[Music] good afternoon my name is Tom vote and I
good afternoon my name is Tom vote and I
good afternoon my name is Tom vote and I would like to draw your attention before
would like to draw your attention before
would like to draw your attention before we get into this to the two quotes on
we get into this to the two quotes on
we get into this to the two quotes on this screen the first from the premier
this screen the first from the premier
this screen the first from the premier editor of the nation’s leading
editor of the nation’s leading
editor of the nation’s leading scientific journal calling our health
scientific journal calling our health
scientific journal calling our health system a more embarrassing disaster each
system a more embarrassing disaster each
system a more embarrassing disaster each year the second from the White House
year the second from the White House
year the second from the White House proposing new initiatives for the
proposing new initiatives for the
proposing new initiatives for the world’s best health care system I want
world’s best health care system I want
world’s best health care system I want you to ponder that contradiction as we
you to ponder that contradiction as we
you to ponder that contradiction as we go through this I first got interested
go through this I first got interested
go through this I first got interested in health care issues as a Peace Corps
in health care issues as a Peace Corps
in health care issues as a Peace Corps volunteer after college in Eritrea and
volunteer after college in Eritrea and
volunteer after college in Eritrea and Ethiopia as a part of that experience I
Ethiopia as a part of that experience I
Ethiopia as a part of that experience I was invited to go on a smallpox
was invited to go on a smallpox
was invited to go on a smallpox vaccinating expedition to northwestern
vaccinating expedition to northwestern
vaccinating expedition to northwestern Eritrea where we vaccinated desert
Eritrea where we vaccinated desert
Eritrea where we vaccinated desert nomads that’s me doing my very first
nomads that’s me doing my very first
nomads that’s me doing my very first medical procedure that I ever did in my
medical procedure that I ever did in my
medical procedure that I ever did in my life the interesting thing is that
life the interesting thing is that
life the interesting thing is that smallpox vaccination was invented in the
smallpox vaccination was invented in the
smallpox vaccination was invented in the 1790s by Jenner it took almost two
1790s by Jenner it took almost two
1790s by Jenner it took almost two hundred years for us to learn how to use
hundred years for us to learn how to use
hundred years for us to learn how to use that vaccine effectively so that we
that vaccine effectively so that we
that vaccine effectively so that we could eliminate smallpox from the world
could eliminate smallpox from the world
could eliminate smallpox from the world and we did so 12 years after that
and we did so 12 years after that
and we did so 12 years after that picture was taken the World Health
picture was taken the World Health
picture was taken the World Health Organization announced smallpox was a
Organization announced smallpox was a
Organization announced smallpox was a thing of the past we need to learn that
thing of the past we need to learn that
thing of the past we need to learn that listen for our healthcare system so
listen for our healthcare system so
listen for our healthcare system so let’s get into that the United States is
let’s get into that the United States is
let’s get into that the United States is the only developed nation on the planet
the only developed nation on the planet
the only developed nation on the planet that does not have universal health care
that does not have universal health care
that does not have universal health care we rank last among those nations in life
we rank last among those nations in life
we rank last among those nations in life expectancy last in infant mortality last
expectancy last in infant mortality last
expectancy last in infant mortality last in patient satisfaction and we spend
in patient satisfaction and we spend
in patient satisfaction and we spend twice as much as any other nation on
twice as much as any other nation on
twice as much as any other nation on health care or approximate on average
health care or approximate on average
health care or approximate on average twice as much but more than any other
twice as much but more than any other
twice as much but more than any other nation the irony is that we have the
nation the irony is that we have the
nation the irony is that we have the world’s finest medical
world’s finest medical
world’s finest medical CAIR technology and yes you can get
CAIR technology and yes you can get
CAIR technology and yes you can get wonderful care in this country but good
wonderful care in this country but good
wonderful care in this country but good luck accessing it after 30 years of
luck accessing it after 30 years of
luck accessing it after 30 years of debate why are the majority of Americans
debate why are the majority of Americans
debate why are the majority of Americans not aware of those easily verifiable
not aware of those easily verifiable
not aware of those easily verifiable statistics we’ll get into that it raises
statistics we’ll get into that it raises
statistics we’ll get into that it raises three important questions what are other
three important questions what are other
three important questions what are other nations doing that we are not doing what
nations doing that we are not doing what
nations doing that we are not doing what are we doing that they aren’t doing and
are we doing that they aren’t doing and
are we doing that they aren’t doing and if we learn from other nations that have
if we learn from other nations that have
if we learn from other nations that have successfully reformed health care
successfully reformed health care
successfully reformed health care systems what can we accomplish that’s
systems what can we accomplish that’s
systems what can we accomplish that’s what we’re talking about today so first
what we’re talking about today so first
what we’re talking about today so first of all what’s wrong with US health care
of all what’s wrong with US health care
of all what’s wrong with US health care I love this metaphorical slide it pretty
I love this metaphorical slide it pretty
I love this metaphorical slide it pretty much gets one of the problems straight I
much gets one of the problems straight I
much gets one of the problems straight I was going down Wilshire Boulevard in Los
was going down Wilshire Boulevard in Los
was going down Wilshire Boulevard in Los Angeles at rush hour as a passenger
Angeles at rush hour as a passenger
Angeles at rush hour as a passenger fortunately so I could take the picture
fortunately so I could take the picture
fortunately so I could take the picture and there were two road crews one
and there were two road crews one
and there were two road crews one pointed what planted one of those signs
pointed what planted one of those signs
pointed what planted one of those signs one planted the other one they had no
one planted the other one they had no
one planted the other one they had no communication and the whole street was
communication and the whole street was
communication and the whole street was totally frozen for a couple of hours so
totally frozen for a couple of hours so
totally frozen for a couple of hours so that tells you one of the problems and I
that tells you one of the problems and I
that tells you one of the problems and I don’t have to explain that one anymore
don’t have to explain that one anymore
don’t have to explain that one anymore in 1960 ignore the little boxes on this
in 1960 ignore the little boxes on this
in 1960 ignore the little boxes on this graph up there because they’re not
graph up there because they’re not
graph up there because they’re not relevant to what I’m talking about here
relevant to what I’m talking about here
relevant to what I’m talking about here in 1960 the left side of that screen we
in 1960 the left side of that screen we
in 1960 the left side of that screen we spent 5% of our healthcare budget 5% of
spent 5% of our healthcare budget 5% of
spent 5% of our healthcare budget 5% of our GDP gross domestic product on health
our GDP gross domestic product on health
our GDP gross domestic product on health care and we ranked higher in the world
care and we ranked higher in the world
care and we ranked higher in the world than we do now in terms of all of those
than we do now in terms of all of those
than we do now in terms of all of those statistics I gave you before in 1917 we
statistics I gave you before in 1917 we
statistics I gave you before in 1917 we spend seventeen and a half percent of
spend seventeen and a half percent of
spend seventeen and a half percent of our GDP and our own government and
our GDP and our own government and
our GDP and our own government and that’s far more than any other country
that’s far more than any other country
that’s far more than any other country our own government forecasts that by
our own government forecasts that by
our own government forecasts that by 2025 our health care costs will increase
2025 our health care costs will increase
2025 our health care costs will increase another 73 percent and by 2045 our
another 73 percent and by 2045 our
another 73 percent and by 2045 our health care costs unless we do something
health care costs unless we do something
health care costs unless we do something drastic will exceed our entire gross
drastic will exceed our entire gross
drastic will exceed our entire gross domestic product which of course is
domestic product which of course is
domestic product which of course is impossible but economic collapse isn’t
impossible but economic collapse isn’t
impossible but economic collapse isn’t so what is wrong why is our system so
so what is wrong why is our system so
so what is wrong why is our system so costly and so inefficient there are a
costly and so inefficient there are a
costly and so inefficient there are a lot of reasons for it I’ve picked out
lot of reasons for it I’ve picked out
lot of reasons for it I’ve picked out what I think are the five most important
what I think are the five most important
what I think are the five most important ones they’re not the only ones but these
ones they’re not the only ones but these
ones they’re not the only ones but these are the biggies
are the biggies
are the biggies no other country in the world has more
no other country in the world has more
no other country in the world has more than ten entities paying the bills for
than ten entities paying the bills for
than ten entities paying the bills for health care
health care
health care the US has over a thousand payers
the US has over a thousand payers
the US has over a thousand payers including governments industries
including governments industries
including governments industries agencies private insurance companies and
agencies private insurance companies and
agencies private insurance companies and so on and over 3,000 health plans it has
so on and over 3,000 health plans it has
so on and over 3,000 health plans it has been calculated that if we simply did
been calculated that if we simply did
been calculated that if we simply did nothing else but copied the single-payer
nothing else but copied the single-payer
nothing else but copied the single-payer system of Canada that it would save 300
system of Canada that it would save 300
system of Canada that it would save 300 billion dollars a year because of the
billion dollars a year because of the
billion dollars a year because of the legal and administrative morass of
legal and administrative morass of
legal and administrative morass of arguments over who’s responsible for
arguments over who’s responsible for
arguments over who’s responsible for what in our company company as you’ll
what in our company company as you’ll
what in our company company as you’ll see I’m not I don’t think a single-payer
see I’m not I don’t think a single-payer
see I’m not I don’t think a single-payer system is essential because there are
system is essential because there are
system is essential because there are countries that have a few payers and
countries that have a few payers and
countries that have a few payers and they do just as well but a thousand
they do just as well but a thousand
they do just as well but a thousand three thousand health plans doesn’t work
three thousand health plans doesn’t work
three thousand health plans doesn’t work secondly we have a lot of ridiculous
secondly we have a lot of ridiculous
secondly we have a lot of ridiculous stupid laws passed by Congress and
stupid laws passed by Congress and
stupid laws passed by Congress and lobbyists who help them get elected and
lobbyists who help them get elected and
lobbyists who help them get elected and stay elected the US government is the
stay elected the US government is the
stay elected the US government is the only entity on the planet that isn’t not
only entity on the planet that isn’t not
only entity on the planet that isn’t not allowed by law to negotiate drug prices
allowed by law to negotiate drug prices
allowed by law to negotiate drug prices when they buy drugs from companies that
when they buy drugs from companies that
when they buy drugs from companies that make them in New Jersey when New Jersey
make them in New Jersey when New Jersey
make them in New Jersey when New Jersey sells those country those drugs to
sells those country those drugs to
sells those country those drugs to Russia or China or socialist countries
Russia or China or socialist countries
Russia or China or socialist countries communist countries that we think of as
communist countries that we think of as
communist countries that we think of as having closed economies they negotiate
having closed economies they negotiate
having closed economies they negotiate prices and they end up paying about
one-fourth to one-fifth of what we pay
one-fourth to one-fifth of what we pay in this country because they’re not
in this country because they’re not
in this country because they’re not allowed to negotiate the US government
allowed to negotiate the US government
allowed to negotiate the US government is also one of only two nations in the
is also one of only two nations in the
is also one of only two nations in the world that allows prescription drug
world that allows prescription drug
world that allows prescription drug advertising to patients and are not to
advertising to patients and are not to
advertising to patients and are not to dock to doctors a letter a lot of people
dock to doctors a letter a lot of people
dock to doctors a letter a lot of people could advertise but not to patients that
could advertise but not to patients that
could advertise but not to patients that cost five billion dollars in 2015 which
cost five billion dollars in 2015 which
cost five billion dollars in 2015 which is also added to our drug prices and to
is also added to our drug prices and to
is also added to our drug prices and to top that off they said oh you can’t
top that off they said oh you can’t
top that off they said oh you can’t cross the border and bring drugs in from
cross the border and bring drugs in from
cross the border and bring drugs in from elsewhere that’s also illegal
elsewhere that’s also illegal
elsewhere that’s also illegal we have great health research but we
we have great health research but we
we have great health research but we don’t pay any attention to our very
don’t pay any attention to our very
don’t pay any attention to our very little attention to cost and to
little attention to cost and to
little attention to cost and to mechanisms of delivery we have no free
mechanisms of delivery we have no free
mechanisms of delivery we have no free market in this bastion of capitalism
market in this bastion of capitalism
market in this bastion of capitalism it’s against the law for hospitals to
it’s against the law for hospitals to
it’s against the law for hospitals to tell you what they charge and a little
tell you what they charge and a little
tell you what they charge and a little clandestine survey done a couple done a
clandestine survey done a couple done a
clandestine survey done a couple done a couple years ago in California showed
couple years ago in California showed
couple years ago in California showed that a simple uncomplicated cesarean
that a simple uncomplicated cesarean
that a simple uncomplicated cesarean section across several dozen hospitals
section across several dozen hospitals
section across several dozen hospitals range in price from five thousand to
range in price from five thousand to
range in price from five thousand to eighty eight thousand dollars and you
eighty eight thousand dollars and you
eighty eight thousand dollars and you can’t find that out it’s like you go
can’t find that out it’s like you go
can’t find that out it’s like you go into the mall and you want a TV set you
into the mall and you want a TV set you
into the mall and you want a TV set you think it’s gonna cost eight hundred
think it’s gonna cost eight hundred
think it’s gonna cost eight hundred dollars and you say how about just that
dollars and you say how about just that
dollars and you say how about just that TV set and the clerk says I don’t know
TV set and the clerk says I don’t know
TV set and the clerk says I don’t know but you just take it home most ninja
but you just take it home most ninja
but you just take it home most ninja bill so you’ve taken home and two weeks
bill so you’ve taken home and two weeks
bill so you’ve taken home and two weeks later you’re gonna bill for $16,000 as
later you’re gonna bill for $16,000 as
later you’re gonna bill for $16,000 as ridiculous as that sounds
ridiculous as that sounds
ridiculous as that sounds it’s exactly how our system works we
it’s exactly how our system works we
it’s exactly how our system works we have no shared risk the fact as you’ll
have no shared risk the fact as you’ll
have no shared risk the fact as you’ll see the the numbers in a minute every
see the the numbers in a minute every
see the the numbers in a minute every country not only has in developed
country not only has in developed
country not only has in developed country not only has universal health
country not only has universal health
country not only has universal health care they pay less and have better
care they pay less and have better
care they pay less and have better outcomes and finally why don’t our
outcomes and finally why don’t our
outcomes and finally why don’t our lawmakers address these problems and the
lawmakers address these problems and the
lawmakers address these problems and the answer is clear they don’t address them
answer is clear they don’t address them
answer is clear they don’t address them because it costs so much to run an
because it costs so much to run an
because it costs so much to run an election only the major corporate donors
election only the major corporate donors
election only the major corporate donors have enough money to get them reelected
have enough money to get them reelected
have enough money to get them reelected and if they address this they will not
and if they address this they will not
and if they address this they will not get reelected and there are some actual
get reelected and there are some actual
get reelected and there are some actual examples of that so what’s happening
examples of that so what’s happening
examples of that so what’s happening next for US healthcare we’re at a fork
next for US healthcare we’re at a fork
next for US healthcare we’re at a fork in our road this is one of the forks and
in our road this is one of the forks and
in our road this is one of the forks and that’s where it goes will drown
that’s where it goes will drown
that’s where it goes will drown economically and health-wise as well if
economically and health-wise as well if
economically and health-wise as well if we keep doing what we’ve been doing for
we keep doing what we’ve been doing for
we keep doing what we’ve been doing for thirty years that is arguing and
thirty years that is arguing and
thirty years that is arguing and bickering about how to change our
bickering about how to change our
bickering about how to change our healthcare system without actually
healthcare system without actually
healthcare system without actually addressing the real problems that make
addressing the real problems that make
addressing the real problems that make it so effective inefficient and
it so effective inefficient and
it so effective inefficient and expensive costs escalate the economic
expensive costs escalate the economic
expensive costs escalate the economic collapse is likely maybe even inevitable
collapse is likely maybe even inevitable
collapse is likely maybe even inevitable fewer people have insurance because the
fewer people have insurance because the
fewer people have insurance because the great American Way is oh gee when it
great American Way is oh gee when it
great American Way is oh gee when it gets expensive we’ll just throw people
gets expensive we’ll just throw people
gets expensive we’ll just throw people out of the system no other country
out of the system no other country
out of the system no other country denies everybody health care and they do
denies everybody health care and they do
denies everybody health care and they do it cheaper medical bankruptcies will
it cheaper medical bankruptcies will
it cheaper medical bankruptcies will increase we are already the only country
increase we are already the only country
increase we are already the only country on the planet where medical bankruptcy
on the planet where medical bankruptcy
on the planet where medical bankruptcy is the leading cause of
is the leading cause of
is the leading cause of crup see and social justice this
crup see and social justice this
crup see and social justice this satisfaction is gonna get a lot worse
satisfaction is gonna get a lot worse
satisfaction is gonna get a lot worse what can we learn from other nations
what can we learn from other nations
what can we learn from other nations these are the essential things that you
these are the essential things that you
these are the essential things that you should expect a rational educated
should expect a rational educated
should expect a rational educated politician debating healthcare reform to
politician debating healthcare reform to
politician debating healthcare reform to address reduce the number of insurers
address reduce the number of insurers
address reduce the number of insurers dramatically restore a free market
dramatically restore a free market
dramatically restore a free market negotiate prices public release of
negotiate prices public release of
negotiate prices public release of prices compete on cost instead of on how
prices compete on cost instead of on how
prices compete on cost instead of on how many big machines and high-end
many big machines and high-end
many big machines and high-end specialists you have ban prescription
specialists you have ban prescription
specialists you have ban prescription drug advertising universal coverage
drug advertising universal coverage
drug advertising universal coverage saves money it does every other
saves money it does every other
saves money it does every other developed nation has it for less and
developed nation has it for less and
developed nation has it for less and better outcomes fund and publicize cost
better outcomes fund and publicize cost
better outcomes fund and publicize cost effectiveness research your advertising
effectiveness research your advertising
effectiveness research your advertising to you convinces you with those gorgeous
to you convinces you with those gorgeous
to you convinces you with those gorgeous ads on television and smiling people
ads on television and smiling people
ads on television and smiling people that you should buy a drug that cost 50
that you should buy a drug that cost 50
that you should buy a drug that cost 50 to 60 times as much as a generic drug
to 60 times as much as a generic drug
to 60 times as much as a generic drug that nobody advertises anymore
that nobody advertises anymore
that nobody advertises anymore that may be at least as effective and
that may be at least as effective and
that may be at least as effective and sometimes even more effective but we
sometimes even more effective but we
sometimes even more effective but we don’t find out about that legislative
don’t find out about that legislative
don’t find out about that legislative collaboration cooperation and compromise
collaboration cooperation and compromise
collaboration cooperation and compromise are essential politics is the art of
are essential politics is the art of
are essential politics is the art of compromise and if there is none you have
compromise and if there is none you have
compromise and if there is none you have a dysfunctional government as well I
a dysfunctional government as well I
a dysfunctional government as well I made this table from a CIA World
made this table from a CIA World
made this table from a CIA World Factbook table in online table and I
Factbook table in online table and I
Factbook table in online table and I calculated the green bars they didn’t
calculated the green bars they didn’t
calculated the green bars they didn’t have those numbers but they gave all the
have those numbers but they gave all the
have those numbers but they gave all the numbers you needed to calculate them
numbers you needed to calculate them
numbers you needed to calculate them this ranks 19 developed countries Japan
this ranks 19 developed countries Japan
this ranks 19 developed countries Japan through the u.s. in order of life
through the u.s. in order of life
through the u.s. in order of life expectancy Japan lives four and a half
expectancy Japan lives four and a half
expectancy Japan lives four and a half years longer than the average American
years longer than the average American
years longer than the average American and all of those countries have
and all of those countries have
and all of those countries have universal health care except us
universal health care except us
universal health care except us and they all cost less the bars are the
and they all cost less the bars are the
and they all cost less the bars are the amount of money we would save in this
amount of money we would save in this
amount of money we would save in this country per person per year if we
country per person per year if we
country per person per year if we actually adopted entirely the health
actually adopted entirely the health
actually adopted entirely the health system of those countries the average of
system of those countries the average of
system of those countries the average of all of them is if was about five
all of them is if was about five
all of them is if was about five thousand dollars a year that’s pretty
thousand dollars a year that’s pretty
thousand dollars a year that’s pretty dramatic if we did that depending on
dramatic if we did that depending on
dramatic if we did that depending on which of those countries we copied we
which of those countries we copied we
which of those countries we copied we would save between one and
would save between one and
would save between one and two point four trillion dollars a year
two point four trillion dollars a year
two point four trillion dollars a year that’s three thousand two hundred and
that’s three thousand two hundred and
that’s three thousand two hundred and fifty dollars a trillion dollars is
fifty dollars a trillion dollars is
fifty dollars a trillion dollars is three thousand twenty dollars for every
three thousand twenty dollars for every
three thousand twenty dollars for every single person in the country we could
single person in the country we could
single person in the country we could increase life expectancy improve
increase life expectancy improve
increase life expectancy improve satisfaction and ensure everyone because
satisfaction and ensure everyone because
satisfaction and ensure everyone because all those other countries already have
all those other countries already have
all those other countries already have those things on that and we could use
those things on that and we could use
those things on that and we could use the extra money to repair our
the extra money to repair our
the extra money to repair our infrastructure balance the federal
infrastructure balance the federal
infrastructure balance the federal budget reduce college tuitions address
budget reduce college tuitions address
budget reduce college tuitions address global warming or lots of other things
global warming or lots of other things
global warming or lots of other things we have a problem though you could not
we have a problem though you could not
we have a problem though you could not simply reach in the pot and pick a
simply reach in the pot and pick a
simply reach in the pot and pick a trillion dollars out of the health care
trillion dollars out of the health care
trillion dollars out of the health care industry and throw it somewhere else
industry and throw it somewhere else
industry and throw it somewhere else without causing financial medical and
without causing financial medical and
without causing financial medical and political chaos so you have a model to
political chaos so you have a model to
political chaos so you have a model to help you figure out how to do it in the
help you figure out how to do it in the
help you figure out how to do it in the 1980’s Taiwan had a very similar health
1980’s Taiwan had a very similar health
1980’s Taiwan had a very similar health system to our own it was a dysfunctional
system to our own it was a dysfunctional
system to our own it was a dysfunctional cost soaring and they acted with some
cost soaring and they acted with some
cost soaring and they acted with some intelligence the appointed team of
intelligence the appointed team of
intelligence the appointed team of experts to tour the world for several
experts to tour the world for several
experts to tour the world for several years looking at what works around the
years looking at what works around the
years looking at what works around the world in health system from that they
world in health system from that they
world in health system from that they created a new system and then they took
created a new system and then they took
created a new system and then they took another four or five years to implement
another four or five years to implement
another four or five years to implement it gradually a little bit at a time did
it gradually a little bit at a time did
it gradually a little bit at a time did it work
it work
it work within five years after their
within five years after their
within five years after their implementation they fell from 50th in
implementation they fell from 50th in
implementation they fell from 50th in the world and life expects an expectancy
the world and life expects an expectancy
the world and life expects an expectancy to 15th their patient satisfaction went
to 15th their patient satisfaction went
to 15th their patient satisfaction went from 25% to 85% and their costs fell
from 25% to 85% and their costs fell
from 25% to 85% and their costs fell dramatically it’s not like we don’t know
dramatically it’s not like we don’t know
dramatically it’s not like we don’t know how to do it it’s that we don’t have the
how to do it it’s that we don’t have the
how to do it it’s that we don’t have the will to do it part of it is that we
will to do it part of it is that we
will to do it part of it is that we haven’t talked about the underlying
haven’t talked about the underlying
haven’t talked about the underlying cause in 1976 the Supreme Court decreed
cause in 1976 the Supreme Court decreed
cause in 1976 the Supreme Court decreed that money is free speech and that those
that money is free speech and that those
that money is free speech and that those with the most money can determine who
with the most money can determine who
with the most money can determine who wins elections since that time the cost
wins elections since that time the cost
wins elections since that time the cost of getting elected to any political
of getting elected to any political
of getting elected to any political office has soared about 10 fold the only
office has soared about 10 fold the only
office has soared about 10 fold the only way you can get that kind of
way you can get that kind of
way you can get that kind of money is from big donors and these are
money is from big donors and these are
money is from big donors and these are the big donors the two biggest donor
the big donors the two biggest donor
the big donors the two biggest donor industries are healthcare and defense
industries are healthcare and defense
industries are healthcare and defense that’s where the money comes from and
that’s where the money comes from and
that’s where the money comes from and that’s where you just wrote here honest
that’s where you just wrote here honest
that’s where you just wrote here honest pronouncements from our politicians this
pronouncements from our politicians this
pronouncements from our politicians this is not a Republican or Democrat issue it
is not a Republican or Democrat issue it
is not a Republican or Democrat issue it is nonpartisan it’s true for both
is nonpartisan it’s true for both
is nonpartisan it’s true for both parties 60 nations I talked you about
parties 60 nations I talked you about
parties 60 nations I talked you about the developed nations but there are
the developed nations but there are
the developed nations but there are actually about 25 non developed nations
actually about 25 non developed nations
actually about 25 non developed nations that have universal health care and do
that have universal health care and do
that have universal health care and do better a soft landing with this problem
better a soft landing with this problem
better a soft landing with this problem of our health care system is possible if
of our health care system is possible if
of our health care system is possible if we do it right those are the countries
we do it right those are the countries
we do it right those are the countries that already have universal health care
that already have universal health care
that already have universal health care let me say a word about what I mean by
let me say a word about what I mean by
let me say a word about what I mean by universal health care that means
universal health care that means
universal health care that means everybody has some basic health care
everybody has some basic health care
everybody has some basic health care available to them no exceptions no
available to them no exceptions no
available to them no exceptions no exclusions for pre-existing conditions
exclusions for pre-existing conditions
exclusions for pre-existing conditions that’s true in all of these countries
that’s true in all of these countries
that’s true in all of these countries the amount of benefit varies almost all
the amount of benefit varies almost all
the amount of benefit varies almost all countries have a mix of basic government
countries have a mix of basic government
countries have a mix of basic government paid universal health systems and an
paid universal health systems and an
paid universal health systems and an option to buy additional coverage from
option to buy additional coverage from
option to buy additional coverage from what are often called insurer insurance
what are often called insurer insurance
what are often called insurer insurance exchanges rather than companies with
exchanges rather than companies with
exchanges rather than companies with very clear benefits and prices that are
very clear benefits and prices that are
very clear benefits and prices that are upfront and straightforward and they
upfront and straightforward and they
upfront and straightforward and they choose which they want we don’t have
choose which they want we don’t have
choose which they want we don’t have that it’s if you hear a politician say
that it’s if you hear a politician say
that it’s if you hear a politician say the u.s. the nations are the world’s
the u.s. the nations are the world’s
the u.s. the nations are the world’s richest economy cannot afford universal
richest economy cannot afford universal
richest economy cannot afford universal health care that person is either
health care that person is either
health care that person is either woefully misinformed or he or she is
woefully misinformed or he or she is
woefully misinformed or he or she is deliberately misleading you we have a
deliberately misleading you we have a
deliberately misleading you we have a serious problem our health care industry
serious problem our health care industry
serious problem our health care industry is threatening our economy I talked
is threatening our economy I talked
is threatening our economy I talked about that small pox way back then 200
about that small pox way back then 200
about that small pox way back then 200 years it took to figure out how to use
years it took to figure out how to use
years it took to figure out how to use small vaccine to get rid of smallpox we
small vaccine to get rid of smallpox we
small vaccine to get rid of smallpox we don’t have to wait two hundred years for
don’t have to wait two hundred years for
don’t have to wait two hundred years for health care to
health care to
health care to how to deliver it effectively because we
how to deliver it effectively because we
how to deliver it effectively because we got all these other countries that are
got all these other countries that are
got all these other countries that are already doing it I’m not saying they
already doing it I’m not saying they
already doing it I’m not saying they don’t have problems but they are had
don’t have problems but they are had
don’t have problems but they are had better outcomes and less expense by
better outcomes and less expense by
better outcomes and less expense by volumes than we have it’s time for us to
volumes than we have it’s time for us to
volumes than we have it’s time for us to figure out what we’re doing wrong and
figure out what we’re doing wrong and
figure out what we’re doing wrong and fix it what can you do
fix it what can you do
fix it what can you do I say it’s tuffnut but you have to think
I say it’s tuffnut but you have to think
I say it’s tuffnut but you have to think about this I don’t care what party
about this I don’t care what party
about this I don’t care what party you’re from if a politician you can vote
you’re from if a politician you can vote
you’re from if a politician you can vote for is running for office and mentions
for is running for office and mentions
for is running for office and mentions health care and doesn’t talk about those
health care and doesn’t talk about those
health care and doesn’t talk about those five basic problems that we went into
five basic problems that we went into
five basic problems that we went into don’t vote for him and tell everybody
don’t vote for him and tell everybody
don’t vote for him and tell everybody why you’re not vote for him
why you’re not vote for him
why you’re not vote for him tell your politician why you’re not
tell your politician why you’re not
tell your politician why you’re not voting for him if you will recall John
voting for him if you will recall John
voting for him if you will recall John McCain ran on the platform in 2000 for
McCain ran on the platform in 2000 for
McCain ran on the platform in 2000 for president on the platform of Alpha the
president on the platform of Alpha the
president on the platform of Alpha the biggest problem in this country is that
biggest problem in this country is that
biggest problem in this country is that 1976 buckley versus vallejo supreme
1976 buckley versus vallejo supreme
1976 buckley versus vallejo supreme court decision and we have to change it
court decision and we have to change it
court decision and we have to change it he never mentioned it after he lost that
he never mentioned it after he lost that
he never mentioned it after he lost that election in nineteen 2008 he was
election in nineteen 2008 he was
election in nineteen 2008 he was interviewed by a reporter who asked him
interviewed by a reporter who asked him
interviewed by a reporter who asked him why he hadn’t mentioned it again
why he hadn’t mentioned it again
why he hadn’t mentioned it again and his response was there are more
and his response was there are more
and his response was there are more important problems now I’m not I can’t
important problems now I’m not I can’t
important problems now I’m not I can’t pretend to know what was going on in his
pretend to know what was going on in his
pretend to know what was going on in his mind but it makes me wonder we have to
mind but it makes me wonder we have to
mind but it makes me wonder we have to act about this as if our lives and our
act about this as if our lives and our
act about this as if our lives and our economy depend on it because they do
”
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