1 00:00:05,240 --> 00:00:02,720 okay now for our interview with rosemary 2 00:00:08,000 --> 00:00:05,250 Gibson I started by asking her about Tom 3 00:00:11,720 --> 00:00:08,010 Cotton's new legislation well senator 4 00:00:14,419 --> 00:00:11,730 cotton has introduced a bill that over a 5 00:00:17,210 --> 00:00:14,429 period of time would prohibit the 6 00:00:18,560 --> 00:00:17,220 Department of Defense the VA and the 7 00:00:20,630 --> 00:00:18,570 Health and Human Services Department 8 00:00:23,420 --> 00:00:20,640 which you know maintains a stockpile of 9 00:00:27,439 --> 00:00:23,430 so many medicines would prohibit them 10 00:00:30,259 --> 00:00:27,449 from buying products made with drugs 11 00:00:33,709 --> 00:00:30,269 made with any components from China and 12 00:00:37,160 --> 00:00:33,719 that truly draws a line in the sand of 13 00:00:39,740 --> 00:00:37,170 where we need to head to in the meantime 14 00:00:41,240 --> 00:00:39,750 we've got to ramp up production but 15 00:00:43,720 --> 00:00:41,250 that's gonna take buyers you know the 16 00:00:47,000 --> 00:00:43,730 DoD has to put some money into buying 17 00:00:48,979 --> 00:00:47,010 medicines made here in the US the VA has 18 00:00:51,260 --> 00:00:48,989 to do the same thing but that means 19 00:00:53,029 --> 00:00:51,270 cutting off existing suppliers who have 20 00:00:55,090 --> 00:00:53,039 relied on China for so long 21 00:00:57,979 --> 00:00:55,100 and supplied our military with really 22 00:00:59,209 --> 00:00:57,989 poor quality medicines yeah it's 23 00:01:00,590 --> 00:00:59,219 incredible to think about we think about 24 00:01:02,420 --> 00:01:00,600 the Roosevelt and all the attention 25 00:01:03,290 --> 00:01:02,430 that's been getting with people on that 26 00:01:05,240 --> 00:01:03,300 ship 27 00:01:07,520 --> 00:01:05,250 having coronavirus I think is actually 28 00:01:09,880 --> 00:01:07,530 using it in the the South China Seas 29 00:01:11,870 --> 00:01:09,890 where is that Roosevelt shipped you know 30 00:01:13,969 --> 00:01:11,880 there what you're right it was 31 00:01:16,760 --> 00:01:13,979 patrolling in the South China Sea and 32 00:01:18,679 --> 00:01:16,770 about two dozen crew members were 33 00:01:21,050 --> 00:01:18,689 diagnosed with corona virus and so they 34 00:01:24,770 --> 00:01:21,060 went into port and there's a section in 35 00:01:26,810 --> 00:01:24,780 the China rx book that says Ahmet China 36 00:01:29,330 --> 00:01:26,820 rx predicted all of this that in the 37 00:01:31,249 --> 00:01:29,340 event of a global pandemic and China 38 00:01:33,440 --> 00:01:31,259 shuts down production we'll all be 39 00:01:36,440 --> 00:01:33,450 standing in line it also predicted this 40 00:01:38,810 --> 00:01:36,450 I said imagine the men and women in the 41 00:01:40,969 --> 00:01:38,820 South China Sea on patrol on the giant 42 00:01:42,440 --> 00:01:40,979 aircraft carriers that they're dependent 43 00:01:46,730 --> 00:01:42,450 on the adversary for their critical 44 00:01:48,679 --> 00:01:46,740 drugs right yeah you know there's Peter 45 00:01:50,840 --> 00:01:48,689 Navarro's book death by China that was 46 00:01:53,929 --> 00:01:50,850 kind of my first wake-up call about ten 47 00:01:57,080 --> 00:01:53,939 years ago about it you know I've been 48 00:02:00,800 --> 00:01:57,090 someone who's been saying that this 49 00:02:04,399 --> 00:02:00,810 doesn't feel right to be engaging in so 50 00:02:07,280 --> 00:02:04,409 much commerce and allowing China to get 51 00:02:10,190 --> 00:02:07,290 so big and so successful in so many ways 52 00:02:12,350 --> 00:02:10,200 when they are our geopolitical foe I 53 00:02:13,910 --> 00:02:12,360 just can't think of another time in 54 00:02:16,400 --> 00:02:13,920 certainly American history 55 00:02:18,770 --> 00:02:16,410 where we had such a trading relationship 56 00:02:21,530 --> 00:02:18,780 and turns out pretty one-sided trading 57 00:02:25,880 --> 00:02:21,540 relationship with somebody who is our 58 00:02:27,589 --> 00:02:25,890 biggest adversary well it's it's 59 00:02:29,630 --> 00:02:27,599 interesting when I wanted to write 60 00:02:32,390 --> 00:02:29,640 another book I knew nothing about China 61 00:02:35,630 --> 00:02:32,400 knew nothing about trade and I stumbled 62 00:02:38,600 --> 00:02:35,640 on this topic of where our medicines are 63 00:02:40,370 --> 00:02:38,610 being made and every you know a couple 64 00:02:43,330 --> 00:02:40,380 weeks there was this jaw dropper said 65 00:02:46,790 --> 00:02:43,340 nobody knows this nobody knows this and 66 00:02:48,860 --> 00:02:46,800 so it led to this story of how dependent 67 00:02:51,440 --> 00:02:48,870 we are on it's one thing to be dependent 68 00:02:53,930 --> 00:02:51,450 once for steel and clothing and 69 00:02:55,910 --> 00:02:53,940 computers but it's another thing to be 70 00:02:58,009 --> 00:02:55,920 dependent on products that are essential 71 00:03:00,050 --> 00:02:58,019 for survival and something that's very 72 00:03:01,520 --> 00:03:00,060 personal to people whether you're 73 00:03:03,199 --> 00:03:01,530 democrat or republican whatever your 74 00:03:06,199 --> 00:03:03,209 beliefs are but we can't make 75 00:03:11,930 --> 00:03:06,209 antibiotics anymore we can't make the 76 00:03:16,100 --> 00:03:11,940 antibiotics - for bronchitis for ear 77 00:03:18,199 --> 00:03:16,110 infections and kids for pneumonia for 78 00:03:21,490 --> 00:03:18,209 anthrax exposure we can't make them here 79 00:03:24,590 --> 00:03:21,500 anymore and it's not just because 80 00:03:28,099 --> 00:03:24,600 China's cheap errs because China cheated 81 00:03:29,630 --> 00:03:28,109 they form cartels fixed prices dumped 82 00:03:31,370 --> 00:03:29,640 product on the global market and then 83 00:03:34,009 --> 00:03:31,380 they drove all the compose the 84 00:03:35,660 --> 00:03:34,019 competitors out the shocking that we 85 00:03:37,210 --> 00:03:35,670 cannot make antibiotics and here we are 86 00:03:40,580 --> 00:03:37,220 concerned about an infectious disease 87 00:03:42,259 --> 00:03:40,590 caused by a virus when we can't make the 88 00:03:46,009 --> 00:03:42,269 antidotes for infectious disease caused 89 00:03:48,080 --> 00:03:46,019 by bacteria yeah I guess you would say 90 00:03:49,580 --> 00:03:48,090 as far as how we allowed ourselves to 91 00:03:53,259 --> 00:03:49,590 get into this situation it was a 92 00:03:55,670 --> 00:03:53,269 combination of greed you know that being 93 00:03:57,590 --> 00:03:55,680 American consumers wanted things cheaply 94 00:04:02,000 --> 00:03:57,600 American companies wanting to make 95 00:04:05,840 --> 00:04:02,010 things cheaply a combination of that but 96 00:04:08,720 --> 00:04:05,850 also as you point out China manipulating 97 00:04:12,140 --> 00:04:08,730 these things and really having a plan a 98 00:04:15,199 --> 00:04:12,150 plan of taking over the production of 99 00:04:18,860 --> 00:04:15,209 prescription drugs that's right one of 100 00:04:21,920 --> 00:04:18,870 the wake-up calls for me was when I had 101 00:04:23,659 --> 00:04:21,930 laid out the story of our dependence on 102 00:04:26,930 --> 00:04:23,669 China as well how did we get here and 103 00:04:27,680 --> 00:04:26,940 most people think it's because it's well 104 00:04:29,630 --> 00:04:27,690 cheaper you 105 00:04:31,820 --> 00:04:29,640 got lower cost labor you've got 106 00:04:33,710 --> 00:04:31,830 environmental regulations that aren't 107 00:04:36,650 --> 00:04:33,720 anywhere near what we have here and 108 00:04:40,220 --> 00:04:36,660 worker protections then I went up to a 109 00:04:42,860 --> 00:04:40,230 hearing on Capitol Hill this commission 110 00:04:44,990 --> 00:04:42,870 that is quieted I mean most people don't 111 00:04:47,330 --> 00:04:45,000 know about it but some of what you hear 112 00:04:49,580 --> 00:04:47,340 there is just bombshell so I'm sitting 113 00:04:50,870 --> 00:04:49,590 there listening as the bipartisan 114 00:04:53,210 --> 00:04:50,880 commission appointed by members of 115 00:04:56,150 --> 00:04:53,220 Congress from both sides and there is a 116 00:05:00,770 --> 00:04:56,160 gentleman who is testifying about how he 117 00:05:03,620 --> 00:05:00,780 was asked by 20 different industries to 118 00:05:10,900 --> 00:05:03,630 go in and examine what they saw were 119 00:05:14,270 --> 00:05:10,910 anomalies and he identified a range of 120 00:05:19,750 --> 00:05:14,280 legal and illegal means by which the 121 00:05:24,680 --> 00:05:19,760 Chinese government is acting to disrupt 122 00:05:27,530 --> 00:05:24,690 dominate and displace these 20 advanced 123 00:05:31,730 --> 00:05:27,540 industrial sectors that are the future 124 00:05:35,390 --> 00:05:31,740 of our economy so I went up to him and 125 00:05:37,010 --> 00:05:35,400 it was it was spellbinding and I went up 126 00:05:38,659 --> 00:05:37,020 to him afterward I told what I was doing 127 00:05:40,250 --> 00:05:38,669 I said did you study the pharmaceutical 128 00:05:44,630 --> 00:05:40,260 sector and he said yes did you find the 129 00:05:46,340 --> 00:05:44,640 same thing and he said yes and the data 130 00:05:48,470 --> 00:05:46,350 are just profound this is part of an 131 00:05:52,570 --> 00:05:48,480 infiltration into our healthcare system 132 00:05:55,430 --> 00:05:52,580 so you write about you write about 133 00:05:59,330 --> 00:05:55,440 pharmaceuticals and that's gonna be our 134 00:06:01,040 --> 00:05:59,340 focus of course but give us just a idea 135 00:06:02,930 --> 00:06:01,050 of some of the you know two three or 136 00:06:03,880 --> 00:06:02,940 four more that we should also be worried 137 00:06:08,360 --> 00:06:03,890 about 138 00:06:12,770 --> 00:06:08,370 well hip and knee implants and they're 139 00:06:16,010 --> 00:06:12,780 making CT scanners cardiac 140 00:06:18,380 --> 00:06:16,020 defibrillators and of course we all know 141 00:06:19,670 --> 00:06:18,390 about personal protective gear we you 142 00:06:22,640 --> 00:06:19,680 know one of the reasons that there was a 143 00:06:24,920 --> 00:06:22,650 charge of ventilators is because China 144 00:06:30,680 --> 00:06:24,930 stopped shipping the circuit boards to 145 00:06:32,180 --> 00:06:30,690 make them because because maybe they 146 00:06:34,070 --> 00:06:32,190 were making them for their own people or 147 00:06:36,140 --> 00:06:34,080 they were making them to give to the 148 00:06:39,529 --> 00:06:36,150 countries that they wanted to you know 149 00:06:41,840 --> 00:06:39,539 extract some leverage from mm-hmm you 150 00:06:44,630 --> 00:06:41,850 point out I believe that 151 00:06:47,250 --> 00:06:44,640 if China stopped supplying us with 152 00:06:52,680 --> 00:06:47,260 prescription medications we would be out 153 00:06:56,040 --> 00:06:52,690 in three months within months and what 154 00:06:58,380 --> 00:06:56,050 would also be empty and what would be 155 00:07:03,240 --> 00:06:58,390 our ability how long would it take us to 156 00:07:04,740 --> 00:07:03,250 ramp up and take over that production if 157 00:07:06,120 --> 00:07:04,750 they were to cut cold turkey and we got 158 00:07:09,890 --> 00:07:06,130 nothing from China in other words they 159 00:07:14,370 --> 00:07:09,900 were using this as a weapon essentially 160 00:07:18,900 --> 00:07:14,380 well where China has control is on the 161 00:07:20,940 --> 00:07:18,910 core chemicals the chemical molecules to 162 00:07:22,800 --> 00:07:20,950 make knows what what are our medicines 163 00:07:25,110 --> 00:07:22,810 come from there basically chemicals and 164 00:07:27,450 --> 00:07:25,120 you have the finished pills that we take 165 00:07:29,370 --> 00:07:27,460 then you've got the active ingredient 166 00:07:32,250 --> 00:07:29,380 that makes the medicine of medicine and 167 00:07:34,410 --> 00:07:32,260 then you have those ingredients that are 168 00:07:39,570 --> 00:07:34,420 made from camel from chemical molecules 169 00:07:44,730 --> 00:07:39,580 and China has dominance in about 80 to 170 00:07:46,980 --> 00:07:44,740 90 percent of those even India which is 171 00:07:47,570 --> 00:07:46,990 the largest generic drug producer in the 172 00:07:50,610 --> 00:07:47,580 world 173 00:07:53,640 --> 00:07:50,620 they depend on China for almost 70 174 00:07:55,800 --> 00:07:53,650 percent of those core chemicals so all 175 00:07:59,100 --> 00:07:55,810 roads lead to China and so look what 176 00:08:02,760 --> 00:07:59,110 happened we had the pandemic rising in 177 00:08:05,970 --> 00:08:02,770 China you know December January February 178 00:08:10,860 --> 00:08:05,980 the end of February with production shut 179 00:08:12,120 --> 00:08:10,870 down things were drying up and they in 180 00:08:13,530 --> 00:08:12,130 the Indian press which is more 181 00:08:16,080 --> 00:08:13,540 transparent than it is here they were 182 00:08:17,610 --> 00:08:16,090 saying well in a couple of weeks if we 183 00:08:20,280 --> 00:08:17,620 don't get product we're gonna be running 184 00:08:23,790 --> 00:08:20,290 into trouble and lo and behold they 185 00:08:26,420 --> 00:08:23,800 ended up putting on export bans because 186 00:08:30,300 --> 00:08:26,430 they couldn't get product out of China 187 00:08:32,219 --> 00:08:30,310 and also they probably wanted to protect 188 00:08:34,350 --> 00:08:32,229 whatever supplies of critical medicines 189 00:08:36,600 --> 00:08:34,360 that they make for their own people 190 00:08:38,550 --> 00:08:36,610 yeah the corona virus really we are 191 00:08:39,900 --> 00:08:38,560 highlights you know what you're pointing 192 00:08:42,120 --> 00:08:39,910 out in many different ways I was just 193 00:08:44,190 --> 00:08:42,130 thinking that China doesn't necessarily 194 00:08:46,590 --> 00:08:44,200 have to hold back drugs from us for 195 00:08:47,910 --> 00:08:46,600 nefarious reasons as you point out it 196 00:08:50,040 --> 00:08:47,920 could simply be because hey we have to 197 00:08:52,770 --> 00:08:50,050 give priority to our own people and they 198 00:08:54,480 --> 00:08:52,780 have a lot of people that's right and 199 00:08:55,270 --> 00:08:54,490 what we're seeing is everybody's pulling 200 00:08:58,690 --> 00:08:55,280 up the drawer 201 00:09:00,970 --> 00:08:58,700 now 70 countries have banned exports so 202 00:09:02,730 --> 00:09:00,980 whatever you make you know you're gonna 203 00:09:05,080 --> 00:09:02,740 keep for yourselves for your own people 204 00:09:07,300 --> 00:09:05,090 this is why we have to think about 205 00:09:11,110 --> 00:09:07,310 self-sufficiency at least a minimum 206 00:09:14,770 --> 00:09:11,120 level of critical drugs that now for us 207 00:09:16,240 --> 00:09:14,780 this is survivability yeah one of the 208 00:09:18,220 --> 00:09:16,250 things that I remember from Navarro's 209 00:09:21,400 --> 00:09:18,230 book he was talking about I think was an 210 00:09:23,050 --> 00:09:21,410 f-18 fighter plane and I think he gave a 211 00:09:24,610 --> 00:09:23,060 lot of examples of things like this but 212 00:09:27,790 --> 00:09:24,620 that was his example of something that 213 00:09:29,140 --> 00:09:27,800 America is incapable of making we can't 214 00:09:31,570 --> 00:09:29,150 make an f-18 fighter plane 215 00:09:34,510 --> 00:09:31,580 we heard dependent on too many other 216 00:09:38,140 --> 00:09:34,520 countries including China for the parts 217 00:09:41,050 --> 00:09:38,150 to create that plane you asked the 218 00:09:42,400 --> 00:09:41,060 question about how long would it take to 219 00:09:45,760 --> 00:09:42,410 ramp up production you don't flip a 220 00:09:48,820 --> 00:09:45,770 switch for critical medicines you have 221 00:09:50,140 --> 00:09:48,830 to get the material and if you can't get 222 00:09:51,970 --> 00:09:50,150 the material you know where are the 223 00:09:53,680 --> 00:09:51,980 plants here in the United States to make 224 00:09:57,130 --> 00:09:53,690 the starting material a lot of those are 225 00:09:59,050 --> 00:09:57,140 gone you know and what we run primarily 226 00:10:00,820 --> 00:09:59,060 talking about are the generic drugs and 227 00:10:03,880 --> 00:10:00,830 those are 90% of the medicines that 228 00:10:06,220 --> 00:10:03,890 people take here and around the world so 229 00:10:08,140 --> 00:10:06,230 you just don't flip a switch you already 230 00:10:09,730 --> 00:10:08,150 have the material in-house you can make 231 00:10:12,040 --> 00:10:09,740 them within weeks you can start 232 00:10:13,690 --> 00:10:12,050 producing things and that's why one of 233 00:10:15,520 --> 00:10:13,700 the recommendations that I've been 234 00:10:18,240 --> 00:10:15,530 talking about is here's what to get us 235 00:10:21,460 --> 00:10:18,250 so we don't have this mess in the future 236 00:10:22,840 --> 00:10:21,470 let's make the thing that we really need 237 00:10:24,820 --> 00:10:22,850 which is the active ingredient what 238 00:10:27,940 --> 00:10:24,830 makes a medicine medicine and stockpile 239 00:10:30,400 --> 00:10:27,950 that which is the most costly costly 240 00:10:33,250 --> 00:10:30,410 part of the medicine is that that's 241 00:10:35,050 --> 00:10:33,260 exactly right that's exactly right and 242 00:10:38,950 --> 00:10:35,060 then stockpile that it lasts longer than 243 00:10:41,640 --> 00:10:38,960 the finished drug and then when there's 244 00:10:44,410 --> 00:10:41,650 a need for it have finished drug 245 00:10:46,480 --> 00:10:44,420 capability right next door and then just 246 00:10:49,090 --> 00:10:46,490 ramped up production using that active 247 00:10:50,820 --> 00:10:49,100 ingredient that's the way that will get 248 00:10:54,640 --> 00:10:50,830 us through you know several months of 249 00:10:56,710 --> 00:10:54,650 whatever situation we're facing so tell 250 00:10:59,590 --> 00:10:56,720 me about it means making that here tell 251 00:11:01,720 --> 00:10:59,600 me about Cotton's legislation what is 252 00:11:04,930 --> 00:11:01,730 that do yeah 253 00:11:08,380 --> 00:11:04,940 senator Cotton's bill would require the 254 00:11:12,819 --> 00:11:08,390 DoD the VA and HHS 255 00:11:15,329 --> 00:11:12,829 to stop buying prescription drugs that 256 00:11:21,430 --> 00:11:15,339 have any components made in China and to 257 00:11:23,139 --> 00:11:21,440 buy here in the United States but that 258 00:11:24,430 --> 00:11:23,149 will mean that the DoD has to start 259 00:11:27,370 --> 00:11:24,440 using its procurement dollars 260 00:11:28,960 --> 00:11:27,380 differently and there are a lot of 261 00:11:30,790 --> 00:11:28,970 special interests out there that want to 262 00:11:33,370 --> 00:11:30,800 keep those supply chains exactly where 263 00:11:35,470 --> 00:11:33,380 they are in those contracts going to 264 00:11:37,449 --> 00:11:35,480 sell to the Department of Defense you 265 00:11:39,040 --> 00:11:37,459 know drugs that are in persistent 266 00:11:42,610 --> 00:11:39,050 shortage and poor quality I don't know 267 00:11:45,160 --> 00:11:42,620 if you saw the there's a 90 second video 268 00:11:47,380 --> 00:11:45,170 clip that I can send to you maybe maybe 269 00:11:49,960 --> 00:11:47,390 you can put it up with this but there 270 00:11:51,730 --> 00:11:49,970 was a hearing last July the us-china 271 00:11:55,960 --> 00:11:51,740 economic and Security Review Commission 272 00:11:58,090 --> 00:11:55,970 and one of the commissioners is a very 273 00:12:01,360 --> 00:11:58,100 distinguished retired Army colonel and 274 00:12:03,790 --> 00:12:01,370 he described how he had three different 275 00:12:05,560 --> 00:12:03,800 blood pressure medicines and the 276 00:12:09,610 --> 00:12:05,570 ingredients came from China and they had 277 00:12:11,920 --> 00:12:09,620 rocket fuel in them and he said if I'm 278 00:12:14,710 --> 00:12:11,930 getting that then active duty people 279 00:12:16,840 --> 00:12:14,720 must be getting it and you think that 280 00:12:19,240 --> 00:12:16,850 would you know cause you know that would 281 00:12:20,620 --> 00:12:19,250 make headline news and that we would 282 00:12:23,949 --> 00:12:20,630 immediately begin switching and 283 00:12:26,350 --> 00:12:23,959 everybody would get on board but there 284 00:12:29,980 --> 00:12:26,360 are actually people who are a special 285 00:12:31,449 --> 00:12:29,990 interests who are against that who don't 286 00:12:32,889 --> 00:12:31,459 who still want to keep the Department of 287 00:12:35,790 --> 00:12:32,899 Defense and the rest of us dependent on 288 00:12:38,259 --> 00:12:35,800 China and remember China issued a threat 289 00:12:41,019 --> 00:12:38,269 about a month ago and it's state news 290 00:12:44,019 --> 00:12:41,029 agency that we could withhold medicines 291 00:12:47,439 --> 00:12:44,029 and Americans will you know face an 292 00:12:49,150 --> 00:12:47,449 epidemic in a sea of coronavirus Wow he 293 00:12:50,380 --> 00:12:49,160 threatened if you would if you threaten 294 00:12:51,460 --> 00:12:50,390 to withhold medicines you're basically 295 00:12:55,389 --> 00:12:51,470 threatening to kill people 296 00:12:58,780 --> 00:12:55,399 where was that who said that was it that 297 00:13:00,880 --> 00:12:58,790 was in the state news news outlet Wow 298 00:13:04,780 --> 00:13:00,890 well that's good to know thank you for 299 00:13:07,240 --> 00:13:04,790 letting us know and yeah there are still 300 00:13:08,740 --> 00:13:07,250 special interests that want to maintain 301 00:13:11,650 --> 00:13:08,750 the status quo they're basically telling 302 00:13:13,480 --> 00:13:11,660 the American people we want you to be 303 00:13:14,560 --> 00:13:13,490 even more dependent on a country that's 304 00:13:17,670 --> 00:13:14,570 threatened to kill you by withholding 305 00:13:20,380 --> 00:13:17,680 medicines is the special interest 306 00:13:21,970 --> 00:13:20,390 lobbyists working on behalf of China or 307 00:13:24,160 --> 00:13:21,980 is it lobbyists working on behalf 308 00:13:26,650 --> 00:13:24,170 of us drug companies who like being able 309 00:13:29,350 --> 00:13:26,660 to make them cheaply that's a really 310 00:13:34,570 --> 00:13:29,360 good question who they're who they're 311 00:13:37,300 --> 00:13:34,580 working for I'll tell you a story like a 312 00:13:38,650 --> 00:13:37,310 colleague of mine share this was in 2000 313 00:13:41,560 --> 00:13:38,660 when the United States opened up free 314 00:13:43,210 --> 00:13:41,570 trade with China the House and Senate in 315 00:13:46,540 --> 00:13:43,220 the White House signed the us-china 316 00:13:49,330 --> 00:13:46,550 trade relations act and this person was 317 00:13:52,180 --> 00:13:49,340 in a meeting with businesses and they 318 00:13:54,840 --> 00:13:52,190 were preparing to go up to Capitol Hill 319 00:13:57,400 --> 00:13:54,850 to lobby to open up for free trade and 320 00:13:59,110 --> 00:13:57,410 down came a delegation from the Chinese 321 00:14:00,550 --> 00:13:59,120 embassy with the talking points and they 322 00:14:05,830 --> 00:14:00,560 gave the businesspeople their talking 323 00:14:08,170 --> 00:14:05,840 points lot of a lot of money flowing 324 00:14:10,660 --> 00:14:08,180 from that country to this country now 325 00:14:13,210 --> 00:14:10,670 you have a lot of interdependence 326 00:14:15,520 --> 00:14:13,220 between the two a lot of people use that 327 00:14:17,440 --> 00:14:15,530 as a defense for our relationship said 328 00:14:20,470 --> 00:14:17,450 well china is not going to withhold 329 00:14:23,380 --> 00:14:20,480 medication because we there's so many 330 00:14:25,510 --> 00:14:23,390 things we could do back to them that 331 00:14:27,720 --> 00:14:25,520 they would never do something like that 332 00:14:30,070 --> 00:14:27,730 to us what do you say to those people 333 00:14:31,780 --> 00:14:30,080 well if you want to destabilize the 334 00:14:35,230 --> 00:14:31,790 country and demoralize the population 335 00:14:37,930 --> 00:14:35,240 very quickly just withhold medicine or 336 00:14:40,120 --> 00:14:37,940 put some contaminant in them or sell the 337 00:14:41,980 --> 00:14:40,130 medicines it has nothing in them right 338 00:14:45,460 --> 00:14:41,990 but we would immediately impose some 339 00:14:47,560 --> 00:14:45,470 type of sanctions on China we would stop 340 00:14:49,150 --> 00:14:47,570 buying their goods etc of course that 341 00:14:51,580 --> 00:14:49,160 would be painful for us to again this 342 00:14:53,500 --> 00:14:51,590 interdependence but do you think that's 343 00:14:55,270 --> 00:14:53,510 a proper do we have a proper check and 344 00:14:57,220 --> 00:14:55,280 balance at this point because of the 345 00:15:00,220 --> 00:14:57,230 joint trade going on they're so 346 00:15:02,260 --> 00:15:00,230 dependent on us well look at the 347 00:15:03,640 --> 00:15:02,270 situation out we could get zero drugs 348 00:15:04,960 --> 00:15:03,650 now and by the way we have a lot of 349 00:15:06,910 --> 00:15:04,970 medicines that are being rationed in 350 00:15:09,160 --> 00:15:06,920 this country and they were being 351 00:15:12,880 --> 00:15:09,170 rationed way before coronavirus because 352 00:15:14,380 --> 00:15:12,890 of we don't have a real market so if 353 00:15:17,470 --> 00:15:14,390 people are dying is at the time you want 354 00:15:18,970 --> 00:15:17,480 to escalate trade issues in that moment 355 00:15:21,250 --> 00:15:18,980 you'll want to solve a problem that is 356 00:15:24,340 --> 00:15:21,260 to do something for people to save their 357 00:15:27,570 --> 00:15:24,350 lives we won't have had that much time 358 00:15:35,800 --> 00:15:30,700 counter-attack if we have an attack like 359 00:15:37,809 --> 00:15:35,810 that well I also think that the American 360 00:15:39,790 --> 00:15:37,819 government seems to care about the 361 00:15:42,699 --> 00:15:39,800 individuals and its citizens a bit more 362 00:15:45,160 --> 00:15:42,709 than the Chinese government so if 363 00:15:47,319 --> 00:15:45,170 there's gonna be major pain inflicted 364 00:15:49,179 --> 00:15:47,329 upon its own people and China's result 365 00:15:50,530 --> 00:15:49,189 of some war it seems like that 366 00:15:52,600 --> 00:15:50,540 government is a little less concerned 367 00:15:56,860 --> 00:15:52,610 about that and therefore can can win a 368 00:15:59,439 --> 00:15:56,870 war of attrition with us hmm that's an 369 00:16:01,540 --> 00:15:59,449 interesting point so that what I like 370 00:16:03,340 --> 00:16:01,550 about this medicines issue is that it's 371 00:16:08,110 --> 00:16:03,350 a it's a something that the average 372 00:16:10,780 --> 00:16:08,120 person can understand and it's personal 373 00:16:12,309 --> 00:16:10,790 to them this is my blood pressure 374 00:16:14,590 --> 00:16:12,319 medicine that you've contaminated with 375 00:16:16,809 --> 00:16:14,600 carcinogens and by the way the amount of 376 00:16:18,610 --> 00:16:16,819 carcinogens per pill was from this 377 00:16:21,189 --> 00:16:18,620 Chinese plant was 200 times the 378 00:16:22,389 --> 00:16:21,199 acceptable limit and people were taking 379 00:16:24,040 --> 00:16:22,399 this every day and people complained 380 00:16:26,949 --> 00:16:24,050 about you let toys number that years ago 381 00:16:29,739 --> 00:16:26,959 and that was all you know had a whole 382 00:16:31,869 --> 00:16:29,749 consumer movement companies stopped 383 00:16:34,619 --> 00:16:31,879 selling toys would let in them they were 384 00:16:37,720 --> 00:16:34,629 being tested but we have nothing 385 00:16:40,299 --> 00:16:37,730 nothing's really happened so what I roll 386 00:16:44,290 --> 00:16:40,309 yeah to that point what role does the 387 00:16:47,559 --> 00:16:44,300 FDA play with these medications that are 388 00:16:51,069 --> 00:16:47,569 coming from China well right now the FDA 389 00:16:53,619 --> 00:16:51,079 is not in China they recalled all their 390 00:16:56,650 --> 00:16:53,629 people there aren't that many 391 00:16:57,939 --> 00:16:56,660 from China because of the corona virus 392 00:16:59,710 --> 00:16:57,949 and I think it's gonna be a long time 393 00:17:02,319 --> 00:16:59,720 before anybody will go back there those 394 00:17:05,470 --> 00:17:02,329 physicians to inspect plants which is 395 00:17:07,360 --> 00:17:05,480 what the FDA does the FDA goes into 396 00:17:08,529 --> 00:17:07,370 manufacturing facilities there and 397 00:17:11,260 --> 00:17:08,539 around the world right here in the 398 00:17:13,689 --> 00:17:11,270 United States and they inspect them to 399 00:17:15,370 --> 00:17:13,699 ensure that they follow a highly 400 00:17:17,860 --> 00:17:15,380 technical process that really was the 401 00:17:22,270 --> 00:17:17,870 gold standard that the United States set 402 00:17:23,889 --> 00:17:22,280 for making our medicines and that's the 403 00:17:26,319 --> 00:17:23,899 FDA is absolutely losing leverage look 404 00:17:29,620 --> 00:17:26,329 if China already produces now 10 percent 405 00:17:32,710 --> 00:17:29,630 of our generic drugs well what what 406 00:17:34,810 --> 00:17:32,720 percent China is now making 10 percent 407 00:17:36,220 --> 00:17:34,820 of our generic drugs oh I thought they 408 00:17:38,409 --> 00:17:36,230 were making even a lot more than that no 409 00:17:40,299 --> 00:17:38,419 well they're making thousands of 410 00:17:41,799 --> 00:17:40,309 ingredients and so many of our drugs but 411 00:17:43,450 --> 00:17:41,809 now they're going up the value chain and 412 00:17:47,760 --> 00:17:43,460 actually making the finished product 413 00:17:49,180 --> 00:17:47,770 uh-huh and so they are making now 414 00:17:52,390 --> 00:17:49,190 antidepressants and it 415 00:17:59,310 --> 00:17:52,400 ix birth control pills medicines for 416 00:18:01,660 --> 00:17:59,320 epilepsy hiv/aids Parkinson's diabetes 417 00:18:06,400 --> 00:18:01,670 and which are the ones where they 418 00:18:09,130 --> 00:18:06,410 control like 90% they well in terms of 419 00:18:11,590 --> 00:18:09,140 the ingredients the antibiotics are very 420 00:18:15,100 --> 00:18:11,600 high on that list you know right now for 421 00:18:17,280 --> 00:18:15,110 people with here's here's an example for 422 00:18:19,900 --> 00:18:17,290 let's think of the people who are 423 00:18:23,320 --> 00:18:19,910 suffering now in hospitals with severe 424 00:18:26,110 --> 00:18:23,330 cases of corona virus what medicines 425 00:18:27,370 --> 00:18:26,120 would they be given they might if 426 00:18:28,990 --> 00:18:27,380 they're on a ventilator they might be 427 00:18:32,080 --> 00:18:29,000 given sedatives like fentanyl or 428 00:18:35,920 --> 00:18:32,090 propofol they might be given antibiotics 429 00:18:37,630 --> 00:18:35,930 if they get a secondary infection if 430 00:18:40,300 --> 00:18:37,640 their blood pressure plummets too low 431 00:18:45,820 --> 00:18:40,310 they might be getting norepinephrine or 432 00:18:49,450 --> 00:18:45,830 dopamine we china supplies 90% of the 433 00:18:51,400 --> 00:18:49,460 core chemicals to make those critical 434 00:18:53,100 --> 00:18:51,410 drugs to treat people with corona virus 435 00:18:59,190 --> 00:18:53,110 to help them recover and go back home 436 00:19:00,850 --> 00:18:59,200 and produces what percent of them 90% of 437 00:19:04,300 --> 00:19:00,860 chemicals but then they're actually 438 00:19:08,770 --> 00:19:04,310 finished where it could be finished in a 439 00:19:12,190 --> 00:19:08,780 variety of different countries and right 440 00:19:15,580 --> 00:19:12,200 now there's a shortage of some of these 441 00:19:18,970 --> 00:19:15,590 drugs I was visiting a hospital about a 442 00:19:20,560 --> 00:19:18,980 month ago and they have a shortage of 443 00:19:22,960 --> 00:19:20,570 they can't get in it a certain 444 00:19:27,430 --> 00:19:22,970 antibiotic and others are being rationed 445 00:19:32,560 --> 00:19:27,440 we are rationing mainline generic drugs 446 00:19:34,150 --> 00:19:32,570 in the United States of America so the 447 00:19:35,770 --> 00:19:34,160 highest prices in the world you know 448 00:19:38,290 --> 00:19:35,780 even for generics and we're rationing 449 00:19:42,460 --> 00:19:38,300 them so the the Tom cotton bill without 450 00:19:46,360 --> 00:19:42,470 were to pass and now military veterans 451 00:19:51,100 --> 00:19:46,370 administration has to now get their 452 00:19:54,390 --> 00:19:51,110 medications from US manufacturers what 453 00:19:57,750 --> 00:19:54,400 that would do is it was signal companies 454 00:19:59,920 --> 00:19:57,760 that business is open for making 455 00:20:02,980 --> 00:19:59,930 medicines here in the United States so 456 00:20:04,900 --> 00:20:02,990 if you and I saw that bill passed 457 00:20:07,000 --> 00:20:04,910 we have a history say in pharmaceutical 458 00:20:09,190 --> 00:20:07,010 engineering or pharmaceutical chemistry 459 00:20:10,540 --> 00:20:09,200 and there are a lot of people here 460 00:20:12,340 --> 00:20:10,550 who've worked in those industries and 461 00:20:13,690 --> 00:20:12,350 now a lot of them don't have jobs or 462 00:20:16,120 --> 00:20:13,700 they've gone over to work in other 463 00:20:18,400 --> 00:20:16,130 countries there a lot of former u.s. 464 00:20:20,980 --> 00:20:18,410 very seasoned people who work in China 465 00:20:22,780 --> 00:20:20,990 in their manufacturing plants this would 466 00:20:25,890 --> 00:20:22,790 signal people like you and me and say 467 00:20:28,419 --> 00:20:25,900 well gee maybe we could start making 468 00:20:30,790 --> 00:20:28,429 some of these critical generic drugs 469 00:20:32,560 --> 00:20:30,800 here in the United States because now we 470 00:20:37,299 --> 00:20:32,570 have someone who will buy them from us 471 00:20:39,100 --> 00:20:37,309 and we have to be mindful that we have 472 00:20:41,500 --> 00:20:39,110 to set up contracts that we're not going 473 00:20:43,390 --> 00:20:41,510 to you know gouge the the Department of 474 00:20:46,330 --> 00:20:43,400 Defense and taxpayers they have to be 475 00:20:48,460 --> 00:20:46,340 some guardrails put around it and these 476 00:20:51,430 --> 00:20:48,470 have to be you know US headquartered 477 00:20:53,290 --> 00:20:51,440 companies now there's a plant and 478 00:20:55,000 --> 00:20:53,300 there's a plant in China that opened up 479 00:20:57,340 --> 00:20:55,010 in North Carolina making finished 480 00:21:00,280 --> 00:20:57,350 generic drugs and they're making them 481 00:21:02,169 --> 00:21:00,290 you know obviously here but we have to 482 00:21:05,110 --> 00:21:02,179 have all the components made here so 483 00:21:07,330 --> 00:21:05,120 that bill if it passes with signal 484 00:21:10,150 --> 00:21:07,340 companies here that we're open for 485 00:21:11,860 --> 00:21:10,160 business and we can get those contracts 486 00:21:14,620 --> 00:21:11,870 to make critical drugs for the US 487 00:21:16,210 --> 00:21:14,630 military for the VA and that's ten 488 00:21:17,860 --> 00:21:16,220 million people for the Department of 489 00:21:21,040 --> 00:21:17,870 Defense ten million people for the VA 490 00:21:23,470 --> 00:21:21,050 and even more products for the strategic 491 00:21:26,830 --> 00:21:23,480 national stockpile and that could really 492 00:21:28,150 --> 00:21:26,840 jumpstart manufacturing of certain 493 00:21:31,110 --> 00:21:28,160 critical drugs here in the United States 494 00:21:35,200 --> 00:21:31,120 and the next step could be Medicare 495 00:21:35,650 --> 00:21:35,210 that's right and Medicaid we got to keep 496 00:21:38,110 --> 00:21:35,660 going 497 00:21:41,260 --> 00:21:38,120 right but yeah the you know the drug 498 00:21:43,240 --> 00:21:41,270 benefit under Medicare happened whatever 499 00:21:45,010 --> 00:21:43,250 that was 15 years ago or so but now 500 00:21:49,150 --> 00:21:45,020 medications are covered under Medicare 501 00:21:52,570 --> 00:21:49,160 that's huge huge got to be the biggest 502 00:21:55,660 --> 00:21:52,580 promise right think of the jobs that we 503 00:21:57,430 --> 00:21:55,670 could create this would be an economic 504 00:22:00,370 --> 00:21:57,440 boom for communities across the country 505 00:22:03,640 --> 00:22:00,380 instead of being ravaged by illegal 506 00:22:05,590 --> 00:22:03,650 opioids people in communities can 507 00:22:08,770 --> 00:22:05,600 actually be making medicines that help 508 00:22:11,650 --> 00:22:08,780 people survive and live so how much more 509 00:22:14,620 --> 00:22:11,660 expensive would it be if it was produced 510 00:22:18,250 --> 00:22:14,630 in the US versus China 511 00:22:20,960 --> 00:22:18,260 with advanced manufacturing technology 512 00:22:22,909 --> 00:22:20,970 this is a technology that's been used in 513 00:22:25,580 --> 00:22:22,919 the chemical industry for a hundred 514 00:22:27,380 --> 00:22:25,590 years but it's never been used in 515 00:22:29,299 --> 00:22:27,390 pharmaceutical chemistry because the 516 00:22:33,380 --> 00:22:29,309 companies have never wanted to invest in 517 00:22:37,539 --> 00:22:33,390 it for whatever reason we can actually 518 00:22:41,029 --> 00:22:37,549 make finished generic drugs faster 519 00:22:45,850 --> 00:22:41,039 cheaper with a smaller environmental 520 00:22:48,919 --> 00:22:45,860 footprint and real-time quality control 521 00:22:52,129 --> 00:22:48,929 right here in the United States is that 522 00:22:53,720 --> 00:22:52,139 what is that I'm sorry is that the 523 00:22:56,810 --> 00:22:53,730 technique sorry is that the technique 524 00:22:58,399 --> 00:22:56,820 that China is using my understanding is 525 00:23:01,460 --> 00:22:58,409 no they're using the old batch method 526 00:23:02,750 --> 00:23:01,470 okay they're making cheaply sorry 527 00:23:05,060 --> 00:23:02,760 they're making them cheaply because of 528 00:23:06,590 --> 00:23:05,070 cheap labor in part they are make you 529 00:23:08,720 --> 00:23:06,600 cheaply because they're subsidized by 530 00:23:10,519 --> 00:23:08,730 their government because right now 531 00:23:12,080 --> 00:23:10,529 what's happening this is a really 532 00:23:13,700 --> 00:23:12,090 important point right now if you and I 533 00:23:17,330 --> 00:23:13,710 want to set up a manufacturing plant 534 00:23:20,539 --> 00:23:17,340 here the United States China would just 535 00:23:22,250 --> 00:23:20,549 come in and undercut us and so what you 536 00:23:24,740 --> 00:23:22,260 and I would need for us to be successful 537 00:23:26,480 --> 00:23:24,750 here is that we would have long-term 538 00:23:30,440 --> 00:23:26,490 contracts with the Department of Defense 539 00:23:34,669 --> 00:23:30,450 to provide high quality drugs fully made 540 00:23:36,680 --> 00:23:34,679 here in this country and I want to see 541 00:23:41,659 --> 00:23:36,690 as a tax payer full transparency on 542 00:23:43,370 --> 00:23:41,669 price on where things came from and as a 543 00:23:45,940 --> 00:23:43,380 taxpayer I want to make sure that these 544 00:23:48,980 --> 00:23:45,950 companies make it at a fair price 545 00:23:50,360 --> 00:23:48,990 not gouging the American people and we 546 00:23:53,389 --> 00:23:50,370 have to have you know this should be 547 00:23:55,129 --> 00:23:53,399 considered national security assets so 548 00:23:56,810 --> 00:23:55,139 and you can't if you and I started a 549 00:23:58,220 --> 00:23:56,820 plant and we got great contracts for the 550 00:23:59,690 --> 00:23:58,230 next three four or five years and then 551 00:24:01,909 --> 00:23:59,700 we want to sell the plant you can't we 552 00:24:07,250 --> 00:24:01,919 can't sell the plant to to a company in 553 00:24:10,700 --> 00:24:07,260 China so you believe that these drugs 554 00:24:13,879 --> 00:24:10,710 can be made at the same cost in the US 555 00:24:16,340 --> 00:24:13,889 as they're being made in China I can say 556 00:24:19,399 --> 00:24:16,350 that well there's the manufacturing cost 557 00:24:20,919 --> 00:24:19,409 here that for men it's complicated 558 00:24:24,230 --> 00:24:20,929 there's what we pay the manufacturers 559 00:24:27,869 --> 00:24:24,240 then a whole lot of people along the 560 00:24:31,049 --> 00:24:27,879 supply chain add had their piece 561 00:24:32,699 --> 00:24:31,059 add their take so the price we pay 562 00:24:34,079 --> 00:24:32,709 manufacturers is a lot different than 563 00:24:37,439 --> 00:24:34,089 what you and I pay when we go to the 564 00:24:40,229 --> 00:24:37,449 drugstore if you and I as manufacturers 565 00:24:43,439 --> 00:24:40,239 can send it directly to the Department 566 00:24:45,839 --> 00:24:43,449 of Defense that would be a step forward 567 00:24:48,119 --> 00:24:45,849 to save money and Plus this 568 00:24:51,269 --> 00:24:48,129 manufacturing technology it's just lower 569 00:24:55,319 --> 00:24:51,279 labor costs and less physical 570 00:24:57,059 --> 00:24:55,329 infrastructure needed we have this is 571 00:24:59,369 --> 00:24:57,069 how we can survive but we need those 572 00:25:01,379 --> 00:24:59,379 long term contracts we just can't go on 573 00:25:03,089 --> 00:25:01,389 the marketplace and every year you know 574 00:25:05,449 --> 00:25:03,099 these algorithms going out and finding 575 00:25:08,039 --> 00:25:05,459 out who can make it five cents cheaper 576 00:25:09,299 --> 00:25:08,049 yeah well I I can't help but think about 577 00:25:12,119 --> 00:25:09,309 all the other industries - I know 578 00:25:13,979 --> 00:25:12,129 prescription drugs is your expertise and 579 00:25:15,779 --> 00:25:13,989 a really important one for obvious 580 00:25:17,609 --> 00:25:15,789 reasons but when you just think about 581 00:25:21,479 --> 00:25:17,619 all the things that we've exported to 582 00:25:23,459 --> 00:25:21,489 China to produce and we've benefited 583 00:25:25,559 --> 00:25:23,469 from it you know you go into a Walmart 584 00:25:27,119 --> 00:25:25,569 where God knows what percentage of the 585 00:25:29,089 --> 00:25:27,129 stuff comes from China but it's probably 586 00:25:30,930 --> 00:25:29,099 a high percentage but things are very 587 00:25:37,019 --> 00:25:30,940 inexpensive for people and there are 588 00:25:38,729 --> 00:25:37,029 pluses to that but you know let me just 589 00:25:40,769 --> 00:25:38,739 get your thoughts broadly speaking on 590 00:25:43,079 --> 00:25:40,779 all the stuff that's been farmed out to 591 00:25:47,219 --> 00:25:43,089 China to be manufactured so that we can 592 00:25:49,079 --> 00:25:47,229 consume it at a lower price well there's 593 00:25:53,309 --> 00:25:49,089 the reason that China is getting richer 594 00:25:54,659 --> 00:25:53,319 and there's a reason that the middle 595 00:25:57,659 --> 00:25:54,669 class here in the United States is 596 00:26:00,269 --> 00:25:57,669 disappearing when you outsource 597 00:26:03,449 --> 00:26:00,279 good-paying jobs technical jobs and what 598 00:26:05,159 --> 00:26:03,459 we have left are service jobs how can 599 00:26:08,009 --> 00:26:05,169 you be an advanced country that's just a 600 00:26:11,039 --> 00:26:08,019 service economy we have to produce 601 00:26:14,519 --> 00:26:11,049 things that are of value and with those 602 00:26:19,319 --> 00:26:14,529 products of value you become resourceful 603 00:26:21,449 --> 00:26:19,329 and you have a good economic situation 604 00:26:23,189 --> 00:26:21,459 there we years ago we used to be a net 605 00:26:26,039 --> 00:26:23,199 creditor to the world we used to loan 606 00:26:29,869 --> 00:26:26,049 money to the world and now we're a net 607 00:26:32,579 --> 00:26:29,879 debtor and we're adding to that debt 608 00:26:35,159 --> 00:26:32,589 substantially right now with another two 609 00:26:38,189 --> 00:26:35,169 trillion dollar spending bill and you've 610 00:26:42,290 --> 00:26:38,199 got the fact that China owns what 611 00:26:47,880 --> 00:26:44,340 that's the whole other issue of how do 612 00:26:50,160 --> 00:26:47,890 we curb government spending in a very 613 00:26:52,440 --> 00:26:50,170 fractious political environment and not 614 00:26:54,600 --> 00:26:52,450 rely on China to be the one loaning us 615 00:26:56,370 --> 00:26:54,610 the money which it just seems very 616 00:26:58,950 --> 00:26:56,380 bizarre I mean this whole relationship 617 00:27:01,590 --> 00:26:58,960 with China that's developed is is very 618 00:27:03,750 --> 00:27:01,600 bizarre II you know I point out you know 619 00:27:06,210 --> 00:27:03,760 North Korea these problems that we have 620 00:27:09,480 --> 00:27:06,220 with North Korea China could solve in 621 00:27:11,250 --> 00:27:09,490 two seconds it always seems like Kim 622 00:27:12,990 --> 00:27:11,260 shoots off a missile whenever we're 623 00:27:15,330 --> 00:27:13,000 getting tough with China on some type of 624 00:27:16,800 --> 00:27:15,340 trade negotiation I think China's 625 00:27:21,390 --> 00:27:16,810 letting him know hey go shoot off a 626 00:27:24,300 --> 00:27:21,400 missile remind America that we have this 627 00:27:28,530 --> 00:27:24,310 relationship and we can keep him in 628 00:27:31,830 --> 00:27:28,540 check provided America does what we want 629 00:27:33,480 --> 00:27:31,840 on the economic side well this is an 630 00:27:36,260 --> 00:27:33,490 example the leverage that China holds 631 00:27:38,220 --> 00:27:36,270 over us with medicine and so many other 632 00:27:40,920 --> 00:27:38,230 essential products remember the rare 633 00:27:43,950 --> 00:27:40,930 earths and how China threatened to 634 00:27:50,580 --> 00:27:43,960 withhold rare earths from Japan it was a 635 00:27:52,290 --> 00:27:50,590 fishing boat snafu and Japan relented so 636 00:27:54,240 --> 00:27:52,300 the amount of leverage that China has 637 00:27:56,310 --> 00:27:54,250 over us we've given given them that 638 00:27:58,680 --> 00:27:56,320 leverage and so what we need is the plan 639 00:28:00,600 --> 00:27:58,690 you know what was really shocking to me 640 00:28:02,730 --> 00:28:00,610 when I was writing China rx it took 641 00:28:06,120 --> 00:28:02,740 three years to figure this out because 642 00:28:08,550 --> 00:28:06,130 it was so hidden is that it was no one's 643 00:28:13,320 --> 00:28:08,560 job in the government to know who 644 00:28:15,090 --> 00:28:13,330 controls our medicine supply and I'm 645 00:28:17,070 --> 00:28:15,100 sure that's true in other industries but 646 00:28:20,820 --> 00:28:17,080 now we're waking up asking the question 647 00:28:22,620 --> 00:28:20,830 who controls things and so we've got to 648 00:28:25,620 --> 00:28:22,630 start waking up you know China knows 649 00:28:30,180 --> 00:28:25,630 exactly where we are vulnerable and we 650 00:28:32,700 --> 00:28:30,190 don't and in in terms of you know this 651 00:28:34,650 --> 00:28:32,710 is economic warfare and in any kind of 652 00:28:37,200 --> 00:28:34,660 warfare you need to know your 653 00:28:38,550 --> 00:28:37,210 vulnerability but this is in this 654 00:28:39,360 --> 00:28:38,560 context has been hidden from the 655 00:28:41,640 --> 00:28:39,370 American public 656 00:28:43,320 --> 00:28:41,650 and during the us-china Commission the 657 00:28:44,610 --> 00:28:43,330 Department of Defense actually testified 658 00:28:47,850 --> 00:28:44,620 there was a representative who gave a 659 00:28:50,240 --> 00:28:47,860 very candid and sobering assessment of 660 00:28:53,370 --> 00:28:50,250 what this means for the US military and 661 00:28:53,760 --> 00:28:53,380 so we have to help the men and women in 662 00:28:57,390 --> 00:28:53,770 uniform 663 00:29:00,180 --> 00:28:57,400 form and decision makers got to mitigate 664 00:29:01,890 --> 00:29:00,190 this risk what you make a great point 665 00:29:04,610 --> 00:29:01,900 about the fact that nobody in government 666 00:29:06,990 --> 00:29:04,620 was responsible for paying attention to 667 00:29:09,450 --> 00:29:07,000 where our drugs are being manufactured 668 00:29:12,360 --> 00:29:09,460 and whether America is losing the 669 00:29:15,240 --> 00:29:12,370 ability to care for its own people 670 00:29:17,790 --> 00:29:15,250 whether it is now totally dependent on a 671 00:29:20,460 --> 00:29:17,800 foreign country and in fact a foreign 672 00:29:24,420 --> 00:29:20,470 adversary for the health of its people 673 00:29:26,400 --> 00:29:24,430 so my question for you therefore is who 674 00:29:31,080 --> 00:29:26,410 was closest to having that 675 00:29:34,590 --> 00:29:31,090 responsibility in government there was 676 00:29:36,840 --> 00:29:34,600 no one absolutely designated but when as 677 00:29:40,010 --> 00:29:36,850 I look back on this the United States 678 00:29:45,930 --> 00:29:40,020 has a whole bio defense establishment 679 00:29:48,230 --> 00:29:45,940 and it's remarkable that they overlooked 680 00:29:53,570 --> 00:29:48,240 or didn't want to talk about our 681 00:29:57,350 --> 00:29:53,580 dependence on China for treatment of 682 00:30:01,230 --> 00:29:57,360 disease that could be caused by you know 683 00:30:03,480 --> 00:30:01,240 bio warfare so you're kind of putting it 684 00:30:06,300 --> 00:30:03,490 in the military camp a bit potentially 685 00:30:07,920 --> 00:30:06,310 well bio defense includes you know there 686 00:30:10,620 --> 00:30:07,930 are civilians who understand national 687 00:30:11,760 --> 00:30:10,630 security that whole apparatus not 688 00:30:14,990 --> 00:30:11,770 necessary defense for the national 689 00:30:18,120 --> 00:30:15,000 security apparatus and others in the 690 00:30:21,030 --> 00:30:18,130 security community it's this was new to 691 00:30:25,620 --> 00:30:21,040 them and the question is why was it new 692 00:30:30,030 --> 00:30:25,630 to them and now it's not yeah not 693 00:30:31,890 --> 00:30:30,040 national security sounds right to me but 694 00:30:33,780 --> 00:30:31,900 you know again going back to the Navarro 695 00:30:37,260 --> 00:30:33,790 book which I think is similar to yours 696 00:30:38,580 --> 00:30:37,270 in being a wake up call but it's it 697 00:30:40,080 --> 00:30:38,590 still only wakes up a very small 698 00:30:43,170 --> 00:30:40,090 percentage I mean the bars book was 699 00:30:45,240 --> 00:30:43,180 written about 10 years ago and right we 700 00:30:47,430 --> 00:30:45,250 got so much attention and then Trump has 701 00:30:49,230 --> 00:30:47,440 gotten lots of attention for bringing 702 00:30:51,030 --> 00:30:49,240 him into his administration and then 703 00:30:53,760 --> 00:30:51,040 being tough on China when it comes to 704 00:30:56,700 --> 00:30:53,770 trade but really when you think about 705 00:30:58,860 --> 00:30:56,710 your book and a whole other host of 706 00:31:01,260 --> 00:30:58,870 issues that we've been talking about and 707 00:31:05,460 --> 00:31:01,270 that exists between us in China Trump 708 00:31:10,070 --> 00:31:05,470 arguably has been weak on China 709 00:31:15,299 --> 00:31:10,080 well I want to dispel a commonly viewed 710 00:31:17,659 --> 00:31:15,309 thing out there that were we the 711 00:31:20,759 --> 00:31:17,669 president started a trade war with China 712 00:31:22,680 --> 00:31:20,769 the reality is that we have been in a 713 00:31:25,769 --> 00:31:22,690 trade war with China for a very long 714 00:31:27,769 --> 00:31:25,779 time and the United States did nothing 715 00:31:31,039 --> 00:31:27,779 about it 716 00:31:33,720 --> 00:31:31,049 in China rx there's a chapter called 717 00:31:37,680 --> 00:31:33,730 about the vitamin C cartel this is an 718 00:31:41,190 --> 00:31:37,690 incredible story a bet that illustrates 719 00:31:43,980 --> 00:31:41,200 China's playbook and how it was engaging 720 00:31:46,889 --> 00:31:43,990 in a trade war and we sat back and did 721 00:31:48,690 --> 00:31:46,899 nothing so let's list is something as 722 00:31:52,009 --> 00:31:48,700 simple as vitamin C it's on a lot of 723 00:31:54,659 --> 00:31:52,019 kitchen counter tops across America and 724 00:31:56,279 --> 00:31:54,669 it's made with chemicals and we used to 725 00:31:59,730 --> 00:31:56,289 have a robust industry making the 726 00:32:02,850 --> 00:31:59,740 ascorbic acid and the same thing with 727 00:32:05,460 --> 00:32:02,860 penicillin China dumped ascorbic acid on 728 00:32:07,080 --> 00:32:05,470 the global market in the early 2000s 729 00:32:10,350 --> 00:32:07,090 again after we opened up free trade this 730 00:32:13,619 --> 00:32:10,360 was part of the landslide and they drove 731 00:32:15,539 --> 00:32:13,629 out all the US and almost all the 732 00:32:17,159 --> 00:32:15,549 European and even Indian producers of 733 00:32:21,180 --> 00:32:17,169 ascorbic acid and they had the dominant 734 00:32:22,889 --> 00:32:21,190 global market share so in this case 735 00:32:25,379 --> 00:32:22,899 there are a couple of American companies 736 00:32:28,049 --> 00:32:25,389 and others that filed antitrust lawsuit 737 00:32:32,029 --> 00:32:28,059 because there was absolutely unequivocal 738 00:32:35,850 --> 00:32:32,039 evidence at China fixed prices and 739 00:32:37,320 --> 00:32:35,860 control the supply of vitamin C and 740 00:32:40,529 --> 00:32:37,330 they're using vitamin C it could be 741 00:32:42,480 --> 00:32:40,539 penicillin it was just a test case right 742 00:32:44,490 --> 00:32:42,490 it's the classic predatory pricing 743 00:32:46,950 --> 00:32:44,500 underpriced your competitors drive them 744 00:32:48,360 --> 00:32:46,960 out and once they leave then of course 745 00:32:50,580 --> 00:32:48,370 you've got the market you can do what 746 00:32:53,070 --> 00:32:50,590 you want with price right and so here's 747 00:32:54,570 --> 00:32:53,080 what happened in federal court so there 748 00:32:55,710 --> 00:32:54,580 was a jury in Brooklyn that saw the 749 00:32:58,580 --> 00:32:55,720 evidence and it was absolutely 750 00:33:01,110 --> 00:32:58,590 unequivocal evidence of price fixing and 751 00:33:03,690 --> 00:33:01,120 they slapped a settlement of a hundred 752 00:33:08,490 --> 00:33:03,700 fifty million dollars on the Chinese 753 00:33:10,560 --> 00:33:08,500 companies but it didn't stop there the 754 00:33:12,389 --> 00:33:10,570 Chinese companies appealed with the help 755 00:33:14,999 --> 00:33:12,399 of the Chinese government and of course 756 00:33:18,499 --> 00:33:15,009 they use you know law firms right Heat 757 00:33:21,889 --> 00:33:18,509 lawyers here in the United States 758 00:33:23,539 --> 00:33:21,899 and the argument that the Chinese 759 00:33:26,509 --> 00:33:23,549 companies made and the Chinese 760 00:33:30,049 --> 00:33:26,519 government said that we required our 761 00:33:34,039 --> 00:33:30,059 companies as a matter of Chinese law to 762 00:33:37,339 --> 00:33:34,049 fix prices and control supply and you 763 00:33:40,009 --> 00:33:37,349 can expect our companies to abide by 764 00:33:43,849 --> 00:33:40,019 your law and our law at the same time 765 00:33:48,739 --> 00:33:43,859 hmm so you have to overturn the lower 766 00:33:51,039 --> 00:33:48,749 court decision and lo and behold the 767 00:33:53,539 --> 00:33:51,049 federal appeals court in Manhattan 768 00:33:56,419 --> 00:33:53,549 overturn the wisdom of the Brooklyn jury 769 00:34:01,069 --> 00:33:56,429 and said in the interest of 770 00:34:02,719 --> 00:34:01,079 international comity we can't expect 771 00:34:04,999 --> 00:34:02,729 companies to abide by both their 772 00:34:07,159 --> 00:34:05,009 country's laws and our laws at the same 773 00:34:10,849 --> 00:34:07,169 time and there are other legal arguments 774 00:34:13,430 --> 00:34:10,859 that lawyers can talk about and this is 775 00:34:17,119 --> 00:34:13,440 a case that's gone on since about 2004 776 00:34:19,190 --> 00:34:17,129 2005 and the Justice Department of 777 00:34:24,499 --> 00:34:19,200 multiple administration's Democrat and 778 00:34:28,669 --> 00:34:24,509 Republican did nothing what that if that 779 00:34:32,329 --> 00:34:28,679 decision is allowed to you know stay and 780 00:34:34,369 --> 00:34:32,339 hold it would effectively allow any 781 00:34:38,859 --> 00:34:34,379 country to come in and violate our 782 00:34:41,389 --> 00:34:38,869 antitrust laws fix prices control supply 783 00:34:46,730 --> 00:34:41,399 while US companies are held to a 784 00:34:48,889 --> 00:34:46,740 different standard is that this is the 785 00:34:50,690 --> 00:34:48,899 evidence of the trade war that's been 786 00:34:54,079 --> 00:34:50,700 going on for a very long time and it 787 00:34:54,430 --> 00:34:54,089 never made the news let me ask you about 788 00:34:56,480 --> 00:34:54,440 that 789 00:34:58,930 --> 00:34:56,490 let me tell you what happened just quick 790 00:35:03,440 --> 00:34:58,940 things so where did it end up and around 791 00:35:05,720 --> 00:35:03,450 2017 the us-based companies appealed it 792 00:35:08,150 --> 00:35:05,730 to the US Supreme Court with the help of 793 00:35:11,390 --> 00:35:08,160 the Justice Department of the current 794 00:35:13,490 --> 00:35:11,400 administration and the Supreme Court had 795 00:35:14,749 --> 00:35:13,500 a unanimous decision written by Justice 796 00:35:16,819 --> 00:35:14,759 Ginsburg ins Berg 797 00:35:19,009 --> 00:35:16,829 saying that the federal appeals court in 798 00:35:22,279 --> 00:35:19,019 Manhattan put too much credence in China 799 00:35:23,900 --> 00:35:22,289 asserting that it was a matter of law 800 00:35:26,450 --> 00:35:23,910 that they require their companies to fix 801 00:35:28,849 --> 00:35:26,460 prices and control supply and you the 802 00:35:31,099 --> 00:35:28,859 federal appeals court need to go back 803 00:35:31,970 --> 00:35:31,109 and review this so we're going to remand 804 00:35:36,109 --> 00:35:31,980 this back to you 805 00:35:38,450 --> 00:35:36,119 that was almost two years ago it's hard 806 00:35:41,000 --> 00:35:38,460 to see how difficult this is to come up 807 00:35:43,910 --> 00:35:41,010 with a decision and we still haven't 808 00:35:46,160 --> 00:35:43,920 heard a decision so when people say well 809 00:35:49,130 --> 00:35:46,170 this current White House started a trade 810 00:35:52,430 --> 00:35:49,140 war there was a trade war going on it 811 00:35:55,730 --> 00:35:52,440 long before to undermine our economic 812 00:36:03,380 --> 00:35:55,740 system and we just did nothing about it 813 00:36:06,470 --> 00:36:03,390 a one-sided war but let me ask about the 814 00:36:08,750 --> 00:36:06,480 World Trade Organization and whether is 815 00:36:12,109 --> 00:36:08,760 that a worthless entity is that 816 00:36:14,240 --> 00:36:12,119 something that the US should go to or 817 00:36:17,090 --> 00:36:14,250 has gone to to complain about China and 818 00:36:19,520 --> 00:36:17,100 what's been the effect well I'll just 819 00:36:22,450 --> 00:36:19,530 say this that what we've if we've 820 00:36:28,460 --> 00:36:22,460 learned nothing else from this pandemic 821 00:36:31,520 --> 00:36:28,470 this global pandemic is that every 822 00:36:34,130 --> 00:36:31,530 country's on their own some countries 823 00:36:37,070 --> 00:36:34,140 may help you if they can but if there's 824 00:36:41,120 --> 00:36:37,080 a shortage if there's a not enough to go 825 00:36:43,430 --> 00:36:41,130 around you have 70 countries have 826 00:36:47,320 --> 00:36:43,440 imposed export bans on medicines or 827 00:36:50,630 --> 00:36:47,330 equipment your personal protective gear 828 00:36:55,430 --> 00:36:50,640 this is a test of globalism and localism 829 00:36:59,599 --> 00:36:55,440 just hasn't worked look at the whu-oh it 830 00:37:02,510 --> 00:36:59,609 hasn't been honest with the world so we 831 00:37:03,770 --> 00:37:02,520 have a choice between this globalism in 832 00:37:05,450 --> 00:37:03,780 these international bodies and the 833 00:37:07,400 --> 00:37:05,460 question is for the person lying in the 834 00:37:10,310 --> 00:37:07,410 bed in New York City with coronavirus 835 00:37:12,800 --> 00:37:10,320 how are they going to help you or that 836 00:37:14,210 --> 00:37:12,810 person that's what it comes down to and 837 00:37:17,120 --> 00:37:14,220 who's responsible for helping that 838 00:37:19,790 --> 00:37:17,130 person it should be the government 839 00:37:22,330 --> 00:37:19,800 authorities in state you with the 840 00:37:24,890 --> 00:37:22,340 federal government backing up the states 841 00:37:27,050 --> 00:37:24,900 you know people 10,000 miles away or 842 00:37:28,880 --> 00:37:27,060 5,000 miles away there they're not going 843 00:37:30,260 --> 00:37:28,890 to help you and they have more than a 844 00:37:33,770 --> 00:37:30,270 hundred countries that they have to help 845 00:37:37,040 --> 00:37:33,780 out in China has pursued the most 846 00:37:38,990 --> 00:37:37,050 nationalistic policy of any country and 847 00:37:43,849 --> 00:37:39,000 its benefit its people its people 848 00:37:45,210 --> 00:37:43,859 enormous Lee so it's globalization on 849 00:37:47,400 --> 00:37:45,220 its terms 850 00:37:48,809 --> 00:37:47,410 but nobody else can be nationalistic 851 00:37:52,890 --> 00:37:48,819 like China so there's a double standard 852 00:37:55,050 --> 00:37:52,900 there and World Trade Organization 853 00:37:57,620 --> 00:37:55,060 pretty much as worthless as the other 854 00:37:59,910 --> 00:37:57,630 international organizations I assume 855 00:38:03,240 --> 00:37:59,920 it's certainly not working in the 856 00:38:05,609 --> 00:38:03,250 interests of the American people what do 857 00:38:06,870 --> 00:38:05,619 you think about cotton statement since 858 00:38:08,970 --> 00:38:06,880 we've been talking about him in this 859 00:38:11,010 --> 00:38:08,980 legislation I'm sure is near and dear to 860 00:38:13,770 --> 00:38:11,020 your heart to try to bring some of this 861 00:38:15,990 --> 00:38:13,780 drug making back to the u.s. in the 862 00:38:19,740 --> 00:38:16,000 context of him announcing this 863 00:38:22,290 --> 00:38:19,750 legislation he called China pariah state 864 00:38:26,609 --> 00:38:22,300 they created the global pandemic because 865 00:38:30,690 --> 00:38:26,619 of their lies and deception do you agree 866 00:38:33,000 --> 00:38:30,700 with that statement well it's clear that 867 00:38:37,920 --> 00:38:33,010 there was an index patient in December 868 00:38:41,839 --> 00:38:37,930 and a group of senior officials came to 869 00:38:46,670 --> 00:38:41,849 the White House to sign a trade deal 870 00:38:51,020 --> 00:38:46,680 knowing that there were concerns about a 871 00:38:53,220 --> 00:38:51,030 virus that was not being contained and 872 00:38:57,050 --> 00:38:53,230 allowing millions of people to leave 873 00:39:00,980 --> 00:38:57,060 Wuhan and to go around the world 874 00:39:07,829 --> 00:39:06,240 imagine the United States did that and 875 00:39:09,990 --> 00:39:07,839 our intelligence you don't think was 876 00:39:12,630 --> 00:39:10,000 strong enough to know about this I mean 877 00:39:15,210 --> 00:39:12,640 we certainly should all know you can't 878 00:39:18,300 --> 00:39:15,220 trust a communist what comes out of the 879 00:39:20,630 --> 00:39:18,310 mouth of a communist regime so the fact 880 00:39:23,220 --> 00:39:20,640 that they were 881 00:39:24,270 --> 00:39:23,230 downplaying it or not playing at all you 882 00:39:26,819 --> 00:39:24,280 would have thought though nonetheless 883 00:39:29,520 --> 00:39:26,829 we've got intelligence in place that 884 00:39:31,859 --> 00:39:29,530 would have been telling us this I can't 885 00:39:35,400 --> 00:39:31,869 speak to that because it's not a world 886 00:39:38,270 --> 00:39:35,410 that I travel in but it's clear that the 887 00:39:40,470 --> 00:39:38,280 China should have acted much sooner and 888 00:39:45,120 --> 00:39:40,480 untold numbers of lives could have been 889 00:39:47,190 --> 00:39:45,130 saved and I'm also told that one of the 890 00:39:48,690 --> 00:39:47,200 reasons that Milan and Italy was hit so 891 00:39:53,609 --> 00:39:48,700 badly was because there were direct 892 00:39:55,650 --> 00:39:53,619 flights from Wuhan to that area so when 893 00:39:57,450 --> 00:39:55,660 there was a call for a travel ban which 894 00:39:58,830 --> 00:39:57,460 is what you do whether it's in your 895 00:40:00,480 --> 00:39:58,840 neighborhood 896 00:40:02,880 --> 00:40:00,490 you know you can't go from one state to 897 00:40:04,680 --> 00:40:02,890 the next and when someone calls for a 898 00:40:06,780 --> 00:40:04,690 travel ban from a certain country you 899 00:40:09,600 --> 00:40:06,790 call it racist it's just what you do in 900 00:40:11,790 --> 00:40:09,610 a public health situation to control the 901 00:40:14,370 --> 00:40:11,800 spread of a pandemic it's just the rot 902 00:40:18,570 --> 00:40:14,380 wise thing to do and public health 903 00:40:20,910 --> 00:40:18,580 experts would say that as well so we've 904 00:40:24,320 --> 00:40:20,920 been totally asleep when it comes to 905 00:40:26,640 --> 00:40:24,330 what China has been up to we're slowly 906 00:40:31,110 --> 00:40:26,650 awakening I think this coronavirus thing 907 00:40:32,760 --> 00:40:31,120 is going to be a big awakening for 908 00:40:34,170 --> 00:40:32,770 everyone and in a hopefully every 909 00:40:36,560 --> 00:40:34,180 setting of the relationship with China 910 00:40:39,750 --> 00:40:36,570 what do you think about us being asleep 911 00:40:41,400 --> 00:40:39,760 regarding pandemics and you see any 912 00:40:44,430 --> 00:40:41,410 correlation to that the fact that we're 913 00:40:49,740 --> 00:40:44,440 asleep to this China problem and also 914 00:40:52,650 --> 00:40:49,750 asleep to this pandemic risk this is all 915 00:40:55,440 --> 00:40:52,660 predictable these pandemics are going to 916 00:40:56,010 --> 00:40:55,450 be like hurricanes we will have them in 917 00:41:00,060 --> 00:40:56,020 the future 918 00:41:01,860 --> 00:41:00,070 and we prepare for hurricanes you can 919 00:41:04,410 --> 00:41:01,870 never be fully prepared because each one 920 00:41:06,120 --> 00:41:04,420 is different but you can at least have a 921 00:41:07,500 --> 00:41:06,130 structure and process in place and 922 00:41:09,570 --> 00:41:07,510 people know what to do and you have the 923 00:41:13,530 --> 00:41:09,580 equipment and logistics to get it where 924 00:41:16,970 --> 00:41:13,540 it needs to go and in this instance we 925 00:41:19,590 --> 00:41:16,980 were wholly unprepared in terms of our 926 00:41:21,840 --> 00:41:19,600 because of just-in-time delivery this is 927 00:41:22,800 --> 00:41:21,850 how systems work let's everything now is 928 00:41:24,630 --> 00:41:22,810 just in time 929 00:41:27,210 --> 00:41:24,640 don't warehouse except for the strategic 930 00:41:28,740 --> 00:41:27,220 national stockpile and also what was 931 00:41:33,960 --> 00:41:28,750 fascinating to read from The Sydney 932 00:41:38,730 --> 00:41:33,970 Morning Herald is how they were you know 933 00:41:41,160 --> 00:41:38,740 China and encouraged or had its citizens 934 00:41:43,970 --> 00:41:41,170 living in Australia to bring home all 935 00:41:45,720 --> 00:41:43,980 the protective gear that they could and 936 00:41:49,590 --> 00:41:45,730 apparently that's happened in other 937 00:41:52,200 --> 00:41:49,600 countries so we have to find some way to 938 00:41:53,580 --> 00:41:52,210 prevent the export of personal 939 00:41:57,390 --> 00:41:53,590 protective gear and medicines that we 940 00:42:00,720 --> 00:41:57,400 need here to ban it you know there were 941 00:42:02,940 --> 00:42:00,730 millions of these n95 masks going out 942 00:42:06,080 --> 00:42:02,950 the door to unnamed foreign buyers and 943 00:42:09,480 --> 00:42:06,090 that was done by brokers unnamed brokers 944 00:42:10,710 --> 00:42:09,490 so the reason we have had shortages is 945 00:42:12,780 --> 00:42:10,720 because they were here but they were 946 00:42:16,290 --> 00:42:12,790 sent where somebody could get a higher 947 00:42:20,370 --> 00:42:16,300 and the question is will we go back and 948 00:42:22,850 --> 00:42:20,380 look at this and yeah take measures with 949 00:42:25,350 --> 00:42:22,860 with those people that did this and 950 00:42:27,270 --> 00:42:25,360 caused health care workers doctors and 951 00:42:30,930 --> 00:42:27,280 nurses not to have the protective gear 952 00:42:32,820 --> 00:42:30,940 so we need in this global world where 953 00:42:34,080 --> 00:42:32,830 people can sell products and we we have 954 00:42:36,120 --> 00:42:34,090 to think of all these things as 955 00:42:38,340 --> 00:42:36,130 strategic assets you know you can't go 956 00:42:40,220 --> 00:42:38,350 off and sell an aircraft carrier to a 957 00:42:42,660 --> 00:42:40,230 foreign country in the middle of a war 958 00:42:46,620 --> 00:42:42,670 you just can't do that we have to think 959 00:42:48,030 --> 00:42:46,630 of these as national assets not private 960 00:42:50,730 --> 00:42:48,040 goods that you can sell to the highest 961 00:42:54,780 --> 00:42:50,740 bidder our whole attitude about this 962 00:42:58,560 --> 00:42:54,790 needs to change yeah when you're not 963 00:43:00,330 --> 00:42:58,570 prepared you panic and that's what we've 964 00:43:02,580 --> 00:43:00,340 got here it seems to me we've got a lack 965 00:43:05,490 --> 00:43:02,590 of preparedness and then we've got a 966 00:43:09,450 --> 00:43:05,500 panic I think that we're gonna look back 967 00:43:12,140 --> 00:43:09,460 and see that we trashed our economy more 968 00:43:14,430 --> 00:43:12,150 than we needed to to fight absolutely 969 00:43:17,359 --> 00:43:14,440 yeah that the closing down of the 970 00:43:23,310 --> 00:43:17,369 economy is causing other public health 971 00:43:26,910 --> 00:43:23,320 calamities yeah and where I'm watching 972 00:43:29,130 --> 00:43:26,920 the Sweden model and so far the numbers 973 00:43:33,140 --> 00:43:29,140 in Sweden compared to similar countries 974 00:43:36,420 --> 00:43:33,150 Nordic countries Finland Denmark Norway 975 00:43:39,930 --> 00:43:36,430 are similar and yet they did not order 976 00:43:41,730 --> 00:43:39,940 the total shutdown of their economy you 977 00:43:45,599 --> 00:43:41,740 shut down the economy is causing 978 00:43:49,710 --> 00:43:45,609 enormous economic social repercussions 979 00:43:51,930 --> 00:43:49,720 that we will feel for many many years to 980 00:43:54,780 --> 00:43:51,940 come this notion of social distancing it 981 00:43:57,060 --> 00:43:54,790 it causes distrust you know that if you 982 00:43:59,480 --> 00:43:57,070 can't pay your rent you cannot sue 983 00:44:03,330 --> 00:43:59,490 asides that are economically driven and 984 00:44:06,840 --> 00:44:03,340 meanwhile more illegal drugs flowing 985 00:44:08,940 --> 00:44:06,850 through the border from Mexico certainly 986 00:44:11,040 --> 00:44:08,950 that's China at work taking advantage of 987 00:44:13,740 --> 00:44:11,050 these distressed even more distressed 988 00:44:16,650 --> 00:44:13,750 communities robberies going up in poor 989 00:44:20,010 --> 00:44:16,660 communities crime going up people don't 990 00:44:21,570 --> 00:44:20,020 have a way of survival let me ask you is 991 00:44:22,770 --> 00:44:21,580 I know this is in your expertise of the 992 00:44:26,339 --> 00:44:22,780 subject of the book but we're in the 993 00:44:28,589 --> 00:44:26,349 heart of the corona virus pandemic 994 00:44:31,519 --> 00:44:28,599 is are there any good examples out there 995 00:44:34,380 --> 00:44:31,529 of countries that were prepared for this 996 00:44:37,079 --> 00:44:34,390 well from a distance it appears as if 997 00:44:40,439 --> 00:44:37,089 Taiwan and South Korea were very much 998 00:44:42,449 --> 00:44:40,449 prepared that may be driven in part by 999 00:44:45,719 --> 00:44:42,459 the neighborhood that they live in and 1000 00:44:48,420 --> 00:44:45,729 the challenges they face from living in 1001 00:44:50,459 --> 00:44:48,430 that neighborhood and plus cultural 1002 00:44:55,259 --> 00:44:50,469 factors that allow for a very 1003 00:44:57,769 --> 00:44:55,269 disciplined way of approaching society 1004 00:45:00,839 --> 00:44:57,779 in conformity 1005 00:45:03,269 --> 00:45:00,849 so those and other factors certainly 1006 00:45:08,430 --> 00:45:03,279 enable them to be apparently better 1007 00:45:11,880 --> 00:45:08,440 prepared for testing and for caring for 1008 00:45:13,939 --> 00:45:11,890 patients I think this whole there's this 1009 00:45:16,109 --> 00:45:13,949 crazy debate going on about 1010 00:45:18,390 --> 00:45:16,119 hydroxychloroquine you know this is a 1011 00:45:21,180 --> 00:45:18,400 medicine used by many countries around 1012 00:45:23,579 --> 00:45:21,190 the world successfully and to have 1013 00:45:27,839 --> 00:45:23,589 governor's here in the United States ban 1014 00:45:32,069 --> 00:45:27,849 its use until the FDA said yes it can be 1015 00:45:33,209 --> 00:45:32,079 used is just stunning it makes it raises 1016 00:45:36,900 --> 00:45:33,219 the questions it's really a medical 1017 00:45:39,029 --> 00:45:36,910 decision or a political decision so we 1018 00:45:43,049 --> 00:45:39,039 have a lot of work to do and plus it's 1019 00:45:45,359 --> 00:45:43,059 not just the subject matter but also you 1020 00:45:47,009 --> 00:45:45,369 know our political life you know we have 1021 00:45:48,599 --> 00:45:47,019 to come together and work together on 1022 00:45:50,489 --> 00:45:48,609 things that matter to the American 1023 00:45:53,039 --> 00:45:50,499 people to each of us whether you're 1024 00:45:55,349 --> 00:45:53,049 democrat or republican yeah that's 1025 00:45:59,039 --> 00:45:55,359 amen to that I mean the nonsense that 1026 00:46:02,479 --> 00:45:59,049 gets talked about in the news and let's 1027 00:46:10,199 --> 00:46:02,489 just call it out it's Fox CNN and MSNBC 1028 00:46:13,140 --> 00:46:10,209 which is 24/7 political pundits talking 1029 00:46:17,039 --> 00:46:13,150 about Trump's latest tweet and not 1030 00:46:18,539 --> 00:46:17,049 covering real news 1031 00:46:20,489 --> 00:46:18,549 they don't have reporters out in the 1032 00:46:23,059 --> 00:46:20,499 field anymore they're not out in the 1033 00:46:25,380 --> 00:46:23,069 warzone they're sitting around a table 1034 00:46:27,809 --> 00:46:25,390 commentators talking about the latest 1035 00:46:31,410 --> 00:46:27,819 tweet and you get no news out of them 1036 00:46:36,660 --> 00:46:31,420 you don't learn anything you know when 1037 00:46:39,749 --> 00:46:36,670 this China rx book came out someone who 1038 00:46:40,020 --> 00:46:39,759 I did not know said to me so why did it 1039 00:46:43,590 --> 00:46:40,030 take 1040 00:46:45,060 --> 00:46:43,600 someone like you a private citizen I was 1041 00:46:46,590 --> 00:46:45,070 no one paid me to do this 1042 00:46:49,140 --> 00:46:46,600 I was looking just to write another book 1043 00:46:52,590 --> 00:46:49,150 of import for our health and well-being 1044 00:46:58,440 --> 00:46:52,600 in society why did it take someone like 1045 00:47:01,830 --> 00:46:58,450 you to do this that there was no you 1046 00:47:03,330 --> 00:47:01,840 know investigative journalism which we 1047 00:47:05,550 --> 00:47:03,340 have capability out there why did to 1048 00:47:07,920 --> 00:47:05,560 take a private citizen to have to 1049 00:47:09,660 --> 00:47:07,930 breathe you know top leaders in our 1050 00:47:11,730 --> 00:47:09,670 government in an industry to tell them 1051 00:47:14,580 --> 00:47:11,740 what the heck was going on it's an honor 1052 00:47:16,980 --> 00:47:14,590 for me to do that but it really is quite 1053 00:47:18,780 --> 00:47:16,990 remarkable and I think there's a chat at 1054 00:47:21,150 --> 00:47:18,790 a section in China rx about the 1055 00:47:24,570 --> 00:47:21,160 censorship there are certain topics that 1056 00:47:28,350 --> 00:47:24,580 are just censored it's very hard to tell 1057 00:47:29,730 --> 00:47:28,360 the truth about China and it's very hard 1058 00:47:32,190 --> 00:47:29,740 to tell the truth about you know the 1059 00:47:33,930 --> 00:47:32,200 healthcare industry well if you're in 1060 00:47:36,510 --> 00:47:33,940 China and you tell if you're in China 1061 00:47:38,670 --> 00:47:36,520 and you tell the truth you get killed so 1062 00:47:42,540 --> 00:47:38,680 you could imagine what measures they're 1063 00:47:43,770 --> 00:47:42,550 willing to go to to suppress the truth - 1064 00:47:45,900 --> 00:47:43,780 speaking of investigative journalism 1065 00:47:50,610 --> 00:47:45,910 what about 60 minutes have they done a 1066 00:47:53,130 --> 00:47:50,620 piece on this I'm still waiting for the 1067 00:47:57,330 --> 00:47:53,140 when when China are XK mout in April 1068 00:47:58,920 --> 00:47:57,340 2000 18 which and predicted this in the 1069 00:48:00,750 --> 00:47:58,930 preface that said that in the event of a 1070 00:48:02,190 --> 00:48:00,760 natural disaster a global pandemic if 1071 00:48:04,560 --> 00:48:02,200 china shuts the door this is where we'll 1072 00:48:06,440 --> 00:48:04,570 be you would think that the phone would 1073 00:48:09,180 --> 00:48:06,450 be ringing off the hook 1074 00:48:10,650 --> 00:48:09,190 it wasn't until last year with great 1075 00:48:12,600 --> 00:48:10,660 leadership from the us-china economic 1076 00:48:17,520 --> 00:48:12,610 and Security Review Commission that this 1077 00:48:18,390 --> 00:48:17,530 just opened up and now this pandemic you 1078 00:48:22,290 --> 00:48:18,400 know this is how we are as Americans 1079 00:48:24,900 --> 00:48:22,300 we're very short-sighted we're not we 1080 00:48:28,080 --> 00:48:24,910 play checkers and China plays chess we 1081 00:48:30,030 --> 00:48:28,090 have to think long term and it's not 1082 00:48:32,180 --> 00:48:30,040 just the story of the day I'm concerned 1083 00:48:35,520 --> 00:48:32,190 that this story will just fade away 1084 00:48:37,620 --> 00:48:35,530 after the coronavirus thing settles down 1085 00:48:40,680 --> 00:48:37,630 which it undoubtedly will and hopefully 1086 00:48:43,260 --> 00:48:40,690 will at some point and then we're back 1087 00:48:45,300 --> 00:48:43,270 to square one and having to you know 1088 00:48:47,580 --> 00:48:45,310 bring it up again and try to fix it the 1089 00:48:50,940 --> 00:48:47,590 next time so I hope that we can have a 1090 00:48:53,400 --> 00:48:50,950 silver lining here senator cotton stone 1091 00:48:57,060 --> 00:48:53,410 also there is a draft executive order 1092 00:48:59,490 --> 00:48:57,070 you mentioned dr. Navarro he's talked 1093 00:49:02,010 --> 00:48:59,500 publicly about an executive order that 1094 00:49:03,930 --> 00:49:02,020 would require the DoD very much aligned 1095 00:49:07,830 --> 00:49:03,940 with the senator cotton had the DoD VA 1096 00:49:09,980 --> 00:49:07,840 and HHS buy medicines made in America 1097 00:49:13,970 --> 00:49:09,990 and to invest in advanced manufacturing 1098 00:49:16,320 --> 00:49:13,980 technology that's the smart thing to do 1099 00:49:17,910 --> 00:49:16,330 let's hope there's a silver lining to 1100 00:49:20,550 --> 00:49:17,920 this that we can begin to fix it oh I 1101 00:49:23,010 --> 00:49:20,560 think there's gonna be a big big silver 1102 00:49:23,430 --> 00:49:23,020 lining but at look at the cost of it 1103 00:49:27,330 --> 00:49:23,440 though 1104 00:49:29,430 --> 00:49:27,340 my god anymore look at the costs and how 1105 00:49:31,890 --> 00:49:29,440 long it's gonna take to rebound from 1106 00:49:34,260 --> 00:49:31,900 that let me let me catch with two to 1107 00:49:37,290 --> 00:49:34,270 last questions if I could one is illegal 1108 00:49:39,990 --> 00:49:37,300 drugs coming from China you hear a lot 1109 00:49:41,880 --> 00:49:40,000 about fentanyl and it seems like there's 1110 00:49:43,350 --> 00:49:41,890 a lot of people that are getting drugs 1111 00:49:47,550 --> 00:49:43,360 not through their doctor direct from 1112 00:49:51,690 --> 00:49:47,560 China tell us about that issue I think 1113 00:49:53,970 --> 00:49:51,700 we have a reverse opium war going on and 1114 00:49:58,220 --> 00:49:53,980 it's I see it as a deliberate strategy 1115 00:50:02,360 --> 00:49:58,230 to weaken America take away the jobs 1116 00:50:04,620 --> 00:50:02,370 people don't have gainful employment and 1117 00:50:07,530 --> 00:50:04,630 let's you know continue the downward 1118 00:50:10,710 --> 00:50:07,540 spiral and it's still remarkable to me 1119 00:50:13,170 --> 00:50:10,720 that we still have enormous numbers of 1120 00:50:15,780 --> 00:50:13,180 deaths and this is fixable we know 1121 00:50:18,540 --> 00:50:15,790 exactly where the product is coming in 1122 00:50:22,830 --> 00:50:18,550 from we can track where it's going and 1123 00:50:26,870 --> 00:50:22,840 even in the legal supply chain where you 1124 00:50:29,780 --> 00:50:26,880 know companies are delivering these 1125 00:50:33,980 --> 00:50:29,790 opioid type medicines to communities 1126 00:50:36,510 --> 00:50:33,990 numbers of pills is far exceeding any 1127 00:50:41,160 --> 00:50:36,520 epidemiological need for that quantity 1128 00:50:43,560 --> 00:50:41,170 and they get away with it so nobody goes 1129 00:50:45,950 --> 00:50:43,570 to jail do we have numbers on if you 1130 00:50:48,270 --> 00:50:45,960 talk about the opioid crisis in America 1131 00:50:50,820 --> 00:50:48,280 what percentage of these opioids are 1132 00:50:52,920 --> 00:50:50,830 actually coming from China I don't have 1133 00:50:55,110 --> 00:50:52,930 that information but isn't it 1134 00:50:58,920 --> 00:50:55,120 interesting that we've had you know 1135 00:51:00,780 --> 00:50:58,930 tragic deaths from coronavirus but we've 1136 00:51:03,810 --> 00:51:00,790 had how many tens of thousands of deaths 1137 00:51:06,150 --> 00:51:03,820 from the opioid crisis and we don't shut 1138 00:51:09,210 --> 00:51:06,160 down the world 1139 00:51:11,700 --> 00:51:09,220 and then last question and this would 1140 00:51:13,020 --> 00:51:11,710 really be better for another one-hour 1141 00:51:15,180 --> 00:51:13,030 interview if I could get it with you 1142 00:51:17,910 --> 00:51:15,190 sometime but I know you're a healthcare 1143 00:51:20,340 --> 00:51:17,920 system expert what are your thoughts 1144 00:51:21,900 --> 00:51:20,350 high level on the state of u.s. health 1145 00:51:23,720 --> 00:51:21,910 care as we go into an election and 1146 00:51:26,850 --> 00:51:23,730 you've got one side saying we need 1147 00:51:29,370 --> 00:51:26,860 Medicare for all and single-payer and 1148 00:51:33,390 --> 00:51:29,380 the other one being for the most part 1149 00:51:35,340 --> 00:51:33,400 wanting to unwind Obamacare what do you 1150 00:51:37,470 --> 00:51:35,350 think is that if your candidate for 1151 00:51:40,940 --> 00:51:37,480 president what's the right solution for 1152 00:51:44,430 --> 00:51:40,950 what ails America's health care system 1153 00:51:47,850 --> 00:51:44,440 well looking at the long term and not 1154 00:51:49,500 --> 00:51:47,860 just what the current news is that comes 1155 00:51:51,990 --> 00:51:49,510 up on your computer screen when you open 1156 00:51:55,380 --> 00:51:52,000 it every morning which is all you know 1157 00:51:57,990 --> 00:51:55,390 shaping how people think in the long 1158 00:52:00,860 --> 00:51:58,000 term we have to control the rate of 1159 00:52:03,300 --> 00:52:00,870 increase in our healthcare spending and 1160 00:52:05,480 --> 00:52:03,310 there was a time Believe It or Not when 1161 00:52:08,970 --> 00:52:05,490 Republicans and Democrats both had a 1162 00:52:10,560 --> 00:52:08,980 plan that would call for limiting the 1163 00:52:12,540 --> 00:52:10,570 rate of growth and spending a couple 1164 00:52:15,570 --> 00:52:12,550 percentage points every year to account 1165 00:52:17,400 --> 00:52:15,580 for inflation and that never went 1166 00:52:19,860 --> 00:52:17,410 anywhere you look what's happening to 1167 00:52:21,750 --> 00:52:19,870 the American people in terms of how much 1168 00:52:24,800 --> 00:52:21,760 they're having to sacrifice and spend 1169 00:52:28,440 --> 00:52:24,810 for health care it's it's unbelievable 1170 00:52:30,990 --> 00:52:28,450 people are foregoing it and what good is 1171 00:52:32,310 --> 00:52:31,000 it if you can't afford it and if people 1172 00:52:33,650 --> 00:52:32,320 can't afford it how can government 1173 00:52:36,540 --> 00:52:33,660 afford it 1174 00:52:39,110 --> 00:52:36,550 so we have to find a way to rein in the 1175 00:52:41,700 --> 00:52:39,120 rate of increase in spending per capita 1176 00:52:44,460 --> 00:52:41,710 but then there'll be howls of oh you're 1177 00:52:46,140 --> 00:52:44,470 you know killing my grandmother when 1178 00:52:49,530 --> 00:52:46,150 this is actually prudent policy you know 1179 00:52:53,160 --> 00:52:49,540 if you think about it you and I we in 1180 00:52:55,680 --> 00:52:53,170 our households and in our businesses you 1181 00:52:58,530 --> 00:52:55,690 have to have a budget and you can't keep 1182 00:53:00,180 --> 00:52:58,540 spending over that budget but that's 1183 00:53:03,630 --> 00:53:00,190 what we're exactly doing in health care 1184 00:53:06,200 --> 00:53:03,640 and here's the line I gave at a 1185 00:53:11,160 --> 00:53:06,210 conference a number of years ago and 1186 00:53:12,390 --> 00:53:11,170 there were just gasps in the room I said 1187 00:53:14,190 --> 00:53:12,400 the reason that health care is so 1188 00:53:16,620 --> 00:53:14,200 expensive is not the sense of 1189 00:53:19,140 --> 00:53:16,630 entitlement of older adults say to the 1190 00:53:21,720 --> 00:53:19,150 case of in the case of Medicare but the 1191 00:53:26,310 --> 00:53:21,730 sense of entitlement of the industry to 1192 00:53:28,790 --> 00:53:26,320 taxpayers money well the thing that I 1193 00:53:32,600 --> 00:53:28,800 like to point out for what it's worth is 1194 00:53:35,190 --> 00:53:32,610 you don't have buyer and seller 1195 00:53:36,900 --> 00:53:35,200 communicating and have openness 1196 00:53:39,120 --> 00:53:36,910 regarding pricing there's always a 1197 00:53:42,680 --> 00:53:39,130 middleman between the buyer and the 1198 00:53:45,510 --> 00:53:42,690 seller which is right for fraud and 1199 00:53:46,890 --> 00:53:45,520 right for rampant price increases 1200 00:53:49,080 --> 00:53:46,900 because nobody knows what the price is 1201 00:53:50,340 --> 00:53:49,090 so whether it's an insurance company 1202 00:53:52,350 --> 00:53:50,350 that's in the middle or it's the 1203 00:53:55,760 --> 00:53:52,360 government and there's no information on 1204 00:53:58,050 --> 00:53:55,770 the quality it's highly variable and 1205 00:53:59,460 --> 00:53:58,060 there's so much over treatment one of 1206 00:54:03,540 --> 00:53:59,470 the books I wrote is called treatment 1207 00:54:05,460 --> 00:54:03,550 trap an enormous overtreatment 1208 00:54:08,280 --> 00:54:05,470 unnecessary back surgery is one of the 1209 00:54:10,950 --> 00:54:08,290 most overused procedures in this country 1210 00:54:16,230 --> 00:54:10,960 it's actually caused you know increases 1211 00:54:19,560 --> 00:54:16,240 in morbidity and mortality and so it's 1212 00:54:21,660 --> 00:54:19,570 not just price but also quality and do I 1213 00:54:24,810 --> 00:54:21,670 really need it we could cut health care 1214 00:54:27,060 --> 00:54:24,820 spending in this country this was a CEO 1215 00:54:29,850 --> 00:54:27,070 of a hospice I could provide better care 1216 00:54:38,910 --> 00:54:29,860 for all the people in my community at 1217 00:54:40,680 --> 00:54:38,920 75% of the cost right now yeah my 1218 00:54:44,400 --> 00:54:40,690 thinking is that insurance should be 1219 00:54:46,980 --> 00:54:44,410 about catastrophic health issues not 1220 00:54:48,840 --> 00:54:46,990 your basic physical you know for your 1221 00:54:51,360 --> 00:54:48,850 car you pay for your gas you pay for 1222 00:54:52,620 --> 00:54:51,370 your oil change you pay for cosmetic 1223 00:54:54,120 --> 00:54:52,630 things and if you get in a major 1224 00:54:56,900 --> 00:54:54,130 accident you have insurance to cover 1225 00:54:59,250 --> 00:54:56,910 that because you can't afford to pay it 1226 00:55:01,590 --> 00:54:59,260 that ought to be the same it seems to me 1227 00:55:03,510 --> 00:55:01,600 in in the health care because it would 1228 00:55:07,250 --> 00:55:03,520 take the insurance companies out of the 1229 00:55:09,210 --> 00:55:07,260 middle of 80% of the transactions I 1230 00:55:14,310 --> 00:55:09,220 think that was an idea that was 1231 00:55:16,590 --> 00:55:14,320 discussed in the early 1990s 30 years 1232 00:55:19,140 --> 00:55:16,600 ago but what's happened since then the 1233 00:55:21,990 --> 00:55:19,150 cost has gone up even for this quote the 1234 00:55:23,310 --> 00:55:22,000 small things and even you know those 1235 00:55:25,710 --> 00:55:23,320 out-of-pocket costs look at the 1236 00:55:28,590 --> 00:55:25,720 deductibles people have now you know 1237 00:55:32,500 --> 00:55:28,600 we're so far down this this path how do 1238 00:55:33,940 --> 00:55:32,510 we kind of you know rewind us to get 1239 00:55:36,850 --> 00:55:33,950 that point where people pay what they 1240 00:55:39,790 --> 00:55:36,860 can pay but we still make it affordable 1241 00:55:41,860 --> 00:55:39,800 for those catastrophic events yeah well 1242 00:55:44,140 --> 00:55:41,870 I say allow the free market to do its 1243 00:55:45,760 --> 00:55:44,150 job but prices don't change like this 1244 00:55:48,100 --> 00:55:45,770 when you have a truly free market but it 1245 00:55:51,070 --> 00:55:48,110 is not a free market in health care and 1246 00:55:53,410 --> 00:55:51,080 we're a long ways away from it being a 1247 00:55:55,000 --> 00:55:53,420 free market so yeah be some take some 1248 00:55:58,810 --> 00:55:55,010 pretty radical changes to get it back 1249 00:56:02,740 --> 00:55:58,820 there and quality we need data on 1250 00:56:05,710 --> 00:56:02,750 quality because my other book was on 1251 00:56:07,660 --> 00:56:05,720 medical mistakes in the amount of number 1252 00:56:08,950 --> 00:56:07,670 of people that are harmed by preventable 1253 00:56:10,420 --> 00:56:08,960 adverse events that's a whole other 1254 00:56:13,270 --> 00:56:10,430 issue we could talk a long time about 1255 00:56:14,890 --> 00:56:13,280 that yeah well we've got your will light 1256 00:56:16,930 --> 00:56:14,900 up on that issue I would love that 1257 00:56:18,540 --> 00:56:16,940 because you know there's so many new 1258 00:56:22,030 --> 00:56:18,550 tools that we have that we're not using 1259 00:56:24,550 --> 00:56:22,040 you know the Yelp for instance where you 1260 00:56:26,710 --> 00:56:24,560 know now every store out there is being 1261 00:56:28,960 --> 00:56:26,720 raided in some way and we and but 1262 00:56:31,690 --> 00:56:28,970 getting ratings on doctors still is not 1263 00:56:33,700 --> 00:56:31,700 that easy I know because I needed to get 1264 00:56:35,920 --> 00:56:33,710 a new primary care physician of recently 1265 00:56:38,470 --> 00:56:35,930 and there's a handful of reviews out 1266 00:56:40,990 --> 00:56:38,480 there but there's not a lot of them not 1267 00:56:42,430 --> 00:56:41,000 as many as there should be yeah and I 1268 00:56:44,170 --> 00:56:42,440 frankly missed the long-term 1269 00:56:47,710 --> 00:56:44,180 relationships that people used to have 1270 00:56:50,620 --> 00:56:47,720 with their physicians and it's those 1271 00:56:51,940 --> 00:56:50,630 relationships matter but now the way you 1272 00:56:53,830 --> 00:56:51,950 know health care has become very 1273 00:56:56,470 --> 00:56:53,840 corporatized rather than a professional 1274 00:56:58,230 --> 00:56:56,480 model you go in and you may not see the 1275 00:57:00,970 --> 00:56:58,240 same person that you saw the last time 1276 00:57:03,730 --> 00:57:00,980 so those relationships fall apart and 1277 00:57:05,500 --> 00:57:03,740 that makes it unhappy for physicians and 1278 00:57:06,430 --> 00:57:05,510 certainly unhappy for patients you know