Latest / Cultural Wars | America Out Loud News / Why post-viral dizziness and heart racing in kids are real

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Why post-viral dizziness and heart racing in kids are real · Cultural Wars | America Out Loud News

• 0:08
  If we've learned anything from these past couple of years, my call number again to answer that.
• 0:14
  Personal medical freedom and liberty are in crisis.
• 0:19
  American pulse brings together the top experts in health care related fields to keep you up beaten ahead.
• 0:29
  So welcome back to America Outloud Pulse.
• 0:32
  This is again Jordan Vaughn.
• 0:35
  And what we're going to discuss this morning was looking at a couple of the papers that came out that I think of are of interest, especially in the long COVID post-COVID coolhort.
• 0:49
  And one of the major ones was a really a paper that looks at actually young adults and kids.
• 0:56
  And it was done actually out of Harvard.
• 1:00
  Again, looking at it from the same kind of perspective that we look at it when we look at what we would call endovascular profiles.
• 1:07
  So endovascular meaning endothelial and vascular profiles and how they're linked to interesting changes in a particular inflammatory or what I would call immune cell called a neutrophil.
• 1:23
  And really I think it's important because this paper gives it because something something clinicians and families have been really asking for, which is kind of these objective biological signals that are in younger patients with a lot of primarily cardiovascular symptoms.
• 1:40
  So looking at this paper, again, it's it's about 84 children, and a significant amount of them actually had long COVID, which was 61 of them.
• 1:50
  And the typical symptoms are dizziness on standing, this kind of shortness of breath out of proportion to what you would expect, the palpitations, the feeling faint, uh, chest tightness, uh changes in their hands and feet, and even kind of the leg and feet swelling.
• 2:07
  And why it's important is because a lot of the adult research uh has been a little bit dismissive uh from the kind of academy, mainly because a lot of those things I think are more age-related cardiometabolic disease that kind of could confound this the signal.
• 2:27
  So again, if you look at it in adults, a lot of people are basically saying, you know, again, these these people may have had this pre-existing, and it's probably just uh clotting and vascular abnormalities that were going to happen anyway.
• 2:41
  When we started looking at children and young adults, um, the likelihood that they have age-related uh cardiometabolic disease is uh is quite low.
• 2:51
  So um and really what it does is give us a better signal.
• 2:56
  And I will tell you that that is true um even in us clinically, a lot of the things that we were able to figure out early, we figured out in otherwise healthy young people because we couldn't really rationalize why it was happening.
• 3:12
  As people get older, it's a lot easier to state um that you know it's age-related or their underlying condition is what uh that made these issues happen.
• 3:24
  So it's weird to say, but I think a lot of times finding some biological signals in younger people is pretty important because it really rules out or makes less likely the argument that they already had these things.
• 3:38
  And so this really looked at um these inflammatory and vascular signals, um, and they really didn't have a history of coronary disease or age-related vascular changes and or diabetes.
• 3:52
  So again, these are otherwise pretty healthy kids.
• 3:55
  And again, most of the kids, about 77 to you know, 65% had those cardiovascular symptoms.
• 4:04
  And so um what they looked at was they found microclots, which is a again, a lot of what we look for, were increased in these pediatric and young adults.
• 4:14
  Um the striking part is that this was not an adult or older cohort.
• 4:20
  These were children and young adults, which makes this vascular signal basically harder to dismiss as just background cardiometabolic disease.
• 4:27
  Um, and the authors found that microclot burden was significantly increased in long COVID compared with health controls, and the number of microclots per square centimeter and average microclot size were also increased.
• 4:39
  Again, not new to the people that know what we've been doing here in Birmingham for a long time under the uh kind of direction and mentorship of Reche Pitorius and Doug Kell.
• 4:51
  Um, but the uh the microclot or the microvascular changes, this amyloid deposit uh in the microvasculature uh causing significant disease processes is quite um striking and is quite important in understanding why COVID is unique in its effects.
• 5:13
  Um again, not necessarily unique in a post-infectious environment, uh, because there have been post-infectious chronic conditions for a long time.
• 5:25
  COVID seems to be the one that is the what I've typically tell my patients, the nuclear bomb versus the the small bombs that were previous in terms of how it affects uh everything, the inflammatory system to the microvasculature.
• 5:39
  Um the uh endothelium is the lining of the blood vessels, as we talked about, and it's injured or activated, it changes kind of leukocyte trafficking, which is again how um how inflammatory blood cells move around the blood.
• 5:55
  It actually causes clotting changes, it causes vascular tone changes, it causes permeability, and it also uh impairs the ability for uh repairing of this inside of the vessel.
• 6:06
  Again, think of a tube, the inside of the tube, the lining of that tube being a living organism that has to actively be involved in uh repair and upkeep, um, just like any kind of living organism.
• 6:23
  And what this really found was altered endovascular cytokines like L-selectin, alpha-2 microglobulin were decreased, while markers related to angiogenesis and vascular remodeling, uh, including uh FGF2 and leptin were increased in the subsets.
• 6:39
  And this kind of interpretation was that the increased angiogenesis, which is a fancy word for the blood vessel almost having to make new blood vessels, uh, was a containment of inflammatory cells within circulation.
• 6:53
  So it was like the these things aren't working, we're gonna have to find a way around them.
• 6:57
  We see that even in a lot of our macrovascular stuff when we're thinking of kind of pelvic venous disease.
• 7:00
  When we're thinking of kind of pelvic venous disease.
• 7:03
  Um, and this really kind of creates this biological framework for symptoms like kind of orthostatic intolerance, exertional intolerance, palpitations, shortness of breath, weird extremity issues.
• 7:03
  And this really kind of creates this biological framework for symptoms like kind of orthostatic intolerance, exertional intolerance, palpitations, shortness of breath, weird extremity issues.
• 7:15
  Um it's not just classically, we think of autonomic dysfunction as just kind of vascular tone issues, but it's vascular tone issues that are um coexisting with this endovascular inflammation.
• 7:16
  So it's not just classically, we think of autonomic dysfunction as just kind of vascular tone issues, but it's vascular tone issues that are coexisting with this endovascular inflammation, something that we've been talking about for a long time.
• 7:33
  And then it goes on to look at the thing that actually Risha's paper about a month ago looked at, which is these nets, which is netosis or neutrophil extracellular traps.
• 7:45
  Kind of think of these as like globular things that hold on to a bunch of bad stuff and trap it, and then they can't really get rid of it.
• 7:54
  So nets is when neutrophils release DNA-based extracellular traps, and nets can help trap pathogens, but in the bloodstream, they actually promote inflammation, endothelial injury, and clotting.
• 8:07
  And so what they also found was this kind of cell-free DNA, which is an indirect marker of nets, again, neutrophil extracellular traps, was increased in long COVID compared with healthy controls.
• 8:20
  And they also basically utilize the mechanism to visualize these and actually stimulated with the long COVID blood themselves.
• 8:31
  And so this is kind of this bridge that we've been talking about for a long time called thromboinflammatory, but it's a bridge between immune activation and vascular symptoms.
• 8:40
  It's basically neutrovils become activated, neutrophils being kind of an acute inflammatory blood cell.
• 8:48
  It forms these neutrophil extracellular traps.
• 8:52
  And then those traps are basically kind of this, you know, aggregation of nastiness, uh, then end up perpetuating damage to that endothelium, that living uh living part of the vessel that is the uh that is the lining.
• 9:11
  Um again, the important part about this is again, it's in children, which it makes it less likely that you could explain it away by saying this person already had diabetes or hypertension or they're just old.
• 9:26
  Uh, no, this is happening in a subset where the average age was 15.
• 9:31
  Um, and equally, and at least in this paper, looking at boys and girls.
• 9:36
  And so this kind of analysis also they went into biomarkers to look and see.
• 9:42
  And that what they found was that uh these kind of things might be biomarkers that can be used to actually expose the vascular implications of long COVID.
• 9:55
  Um, so it basically supports microclots and endothelial injury as measurable components of long COVID biology.
• 10:03
  Um, and again, suggests that there might be things that we could do for it under the kind of direction of a clinician to decide if there's ways to downregulate clotting, downregulate inflammation, and help these folks.
• 10:17
  Um, the next thing is something that's a lot of my patients asked me, which is kind of this Epstein bar or EBV reactivation.
• 10:25
  And um that really that pediatric paper gives us the vascular and neutrophil side of long COVID.
• 10:31
  This second paper asks what might be happening upstream and really immune surveillance uh, and specifically whether SARS-CoV-2 disrupts the immune system enough, COVID really to allow latent viruses like Epstein Bar to reactivate.
• 10:47
  And so this study looked at 61 hospitalized acute COVID patients, 33 of them with critical or severe disease, and 238 with moderate disease.
• 10:56
  And they looked at like what was evident in these latent viruses and whether they were reactivated.
• 11:03
  And what they found was Epstein bar reactivation was common in both groups, both the critical and severe patient, which is 72% of them, 24 out of 33, and 19 out of 28 moderate patients, which is 68%, um, all had evidence of EBV reactivation in the blood when they had COVID.
• 11:23
  Um this gets back to that kind of what is happening to our surveillance mechanisms in uh disease.
• 11:33
  And so uh a lot of times I think of these latent viruses as viruses that the body under the direction of the T cells is able to keep at bay.
• 11:43
  Uh, but then when the T cell mechanisms are disrupted, they re are allowed to be reactivated.
• 11:51
  Um in patients with EBV reactivation, the C D8 T cells, which again are kind of like your basically, you know, you know, the gel monitors that keep the virus uh from uh repopulating, uh show diminished kind of expression of things that actually uh, you know, allow them to be uh doing their job.
• 12:18
  Um, and so the paper suggests that SARS-CoV-2 may create a T cell environment.
• 12:25
  Again, T cells being kind of your uh cellular and adaptive immune systems, uh, which is kind of your CIA of the immune system, um, create a T cell environment where latent viral control is weakened, uh, not necessarily because there are fewer immune cells overall, but because those uh CDA T cells are functionally altered.
• 12:48
  And so that altering has uh is a signal.
• 12:54
  Now the question is what to do about it.
• 12:56
  Um obviously depends on which world you come from.
• 13:00
  I think uh I look a lot through the vascular, uh, the inflammatory, the cardiometabolic lens, um, and your infectious disease doctors or people that are really focused on um reactivation of viruses uh look at it through that lens.
• 13:18
  Um, and so it's still a question of which one is the true actor.
• 13:24
  And I would argue that we probably are both right.
• 13:27
  They're probably both involved significantly, where the reactivation of viruses and the T cells being altered and your ability to clear viruses is is hampered.
• 13:37
  Um, but at the same time, the microvasculature being damaged, the endothelial dysfunction and the clotting also make the uh the immune system not work properly.
• 13:47
  So these two papers kind of fit together as an immune vascular model of long COVID.
• 13:53
  Uh really, again, the pediatric paper shows really objective finally vascular biology, so microclots, endothelial injury, and nutrocill activation, neutrophil activation, and uh nets, neutrophil extracellular traps.
• 14:00
  Clots endothelial injury, nutrical activation, neutrophil activation, and uh NETS neutrophil extracellular traps.
• 14:07
  And the EBV paper kind of adds an upstream immune surveillance layer.
• 14:07
  And the EBV paper kind of adds an upstream immune surveillance layer.
• 14:11
  It's like altered CD8 T cell activation and latent viral reactivation.
• 14:11
  It's like altered CDA T cell activation and latent viral reactivation.
• 14:16
  Um again, together they suggest long COVID may involve uh interacting loops of persistent antigen, impaired viral control, neutrophil activation, endothelial injury, and macrobial microvascular dysfunction.
• 14:16
  Um again, together they suggest long COVID may involve uh interacting loops of persistent antigen, impaired viral control, neutrophil activation, endothelial injury and macrobi microvascular dysfunction.
• 14:28
  Again, for the people.
• 14:28
  Again, for the people that have been listening and looking at this for a long time, this is nothing new, but again, just adding more objective evidence, especially in the pediatric population to say that this is not normal.
• 14:43
  It can't be explained away by age-related or pre-existing condition.
• 14:48
  And um it goes to show you the complexity of post uh acute COVID issues, but also just what I would classically have called infection associated chronic conditions, where the immune system is not acting appropriately or the vasculature, so both of them are at play.
• 15:10
  And so the future is likely biomarker-defined long COVID subgroups, which would be huge, but not one mechanism for every patient.
• 15:18
  But again, I think this just adds to the growing research that we uh need in this space, and just again confirms a lot of the things that we've been looking at for a long time.
• 15:29
  Again, it is more complex uh than anyone has ever thought.
• 15:37
  And then the other thing is I tell people this all the time, but it feels like the deeper we go, and the more we learn, I feel like the overall totality of what's going on, it becomes larger.
• 15:47
  So it's almost like we feel like we know less than we did before.
• 15:51
  But again, that's not to make us uh um worried or exhausted about it, instead, just adds to the complexity of the body and the immune system, the vasculature that God designed, and really how uh we can uh diagnose it better, but also uh, you know uh intervene in ways to help it.
• 16:12
  So again, this is Dr.
• 16:13
  Jordan Vaughn, Dr.
• 16:14
  Stuart Tankers Lee with America allow pulse always one beat ahead.
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• 19:14
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• 19:17
  I'm Dr.
• 19:17
  Stuart Tankers Leon.
• 19:20
  Kind of dovetailing onto Jordan's perspective on Epstein Bar virus reactivation in children.
• 19:28
  Chronic fatigue syndrome is what some people have attributed to in the past.
• 19:35
  But it's a whole different dynamic, of course, now, but along with uh the fatigue.
• 19:43
  Uh I think uh the next couple of segments is gonna be about my campaign for the Lieutenant Governor of Alabama.
• 19:50
  And uh wanted to read an article that was published last week on the 1819 news.
• 19:57
  And it kind of talks about this uh general fatigue of how the system is designed against the citizens.
• 20:06
  And it's entitled Republicans Grant Monopoly to further socialize medicine in Alabama.
• 20:16
  In another stunning move, our supermajority Republican-led Alabama legislature passed Health Bill 605 on the last day of the session, giving exceptional monopolistic power to healthcare entities via immunity against antitrust claims, these healthcare entities will receive hundreds of millions of dollars over the next five years that the Trump administration has directed toward Alabama for rural health.
• 20:51
  Indeed, some of last year's big beautiful bill was intended to assist Alabama's struggling rural community hospitals show up, needed changes in order to provide their citizens with better access and health care.
• 21:00
  Needed changes in order to provide their citizens with better access and health care.
• 21:06
  The background of this story is twofold.
• 21:06
  The background of this story is twofold.
• 21:09
  First, the student intent of Obamacare, according to its namesake, was to ultimately bring about a single player healthcare system.
• 21:09
  First, the stated intent of Obamacare, according to its namesake, was to ultimately bring about a single payer health care system.
• 21:19
  In order for this to occur, two fundamental things must happen.
• 21:20
  In order for this to occur, two fundamental things must happen.
• 21:24
  The first is to destroy the middle class.
• 21:24
  The first is to destroy the middle class.
• 21:27
  The second is to create a healthcare.
• 21:27
  The second is to create a health care framework dictated by a large medical hospital system through which the federal bureaucrats can force changes in the delivery of all our health care.
• 21:44
  Second, Governor KIV's office created an advisory panel to develop a plan that they had to present to the U.S.
• 21:52
  Department of Health and Human Services, HHS, explaining how they were going to use the money allocated to the state in order to promote rural health care.
• 22:04
  Unfortunately, the Ivy team's plan was not as impressive impressive as that of our surrounding neighbors, resulting in a lower amount awarded to us for our rural communities.
• 22:19
  HHS's lack of confidence was clearly related to the Ivy team's insistence on this unusual antitrust immunity provision.
• 22:31
  In fact, Tennessee asked the Federal Trade Commission about such an approach and was advised against such immunity.
• 22:41
  Despite this, common despite this common sense response, Ivy's advisory panel threw caution to the wind and insisted that monopolies are best.
• 22:52
  The best for whom?
• 22:54
  My guess is that they are not best for rural Alabamians or local providers, but rather for the entity or entities that have political power and influence, craving cravenly seeking more control and money to the detriment of rural communities and their vanishing providers.
• 23:15
  Alabama Senator Larry Stutz, Republican Tuscumbia, tried fighting the worthy fight with sound data and reasoning.
• 23:26
  He was not only ignored, he was tricked by Senate leadership, and our rural citizens and hospitals will pay dearly.
• 23:37
  On its surface, the bill seems to be an absurdity in the simple understanding that it states repeatedly that the entity or entities acceptable to the governor's office to not only create unattainable rules that the local providers can't meet, but it can also exclude these providers and remove their capabilities in order to create a legal monopoly.
• 24:05
  Senator Stutts courageously insisted on better solutions, like increasing the money to rural providers who are in short supply already.
• 24:16
  But the bill's sponsor, Alabama Senate Don Senator Donnie Chestine, Republican Geneva, pulled the rug from under Stutz after an agreement was made between him, the governor's office, and Chestine on acceptable amendments.
• 24:33
  Thirty minutes before the bill was introduced in the Senate, however, Stutz was informed that an important agreed upon amendment had been removed.
• 24:45
  In the end, despite President Trump's attempt to provide over one billion dollars to rural Alabamians over the next five years for their local providers and hospitals in order to improve health care, the greed of the powers that be couldn't be ignored or satiated.
• 25:05
  They now have carte blanche to eliminate competition and consume more authority and control of our lives.
• 25:14
  Congratulations to Ivy, the supermajority Republican legislature and the Behemoth Medical Industrial Complex for your massive step in furthering Obama's goal.
• 25:27
  Sadly, the rest of us will pay a heavy toll.
• 25:31
  That was my article in 1819 news last Thursday, and we'll attach that to the show notes.
• 25:43
  But it goes to really what is so sick about our state.
• 25:50
  In Alabama, there are a dozen or so big mules that control everything.
• 25:55
  And for example, in this supposedly very red state, conservative state, a few years ago, it took three years for the passage of a bill that prevents transsexual or sexual mutilation surgery of children at the big UAB, University of Alabama, Birmingham, which is clearly the ring leader in our state for the medical industrial complex.
• 26:26
  They've been in the dominant mule as it is for the last six years, of course, during COVID, making decrees and very, very unfortunate the results of it, of course.
• 26:40
  And we've talked about that mainly.
• 26:42
  The main focus of why we started this in March of 22, I believe, was to talk about the damages and deaths from the COVID catastrophe.
• 27:00
  But this goes really right to the heart of why I am running for Lieutenant Governor.
• 27:08
  Everybody who runs for the lieutenant governor wants to be most people want to be the governor, and so they take seat as the lieutenant governor and unfortunately abdicate their most important responsibility, in my opinion, which is the bully pulpit.
• 27:25
  And they do this sadly so that they can make friends with the big mules and get funding for their future run for governor.
• 27:34
  I have no aspirations for such, and so I am going to be as the presiding officer of the Senate as the lieutenant governor, I am going to be giving people weekly updates as to what is actually going on.
• 27:52
  And another example of the absurdities of how the big mules run things, Alabama is a unique state in that the Blue Cross Blue Shield has a complete, I don't know what legal term, what the legal term for monopoly means, but it's readily apparent that they control uh the insurance markets in Alabama for health care.
• 28:00
  Shield uh has a complete uh I don't know what legal term, what the legal term for monopoly means, but it's readily apparent that they control uh the the insurance markets in Alabama for health care.
• 28:16
  But over, I think it's right at 90% of private plans are done through Alabama Blue Cross.
• 28:16
  But um over, I think it's right at 90% of private plans are done through Alabama Blue Cross.
• 28:25
  And so they are also tied to
• 28:25
  And so they are also uh tied at the hip, as it were, to the one of the other big mules, which is uh the retirement systems of our state.
• 28:38
  Um so I'm sure there is some extra sweet uh deals that the retirement systems get for the employee employees that other companies don't get.
• 28:54
  Excuse me.
• 28:55
  But um what is going on needs to be challenged, and uh in my lifetime don't recall there being the uh challenge that uh I would provide our state and our citizens because we've got to get the the heart of the senators turn in the legislature turned back to the people.
• 29:21
  Um it didn't take the Epstein files for people that are understand how uh Montgomery operates to understand that these elites uh really dominate our our lives in so many sad ways.
• 29:36
  And this goes to what uh I may have mentioned this a month or two ago.
• 29:41
  There's a famous uh Cook political report that come that is a been around forever, used to be a magazine, now it's a platform.
• 29:50
  That's an insider's insider magazine about or platform about uh political issues.
• 29:57
  It's uh it gives Republican and Democrat perspectives.
• 30:03
  And the Cocholitical Report had an article in the middle of February that said, yeah, people are worried about cost of living, but they really are very concerned that the elites control everything.
• 30:14
  And that's why I'm running, because the elephant in the room is the lack of trust in our government, and nobody seems to be paying attention to it.
• 30:21
  Uh there was an article uh, well, if you look at the Pew Research poll going back to the 50s of the last 15 or so years, the lack of trust in our government uh has remained below mainly 20 percent, but uh never above 25%.
• 30:38
  Uh the distrust is uh unparalleled in the recorded history of that.
• 30:46
  And then there's the Gallup poll that came most recent annual Gallup poll that looks at the 25 top industries in the country.
• 30:54
  Uh last on the list in trust is the government, just above them is the uh pharma, and then just above them, 20 number 23 was the medical uh healthcare professions.
• 31:12
  So we are in a crazy world where uh of course the heart of our profession was revealed during COVID in ways we could never have imagined, and the distrust among our uh toward our profession is just an all-time low.
• 31:29
  Uh there was an article in I think January July 31st of 2023, or 2024 maybe, that looked at the 440,000 people polled, and it was in JAMA Journal of American Medical Association.
• 31:47
  I was surprised that it was that it appeared there.
• 31:51
  But at the time uh in less than four years before, in the spring of 20, yeah, that's right, the spring of 2020, the trust in people that people had toward their providers was 71.4% or something like that.
• 32:09
  And yeah, it had plummeted in less than four years, January of 24 to 40 percent.
• 32:17
  And of course, there's plenty of evidence to that interesting on that issue.
• 32:24
  There were grand rounds at uh the hospital here in Montgomery where the residents are, and they had a UAB lawyer come in and talk about a medical malpractice cases and what to expect and things like that.
• 32:39
  And afterwards they took questions and I asked, do you think my malpractice uh claims uh or my malpractice uh costs, insurance costs are going to go up.
• 32:53
  And he quickly said yes and moved to the next uh question.
• 33:00
  That's the you know, ramifications of the traps that we have uh set for ourselves the last four six years, and the end result will we're gonna pay for it.
• 33:12
  And unfortunately the people are going to pay for it.
• 33:15
  But uh all of this say that we cannot ignore the reality of the distrust in our government.
• 33:25
  And in Alabama, uh which I was on the ethics commission from 2013 through 17, and learned so many of the sad tricks that uh are played, and by and large, it seemed like uh there seemed to be a bent for the rich and powerful to not have to deal with problems like uh questions about um ethics, but the small guys, the state employees, uh were getting tagged, you know, for sometimes very uh benign reasons we felt.
• 34:02
  But I learned that Alabama is perennially ranked in the lower part of uh our um corruption is uh one of the worst in the country.
• 34:17
  It took me a couple of years.
• 34:18
  I went in way too naive.
• 34:20
  It took me a couple of years to recognize that uh corruption in large measure, well, significant amount of it is legal, and that's how the deep state and the people that feed from the trough are taking advantage of the public trust, and it's worn too thin, and it's time for change.
• 34:43
  And so uh that's my hope that I can provide that uh needed assistance to the Senate in particular to really refocus on the citizens that are being impacted by all these things, uh, all these rules and changes.
• 34:59
  And it's just very unfortunate that such common sense things are not uh take a long time to work themselves uh uh out into law.
• 35:00
  It's just very unfortunate that such common sense things are not uh take a long time to work themselves uh uh out into law.
• 35:11
  Whereas if one of the big mules wants something, and I'll leave uh this segment with this example this year, Blue Cross Blue Shield, Alabama, like I mentioned, one of the big mules.
• 35:11
  Whereas if one of the big mules wants something and I'll leave uh this segment with this example this year, Blue Cross Blue Shield, Alabama, like I mentioned one of the big mules.
• 35:22
  Uh a couple of years ago, they got a law passed, they're a nonprofit.
• 35:22
  Uh a couple of years ago, they got a law passed, they're a nonprofit.
• 35:28
  They got a law passed that allowed.
• 35:28
  They got a law passed that allows their executives not to have to publicly report their income.
• 35:35
  Well, this year in rapid uh sequence, they uh within a week, I think, slip through a bill that allows them, a nonprofit, to potentially put put billions of dollars into a um holding company or holding companies and making make the money, make money on the holy in the holding companies and keep it.
• 36:03
  All the while our uh premiums keep going higher and higher.
• 36:09
  There was a I may have mentioned this a few months ago, but Senator Ron Johnson as chairman of the investigations committee in the Senate had um a chart up and a chart show that since Obamacare went into effect, the average premium increase across the country is a hundred and sixty-seven percent.
• 36:33
  And Alabama is one of the worst where which was a four point three-fold increase above uh inflation.
• 36:43
  Alabama's unfortunately was two hundred and seventy percent increase.
• 36:50
  It doesn't make sense unless it does.
• 36:54
  Look at the results of a system and you can see what the system's designed for.
• 37:00
  It's an old saying, but look for the design and looking at the results.
• 37:05
  And it clearly shows that the the heart of the Senate, the heart of the legislature, and then sadly the governor, in a lot of ways that are so unnecessary, has turned away from the heart of the people.
• 37:20
  And with that, thank you for joining us again on America Out Loud Pulse.
• 37:24
  I'm Dr.
• 37:24
  Stuart Tankers Lee.
• 37:26
  I'll be back on the other side to talk further about the campaign.
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• 39:32
  Welcome back to America Out Loud Pulse.
• 39:35
  I'm Dr.
• 39:36
  Stuart Tankers Lee, and in this segment I'm talking about uh some of the interesting developments over the last month or so in the run for lieutenant governor.
• 39:46
  And uh several of the things that uh needed to be said or being said and I remember on my first speech that I gave uh to a large group, uh I had written it out and first thing I said was I hope and pray that the beginning of my campaign uh that by the end of my political career, whether it's three months, eight years or whatever, that I will uh be a more righteous seeking person than when I started.
• 40:17
  And the second point is if I provide anything for the state of Alabama in my life, it is to get the other uh candidates, my opponents, to take up the mantle as I am in trying to restore trust in the corrupt system that is known as Goat Hill, which is where the Alabama uh uh executive and legislative branches are located, and to turn the people the the heart of the people in those buildings to the pe to the heart of the citizens of the state.
• 40:54
  And thankfully, one of my last week, one of my opponents, uh whose husband actually, she is uh her husband is a state representative, and she said on the campaign trail that Alabama has the most corrupt government in the country.
• 41:12
  And um, but she wrote out a post talking about the corruption and the need to address it.
• 41:19
  I was grateful for that, of course.
• 41:20
  I hope the other four candidates start taking this very important issue to heart and start talking about it and coming up with ideas as to how they're going to address it, but unfortunately, none of them, including the lady that mentioned it last week, have any uh plans on how they're going to address it.
• 41:39
  And I'm looking forward to encouraging them further to commit to doing things that uh our four our predecessors have been unwilling or incapable of doing.
• 41:52
  And um it's a massive important issue.
• 41:56
  Uh the second thing after that, uh by the way, I had the honor last week in speaking at an event, and the keynote speaker was former Senator Jeff Sessions who was a s uh senator from Alabama.
• 42:01
  By the way, I had the honor last week in speaking at an event, and the keynote speaker was former Senator Jeff Sessions, who is a senator from Alabama.
• 42:13
  He's uh lives in Mobile, and he was uh one he's probably the man of the highest caliber of integrity from Alabama and at least a generation.
• 42:13
  He lives in Mobile, and he was uh one he's probably the man of the highest caliber of integrity from Alabama and at least a generation.
• 42:29
  And he uh
• 42:29
  And he uh then while he was senator, he was asked by President Trump to serve as his attorney general, and this fine man I think was trapped in a world that has radically transitioned, and he was summarily dismissed for the right or wrong reasons either way.
• 42:51
  We lost a wonderful man as a public servant for our country and state.
• 42:57
  But I was sharing this point with him, and he really liked the analogy and thought I'd need to use it more, which is going back to World War II, they probably did it before that as well, but the commander of a unit from battalion all the way up would have a big board back in World War II.
• 43:17
  I think it was a chalkboard and Vietnam is a chalkboard, but then uh probably a whiteboard is what I was used to seeing in Iraq.
• 43:26
  And the commander's big board is the statement, very brief statement as to why we are doing what we're doing.
• 43:34
  Why are we here?
• 43:35
  If you ever have a question as to what's motivating us doing what we're doing, look to the big board, that'll remind you.
• 43:43
  And in my office, when I win the lieutenant governorship, I'm going to have a whiteboard and is going to have three issues.
• 43:53
  Beginning to return uh trust in the government.
• 43:58
  Uh number two is affordability, and number three is help Alabama's help.
• 44:06
  A friend of mine who is radio show host like the idea.
• 44:11
  Uh Dr.
• 44:14
  Tankersley has the cure.
• 44:19
  And so the other two issues, other than the returning trust to the citizens, is going to be affordability, and there are many things we uh hopeful of encouraging.
• 44:34
  And I think a lot of them will take care of themselves when the big mules start answering to a bigger call than their own bottom line.
• 44:42
  And um, of course, to me, the easiest one to spot is the outrageous uh health insurance premiums that the middle class are having to soak up.
• 44:55
  They're just unaffordable.
• 44:57
  It's completely unsustainable.
• 44:59
  And so hopefully we can bring entities uh at play into the dialogue discussion round the table and say we gotta we gotta really help these people.
• 45:14
  Um other things that we're looking to do for affordability is in Alabama, the legislature was both both uh chambers were Democrat, and in 2010, because of the atrocity of Obamacare, it went to a supermajority Republican.
• 45:35
  Uh both houses went supermajority Republican, and in the last 16 years, the amount spent on uh the budgets.
• 45:47
  We we have a unique crazy uh budgeting system here where we have two different budgets, the education trust fund and the general fund.
• 45:57
  And the education trust fund back then was under six billion, and the general trust fund was 1.3 billion.
• 46:07
  This year, in the butt the budget was 10.5 billion and 3.9 billion.
• 46:13
  So it's over twice the spending by our state government under a supermajority legisl Republican legislature in a 16-year period.
• 46:27
  That doesn't sound conservative to me.
• 46:30
  I think the large majority of Alabamians would agree that uh this spending has to be dealt with post-haste.
• 46:40
  But um the other thing that happened under supermajority Republican leadership in 2018 and the governor, current governor, who is uh term limited out now, and looks like Senator Tommy Tubberville, Coach Tubberville is going to come back and uh looks like he has an easy road to the top seat as the governor, but he's had enough of the Washington, D.C.
• 47:07
  ineptitude and craziness, so he's coming home.
• 47:10
  Well, anyways, um in eight to 2018, the they voted to increase the gas tax from 18, the state gas tax from 18%, and sadly, there is no cap to how high it can go.
• 47:33
  Um now it's 31 cents a gallon, and I'm sure climbing.
• 47:40
  They'll find excuses or reasons to increase it again and again.
• 47:44
  But I would hope that uh we could all sit down and say, wait a minute.
• 47:49
  I think the road builders, road builders, uh, if they're not number 12, one of the top 12, they certainly are close to it of the big mules.
• 48:00
  We just need to have a different perspective and uh leadership that's going to really look out for the people, like I said, rather than the big mules.
• 48:13
  But it's uh very unfortunate.
• 48:16
  And I've had many opportunities to speak for maybe 20 groups now around the state.
• 48:23
  I enjoy doing it, and it's great getting out.
• 48:27
  Uh it's kind of easy when you're competing against opponents who don't necessarily have uh a platform designed for the position we all seek, which is the lieutenant governor.
• 48:45
  And so I wrote this for a meeting that uh I spoke at uh live not by lies.
• 48:57
  And um the Lord gives us in Psalm 37 the following words trust in the Lord and do good.
• 49:00
  thirty the Lord gives us in Psalm thirty seven the following words trust in the Lord and do good dwell in the land and cultivate faithfulness delight yourself in the Lord and he will give you the desires of your heart cease from anger for it lead cease from anger cease from fear for it leads to anger cease from worry or fear it leads to anger we've got to get out of this trap going back to the chronic fatigue issue we are worn out the people are so distrustful I don't think uh I think the Epstein Files was so horrific and it's amazing we don't know what all was in them yet even though they were ordered by Congress to do that almost unanimously and we still don't have all the files because these elites are being protected internationally and nationally and here in Alabama it's been way too long since people could trust the corrupt system we sadly have we keep voting for ourselves and so it's time to seek to regain confidence in our foundational principles.
• 49:07
  Dwell in the land and cultivate faithfulness.
• 49:13
  Delight yourself in the Lord, and he will give you the desires of your heart.
• 49:19
  Cease from anger for it lead cease from anger, uh cease from fear for it leads to anger, cease from worry or fear.
• 50:20
  The seeming lack of response by our elected leaders the past six years has been unsettling to say the least the citizens loss of confidence in our political processes is at an all time low while our education system and public health fails time and again all while the cost of living foundational confidence in our God given rights our cities safety the size of government the corporate capture of integral institutions continues unabated with no accountability or very rare accountability this year's Republican primary election on May 19th is Alabamian's time to seek an alternative course of action this is not a time of appeasement but results.
• 51:13
  I believe the urgency Alabamians require for transformative changes is upon us and this will require principled proven conservative leadership who don't seek continued higher political aspirations but instead accept the burden of responsibility faithfully tolerance of government abuses and incompetence have been obvious with little evidence of understanding or repentance seeking to appease the monolithic corporate government dominion by the big mules and a and growing government number of employees has not proven effective and oswaging the public's discontent as distrust persists we have endured the past fifteen years the demonic charisma of Barry Hussein Obama followed by an absent man minded sad fool of a man by the way one of the issues in our campaign is the trust in the elections election integrity and I've stated on the campaign trail people could easily look up three different sources to validate my claim our claim many of us seems like to be most people in the audiences that I go to agree with the distrust of the election system three people I would point to would be Professor David Clements who I've spoken with on a couple of different spots the last five years going around the country and Professor David Clements has a free movie on YouTube called Let My People Go, as well as Jerome Coursey's website God's Five Stones as well as doctor Douglas Franks he has he's the graph guy and he's testified in federal hearings to the how the electronic the system is rigged they all do talk about it they lay it out very easily for anybody to understand but anyway so I'm going to continue we've lost our bearings and we need to reset to a tolerable and sustainable normalcy that the Lord calls for in his word everyone knows this is unsustainable and it's past time someone demand that the crazy train stop and everyone get off the past couple of generations have led to this death spiral that has sought to remove all life and hope for our posterity instead we are Christians and we choose a different path that leads to life liberty and the ability to do good.
• 54:28
  I refuse to believe that our best days are behind us because we've been creating a facade that destroys almost any chance of a worthy future we must escape the vice grip of corporate capture in this state and return importance and honor to the citizens this can't happen unless there is an acceptance of the obvious reality that Alabamians are stuck in every day and then I mentioned what Senator Ron Johnson found out about health insurance premiums as your next lieutenant governor I offer a different vision than the myopic trap that's crushing the families in our blessed state I offer you my service as a bridge that reconnects the heart of the Senate back towards the people because I do not seek a political career I offer service that is based on sustainable principles and faith.
• 55:32
  No political figure in our lifetime in my lifetime that I'm aware of in Alabama politics has withstood the public ridicule and condemnation that I've received the past six years all the while I and Jordan and a few others have been proven right the Lord blessed me with Revelation 21 eight it is the list of the eight groups of people who will burn in the lake of fire and first on the list is the cowardly but just as cowardice is infectious so is courage.
• 56:00
  And first on the list is the cowardly.
• 56:04
  But just as cowardice is infectious, so is courage.
• 56:09
  It's past time that the political leaders seek to promote freedom for all and not the very few.
• 56:09
  It's past time that the political leaders seek to promote freedom for all and not the very few.
• 56:16
  With that, um, God bless, uh, hoping we can get the funding necessary to uh make this opportunity available to our state.
• 56:16
  With that God bless hoping we can get the funding necessary to make this opportunity available to our state and thank you for your patiences
• 56:27
  And thank you for your patience in listening to us and your faithfulness in listening to us over the last four years, and uh we will be back next week on America Out Loud Pulse.
• 56:41
  Always one beat ahead.