30 Burst results for "Andy Slavitt"
"andy slavitt" Discussed on The View
"Back. Republicans are calling for censure of congresswoman ilian alma for tweeting and i quote we must have the same level of accountability and justice for all victims of crimes against humanity. We've seen unthinkable atrocities committed by the us hamas israel afghanistan and the taliban clarified. She was referring to an investigation by the international criminal court. That names all of them. What do you make of this latest attack. On omar sunny is is she not entitled to her opinion as the gop is entitled to. There's this is just more of the same of the gop strategy of attacking the squad of attacking women of color of attacking ilhan omar in particular. It's evidence of their islamaphobia as evidence of the fact that they think she won't be protected by her caucus. Nancy pelosi was on cnn. Early in the morning on. Sunday on danna bash's show and she made it very clear that the democrats are supporting her that the caucus is supporting our. And that she made that clarification and that it is end of story but this is nothing new from the republicans. And i wish that i saw a lot more of that. Energy directed towards people like marjorie taylor green and perhaps lauren beaubourg and perhaps josh hawley and his role in the insurrection and perhaps they need to vote on a commission to investigate january six instead of being the cowards that they have been and so. It's really the height of hypocrisy. That all of a sudden. They're getting together to band together to try to censure again of color rather than sweeping up their own house which is just at this point. Retrieve ably dirty. So it's it's pretty despicable but it's just par for the course for for this republican caucus. Anna is this outrage over. Her statement. Possibly got any justification. She sees that she names. Everybody look i. I really bristle at the idea of equating. The taliban and hamas to israel and the united states in a you know under the taliban and nail omar congressman omar knows this She would not be allowed to be in a leadership position. she would not be allowed to be educated. These are terrorist organizations and. I don't think a doing this kind of comparison serves her any favors look. Let's let's put this in context. This is coming at a time when there's been a huge spike antisemitic crimes. It's also coming at a time when ilhan omar has said and made regrettable statements that she's had to clean up and apologize for and clarify in the past. It wasn't just republicans being outraged by what she said. It was many of her democratic colleagues. There was quickly a letter issued by at least twelve of her colleagues condemning. Her statements and she quickly clarified them. So i think both things need to be said that she has got all her to say what she wants and people have all their right to be outraged to not like and criticize what she says. That's why we live in america. Why we don't live under hamas or taliban rule because we have freedom of expression but at the same time that i don't like and i condemn some of her statements. I also completely condemn some of the calls. That i saw her release of people calling her and harassing her and threatening her and attacking her and saying horrible horrible things to her. We can disagree with her. We can we can condemn her statements but then using racist tropes against her is also inexcusable and should have no room in our democracy joy. Ucla double standard here at all. Well as usual you know there is a double standard. The hypocrisy on the republican side is astoundingly thick. I mean didn't marjorie taylor. Green set say that the mask mandate in the house of representatives would equal to wearing the gold star during the holocaust. I mean that is a very inflammatory statement. You know and it caused me more than i don't know what you call it with all these people wearing the gold star. And this ron johnson. What a he knows that. The people that the insurrection on the at the capitol rather jovial. I think they were jovial. Really of the yellowstone say gold the yellow star right. Yeah i mean there were jovial. They're not really a scary. Omar is scary. According to ron johnson. But those people who carry guns and bombs at what have you then not scary the scary. Those are jovial. yeah right. I think the thing i think is most interesting. Here is that all of these. Things can be acquainted depending on how you grew up where you grew up and she has a completely different world view than most of the people in in the gop. I feel and yeah. America is guilty of some really horrific atrocities in their past. Everybody she's named is guilty of some atrocities to someone in their past. And so i guess the question is are you mad at her. Because she's saying listen. Everybody should be held accountable for the deeds that they've done they should have to talk about the fact that they've all got fingers that are dirty including hamas and all the other folks. I kind of feel like she's trying to call folks out. I'm not sure that the gop makes the best group to combat this you know. I don't think they're the best people to call for a shift because from what i've seen nobody's baby sitting. At least i have to say you know. The democrats seem to be all over her anytime. She says something that you know. Someone's going to take the wrong way. I don't know maybe it's just me. We'll be right back..
"andy slavitt" Discussed on America Dissected with Abdul El-Sayed
"Millions of americans of the most basic right. One can have the right to health. We will not succeed until every child gets to clean air and drink clean water. Every senior has access to quality healthcare in her community. Every family can live in a safe healthy home. The work continues nevertheless happy. Juneteenth unhappy pride to you walk last week. The fda approved a new drug for alzheimer's disease called you held. Alzheimer's is a terrible disease stealing people's minds in their memories relationships and connections to the world around them it's critical that we keep pressing to produce medications that can slow or even reverse. Its course but the senate in clinical trials home at best reduce symptoms by a fraction of a point on an eighteen point. Scale this after biogen. Its manufacturer halted two trials that showed. It didn't work and then reviewed one with a fine tooth comb to come up. With this result the fda's own advisory panel voted almost unanimously. With one abstention approve it and yet the fda approved it anyway and then biogen set the price for a one year course at fifty six thousand dollars. Of course the drug could wind up singlehandedly. Tripling medicare's budget for injectable prescription drugs. Biogen is gaming the science and the public desperation for a breakthrough on alzheimer's disease to nickel and dime us all. That's it for today. If.
"andy slavitt" Discussed on Why Is This Happening? with Chris Hayes
"Lot of time on this i find the most useful way to look at it. Which is that you take. Take care of things here in the us and put aside the trump presidency. For a second. I don't think it's fair to do that. I think a lot of a lot of the sins visit those were visit us from the top but not all What did the thing to remember. About the pandemic greece's many many people suffered in continue to suffer but many people did quite well during the pandemic. There's a chapter by buck. Which i call the room service pandemic and it shows that there are a lot of people who lived on the side of the line where they getting amazon deliveries at groceries. Been working from home on zoom in relatively untouched but very very safe but fifty percent of the country in many th that varies by state a bit labeled essential workers so that big back can show up on time and piping hot and everybody from the person who's taking the food out of the ground to the person who's driving the truck to people in the meat distribution center to people in the grocery counter. I'll have to basically show up every day and do that. And so part of what i think is at least very distinctively in this country is divided so y and it's so easy to be if you're on the good side of the room service equation to protect yourself that they're very little incentive very little that for people to sacrifice even modestly Because many of the people that were dying and aphrodite are people that they don't know right and they don't know personally now they're they're the people that serve them but they don't know them and you know a modest amount of sacrifice took about a modest amount of sacrifice you wearing a mask or Or being careful to breathe around other people or have large events so that the things spread Something we're not in practice in this country you know other parts of the world. I think don't feel immune to the world's problems as much as we do here in the us. So i think that. I think it's a great important way to think about this in my first book. Trial deletes ted. Talk about this concept. I called social distance. Right which is like the more sort of unequal america gets and the more sorta social distancing sort of removed from the effects of of the maybe policies they implement. And you've got the class traffic asian and so the more that people are insulated from what's happening to one certain subsection. You even saw this early honor member. A state supreme court might have been in. Wisconsin said well right but if you take out the people in the meat packing plants like this is the level of community transmission. The state and it was like this perfect examples like well. The meat packing plant is in the state. Like you can't just say like well if you take out the beep back and glancing. That's where that's where. The outbreak is right shirt. Pick up the tribes the coda you take out the tribes of the meat packing plants. And why all the fuss right. But that's my point is an south dakota's a great example. Right south north dakota. It started in indigenous territories and meat packing plants. But it didn't stop there any grand pretty roughshod in those two states even outside of those populations and yet still i mean that was sort of what was remarkable to me because those were laboratory experiments have precisely this because it was clearly the case in those states it started the margins and worked its way to the core right in a social sense but even as it came closer and closer to the core. It was amazing to me how chill everyone seems to be beat about it. Well you know. It's interesting. And this. I think we can't get through without the a little bit about the role of the president and again i would. I would argue that. This is a democrat republican thing. Because i think a bit brandi president with a much closer response to a biden response than trump response. Yet i think to me the gold standard example is in ohio where left to his own devices. I think digital the end up facing his own a right wing you know tho- constitu insurgency right but if you just think three sins of the president that i would call out That we paid dearly for one is just as power of denial. You know we. We've learned he do quite early. That people were going to die and yet he went to bed every night. until the nba and the stock market forced his hand. He knew as early as anybody what was going to happen right. But his historic ability to just deny reality and convinced his followers to the dia reality was the play he he had the second thing he did. Which i think was very dangerous with alien that emerged in administration. He's squelched it. Whether it was dante or tony foudy or burks. People either fired or intimidated. Or and there's a passage of the book where there's a conversation that party to with reince priebus where they basically talk about their fatty of opinions. Basically saying this is our opinion. Now let's go find the expert. Ray will validate it and they did that with scott atlas and then the third thing that did it. I think this is the thing. That people around the world who i talked to. Who are believing these efforts. Have the most difficult time related. To which is he basically exploited the political divisions that exist in this country to make the mirror how he wanted people to behave around the public health crisis and never was more clear never was more clear then when he rolled out this big process of saying this is what it will take for us to open up and then saw protests in the state of michigan and minnesota incentives to famous tweets. Liberate minnesota remembering michigan the damp. They made this announcement and it was so incredible The people in the white house documents literally a by hearing this kennecott the lawyers and say what just happened here and Because they had done all of this analysis very carefully the president pup- stand behind it when the whole time he was winking at his at the crowd so i i don't know whether you know politics feels like it's inevitable and everything that goes on in this country right now. I would say that if we ever had a shot at having a less political event it would have been a global pandemic but we had a president that just felt very much his interest to exploit those divisions at that point. I think is an important one because it speaks to a larger point about. Who's who's the dog. And who's the dog walker and who's in control like the thing about trump people talk about like his incredible mind control the base but the thing is most terrified is getting on the wrong side of that base and he is as much finger in the wind with them as he is telling them what to believe. And you really saw it in that moment. That moment is a perfect example. They came out. You know convinced him. This was the plan. He unveiled the plan. And these protests happen and he doesn't he's terrified and the you know the other places hit on vaccines. i mean. there's a universe in which like he calls it the trump vaccine and he's out doing vaccine stuff all the time and he gets vaccinated in public. And you know he's occasionally done little stuff like that but he's so terrified of the bases contempt for the vaccine the vaccination that he won't actually really truly own it and get out there because he's a scared of them as anyone else's what a populist is i mean a popular frank. Is that driving ideas. Populist is right either. Good one ca fears and he had a lotta mechanisms for doing that. One of them of course was twitter. He would see how if he said at a message and he thought how rapidly people.
"andy slavitt" Discussed on America Dissected with Abdul El-Sayed
"There was a significant about a focus in announcement around this commitment. And we're going to need every bit of that commitment. I want to step back and come back to america for a second because so many of the problems that you worked on. During the obama administration became the backdrop for this pandemic i mean the pandemic demonstrated the inequity. And frankly the vulnerability of our healthcare system is fifteen million. People lost their health insurance within the first First quarter of this. We watched as millions of people were forced to choose between lives and livelihoods. And i think the administration credit a lot of the work has been around trying to seal the holes in the social safety net into rethink a lot of the paradigm about about poverty in this country and about what the economy ought to deliver for folks. And i think that's that's really important. I wonder if you were to go back to yourself in the obama administration and you could take this experience of this moment back with you. What would you have told yourself. Circa obama administration. Twenty tends or so sure. You know it's funny. There's a chapter in the book that is titled the room service pandemic in talks about this dichotomy between the fact that we labeled fifty percent of the people in this country as quote unquote essential workers and we had a number of people that were just find in protected at home safely ordering amazon ordering the door dash and then we had millions and millions and millions of people that were growing food distributing food packing warehouses distributing it delivering grocery stores. All of whom were at risk. So that quite frankly people wouldn't have to a bit of the luxury that they've grown accustomed to these are deep issues in our country that were on display for all who chose the attention to them. And we're willing to bring attention to them. This pandemic did not hit this country evenly. There were people who did quite well. During this pandemic pandemic and there are people that made billions and billions of dollars during this pandemic. This there was a there is another chapter in this book about the industry that evolved around this. What what we call the sort of free market approach to the pandemic. it's country took at times and that free market approach victimized safe to say hundreds of thousands of lives because we put certain things of the value people now. This is an issue that goes back as you generations generations within families generations in our country and generations within our policy community was only fifty years ago that we begin to a commitment to even provide care for elderly people low income people and step by step. We have moved closer and to a dream of taking better care people. But the truth of the matter is that whether you're talking about the pandemic or whether you're talking about The health of a mother who who's giving birth or diabetes or heart disease or sickle sickle cell. If you are black or you are a person of color you are getting a fireworks outcome and the healthcare system that was on display during the pandemic. But it wasn't pandemic specific. When i was in the administration. I made the health equity and made a position called director of health equity cabinet level position..
"andy slavitt" Discussed on America Dissected with Abdul El-Sayed
"In terms of whether i think there's something deeper going on you just came out and told us the ugliness of the situation and it was actually it actually things better. There was a real lesson for me. You know maybe a challenging question. I know that you're just coming off your service. What do you think is the biggest mistake of the biden era of covid nineteen. You know i think the thing that i. It's hard for me to really hard to read. Answer the questions because i sit here now at lunch yesterday with my son with by mask off doors in. It's just barely june. And i think many of us felt particularly when we came in january that we were going to be in the situation where we were going to be at this and struggling for a long long time. We have had only three hundred deaths yesterday. Two hundred fifty which is a very low level to where we've been so. I think you take issue with any individual decision. The nate insane boy. You can call it this way. You've got to call the dat way. You could give it a little more vaccine to the state you could have done you know. There's anyone over number of decisions that.
"andy slavitt" Discussed on America Dissected with Abdul El-Sayed
"In the fact that people were dying in the fact that This was damaging the country and he was the personal physician to do something about it. So that really put a lot of things by design on the states which was exactly where he wanted them on the nation's governors so a lot of a lot of the effort that had to go on Was to try to take states or not in a position where they have the budget or the staff or the expertise to fight a pandemic and put it squarely on their shoulders. And then you had this odd experience of going back and government to clean up the mess that you watched being made in real time. what did you find. What was it better or worse or just as bad as you thought it would be in. What were what was on your mind as you in. The team started to take on the work of trying to right the ship. And bring down this pandemic think. I was brought in precisely because i had dealt with a major crisis before from inside the government but also had a lot of experience outside of government in healthcare in the private sector and we had to act and move very quickly now. I think what we inherited was without getting too political about it. I think it's fair to say that the last administration really didn't view it as their accountability to deliver scenes in people's arms. I think they viewed as their accountability to manufacturer vaccines and send them out to states. But when we got there put yourself back into the. We were all january tenth twelfth thirteenth. And we're just getting up to speed and getting ready to go into the white house. Thousands of people a day were dying. Both people couldn't get a vaccine appointment. Most people didn't know if they were qualified. The people that were more than half of them for the wanted a vaccine because government had done a poor job of building trust and the vaccines that were getting to were being sent to states fewer than half of them were.
"andy slavitt" Discussed on America Dissected with Abdul El-Sayed
"Us perfect alright. The saw record our andy if you can introduce yourself for the tape yet. Hi andy slavic. What else can i tell you. Tell us about About your past work about about your book. yeah. I was just finishing up as the white house. Senior adviser covert response team and the bucks called preventable and it's about our experiences a country in the first year of covered it refunds. There are few people who've experienced this pandemic quite like andy slaven. A former obama official he had an insider's perspective on how the federal government to handling pandemic as it kicked off but of course he was on the outside and then all that changed when he joined. President biden's covid nineteen task force. He's written a new book. Preventable out today about the pandemic. Join me to talk about what he learned on both the inside and outside of the pandemic and what we need to do to prevent the next one. Your experience in healthcare is is interesting. 'cause you didn't come by healthcare on the usual path and this is also the service that you're coming off of on the biden administration. It's not your first rodeo. You served in the obama administration as the acting head of cms. What got you interested in health and healthcare you actually got into healthcare. A lot of people end up dude. Unfortunately which is a personal experience. In my case i had a roommate.
"andy slavitt" Discussed on America Dissected with Abdul El-Sayed
"Learn more about marguerite casey foundation and the freedom scholars online at casey grants dot org slash freedom scholars. American dissected is brought to you by made in my family and i recently moved into a new house. I'm a first-time homebuyer and it's been a lot of. I'll be honest with you. I'm taking today's ad copy from bellows of my closet because roofers currently hammering away putting new tile on the house as my family and i have settled into her new digs. We've realized that while many things will stay with us forever. Some definitely need an upgrade. Sorry i celebrated fifteen years and we've been using some of the same pots and pans since we got married through all of our searching for good cookware..
Top U.S. Health Official Calls for Follow-up Investigation Into Pandemic’s Origins
"As the White House celebrates Kobe vaccination rates at approximately fifty percent of the country there are still questions about how the pandemic got started White House coronavirus advisor Andy Slavitt says they need to get to the bottom of the origins of the pandemic pathogen he's calling on the World Health Organization and China to do more to provide definitive answers speculation continues into whether the virus jump from animals to humans or whether it could have escaped from a Chinese laboratory in Wuhan meanwhile Slavitt says they're getting closer to the vaccination goals twenty five states and the district of Columbia have fully vaccinated fifty percent or more of their adult population in nine states have recently crossed the threshold of seventy percent of adults with at least one shot I'm Jackie Quinn
White House Says 'Never Been Easier' to Get Vaccine
"A day after announcing half the nation's adult population is now with least partially vaccinated against covert nineteen the by the administration says it's hit another milestone folks have good news in a video message president Biden says all Americans sixteen and older are now eligible for vaccines for those who think it's still too hard to get one it is never been easier White House virus response advisory Andy Slavitt says more than ninety percent of Americans now live within five miles of a vaccination site but even as the administration tell to vaccination progress we still have an extraordinary amount of disease out there CDC cheaper shall Lansky warns new virus cases are still rising especially among the younger unvaccinated Americans Sager mag ani Washington
US Setting up $1.7B National Network to Track Virus Variants
"Andy Slavitt says. Even as the administration ramps up vaccination efforts, more dangerous variants are growing You says a $1.7 billion network using funds from the president's virus relief packages aimed at getting ahead of The variance. This funding will enable CDC and states to doom or genomic sequencing. The announcement comes as CDC chief or shovel, Lansky says the nation's seeing Maura virus cases nearly 70,000 new cases per day up from 53,004 weeks ago, she says hospitalizations and deaths are also up. Partly because of Aryan sand, partly because of relaxed restrictions on gatherings. SOCCER Megane Washington A member of the far right Oath Keepers group has agreed to plead guilty
US setting up $1.7B national network to track virus variants
"Administration says it's creating a national network to track Corona virus variants that could trigger another pandemic wave virus Response, advisor Andy Slavitt says Even as the administration ramps up vaccination efforts, more dangerous variants are growing, he says a $1.7 billion network using funds from the president's virus relief packages aimed Getting ahead of the variance. Its funding will enable CDC and states to do more genomic sequencing. The announcement comes as CDC chief or shovel, Lansky says the nation seeing Maura virus cases nearly 70,000 new cases per day up from 53,004 weeks ago, she says hospitalizations and deaths are also up. Partly because of variance and partly because of relaxed restrictions on gatherings.
Here's what the CDC says fully vaccinated people can do
"Health guidelines today. I think we we've begun to describe What the world looks like where we move beyond covert 19 Andy Slavitt with the White House Coronavirus response team says the new CDC guidelines allow people fully vaccinated to gather with other vaccinated people indoors without wearing a mask or social distancing. I'm Ed
Mass vaccine sites open in Atlanta, Indianapolis
"Covitz surge is still possible on Lisa Brady Fox News that warning today from World Health Organization officials as the White House pleads with states and citizens not to drop safety rules. I know the idea of relaxing mask wearing and getting back to everyday activities is a killing. You were not there and we have been we have seen this movie. Being before CDC director Dr will show well, Lansky says. When prevention measures like Mask mandates are rolled back cases go up even if the vaccine rollout continues. Senior covert advisor Andy Slavitt says two more mass vaccination sites will open Atlanta Falcons stadium in Georgia. And the Wolf Teen Center in Cleveland, Ohio, will turn into FEMA supported community vaccination sites with the capacity to deliver 6000 shots per day each. Indiana's first mass vaccination site open this morning at the Indianapolis Motor Speedway were governor Eric Holcomb got his shot while urging residents to just do it.
Los Angeles Sees Spike In Coronavirus Cases
"Did you see los angeles The the the town by town look at southern california and During this massive wave this massive spike in cases. Malibu pretty much untouched. Hollywood pretty much untouched. Look at selena's county carmel. They can't find an infection. Then you go in inland to salinas. And it's it's raining the lettuce pickers salinas and and so You know it's thing where it's like people who say well. I really barely know anybody kobe. Nineteen the memo but the people who pick your food and driver to this station in handed to the those are the people that are getting sick and dying and you may not know their first names but they're part of your life
"andy slavitt" Discussed on Stay Tuned with Preet
"We will. I am confident but there are more curve balls coming variants and whatnot. I'm pros prepare for them. It will be a matter of months and if we can beat those times because we will work every day to do that not to give the public the if everything goes right this is what happens but this is the current course so for example the johnson and johnson vaccine recording. This is not approved. I would say not yet approved so all of the dates that we've given the public about when things will happen don't account for a third vaccine being approved that's not built into sort of model of a predicting that that will some point at some point be available. It's it's built into some internal models but a separate building to what we've told the public in part you know. We've lived through a year of the of the white house of boston around the fda in a way that is caused people to lose trust and be questioned whether they wanna take a vaccine remember. Vaccines aren't what's important. Vaccinations are right. So we'll let the job and if they do and we'll baby. Surprise will have some good news and world report the impact of that good news but but you know waiting to the takes a certain amount of discipline and probably accusations which we are getting that well you guys are being too negative. Trump was to positive. You guys are being too negative. That's kind of some of the flavor of what we've gotten recently. Do you wanna share some of those internal models with our podcast audience. Yes i do if if if people promise not to tell not to tell well obviously obviously that was a that was a joke but this is something that i actually have not focused on and not appreciated so to the extent public officials like you and others say one a time line of x. Number of vaccinations by by why date if they're suddenly good news even if that good news has been reported about. We just don't know the time certain. I'm just want to be very clear about what you're saying. Like the johnson and johnson vaccine or some other development. I don't know what some of those elements might be. You will come out and change the public model and that change could be significant for the better so it's having already preet When we first got here As hard as despite being fee to believe the country hadn't yet purchased enough vaccine for every adult in the country so one of the first things biden directed us to do is go purchase enough axioms for every adult in america. And we did that. And we ask. I schedule Which was which was consistent schedule that they've given the old team without a lot of the work we had done. And i said we will have enough vaccine for the rest of the country by the end of the summer and people didn't like that but it was the truth now in the intervening three weeks. We did a lot of work with the vaccine manufacturers. Lot of work. All up and down the distribution change us defense production act. We've done we did a number of other things and last week the president came out and said we will now have enough vaccines for everybody in country by the end of july and again that's without the johnson and johnson mixing so moving a date up people generally tend not to be upset with you and see under the under promise over deliver right getting people to trust again. Feels curious what you think. I believe getting people to trust again. They're getting the straight story that they're getting straight information that they're getting facts Good or bad note. Not tipping the scales. Either positively or negatively but. Being very clear as i've said you know the end of july. That doesn't for johnson and johnson. So we're very clear and then things change we'll say it and should things get worse. Should we have a negative surprise. We're also going to have to do the same thing. I think that public trust keys is so essential us being able to do this right and get through it as quickly as possible. Yeah i think think. It's of central importance on a variety of fronts. It's important that people have faith that their government is helping and then when you want the public to do particular things that's where it's most important right. You want to wear masks. You want them to wear two masks. You want to wear masks. They've been vaccinated. You want them to take the vaccine. You want them to come back for the second you know. So trust the information. The government is giving. I can't think of anything more important. If we're actually going to get to the end of the road here you said something a few minutes ago that struck me and you said you know something that's very basic and then i've talked about all the time and people talk about in leadership discussions and that is the tone at the top matters and there's a particular tone at the top when the top was occupied by donald trump. And as you were saying that. I was going to ask you. What does that mean for. Somebody like dr fauci under the prior administration. And then you anticipated that and said even i presume referring to among other people anthony vouching you said it even affected how good people did their jobs. What what did you mean by that. In the particular case of dr fauci dr pouches should be able to say what he means in as few words as possible and when he has to figure out how to say it in a way. That doesn't upset. The president is message guitar guitar piece today in one could see him making the effort to bridge almost impossible. Divide of saying what he believed..
Four New Federally Backed Vaccination Sites Are Being Set Up Around Florida
"Florida. Those sites will be located in Miami, Tam But Orlando and Jacksonville White House covered 19 response team, Andy Slavitt says crews are wasting no time. The federal government will be deploying teams immediately to work hand in hand with state and local jurisdictions to get these sights set up. The site will be open daily from 7 A.m. to 7 P.m. seven days a week with Florida's news I'm June night from the Florida
Extreme Winter Weather Creates Backlog Of 6 Million Vaccine Doses
"Extreme winter weather all over the country is dealing the bide administration's Corona virus vaccine roll out its first big setback from Texas to New England. Snow ice and cold temperatures have forced many vaccination sites too close and held up shot. Shipman's We have a backlog of About six million doses roughly three days worth of delayed shipments. White House virus Response advisor Andy Slavitt expects the backlog to be cleared within a week, and once it is, he says, sites will have to work overtime to make up lost
Biden Strikes $230M Deal for At-Home Coronavirus Testing Kits
"Biden administration is awarding $230 million in funding to allude health for at home coronavirus testing kits. Here's covert task force advisor Andy Slavitt. These are over the counter. Self performed test kids. They can detect coverted. With roughly 95% accuracy within 15 minutes. He says the funding will allow a loom to manufacture 19 million test kits per month. By the end of the year. The company has guaranteed over eight million of those tests for the U. S government. This is the first over the counter at home covert test to be approved by the Food and Drug Administration. The nasal swab test allows users to put the sample into a digital analyzer that will send results to your smartphone in 15 minutes.
COVID-19: The White House keeps the focus on science
"It outlines next steps in this pandemic response by the administration is starting briefings with public health experts and the scientist will speak independently. Virus response, Team advisor Andy Slavitt joined in a virtual news conference by new CDC chief Rochelle Walensky, whose agency is projecting Stunning death toll 479,000 to 514,000 covered 19 deaths within reported and by February, 20th 2021 up from 425,000. Now, Dr Anthony Fauci says there is reason to worry about the effect on existing vaccines from virus variants. Particularly one from South Africa. But he says adjustments can be made saga room agony. Washington A new
"andy slavitt" Discussed on In the Bubble with Andy Slavitt
"Voice I'm sorry oxygen breathing. As he was doing this I yield. Something I can't remember what I said to yield something and he reached out caught the rail swung around slammed into it on the other side. And then land on that. Little bitty pipe. Now the court that I've turned my cell phone is the only place on the bridge that has that foreign court there pick any of the place in an have that court. I thought he was gone I thought we lost him. He jumped too hard to hide everything, but he managed to there. So as a ran up I saw the white t shirt through the slots in the bridge. Wow be still here. So step back and went into my routine. Here we go. Hey I'm Kevin is right if I come up and talk with you for a while. Not at all, he was mad as hell he was mad. You know this choice is deadly trying to get my attention and I'm yelling him like the next ten minutes to stay back because if you get any closer, I'm telling him, I'm Gonna I'm GonNa just near smack because it's not a big nose I'm on another side of rolling behind me is Waterton that's it. He kept screaming at me don't come one step closer. If you come one step closer, I'm jumping don't even try to come one step closer to us just furious. So. I. Stayed where I was a good at least ten feet away. But. With all the noise, it's difficult to talk there. So, you almost have to yell none of this is conducive to good conversation but. I kept on him and saying you know what? Hey I'm not. Going to touch you, I'm not GonNa, grab you just want to come up and talk my name's Kevin Can I get your name. And he didn't tell me for a bit but then it came up with it allowed me to use his first name. A cab I just want to chat with you man of promise on agonize what's been going on. After, he tried to get my attention one last time something inside me say, why do you? Not to him but on inside of because, it's not like he was like like making me feel like I was stupid, I? I was making myself like I was stupid because I was on this bridge I'm two, hundred, twenty, three to air I'm freezing cold I hate I hate being cold it's like I hate myself for myself in this position like is this like all I wanna do is get out of pain and I made myself myself in an even worse situation. Let my guard down a long enough to where he was able to get close enough for me to where we start having a conversation. We wanted to talk. A. So. I just. Let him speak at through a few questions here and there but really he kind of. In A life story that was very tragic. Clearly. I started as a five and I worked myself up to age twenty two and you know I got all these things my chest. He was adopted. His birth mother gave him up in one anything to do with him. I talked about everything that I want my mom everything I wanted to my doctor dad everything I want to my biological mom biological dad everything that I want to tell the world I told you in a mountain day on allege. He's just sat there and he just listened. When he got out of high school. He thought you know what? If I start a family maybe things will get better. So he started a family after some time. At a child, but his child was born premature by a couple of months. Like literally. Hand and Harvey born early is this. That is where six weeks her being in the hospitals were pretty much. Because I didn't have the type of job could bits I had to go to work every time I left I didn't know if she's going to be alive when I came back I mean that's the. Anxiety. I had. So. Now, his thought what did I do to cause harm to this family to this child Couldn't wrap head around it he did this in his mind I blame myself. I had nobody else to play. Tell me why you came out early. So you're just taking on all that it was just too much. This baby had to stay in the hospital a couple of months, but when she was able to come home, so did a bill bill racked up to? Two hundred, fifty, thousand dollars. On top of all this, just lost his job. And that you know between the Doctor Bill and losing my job that's that was the trigger. Hours done. So in his mind, he's a burden to his family. He can't take care of his family and top everything else he's had enough. When a next ninety, two minutes like he literally sat there and listened to me by. Those minutes and he never made me feel like I was rushing like I was on his. Are always taking too long. He made me feel like if it's nine ten hours. Twenty, four hours. If it's a ten days, he was going to sit there and he was gonNA listen. So as he spoke to me all this time and ask a couple of questions and we would take some breaks not allowed to think. I'm thinking what could I give this guy? What kind of hope what the ray of sunshine could I offer this man to get him to come back over and want to live. The biggest thing that we spoke about was child. So I kind of focused on that. I'll tell me about it. How tall is she? How old is she would have she liked what she disliked and then I asked him, how do you think she's GonNa feel if you were gone. If you jump today not how could you do this to your child but how do you think she's GonNa feel and also do you know that if you go today she has a much greater chance of suicide herself of losing her life and it's true. He reminded me now I need to beat there for first birthday. First Birthday was April. Six, two, thousand, five I wanted to bridge March Lebanon. I wouldn't have been lying I out at mystic. and asked woody clamped onto because every motion when I talked about her, that's I. Know He listened to me. Like that's what got me over the Ledge and truth be told I was gonNA bring me back like how I feel like being as a failure as a father. A step back about ten feet give him some time to think about things. And and I'm watching it and I know if he starts looking down at the water, that's a bad sign but he didn't he kind of looked down, he kept facing in the majority of the time facing the bridge. I'm still trying to think of what I could say you know something if our, what do you think about today man? You know I know it's tough I. Know you had a tough time. But at least you'll have the opportunity to work on these things. You know what I was about to say, but he looked up and he said. I WANNA come. Back. Over today. I came up I finally got enough you most. Immediately Nope Amar Up. It was two officers officer. Briggs was another officer Britt and creating any kind of raised me up in our. Reporters it air pitchers would be taken. I didn't know why. And when he came back over I congratulated him. You could see in their eyes it's it's really fascinating because it looks almost like a baby's is. A lot of hope but there's like a scared took also like okay I'm here what now? But I asked him, what did I do? That was good that really help the situation that I do that wasn't so good because like I said I wanNA learn off every single one and he thought about it for a second. And he said. You listened you let me speak and you listened. Sergeant. Saved my life Kevin break saying my life. That's what I was talking to I want to talk to a first responder. That's why I never looked up on my hair stay down the whole time that whole entire ordeal I never knew. He was why I never knew he was always tell people all the time I'm open California I'm glad. That conversation would have been totally different had album is look no problems because my idea of of law enforcement before.
"andy slavitt" Discussed on In the Bubble with Andy Slavitt
"When I should this hand me about about a milliseconds a know why and how say my life I knew it adds me him. Passing Essay. Means that he has a story, his own story of his life. and. That's what say these because he uses the things that he'd been doing his own life wasn't about that. We've come from two different worlds at he was a common I was on the other side. I. Rarely he was it was that our human and I was a knee I was in search of what he had. This is Kevin. Bertha talking about the day he drove to the Golden Gate Bridge. With the intention of ending his life. And there he encountered a man in uniform. A benevolent stranger also named Kevin we'll get into that.
"andy slavitt" Discussed on In the Bubble with Andy Slavitt
"It's Stephanie Mills Wax from Lemonade Media. Our motto over here is humanity unfiltered, which means we are taking all the ugliness life throws at you and turning it into something meaningful. To that end today, we launched season two of our award winning podcast last day I, actually host the show and the first season, which you can stream now is all about the opioid crisis and how it's affected. So many of us including my own family. But I am here today to tell you about season two, which is a deep dive into mental health and how we can reduce the rising rate of suicide in this country. I know I know that is a very heavy topic but I can promise you a new conversation one that's more thoughtful and multidimensional than the one more typically offered in media and headlines. And most importantly a quest for progress, we can make a change and we'll be doing it together with the same humor and humanity you've come to expect from women podcasts. Over the course of the season we will zoom in on a variety of last days some that end tragically and others that have become powerful testaments survival. Asking everyone along the way. How did we get here and what could we have done differently If you or someone you love has ever felt hopeless or struggled emotionally. This is the show for you. Last Day, season two is out. Now here's a clip of our very first episode. If you want to hear more, be sure to subscribe to last day wherever you get your podcasts. We've worked hard to ensure that our storytelling around suicide is as safe as possible but we can't address this issue by tiptoeing around it instead of warning who should and shouldn't listen before each episode we want to encourage you to press pause if and when you need to take some deep breaths, go for a walk watch some cute puppy videos. We've even included some quick exercises you can do if you're feeling overwhelmed on our resource page, www dot jed cares dot org slash last day. Take care of yourself. We will be here when you're ready to press play..
Could Trump push a vaccine through before election day?
"Just wrote an article or a informed policy that about the vaccines and about whether we can trust them or not. If one comes out before the election and can we can we? Trust vaccine that comes out say but what would be a good date November I. That's their target date November I. That is not that the trump administration instructed the CDC to instruct every single governor in the United States and territories to be ready for mass distribution and to by October I have. SENT CDC their Master Plan for how they will vaccinate their population for approval, and then actually it out courtesy of a private contracting firm called mckesson on November first. But we saw a real blowback from political leaders and of course, the public generally and the public health community saying wait a second. How in the world? Can you imagine that you're GonNa, have a safe proven effective vaccine in the next fifty plus days. that's just inconceivable and nine major vaccine makers jointly released a statement promising the world that they will not go along with being shoved out the door hastily and that they will indeed do adequate safety and so on, and then Astra Zeneca which had the most promising vaccine. Let it be known that they're stopping their trial temporarily because they've seen a side effect in one of the trial participants will stop and just say ask you how many vaccines are in the research. Pipeline. Well, if you count the ones that are rather dubious from places like Russia and you put them all in the pile, it's close to two hundred are in the pipeline worldwide. There are. Basically, ten leading contenders that the United States government is looking at most of them are made in America, but there's also Astra Zeneca made in in in the UK and a joint American German product that is probably at the front of the line right now jointly made by Pfizer and a German company. There are many many many products out there all in various stages of testing all the way from just in the Lavatory to already in thirty thousand trial subjects in phase three trials
Ex-Officials Call for $46 Billion for Tracing, Isolating in Next Coronavirus Package
"Two former federal health officials are spearheading a call for forty six billion dollar public health investment in the next wave of emergency coronavirus relief here's NPR's Frank or Dhoni as Scott Gottlieb president trump's former FDA chief any Andy Slavitt healthcare guru in the Obama administration have joined forces they want Congress to invest more in the public health fight in an interview on NPR's morning edition Slavitt said their plan will not eliminate the crisis we're going through now the vehicle of a forest fire what we want to get to the position where we have a series of small campfires and every time one open we can we can put it out and not have broken into a forest fire specifically they say more people are needed to help track down exposed individuals and money to pay for hotels so the infected can self isolate Franco or down yes NPR
"andy slavitt" Discussed on Alyssa Milano: Sorry Not Sorry
"And we have to do is have the commitment to going back and fixing fixing fixing it until we get it right and I know that everybody would like to be a simple answer. Yeah it should it be Medicare for all. Should it be? Should it be that whatever we choose all of them are fine? All of them have a series of dozens of other decisions that need to be made in order to make them work and we need to get at it but it seems like where we are now. The medical supply chain is not even equipped to handle this crisis. We're talking about like before simple things that trump could have done or could be doing right now. Why do you think the president has not made stronger use of the Defense Production Act? I think he doesn't WanNa be seen to be bossing businesses around and the only cases where he'll do it is if they show him up and make him look bad because I think he relates to business relates to big business. The supply chain issues which could come to bear now are in some part based on the fact that you can't build everything for every situation so you can't have an unlimited number of things sitting around hospital beds nurses who aren't doing anything every day just sort of sitting around. You GotTa have some contingency planning resources far more than we had but part of the consequence of the US being late to this. I you getting on it. In March. Instead of January or February is the other countries that saw this coming darted to buy up the supplies in the supply. Chain earlier right. And there's only so many of everything in the world and we're competing with every other country and now he's competing with each other because the federal government can't put any sort of process in place and that's what happens in a crisis and a crisis when there's a shortage prices bid up there becomes a black market and the only way to end that black market is to be much more transparent with who has what and much more demanding of information and then to produce more using the defense production act and the stuff that we've seen him take do the right thing and the Defense Production Act. They're always like a week to ten days after like everybody else knows he should be doing them. And there's this grand dance. We have to go through to get him to make the decisions that are obvious. That's so on those days. And then those do they believe in a lot of things we lose more than ten days right because growing exponentially in ten days you lose thousands. Yeah I mean if we get to the point where we're losing thousands of people at day. Ten days is catastrophic. I also think that we're getting into this really dangerous. Plays this paying too much attention to the numbers and not really realizing that. Each group of numbers consist of an individual who had a family and people that love them and when we look at the numbers we lose sight of the humanity of. What's happening right now and so I really want everyone when we start to hit this apex and we are trying to steal ourselves because the numbers are just such that we can't wrap our heads around it. I want everyone to remember that each one of those digits is a human being with a story and people that loved them. And that's the real tragedy and all of this there's a truism that one that is easier to more than a hundred thousand because we do not to think about one hundred thousand deaths and so things like Boris Johnson which on the day of our recording four shots and was just put into the intensive care unit on the data. That comes out of date people listening to this. I don't know what that status will be the same in as much more powerful reminders. When people who are well known get this because it feels more real people but thinking about the fact that every one of these people. It's somebody's mom. Somebody's dad somebody's brother. Somebody's sister and look sadly Elissa. Many of US already know somebody who died from current. Oh virus but many of us know several people and if you don't quite possible I hope it doesn't happen but it's quite possible that you will and there's certain people in this country who will get it no matter what there are certain people in this country will only get it. What happens to them or someone they love because it will become much more visceral little become much more real and sadly. I think that's going to be part of the common experience. For many many many Americans and in the middle of all of this we have the primary elections underway now in in a general election. Coming up in November. Do you think that we're going to be able to vote safely? Come November working due to allow everybody to vote from home as a precautionary measure. I think one way or the other. We're going to have to have this election. We're going to have to figure out the best ways to do it. And you know we already are dealing with an administration that is in favor of everybody voting and a president who probably is unlikely to sign a bill that expanded voting rights and capabilities and opportunities right. It's really really really important that we figure out how to help people vote safely. It's really important that we that everybody steps up invo. It's this year I mean we have a terrible track record of this and given that we may be in a situation where it doesn't feel safe for seniors who are the largest demographic of voters to vote. Then if you are able to vote then you gotta boat. I mean you have. Two people can go to vote dot Gov to check their registration status but also find out more information on how they can request an absentee ballot..
"andy slavitt" Discussed on The Al Franken Podcast
"Encourage people blue app because we do have a shortage. That's right now. They're they're. They're specialists and make a lot of money there. There are many many other types of institutions from hospitals nursing homes to you know to rehab facilities and and everybody else <hes> and you know a lot of them are very inefficient. Some of them are left to however the only game in town in the small town that they're in and they're just getting by a hanging by a thread so this is a very diverse country with a lot of different situations. The city planning analogy may not be perfect but it's important that we get these details right we get the payments to providers right we figure out how to do this in a way that encourages the kinds of physicians and healthcare professionals that we want the rewards people who are taking care of people and keeping them healthy that we don't do anything <hes> that causes people people to lose access to care because we stop <hes> hospitals in whether it's inner cities or in rural communities being able to get by and we have to start to ask those questions at the detailed level of these plans and in many respects those are the details that are probably too much for a primary but it brings me back again to to the overall point that there are a lot of details to work out. Let's make sure as democratic candidates. You don't lose sight of the fact that you don't get to deal with those details if the current president wins again the current president wins again. You have a situation that will look a lot like everybody's worst fears in my opinion opinion well. I think that's a great summary of where we are now or at least our viewpoint of it. I would like to see in the debates going forward. I still think each candidate is entitled to talk about what she or he wants to talk. Talk about of course of course and <hes> to try to win but we also need to remind people what the contrast is and the contrast is. This is a good contrast. This says where you're running against someone who is very underwater in terms of the american public and for very very very good reason right look the battleground states as we know them today wisconsin michigan pennsylvania north carolina <hes> minnesota minnesota florida these are places where the president's healthcare record is extremely unpopular <hes> in in fact a generic democrat on healthcare even in areas that are favorable to trump generally in those battleground states democrats are nine points more favorable than trump on healthcare and running on health that healthcare record reminding people of what the last two and a half years have been unlike while trump will say pretty much in the debates we can assume he'll say whatever he wants but at least people be fact checking him and they'll make a big difference silly they'll be fact checking him but if he characterizes the you know what he thinks healthcare the healthcare debate is about the democrats democrats need to be very clear in my view very strong in their view does that the general election is about trump's record versus what what therefore which which i think will not be this debate about those intricate four questions about how people are getting paid whether or not an employer cantor can't offer coverage wjr though those questions will be not the right questions to focus on <hes> if they indeed wanna win and in fact indeed want to govern successfully so i think we both agree that that these are fine distinctions to make as long as they keep it in check and keep some oxygen for the fact that the country is rapidly and scared in a very scary way taking healthcare coverage away from millions of people and again. This is just our opinion you you were head of medicare medicaid for the obama administration for the last part of that and saved. Let's face ace it <hes> the and the the obama presidency well that i don't know if you've saved the presidency but i i do think that it's given me opportunity to voice my opinion publicly and i would say <hes> that like you. I am very much looking forward it to voting for the candidate for any one of them everyone anyone anyone. I think i might had a made news there anyway but for any of them okay there you have it. <hes> thank thank you <hes> return guests for the first time. Thanks for having me back back. Okay keep listening everybody <hes> this says <hes> al franken al franken..
"andy slavitt" Discussed on The Al Franken Podcast
"And is it turns out. Everybody's better off when you do that when you do that intelligently and so there's no question people's <hes> animosity that the private sector is well earned by the private sector and in israel and i'd also say twenty eighteen with a first danton the armor to say that voters and grassroots actually matters more at the end of the day eh than the money and politics but there is still an overwhelming influence of money and politics and there's no love lost between the american public and these these companies so. I don't think it's actually that anybody on that. Stage is fearful of insurance companies or pharmaceutical companies or special interests <hes> <hes> i wouldn't say that as a blanket statement but i would say as a rule i think those guys are losing power pretty rapidly what i think they're scared of and why they would say <hes> <hes> maybe i shouldn't rush into an of getting rid of the option that people can buy employer-based coverage or some private sector coverage is because the reality is you've got one hundred fifty million people today who are employed to whom their employer pays seventy percent of their coverage and they fear that if they take take that away that they're not going to see that money now at the same time new jobs that are created today in the new economy most of them don't come with health benefits fits. Most of the new jobs are <hes> very very different today than they were when those jobs were put together so we can't stand pat. Nobody wants is interesting avenue. This is completely off topic and i'll get through right away. The yang talked about a._i. And you know five years ten years from now we're gonna be. Who's that guy talking about a._i. Because boy was he right. We're not going to need truck drivers as certain point or anywhere near as many well. We're going to need more therapists. We're gonna have to start training people for you know other kinds of jobs yeah the human side okay so let's talk about how many candidates have a very specific plan for healthcare. How may have served just in general parameters. I'd say that there are four or five of them that have released their own unique plans with their own unique features all of them though all of the people on both stages have declared one way or the other what they support when it comes to covering everybody so it's real easy to know that they all want to cover everybody but a few of them sanders harris michael bennett <hes> joe biden <hes> have released their own plans may be missing one one or two and then there's a few more that are going to release some that are working on <hes>. Some of the unique plans included judge them right. I'm wondering is basically going to be public. Public option with <hes> repeat says is medicare for all the one at and that is another way of saying the public option option. Let's talk by harris because that's i guess the most recent and also it has some features to it that i'd like to look at <hes> like a ten year transition now. I think you've been saying all along the creating a single pair and her thing isn't single payer's is medicare for all either through government medicare program or a private sector medicare provider. I think okay right by people have now like people now but the ten year window you've been saying this is much more complicated indicated to go from the healthcare system. We have now to a single payer system. You compare it more to city planning thing then just flipping a switch right. That's right what we're about ten years out from when the e._c._a. Was passed and there was a five year window before it was mostly implemented <hes> i would tell you that it's it's very very hard. It's not necessarily that we need five years or ten years ears <hes> but i think the idea of saying we're going to do certain things in stages. <hes> makes a certain amount of sense. What is what is important. Though as she begins many of the changes immediately she doesn't wait ten years to make coverage available to everyone just and i i don't think the listener has to think hard through each one of these but the kind of choices you would have to make when you're setting setting up a single payer plan what would you this is the city planning analogy got. I'll give you four big decisions that you really need to make any plan you choose <hes> and assuming in all these plans you're going to cover everybody with his high quality care as possible for as low cost as possible awesome. That's the aim you gotta make decisions. The first is how do you pay hospitals and doctors and that's important because if you pay see them what the medicare program pays them today and they no longer able to receive the payments that they get from commercial insurance companies they would make a lot l._s. and that would have implications for the availability of care for people going into medicine for for those sort when we saw the republican plan and <hes> seventeen eighteen they were gonna essentially get rid of medicaid expansion which freaked out everybody in rural minnesota right in rural america and america because when we did the a._c._a. We expanded medicaid and that meant for rural hospitals goals they would get paid when someone came in the emergency room instead of someone that had no insurance the uncompensated care and because of all the compensated care they were able to get more doctors. Get more nurses get more technicians. Better machines get better food all of that right and became the highest employer in the county case. That's right and in states that didn't expand medicaid. It's been a disaster for hospitals. There's just a report. It just came out on that. There's no question we have to control costs but how we pay providers is important and it's not just a level or the amount we pay providers. It's what do we pay them for. Is there an opportunity to pay them based upon the outcomes that they achieve how good a job they do keeping people healthy. There's a whole set of questions that are there under that under that question the second question that has to be entered as what is the patient responsibility from a financial perspective. What should it be sanders. Sanders would say it should be zero. No co pays no deductibles which obviously sounds attractive to people you know the republican ideal is that they have a ten in two thousand dollars deductible and you give people a spending account for those that have enough money to invest their money in and save. It's not my fault that they ate terribly the and drank all the time and you know we're lazy well. Is it your fault that you're born with health with a heart defect right. You can't blame you can't blame kids at the very least and that's an these plans that have that have really discriminate in that direction so what what is there in between what sanders is where this sort of republican nirvana is is. There's a lot for one. I believe that deductibles are really not necessary. Deductible officials say if you get sick in january. It's gonna cost you a lot more than if you get sick in december and it doesn't seem to make i don't get that because every year your your plan starts over january first alright deductible and so the first is on but there but there are sensible ways of saying that there should be some amount of responsibility ability borne by individuals based on their income the you know there's a lot of studies out which say you know if if as long as people are paying less at the end of the day less than seven or eight percent senator income if they make over one hundred hundred fifty thousand two hundred thousand dollars in medical expenses that it's affordable and so there's some affordability criteria for for individuals and you know there are things that are if you go to the emergency room. Maybe you should have gone to you could have gone to the urgent care clinic. Maybe it should cost you a little bit more. There's a lot of different room to maneuver and i'm not i'm not advocating as much as i'm saying what are the four types of decisions that need to the second one is. How do you think about what amount that an individual family has to pay and i think all of the democratic candidates would say it should be income graded and people with low and fixed incomes should pay nothing very very very little and then above that <hes> there should be some <hes> some some amount that that can be figured in the third medicare does which medicare does breath the third question is what should be the role of the employer providing coverage if they want to provide coverage should they have to will they be allowed to ooh right. Should they be forced to <hes> which is which is an employer mandate <hes> should they enforced to above a certain size. How do you create equality between people who don't don't work for a regular don't work. People aren't a lot of people working for general electric or ford motor anymore. How do you make sure that people who work for the company or work doc on farms <hes> or work multiple jobs are driving uber get treated exactly the same way as someone from a large employer and right now the tax system mm-hmm gives a big benefit to people who get their insurance through their employer and if a simpler gets to implore gets deducted so we have we'd spent two ended discount discount world war two where the system all the origins and the railroads in world war two and kaiser permanent day was kind of how the employer lawyer piece started but this deduction you point to it's really interesting. It's not a small amount of money. We taxpayers spend we spend two hundred fifty billion dollars a year on allowing employers to give tax free insurance to their employees and we don't spend it on people we don't give the same tax tax break to everybody who gets insurance on their own and so given that most jobs these days my kids jobs and every you know all all of our younger generations that are growing up are are not necessarily going to get access to that tax break. It really is a tax break for people were fortunate enough to work for these large companies. We have to figure out how to address that fairly and one person's version and sanders version that means doing away with the employer system in a of insurance entirely <hes> in some other people system that means gradually moving away from it that's kind of where harris and in some people's version like biden's it means employer wants to do this and make it a benefit of working there and they do pay for a large part of your coverage. Let's let's let them do that and the another wrinkle that ryan brought up union unions unions trade off salary salary or pay for healthcare right and so it look it's not as if these details don't matter to the public they do matter to the public but again the the the end of the day they're all different ways of accomplishing the same thing and furthermore to your point. The senate and the house are not going going to give the president exactly what their plan look like. They're going to give them what they think makes sense. I told you there were four without trying it out. I'll give you the the fourth decision is is <hes> what should be the role of private insurance and the private sector and this is not a yes or no answer because in some cases in some countries the insurance is used as a supplement and some cases. It's used as a substitute in some cases. It's used to provide things above love basic level in some cases. It's used as an alternative in very few cases that i can think of is almost no role for the private sector. Even in canada ended a in the united kingdom where you have a very prominent government system. There are a lot of people if they want to get something from <hes> the private sector and so and usually it's through their employer right but there's a point here that standards makes and others make that's important to address which is about the inefficiency of having many many many many different health plans who all send a claim forms to their <hes> <hes> doctors different ways in all do things differently and they don't share data and they have higher administrative costs. How do you make healthcare system more efficient. How do you deal with unnecessary users prophets and so forth and again the answer could be anything from do away with them entirely to regulate the hell out of them. Which is i think along. The lines of the medical loss ratio. We talked about earlier out or <hes> or or or something but that's an issue that needs to be addressed. You know when you you a run last time when you did this last time you talked a lot about physicians burning out and i think that these insurance forms are part of that right right now. There are two things remember a few thing about how physician would do under medicare for all plan if they were all reimbursed only at the medicare rate they'll be getting being paid a lot less money now to compensate for that at least somewhat <hes> it might be easier and they would certainly make their job more satisfying <hes> if they didn't have to deal with all the insurance forms and regulations but there's also an income effect as well that we can forget right yeah because you think of doctors. There's a lot of doctors making a lot of money and this would if the government ran this you become a doctor for a different reason. I would think yeah well well. I think we should think about doctors and a few different categories. <hes> you know there's primary care doctors and mental health professionals and people in that nature whose job the object is to keep people healthy and they don't get paid nearly enough as it is. Most of. 'em and there's not nearly enough of them. There's not nearly enough right. I'm in the places that need them and so you wouldn't do anything in good policy to discourage primary care doctors family medicine physicians in fact. We've been trying to find ways of mike paying off loans and all that kind of stuff to.
"andy slavitt" Discussed on The Al Franken Podcast
"Really caring for people in this country for too long you know the <hes> pharmaceutical sector makes sixty nine billion dollars in profits last year <hes> and they charge ten times for insulin or close to ten times for insulin what what's charge in other countries entries and just in general at last time your hair you say europe pays about thirty to forty percent of what we do right for farmers great good good example. It costs about fifteen dollars to produce a vial of insulin. If you're being generous about actually you could produce and this is something that's been around for how long insulin but around on forever and in nineteen ninety six that fifteen dollar violet insulin sold for about fifteen dollars costs a little bit less to make it than in the u._s. Today that fifteen dollar bible of insulin if you were to take inflation and just grow inflation approximately you'd get to thirty nine dollars and thirty nine dollars is what you can buy insulin foreign canada that same exact vial of insulin from the same factor in the u._s. cost two hundred and forty dollars and that is causing causing people to ration their own insulin and there's been deaths and the pharmaceutical industry spends about four hundred million dollars a year just from one lobby to prevent any progress in bringing the the cost of drugs down. There is a lot of anger appropriately for the fact that our system caters to the private sector at the expense of real people. I think the sanders sanders supporters are calling more attention to this and better than anybody has in the past with they're asking for for is something that really reshapes a how that works now he is using the brand for this is medicare for all other people bull and this is where it starts get confusing also saying their plan has medicare for all so maybe a ticket step back and say what is medicare so medicare is a program passed passed in nineteen sixty five and it covers two groups of people people over sixty five and people living with disabilities. It has a very antiquated benefit. That's called party in part b. and part d that covers hospital stays and it covers doctor visits covers some drugs if you buy the party what bernie sanders is offering really doesn't look a lot like that for one. It doesn't have a party party and party structure. It creates a different set of benefits that look more like the a._c._a. A._c._a. Secondly medicare uses something called the medicare trust fund which is a bunch of money. That's been reserved to pay for medicare claims he's not talking about tapping typing into that <hes> necessarily and this comes from just income tax revenue it it comes from payroll tax <hes> okay yep okay specific diffic- line item on your payroll tax. That's what it does now yes his would would come out of the general fund of frederick that's right so any document raising taxes on the wealthy and a couple of other things to to try to compensate so would he also said they'll be a tax increase for middle class but their healthcare will be free. You know <hes>. I don't see where like elizabeth warren was asked a few times in that debate will the middle class people be paying more on their taxes and she said they'll be less out of pocket for them right. I'd like to see the math on that. <hes> for some people it might be less out of pocket. <hes> at the same income thinks. Let's say somebody just doesn't is young doesn't get sick right and and that's fine. I'm trying to make a very simple point which is for all your helping me. Make it and maybe i have made well but my point is the medicare for all isn't like the current medicare program really the only thing about it that re- that references medicare is it pays a network work it would pay in a very similar way to medicare but it is it is medicare is a is a word choice at the brand choice that sanders and others have chosen into us but it's not the medicare program. The reason that is in my opinion is because medicare is an extremely popular program. It has about eighty eight percent sent popularity what it means to people's a guarantee when you're sixty five. You're guaranteed right but medicare program today. It's as about a two-thirds public sector one-third private sector so it went it implies to people that it only comes from the government <hes> that's actually not how medicare works today and and so when other people say as you heard senator harris in the debate say the cheese in favor of medicare for all but she would include an option for that to be provided by the private sector or the public sector depending on people's choices and she is chain sure stance a little bit on that from the beginning of the candidate the word would be clarified. Yes okay yes. Yes i think she i think she has said she's for medicare for all and i think to be fair to her. She said <hes> this is what i mean by it. I think she was a little bit <hes> while she was asked yes shoot women ate all private insurance and she raised her hand and she said yes no right. She said yes and then the next day she said no. <hes> that's what i consider changing finishing. Yes definite right right and i look. I think these are complicated. Issues complicated questions but the most important point is like they'd be sure but i i see the distinctions that are meaningful however for most americans. What do they want. They want it to work that means that someone in their family gets sick. They wanna be able to afford to take care of them and they don't really necessarily care how it works. As much as that it works they just don't want anybody. Whether it's the president of the united states congress their insurance companies fine print to be able to take something away from them at a moment of need what but i would say is all of the democratic candidates want that there are distinctions that matter and that could certainly cause you wanna say candidate better than kennedy in this position position however those distinctions are so fine in my opinion relative to where where trump is that we we. This is where we are losing the plot and i think we'd be wiser to say. We all want the same thing. We are arguing over how to get there not to take anything away from those distinctions but by god. This is a position that in the main that's going to be determined by the congress how we get there. I i just want your vote because i want to get to this place. It's very very different from donald trump. Okay i wanna say <hes> two things here. One part of the way you argue what you say we should be focusing on is you'll remember the trump said that he would replace obamacare with something terrific and when it turned out that's something terrific twenty three twenty two twenty three million americans americans with lose coverage right now it costs more for many of them right and there wouldn't be guarantees of protection for people with preexisting conditions and on and on that's why we had the election we had in two thousand eighteen where we picked up forty seats in the house right and there's no reason to believe no matter what he says is between now and the election that he's going to do. He lies all the time. He doesn't know what he's talking about. All the talk member when he said who knew healthy ear was complicated right well. Here's the danger sign. I talked to somebody from the white house last week. Who said that trump believes he can win on healthcare and you know a believes he can win and healthcare is just simply not to run on his record and if he wanted to not run on his record then the last several debates were just music ears. Yes we have to emphasize that. He has been a disaster even with maintaining the a._c._a. Because of you've stuff they've done smaller enrollment period less <hes> people helping you sign up <hes> less payments. The people who have high needs low income in the last two and a half years seven million americans have lost insurance coverage under president trump and that's when when he failed to get the policy wanted through congress so imagine what will happen when he succeeds in getting those policy through through congress and let me i'd say one more thing before we go any further and this may sound a little self serving and it is. I guess there was one provision in the affordable. Oh care act that checked. Put a check on how much prophet insurance companies could make and that was called that was called. The medical loss ratio okay who authored that. I don't wanna say they don't want to say. I think you could confirm this. I think it was senator al franken yes yes. I recall now now. Now what the medical loss ratio basically said that insurance companies <hes> small pool insurance companies had disbanded vandalise eighty percent of the premiums because if the insurance company didn't meet the eighty or eighty five percent the medical loss ratio in other words didn't spend eighty five percent of the large group on healthcare but spent it in on c._e._o. Salaries or marketing or administrative costs if they didn't do that. You gotta check back so people and they become more more efficient now. Actually thanks to the millar. He's junk plans now. The trump's approved are back in the forty forty five fifty percents on and you would think that if you're giving insurance company a dollar the least you could ask for would be can you spend most of it back on the medical expenses that we need the thing it is be interesting and i think we're you there now. I think we would be talking about legislation leases. Why not increase the medical ratio one percent every year require that the more efficient required them to be more efficient and reduce costs every year but just to take a step back and just take a look at what you said in the importance of what that did is you know we are suspicious of of oil and gas companies polluting the environment where suspicious of automobile manufacturers making cars arza don't that don't comply with with religion. We'll we don't do necessarily as only option is to get rid of all oil and gas companies and get rid of all automobile manufacturers picture. What we do say is let pass regulations which require that these actors meet our standards or they're breaking the law and can't exist exist and those works so well that that's one of the problems the oil and gas companies. I mean i is they have captured the congress ah to accent and that's the argument that the bernie people will make us at the insurance. It's a it's a fair. That's a it's a fair argument. The point is that regulation particularly securely of highly consolidated industries is a tool that we don't use enough and that i think the medical loss ratio was one of the first and best examples. Where are we said fine. You're going to serve this market. You're going to play by a set of the rules much like pre existing conditions are and so when we had a different <hes> president resident different congress. We said hey auto mobile manufacturers need to get certain miles per gallon in their vehicles.
"andy slavitt" Discussed on The Al Franken Podcast
"Lord buddy welcome to the the al franken podcast. We have <hes> andy slab of it again. When i return gas and he's going to be talking about the democratic candidates <hes> healthcare plans and really how both and i think that we should do a little bit more to emphasize <hes> trump's horrible record on in healthcare. We'll get to that in a moment. <hes> we recorded this on on sunday before the <hes> the shootings in n._l. El paso and dayton and <hes> we've all seen a lot of these. I was in the senate after sandy hook and i remember those votes going down. We did not i. I couldn't believe lebron. I thought twenty five year old kids how and i just i remember coming to the floor. I had signed onto the assault weapons ban right away and ran in the ted cruz aw and cruz said to me anybody for the assault weapons. Ban is engaged in sophistry. Now sophistry is carmen s._a._t. Word i guess but it's also a lawyer word and it means like a phony kind of debate so i guess it's a debate. The it's an argument that's meant to mislead people dishonest argument so i said <hes> how am i engaged in sophistry office three and he said well the clinton administration's own justice department put out a report in one thousand nine hundred six two two years after the assault weapons ban of ninety four was passed and said it didn't work and i said no it didn't oh actually it said it reduced murders with assault weapons by about six percent <music> but there wasn't enough data to say that that was significant so they said they didn't say it didn't work. They said they can't can't conclude from this lesson to your study that it does work instead. You just read the report art and i said well i have but i i'll do it again. So i go back to my office subway back to my office. First saffir i find is <hes> josh riley my judiciary <hes> staffer. He went to harvard law said to him. Ted cruz just said that that anybody's for the assault weapons ban is engaged in sophistry. Josh says what sophistry i tell them and then he goes what no what why do you say that <hes> and then i said well he said clinton's own justice department blah blah and he goes no no the in the report and any repeats exactly what i said so i said well. I'll tell you what just go to the report. Get the language language put in a memo. I'll carry carry it with me and next time i see cruz. I'll i'll show it to go okay so josh does a day or two later. I'm on the floor. I see cruz and i said well. I guess you owe me an apology and he says why and i said well you told me that anyone who is for the assault weapons ban and is engaged in sophistry.