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Valuetainment
- July 31, 2023
EXPOSED: The Real Reason Healthcare is so Expensive in America
Episode Stats
Length
22 minutes
Words per Minute
218.9011
Word Count
4,980
Sentence Count
444
Misogynist Sentences
4
Hate Speech Sentences
6
Summary
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Transcript
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Misogyny classification is done with
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Hate speech classification is done with
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.
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If you're watching this video, you probably know somebody that filed a bankruptcy because of
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medical bills, which by the way, out of all the bankruptcies done in America, 66.5% of all the
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bankruptcies are due to medical bills. A Tim's donut and coffee is the original collab. And now,
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Terms apply. See app for details. It's time for Tim's. According to American Journal of Public
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Health, that's a lot of bankruptcies. And by the way, out of those people that filed bankruptcies,
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72% of the time, they had health insurance. So wait a minute, you have health insurance. How did
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you file bankruptcy? How do these guys make money? What is this health insurance business? Why do
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so few people trust it? How do hospitals make money? How much do they charge? What is their
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profit margin? Who's being held accountable? Are health insurance companies making the money and
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saying, good for you. I already got my money. Your problem is the government not collecting money.
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Is the hospital not getting the money for anybody? But who's paying for all this stuff? And at the
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same time, all the politicians don't want to talk about Medicare, Medicaid, let alone Social Security,
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because God forbid if they say the right thing to do is we kind of got to get away with this stuff,
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they're not going to get reelected. So they want to keep getting reelected. So they keep saying,
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you cannot do this. It's not fair. But guess what? At whose cost? At whose expense? At Gen Z's?
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At Millennial? At Gen X? So these guys are probably never going to get any of this stuff,
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but they finance it for them. Why is that fair? These are a lot of great questions. We're going to talk
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about that today. All right. So if you get value out of this video, give it a thumbs up and subscribe
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to the channel. But let's get right into it. Let me ask you a question. Have you ever gotten a speeding
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ticket and you don't have any money? You're broke. I remember when this would happen to me. You don't
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know how you're going to pay for the speeding ticket. And many times I didn't pay for it and I
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had to pay for it six months later and I would get pulled over and the cop would say, get out of
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the car. You have six tickets you haven't paid for. I've been through this before. Now, let me fast
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forward when you're 32 years old, 48 years old, 57 years old. You take your kid to the hospital.
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You're about to go to the hospital and you know a bill is coming your way. You just don't know how
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much it's going to be. Do you? Do they tell you this is how much the bill is going to? Nobody tells
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you that. And that's what they call a surprise medical bill. And you're sitting there saying,
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man, I have no idea what it's going to be. Here's a number for you. 41% of insured adults have surprise
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medical bills and two thirds of them are worried about being able to afford that surprise medical
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bill. You've been there. I've been there before. How many people are going through this? Well,
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where's the profit margins in this? How are people paying for these? Let me give you some more
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statistics here. 78% of adults have avoided hospital visits, 44% medical care due to the
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cost. Have you ever know you're sick? You know something's wrong with you. You know you don't
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know what's going on with your chest pains, your back pain here. You do not want to go because you
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don't want that bill. You don't know if you can afford it. But many times you have health insurance
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and you're still not going. So why do we have health insurance? Why are we paying for it? If we do have
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it, do you know how many people are asking these questions? So let's continue. 30% said they have to
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choose between paying for medical bills or basic necessities like food or housing. Meaning you
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have a choice to go to the doctor and pay for that bill versus man, I got to get some food for the
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kids and paying for my rent. You know which one I'm going to choose? I'll tolerate the pain. I'm going
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this way. Have you done that before? Maybe you haven't, but your parents may have done this before.
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And this continues. 137 million people in US reported struggling with medical bills. Let me say
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the number again to you. 137 million people. Here's another one for you. You ever gone to the hospital
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and you're like, oh, you got to stay for three nights. You're like, no, I'm good. Listen,
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man, your leg is broken. You got to stay here for it. No, no, no, no, no. I'll go walk on a crutch.
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Do you want to? No, no, no. Leave it alone. Cause I know everything is an add on and a cost.
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But do you know how much it costs to stay at a hospital? Do you actually know the numbers?
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You want to learn about it? If you don't want to learn about it, skip this part and go watch
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something else because I'm going to show you how much these things cost. Look, life is pretty complicated.
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Sometimes sometimes you're dealing with something with divorce. You know, you're going through
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Here we go. Nationally, U.S. hospitals charge $417 for every $100 of their costs, which means their
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net cost is $100. They're going to charge you for $17. The 100 most expensive U.S. hospitals charge,
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ready, between $1,129 to $1,808 per $100 of their costs. $1,808 is 1,800% of their cost. And you know
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what their answer is? Because they can. So you may say, Pat, give it a break. What's been the history
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with this? Let me show you. It's been in 1999. It was only 200% per $100, but it's gone up every
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single year, all the way up to the data we have here. It's 417% as of 2018. And you know, after
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COVID, those numbers went even higher. This next chart is also a little bit concerning because,
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you know, we did a couple of videos in the past, one of them being like, you know, you want to be able
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to have more regional banks. Why? There's more competition, right? You want to have more community banks
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because it's more competition. And right now, a lot of these signature banks, a lot of these banks
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that are going out of business and the bigger banks are picking it up. Gradually, we're going
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from having a lot of different options to having a few different options. And what happens when we
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have a few different options, they get to dictate the price or whatever they want to do. The same
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thing's happening with weapons of mass destruction, where you're hearing a lot of these big companies
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that would make weapons. They make planes, they make tanks. It used to be so many of them. It's now gone
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down to only a handful of them. So they have the mark, they have control, and they're kind of
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working together to dictate what everybody else has to pay for. Watch this. When you look at this
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chart from 94 to 2018, in 1994, only 37% of the hospitals in America belong to a system, meaning
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a controlled, consolidated, multi-hospital system, 37%. So the other 63% was independently owned by a lot
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of different people. So the 37% couldn't push their weight around because they had a lot of other people
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that were competition. Well, today, that 37% is now 67%, which is collectively being done by a few
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different people. So they dictate whatever the terms are for the price of these hospitals.
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That's why they can increase the rates, because they control the market. So I want to give you an
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example of some of these hospitals on what they're charging per $100. Here's what you will look at.
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Number one would be Capital Health, which is based out of New Jersey, 1,443%. Number two is CarePoint
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Health, which is in Florida and Jersey, 1,313%. Third one is Regional Medical Center, which is 1,106%
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out of Florida. Fourth one is American Academic Health System, 1,064% out of Pennsylvania. Then
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you got Temple University, 1,000% out of Pennsylvania. Again, then you got HCA out of Florida.
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Then you got Tenet Healthcare Corporation out of Texas. Then you got Community Health Systems,
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which is national. Then you got Universal Health Services, which is national. You got St. Luke's out
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of Pennsylvania. Three out of the top 10 was Pennsylvania, and three out of the top 10 was Florida.
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Now, you may ask why Pennsylvania and Florida in the top 10, because Florida is in the top
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five oldest states in America, population-wise, and Pennsylvania is a top eight oldest state
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population-wise in America. So they have older peoples that are like, listen, guys, we got
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a lot of boomers here. Charge it up, mark it up a little bit. We're going to make some money
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here, because again, they can. Now, some of you may be watching the same pattern. If I can't
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pay the bill, I can't pay the bill. I just don't pay the bill. That's what I do. Well, you
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know, there's many ways they can get the money from you. One of them being wage garnishment.
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In many cases, up to 25%, they can just take the money out of your account if they really
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wanted to. These people can file for it, and that can happen. Now, obviously, some states
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are more strict than others, but there is another part to this on a hospital being interviewed
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on why these prices are going higher. What is the regulation? Who's controlling them?
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And this was done by Dr. Marty McCary, and here's what he came up with in a book he wrote titled
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The Price We Pay. Researchers from the University of Iowa called 101 U.S. hospitals on prices
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from the same type of heart bypass operations. Only 53 provided. The price varied from $44,000
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to $448,000. So 101 hospitals, 53 gave the rate from $44,000 to $448,000. My dad has had
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a bypass. What's the difference? One is $44,000, one is $448,000. That's 10 times more. Who dictates
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the terms? Do I just pick and choose and say, yeah, I think you look like a $300,000 type of
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person. No, I think you're $80,000. Let's see you for $220,000. Who determines what these
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prices are? Is it a secret? Can we know? Can you imagine you go buy a car? You say, I'd
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like to buy that Mustang. What's the price? Can't tell you until you buy it. What's the
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price of the car? Nope. You want to buy it? Yes, $78,000. It's really $22,000. Imagine how
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weird that is. That's how hospitals work. He continues, hospital officials confess that
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they inflate bills each year in order to generate more revenue since the insurance companies pay
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only part of the sticker prices. Insurance confessed they demand bigger and bigger discounts in their
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contracts with hospitals in order to keep up. Both admitted that they pass on higher bills to the
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public in the form of higher insurance premiums. And last but not least, watch what this lady said
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at the end, just flat out. A hospital employee whom Dr. Marty McCary confronted on behalf of a patient
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who received an exorbitant hospital bill provides the answer. The law allows us to charge whatever we
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want. If we want to charge a million dollars, she has to pay for it. Can you imagine that?
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So it's already crazy enough, but this next stat I share with you, some of you guys are going to say,
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I don't believe this. You're going to have to go do your own research when I show you this number.
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Can you tell me what are the biggest industries in America by revenue? By revenue. You ready?
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The number one industry in America by revenue, and this is numbers from 2023, hospitals in the U.S.
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is number one. $1.426 billion. Number two is drug and cosmetic and toiletry wholesaling in the U.S.,
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1.364. Then you got pharmaceutical wholesaling, then health and medical, then commercial banking,
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then new car dealers, then life insurance and annuities. Hospitals is number one.
00:10:14.760
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about hospitals. If I were to ask you how much money do these guys make, man, on 1.426, the
00:11:22.900
margins got to be massive. Like this Google, Facebook, it's got to be massive margins. That's
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the problem. Their margins are very small, but how? Matter of fact, if you look at the numbers in 2022
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and early 2023, you will notice, according to Kauffman Hall Operating Margin Index, year-to-date,
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by month, they're in the negative. Look at the numbers right there. Negative 2.1, negative 2.4,
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negative 1.9, negative, negative. Every month has been in the negative. And even if we go prior to
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COVID, and maybe we go look at 1995 through 2016, it's always been in the single digits. The lowest
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was 2%, and the highest is roughly 8%. So how is this even possible? You got 400% to 1,800% of margins.
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Shouldn't you be making more money? I don't even understand how this is possible. Here's why.
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Because the government is heavily involved. When you look at Medicare and Medicaid in 2020,
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combined underpayments, not payments, but underpayments, were $100 billion, up from $75.8
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billion in 2019. And the 2020 underpayments includes a shortfall of $75.6 billion for Medicare
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and $24.8 billion for Medicaid. As a matter of fact, for Medicare, hospitals receive payments of only
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84 cents for every dollar spent by hospitals caring for Medicare patients in 2020. Now,
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this doesn't include increased labor, increased medicine, $18 billion just for illegal immigrants
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in 2018, according to Forbes. We can add on a bunch of different things. And the numbers keep adding up.
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So you realize they're not making any of the money as much as I thought they would be making. But who's
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not doing their part? Is it the health insurance company? Are they taking the money and leaving?
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Is it the government, taxpayers? Maybe they're expecting us to pay a lot more. Whose fault is
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it that this is taking place? Remember earlier, I talked about Medicare and Medicaid, where a
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generation is holding everybody else hostage for making sure that they get their Social Security,
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Medicaid, Medicaid, the baby boomers. A lot of people are going to get upset at this, but I'm not
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running for office. I'm not trying to get reelected. I'm not a governor. I'm not a congressman. I'm not
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a senator. I'm not a president. I'm not trying to win your vote. My job is to ask questions and
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saying, can we afford it? Every year, we keep getting into more and more debt. What's the
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solution? Not a worry. Keep kicking this debt to the next generation. Let them handle it. Let their
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grandkids handle it. Let our kids handle it. Who cares about them? Let's take care of our lives
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right now. They'll figure out a way they're young. They're going to be old one day. And what are they
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going to do? Do exactly what you did. And then eventually, this great idea called United States
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of America, poof, is gone. And hey, another person comes in. We're in debt. Now people are leaving to
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other countries. Oh, it'll never happen to America. Maybe to Rome. Maybe to the Persian
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empire. Maybe to Greece. Maybe to, but not, not in America. Not, never, not here. No, we're headed
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in that direction with these irresponsible decisions that we're making. And by the way,
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let me continue. Watch this. The National Healthcare Anti-Fraud Association, NHCAA, estimates that the
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financial losses due to healthcare fraud might be as high as $300 billion each year. This is on top of
00:14:18.320
everything else. But watch this data of how far along we've come since 1960s. National per capital
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health expenditure in the U.S. from 1960 to today. So if you look at it right there, 1960, it's $146
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per person in expenditure to now, it's gone all the way up to $12,591. How long can we afford this,
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by the way, with an aging population? Matter of fact, in September of 2020, President Donald Trump
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signed an executive order, aimed at ensuring hospital price transparency, and limiting surprise
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billing, requiring that price information he made publicly available. This was obviously a great
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piece of legislation because it would give people the ability to compare prices and force hospitals
00:15:01.380
to price operations more competitively. It's like saying, hey, what do you charge for this car?
00:15:05.500
$28,000. Galpin Ford sells it for $24,000. Hey guys, the other guy sells it for $24,000. Match them.
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We'll sell it to you for $24,000. See what happened? But before you couldn't compare it. So Trump's
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says, I think we ought to do this. And guess who says we ought to continue with this? So Biden
00:15:20.540
directed the Department of Health and Human Services to enforce the rule, which what Trump
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started is like, yeah, this is kind of a good idea we got to do, but watch what happens. Only a year
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later, a research published by nonprofit group Patient Rights Advocate determined that 471 out
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of 500 hospitals examined were not in compliance with the new rule. And at the same time, the maximum
00:15:39.900
fine from the federal government for failing to post prices is $109,500 per year, even though
00:15:45.840
CMS said in July that they were planning on raising it to $2 million per year for large
00:15:49.720
hospitals. The problem is they sent warning letters to almost 170 hospitals that had yet
00:15:55.300
to post prices, but the agency hadn't imposed any fines. And Catherine Howden, a spokesperson
00:16:00.500
for CMS said that the agency expects hospitals to comply with these legal requirements and
00:16:05.720
will enforce these rules if the hospitals don't comply within 90 days. You know what they
00:16:09.220
do? They send you a warning letter. That's it. You get another warning letter. Can you imagine
00:16:12.960
it's like a love letter on top of a love letter and nothing else happens? And in May
00:16:17.100
of 2023, some data came out. Ways and Means Committee Chairman Jason Smith brought the fact
00:16:21.980
citing that fewer than one in four hospitals are estimated to be in compliance with these
00:16:26.780
price transparency rules. And only four hospitals out of 6,000 nationwide have been fined for
00:16:32.760
noncompliance. So guess what? Hospitals are like, get out of here. You're not going to do
00:16:36.080
anything. We're giving you money anyways when you're getting reelected. You need our money.
00:16:39.340
You need us to keep charging more money so we can give you more to your campaign and we'll hire the
00:16:43.100
lobbyists to come and help you out. Don't act like you care. Say it from stage, but you know you're
00:16:47.420
not going to enforce it behind closed doors. It's kind of what's happening. I got the one last thing
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I'm going to show you. This one's going to probably upset you the most on how we can afford to do this
00:16:54.380
kind of stuff. So watch this. Here's an article from American Hospital Association. Look what it says.
00:16:58.300
Medicare and Medicaid pay less than cost. The uninsured pay little or nothing and others must make up
00:17:04.260
the difference. I'm going to read it to you one more time. Medicare and Medicaid pay less than what
00:17:09.200
it costs. So hospitals who are getting money from Medicaid, Medicaid, they're not getting what it costs
00:17:16.340
them. They're getting paid less. The uninsured pay little to nothing. The uninsured, those are like,
00:17:22.140
I can't afford health insurance. The ones that are not being responsible for having insurance or can't afford it.
00:17:26.200
But the people, the responsible ones, are supposed to make up the difference. The working man,
00:17:30.860
you, you're paying for it. Okay. Watch this. Medicare and Medicaid pay less than the cost of caring for program
00:17:37.620
beneficiaries and annual shortfall of $57.8 billion. Let me continue. This is very important for you to know
00:17:43.340
what's going on here because you, the working man, remember in a movie, Sonny tells Robert De Niro, the
00:17:49.160
working man is a sucker, right? The working man is a sucker. This is what he was talking about. We're paying for
00:17:55.240
everybody else that's saying, I'm not going to pay for it, right? This is why the working man is so
00:17:59.780
frustrated in America today who is responsible. Hospital uncompensated care, both free care and
00:18:07.460
care for which no payment is made up by patients makes up about 6% of the average hospital's cost.
00:18:13.560
Most hospitals receive no government financial support at all to provide this care. Though some
00:18:18.780
hospitals owned by local governments, but not all public hospitals receive tax subsidies from state and
00:18:24.080
local governments to help offset some of the costs of care for poor populations. Overall, these payments
00:18:28.700
represent 10 cents per dollar of cost. Privately, insured patients and others often make up the
00:18:35.160
difference. Remember, Medicare, all those guys, they only make up 6% of the cost. The rest is made up
00:18:43.240
by us. So somebody may be watching and say, Pat, this is very annoying. No, I know. I'm also annoying.
00:18:49.080
I get it. I'm paying for it as well. You are too. I'm not only paying for it. I'm also paying for it for a lot of
00:18:52.840
different people who are having health insurance that I'm paying for. It's the cost. I got it. It's
00:18:56.060
the benefit of your given COC. What benefit do you offer? Here's our health insurance. Here's our
00:18:59.680
health insurance. So I'm involved on both sides. So what's the solution, Pat? To me, it's all
00:19:03.720
accountability because we have to sit there and have the tough conversation. Are we going to say
00:19:10.380
yes to Medicare, Medicaid, Social Security at all costs, even though everybody else takes the hit and
00:19:16.900
many go through bankruptcy? Is that fair? Even though it hurts all the working men. It's like
00:19:21.800
that man that was talking to Elizabeth Warren. He's like, wait a minute. You're canceling college
00:19:27.100
loan on the people that didn't make payments. I busted my ass with two, three jobs to make sure
00:19:31.840
my kid's college education was paid for. I'm paying the price? Me? Why am I paying? I'm not rich.
00:19:38.360
He's saying this to Elizabeth Warren. She doesn't have an answer for him. She's got a smirk on her face
00:19:42.700
because this doesn't make sense. And a lot of people are going through this right now. So it's
00:19:46.820
accountability in the life insurance industry. Watch how the life insurance industry works versus
00:19:50.360
real estate or loans. Say I sell a house to Johnny. I sell him a million dollar house. I get him
00:19:55.440
approved with a bank. The bank says, I'll take this loan. I sold a million dollars. The guy that's
00:20:00.320
selling the house, he gets his money. The equity he had in the house. Say he owns $600,000 loan. We sell
00:20:05.720
a $4,400,000 minus the commission. That check goes to the owner of the house that sold it to the new
00:20:11.520
owner. But the new owner who got the house, six months later says, I don't want to make the
00:20:15.360
payments. I'm okay. I can't afford it. I don't want to make the payments. The other guy that owned the
00:20:19.200
house, he doesn't care. He already got his check. The realtor, I already got my check. I left. I don't
00:20:23.280
care. You go collect the check. I don't need to collect the check. I don't have any accountability
00:20:26.880
here. That guy has no accountability here. The bank is screwed and this man doesn't want to make the
00:20:32.000
rent. How many times has that happened in America? He sits in that house for 6, 12, 18, 24 months.
00:20:36.500
Some states, you can't even kick the guy out. He stayed there. You can't kick me out. Frustrating, right?
00:20:40.900
You know how life insurance works? Here's how life insurance works. I sell the same person a
00:20:44.760
million-dollar insurance policy. It's $250 a month. I get advance a check, let's just say $2,000, $3,000.
00:20:50.540
The insurance company sends it to me. Advance. They send me the check. Six months down the line,
00:20:55.080
Johnny stops making the payments. The insurance company calls me and said, hey, we haven't received
00:20:59.300
the last payment for the last six weeks. I can't say, what do you want me to do? Go collect it. I already
00:21:03.780
got my money. No, no, no. If you don't get Johnny to pay his next premium, you're going to charge back.
00:21:09.080
How much? Potentially the whole $2,000 I give you or 50%. Let me call Johnny. I'm on top of him. I'll
00:21:16.060
drive to the guys' house to get the payment because there's accountability. That's why I love life
00:21:19.800
insurance because there has to be accountability. You can't get away with it. And I've got my money,
00:21:23.720
I'm good. No, you can't do that. As long as we can create a certain system of accountability here,
00:21:30.700
we can't just say, hey, Gen X, Gen Z, millennials, screw you guys. You pay for it. You can afford it.
00:21:37.260
While everybody else, they're just going to account for 6% of it. Dude, no. I'm trying to
00:21:41.080
have my own wife and kids and family and sending for private school and doing this and doing that
00:21:44.560
and paying my tax. Why are you doing this to me? That's kind of what's going on in the health
00:21:48.060
insurance, the hospital, the Medicare, the Medicaid. So as much as we can say, well, hospitals make so
00:21:53.160
much money. They actually don't make a lot of money. Margins are very small like the restaurants.
00:21:57.980
They're just trying to get money from somebody. And who ends up being a person that pays for the
00:22:02.580
hospital? The working man, you and I, we pay for it. I don't think it's cool. I think it's tough
00:22:09.200
conversation. I think if you share this video with people that are of the age, they're going to watch
00:22:14.100
this and they're not going to be happy about it. But I don't want your vote. I don't need your vote.
00:22:19.020
I'm not trying to tell you, I'm running for office. Vote for me. Oh yeah, it's okay. I'm not playing that
00:22:23.000
game. I don't think that's right. I think we all got to do our part. I think putting all the punishment
00:22:27.860
in the next generation is an unfair thing to do. Anyways, if you agree or disagree, if I got you
00:22:32.300
thinking, you got value out of this video, give it a thumbs up, subscribe to the channel. And if
00:22:36.740
you liked this video, I got another video I want you to watch. It's on Big Pharma. If you've not
00:22:39.840
seen it, wait till you see the data on Big Pharma. Click here to watch the video on Big Pharma.
00:22:43.820
Take care, everybody. Bye-bye, bye-bye.
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