Dr. Oz downplays Trump's repeated health exams as ‘routine’

[0:00] good afternoon everybody it's like i'm talking to a classroom uh i've got a couple announcements [0:07] then love to take some questions for you when the president came in for this term he commented [0:12] on how challenging it had been to deal with the affordability crisis in pharmaceutical medications [0:18] often commenting on the fact that he'd been able to reduce the price by one eighth of one percent [0:22] at one point in the first administration and he thought that was a massive achievement because [0:26] it's usually just skyrocketing and it's an important issue for a lot of folks in america [0:31] because almost one in three americans when they go to a pharmacy to pick up a medication [0:36] that their doctors prescribe for them leaves empty-handed because they can't afford the [0:40] medication especially for branded products and part of the reason for this it's unknown to a lot of [0:45] americans but as well recognized by the president this administration is that our drug prices are [0:50] about three times higher on average than the same drugs made in the same facilities in the same [0:55] american factories oftentimes than they are charging patients overseas in europe asia and other parts [1:01] of the world it's global freeloading it's wrong president demanded that we change it and as most of [1:07] you know we spent much of last year negotiating with the 17 largest pharmaceutical companies that drive [1:13] over 80 percent of the entire business in branded pharmaceuticals and every single one of them agreed [1:18] to a most favored nation drug pricing strategy which simply stated means that these medications [1:24] especially going into the future will be priced at the same amount as the rest of the world it doesn't [1:29] mean price fixing we're not telling pharmaceutical companies what to charge we're saying to them [1:33] whatever you charge us you got to charge the other folks which means we might be able to help you [1:37] overseas to get better pricing so that you can make up some of the losses that you'll experience here [1:43] the council economic advisors estimated that the benefit of the president's negotiated program is [1:49] about 600 billion dollars over the next 10 years 600 billion dollars of savings the question then becomes how do you [1:55] actually get that savings to the american people and we work together with some wonderful folks joe jambia [2:00] and corstein who have been building the trump rx.gov site and i've got an announcement that today [2:06] we are adding 160 more drugs to this site now the site already has 700 or so or 600 or so drugs so it's [2:15] going to take it over 750 total but that is an important number for other reasons it means that four out of [2:20] five medications that are picked up by americans going into that same drug store that i mentioned [2:25] earlier now have the opportunity to double check that the price they're getting in that drug store [2:30] or wherever they're buying it from is the best price out there so it's a transparency site it gives [2:35] everybody the ability to make important decisions about medications they're purchasing with full knowledge [2:41] of what the cost of those medications are and that's important because transparency drives [2:45] cost effective changes in how we procure and consume products you would never buy a car without knowing [2:50] the cost of the car some of these medications cost what a car costs and so these are important [2:55] assets for the american people to have i'll put some numbers on this in the two weeks since we did the [3:00] last pro event with the president on this topic we've now up to about 12 million unique visitors to the [3:07] site estimated saves savings are about 500 million dollars and again climbing rapidly as more americans learn [3:14] about the program and it is our great hope and belief that the average american before they make a [3:21] purchasing decision for a pharmaceutical product will start using trump rx.gov as a standard as a [3:26] baseline to take advantage of something that's been given to you getting there's no money made [3:30] from this site the government does not charge money to people using this site it's an opportunity for [3:36] you to be in power that stated i want to add to that one additional insight that some of you would like to [3:42] hear which is that starting on july 1st the the patients on beneficiaries on medicare who are eligible [3:50] for glp products the weight loss products that the president speaks of frequently will be allowed to [3:55] obtain those products for 50 dollars a month now the list price as you know for these drugs is well over [4:00] a thousand dollars a month we've been working hard to push down on these prices to make sure that these [4:05] medications which can be life-changing and even life savings because of their impact on weight loss and [4:10] downstream complications like diabetes and hypertension and all the things that they cause [4:15] like kidney failure and heart disease and strokes and and dementia giving cancers all those risk [4:20] factors are going to be mitigated we believe if these medications are used correctly and so when [4:25] doctors prescribe them medicare beneficiaries will be able to obtain them for fifty dollars a month and [4:30] we are hopeful that over the next few years we will show an actual savings to the american taxpayer [4:35] if these medications are used correctly and appropriately and consistently so folks get the weight loss [4:40] they desire with the downstream benefits that i mentioned earlier i also want to touch briefly on [4:46] the crushing of fraud waste and abuse made possible by the vice president's anti-fraud task force [4:53] the white house task force has been aggressively going after all of government approach i'll speak [4:57] personally as the person charged with us the medicare medicaid services when we identify by looking at the [5:04] data that which we have plenty of that there's an aberrancy in how these bills are coming into us so [5:09] there might be fraud there it's incredibly empowering for us to quickly call the office of inspector [5:14] general or the fbi the department of justice and to have todd blanch call back and say here's what we're [5:19] going to do about what you just observed or call scott best in the treasury and say we need forensic [5:23] accounting something is going on here where are they hiding the money and i want to emphasize that this is [5:28] sophisticated work because our opponents are extraordinarily uh uh sophisticated in their [5:33] attacks on our system they just need to have a medicare beneficiary number or some of their id which [5:38] is basically a credit card and they can begin charging against the federal tax dollars that go into [5:43] medicare and medicaid that's one of the reasons we're seeing such high amounts of fraud in different [5:48] parts of the country and we believe there are organized criminal groups behind some of these endeavors [5:53] so i wanted to walk you through a couple of these examples because our goal is to stop the money from [5:57] ever leaving the building that is the best way to protect the american taxpayer as you know we were [6:03] in minnesota last week where the largest autism uh takedown occurred a mother and a daughter adult [6:10] daughter were accused of tens of millions of dollars of theft and just to put this in perspective the [6:16] reason these are so important is if you defraud the system you don't just take money out of the system [6:21] people steal your money the money from our most vulnerable americans are going to steal their [6:25] health they'll steal their life and that's what we've been seeing in some of these takedowns [6:30] unfortunately when these events don't happen in a timely fashion you lose the whole program so in [6:34] minnesota the state itself stopped non-emergency medical transportation which is when you need [6:39] someone to take it to the doctor's appointment they cut the whole program it's gone it's finished [6:44] because they could not deal with the fraud it went from an estimated million dollars a year how much [6:48] can it cost to take a car to a doctor's office to over a hundred million dollars a year so they killed [6:53] the program and that of course we believe because it doesn't provide the kind of care we desire uh for [6:59] our fellow americans can be problematic we don't want that to happen in other endeavors as well so [7:04] we've been working with the state of minnesota we're not happy with some of the things we've been [7:08] encountering as we look at their receipts on the services they provided which is why we deferred 350 [7:13] million dollars to the state of minnesota and we're waiting to hear feedback from them other states [7:18] have also been problematic california comes to mind where we've made several trips of late uh one-third [7:23] of all of the hospice in the entire country and hospice is a precious beautiful program built in the 80s [7:29] to take care of people with dignity in the last months of their life classically someone has [7:32] metastatic cancer they're going to die uh it's going to happen in a few months you give up your medicare [7:37] because why would you want medicare you don't need all those things take hospice instead but that trade has [7:42] risks with it if you don't actually have a lethal problem and when one-third of all the hospices [7:46] in the entire country are in los angeles not even california and los angeles that creates issues [7:53] first of all it's not plausible but it also means someone's been ignoring the problem and in fact there [7:57] was a call four years ago by the state auditor in california to address these problems it was not [8:02] managed so our agency has now suspended payments to 850 almost half of all the hospices in california now [8:10] have been suspended but they're no longer being paid and we're going to keep aggressively going [8:14] at this problem because when we go after hospice in california guess what happens hospice in nevada [8:19] went up sevenfold hospice in arizona hospice in texas they've all gone up these calendars run to [8:24] other areas i just learned this morning now they're infiltrating the home health care space in california [8:29] which is equally a problem because now they're taking advantage of a different sector of the population this [8:33] time medicaid but using nefarious techniques and technologies to do that as well and again these are organized [8:39] criminal syndicates we believe in many instances and that's why being a personal care service [8:44] attendant which is again doing something that your family would normally do for you carrying groceries [8:49] upstairs driving you somewhere that that job is now by twofold the most common job in california [8:57] and it's the most common job in new york again this defies belief that you can get that much growth in [9:03] single sectors but these are well-paid jobs that have become now ubiquitously available there's not [9:09] been strong guardrails the last administration did not think that this was an important endpoint the [9:14] endpoint was enrolling people and getting people onto these different programs and that has led to a [9:19] tremendous opportunity for corrupting the system and that's what we're witnessing with that in mind [9:24] there's lots we can do to fix these problems we've been aggressively going after states red and blue [9:29] we wrote a letter to florida the difference by the way was florida responded by saying we know we have a [9:34] problem we're going to double down we want a moratorium on all of our durable medical equipment [9:38] suppliers why because there are twice as many durable medical equipment suppliers in south florida [9:43] than mcdonald's again not really possible possible unless you're looking the other way we're not [9:49] looking the other way we're aggressively taking on these challenges and i'm going to reemphasize [9:53] something that i'm hoping everyone appreciates but if you're defrauding our most vulnerable citizens [9:57] in america do not walk away from this threat run away from us because we're coming after you [10:02] all right uh i've got i've got give me one second i got i was i was actually given a cheat sheet which [10:07] you all know i got uh shelby the new new media take it away i actually wanted to ask about that [10:13] nationwide moratorium industry groups are really concerned about growth and employment getting hurt [10:20] if that moratorium expands beyond six months would you rule out an extension of that moratorium or do you [10:27] expect that it's going to be expanded i'm not going to rule out an extension uh we have been talking to [10:32] industry groups about these moratorium in fact just as for everybody watching all of you as well [10:38] we benefit from whistleblowers our most important whistleblowers have been members of industry [10:43] who know the game know how you can cheat it if you're unethical and they point out to us [10:48] when these problems occur so we do not want to hurt the folks who are earnestly involved in hospice [10:54] in durable medical equipment suppliers you know personal care services they're good people in these [10:58] businesses but we're going to slow down the growth of these sectors until we can get our arms around [11:03] the problem because it is of massive magnitude to us uh let me go to let's go over here go ahead [11:08] thank you so much cara castronova from lindell tv with two important questions that the american [11:13] people voted for i care deeply about many americans fear our future administration could reinstate [11:19] covet era vaccine mandates through medicare and medicaid funding would you support and create [11:23] reforms to prevent that from happening again what can you do during your remaining time at cms to ensure [11:29] americans are never forced to choose between their jobs and a forced vaccination well the president uh [11:35] talked about this a bit on friday uh with an executive order that uh desires to provide states with [11:40] better science to be able to make educated decisions it is it is an embarrassment that during covid we [11:47] allowed ideology uh and fear to dictate health care policy many clinicians at the time couldn't understand [11:55] where these ideas were coming from it certainly soured the american people on the trust that their [11:59] government had historically had in recommending public policy efforts the president argues and he's [12:04] right and the secretary kennedy strongly believes we need gold standard science we need that science to be [12:09] able to help families make better decisions for themselves and state governments because these are state [12:14] driven issues usually especially mandates to make those decisions more wisely if you can do this in [12:18] the right way it will be very empowering because who loves children the most their parents no matter [12:23] what we might say they're the ones who need to have the information they should have the ability to [12:27] make the wisest choices for their kids not based in fear but based in science steven let me go one at a [12:35] time i if you ask multiple questions i'm only going to answer one anyway so we'll come back i promise i'll [12:40] talk quickly go ahead dr oz thank you and and i actually have two but you know we'll see what you [12:46] like i'll answer one pick pick one well the first is on most favored nations uh the the policy uh i was [12:53] hoping that you could explain why the administration thinks it's important to pass legislation modifying [12:57] these deals is the fear that a future president might walk away um into what you make of the congressional [13:04] pushback and also on um my tragedy derived from kratom president trump has expressed interest [13:11] you describe the debate within the administration on that let me answer the first one because it's [13:15] not a big debate on the second one the reality around uh the most favored nation drug pricing [13:22] is the president has dealt with the entire problem for this administration but these contracts expire [13:28] after this administration is done so like so many things the president is trying to do he's trying to [13:32] set it up for the next uh administration so that they don't have to fight the same battle now it's [13:37] going to be difficult for pharmaceutical companies to pull back but we still believe it makes sense for [13:42] congress to codify what we've been able to achieve because it's been so helpful think about the 600 [13:47] billion dollars of savings to the average american over the next 10 years it's just a massive number [13:52] that they voluntarily sort of gave back because the president went after them and said you've got to [13:57] deal with this problem and by the way when we got knocked in the door of these pharmaceutical company [14:02] leaders you know what they said we knew one day you'd come for us you know they weren't surprised they [14:07] knew that this couldn't continue so the president wants congress which i know has a lot on his plate [14:11] but there are ongoing discussions around the great health care plan just last week the workforce [14:16] committee uh pushed something out that is going to be on pbm reform their pharmacy benefits [14:21] management companies are the middlemen that often are involved between uh the insurance companies and the [14:25] pharmaceutical companies so there's other parts of the legislation moving forward but just to remind you [14:30] the working the the great health care plan is codifying most favored nation drug pricing so it [14:36] lasts for decades into the future as we believe it should this is all forward looking doesn't hurt [14:40] these companies today just make sure america is protected in the future we want plain english [14:45] insurance policy so you can actually understand the document that you've been given we want [14:49] transparency so you go to a hospital to a doctor's office that you actually know what you're getting [14:53] guys as a doctor when i prescribe something for you i often don't know what it's going to cost you [14:57] to pick up what i just told you to get these are things that are fixable and the pharmacy benefits [15:01] is another part of this let's go to let me i'm gonna buy yeah delhi wire mary thank you my colleague [15:08] luke rosiac just reported and he's done a lot on this his investigations into medicaid broad and home [15:14] health have repeatedly brought him to foreign board health care operators is cms tracking what [15:19] percentage of home health recipients are refugees for foreign-born and why are foreigners using these [15:24] programs at such higher rates than for americans well we are tracking uh illegal immigrants taking [15:30] advantage of all health care plans we've already recouped we've actually told california they owe us [15:34] two billion dollars we've got a half of it back already i'm confident we'll get the rest because [15:39] they have state-based programs that we don't have a lot of visibility into but because of the working [15:44] families tax legislation and other rule making we are no longer allowing foreign uh folks who are here [15:50] illegally to benefit from these programs just to put in context in california if you're on medi-cal [15:55] the medicaid program in california until this administration you got full dental and full vision [16:02] benefits now i'm i'm for those benefits i like them but we don't give that to medicare patients [16:07] and so we should at least be equitable and all of us together should decide what we are going to do [16:12] as a nation so if we as a country decide we're going to go in one direction you can't have states [16:16] splintering off if they're going to spend the other people's money the fraud for example that i'm [16:20] talking about the use of money for illegal immigrants the people who pay that bill when [16:24] it for example the largesse of california allows folks to get benefits that the rest of the country [16:29] doesn't think is appropriate for illegal immigrants or home health care providers that money is paid by [16:34] folks who are taxpayers in new mexico which is a blue state and mississippi a red state so this is not [16:40] partisan everybody is taxed extra has to put more into the kitty because some states are doing things that we [16:45] don't think as a country well we would like to have happened that's why this administration has [16:49] been so dogged in this issue and why the president has been so aggressive all right go on ebola if [16:56] kenya does end up blocking the u.s quarantine facility there and it seems like they might since the kenyan [17:02] courts are delaying it where will americans who have been exposed end up going and then why can't [17:07] they just come to the united states i mean i think you would probably agree that the u.s has pretty good [17:12] health care here so where will they go and why not to the u.s jennifer the the main issue of having a [17:17] facility close to the uh democratic republic of the congo is if a patient is sick again i speak as a [17:24] heart doctor i want to take the patient to the or that's right next door to the room they're sick [17:27] in not to the building next to them or to three buildings two blocks away because that time is [17:33] precious to us you have a golden hour many of these instances around trauma but for illnesses it's also [17:37] relatively short so we are confident in the state department's working on this uh diligently that [17:43] that they're going to be able to work out something uh with kenya there has already been a fair amount of [17:47] of uh of communication around this issue we have the and that's about there's a uk base there we have [17:54] other people who might be willing to welcome us and we have our german colleagues as well so there's [17:59] many places we can send folks but sending them across the world especially we're not sure what's going [18:03] on with them is probably not the wisest move in red take it away thank you so much alina shirazi from [18:08] the daily mill this is the fourth checkup that the president has had he's supposed to have [18:13] one a year he's had several ct heart scans what are the doctors looking for and second question i think [18:19] you might like this one better who has been your favorite uh cabinet secretary so far to do the [18:24] briefings at the podium huh that may not be my favorite question i mean they're all they're all [18:31] obviously different i think scott's bestness dry humor is fabulous uh marco is just an earnestly [18:37] funny person we can tell all kinds of stories about marco's entertaining commentary uh i think jd was [18:43] spectacular you know he's just very on his game understands the issues and he understands the [18:47] american people which is i appreciated his presentation so much uh and i did wash them all by the way just [18:52] to prepare i'm a doctor i try to do my homework i prep for the case um the uh the first issue was about [18:59] ebola no but uh uh he's had four already the president's supposed to have one a year [19:07] yeah so i i actually have talked to the president about what he's sent to all of you and i think it's [19:13] just a routine regular exam uh you remember i had the president on my show 10 years ago he also [19:19] presented records and at the time i was stunned at how well he was doing because so many of these [19:24] numbers naturally over time will start going in the wrong direction but if you look at these records [19:29] they're spectacular you know his cholesterol his blood pressure all the numbers are starting in [19:32] in excellent uh parameters his ability and listen i work with him frequently uh many of you get to see [19:39] him almost every day that amount of energy and that amount of mental acuity does not exist in a vacuum [19:45] you have to have a vessel to carry it and the president has a unique ability to just keep going at all [19:50] hours of the day with remarkable strength let's go right behind you so the administration has been [19:57] stressing reshoring manufacturing pharmaceutical manufacturing is part of that from those [20:01] announcements of those 17 uh pharmaceutical companies what's the timeline that we could see [20:06] those projects come to fruition is it summer is it end of this year well these companies are already [20:11] making investments in america some are ongoing some have announced i went to a ribbon cutting and [20:15] one in charlottesville recently and so there's a lot of investment coming to america but think about [20:20] what you would do if you're a pharma executive if you're a pharma executive and america's open for [20:25] business and we're trying to support innovation you know saving people from you know cancer autoimmune [20:31] problems dementia all these different you want to be where the action is so these companies are coming [20:36] here it's actually a brain drain from europe in particular but other parts of the world as well [20:40] of companies who want to come here so it's not just that we're already going it's going to get bigger [20:44] and bigger and louder no the jobs are starting as we when the first time you hire someone to build a plan [20:50] for you we have a job if you're asking for people with picks and and helmets that's also coming quickly but [20:54] again i've been to facilities are already under construction so they're starting and it will get [20:58] and the president and i visited a facility uh in uh cincinnati a few uh months ago that again they're [21:04] already in there they already have the facility they're already running the facility they're making [21:08] additional investments to upgrade their program yes ma'am thank you so much i know this isn't your [21:14] wheelhouse uh but you are speaking on behalf of the white house today can you respond to any of the [21:19] criticism from republicans on president trump's decision to tap bill pulte who has no known [21:25] intelligence experience as acting dni well i think bill is a a great guy i know him socially i've not [21:32] worked with him uh in his current job and uh but i do trust the president's judgment um he is a very sharp [21:39] uh quick and quick study of uh people uh their emotional uh with abilities and their ability to [21:45] persevere in the in the face of hardship so i have confidence in his decision yes back on ebola um [21:52] given the world cup coming up and millions of visitors coming to the united states on the u.s [21:57] preparation for this who is in charge of proactive surveillance measures and what type of surveillance [22:02] will the united states be doing for visitors coming in will that be expanded beyond the drc uganda and [22:09] sudan can you describe what is in place knowing this influx of people coming soon so jay [22:14] bodashari who i spoke to this morning uh who is our brilliant brilliant leader of the nih but also cdc [22:19] now is running this program he's got a lot of height help from dr heidi overton and many others [22:24] at the white house so it's a well-constructed game plan uh they aggressively got into and [22:29] and they're funding now a lot of the the treatments that are being offered in uh the drc and uh the kenya [22:36] facilities just an extra way for us to take folks who are americans uh who need help but we have [22:40] very purposefully put up testing tools and mechanisms at the major airports for [22:46] that people will be traveling through i have great confidence in jay's ability he's a brilliant [22:50] scientist and knows a lot about viruses you want one of the most important papers really describing the [22:55] the true reality what was happening during covet early in the pandemic it got him in the hot water [22:59] because it was not convenient to hear it but he's a brave man who will make the right decisions to be [23:03] transparent about in pink i mean just back to the question about bill pulte congressional statute [23:10] says any appointee for the position of the director of national intelligence shall have extensive national [23:15] security expertise what extensive national security expertise does he have ma'am you're asking me a [23:21] question that's out of my lane i'm so focused on making sure americans are healthy that i have not [23:24] been looking at what other agencies go ahead yellow tie go thank you sir thank you all right okay um that [23:39] was fun so uh dr oz uh just now you said that uh it should be uh surprising to people that personal [23:48] care service attendant uh is the uh now by two-fold the most common job in california [23:54] and the most common job in new york uh the u.s health care industry has been growing rapidly uh [24:01] seven to eight percent annually it's an estimated 5.3 trillion dollars in growth health care accounts [24:09] for about 18 percent of gdp why should people be surprised that in two of the most populous states [24:17] in the country a health care related job like that would be a common job when it is again [24:26] one of the fastest growing and continuously growing industries in in the u.s i mean what's going on [24:33] here like the primary difference between paying for a hernia operation and paying something to be a [24:38] personal care service is the reason it's concerning to us if you're having a hernia operation you have [24:43] a scar so i know you got something and you have a doctor who was licensed and you had it done in a [24:47] facility that's also credentialed and has been inspected when you get personal care services is an [24:52] unlicensed person in an unmonitored setting promising they did something that's a lot of handshakes and [24:58] you know finger crossing and and hoping that it worked out okay this is a problem that has been [25:04] growing for years it's just gotten now to a crisis mode it is just difficult to imagine that it's twice [25:09] as many jobs as anything else it's not that health care jobs aren't important of course they are [25:14] but if we put guard rails around these programs we'll allow them to thrive [25:18] to thrive i'm here because i love medicaid the president has already said he loves and cherishes [25:24] medicaid and medicare these are medicaid in particular is the ultimate payer of last resort [25:29] we cannot allow these programs to be defrauded into a turmoil that they cannot they cannot pull up [25:36] from and so we if we love these programs will make the difficult decisions let me pivot from that [25:41] just to describe what came out yesterday which is the work requirement rule that our agency and [25:46] dan brilman and caprice knapp did a fantastic job writing this dealt with a lot of states but [25:50] as you know in the working families tax legislation which i believe saved medicaid and the reason i say [25:57] that is our actuarials told us we would be spending 5.4 trillion more dollars for this program over the [26:04] next decade if we didn't deal with some of the legalized money laundering that was siphoning money out of [26:09] the program part of the reason that this is so attractive to states is they could take money [26:13] in in in ways that it was not designed to be used paying people along the way so they didn't have to [26:19] pay for it themselves i get it i understand why the governors did it but it didn't align the president [26:23] with the governors with that law we also had a work requirement rule now what was that work [26:28] requirement was based on concepts that date back from when bill clinton was president with the [26:32] temporary assistance for needy families when the democratic administration said the fraud is getting [26:37] so bad the abuse so big in these programs we need to clean them up we need to get people to try to [26:42] work it's a path to prosperity i believe i hope you share this belief that we're put on this earth [26:48] with agency to change our future change the country's future to make the planet a better place [26:52] we're put here to make a difference but if you're sitting at home which is true for the millions of [26:59] people who are on who are able-bodied on medicaid on average you're spending 6.1 hours watching [27:05] television or just hanging around that's not why you're here so as a path to prosperity congress very [27:11] wise he said let's get you back into the workforce let's require you to get free health care coverage [27:17] to be able to work for 20 hours a week or volunteer to make up the difference if you haven't worked 20 [27:23] hours or get an education just participate and so that rule came out it's a i think beautifully written [27:31] effort to try to define for our nation what your part of the puzzle is because if you are going to get [27:37] something that of value from the american people there should be some obligation if you're able to [27:41] if you're not able to if you're disabled if you're uh you know and one of the categories that are well [27:45] defined uh in general not able to work it's different but if you can work you should get up and work again [27:50] because that's historically how it always was in 1961 in 1965 rather when medicaid was created [27:56] that was the deal there were 11 million people in the program we've perverted that yes sir [28:01] doctor thank you since you're here speaking on behalf of the administration part of the reason [28:04] we're asking about the president's decision to appoint bill poultie to be the head of director [28:09] of national intelligence is it's been four hours and we've been asking the white house why [28:14] he's qualified to do so you're a heart surgeon or a heart doctor yeah would you recommend a patient [28:19] go see someone who isn't you're asking the question with the premise that bill poulti is not qualified i [28:25] don't know anything about his situation and i appreciate you want an answer i'm not going to be the one [28:28] one giving it to you go ahead thank you so much this is the daily signal um what are you doing first of [28:34] all to remove any illegal immigrants who are still receiving medicaid from the program you mentioned [28:38] earlier that's something you've been working on and then secondly medicaid reimbursement for planned [28:43] parenthood will resume july 4th unless congress acts to extend the woman beautiful bill as cms administrator [28:49] what's your message to congress on that on the illegal immigrant side i'll take one question at a time [28:53] if you don't watch a lot of folks the uh we have because we now can do it a very straightforward way [28:59] for the 44 states that don't have state-based medicaid plans for us to be able to audit it the [29:05] people that we're paying for our citizens or not in the states in the state-based plans like i mentioned [29:10] in california and there's a few other states colorado washington etc uh illinois they they have their [29:15] own plan so we have to now audit their plans this is a challenge and that's why before i came here i met with [29:20] a bunch of medicaid directors from a bunch from many states red and blue and they want us to help [29:26] rebuild the tech infrastructure of medicaid in this country imagine 50 balkanized programs you spend 20 [29:33] billion dollars a year 20 billion dollars for a tech infrastructure and we're not getting our money's [29:39] worth so we're putting 200 million dollars more because the working families tax cut legislation uh [29:43] we've got negotiated dan brilman did 600 million dollars of in-kind contributions from the vendors to be [29:49] able to get the work requirement done in an effective way but i think it's the first step of a much larger [29:54] national opportunity to fix how data flows and one bit more bit on this medicare medicare's billing [30:00] system which many of your relatives are using was a 1979 era cobalt-based system i don't even have [30:07] engineers who know how to use that system and so if you're going to really use cloud-based tools if you want [30:12] to use technology to help americans connect better with the health care system you have to update them [30:18] the president has been supportive of this so we are upgrading the system and my hope is that we can [30:22] use the tech transformation tools of this government to bring people to work with us from the private [30:27] sector and every major tech company is a partner of ours now i'm pledging 700. yes go ahead hey i just [30:35] wanted to follow up on her question behind me if the president's in such perfect health why does he keep [30:39] going back in for checkups i think he likes the results he does really well uh he aces the test every single [30:46] day and i i i don't i i do actually believe that he is curious to make sure everything is going in the [30:52] right direction he's a very meticulous person in in so many ways that are often underappreciated but for [30:57] him to want to know all the numbers and keep on top of them it's the same reason he calls people at [31:01] at you know odd hours because something's on his mind he wants to deal with it yes in purple [31:05] about the ufc fight here at the white house next week the president recently invested in the parent [31:11] company of ufc is it a conflict of interest for him to be promoting this event while he's invested [31:17] in ufc's parent company i don't think the president sits at the oval office and makes individual [31:21] investment decisions but i don't know about that issue uh but knowing him i suspect someone else is [31:26] making those decisions for him uh wait go ahead thank you dr oz um the obamacare subsidies expired [31:33] earlier this year what negative consequences have you seen and do you see any policy adjustments that [31:39] need to be made let's talk about obamacare take a step back 2015 16 17 18 2020 there were 9 million [31:48] people on obamacare 9 million today it's more than 20 million like what happened what happened was we [31:56] completely took the guardrails off and i know this because i'm working in the agency that actually was [32:00] told to take the guardrails off and because there wasn't an earnest desire to keep track of whether [32:05] you were appropriately on it or not but more importantly just get the number to where we [32:09] all feel good about ourselves we had massive increases of people joining the program we believe [32:15] that 35 roughly of the people that are using the affordable care act obamacare exchanges because [32:23] they've never used the program once they've never you never filed a claim may not be legit and that [32:28] actual number may translate to five six million people we could be paying premiums for because they [32:35] don't have to contribute anything so they don't even know they're getting it these are people who [32:39] have medicaid and someone often a broker is just honestly enrolling them on uh in an affordable care [32:45] act or they're in two states at once getting full insurance paid for by us in multiple states at once [32:51] so we have evaluated these numbers they are extremely concerning uh there's a very strong effort by us we [32:57] actually took made a rule two weeks ago that starts the process we had tried to do this when we first came [33:01] into office uh court and joined us did not feel we'd follow appropriate appropriate uh apa guidelines [33:08] government guidelines and so we redid it and now went back out again but if you if you care about the [33:13] aca then you'll want us to take the fraud out and let me just take a step back if we want you to go back [33:18] to work on medicaid what's going to happen you're going to start making money as you make money you're going [33:22] to make enough money you get above the poverty level you're going to want to buy an affordable care act product [33:27] or private industry commercial insurers are going to start using it that's a good thing we're getting [33:32] america back up they're getting into work getting them into the stratosphere building prosperity so we [33:36] want these programs to work together but if you've got millions of people literally who are getting [33:42] insurance that they don't want they don't even know they have it and we're all paying for it that's [33:47] tens of billions of dollars worth throwing away that increases premiums for everybody it drives [33:51] affordability down we're not going to tolerate anymore sir in the back in the beer yes thank you [33:56] thank you so much dr rose you're happy to see you i'm sorry i lost two questions because i'm turkish [34:00] america only one question it doesn't matter one question okay so i'm going to ask you you know [34:05] the turkish president rejep tayyip erdogan and american president has a good relations and there's a [34:10] report they are going to meet in a turkey and united states game in los angeles have you heard about it [34:17] and also there's a netto summit in turkey in july so you're turkish american i don't know do you have [34:25] any idea are you going to join and what you're thinking about erdogan and trump relations i have [34:30] no idea about these meetings i've not been invited to anything i suspect i won't be invited to everything [34:34] because i've got a lot of work to do here uh right there go ahead um jordan congress gateway pundit you [34:40] know back to the illegal aliens on medicare and medicaid last october you announced that you had found [34:47] over one billion dollars in federal tax dollars going to illegal aliens how much money how much [34:52] has that amount increased as of today and you know it's kind of like fish in a barrel are these people [34:58] being referred to immigration for prosecution deportation the number has doubled from what i said [35:04] last year we're about two billion dollars the good news is that many states realize this is a problem [35:09] and they themselves have stopped doing this listen it's the same basic story again and again we as a [35:14] nation make a decision because we're one people individual states have to take that decision and [35:18] use it to the best of their ability some states don't do as good a job as other states that's why [35:23] we're looking to individual states for leadership for better ideas to deal with many of these social [35:28] problems that unfortunately begin to pile up over time and they threaten the very foundation of our social [35:36] that that supports all of us that's why this matters so much if you quiz the vice president he grew up [35:41] in an environment where he saw people abuse this i know that's the case of people who are in the task [35:45] force right now the anti-fraud white house task force so there's a passion about this uh and and for [35:51] good reason and the president calls the vice president elliot ness he wants him you know he likes the fact [35:56] that he's taking this seriously he's going at it and he's doing what's best for the american people [36:00] by making some tough decisions one last question take it away um back to bill policy but with the national [36:07] security angle the president has pushed very hard to renew faiza section 702 expires in 10 days [36:16] just ahead of the world cup and there's this heightened threat environment with the war in [36:21] the middle east we've heard all these intel agencies talk about the threat environment these days and how [36:25] people have been very concerned about it on capitol hill you've had lawmakers today raising concern [36:30] about bill pulte and on the democrat side questioning his ability to carry out that role fairly and not [36:39] weaponize it what can you say about to allay their concerns and can you also answer a question that was [36:46] posed by susan collins about whether pulte has a security clearance himself and i don't know anything [36:52] more about bill pulte than you do i did not think that would be one of the questions that would even come [36:56] up here i hadn't even heard the news when i walked out okay let me let me leave you without we're gonna [37:01] we have one last question but i do want okay go ahead i'll come to you yeah i have a gop question [37:09] what's your question very good you have any medical advice for the americans out there that are suffering [37:13] from a very serious ailment called trump derangement syndrome uh i am concerned about uh folks who have [37:20] focused their entire life energy on dislike of the president uh it's disheartening to see people lost [37:26] in that uh way but uh you know it's it's it's it's it's treating stupid is really hard and it becomes [37:34] a real problem and these folks are off now glp ones i mean yeah let me just answer because i'm out of [37:40] time and i very quick one are america getting real deal medication brand name like we go with ozampic [37:47] or it will be generic on trump rx at a 50 monthly rate the trump rx product is the real deal the true api [37:55] advanced the pharmaceutical product that's made by the two major providers right now which are nova [37:59] nordisk you know lily there are other companies coming into the space uh you know we have these [38:04] products that are given by these companies as part of this deal so we'd like to use the real product [38:08] to be able to satisfy the needs of the american consumer it's the brand it's the brand last question from [38:14] the middle go with the last question take it away so kenya basically has stopped uh you know has asked [38:24] us not to build the quarantine facility there um and the people uh the responders from here who are [38:33] supposed to go there do you think the trump administration's policy of not allowing people [38:40] who are exposed americans who are exposed to the virus come back to the us will dissuade these [38:45] responders from going there no i think we're going to work out with the secretary rubio's leadership a [38:51] very favorable arrangement with kenya i've been to kenya it's beautiful country uh very sophisticated [38:56] people they're going to do the right thing for everybody and i think it's a perfect solution i thank [39:00] you very much for letting us be god bless you all take care microplastics