You see the young before me they have, they can read the iPhone. I gotta read the iPad. Well, why am I here? Why am I here? I'm here cuz I'm a doctor and you figure well, doctors ought to know about healthier. I'm also here because I know a little bit about healthier and health care delivery systems back in 1980. When I was a medical student of a deal, I was also studying public health and back in 1980. I felt that we were gonna have a National health care delivery system. So I took myself went over to Cuba 1980 20 years after the revolution saw what they were doing. There came back went back to the library at Yale Medical School and figured out how to assess a health care delivery resistant, and it's the same assessment that I used back then that I'm gonna use now to help you along to figure out. Medicare for all well Medicare for all is gonna give us better outcomes health outcomes and I'll explain that in a second, it's gonna cost us and I'll show you why it's gonna give us universal access means everybody's gonna have help here I heard somebody said. you said. you didn't have a lot of healthier for your life, but I didn't either even as adopted, I would say maybe more than half. The time as a position and I'm getting towards the end of my career now, I had no health insurance as a. The one thing that people always talking choice choice choice. We need choice with Medicare for all will give you more choice. So let's. Why do we need to change anything now my colleagues my friends when I hang out with this and we don't need to change anything. everything is so good because we have the best health care in the world. Do we. Oh, no. no. no. no. we don't okay. Why don't we have it because one? Infant mortality is a good way to measure whether your state your government is providing health care infant mortality. How do you think we do in the United States? We do very important as a matter of fact, we do worse than infant mortality in the United States. Somewhere about five point, eight per thousand is about four. Let's children die at birth in the first year in Cuba and in the United States. A measure of how good your state is providing a health care system for you maternal mortality. How we doing there so maternal mortality ratio is what happens when a mother goes to give birth and she gonna live or she gonna die. She's gonna have a successful delivery. How do you think we're doing? We're doing a very poor? Well, you know, okay, but it's getting better right. No with turtle more. United States went down this year. I mean we got worse and last year it got worse. I mean you're before he got worse. We're doing worse now than we did before and okay. So maybe it's not so bad because you know in America. we're probably better often so many other countries in the world. Well, I'm the developed countries where do you think we do where do you think we like other developed countries? OCD That's. The developed countries in the world you compare the United States to countries like France and Canada and written, and so on we are at the bottom of the list of maternal mortality. So these are the. Maternal mortality Alright, What's the other outcome measure That's important. How long you gonna live right? I think expected. Ever statistics you look at whether you're looking at 200 countries studied by the UN Hundred and 80 - four country study again, or you look at just the only country in the developed countries. United States is at the bottom of the list. Well, of course, you may say that this is being measured by people outside the United States. Well, Indiana 2013 You're US Government Institute of Medicine from the Looked at it and what do you think the outcome was? Shorter lives and coral, so that's your experts in the United States, telling on telling you that we're doing worse than other developed countries. Alright. so we are the outcomes. Alright. Maybe we ought to spend some more money. Let's spend more money and we'll get better outcomes right wrong. We spend already we spent almost. Twice as much as. The country, you know Indiana, the United States, 18 percent of our gross National product or gross domestic product, 18 percent goes to health care. so that's about $11000 per Cabinet. so each of us are spending $11000 a year for health care, but we have for outcomes. We have high mortality maternal mortality and we're living less. and while we're living we're living with born. Jesus for States and our government is telling us. Alright so access so that so you know many people say okay. We can't switch over right now because we are along this track and it's gonna cost us so much money in taxes if we do. Not true, it's been studied that 18 percent that we're spending the Paris. They're not human. They're not University of Massachusetts. That study actually shows that if you move 10 years forward, look at what we're spending now. if we go to Medicare for all, instead of 18 percent of our gross domestic product going to health care, we can bring it down to 16 and save. Trillion dollars in 10 years, so that's not my best. This is the studies by the experts so. you're gonna get better access if you go to Medicare for all because that's what Medicare for all and says Medicare. for all everybody is in everybody gets in there. whether you just came over the border or whether you've been here we don't put the population is so why do you have to sign up for healthy? You're born. Generally. Most of us are born in a hospital, so they know where you're coming from their building you so you have to sign up. everybody gets their health insurance a day. they're born and the day you die, you don't need health insurance anymore insurance. You know that off too, so okay now, the last part that I mentioned was choice. Alright, so we need choice. so we need all these insurance companies selling us insurance right and we're gonna have all these choices. Why do we need choice of insurance companies? You don't get health care from an insurance company. You get healthier from a gun called provided water providers providers in the hospitals providers of the doctors and providers the nurses the providers on social workers and so on. We need choices of all of them, but guess what currently they belong to narrow little networks. You have United Health care with this group. You've got Medicare with this group. You've got many cave with this group. you know, even though a government separate all the insurances into little tiny packages, we've got the VA for the veterans. We've got the Medicare for the old people. We got Medicaid for four people we've got and then we take Medicare when we chop it up again for the rich Medicare people we. Straight Medicare for the four minute. Many many came and then we we tell them what you gonna get with you. No, that's all around. Why don't we just give everybody the state insurance. Don't talk Wait, you take the same Red White and blue cars and you give it to the doctor down there. He's in the network. We're all in the same network. you can go through any hospital. You don't have to go to the hospital right. you know that you don't wanna go to you can go to any hospital. You can go down to 60 - eight Street and walk into Memorial Sloan Kettering Cornell. If you want to or you can stay right That's what you want. One part for everybody, so I'm gonna close it off right now. Medicare for all is a better alternative to what we have now. They say you can just You can't say get rid of this unless you have something else to replace it we. Something else it's been laid out by Bernie Sanders. We have the House part by so Medicare will give you a better outcomes because we're gonna have brought a coverage cuz it's not the same old Medicare. It's gonna be a better Medicare without the copayments and deductibles and the co-insurances. It's gonna be a better Medicare for all you gonna get better outcomes. You're gonna get less money being spent by each individual is gonna be universal whether you're just not. In the country or whether you've been here, you're gonna have full insurance and your choices are gonna be better because all providers will be in none of them are gonna be helping. Thank you very much. Thanks so much we have a few minutes for questions so Doctor Donald Moore. So if you have questions, please raise them. yeah. My partner in crime, I said Martha my partner in crime, she's been very careful before I was born. Person. Say Oh well better late than never anyway. The point is that's what we're gonna be up against you hear this from some of the candidates and so it's the argument about choice. It's the argument about be very afraid the other peace, the one other peace that they come at us with and Paul Krugman did this in Friday's column yet again is we can't have nice things so Medicare for all. On it's just not politically feasible right who's paying you to say That is really the one response to that. It's bullshit. We have to call bullshit and we have to do this. I got time for a couple more questions. We're gonna go to the woman here and then. I'm just really gonna talk a little bit about clinician workforce so we have primary care shortage in the country already people coming out of Med school with hundreds of thousand dollars in debt, and I know there's another component to this whole conversation about education. make her well-known it pays or rates from private insurance. If we're talking about already having a primary care physician shortage, they're gonna be paid. it remember that lower rates through an entire Medicare system just curious about what you think that will do to go for the position Work force and how we can kind of just talk about it and address what your thoughts are reinforcing the primary care workforce and physician workforce. I like your question because you said something that I really. You said there's a primary care shortage. There is no primary care, not only is that there is no predator here. There is no physician short. first of all what we do is. We give too much unnecessary care you've heard about the process. The building process is designed to generate income for people who are making money off your health care. Do I said there's no physician choice because. 1980 double the entry of physician. Not only that we do that. we also brought physicians from the rest of the world. They were trained elsewhere at other countries expense and the physicians came here. so we have the positions we have the staff. what I talked about will outcomes. I didn't talk about the health care structure. The health care instruction is fine. We got too much of everything. We've got too many hospitals in the country many beds without more than we need Instant district. Is that access to it and it is the care that you're given why does adopt to see you for 10 minutes and bring you back a week later or two weeks later for another 10 minutes because that's how you make money five visits. We should spend a half an hour with the person figure out all the things that are going on take care of it and the patient doesn't have to come back if they did. Oh, I need to reinforce what you said just get on the phone. We'll reinforce it for you and we've done so there is no shortage. We've trained a lot of answer personal to provide this primary care that positions don't want to provide because it pays so little. every physician wants to be a specialist to in highly sophisticated things because that's what pays so you know system that's rationalized meaning is not health schedule being driven by capitalism making money to cover practice of medicine when it's organized when I. Cuba. That they had an organized system. you have a regional hospitals, clinics and clinics on every block. you know physicians put your butt. We don't have that anymore. Now we have wonderful things going on on the clock position has moved to the hospital. The urgent care has moved on the block and the urgent care will say we just take care of this today. Both see your doctor tomorrow even though you just saw the doctor urgent here. We can fix all of those little things as remove remove the the incentive that the monitoring incentive and focus back on their health delivery aspect of this. so I don't think there is a shortage of primary here. I think the fixed. As a matter of fact, right now, there is public over surprise. I've got time for one quick question. Go ahead. Medicare for all system kind of driving down. Innovation, which I think is like a common government. Yeah, So the point is that you know right now. innovation comes from the private enterprise, you know, venture capitalists. they innovate well, that's not true. Most of innovation is appearing at your National institution. The University hospitals mine included I work at Presbyterian. They're getting zillions of your tax dollars from the NHS to do the research so nothing is gonna change their the private companies after the research is done, they're taking the products the drugs the everything and making zillions of dollars of profits. so no that's not we were not. A problem with that absolutely not. Everybody give it up one more time for doctor. We've talked about racial Justice and health care. We've talked about you know what it is to be a provider. We've talked about the problems with our health care system. now we're going to bring on Rachel Hymes. She's the lead organizer for New York City Democratic socialist for Bernie and she's going to talk about how we organize build a movement to transform the system. Thanks. Thank you. Again, I noticed there are a lot of people at the back of the room at the sides of the room. If you would like to have a seat, there are many in the tables in the front feel free to walk in front of me. I will not mind just coming up and you can sit down. it will be more comfortable I also wanna thank Tamari Sara and Doctor Moore not only for being here today, but for their work as activists and advocates for health Justice I want to be more about them. You need to spend too much more time talking about this problem facing us, not because doctor or exposed to it, but because we're all living it right now. health care in this country is broken more than 30 million Americans don't have health insurance millions more have insurance, but what we are under insured, they can't afford to see a doctor when they need to. they can't afford the care. This is the reality for many people for people in this room people in this city and people across the country and it's. Reality too, I've had medical bills get set to debt collectors and then follow me from apartment to apartment. The bills were because I got test. I didn't need. I didn't know what was happening and I couldn't pay for it. I have friends who have had to make. Between getting prescriptions, they needed and paying for groceries and when they were able to get the money together to get their prescriptions, their earnings and savings, but straight to the pockets of the health care executives of pharmaceutical companies and their shareholders who contribute nothing. we know that access to health care is a money issue. It is a. Issue people are literally quite literally being priced out of the ability to live in this. This is happening now at the time with real wages in this country have not risen from more than 40 years. One of the most accurate predictors of life expectancy in this country is your income. How much money you make the rich are living longer because they can afford to and I think something else that's important to emphasize and talk about health Justice is that health is and their doctor this health intersects with every area of our lives that we live. Every aspect of who we are health Justice is racial Justice when black women are more likely three point five times more likely to die from complications around pregnancy than White women. Health Justice is racial Justice when the infant mortality rate in black communities is double what it is in White communities. help Justice is LGBTQ Justice when the patents were life-saving medications like prep. Owned by private companies looking to make a profit and for all of us as workers health Justice is workplace Justice when this administration is doing everything that they can to roll back health and safety protections. And when you can get fired for taking sick day, that's the situation we are in and we know who our enemies are. I don't have to tell you who our enemies are because I told you because fair told you because Doctor Moore told you our enemies are these pharmaceutical executives Just last week. JP Morgan had a health care conference. these health care executives farms for meaning trying to decide the best way. Is high at a time of almost universally acknowledged in this country that they are too high that people can't get insulin something as simple as insulin right across the border in Canada, you can get it without going bankrupt. our enemies are the health care executives who make profits for themselves. Once in terms of dollars and cents in terms of profit margins for the reason that when we go to the hospital, whether it's because you have a sore throat, it's really starting to worry you or because God's there's an accident. They're the reason for we can see a doctor before we can do any kind of any kind of care someone's asking. Do you have insurance what your insurance? they're the reason that a young couple was trying to start a family will leave a hospital, not just with a newborn, but with. Tens of thousands of dollars of debt that they will take years trying to pay off. We know that medical debt is the number one cause of bankruptcy in this country. That's insane. so those are our enemies, but our enemies are also the politicians who claim to represent us but refuse to support vital legislation like Medicare for all as a New York Health Act President who is doing everything he can to attack in this manual are currently athlete system to the. To support Medicare for all, you say the words Medicare for all, but I really wanna keep the private option protect the system that's putting money in people's pockets. That's the system that is causing profit off people's lives. Those are our enemies and it's good to name them. We should know who they are but there's something that we say in DSA, which is this Organization and I'm a part of Democratic socialists of America and we say it all the time. I really believe it. We say a better world is possible. Ah From a church, another religious community think about this. Think about who they are and then imagine how would their life change if we had universal single payer comprehend? What would change about their lives if they? Needed to without worrying about whether or not they could pay for it. If they could get the wheelchair they needed the home health aid. they needed the mental health care they needed the dental care they think about how their life would change. I'm gonna ask you to keep your eyes. These past few months to feed herself, she's choosing she's moving her fine motor skills. She's not getting the care she needs under this current system. My family can't afford to get her the care that she. It's not her fault that she has Ms. There's no one 's fault that they get sick in this country. people who can't afford calling healthier don't plan to get sick, but when they do they deserve quality Round you take a look around this room the people who are here with us today. These are the people who can make this vision. We have for the person we care for a reality. We are all the people who can make that vision a reality. We are all the people who can fight for Medicare for all and this vision is collective vision. We share of adjust and equal societies. The reason I'm a member of DSA. It's an organized with DSA to live in a country and society that doesn't say, health and life and care. Rich only says everyone deserves that everyone who needs that everyone needs Medicare we. and the question now is how are we gonna do this? I know this might seem impossible. There are powerful forces invested in preserving the status quo in this country, but the good news is we are well on our way to winning Medicare for all five years ago, We wouldn't have talked about this at all. now. it's part of the conversation. we are already organizing across the country. For example this past summer. My co-ordinator is in PSA launched a campaign to pressure Jeffreys, who is the chairman of the House. Caucus in the fifth highest ranking Democrat in the House, they were pushed campaign to pressure him to cosponsor Bernie Medicare for all bill and no one thought to be real. No one thought he would do this but DSA showed up they knock on people's doors. Maybe you saw on your block. Maybe you saw a block party and we collected petition signatures called his office and he did it. He cosponsored Medicare for all. That's a big deal. When he organized when we take back our collective power now we need to knock on doors to elect fighters like Sarah and Jabari, so they can advocate from New York Health Act in Albany. New York can lead the way as the first state to have universal health care, but we also need allies in the White House. We need Bernie Sanders. Boys demanding universal health care and he's been fighting for it for decades long before it was popular as it is today. Bernie knows like we know that health and prophet Cannot go together. They're incompatible. Just like he knows that saving our planet is not compatible protecting oil and gas companies. just like he knows that we need a Green New deal, which is dentally would invest hugely in care work in home health Aids in teaching and nursing. That's what we. As part of this vision for Medicare for all Bernie is the only candidate who's not for to stand up to these companies are making profits off of our lives and he for that reason is like fair and not taking any corporate donations. And yet he still out fund raised every single other candidate. For him on April 20, -eighth, but we don't need to adjust this is beyond the ballot. We need to come together and organize we Doors will be talking people in our workplaces in our unions and our churches and religious communities. We need to be out there making those connections bringing people in to our vision for this new society and building this movement for Medicare for all a measure shirt everyone no matter where they came from no matter who they are has access to high-quality health insurance that that health care would be a human right so I'm really excited. you're all here today and I'm excited to be. Organizing with all of you so we can achieve this goal and get medical for all. Thank you. Alright, give it up one more time for Rachel. We got the war. I'm so glad that we got to share with you these leaders of our movements. now we're going to pivot into small group discussions and a little organizing exercise ritual for to hit it on the end. But the basic message we've been trying to send today is that things won't change unless we take it up as our responsibility to make them change. We are going to have to build the networks build the movement that's going to give us health care. the way we need it. This is the philosophy. Bernie Sanders as the philosophy of Democratic Socialists of America and if you're not a member, I encourage you to join TSA USA dot org. it's so important that we talk to as many people as possible about what Medicare for all is. and now we get our Democratic socialist spiders elected office because the insurance companies will tell lies about what we're fighting for. They will say that it's impossible and in fact, I'm sure many of us have spent our whole lives hearing messages like that, and it's only been since. Sanders in 2016 that our variations of what's possible really began to change. It tells you a lot about what happens when we build a movement together. so whatever they'll say America's conservative and that you know whatever facts we sight just aren't true. They'll feed straight lies and the inoculation that we have is good arguments, but it's also having talk to someone who understand having felt like you're part of something having understood, especially that it's us versus them. It's working people against. The exploiters and that they will lie to hold on to whatever is going to give them profits. But it's okay because we have a secret power of our numbers and our capacity to organize together. So now, I want to tell you all to say hi to your table captains. they'll raise your hands table captains. There's one at every table. there'll be facilitating discussions where you will share stories and talk about how we can fill power for our movement. by getting people we know involved and if you want to donate to Harris campaign, I also have pledge sheets on all of the tables. They really really need your donations their grassroots candidates. They're people who you know, I know are real fighters for our. And so it's you know, it's really important that we up their numbers up there. You know the number of their contributors as well as up their overall fundraising. please do that as well question yeah Do you wanna just give a short? yeah? ▁good ▁night Link Medicare for all under forms. To making reforms at home for Education and work, but also. I think it's a good. that's a good question for us to take up an artist a limited time. I think that's why you get that. That's the first part of that question. how we gonna pay for it. The number one criticism that you will hear over and over in your taxes are going to go up and they answered that is yes, because we're not gonna be paying premiums anymore to private insurance company. We're gonna be paying money to the government and that's called taxes. So is it gonna? War than we're spending now and the answer is it depends on how much money you make now. If you make very little money now, it doesn't cost you anything and that will continue so we are we concerned we're concerned about the people in the Middle basically who pays most of the taxes well if you look at the New York Health Act, that's the speed bill. it shows that people making up to $200000 how many people. More than that in this room, so they will probably pay more above $220000 people below are gonna actually pay less. Now, so we're how do you actually make that happen? Well, the first thing that I remember, I said, We're currently spending 18 percent of. Tire amount of money that's generated in the United States, 18 percent goes to health care. 10 years If you vote for Medicare for all, we're gonna reduce that to about 16 percent so that's five trillion dollar. If you go with the study that was done at Mass, so you could save five trillion dollars right now, we're spending about three point six trillion dollars for a healthier. most of it goes where you think what do you think? most of this money is being special military. I mean, yeah, it's going to the hospital. The hospitals get about a third, the medical profession that's adopters your MRI and all of that they get they they they get about little less than a third and then the rest go to everybody else, including the pharmaceutical companies. so how we gonna pay for it. We're gonna pay less for drugs. We're gonna negotiate drug prices. That's only that's. Gonna be a small part of the money you need to save the paper, but that's a part of the biggest art is the Ministry part that we're spending now in my office, a third of my time both Billy because I gotta do what he said. I gotta create all these little things to build money hospitals do the same thing if it's one pair. Reduced Buh bye by geometrically, Because now you're only feeling one interview, it's hard to cheat the one entity so because they're gonna have Medicare has. Computer that's gonna keep you honest and of course, so you're gonna save money. administratively you're gonna save money by. Less on your drugs, you're gonna save money by keeping honest the providers, including the hospitals the physicians and so on and the money that you were given to the insurance company as premium. If you didn't do it or employer did it that's gonna go as taxes so your taxes will go up with the amount of money out of your pocket is going to be reduced if you make less than $200000 thanks. yeah, okay. so now time for a small group discussion, Please raise whatever political questions you have like let's get into it with each other. I wanna hear today's discussion or whatever and of course, like these stick around afterwards. I'll say a few more words at the end, but we wanna keep the discussion going. I want to be wide ranging health care affects us intimately affects us the largest scale possible, but for now, go ahead our conversation, thanks so much for coming. Oh, also if you are standing. Right now and you wanna join a discussion group. David Can you raise your hand? David will be hosting a conversation just out in the hallway it also some more seat belt. Thank you.