20 Burst results for "Ezekiel Emanuel"
Some states see COVID-19 cases surging as restrictions are relaxed
"Just as much of this country seeing improving coronavirus number several states are going backward in the fight with markedly high daily case counts or hospitalizations Florida Texas and Arizona all set records for daily new cases this week among twenty one states including Delaware with increasing trends in new cases CBS news correspondent Manuel Marcus Texas all record jump of more than twenty six hundred Florida has reported nearly fifteen thousand new cases over the last ten days but in a Wall Street journal op ed vice president Mike pence called reports of a possible second wave over blown Dr Anthony Fauci says don't call this a second wave we're still not done with the first one some politicians have attributed higher case numbers to better testing recent surges are outpacing the increase in tests that's according to Dr Ezekiel Emanuel the head of the department of medical ethics and health policy at Penn he says you can have a small percentage increase because of testing in terms of number of cases but when you see fifty percent or one hundred fifty percent increase in some cases in the number of cases which is what we're seeing across the south in the Sun Belt that is not testing Emanuel says that's new cases that he says is community
"ezekiel emanuel" Discussed on KDWN 720AM
"Eight eighty three investors my brother David masters and there is a bad moon on the rise right now let me ask you something you're listening to this radio show right now you're obviously concerned about what is happening in our world today you have to be if you are not a statue made out of marble you have to be concerned would you take a vaccine if somebody walked up you knocked on the door and said Hey we've got a vaccine that is the cure would you believe it would you take it not me in a million years David would you take it not on anyone's life I wouldn't know I mean I'm an anti VAX and I always I do believe I do believe that the doctors and it is just because some of these doctors are on fox news but the doctors that are out there that start by standing near the you know the state capital of whatever state they're in you know they're out there with a bullhorn or just out there saying what they've got to say saying we are being lied to we're being lied to and deceived they are not just on fox news people there at the capitol of your state saying this outside because the media is only giving us crap is only giving us lies on it fox is one of the only another's newsmax there's there's a few but as far as the mainstream media fox is the only one that's giving us the opinions from these doctors that are worth a damn and most of them will say you know that the that they lean on the side of of caution yes we all have to be cautious nobody is saying just like Chuck Norris said and whoever else they they also yes we know there is a virus out there but all these lies were being told about how many people are dying in the kind of the job that I've been doing is you know you hear about the guy skydivers parachute didn't open he died of coronavirus you know anybody that dies these days they're going to put on their coronavirus because it's a money grab well I am only money grassy a report few days ago that the state of Colorado had revised down their numbers by over two hundred now that everyone actually right they're revising down their numbers because they're doing the the proper investigation of the autopsies on people that died but I want to go to an article now that where doctor Nicole sapphire she's the real pretty one that's on fox news quite often she says that it is not reasonable to demand that all Americans be tested and to be given a vaccine or a or a vaccine be developed before opening up the country and here's what she says here's the article says very estimate Kratz and started left wing figures such as governor Gavin gruesome I've changed his name Dr Ezekiel Emanuel and Bill Gates have linked a resumption of economic and social normality to formulation and mass administration of a vaccine for the Nobel virus sapphire said it's completely unreasonable to say that we are waiting to open up for the vaccine because that vaccine may never come and then she also said urging the use of social distancing but here's what I saw I saw the twelve feet isn't enough because if you cough your cough can travel at least twelve feet so this whole social distancing I want to call it socialist distancing because that's what it is it's designed to divide people to keep us apart because you know what United we stand divided we fall that's right that's exactly right they're trying to divide the country and this is what civil war as you know fathers fighting against son and brother against brother and neighbor against neighbor it's a sad situation they were it's a bonus right now I mean literally it's upon us based upon this I have some amazing audio that I had to capture from our favorite Tucker Carlson and in the first clip it there's a series of clips here where he also goes into this with doctor Marc Siegel who for the first time I've ever seen Dr Marc Siegel become let's just say here motional yards to his cronies expanded up we start with Tucker we start with Tucker exposing Dr fab he and his friend Ted roast now listen to this you're gonna slip your mind according to recent reports Tetris to direct orders from the government of China and delayed calling the virus a pandemic when it clearly what's and yet there is one person who has long always through thick and thin but a fervent fan of Tetris and that's Dr Anthony Fauci ten jokes is really an outstanding person I've known him for the time that he was the minister of health of Ethiopia I mean obviously over the years anyone who says that the W. H. O. is not had problems has not been watching the WHL but I think under his leadership they've done very well he's been all over this I was on the phone with him a few hours ago leading a W. H. O. cool but when that time in Ethiopia that he's gushing I've known since he was in Ethiopia that's one to address was helping to cover up multiple cholera outbreaks for political reasons not really what you want in a World Health Organization director but what we have seems a bit much so I I got to say Hey this guy deserves the most prestigious award for reporting he is the most honest person in the media he's the most bold and he has the most courage anybody exposes these people but you know what thank god thank god we've got Tucker thank god we've got people you know dare I say like us that are willing to put everything on the line because we are the first ones are going to attack we're the first ones like I told you guys out there you know when you go to the to the state capital and you're carrying an A. R. fifteen and you've got a you know a three fifty seven magnum on your hip and you've got a a of the strap of bullets and you got a bullet proof vest you're wearing camel you're sticking out like a sore thumb in the nail that sticks up gonna get hammered down if you go out there and all you're trying to do is make a statement visual statement you know like that you're putting yourself in harm's way but not much good comes from it because you look like you look like and I gotta say this very careful you look like a crazy right that's what they want you don't want us to look like a crazy the reality is you should go you should go float like a butterfly sting like a bee but don't take your stinger out if you know what I'm saying yes don't it's like I I'm not afraid of a fly but I'm afraid of a loss okay so if you show up they're gonna swatch you down but if we show up like flies on them they can't get us all that's we got to do is be a swarm of locusts and flies then they cannot take us out for just being flies but they can if we start looking like a crazy with bullets and guns strapped all over our body we look like a terrorist it's very dangerous very dangerous for people to get angry and and not know what to do with that anger however they want us to be angry I mean this is the idea that you're imposing restrictions on people is if there were five years old you know you can't do this you can't do this you have to wear a mask you have to stay apart from people this is insane let me tell what my head hold on before you go that my two year old grandson came to the house the other day he was like every little boy playing in a puddle of water and money came and got him and said come on and now it's raining we gotta come in and he was having such a blast I mean being a little boy just stamping in the puddle and getting himself all wedding course you know if he keeps on doing that is gonna be soaking wet he's gonna catch a cold and and and maybe that's good for Manitoba mom added now so she brings into the house and he was a warm feeling I don't know what he was and so on all I hear of course I hear this will like all my what good is it I thought I thought she was tearing them limb from limb and I went over there and I said hold on now compared we'll pick yep let's let's go here let's do some in course the thing is that the noise he was making it seem like he was going insane right and here's the thing is if you want to look like that person that looks like they're going insane you're going to be put in a straight jacket and taken away and then everybody's going to get crazy here there are fifteen what's next gonna don't do that don't fall to temptation the anger don't be that little boy I know you cannot stop in your mud puddle right now but it is not a time to go crazy and have everybody look at you like you're going crazy what Rudyard Kipling say keep your head about you when all else are losing theirs and blaming it on you keep your head about you Hey man I've got an idea a good idea we could we unite we gotta start making these.
"ezekiel emanuel" Discussed on RUMBLE with MICHAEL MOORE
"That a victory So I do think that In the first part of the twenty twenty s we're going to get some major change And I think this idea that you know trump just came out. Let's get rid of the. Aca Let's have the course overturn it. I mean how. Can you do that when we need coverage at this very moment it just incoherent and when you say ten percent? I just want to put a number of that. Ten percent of Americans don't have are not covered. That's thirty million Americans thirty million. Yes and so when you're not covered when you start to feel sick you don't go to the doctor 'cause a you can't afford it You know there's the copays the deduct all the stuff but also we have eleven million wonderful immigrants who are living in this country. They don't have documents and they are scared shitless to go to the hospital the doctor for the fact that they would be arrested and removed so if when they get sick and they are afraid to get an seek help because of our system that set up against them they then they've had not only hurt their families the people around the people they love. It's it's I say. This like Republicans out of your own self interest okay. You don't love immigrants. I wish you were different. But you know what out of your own selfish interests. You want anybody who's feeling symptoms to go seek help. That's for you to protect you. Forget about them. Just protect you. You should support that and it's just. It's what we can have this conversation another time because I really. I think we can do this. I think we can do better and I think that having our health insurance tie door job which sounds good and if you have a good job and you got a good union especially you got great benefits but we've now learned as soon as the job ends boom you. The government may be giving you some unemployment insurance now. They're not giving you anything for your healthcare and it has caused a such consternation but my last question I want to ask. You was more of a global question and and Maybe you're not qualified to answer this but you must have thought about it that it seems like this virus which we don't know everything about yet. possibly happened because the habitat of certain Species I'm has been so encroached upon that. We have altered the national or the natural world. We've done that in the first world. Obviously it's done in the Third World and and in this case. Are we ever going to have the conversation? Maybe it has to be after? We're through this. I'd like to have it now. That our if we don't treat this planet differently that mother Mother Nature Loves US but it senses that we are doing things to destroy Mother Nature. Mother Nature is going to put us in the timeout room. Which is I think we're at what we're in right now but it can do far worse. I say to all the Earth's going to die note. The Earth is not going to die. The Earth will kill us before we kill it and I just think that we need to have a conversation about the why of this virus and the how it transpired and I think it's connected to all these things we care about with our environment with climate. Change all these things just just some. I haven't heard you talk much about this but I'm just curious as a citizen even Where you stand on this what you think we need to be. If you don't have the answer just get us thinking about this So I did write a piece for the Washington Post some about the issue that there are particular hot spots. Where various emerged where the mixing between people animals Who have been displaced from their habitat China. This area of China is one of them And it's a very important area that we've seen have have generated a number of These viruses SARS Being one of them So you're absolutely right that there is this Change in the relationship between animals. Humans the environment that does lead to The hopping the host transfer From in this case it appears bats to human beings And that does have to do with encroaching on environment more detail than and prolonged interaction between people and animals Where the viruses can adapt to a new host and that new hosts never seen this virus and can really really be deadly. As we've seen the same thing is true of Evola was true of how you know. That's how we got HIV. And so it's it's you're absolutely right. We have to rethink our relationship with the environment. Try to minimize these a major major disasters in. How do we stop this? You know in New York City here. The hate crimes against Chinese Americans in the last month or so. It's been I mean pretty ridiculous. Yeah so how do you? How do you as a scientist as a doctor Explain to people that is not the Chinese people you need to worry about as I say you need to worry about somebody who doesn't do anything for eight weeks when they're in charge. Yeah well I think that is prejudice and it's not It's stigma it's not very helpful to keeping US safe and it's certainly not representative of how this virus started and how it spread while I look forward to talking to again Thank you for coming on And thank you for the work. You've done all those years At the at the NIH was fourteen. Fifteen sixteen years something like that It sank you. We appreciate your service to this country. Keep telling the truth we need it. I don't mind if it's bad because it's it's I can deal with a lot of us can deal with it with the American public doesn't want to be treated like babies. We are adults and together. We've done this before in our past. We have made this a better country. We've come out of huge averse adversity. We can do it again but we need people like you leading the way telling us the truth. Keep doing that. Thank you thank you. Thank Gerhard Zico Manual Podcast is making the call and also on MSNBC ON Friday nights ten PM Eastern and Pacific Where he gets right into it. You get a full hour of this and I encourage people to listen. And also your book Thank you very much and thank everybody who listened to this podcast. I know there'll be a lot of comments. I'll pass them on to you and the rate we'll talk again soon. Thank you Mike. Take Care thank you thank you very much. Thank you for listening to this episode of Rumble with Michael Moore. I happened to be Michael Moore And I'm grateful to all of you for participating. Don't forget to watch our film. I'm the executive producer of it by Jeff Gibbs called planet of the humans. It still for free on my youtube channel. Just go the Michelmore YouTube channel. That's just ninety eight minutes long and and you will see some truths that you are not and have not been told And we present them not to not to scare the shit out of you but to say look. We are all good people. Everybody in this movement is good is good intentions. We need to come together and think about whether or not we're on the right track if you dig in and say yes that's the right track in and you don't do anything you just stay there. What if you're wrong at least if you've had a discussion and you consider multiple tracks that we might be on to save ourselves this planet? The species may be a better chance. Why would you take the risk of only one track? Who puts their eggs all in one basket? That's what we've been doing. That's gotTa stop. That's gotTa stop and To the people who are listening. Bless you thank you for yelling at US yell more civil disobedience. Make your voices heard. I'll stand with you every inch of the way and I know a lot of people listening to this podcast well to leave me your comments here on the podcast page Sent me a voicemail. You can actually send me a voicemail. I listened to all of them. And you do that. I think on the Anchor Platform and I love. Hearing from people helps me. Think about things and you will hear from me Very very soon here so until then he will be good to each other. Don't despair and wash your hands please. I love you all. Take Care Toxin.
"ezekiel emanuel" Discussed on RUMBLE with MICHAEL MOORE
"And we we who care about the people who are cleaning. The streets driving the buses stocking the shelves all those workers. I mean we love the doctors and the nurses and we hate hearing that how many of them have died is just awful but but all the other workers that we wouldn't be eating the we wouldn't have water in our tap in the kitchen if people weren't at the utility plant all the stuff that has to keep going that unit you see where people go with us. He started at that. What what what Dr so I ask. You is Doctor Emmanuel I don't want false hope but I want the truth and because I think once we get the truth collectively as a society. We can figure out what we need to do. We know the eight eight weeks that were lost there with trump. Wish that we had those back Now what we? We can't go back. We can turn the clock back and you know. He was all all bent out of shape when he found two of his staff. There had the virus and then all of a sudden now what I heard on the news. All the staff from the White House are going to be tested on a daily basis. Which is what all of us would like. You know in that sense of who had something at home. Where could swab or mouth and see that? We're okay for another day because see the thing is to take the test. My right on this if I if I go to the the walking clinic down the street I heard. They had test on there as soon as I walk out of. I'm yes and they find out. I'm negative. I walk out of there though as soon as I touch a DOORKNOB. As soon as I walked by somebody on the street coughs. I can't say two days later that I'm negative can I? I'm negative I'm negative in that moment and and a lot of times you don't get the results right away. You GotTa wait a day or two so by that time. I touched too many doorknobs. I have run into too many people. And it's like what is the test even mean at that point. Yeah I think so first of all. You're absolutely right. The test does meet at that moment. You're negative and you could get the moment. We should also be a little clear that the data is emerging that there seems to be a way of getting it Touching a doorknob is pro. Made I won't say you can't get it that way but probably not the main way most of us Who might end up getting it yet? There Being stuck in a car seems to be important being in the same house and interacting with people overtime seems to be important and the third thing is going to a family event. The party or something where you're with other people for two three four hours. That seems to be important. If you're outside in your six feet apart from people unlikely to get it just touching a counter or surfaced not adapt like. You can't get it there. But it's not the main way of Trent Transmission. So transmission is sharing air with someone for a fair amount of time like in a car. That's how this thing gets transmitted. You'll remember Michael you know that they famous case of That new Rochelle a lawyer who was driven by someone in that other person ended up because he was driving to the hospital or to get the test you know ended up getting infected. That's a likely scenario being with someone in your house. Entertaining them in close quarters the same air over three or four hours. That's another way of getting it So that it's important for people to keep that in mind but I think my clorox wiping my tangerines and I asked him to the skin. I'd why am I? Why am I Clark seeing the Tangerine? I don't do that so I'm not sure why anyone does that. I would say the following. We do need to open up the economy. We need to think about how. We're going to open up the economy. We need to recognize that. It's not just one thing. We do right there. Different kinds of businesses abilities to socially distance. So if you think of restaurants were coming up to spring and summer if we serve people outdoors if tables are space six feet apart if the customer actually goes up and picks their meal up off. That's a way that you could safely open restaurants another thing to think about is. You can't get workers back to work in a serious way unless you get their kids in school so we'd have to think about. How do we open up schools? Fortunately we're not trail-blazing here. We can look some places in Germany Denmark is another place that has done it so you can see you know. They bring kids in and stagger times. They have them wash every hour on the hour. They have them play and eat only in certain groups so that they're not creating big mixing they have an opt out policy so parents who think that's too risky out. Because you might have grandma living at home you might have someone who's got diabetes or serious hypertension living at home and if the kid got it got cove and brought it home that would be a serious health threat to those people so we need to be prepared and you start with the youngest kids. They seemed both less susceptible and have less complications if they get it and online learning sucks for them. So you gotta focus gotTa think about this in a strategic way and us all the information. We have to open up as safely as possible. The Chinese the study that was done after. They're they're large bout with it. Showed that nearly seventy percent of those who died contracted the virus from a family member or somebody who was living in the house and is that right so they. They started not sending people home when they tested positive but to these designated hotels dorms or whatever so that they would not infect especially the older people who are living at home yes. That's it would be a good use of how hotels that are sitting idle. And yes we. We need to think about that absolutely. Can I just ask you more when we only have a few minutes left here because you have to get over to MSNBC not going over there are going to beam you there but But I just want to ask you maybe more global question and I'm and I also want to say I spoke to you years ago when you were developing the obamacare and all the important work that was done with that and maybe if you could back on another time I'd like to like I like to on my podcast. Imagine Life Post pandemic so that we start to think a little bit about the vision we have for the way live and a lot of us. Do not want to go back to what we call the old normal. Yes we want to go back to the new. The normal where kids are in school. We can work and all that stuff. But I think we've had a lot of time to think about the way we were living and I would love to talk to you about your new ideas about where we where we take The Affordable Care Act. And how we improve it how we expanded out all those things that I think Have to be done And and your great thinker with this sort of thing. I'd love your input into that so we could do that another another time with absolutely but I think Michael the short answer there is. I don't think coming. Out of covert people are going to put up with a patchwork system. We have where ten percent of the population doesn't have health insurance. I think people are like this is a serious issue. My health depends upon someone else's being able to be healthy And their willingness to get healthcare because it's not going to bankrupt them we need to create a structure where this thing works for all of us. I don't think Bernie Sanders Medicare for all is going to be that. Because I think it's just too politically fraught but we can think about in. And you know Joe Biden said about lowering the Medicare eligibility age. You think about Medicaid for a lot of people you could think about a structure where we take. Parts of Medicare call Medicare advantage where the private insurers run the system at people after that which is now extremely popular expanding that everyone This is a moment. A lot of people are losing their job. Therefore they're losing their health insurance or employer sponsored health insurance. It's a moment where I think. The public is going to demand. We've got a switch off this system. Yom Let's do a better system we can do every. Yeah we are. We have a true safety net. It's not poorest. Ought to people. Don't fall through. We don't have ten percent uninsured. Call.
Are we doing enough to prevent the spread of COVID-19?
"Joined by. Dr Ezekiel Emanuel former Obama. White House Health Policy Advisor. He's Vice Provost Global Initiatives University of Pennsylvania and Dr Peter Hotels Dean of the National School of Tropical Medicine at Baylor College of Medicine Doctor Manual. When we start with you. Where do you see us right now? Are we doing enough in terms of large scale social disruption and changes to slow the transmission of this epidemic? So first of all. I've been saying for several weeks now that it's going to get worse before it gets better. Parsley it's GonNa get worse because we have testing. That's just going to show us how prevalent the illness is. It's also getting worse because we know we have more community acquired infections as I mentioned to someone today. You know one week ago. We weren't even talking about new Rochelle and now new. Rochelle is a major topic in New York. And that's a lockdown and if we focus on new Rochelle without thinking about all the other places that this virus is maybe Washington. Dc maybe the suburbs of Baltimore. Who knows where the problem is? We need a more systematic less uneven response. That has to be pretty uniform. Because just 'cause we're seeing it new Rochelle doesn't mean Rochelle's the only place in New York that Scott and that response does have to include things like much more prevalent testing so we really have a handle on who's got it and who doesn't and a really good model is South Korea if you look at their trends you can see that. They're beginning to bend in South Korea. We also do need to inform people. We use the term social distancing like everyone knows what it means. It's not immediately obvious to people what that entails and how much you need to be separate from people explain to what should people know about but a large part of it. You people have come up with all these numbers no more than one hundred people to meet no more. The issue is density. How close are you to people? How easy is it for the droplets to spread? How much are you sort of packed in light sardines or not and that real? I mean that's a physical thing That is really important and I do think we probably need to educate people to minimize the. They're our contact and to stay home more. You can go out where there's no one else if you're going walking in the woods or something or going to a place where there are other people But I do think Restricting how we move around is going to be important I will note that not every but most of the Ivy League schools now for example colleges mine included. We're going online. The second half of the semester is all going to be online. Students aren't going to be in. Dormitories accepts students. That can go back to their home country and still complete the semester. So you are seeing a lot of action. But it's not concerted and that's what it's not systematic and that's what's bothering me Dr Hotels. We've been checking with you throughout the unfolding of the goal pandemic and I'm curious. Are we learning more about the virus itself about the basics about the transmission rate? Which seems to be maybe lower than at first. We thought the fatality rate the incubation period. Where is our knowledge right now about this so the transmission rate still seems to be? Pretty High Dr Fao. She mentioned. It's probably a significantly higher than the influenza as well as the mortality rate. But the you know just to echo and reinforce some of the things zeke Doctor Emmanuel was was saying we've learned a few things from a recent analysis. My colleague Mark Lipchitz sit at Harvard School of Public Health Chan School of Public Health together with a student a doctoral student. Ruan Lee didn't analysis of the Chinese cities in terms of how severe the epidemic is with the extreme example being Wuhan rare nine thousand people wound up in and severely ill with two thousand in the ICU versus city. Like Long Joe where there was only twenty a big difference right and it looked like it's primarily to do to how quickly you got on top of things after sustained community transmission started. So they let it go for six weeks. Before they implemented aggressive control and testing whereas in Guangzhou were the only at twenty cases one week. What's the lesson learned from the United States We're now about three weeks into this in terms of sustained community transmission. We had our first case of community transmission around the end of April so subtract a week before then. So we're getting to the point where because we're not doing adequate diagnostic testing and implementing those very important control measures. That seek pointed out. We're in a situation. Where we could risk being closer to Wuhan and Guangzhou and and we do we. We can't be there so now is a very critical period over the next couple of weeks where we have to be very aggressive about closing down major venues. We just this Houston. Today with the Rodeo was a tough decision but was the right decision that we're going to have to do this all over the country right now and the reason is this because if we miss that opportunity we then have. Our new problem becomes surge capacity hospitals. Where we're not gonNA have enough beds. We're not GONNA have enough into ventilators. We don't want to go in that direction. So now's now czar. Big Schnauzer going to be our last chance. We've already missed that in over the last few weeks. Can I reemphasize something? Peter says which is so in the entire United States. We have about eight hundred thousand hospital beds a little under eight hundred thousand hospital beds. In the entire United States we have under seventy thousand adult intensive care unit. Beds we have about sixty five thousand ventilators with the strategic supply. I've heard that it goes up slightly under one hundred thousand. That's our maximum capacity in the country at the moment if you imagine that even two percent of the population gets the corona virus and we have about six percent who are seriously. Ill GonNa need a respirator. We've exhausted all that supply. Just for those patients. Forget the heart attack patients. Forget the patients who need it for any other reason and I think what Peter said is exactly right we probably have missed two or three turns over the last few weeks where we could have gotten things down and just focusing on the hot spots. Seattle New Rochelle. I think is not. We need a much more systematic countrywide approach so that we don't overwhelm the healthcare system. Which already you know doesn't have that much search capacity in it. Dr Hotels Final Point to you for people that are watching this I. I've struggled with this for the last three weeks right. Communicating in a way that does not induce catastrophe or panic but also is clear eyed about the risks. And I do think it's worth just going back to the distinction between your individual risk you random American one of three hundred thirty million that you will get very sick and need to be hospitalized or may as life threatening illnesses that individual risk for any given random person is probably low in the grand scheme of things and this systemic risk to the society and to the healthcare system which is extremely high at this moment. Is that a fair way of phrasing. It yeah absolutely and also remember. It's it's all about communicating. What our top priorities are in. This is what I've been disappointed about. We've lost a lot of time because of a blanket statements that are not backed by data saying this is contained. This is this is the cold. This is the flu when in fact we know that there are specific groups that are at high risk including older older individuals those with underlying disabilities and our healthcare workers. And so what I've been looking for is at the White House. Press briefings to say. Look these are four. Bit Concerns Right. These are three or four populations That were concerned about This is a why we need to get on top of this very quickly. And here's what we're doing about it and and historically the American people have responded very well to this They understood this three. Bola Zeka as we say. This is not our first Rodeo so so we know how to respond and we just need that clear kind of concise messaging right now. All right. Just had one thing to Chris. Point which is we also do know the ass for any individual. The risk is low except we do know that there are certain people and Peter Emphasize of those who are over sixty or sixty five those who have chronic illness. They are at high risk and what we have done in. This country is aggregate them in nursing homes. Those are most vulnerable people people in nursing and we really have to social distance. There reduced the number of visitors. Probably two zero. Make sure that people are counting up and taking a donning protective equipment so that we don't have that Patriot play just explode with corona virus like it did in Seattle because almost every one of them is really on the verge just like the cruise ships. Good Point -portant point Zeki Manual. Dr Peter Hotels. Thank you
Is There a Physician Shortage?
"Sure you've heard that New York University. The School of Medicine this year earlier this year announced it would cover the tuition for ultimate goal student. I did hear that. I wish they would have done that when we were uh-huh and when we say cover the tuition means they're going to pay for the tuition. The Med students don't have tuition free tuition free medical. The reasoning was that maybe more students would go into primary care specialties. If they didn't have such huge debt when they got out of residency. Yeah what they're trying to do is address. The problem of physician shortages particularly physician shortages. In primary care specialties. Ladies and by that we mean internists family practitioners pediatricians and OBGYN Docs. Yeah so we've been hearing about primary care shortages especially in rural roll areas since we were in medical school. This is anything new. I remember. This was a big topic of discussion. And it's hard to get physicians to go into primary care specialties. Because is the pay is much less and it's hard to get ducts to move to rural areas for lots of reasons lifestyle like a practice support longer hours more cau- concerns about education. TORCHY's tacos is a big one for me but really there are all kinds of reasons. I spent the first few years after residency out in rural West Texas and I basically basically said peace out after four years in headed Austin. I can't blame anybody for doing the same. Yes but there are some people think the problem is much bigger than just providing for rural primary occur needs to true in fact the Association of American Medical Colleges or a EMC recently published an editorial in Jama the Journal of the American American Medical Association. They said and I quote the United States faces a serious physician shortage that is likely to worsen in the coming decade without without multifaceted intervention. Oh not so fast. You may find surprising kindle but this opinion is not universally shared a few weeks after the editorial was published Ezekiel Emanuel Chair of the Department of Medical Ethics and health policy at the University of Pennsylvania stated I think the notion of a shortage is greatly exaggerated so who to believe. Is there a shortage or isn't there. Do we need more doctors or are there plenty to go around
"ezekiel emanuel" Discussed on NewsRadio1620
"They miss played at badly so of course they key now they're coming down hard suspending ezekiel emanuel but then they do it without due process even though another privatization he fights back you know the whole thing but the nfl's trying really hard to now to pandered to women so now they have players who are for whatever reason i don't quite understand what the protesters about and though they keep saying we're not trying to offend people or or disrespect the flag they've chosen the national anthem and the presentation of the flag as the time to take a knee and they don't they're absolutely missing the connection the most fancy so the nfl's mensing this really badly but i'm here to tell oh you if you're wondering what are they gonna do the right thing though the nfl never does the right thing they don't feel does the money thing and so if players taking a knee have people tuning out than the league is going to go to them and they're going to say hey guys chauve hands who's a fan of money make money you know where the money comes from the money doesn't come from i'm like woke hipsters the money comes from people who can afford the exorbitant prices that we charge to watch a game and if they're not coming and they're not watching on tv all by the way the other revenue stream commercials honor games if you like the car you're endorsing or the shoes you're endorsing or whatever you're endorsing if you like that than you'd better grow up and take your protest somewhere else or pay for your own damn tv time and taken the or whatever and that's how this is gonna come down but as of right now the nfl's feeling it right in the pocketbook it doesn't invalidate that these guys feel like there's something to protest but then they make like michael bennett made some in ain statement about how if if he can't dissent and and he can have a different opinion then his team owner than he's he's no better than indentured servants or whatever he was making some comparisons of slavery is like okay the sides affect you can quit anytime you want your paid millions and and and you came to them and ask for the privilege to play but otherwise it's indistinguishable from slavery could call could goal michael eight hundred five zero one seven zero eight zero eight hundred five a one seven zero eight zero.
"ezekiel emanuel" Discussed on WBT Charlotte News Talk
"You have voted for a punture people though who have done none of that what's the point he'll the republican party is is the most useful mechanism on the planet when you need them the least if you need a resolution from congress right you want a resolution from republican members of congress that poppies are cute kittens zor adorable we all love babies you you know we should respect our veterans like groundball stop the republicans are great they'll step up they'll give you that resolution tomorrow everyone will vote for they'll have a press conference so pat themselves on the back goal commend with their bow ties and stop couple of lobbyists baby in the back for the baby's group that need it out another eighty so baby food or whatever and a big look we put forth the resolution babies are cute unanimous vote on this this is all gray so they're very useful for stuff like that that's completely useless the you but stuff that actually useful tu like getting rid of the legislative disaster known as obamacare which is an absolute death spiral contrary to what the ezekiel emanuel so the world keep telling people it is absolutely mathematically economically arithmetically in a death spiral getting rid of that in saving our healthcare system that's absolutely out of the question not actually going to take a vote on that that matters are means something so what's the point if you are in maine and you're a listener in may mark's got a wide reach out there if you're a lesser and made serious question what why you voting for susan collins what's the point uh you know i'm a realist i'm not.
"ezekiel emanuel" Discussed on The Renegade Republican with Dan Bongino
"Overcorrect completely dismantled zeke ula manuals argument there are one hundred percent uses obama's own words and methodology against him and what is the killer manuals comeback his comeback has got the message in it and that voice which is really irritating other words which is funny joe because ezekiel manuals point is that over roy is attacking the messenger when he's doing nothing of the sort of thing their own words and methodology which are facts to to disprove a statement emmanuel made and this is what liberals do though they attack the messenger but they accuse you of what they're doing it's almost genius he goes look he's attacking the messenger by saying you're attacking the messenger which woody which is which roy was not doing ezekiel emanuel is attacking the mess this is what they do notice he never rebuts the point for folks your it's on podcast i don't need the plane you can listen to it again rewind finger on the iphone screened rewind the from and listen again he never rebuts the point now you can watch the entire interview and you could see his lamotte tabs to try to circumvent what roy seventy never rebuts that point at all and what it ought to be clear on what roy was saying at the end where that sixteen million wouldn't have insurance if it wasn't for the individual mandate where that number comes from were figures told to barack obama when he didn't want the individual mandate but i i know that's hard to understand i if i'm losing yeah i might sincere apologies but it's critical you understand this this is how roy figure this out which was genius when obama i started advocating for obamacare they were not huge fans of the individual mandate because they knew it would be a tax and they have a tough time defending a tax at election time henceforth they said over call it the individual mandate member they argued on tv obama that wasn't a tax yoyou cnn argued in court in the supreme court to their general that it was a tax it was a we've done a tire shows on it yet a new we couldn't advocate for attacks politically but he knew legally he had a make it a tax dated want the tax for that reason but.
"ezekiel emanuel" Discussed on Politics and More Podcast
"We don't do so well on infant mortality we don't do so well on maternal mortality we don't do so well on a lot of metrics how do we change that that's something to do with the payment but much much more to do with how doctors are actually structuring the delivery of care in the office in in the hospital and things like that seek your your book starts off with an extended not anecdote but story about an elderly woman named miss harris tell me a little bit about her so miss harris when i saw her was ninety five years old now she has very high and label blood pressure goes up and down as a result some kidney problem she also has a heart failure she was at her sister's house it was a hot summer day and she keeled over her sister you know 'cause 911 they take her to a nearby hospital doc in the emergence whom term and she doesn't have a stroke doesn't have a heart attack but she has this rhythm thing called six sinus syndrome sensor to a affiliated hospital little further down with a cardiac unit and they put him in a cardio verd'hurt that is an implantable shock device and a pacemaker in all of one device inter her heart when you ask her about it's very unclear that she actually consented to this is the system failing her in some way uh she's getting a lot of care that cycler she consents to one of the things at the pan live care nurse it almost immediately as askar well would you wanna go on dialysis kidneys failed no which want to go to the tense of care unit if something disasters happen no sh as she says very prominently you know i'm ready for god to take me and.
"ezekiel emanuel" Discussed on Politics and More Podcast
"It be you're totally bewitched but there isn't the logical that that is focused on healthcare vets quite clear it's logic focus on something besides healthcare this bill does not advance healthcare in this country that's quite clear there's no positive step no positive step in this bill minus two it keeps a young people aged twenty six on their parent's plan who benefits from that but largely uppermiddleclass you i was giving a lecture at yale in a class on health care but i don't know 100 2030 kids in the class i said how many of you on your on your parent's health insurance 95 percent of handler an upright so the parents of ktar benneton finished right and then it does lower um the ability to get subsidies down to zero percent of the poverty line now it's one hundred percent of the poverty line so the people who are caught in the socalled medicaid gap that is a state has an expanded medicaid but they can't get subsidies to buy insurance in the exchanges they now can get some subsidies those are the two positives in this bill and that's it that's it everything else in this bill totally undermined health care and the health care system that we've of a built his theory medical system medical sledge economic system that exists in the world that you look at you know pining leave the earth only that were ours i i i'm gonna talk to sites by mouth now okay so first of all i don't like that question the political scientists have this notion of path dependence you want once you go down one path you've got all these institutional structures legal structured ministry of things we can't go out and say oh you know sweetened its the bachelor just gonna taken pop down the united states on the other hand i am and the my next book is an international comparison of 12 different healthcare says stuff so to see what we can learn from all of them and interestingly this book is not about how we pay for health care so much i mean it does have an element paying is important but this book is about how do we at the coalface have doctors interact with patients how hospitals in a wreck with patients how nurses and how can we change that because ultimately our poor performance in the healthcare space mental.
"ezekiel emanuel" Discussed on Politics and More Podcast
"Um he asked uh a sufficient appropriate questions in the room was not just him it was price and ryan and pence and mulvaney of congressional leaders yes and we we had a very very thorough discussion i would say a of the bill i don't you're being diplomatic yes admitted for the president to reveal the details if he wants to of i i would just say why be diplomatic you you you i am not more i'm not for this bill i'll tell you i think i i wanna be diplomatic i'm not for the spill i've made it clear to everyone and i've said it i many media outlets this bill is cruel a throwing twenty two million people often sure it's creating uncertainty so that premiums go up this is the original senate bill you referring to correct a eliminating the expansion on medicaid forcing the states to cover more of medicaid uh thereby denying them resources to put into other things like education highway infrastructure i think is not away for work issue merited of you as many democrats do that this bill is all about a set up to create a tax cut down the line for the wealthy well actually this bill is a tax cut for a wealthy forget down the line you don't need down the line you getting rid of all of taxes where the rich half the pay and added two point nine percent on their medicare bill and other taxes that they need to pay to support universal coverage and i think the data are that someone like warren buffett makes you know millions of dollars if this bill if the republican health care reform goes away and poor people have to pay a lot more that is totally cruel that is totally backwards but when you're in the room with them when you're in the room with paul ryan and other congressional leaders who are for such bills they obviously don't see the bill that way or don't to reveal themselves to see the bill that way what is their logic.
"ezekiel emanuel" Discussed on Politics and More Podcast
"I'm dorothy work and on today's politics and more podcast david remnant talks to his seek he'll emmanuel and on colleges and health policy expert emmanuel as far as the obama administration during the creation of the affordable care act since the day it passed the affordable care act obamacare has been the clearest and biggest target of republicans in washington the way donald trump was talking obamacare was going to be history the monday after inauguration but as we've seen a repeal or replacement of obamacare is much much harder to do than to talk about and oncologists in health policy expert named ezekiel emanuel everybody calls him seek was one of the architects of the aca he helped the obama administration figure out just how to expand health care without exactly blowing up the national budget and with the aca on the chopping block emanuel is trying to influence what the republicans can come up with to replace it in this climate it's almost impossible to have a coolheaded conversation about healthcare but emmanuel insists we've got to try and he said closeddoor meetings with the trump administration i spoke with zeke emmanuel early last week as the senate was poised to release a revised healthcare bill now if a member state can you met with president trump about ours so with those conversations luck uh those conversations were quite good the last time i met with him was the end of march just before the paul ryan pulled the bill because he didn't have the vouch and i basically call the measure terrible bill um and uh with leave many people uninsured if didn't address costcontrol it was undermining of the market is he on grass for the details.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"What did he he didn't get a democrat to shepherding through and if you enter direct arnold inside minority leader everett this is going to be your bellevue right i mean there's there's that whole beautiful transcript of his negotiation with direction we couldn't do that the republicans were not that kind of moon and i think that's one of the real tragedies here over the last twenty years all right the other revisionist history question i have for you invoked you rao around famously said a number of times he didn't want to start with healthcare correct what if the president had taken his advice what would brothers he kept said to his brother rahm uh what are we disagree on esso he did his henry to you handed to yes we disagree we had many arguments and i i i do not think this was a policy problem i think this was a political problem of the selling the way we went about selling the affordable care act to the american population i think we made a and i'm not saying anything out of school i made this recommendation when i was in the white house who knew americans believe about healthcare they believe doctors and nurses if we did not mobilise doctors and nurses i mean it was my idea that we should get you know thirty hundreds i don't know how many put them in white coats giving set the scots give him a slight deck explaining to the public there was a widespread view it's too complicated we're having all these problems just understanding of how can we explain it to the public the fact is you can explain to the public you don't go into the nittygritty of how insurance company said prices but you can explain it to the public we didn't do that properly we relied on the president to be the chief communicator.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"You can then get them to focus on the real issues but and i think president obama wanted to do that and i'm guessing democrats in congress water to now the problem what president obama did wanted knowing i and he had ribbon eight bill he had written a paper in the new england journal in two thousand and six proposing malpractice reform the reason it didn't get past or two one is republicans if republicans said you know one of the essential things we need to have in this bill approved in the sinai desert of reluctantly agreed agreed yet and the second is if the aama had said we have to have malpractice reform in but that wasn't there chief of item number one two or three for them it was changing how pet doctors are paid by medicare were probably going way too long term ever asked wrap up but i have to say i've a it's refreshing to talk policy have later active worth be it's because i live this in my own book you've live this we know let me ask of a final sort of what if questioned maybe i'm just but why do i feel as if that in two thousand eight had brock obama been elected with fifty four democratic senators instead of fifty nine and then eventually getting his sixtieth for a brief period there that republicans would have felt like they would have been enough of them that would have felt as if will they a had to for number one prison knew he needed six so he would have targeted twelve.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"Hhs under obama was willing to make those payments hhs price that's exactly so that's one thing that's one what else am i also think that part of what we needed to do was to structure the exchanges within states a little more i actually was for a national exchange because i think it's easier to administer we have some states like california that whole tenth amendment thing to handover again states alot then again that's while a partly we had a statebystate because the senate wanted that it that way and we thought we might be able gets republicans to come aboard with a statebystate exchanges but if you had uh so within states california's done this very well which is you can't have insurance companies bidding on smaller is you have to have them bidding on wide swabs and that means fewer counties with only one insurance company with no insurance company it california had actually works in other states where they've sort of carves up the state and smaller units it's very hard to get insurance companies go especially to rural counties where not that many people buying insurance it's really not that worth it to spend a lot of money putting in a contracts in with hospitals and doctors i say this whole idea that you're susceptible by county but insurance he is crazy i was a bit my mother now we're victims of my father maxed out we before he died at maxed out is in date we were in dade county maxed out and it will it's always a legal for you to be cancelled because you used her policy right but all of a sudden six months after my dad dice.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"Well we financed the the expansion of insurance both through the exchanges and medicaid basically in two ways one was cuts to medicare mainly a reducing the amount paid to insurance companies reducing the amount paid to hospitals and then there was a money coming in that race fees and taxes so for example people making a very rich people i had to pay two point nine percent additional on their medicare bills we had insurance companies drug companies device manufacturers contributing more money also because they were going to make more money and they did make more money under the affordable care act then so there's money in the system is still that the funding mechanisms to works not actually congressional budget office has shown that that uh the affordable care act saves money over a 10year window so there's more money and it's a more money than they had anticipated partly because not as many people it to the changes but also because healthcare costs actually moderate so the government's not actually spending as much money as they had anticipated so there's money is not the problem here yeah no it's definitely fell off gasic there's no doubt about this is an ideological divide that i respect of it it's god i think i respect it well but i mean we've had this it is with it's what the two parties had been defining tonight's understand the issue of healthcare i'm talking about in general the idea of which government do and what should come into we're always that tension that yes we have always agreed in america that there should be a safety net in and one of the key elements of the safe let's go through some of it is food for some of its housing some of it is our income support for people who were working and some of its healthcare that's the essential of the safety net healthcare has been part of the of satan it's been pretty holy it's not been very good and has been particularly battle emailer sect not religious or other or at union holy like as a lot of holes and it it doesn't cover all the people right and we knew that night he sixty five when they pass medicare medicaid and ironically enough even when they pass medicare medicaid almost immediately people were thinking of reforms and fixes because there were people who were left out one of my favorite parts of the.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"Then there's a whole set of things that you can do on the cost side at to actually accelerate efforts to bring costs down and i think again there's packages like a push more payment change for doctors and hospitals not only by medicare but also by all the insurance companies that are participating in the exchange that provide insurance to the federal government workforce that participate in fry care that actually turbochargers these papain changes that we have seen have actually been able to moderate course and increase the quality so that's one of probably six or seven things you could do then talk to republicans about the drunken how do you have a magic idea of incentivizing republican governors to to to take the medicaid expansion which would have been again wagha in this alternative reality of a clinton administration how would you advised her to incentivize more republican governors to say okay oh i actually think you wouldn't have had to incentivize and there's already big incentives in at ninety percent of the clause they covered by clinton election would have made those guys say you know what damage it it it's here it's another you'll live and why am i losing while this money i don't look let's be clear about california makes twenty billion dollars every year from a combination of subsidies on the exchange and medicaid expansion right other states are losing half that money because they're not expanding medicaid like texas so it makes no sense for them not to do it once all right it's not be repealed let's get serious and we're going to take and new saw a lot of action at the end of 27 where's this money coming from the where's the money to spend on medicaid expansion where's that ms at sitting in a pool that's not to be touched right now me where does that actual money would come from.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"That that are that is true you have a diminishing you have people pulling if states should me insurance companies not going into we have an issue here you had the risk corridor inch essentially insurance policy if you wanna call it by congress cut rescinded yet right that's the prevent the insurance companies from getting adverse election in in making them whole it was a it was an attempt to incentivize insurance companies to not pull out correct is fafsa absolutely absolutely now with that gone insurance companies early on my gosh there's no safety net we're out of here what would be the fixes that would we would be seeing in the first six months if if clinton took number who and she said our i'm here to fix obamacare tell me the two or three fixes that actually could bring down at least level off this premium issue or bring it down okay so there are two buckets of issues i think that would have been at the top of of mrs clinton's agenda on the exchanges coverage financing side uh there are like three or four things to do and the really pretty straightforward enforce the mandate make very clear your forcing the mandate and that people who don't get insurance are gonna pay the penalty rate the raise the penalty as kolade a little bit you don't need the need to do that let's try us try vigorous enforcement is our hind when there's never been enforcement correct okay second bring back those reinsurance and risk corridors to stabilise things for the insurance companies given the adverse election a marco rubio kept calling that a bailout for insurance companies is he.
"ezekiel emanuel" Discussed on 1947: The Meet the Press Podcast
"Look you've met with president trump a few times well let me start with their at i've had plenty of interaction with them they're always interesting they're always warm you know because he wants to win over everybody in the room did you think he listened i think there are some things he did listen on and some things he at a genuinely ashta interesting questions on but healthcare is complicated and if you don't understand the basics of trying to simulate while this is what we need to change to do this to do that and the end result will be more people get coverage and you will actually fulfil your campaign promise is a hard thing to someone who doesn't quite understand system and it's quite clear he he's you know does does not know the get the nuts and bolts but let's be honest very few americans got may not symbolic many people but if you were to say if there was one thing you would telling lease at least study this aspect of it what would it be well i think since what this bill is about is the financing of healthcare understanding how we finance and also the prop the challenges that insurance companies face i mean we always sort of a denigrate insurance companies but it's complicated to try to make predictions about how sick people are going to be how much healthier they're going to use what the costs are what the trends in practice are what drugs are going to come in but one of the strange things i i have to say about this whole arrangement is i kept emphasizing when i did see him and talk to some of the staff is look there's agreement about the affordability problem the fact that healthcare is too expensive and you had you are passionate about drug costs there's a lot of overlap here between the democrats and republicans we have a way that we can go forward that people can agree on.