Latest / Paging America / Sicker today sicker tomorrow — RFK Jr. continues the rampage
Transcript
- 0:14SPEAKER_02: Hello, everybody.
- 0:15SPEAKER_02: Welcome back to Paging America,
- 0:17where we explore the power of profit and politics shaping
- 0:20American health care and
- 0:21SPEAKER_02: what you can do about it.
- 0:23SPEAKER_02: I'm your host, Myles Baker, along with Dr. Rob Davidson.
- 0:25SPEAKER_02: Dr. Rob, it's been a while.
- 0:27SPEAKER_02: We haven't chatted in a couple of weeks.
- 0:28SPEAKER_02: How are you doing?
- 0:29SPEAKER_01: It has been a while.
- 0:30SPEAKER_01: I'm doing okay.
- 0:30SPEAKER_01: Thanks for holding down the fort.
- 0:32I appreciate you,
- 0:33you know,
- 0:34keeping things going while I was out for a little bit there.
- 0:37SPEAKER_01: So...
- 0:38SPEAKER_02: Yeah.
- 0:39SPEAKER_02: So, Rob, where'd you go?
- 0:40SPEAKER_01: Well, I spent a couple of weeks in the UK.
- 0:43SPEAKER_01: Spent about a week in England.
- 0:44I spent a week driving on the wrong side of the road in
- 0:47Scotland with a stick shift.
- 0:49SPEAKER_01: Haven't driven a stick shift since 2013.
- 0:50SPEAKER_01: That was interesting.
- 0:51SPEAKER_02: That was interesting.
- 0:52SPEAKER_02: Which one did you?
- 0:53You find harder,
- 0:54switching back to the stick shift or being on the other side of
- 0:56the road.
- 0:56I only stalled maybe a half a dozen times in the first couple
- 0:59of days,
- 1:00so that part was okay.
- 1:01SPEAKER_01: But it's just sort of focusing,
- 1:03knowing that those trucks coming at you on those very narrow
- 1:06roads in the Scottish
- 1:07SPEAKER_01: Highlands probably aren't going to come over the middle line.
- 1:09But every so often there's a sign that says,
- 1:12look for vehicles in the middle of the road.
- 1:14SPEAKER_01: And my wife and I kept saying, is that just a PSA?
- 1:17Like,
- 1:17it doesn't tell you what you do when a vehicle's in the middle
- 1:20of the road.
- 1:20SPEAKER_01: I mean, I'm anticipating you bail left, but...
- 1:23SPEAKER_01: It was just like an FYI.
- 1:24SPEAKER_01: This could happen.
- 1:25SPEAKER_01: Have a great day.
- 1:26SPEAKER_02: So we survived.
- 1:28SPEAKER_02: Rob,
- 1:28SPEAKER_02: you know,
- 1:28I used to have my driver's license in Thailand when I was there
- 1:32working on human
- 1:32SPEAKER_02: rights research.
- 1:33SPEAKER_02: And I drove on the opposite side of the road for a year.
- 1:37And when I got back to my hometown where my college was to kind
- 1:41of set up shop back
- 1:42SPEAKER_02: in the U.S.,
- 1:43SPEAKER_02: I went in,
- 1:43SPEAKER_02: I got some chicken nuggets at McDonald's,
- 1:45SPEAKER_02: and I pulled out fully into the wrong lane.
- 1:48SPEAKER_02: And here they come.
- 1:48SPEAKER_02: Yes.
- 1:49SPEAKER_02: And everyone in the car starts screaming.
- 1:51SPEAKER_02: That muscle memory is real.
- 1:54SPEAKER_01: Well, you know this, and I think it's relevant to even what we do.
- 1:58SPEAKER_01: My wife and I spent six months in New Zealand doing medicine,
- 2:01SPEAKER_01: doing health care,
- 2:02SPEAKER_01: got to go with our kids down there,
- 2:03SPEAKER_01: and also driving on the wrong side of the road.
- 2:05Someday have an interesting discussion how life actually works
- 2:09for doctors and
- 2:09SPEAKER_01: patients in places where universal health care is the expectation,
- 2:12SPEAKER_01: right?
- 2:12SPEAKER_01: Not just the pipe dream that we all have.
- 2:14SPEAKER_01: But anyway,
- 2:15SPEAKER_01: yeah,
- 2:15coming back after that was an interesting couple of days of
- 2:19just having to tell
- 2:20SPEAKER_01: yourself where you're supposed to be,
- 2:21especially in the neighborhood where there aren't lines on the
- 2:23road and things like
- 2:24SPEAKER_01: that.
- 2:24You're just kind of barreling down and seeing a car coming at
- 2:27you wondering what is
- 2:28SPEAKER_01: their problem.
- 2:28SPEAKER_01: So,
- 2:29SPEAKER_01: yeah,
- 2:29SPEAKER_01: well,
- 2:29I'm glad you survived your post-Thailand driving and we're
- 2:32bearing and driving on
- 2:33SPEAKER_01: the right side of the road again.
- 2:34For folks who are listening,
- 2:35so today we're going to cover,
- 2:36we do have a good show today.
- 2:37SPEAKER_02: We don't have a guest because there's just so much going on.
- 2:40SPEAKER_02: We're going to try to get through some of the main points.
- 2:42We're going to cover,
- 2:43we've got big cancellations of contracts on mRNA research.
- 2:47SPEAKER_02: We have the very scary shooting at the CDC,
- 2:50SPEAKER_02: the shenanigans at the Veterans Administration,
- 2:53SPEAKER_02: and what's going on with drug pricing and tariffs in a little bit more.
- 2:55SPEAKER_02: So we've got a lot to cover.
- 2:56SPEAKER_02: Why don't we get right into it?
- 2:58SPEAKER_02: So,
- 2:58SPEAKER_02: Rob,
- 2:59I'm going to just set this up because this is the big news in
- 3:02health care,
- 3:02SPEAKER_02: as far as I can tell,
- 3:03SPEAKER_02: this last week.
- 3:04SPEAKER_02: RFK Jr.
- 3:05SPEAKER_02: is cutting funding for mRNA research by over $500 million,
- 3:10half a billion dollars in funding to develop new mRNA vaccines
- 3:13in order to focus on
- 3:14SPEAKER_02: safer,
- 3:15SPEAKER_02: broader vaccine platforms.
- 3:16SPEAKER_02: Experts call the move reckless and a huge blow to our national security.
- 3:20SPEAKER_02: NIH Director Jay Bhattacharya says... Bhattacharya, yeah.
- 3:24SPEAKER_02: For the reason for pulling the funding is because a large fraction of the
- 3:27SPEAKER_02: population distrusts the mRNA platform.
- 3:30SPEAKER_02: Rob,
- 3:30SPEAKER_02: I think for the uninitiated,
- 3:32SPEAKER_02: for those of us who don't,
- 3:33SPEAKER_02: I know a lot of folks listening will understand,
- 3:34but for some of us don't understand the difference between sort
- 3:36of the vaccine
- 3:37SPEAKER_02: itself and like the platform for the vaccine,
- 3:40SPEAKER_02: that like it's not just a total straight line.
- 3:42Do you have any insights into that before we talk about like
- 3:45sort of what this
- 3:45SPEAKER_02: could look like in the future?
- 3:47SPEAKER_01: Right, right.
- 3:48SPEAKER_01: So the platform,
- 3:49SPEAKER_01: basically,
- 3:49SPEAKER_01: mRNA,
- 3:51it's sort of one step from the blueprint of DNA in our cells to
- 3:56making proteins,
- 3:56SPEAKER_01: right,
- 3:57SPEAKER_01: any kind.
- 3:57SPEAKER_01: So anything in your cells goes through that process,
- 3:59SPEAKER_01: your chromosomes,
- 4:01SPEAKER_01: your genes,
- 4:01SPEAKER_01: you have the DNA,
- 4:03SPEAKER_01: the cells make the RNA,
- 4:04SPEAKER_01: mRNA,
- 4:05SPEAKER_01: and that then goes into proteins making heart muscle,
- 4:08SPEAKER_01: making skeletal muscle,
- 4:09SPEAKER_01: making pancreas,
- 4:11SPEAKER_01: whatever,
- 4:11SPEAKER_01: you know,
- 4:11SPEAKER_01: as your development and through your life as cells regenerate.
- 4:14And so the platform is basically taking that known technology
- 4:18that happens in our
- 4:19SPEAKER_01: cells,
- 4:19introducing that mRNA into individuals to sort of hijack the
- 4:24immune system to make
- 4:26SPEAKER_01: antibodies.
- 4:27SPEAKER_01: Antibodies are just proteins.
- 4:28SPEAKER_01: They're proteins targeted against something.
- 4:31In the case of COVID-19,
- 4:32they were proteins targeted against protein on the virus
- 4:36itself.
- 4:36SPEAKER_01: But the mRNA platform is not just for vaccines, okay?
- 4:40SPEAKER_01: So first they say they're looking for a safer,
- 4:43SPEAKER_01: the safest vaccine platform that anyone has ever come up with.
- 4:47SPEAKER_01: They used to just give people,
- 4:49SPEAKER_01: I mean,
- 4:49SPEAKER_01: back in the day with smallpox,
- 4:50they'd just give you a little bit of smallpox and you'd get a
- 4:53light dose of
- 4:53SPEAKER_01: smallpox and then you wouldn't get a big bad one that killed you.
- 4:56But some people got more than they should and some people would
- 4:58die from it and
- 4:59SPEAKER_01: immunocompromised people can't get those kind.
- 5:01SPEAKER_01: There's still like live attenuated vaccines out there and
- 5:04SPEAKER_01: So like the mRNA vaccine technology,
- 5:06SPEAKER_01: it does not involve the actual pathogens you're inoculating against.
- 5:10It's basically taking little bits of their code and then taking
- 5:14your body's immune
- 5:15SPEAKER_01: system to fight against it.
- 5:16SPEAKER_01: But it isn't just viruses and infectious diseases.
- 5:19SPEAKER_01: It's also cancer treatment.
- 5:20SPEAKER_01: The platform has existed for over a decade.
- 5:23SPEAKER_01: And there actually have been studies I've been reading about this,
- 5:26SPEAKER_01: like,
- 5:26SPEAKER_01: who are they really screwing over with this,
- 5:28SPEAKER_01: right?
- 5:28Not just those of us who care about public health and pandemic
- 5:31preparedness,
- 5:31SPEAKER_01: because that is critical.
- 5:32SPEAKER_01: Yeah.
- 5:33SPEAKER_01: The other piece of this, it's a fast way to do this.
- 5:35They can engineer these platforms in a few months and get like
- 5:40they did with
- 5:41SPEAKER_01: Operation Warp Speed,
- 5:42SPEAKER_01: right?
- 5:42Probably the singular achievement of Donald Trump's first term
- 5:45that he could turn
- 5:46SPEAKER_01: to and say something he did to actually help people.
- 5:48SPEAKER_01: And it's the one thing he will not talk about, right?
- 5:51SPEAKER_01: Crazy.
- 5:51SPEAKER_01: It's not crazy.
- 5:52SPEAKER_01: It's expected.
- 5:53SPEAKER_01: But there are studies out there looking at treating brain tumors.
- 5:57SPEAKER_01: Glioblastoma, like a deadly brain tumor.
- 6:00SPEAKER_01: 95% of people are dead within five years of diagnosis.
- 6:02SPEAKER_01: These are the ones we hear about of people in their 30s and 40s,
- 6:05SPEAKER_01: healthy people,
- 6:06SPEAKER_01: just randomly get these genetic things.
- 6:08And they've shown promise in targeting tumor cells and people
- 6:11with brain tumors
- 6:12SPEAKER_01: using this mRNA technology.
- 6:14SPEAKER_01: So he's not just...
- 6:16SPEAKER_01: canceling necessary vaccine research and pandemic preparedness.
- 6:19SPEAKER_01: He's canceling cancer treatment for people.
- 6:22SPEAKER_01: It's unbelievable.
- 6:23SPEAKER_01: And for them to say, well, people don't trust it.
- 6:26SPEAKER_01: That's why we're doing it.
- 6:27SPEAKER_01: Well, hey, genius, why don't they trust it?
- 6:29It's because the guy with the brain worm has convinced them not
- 6:32to trust it,
- 6:33right?
- 6:34SPEAKER_01: An entire political party,
- 6:35SPEAKER_01: it would seem,
- 6:36SPEAKER_01: spent the better part of a year,
- 6:38SPEAKER_01: two,
- 6:38SPEAKER_01: three years convincing people not to trust it.
- 6:40SPEAKER_01: And now they say, well, we're here and people don't trust it.
- 6:42SPEAKER_01: I guess we'll get rid of it.
- 6:44SPEAKER_01: It's crazy.
- 6:45SPEAKER_01: It's crazy.
- 6:47SPEAKER_02: I was looking at,
- 6:48SPEAKER_02: I asked the robot to collate the different things that mRNA,
- 6:52SPEAKER_02: people think it could potentially be used for.
- 6:54SPEAKER_02: And I want some of that stuff.
- 6:55SPEAKER_02: I'm 40 now.
- 6:57SPEAKER_02: Like I want research on some of that stuff.
- 7:00Say you have a heart attack,
- 7:01like they think like maybe regrowing parts of the heart.
- 7:03SPEAKER_02: Yeah.
- 7:06SPEAKER_02: They were talking about all sorts of different cancers.
- 7:10SPEAKER_02: There was promising research in the pipeline on HIV,
- 7:12SPEAKER_02: which,
- 7:12SPEAKER_02: you know,
- 7:13SPEAKER_02: if you're 40 years old,
- 7:14SPEAKER_02: HIV has been a,
- 7:15SPEAKER_02: it's been a disease that you can really manage,
- 7:17SPEAKER_02: but it's not,
- 7:18SPEAKER_02: we can't like fully cure it.
- 7:21SPEAKER_02: Maybe they were going to get there.
- 7:22SPEAKER_02: And it's shutting so many places.
- 7:24SPEAKER_02: So many things.
- 7:25I just think if you're a middle-aged person or if you're like
- 7:27in your 30s,
- 7:29SPEAKER_02: maybe in your 20s,
- 7:29SPEAKER_02: you're not thinking about your health yet.
- 7:31SPEAKER_02: Probably should, but maybe you aren't.
- 7:32But you start getting into your 30s and start thinking about
- 7:34your health and you're
- 7:34SPEAKER_02: like,
- 7:34SPEAKER_02: whoa,
- 7:35SPEAKER_02: I want the stuff in 10 years.
- 7:37SPEAKER_02: I want the stuff in 15 years.
- 7:38SPEAKER_02: I want that.
- 7:40SPEAKER_02: I want those things to be done.
- 7:41SPEAKER_02: I'm pretty crabby.
- 7:42SPEAKER_02: They're canceling it, so.
- 7:43SPEAKER_01: Yeah, I mean, this cuts across so many different populations.
- 7:47SPEAKER_01: I mean, you can imagine people with neurodegenerative disorders, right?
- 7:50SPEAKER_01: Post-struck patients, spinal cord injury patients.
- 7:52SPEAKER_01: You know, you can imagine this technology.
- 7:55SPEAKER_01: Because,
- 7:55SPEAKER_01: again,
- 7:56SPEAKER_01: basically,
- 7:57SPEAKER_01: if you get the code and you can get the delivery system,
- 8:00SPEAKER_01: you can generate these proteins inside of people.
- 8:03SPEAKER_01: And just to cut that off wholesale because of some crazy,
- 8:07SPEAKER_01: you know,
- 8:07SPEAKER_01: crazy sort of quasi-political movement that is against it—
- 8:12SPEAKER_01: I mean,
- 8:12SPEAKER_01: it's just another notch in RFK's,
- 8:15SPEAKER_01: you know,
- 8:15SPEAKER_01: anti-science,
- 8:16SPEAKER_01: anti-health,
- 8:17SPEAKER_01: anti-human platform.
- 8:19SPEAKER_01: And we don't know the ramifications.
- 8:22SPEAKER_01: We may never know, right?
- 8:23SPEAKER_01: Because it's hard to know what didn't happen.
- 8:25But we can sit here now and look forward and anticipate how
- 8:28this is going to set us back.
- 8:30SPEAKER_01: So fortunately, this is one of those things.
- 8:32I would imagine a lot of these researchers are just going to
- 8:34flee the country,
- 8:35SPEAKER_01: go somewhere else and do it somewhere else.
- 8:37SPEAKER_01: Great.
- 8:37SPEAKER_01: OK, I hope I do.
- 8:38SPEAKER_01: Also something we can turn back on.
- 8:40SPEAKER_01: Right.
- 8:40SPEAKER_01: The importance of not having RFK Jr.
- 8:43SPEAKER_01: or people like him there in two years or four years,
- 8:45SPEAKER_01: you know,
- 8:45SPEAKER_01: the importance of political efficacy and changing who's in charge.
- 8:50SPEAKER_01: A lot of that Medicaid stuff,
- 8:51SPEAKER_01: that's going to be a generation to undo the damage of a lot of that.
- 8:54This is something we can turn back on on January 21st of 2029
- 8:57if Donald Trump is,
- 8:58SPEAKER_01: you know,
- 8:59SPEAKER_01: or his protégés are no longer in power.
- 9:01So so I guess we'll stay tuned and hope they can keep it on the
- 9:05back burner.
- 9:05Something I think maybe we should explore in the future would
- 9:07be interesting,
- 9:08like interesting how much of this gets picked up by the private
- 9:12sector versus how
- 9:13much this is sort of that baseline research that has to happen
- 9:16outside of the
- 9:17SPEAKER_02: private sector.
- 9:18SPEAKER_02: And that it's really it's really I mean,
- 9:20SPEAKER_02: as a general matter,
- 9:21SPEAKER_02: I think when you're talking about broad application like this,
- 9:23it seems like this should be this should be grant funding
- 9:25coming out of the
- 9:25SPEAKER_02: government.
- 9:26SPEAKER_02: that the private sector can then run with when it's time to distribute.
- 9:28But it's frustrating because you can see like if the private
- 9:32sector has to do some
- 9:33SPEAKER_02: of this work,
- 9:33they're going to pick and choose on sort of profit verticals on
- 9:36some of this stuff.
- 9:36Whereas some of these,
- 9:37something that's broadly applicable won't necessarily get
- 9:40picked up.
- 9:40So yeah,
- 9:40I think it's hard to assess like the full scope of the damage
- 9:44right now.
- 9:44SPEAKER_02: There's nothing on the list that you're like, why are they doing that?
- 9:47It's all just like cancer,
- 9:49heart disease,
- 9:50things that really affect people's lives at scale.
- 9:52SPEAKER_01: Yeah, and that's stuff you can do without, you know.
- 9:54SPEAKER_02: I just want to – one more thing before we move on, Rob.
- 9:57SPEAKER_02: This feels like national health policy is being – like,
- 10:01SPEAKER_02: you,
- 10:01SPEAKER_02: like,
- 10:01SPEAKER_02: read about,
- 10:01SPEAKER_02: like,
- 10:02SPEAKER_02: old Soviet Union and how everything became politicized.
- 10:06SPEAKER_02: And so they couldn't get out of their own way on science.
- 10:08SPEAKER_02: They couldn't get out of their way on – you know,
- 10:10SPEAKER_02: like,
- 10:10SPEAKER_02: it was just,
- 10:10SPEAKER_02: like,
- 10:11SPEAKER_02: all dear leader stuff in,
- 10:12SPEAKER_02: like,
- 10:12SPEAKER_02: the Politburo of the Soviet Union.
- 10:14SPEAKER_02: It feels like that is happening now.
- 10:16SPEAKER_02: at HHS faster than anywhere else.
- 10:19SPEAKER_02: Like the,
- 10:20SPEAKER_02: the complete transformation,
- 10:21SPEAKER_02: or maybe it's just more stark because there's,
- 10:23SPEAKER_02: because,
- 10:24SPEAKER_02: because the things that they used to do were,
- 10:26SPEAKER_02: were science clear.
- 10:28SPEAKER_02: Like when politics influences science,
- 10:30SPEAKER_02: it warps it in ways that are clearly,
- 10:32SPEAKER_02: you're clearly able to see.
- 10:34SPEAKER_02: I just,
- 10:35SPEAKER_02: I wonder if that's happening across the government at the same rate,
- 10:37SPEAKER_02: or if HHS really is this special,
- 10:39SPEAKER_02: special bag of crazy.
- 10:42SPEAKER_01: Well,
- 10:42SPEAKER_01: It's hard to say.
- 10:43SPEAKER_01: Right.
- 10:44SPEAKER_01: But like I don't know the exact numbers, but I believe this is true.
- 10:48SPEAKER_01: And this is a podcast.
- 10:48SPEAKER_01: So we can say what we believe to be true.
- 10:50SPEAKER_01: That's fine.
- 10:52SPEAKER_01: I would say HHS and DOD are the two biggest departments.
- 10:55SPEAKER_01: Right.
- 10:55SPEAKER_01: Under a cabinet secretary.
- 10:56SPEAKER_01: Right.
- 10:57SPEAKER_00: Totally.
- 10:57SPEAKER_01: They're not cutting.
- 10:58SPEAKER_01: They're not cutting DOD.
- 10:59SPEAKER_01: Right.
- 10:59SPEAKER_01: They're not cutting DOD.
- 11:00SPEAKER_01: They're going full tilt.
- 11:01And they're just going to I mean,
- 11:02their DOD is we're going to talk about this in a bit.
- 11:04SPEAKER_01: They're moving into the Capitol.
- 11:06SPEAKER_01: They're letting them do that.
- 11:07SPEAKER_01: Yeah.
- 11:07SPEAKER_01: Yeah.
- 11:07SPEAKER_01: And so this is the biggest cabinet position,
- 11:11SPEAKER_01: RFK Jr.,
- 11:12SPEAKER_01: probably affecting the most people,
- 11:15SPEAKER_01: right,
- 11:15SPEAKER_01: in general,
- 11:16SPEAKER_01: right,
- 11:16SPEAKER_01: in very intimate and personal ways,
- 11:19SPEAKER_01: right,
- 11:19SPEAKER_01: people's health care.
- 11:20SPEAKER_01: And so I think because of that, I don't know.
- 11:23SPEAKER_01: Like,
- 11:23SPEAKER_01: I think lots of things are happening in lots of places,
- 11:26probably similarly distressing to people who follow that and
- 11:29people who are deeply
- 11:30SPEAKER_01: invested,
- 11:31SPEAKER_01: you know,
- 11:31SPEAKER_01: as advocates or folks who do research.
- 11:34SPEAKER_01: But because this is health care, because it's so personal,
- 11:37SPEAKER_01: And they're now,
- 11:38SPEAKER_01: you know,
- 11:38SPEAKER_01: kind of coupling this with the tax cuts for the rich,
- 11:42SPEAKER_01: taking money away from poor people,
- 11:43SPEAKER_01: taking,
- 11:44SPEAKER_01: sorry,
- 11:44SPEAKER_01: health care away from poor people to pay for tax care for the rich.
- 11:46SPEAKER_01: It just all compounds it.
- 11:48SPEAKER_01: And then you have a personality with a political movement like RFK Jr.
- 11:52SPEAKER_01: that brought that political movement to help Donald Trump get elected.
- 11:55SPEAKER_01: I think you put all that together and this is a special situation.
- 11:59SPEAKER_01: And that's why we find ourselves talking about this guy so damn much.
- 12:03SPEAKER_01: Like, I don't want to talk about RFK Jr.
- 12:05SPEAKER_01: I don't.
- 12:06SPEAKER_01: Right.
- 12:06But anytime I do a media outside of what we do,
- 12:09we're talking about RFK Jr.,
- 12:10you know?
- 12:11SPEAKER_02: Yeah.
- 12:11Because he's so his his agency is big enough that he becomes
- 12:15omnipresent through
- 12:16SPEAKER_02: the chaos he sows with it.
- 12:18SPEAKER_02: Right.
- 12:18SPEAKER_02: Right.
- 12:19SPEAKER_02: Right.
- 12:19SPEAKER_02: Well, just to transition into another thing that RFK.
- 12:23SPEAKER_02: Jr.
- 12:23SPEAKER_02: did.
- 12:24SPEAKER_02: So there is a very scary shooting at the CDC.
- 12:26SPEAKER_02: Last Friday,
- 12:27after breaking into his father's gun safe to take five weapons
- 12:29and ammunition,
- 12:30a man who believed COVID vaccines are dangerous opened fire on
- 12:34the building at the
- 12:35SPEAKER_02: CDC's Atlanta,
- 12:36SPEAKER_02: Georgia campus.
- 12:38SPEAKER_02: CDC campus,
- 12:39SPEAKER_02: for those of you who are very big in Atlanta,
- 12:41SPEAKER_02: huge,
- 12:41SPEAKER_02: huge sort of jobs,
- 12:43SPEAKER_02: kind of his like dominates a part of the city.
- 12:45He fired nearly 500 rounds and killed a police officer before
- 12:48killing himself.
- 12:49SPEAKER_02: I was reading it was, I believe, the first officer who showed up.
- 12:53SPEAKER_02: 500 rounds also.
- 12:54SPEAKER_02: That is,
- 12:55SPEAKER_02: I mean,
- 12:55he obviously like did not shoot a ton of people like in some of
- 12:59the other mass
- 13:00SPEAKER_02: shootings in this country,
- 13:01SPEAKER_02: but like he was,
- 13:03SPEAKER_02: he was,
- 13:03SPEAKER_02: that's an incredible amount of ammunition.
- 13:06Investigators found documents at his home that expressed the
- 13:08shooter's discontent
- 13:09SPEAKER_02: with the COVID-19 vaccine,
- 13:11SPEAKER_02: although they wanted to
- 13:12They wanted to make sure they said in public,
- 13:14we don't know what his motives were.
- 13:15Anti-vaccine rhetoric,
- 13:16shoot at the CDC indiscriminately,
- 13:18seems like we might know.
- 13:20Given the anti-vaccine rhetoric coming from the Trump
- 13:21administration leadership,
- 13:23some are saying that it was a matter of time before something
- 13:25like this happened.
- 13:26SPEAKER_02: And just before we set this up,
- 13:27SPEAKER_02: like Kennedy at one point compared vaccine use to Nazi death camps.
- 13:31SPEAKER_02: For people who are susceptible to the anti-vaccine rhetoric,
- 13:34SPEAKER_02: he has used at various points in his career and ginning up...
- 13:38SPEAKER_02: He's used the most extreme—this is the example that we want to use,
- 13:41SPEAKER_02: but there are dozens,
- 13:42hundreds of others—of some of the most extreme language you can
- 13:46use to describe
- 13:47SPEAKER_02: vaccines and describe the CDC.
- 13:49And now he is ostensibly in charge of it as it sort of comes
- 13:53under the purview of HHS.
- 13:54SPEAKER_02: I think this is I think this is gross, Rob.
- 13:57I think I think it's hard to draw a straight line from rhetoric
- 14:00to someone's actions.
- 14:02But there's a there's a quote from Bill Clinton back in the 90s
- 14:06that I've always
- 14:07SPEAKER_02: found really applicable.
- 14:08SPEAKER_02: When we say things on television or mass communication,
- 14:11SPEAKER_02: it falls on the serious and the delirious alike.
- 14:14SPEAKER_02: It seems like we may have had an instance of that down in Atlanta.
- 14:17SPEAKER_02: What are your thoughts?
- 14:18SPEAKER_01: Yeah,
- 14:18SPEAKER_01: I mean,
- 14:18some degree of aggressive behavior has been experienced by
- 14:22probably every health
- 14:23SPEAKER_01: care worker in this country related to the COVID-19 pandemic,
- 14:26SPEAKER_01: right?
- 14:26SPEAKER_01: I lost count of the number of times I was yelled at by people,
- 14:29SPEAKER_01: you know,
- 14:29SPEAKER_01: screamed at,
- 14:30SPEAKER_01: telling us,
- 14:31SPEAKER_01: you're giving my loved one this.
- 14:32SPEAKER_01: You're trying to kill them by intubating them,
- 14:34SPEAKER_01: even though their oxygen's 50% and they're gasping and they're blue.
- 14:38SPEAKER_01: My wife's clinic,
- 14:39they had to get security guards there for the first time
- 14:41because someone punched a
- 14:42hole in the wall when they came in because they were told they
- 14:44had to wear a mask,
- 14:45SPEAKER_01: right,
- 14:45SPEAKER_01: during the peak of the pandemic.
- 14:46SPEAKER_01: She's got masks.
- 14:47SPEAKER_01: And so just punched a wall.
- 14:50And so,
- 14:50like,
- 14:51of course something like this was bound to happen at some
- 14:54point,
- 14:55right?
- 14:55Our nation is awash in guns that can fire 500 rounds in a very
- 14:59short time.
- 15:00SPEAKER_01: And we have RFK Jr.
- 15:02and his minions who have spent their careers and now have the
- 15:07reigns of government.
- 15:08SPEAKER_01: denigrating what they do at the CDC, right?
- 15:10SPEAKER_01: If you genuinely believe the stuff that RFK Jr.
- 15:14and his anti-vax folks have said about vaccines and the harm
- 15:17they claim they cause
- 15:19SPEAKER_01: people,
- 15:19SPEAKER_01: particularly children,
- 15:21and you genuinely believe this and you were inclined to do
- 15:25something about it using
- 15:26SPEAKER_01: a firearm,
- 15:27SPEAKER_01: like of course you're going to go to the CDC,
- 15:28SPEAKER_01: right?
- 15:29These are the folks doing the business of saving our lives with
- 15:32vaccine research
- 15:33SPEAKER_01: and recommendations and all that.
- 15:34SPEAKER_01: Like they're the face of that piece of our public health apparatus.
- 15:38SPEAKER_01: And so,
- 15:38SPEAKER_01: I mean,
- 15:39SPEAKER_01: he's gone on defending himself,
- 15:40SPEAKER_01: you know,
- 15:41SPEAKER_01: saying,
- 15:41SPEAKER_01: you know,
- 15:41SPEAKER_01: despite what authorities have said,
- 15:43SPEAKER_01: where they believe this is part of the motive of this individual.
- 15:47SPEAKER_01: And RFK Jr.
- 15:48SPEAKER_01: basically poo-pooing that.
- 15:50SPEAKER_01: I mean, I saw a report yesterday.
- 15:52SPEAKER_01: He's saying, well, that's not the case.
- 15:54SPEAKER_01: And then in the next breath,
- 15:56SPEAKER_01: criticizing the CDC for their actions during COVID-19 and the overreach.
- 16:00SPEAKER_01: Like, people at the CDC are...
- 16:02SPEAKER_01: furious about theirs.
- 16:03SPEAKER_01: There's reporting about that, right?
- 16:04SPEAKER_01: Of course,
- 16:05SPEAKER_01: anonymously talking about this because they're terrified of retribution,
- 16:08SPEAKER_01: losing their jobs.
- 16:09SPEAKER_02: Some of it's not totally anonymous.
- 16:10SPEAKER_02: So the director,
- 16:12SPEAKER_02: Susan Menarez,
- 16:14SPEAKER_02: she sent a note to the company's 10,000 employees Tuesday afternoon,
- 16:17SPEAKER_02: blaming the role of the promotion of misinformation.
- 16:20SPEAKER_02: She basically blamed misinformation and disinformation.
- 16:23SPEAKER_02: So she's probably not long for this world.
- 16:25SPEAKER_01: Yeah, like how long is she going to be right, right?
- 16:27SPEAKER_01: Bad jobs numbers, you're gone, right?
- 16:29SPEAKER_01: You go out and tell people it's misinformation.
- 16:31SPEAKER_01: You can't imagine she lasts.
- 16:32SPEAKER_02: Yeah, well, good for her for at least speaking her mind.
- 16:36Statement appears to go further than remarks made during the
- 16:38agency-wide meeting
- 16:39SPEAKER_02: where public health should never be under attack.
- 16:41SPEAKER_02: That's what they said during this sort of meeting.
- 16:43And we know that misinformation can be dangerous,
- 16:45so she went out a little bit further.
- 16:46SPEAKER_02: But, like, what a crazy thing that we're here parsing sort of like the –
- 16:50SPEAKER_02: the various degrees we're able to blame,
- 16:53SPEAKER_02: we're able to cast blame on,
- 16:54SPEAKER_02: like,
- 16:55SPEAKER_02: what has been,
- 16:55SPEAKER_02: like,
- 16:56SPEAKER_02: incendiary and obviously,
- 16:58SPEAKER_02: you know,
- 16:58SPEAKER_02: rhetoric can be dangerous.
- 16:59SPEAKER_02: That's just...
- 17:00SPEAKER_02: Anyone...
- 17:01SPEAKER_02: I always say,
- 17:03SPEAKER_02: like,
- 17:03SPEAKER_02: anyone who holds a microphone,
- 17:04SPEAKER_02: you know,
- 17:04SPEAKER_02: some people say no,
- 17:05SPEAKER_02: but,
- 17:05SPEAKER_02: like,
- 17:05they'll say those on while going and doing television or
- 17:08holding a microphone to
- 17:09SPEAKER_02: their face while they do a podcast.
- 17:10SPEAKER_02: So they, like...
- 17:11SPEAKER_02: At some level,
- 17:12SPEAKER_02: anyone who's commenting on this stuff,
- 17:14SPEAKER_02: whether they're writing it or they're saying it on the Internet,
- 17:16like knows that information has power of some kind or like why
- 17:20else would you do
- 17:20SPEAKER_02: that?
- 17:21SPEAKER_02: So, yeah, rhetoric can be dangerous.
- 17:23And I think there's the fact that they're parsing the little
- 17:25variations in how much
- 17:27we can and how much we can blame that is just sort of a
- 17:30testament to what a sad
- 17:31SPEAKER_02: state of affairs we're in.
- 17:32SPEAKER_01: Right.
- 17:32SPEAKER_01: And it's a tell, really.
- 17:33SPEAKER_01: It's a tell.
- 17:34SPEAKER_01: Like, they know it.
- 17:35SPEAKER_01: He knows it.
- 17:35SPEAKER_01: They all know it.
- 17:36SPEAKER_01: They don't want to admit it.
- 17:37SPEAKER_01: And they don't want to in any way take on any blame.
- 17:40SPEAKER_01: Or, I mean, this crowd, they don't apologize for anything, right?
- 17:43SPEAKER_01: We've seen that for the past 10 years.
- 17:46SPEAKER_01: And so it is a sad state.
- 17:48SPEAKER_01: I applaud the people who still work there,
- 17:50SPEAKER_01: right,
- 17:50who are still willing to go in every day and do the work
- 17:53despite the fact that
- 17:54SPEAKER_01: their ultimate boss,
- 17:56SPEAKER_01: RFK Jr.,
- 17:57SPEAKER_01: attacks them all the time.
- 17:59SPEAKER_01: I don't know how people do that.
- 18:00SPEAKER_01: Right.
- 18:00SPEAKER_02: Yeah, I mean, that's just, it's just, that's, it's wild.
- 18:04SPEAKER_02: There's some political reporting that folks are pretty scared to go back.
- 18:07SPEAKER_02: And there was like,
- 18:08SPEAKER_02: people were asking,
- 18:09SPEAKER_02: like,
- 18:10SPEAKER_02: apparently they have some common,
- 18:11SPEAKER_02: I was reading that they have some common areas where you can go,
- 18:14SPEAKER_02: there are parts of the CDC you can't take a cell phone call.
- 18:16SPEAKER_02: Like,
- 18:17SPEAKER_02: because there's security,
- 18:18SPEAKER_02: well,
- 18:18SPEAKER_02: I don't know if it's because security or the walls are thick.
- 18:20SPEAKER_02: I'm not exactly sure,
- 18:21but there are common areas that are sort of glass walled where
- 18:24you can go take
- 18:25SPEAKER_02: phone calls to call out.
- 18:27SPEAKER_02: And they're like people are like, are these bulletproof?
- 18:29Because so many,
- 18:30so many bullets actually like pepper the side of the side of
- 18:32the building.
- 18:33I think it's something like 200 rounds actually are like in the
- 18:36building walls or
- 18:37SPEAKER_02: landed on the building.
- 18:37SPEAKER_01: So ugly stuff.
- 18:39SPEAKER_01: Ugly stuff,
- 18:40SPEAKER_01: but I mean,
- 18:40we got to talk about it and we can't lose sight of what their
- 18:43rhetoric can do.
- 18:45SPEAKER_02: Yeah, that's right.
- 18:46SPEAKER_02: All right.
- 18:46SPEAKER_02: Maybe we can switch gears here.
- 18:49The Veterans Administration is canceling union contracts with
- 18:53most of its unions.
- 18:54SPEAKER_02: There's just a big union bust at the VA.
- 18:57SPEAKER_02: Department of Veterans Affairs announced Wednesday.
- 18:59SPEAKER_02: This is from military.com.
- 19:01Department of Veterans Affairs announced Wednesday it was
- 19:03ending collective
- 19:03SPEAKER_02: bargaining agreements with most federal unions,
- 19:05SPEAKER_02: a move that affects roughly 80% of the total workforce.
- 19:08SPEAKER_02: Members of AFGE,
- 19:10SPEAKER_02: it's AFGE,
- 19:11SPEAKER_02: the National Association of Government Employees,
- 19:14SPEAKER_02: the National Federation of Federal Employees,
- 19:16SPEAKER_02: the National Nurses Organizing Committee,
- 19:18SPEAKER_02: and SEIU,
- 19:19SPEAKER_02: the Service Employees International Union,
- 19:20SPEAKER_02: would no longer have labor protections under their contracts.
- 19:23SPEAKER_02: Rob, you know, I mean, I used to work in the labor movement.
- 19:25SPEAKER_02: Yeah, I think union busting is disgusting.
- 19:28SPEAKER_02: A total crackdown like this, just like abroad.
- 19:30SPEAKER_02: I don't understand how it's legal.
- 19:33SPEAKER_02: This feels like something that they're that they're going for it,
- 19:36SPEAKER_02: where they're just going to they're going to try to break the union.
- 19:39They're going to try to say,
- 19:40like,
- 19:40we're going to let this become a morass in the courts.
- 19:43And by the time this works its way through things or it works
- 19:46up to the Department
- 19:47SPEAKER_02: of Labor that we that we control,
- 19:49SPEAKER_02: it's already going to be too late and we'll have broken the union.
- 19:52SPEAKER_01: Yeah.
- 19:52SPEAKER_01: Broken union and in some ways potentially breaking the VA, right?
- 19:56Like one of the most popular,
- 19:57most effective health care delivery systems in this country.
- 20:00SPEAKER_01: It has problems for sure.
- 20:02SPEAKER_01: Veterans there who utilize the VA,
- 20:04SPEAKER_01: I'm sure in this country,
- 20:05every health care system has problems because we don't have a
- 20:07health care system.
- 20:08SPEAKER_01: We have a patchwork of systems that help different populations.
- 20:11SPEAKER_01: But to the extent that this system exists,
- 20:14SPEAKER_01: I mean,
- 20:15it serves like the people who deserve that probably more than
- 20:18anybody at this
- 20:19SPEAKER_01: country.
- 20:20SPEAKER_01: And for them to dick around with that like this,
- 20:23SPEAKER_01: like,
- 20:23SPEAKER_01: I mean,
- 20:24SPEAKER_01: they're already in their funding round this year.
- 20:27They're already diverting more funds from the VA into
- 20:29privatized health care within
- 20:31SPEAKER_01: the VA,
- 20:32SPEAKER_01: right?
- 20:32Taking this system that that is like a contract between our
- 20:36veterans and us and now
- 20:38SPEAKER_01: doing this,
- 20:39SPEAKER_01: right?
- 20:39SPEAKER_01: This isn't just affecting workers and union members.
- 20:42SPEAKER_01: It's affecting the ability of people to actually deliver care, right?
- 20:46And again,
- 20:47it's one of those things like what is their reason,
- 20:49you know,
- 20:50purely political?
- 20:51SPEAKER_01: I mean, right?
- 20:52I would imagine most of these unions have supported Democrats
- 20:55in the past to some extent,
- 20:56right?
- 20:57SPEAKER_01: I don't know.
- 20:57SPEAKER_01: I don't know all that.
- 20:58I know the federal unions are swinging the other way,
- 21:00but do they stay out of it?
- 21:04They don't engage in the same way that the private sector or
- 21:09the public sector unions do.
- 21:10SPEAKER_02: Like the federal unions really are – they do politics.
- 21:13SPEAKER_02: They stand up for their own interests.
- 21:15SPEAKER_02: They participate in the First Amendment.
- 21:18But they're not as overtly political as some of the other
- 21:23unions where they're like
- 21:24creating programs or they're building PACs or they're going out
- 21:28and they're flexing
- 21:29SPEAKER_02: real political muscle in primaries and in general elections.
- 21:31SPEAKER_02: Right.
- 21:31SPEAKER_02: And so,
- 21:32SPEAKER_02: like,
- 21:32it's just a—this feels less like political retribution that
- 21:37we're seeing on some
- 21:38other fronts and more like I'm going to crush civil society
- 21:42wherever it is because
- 21:44SPEAKER_02: it slows down—it slows me down.
- 21:47SPEAKER_02: Or it is just a nuisance.
- 21:50SPEAKER_02: Or I just want to show you that I can.
- 21:51SPEAKER_02: I want to bring the federal workforce to heal.
- 21:54SPEAKER_02: That's how I read—
- 21:56Rather than political retribution to AFGE or some of the other
- 22:01unions that organize
- 22:01SPEAKER_02: federal employees,
- 22:02it's more like the larger – it feels to me like it's the larger
- 22:06project of smashing
- 22:08civil society and particularly as it relates to civil society
- 22:11that's inside the
- 22:12SPEAKER_02: federal government.
- 22:12SPEAKER_01: And particularly with this president, right?
- 22:15SPEAKER_01: Yeah.
- 22:15SPEAKER_01: Yeah, correct.
- 22:16SPEAKER_01: So on brand.
- 22:17SPEAKER_01: So on brand with this president.
- 22:19SPEAKER_01: Yeah.
- 22:19SPEAKER_01: I mean,
- 22:20SPEAKER_01: I think,
- 22:21SPEAKER_01: you know,
- 22:21SPEAKER_01: it seems like the VA is now in the crosshairs,
- 22:24SPEAKER_01: you know,
- 22:24SPEAKER_01: of Donald Trump and his minions.
- 22:26It must cause – because there's some reporting that they've
- 22:30really had – they've
- 22:31SPEAKER_02: had workforce flight from the VA already before they smashed the union.
- 22:36SPEAKER_02: And if they – you know, it seems like they're going forward.
- 22:38SPEAKER_02: If they're smashing the union –
- 22:40SPEAKER_02: More people are going to leave.
- 22:41There are some people who I suspect their federal union was one
- 22:44of the reasons why
- 22:45SPEAKER_02: they liked working where they are.
- 22:46The federal government can really like crush its employees if
- 22:49there's no way to
- 22:50SPEAKER_02: push back on it because it's big and bureaucratic.
- 22:53SPEAKER_02: Federal unions are actually really,
- 22:55really important because the federal government does not have a
- 22:58conscience all by
- 22:59SPEAKER_02: itself.
- 22:59And I wonder if you just get sort of massive flight out of the
- 23:03VA and what that does to CARE.
- 23:05SPEAKER_01: Yeah, I mean, it does a lot to care, right?
- 23:07SPEAKER_01: It does a lot to training of doctors.
- 23:09SPEAKER_01: Many residencies that aren't military,
- 23:11SPEAKER_01: they're not military per se,
- 23:12but there are a lot of VA centers in big cities with a lot of
- 23:15different residency
- 23:16SPEAKER_01: programs.
- 23:16SPEAKER_01: And people rotate through there in various rotations, you know.
- 23:19SPEAKER_00: Yeah.
- 23:20SPEAKER_01: And the other thing,
- 23:20SPEAKER_01: I mean,
- 23:21SPEAKER_01: when I,
- 23:21SPEAKER_01: right out of college,
- 23:22SPEAKER_01: took a year off before med school,
- 23:23SPEAKER_01: I worked in a lab in a VA in Salt Lake City,
- 23:25SPEAKER_01: Utah.
- 23:26SPEAKER_01: No kidding.
- 23:26SPEAKER_01: You know, yeah.
- 23:27SPEAKER_01: And so they do research in VA facilities.
- 23:30SPEAKER_01: You know, they're hospitals like any other hospital.
- 23:32SPEAKER_01: They have researchers.
- 23:33SPEAKER_01: They have, you know, an educational component.
- 23:35SPEAKER_01: So,
- 23:35SPEAKER_01: you know,
- 23:36SPEAKER_01: a lot of different facets beyond just the care of veterans,
- 23:40SPEAKER_01: which should be enough to give us pause,
- 23:42SPEAKER_01: right,
- 23:42SPEAKER_01: if they're tearing that away.
- 23:44SPEAKER_01: But just kind of peeling away the layers,
- 23:46SPEAKER_01: just like they are with canceling NIH contracts,
- 23:48SPEAKER_01: just like they are with,
- 23:49SPEAKER_01: you know,
- 23:50SPEAKER_01: canceling all the mRNA research.
- 23:52SPEAKER_01: feels like they're trying to dismantle sort of the sort of science-based,
- 23:56SPEAKER_01: evidence-based apparatus of,
- 23:59SPEAKER_01: to me,
- 23:59SPEAKER_01: healthcare,
- 24:00SPEAKER_01: you know,
- 24:00SPEAKER_01: society in general,
- 24:01SPEAKER_01: maybe.
- 24:02SPEAKER_01: Facts seem to be sort of secondary, right?
- 24:04SPEAKER_01: So if facts are secondary,
- 24:05why would we want to actually dig into the reality of diseases
- 24:09and train people
- 24:10SPEAKER_01: well in those processes?
- 24:12SPEAKER_01: I don't think they care so much about that anymore.
- 24:14I have some stats here that I pulled up that sort of reporting
- 24:17from The Guardian.
- 24:18SPEAKER_02: So they've already lost 2,000 registered nurses,
- 24:21SPEAKER_02: 1,300 medical assistants,
- 24:22SPEAKER_02: 1,100 nursing assistants,
- 24:24SPEAKER_02: 800 doctors,
- 24:25SPEAKER_02: 500 social workers,
- 24:26SPEAKER_02: and 150 psychologists out of the VA because of the chaos.
- 24:29SPEAKER_02: And then, I mean, clearly more to come.
- 24:31SPEAKER_02: More to come.
- 24:33SPEAKER_02: Tough.
- 24:33SPEAKER_02: That's like promises.
- 24:49SPEAKER_02: But it's getting pretty clear, and there's increasingly more reporting.
- 24:53SPEAKER_02: Tariffs are going to drive up the costs,
- 24:56SPEAKER_02: the out-of-pocket,
- 24:57SPEAKER_02: your costs,
- 24:58SPEAKER_02: the cost of a human who needs a medication.
- 25:01SPEAKER_02: President Trump on Tuesday threatened to impose tariffs of up 250% on
- 25:04SPEAKER_02: pharmaceutical imports,
- 25:05SPEAKER_02: the highest rate he's discussed to date.
- 25:08SPEAKER_02: We'll be putting initially a small tariff on pharmaceuticals,
- 25:10SPEAKER_02: he says,
- 25:10SPEAKER_02: and then he's threatening his 250.
- 25:12SPEAKER_02: We'll see if this is a taco or whatever it is, but...
- 25:15SPEAKER_02: But in one year, one and a half years maximum, it's going to 150%.
- 25:18SPEAKER_02: He wants pharmaceuticals made in the country.
- 25:22What are the chances we're going to onshore all of our
- 25:25pharmaceutical production in
- 25:27SPEAKER_02: a year and a half?
- 25:27SPEAKER_02: What do you think, Rob?
- 25:28SPEAKER_02: Right.
- 25:29SPEAKER_01: I mean, I think it's his fucking adult brain that thinks...
- 25:32SPEAKER_01: Maybe thinks this is a real thing that could actually happen.
- 25:35SPEAKER_01: Right.
- 25:36SPEAKER_02: Yeah.
- 25:37SPEAKER_01: It is totally broken.
- 25:38SPEAKER_01: And so his I don't know his fixation.
- 25:41SPEAKER_01: I mean, we haven't talked a ton about tariffs.
- 25:43You know,
- 25:43tariffs are obviously affecting prices for everybody in every
- 25:47aspect of their life.
- 25:48SPEAKER_01: And industries across the board,
- 25:51but for him to directly target pharmaceuticals so that we can
- 25:55bring them home.
- 25:56SPEAKER_01: Like, is it a bad idea to have that, to make more drugs here?
- 26:00SPEAKER_01: It's not a bad idea overall, right?
- 26:02SPEAKER_00: No.
- 26:03SPEAKER_01: As part of a comprehensive policy,
- 26:05SPEAKER_01: a five,
- 26:0610 year plan of reinvesting in pharmaceutical research and
- 26:10production in this
- 26:11SPEAKER_01: country.
- 26:12SPEAKER_01: Yes.
- 26:13SPEAKER_01: Let's all sign up and let's have a plan that actually does that.
- 26:16SPEAKER_01: But just slapping,
- 26:17SPEAKER_01: you know,
- 26:17SPEAKER_01: two to three times the price that people are going to pay for for drugs.
- 26:21SPEAKER_01: Right.
- 26:22With this pipe dream that in a year we're going to ramp it all
- 26:25up like that's such
- 26:26SPEAKER_01: crazy bullshit.
- 26:27SPEAKER_01: I don't I don't know.
- 26:28SPEAKER_01: I don't know.
- 26:28SPEAKER_01: Yeah.
- 26:29SPEAKER_02: The public policy in its totality is on one side,
- 26:32I'm going to put a tax on people who need to take medications
- 26:36in order to try to
- 26:38incentivize pharmaceutical companies to build factories that
- 26:43make pharmaceuticals
- 26:44SPEAKER_02: in the United States.
- 26:45SPEAKER_02: I'm going to tax sick people, essentially.
- 26:47SPEAKER_02: Yeah.
- 26:47SPEAKER_01: Yeah.
- 26:48SPEAKER_02: I'm going to take sick people to try to bring the things here.
- 26:51SPEAKER_02: And at the same time,
- 26:52I'm going to slash research R&D into future pharmaceuticals in
- 26:57the form of anything
- 26:58SPEAKER_02: on the mRNA platform.
- 26:59SPEAKER_01: Or anything with basic NIH funding, right?
- 27:01SPEAKER_01: I mean, those pipelines are being cut off too.
- 27:04SPEAKER_01: Yeah.
- 27:04That is not that's not policy to make people healthier,
- 27:07just to be very clear.
- 27:09SPEAKER_02: It's not policy to make people wealthier.
- 27:11SPEAKER_02: It feels like it's just Donald Trump's obsession with like factories.
- 27:15SPEAKER_02: Yeah.
- 27:16But that he likes like he likes to talk about like building
- 27:19factories here and like
- 27:20building and like and like bringing industry to heal and making
- 27:23them like put stuff
- 27:24SPEAKER_02: in America.
- 27:24SPEAKER_02: And it's like got not much additional depth beyond that.
- 27:28His high level discussions about territory in the Ukraine was
- 27:31based on waterfront property.
- 27:33SPEAKER_01: I mean, he literally talked about waterfront property.
- 27:35SPEAKER_01: It's the best property.
- 27:36SPEAKER_01: Rivers, lakes and oceans.
- 27:37SPEAKER_01: That's where you want the property.
- 27:39SPEAKER_01: Like this guy.
- 27:40SPEAKER_01: I mean, he is.
- 27:42SPEAKER_01: He's a fucking moron.
- 27:43SPEAKER_01: And we're all paying the price for all this.
- 27:46SPEAKER_01: And there's nobody left in government or appears that way,
- 27:49except maybe the director of the CDC that's willing to say
- 27:52anything that could draw
- 27:53SPEAKER_01: the ire of this person.
- 27:55SPEAKER_01: Right.
- 27:55SPEAKER_01: And so they all just kind of go along.
- 27:58SPEAKER_01: They all go along.
- 27:59RFK is definitely going to have some glowing things to say
- 28:02about how wonderful this
- 28:03SPEAKER_01: will be to have all our drugs being made here.
- 28:05SPEAKER_01: You know,
- 28:05these guys aren't going to be around by the time we could
- 28:07actually ramp up that
- 28:09SPEAKER_01: level,
- 28:09SPEAKER_01: you know.
- 28:09SPEAKER_02: Neither of them, I mean, like they're both old.
- 28:12SPEAKER_02: They are old.
- 28:12There's like a very decent chance these guys are not alive when
- 28:16the first factory
- 28:17SPEAKER_02: could possibly open up.
- 28:19SPEAKER_02: But I don't think it reshores it, right?
- 28:21SPEAKER_02: Like it just raises costs.
- 28:22SPEAKER_02: No.
- 28:24SPEAKER_02: The reshoring is like this myth.
- 28:26SPEAKER_02: Maybe there's some like overtures to it.
- 28:27But these folks are – these industry folks are going to – they
- 28:30know this is stupid.
- 28:32SPEAKER_02: They know it's unsustainable.
- 28:33SPEAKER_02: They're just going to wait them out.
- 28:35SPEAKER_02: They're going to bring them presents and give them platitudes.
- 28:37And in the meantime,
- 28:39it's going to mean higher prices on medication for folks.
- 28:42SPEAKER_02: It'll be interesting.
- 28:43SPEAKER_02: It'll be interesting, Rob.
- 28:44SPEAKER_02: I think we'll want to look into like whether the –
- 28:50SPEAKER_02: Actually, I'm being too generous to the Trump administration.
- 28:52SPEAKER_02: I was thinking about whether we want to look into if his,
- 28:57SPEAKER_02: like,
- 28:57SPEAKER_02: edicts to lower costs versus the tariffs.
- 29:00Is edicts to lower costs actually lower costs relative to how
- 29:02much the tariffs raise costs?
- 29:04SPEAKER_02: The edicts to lower costs is a press release.
- 29:07SPEAKER_02: Like, that's not actually a lower cost.
- 29:08SPEAKER_02: You took the words out of my brain.
- 29:10SPEAKER_01: Exactly.
- 29:11SPEAKER_01: It's a scribbled press release,
- 29:12SPEAKER_01: right,
- 29:12where he scribbles his pubic hair signature on those big things
- 29:15in the Oval Office.
- 29:16SPEAKER_01: Sorry.
- 29:18SPEAKER_01: I think if you know, you know.
- 29:19SPEAKER_00: Yeah.
- 29:20SPEAKER_01: Yeah.
- 29:20So I guess in the problem with this is like sick people who
- 29:23rely on these drugs,
- 29:24SPEAKER_01: they've been abused for so long by big pharma and high costs.
- 29:28SPEAKER_01: Yeah.
- 29:28SPEAKER_01: Like I think people are just beaten down.
- 29:30SPEAKER_01: Right.
- 29:31SPEAKER_00: Yeah.
- 29:31SPEAKER_01: I think it's hard for sick people to organize and voice against this.
- 29:35SPEAKER_01: Right.
- 29:35SPEAKER_01: It's why doctors, hey, any doctor listening?
- 29:38SPEAKER_01: Right.
- 29:38SPEAKER_01: We know no bones about it.
- 29:40SPEAKER_01: We need to be out there with our voices.
- 29:42SPEAKER_01: Right.
- 29:42SPEAKER_01: Advocating on behalf of those folks.
- 29:44SPEAKER_01: For sure.
- 29:44SPEAKER_01: That's right.
- 29:45SPEAKER_02: Yeah.
- 29:45SPEAKER_02: And I also go to a place of like,
- 29:47SPEAKER_02: like the big pharma has been such pharma has been such like an abusive,
- 29:51SPEAKER_02: like an abusive actor in the healthcare space for so long that like,
- 29:55SPEAKER_02: even,
- 29:56SPEAKER_02: even Trump sort of saying something like this,
- 29:58SPEAKER_02: like even however implausible it is,
- 30:01SPEAKER_02: or sort of silly on its face that,
- 30:03SPEAKER_02: that,
- 30:03SPEAKER_02: that it would not work,
- 30:05SPEAKER_02: that there's,
- 30:05there's an element of people like people want to believe that
- 30:08it could work,
- 30:08SPEAKER_02: that,
- 30:09SPEAKER_02: that pharma could be brought to heel and forced to reinvest here.
- 30:12SPEAKER_02: And even,
- 30:13You know,
- 30:14and sort of skip the fact that it's just going to make their
- 30:16cost go up.
- 30:18SPEAKER_01: Right, right.
- 30:18The only thing I have hope for is that these guys are so craven
- 30:21and so addicted to
- 30:22profits that that will actually not allow them to really fall
- 30:26in that much,
- 30:27SPEAKER_01: right?
- 30:27SPEAKER_01: So the cravenness and the absolute,
- 30:30SPEAKER_01: you know,
- 30:31SPEAKER_01: cutthroat profit-driven motives,
- 30:33SPEAKER_01: that's what's going to save this whole policy.
- 30:35SPEAKER_01: We'll see.
- 30:36SPEAKER_01: We're counting on the evil empire remaining evil.
- 30:38SPEAKER_02: Yeah.
- 30:39SPEAKER_01: You know, the quacks.
- 30:40SPEAKER_01: Yeah.
- 30:41SPEAKER_02: All right.
- 30:41SPEAKER_02: We got one last one last topic we wanted to cover, Rob.
- 30:43SPEAKER_02: And I know you you were particularly fired up about this.
- 30:46SPEAKER_02: You know,
- 30:47SPEAKER_02: over the weekend and into the early part of the week,
- 30:48SPEAKER_02: Trump has federalized the Washington Washington,
- 30:50SPEAKER_02: D.C.'
- 30:50's Metropolitan Police Department and sent in the National
- 30:54Guard to take over law enforcement.
- 30:55SPEAKER_02: This is on the heels.
- 30:56SPEAKER_02: This is because of a crisis ostensibly from Trump administration,
- 31:00SPEAKER_02: despite it is a 30 year low in violent crime in the District of Columbia.
- 31:05SPEAKER_02: Like, yeah, nicer than it's ever been.
- 31:07But on the heels of there is a Doge,
- 31:0920 year old Doge staffer named Big Balls.
- 31:12SPEAKER_01: Big Balls.
- 31:13SPEAKER_01: I wanted to say Big Balls before you.
- 31:15SPEAKER_02: Yeah.
- 31:15SPEAKER_02: Sorry.
- 31:16SPEAKER_02: I had to say Big Balls first.
- 31:17SPEAKER_02: Big Balls got beat up.
- 31:19SPEAKER_02: And so now we've militarized the Capitol.
- 31:21SPEAKER_02: I'm going to just I'm going to speak to the politics of this,
- 31:23SPEAKER_02: but then we want to speak to the health care.
- 31:25SPEAKER_02: This is about as clear as it gets that Trump is going to make up.
- 31:29SPEAKER_02: The L.A.
- 31:30SPEAKER_02: thing was obviously made up, but they did burn two Waymos.
- 31:35SPEAKER_02: There was two burnt cars.
- 31:37SPEAKER_02: This is historically low crime.
- 31:39One of the Doge kids gets beat up,
- 31:42and they federalize,
- 31:43which is like a crime.
- 31:45SPEAKER_02: It happens.
- 31:46SPEAKER_02: It shouldn't happen.
- 31:46SPEAKER_02: It happens in cities.
- 31:47SPEAKER_02: But we're not talking about a systemic problem.
- 31:50We're talking about one kid that Trump knows getting beat up,
- 31:53and they federalize D.C.,
- 31:55SPEAKER_02: This is clear.
- 31:57He's going to use any excuse he can to exert more and more
- 32:00power over blue cities,
- 32:01SPEAKER_02: over cities that are in blue states,
- 32:03SPEAKER_02: and to harass.
- 32:04SPEAKER_02: And if you haven't checked out the videos on Twitter,
- 32:06SPEAKER_02: like 14th Street,
- 32:07SPEAKER_02: Rob,
- 32:08SPEAKER_02: I used to live near 14th Street.
- 32:0914th Street is not as pleasant of a street in the United States
- 32:11of America as it could be.
- 32:13SPEAKER_02: It's a lot of brunch spots.
- 32:14SPEAKER_02: It's a lot of the kids going out.
- 32:16SPEAKER_02: It's a lot of people having a ramen or a sushi dinner.
- 32:19SPEAKER_02: It is extremely pleasant, and there are checkpoints on it right now.
- 32:23SPEAKER_02: Last night, they put up checkpoints down 14th Street.
- 32:26SPEAKER_02: Absolutely incredible.
- 32:27We have a colleague whose daycare is right near Union Station
- 32:30just sent us a
- 32:30SPEAKER_01: picture on our signal of a tank,
- 32:33SPEAKER_01: right?
- 32:33SPEAKER_01: Picking up, dropping off the kid at daycare.
- 32:35SPEAKER_01: Here's a tank at a red light, or Humvee, sorry, at a red light.
- 32:37SPEAKER_02: But a Humvee for like a Fallujah Humvee, not like your H2.
- 32:44SPEAKER_02: You know, this is like a- Fully armed.
- 32:47SPEAKER_01: Fully armed.
- 32:48Yes,
- 32:48and desert calling,
- 32:49just because that makes sense in Washington,
- 32:51D.C.
- 32:52SPEAKER_01: Right, right.
- 32:54SPEAKER_01: I mean, this guy wanted to see tanks rolling through the Capitol, right?
- 32:56SPEAKER_01: Whether it's a parade or whether it's him militarizing the Capitol.
- 32:59SPEAKER_01: And he's got it, right?
- 33:00SPEAKER_01: This was his big balls getting beat up was his impetus to do this.
- 33:04One of my concerns about this is the rhetoric I've heard him
- 33:07use and Caroline
- 33:07SPEAKER_01: Levitt,
- 33:08SPEAKER_01: his mouthpiece,
- 33:09SPEAKER_01: use about the people they're going after,
- 33:11SPEAKER_01: right?
- 33:13SPEAKER_01: We are anti-crime in this podcast.
- 33:15SPEAKER_01: I am, right?
- 33:16SPEAKER_01: We should.
- 33:16SPEAKER_01: People should.
- 33:17SPEAKER_01: We should be against big balls getting beat up.
- 33:20SPEAKER_01: You don't like big balls, but he shouldn't get beat up, right?
- 33:22SPEAKER_01: That's fine.
- 33:23SPEAKER_01: They're talking about sweeping all the homeless people, right?
- 33:26SPEAKER_01: All the people.
- 33:28SPEAKER_01: And that is a problem in all of our cities, right?
- 33:30SPEAKER_01: There was an anonymous individual.
- 33:32SPEAKER_01: He didn't want to give his name.
- 33:33SPEAKER_01: He thought it'd be Retribution who was interviewed.
- 33:35SPEAKER_01: And I saw he said, you know, I just want a job and housing I can afford.
- 33:40SPEAKER_01: And I can't.
- 33:40SPEAKER_01: That's why I'm here.
- 33:41SPEAKER_01: Right.
- 33:41But one of the things that concerns me and why I thought we
- 33:43should talk about this
- 33:45SPEAKER_01: is that huge problem in the homeless population is mental illness.
- 33:48SPEAKER_01: Right.
- 33:48SPEAKER_01: A huge problem in the homeless population.
- 33:50I mean,
- 33:50I see it in a little microcosm in a little rural area I work is
- 33:55drug use.
- 33:55SPEAKER_01: Right.
- 33:56SPEAKER_01: Right.
- 33:56SPEAKER_01: Opioid use disorder, alcohol use disorder.
- 33:59SPEAKER_01: Huge problems.
- 34:00SPEAKER_01: Right.
- 34:00SPEAKER_01: These are medical problems.
- 34:01SPEAKER_01: Right.
- 34:01SPEAKER_01: Needed to be treated with health care.
- 34:02SPEAKER_01: And she said people...
- 34:04SPEAKER_01: We'll either go into treatment or go into jail.
- 34:06SPEAKER_01: Like, where the hell is all the treatment coming from, Caroline?
- 34:09SPEAKER_01: You guys just cut Medicaid, right?
- 34:11SPEAKER_01: You guys are cutting research on medications.
- 34:15SPEAKER_01: And so now you're telling people either you go into treatment or you go.
- 34:19SPEAKER_01: They think these are people who don't want to be treated, right?
- 34:22SPEAKER_01: Who don't want to be well, who don't want to be housed.
- 34:25SPEAKER_01: Right.
- 34:25SPEAKER_01: That isn't the case for the vast majority.
- 34:27SPEAKER_01: These are people who require medical care.
- 34:30SPEAKER_01: A lot of them are getting medical care.
- 34:32SPEAKER_01: I know people who volunteer in free clinics in D.C.
- 34:35SPEAKER_01: treating the homeless population because it,
- 34:37SPEAKER_01: yes,
- 34:37is significant because it's a big city in America and people
- 34:41can't afford to live
- 34:42SPEAKER_01: in these places.
- 34:43And so for them to militarize a response to medical issues,
- 34:48that pisses me off.
- 34:49SPEAKER_01: Like that's something we got to we got to talk about.
- 34:51SPEAKER_01: And you're going to have,
- 34:53SPEAKER_01: like we do in a lot of cases,
- 34:55SPEAKER_01: people with untreated or poorly treated mental illness,
- 34:57people with addiction issues just being swept up and thrown in
- 35:01jail to clean up the
- 35:01streets so he can drive his motorcade through and not have to
- 35:04look at them.
- 35:05SPEAKER_01: And it should be offensive to everybody, certainly people in D.C.
- 35:09SPEAKER_01: and I have friends in D.C.
- 35:10SPEAKER_01: that I'm hearing from.
- 35:12SPEAKER_01: They're all to a person extremely concerned about this.
- 35:17SPEAKER_01: But just if you have a concern for basic humanity,
- 35:20SPEAKER_01: right,
- 35:20SPEAKER_01: and basic human rights,
- 35:22SPEAKER_01: this is what these folks are doing,
- 35:23SPEAKER_01: you know,
- 35:24SPEAKER_01: just so Donnie can get tanks in the Capitol.
- 35:27SPEAKER_01: And, you know, I think we have to continue to speak out about it.
- 35:31I know certainly people are from the civil rights side and his
- 35:36authority on that.
- 35:37But from a health care side,
- 35:38I think doctors need to be a part of those voices.
- 35:40SPEAKER_01: Yeah.
- 35:41SPEAKER_02: Yeah, you know, I couldn't agree with that more.
- 35:45Because it's also worth saying when Trump says the Capitol has
- 35:49been overtaken by
- 35:50SPEAKER_02: violent gangs,
- 35:51SPEAKER_02: bloodthirsty criminals,
- 35:52SPEAKER_02: COVID mobs of wild youth,
- 35:53SPEAKER_02: drugged out maniacs,
- 35:54SPEAKER_02: and homeless people.
- 35:55SPEAKER_02: One, one of those categories isn't like the rest.
- 35:58SPEAKER_02: Yeah, yeah, yeah, yeah.
- 35:59SPEAKER_02: But two, that's just not true.
- 36:02SPEAKER_02: D.C.,
- 36:03SPEAKER_02: Yeah.
- 36:03SPEAKER_02: You know, like I like look like I like downtown Chicago.
- 36:06SPEAKER_02: I know people think downtown Chicago is unsafe.
- 36:08SPEAKER_02: I don't think it's unsafe.
- 36:09SPEAKER_02: It's actually pretty, pretty damn safe.
- 36:11SPEAKER_02: Like like D.C.
- 36:12can have a little bit more a little bit more going on than like
- 36:14a Chicago or New
- 36:15SPEAKER_02: York like downtown in terms of.
- 36:17SPEAKER_02: But it's just exceedingly safe.
- 36:19SPEAKER_02: It like it felt exceedingly safe to me anyway.
- 36:22SPEAKER_02: The last the last many times I've been there.
- 36:24SPEAKER_01: And the people you talk to who live there.
- 36:27SPEAKER_01: And I've been there, too, a number of times.
- 36:28SPEAKER_01: Yeah, you block everywhere in the city.
- 36:30SPEAKER_01: You do.
- 36:31SPEAKER_01: You do.
- 36:31And they're speaking to a base of people who don't go there or
- 36:35live there,
- 36:35SPEAKER_01: don't go to cities,
- 36:36SPEAKER_00: like mostly rural folks.
- 36:38SPEAKER_01: And they're mainlining Fox News.
- 36:41SPEAKER_01: And that's all they're doing is talking about it.
- 36:43SPEAKER_01: And you can always find an incident, right?
- 36:45SPEAKER_01: In L.A., you can find the two Waymos that got set on fire.
- 36:48SPEAKER_01: But the vast majority of people in L.A.
- 36:50at the time that those Waymos were on fire is like,
- 36:52yeah,
- 36:52I was just going to the farm.
- 36:53market like we're just living our lives and then all of a
- 36:55sudden they militarize
- 36:56our city yeah and i one one last thing before we go and i i
- 37:00just want to say this
- 37:01to everyone because it was it was it was the national guard it
- 37:03was the dea agents
- 37:04and the ice agents we don't expect very much of the ice agents
- 37:07these days but i'll
- 37:07just say to the dea agents and the national guard guys i know
- 37:11you got you're in a
- 37:11SPEAKER_02: hard situation you're in a tough spot
- 37:14SPEAKER_02: I get it.
- 37:15SPEAKER_02: We're not mad at you like the hippies after Vietnam,
- 37:20SPEAKER_02: but people got to make choices on what they say yes to.
- 37:23SPEAKER_02: And going and setting up checkpoints on 14th Street in Washington,
- 37:26SPEAKER_02: D.C.,
- 37:27SPEAKER_02: is you've found yourself in a hard situation.
- 37:30SPEAKER_02: And at some point,
- 37:31people might have to make hard decisions about what they're
- 37:32saying yes to in their
- 37:33SPEAKER_02: chain of command.
- 37:34SPEAKER_02: Because that is...
- 37:35SPEAKER_02: That's a crazy thing to do.
- 37:37SPEAKER_02: They've turned you into actual mall cops.
- 37:39SPEAKER_02: People who are like good jobs,
- 37:41SPEAKER_02: who are highly trained,
- 37:43SPEAKER_02: who I have signed up to protect this country.
- 37:45And they are literally like they're literally like being
- 37:48deployed to like menace
- 37:49SPEAKER_02: brunch on 14th Street.
- 37:51SPEAKER_02: It's like it's rude.
- 37:53SPEAKER_02: It's rude to the profession.
- 37:54It's rude to the men and women in uniform who signed up to the
- 37:56National Guard to go
- 37:57SPEAKER_02: do real shit.
- 37:58SPEAKER_02: And yeah, I don't like it.
- 38:00SPEAKER_01: But I don't like it either.
- 38:01SPEAKER_01: I don't like it.
- 38:03SPEAKER_02: All right.
- 38:03SPEAKER_02: Maybe we'll get all fired up and call it for the day, Rob.
- 38:07SPEAKER_02: What do you think?
- 38:08SPEAKER_01: Absolutely.
- 38:08SPEAKER_01: Absolutely.
- 38:08SPEAKER_01: It's good seeing you again, Miles.
- 38:10SPEAKER_01: And we'll definitely be back again next week.
- 38:13SPEAKER_01: Why don't you read us out?
- 38:14SPEAKER_02: Yeah, I'll do that.
- 38:15SPEAKER_02: All right.
- 38:15Today's episode was written by Chris Savage,
- 38:17Dr.
- 38:17Rob Davidson,
- 38:18and me,
- 38:18Miles Baker.
- 38:19SPEAKER_02: It was produced by Amelia Dillenschneider.
- 38:21SPEAKER_02: Joel Bryson and Darian Batajan.
- 38:24SPEAKER_02: Music by Annette Somerset at Duneflower Productions.
- 38:26SPEAKER_02: If you enjoyed today's show,
- 38:27SPEAKER_02: please subscribe and leave us a rating on YouTube,
- 38:29SPEAKER_02: Spotify,
- 38:30SPEAKER_02: Apple Podcasts,
- 38:31SPEAKER_02: or wherever you listen.
- 38:32SPEAKER_02: Your support helps others discover the podcast.
- 38:34SPEAKER_02: And if you are one of our new subscribers on Substack,
- 38:37SPEAKER_02: thank you very much for checking out the video content.
- 38:40SPEAKER_02: Position your voice matters.
- 38:41Join the fight for better American health care by becoming a
- 38:43member of the
- 38:44SPEAKER_02: Committee to Protect Health Care.
- 38:45SPEAKER_02: Visit committeetoprotect.org to learn more.
- 38:48SPEAKER_02: Dr. Davidson, as always, great talking to you today.
- 38:50SPEAKER_02: Talk to you later.
- 38:51SPEAKER_01: See you then.