17 Burst results for "Bob Herman"
"bob herman" Discussed on Axios Today
"Florida logged its biggest single-day total of corona virus cases yesterday a new record Miami. Dade County is where most patients are hospitalized and Mayor Carlos Jimenez. Six hospitals were already at full capacity, and the others aren't far behind. It won't be long, and and so we've had a sharp increase in the number of people going to the hospital. number of people are I. See you you still have capacity, but it does cause me a lot of concern in Houston cove. Cove nineteen patients are being treated in emergency rooms because of a lack of hospital space there, there's also a problem with protective equipment so much so that some nurses in Texas are protesting. The patients are asking me whereas my equipment and I'm telling them that. This is all we've been provided now. There's growing concern that we didn't learn enough from the P P shortages. We faced in March and April because we're back in the same situation Bob Herman. Covers healthcare business. Business for AXIOS FROM VALPARAISO INDIANA. We have this very bad outbreak. In New York New Jersey. We saw images of nurses wearing garbage bags as gowns and I. Think the answer is we never really got better prepared? Here's the big picture. The American Medical Association recently wrote to both FEMA and vice president pence to urge them to help physicians in all settings get personal protective equipment would an internal female report released last month said that US manufacturers can't even meet the. The growing demand for gowns, you know the federal government has a role in this. They've manufactured more. They've stockpiled more, but it certainly appears that it's not enough. Here's how it's supposed to work. P. Purchases for hospitals usually happen through an intermediary group purchasing organization that helps individual hospitals get medical supplies, but even that's not working. Part of the issue is even these group purchasing organizations. They can't buy for the stop. Build raw materials are low. They're getting price gouged. Supply chain malfunction in many different ways, but now there's distribution problems hostels in specialty nursing homes just aren't getting what they're requesting for us, so there's still some kind of miscommunication and lack of coordination going across federal government and more local governments over the weekend. Former FDA commissioner Dr. Scott Gottlieb said he expects the virus in southern states like Florida and Texas to hit its apex in two three weeks, but after that he's expecting plateau, not a flattened curve so I think there's a definite concern that a plateau in. In one area certainly could just mean a rise in another area, and that means that we're still going to be in the same situation where we're not sure if we have enough of this personal protective equipment and I think he gets even worse once we roll into the fall, because crony buyers are GonNa Exist I. think that's fair to say, but you're also going to have hospitals and nursing homes and doctors offices, battling coronavirus and the next flu strain, so we're talking to terrible types of infectious disease at once. And it certainly seems like we're not gonNA have enough people at that time either, and that's what very much concerns everyone in the industry. The bottom line is we haven't gotten the virus under control, and we still haven't figured out how to get essential supplies to frontline healthcare workers to keep them from getting sick. Bomb.
"bob herman" Discussed on Keep It!
"The class of twenty twenty graduates into a world beset by a global pandemic and economic anxiety and unprecedented unemployment. I will say. Welcome to me. And Louis as graduation. Here's I graduated from. Where a nightmare I? I graduated from Journalism School in two thousand eight and the commencement address was like why the fuck did you major in journalism and I graduated in twenty eleven after that financial crisis from graduate school. Bill Clinton was our speaker. A lot of a lot of it was like cell no jobs national crisis anyway. Welcome to the world but the class of twenty twenty. They have been hunkered down at home. Thanks to stay at home. Orders has had everyone in their mother emerging on zoom to give them advice you know. They're getting their commencement speeches broadcast to the world. There are a few highlights. Sure there are a few. What the fuck definitely overall. I'm a little bit disappointed. At how many celebrity commencement address? Seen rely on the idea that the graduation isn't what's important like they haven't taken much away from you. It's like when you're an adult. Your life is demarcated by fewer gigantic events. Like that so no something has been taken from you. Let's be clear. Yes anything that yeah. Let's first talk about these memorable. Commencement speeches before we sort of lodge into a condo about commences which was in general. Obviously there is Bronco Obama's speech which was fine on an Obama scale speech right. I mean he's done better but it wasn't actually awful. I did not need a tire king reference now. I don't think that our needed multiple speeches that were about to talk about Reference Tiger Kings. Why well who's that for your whoever they hire to do the speech right. That's what the kids like. They're watching tiger king. I feel like it was mostly kids as parrots and people our age watching tiger cake. But Anyway Yeah. I liked Obama's main speech though the part where he allegedly drags trump and says a lot of so-called grown-ups out there. I mean that's a little. I thought that was a little immature for addressing eighteen and twenty two year olds. Yes yes the fig about Obama is that he always wants to drager trump at. It's always figuring out a way that he can do it and sometimes he's good at it and this one. I thought it was just sort of weirdly worded. It was meek. And he didn't want the speech to feel like a tirade against trump. I get it it. Just there's something about the phrase so-called grownups that feels like a rugrats. Tv The Obama won. I mean again I think it was like lacking a level of compassion that I think these children need and probably deserve and I know that. I don't think that Obama just missed them. I think they still look at Obama as a figure that they could glean something from my favorite one was Lebron. James is I think out of all of them that I listen to at least his head like a call to action. You know what I mean. He went out of his way to be like center. This around community like yeah. You can't go outside right now but outside and your nearest people the people around you in the community that you have is all that we can really focus our energy on and that was endearing to me and his hairline was looking right for the first time in a while. So are you there. Derby drager bronze hair live China of mine. Who addressed everybody with dignity that was expected but if I were her I would have gone nasty. Malala she said Ou the classroom. She said the class of two thousand twenty won't be defined by what we lost this virus but by how we responded to it the world is yours now and. I can't wait to see what you make of it if I were Malala. I'd be like when I was your age. I had a Nobel Prize and look at you now stuck in. Goddamn living room me. Oh my Lila. It does bring up the of what commencement speeches should be four right. I mean like we've all experienced them. I don't really recall my high school. Commencement speech at all. I do know that our Dean Students Mr Bob. Herman gave that commencement speech. And I do remember that at one point. He was a silver Fox and I liked looking at him. Did Not like hearing him speak. Though sort of drunk on like a robot. That's what high school's all about not paying attention to. Who's up there? But knowing that they're hot that's what life is yes the classic twenty twenty. Yes you're at home. That's there's a lot of this shit going on but let me tell you you do not want to experience. Several hours of sitting somewhere while multiple people talk forever. Commencement speech as long as fuck graduation ceremonies are long as fuck. Yeah this will contradict the advice. I have to graduates. That will get to in a second but I was surprised how little I remembered the content of some of the speeches other than somebody made a long extended choose your own adventure metaphor to which I say. I already knew life was about making choices so you did a bad job here. We remember I my high school. I very unfortunately do remember it. My High School commencement speech was from Pete. Rick was last year alone. It was actually five years ago and I had to grace the stage with that. Half Turtle Half Man Pete Ricketts and he gave very meandering speech about. Because we're supposed to have a laureate comes to the rescue laureate. But then he dropped out last minute and we got that Walking q tip Pete Ricketts so yeah I mean. He tried his best. He really did. Who did you guys remember who you had for your college commencement speeches? I've tried looking up the information. I specifically think that Brian Grazer talked to the Tisch. Commencement at nyu. You're in different schools. And then there's the larger graduation at the larger graduation. Bill Clinton spoke. That was at the Baseball Stadium but at Javard Center. I'm pretty sure it was Brian Grazer. But I've tried googling it and cannot find anything about that speech I specifically think I remember it was broad grazer because I think his daughter was graduating at the time. So that's why he spoke. If Brian Grazer didn't bring up his wife G G Love Energy Grazer who stop mom and also the logo reality series the arrangement about arranging flowers. It was not worth but bill. Clinton's speech is actually very memorable one. It's listed on Forbes and esquires lists of like best commencement speeches. It was really just a speech. About how like the W- current world that we live in is unequal and unstable. We had come off that financial crisis that happened when Obama. I became president like two thousand nine and if a lot looking back on that speech so many of the similarities between then and now were very stark quotes like the world is unstable. Not just because violence can cross borders and non-state actors can cause trouble but because disease can cross borders because the financial crisis would sadly began here. Spread almost instantaneously. I e United Kingdom then to Ireland to Iceland than to the Exporting Countries. Because the people couldn't afford to buy their products talking about how financial crisis was instigated. Here and sort of spread globally as talking about disease and Things that were on our minds of then and really should have been on the minds of a competent administration now but is not and that ownership two of our role in so many of those things is refreshing. Because I mean we didn't talk about that stand up comedian from the Creek Ben Sasse. Oh my Gosh Okay God. Barreling speech baffling speech. Because he was. This guy goes on an extended metaphor about gym class where he diss gym teachers and other correct and then says like climbed the rope. We all remember climbing a rope. Some of you don't remember climbing a rope like it goes on and on and on yeah and it never lands on funny also implies that like classes. Now don't know ropes are. I'm pretty sure they still had the rope in gym class. But also says that older generations were fitter your current generations of like really younger generations during cross fit val. He called them unfit. He calls them lazy. He calls them and he calls them lazy while we're in a pandemic like makes jokes about them kind of like being couch potatoes in a way. Sir. Where am I supposed to go to receive this information? I only have one room and the thing with Ben. Sasse is so I do remember meeting Ben's Ass when I was still in Nebraska and I want you guys to know his hands are cold to the touch it. Yeah he might be a reptile as well that might be the new few looks exactly like the Mid Western man that the really hot girl you know from high school ends up marrying instead of God that she dated in high. Wow that's very very accurate. Thank you for that poem about the suburbs. You just call me arcade fire. But I'm looking at Ben Sasse history too. I I like. I hate this Republican talking point of adopting rhetoric of Lazy Jansy millennials etc. As if he was in the war. It's like a like or even like waxing poetic about the fucking Ernest Hemingway Bitch you. You were not in the military. So what is this whole thing about like? Oh we were more fit than you and you're all lazy so you're forty eight. The entire idea of one generation having more whatever experience or anything then a younger generation. It's just pathetic and age-old and like this same story we've been telling ourselves for one hundred years and there's so many people online trying to like recently there was someone in the UK like waxing poetic about like World War. Two and shit like that like this sort of myth that everyone original world wars was lining up on the front lines who laid down their lives or their country. I'm like pick up. A fucking book protested for generations. Also there's this idea that he's supposed to be the young voice of the Republican Party. He's not oldest faulk like most old white men who are in the Republican Party so I could see why he was trying to joke because it's like he seems like someone who's trying to stick in the minds of youth because he's planning like maybe a presidential run or seven in the future but the whole blaming China so many times. The weird thing about the name. Jeremy I just didn't get it and it reminds me why Republicans aren't funny and I sort of don't want to see him again but I'm pretty sure we will judging from that speech. That's a certain thing that I think also goes along with being a conservative or being Republican. Which is a lack of awareness? Which is what you need to be like a funny person so it was very uncomfortable but unfortunately it's not unlike my experience with old white men in Nebraska and. I'm sure you guys can speak to this. Because it's a very common midwest sentiment but it was the most Ben Sasse speech that I think he could agreement also to point a big part of being funny is wanting to relate to other people as opposed to taking all your toys and going home. Which is the motto of the Republican Party and really just sort of speaking down to people to. Unfortunately I do think the best. Commencement moment WH- belongs to Cardi B. Don't let corona virus or no nothing. Take this special moment for them. That's all you need. That's it that's it..
"bob herman" Discussed on Pro Rata
"Politics sponsored by Bridge Bank be safe venture wisely. I'm Deborah Mac. Today show restaurants. Ask for more time and what. Disney just lost to tick tock the first reopening America's healthcare system. So okay. I get that title. Might be a little bit confusing given that we have spent the past two months talking about hospitals being surge capacity and parking lots becoming makeshift testing facilities but overall American healthcare service rates have fallen through the floor. Or maybe even through the foundation remember. Lots of hospitals stopped all elective procedures in order to preserve bedspace for covert nineteen patients which led to massive drops and things like joint replacement surgeries and lots of other medical facilities like clinics and specialty practices have either closed or severely limited their offerings including in such areas as pediatrics ophthalmology and dermatology and none of that even includes all the paused clinical trials for non. Cova drugs many of which require regular patient visits and monitoring why it matters for patients of course is that they haven't gotten treatment which could lead to increased troubles and costs down the road why it matters for healthcare as a whole is that elective procedures are. Greece's it's wheels which is why we had this bizarre dichotomy of overworked frontline workers on one hand and scores of laid off healthcare workers on the other more specifically the most recent monthly jobs report showed a one point four million losses in the healthcare sector including around two hundred and fifty thousand physicians. The bottom line things are beginning to open up including medical and dental facilities. But there are questions as to how fast that can happen. And what might have been lost for good in twenty seconds will go deeper with healthcare reporter? Bob Herman but I. This Bridge Bank knows the INS and outs of business. Ups and downs and remains dedicated to providing financial solutions to sponsor backed emerging technology and growth companies for nearly two decades through its national network of banking teams and offices in tech hubs across the country including San Francisco Seattle Denver Chicago and Boston Visit Bridge Bank Dot Com to learn more bridge. Bank is a division of Western Alliance Bank Bridge Bank. Be Safe Venture wisely. We're joined now by axios healthcare reporter Bob Herman so Bob let's start here with this decrease in elective procedures of how universal it's been so for example if I'm someone who's been trying to get a knee replacement surgery over the last couple months. Have I been able to? Is it a question of where I live or question of money? So if you're trying to get an Easter since the pandemic started it's very likely it got pound hostels basically all but stopped them. And what's so interesting about healthcare? Is we always figured? It was recession proof but it turns out that it probably is little recession proof but is not pandemic proof because hospitals head to basically stop all these things to prepare for the corona virus and as you mentioned the knee replacements is the most extreme example. But it's really across the board. You look at pretty much. Every service line cardiology spine ophthalmology. There's no service that has been spared here. The original argument for wildlife procedures. Were stopped was capacity right. You know you don't WanNa take a bed for somebody who is convalescing from a knee replacement when you might need that bed for Corona Virus Patient. That said as things begin to open up. Is there an expectation that all of these kind of backed up procedures? These people are just going to flock back in or is there serious concern? The folks will still stay away because these often are facilities that either already have corona virus patients or just general concerns about the lack of social distance that occurs when there's a surgery or when there is a face to face physician meeting for hospitals. At least they are kind of hoping and praying that the demand surges back because a lot of these procedures that have stopped or their big moneymakers like orthopedic procedures or spine or hearts so while they're hoping that there's this surge now that's the current events at least from hospitalization point appears to have crested at least in some states is actually less clear from people. I spoke with. There's still a fear among patients especially if it's something that they don't need immediately if there's some kind of carpal tunnel surgery that they've been meaning to get to but still don't really WanNa do they still might hold off until there's some kind of clear evidence that this is truly under control so while there's a hope that this will come back for hospitals. It's far from guaranteed and it certainly seems like at least some of the demand certainly won't come back this year. You talked about the hospital capacity. You had a great piece over the weekend about ten following hospitalization rates including some of the hardest hit states hospitalization rates from Cova. I'm wondering though there's obviously a pretty persistent fear that estate start to open up peaches and parks in retail and possibly even restaurants that you could start to get at least select outbreaks in various places given that are hospitals comfortable. Basically reducing that surge capacity given the concern. They might need it again. They're kind of a catch twenty two right because they WANNA be prepared if there is another surge of Toronto Virus Cases. That was the whole point of this but at the same time. They're just not getting revenue right now especially the smaller hospitals Hostels at treats traditionally poorer patients. They are on the bleeding edge right now. So they're at this catchweight. Were they want to be able to be prepared but they need money to come in the doors? They want to keep their staff around so I spoke with a CEO of a hospital Vermont. Vermont hasn't been terribly hard hit. They've been very aggressive with social distancing up there and he told me like we're prepared but we really kind of need to start scheduling some of these electric disease again because they're not getting as much funding from the federal government has other hospitals so they kinda need some of these patients to come back if they want to at least not start laying off or furloughing staff. Let's leave the hospitals aside for second or step away from them and talking about the specialist clinics a lot of people who go to the doctor even for outpatient procedures. Don't go to a hospital per se they go to a smaller sort of facility. Is the expectation that does including small. Urgent cares is the expectation that those will start to open up more and more and is there reason to believe people will be more comfortable going to those. It's interesting so outpatient care. It's probably even more at risk. And the volumes that have gone down are even more severe. If you look at family doctors pediatricians from what I'm hearing. Some of those volumes have declined almost by ninety percents year over year. They're essentially just treading water with no revenue coming in and it's still the same dynamic right like if you are sick do go in. Maybe do you go in for your cardiac checkup in an office? Maybe but maybe you just via telehealth telehealth granted you. Don't get the money off of procedures like you know K. G. at least the appointment revenue. Correct correct you do and with telehealth. It's not always being paid at the same level as an in person visit some insurers are trying to level it out again any kind of telehealth revenue is not going to be made up from what they would have gotten from an in person visit but one other piece of this which is dental and we don't think necessarily have dental all the time we have healthcare but when you look at the jobs numbers from April I think there was like half a million of the job losses were in the dental sector. Are Dentists offices going to reopen and from your perspective today suffer potentially suffer from the same issues that the pediatrician's offices in those smaller outpatient specialist providers suffer from outside of again emergency dental procedures? Did it seems like it's the same dynamic. It's funny. I just got an alert from my dentist kind of pleading with me to come back sometime in October. I'm not totally sure I want to do that. And if you think about the most elective of elective you probably don't need to get your teeth cleaned at your six month mark when it comes everything else. It's not the most urgent so dentist's office have absolute taking the brunt of this. Because it's just not totally necessary in light of the pandemic and for those offices interesting layoffs as you mentioned and even wonder if and I wrote about this as well. If they're the type of practice that will have to consider selling well in one area that has been very interested in dental is private equity. So you kind of wonder if that trend will accelerate bob just very quickly because we're almost out of time in a separate topic. But since I have you here Madeira. Which is the drug company that got a Cova vaccine into clinic? I yesterday released fairly encouraging albeit not completely complete phase. One clinical trial data. It helped the stock. Market's go nuts your initial reaction when you saw what. Madera now released in some ways. This was kind of expected right. This is a phase one trial. This is the very first trial mostly focused on just testing whether the vaccine is safe and by those measures. It certainly encouraging. Nobody's dying. There's no life threatening adverse events associated with it yet on the other hand. It's a very early interpretation of the data we're talking about really a subset of patients that were looked at. It's kind of insane that the stock market went wild as it did. Considering this kind of expected in there's still so long to go the pivotal phase. Three trial is going to start sometime over the summer. That's where it's GonNa matter most so the stock market reaction is totally wild. Bob Herman who you can follow at Bob Jay on twitter. Thanks for joining us. Thanks for having me Dan. My final two. Right after this with offices in check-ups throughout the country including San Francisco Denver Chicago and Boston Bridge Bank supports the innovation ecosystem wherever it thrives in helps breakthrough ideas actually break through and through. Its teams focused on technology and life sciences companies and the equity investors fuel. Them Bridge Bank delivers a responsive. High Touch Client Experience Bridge Bank. A DIVISION OF WESTERN ALLIANCE BANK BRIDGE BANK BE SAFE venture wisely. Now it's time for my final two and I up as America's beleaguered and largely shuttered restaurant sector a big group of restaurant owners and CEOS yesterday met at the White House and over and over asked for just one thing and extension of the so-called covered period for paycheck protection program loans from eight weeks to twenty four weeks. Their basic argument was that in many cases there be forced to use or lose the loans before all of the restaurants can fully open which helps defeat the purpose to be clear. They weren't asking for more money just for more time. What was remarkable about meeting also was how the restaurant tours? Whether trump house are not kept redirecting the conversation back to this covered period issue even when trump himself tried to pivot to things like meal deductability or payroll tax cuts policies. That one restaurant. Ceo likened to useful additions to a house but only after the actual scaffolding is. I erected. Don't be surprised to see this issue emerged today. When Treasury Secretary Steve Mnuchin testified in front of the Senate Banking Committee and Finally Tick Tock yesterday. Stunned the tech and entertainment world's poaching Kevin Meyer to be its new. Ceo Mired spent the last twenty seven years at Disney including overseeing the launch of its Disney plus streaming unit had been at one time viewed as the likely successor to CEO. Bob Eiger why it matters is that I. This is a very big name. Higher for a social media upstart now has hundreds of millions of users but perhaps more importantly Meyer is a known you ask tech n media commodity at a time when Tick Tock is trying to prove its independence from Beijing. At least when it comes to privacy despite its ownership by Chinese tech giant bite dance where Meyer will also now serve as C. O. And we're done big. Thanks for listening to my producers Tim Chauffeur's Naomi Shaven have a great national devil's Food Cake Day. And we'll be back tomorrow with another pro rata podcast..
"bob herman" Discussed on Radio Free Nashville
"I just wanted to go through a few things here yesterday I mentioned time to start growing your own vegetables I said you know a couple of months ago I was telling people and stock up on a couple of weeks for the food and then boom we suddenly saw you know that if everything happening with the supermarkets some people got alarmed by that and I apologize if you were alarmed by that comment I am not of the opinion that our food supply is on the verge of collapsing it is going to get done difficult and challenging a lot of food you're seen plowed into the ground by farmers and things are it is food that was designed for restaurants for commercial use with his enormous waste you know that restaurants yes in some cases you know a third of the food there and there the comes in as raw material gets thrown away day with home use it's much much lower the homes tend to be much more efficient in their use of food and so I don't I'm not anticipating that big crisis but what I am seeing more concerned about is the is a lack of fresh things we need to eat green stuff regularly and you know some people are concerned about getting it just for fear that it's been handled by other people and it may be you know difficult to in fact and things like that and also you know there are concerns that it may get harder and harder to find I know for a while there was very very hard for us to find green things here and and in northern Portland although with a you know now we can get them from the stores in fact one of our food co ops is delivering now through you know one of the local delivery services and that's really kind of cool but I think you know just for general health it's always a great idea to get you know to grow some vegetables it's just you know and it's a very satisfying thing answer unique thing particularly when you're locked up at home you know when we're all we're all stashed indoors so we're experimenting with this and you know Louise's garden our garden this year is gonna be much larger than in past years I just encourage people to do that R. J. Barden has come out with the four seasons of Donald Trump and coronavirus cover up chaos corporate favoritism and caving into lobbyists I love it I don't know if it's going to catch on but this is a memo that came out of out of Biden's campaign start using the four seas Donald Trump is engaged in a cover up for months then a is administration just went a total chaos these are my words not theirs other than the C. words and now they're they're trying to blow out the big corporations with corporate favoritism and caving into the wall the lobbyists and we have certainly seen that Milwaukee got badly damaged or what well we'll find out the damage so far looks like nineteen people were infected with a corona virus trying to vote this is what we know of probably was you know hundreds we'll find out you know in the next few weeks and we will probably see some people died because they went to the polls and voted this is just so wrong so now the common council of Milwaukee basically their city council voted unanimously yesterday to create a program under which all three hundred thousand registered voters in the city get a mail in ballot full stop god bless you guys and every state needs to be doing this I mean this is just one town there's a new study out from the university of Chicago's Becker Friedman institute for economics that found that and I'm quoting from their study these exact words from their study quote greater viewership of Hannity relative to Tucker Carlson tonight we strongly associated with a greater number of code nineteen cases and deaths in the early stages the pandemic mark Pocan in the previous hour said that George and that Donald Trump will be remembered as a mass murderer he's got the blood of over forty thousand Americans on his hands it looks like that could be true could be said of some of the fox hosts as well back early on Tucker Carlson was taking this a little more seriously Hannity was ridiculing Hannity course talks to Donald Trump real regularly or at least used to I assume it's still going on but this study is shocking it's absolutely shocking and it should be a warning to anybody who's allowing their parents to watch fox news you are putting people's lives at risk in my humble opinion Lee Fang trailed Fong it's pronounced phone is spelled F. A. Angie is tweeting and if you're not following the really showed his brother he's great reporter he's tweeting this morning the large for profit hospital chain HCA spend billions on stock buybacks patency over a hundred eight million Bucks and twenty eighteen along pours ungodly amounts of money smearing Bernie's health plan in working to defeat Colorado's ambitious public option and now they're getting an enormous bailout they get seven hundred million dollars that does not have to be repaid according to Bob Herman you know reporting on this and Lee Fang Lee Fong re re tweeting that remarkable stuff the a seventy one publicly traded companies got paycheck protection funding before the money ran out these are all companies that you know big companies where their stock is publicly traded you've got multiple governors now that are re opening their states Brian camp in Georgia Greg Abbott Texas Henry McMaster's South Carolina bill Lee in Tennessee Nebraska's P. records why I'm increasingly convinced that these governors are trying to reopen their states I put that in scare quotes in order to.
"bob herman" Discussed on Pro Rata
"Rheumatoid arthritis with this really started. I would say in March you know. There was a study done in France very very small. And what many scientists and researchers say was a poorly done study but regardless it a basically tested a Corkman with a basically an antibiotic on Zepa combined and show that there was maybe some helpful effects from taking patients. That kind of snowballed and got some attention on Fox News rounds and of course that is the cable network of choice for the president and it just started to snowball On more TV shows. They're Hannity doctor is and before you know. It's it's getting up to trump's economic advisers like Peter Navarro and my colleague. Jonathan Swan reported his out recently. Basically it's come to fisticuffs between Navarro and some of trump's scientific byers's like Anthony Algae and they're promoting it as essential cure and saying we need to pump the brakes. This is unproven. It basically just snowballed from the small French. Study to something that made into the way the White House through. Tv We talk a little bit about. There are a bunch of stories and particularly a large one and G Q which talk a bit about President. Trump's personal financial relationships this makers hydroxy clerk when? I'm not arguing whether the financial ties are legitimate or not from your perspective. Do you believe that is influencing the president's promotion of this or is this the president who gets very excited about possible quick fixes simply catching onto a possible? Quick fix that could get the economy back on track and help his reelection. Yeah I think it's more the latter that this is being viewed as a quick fix it. I think there are some financial ties. Their financial complex interests. It's hard to say that those run deeper than I think. What's the article mention? But this is being viewed as something that has been around a long time is safe for the conditions. That had already treats try. What harm like you mentioned. There are some harms here in terms of it it could create irregular heart rhythms but to be fair those are relatively small. Saddam. Idea is this is a safe drug already the most are some side effects that if you use it. Let's just make it and give it to be able to make a quick fix. That I think is is the driving force. You're not necessarily the financial side Bob final question for you. People obviously are starting to use drugs clerk when not just in the rutgers study but it is being used in some cases being prescribed by doctors right now for covert nineteen patients. Are we seeing any evidence yet? That that usage that new usage is causing shortages or difficulties in getting it for people who've been prescribed it for other things who maybe have been taking previously. I definitely think that is the case. When this first started to take off several weeks ago I spoke with some pharmacists. And they said that they simply couldn't get it. They had lupus patients who absolutely could not get. They actually need that drugs. There has been evidence. That's this wave of getting out there. It has People that need it I think even in Massachusetts they've actually said it's okay for doctors to self prescribing prescribing family members. There's an issue of fairness about that. I think a lot of the medical sites societies have come out and said slow down you know think about the ethical implications here to doctors should be prescribing. Has Willy Nilly that needs to be taken in consideration? Though I think all this focus on hydroxy corporate has created shortages and it does seem problematic. There are ways around productions being ramped up and donations have been made but I think that definitely part of us. Thank you very much Bob Herman who you can find on twitter at at Bob Jay. Herman my final two right after this. There's more news out there than ever before but these days it's harder than ever to find it and to know what to trust accedes. Am takes the effort out of getting smart by synthesizing. The ten stories that will drive the day and telling you I they matter subscribe at sign up dot axios Dot Com and now back to the podcast that was never my final. Two and I was the paycheck protection program or P which is the part of the federal stimulus that's aimed at helping small businesses. The original EP. Which launched last Friday had three hundred fifty billion dollars in it? But there's already feeling that that's not nearly enough. So Senate Republicans today are introducing a new Supplemental Bill. That would drop another two hundred fifty billion into the pot. Although is Elena trine reports. It might be a bit more complicated. The Mitch. Mcconnell would like from a parliamentary perspective. This bill can be blocked by any single. Us senator they just have to show up. Go on the floor and say no. And that's because McConnell is doing this by something called unanimous consent and the issue there is that Senate Democrats are said to be balking. Not because don't want the extra two hundred fifty billion for small businesses. They do. It's that they think this bill should also include things like new money for hospitals new money for state and local governments and for low income food assistance programs in short expect negotiations before we get quick passage and finally a plug. If you happen to be one of those people with a Peleton bike. Please join us this Saturday morning for a special axios pro rata ride which will benefit a nonprofit in New York that is helping to feed frontline medical workers and care for their children. We're going to be doing it at eleven. Am Eastern eight am Pacific full details in the AXIOS PRO rata newsletter? Tomorrow what you can get it. Sign UP TO AXIOS DOT COM or via twitter feed at Dan primack. Let's all social distance together for a very worthy cause and we're done big thanks for listening. It's my producer. Tim Show is Naomi Shaven. Have a great National Unicorn Day and we'll be back Monday with another pro rata podcast..
"bob herman" Discussed on Pro Rata
"Where we take ten minutes getting smarter on the Tech Business About sponsored by Bridge Bank people venture wisely. Today's show why the new unemployment number is even worse than it looks and who got left out of the two trillion dollar stimulus bill the first bailing out hospitals so last night the US Senate did pass the two trillion dollar stimulus bill and it includes help for hospitals and related parts of the healthcare system. This is something. Hospitals have been begging for and the key pieces a one hundred billion dollar no-strings-attached fund for hospitals and other healthcare providers so they can continue to receive the support they need for covert nineteen related expenses and lost revenue and quote in short. It helps the helpers the bill also increases payments to hospitals treating Medicare patients with covert nineteen. It requires employers and insurers to pay hospitals and labs for cove in nineteen tests if a contract isn't already in place and it temporarily suspends the so-called called sequestration of Medicare payments which cut provider reimbursement by two percent. It's what the hospital is wanted. And then some particularly rural hospitals that were already struggling and some urban public hospitals that are being overrun with corona virus cases. But they're also some things that didn't make the cut particularly when it comes out of pocket. Patient costs will dig into all of it and twenty seconds with actually healthcare reporter. Bob Herman the first this. The Equity Fund Resources Group at Bridge Bank is a central hub for the venture capital and private equity communities offering banking services for funds partners in their portfolio companies bridge banks financial solutions designed for the entire innovation ecosystem and include creative credit solutions robust treasury and cash management capabilities and a suite of international banking products bridge. Bank is a division of Western Alliance Bank Bridge Bank be bold venture wisely. We're joined now by access. Healthcare reporter Bob Herman prior to the corona virus crisis were there a lot of hospitals. Were already running kind of thin when it came to finances. Yeah there definitely were. The hospital system is kind of bifurcated. There hospitals that have not been doing while. The case is very clear in rural hospitals in a lot of public safety net hospitals but then there are other hospitals may the four prophets in especially some of the larger not for profit academic centers. That have been doing quite well. So there's kind of varying across The rural in public sickness ruined the worst. Some of the other ones have been doing quite well with this. What we've seen over the last couple of weeks and the corona virus crisis and particularly which seems to be particularly hitting some of those larger urban hospitals in cities like New York Seattle. Explain why those systems also right now felt they needed a bailout or or was not for them. Was this for that other category that that smaller rural hospital group so last week there was a call where a lot of rural hospitals in public safety hospitals. They spoke with reporters. They're basically saying we need money as soon as us for some rural hospitals in Public Safety Nets. They were close in that meeting. Payroll a running out of supplies face masks gowns and ventilators. It was clear for them that they were on some kind of brink of collapse because they were already kind of living on the edge anyway and we see that New York public hospital systems are that are absolute overwhelms reporters on the ground there basically compared to wars on some of the other hospitals in New York you know the newer presbyterians or the nyu lingo those have plenty of money. They're not in any danger. Going under the bill of money is presumably for those more at risk. But there's a lot we don't know about it presumably aren't the ones who are going to get the money but you say the allocations aren't specific yet. What are the say one or two or three biggest things you still want to know about how what passed last night is going to be actually implemented right. So we know that hostels writ large are going to be at a no strings attached one hundred billion dollar fund. We know that. Hhs can be setting up some kind of process. A hospital can apply to get money from that fund. We have no idea what that looks like. That's going to be very important. I think everyone would want the hassles most at risk to get that money. But I really WanNa know what that process is going to look like. I think it's also we're GONNA need to know how these enhanced Policies are going to play out his well explained what enhancement? What what do you mean? By enhanced payment policies sure. So there are some enhancement. Policies were basically hospitals either get higher rates now or they can basically putting claims and say give us an advance on some of her medicare payments. Because we're so overwhelmed right now so we need to understand if those payments are enough to cover some of their costs and there's also other holidays into bail out that basically allow hostels out of network labs to charge whatever they want to commercial insurers and employers. There's a lot that we know is in there and it seems necessary for hostile there also. Are these things where Renault hospitals could presumably benefit. I just want to add one of the thing. The reason why this is even on the table is because hassles getting overwhelmed with supplies or cost earning higher and they had to cancel a lot of electric procedures joint replacements. Things that aren't necessary to do right away. And they that lost revenue is going to hurt them lights the money that is being allocated more than ten percents than what we normally spend an entire year on hospital care so this is not some kind of small amount of money and there are a lot of hospitals that have been doing quite well so it's still unclear who's going to totally benefit from that bob quickly on the politics of this. Democrats were saying earlier in the week after. Mcconnell came out with his original version of this stimulus package late last week. Democrats said that they needed money for hospitals and that was a big thing that they said they were going to fight for with democratic charges. Accurate from your perspective that Republicans. At least in their initial bill were not dealing with the hospital crisis financially. I think old political parties were allocating money to hospitals Democrats. Were very much more willing to throw more money at this situation. We saw that as results especially with chuck. Schumer Chuck Schumer's very close with the hustle industries. State's men he was the big reason. Why funding up. Which but I think in all the bills that I've seen there had been funding allocated to hustles. That was just a matter of magnitude. Bob Is they're concern about you know when we talk about allocation is there a concern about allocation when it comes to time in other words that if hhs and everyone else if they start saying okay. These hospitals are going to get this amount of money that they're going to give money right now. Too areas that are being hardest. Hit like New York which makes sense except it might mean. There is no money left when an area gets hit in a month from now that we're not even talking about yet writes in. That's why so much matters about how this current pool funding ultimately gets allocated. Who GETS TO APPLY? Is there a structure for for some perserve or allocation board? Those who get hardest at now. That's why I think in others have thought the same thing that there might be another stainless package down the road whether Haas was getting included as part of that. We don't know but it would not be surprising because hospitals have been banging this drum for weeks now saying we need money. We need money. Obviously some part of that is true but if we blow through this one hundred billion dollars in a matter of a month. I'm going to question whether all of a sudden we need to throw more money at that because we know that some hospitals do have the means stood cope with definitely not all a lot to very quickly. But is there anything in here? That is for patient. In other words that would actually lower the cost of coverage of health care for patients. Some other stimulus bills patients if they go and get a test to see if they have co nineteen. They don't have any clamor that that means they don't have to be a copay. Nothing but in in this most recent package there had been a hope to tackle what are called surprised medical bills as when you go to. The hospital may be a doctor. That's out of network. And then he gets tagged for a bill later on. That was not addressed your patient. That's very concerning. Because you might be sick you might be worried and then leising would you about two months from now is getting a bill from the hospital so that was not included. Also subsidies for Cobra. Which is the insurance that you can pay for if you lose your job. So there's concern that people who lose their jobs and get sick. Hardly any coverage there are other options. But they're concerned that they might not be able to keep their employer coverage reasonable and not surprised medical bills. Bob think that was the last time you were on the show. We didn't episode on that for folks who WanNa look that was December eleventh of last year. Bob Permanent Axios. Thank you so much for joining us. Thanks Dan my final two right after this. The Equity Fund Resource Group at Bridge. Bank is a central hub for the venture capital and private equity communities leveraging nearly two decades of expertise delivering solutions to emerging technology and Growth Companies Bridge Bank now offers services for funds. Spic's and general partners including creative credit solutions robust treasury management capabilities a suite of International Banking Services Bridge Bank. A division of Western Alliance Bank be bold venture wisely. Now it's ever my final two and I up. It's Today's news that nearly three point three million Americans filing for unemployment benefits last week up from just one hundred and fifty thousand the week before. It's the biggest ever spike in. Us history and is actually worse than it sounds. How so for starters? The numbers don't include independent contractors like GIG ECONOMY WORKERS SECOND. It doesn't include anyone who was furloughed instead of laid off a distinction. Lets people keep their healthcare insurance but they don't continue to get paid and finally there are all sorts of reports that certain state unemployment offices were unable to process all of their claims in time for the weekly deadline because of the massive volume increases so expect more bad news next report and maybe worse news and finally speaking of getting left out the two trillion dollar stimulus package passed last night by the Senate is designed to act as a sort of safety net for American citizens from residents and businesses but not all people for businesses will necessarily qualify on the personal side. Everything is tied the two thousand eighteen taxes. And the more you make the less you get so if you earn significantly less today than you didn't two thousand eighteen you don't get the added benefit and if you happen to not work at all in two thousand eighteen. Maybe because you are a fulltime student then you're also out of luck and as something that makes it even more complicated. This is all being tied to direct deposit. So if you didn't file your taxes with direct deposit in two thousand eighteen it could be weeks maybe months before you actually get your check on the business side two categories to feel forgotten this morning. I anything associated with cannabis. They're still illegal on a federal level and this is a federal program second many smaller private equity owned companies specifically the bills. Small business loans are for any company with fewer than five hundred employees but the small business administration looks at ownership. That means if you're a private equity owned company with one hundred employees you wouldn't qualify if you're private equity owner has nine other companies with one hundred employs each. You're all considered affiliated even though you're really not expect lobbyists push hard for an exemption but it's notable that there was no exemption in the bill and we're done big thanks for listening to my producers. Tim Chauffeur's Naomi Shaven have a great national Nougat Day. And we'll be back Monday with another pro rata podcast..
"bob herman" Discussed on Pro Rata
"So we just ten minutes to get smarter on the Tech Business. Politics Sponsor Bridge Fang be bold venture wisely. I'm Dan for Mac. Today Show Amazon staffs up and old Hollywood turns to streaming the first the race for a cure yesterday. A woman in Seattle became America's first human subject of a novel Corona Virus Vaccine Trial. This potential civilization saver is based on a formulation selected by moderna therapeutics in collaboration with the National Institute of Allergy and Infectious Diseases. What's particularly notable? Here is that. Madeira isn't an old line. Legacy Pharma Company. In fact most people outside of life sciences circles had never even heard of them before they went public just fourteen months ago without a single product and market. Madeiran company was developed in the offices of a venture capital firm. Just a stone's throw away from Mit in Cambridge Massachusetts with the idea that you could basically use something called Messenger. Rna OR MRI Rene to help people make medicines vaccines within their own cells and this is different than how biotech usually works. They make a product in the lab and then patients either swallowed or injected. This Madera process should in theory make its drugs faster and cheaper to produce in part because it doesn't need to create giant bespoke manufacturing facilities for each new formulation in this particular case. Madeira was already working with a ID on Corona virus vaccines. When word came out about the novel Corona Virus Chinese authorities released the new ones genetic code on January eleventh and just a few days later Maderno was already at work on it focusing all of its efforts and designing its vaccine on a computer without even having the virus inside it's labs to be clear. Maderna's process may move fast in terms of vaccines. But we're still likely talking about a best case scenario of months and months of clinical trials and then FDA approval this time next year again best case and it may not work but for now but Derna is fastest along on something we all may need in order to return our lives to normal it. Fifteen seconds we'll go deeper but actually healthcare reporter. Bob Herman the first. This Bridge Bank believes in the risk-takers the game changers disrupters those committed to leveraging innovation to make the world a better place that's why bridge bank has been dedicated to providing financial solutions to sponsor back emerging technology and growth companies for nearly two decades through its national network banking teams and Offices Bridge Bank is a division of Western Alliance Bank Bridge Bank be bold venture wisely actress healthcare reporter Bob Herman yesterday a woman in Seattle becomes the first human clinical trial patient for novel Corona Virus Vaccine. That's the beginning of phase one trial but vaccine. Trials are kind of long processes. So can you walk us through a little bit here? The best case scenario for this vaccine we spoke with modern AC- US to find themselves this morning and he kind of laid out. What could be a hopeful timeline? Obviously very fluids that things could change but phase one this just like any clinical trial. This is the first stop. This is the one where you make sure that your drug or vaccine is safe so after that comes face to end the three trials as to increase the number of patients sped. Get your vaccine. And that's to make sure that your drug is safe and effective and then a face. Three is similar. Larger samples is nets to really hunker down. And make sure that your drug. If it works sell the points it could eventually be used for commercialization and Maderna's CEO told us that best case scenario. Hopefully they get to face three that kind of main clinical trial by the fall. And that's when they would start getting they're going and if that goes well. Hopefully the phase three trial would run and Reno best case scenario by this time next year. Spring Ish. Twenty. Twenty one is hopefully when may be able to get some FDA approved but that means that everything would have to go right? Bob Please explain a little bit to be a vaccine is different than Madison. Right you know medicine is I got sick. The medicine is supposed to make me feel better. Get better a vaccine is preventative prophylactic. How does a clinical trial phase three for example where you'd be talking about thousands of patients? Which is what you need for phase three trial. How does it even work right? So you get injected with the vaccine. What do they then give you corona virus? And make sure you don't get sick with Madonna. This is a unique kind of vaccine. They're using different technology. They're not giving you run virus. Iris they are basically giving patients shop uses a technology. That basically almost makes the salads on kind of drug vectors. This is not an instance where patients are getting injected with corona virus. You mentioned that this thing. Medina which is a company. That's not all that old. This idea that it basically is kind of body. Heal thyself right. You know your cells are supposed to make the medicine and replicate the medicine. I'm wondering kind of broader Pharma question if this works which would obviously be the kind of the biggest highest profile. Top Headline Vaccine in quite some time is what? Madera doesn't terms of drug development. Does that become if not the industry standard? At least are they're going to be lots of copycats. I'm sure I mean this is a live in a world of copycats especially in biotechs. This works well one hundred percent. You'RE GONNA see more by doing this but this is also very hard to burn. It relies on was called Messenger R. In a it's basically manipulating those molecules to turn cells to to fight off any disease and this has been tried in the past and it's kind of it was very difficult so the Madonna tried it. And you know it's also finding out that this is very hard and I think that's what we're going to be learning from these early. Clinical trials here is whether this Mr a technology is something that could be replicated in large scale. I still little too early to declare a victory here but if it does result in any kind of vaccine especially for one in the midst of a pandemic than we would for sure see more investment in technology and one of the things. Bob I found interesting because you and I on that call with the MADERNA's e- Yo- this morning. Was this idea that last year. I guess he said last November they had been talking to. Nih about this idea. Could they design develop and then ramp up manufacturing of a vaccine in case of a pandemic and they were basically going to do a test? Run of something like this this year and then the real thing came. Let's broaden this out a little bit but there are lots of companies right at least working on vaccines clinical trials yet but working there. There's talk this morning. The Pfizer in German biotech might be partnering. Is it fair to say that most large biotech companies are going to be in this space right now trying to be not just the first one to market but yeah trying to be the first one to market maturing? Ceo Toys to with this going on kind of seems like if there are other experimental therapies or work on. You Almost WanNa change your direction. This is almost the only thing that matters right now. It seems very intuitive. That's biotech is GonNa be focusing its energy here but it's also not as vaccines. The Gilead has antiviral called our redemption. Beer that's you know hopefully be could be used for someone who has Kobe nineteen and would use this as a treatments. Vaccines is something. I think. Biotech is focused on a lot more. But it's also more than also antivirals in case it doesn't go away and people would hopefully get some kind of drug treatment as well as a piece of that. Is it also possible that vaccines that have already been developed? We keep talking about corona viruses. If it's a singular thing but corona virus is is really kind of class of viruses and this is specific one which Mike. It's called kind of novel. Corona virus is a possible that other vaccines not just that are being worked on for Corona virus. But for other things could there be another vaccine that basically gets applied to this works. Or is this going to have to be indeed brand new formulation? I don't think we really know yet. I think a lot of our Texans from companies. Want to see if they have drugs currently used. That could be repurpose for this novel. Corona virus so. I think that's an obvious jumping off point because the sciences already been done on all of these drugs. Let's see if we can if it will respond well to defeating this particular strain. We see that with antivirals killiadts Redan severe. It was in kind of being used for Ebola. And now they're saying look. Let's try it for this instead. So it's a natural jumping off point especially with vaccines if you have one that's already been through some kind of scientific rigor we've done this much. Investment let's see if we can also use it for what has become the most pressing health care disease of our time final for Bob. The stock pricing a little bit. And I know it's way too early because there isn't a drug when you talk to the CEO this morning did you ask about pricing. It all again. If I'll end points are met. If he's able to get something out into market next year. Do we have any sense? How much this would cost. Yeah so I asked him and obviously Stefan said it's too early ended as 'cause we don't even know if this is safe effective. I think that's an important. Caveat is despite all the hopefully Still far too early to determine any kind of victory. We need is a safe and effective? But if we get to a point where it's commercialized. He said hopefully that they would price responsibly. We don't know what that means is quantified by. Think it's also worth pointing out. A lot of this is being done in concert with the National Institutes of health. So this is taxpayer funded entity. What many considered you know the gem of scientific research? They are also doing a quite a heavy lift. Here's this is something that taxpayers invested in. You would assume that any kind of Christ's Would reflect that as well. Actually Bob thank you so much for joining us. Thanks for having me my final two right. After this with offices in tech hubs throughout the country including San Francisco Boston and Atlanta and new offices in Seattle Denver and Chicago Bridge Bank continues to meet the innovation ecosystem wherever it thrives and through its teams focused on technology and life sciences companies and the equity investors. Who FUELED THEM BRIDGE BANK DELIVERS RESPONSIVE HIGH TOUCH CLIENT? Experience Bridge? Bank is a division of Western Alliance Bank Bridge Bank be bold venture wisely now my final two and Amazon CEO. Jeff bezos apparently has been in daily contact with the White House over issues related to the corona virus although he hasn't spoken directly with President trump and it's unclear if the conversations about delivery supply chain cloud service capacity or all of the above what we do know though is that Amazon has announced plans to hire one hundred thousand new warehouse and delivery workers in the US and also promised to at least temporarily increase. Pay For those jobs by two dollars per hour. Not only should that keep goods flowing housebound Americans but also should create jobs for those displaced by things like bar and restaurant. Closures and finally Corona Virus is creating an unexpected revolution in the film industry. Not so much in terms of production shutting down which it is but rather because some big Hollywood studios are now talking about rolling out already produced films via streaming basically becoming net flicks. Universal pictures will be the first to do so with its films like invisible man and the sequel to the kids film trolls while Disney plans to release frozen to Disney plus customers. Three months ahead of schedule. And we're done big. Thanks for listening to my producer. Tim Chauffeur's Naomi Shaven have a great Saint Patrick's Day. And we'll be back tomorrow with another pro rata podcast..
"bob herman" Discussed on Pro Rata
"AXES PRO RATA TAKE TEN MINUTES TO GET SMARTER COLLISION OF TECH Business and politics. I'm Dan for Mac today. Show CAS bands cannabis technology and the US. Milk Industry Goes Sour. But I the hospital merger mess. So when we hear political or media discussion of America's healthcare system. It's often about how much it costs with. Most of the blame aim being aimed at insurance companies or drug companies are both but healthcare. It's really a three legged stool with providers representing the final integral piece. Yes and lots of the providers work within hospitals which have been on a merger binge hundred seventeen US hospital mergers in two thousand seventeen ninety in two thousand eighteen and another seventy one through last September. Which means last year's number is going to be about on pace and all of that matters is that most independent research search shows that patient prices rise between six and seven percent after a hospital merger despite all the so called synergies that get touted in the public deal announcements announcements. How come well basically. There is less competition particularly outside of metropolitan areas where hospitals can be hard to come by and now the story actually gets even in a little bit worse as a new study published in the New England Journal of Medicine finds that hospital mergers don't improve clinical care and they actually result in modestly lower. Our patient satisfaction. In other words. We are paying more for less and there's no reason to believe it will change as new hospital. Mergers continued to be announced in fifteen seconds. We'll go deeper with axios. Healthcare reporter Bob Harman but first this axiom. Chief Technology correspondent in Afri shares breaking news and analysis on the most consequential consequential companies in players tech from the valley to DC. Subscribe to get smarter faster at sign up dot axios DOT COM and now back to the program to podcasts by accident. Healthcare reporter Bob Herman so Bob. Most independent research shows that hospital mergers result in increased patient and cost but the actual hospital industry disputes that correct. That's right yeah I.. There's been a lot of research lately that shows when hospital hospital systems merge they gain more market power in consequently raise prices and that lead to higher premiums for everyone. Yep there's no sort of real regulation Galatian on that correct in terms of how much hospital charges for an MRI or for a doctor's visit or anything like that. Obviously insurance will cover not covered things. But there's no overarching price caps on anything correct. Right I mean Medicare is the federal program that covers seniors and disabled people and bad pays fixed rates for certain things but in private insurance market hospitals charged. Whatever they being fit and depending on how much market power they have or how much brand power they have if they're very a very sought after system insurers may have no choice but to pay higher prices and this new study which cost one thing but this new study which shows kind of lower patient satisfaction. How do we explain that. Why it's it's one thing that I mean outside of perhaps because they're paying more for the same procedure why is patient satisfaction lower and care levels not seemingly improved at all. I think it's important. They so when hostile council merged. There's always the to our overarching thing that they say will happen. The first is what we just talked about it. A lower patient costs which we know now always pretty much not the case and the second one is the quality of care will improve and this study looked at that part in this study basically says but that also there's no evidence behind and these researchers. They looked at not just patient experience. You know how your day went. How your nurses but also actual clinical measures late so heart care suitable apple care and they ran actual study to look to see if post merger if those measures improved at all and again they didn't. There's no evidence that they got Any better and and when it comes to patient experience there's some evidence that maybe things got worse so this kind of tackled the second question of the justification behind hospital mergers and and it really kind of undermines rational quite a bit actually every now and then Particularly when it comes to other things that are essentially consumer prices when when two companies not hospital companies other companies merged and they say the average price will go down by fifty percent or won't rise or whatever and then it proves to not be true. Federal regulators sometimes come in and kind of force the issue shoe a little bit. That doesn't seem to happen in hospital. Following hospital mergers correct. I would say into rare. The Federal Trade Commission does regulate hospital mergers and in many. Ah Instances over the past few years. They've looked at ones that have been deemed to be anti competitive but they're really few and far between because so many of these mergers there. They're so local. They don't garner the same kind of antitrust review that all their big maybe national companies command and just as problematic. There's even one on level deeper hospitals buying doctor's groups. Some of those deals are so small but they are honestly just as important because those doctors are there. The referral world drivers patient. They send patients to hospitals at the hospital. Just command the entire chain. You know they kind of control patient care and and really the antitrust Reviewers they don't have enough resources to look at all that insurance reviewed. It's very limited day. Bob We've had this kind of flurry of deal activity in the hospital murder space over the last three years. I guess technically a kind of high watermark two years ago but still very active in two thousand eighteen two thousand nineteen. Is there any reason to believe it's going to slow down if for nothing else that there's just not as many to buy since there have been so many already combined right at that point. The recently there have been quite hostile system mergers that were the two sides Decided to scrap them. They never really disclose all the reasons but I think part of it is. They realized that they actually might get any trust review. I still think that there is a deep desire for hospitals to merge with one another though again they'll cite lower cost and better cared which we know is not really the case now but there's a desire tire to At least coordinate care a little bit and maybe there's some you know reason that could be the case but hospitals. It really comes down to market. ARCA power is hospital. Systems have market power. They could they could get better rates private insurers and bet alternately what harder these things but final question for you which is a political critical one which is when this research comes out and and it gets talked about and we talk about. Is there any reason to believe any of this stuff is going to become part of the political debate where it seems that. Maybe because you know we all like our doctor and like our nurse and our hospital is okay the providers and you know from a corporate level or even the individual level it. It just doesn't seem to be part of the general cost and healthcare system debate in America. Right it's a good point. Because hospitals and doctors they are Kinda the lifeblood one of their community hospitals in particular often are the largest employers in their communities politicians. There's no political benefit them to start ripping on their hospitals and doctors because everyone and presumably loves them but it is impossible to ignore the US healthcare systems price and spending problem without looking at hospitals and doctors and the evidence is continued pile up that have more of them are merging if more going under one system is not really resulting in better care or savings for anyone so again politically. It's it's not anyone. That's interested ribbons bed a little bit access healthcare reporter. Bob Herman thank you so much for joining us. Thank then my final two right after this. Yes there is more news out there than ever. Before but these days it's harder than ever to find it and to know what to trust axios. AM takes effort out of getting smart by synthesizing. The ten stories. That will drive the day and telling you I they matter subscribe at sign up dot axios Dot Com and now back to the podcast now number my final two and I up as the consumer electronics show. Which is taking place this week in Las Vegas attendees are getting to see all sorts of new car gadgets and drones and connected fitness equipment. Meant what they aren't seeing though is anything related to marijuana now. This is a bit like last year. CAS Ban on sex toys which was later reversed with makers of cannabis tech crying foul for its part the event organizer. CTA is blaming legislators claiming the because marijuana remains illegal at the federal level and is also banned. In in some of the hotels in Vegas it would be improper to allow marijuana devices at the conference. One effectively company here is something called. Keep labs which makes a digitally enhanced storage device for marijuana that actually received an innovation award from CPA but was told it could only presented the conference if it removed all references to cannabis it declined declined and finally milk is in trouble. Yeah milk yesterday. A one hundred and sixty three year old. US Dairy called Borden filed for chapter eleven bankruptcy protection burdens the one with the cow mascot called on its products and its move comes just a month. After the country's largest dairy group Dean foods also filed for bankruptcy protection. The big issue here is that Americans are drinking less milk a lot less the. US Agriculture Department puts the decline at around forty percent since nineteen seventy five and producers have also been hampered by the rising costs related to such non milk factors as a shortage of truck drivers in short. It has been a rough twenty four hours for both marijuana and milk which you could say. Or maybe be America's least and most wholesome consumer products and we're done. Thanks for listening to my producers. Tim Show Shaven Have Great National Bobblehead Day. And we'll be back tomorrow with another pro rata podcast..
"bob herman" Discussed on C-SPAN Radio
"Common -solutely. All right. So I had spent it's dark out there. So I started this out with Senator Grassley with this question. I'll do the same for you. Drug prices. I'm sure you're hearing all the time from your constituents. What are they saying? And if you can name names about drugs at there, especially angered about three to name those names. Well. Let me first start by saying at Serra grassy. Who's a good friend of mine deserves a lot of credit for holding hearings very sincere about wanting to address this issue. And it is the first time we've had the. CEO's or PBS, and before the finance committee, I think, since I've been on the committee has two thousand seven so I create that very much. The fastest growing part of healthcare costs that I hear about from from individuals from people from hospitals from doctors is the cost of prescription drugs mind and name the drive in I can probably tell you, somebody has talked to me about it. Certainly we've seen the constant insulin. Triple in the last fifteen years, we've seen. There's so many examples have insulin was first created nineteen twenty one by two Canadian doctors who in the first patient was treated nineteen twenty two I think it's off patent. I'm not sure about this point, and they believe because it was something so important to people that they should not be paid for it. So they sold their patent or university of Toronto for three Canadian dollars. Now says that's we've seen a tripling in the last fifteen years, folks paying as much as fifty thousand dollars a year for something that to Canadian doctors. They shouldn't be reimbursed for just makes him one other example, in that is we now have an opioid epidemic. In two thousand five the generic version of relaxing was sold for one dollar of I'll. Then we haven't ethnic and now we see conscious high as four thousand dollars mile and the public sector as taxpayers paying for law enforcement, hospitals. And so on to pay for one hundred and fifty dollars basically, for two Packer, seventy five dollars. There's something that costed how why because they can at this point. That's why is epidemic. It's needed more in Costco, up. So count me in the category of being pretty upset about the pricing system in our country. And the fact that. This is medicine this life, saving this folks trying to a daily basis. Be able to take care of themselves and their families, and this, this sisters paying Senator Grassley right before he left mentioned an auto pack out of pocket cap in for something like Medicare some commercials through that, would you want to see something like that, for the federal programs where seniors and blow income folks don't have to pay more than X Ehlers month for their drugs because it seems like something that has got an interest. It's going to cost something. It's not offset. What's, what's your perspective on an out of pocket cab pens points, camps, part B, and we can look at camp? It part d question of does it raise premiums costs, who's paying it depends on how it's designed. But I think we should back up because instead of this complicates system, everybody agrees with you. And I agree with Senator Grassley transparency is critical. It is complicated, everybody points like that. But there's. It's a simple way to do this Medicare Part, d should be negotiating best price, period. Take out all of this other stuff VA pays forty percent less forty percent less for the same medicines. And there is no reason other than benefiting the phone was suitable industry. It we are not using the purchasing power of Medicare, that is the number one way in anything. We do short of that is not truly addressing this, and I would mention whether saying has unlocks home that I mentioned a moment ago, present this presence on commission on the opioid epidemic recommended that given the epidemic that the government should negotiate lowest price on the Laxoan or NAR, canon, as we caught which hasn't happened. And I've been calling on that, since it was recommended. It was a good recommendation. But wine world, we wouldn't use the negotiating power, we deal with rebates and this, and that in a great little system here and went the bottom line is, when you get done, we have the highest prices in the world. So the folks, negotiating very well, so you mentioned Medicare price negotiation that is not an option right now. And I know you've introduced legislation to try and get that done. But it is it seems like such an anthem a- to certain legislatures legislators to even consider it. So how, how do you persuade people that Medicare negotiation is a good idea? We do. And if we think about we do price that for certain things we do it for hospital services for Dr services do it for them. Vice Senator Debbie stamina with Bob Herman reporter with excess all that. It's, it's something that's a worthy idea. And something that could get across to the president's desk citizens have gone rise up. AARP has said this is their number one priority. People who pay businesses hospitals doctors families seniors have to stand up and be louder than the pharmaceutical lobby, which is the largest lobby here is the largest lobby in Washington DC. There's visible. Oh my goodness. I mean I counted up, especially now fifteen lobbyist per Senator. So. Tallied week. Those that were register now it goes up during D And went net number went up when we were writing part d Bill, but it's about fifteen per Senator and citizens have, and I think citizens are getting to that point, because this, I'm not exaggerating. This is likely desperate people in the country in the world where we as taxpayers pay the bulk of the research, basic research, which, which I support, I think it's not fair to say to a business. You take all the risks on basic research. When you have no idea if there will be an outcome for that. So I think we should be doing that. But I think it was between something like between two thousand eight two thousand sixteen. We as taxpayers paid about two hundred billion dollars to develop drugs during that time they returned to ten drugs, developed, and tax payers helped pay for developing all of that, the companies take it go. The commercialization. That's fine. They can write the research off their taxes, we subsidize again. They get to the end at minimum the ham seven-year patent in some cases, now we have so many patents like, Humira has so many patents they may be covered for like thirty years or something. But at the end of that subsidization and support I think American taxpayers just need to be able to buy the medicine. I mean, we deserve and we pay more than we've hit pay high prices in the world. And when I asked the drug, how do they make a profit in every other country? They said, yes, they just make more here. Why? Because they can and on copy that every other country benefits from the research, American taxpayers are paying for which I support three search but we at the end of it should be able to afford the medicine for ourselves and our families. That's all. So what did we even considered just looking at patents drug companies have the product? They get a government granted monopoly for certain amount of time. Are is that period of time too long conversation we should be having as well. I think we need to definitely look at the patent system because seven years is one thing. But it's you can get multiple patents. So you change something a little bit. You taking the laxed put it into an inhaler you get new pans, and call it now. Can. There's all kinds of ways to keep things going on pans. And as I mentioned, the number one drawn Humira and. They have. I think it's over one hundred thirty patents and when we asked at the hearing, so you can just keep this going and going and going, and that's my concern. I believe that we should I support getting these price of the market. But at the end of it, this is this is just wrong. It's what's happening right now on the United States. People are just one. So I want to go back to the hearings that you and the senators had in particular the one with the pharmacy benefit managers, thought it was really interesting. You're basically more or less told them. Hey, you're not great negotiators. And so then there's this rebate rule. That's it's bloating around and it's basically saying, okay, we're going to move those discounts negotiate move to the patients. What are your thoughts on that? Senator Grassley talked about a little bit. And what's your take? There's also some concerns that it won't lead to as much savings as maybe people think I know independent actuaries at Medicare said this might raise cost because. We're not gonna get all those will be made up somehow on the back end and med pack is my sister that. So what are your thoughts on the rebate rule? And whether it's beneficial I'm a skeptic because every time we've tried to do something folks, if any of the game. And so I think there are people sincerely in. They're trying to work within the current system. But I also just the end to me, it's finally in the end, do we do? We pay less the highest in the world. Lowest in the world somewhere in between. We are the highest prices in the world. So just from a cost benefit standpoint value standpoint. You gotta step back and go doesn't matter how we change the chairs on the Titanic, the ships going down. And so we need to be focusing on the big picture. Which is why I go back to Medicare negoti. Station, you can cut out a lot of this stuff. If you if we believe in competition, we we're a country based in competition five sexual markets competition and negotiating power of Medicare should be watching just like any other large business. You know, General Motors negotiates afford negotiation. We have a lot of wonderful big businesses in Michigan, that us their collective purchasing power and Medicare responsible for millions and millions of seniors and people with disabilities. And they're offering right now with both hands tied behind their back. And there's no reason for that last question ten seconds, so with medical negotiates, that also means Medicare has to say, no, we're not going to cover certain drug because it's not that great is that something that you're okay with I mean, in reality kind of already happens anywhere, in the private sector, are cool with Medicare, offering the same way that it would say, no, we're not covering that. I mean just I am insurance company doesn't every plan does that does that. So that to me, that's a smokescreen. I mean, obviously, we want to make sure that medicines that people need available. But I don't buy this as an argument when it's done to save costs in the private sector with insurance companies that time we've got to decide this medicine. And it's lifesaving this healthcare..
"bob herman" Discussed on C-SPAN Radio
"So we weren't even able to figure out how exactly it was that the idea to nominate Kuching Ali, who had no chance of being confirmed came about all we know is that Kuching alley isn't that he, he is relishing this battle, which once again pits him against the quote unquote, establishment. And one of the things I was curious about is how serious the White House is about actually going through with this nomination or whether they were merely hoping to gin up a media coverage, not this and, and place him place them somewhere else, we do know. And we report in the article that the president has floated nominees. He has no intention of actually going through and officially nominating before nearly to gauge. The reaction of Senate majority leader Mitch McConnell and then privately telling aides that he'll get less resistance the next night time, he puts forward, a more serious nominee after floating at really crazy nominees with Republican senators. We're talking with Eliana Johnson. She's joining us on the phone. She covers congress for politico, and so two fronts. First of all, the position that he potentially could be nominated for includes what responsibilities. And then to that point, the relationship or lack thereof between Ken Cuccia Nellie, and Mitch McConnell. What's the history? So is this is an important position atop the US, citizenship, and immigration services that a part of the US department of homeland security, which is one of the biggest federal agencies as part of a purge of lots of immigration officials. The head of US CIS was pushed out, but that agency oversees all of the legal immigration system and a natural station system in the country. So Kuching alley, perhaps would be nominated to sit atop that position one possibility, that's been discussed in the White House is putting him at the head of that agency in an acting capacity, because there's no way he will be confirmed by the Senate. But absolutely an important position. And your second question his relationship with Mitch McConnell. There's not much of a relationship the relationship that exists is extremely antagonistic because can who Tonelli's organization. Had was founded entirely to go after Mitch McConnell and other incumbent Republican senators, who Mitch McConnell is singularly devoted to getting re elected to their posts so very antagonistic relationship. I think that quote, Mitch McConnell shave is that he's not particularly enthusiastic about this nomination. The headline at politico dot com. Senate Republicans are ready to quash Ken Kootenai Ellie Eliana Johnson. Thank you for being with us. Thank you. In other news on this Wednesday relearn earlier today, that President Trump will address the nation from the Lincoln Memorial on July fourth as part of an overhauled celebration on the nation's independence, day of the Washington Post is reporting that his appearance will bring a host of new security, and logistical challenges, and also reshape a decades old, nonpartisan celebration that annually draws hundreds of thousands of it to the mall, and along the city's monuments. Walmart CEO Douglasville in his urging congress to increase the federal minimum wage saying that the nationwide standard of seven dollars and twenty five cents per hour is in his words lagging behind. On Wall Street. Another good day for the markets. The Dow rose two hundred seven points, the NASDAQ jumping forty eight the s&p was up nearly twenty three dot com holding a form earlier today on drug prices in one of the things we learned from Senator Chuck Grassley, the chair of the Senate finance committee is that he wants the pharmaceutical industry to start covering, part of the Medicare drug costs when they hit the end of their insurance coverage cycle, we carry the conversation on the C span networks, and here's health reporter Bob Herman with the Iowa Republican some of the things you talked about, like the pay for delay and creates. There's a very smart law professor, in health policy of overhangs, Rachel Sachs says at Washington University in St Louis. And when those things were first floated in January. No, one of those things where it's like, okay, it's great, but she said, do not mistake them for serious reforms to the underlying drivers of the drug pricing problem. Again, it goes through the, those things might be helpful. But how do you actually get at the items where it'll bring drug spending down? Those might address them the schemes that involve some business on the side. But will they really address what we isn't Asians spent on drugs? It's seems like there's an healthy skepticism. Let me let me give you an example infusion drugs as an example, and some of them now are very, very expensive, and they probably work. But when there's an incentive because the people that deliver the drug to the consumer the healthcare professionals if it's six percent of a hundred thousand dollar drug versus six percent of a million dollar drug. You can understand there's a per verse incentive to use a million dollar drug if maybe one hundred thousand dollar drug would do the job. So you take away those perverse incentives as as one way of doing it now. In another area, though. I want to say to you that with Medicaid. It's kind of the opposite. We ought to be looking towards in the case of Medicaid, mostly for people that are always income, and there's a lot of life-saving things through gene therapy, and other life-saving drugs that are very, very expensive. So. We need to set up a Medicaid program. So people on Medicaid can take advantage of that. And maybe it would be as simple as spreading out the paying for over a long period of time and said a million dollars today, instead of maybe spread out over five years as an example. But we need to make that drug or those drugs available for people that are low income,.
"bob herman" Discussed on C-SPAN Radio
"Year as occurred at the beginning of this year, and I'm hopeful that all members will cooperate with chair Lowy and ranking member Grainger who have led their committees and working extraordinarily hard. Twelve sculpt committees, all of whom will have marked up their bills by the middle of next week and be ready for floor action. This is the one of the earliest times we've considered it. My Republican colleagues passed the number of bills as well in the last year was the Senate that we didn't get that done. But the fact of the matter is hopefully we'll be able to get this done with that. I will you'll back to my friend, Mr. scully's, and thank the gentleman for yielding back and as we start the appropriations process to ultimately get to the point where we're able to pass. Our preparations bills prior to September, thirtieth up the gentleman recognizes that the only way we have an opportunity to get to a point where we don't have a shutdown is if we are in agreement both between the house and Senate as well as the White House on the actual number the amount of money that the federal government would be able to spend in that year we've had agreements in prior. Years, budget agreements on how we're going to do that. I think the gentleman understands that even within the democrat controlled house, there's not an agreement. The budget committee, your budget committee was not able to pass a budget was not even able to pass out of committee, an amount of money to determine what we could spend in the house, or the Senate. There's not an agreement at all. In fact, if you look at its first time in nine years, that the house budget committee, did not produce a budget in that budget. That is usually the document that says this is the amount of money that the appropriations bills can can ultimately, equal up to whether it's defense or all of the other bills in next week. More than half of the discretionary spending of the country, is going to be on the house floor. The department of defense fill alone represents more than half of the discretionary spending in. There's not an agreement between the house or Senate, or the White House on how much we're going to fund defense. I'd like to see us get that agreement. But clearly the gentleman knows we don't have one. Unfortunately, those bills are typically bipartisan and the appropriations committee is produced a very partisan defense Bill that, that doesn't happen often, I wish the Democrats on the committee would've worked with the Republicans on the appropriations committee to produce a bipartisan Bill so that we'd have a better chance of actually getting something that can get signed into law. If we want to avoid a shutdown, the best way to do it is to work with both parties, not just to produce a democrat only Bill that doesn't happen too often. And unfortunately I think that's the. Direction. We're headed and then exchange on the house floor with congressional leaders Republican Steve, Scalise of Louisiana, and before that Democrats, Steny Hoyer, we carry the house live on C, span television. Well, some House Democratic leaders who want to break a decade long pay freeze, and give members of congress, a cost of living increase that could pad their salaries with an extra four thousand five hundred dollars next year. We should point out the congressional salaries have been frozen at about one hundred and seventy four thousand dollars since two thousand nine that's when the Democrats lasts controlled congress and they decided to suspend all automatic cost of living increases, while heading into the twenty ten election year will now House Democrats say that they are moving toward a fiscal twenty twenty funding Bill, that would not block. Those pay increases giving members again, four thousand five hundred dollars more a year, a cost of living, pay raise political zillion Johnson, writing the following, quote, Ken Cuccia Anneli has spent years attacking Mitch McConnell and Senate Republicans. Now it's time for paid back. The president wants to nominate Cancun Cinelli to serve as the director of the US, citizenship, and immigration services. Office earlier today, we spoke with the political reporter about this development. Well, the story begins with the Trump administration plan to nominate Ken Kuching alley who's a longtime born in the side of Republican senators, constantly backing insurgent Republicans looking to our incumbents at Trump administration. Wanting to nominate him for a Senate confirmed position at the head of US CIS, which runs the legal immigration system in the US the start there at Cancun knowing has been a long time, so of Mitch McConnell, so there is nothing more Mitch McConnell, but would like then to give Kootenai the proverbial John McCain on down when he is nominated to a Senate confirmed position. So my colleague, bridges ever talked to several senators say, there is no way Kuching alley. If he's officially. Nominated which he hasn't been yet will be confirmed for this position. Lots of Republicans hoping the Trump administration won't actually nominate him. But the truth is, I think if he is officially nominated these senators will take a lot of pleasure in voting. Now is there any pushback from the White House on this? You know, White House has been quiet about this immigration is the most one of the most hotly debated issues inside the White House with Nana reds like the acting secretary Kevin mcelwain in going to war with some of the more hawkish the president's hawkish advisors like Stephen Miller. So we weren't even able to figure out how exactly it was that the idea to nominate Kuching Nellie, who had no chance of being confirmed came about all we know is that Kuching alley isn't that he, he is relishing this battle, which once again pits him against the quote unquote, establishment. And one of the things I was curious about is how serious the White House is about actually going through with this nomination or whether they were merely hoping to gin up a media coverage, not this and, and place him place them somewhere else, we do know we report in the article that the president has floated nominees. He has no intention of actually going through and officially nominating before nearly to gauge the reaction of Senate majority leader, Mitch McConnell, and then privately telling aides that he'll get less resistance the next night time, he put forward and more serious nominee after floating at really crazy nominees with Republican senators we're talking with Eliana Johnson. She's joining us on the phone. She covers congress for politico, and so two fronts, first of all the position that he potentially could be nominated for includes what responsibilities. And then to that point, the relationship or lack thereof between Kim, Koo L E N niche McConnell, with the history. So this is an important position atop the US, citizenship, and immigration services. That's a part of the US department of homeland security, which is one of the biggest federal agencies as part of a purge of lots of immigration officials. The head of US CIS was pushed out, but that agency oversees all of the legal immigration system and a natural vision system in the country. So Kuching alley, perhaps would be nominated to sit atop that position one possibility of it's been discussed in the White House is putting him at the head of that agency in an acting capacity, because there's no way he will be confirmed by the Senate. But absolutely an important position. And your second question his relationship with Mitch McConnell. And there's not much of a relationship the relationship that exists is extremely antagonistic because Ken who Tonelli's organization had. It was founded entirely to go after Mitch McConnell and other incumbent, Republican senators who Mitch McConnell is singularly devoted to getting re elected to their posts. So very intakes mystic relationship. I think that quote, Mitch McConnell shave is that he's not particularly enthusiastic about this nomination. The headline at politico dot com. Senate Republicans are ready to quash Ken Kootenai Ellie Eliana Johnson. Thank you for being with us. Thank you. In other news on this Wednesday relearn earlier today, that President Trump will address the nation from the Lincoln Memorial on July fourth as part of an overhauled celebration on the nation's independence day. The Washington Post is reporting that his appearance will bring a host of new security, and logistical challenges, and also reshape a decades old, nonpartisan celebration, that annually, draws hundreds of thousands of is it is to the mall. And along the city's monuments, WalMart CEO Douglasville in urging congress to increase the federal minimum wage, saying that the nationwide standard of seven dollars and twenty five cents per hour is in his words lagging behind. On Wall Street. Another good day for the markets. The Dow rose two hundred seven points, the NASDAQ jumping forty eight the s&p was up nearly twenty three dot com holding a forum earlier today on drug prices in one of the things we learned from Senator Chuck Grassley, the chair of the Senate finance committee is that he wants the pharmaceutical industry to start covering, part of the Medicare drug cost when they hit the end of their insurance coverage cycle, we carry the conversation on the C span networks in here is health reporter, Bob Herman with the Iowa Republican some of the things you talked about the pay for delay and creates. There's a very smart law professor in health policy. Observer, Rachel sacks. She's at Washington University in Saint Louis. And when those things were first floated in January, you know, it was one of those things where it's like, okay, it's great, but she said, do not mistake them for serious reforms to the underlying drivers of the drug pricing problem again. It goes through the bills things. Might be helpful. But how do you actually get at the items where it'll bring drug spending down? Those might address this schemes that involves some business on the side. But will they really address, what we is the nation's spent on drugs. It's seems like there's an healthy skepticism. Let me let me give you an example in Putian rugs as an example. And some of them now are very, very expensive, and they probably work. But when there's an incentive because the people that deliver the drug to the consumer, the, the healthcare professionals if it's six percent of a hundred thousand dollar drug versus six percent of a million dollar drug. You can understand there's a per verse incentive to use a million dollar drug if maybe the hundred thousand dollar drug would do the job. So you take away those perverse incentives as as one way of doing. Doing it. Now in another area, though, I want to say to you that with Medicaid. It's kind of the opposite. We ought to be looking towards. In the case of Medicaid, mostly for people that are always income, and there's a lot of life-saving things. Sue, gene therapy and other life-saving drugs that are very, very expensive. So. We need to set up a Medicaid program. So people on Medicaid can take advantage of that. And maybe it would be as simple as spreading out the pain for over a long period of time and said a million dollars today, instead of maybe spread out over five years as an example, but we need to make that drug or those drugs available for people that are low income, and those comments, vice Senator Chuck Grassley taking questions from axios dot com focusing on healthcare, medical insurance, and drug prices. By the way, we learned today from rollcall dot com..
"bob herman" Discussed on KMOX News Radio 1120
"Not the XFL. The alliance of American football had eight teams in some major markets. Some big name coaches and dreams of filling a football void after the Super Bowl. Now the league is ending its first season after only eight games. Most employees are expected to be terminated Wednesday co founder Bill Polian best known for building a Super Bowl champ with the Indianapolis Colts. Call the league our wildest fantasies. Come true now Polian says it's all come crashing down asked. Why Polian said he heard that? It's all about the money by Michigan CBS news. A long line of police cars chasing, a stolen car, the stolen. Car crashes outside a grade school in north county. It happened outside the Danforth elementary school in Belfast neighbors. This man in a pickup truck was slammed from behind in the crash. It looks as if a car. Came from behind me from a high speed chase fast. Were they going? You think they would have to have been going lease about sixty after the Pontiac sedan crashed in front of the school parking lot. Police say the carjacker sprinted across the ball field. He was caught a few blocks away the school was on lockdown. But no students were hurt some witnesses or questioning the wisdom of a police chase outside a school. We don't know what department was involved the ground may be shaking below us. And we never even know it a glance at a map of earthquake activity in southeast Missouri and northeast Arkansas Shas, dozens of small quakes a month. Those things are too small to consult all they can be detected instrumentally nothing exceptional. Bob Herman professor of geophysics at Saint Louis university. He says we have lots of smaller quakes in that area. All the time. Beginning of the year. We've had something about eighty smaller. Sweet sounded the the new mattress region. Herman says it's not uncommon for the region to experience as many as four hundred of those small quakes a year. Megan Lynch, NewsRadio eleven twenty km elax coming up at five thirty down expect to see the rivers to the north recede. Quickly picked up the two weeks to really see significant fall. I'm Marie Akina with detail. Komo news time five twenty four. Folks..
"bob herman" Discussed on KMOX News Radio 1120
"Us rob big economic impact on our country. And but hopefully would not be doing that sort of thing. And the end Schumer is hopeful, my guess is that cooler heads will prevail upon the president not to do it. Bill. Raikov CBS news, Capitol Hill will have much more on the story. Coming up at five thirty one police in Los Angeles have arrested the man suspected of fatally shooting rapper nipsy hustle. Reporter Chris Martinez has more the man accused of shooting and killing Grammy nominated rapper nipsy hustle is now in custody. Police say twenty nine year old Eric Holder was arrested Tuesday afternoon near the town of bellflower just outside Los Angeles. According to investigators holder in hustle, head of verbal confrontation the day of the shooting police say holder left, but returned later with a gun and fired multiple shots before running to a waiting vehicle. k. malek's news time five twenty four missouri state auditor says the state's revenue department broke the law in deciding how much we'll be withheld from your income for taxes this year here's came alexis phil brooks co galloway charges the department violated administrative law when it adopted a recent formula raising how much is withheld from your income to cover taxes changes made in january two thousand nineteen or done unlawfully and will result in over withholding for the majority of individual missouri taxpayers but galloway did not fully explain what she meant by over withholding for the new formula legislators say major frustration from their tax payers has been that the older formula did not what hold enough to prevent a maple tax bill surprise there was no immediate response from the governor's office nor the revenue department which she harshly attacked on our news conference from the state cap title phil brooks newsradio eleven twenty k. molex well if you were in the missouri boot hill last night you may have felt an earthquake that registered two point zero on the richter scale or maybe you didn't we can't feel all of them but every month southeast missouri a neighboring states experience dozens of earthquakes so far this year there have been almost ninety quakes roughly magnitude or less in the southeast missouri northeast arkansas and southern illinois region the most recent in just the past couple of days bob herman professor of geophysics at saint louis university says it's not uncommon to have as many as four hundred year he says that's typical of the type of earthquakes we have in this area herman says we don't start feeling quakes until they hit magnitude two point five or higher they're going to be widely they are maintenance two point five those earthquakes will be detected by the many sizing razzle to maybe you know three or four hundred mile herman says the last big shake felt in the region was a decade ago near only illinois meghan lynch newsradio eleven twenty km elax there was a student western illinois university during that last earthquake in all knee and it woke me out of bed at about four forty five in the morning and i had no idea what was going on because i never felt an earthquake before but apparently as making lynch tells us a lot more common than we think coming up in the news at five thirty the latest on the carjacking north saint louis county that ended in front of an elementary school campbell ex news time five twenty.
"bob herman" Discussed on KMOX News Radio 1120
"Crash happened. I hear it all this crash, and I jumped up and looked over here. And then I saw the guy star jacker that carjacker stopped a car jump out and run over this way field. Yes, in the police was running after Lee's caught up with the man on foot and arrested him a block or so away. No students were out when it happened. But many are saying if they had been children might have been run. Over Kevin Kelly, NewsRadio eleven twenty kmox. Meantime, a precautionary school lock out this afternoon in the union are eleven district superintendent Steve wine whole tells us the school doors are always locked. But in today's lockout students weren't allowed outside during the search for domestic assault. Suspect suspect preschools were affected the elementary middle in another building that houses third through sixth grades all the students were released this afternoon. However, there will be a police presence at all schools as a precaution. The suspect. According to union police remains at large. Well, if you live in a Missouri boot heel or anywhere near there. You might have felt a two point oh earthquake on the Richter scale last night's. But then again, you might have not we can't feel it all the time. But every month southeast Missouri and neighboring states experienced dozens of these little earthquakes so far this year. There have been almost ninety quakes have roughly magnitude two or less in the southeast, Missouri northeast, Arkansas and southern Illinois region. The most recent in just the past couple of days Bob Herman, professor of geophysics at Saint Louis university says it's not uncommon to have as many as four hundred a year. He says that's typical of the type of earthquakes we have in this area. Herman says we don't start feeling quakes until they hit magnitude two point five or higher. Through three they're going to be widely. So they are a magnitude three point five of those earthquakes will be detected by the many sites row south through maybe three or four hundred mile. Herman says the last big shake felt in the region was a decade ago near Albany, Illinois, Meghan, Lynch, NewsRadio eleven twenty km elax, Texas. Authorities say fire at a Houston area. Chemical plant is killed one worker and injured two others. The fire comes about two weeks after a petrochemical fire at a nearby suburb that fire at a storage facility owned by the company ITC burned for days, Harris County, judge Lena had Algo says it's an it's a disturbing trend. No, it is disturbing. It is disturbing and it is problematic that we're seeing this incident.
"bob herman" Discussed on KFI AM 640
"I'm michael live us attorney dan no catch is the city would have to help the feds track illegal immigrants ag jeff sessions warned four us cities that their local governments could lose out on a new program to help fight game crime and drug trafficking officials in samer dino say there is not a sanctuary city they say the warning is irrelevant because the city does not run a jail that the feds want to access the man who got stuck upsidedown on the bungee jump right at the bin turki county fairs as he woke up with a massive headache buddies okay roger rodriguez tells ktla it was an unreal moment when he finally got rescued wednesday night i was on the verge of passing out my head was still does led my veins are puffing out of my body and i just i remember telling them to hurry up with like using last saint to have of my body telling the hurry up rodriguez was stuck about thirty feet up for about forty minutes he says it was his third time bungyjumping and his last golfers may have become a fireball offense at president trump's golf course in rancho palos verdes a local newspaper took photos what appears to be groundskeeper shooting guns adam local resident bob herman says getting a golkar's is tough thing with a golkar's okay you can't use chemicals because that is going to kill the while so you don't really have a lot of options to get rid of golfers exceptional another resident says he's concerned about the safety of people in the area la county sheriff's officials say they haven't gotten any reports of shots fired traffic from the helpful socal honda traffic center problems in send to face spring this is on these 605 southbound right before washington we have a crash had speakers take it up the carpool and left lanes there you're seeing delays from just after whittier boulevard it diamond bar there is a work zone this is on the 57 southbound from the sixty all the way the pathfinder cal tori is going to be taken away the three right lanes of till five am you're seeing delays in that area and to insure been oaks good news earlier crash that was on the 101 northbound at what minutes that has just been cleared cleared from lanes your drive is recovering from coldwater canyon kfi in the.
"bob herman" Discussed on KFI AM 640
"A fireball offensive at president trump's golf course in rancho palos verdes a local newspaper took photos of what appears to be groundskeeper shooting guides at tom and local resident bob herman says getting rid of gophers is tough thing with the goalkeeper's okay you're carriers chemicals because that is going to kill the wire so you don't really have a lotta options to get rid of golkar's executive another resident says he's concerned about the safety of people in the area la county sheriff's officials say they haven't received any reports of shots fired the wall street journal reports a grand jury has been put together by special counsel robert muller as a next step in his investigation of russian meddling in the 2016 presidential election a grand jury is allowed to subpoena records intake testimony from witnesses under oath it alternately decides if charges should be filed traffic from the helpful socal honda traffic center we got a car fire on the 405 in this appalled that a pass other events that getty center everything off to the shoulder her but it's enough a at a very heavy ride of that four or five north starting back at around centuries of outside of the 405 watch for duluth starting with the one in one pretty crowded out of the 90 and then he has a bit of a break heavy again for the 105 at at the seventh and then four slowing of long beach from bellflower out through the 22 and earlier crushes for moved to the right shoulder fisher heavy in the 605 southbound side coming at a figure of vera from without rosales over to the fi with on slowing between the 105 of the five the five delays continue if you're heading out of furthering factor was earlier problem on the northbound five berbick boulevard and that has been cleared from lanes but the drive on the southbound side is affected that still heavy from hollywood way and then of a head officials from the one thirty four in targets all the way out to about valley view port for delays on the five northbound side getting out irvine for over over to about main and the drive on the 215 worth marina valves pretty heavy from cactus to university kfi and this guy who's get you there fester prime j live we will check the forecast next so what is your electric bill look like a couple of.
"bob herman" Discussed on KBNP AM 1410
"Now colmey said he felt uncomfortable with it but the reality is he was perfectly happy to acquiesce to that all in ways that dumb you know i don't see him emulating were trump was concern arab forget the comparisons still why is it your estimating the democrats seemed to be perfectly comfortable giving a pass to lynch for that which is arguably far more egregious then what they refuse to give a pass for trump very good question i think that was the biggest bombshell of the day yesterday and many on the lap in in the mainstream media wanted your bright right over that in active whipping never even even heard that but it doesn't mean we owe that is the real problem and the fact of the matter is we have loretta lynch who did and it colmey theme acquiesce to that we know now we colmey under then he with not investigating donald trump but the media and elect donald trump proclaimed publicly premia cueva but not under investigation and we all know there we've got to get it there was no traction of president trump did nine new the painted the lap and the media are accusing him and doing anything on bob herman cutting put up any evidence of any crime that president trump had committed a crime eating you put up the evident when you're putting bit or get out of the way that we can more on the agenda that the american people elected president of iraq iraq in eurostat nation was warner essentially lying in the intro to what he has just stated jerk if you will my buddy please play the beginning of that click loop on what's on the president i state's asking the fbi director to drop an ongoing investigation and after that some right up there didn't ask him to never never asked you he's referring to the flynn request but with the flynn requests he just said.