Mr Bearded Truth – 3 – Healthcare, what we all need.

DISCLOSURE

FULL TRANSCRIPT TEXT

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yes
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guys
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is
hello everyone joseph adams welcome in
i see liberty welcome back from facebook
jail
uh i am so excited to be here with you
guys
so excited uh tonight i i hope
i have a show worthy of your guys’s um
attention and uh boy
am i ready to discuss this all
with you talking about healthcare
tonight it’s an important
topic because so many of us have
especially
surrounding covet and everything else
going on um
there is much to do
with this topic uh everyone has their
opinions and so i wanted to take a
little bit of time tonight
in order to break some of these down and
and have a good robust conversation
around it
um in the past we’ve been trying to keep
these conversations a little bit shorter
and tonight i gotta
i gotta say actually i could probably
take these off can i
um i gotta say that tonight we’re gonna
be changing it up a little bit and we’re
gonna actually extend it out so we’re
probably gonna be sitting
we’re trying to keep this within an hour
um but we all know
we all know how libertarians go
yeah you missed the intro uh the song
was actually was called
uh tyranny oh i already closed out the
tab so i don’t have it anymore but the
song was called tyranny it’s a new medal
royalty-free music um but
the heat from those peppers burned off
the side of his head
yes yes it did those were hot and spicy
um but i wanna thank you guys all for
being here
and as i said we’re gonna be getting
into the incredibly important topic of
healthcare tonight
and so we’re gonna we’re gonna hit um a
lot of different topics and
and just for the sake of transparency
because i want to take deep dives into
things
what we’re going to start off with is
we’re going to hit a lot of different
topics tonight and then over time we’ll
come back and we’ll dive deep
into these different specifics in order
to give you guys
the as many talking points and as many
points
to to do your own research on and to be
able to use
um when you’re in interacting in your
day-to-day conversations with people who
you may disagree with um but first
before we get into that we do have a
little bit of housekeeping to do
so of course if this is your first time
here welcome in my name is
jason lyon i am mr murica the bearded
truth
um here on the muddy waters media
platform and i’m
so incredibly excited to be here and so
thankful to matt and
matt and spike for giving me the
opportunity to come out here and talk to
you guys
as your neighborhood friendly
libertarian of course want to give a big
shout out to eskimo libertarian who is
in the chat right now
and of course cajun libertarian as well
as they are the newcomers
to the muddy water muddy waters media
team
and uh what a fantastic um
duo they are on and if you guys have
been missing those shows you guys got to
tune in
friday nights uh with them lily says
your haircuts look good thank you thank
you so much lily
and um but yeah so so
i’m so excited to be here on muddy
waters media talking about these things
as we continue on with the segments of
taking a deeper dive into topics
talking about it from the republican
point of view talking about it from the
democratic point of view
and and and pushing forward to find out
what is the solution
instead of what is a band-aid that we
can apply
and so we’re going to dive into that in
a um
spatter make i think it’d be spat
i gotta put spike first i’m just kidding
i’m just kidding matt don’t don’t hate
me
but um but i do
um i do want to bring up something that
was referenced by eskimo libertarian
the the peppers um if you guys missed
last tuesday show
i would i was so honored um i was
speechless
because of the peppers but i was
speechless because i i had the honor of
going on
for muddy waters media with both um matt
and spike and this was actually i
believe it was the first time the all
three of us have been on one platform
together we’ve had attempts before in
the past and that was referenced there
that night but
um this was the first time that we
actually came together and
and in order for people to see me in
pain and suffering
and to donate to a fantastic cause
and um if you guys are interested in
what that cause is i just popped it into
the chat there
um this is the gofundme to help a family
as they continue to battle for for uh
custody of their daughter and
with the most well-being um of
her in mind and so
at this time we’re not able to talk
about any of the specificities of it or
any of the
any of the um specifics of it but
in time this family is looking forward
to coming out and and
sharing their details and give thanks
and everything else so if you guys have
not been able to donate or if you guys
have
managed to find a couple coins in your
in your couch and you guys want to help
out that family the gofundme is still up
and they were
they would be incredibly appreciated
this is a family that
has been endorsed by spike cohen himself
by matt wright himself and of course by
me as well
as we continue to work towards helping
them out
um so we’ve all been able to know a
little bit more about this story in
order to ensure the
the the validity of it and and to verify
that it is a an absolutely important
cause
and and so i’m incredibly blessed to be
able to help them out any way that i can
so if you guys
do have an opportunity to help them out
it would be
much appreciated and um as we do push
forward
um from the tuesday night show as more
donations came in i
ate hotter and hotter peppers and i
turned redder and redder
um enough to wear yes the hair
just magically fell out thankfully
it fell out in a very um i would say
in a very trendy way if you will so i’m
grateful for that
but the push still goes on for this
family as they are continuing to be in
pain
we did get to the first big milestone
there and we got to 2 500 that night
um donated so it was amazing to see the
muddy waters crew come together
um i can put up
my own personal gofundme and i will i am
basically saving up
those paypal or i’m saving up that money
um and to make it i gotta look it up
um and i will make a bigger donation
towards the end of this with everybody
who has made a personal
um made personal
donations
give me one moment please
all right i have it i can type it into
now so if you guys are having difficulty
with the um
with donating through gofundme feel free
to use
paypal.me bearded truth
should have been really easy for me to
figure out but it wasn’t
um
the legendary beard of liberty has
arrived i’ve been here cajun i
appreciate you coming in though man
welcome in
so it’s um so there we have it the links
for both the gofundme as well as for my
personal paypal i promise you guys i am
keeping track of it i actually cleared
it out before
that stream and so everything that’s in
that account everything that comes into
paypal will be going to this
so even if you guys are like hey jason
just did some great services and i want
to donate to him
um if you guys want to donate to me
during this stream or
any time in the future guess what it’s
going to this family
so um so it’s all it’s all good and i
appreciate that no don’t worry about
that eskimo
um i appreciate that that looking out uh
teaks welcoming from twitch
so fantastic stuff on the horizon there
as we continue to show our volunteers
roots and and help out families that are
in need without the necessity of using
government forces in order to
ensure that protection so
we have a topic to get into and i am so
incredibly excited for it
um healthcare i want to start off with
a disclaimer that um that i feel like a
lot of people don’t really hit
that don’t really talk about and that is
that all of us every single one of us
whether we are libertarian we are
republican we are
democratic or even outside of the
parties i believe that we all have the
the same desire and that is for a health
care system
to provide the service of health care to
as many people as possible
to not cause harm to them i.e
either through malpractice or
damages to their pocketbooks and that we
want to see as many people
flourish and to be protected and to be
cured and to be
just all the different services that are
provided through healthcare
we want to see this happen in great
abundance
and so we all have the same desires of
the outcome
it’s just a matter of the way that we
get there is often
the thing that trips us up the most and
so i of course want to start off this
discussion with saying you know i agree
with everybody
on on the desires and and so tonight is
going to be a little bit of a
dive into some of those points and to
see is this truly going to be working
out in
in the favor of of of our society
um and we already have some comments
coming in about
what some of the opinions and there are
in in
let’s not let’s not um let’s not be
afraid to say it there are
lit virtually millions of different
opinions on how to fix the healthcare
system so i’m going to talk about
some of the ones that i i i personally
hold
um as well as highlights some of the the
issues i see with a lot of
the systems that are already in place
that people are advocating that we fall
into
because as we look through the media as
we look through
um through our social media pages
whether it’s on facebook whether we’re
looking at
seeing what people are talking about on
youtube on tick tock
on on twitch on twitter
there’s a lot of teas but um
what other tea ones do we have on social
media but as we look
out there um people have always got
those little gotchas
as to why like this other system doesn’t
work and i agree for the most part a lot
of systems aren’t going to work
um as i’ve discussed in the past
maybe not on on any of these shows but
oftentimes your criticisms of another of
another system
usually holds some merit sometimes it
doesn’t
so we have to we have to actually take a
dive into those to understand them
as much as possible i appreciate it
appreciate that eskimo i’ve got i think
i’ve got some like
nervous hiccups going on now this is
this is always fun
um as you guys can tell i am still
i’m still nervous to be in front of you
guys because i i love you guys and i
respect you guys and i don’t want to
steer you guys wrong
and i know that there’s an opportunity
there
oh cassie brings up a heartfelt point
the price itself is ridiculous an er
visit to the hospital for four hours was
billed to the insurance for
eleven thousand dollars and we will talk
a little bit about
health uh coverage or like health care
itself and how it translates to health
insurance
um
the libertarian view uh from wade crum
the libertarian view i would guess would
be self-responsibility and this can be
superimposed onto healthcare
well it would be in one essence of it
but at the same time
when you have a system that is so
manipulated and we’ll get into this of
course
when the system is so manipulated
controlled and guided
um it’s no longer just about you trying
to navigate those waters when
when there’s so many barriers in the way
of better health care
so we will get into this all and i am so
excited for it
so i first want to start off with
talking about of course one of the
most predominant arguments that we see
universal healthcare universal
healthcare
is one of those systems in which
everybody who uses universal healthcare
has a different
factor that they’re focused on hyper
focused on even if you will
um and so when we look at at
these universal systems are they looking
to make sure that it’s 100
universal and cost effective
to where they’re they’re they’re
suppressing the cost
as much as possible to ensure that
people um that taxes aren’t being raised
as much that people aren’t having to pay
out of pocket when they go in
um or are they looking to make it
universal and trying to figure out a way
to push
for absolute speedy um
speedy appointments and coverage and
care
and seeing specialists and seeing
surgeons
there there are very few examples of
this but um
but there are attempts at this now of
course
if if you if you recognize there’s three
things three criterias i
spoke about there’s universality right
the idea that
everybody is is incorporated into the
system and i think that that’s a
a very noble cause um there is the the
the desire for as much quality as
possible right
you just want to be able to get seen and
get taken care of and you want to know
that when you go home at the end of the
day you got the best physician
um they diagnosed you properly they gave
you the right medication
and you are well on your way to becoming
better
fantastic aspect to be looking at
um and then of course the cost right you
want to drive those costs down because
you don’t want to hurt people you don’t
want to make it a barrier for people to
be
seen you want to make sure that people
are able to be seen regardless of what
walk of life
or where at in the walk of life that
they are right
you want to be able to see somebody who
may have been down on their luck
and and is now homeless be able to go in
and get seen in a physician
you don’t want to have barriers in the
way of them and that is a fantastic
aspect to be concerned with so we have
three very important aspects that i
agree are incredibly
important they have to be one of the
most
important things that we look at because
there are the three things that make up
any kind of a service or good right
so we want to have the highest level of
degree of success in all three of those
you want to have as many people getting
seen
with the highest rate of success and
with the minimum
amount of damages done to them and to
the market
now how do we get to that
so when you have universal health care
right you can never
actually legislate to have all three of
these things
and and i’ll explain why and um and i i
think i want to start off with puerto
rico first we’re going to talk about
some specific examples
puerto rico has a federal cap that was
enacted by the
the u.s government
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and in the way that this worked
was that they they capped out how much
money was going to be allowed to be
spent on
administrators allowed to be spent
towards
doctors allowed to be spent towards
nurses towards the staff that clean the
buildings towards the buildings
themselves
there’s a cap overlaying everything
but universal healthcare people can go
get seen
and and you know the the desire the
demand that people are taking care of
is is legislated within it um within the
within the government of puerto rico so
there is
those two aspects that they they drove
to be very
important um the cost
and the universality but
as it has played out as a result of this
we have seen doctors flee from puerto
rico because while they were making on
average around
four thousand dollars a year and and i
i i would be remiss without saying
there’s people in our audience right now
watching us that are enjoying this
stream and i appreciate each and every
one of you guys being here
that make more than forty four thousand
dollars a year um
and and to go to an emotional argument
if you’re out there saving lives maybe
you deserve a little bit more money than
that
um but they were making on average forty
four thousand dollars a year
while american doctors were making on
average about 99
000 a year so about half so
many of these doctors realized this
and they have started fleeing most of
them have gone to new york i every night
in new york i apologize
to florida specifically like miami but
they’ve been moving to florida and
they’ve been
since the times of i believe the numbers
started back in like 2014 to 2020
there was uh 1300 doctors that had left
puerto rico greater than 10
of the doctors had left and so
while you try to force down the wages
you try to force down the costs what you
do is you cause
some of these doctors who were
performing well
that were providing a great service a
necessary service to those within their
their
their communities you cause them to
leave
you cause them to go um
you cause them to to flee to other areas
to where they can make
an actual living the doctors that remain
they are understaffed because their
other staff members have
have made same decisions of either
leaving that market
or moving out of area and continuing to
pursue this market
as well as the working incredibly long
hours
so these wages are stagnated they’re
frozen
they can’t go any higher but as more and
more doctors start
leaving their hours demanded of them
continue to go up and so there’s more
and more frustrations and so there’s a
desire there
that we need
i just love my rights comment
that we that they need to to have a
change there
so that’s a drastic that’s a that’s a
catastrophic situation there that’s
going on in puerto rico
the people of puerto rico really need to
to have health care
and and sadly their system there in part
due to the federal mandate
put in place by our federal government
but also just by their
their their dealings within their own um
within their own nation um has led them
down a dark path um we want to talk a
little bit about canada
canada our friends to the north so we
talked to our south and let’s talk to
talk to them uh to the north um in
canada
they also have kind of a of a
gap there that they want to keep the
wages down but they also want to keep
the universal
health care now there is an option of
course in canada where if you make good
money you can pay cash
you can leave the public
health care system and go and take care
of yourself so hopefully
if you guys live in canada or if you
guys know anyone living in canada
they uh make enough money to where they
can go pay cash in one of these private
health care providers because if they
have to go
to um to one of the public ones
the wait time is egregious
the wait time is absolutely egregious um
here was a
here was a study that was performed
patients in canada waited
on average 19.8 weeks
19.8 at four average that’s five months
to receive treatment regardless whether
they were able to see a specialist or
not
in the u.s the average wait time for a
first-time appointment is 24 days
which is three times faster than canada
wait times in emergency room
average 24 minutes which is
more than four times faster than canada
in wait times for specialists range
between three
to six weeks which is over six times
faster than in canada
so what we have there is we have another
system where we see
that just trying to focus on the
financial part of it
and focus on the universality that wait
times to be seen
um it increases those wait times
it does not increase the quality of care
it does not increase
the guarantee that you will be seen
there have been many reports and many
news articles written on on individuals
who died waiting for life-saving
surgeries
because merely these schedules are
booked out because there’s so many
people in need
and not enough of a supply the scarcity
is
a thing within economics and it’s
certainly
as much as many people would desire that
healthcare not be one of those things
driven by economics
it sadly is
um is that tinfoil hat next
it’s actually a lion um but the light
causes it to uh
to make it different um eskimo
libertarian was here earlier
oh oh yeah never mind
i’m slow um so so
we’re seeing some issues with those
systems right
and and when we look across the world
when we look across the globe and people
want to talk about norway
or sweden or finland or um
germany and all these other systems
right we can
find glaring issues with the way that
they’re structured and set up
so maybe universal healthcare with that
universality
is is a struggle because
it it forces the other two
one of them to suffer right between
universality the spending and the
quality
but what if we focus on the other two is
that a possibility
we’ll get to that of course in a little
bit i want to go to another universal
healthcare system that we have in the
united states and this
of course is the veterans affairs so
for anyone who thinks that well maybe
the american government can provide a
universal health care system
here in the states and this will
and this will lead us to be better off
well the veteran the va is effectively
a universal health care system for
veterans of the united states armed
forces
right so whether your marines navy
army i guess they’re gonna add the the
coast guard in the air force i’m kidding
of course
but they’re gonna add all these things
and and so these individuals who served
our country and
and either a had a disability upon
leaving
they were discharged honorably
or linear of other things they are now
able to utilize the va system now the va
system is much like what we were
discussing with
with canada wherein they have
incredibly long wait times
and even worse than that the quality of
care is absolutely catastrophic
i for a short period after leaving the
navy
um during my time um i was
going to the veterans affairs for for
some healthcare concerns
that i had um during my time
in in the military and as a result of
this i was
treated as a guinea pig and was giving
tester medication so i was effectively a
guinea pig for the fda
to to run trials to see
if this was going to be good if this was
going to be bad what the side effects
were
some of those situations were way worse
than others so that was
incredibly um terrifying for
not just me but for my family as a whole
but you see if you if you look at
um across the country there are still
reports
this day and and certainly right we’ve
we’ve seen
the uh the attempts by government by
federal government right
with very small miniscule changes
being applied to through different
veteran bills through different spending
bills and through
different omnibus bills
where they say now the va is fixed
and sadly we still see veterans
of war we see veterans of peace
of quote unquote peace time who never
served time in war
um like actually deploying and
everything else
we see where people who are in need that
are
veterans that were promised a good
health care system
still going out and committing suicide
in the parking lots and
inside of these veteran affairs medical
clinics
there are some va’s that are much better
than others
but the problem has always been is that
it is incredibly volatile with
where you go some places are great some
places are absolutely terrible
but this is truly truly
shows exactly what it is when you get
universal health care
um because you don’t have any real
control over how they function
or how they work right we have to
petition to the federal government in
order to
fix the systems or to say look this one
down here in in
and for example um not even saying
specifically but like
if there’s one in charleston right the
charleston one is just terrible
and and so we need to fix it because of
this this and this right
and then imagine how long it’s gonna
take for them to address it and
everything else
um there were some bills that came
through such as the mission act
where they were actually looking to take
veterans and say look
the va is not going to be able to take
care of you because you’re so far away
because of this that or the other right
they couldn’t get you an appointment
within
60 days things like this that you could
go to a private clinic and and
you would be reimbursed right if that’s
your fix
i mean it shows an indication that the
system itself is not working so i think
when we look at universal health cares
we can find
a pretty s glaring issue of the quality
of care that people are receiving
um and this is this is true
regardless of where you go unless
you’re looking at spending upwards of
sixty percent of your gdp
um in order just to funnel it into your
health care system to ensure that
there’s so much money being dumped into
it
that you can you can drive people to
come in to take care of it but it’s it’s
it’s not a sustainable thing and even
some of the nordic countries are pulling
back on some of the
social safety nets so
so we’ve discussed that aspect of it and
i want to discuss some of the
legislations that we’ve had here in the
states um
over time that have contributed
to either contributed to some of the
problems that we face in our health care
system
or has actually not addressed it at all
but people will praise it
as as if it is fixing things and of
course i want to
when when i speak with um
when i speak with republicans on the
right
reagan was was the greatest in their
opinion well was one of the greatest now
now arguably a lot of them say trump is
but reagan was great and one of the
things that reagan did was the
the cobra bill um
so he signed cobra into law and and
cobra
was was to directly affect
the way health care is provided in this
country there are things such as
um even if you have no ability no
no desire to pay for your health care
you can go to any hospital if you are in
dire need and they will be forced to
treat you
but there’s also things that didn’t
really address issues but it made people
feel better
such as in cobra
if you are an employee and you are laid
off fired
or just lose your job for any reason
um you can have up to 18 months of of
your health insurance be maintained
now america is one of the only nations
or is the only nation that has health
insurance tied to an employer
this was of course this was due back in
the early 1900s
where wages were were stopped were
halted
by um the government
and so employers had to find ways of of
giving more benefits right
to increase your wages without directly
giving you a a check and so they got
into
paying for people’s insurance and so as
a result of this
over time now the market has pushed more
and more people
to be forced into working for an
employer in order to get your health
insurance
so what cobra did was now that your
employer is giving you health insurance
and is paying
roughly around 30 60 if it’s a great
company
100 if it’s a phenomenal company that
really cares about its people
i didn’t say that um but
if if you lose your job
for 18 months you can actually maintain
your health insurance now the key here
of course is that you’re going to pay
roughly around 102
of of your health insurance so you’re
going to pay 100
of it by yourself and then usually it’s
around two percent administrative fees
just to just to keep things right so
um as we look into this conversation
around health care
of course health insurance and the cost
of health care is such an important
factor
that cobra was there for the wealthy
it wasn’t there for the middle class and
it certainly is not there for
for those lower on the economic scale
so we can see where something that has
been
has been wildly approved by so many
doesn’t actually affect most americans
especially now as cost of health care as
cost of insurance
cost of premiums and actual out of
pocket and everything else that have
driven up so so far
in more recent news of course the
affordable care act passed in 2010 under
president obama
this has been a point of discussion for
a lot of people
this has been a point of discussion for
a lot of people
as to how we can justifiably fix
our health insurance which would then
fix our health
care and and i i do have to disagree
with this
a couple quick points on this so it
restructured health insurance across the
country
which caused many health insurance
companies to
actually close their doors um because
there’s nothing better than closing down
some businesses by forcing them into
restructuring
and and i agree that there’s there’s a
lot of issues that when we see
um the lack of coverage or the lack of
of
yeah the lack of coverage for some
incidents it’s it’s
difficult to bear that and it’s
difficult to to
not have an emotional response to it um
but the restructuring actually hurt the
market in in many different ways
um individual plans individual coverages
um became a little more difficult to
obtain in some states
you lost all insurance companies from
actually doing this
from allowing you to get into the pool
as an individual
so i meant that you were forced to
either a become an entrepreneur or not
not to become an entrepreneur but to to
be a part of a bigger business
to be a part of that pool to join in and
to be a part of the
the insurance pool um or you won’t
without
um it’s still it was it was
proposed as legislation that would
actually reduce
premiums and many people flaunt this
inaccurately because it didn’t actually
reduce
premiums it reduced the rate in which
premiums
increased for a short period of time but
it did not
it did not in any way reduce the cost of
health insurance or health care in this
country
so we’re we’re talking about a band-aid
on that
and probably my most um difficult part
of affordable care act to understand
um how it was accepted was the
individual mandate
and the individual mandate um for if in
if we have anyone younger than me for
for
i’m proud of you for being here first of
all but um
the individual mandate of course is that
if you do not have health insurance when
you file your taxes they’re going to ask
you
did you have health insurance and you
have to say yes or no
if you did not have health insurance for
any reason
whether you didn’t want it didn’t need
it
or could not afford it they would
penalize you
this was the individual mandate now
currently right now we do have a
challenge coming up to the supreme court
potentially if they take up the case
on whether um
the individual mandate is a
constitutional
and b if it is inseverable from
the affordable care act and both of
these questions are incredibly important
so
if the individual mandate is deemed to
be unconstitutional and hard
argue that it is unconstitutional
because there’s no
constitutional authority to force uh
citizens to
purchase anything including permits or
or what have you um but
even within the guise of of or the
attempt
that people have had of using commerce
clause or the general welfare clause
which i would argue is a constitutional
um at best
um there there isn’t much grounds there
for for that
fines and fees fines and fees for not
purchasing something is it it’s intere
it’s an interesting ploy that’s been
used
and um certainly uh justice kavanaugh
then judge kavanaugh had an opinion on
that that actually
helped get affordable care act passed by
calling it
calling it a fee rather than a tax
um but but nonetheless so if it is ruled
unconstitutional
which i argue is the correct decision on
that the
the question then becomes can the
affordable care act itself
stand with or without
the individual mandate and of course the
individual mandate was a
money grabber for this because those
people who didn’t want insurance or
couldn’t afford insurance when we take
money from them we’re able to put it
into the pool
and allow for the affordable care act to
continue on with the insurance
that it was providing and and it helps
um subsidize the the entire movement
so we’ve seen a lot of
over the years we’ve seen a lot of
attempts
i i’m definitely excited for having
cajun on to talk about the affordable
care act he was the guy that like popped
into my head when i
when we go deeper into a deeper dive on
topics i definitely want to have him on
to talk about the affordable care act
for sure
great point eskimo um
i’m just telling you guys all full
transparency here on the show right
you guys get to hear it all but
um so throughout the years we have seen
attempts
partisan attempts at changing
legislation
at trying to restructure this tweak it
and and fine tune it but i think we’ve
missed the mark
in so many different ways
um because when we when we just try to
tweak a broken system
just tweaking it’s not going to fix it
especially when the tweaking
is what has been making it worse off and
worse off
year after year after year bill after
bill
after bill law after law after law
eventually the insanity has to sink in
and we have to realize it ourselves look
ourselves in the mirror
and demand better and so that’s what i’m
really hoping for
from this conversation that we’re having
tonight and so i want to talk about one
more thing
before i get into some of the solutions
that i see
this one is one of those topics that
truly
does get people angered up and i i
promise you i’m here for it but at the
same time i don’t have time for it
tonight
but um i’m gonna say it
and and i don’t know if you guys are
ready for me to say this
but the topic of abortion
i said it i said it abortion
it’s a health care thing right you have
people on both sides of the aisle that
have their justifications as to why they
why they believe in what they do
it’s an incredibly sensitive issue and
it’s not one that we can just dictate
over others
we’ve learned that the government doing
prohibition
has not been effective tool and has not
led to the intended
um consequences but there are things
that we can do
that make people safer um
certainly abortion um has been made
relatively safe but there are still
adverse effects for it
um but there’s ways of stopping
abortions from occurring at all and i
i think that that’s one thing that
regardless on which side of the aisle
you stand
on within this discussion i think that
voluntarily reducing the number of
abortions
would be an overall net benefit to
society
especially if we can make it
maintain it as voluntary but also make
it to where people are much
happier with the surrounding topics
and so this is going to be another
rabbit hole that we can dive down into
birth control yes pam
is already on the ball so some of the
topics that that come around
with abortion we we look at the last
step in this
right when when somebody may be at the
very last step and decide to
have an abortion now there we’ve seen
some people who are very proud
who claim to shout your abortion and um
that arguably will go out and and have
um intercourse in order to create
um create life and then to end it
through an abortion right
this is not a conversation for them but
for for many people who do have an
abortion it’s not an easy topic for them
even it wasn’t an easy decision for them
and so ways that we can look at this
um when when a woman wants to be on
birth control
right now the way that the system is
structured is that she has to go and see
a doctor
and so when she sees her doctor her
doctor is going to talk to her about
what’s right for her
and then she will give her the doctor
will give her a prescription
she goes to a pharmacy and gets filled
out for a prescription
if she wants to keep going right she has
to you know
over time she has to go in and get
checkups and make sure that everything’s
working and functioning the way that she
wants to
and then she can go and get more
prescriptions and continue on down this
path
now as the system sits right now that is
costly unless there’s
of course there are some programs or
some some service providers that that do
find a way to make this more affordable
to be seen and to be given these
prescriptions and everything else
but this needs to be more readily
available by allowing for
birth control to be sold over the
counter
by making it easy and affordable
without the need of an appointment the
overall cost will be lowered enabling
more women to have more control over
their reproductive health
and have a much greater success in their
own
family planning this of course is is a
great idea
right we are not going to be able to
demand people to not have
intercourse when they’re not ready for
children right
no matter the finger wagging it just
doesn’t end in that way
um and so
so this is one step that we can do i
don’t want to get into like the
adoptions and the foster care
in and um
looking at all the different forms of
contraceptives and ways of finding
to make those easier to to easier and
more affordable
for uh for both men and women but
um but focusing more on the
pharmaceutical side of things
the cost for somebody to get any kind of
pharmaceutical not just birth control
um it does go up
and and so i want to find ways to break
down this barrier for as many people as
we can
and i think that’s certainly right
looking at birth control is one
important way
when we talk about
finding ways of making health care more
affordable so as as we discussed with
the universal health care that there’s
three aspects right there’s the
universality
there’s the affordability and there’s
the quality
and we want to have as as high in all
three of those factors as possible but
of course as you pull
towards two the third is left out
or or diminished um
in in and that’s the struggle
because you want the highest degree of
all three of them
do you want 70 across the way do you
want a 100 140
right where do you want to land this at
the end and
and i think that the best answer for
this
is to look at
how some of the systems have functioned
in the past how the systems are
functioning now
understanding general good market
techniques
and understanding some of the bad
legislation that is still in the books
so we can
look at how we can make i i have a study
that was done to show legislation that’s
in 35 states in washington dc
that increases the cost of health care
by 40
it drastically reduces the quality of
health care by 40 percent
and of course these are not universal
health care systems
so as the cost goes up you have less and
less people
that can access health care
let alone if they’re in a rural area um
so i’m of course talking about a law
called certificate of need
now i’ve spoken about certificate need
plenty of times and i realize i only
have about 10 minutes left oh my god i’m
a libertarian
uh um certificate need laws what are
they
how do they work and which states don’t
have them so if you guys are from texas
from
uh california from idaho north dakota
south dakota wyoming
colorado utah new mexico kansas
almost at panama pennsylvania new
hampshire
you do not have to worry about this
conversation this is not applicable to
your state
but it is still important for you to
hear it
um it’s just not applicable to you
thankfully
you guys are actually are the constant
you guys are the proof that
certificate and need laws do not work so
brief synopsis of what certificate laws
are
certificate and need laws are a was a
federal mandate back in the 70s
that quickly was removed now how often
do we know about bills that have been
uh enacted at the federal level and then
removed i can think of prohibition
um i’m sure that there’s a couple other
smaller ones
but this one is an important one
so when it was enacted as a federal
mandate it
spread across all 50 states and then it
was removed as a federal mandate and we
still have as i said 35 states and dc
still maintaining certificate in need
and what this is is for any
medical provider who’s looking to
provide services or goods
within the healthcare system or the
healthcare industry
um
or to expand their already existing
health care providers or service
provider
they must request through the
certificate need board or through
a government agency working like their
certificate need board
and petition to them what changes they
would like to see
and why and so
as they petition part of the review
process
in these states is that they verify that
there is not somebody else who has a
certificate in need
in that area so if in my
area of northern uh south carolina north
northwestern part of south carolina
um we are we have prisma healthcare
who has the certificate need in our area
so if i decided that because i saw a
lack of care an increasing
number of costs or a monumental
jump in cost for the average south
carolinian to go through prisma
healthcare
for me to go into
to providing health care for this area i
have to go to the certificate need board
and request to them hey i would like to
provide
health care um in this area
and so i can have all of the important
information
and give them everything that they need
in order for them to
feel justified in my cause
and what they would do is they once
they’ve basically almost
got ready to stamp it yes they give it
to prisma prisma do you want to have
this competition
and of course of course prisma goes yes
no no of course not
they say no and so then starts my legal
battle in order to do this
um we had in fort mill south carolina
in 2002 an entity decided that they
wanted to start providing health care
and so they requested and petitioned to
the certificate need board in order to
start
and when they sent this off to the
current provider
or the current holder of the certificate
in need
in the area you can have multiple
entities having certificate need but
they had the monopoly at that time which
is what certificate need loss creates
when they brought it to them they said
absolutely not
and took them to court well a mere 18
years later they finally got the
approvals and now they’re finally
erecting
their health care
buildings in fort mill south carolina so
it only took them 18 years and millions
upon millions of dollars and when they
could have been providing health care in
those areas
so this is just one one aspect of it
this is not
just providing those services and then
you get a blank slate and
you can do what you want as long as you
stay within those
no no so if you a part of the the
request is to say how many rooms you
want how many beds you want how many
you know how many pieces of medical
equipment you want
and including as covet came through
how many ventilators do you want
and if you ever decide you want to
change them you have to go back and
petition
and it goes to any of your competitors
in the area because they want to make
sure that the people
need it and not that you just want to
take advantage of a market
does this make sense to you guys like i
i’m sure that the words make sense but
does this
make sense to you guys in an economic
thinking
of we need to have as much control and
and allow for monopolies to stand and
they’re backed by
government and that somehow this is
going to make people better off in the
long run
i don’t think so so as kobet came
through on
i’m torn on the date march of 2020 um is
the 13th or the 17th
but march of 2020 when it was declared a
national emergency many states declared
their own
national emergency state of emergency in
which
many of them address certificate need
laws here in south carolina we did
suspend certificate need laws to allow
for
um what in the uh coming months when
they thought that ventilators would be
important
for the recovery and
livability of people with coven they
were able to just go and get
ventilators as any medical provider
should be able to do
they should be able to meet those needs
of of their patients of their
communities
and be able to make those changes
without the necessity of
going and petitioning to the government
or petitioning to their competitors
of saying i would like to provide this
service because people are in need
but rather that
if you are providing a service in an
area and you see that there’s a higher
demand for one aspect
of your field that you are specialized
in
that you should be able to do what is
necessary in order to provide for those
that should be the need
so we have certificate need laws in
place
and i believe i’ve already said it but
but
the states that don’t have certificate
need laws they have roughly around 40
percent
lower cost because there are more
health care providers in those areas
because the you have rural people who
don’t have to travel as
far to be seen because you have more
people competing
and so they’re gonna of course try to
find ways to cut
cut the cost to the consumer so they can
provide a better care
so they can ensure that people keep
coming
back to them so they can continue
battling it out and keep sustaining
themselves and keep
making a living for themselves and you
have this competition that allows
for actual good market principles
in which quality goes up cost goes down
in and as a result more people are able
to be seen
those are the three metrics that we’ve
been talking about universality
spending and quality you can see the
spending go down
the cost to the consumer go down you can
see the quality improve over time
you can see more and more people be seen
because when they’re in a rural area and
they’re traveling right now
in my state we have people that are
traveling four to five counties
to be seen for appointments with
specialists allowing for more
specialists to pop up is only better for
the people in those areas
if they decide that there’s a better one
a little bit further away and they
decide to make that trek
the person that’s hurting is the
specialist near them because
they are not providing a good enough
service
so either they’ll correct themselves or
they’ll go out of business
and this is why it’s so important for me
that we when we have these kinds of
discussions
the goal of certificate need laws when
implemented
are the exact opposite of
of what the actual results were
they desire to increase the
competitiveness within the markets
it desired to ensure that the market was
able to respond in an organized manner
to be able to provide for the service
and goods it was supposed to
ensure that the prices did not go up it
was to ensure that quality was still
important but when you lose the com
competitiveness within a market
stagnation is imminent
and that’s what we’ve seen across this
nation in 35 states in washington dc
so we can look at that and we can see an
objective truth we can see the studies
we can see the results
we can look at at different parts of of
healthcare
which arguably may not be health care
but we can see different medical fields
such as
lasik eye surgery rpk eye surgery
or even plastic surgery where they have
not been
hit and regulated and controlled and
manipulated
in the same way that that you know
emergency rooms general practices ob gyn
surgeons specialists have been hit with
these regulations controls and
and everything else because
feelings but when you look at those
specifics i was talking about before the
lasik and the the plastic surgery
what we have seen from them over time is
that the cost for you to get those
surgeries
drastically is is cutting itself
drastically year after year
is becoming cheaper and cheaper that now
you have middle class people going out
and
and getting some of these things you
have it to where
lasik eye surgery is affordable
for for middle america you have to wear
the um the results
the quality of the results more people
are seeing 2020 coming out of lasik eye
surgery than when it first began
you have more people not looking
deformed as a result of their
their plastic surgery they look more
natural
you have shorter healing times you have
people
genuinely more satisfied
with the services that are being
rendered through those services
because they’ve not been controlled in
the way that our government has been
controlling our health care system
and so with that on my mind
with that in my understanding
we often talk about banning i say we
there are many people that talk about
banning insurance companies there are
people that are talking about
banning um you know
banning closing your doors and not
allowing people to come in
we talk about forcing universal health
care we
force um stagnation of wages or a
ceiling for wages we talk about a lot of
these things
and as an end result what we are doing
is we’re shooting our own market in the
foot and
we miss the mark on understanding that
the american
health care
market is one of the things that allows
for a lot of these other markets to
survive because
within our market we also have the
research and development teams
we have the innovations through medical
equipment
through medical treatments and
everything else where we are providing
this
over the years we’re sending out all
this information and helping those other
nations that have decided to go to
universal health care where they’ve
they’ve
they’re not allocating as much money or
they’re not allowing for as much money
to
to go into these research and
development
teams and so we are literally sitting
here
with it with an entity that is allowing
for not just us to be okay
but to help out other nations be okay
and and for me myself
i want to see this goodness be unleashed
i want to
see our fullest potential of how good we
can have of a health care system i want
to see how great of quality
i want to see us kick cancer’s ass i
want to see us be able to take
terminal illnesses and turn them into
a a walk in the park
simply come in get seen get taken care
of and on your way
back out to enjoy life once again i want
to see
just how good of a health care system
that we can have
and i’m i’m so concerned that we become
so attached
to some of these emotional arguments
because i mean healthcare is so
incredibly important i understand the
sensitivity around it i understand
the desire to find a fix
but we’re not going to find it through
legislation we’re not going to find it
through these controls and regulation
we’re going to find it
with the people who are desiring to make
those changes
who are desiring to make the impact who
took the hippocratic oath and and
driving forward but they’re hidden
barrier after barrier right now
and so my plea to you all is to join me
in helping fight to break down some of
these barriers
but i i i i
plead with you guys all to join in to to
share this out to help
um spread the message on on how we could
better healthcare system
and and of course i’m always here for
to to learn more as well as to to help
share with what i’ve been learning and
i’m looking forward to continuing on
with this conversation and
as i said in the beginning we’re gonna
dive deeper into
these specific topics in the future
shows
um we’ll have some guests on to be able
to help spice it up a little bit
but i want you guys to know that i love
you guys i appreciate you guys all
and um make sure that if you guys are
not already prepared to do so you guys
hop on over to the cajun libertarian
show he’s gonna be on tonight
in about uh 26 minutes so 9 30 freedom
time that’s eastern time
and then make sure you guys get back
here tomorrow night tuesday night
for muddy waters of freedom wednesday
night
at 8 pm eastern we’re going to be seeing
my fellow americans with spike cohen
himself
thursday night writer’s block with matt
wright and friday night with cajun and
eskimo
it’ll be a fantastic time from bayous to
igloos
always a good show with it and uh i’m
so glad to see muddy waters be monday
through friday now guys
and i hope you guys are enjoying it as
well you’re getting a lot of different
perspectives a lot of different thoughts
a lot of different
views and this is what allows for a
society
to be better if i can just reflect on
that for a second this is what allows
for a society to be better not that we
have an
echo chamber here yes we’re all
libertarians but we all have a different
spin we all have a different take
and they all resonate in a different way
and that’s what i love about the muddy
waters team
so with that
um with that guys i’m going to bid you
all to do
i made it one hour and five minutes i i
try to keep it within an hour but i’m
just too damn libertarian if you will
but i love you guys all i appreciate you
all so much
and uh i will catch you guys next week
monday
at 8 pm eastern i’ll be back love you
all
catch you guys soon