd

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Speaker 5: the current f DA commission the President Trump picked. With China,

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Speaker 5: it's a little more challenging. You saw during COVID the threat.

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Speaker 5: What happens is when there is a when there was

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Speaker 5: a gep political when there was a geopolitical event like COVID,

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Speaker 5: what what what happened is that the Chinese. You mentioned PPEs,

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Speaker 5: that's just one example, but it could be you could

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Speaker 5: you could expand this to other other items. A lot

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Speaker 5: of the manufacturing for PPEs was done in China, and

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Speaker 5: as a result, when there was the initial outbreak of COVID,

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Speaker 5: the Chinese essentially said, we're not going to.

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Speaker 2: Share these with you guys.

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Speaker 5: In fact, if you remember, John, what happened early on

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Speaker 5: in COVID was that the United States, the COVID hit

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Speaker 5: China first, the United States and Europe offered whatever stores

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Speaker 5: we had of our PPE through the Chinese authorities to

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Speaker 5: to sort of help them out during the time when

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Speaker 5: they were just thought that that that that that that

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Speaker 5: the COVID.

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Speaker 2: Was just stay in China.

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Speaker 5: But then when when the disease spread out elsewhere, the

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Speaker 5: Chinese had essentially a near monopoly over the the EPPS

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Speaker 5: or a lot of a lot of like control over

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Speaker 5: that PPE market, and there were shortages in nearly days

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Speaker 5: in the United States for PPEs.

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Speaker 2: That's amazing.

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Speaker 1: We showed some generosity and then we saw what competition

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Speaker 1: looks like on the backside of that transaction.

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Speaker 2: I know it was a pretty hard moment.

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Speaker 1: There is some really hopeful things that happened this summer.

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Speaker 1: The big beautiful Bill is so big that sometimes we

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Speaker 1: lose sight of all the things that had accomplished in

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Speaker 1: one piece of legislation. But the manufacturing incentives that are

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Speaker 1: there create an incentive and also a potential competitive price

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Speaker 1: structure to bring manufacturing back both at the precursor level

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Speaker 1: and the completed drug market. How important is the BB

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Speaker 1: is sort of a first strike in getting this fix

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Speaker 1: into place.

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Speaker 5: It's very important, I should say, like I don't want

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Speaker 5: to keep get people's gets hopes up in terms of

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Speaker 5: like a fast timeline. I'm hearing like a decade to

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Speaker 5: actually bring the manufacturing back in. But we have to

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Speaker 5: start somewhere, and the BBB, the Big Beautiful Bill, is

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Speaker 5: a really great starting point. The other thing that President

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Speaker 5: Trump did is he issued an executive order essentially ordering

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Speaker 5: something called the most Favored Nation status for for for

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Speaker 5: where the the you know, the price of drugs, like

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Speaker 5: prescription drugs is often two, three, four, or five, up

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Speaker 5: to ten times more in the United States than it

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Speaker 5: is in Europe, for instance, right the same manufacturer the

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Speaker 5: same Often even American companies will charge manufacturers will charge

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Speaker 5: Europeans ten times less, five times less, two times less

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Speaker 5: for the same drug that they that they charge Americans

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Speaker 5: for ten times more in the United States, you know,

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Speaker 5: two to ten times more in uh less in in

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Speaker 5: in France or somewhere. What what the President's executive order

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Speaker 5: says is the US is saying enough of that, We're

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Speaker 5: going to demand that and that that that that the

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Speaker 5: that the drug companies treat Americans fairly the same way

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Speaker 5: and give them the same give us the same deal

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Speaker 5: as they give Europeans, for instance. But if especially if

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Speaker 5: they make available, if they if they if they on shore.

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Speaker 5: If the drug manufacturers on shore and make domestic manufacturing facilities,

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Speaker 5: then they'll be able to have a little more leeway

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Speaker 5: on this.

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Speaker 2: On these kind of negotiations.

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Speaker 5: It's an all of the above approach to try to

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Speaker 5: make sure that we address the drug price problem in

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Speaker 5: this country and also to have that we bring back

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Speaker 5: domestic manufacturing of pharmaceuticals so we don't have such problems

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Speaker 5: any in the future.

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Speaker 1: It's such a huge moment to fix it, and the

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Speaker 1: good news is with you and doctor mccarie and others,

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Speaker 1: there is a clear pathway now there's the discussion's happening there.

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Speaker 1: Last question, I have you some of the folks in

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Speaker 1: the military who have thought about this are talking about

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Speaker 1: creating depots and just starting to stockpile the ingredients that

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Speaker 1: go into making that. That would seem like a first step,

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Speaker 1: even as you said the ten year process to getting

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Speaker 1: the manufacturing plants, is that something you think we might

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Speaker 1: see more of stockpiling of just the precursors.

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Speaker 2: I mean, I do think that might help.

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Speaker 5: I mean, although you know, like with these with anything,

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Speaker 5: it's there's cost, right, So like if you stockpiling, you

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Speaker 5: don't know exactly what the demand is going to be.

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Speaker 5: Really you need domestic manufacturing. They respond to changes the

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Speaker 5: demand in real time. And so the stockpiling, I think

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Speaker 5: can address critical needs for key items andibiotics and a

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Speaker 5: whole bunch of other things like that, and that'll keep

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Speaker 5: American safe in the interim. But the long run solution,

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Speaker 5: which is the Trumpet Administration's working toward, is to bring

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Speaker 5: back domestic manufacturing of drugs into the United States so

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Speaker 5: that when there are demands, when there are crises, our

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Speaker 5: own folks can address those crises directly without having to

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Speaker 5: rely on foreign manufacturers who may not may not be

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Speaker 5: available in those times of crises.

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Speaker 1: Boy, that is going to be a big moment to

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Speaker 1: just get on that path, and it's starting now. It's

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Speaker 1: the first time I've seen action in the last five years.

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Speaker 2: So doctor j. Botichar, it's great to have you on.

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Speaker 1: It's great to know that you've got your hand on

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Speaker 1: the flight stick of this very important play.

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Speaker 5: And good to have you on today. Thank you, thank

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Speaker 5: you so much, on so good to talk as always you.

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Speaker 1: As well, sir, Thank you so much. What a great

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Speaker 1: what a great interview, folks. All right, we're going to

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Speaker 1: take a quick commercial break.

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Speaker 2: Let me come.

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Speaker 1: We're going to talk to a physician and a senator.

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Speaker 1: You know, Doc Marshall has been at the show many

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Speaker 1: times before. We'll be here to discuss more about this

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Speaker 1: major issue, and of course mandably rejoining me right after

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Speaker 1: these messages.

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Speaker 2: Hey, folks, let's be honest our body. Lets us know

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Speaker 3: Welcome back to this special edition of Justin News and

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Speaker 3: The Noise. All throughout this hour, we are taking a

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Speaker 3: deep dive at an overlooked national security issue that a

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Speaker 3: majority of pharmaceuticals are either made outside of the United

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Speaker 3: States or the ingredients the precursors for those drugs are

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Speaker 3: sourced outside of our country. And I think it's pretty

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Speaker 3: easy to see why that could be pretty dangerous.

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Speaker 4: So what's being done about it? Up on Capitol Hill?

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Speaker 3: Joining us to discuss more about this issue is physician

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Speaker 3: and Kansas Senator Doc Marshall, Senator. Thanks so much for

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Speaker 3: being here.

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Speaker 6: Aman, great to be with you. This is a great

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Speaker 6: top topic. We'll try to make it entertaining.

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Speaker 4: Well, let's do that. That's right, all right?

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Speaker 3: So we already know that China, you know, and I

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Speaker 3: use China as example because we have COVID, but we

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Speaker 3: already know that China has the ability to disseminate a

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Speaker 3: virus across the world, and now we know that we

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Speaker 3: are reliant on them from many of our drugs. From

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Speaker 3: a physician perspective, how did.

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Speaker 4: That go wrong?

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Speaker 7: Now, this is a horrible situation.

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Speaker 6: America makes only about ten percent of our active pharmaceutical ingredients.

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Speaker 7: These are the simple things.

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Speaker 6: Think about, you know, antibotics, penicilin, apicilinkeflex, Think about in

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Speaker 6: the insulin or monoclonal antibodies. These are real simple things,

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Speaker 6: and I think it's important that your listeners understand how

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Speaker 6: this came came to be. What China does is they

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Speaker 6: steal our technology, then they replicate it, they bring it

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Speaker 6: up to scale, and then after they're up to scale.

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Speaker 7: What they'll do is they'll enter the market with the

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Speaker 7: product and undercut all their competition.

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Speaker 6: And after they corner the market, they create an artificial

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Speaker 6: shortage of that particular drug and then they raise their prices.

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Speaker 6: That's their model. I saw this as a physician long

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Speaker 6: before I came to Congress. I was doing an infertility

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Speaker 6: surgery and I asked the nurses I needed some methyling

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Speaker 6: blue to to make sure someone's fillippian tubes were open,

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Speaker 6: and they said, oh, Doc.

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Speaker 7: We ran out of it and I said, well how come?

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Speaker 7: And they said, well, it's made in China and that's

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Speaker 7: the only place we can get it from now. So

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Speaker 7: these are just a few examples of what we see

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Speaker 7: going on.

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Speaker 2: It's mine.

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Speaker 1: I mean that anecdote is so powerful because there's a

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Speaker 1: real time medical need and it's not available. This has

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Speaker 1: been a long time coming. How did we take our

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Speaker 1: eye off the ball as a country? H and anyone

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Speaker 1: now starting to put the focus on it?

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Speaker 6: Yeah, I do think it's It's number one is we

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Speaker 6: did turn our back away from it. And when when

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Speaker 6: they're the economics of it, you know, why can China

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Speaker 6: make this cheaper than.

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Speaker 7: The United States?

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Speaker 6: Okay, and let's think about that for a second. They

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Speaker 6: have they steal the technology so they didn't pay for

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Speaker 6: the research and development. They have cheap labor, they use

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Speaker 6: dirty energy, and here's the big scary thing is the standards.

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Speaker 6: They don't have the same consistency, the same standards that

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Speaker 6: you and I.

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Speaker 7: Would expect in the situation. They also use knockoff drugs.

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Speaker 6: I'm really really concerned about the compounding pharmacy industry right

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Speaker 6: now that China is sending over a knockoff compound close

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Speaker 6: to the other GLP one competitors, but it's not exactly

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Speaker 6: the same thing.

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Speaker 7: At least fourteen people.

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Speaker 6: Have died in the past year taking this knockoff drug,

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Speaker 6: so I think that on the one end, we turned

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Speaker 6: our back to it, but they really are able to

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Speaker 6: do it cheaper. But like I tell people, the last

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Speaker 6: thing you want is cheap healthcare, cheap medications.

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Speaker 2: Good point, senator.

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Speaker 3: I know that for a lot of people, they say, well,

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Speaker 3: can't we have some type of testing mechanism. If they're

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Speaker 3: going to be made foreign on foreign soil, can we

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Speaker 3: at least test them? That would be expensive. It's also

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Speaker 3: expensive to onshore or friendshore or near shore. The manufacturers

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Speaker 3: back to the United States are close by. What's the

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Speaker 3: solution that's relatively economic.

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Speaker 6: Well, I'm not sure that there is an easy, easy one.

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Speaker 6: I would would wager though, the big cost of the

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Speaker 6: drug that the retail price we're paying is not how

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Speaker 6: much a cost to makeup. But there's something between the

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Speaker 6: manufacturer and the buyer, and that's called a pharmacy benefit manager.

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Speaker 6: So if we could address that issue, it's going to

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Speaker 6: meran the cost of drugs down, but keep the same quality.

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Speaker 6: And remember when we're talking about the quality of the

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Speaker 6: drug that we're using or the medication, it's not just

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Speaker 6: the drug itself.

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Speaker 7: It's all the impurities.

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Speaker 6: It's what comes with it that really concerns me, and

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Speaker 6: the inconsistencies.

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Speaker 7: You know, when you expect.

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Speaker 6: To have three hundred and twenty five milligrams of a

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Speaker 6: set of metaphine in Thailand, all that's what you're expecting

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Speaker 6: to have, and maybe it's got three hundred ninety, maybe

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Speaker 6: it's got two hundred ninety. When it comes to kids,

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Speaker 6: it's even more of a concern to me. You know,

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Speaker 6: I thought, forgive me, but I thought it'd be really

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Speaker 6: interesting just to try to explain to people what these

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Speaker 6: these active pharmaceutical ingredients are. Just for a second, think

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Speaker 6: about penicillin. Penicillin basically is made from a fungus. So

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Speaker 6: what China is able to do is just make big

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Speaker 6: bats of that fungus and grow lots of penicillin. But

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Speaker 6: on the other hand, insulin, you know, we used to

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Speaker 6: get pig insulin, but now what we're able to do

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Speaker 6: is take an E. Coli bacteria, take the DNA gene

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Speaker 6: sequence for insulin from humans and put it in the

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Speaker 6: E coli and then make that insulin. So some of

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Speaker 6: that technology has been around for decades and years, but

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Speaker 6: what China is able to do is to bring it

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Speaker 6: to scale. They're able to make you know, China's really

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Speaker 6: good at replicating, they're not great at originating anything.

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Speaker 7: And then on these newer drugs that Americans are paying

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Speaker 7: thousands of.

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Speaker 6: Dollars for a month, like the gl P one medications

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Speaker 6: for type two diapedes, then now they're making the knockoffs

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Speaker 6: to it, which is not hard to do either.

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Speaker 1: Yeah, they are a patient and strategic competitors to this country.

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Speaker 1: It's remarkable how they play the game. There are some

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Speaker 1: reasons for hope, and one of those is what happened

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Speaker 1: with the One Big Beautiful Bill is there are now

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Speaker 1: tax incentives to restore manufacturing in America. How can that

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Speaker 1: give some incentives to people who maybe thought we want

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Speaker 1: to stay out of the drug manufacturing.

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Speaker 2: Leave it overseas.

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Speaker 1: Now the field may be a little bit more level

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Speaker 1: with some of the tax breaks and things you've done.

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Speaker 1: Is that opening Solva for solving this problem? Absolutely?

442
00:21:28,000 --> 00:21:31,119
Speaker 7: I know that Eli Lily is already doing just that.

443
00:21:31,119 --> 00:21:34,919
Speaker 6: That they are quadrupling the amount of API, the active

444
00:21:34,960 --> 00:21:38,439
Speaker 6: pharmaceutical ingredients that we're talking about building more and more

445
00:21:38,480 --> 00:21:39,919
Speaker 6: of those. Then that's what we want to see, is

446
00:21:39,920 --> 00:21:42,280
Speaker 6: we want to see private enterprise take.

447
00:21:42,119 --> 00:21:42,680
Speaker 7: This and run.

448
00:21:42,720 --> 00:21:45,439
Speaker 6: You don't want the veneral government opening manufacturing plans to

449
00:21:45,520 --> 00:21:48,679
Speaker 6: do this. And we're seeing other drug companies as well.

450
00:21:49,359 --> 00:21:51,280
Speaker 6: And you know, the tariffs is moving them over here

451
00:21:51,320 --> 00:21:54,640
Speaker 6: as well. Okay, the one big beautiful bill is going

452
00:21:54,640 --> 00:21:57,480
Speaker 6: to let them write off their manufacturing costs over a

453
00:21:57,640 --> 00:22:00,880
Speaker 6: year's time. Bringing in those those big new the machines,

454
00:22:00,880 --> 00:22:03,600
Speaker 6: which are just millions of dollars. Being able to write

455
00:22:03,640 --> 00:22:07,199
Speaker 6: off their interest, accelerated depreciation, all those things is going

456
00:22:07,200 --> 00:22:11,040
Speaker 6: to bring the manufacturing and medications back to the United States.

457
00:22:11,080 --> 00:22:13,960
Speaker 6: But the tariffs is driving this as well, which I'm

458
00:22:13,960 --> 00:22:16,840
Speaker 6: happy to see. So some of these the EU makes

459
00:22:16,840 --> 00:22:20,080
Speaker 6: a lot of the newer drugs. Right, Maybe India and

460
00:22:20,160 --> 00:22:23,920
Speaker 6: China dominate the generics and things like tail and all

461
00:22:24,160 --> 00:22:27,120
Speaker 6: and aspirin and things over the counter stuff, but the

462
00:22:27,160 --> 00:22:29,840
Speaker 6: newer drugs. Europe really has a lot of the technology.

463
00:22:30,040 --> 00:22:32,639
Speaker 6: So they are actively bringing over a lot of that

464
00:22:32,720 --> 00:22:35,119
Speaker 6: manufacturing to the United States as we speak.

465
00:22:35,800 --> 00:22:39,320
Speaker 3: Amazing, I'm Senator pharmacy benefit managers. I know a lot

466
00:22:39,400 --> 00:22:41,840
Speaker 3: of people attribute that to some of the cost issues

467
00:22:42,080 --> 00:22:44,760
Speaker 3: pertaining to pharmaceuticals. Is there a means by which we

468
00:22:44,800 --> 00:22:47,000
Speaker 3: can get rid of those and would that even be beneficial?

469
00:22:48,200 --> 00:22:49,480
Speaker 7: So absolutely, So.

470
00:22:49,520 --> 00:22:53,080
Speaker 6: Think about a pharmacy benefit manager as someone that's between

471
00:22:53,359 --> 00:22:56,080
Speaker 6: the people who make the drugs and then the consumer,

472
00:22:56,520 --> 00:23:00,640
Speaker 6: and these pharmacy benefit managers determine what you can buy

473
00:23:00,680 --> 00:23:03,359
Speaker 6: and what you cannot buy. They're actually taking about fifty

474
00:23:03,400 --> 00:23:07,640
Speaker 6: cents of every dollar. Their profit margins are huge, and

475
00:23:07,680 --> 00:23:10,080
Speaker 6: we have three of them controlling eighty five percent of

476
00:23:10,119 --> 00:23:12,160
Speaker 6: the prescription drugs in the country.

477
00:23:12,240 --> 00:23:14,040
Speaker 7: So, look, I'm a capitalist, but.

478
00:23:14,000 --> 00:23:17,400
Speaker 6: When you have competition, when you have capitalism but no competition,

479
00:23:17,680 --> 00:23:21,480
Speaker 6: then that leads to uncontrolled greed. So absolutely, and we

480
00:23:21,560 --> 00:23:24,199
Speaker 6: have a package of bills that I do believe is

481
00:23:24,200 --> 00:23:26,840
Speaker 6: going to get across the finish line here. Senator Bill

482
00:23:26,920 --> 00:23:30,119
Speaker 6: Casty from Louisiana is leading that charge on the Help Committee,

483
00:23:30,200 --> 00:23:32,960
Speaker 6: the Healthcare Committee that I'm on as well, and it

484
00:23:33,000 --> 00:23:36,240
Speaker 6: starts with transparency, and that's a bill that we're particular

485
00:23:36,359 --> 00:23:39,720
Speaker 6: leading is a price tags bill that would show every

486
00:23:39,760 --> 00:23:43,520
Speaker 6: consumer what the cost is for your surgery for an

487
00:23:43,680 --> 00:23:46,560
Speaker 6: X ray, a CT scan, and then onto the pharmacy

488
00:23:46,600 --> 00:23:50,400
Speaker 6: benefit managers forcing them to show you exactly.

489
00:23:50,000 --> 00:23:52,720
Speaker 7: Well, where is this money going. So I wish we

490
00:23:52,760 --> 00:23:54,080
Speaker 7: could get rid of them completely.

491
00:23:54,520 --> 00:23:59,080
Speaker 6: That's going to be up to whichever justice department those folks,

492
00:23:59,240 --> 00:24:02,000
Speaker 6: but we certainly are trying to hog tie them and

493
00:24:02,080 --> 00:24:04,000
Speaker 6: bring them back into competition.

494
00:24:04,680 --> 00:24:05,359
Speaker 2: Huge effort.

495
00:24:05,560 --> 00:24:07,919
Speaker 1: My most important real quickly, how do we get the

496
00:24:07,960 --> 00:24:11,240
Speaker 1: precursors or the pre ingredients going as well. So the

497
00:24:11,280 --> 00:24:15,240
Speaker 1: manufacturing plants are one part. Having those ingredients near shore

498
00:24:15,359 --> 00:24:17,600
Speaker 1: or onshore is another part of it. Do you have

499
00:24:17,680 --> 00:24:19,920
Speaker 1: some thoughts on how that process could begin?

500
00:24:20,760 --> 00:24:22,080
Speaker 6: Well, I think, first so we have to make it

501
00:24:22,119 --> 00:24:26,760
Speaker 6: profitable to be able to compete. So yes, indeed China

502
00:24:26,800 --> 00:24:29,320
Speaker 6: can make them cheaper than we do, but I would

503
00:24:29,440 --> 00:24:32,840
Speaker 6: argue that cheaper is not always best, so we have

504
00:24:32,920 --> 00:24:35,520
Speaker 6: to we're doing the things. The one big beautiful bill

505
00:24:35,560 --> 00:24:37,879
Speaker 6: like we talked about, is going to allow the setting

506
00:24:37,960 --> 00:24:40,680
Speaker 6: up these manufacturing plants. It's going to cost less money

507
00:24:40,680 --> 00:24:43,240
Speaker 6: to get them set up. We're going to maintain the

508
00:24:43,359 --> 00:24:46,320
Speaker 6: quality as well. I think those that's the starters. And

509
00:24:46,320 --> 00:24:49,919
Speaker 6: then there's all these these precursors to the you think

510
00:24:49,960 --> 00:24:53,119
Speaker 6: about ivy drugs. You know, an iv has has sodium in,

511
00:24:53,160 --> 00:24:55,720
Speaker 6: it has chloride, it has potassium, and a lot of

512
00:24:55,760 --> 00:24:58,399
Speaker 6: that goes back to mining rare earth minerals as well.

513
00:24:58,720 --> 00:25:04,680
Speaker 6: So it's it's deregulation and setting American American entrepreneurs free,

514
00:25:04,720 --> 00:25:07,920
Speaker 6: I guess as much as anything else, so important and as.

515
00:25:07,840 --> 00:25:10,040
Speaker 3: The cheapness factor in China work the human lives that

516
00:25:10,040 --> 00:25:11,720
Speaker 3: it costs here in the United States to take That's

517
00:25:11,720 --> 00:25:13,640
Speaker 3: what a lot of folks like you've been talking about.

518
00:25:13,680 --> 00:25:15,919
Speaker 3: Kansas Senator Doc Marshall, thank you so much for being here.

519
00:25:15,920 --> 00:25:16,840
Speaker 3: Thanks for your wisdom on this.

520
00:25:17,640 --> 00:25:18,880
Speaker 7: Jean Amanda, thanks for having me.

521
00:25:19,000 --> 00:25:20,119
Speaker 2: That's great conversation.

522
00:25:20,320 --> 00:25:22,359
Speaker 3: All right, everybody, more for all of you on this

523
00:25:22,480 --> 00:25:26,080
Speaker 3: huge national security issue with Congressman and doctor marian At

524
00:25:26,080 --> 00:25:27,080
Speaker 3: Miller meeks after the break.

525
00:25:31,040 --> 00:25:33,520
Speaker 1: Hey, America, the digital dollar is coming, and it's moving

526
00:25:33,560 --> 00:25:36,359
Speaker 1: faster than most Americans realize. Right now, one hundred and

527
00:25:36,400 --> 00:25:39,640
Speaker 1: thirty four countries covering ninety eight percent of global GDP

528
00:25:39,760 --> 00:25:42,240
Speaker 1: are developing programmable digital currencies.

529
00:25:42,280 --> 00:25:43,840
Speaker 2: These aren't just new forms of.

530
00:25:43,800 --> 00:25:47,080
Speaker 1: Money, they're built to track everything you do in control

531
00:25:47,119 --> 00:25:49,680
Speaker 1: how you spend it. China already has two hundred and

532
00:25:49,720 --> 00:25:52,840
Speaker 1: sixty million people using their version, which can expire if

533
00:25:52,840 --> 00:25:55,960
Speaker 1: it's not spent in time. This isn't innovation, it's the

534
00:25:56,080 --> 00:25:59,520
Speaker 1: end of financial privacy. According to the Bank for International Settlements,

535
00:26:00,160 --> 00:26:03,720
Speaker 1: currencies will allow governments to monitor every single transaction in

536
00:26:03,760 --> 00:26:06,840
Speaker 1: real time, and the IMF has confirm they can be

537
00:26:06,880 --> 00:26:08,560
Speaker 1: programmed to limit what people can.

538
00:26:08,480 --> 00:26:10,000
Speaker 2: Buy and how their money's used.

539
00:26:10,359 --> 00:26:13,280
Speaker 1: That's why our friends at American Alternative Assets created an

540
00:26:13,359 --> 00:26:16,320
Speaker 1: urgent new guide. It's called the Digital Dollar Trap. How

541
00:26:16,560 --> 00:26:20,639
Speaker 1: CBDCs threaten your financial freedom. It lays out seven ways

542
00:26:20,680 --> 00:26:23,200
Speaker 1: these currencies could strip away your freedom and explains why

543
00:26:23,200 --> 00:26:25,280
Speaker 1: precious metals may be your best choice.

544
00:26:25,320 --> 00:26:26,640
Speaker 2: To opt out before it's too late.

545
00:26:26,880 --> 00:26:30,160
Speaker 1: Call eight five five gold three four zero or visit

546
00:26:30,280 --> 00:26:32,480
Speaker 1: John likes Gold dot com to get your free guide.

547
00:26:32,680 --> 00:26:35,400
Speaker 1: That's eight five five four sixty five three three four

548
00:26:35,520 --> 00:26:38,640
Speaker 1: zero or visit my site John Likes Gold dot com.

549
00:26:38,680 --> 00:26:42,240
Speaker 1: Now protect your money before surveillance becomes total and escape

550
00:26:42,400 --> 00:26:43,440
Speaker 1: is no longer an option.

551
00:26:54,160 --> 00:26:56,040
Speaker 2: Welcome back to America. Man and I are taking a.

552
00:26:56,000 --> 00:26:58,440
Speaker 1: Deep dive into one of the legacies of the COVID

553
00:26:58,520 --> 00:27:03,200
Speaker 1: nineteen pandemic, continuing supply chain weaknesses. We have to get

554
00:27:03,200 --> 00:27:06,240
Speaker 1: our basic medicines, prescriptions like antibiotics everybody uses.

555
00:27:06,600 --> 00:27:07,040
Speaker 2: Joining us.

556
00:27:07,040 --> 00:27:09,320
Speaker 1: Now, someone who's been raising the red alarm about this

557
00:27:09,359 --> 00:27:10,560
Speaker 1: in Congress for quite some time.

558
00:27:10,800 --> 00:27:12,800
Speaker 2: She also is a doctor. She understands us as the

559
00:27:12,840 --> 00:27:13,760
Speaker 2: better than most of us.

560
00:27:13,960 --> 00:27:17,040
Speaker 1: Congresswomen Maryette Miller Meeks from the great state of Iowa.

561
00:27:17,280 --> 00:27:18,800
Speaker 2: Congress woman. Great to have you on the show.

562
00:27:19,640 --> 00:27:20,840
Speaker 4: It's great to have you, John.

563
00:27:20,880 --> 00:27:23,359
Speaker 8: And before we start, as you know, I've been traveling

564
00:27:23,400 --> 00:27:25,440
Speaker 8: the district and I'm just going to say, I've got

565
00:27:25,440 --> 00:27:28,720
Speaker 8: a young lady and one of my counties is crushing

566
00:27:28,760 --> 00:27:29,160
Speaker 8: on you.

567
00:27:29,760 --> 00:27:32,520
Speaker 4: I'm just going to say hello to Effie, but she

568
00:27:32,720 --> 00:27:34,840
Speaker 4: loves you. And Amanda, Oh.

569
00:27:34,480 --> 00:27:37,240
Speaker 2: That's so sweet. Hello Effie. Good thanks for watching our show.

570
00:27:37,320 --> 00:27:40,080
Speaker 2: That's so cool, so cool. All right.

571
00:27:41,119 --> 00:27:43,879
Speaker 1: You are a voice of reason on this and I

572
00:27:43,920 --> 00:27:46,879
Speaker 1: think a lot of people don't realize how dependent we

573
00:27:46,960 --> 00:27:49,919
Speaker 1: became in the last twenty years on foreign countries like

574
00:27:50,000 --> 00:27:52,280
Speaker 1: China for the not only the ingredients, but sometimes the

575
00:27:52,280 --> 00:27:54,879
Speaker 1: finished products of our basic pharmaceuticals.

576
00:27:54,880 --> 00:27:57,280
Speaker 2: How bad is it.

577
00:27:57,280 --> 00:27:58,440
Speaker 4: It's significantly bad.

578
00:27:58,520 --> 00:28:02,440
Speaker 8: The majority of our annabis uh come from China, and

579
00:28:02,480 --> 00:28:04,679
Speaker 8: we saw that. I'm glad you framed this in the

580
00:28:04,720 --> 00:28:08,879
Speaker 8: context of the COVID nineteen pandemic because we saw number

581
00:28:08,920 --> 00:28:13,080
Speaker 8: one that the Chinese Communist Party was uh se questioning

582
00:28:13,240 --> 00:28:19,119
Speaker 8: or ordering cording uh PPE personal protective equipment UH and

583
00:28:19,240 --> 00:28:24,560
Speaker 8: also anti virals, antibiotics UH that they're one of the

584
00:28:24,840 --> 00:28:31,720
Speaker 8: uh you know, prime manufacturers of those of those medications

585
00:28:31,760 --> 00:28:32,440
Speaker 8: that we need.

586
00:28:33,080 --> 00:28:35,159
Speaker 4: I do profen hydrid cortisone.

587
00:28:36,440 --> 00:28:40,800
Speaker 8: You know, they make those as well our generic medications.

588
00:28:40,840 --> 00:28:43,760
Speaker 8: But it's even worse than that is that if you

589
00:28:43,800 --> 00:28:46,360
Speaker 8: can think back to the baby formula and the dog

590
00:28:46,480 --> 00:28:52,000
Speaker 8: food UH you know quality uh problems coming from China,

591
00:28:52,520 --> 00:28:55,600
Speaker 8: but they also have the APIs and the KSM. So

592
00:28:55,720 --> 00:28:59,960
Speaker 8: that's the active pharmaceutical ingredients and the key starting material.

593
00:29:00,640 --> 00:29:04,719
Speaker 8: People know about China when it comes to fentanyl that

594
00:29:04,880 --> 00:29:08,160
Speaker 8: you know, the cartels would say, and Mexico would say,

595
00:29:08,720 --> 00:29:12,680
Speaker 8: we're not sending over fentanil, but they were getting the

596
00:29:12,760 --> 00:29:17,560
Speaker 8: key ingredients from China and then making synthetics vintanil in

597
00:29:17,600 --> 00:29:19,920
Speaker 8: Mexico and then sending it to the United States. So

598
00:29:20,200 --> 00:29:24,280
Speaker 8: people know about the synthetic finnyl, but they don't realize

599
00:29:24,320 --> 00:29:27,760
Speaker 8: for prescription medications, how much of it is actually coming

600
00:29:27,840 --> 00:29:30,640
Speaker 8: from China, And the fact that one of the lessons

601
00:29:30,640 --> 00:29:34,479
Speaker 8: we should have learned from COVID nineteen pandemic is that

602
00:29:34,520 --> 00:29:36,440
Speaker 8: we have to diversify the supply chain.

603
00:29:37,920 --> 00:29:40,560
Speaker 3: You know, there are so many industries that are known

604
00:29:40,640 --> 00:29:43,480
Speaker 3: for coming from certain areas. Palm oil is big in

605
00:29:43,840 --> 00:29:47,000
Speaker 3: South Africa. You've got textile industry that's big in the

606
00:29:47,040 --> 00:29:49,600
Speaker 3: Middle East. How on earth did a country like China,

607
00:29:50,080 --> 00:29:53,120
Speaker 3: with such an important industry as pharmaceuticals, how did they

608
00:29:53,120 --> 00:29:54,400
Speaker 3: get such a lockdown on this.

609
00:29:55,840 --> 00:30:00,480
Speaker 8: Well, as we know, when we started lowering prescript drug

610
00:30:00,520 --> 00:30:05,000
Speaker 8: prices in the United States, your prescription will say that

611
00:30:05,280 --> 00:30:08,280
Speaker 8: a generic should be substituted, as it should be, but

612
00:30:08,440 --> 00:30:11,960
Speaker 8: that manufacturing as our cost of labor became more expensive

613
00:30:12,000 --> 00:30:17,000
Speaker 8: in the United States, manufacturing would shift overseas. We just

614
00:30:17,600 --> 00:30:21,360
Speaker 8: you know, one of our primary manufacturers that was in

615
00:30:21,360 --> 00:30:25,600
Speaker 8: West Virginia had closed. So there are things that we

616
00:30:25,640 --> 00:30:28,440
Speaker 8: can do to bring that manufacturing back here, but it's

617
00:30:28,600 --> 00:30:32,440
Speaker 8: very difficult to compete with the country that has labor

618
00:30:32,480 --> 00:30:34,960
Speaker 8: costs that are a fraction of what they are here

619
00:30:34,960 --> 00:30:39,040
Speaker 8: in the United States, and not having support for that industry.

620
00:30:39,160 --> 00:30:41,160
Speaker 4: So I think there are things that we can do.

621
00:30:41,200 --> 00:30:42,000
Speaker 7: In Congress.

622
00:30:42,240 --> 00:30:46,040
Speaker 8: We're looking at drug shortages and how we manage drug shortages,

623
00:30:46,360 --> 00:30:48,640
Speaker 8: but also how we support manufacturing.

624
00:30:48,880 --> 00:30:50,800
Speaker 4: And I'm just going to say passing.

625
00:30:50,360 --> 00:30:53,640
Speaker 8: The One Big Beautiful Bill was critically important to be

626
00:30:53,640 --> 00:30:57,680
Speaker 8: able to onshore manufacturing or friendshore or near shore. And

627
00:30:57,720 --> 00:31:00,760
Speaker 8: that's because we're not going to compete on labor costs

628
00:31:00,800 --> 00:31:07,240
Speaker 8: with China, but certainly having an attractive tax process, whether

629
00:31:07,280 --> 00:31:11,080
Speaker 8: it's tax rates, whether it's immediate expensing, whether it's the

630
00:31:11,080 --> 00:31:14,080
Speaker 8: corporate income tax, those things are critically important to us

631
00:31:14,080 --> 00:31:17,000
Speaker 8: to be able to bring business, keep business in the

632
00:31:17,120 --> 00:31:19,880
Speaker 8: United States, and bring business back to the United States.

633
00:31:20,160 --> 00:31:22,480
Speaker 1: Yeah, a level the playing field just by creating a

634
00:31:22,480 --> 00:31:25,600
Speaker 1: better tax advantage. Back I think it was an eighteen

635
00:31:25,680 --> 00:31:29,120
Speaker 1: or nineteen if I remember correctly, the Trump administration started

636
00:31:29,160 --> 00:31:33,080
Speaker 1: talking about and I think did create a strategic Pharmaceutical Reserve,

637
00:31:33,160 --> 00:31:35,640
Speaker 1: much like our Strategic patroleum Reserve. I think we put

638
00:31:35,640 --> 00:31:38,800
Speaker 1: it in Virginia if I remember correctly, But it really

639
00:31:38,800 --> 00:31:42,200
Speaker 1: doesn't have much in it these days. Tell us why

640
00:31:42,360 --> 00:31:45,680
Speaker 1: with all the warning signs that more action hasn't occurred, Well,

641
00:31:45,680 --> 00:31:47,959
Speaker 1: how do we keep getting sort of laissez faire on

642
00:31:47,960 --> 00:31:48,640
Speaker 1: this issue.

643
00:31:49,560 --> 00:31:52,360
Speaker 8: Well, you know, for four years of the Biden administration,

644
00:31:52,520 --> 00:31:56,360
Speaker 8: we weren't doing much on this issue. We acknowledged that

645
00:31:56,600 --> 00:31:59,040
Speaker 8: we were too dependent on China when it came to

646
00:31:59,240 --> 00:32:03,600
Speaker 8: antibiotic even the testing reagents to test for COVID nineteen,

647
00:32:04,480 --> 00:32:06,800
Speaker 8: so we knew that we were too dependent. But nothing

648
00:32:06,920 --> 00:32:10,440
Speaker 8: was done to diversify the supply chain, Nothing was done

649
00:32:10,760 --> 00:32:16,200
Speaker 8: to preposition supplies in our strategic national stockpile, and there

650
00:32:16,280 --> 00:32:19,000
Speaker 8: was very little done on trade, if you recall, and

651
00:32:19,040 --> 00:32:22,400
Speaker 8: we had an wide open southern border where we had

652
00:32:22,640 --> 00:32:25,520
Speaker 8: the wrong kinds of illegal drugs coming in from the

653
00:32:25,560 --> 00:32:28,840
Speaker 8: southern border, but we really didn't make any efforts to

654
00:32:28,960 --> 00:32:34,640
Speaker 8: shore up manufacturing, especially pharmaceutical manufacturing of generics, whether they're antibiotics,

655
00:32:34,720 --> 00:32:42,000
Speaker 8: anti virals, ibrew pot in, hydrocortisome, those very necessary medicines

656
00:32:42,040 --> 00:32:46,480
Speaker 8: that the majority of people take on a generic base,

657
00:32:46,520 --> 00:32:49,680
Speaker 8: at both prescription and non prescription. So I think you're

658
00:32:49,680 --> 00:32:52,360
Speaker 8: going to see the Trump administration again. The first thing

659
00:32:52,600 --> 00:32:55,640
Speaker 8: was seeing the one big beautiful bill. Two is made

660
00:32:55,680 --> 00:32:58,600
Speaker 8: in America, and then three is what other supports can

661
00:32:58,640 --> 00:33:03,640
Speaker 8: we have for supporting manufacturing of generic drugs in the

662
00:33:03,760 --> 00:33:05,880
Speaker 8: United States, and there are things that we can do.

663
00:33:06,600 --> 00:33:09,560
Speaker 8: There are companies that are coming up. There's one in

664
00:33:09,640 --> 00:33:13,600
Speaker 8: Tennessee and I've talked with a representative, Diana Herschberger, who's

665
00:33:13,640 --> 00:33:18,520
Speaker 8: a pharmacist. We've talked about this before, our compounding pharmacies.

666
00:33:18,560 --> 00:33:22,400
Speaker 8: But how do we support manufacturing, especially of atabotics here

667
00:33:22,400 --> 00:33:25,240
Speaker 8: in the United States? And I think there are tax incentives,

668
00:33:25,480 --> 00:33:29,080
Speaker 8: incentives that we can do that will help support these businesses.

669
00:33:29,120 --> 00:33:32,400
Speaker 8: So we still have access to low cost generics, just

670
00:33:32,560 --> 00:33:33,280
Speaker 8: not from China.

671
00:33:33,840 --> 00:33:38,160
Speaker 3: Sure, so I understand that it might be consumer cost

672
00:33:38,200 --> 00:33:41,479
Speaker 3: prohibitive to onshore all of the production of these drugs,

673
00:33:41,480 --> 00:33:43,920
Speaker 3: But if we friendshore or near shore some of the

674
00:33:43,920 --> 00:33:47,080
Speaker 3: production to Mexico, is there a concern that, looking back

675
00:33:47,080 --> 00:33:49,360
Speaker 3: at what we saw with fensanyl and their supply coming

676
00:33:49,400 --> 00:33:51,360
Speaker 3: from China, is there a concern that even if we

677
00:33:51,440 --> 00:33:54,840
Speaker 3: near short to Mexico because of the cost, that still

678
00:33:54,840 --> 00:33:55,960
Speaker 3: could be tanketed by China.

679
00:33:57,200 --> 00:33:59,720
Speaker 8: Well, I think your point is extremely valid in what

680
00:33:59,760 --> 00:34:02,720
Speaker 8: you're getting that is the entire supply chain for drugs.

681
00:34:02,720 --> 00:34:08,200
Speaker 8: So it's not just having a manufactured medication come from China,

682
00:34:08,239 --> 00:34:14,440
Speaker 8: but China also as a predominant footprint where it comes

683
00:34:14,480 --> 00:34:19,520
Speaker 8: to APIs or active pharmaceutical ingredients that make the drugs

684
00:34:19,600 --> 00:34:24,520
Speaker 8: or make the antabotics, and the sm or key starting materials.

685
00:34:24,600 --> 00:34:28,520
Speaker 8: So when they are the holders of the APIs and

686
00:34:28,560 --> 00:34:32,880
Speaker 8: the ksms, they still have an oversized footprint.

687
00:34:33,239 --> 00:34:37,360
Speaker 4: So you know, getting a hold of that entire supply.

688
00:34:37,080 --> 00:34:40,759
Speaker 8: Chain is just as important to your point as it

689
00:34:40,840 --> 00:34:42,960
Speaker 8: is to bring manufacturing to the United States.

690
00:34:42,960 --> 00:34:45,120
Speaker 4: It's for French shore or nearshore.

691
00:34:45,160 --> 00:34:46,280
Speaker 2: Yeah, so important.

692
00:34:47,280 --> 00:34:49,759
Speaker 1: You're a doctor, you know how catastrophic it would be

693
00:34:49,800 --> 00:34:54,319
Speaker 1: if these medicines got cut off. What's the timeline for

694
00:34:54,360 --> 00:34:56,360
Speaker 1: getting something like this fix? It seemed to me like

695
00:34:56,440 --> 00:34:59,040
Speaker 1: between the ingredients and the manufacturing, we might be looking

696
00:34:59,040 --> 00:35:01,000
Speaker 1: at a five or ten year think. So starting now

697
00:35:01,080 --> 00:35:02,799
Speaker 1: probably makes some sense.

698
00:35:02,600 --> 00:35:03,000
Speaker 2: Right.

699
00:35:04,600 --> 00:35:07,000
Speaker 8: Starting now, which was why the first thing we did

700
00:35:07,120 --> 00:35:09,200
Speaker 8: was to pass the One Big Beautiful Bill so that

701
00:35:09,239 --> 00:35:13,960
Speaker 8: those tax incentives are there for manufacturer in the United States,

702
00:35:14,000 --> 00:35:18,279
Speaker 8: for small businesses supporting the existing businesses that we have.

703
00:35:18,480 --> 00:35:21,600
Speaker 8: That's another thing that I think is critically important. And

704
00:35:21,640 --> 00:35:24,880
Speaker 8: then where it makes sense to nearshore, I think is

705
00:35:25,120 --> 00:35:29,560
Speaker 8: another avenue either in Central America or in South in Mexico.

706
00:35:30,040 --> 00:35:32,840
Speaker 8: But those things also help us when it comes to

707
00:35:33,640 --> 00:35:37,560
Speaker 8: illegal immigration. So I think there's a whole spectrum of

708
00:35:37,600 --> 00:35:41,839
Speaker 8: looking at the entire pharmaceutical supply chain from the APIs

709
00:35:41,880 --> 00:35:44,080
Speaker 8: and we just had a hearing on this with the

710
00:35:44,160 --> 00:35:48,720
Speaker 8: APIs and the ksms. So the starting materials, the building

711
00:35:48,760 --> 00:35:52,799
Speaker 8: blocks for those pharmaceutical agents, and then you know, how

712
00:35:52,800 --> 00:35:54,520
Speaker 8: do we get them, how do we acquire them, how

713
00:35:54,520 --> 00:35:57,680
Speaker 8: do we be competitive, and having the tax structure that

714
00:35:57,800 --> 00:36:01,200
Speaker 8: is competitive for companies to be here in the United States.

715
00:36:01,360 --> 00:36:04,120
Speaker 8: So I think all of those things, the entire supply chain,

716
00:36:04,840 --> 00:36:08,080
Speaker 8: and then looking at pharmacy benefit managers for the cost

717
00:36:08,160 --> 00:36:12,000
Speaker 8: of drugs and what they've done to local pharmacies, independent

718
00:36:12,000 --> 00:36:16,040
Speaker 8: and community pharmacies by paying them below the cost of acquisition.

719
00:36:16,160 --> 00:36:20,399
Speaker 8: So we see competition eroading in small businesses that are

720
00:36:21,360 --> 00:36:24,480
Speaker 8: going out of business. So that entire supply chain has

721
00:36:24,520 --> 00:36:26,880
Speaker 8: to be addressed, and we are doing exactly that the

722
00:36:26,960 --> 00:36:30,520
Speaker 8: Energy and Commerce Committee and also other committees, Ways and

723
00:36:30,560 --> 00:36:31,680
Speaker 8: Means Committee as well, too.

724
00:36:32,120 --> 00:36:32,480
Speaker 2: Huge.

725
00:36:32,880 --> 00:36:34,759
Speaker 1: It's huge, it's a big moment, and I think as

726
00:36:34,800 --> 00:36:37,480
Speaker 1: Americans get to see the crisis, they're going to be

727
00:36:37,520 --> 00:36:40,680
Speaker 1: really proud of the solution. Congresswomen such a great honor.

728
00:36:40,800 --> 00:36:42,400
Speaker 1: I love every time you come on this show. You

729
00:36:42,440 --> 00:36:44,960
Speaker 1: make the complex easy to understand. Thanks for joining us.

730
00:36:45,680 --> 00:36:47,799
Speaker 8: Thank you very much, both of you. It's wonderful to

731
00:36:47,800 --> 00:36:49,120
Speaker 8: be with you. John and Amanda.

732
00:36:49,200 --> 00:36:51,360
Speaker 2: Thank you so much. Bob, what a great conversation. All right.

733
00:36:51,400 --> 00:36:54,200
Speaker 1: The congress woman just mentioned that congressional testimony. One of

734
00:36:54,239 --> 00:36:56,440
Speaker 1: the witnesses that testified there. He was actually one of

735
00:36:56,480 --> 00:36:58,520
Speaker 1: the stars out here. Going to join us next after

736
00:36:58,520 --> 00:36:59,520
Speaker 1: this quick commercial break.

737
00:37:11,000 --> 00:37:13,759
Speaker 3: Welcome back everybody to this very special edition of Just

738
00:37:13,800 --> 00:37:16,160
Speaker 3: the News, New Noise. We've been taking a look tonight

739
00:37:16,200 --> 00:37:19,160
Speaker 3: at pharmaceuticals and how many of them are made outside

740
00:37:19,200 --> 00:37:21,399
Speaker 3: of the United States. So joining us now is someone

741
00:37:21,440 --> 00:37:24,239
Speaker 3: who knows a lot about this problem. Retired colonel for

742
00:37:24,320 --> 00:37:26,600
Speaker 3: the US Army and now is the founder and principal

743
00:37:26,640 --> 00:37:30,400
Speaker 3: growth partner at Blue Zone Bioscience and Supply Chain Solutions.

744
00:37:30,960 --> 00:37:33,800
Speaker 3: And back on April thirtieth, twenty twenty four, he appeared

745
00:37:33,800 --> 00:37:36,920
Speaker 3: before the Senate Armed Services Subcommittee on Personnel, and his

746
00:37:37,000 --> 00:37:40,040
Speaker 3: focus was holding the Pentagon accountable for making sure that

747
00:37:40,080 --> 00:37:43,359
Speaker 3: our service members get safe, high quality medications.

748
00:37:43,400 --> 00:37:44,360
Speaker 4: He is Vic Suarez.

749
00:37:44,600 --> 00:37:46,080
Speaker 3: Vic, thanks so much for joining us.

750
00:37:46,760 --> 00:37:48,600
Speaker 9: It's a pleasure to be here. Thanks for having me.

751
00:37:49,120 --> 00:37:51,600
Speaker 3: I'm excited to have this conversation because you have been

752
00:37:51,640 --> 00:37:53,919
Speaker 3: in this field of logistics for a very long time,

753
00:37:54,000 --> 00:37:56,360
Speaker 3: nearly thirty years in the army, and now you're taking

754
00:37:56,400 --> 00:37:59,360
Speaker 3: it to the private sector to serve our nation once again.

755
00:37:59,360 --> 00:38:01,040
Speaker 3: Tell us about it.

756
00:38:01,120 --> 00:38:03,400
Speaker 10: Sure, I served twenty seven years on active duty as

757
00:38:03,440 --> 00:38:06,960
Speaker 10: a healthcare supply chain leader, a commander four times, multiple

758
00:38:07,040 --> 00:38:09,920
Speaker 10: times in the combat zone, and also did some medical

759
00:38:09,920 --> 00:38:13,759
Speaker 10: product development, and so as I transitioned from the military

760
00:38:13,760 --> 00:38:16,240
Speaker 10: in late twenty twenty three, I committed my next sphase

761
00:38:16,239 --> 00:38:19,080
Speaker 10: in my career to protecting the supply chain of our

762
00:38:19,120 --> 00:38:21,840
Speaker 10: country but also our service members as well.

763
00:38:22,000 --> 00:38:24,239
Speaker 1: Think one of the things that really struck me about

764
00:38:24,280 --> 00:38:26,839
Speaker 1: your testimonies and is it just every day Americans that

765
00:38:26,920 --> 00:38:29,759
Speaker 1: are a potential danger to not have access to the

766
00:38:29,800 --> 00:38:32,080
Speaker 1: basic medicines we need, but the military on the front

767
00:38:32,080 --> 00:38:35,239
Speaker 1: lines are veterans in the via they're also facing it.

768
00:38:35,280 --> 00:38:37,440
Speaker 2: Tell us what you found on the military side of things.

769
00:38:38,400 --> 00:38:40,680
Speaker 10: Yeah, So, in the last several years of my military career,

770
00:38:40,719 --> 00:38:43,920
Speaker 10: we found that basic things like getting access to ketamine

771
00:38:44,800 --> 00:38:48,640
Speaker 10: for battlefield use for pain management, or antibiotics for those

772
00:38:48,640 --> 00:38:53,239
Speaker 10: soldiers that were deployed in locations where there were bacterial infections.

773
00:38:53,800 --> 00:38:56,520
Speaker 10: Some of those things were more challenging to get into

774
00:38:56,520 --> 00:39:00,560
Speaker 10: this system because of drug shortages globally and United States

775
00:39:00,560 --> 00:39:03,120
Speaker 10: and our supply chains, and so this is not only

776
00:39:03,160 --> 00:39:05,680
Speaker 10: a big risk to those service members their families, but

777
00:39:05,719 --> 00:39:09,960
Speaker 10: also veterans that are now relying on the VA and

778
00:39:10,320 --> 00:39:13,680
Speaker 10: the basic US system to support their healthcare needs as

779
00:39:13,719 --> 00:39:14,360
Speaker 10: they go forward.

780
00:39:15,160 --> 00:39:16,480
Speaker 2: Amazing, Vick.

781
00:39:16,520 --> 00:39:22,719
Speaker 3: You know, it's one thing to to deprive our veterans

782
00:39:22,760 --> 00:39:25,080
Speaker 3: of medicines, but when it comes to our current defense

783
00:39:25,080 --> 00:39:28,160
Speaker 3: as people who are overseas serving us, that seems like

784
00:39:28,200 --> 00:39:29,600
Speaker 3: a heightened security risk.

785
00:39:30,800 --> 00:39:35,560
Speaker 10: It is, and it's really a doubling concerned because it's

786
00:39:35,840 --> 00:39:38,520
Speaker 10: a much more challenging to support our forces that are

787
00:39:38,520 --> 00:39:40,160
Speaker 10: deployed overseas, whether they're.

788
00:39:39,960 --> 00:39:41,920
Speaker 9: In a combat zone or whether they're just in a

789
00:39:42,080 --> 00:39:42,640
Speaker 9: forward base.

790
00:39:43,320 --> 00:39:46,120
Speaker 10: When we have a breakage in that supply chain, it

791
00:39:46,160 --> 00:39:49,320
Speaker 10: puts them at an extreme risk, and we are really

792
00:39:49,360 --> 00:39:52,400
Speaker 10: there to make sure that we are supporting them and

793
00:39:52,480 --> 00:39:55,000
Speaker 10: their families at home so that they can focus on

794
00:39:55,040 --> 00:39:57,400
Speaker 10: their mission. And so this is one of the areas

795
00:39:57,400 --> 00:40:00,600
Speaker 10: that I think we could really focus on right now.

796
00:40:00,640 --> 00:40:02,960
Speaker 10: With the new administration and some of the opportunities we

797
00:40:03,000 --> 00:40:05,160
Speaker 10: have with global trade over.

798
00:40:05,880 --> 00:40:08,799
Speaker 1: Yeah, that's right, These trade deals could open up all

799
00:40:08,800 --> 00:40:12,719
Speaker 1: sorts of new things. This is a big problem, right,

800
00:40:12,760 --> 00:40:15,600
Speaker 1: You've got a manufacturing limitation in the United States. But

801
00:40:15,719 --> 00:40:18,839
Speaker 1: even before we get to that, the first really significant

802
00:40:18,840 --> 00:40:21,040
Speaker 1: thing I think you pointed this out to Congress so brilliantly,

803
00:40:21,440 --> 00:40:25,080
Speaker 1: is we don't even have the basic pharmaceutical ingredients on

804
00:40:25,160 --> 00:40:27,719
Speaker 1: shore to make things. Even if we wrapped up of pharmacy,

805
00:40:27,800 --> 00:40:30,960
Speaker 1: we don't have widespread access to the things that like penicillin.

806
00:40:31,000 --> 00:40:31,920
Speaker 2: So tell us a little.

807
00:40:31,760 --> 00:40:33,960
Speaker 1: Bit how bad that is and what is the first

808
00:40:34,000 --> 00:40:36,120
Speaker 1: step to closing that gap in the chain?

809
00:40:37,080 --> 00:40:40,600
Speaker 10: Right, And this is a problem that's widely misunderstood. We

810
00:40:40,640 --> 00:40:44,400
Speaker 10: often talk about active pharmaceutical ingredients or the final dosage

811
00:40:44,440 --> 00:40:47,520
Speaker 10: form of the medicine. Really one of the things I've

812
00:40:47,520 --> 00:40:50,439
Speaker 10: called out in the past year plus is really all

813
00:40:50,480 --> 00:40:53,240
Speaker 10: the upstream reliance we have, and that's really where.

814
00:40:53,080 --> 00:40:54,040
Speaker 9: The big risk is.

815
00:40:54,320 --> 00:40:56,520
Speaker 10: And what I mean by that these are key starting

816
00:40:56,560 --> 00:41:01,839
Speaker 10: materials or intermediate materials. These are basic chemical molecules, whether

817
00:41:01,880 --> 00:41:07,120
Speaker 10: they're reagents, buffers, or enzymes that go into making the drugs.

818
00:41:07,280 --> 00:41:10,120
Speaker 10: Or the key chemicals that are made to make the

819
00:41:10,280 --> 00:41:14,160
Speaker 10: active pharmaceutical ingredient. A super majority of those are made

820
00:41:14,239 --> 00:41:17,239
Speaker 10: in China for a variety of reasons due to globalization

821
00:41:17,280 --> 00:41:20,160
Speaker 10: over the past twenty or thirty years. That is really

822
00:41:20,200 --> 00:41:24,400
Speaker 10: the underlying upstream risk we have in our pharmaceutical supply chain.

823
00:41:24,239 --> 00:41:26,960
Speaker 7: Today, and some of the things we can do about.

824
00:41:26,680 --> 00:41:29,400
Speaker 10: It is really focus and bring more awareness to that

825
00:41:29,560 --> 00:41:34,640
Speaker 10: point and to really incentivize us find chemical manufacturers and

826
00:41:34,719 --> 00:41:38,000
Speaker 10: strong allay partners that are truly trusted to focus on

827
00:41:38,080 --> 00:41:42,000
Speaker 10: the early upstream portion of the supply chain that undergirds

828
00:41:42,000 --> 00:41:43,680
Speaker 10: the entire pharmaceutical industry.

829
00:41:44,719 --> 00:41:45,440
Speaker 2: That's amazing.

830
00:41:45,520 --> 00:41:48,479
Speaker 3: So it sounds like after you gave this testimony last year,

831
00:41:48,680 --> 00:41:51,799
Speaker 3: nothing was really done to alleviate the pressures and the

832
00:41:51,840 --> 00:41:55,600
Speaker 3: alarms that you rang. Do you see this administrations as

833
00:41:55,640 --> 00:41:58,319
Speaker 3: postured in the right direction to solve these problems? And

834
00:41:58,360 --> 00:42:00,960
Speaker 3: does President Trump seem pretty open to it?

835
00:42:02,280 --> 00:42:02,560
Speaker 2: Yes?

836
00:42:02,880 --> 00:42:05,759
Speaker 10: From everything I've seen right now, one of the two

837
00:42:06,640 --> 00:42:09,400
Speaker 10: one key leader in this whole thing consistently was the

838
00:42:09,400 --> 00:42:12,319
Speaker 10: Department of Defense, a very apolitical organization.

839
00:42:12,719 --> 00:42:13,399
Speaker 9: They saw this.

840
00:42:13,440 --> 00:42:16,319
Speaker 10: Through the lens of a strategic risk and a vulnerability

841
00:42:16,320 --> 00:42:19,799
Speaker 10: to our national security. What we see now with the

842
00:42:19,840 --> 00:42:22,600
Speaker 10: new administration is a focus on not only the national

843
00:42:22,680 --> 00:42:25,839
Speaker 10: security aspect that seemed to be a bipartisan issue, but

844
00:42:25,960 --> 00:42:29,520
Speaker 10: really an economic aspect. And also now with the HHS,

845
00:42:29,880 --> 00:42:33,160
Speaker 10: a focus on patients and the safety and the quality

846
00:42:33,200 --> 00:42:37,200
Speaker 10: of medicines directly affecting patient care, and then the trust

847
00:42:37,239 --> 00:42:39,920
Speaker 10: and the system. I think that's what's the difference probably

848
00:42:39,920 --> 00:42:40,960
Speaker 10: in the past year or so.

849
00:42:42,400 --> 00:42:43,000
Speaker 2: That's huge.

850
00:42:43,200 --> 00:42:46,960
Speaker 1: Those are big, those are fundamental changes and focus. A

851
00:42:47,000 --> 00:42:49,479
Speaker 1: few years back, there was an early effort to try

852
00:42:49,520 --> 00:42:51,920
Speaker 1: to start a process, and I think the idea was

853
00:42:51,960 --> 00:42:55,120
Speaker 1: to create basically a depot where we could stock bile

854
00:42:55,200 --> 00:42:55,840
Speaker 1: some medicines.

855
00:42:55,920 --> 00:42:57,160
Speaker 2: I think it was put in Virginia.

856
00:42:57,200 --> 00:42:59,840
Speaker 1: As I recall, tell us what happened with that experiment.

857
00:43:00,000 --> 00:43:01,480
Speaker 1: I think it was a good intention one, but it

858
00:43:01,600 --> 00:43:03,960
Speaker 1: might be an empty promise, right.

859
00:43:04,000 --> 00:43:07,960
Speaker 10: This is a classic example of where moneies were appropriated

860
00:43:08,080 --> 00:43:12,080
Speaker 10: during the COVID response to build a facility called the

861
00:43:12,160 --> 00:43:15,520
Speaker 10: SAPPER or the Strategic API Reserve. This is a think

862
00:43:15,560 --> 00:43:18,879
Speaker 10: of it as a secure facility Tornado rated that can

863
00:43:19,000 --> 00:43:24,360
Speaker 10: stockpile critical materials for the pharmaceutical industry that includes not

864
00:43:24,480 --> 00:43:28,520
Speaker 10: only active pharmaceutical ingredients, but those key starting materials and

865
00:43:28,600 --> 00:43:31,960
Speaker 10: chemicals that I mentioned, And the whole idea behind that

866
00:43:32,400 --> 00:43:34,880
Speaker 10: was to build this facility and fill it up so

867
00:43:34,920 --> 00:43:38,520
Speaker 10: that we can reduce leverage on overseas adversarial nations like

868
00:43:38,640 --> 00:43:42,759
Speaker 10: China to provide the majority of those upstream materials. And

869
00:43:42,800 --> 00:43:45,359
Speaker 10: the problem was was that they built the facility. They

870
00:43:45,360 --> 00:43:48,279
Speaker 10: have operations dollars to man it. But I found out

871
00:43:48,320 --> 00:43:51,480
Speaker 10: through my investigations over a year ago, but it's only

872
00:43:51,520 --> 00:43:52,719
Speaker 10: about one percent full.

873
00:43:53,200 --> 00:43:55,000
Speaker 9: So it's really just a big paper.

874
00:43:54,680 --> 00:43:56,880
Speaker 10: Weight right now, and we really need to use that

875
00:43:56,960 --> 00:44:00,480
Speaker 10: facility with filled up materials of high quality so we

876
00:44:00,520 --> 00:44:05,040
Speaker 10: can start to start this conversion process so we can

877
00:44:05,120 --> 00:44:08,880
Speaker 10: reshore some of these critical industries back to the United States.

878
00:44:09,520 --> 00:44:11,560
Speaker 2: Little sugar pill we thought we were saying, but we're not.

879
00:44:11,840 --> 00:44:12,880
Speaker 2: That's amazing, all right.

880
00:44:12,920 --> 00:44:15,040
Speaker 3: So until we can get to that point where we've

881
00:44:15,080 --> 00:44:18,560
Speaker 3: got this securely on American shores or at least friendly shores,

882
00:44:18,560 --> 00:44:19,680
Speaker 3: who are the danger players?

883
00:44:19,719 --> 00:44:20,560
Speaker 4: Obviously China.

884
00:44:20,600 --> 00:44:22,720
Speaker 3: We all know about the issues with China with regards

885
00:44:22,719 --> 00:44:24,399
Speaker 3: to the functional crisis, But what are some of those

886
00:44:24,440 --> 00:44:27,600
Speaker 3: adversarial nations that we need to keep an eye on.

887
00:44:28,719 --> 00:44:30,640
Speaker 9: Yeah, so I would the next kind of country.

888
00:44:30,680 --> 00:44:33,080
Speaker 10: I wouldn't put in an adversarial category, but I think

889
00:44:33,320 --> 00:44:36,120
Speaker 10: an area where we have a little bit of concern.

890
00:44:36,040 --> 00:44:37,120
Speaker 9: And that's India.

891
00:44:37,239 --> 00:44:40,360
Speaker 10: And that's mainly because they've got a history of questionable

892
00:44:40,480 --> 00:44:45,200
Speaker 10: quality manufacturing issues as identified by the FDA and many

893
00:44:45,280 --> 00:44:49,040
Speaker 10: audits for the last several years. This has been highlighted

894
00:44:49,040 --> 00:44:53,320
Speaker 10: in numerous investigative reports in Bloomberg and some other outlets

895
00:44:53,320 --> 00:44:55,520
Speaker 10: that have gone really deep into this pro public I

896
00:44:55,640 --> 00:44:57,880
Speaker 10: just did a story on this a couple of weeks

897
00:44:57,880 --> 00:45:01,480
Speaker 10: ago that exposed some severe problems that they and the

898
00:45:01,520 --> 00:45:04,919
Speaker 10: FDA kind of oversaw for many, many years that led

899
00:45:04,960 --> 00:45:06,880
Speaker 10: to these problems. So I think India is kind of

900
00:45:06,880 --> 00:45:10,759
Speaker 10: something some a nation to watch out for. They do

901
00:45:10,880 --> 00:45:13,759
Speaker 10: have some good quality manufacturers. The problem is it's hit

902
00:45:13,880 --> 00:45:14,720
Speaker 10: or miss right now.

903
00:45:15,200 --> 00:45:17,280
Speaker 2: Yeah, And that's going to be the other challenge.

904
00:45:17,320 --> 00:45:19,360
Speaker 1: Right as we ramp this up and we start getting

905
00:45:19,480 --> 00:45:23,160
Speaker 1: ingredients and we start building the manufacturing capabilities, ensuring that

906
00:45:23,280 --> 00:45:25,840
Speaker 1: quality control doesn't slip is another part of it.

907
00:45:26,239 --> 00:45:26,960
Speaker 2: High priority.

908
00:45:27,000 --> 00:45:29,480
Speaker 1: I know for you, well, do we have the mindset

909
00:45:29,560 --> 00:45:32,480
Speaker 1: and government to make sure we get that quality?

910
00:45:32,840 --> 00:45:33,440
Speaker 9: I think we do.

911
00:45:33,480 --> 00:45:35,239
Speaker 10: I think there's a lot of momentum right now to

912
00:45:35,320 --> 00:45:38,839
Speaker 10: bring transparency to quality into the system. There's a lot

913
00:45:38,880 --> 00:45:41,200
Speaker 10: more calls for independent review and testing.

914
00:45:41,280 --> 00:45:44,399
Speaker 9: We see that right now in HHS, at least on the.

915
00:45:44,280 --> 00:45:47,400
Speaker 10: Food front, where people want to know what are the

916
00:45:47,520 --> 00:45:50,880
Speaker 10: ingredients in our food system. I think the natural next

917
00:45:50,880 --> 00:45:53,200
Speaker 10: step is what is in our consumer products and what

918
00:45:53,280 --> 00:45:56,480
Speaker 10: is in our medicines. And I think that level of

919
00:45:56,480 --> 00:46:01,120
Speaker 10: transparency not only provides a normal market to function, but

920
00:46:01,160 --> 00:46:05,400
Speaker 10: it also allows payers, buyers, even doctors and patients themselves

921
00:46:05,400 --> 00:46:07,000
Speaker 10: to have better trust in the system.

922
00:46:07,440 --> 00:46:09,879
Speaker 9: And I think there's a huge movement right now.

923
00:46:09,920 --> 00:46:12,920
Speaker 10: I think there's a lot of members of Congress that

924
00:46:12,960 --> 00:46:15,520
Speaker 10: are calling for this. The military certainly leading in this,

925
00:46:15,960 --> 00:46:18,480
Speaker 10: and one major healthcare system is already doing this for

926
00:46:18,520 --> 00:46:21,319
Speaker 10: three and a half years, and that's independent review of

927
00:46:21,360 --> 00:46:24,839
Speaker 10: over two dozen medicines, and that's Kaiser Permanente. They've really

928
00:46:24,920 --> 00:46:27,680
Speaker 10: led the front in the private industry on looking at

929
00:46:27,760 --> 00:46:30,120
Speaker 10: independent quality review of their products that they buy.

930
00:46:30,680 --> 00:46:33,239
Speaker 3: Good for Kaiser, I guess some other hospital system should

931
00:46:33,239 --> 00:46:36,880
Speaker 3: follow suit. Retired colonel and founder of Blue Zone Bioscience

932
00:46:36,960 --> 00:46:39,560
Speaker 3: and Supply Chain Solutions, Victor Flora and Victors this is

933
00:46:39,600 --> 00:46:40,440
Speaker 3: such a great conversation.

934
00:46:40,520 --> 00:46:42,640
Speaker 9: Thanks for being here, my pleasure.

935
00:46:42,960 --> 00:46:44,719
Speaker 3: All Right, everybody, after the break, John and I are

936
00:46:44,719 --> 00:46:47,000
Speaker 3: going to give you some final thoughts on this big.

937
00:46:47,000 --> 00:46:48,200
Speaker 4: National security issues.

938
00:46:48,280 --> 00:47:03,839
Speaker 3: After great welcome back everybody, John, just a few final thoughts.

939
00:47:03,920 --> 00:47:06,600
Speaker 3: You know, I've been in Washington now effectively six months,

940
00:47:06,640 --> 00:47:08,680
Speaker 3: but I've been in the political arena for a while.

941
00:47:08,719 --> 00:47:11,399
Speaker 3: A's have for you, and there are oftentimes these types

942
00:47:11,400 --> 00:47:14,000
Speaker 3: of subjects that come across the table that make absolutely

943
00:47:14,040 --> 00:47:16,560
Speaker 3: no sense, and you think to yourself, why does this happen?

944
00:47:16,560 --> 00:47:18,560
Speaker 3: But the general answer as well, it's just kind of

945
00:47:18,640 --> 00:47:21,240
Speaker 3: always been that way. And when it comes to getting

946
00:47:21,239 --> 00:47:23,560
Speaker 3: these drugs from other countries, it seems like from so

947
00:47:23,640 --> 00:47:25,480
Speaker 3: many people in years past we heard, well.

948
00:47:25,320 --> 00:47:26,600
Speaker 4: That's just always how we've done it.

949
00:47:26,600 --> 00:47:29,120
Speaker 3: And I'm so grateful to the groundbreakers that were on

950
00:47:29,160 --> 00:47:31,560
Speaker 3: the show tonight. We're willing to talk about ways to

951
00:47:31,600 --> 00:47:32,359
Speaker 3: not do it that way.

952
00:47:32,440 --> 00:47:34,640
Speaker 1: You heard from Jay Batachara that there's a plan in

953
00:47:34,680 --> 00:47:37,000
Speaker 1: place to start to address this. You heard from two

954
00:47:37,040 --> 00:47:39,480
Speaker 1: members of Congress that Congress has now alerted to it,

955
00:47:39,840 --> 00:47:41,880
Speaker 1: and then you heard from one of the great witnesses

956
00:47:41,920 --> 00:47:44,480
Speaker 1: who I think shocked the Congress a year ago when

957
00:47:44,520 --> 00:47:46,680
Speaker 1: he said the military sometimes doesn't have enough to even

958
00:47:46,719 --> 00:47:50,239
Speaker 1: treat wounded soldiers in a surgery. They're missing a painkiller.

959
00:47:51,040 --> 00:47:54,480
Speaker 1: How bad it is. What's so classic about this Washington

960
00:47:54,520 --> 00:47:57,400
Speaker 1: part is that we have a near death experience in

961
00:47:57,480 --> 00:48:00,120
Speaker 1: twenty which is trying to nearly cut us off from it.

962
00:48:00,160 --> 00:48:02,960
Speaker 1: And everybody says, as soon as this pandemic's over, we're

963
00:48:02,960 --> 00:48:05,000
Speaker 1: going to fix it. And what do they do. They

964
00:48:05,040 --> 00:48:06,879
Speaker 1: move on and they don't fix it. And that's why

965
00:48:06,920 --> 00:48:09,360
Speaker 1: we did this show tonight. And the great news is

966
00:48:09,360 --> 00:48:12,120
Speaker 1: that there's now momentum towards fixing it. And it's not

967
00:48:12,160 --> 00:48:14,000
Speaker 1: the new fangled drugs. It's not the stuff he inject

968
00:48:14,040 --> 00:48:16,279
Speaker 1: yourself for to lose weight. It's not the stuff that

969
00:48:16,680 --> 00:48:19,560
Speaker 1: you know, the great cancer drugs. And it's the antibotics,

970
00:48:19,600 --> 00:48:22,520
Speaker 1: it's the anseptics. It's the things that we use every

971
00:48:22,560 --> 00:48:24,319
Speaker 1: single day. We'd be in a world have heard if

972
00:48:24,320 --> 00:48:25,480
Speaker 1: we certainly wrote antibotics.

973
00:48:25,600 --> 00:48:27,759
Speaker 3: Yeah, you know, I look at the legacy of was

974
00:48:27,760 --> 00:48:30,000
Speaker 3: it Alexander Fleming who invented penicillin?

975
00:48:30,120 --> 00:48:30,759
Speaker 7: Yeah?

976
00:48:30,840 --> 00:48:32,920
Speaker 3: I look at the legacy that he has sign of

977
00:48:33,000 --> 00:48:36,720
Speaker 3: the story of creating something like that, and the stupidity

978
00:48:37,000 --> 00:48:38,840
Speaker 3: of the position we have put ourselves in.

979
00:48:38,920 --> 00:48:39,840
Speaker 7: It's just remarkable.

980
00:48:39,840 --> 00:48:40,600
Speaker 4: But it's Washington.

981
00:48:40,760 --> 00:48:43,360
Speaker 1: You know, it is Washington, and you can't spell stupid

982
00:48:43,440 --> 00:48:45,000
Speaker 1: that Washington in the middle of it. Now, that's not

983
00:48:45,040 --> 00:48:48,960
Speaker 1: really true, but you can give you know what I'm saying, Yeah, listen,

984
00:48:49,080 --> 00:48:51,880
Speaker 1: it's this was an important conversation. What I want to

985
00:48:51,880 --> 00:48:54,160
Speaker 1: do is a couple of months from now, let's come

986
00:48:54,200 --> 00:48:57,720
Speaker 1: back and track how much progressism have made. Let's hold

987
00:48:57,960 --> 00:49:00,880
Speaker 1: the feat of political leader. As I'm watching the fire,

988
00:49:01,120 --> 00:49:03,040
Speaker 1: it's got to get that. I keep thinking of the

989
00:49:03,080 --> 00:49:06,880
Speaker 1: image of that empty with the colonel told us we

990
00:49:06,960 --> 00:49:07,839
Speaker 1: created a.

991
00:49:07,840 --> 00:49:11,040
Speaker 2: Depot to solve this after and it's empty. We never

992
00:49:11,040 --> 00:49:12,839
Speaker 2: filled it up. Yeah, it's a sugar pill.

993
00:49:12,960 --> 00:49:14,719
Speaker 4: He called it a paper weight, a sugar pill.

994
00:49:14,880 --> 00:49:17,120
Speaker 2: Yeah, which is yall.

995
00:49:17,239 --> 00:49:21,799
Speaker 3: Effectively what so much of what Washington creates as paperweights.

996
00:49:22,280 --> 00:49:24,759
Speaker 3: But this is something that affects the lives of Americans

997
00:49:24,800 --> 00:49:26,840
Speaker 3: and people can die from it, and our service members

998
00:49:26,840 --> 00:49:28,719
Speaker 3: can die from it. And like we were saying with

999
00:49:28,800 --> 00:49:32,920
Speaker 3: Victor Suaz, if you affect our defenses in foreign countries,

1000
00:49:32,960 --> 00:49:34,640
Speaker 3: you are leaving us defense less.

1001
00:49:34,680 --> 00:49:36,520
Speaker 1: You said, you got start treating medicine like it was

1002
00:49:36,560 --> 00:49:37,800
Speaker 1: ammunition when you're in the military.

1003
00:49:37,840 --> 00:49:39,200
Speaker 2: That's a very powers I love that.

1004
00:49:39,320 --> 00:49:39,880
Speaker 3: I love that we.

1005
00:49:39,840 --> 00:49:41,640
Speaker 2: Wouldn't accept our guys being out of bullets.

1006
00:49:41,719 --> 00:49:44,280
Speaker 3: Absolutely, all right, everybody, thank you so much for tuning

1007
00:49:44,280 --> 00:49:46,200
Speaker 3: in with us this very special edition and look at

1008
00:49:46,239 --> 00:49:47,320
Speaker 3: it in a few months, because I think.

1009
00:49:47,160 --> 00:49:48,440
Speaker 4: We're going to do that. We'll do a follow up

1010
00:49:48,440 --> 00:49:50,359
Speaker 4: episode and see what the progress is. Thanks for being

1011
00:49:50,400 --> 00:49:52,080
Speaker 4: here and we will see you next week.