Latest / 775 Alive / Ep026: Healthcare Crises and Cures

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Ep026: Healthcare Crises and Cures · 775 Alive

• 0:03
  Welcome to the 775 Alive podcast, your rural Nevada headquarters for decoding politics, economics, and general global shenanigans. I'm Crystal Newton, your business strategist, breaking down why Nevada's hustle is stronger than a sagebrush root in a windstorm. Here with my trusty co-host, Scott Gavorsky, PhD historian, here to explain the smart lessons of history, even if we are likely to ignore them. Grab your boots for a wild ride through today's most important news.
• 0:30
  Crytal: Scott and I are down in Las start with. You're an entrepreneur.
• 0:39
  Dr. Nagy: Sure.
• 0:46
  for office and a neurosurgeon.
• 0:46
  Dr. Nagy: That's true.
• 0:54
  all.
• 0:54
  Crystal: We got a lot to talk about. Yeah.
• 0:58
  Dr. Nagy: That's correct.
• 0:58
  Dr. Nagy: Scott: Okay.
• 1:02
  Dr. Nagy: tell us a little bit about ourselves? Uh yourself and uh you know, where you coming from?
• 1:08
  Dr. Nagy: I grew up here in Las Vegas. I was born in New York. Uh my uh my parents are from Pakistan. So, uh my dad came over when there was a shortage of doctors in the US and uh he uh did his internship and his uh med school out there and or did his internship and residency out there. did his fellowship in oncology in Salt Lake. And uh when he finished up in Salt Lake, he asked the chairman, you know, all these cities in America look the same to me. Where should I go? And the chairman up there was like, hey, why don't you head down to Vegas? They don't have an oncologist yet. Yeah. So my dad came down here. He's the first oncologist in Las Vegas. And so he, you know, saved a lot of lives out here. People are dying, you know, 40-50 from lung cancer and liver cancer because they smoke and drink themselves to death. Yeah. And so he uh did a lot to improve healthcare here in Southern Nevada. And he was on the Board of Medical Examiners for a long time, so he helped up there, too.
• 1:49
  Dr. Nagy: did that impact you growing up with your dad? I don't know how anyone takes a job where they have to constantly face a terminal illness in their patients and that must have really developed some character in him and you probably got a lot from that. What have you learned from watching somebody heroically go through that day after day after day trying to save patients that don't necessarily want to save themselves?
• 2:09
  Dr. Nagy: Dr. Nagy: You know, what I saw
• 2:13
  house at 5:30 and coming home at 7: 30 every day. And uh uh and I saw that, you know, he took care of his family and he made sure that we were, you know, provided for and we had good values and, you know, that we always did our best to do something when you had the opportunity to do something to help somebody. lots and lots and lots of people in the city ultimately could and you know you have a responsibility to to do what you can for your community because the community was so good to my dad and so we and my mom too you know my my mom I think my dad or my dad you know he knew coming into it that these people had a terminal illness and so he was able to give a lot of people life back when they didn't have a chance at it my mom was a psychiatrist over here and so um here in Las Vegas you got to see a lot of uh I'm sure very very tough situations for people and I never heard word one about it never once did you know what would I've known that that's what my mom did if I didn't have the psychiatry.
• 2:57
  house at 5:30 and coming home at 7: Crystal: Yeah.
• 3:01
  house at 5:30 and coming home at 7: that's sort of interesting. So, one of the things we have going on right now uh is a huge debate. Of course, Nevada scene of a lot of nuclear testing. So, there's a lot of interest in particularly lung cancers, Downwinder Syndrome, radioactive dust. Do you see . . . did your dad see a lot of that?
• 3:16
  house at 5:30 and coming home at 7: I'd have to ask him. I'm sure that he would have seen those patients if they came through. Um and I'm sure some of them must have, but it's not a thing he ever ever brought up or talked about. I have to go back and ask him. Yeah.
• 3:25
  house at 5:30 and coming home at 7: Scott: Yeah, I mean the literature. Of course, people knew it for years. Uh but it was really only appeared in sort of the public consciousness over the last 10 or 15 years.
• 3:31
  house at 5:30 and coming home at 7: Dr. Nagy: Sure.
• 3:35
  Dr. Nagy: And they've been talking about it again because Trump just brought up wanting to start restart nuclear testing here in Nevada and there's a question of you know to what degree is that going to expose the public and they say they have you know done a tremendous amount to reduce the amount of exposure to the public. I think there's a less less than 1% uh chance of exposure through the venting that they do for the uh for the um testing now. So, it's much safer than it used to be, but but it's not zero risk, right?
• 3:54
  Dr. Nagy: Scott: And of course, President Trump has come back and said he's talking more about mechanism testing being an actual explosion. Right. Right. So, so not the not the nuclear stuff, but um it's going to be interesting to see how that develops.
• 4:09
  Dr. Nagy: Crystal: That was that's a a pretty detailed um part of this larger discussion, which is healthcare. And I I love your upbringing with your parents, both being in the medical field. Um, we have political issues in the in the country. We've got to have better policies and better infrastructure, but we have to have better idea of where people are at psychologically and what's going on in their brains and bodies and really get a robust health care system that works in place. And I feel like you have a perfect amount of exposure in all those different areas to be a very good representative and especially for Nevada, but for the country in general. Um is there anything uh where where do you want to start in terms of what are the issues in our health care system here in the country? What what can we do to fix it?
• 4:56
  Dr. Nagy: Dr. Nagy: Well, so I think what 60% of all, of all medical debt. Yeah. I think it's a tremendous amount a tremendous problem is the amount of waste that's going on in the healthcare system.
• 5:12
  Crystal: How did we get there? Either one of you like how how did we get to this place where the rest of the world is far cheaper than us?
• 5:17
  Crystal: Dr. Nagy: So what happened um healthcare was all operated by mutual insurance companies and people thought that that was the right way to do to structure insurance companies that it was wrong to structure and there were laws to prevent them from being structured as a for-profit entities and that changed you know the insurance agents were the insurance companies were able to lobby successfully to um allow for change to those laws and in the 1980s the um when the hedge funds got access to um uh derivatives. It dramatically expanded the amount of capital they had on hand. It some multiplied their their capital on hand sometimes up to 50 times. And so they were able to go out across the country and start buying things up because they had this cash burning hole in that pocket. And so they would go to the . . . .
• 6:02
  Crystal: Crystal: Like a bond, or their shares being purchased or it's like a . . . ? It almost sounds like a bond like a type of bond.
• 6:08
  Crystal: Dr. Nagy: Uh what is the best way course the one example most people are familiar with is this is what happened in the housing market. So it's almost a share might be a better description. So . . .
• 6:17
  Crystal: Scott: It's a submarket where, you know, what happened in in 2008 is that a lot of these hedge funds and other groups were buying uh a portion of a bundle of mortgages with the idea home rates are going to go over and then their investment in that bundle of mortgages which are derived from what the bank actually did uh would then generate additional profit.
• 6:40
  Crystal: Crystal: Okay.
• 6:45
  Crystal: it's not 100%.
• 6:45
  Crystal: Crystal: So these are like healthcare the risk.
• 6:50
  Crystal: Dr. Nagy: So so what would happen is is is because the first layer of of loans to a certain amount of capital and then you would have people who could go get loans to buy bundled amounts of those assets and then you could get people who could go get additional loans to buy an option or to buy or sell those options. So you have like three, four, five, six layers of increasing amounts of debt to buy these collateralized obligations, okay, that are based on a small amount of capital to start with.
• 7:20
  Crystal: huge gigantic amounts of leverage.
• 7:20
  Crystal: Crystal: Okay. What underlying lack of value of the asset that they uh that they were based on. I mean, you saw it in the 1920s when they were allowing the banks to use uh stocks as the uh as the basis for their uh their loan obligations. And then you had the . . .
• 7:35
  Crystal: Crystal: The leverage buying.
• 7:40
  Crystal: used during the um during the last the debt crisis . . . the housing crisis. And so you know they they had um they argued that all of the home loans were insured and therefore um it was safe to trade but there only three companies in the country that were insuring all of the homes in that country which is insane. And so I mean it was it was obviously not going to be able to hold up. And for whatever reason, when we brought that to their attention, cuz we were part of I was on the board of a bank back in 06-07 and uh when we went in front of the FDIC to do our bank training, we sort of brought this up. We said, "Look, you know, what are you guys doing here? The uh the average price of a home in Las Vegas is more than the more than three times what the average person makes." So, and if you guys are going to approve, you know, four more banks here, which is going to put at least $600 million more uh in assets onto the street, they are all going to be bidding on homes that are more in cost than the average person can afford. So, they're all those loans are going to collapse. why would you guys do this? And the the person at the FDIC was, well, we have different data. I was like, come fly back to Las Vegas with me. We'll open up a newspaper and you can look at the prices and look what people are earning.
• 8:36
  Crystal: Crystal: Was it data?
• 8:40
  Crystal: just, you know, didn't want to look, didn't think to look or or that maybe they had some purpose in allowing things to go the way they that's that's not something I had access to for sure.
• 8:50
  Crystal: currently sitting in a government shutdown that is conceivably the end point of this story that we started to tell. So, we had Obamacare that came in a little bit later. I'm sure there's something that happened in the Clinton administration, but this thing has just been patchworked the whole way. Is that essentially what's gone on? Dr. Nagy: Well, yeah. So, so Obamacare um started with the idea that they wanted to uh hold insurance companies accountable. Uh so, when it was going going through the Heritage Foundation, they wanted to take all of these complicated products that the insurance companies were selling and regulate them in a way that uh people could compare apples to apples when they were buying insurance. And they wanted to hold the insurance companies accountable uh for uh failing to provide care. So um there were these ERISA laws that had been created that shield the insurance companies from liability when you buy the uh when you buy your insurance through your employer. So 80% of the people in the country who have health insurance uh that's private get it through their employer. When you buy the health insurance through your employer um the ERISA laws prevent you from suing your insurance company for bad faith. So if you had some terrible disease and they refused to provide you they denied you care um you don't have the ability to sue them directly very very very difficult. Okay. And so piercing those ERISA laws meant that essentially the um insurance companies had very limited liability for inappropriately denying care and even if it let you down.
• 10:06
  Crystal: Crystal: And so go ahead. Yeah. Sorry.
• 10:11
  Crystal: I actually disagree with Crystal because I think a lot of countries actually do have real problems with their healthcare, right? Look at what Great Britain's going through with with NHS now denial cares and all this. But one of the things that always struck me is that the US does differently is tying health insurance to employment, which is something we don't see in other countries. Okay.
• 10:32
  Crystal: Scott: And that of course emerges after World prices because the war's over consumer goods open up, inflation's out of control. So there's effort to control prices. So, you know, the government steps in under the Truman administration, puts limits on wage growth, right? Which of course Nixon tried again in early 70s. Um, but you know, so companies start offering health insurance as a way to attract workers when they can't raise wages and then it becomes sort of normalized. Do you think we ought to decoupled that? I mean, wasn't that part of the goal of Obamacare was to be able to decouple employment from health insurance access?
• 11:08
  Crystal: Dr. Nagy: It it was it was uh uh uh insurance market and where you were buying the insurance directly from the insurance company rather than through your employer and that would have given you a way to evade the ERISA laws and when you obey the ERISA laws suddenly the insurance companies are liable if they deny you care. Um and but you know the insurance companies were awfully clever and they spent an awful lot of money around the time that Obamacare was being put into place and they were able to engineer things such that it ended up um creating a huge transfer of wealth in this country to the insurance industry. to the point that in the 1980s before we had all those changes um health insurance uh health in America cost us 8% of gross domestic product um and today it costs 18% of gross domestic product and we have a far worse outcome and it's because there's too many middlemen standing between the people who need the care and the people provide the care they're all you know have their claws in the system they're trying to pull . . . .
• 11:57
  Crystal: Crystal: Yeah, I see the same money into it and the outcomes are getting worse and worse so you can start to see patterns that anything basically the government gets its hands on tends to go inefficient. You know.
• 12:12
  Crystal: gigantic piles of money and they start to figure out how can I scam it and if there's no direct accountability if the people who are making the decisions can't be fired. Yeah. Well, then they're subject to bribery and manipulation or influence from other mechanisms. That's that's the danger. When Obamacare went through, I was in a place in time and thought where it was highly celebrated and I couldn't see how it could possibly go wrong. Now, I've learned quite a bit more and I know a lot more about what the government can and can't deliver. I'm curious, you being in your field, um, when Obamacare was being passed, could you see it from the get-go that it was going to be a disaster?
• 12:49
  Crystal: Dr. Nagy: Yeah. There was a, there was a really time that kind of outlined the way that it was going to fail.
• 12:52
  Crystal: Crystal: Okay.
• 12:56
  Crystal: to happen is um and the the the thing that they focused on in the article was that um uh up till that point insurance companies if they got a dollar of uh of from the patient or from the person who's buying insurance policy, they would keep 60 cents and spend 40 cents on actual care and the 60 cents were on administrative costs. Mhm. And so the uh they extreme but um in the uh Obamacare they said no you have to spend 80% on actual care and you can only keep 20%. Well so all the insurance companies were up in arms like we're going to lose all our profits and so they were very very angry and so the uh the guy from the Wall Street Journal uh wrote he says well so the insurance companies are just going to vertically integrate. they are gonna buy the uh the um medical clinics and the hospitals and the equipment manufacturers and the pharmaceutical companies and then they will just jack up the prices over there and when they jack the prices up on that then they'll be able say look we spent 80%. But then they'll be able to on the back side take the money back out so it becomes their profit and that's basically what opt-in is is an engine for extracting profits from this the transactions.
• 13:56
  Crystal: Crystal: Yeah.
• 14:02
  Crystal: health at least that's how it seems to be.
• 14:02
  Crystal: Crystal: If you saw it coming . . . here's, here's a hard question to ask. I . . . Do you think the people that passed it, the Obamacare team knew it was going to fail or were they legitimately thinking this might work?
• 14:14
  Crystal: Dr. Nagy: Well, I think there were people over there who thought it might work and they said, "Okay, we're going to pass a flawed version now and then we'll be able to kind of fix it as we go along." But what ended up happening is, you know, as happens when you have the ability for these, you know, very large entities to start to influence government and influence politicians and the decisions that they make. Um the uh they were able to regularly and aggressively and steadily, you know, get more and more and more laws passed in their favor until we are where we where we are now.
• 14:42
  Crystal: Crystal: Yeah.
• 14:47
  Crystal: they have to hold these people accountable is to throw their lives away.
• 14:47
  Crystal: Crystal: Forgot about that.
• 14:50
  Crystal: mean it was it's a terrible I felt so ashamed. That's one of one of the reason I'm running actually. I felt so ashamed that there was this young person who felt like um the only option that was left to hold these people accountable was to go and do that. You know, allegedly this is what he did. And uh um and I felt like he his elders failed him. I was like, I'm his elders. I mean, he's only doing this because his parents didn't get out there and step up and or not parents, you know, people who are senior to him didn't solve the problem. And I was like, am I going to what? Leave this to my kids. That's shameful. Scott: How much do you think this is just an insurance problem? And and this is something we've talked a lot about, you know, the the rural perspective or one of the problems we've seen is actually a decay of infrastructure. So rural communities, we can't get doctors in. One of the things Obamacare seems to have done is by deferring the cost of transportation for insurance companies, right? Instead of getting another doctor or another specialist, say in Elko, the insurance company's like, it's just cheaper for us to make you go to Salt Lake or Reno or something.
• 15:44
  Crystal: Crystal: Yeah, it is. It's so hard for us up north to get decent access to medical treatments or diagnoses. It's either Reno or Salt Lake.
• 15:49
  Crystal: Scott: Or Twin Falls for Elko. And um you know, one of the problems also is that we've also seen this this situation where community-owned hospitals have largely disappeared. They're now owned by insurance companies and you know, they're like, "Well, you know, we'll just fly you out somewhere. It's cheaper than us bringing a doctor in." Dr. Nagy: Well, and and private equity has played a huge role in that, right? So private equity rolls in and then they buy the thing up and then they the reason that they're able to generate the capital to buy it up is because they loaded the entity with debt. And so on the day that the transaction takes place, all the original investors, you know, get paid out of that debt. So their investment is totally covered and now the hospital is left with a huge amount of debt that it can't possibly cover. These guys who sort of engineered the transaction know the hospital will fail. But the incentives in their the structure were enough to make it profitable for them to bury these hospitals. And that's it's not just in in healthcare. This happens. is happen many in many different industries, but it's a it's a very sinister thing that's been going on throughout the country and that's something that needs to be changed and laws need to be passed to prevent that.
• 16:49
  Crystal: Scott: What, what about um from graduate school in particular that keep bringing up is that one of the problems we have with healthcare is that it's a finite resource. So no matter what you do, you have to make decisions and limit access somehow. Um whether that's through, you know, of course, one of the things came up thanks to Sarah Palin in the Obamacare, the death panel idea, or what we see going on in NHS or or simply the fact that, you know, it's it's increasingly impossible unless you're a big Salt Lake hospital to get the state-of-the-art MRIs and CAT scan machines and everything. Do you think that's playing a role as well that we have too big of a demand and too limited of a supply?
• 17:31
  Dr. Nagy: So I think the problem is there's a disconnect between the the price of the good and the quality of the outcome. And the reason there's disconnect is because the purchaser of the good or service is not the recipient of the good or service because the way that insurance works. And that that's the difference between the mutual insurance company model and the publicly traded model that we're in right now. So in the publicly traded model that we have right now, the uh incentives for the CEO of the publicly traded health insurance company are two. The first is that they have to go to every employer in the state and charge the absolute maximum amount of money that they can extract. And then the second is they need to provide as little care as possible. So to the extent that they succeed in both of those goals, they've maximized company profits, shareholder valuation, and their bonuses. But that's ab absolutely not aligned with the interest for the patients.
• 18:11
  Dr. Nagy: Crystal: Yeah.
• 18:15
  Dr. Nagy: 1980s when I had the best healthcare in the world and it cost less than half what it costs today, they were operated by mutual insurance companies and the CEO of a mutual insurance company has to negotiate hard to look people like me and the hospitals but there's no incentive to deny appropriate care because if they deny appropriate care the people who own the company the patients mutual insurance policy holders will fire them. So now the CEO's objective in that uh in that model and incentives are to provide the highest quality care for the lowest possible cost which is exactly aligned with the incentives. So that's why this is a a superior model for the people of the state of Nevada as compared to the publicly trade of insurance. And what will happen if we set these up is that the hundreds of millions of dollars that are being siphoned out of Nevada to go to Wall Street to investors in China, Russia, Saudi Arabia, and the central banks of Europe, that money will instead stay right here in Nevada and recirculate in our own economy. That's a tremendous savings to to our city, our state, our nation.
• 18:59
  Dr. Nagy: Scott: Can I continue this because there's one more there's one more aspect I'm just throwing out playing devil's advocate here . . .
• 19:09
  Dr. Nagy: on earth could you . . . like it would be so amazing if you could if doctors only got paid based on outcomes but there's just no way to measure that, right?
• 19:13
  Dr. Nagy: Dr. Nagy: There is we're getting better the the best version of that is the physician owned ac so so um you have these accountable care organizations and accountable care organizations were designed uh so that primary care doctors would take on some of the risk and uh because they have control over who they send the referrals to and they see the patients afterwards so they know what the outcomes for from all these other prov providers are they um have the ability say you know that guy's not doing good work this guy's doing good work and they will re um reorganize their patients in that fashion and they had a really good one that was operating out of Michigan those guys came down here gave a lecture they were you know Medicare is like these guys are the best in the country at at figuring this out so the accountable care organizations that are operated by physicians have the appropriate incentive structure ones that are operated by insurance companies and hospitals you know you can see how they'd be incentivized to drive to the hospital or to provide no care at all but if when it's the physicians so they would have a management structure in these wherein um when the physician was making a decision decision like, "Oh, I'm going to use, you know, this this piece of instrumentation in the surgery. We're going to give these, you know, medications." The the uh um uh managers at the company would call the primary care doc and say, "Hey, your guy is about to do this, you know, incredibly expensive thing. You better call him and find out what his reason is or tell him if he if there's no good reason, you need to tell him you're not going to refer any more patients in." effective and they have the the greatest risk the greatest cost reduction that people love their business.
• 20:30
  Dr. Nagy: Scott: It's funny . . .
• 20:35
  Dr. Nagy: funny you mentioned primary care doctors because that's where I was going and this sort of fits into this is some people have said one of the problems we have in the in the United States is it's not just the health care system it's also the population that what we do is is because of demands of the population we've created a health crisis management system not a health care system right that people you know and we wait too long to go we wait too long to go to the doctor obesity levels all this all this other stuff that's that's behind the MAHA movement. Do you think that plays a role because what you're talking about, you know, one of the things with the lack of primary doctors, again, going back to rural communities, we don't have doctors that come out and establish practices anymore for whatever reason. Um, and we're not alone in that. I mean, France went through this under Sarkozi's presidency where he tried uh where he tried since the state in France pays for medical training to assign doctors to rural areas that didn't have them and the the medical union fought him and he ended up losing the battle. So you have some place like I think Montpellier down the Mediterranean coast has like one doctor for every seven people and half the doctors are on basically unemployment insurance because they can't get enough patients but they can't redeploy them to sort of interior areas or in the US case rural areas that actually need the healthcare need the primary care. So if there's no primary care your option is go to the emergency room which is an incredible waste of resources or wait until something has to be done because there's no other option and all of a sudden you're you know you're you're not getting ahead of the game. you're just dealing with the consequences of bad choices.
• 21:58
  Dr. Nagy: Dr. Nagy: So . . .
• 22:03
  Dr. Nagy: like I think there's a little bit you're going to missing something just a little bit because we do wait too long to get addressed, but we also have a lot of high levels of chronic illness and that can do a lot of damage before you perceive it. And so, we're dealing with a lot higher levels of that going on, too. And it's more more expensive to fix those things because there's usually so many different modalities and things to try.
• 22:22
  Dr. Nagy: Dr. Nagy: So, there are two things to unpack in the statement you that you made. The first is that um via the amount of time that people wait before they get care. Sometimes that's got to do with just how high prices are, right? I mean, I I know several people who have delayed care because it's going to be too expensive and then when they found out they had something serious, they just said, "I'm not going to get it treated. I'm just going to, you know, let this kill me because I don't want to put this kind of debt on my family." I know at least two people like that, which is that's that's awful when people are making decisions like that, right? that and then uh um so so one is just the incredible expense upfront that's happening and that's because there are these entities that you know have so many layers of administration and all those people are trying to get their closet and take money out of the system. So I think if you remove all of those people at least more of these people will be able to get access to more of the care and the quality of the care will be higher because people have time to spend with them and you'll be able to you know reimburse enough that you can get people out to the rural areas again to because that's what that's the goal right or that would be a reasonable hope to have. I think uh the second issue that comes up with the uh um the way you put it was going back to the model was um you know how do we make people healthier than they are and so how do we start to ask questions about the standards that we have allowed to be put into place and what we have seen unfortunately in this country is the wholesale capture of uh of regulatory bodies by uh industry and so the uh um these gigantic corporations have spent you know two generations three generations on hiring hiring very very expensive and high price and talented lobbyists to gradually chip away year after year a little bit more of getting the laws written in their favor. And so now the laws are written so heavily in favor of these gigantic corporations and against the people who live here and do the work because who's been representing them? Almost nobody, right? Just you know the the and certainly not in an organized fashion, certainly not in a well-funded fashion, right? So it was it was on that basis that we when we saw like you know that this last year when I was in the when I was president of the Board of Medical Examiners we're trying to get some laws passed to improve things and we saw how almost all of the things that we recommended were just you know ignored. Mhm. I started paying attention. Well, how are these laws getting passed? And we said, "Okay, this is how they're getting passed." There are these very well-funded lobbyists from the insurance companies, the hospitals, and the uh hedge funds that practice medicine, the pharmaceutical companies, and they pass law successfully that time and then this last time, and they will next time, and every every year in the future for now, for next generation, and I thought, well, what are we going to do about that? Because, you know, no, the rest of us can't afford to work against them.
• 24:42
  Dr. Nagy: But I I I kind of came to the conclusion uh that there uh there are 150,000 people in Nevada who work in healthcare and that's 5% of our state's population. So if they all have a significant other, that's 10%. If they'll have one friend who cares about healthcare, that's 20%. And if only half people show up to vote in an election cycle, that's 40% of the electorate. 40% of the elector, we can get any elected anything.
• 24:59
  Dr. Nagy: Crystal: Yeah.
• 25:03
  Dr. Nagy: We called ourselves the Scrubs Party scrubs. And uh and so uh and you know, cuz I was vice president of the board, I called the president of the nursing board and the dental board, the optometry board, and the psychology board. There's about a dozen of these things. Yeah. And uh and I was like, are you seeing the same problems? I was like, yeah, we're seeing the same problems. And you're so happy somebody's doing something right. One nurse breaks down crying. She's so excited. Somebody's fine. There's a lot of despair, right? It's it's, you know, there's a lot of uh a lot of people who I explain it to lay people. It's like you're standing at the edge of a swimming pool and you see somebody drowning in front of you and you really want help, right? That's natural human instinct. You know how to help them. So, in this case, what you do is you put your hand out to drag them out. But when you put your hand out, the insurance company, the hospital, grabs you by the wrist jar behind your back. And I just stand there and watch them drown and die. And you know, you do that every day, five days, weeks, and you know, week after week, month after month, it breaks people. People are really in despair in medicine because they know what to do. and they are actively being prevented from doing it by hospital. But one of the hospitals over here, best ICU doc at the hospital was um highest survival rates, but highest survival rates also meant your patients were staying in the hospital the longest. So, you know, you fought hard for the first couple patients, first 10, first 20. But after that, the hospital's like, "You're costing us money. If you continue this, we're going to throw you off staff." And if you're a doctor and you get thrown off staff, it affects your ability to practice anywhere else. You can th get thrown off all the insurance panels and you won't be able to practice anymore. So, so he said, "I give up. I will no longer be an ICU specialist. I'll go back to being an anesthesiologist." Which is what he did. He's a very good anesthesiologist. But the point is is that you had the best, you know, the the most successful doctor in that field chased out of the system because of the financial incentives that exist. And that shouldn't be the case.
• 26:28
  Dr. Nagy: bring up the thing about the that the lobbyists have figured out it's regulatory agencies. That's sort of the key because this has been one of the discussions we've had, that at least my belief is one of the things we've seen over the last 40 or 50 years is Congress stepping back and into the lacuna that Congress should be occupying making laws. We've seen extension of the judiciary, extension of the executive, and extension of the regulatory agencies who seem to . . .
• 26:55
  Dr. Nagy: Dr. Nagyto fill that void that Congress has left. Right. And um you know, one of the things you have is you have a lot of these regulatory agencies that are de facto lawmakers now.
• 27:05
  Dr. Nagy: so what happens and so I've seen this a couple times here in Nevada. I I got to serve on the governor's workforce board here for a while on the healthcare sector and uh the uh the person who ran that for the period of time I was there just refused refused to show us the the budget and I was like well we're signing off on the budget it's your job to show this to us and he was like well try and get me fired that's terrible right and and he just refused and I was it was stunned when I was on the Board of Medical Examiners you know at at some level there becomes a war between the u the executive team, the bureaucrats who were there and the people who are supposed to regulate them because in their point of you the people who have been elected or appointed to oversee them are temporary and these people are there for the long term. So if they feed you partial information or stall everything whenever you make a request they can outlast your it's very hard to get all the information you need to to regulate them and then to know how to fight the fights that you need to what what tools you have to kind of you know break their will or break their uh um their ability to stop you. This is what Donald Trump went through in his first administration when the bureaucrats won, right? I mean in many things he did he did some absolutely amazing things for this country in his first term but but the uh the bureaucrats were extraordinarily entrenched and it was it was kind of a blessing honestly they had the next four years for the guys who were at the Heritage Foundation to develop a plan when he rolls in this is what we're going to do to neutralize all of those people and and they've been able to execute on that it's been fantastic for this country.
• 28:22
  Dr. Nagy: Scott: What about the argument that one of the, one of the ways to solve this and and this isn't a jab at you necessarily, but one of the ways to solve this is to see more medical professionals entering into politics and and into legislative bodies because we've got what two two doctors now in Congress or there's a little bit more.
• 28:37
  Dr. Nagy: Dr. Nagy: I think name I know Rand Paul and Bill Frist, but I think there's two others.
• 28:46
  Dr. Nagy: you know even if it's 10 out of 535, they they're under-represented based on their proportion the healthcare industry plays in the United States. Dr. Nagy: It's it's an extraordinarily complex uh uh set set of issues that uh are at play and the uh um the insurance industry intentionally lobbies to try to make it more complicated because you know so so that's the that's the uh place in which people are able to generate profits is when people don't know what goes into the system and if they can't you know clearly see what it is if there's um obuscation of information then uh uh they're able to arbitrage at higher prices and that's so so the the um accountants do the same thing right so they they try to make accounting roles more and more complicated. So you have to hire someone to just sift through it.
• 29:28
  Dr. Nagy: Crystal: Yeah.
• 29:33
  Dr. Nagy: how AI is going to play a role in the medical field. I was thinking they could clear up quite a bit of expenses.
• 29:37
  Dr. Nagy: Dr. Nagy: You mentioned the um NHS, right? I think it was, to run the, um, to, uh, what the plan that I saw put forward is they want to create an AI that everyone who wants to utilize the, um, National Health Services in England has to, uh, address like a Palm Pilot or a handheld AI. It's called My Companion. And so, you ask that first, you know, what's wrong and what you need done and it will, you know, give you some baseline medical answer. Yeah. And then based on that, you'll proceed into the system further or not. Mhm. So, um you can imagine how that's going to play out. And I had this discussion uh at the Federation of State Medical um Federation of State Medical Boards, um uh meeting in and it wasn't in Washington, but it was the national meeting. I think it was held at South Carolina. And the uh there was a fellow who came down from DC and another fellow from Harvard and uh they spent about 45 minutes telling us how smart they were and how they were going to, you know, revolutionize healthcare and create all these AI protocols for everything. And uh when they were uh you know done complimenting themselves for 45 minutes I I I raised my hand and I was like listen so you know I know you guys are very proud of the work that you've done but the things that you're doing are going to destroy healthcare in this country because what's what's happening is there is a war going on in this country right now to decide who should stand at the center of deciding what good healthcare is. And the insurance companies want to stand there at that center and if they win then nobody will get any care and they'll keep all the money. the hospitals want to stand in the middle of that because if they get to stand there then they'll have even fewer nurses and they'll replace all the doctors with PAs and that's just what you get when you go. If the pharmaceutical companies win well then they're going to raise prices on all the newest drugs and prevent you from using any drugs and might save your life like we saw happen during co actually right and they prevented people from using life-saving drugs when uh if the uh um if the uh hedge funds that practice medicine uh went then you'll see even more rural hospitals and larger urban hospitals go out of business because they find ways to exploit the system. So, so and the one person they're not listening to, right, is are are that group of people who who are, you know, carefully selected for integrity and competence and, you know, have a personal stake in seeing patients get better and, you know, like pride if nothing else if uh and so those are the people who all these other institutions want to denigrate because they say those guys don't know what they're doing, trust us instead. So, that's a war going on in this country. And when uh so what I was telling these guys from DC and Harvard, I said when you guys create your system about 30 minutes after you've written your last line of code, the pharmaceutical industry or the hedge funds are going to come in and capture the regulatory body that's running your entity and rewrite all of your rules so that their version of healthcare insurance companies no one will get any care and they will destroy. And when you make their when you make this universal system all across America, what will happen is uh um is you are going to destroy the 50 different laboratories we have that are creating healthare systems that uniquely address the people in their states and that are engines of innovation in our country because every once in a while somebody comes up with something that seems to work better for everybody else and this and they will crush all of that by creating this one unitized cookie cutter system for everybody. And I I I swear both of those guys when I was done talking just sat there with their mouths hanging open. Yeah. I think nobody had ever bothered to criticize them or to like make these things. I must have had a dozen people come up to me, people from all over the country, attorneys and doctors like, "Hey, thank you so much for saying what you said, Dr. N." Because that is exactly what I just didn't have the words to articulate it. Crystal: Well, and that's like the general problem, too, is you'll always have a rich, powerful, very smart, tactile group of people that will figure out the loopholes. They'll figure out how to gain the system no matter what. And it really does come down to having an educated dedicated citizen citizenship. Yeah. That can can keep these people in line because they're they're so clever. I watch it in every single industry.
• 33:11
  Dr. Nagy: one of the things that that's terrible is um when you have these institutions that get developed in to provide that sort of regulatory oversight. So you have like the AMA or different organizations in different fields that are like that. Um you will see them get captured by government, not by government but by very large institutions. They will just find all the people who are there and offer them very, you know, lucrative contracts and one by one they will find a way to either influence the people who are in leadership or find a way to replace them with people who are more easy to influence.
• 33:38
  Dr. Nagy: Crystal: Yeah.
• 33:42
  Dr. Nagy: that entity and all its policies and it's uh it's it's upsetting because these are the entities that you want to see protecting surviving. But this is the reason that so much has happened that that the um standards that are in place now that the MAHA movement is trying to undo. This is how they got there in the first place that these giant companies acting in their own best interest. As you know, you can't can you fault them for acting in their own best interest? Maybe not. But um but the end result of that is that the people who are supposed to be holding them accountable have no longer been able to maintain that ability to hold them accountable. So what has to happen is there has to be sort of a continuous and we have to you know commit as a society to understanding there has to be a continuous upheaval in the um uh oversight of these organizations. The organizations are providing oversight need to sunset and new leadership needs to come in and this is how we keep things honest.
• 34:27
  Dr. Nagy: Crystal: Yeah.
• 34:32
  Dr. Nagy: touched briefly on COVID but this is also an interesting question because I think one of the things that's allowing you know pharmaceutical companies and insurance companies and in some medical profession is this veil that they put over the knowledge, right? That that you know we we know what's going on and you people who claim that Ivermect . . . I never can't pronounce it.
• 34:49
  Dr. Nagy: Crystal: Ivermectin.
• 34:57
  Dr. Nagy: over that was like Well, you know, you're not a medical professional, so you have you have no say in this. And turned out they were actually right. Yeah. I mean, how do we solve that issue?
• 35:06
  Dr. Nagy: so they they were very effective in silencing the medical professionals. So, I mean, I think it it was at Parkland in Dallas. They had 400 physicians who signed a paper and ivermectin 5 mil or hydroxychloricquin were effective and should be able to be utilized. The person who like sponsored it was a Harvard trained rheumatologist as I recall and um they were able to be demonized by a tactic wherein the um somebody else sort of joined their movement and somehow when the cameras showed up she was the person who was in front of the cameras and the day after she was in front of the cameras the uh um turned out she was like a satanist and believed in aliens all and they were able to discredit the entirety of the movement. Now maybe that was all randomly happened by accident or maybe it was a planned sabotage of the movement intended to discredit them. I we had a we found a generic drug that was curing patients with COVID, so not ivermectin or hydroxychloriquine it's called Drabolal was saving lives here. We had a 68% reduction in mortality, a 37% reduction in length of hospital stay and patients who are on oxygen fighting for the lives against co and uh um and uh you know we had countless people attacking us and when we sort of brought this out into the we kind of put the paper together presented over at the Clark County Medical Society we were attacked you know just kind of like you know this is unethical to us how's it unethical to try to say they they said it's they were wrong 100% wrong in the in the attack they They said, "Oh, it's not statistically significant." Well, they used the wrong tool. So, so I I took it this as an intentional attack. And then the guy who was the dean of medical school at the time, you know, was was, you know, going around the state telling people, "I'm at war with Dr. N." I never met this guy. I never heard this guy before. Never talk to him. He's at war with me apparently because what? Because we found a generic drug that's saving people's lives in the hospitals." And so about two months later, they pulled the drug. The hospitals wouldn't let us uh provide it anymore. And so, and so the doctors who were getting it like, you know, these patients right now are going to die if you take them off this drug. And they took them off the drug anyway. And they banned its use. I can't, you know, for the longest time they they gave us no explanation. I couldn't figure out why. And within this last year, I started to understand just how much money the hospitals were making on uh on on utilizing remdesivir and on really letting these people die. The worst offender in my opinion was over at UMC. UMC here in Southern Nevada has been running in the red for, you know, a generation or two, right? They during Obamacare, they were in the black for a little while. But the uh um I went over there and took this the data that we had. I said, "Look, you know, would you try this on these patients here at this at the county hospital? try it on a couple drug start to save lives and then we'll you know be able to you know save more and they were in the space of 45 minutes they managed to ask me nine times but who's going to pay for the study like what are you talking about pay for this study it's a generic drug you use this drug it's going to save lives this is what you do this is what your purpose is why everybody pays you taxes save the lives of the people who live here but they were more concerned with how much money they were going to make and how much and I I didn't know until this year that the CEO's bonuses were dependent on the fiscal performance of the hospital. So apparently it appears based on that information that he was willing to let people die to make sure you got a profit. And that if that's true, that uh you know fills me with a kind of rage that I find hard to articulate.
• 37:52
  Dr. Nagy: just got we had another big controversy you guys did down here in Vegas. The city council giving him. Weren't they the ones that got the bonus? Dr. Nagy: Yeah, they fired a bunch of nurses and then gave them a huge bonus. And you're just kind of like, what are you doing? We already have, you know, a nursing they say nursing shortage over here, but it's a this is another interesting thing, right? So they say, oh, we have a nursing shortage. revenue. They have a shortage of nurses willing to work at this dollar amount. During the pandemic, they were, you know, they just about doubled it, right? And they had they had plenty of nurses during that period of time because they had when they were willing to pay a competitive wage to compete with the rest of the country and the salaries nurses are making across the country, they were able to attract nurses. So, they have a shortage for the price they're willing to pay, right? And that's uh you know that that's allow so they are therefore allowed to put their profits ahead of lives of your children, your family members, your love, your friends.
• 38:33
  Dr. Nagy: Crystal: I mean, like I said, I'm very upset about the COVID response, but it feels like to me everyone's forgotten about it and it's in the rearview mirror. So, to me, the whole thing could happen again. Dr. Nagy: Yeah.
• 38:49
  Dr. Nagy: um two people now tell me that very clearly they believe that there is another pandemic coming in uh of the type more like, you know, Ebola or MRSA or something like that. And that's that's yeah, it was it was quite shocking to hear that they they sort of asserted that with such confidence. And you know there are people who sort of you know out of Washington and so that was a little disturbing.
• 39:05
  Dr. Nagy: Crystal: More alluding to like COVID the test run. I I do know that uh you know the US government spent money on creating a biological weapon and the biological weapon was unfortunately used on the people of the United, was apparently uh yeah uh the people of the United States of America unfortunately suffered at the hands of that biological weapon and then they were prevented from uh um utilizing drugs that were uh uh effective against treating it and then so that's you know denial of life and then they were forced to get vaccines and forced to get uh mask up if they wanted to keep their jobs or wanted to participate in the economy. So that was at loss of liberty. And then uh um they were prevented from you know engaging in gatherings with their friends and family or places of worship. So denied the pursuit of happiness. And you know Declaration of Independence takes some time to define what a tyranny is.
• 39:55
  Dr. Nagy: Crystal: Yeah.
• 39:58
  Dr. Nagy: tyranny and it's appropriate for people to rise up against a government that side. So it's it's terrible that people were able to take control of the levels of our government and use our government against us.
• 40:06
  Dr. Nagy: Crystal: And so many people died Yeah.
• 40:09
  Dr. Nagy: Crystal: Which is I think most of our biggest fears and it's just you know like can't can't go that happen there that I'm like oh are we going to have any checks in the future if this is there anything that can be done once you get into the House of Representatives.
• 40:27
  Dr. Nagy: is is I I believe there were a set of arguments being put forward that it was anti-American to uh to put forward a treatment for goal and uh and the rationale on that goes as follows Um, so if you're the president of the United States, uh, there are times when you will be asked, uh, you know, do we need to go to war? And when you make the decision that, uh, we need to go to war, you have made the decision that there are a certain number of Americans who are going to die, uh, in pursuit of the national interest. And that's, you know, an incredibly tough decision and, you have to have a lot of respect for people who make it, but they have made this decision in the past that sometimes then the national interest is worth that. What is the national interest, though? I always ask myself, what does this mean this term national interest? So, so I think that it has it has two two parts. Uh the first uh uh part to the definition of national interest is protection of uh American life and property. So when there's, you know, American lives at stake, we'll go send troops out there, go defend them, rescue them. When they're, you know, giant corporation, giant corporate interest, we'll go out there and we'll defend the the land or corporate property and protect them. But um . . .
• 41:27
  Dr. Nagy: Crystal: The economy.
• 41:33
  Dr. Nagy: the transfer of assets under foreign control into American control. And so that's you know things we do for oil or further natural resources or for other so so there's a question then uh if there was this uh disease and the only way for people to live was to um pay for uh for for every man, woman and child on the planet who wanted to survive the means to pay uh to uh purchase this vaccine and that was going to be a transfer of a tremendous amount of wealth into the American economy and that anybody who was standing in the way of that was in some way uh doing something against the national interest. And I think there were a set of people who who believed this to be true. Yeah. Um and uh so you know when engaging with those people you had to be very careful to structure any argument that you put forward in terms of a treatment or therapy that it was also in the national interest and that it would be something that would work alongside the uh this other vaccine and not not in opposition to it. And uh um and so to the extent that there are people who think that you know trading hundreds of thousands of American lives was worth that kind of thing if such people existed I think that that's incredible evil. Um and I think the intent to suppress uh the ability to treat American lives to threaten you know I talked to professors at institutions one of the uh people was uh the former chairman of one of the most prestigious uh uh endology programs in the country. He was afraid to uh to on record say anything against Anthony Fauci because Anthony Fauci was director of the NIH and the NIDA and could therefore threaten the funding for all of their future project basically eliminating everyone's career. And so the entirety of academia who wanted to protect their careers or who thought that their career was worth more than the small chance their voice might have to derail this recession uh were you know coerced into silence. And those people who spoke up didn't have their career drowned and destroyed. I mean, you know, hats off to people who have that kind of courage. Yeah. I I was here I got to protect a lot of people because I was on the Board of Medical Examiners. So, you know, doctors here who were like afraid that if they prescribed that hydroxychloroquine when they were told that people were going to take their license away, you know, not as long as I'm on the board and so and that, you know, I was able to hold good on that. We didn't go after anybody for that as long as they had rationale what they were doing.
• 43:40
  Dr. Nagy: Crystal: Was that under Sisolak?
• 43:46
  Dr. Nagy: under . . . Yeah, I guess it was all the COVID was pretty much wound down by the time Lombardo came on board. But when Lombardo was on board, you know, we had the issue with the vaccines. So by then I had started to receive um a lot of reports. Oh, my so and so, you know, died or got sick or or had a terrible response to this vaccine. I think vaccines take and you know, a lot of it I kind of just had to take with a grain of salt because I didn't have anything hard. was proving that there was some problem until somebody sent me a um the video created by a guy named Philip Buckholtz who was a biochemist from uh South Carolina and he had the good sense to present his data to the um state legislature and therefore it becomes part of the state record and it's for people to delete that and take it off the internet and so he said look I got some of this some of the vaccine uh samples from uh Moderna and from Pfizer and we um ran a PCR expansion which just kind of my job it's what I do every day for different things so I did it for this and it turns out In addition to the mRNA, inside the lipid nanobesicles, there's also DNA. And um if the lipid nanobesicles fuse with your cells, they will push that DNA into your cells along with the mRNA. And there's some chance that that DNA jumps into your own genome. And uh if it jumps into your own genome, then it can cause either proteins to misfold or it can cause them to malfunction. And if they misfold, that can cause autoimmune reactions potentially. And if they fail to function properly, say it's a tumor suppressor gene and that one fails to function properly. now you're at risk for um cancers. And so um I took about two months to sort of study this and find some flaw with it and I couldn't find a flaw with his reasoning. So I uh I wrote to the FDA, you know, the president of the board of medical examiners and this is you know the questions that people are putting to me and can you please provide me evidence that will allow me to allay the fears of the people in the state. I'm very respectful and they sent me back a response is oh well you know we're sure you've already read what we sent to Joe Lapado. Um but and I had to look up who Joe was. He's a surgeon general for Florida. Who's been a very, you know, vocal critic of the vaccine. And uh they said, "We're sure you're aware of this, but here's why what you said is preposterous." And they sent me their reasons. And so I went through their reasons, and they were all terrible reasons. Yeah. The first one was uh was that this can't possibly happen, and here's a paper to prove it. And the paper they sent was, you know, from 2004. I said, "Well, here are four papers from the last three years that say the opposite of that. Are these relevant at all?" And then they said, "Well, we, you know, did everything in accordance with vaccine manufacturing standards." I said, "Okay, well vaccine manufacturing standards were 2010. MRA vaccines were invented in the year 2014 and they work by such different, you know, different mechanisms of action. How can you propose that those are valid in any way? And and then I then they said, well, here's the list of um of 30 PhDs who signed off on the uh on the inspection of the um the site where they're doing the manufacturing and they said, you know, it's fine, but we had just gone through the process of submitting a um an approval for a drug product to the FDA. And so I knew all those steps. So I just went through I was like, okay. And so I said, "But they didn't do this here and how come about this and what about I can share that with you if you want the the response I sent to the FDA and uh and I was like so and when it got down to the vaccine adverse report." So they skipped a lot of steps they should have and it's not clear why they were allowed to do so. And they got down to the vaccine adverse reporting schedule and it was like well you guys have here that one in 7,000 people who gets vaccine has a myocardial event and the rate of you know dying from co even if you you know even if you're caught it is less than that. So, how are you how are you arguing that people should be taking this vaccine if the risk of harm from the vaccine is greater than the risk of harm from the disease? And they just didn't respond to me. So, I waited. I wouldn't either. So, I waited two months. There was no response. So then I sort of you know wrote to the Clark County Medical Society again and to the governor's office like look we need to you know hold the use of the vaccine in our state until we can duplicate the study done by Philip Buckholtz and we'll have UNR and UNLV and Tuoro and Roseman uh and TRRI I think it was um collaborate to build a protocol that we'll use to you know test this and and then we'll have you know two of them run the protocol three of them judge and uh and if they believe that it was run correctly then we'll know for sure and then we can say look this is not safer to say you know do something rational and you know I can get a response back. No time to do a proper trial that's for sure. Well, there was time. It's a simple thing to do is well to do that study it would take three weeks.
• 47:36
  Dr. Nagy: that if I understand it correctly it carries a chunk of a genetic code and it replaces or how does that work exactly?
• 47:43
  Dr. Nagy: Dr. Nagy: So in your in the nucleus body from that DNA creates uh messenger RNA that leaves the nucleus and goes into the cytoplasm. And from the uh the mRNA, it prints off a list of amino acids into a protein. And those proteins fold up into all the things proteins do. So this mRNA is the messenger as like an intermediary. And so they were the plan was to push mRNA into your cells and that M mRNA would just you know kind of um it would get printed and it would sort of get dissolved the way that mRNA tends to get dissolved. And they did they did some special things to the mRNA to make it last longer. Um they didn't think it was going to last six months or or which is what they were finding and uh they didn't uh have a good analysis done on how long these nanobesicles will stay within the circulatory system or how they're going to be disposed of. Crystal: Was it genetic code from the virus so that the immune system could . . .
• 48:34
  Dr. Nagy: Dr. Nagy: Yeah. Yeah. So, so the the that were printed from the uh from the virus the spike protein.
• 48:39
  Dr. Nagy: Crystal: Okay.
• 48:42
  Dr. Nagy: And the spike protein itself unfortunately has a lot of negative things that it does to your immune system. It looks like and that was a problem.
• 48:48
  Dr. Nagy: Crystal: Was engineered that way.
• 48:54
  Dr. Nagy: um yeah, there there are a lot of really horrible things about this the whole system. Crystal: Yeah, I called it a Frankenstein virus just because of the way the symptoms presented. I was like, this is chopped up pieces of different viruses. There's no one virus that naturally works like this.
• 49:07
  Dr. Nagy: Dr, Nagy: And that's and that there out of Oxford it's, you know, like a one in million or one in 10 million chance that this could have happened by, you know, happen stance. And that's, you know, that was quite concerning.
• 49:19
  Dr. Nagy: and this is this is sort of aligning information. Here you are running for Congress. What's some of your solutions to solve some of this stuff? Dr. Nagy: Well, right now I'm uh extraordinarily happy that Donald Trump has picked RFK to sit on top of these things. I think he's asking reasonable questions. He's just saying, "Let's look and with the vaccines like let's find out what's safe and what's not. If they're not safe, then let's make a change. If there are other countries that have vaccine schedules that are safer or, you know, then let's adopt those." And so, we're going to do those studies and we're going to get to the bottom of things. We're going to find out. He's willing to look at the things approved by the FDA in terms of the um what we think is good nutrition for our country. And if we're going to make our country healthier, maybe it starts with putting healthier food in. You know, we're working on that here in Las Vegas last two years. It's Nevada Nutrition Coalition, right? We kind of thought here in Las Vegas, we have the best chefs in the world. We have the freshest food shipped in every morning. We have some of the best nutritionists at the UFC and the NFL and the NHL and the WNBA. We have all the tools we need to make the most nutritious, delicious foods for our kids in our schools. And if in two years we can prove that that reduced obesity and reduced diabetes and reduced long-term health problems and uh improved athletic performance and academic performance and reduced mood disorders suicides and school violence and school shootings and teacher assaults. If we can prove that then 49 other states in the country want be what they did. So all the people providing those food products and the consulting board and these kind of things will have a market that'll bring a lot of money to Nevada hopefully.
• 50:36
  Crystal: Yeah.
• 50:36
  Crystal: Dr. Nagy: So and that's all without raising a dime in because it self funds through the way . . .
• 50:40
  Crystal: Crystal: A very democratic
• 50:46
  any final words for our audience or . . Dr. Nagy: Yeah, vote for me. Help me help me raise funds for for running a campaign against Susie Lee at 6 million. So, it's going to take a minute to meet her. Well, that's a big more chest. Yeah.
• 50:56
  any final words for our audience or . . Dr. Nagy: Scott: Yeah. So, yeah, campaigns want to go ahead and uh get a hold of Dr. Nagy we'll put his uh campaign stuff up on uh up on our website and through our social media. If you have questions for us or comments on this discussion, go ahead and reach out to info at 775alive.com.