Medicaid recipients now have access to low-cost weight loss drugs, Dr. Oz announces

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