WEBVTT Kind: captions Language: en 00:00:00.080 --> 00:00:02.869 align:start position:0% the<00:00:00.240> jury<00:00:00.880> found<00:00:01.439> pfizer<00:00:01.920> guilty<00:00:02.320> of<00:00:02.480> fraud 00:00:02.869 --> 00:00:02.879 align:start position:0% the jury found pfizer guilty of fraud 00:00:02.879 --> 00:00:05.190 align:start position:0% the jury found pfizer guilty of fraud and<00:00:03.040> racketeering<00:00:03.760> violations<00:00:04.560> how<00:00:04.720> does<00:00:04.960> big 00:00:05.190 --> 00:00:05.200 align:start position:0% and racketeering violations how does big 00:00:05.200 --> 00:00:07.430 align:start position:0% and racketeering violations how does big farm<00:00:05.520> affect<00:00:05.839> your<00:00:06.000> mind<00:00:06.560> everyone's<00:00:07.040> allowed 00:00:07.430 --> 00:00:07.440 align:start position:0% farm affect your mind everyone's allowed 00:00:07.440 --> 00:00:08.790 align:start position:0% farm affect your mind everyone's allowed their<00:00:07.680> own<00:00:07.759> opinion 00:00:08.790 --> 00:00:08.800 align:start position:0% their own opinion 00:00:08.800 --> 00:00:10.549 align:start position:0% their own opinion i<00:00:08.960> don't<00:00:09.200> think<00:00:09.519> everyone's<00:00:10.000> allowed<00:00:10.320> their 00:00:10.549 --> 00:00:10.559 align:start position:0% i don't think everyone's allowed their 00:00:10.559 --> 00:00:13.110 align:start position:0% i don't think everyone's allowed their own<00:00:10.800> scientific<00:00:11.440> facts<00:00:11.920> despiser<00:00:12.719> played<00:00:12.960> by 00:00:13.110 --> 00:00:13.120 align:start position:0% own scientific facts despiser played by 00:00:13.120 --> 00:00:16.390 align:start position:0% own scientific facts despiser played by the<00:00:13.280> rules<00:00:13.840> pfizer<00:00:14.320> isn't<00:00:14.799> battling<00:00:15.280> the<00:00:15.440> fda 00:00:16.390 --> 00:00:16.400 align:start position:0% the rules pfizer isn't battling the fda 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--> 00:00:37.270 align:start position:0% american healthcare and how we can fix it 00:00:37.270 --> 00:00:37.280 align:start position:0% it 00:00:37.280 --> 00:00:40.229 align:start position:0% it this<00:00:37.520> conversation<00:00:38.480> with<00:00:38.719> john<00:00:39.040> abramson<00:00:40.079> is 00:00:40.229 --> 00:00:40.239 align:start position:0% this conversation with john abramson is 00:00:40.239 --> 00:00:41.750 align:start position:0% this conversation with john abramson is a<00:00:40.320> critical<00:00:40.800> exploration<00:00:41.520> of<00:00:41.680> the 00:00:41.750 --> 00:00:41.760 align:start position:0% a critical exploration of the 00:00:41.760 --> 00:00:43.590 align:start position:0% a critical exploration of the pharmaceutical<00:00:42.559> industry 00:00:43.590 --> 00:00:43.600 align:start position:0% pharmaceutical industry 00:00:43.600 --> 00:00:45.830 align:start position:0% pharmaceutical industry i<00:00:43.760> wanted<00:00:44.079> to<00:00:44.239> talk<00:00:44.480> to<00:00:44.640> john<00:00:45.280> in<00:00:45.440> order<00:00:45.680> to 00:00:45.830 --> 00:00:45.840 align:start position:0% i wanted to talk to john in order to 00:00:45.840 --> 00:00:48.150 align:start position:0% i wanted to talk to john in order to provide<00:00:46.320> a<00:00:46.480> countervailing<00:00:47.280> perspective<00:00:48.000> to 00:00:48.150 --> 00:00:48.160 align:start position:0% provide a countervailing perspective to 00:00:48.160 --> 00:00:50.630 align:start position:0% provide a countervailing perspective to the<00:00:48.239> one<00:00:48.480> expressed<00:00:49.039> in<00:00:49.120> my<00:00:49.280> podcast<00:00:49.840> episode 00:00:50.630 --> 00:00:50.640 align:start position:0% the one expressed in my podcast episode 00:00:50.640 --> 00:00:55.029 align:start position:0% the one expressed in my podcast episode with<00:00:50.800> the<00:00:50.960> ceo<00:00:52.000> of<00:00:52.239> pfizer<00:00:53.120> albert<00:00:53.760> berla 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and<00:01:01.920> in<00:01:02.079> general<00:01:02.719> about<00:01:03.039> why<00:01:03.280> i<00:01:03.359> do<00:01:03.600> these 00:01:03.750 --> 00:01:03.760 align:start position:0% and in general about why i do these 00:01:03.760 --> 00:01:06.789 align:start position:0% and in general about why i do these conversations<00:01:04.879> and<00:01:05.040> how<00:01:05.360> i<00:01:05.519> approach<00:01:05.920> them<00:01:06.640> if 00:01:06.789 --> 00:01:06.799 align:start position:0% conversations and how i approach them if 00:01:06.799 --> 00:01:08.950 align:start position:0% conversations and how i approach them if this<00:01:07.040> is<00:01:07.119> not<00:01:07.360> interesting<00:01:07.760> to<00:01:07.920> you<00:01:08.400> please 00:01:08.950 --> 00:01:08.960 align:start position:0% this is not interesting to you please 00:01:08.960 --> 00:01:10.310 align:start position:0% this is not interesting to you please skip<00:01:09.200> ahead 00:01:10.310 --> 00:01:10.320 align:start position:0% skip ahead 00:01:10.320 --> 00:01:12.950 align:start position:0% skip ahead what<00:01:10.560> do<00:01:10.640> i<00:01:10.720> hope<00:01:10.880> to<00:01:11.040> do<00:01:11.200> with<00:01:11.360> this<00:01:11.520> podcast 00:01:12.950 --> 00:01:12.960 align:start position:0% what do i hope to do with this podcast 00:01:12.960 --> 00:01:15.510 align:start position:0% what do i hope to do with this podcast i<00:01:13.119> want<00:01:13.280> to<00:01:13.439> understand<00:01:14.000> human<00:01:14.400> nature 00:01:15.510 --> 00:01:15.520 align:start position:0% i want to understand human nature 00:01:15.520 --> 00:01:17.910 align:start position:0% i want to understand human nature the<00:01:15.680> best<00:01:16.320> and<00:01:16.479> the<00:01:16.560> worst<00:01:16.880> of<00:01:17.040> it 00:01:17.910 --> 00:01:17.920 align:start position:0% the best and the worst of it 00:01:17.920 --> 00:01:19.910 align:start position:0% the best and the worst of it i<00:01:18.000> want<00:01:18.159> to<00:01:18.320> understand<00:01:18.799> how<00:01:19.040> power<00:01:19.439> money<00:01:19.759> and 00:01:19.910 --> 00:01:19.920 align:start position:0% i want to understand how power money and 00:01:19.920 --> 00:01:21.670 align:start position:0% i want to understand how power money and fame<00:01:20.320> changes<00:01:20.799> people 00:01:21.670 --> 00:01:21.680 align:start position:0% fame changes people 00:01:21.680 --> 00:01:24.149 align:start position:0% fame changes people i<00:01:21.840> want<00:01:22.000> to<00:01:22.240> understand<00:01:23.119> why<00:01:23.439> atrocities<00:01:24.080> are 00:01:24.149 --> 00:01:24.159 align:start position:0% i want to understand why atrocities are 00:01:24.159 --> 00:01:25.749 align:start position:0% i want to understand why atrocities are committed<00:01:24.560> by<00:01:24.720> crowds<00:01:25.119> that<00:01:25.280> believe<00:01:25.520> they're 00:01:25.749 --> 00:01:25.759 align:start position:0% committed by crowds that believe they're 00:01:25.759 --> 00:01:27.190 align:start position:0% committed by crowds that believe they're doing<00:01:26.080> good 00:01:27.190 --> 00:01:27.200 align:start position:0% doing good 00:01:27.200 --> 00:01:29.990 align:start position:0% doing good all<00:01:27.520> this<00:01:28.240> ultimately<00:01:29.200> because<00:01:29.520> i<00:01:29.600> want<00:01:29.840> to 00:01:29.990 --> 00:01:30.000 align:start position:0% all this ultimately because i want to 00:01:30.000 --> 00:01:31.910 align:start position:0% all this ultimately because i want to understand<00:01:30.720> how<00:01:30.960> we<00:01:31.119> can<00:01:31.280> build<00:01:31.520> a<00:01:31.600> better 00:01:31.910 --> 00:01:31.920 align:start position:0% understand how we can build a better 00:01:31.920 --> 00:01:33.190 align:start position:0% understand how we can build a better world<00:01:32.159> together 00:01:33.190 --> 00:01:33.200 align:start position:0% world together 00:01:33.200 --> 00:01:35.429 align:start position:0% world together to<00:01:33.360> find<00:01:33.680> hope<00:01:34.079> for<00:01:34.240> the<00:01:34.400> future 00:01:35.429 --> 00:01:35.439 align:start position:0% to find hope for the future 00:01:35.439 --> 00:01:38.469 align:start position:0% to find hope for the future and<00:01:36.000> to<00:01:36.159> rediscover<00:01:37.119> each<00:01:37.520> time 00:01:38.469 --> 00:01:38.479 align:start position:0% and to rediscover each time 00:01:38.479 --> 00:01:40.789 align:start position:0% and to rediscover each time through<00:01:38.640> the<00:01:38.880> exploration<00:01:39.520> of<00:01:39.680> ideas 00:01:40.789 --> 00:01:40.799 align:start position:0% through the exploration of ideas 00:01:40.799 --> 00:01:43.270 align:start position:0% through the exploration of ideas just<00:01:41.040> how<00:01:41.360> beautiful<00:01:41.840> this<00:01:42.159> life<00:01:42.479> is 00:01:43.270 --> 00:01:43.280 align:start position:0% just how beautiful this life is 00:01:43.280 --> 00:01:45.990 align:start position:0% just how beautiful this life is this<00:01:43.680> our<00:01:43.920> human<00:01:44.159> civilization<00:01:45.360> in<00:01:45.600> all<00:01:45.840> of 00:01:45.990 --> 00:01:46.000 align:start position:0% this our human civilization in all of 00:01:46.000 --> 00:01:48.469 align:start position:0% this our human civilization in all of its<00:01:46.159> full<00:01:46.479> complexity<00:01:47.520> the<00:01:47.759> forces<00:01:48.159> of<00:01:48.240> good 00:01:48.469 --> 00:01:48.479 align:start position:0% its full complexity the forces of good 00:01:48.479 --> 00:01:51.670 align:start position:0% its full complexity the forces of good and<00:01:48.640> evil<00:01:49.280> of<00:01:49.439> war<00:01:49.680> and<00:01:49.840> peace<00:01:50.560> of<00:01:50.799> hate<00:01:51.439> and 00:01:51.670 --> 00:01:51.680 align:start position:0% and evil of war and peace of hate and 00:01:51.680 --> 00:01:53.270 align:start position:0% and evil of war and peace of hate and love 00:01:53.270 --> 00:01:53.280 align:start position:0% love 00:01:53.280 --> 00:01:55.109 align:start position:0% love i<00:01:53.439> don't<00:01:53.600> think<00:01:53.759> i<00:01:53.920> can<00:01:54.079> do<00:01:54.240> this<00:01:54.479> with<00:01:54.640> a<00:01:54.720> heart 00:01:55.109 --> 00:01:55.119 align:start position:0% i don't think i can do this with a heart 00:01:55.119 --> 00:01:57.429 align:start position:0% i don't think i can do this with a heart and<00:01:55.200> mind<00:01:55.520> that<00:01:55.680> is<00:01:55.759> not<00:01:55.920> open<00:01:56.399> fragile<00:01:57.280> and 00:01:57.429 --> 00:01:57.439 align:start position:0% and mind that is not open fragile and 00:01:57.439 --> 00:01:59.910 align:start position:0% and mind that is not open fragile and willing<00:01:57.759> to<00:01:58.000> empathize<00:01:58.960> with<00:01:59.360> all<00:01:59.600> human 00:01:59.910 --> 00:01:59.920 align:start position:0% willing to empathize with all human 00:01:59.920 --> 00:02:00.870 align:start position:0% willing to empathize with all human beings 00:02:00.870 --> 00:02:00.880 align:start position:0% beings 00:02:00.880 --> 00:02:02.789 align:start position:0% beings even<00:02:01.200> those<00:02:01.439> in<00:02:01.600> the<00:02:01.680> darkest<00:02:02.079> corners<00:02:02.479> of<00:02:02.640> our 00:02:02.789 --> 00:02:02.799 align:start position:0% even those in the darkest corners of our 00:02:02.799 --> 00:02:04.310 align:start position:0% even those in the darkest corners of our world 00:02:04.310 --> 00:02:04.320 align:start position:0% world 00:02:04.320 --> 00:02:06.709 align:start position:0% world to<00:02:04.560> attack<00:02:05.360> is<00:02:05.680> easy 00:02:06.709 --> 00:02:06.719 align:start position:0% to attack is easy 00:02:06.719 --> 00:02:09.430 align:start position:0% to attack is easy to<00:02:06.880> understand<00:02:08.160> is<00:02:08.319> hard 00:02:09.430 --> 00:02:09.440 align:start position:0% to understand is hard 00:02:09.440 --> 00:02:11.670 align:start position:0% to understand is hard and<00:02:09.599> i<00:02:09.840> choose<00:02:10.080> the<00:02:10.239> hard<00:02:10.560> path 00:02:11.670 --> 00:02:11.680 align:start position:0% and i choose the hard path 00:02:11.680 --> 00:02:13.750 align:start position:0% and i choose the hard path i<00:02:11.920> have<00:02:12.080> learned<00:02:12.400> over<00:02:12.560> the<00:02:12.720> past<00:02:12.959> few<00:02:13.200> months 00:02:13.750 --> 00:02:13.760 align:start position:0% i have learned over the past few months 00:02:13.760 --> 00:02:16.390 align:start position:0% i have learned over the past few months that<00:02:14.000> this<00:02:14.319> path<00:02:15.040> involves<00:02:15.440> me<00:02:15.680> getting<00:02:16.080> more 00:02:16.390 --> 00:02:16.400 align:start position:0% that this path involves me getting more 00:02:16.400 --> 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mertzel<00:02:25.760> or<00:02:26.319> vincent<00:02:26.640> ruckanyello 00:02:28.070 --> 00:02:28.080 align:start position:0% jamie mertzel or vincent ruckanyello 00:02:28.080 --> 00:02:31.750 align:start position:0% jamie mertzel or vincent ruckanyello when<00:02:28.239> i<00:02:28.400> stand<00:02:29.120> for<00:02:29.360> my<00:02:29.599> friend<00:02:30.160> joe<00:02:30.480> rogan 00:02:31.750 --> 00:02:31.760 align:start position:0% when i stand for my friend joe rogan 00:02:31.760 --> 00:02:34.070 align:start position:0% when i stand for my friend joe rogan when<00:02:31.920> i<00:02:32.080> host<00:02:32.400> tech<00:02:32.720> leaders<00:02:33.200> like<00:02:33.760> mark 00:02:34.070 --> 00:02:34.080 align:start position:0% when i host tech leaders like mark 00:02:34.080 --> 00:02:36.710 align:start position:0% when i host tech leaders like mark zuckerberg<00:02:34.720> elon<00:02:34.959> musk<00:02:35.360> and<00:02:35.440> others<00:02:36.319> when<00:02:36.560> i 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tides of history i<00:02:45.120> have<00:02:45.920> and<00:02:46.080> i<00:02:46.239> will<00:02:46.560> get<00:02:46.800> called<00:02:47.200> stupid 00:02:48.150 --> 00:02:48.160 align:start position:0% i have and i will get called stupid 00:02:48.160 --> 00:02:49.430 align:start position:0% i have and i will get called stupid naive 00:02:49.430 --> 00:02:49.440 align:start position:0% naive 00:02:49.440 --> 00:02:50.710 align:start position:0% naive weak 00:02:50.710 --> 00:02:50.720 align:start position:0% weak 00:02:50.720 --> 00:02:53.670 align:start position:0% weak and<00:02:50.879> i<00:02:50.959> will<00:02:51.200> take<00:02:51.440> these<00:02:51.760> words<00:02:52.400> with<00:02:52.640> respect 00:02:53.670 --> 00:02:53.680 align:start position:0% and i will take these words with respect 00:02:53.680 --> 00:02:55.270 align:start position:0% and i will take these words with respect humility<00:02:54.239> and<00:02:54.400> love 00:02:55.270 --> 00:02:55.280 align:start position:0% humility and love 00:02:55.280 --> 00:02:57.110 align:start position:0% humility and love and<00:02:55.440> i<00:02:55.519> will<00:02:55.680> get<00:02:55.920> better 00:02:57.110 --> 00:02:57.120 align:start position:0% and i will get better 00:02:57.120 --> 00:03:00.630 align:start position:0% and i will get better i<00:02:57.280> will<00:02:57.519> listen<00:02:58.239> think<00:02:58.720> learn<00:02:59.120> and<00:02:59.280> improve 00:03:00.630 --> 00:03:00.640 align:start position:0% i will listen think learn and improve 00:03:00.640 --> 00:03:02.710 align:start position:0% i will listen think learn and improve one<00:03:00.879> thing<00:03:01.200> i<00:03:01.280> can<00:03:01.519> promise 00:03:02.710 --> 00:03:02.720 align:start position:0% one thing i can promise 00:03:02.720 --> 00:03:05.270 align:start position:0% one thing i can promise is<00:03:02.879> there's<00:03:03.200> no<00:03:03.519> amount<00:03:03.920> of<00:03:04.159> money<00:03:04.480> or<00:03:04.640> fame 00:03:05.270 --> 00:03:05.280 align:start position:0% is there's no amount of money or fame 00:03:05.280 --> 00:03:07.430 align:start position:0% is there's no amount of money or fame they<00:03:05.440> can<00:03:05.599> buy<00:03:05.840> my<00:03:06.080> opinion<00:03:06.800> or<00:03:06.959> make<00:03:07.120> me<00:03:07.280> go 00:03:07.430 --> 00:03:07.440 align:start position:0% they can buy my opinion or make me go 00:03:07.440 --> 00:03:09.190 align:start position:0% they can buy my opinion or make me go against<00:03:07.760> my<00:03:08.000> principles 00:03:09.190 --> 00:03:09.200 align:start position:0% against my principles 00:03:09.200 --> 00:03:11.350 align:start position:0% against my principles there's<00:03:09.440> no<00:03:09.599> amount<00:03:09.920> of<00:03:10.080> pressure<00:03:11.040> that<00:03:11.200> can 00:03:11.350 --> 00:03:11.360 align:start position:0% there's no amount of pressure that can 00:03:11.360 --> 00:03:13.430 align:start position:0% there's no amount of pressure that can break<00:03:11.840> my<00:03:12.080> integrity 00:03:13.430 --> 00:03:13.440 align:start position:0% break my integrity 00:03:13.440 --> 00:03:15.990 align:start position:0% break my integrity there's<00:03:13.840> nothing<00:03:14.319> in<00:03:14.400> this<00:03:14.640> world<00:03:14.959> i<00:03:15.120> need 00:03:15.990 --> 00:03:16.000 align:start position:0% there's nothing in this world i need 00:03:16.000 --> 00:03:18.550 align:start position:0% there's nothing in this world i need that<00:03:16.159> i<00:03:16.319> don't<00:03:16.720> already<00:03:17.280> have 00:03:18.550 --> 00:03:18.560 align:start position:0% that i don't already have 00:03:18.560 --> 00:03:21.350 align:start position:0% that i don't already have life<00:03:18.879> itself<00:03:19.519> is<00:03:19.599> the<00:03:19.760> fundamental<00:03:20.400> gift 00:03:21.350 --> 00:03:21.360 align:start position:0% life itself is the fundamental gift 00:03:21.360 --> 00:03:24.470 align:start position:0% life itself is the fundamental gift everything<00:03:21.840> else<00:03:22.239> is<00:03:22.400> just<00:03:22.640> a<00:03:22.720> bonus 00:03:24.470 --> 00:03:24.480 align:start position:0% everything else is just a bonus 00:03:24.480 --> 00:03:26.630 align:start position:0% everything else is just a bonus that<00:03:25.120> is<00:03:25.360> freedom 00:03:26.630 --> 00:03:26.640 align:start position:0% that is freedom 00:03:26.640 --> 00:03:28.550 align:start position:0% that is freedom that<00:03:26.959> is<00:03:27.120> happiness 00:03:28.550 --> 00:03:28.560 align:start position:0% that is happiness 00:03:28.560 --> 00:03:30.070 align:start position:0% that is happiness if<00:03:28.720> i<00:03:28.799> die<00:03:29.040> today 00:03:30.070 --> 00:03:30.080 align:start position:0% if i die today 00:03:30.080 --> 00:03:33.030 align:start position:0% if i die today i<00:03:30.159> will<00:03:30.400> die<00:03:30.640> a<00:03:30.720> happy<00:03:31.120> man 00:03:33.030 --> 00:03:33.040 align:start position:0% i will die a happy man 00:03:33.040 --> 00:03:33.910 align:start position:0% i will die a happy man now 00:03:33.910 --> 00:03:33.920 align:start position:0% now 00:03:33.920 --> 00:03:35.990 align:start position:0% now a<00:03:34.000> few<00:03:34.239> comments<00:03:34.879> about<00:03:35.200> my<00:03:35.440> approach<00:03:35.920> and 00:03:35.990 --> 00:03:36.000 align:start position:0% a few comments about my approach and 00:03:36.000 --> 00:03:38.390 align:start position:0% a few comments about my approach and lessons<00:03:36.480> learned<00:03:37.200> from<00:03:37.440> the<00:03:37.599> albert<00:03:38.000> berla 00:03:38.390 --> 00:03:38.400 align:start position:0% lessons learned from the albert berla 00:03:38.400 --> 00:03:39.509 align:start position:0% lessons learned from the albert berla conversation 00:03:39.509 --> 00:03:39.519 align:start position:0% conversation 00:03:39.519 --> 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contemplate<00:03:46.879> in<00:03:47.040> long-form<00:03:48.000> the 00:03:48.149 --> 00:03:48.159 align:start position:0% contemplate in long-form the 00:03:48.159 --> 00:03:50.949 align:start position:0% contemplate in long-form the complexities<00:03:48.959> of<00:03:49.120> his<00:03:49.360> role<00:03:49.920> including 00:03:50.949 --> 00:03:50.959 align:start position:0% complexities of his role including 00:03:50.959 --> 00:03:53.270 align:start position:0% complexities of his role including the<00:03:51.120> tension<00:03:51.920> between<00:03:52.319> making<00:03:52.720> money<00:03:53.120> and 00:03:53.270 --> 00:03:53.280 align:start position:0% the tension between making money and 00:03:53.280 --> 00:03:54.470 align:start position:0% the tension between making money and helping<00:03:53.599> people 00:03:54.470 --> 00:03:54.480 align:start position:0% helping people 00:03:54.480 --> 00:03:56.550 align:start position:0% helping people the<00:03:54.640> corruption<00:03:55.200> that<00:03:55.360> so<00:03:55.599> often<00:03:55.920> permeates 00:03:56.550 --> 00:03:56.560 align:start position:0% the corruption that so often permeates 00:03:56.560 --> 00:03:58.949 align:start position:0% the corruption that so often permeates human<00:03:56.879> institutions<00:03:58.080> the<00:03:58.239> crafting<00:03:58.799> of 00:03:58.949 --> 00:03:58.959 align:start position:0% human institutions the crafting of 00:03:58.959 --> 00:04:01.190 align:start position:0% human institutions the crafting of narratives<00:03:59.360> through<00:03:59.599> advertisements<00:04:00.720> and<00:04:00.879> so 00:04:01.190 --> 00:04:01.200 align:start position:0% narratives through advertisements and so 00:04:01.200 --> 00:04:02.309 align:start position:0% narratives through advertisements and so on 00:04:02.309 --> 00:04:02.319 align:start position:0% on 00:04:02.319 --> 00:04:04.869 align:start position:0% on i<00:04:02.480> only<00:04:02.720> had<00:04:02.879> one<00:04:03.120> hour<00:04:03.920> and<00:04:04.080> so<00:04:04.319> this<00:04:04.560> wasn't 00:04:04.869 --> 00:04:04.879 align:start position:0% i only had one hour and so this wasn't 00:04:04.879 --> 00:04:07.350 align:start position:0% i only had one hour and so this wasn't the<00:04:05.040> time<00:04:05.360> to<00:04:05.439> address<00:04:05.840> these<00:04:06.159> issues<00:04:06.560> deeply 00:04:07.350 --> 00:04:07.360 align:start position:0% the time to address these issues deeply 00:04:07.360 --> 00:04:09.750 align:start position:0% the time to address these issues deeply but<00:04:07.519> to<00:04:07.760> show<00:04:08.319> if<00:04:08.560> albert<00:04:09.120> struggled<00:04:09.599> with 00:04:09.750 --> 00:04:09.760 align:start position:0% but to show if albert struggled with 00:04:09.760 --> 00:04:12.309 align:start position:0% but to show if albert struggled with them<00:04:10.159> in<00:04:10.239> the<00:04:10.400> privacy<00:04:10.879> of<00:04:10.959> his<00:04:11.120> own<00:04:11.280> mind 00:04:12.309 --> 00:04:12.319 align:start position:0% them in the privacy of his own mind 00:04:12.319 --> 00:04:15.270 align:start position:0% them in the privacy of his own mind and<00:04:12.480> if<00:04:12.640> he<00:04:12.879> would<00:04:13.519> let<00:04:13.840> down<00:04:14.640> the<00:04:14.799> veil<00:04:15.200> of 00:04:15.270 --> 00:04:15.280 align:start position:0% and if he would let down the veil of 00:04:15.280 --> 00:04:17.670 align:start position:0% and if he would let down the veil of political<00:04:15.840> speak<00:04:16.239> for<00:04:16.400> a<00:04:16.479> time<00:04:17.199> to<00:04:17.359> let<00:04:17.519> me 00:04:17.670 --> 00:04:17.680 align:start position:0% political speak for a time to let me 00:04:17.680 --> 00:04:20.390 align:start position:0% political speak for a time to let me connect<00:04:18.239> with<00:04:18.479> a<00:04:18.560> man<00:04:19.199> who<00:04:19.440> decades<00:04:19.840> ago<00:04:20.160> chose 00:04:20.390 --> 00:04:20.400 align:start position:0% connect with a man who decades ago chose 00:04:20.400 --> 00:04:22.469 align:start position:0% connect with a man who decades ago chose to<00:04:20.560> become<00:04:20.799> a<00:04:20.880> veterinarian 00:04:22.469 --> 00:04:22.479 align:start position:0% to become a veterinarian 00:04:22.479 --> 00:04:24.390 align:start position:0% to become a veterinarian who<00:04:22.639> wanted<00:04:22.960> to<00:04:23.120> help<00:04:23.600> lessen<00:04:23.919> the<00:04:24.000> amount<00:04:24.240> of 00:04:24.390 --> 00:04:24.400 align:start position:0% who wanted to help lessen the amount of 00:04:24.400 --> 00:04:26.150 align:start position:0% who wanted to help lessen the amount of suffering<00:04:24.800> in<00:04:24.880> the<00:04:24.960> world 00:04:26.150 --> 00:04:26.160 align:start position:0% suffering in the world 00:04:26.160 --> 00:04:28.390 align:start position:0% suffering in the world i<00:04:26.320> had<00:04:26.560> no<00:04:26.720> pressure<00:04:27.120> placed<00:04:27.440> on<00:04:27.600> me<00:04:28.240> there 00:04:28.390 --> 00:04:28.400 align:start position:0% i had no pressure placed on me there 00:04:28.400 --> 00:04:30.950 align:start position:0% i had no pressure placed on me there were<00:04:28.560> no<00:04:28.800> rules<00:04:29.680> the<00:04:29.840> questions<00:04:30.240> i<00:04:30.320> was<00:04:30.479> asking 00:04:30.950 --> 00:04:30.960 align:start position:0% were no rules the questions i was asking 00:04:30.960 --> 00:04:33.270 align:start position:0% were no rules the questions i was asking were<00:04:31.280> all<00:04:31.680> mine<00:04:32.080> and<00:04:32.240> not<00:04:32.479> seen<00:04:32.720> by<00:04:32.880> pfizer 00:04:33.270 --> 00:04:33.280 align:start position:0% were all mine and not seen by pfizer 00:04:33.280 --> 00:04:36.310 align:start position:0% were all mine and not seen by pfizer folks<00:04:34.000> i<00:04:34.160> had<00:04:34.320> no<00:04:34.560> care<00:04:35.280> whether<00:04:35.680> i<00:04:36.000> ever 00:04:36.310 --> 00:04:36.320 align:start position:0% folks i had no care whether i ever 00:04:36.320 --> 00:04:38.710 align:start position:0% folks i had no care whether i ever talked<00:04:36.560> to<00:04:36.720> another<00:04:37.120> ceo<00:04:37.680> again 00:04:38.710 --> 00:04:38.720 align:start position:0% talked to another ceo again 00:04:38.720 --> 00:04:41.749 align:start position:0% talked to another ceo again none<00:04:38.880> of<00:04:39.040> this<00:04:39.280> was<00:04:39.600> part<00:04:40.240> of<00:04:40.479> the<00:04:40.960> calculation 00:04:41.749 --> 00:04:41.759 align:start position:0% none of this was part of the calculation 00:04:41.759 --> 00:04:43.990 align:start position:0% none of this was part of the calculation in<00:04:41.840> my<00:04:42.080> limited<00:04:42.400> brain<00:04:42.720> computer 00:04:43.990 --> 00:04:44.000 align:start position:0% in my limited brain computer 00:04:44.000 --> 00:04:46.070 align:start position:0% in my limited brain computer i<00:04:44.160> didn't<00:04:44.400> want<00:04:44.560> to<00:04:44.720> grill<00:04:45.040> him<00:04:45.759> the<00:04:45.919> way 00:04:46.070 --> 00:04:46.080 align:start position:0% i didn't want to grill him the way 00:04:46.080 --> 00:04:48.790 align:start position:0% i didn't want to grill him the way politicians<00:04:46.720> grill<00:04:46.960> ceos<00:04:47.520> in<00:04:47.680> congress 00:04:48.790 --> 00:04:48.800 align:start position:0% politicians grill ceos in congress 00:04:48.800 --> 00:04:51.350 align:start position:0% politicians grill ceos in congress i<00:04:48.960> thought<00:04:49.120> that<00:04:49.360> this<00:04:49.600> approach<00:04:50.400> is<00:04:50.639> easy 00:04:51.350 --> 00:04:51.360 align:start position:0% i thought that this approach is easy 00:04:51.360 --> 00:04:54.950 align:start position:0% i thought that this approach is easy self-serving<00:04:52.560> dehumanizing<00:04:53.840> and<00:04:54.320> it<00:04:54.479> reveals 00:04:54.950 --> 00:04:54.960 align:start position:0% self-serving dehumanizing and it reveals 00:04:54.960 --> 00:04:57.749 align:start position:0% self-serving dehumanizing and it reveals nothing<00:04:56.080> i<00:04:56.240> wanted<00:04:56.560> to<00:04:56.639> reveal<00:04:57.040> the<00:04:57.280> genuine 00:04:57.749 --> 00:04:57.759 align:start position:0% nothing i wanted to reveal the genuine 00:04:57.759 --> 00:04:59.350 align:start position:0% nothing i wanted to reveal the genuine intellectual<00:04:58.400> struggle<00:04:58.960> vision<00:04:59.280> and 00:04:59.350 --> 00:04:59.360 align:start position:0% intellectual struggle vision and 00:04:59.360 --> 00:05:01.830 align:start position:0% intellectual struggle vision and motivation<00:04:59.919> of<00:05:00.080> a<00:05:00.160> human<00:05:00.479> being<00:05:01.280> and<00:05:01.360> if<00:05:01.520> that 00:05:01.830 --> 00:05:01.840 align:start position:0% motivation of a human being and if that 00:05:01.840 --> 00:05:04.629 align:start position:0% motivation of a human being and if that fails<00:05:02.560> i<00:05:02.800> trusted<00:05:03.199> the<00:05:03.440> listener<00:05:04.160> to<00:05:04.320> draw 00:05:04.629 --> 00:05:04.639 align:start position:0% fails i trusted the listener to draw 00:05:04.639 --> 00:05:06.950 align:start position:0% fails i trusted the listener to draw their<00:05:04.880> own<00:05:05.120> conclusion<00:05:05.759> and<00:05:05.919> insights<00:05:06.720> from 00:05:06.950 --> 00:05:06.960 align:start position:0% their own conclusion and insights from 00:05:06.960 --> 00:05:09.909 align:start position:0% their own conclusion and insights from the<00:05:07.039> result<00:05:07.919> whether<00:05:08.240> it's<00:05:08.479> the<00:05:08.560> words<00:05:09.039> spoken 00:05:09.909 --> 00:05:09.919 align:start position:0% the result whether it's the words spoken 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align:start position:0% the intelligence of the listener 00:05:20.320 --> 00:05:21.830 align:start position:0% the intelligence of the listener you 00:05:21.830 --> 00:05:21.840 align:start position:0% you 00:05:21.840 --> 00:05:24.070 align:start position:0% you in<00:05:22.000> fact<00:05:22.560> if<00:05:22.720> i<00:05:22.880> criticize<00:05:23.360> the<00:05:23.440> person<00:05:23.840> too 00:05:24.070 --> 00:05:24.080 align:start position:0% in fact if i criticize the person too 00:05:24.080 --> 00:05:26.950 align:start position:0% in fact if i criticize the person too hard<00:05:24.720> or<00:05:24.960> celebrate<00:05:25.440> the<00:05:25.520> person<00:05:25.919> too<00:05:26.080> much<00:05:26.720> i 00:05:26.950 --> 00:05:26.960 align:start position:0% hard or celebrate the person too much i 00:05:26.960 --> 00:05:29.350 align:start position:0% hard or celebrate the person too much i feel<00:05:27.199> i<00:05:27.440> fail<00:05:28.080> to<00:05:28.240> give<00:05:28.479> the<00:05:28.639> listener<00:05:29.280> a 00:05:29.350 --> 00:05:29.360 align:start position:0% feel i fail to give the listener a 00:05:29.360 --> 00:05:31.310 align:start position:0% feel i fail to give the listener a picture<00:05:29.680> of<00:05:29.759> the<00:05:29.840> human<00:05:30.160> being<00:05:30.720> that<00:05:30.880> is 00:05:31.310 --> 00:05:31.320 align:start position:0% picture of the human being that is 00:05:31.320 --> 00:05:34.070 align:start position:0% picture of the human being that is uncontaminated<00:05:32.720> by<00:05:32.960> my<00:05:33.199> opinion<00:05:33.840> or<00:05:34.000> the 00:05:34.070 --> 00:05:34.080 align:start position:0% uncontaminated by my opinion or the 00:05:34.080 --> 00:05:36.390 align:start position:0% uncontaminated by my opinion or the opinion<00:05:34.560> of<00:05:34.639> the<00:05:34.720> crowd 00:05:36.390 --> 00:05:36.400 align:start position:0% opinion of the crowd 00:05:36.400 --> 00:05:38.629 align:start position:0% opinion of the crowd i<00:05:36.560> trust<00:05:36.800> that<00:05:37.039> you<00:05:37.440> have<00:05:37.680> the<00:05:37.919> fortitude<00:05:38.560> and 00:05:38.629 --> 00:05:38.639 align:start position:0% i trust that you have the fortitude and 00:05:38.639 --> 00:05:41.189 align:start position:0% i trust that you have the fortitude and the<00:05:38.800> courage<00:05:39.199> to<00:05:39.440> use<00:05:39.680> your<00:05:39.840> own<00:05:40.080> mind<00:05:40.960> to 00:05:41.189 --> 00:05:41.199 align:start position:0% the courage to use your own mind to 00:05:41.199 --> 00:05:44.230 align:start position:0% the courage to use your own mind to empathize<00:05:42.240> and<00:05:42.400> to<00:05:42.639> think 00:05:44.230 --> 00:05:44.240 align:start position:0% empathize and to think 00:05:44.240 --> 00:05:46.710 align:start position:0% empathize and to think two<00:05:44.479> practical<00:05:44.880> lessons<00:05:45.280> i<00:05:45.360> took<00:05:45.600> away<00:05:46.320> first 00:05:46.710 --> 00:05:46.720 align:start position:0% two practical lessons i took away first 00:05:46.720 --> 00:05:48.950 align:start position:0% two practical lessons i took away first i<00:05:46.880> will<00:05:47.039> more<00:05:47.280> strongly<00:05:47.840> push<00:05:48.400> for<00:05:48.639> longer 00:05:48.950 --> 00:05:48.960 align:start position:0% i will more strongly push for longer 00:05:48.960 --> 00:05:51.189 align:start position:0% i will more strongly push for longer conversations<00:05:49.680> of<00:05:49.840> three<00:05:50.400> four<00:05:50.720> or<00:05:50.880> more 00:05:51.189 --> 00:05:51.199 align:start position:0% conversations of three four or more 00:05:51.199 --> 00:05:54.150 align:start position:0% conversations of three four or more hours<00:05:51.840> versus<00:05:52.160> just<00:05:52.400> one<00:05:52.639> hour<00:05:53.360> 60<00:05:53.680> minutes<00:05:54.080> is 00:05:54.150 --> 00:05:54.160 align:start position:0% hours versus just one hour 60 minutes is 00:05:54.160 --> 00:05:56.150 align:start position:0% hours versus just one hour 60 minutes is too<00:05:54.400> short<00:05:54.800> for<00:05:54.960> the<00:05:55.039> guests<00:05:55.280> to<00:05:55.360> relax<00:05:55.840> and<00:05:56.000> to 00:05:56.150 --> 00:05:56.160 align:start position:0% too short for the guests to relax and to 00:05:56.160 --> 00:05:58.950 align:start position:0% too short for the guests to relax and to think<00:05:56.800> slowly<00:05:57.280> and<00:05:57.440> deeply<00:05:58.240> and<00:05:58.400> for<00:05:58.560> me<00:05:58.800> to 00:05:58.950 --> 00:05:58.960 align:start position:0% think slowly and deeply and for me to 00:05:58.960 --> 00:06:01.430 align:start position:0% think slowly and deeply and for me to ask<00:05:59.280> many<00:05:59.600> follow-up<00:06:00.080> questions<00:06:00.720> or<00:06:00.960> follow 00:06:01.430 --> 00:06:01.440 align:start position:0% ask many follow-up questions or follow 00:06:01.440 --> 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many<00:06:10.080> hours 00:06:11.510 --> 00:06:11.520 align:start position:0% talk in true long form for many hours 00:06:11.520 --> 00:06:13.670 align:start position:0% talk in true long form for many hours second<00:06:12.080> these<00:06:12.319> conversations<00:06:12.960> with<00:06:13.120> leaders 00:06:13.670 --> 00:06:13.680 align:start position:0% second these conversations with leaders 00:06:13.680 --> 00:06:16.070 align:start position:0% second these conversations with leaders can<00:06:13.840> be<00:06:14.000> aided<00:06:14.400> by<00:06:15.120> further<00:06:15.440> conversations 00:06:16.070 --> 00:06:16.080 align:start position:0% can be aided by further conversations 00:06:16.080 --> 00:06:17.990 align:start position:0% can be aided by further conversations with<00:06:16.240> people<00:06:16.800> who<00:06:17.039> wrote<00:06:17.280> books<00:06:17.520> about<00:06:17.759> those 00:06:17.990 --> 00:06:18.000 align:start position:0% with people who wrote books about those 00:06:18.000 --> 00:06:20.629 align:start position:0% with people who wrote books about those leaders<00:06:18.720> or<00:06:18.960> their<00:06:19.199> industries<00:06:20.319> those<00:06:20.560> that 00:06:20.629 --> 00:06:20.639 align:start position:0% leaders or their industries those that 00:06:20.639 --> 00:06:22.469 align:start position:0% leaders or their industries those that can<00:06:20.800> steal<00:06:21.120> man<00:06:21.440> each<00:06:21.759> perspective<00:06:22.319> and 00:06:22.469 --> 00:06:22.479 align:start position:0% can steal man each perspective and 00:06:22.479 --> 00:06:24.950 align:start position:0% can steal man each perspective and attempt<00:06:22.800> to<00:06:22.960> give<00:06:23.199> an<00:06:23.360> objective<00:06:23.919> analysis 00:06:24.950 --> 00:06:24.960 align:start position:0% attempt to give an objective analysis 00:06:24.960 --> 00:06:26.710 align:start position:0% attempt to give an objective analysis i<00:06:25.120> think<00:06:25.360> of<00:06:25.520> teddy<00:06:25.759> roosevelt's<00:06:26.319> speech 00:06:26.710 --> 00:06:26.720 align:start position:0% i think of teddy roosevelt's speech 00:06:26.720 --> 00:06:28.870 align:start position:0% i think of teddy roosevelt's speech about<00:06:26.960> the<00:06:27.039> man<00:06:27.280> in<00:06:27.440> the<00:06:27.520> arena<00:06:28.400> i<00:06:28.560> want<00:06:28.720> to 00:06:28.870 --> 00:06:28.880 align:start position:0% about the man in the arena i want to 00:06:28.880 --> 00:06:31.189 align:start position:0% about the man in the arena i want to talk<00:06:29.120> to<00:06:29.280> both<00:06:29.919> the<00:06:30.080> men<00:06:30.319> and<00:06:30.560> women<00:06:30.960> in<00:06:31.039> the 00:06:31.189 --> 00:06:31.199 align:start position:0% talk to both the men and women in the 00:06:31.199 --> 00:06:32.309 align:start position:0% talk to both the men and women in the arena 00:06:32.309 --> 00:06:32.319 align:start position:0% arena 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that's why i wanted to have this 00:06:49.520 --> 00:06:52.390 align:start position:0% that's why i wanted to have this conversation<00:06:50.160> with<00:06:50.400> john<00:06:50.720> abramson<00:06:51.759> who<00:06:52.080> is 00:06:52.390 --> 00:06:52.400 align:start position:0% conversation with john abramson who is 00:06:52.400 --> 00:06:53.749 align:start position:0% conversation with john abramson who is an<00:06:52.639> outspoken<00:06:53.199> critic<00:06:53.520> of<00:06:53.599> the 00:06:53.749 --> 00:06:53.759 align:start position:0% an outspoken critic of the 00:06:53.759 --> 00:06:56.790 align:start position:0% an outspoken critic of the pharmaceutical<00:06:54.560> industry<00:06:55.520> i<00:06:55.759> hope<00:06:56.319> it<00:06:56.479> helps 00:06:56.790 --> 00:06:56.800 align:start position:0% pharmaceutical industry i hope it helps 00:06:56.800 --> 00:06:59.029 align:start position:0% pharmaceutical industry i hope it helps add<00:06:57.120> context<00:06:57.840> and<00:06:58.080> depth<00:06:58.720> to<00:06:58.880> the 00:06:59.029 --> 00:06:59.039 align:start position:0% add context and depth to the 00:06:59.039 --> 00:07:02.230 align:start position:0% add context and depth to the conversation<00:06:59.759> i<00:06:59.840> had<00:07:00.160> with<00:07:00.319> the<00:07:00.400> pfizer<00:07:00.880> ceo 00:07:02.230 --> 00:07:02.240 align:start position:0% conversation i had with the pfizer ceo 00:07:02.240 --> 00:07:04.710 align:start position:0% conversation i had with the pfizer ceo in<00:07:02.319> the<00:07:02.560> end<00:07:03.120> i<00:07:03.280> may<00:07:03.440> do<00:07:03.680> worse<00:07:04.000> than<00:07:04.240> i<00:07:04.400> could 00:07:04.710 --> 00:07:04.720 align:start position:0% in the end i may do worse than i could 00:07:04.720 --> 00:07:06.629 align:start position:0% in the end i may do worse than i could have<00:07:05.039> or<00:07:05.280> should<00:07:05.599> have 00:07:06.629 --> 00:07:06.639 align:start position:0% have or should have 00:07:06.639 --> 00:07:08.870 align:start position:0% have or should have always<00:07:07.280> i<00:07:07.360> will<00:07:07.599> listen<00:07:07.919> to<00:07:08.000> the<00:07:08.160> criticisms 00:07:08.870 --> 00:07:08.880 align:start position:0% always i will listen to the criticisms 00:07:08.880 --> 00:07:11.909 align:start position:0% always i will listen to the criticisms without<00:07:09.199> ego<00:07:10.000> and<00:07:10.160> i<00:07:10.319> promise<00:07:11.120> i<00:07:11.280> will<00:07:11.520> work 00:07:11.909 --> 00:07:11.919 align:start position:0% without ego and i promise i will work 00:07:11.919 --> 00:07:14.469 align:start position:0% without ego and i promise i will work hard<00:07:12.639> to<00:07:12.800> improve 00:07:14.469 --> 00:07:14.479 align:start position:0% hard to improve 00:07:14.479 --> 00:07:16.790 align:start position:0% hard to improve but<00:07:14.639> let<00:07:14.800> me<00:07:15.039> say<00:07:15.360> finally 00:07:16.790 --> 00:07:16.800 align:start position:0% but let me say finally 00:07:16.800 --> 00:07:19.990 align:start position:0% but let me say finally that<00:07:17.039> cynicism<00:07:17.919> is<00:07:18.160> easy 00:07:19.990 --> 00:07:20.000 align:start position:0% that cynicism is easy 00:07:20.000 --> 00:07:21.270 align:start position:0% that cynicism is easy optimism 00:07:21.270 --> 00:07:21.280 align:start position:0% optimism 00:07:21.280 --> 00:07:24.390 align:start position:0% optimism true<00:07:21.680> optimism<00:07:22.720> is<00:07:22.880> hard 00:07:24.390 --> 00:07:24.400 align:start position:0% true optimism is hard 00:07:24.400 --> 00:07:26.710 align:start position:0% true optimism is hard it<00:07:24.560> is<00:07:24.639> the<00:07:24.800> belief<00:07:25.280> that<00:07:25.520> we<00:07:25.840> can 00:07:26.710 --> 00:07:26.720 align:start position:0% it is the belief that we can 00:07:26.720 --> 00:07:28.070 align:start position:0% it is the belief that we can and<00:07:26.880> we<00:07:27.199> will 00:07:28.070 --> 00:07:28.080 align:start position:0% and we will 00:07:28.080 --> 00:07:30.390 align:start position:0% and we will build<00:07:28.319> a<00:07:28.400> better<00:07:28.840> world<00:07:29.759> and<00:07:29.919> that<00:07:30.080> we<00:07:30.160> can 00:07:30.390 --> 00:07:30.400 align:start position:0% build a better world and that we can 00:07:30.400 --> 00:07:32.629 align:start position:0% build a better world and that we can only<00:07:30.720> do<00:07:30.960> it<00:07:31.120> together 00:07:32.629 --> 00:07:32.639 align:start position:0% only do it together 00:07:32.639 --> 00:07:34.950 align:start position:0% only do it together this<00:07:32.880> is<00:07:32.960> the<00:07:33.120> fight<00:07:33.360> worth<00:07:33.680> fighting 00:07:34.950 --> 00:07:34.960 align:start position:0% this is the fight worth fighting 00:07:34.960 --> 00:07:36.390 align:start position:0% this is the fight worth fighting so<00:07:35.120> here<00:07:35.280> we<00:07:35.440> go 00:07:36.390 --> 00:07:36.400 align:start position:0% so here we go 00:07:36.400 --> 00:07:39.029 align:start position:0% so here we go once<00:07:36.800> more<00:07:37.039> into<00:07:37.199> the<00:07:37.360> breach<00:07:37.680> dear<00:07:37.919> friends 00:07:39.029 --> 00:07:39.039 align:start position:0% once more into the breach dear friends 00:07:39.039 --> 00:07:41.589 align:start position:0% once more into the breach dear friends i<00:07:39.199> love<00:07:39.360> you<00:07:39.599> all 00:07:41.589 --> 00:07:41.599 align:start position:0% i love you all 00:07:41.599 --> 00:07:43.909 align:start position:0% i love you all this<00:07:42.000> is<00:07:42.160> a<00:07:42.240> lex<00:07:42.479> friedman<00:07:42.880> podcast<00:07:43.759> to 00:07:43.909 --> 00:07:43.919 align:start position:0% this is a lex friedman podcast to 00:07:43.919 --> 00:07:45.909 align:start position:0% this is a lex friedman podcast to support<00:07:44.319> it<00:07:44.720> please<00:07:44.960> check<00:07:45.199> out<00:07:45.280> our<00:07:45.440> sponsors 00:07:45.909 --> 00:07:45.919 align:start position:0% support it please check out our sponsors 00:07:45.919 --> 00:07:48.390 align:start position:0% support it please check out our sponsors in<00:07:46.000> the<00:07:46.080> description<00:07:47.199> and<00:07:47.360> now<00:07:47.919> here's<00:07:48.160> my 00:07:48.390 --> 00:07:48.400 align:start position:0% in the description and now here's my 00:07:48.400 --> 00:07:50.469 align:start position:0% in the description and now here's my conversation<00:07:49.360> with<00:07:49.680> john 00:07:50.469 --> 00:07:50.479 align:start position:0% conversation with john 00:07:50.479 --> 00:07:52.230 align:start position:0% conversation with john abramson 00:07:52.230 --> 00:07:52.240 align:start position:0% abramson 00:07:52.240 --> 00:07:55.029 align:start position:0% abramson your<00:07:52.560> faculty<00:07:53.120> at<00:07:53.280> harvard<00:07:53.680> medical<00:07:54.080> school 00:07:55.029 --> 00:07:55.039 align:start position:0% your faculty at harvard medical school 00:07:55.039 --> 00:07:56.869 align:start position:0% your faculty at harvard medical school your<00:07:55.360> family<00:07:55.759> physician<00:07:56.240> for<00:07:56.400> over<00:07:56.639> two 00:07:56.869 --> 00:07:56.879 align:start position:0% your family physician for over two 00:07:56.879 --> 00:07:59.189 align:start position:0% your family physician for over two decades<00:07:57.680> rated<00:07:58.080> one<00:07:58.240> of<00:07:58.319> the<00:07:58.479> best<00:07:58.800> family 00:07:59.189 --> 00:07:59.199 align:start position:0% decades rated one of the best family 00:07:59.199 --> 00:08:01.350 align:start position:0% decades rated one of the best family physicians<00:07:59.680> in<00:07:59.759> massachusetts<00:08:00.960> you<00:08:01.120> wrote 00:08:01.350 --> 00:08:01.360 align:start position:0% physicians in massachusetts you wrote 00:08:01.360 --> 00:08:03.830 align:start position:0% physicians in massachusetts you wrote the<00:08:01.520> book<00:08:01.840> overdosed<00:08:02.400> america<00:08:03.280> and<00:08:03.440> the<00:08:03.599> new 00:08:03.830 --> 00:08:03.840 align:start position:0% the book overdosed america and the new 00:08:03.840 --> 00:08:07.189 align:start position:0% the book overdosed america and the new book<00:08:04.400> coming<00:08:04.800> out<00:08:05.199> now<00:08:05.919> called<00:08:06.240> sickening 00:08:07.189 --> 00:08:07.199 align:start position:0% book coming out now called sickening 00:08:07.199 --> 00:08:09.110 align:start position:0% book coming out now called sickening about<00:08:07.520> how<00:08:07.759> big<00:08:08.000> pharma<00:08:08.400> broke<00:08:08.720> american 00:08:09.110 --> 00:08:09.120 align:start position:0% about how big pharma broke american 00:08:09.120 --> 00:08:11.110 align:start position:0% about how big pharma broke american healthcare<00:08:10.000> including<00:08:10.479> science<00:08:10.960> and 00:08:11.110 --> 00:08:11.120 align:start position:0% healthcare including science and 00:08:11.120 --> 00:08:14.629 align:start position:0% healthcare including science and research<00:08:12.080> and<00:08:12.319> how<00:08:12.879> we<00:08:13.120> can<00:08:13.440> fix<00:08:13.759> it 00:08:14.629 --> 00:08:14.639 align:start position:0% research and how we can fix it 00:08:14.639 --> 00:08:17.029 align:start position:0% research and how we can fix it first<00:08:15.039> question<00:08:15.919> what<00:08:16.160> is<00:08:16.400> the<00:08:16.560> biggest 00:08:17.029 --> 00:08:17.039 align:start position:0% first question what is the biggest 00:08:17.039 --> 00:08:19.990 align:start position:0% first question what is the biggest problem<00:08:17.440> with<00:08:17.680> big<00:08:18.000> pharma<00:08:18.560> that<00:08:18.800> if<00:08:19.039> fixed 00:08:19.990 --> 00:08:20.000 align:start position:0% problem with big pharma that if fixed 00:08:20.000 --> 00:08:22.070 align:start position:0% problem with big pharma that if fixed would<00:08:20.160> be<00:08:20.319> the<00:08:20.560> most<00:08:20.960> impactful<00:08:21.759> so<00:08:21.919> if<00:08:22.000> you 00:08:22.070 --> 00:08:22.080 align:start position:0% would be the most impactful so if you 00:08:22.080 --> 00:08:24.790 align:start position:0% would be the most impactful so if you can<00:08:22.720> snap<00:08:23.039> your<00:08:23.199> fingers<00:08:23.599> and<00:08:23.759> fix<00:08:24.080> one<00:08:24.319> thing 00:08:24.790 --> 00:08:24.800 align:start position:0% can snap your fingers and fix one thing 00:08:24.800 --> 00:08:26.150 align:start position:0% can snap your fingers and fix one thing what<00:08:24.960> would<00:08:25.039> be<00:08:25.199> the<00:08:25.280> most<00:08:25.520> impactful<00:08:26.080> you 00:08:26.150 --> 00:08:26.160 align:start position:0% what would be the most impactful you 00:08:26.160 --> 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doctors<00:08:38.640> believe<00:08:39.519> to<00:08:39.680> be<00:08:40.080> the<00:08:40.399> full 00:08:40.870 --> 00:08:40.880 align:start position:0% of what doctors believe to be the full 00:08:40.880 --> 00:08:43.829 align:start position:0% of what doctors believe to be the full range<00:08:41.279> of<00:08:41.519> knowledge<00:08:42.399> that<00:08:42.640> they<00:08:42.880> need<00:08:43.680> to 00:08:43.829 --> 00:08:43.839 align:start position:0% range of knowledge that they need to 00:08:43.839 --> 00:08:45.910 align:start position:0% range of knowledge that they need to best<00:08:44.080> take<00:08:44.320> care<00:08:44.480> of<00:08:44.640> their<00:08:44.800> patients 00:08:45.910 --> 00:08:45.920 align:start position:0% best take care of their patients 00:08:45.920 --> 00:08:47.750 align:start position:0% best take care of their patients so<00:08:46.160> that 00:08:47.750 --> 00:08:47.760 align:start position:0% so that 00:08:47.760 --> 00:08:48.949 align:start position:0% so that with 00:08:48.949 --> 00:08:48.959 align:start position:0% with 00:08:48.959 --> 00:08:51.590 align:start position:0% with the<00:08:49.200> knowledge<00:08:49.760> having<00:08:50.000> been<00:08:50.240> taken<00:08:50.640> over<00:08:51.360> by 00:08:51.590 --> 00:08:51.600 align:start position:0% the knowledge having been taken over by 00:08:51.600 --> 00:08:53.829 align:start position:0% the knowledge having been taken over by the<00:08:51.760> commercial<00:08:52.240> interests<00:08:52.800> primarily<00:08:53.680> the 00:08:53.829 --> 00:08:53.839 align:start position:0% the commercial interests primarily the 00:08:53.839 --> 00:08:55.910 align:start position:0% the commercial interests primarily the pharmaceutical<00:08:54.640> industry 00:08:55.910 --> 00:08:55.920 align:start position:0% pharmaceutical industry 00:08:55.920 --> 00:08:57.750 align:start position:0% pharmaceutical industry the<00:08:56.080> purpose<00:08:56.480> of<00:08:56.560> that<00:08:56.800> knowledge<00:08:57.360> is<00:08:57.519> to 00:08:57.750 --> 00:08:57.760 align:start position:0% the purpose of that knowledge is to 00:08:57.760 --> 00:09:00.630 align:start position:0% the purpose of that knowledge is to maximize<00:08:58.320> the<00:08:58.480> profits<00:08:59.440> that<00:08:59.680> get<00:08:59.920> returned 00:09:00.630 --> 00:09:00.640 align:start position:0% maximize the profits that get returned 00:09:00.640 --> 00:09:03.269 align:start position:0% maximize the profits that get returned to<00:09:01.040> investors<00:09:01.760> and<00:09:02.000> shareholders 00:09:03.269 --> 00:09:03.279 align:start position:0% to investors and shareholders 00:09:03.279 --> 00:09:05.509 align:start position:0% to investors and shareholders and<00:09:03.519> not<00:09:03.839> to<00:09:04.160> optimize<00:09:04.800> the<00:09:04.959> health<00:09:05.279> of<00:09:05.360> the 00:09:05.509 --> 00:09:05.519 align:start position:0% and not to optimize the health of the 00:09:05.519 --> 00:09:07.110 align:start position:0% and not to optimize the health of the american<00:09:06.000> people 00:09:07.110 --> 00:09:07.120 align:start position:0% american people 00:09:07.120 --> 00:09:09.430 align:start position:0% american people so<00:09:07.440> rebalancing<00:09:08.320> that<00:09:08.560> equation<00:09:09.120> would<00:09:09.279> be 00:09:09.430 --> 00:09:09.440 align:start position:0% so rebalancing that equation would be 00:09:09.440 --> 00:09:10.470 align:start position:0% so rebalancing that equation would be the 00:09:10.470 --> 00:09:10.480 align:start position:0% the 00:09:10.480 --> 00:09:12.550 align:start position:0% the most<00:09:10.880> important<00:09:11.360> thing<00:09:11.600> to<00:09:11.760> do 00:09:12.550 --> 00:09:12.560 align:start position:0% most important thing to do 00:09:12.560 --> 00:09:14.230 align:start position:0% most important thing to do to<00:09:12.720> get<00:09:12.959> our<00:09:13.120> health<00:09:13.440> care 00:09:14.230 --> 00:09:14.240 align:start position:0% to get our health care 00:09:14.240 --> 00:09:16.550 align:start position:0% to get our health care back<00:09:14.640> aimed<00:09:15.040> in<00:09:15.120> the<00:09:15.200> right<00:09:15.440> direction<00:09:16.320> okay 00:09:16.550 --> 00:09:16.560 align:start position:0% back aimed in the right direction okay 00:09:16.560 --> 00:09:18.630 align:start position:0% back aimed in the right direction okay so<00:09:16.720> there's<00:09:16.959> a<00:09:17.120> tension 00:09:18.630 --> 00:09:18.640 align:start position:0% so there's a tension 00:09:18.640 --> 00:09:22.150 align:start position:0% so there's a tension between<00:09:19.360> helping<00:09:19.839> people<00:09:20.640> and<00:09:20.800> making<00:09:21.279> money 00:09:22.150 --> 00:09:22.160 align:start position:0% between helping people and making money 00:09:22.160 --> 00:09:23.430 align:start position:0% between helping people and making money so<00:09:22.399> if<00:09:22.480> we<00:09:22.640> look 00:09:23.430 --> 00:09:23.440 align:start position:0% so if we look 00:09:23.440 --> 00:09:25.509 align:start position:0% so if we look at<00:09:23.600> particularly<00:09:24.399> the<00:09:24.640> task<00:09:24.959> of<00:09:25.120> helping 00:09:25.509 --> 00:09:25.519 align:start position:0% at particularly the task of helping 00:09:25.519 --> 00:09:27.509 align:start position:0% at particularly the task of helping people<00:09:26.320> in<00:09:26.480> medicine 00:09:27.509 --> 00:09:27.519 align:start position:0% people in medicine 00:09:27.519 --> 00:09:29.590 align:start position:0% people in medicine in<00:09:27.760> health<00:09:28.080> care 00:09:29.590 --> 00:09:29.600 align:start position:0% in health care 00:09:29.600 --> 00:09:33.030 align:start position:0% in health care is<00:09:29.760> it<00:09:29.920> possible<00:09:30.480> if<00:09:30.800> money<00:09:31.040> is<00:09:31.200> the<00:09:31.519> primary 00:09:33.030 --> 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think<00:09:40.080> it<00:09:40.240> is<00:09:40.399> lex<00:09:40.880> but<00:09:41.120> i<00:09:41.200> think<00:09:41.440> it 00:09:41.590 --> 00:09:41.600 align:start position:0% right i think it is lex but i think it 00:09:41.600 --> 00:09:45.190 align:start position:0% right i think it is lex but i think it is<00:09:41.760> not<00:09:42.080> possible<00:09:43.040> without<00:09:43.519> guard<00:09:43.920> rails<00:09:44.800> that 00:09:45.190 --> 00:09:45.200 align:start position:0% is not possible without guard rails that 00:09:45.200 --> 00:09:47.430 align:start position:0% is not possible without guard rails that maintain<00:09:45.839> the<00:09:46.080> integrity<00:09:46.720> and<00:09:46.800> the<00:09:46.959> balance 00:09:47.430 --> 00:09:47.440 align:start position:0% maintain the integrity and the balance 00:09:47.440 --> 00:09:49.509 align:start position:0% maintain the integrity and the balance of<00:09:47.519> the<00:09:47.680> knowledge<00:09:48.640> without<00:09:48.959> those<00:09:49.200> guard 00:09:49.509 --> 00:09:49.519 align:start position:0% of the knowledge without those guard 00:09:49.519 --> 00:09:52.230 align:start position:0% of the knowledge without those guard rails<00:09:50.320> it's<00:09:50.560> like<00:09:50.880> trying<00:09:51.200> to<00:09:51.360> play<00:09:51.920> a 00:09:52.230 --> 00:09:52.240 align:start position:0% rails it's like trying to play a 00:09:52.240 --> 00:09:53.910 align:start position:0% rails it's like trying to play a professional<00:09:52.800> basketball<00:09:53.360> game<00:09:53.600> without 00:09:53.910 --> 00:09:53.920 align:start position:0% professional basketball game without 00:09:53.920 --> 00:09:56.470 align:start position:0% professional basketball game without referees<00:09:54.800> and<00:09:54.959> having<00:09:55.279> players<00:09:56.080> call<00:09:56.240> their 00:09:56.470 --> 00:09:56.480 align:start position:0% referees and having players call their 00:09:56.480 --> 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align:start position:0% their own fouls so we have referees who 00:10:03.839 --> 00:10:05.829 align:start position:0% their own fouls so we have referees who are<00:10:03.920> in<00:10:04.079> charge<00:10:04.959> we<00:10:05.200> don't<00:10:05.440> have<00:10:05.600> those 00:10:05.829 --> 00:10:05.839 align:start position:0% are in charge we don't have those 00:10:05.839 --> 00:10:08.630 align:start position:0% are in charge we don't have those referees<00:10:06.959> in<00:10:07.120> american<00:10:07.680> health<00:10:07.920> care<00:10:08.160> that's 00:10:08.630 --> 00:10:08.640 align:start position:0% referees in american health care that's 00:10:08.640 --> 00:10:09.910 align:start position:0% referees in american health care that's the<00:10:08.880> biggest 00:10:09.910 --> 00:10:09.920 align:start position:0% the biggest 00:10:09.920 --> 00:10:11.590 align:start position:0% the biggest um 00:10:11.590 --> 00:10:11.600 align:start position:0% um 00:10:11.600 --> 00:10:13.829 align:start position:0% um way<00:10:12.079> that<00:10:12.560> american<00:10:13.120> health<00:10:13.360> care<00:10:13.760> is 00:10:13.829 --> 00:10:13.839 align:start position:0% way that american health care is 00:10:13.839 --> 00:10:15.670 align:start position:0% way that american health care is distinguished<00:10:14.560> from<00:10:14.880> health<00:10:15.120> care<00:10:15.360> and<00:10:15.519> other 00:10:15.670 --> 00:10:15.680 align:start position:0% distinguished from health care and other 00:10:15.680 --> 00:10:17.350 align:start position:0% distinguished from health care and other wealthy<00:10:16.160> nations 00:10:17.350 --> 00:10:17.360 align:start position:0% wealthy nations 00:10:17.360 --> 00:10:20.470 align:start position:0% wealthy nations so<00:10:17.600> okay<00:10:17.839> so<00:10:18.160> you<00:10:18.320> mentioned<00:10:18.640> milton<00:10:19.040> friedman 00:10:20.470 --> 00:10:20.480 align:start position:0% so okay so you mentioned milton friedman 00:10:20.480 --> 00:10:22.550 align:start position:0% so okay so you mentioned milton friedman and<00:10:20.640> you<00:10:21.040> mentioned<00:10:21.440> his<00:10:21.680> book<00:10:22.240> called 00:10:22.550 --> 00:10:22.560 align:start position:0% and you mentioned his book called 00:10:22.560 --> 00:10:24.870 align:start position:0% and you mentioned his book called capitalism<00:10:23.120> and<00:10:23.360> freedom<00:10:24.160> he<00:10:24.399> writes<00:10:24.720> that 00:10:24.870 --> 00:10:24.880 align:start position:0% capitalism and freedom he writes that 00:10:24.880 --> 00:10:26.630 align:start position:0% capitalism and freedom he writes that there<00:10:25.040> are<00:10:25.279> only<00:10:25.760> three<00:10:26.079> legitimate 00:10:26.630 --> 00:10:26.640 align:start position:0% there are only three legitimate 00:10:26.640 --> 00:10:29.110 align:start position:0% there are only three legitimate functions<00:10:27.120> of<00:10:27.200> government<00:10:28.160> to<00:10:28.399> preserve<00:10:28.880> law 00:10:29.110 --> 00:10:29.120 align:start position:0% functions of government to preserve law 00:10:29.120 --> 00:10:31.750 align:start position:0% functions of government to preserve law and<00:10:29.279> order<00:10:29.920> to<00:10:30.079> enforce<00:10:30.640> private<00:10:31.040> contracts 00:10:31.750 --> 00:10:31.760 align:start position:0% and order to enforce private contracts 00:10:31.760 --> 00:10:33.829 align:start position:0% and order to enforce private contracts and<00:10:32.160> to<00:10:32.399> ensure 00:10:33.829 --> 00:10:33.839 align:start position:0% and to ensure 00:10:33.839 --> 00:10:36.710 align:start position:0% and to ensure that<00:10:34.079> private<00:10:34.560> markets<00:10:35.120> work 00:10:36.710 --> 00:10:36.720 align:start position:0% that private markets work 00:10:36.720 --> 00:10:39.110 align:start position:0% that private markets work you<00:10:36.959> said<00:10:37.279> that<00:10:37.600> uh<00:10:38.000> that<00:10:38.160> was<00:10:38.320> a<00:10:38.399> radical<00:10:38.800> idea 00:10:39.110 --> 00:10:39.120 align:start position:0% you said that uh that was a radical idea 00:10:39.120 --> 00:10:41.350 align:start position:0% you said that uh that was a radical idea at<00:10:39.200> the<00:10:39.360> time<00:10:40.000> but<00:10:40.160> we're<00:10:40.480> failing<00:10:40.880> on<00:10:41.120> all 00:10:41.350 --> 00:10:41.360 align:start position:0% at the time but we're failing on all 00:10:41.360 --> 00:10:45.110 align:start position:0% at the time but we're failing on all three<00:10:41.839> how<00:10:42.160> are<00:10:42.399> we<00:10:42.720> failing<00:10:43.600> and<00:10:43.920> and<00:10:44.160> uh<00:10:44.800> also 00:10:45.110 --> 00:10:45.120 align:start position:0% three how are we failing and and uh also 00:10:45.120 --> 00:10:47.030 align:start position:0% three how are we failing and and uh also maybe<00:10:45.440> the<00:10:45.519> bigger<00:10:45.839> picture<00:10:46.240> is<00:10:46.560> what<00:10:46.800> are<00:10:46.880> the 00:10:47.030 --> 00:10:47.040 align:start position:0% maybe the bigger picture is what are the 00:10:47.040 --> 00:10:49.509 align:start position:0% maybe the bigger picture is what are the strengths<00:10:47.440> and<00:10:47.519> weaknesses<00:10:48.160> of<00:10:48.399> capitalism 00:10:49.509 --> 00:10:49.519 align:start position:0% strengths and weaknesses of capitalism 00:10:49.519 --> 00:10:51.750 align:start position:0% strengths and weaknesses of capitalism when<00:10:49.680> it<00:10:49.760> comes<00:10:50.079> to<00:10:50.240> medicine<00:10:50.800> and<00:10:51.040> healthcare 00:10:51.750 --> 00:10:51.760 align:start position:0% when it comes to medicine and healthcare 00:10:51.760 --> 00:10:53.430 align:start position:0% when it comes to medicine and healthcare can<00:10:52.000> we<00:10:52.160> separate<00:10:52.560> those<00:10:52.800> out<00:10:52.959> because<00:10:53.120> those 00:10:53.430 --> 00:10:53.440 align:start position:0% can we separate those out because those 00:10:53.440 --> 00:10:55.110 align:start position:0% can we separate those out because those are<00:10:53.519> two<00:10:53.760> huge<00:10:54.160> questions 00:10:55.110 --> 00:10:55.120 align:start position:0% are two huge questions 00:10:55.120 --> 00:10:56.310 align:start position:0% are two huge questions so 00:10:56.310 --> 00:10:56.320 align:start position:0% so 00:10:56.320 --> 00:10:58.310 align:start position:0% so how<00:10:56.560> we're<00:10:56.800> failing<00:10:57.200> in<00:10:57.360> all<00:10:57.600> three<00:10:58.000> and<00:10:58.079> these 00:10:58.310 --> 00:10:58.320 align:start position:0% how we're failing in all three and these 00:10:58.320 --> 00:10:59.430 align:start position:0% how we're failing in all three and these are<00:10:58.399> the 00:10:59.430 --> 00:10:59.440 align:start position:0% are the 00:10:59.440 --> 00:11:01.269 align:start position:0% are the minimal<00:11:00.079> functions 00:11:01.269 --> 00:11:01.279 align:start position:0% minimal functions 00:11:01.279 --> 00:11:05.350 align:start position:0% minimal functions that<00:11:01.839> our<00:11:02.560> guru<00:11:03.200> of<00:11:03.519> free<00:11:03.760> market<00:11:04.160> capitalism 00:11:05.350 --> 00:11:05.360 align:start position:0% that our guru of free market capitalism 00:11:05.360 --> 00:11:07.750 align:start position:0% that our guru of free market capitalism said<00:11:06.000> the<00:11:06.160> government<00:11:06.640> should<00:11:06.880> perform<00:11:07.519> so 00:11:07.750 --> 00:11:07.760 align:start position:0% said the government should perform so 00:11:07.760 --> 00:11:11.110 align:start position:0% said the government should perform so this<00:11:08.000> is<00:11:08.240> the<00:11:08.880> absolute<00:11:09.360> baseline 00:11:11.110 --> 00:11:11.120 align:start position:0% this is the absolute baseline 00:11:11.120 --> 00:11:13.590 align:start position:0% this is the absolute baseline on<00:11:11.519> preserving<00:11:12.000> law<00:11:12.240> and<00:11:12.399> order 00:11:13.590 --> 00:11:13.600 align:start position:0% on preserving law and order 00:11:13.600 --> 00:11:16.790 align:start position:0% on preserving law and order the<00:11:13.760> drug<00:11:14.079> companies<00:11:14.800> routinely<00:11:15.920> violate<00:11:16.560> the 00:11:16.790 --> 00:11:16.800 align:start position:0% the drug companies routinely violate the 00:11:16.800 --> 00:11:20.150 align:start position:0% the drug companies routinely violate the law<00:11:17.519> in<00:11:17.680> terms<00:11:18.079> of<00:11:18.399> their<00:11:18.720> marketing 00:11:20.150 --> 00:11:20.160 align:start position:0% law in terms of their marketing 00:11:20.160 --> 00:11:21.750 align:start position:0% law in terms of their marketing and<00:11:20.800> uh 00:11:21.750 --> 00:11:21.760 align:start position:0% and uh 00:11:21.760 --> 00:11:24.389 align:start position:0% and uh in<00:11:22.160> terms<00:11:22.640> of 00:11:24.389 --> 00:11:24.399 align:start position:0% in terms of 00:11:24.399 --> 00:11:25.269 align:start position:0% in terms of their 00:11:25.269 --> 00:11:25.279 align:start position:0% their 00:11:25.279 --> 00:11:27.670 align:start position:0% their presentation<00:11:26.320> of<00:11:26.480> the<00:11:26.640> results<00:11:27.200> of<00:11:27.360> their 00:11:27.670 --> 00:11:27.680 align:start position:0% presentation of the results of their 00:11:27.680 --> 00:11:29.190 align:start position:0% presentation of the results of their trials 00:11:29.190 --> 00:11:29.200 align:start position:0% trials 00:11:29.200 --> 00:11:31.910 align:start position:0% trials i<00:11:29.440> know<00:11:29.680> this<00:11:30.079> because<00:11:30.720> i<00:11:30.959> was<00:11:31.200> an<00:11:31.360> expert<00:11:31.839> in 00:11:31.910 --> 00:11:31.920 align:start position:0% i know this because i was an expert in 00:11:31.920 --> 00:11:35.750 align:start position:0% i know this because i was an expert in litigation<00:11:32.959> for<00:11:33.360> about<00:11:33.600> 10<00:11:33.920> years 00:11:35.750 --> 00:11:35.760 align:start position:0% litigation for about 10 years 00:11:35.760 --> 00:11:36.630 align:start position:0% litigation for about 10 years i 00:11:36.630 --> 00:11:36.640 align:start position:0% i 00:11:36.640 --> 00:11:38.389 align:start position:0% i presented<00:11:37.360> some<00:11:37.600> of<00:11:37.680> what<00:11:37.839> i<00:11:38.000> learned<00:11:38.240> in 00:11:38.389 --> 00:11:38.399 align:start position:0% presented some of what i learned in 00:11:38.399 --> 00:11:39.269 align:start position:0% presented some of what i learned in civil 00:11:39.269 --> 00:11:39.279 align:start position:0% civil 00:11:39.279 --> 00:11:41.269 align:start position:0% civil litigation<00:11:39.920> to<00:11:40.079> the<00:11:40.240> fbi<00:11:40.720> and<00:11:40.800> the<00:11:40.880> department 00:11:41.269 --> 00:11:41.279 align:start position:0% litigation to the fbi and the department 00:11:41.279 --> 00:11:42.470 align:start position:0% litigation to the fbi and the department of<00:11:41.440> justice 00:11:42.470 --> 00:11:42.480 align:start position:0% of justice 00:11:42.480 --> 00:11:44.870 align:start position:0% of justice and<00:11:42.640> that<00:11:42.880> case<00:11:43.279> led<00:11:43.600> to<00:11:43.839> the<00:11:44.240> biggest 00:11:44.870 --> 00:11:44.880 align:start position:0% and that case led to the biggest 00:11:44.880 --> 00:11:46.310 align:start position:0% and that case led to the biggest criminal<00:11:45.360> fine 00:11:46.310 --> 00:11:46.320 align:start position:0% criminal fine 00:11:46.320 --> 00:11:49.910 align:start position:0% criminal fine in<00:11:46.560> u.s<00:11:46.880> history<00:11:47.519> as<00:11:47.760> of<00:11:47.920> 2009 00:11:49.910 --> 00:11:49.920 align:start position:0% in u.s history as of 2009 00:11:49.920 --> 00:11:52.870 align:start position:0% in u.s history as of 2009 and<00:11:50.480> i<00:11:50.720> testified<00:11:51.440> in<00:11:51.600> a 00:11:52.870 --> 00:11:52.880 align:start position:0% and i testified in a 00:11:52.880 --> 00:11:54.829 align:start position:0% and i testified in a federal<00:11:53.360> trial<00:11:54.000> in 00:11:54.829 --> 00:11:54.839 align:start position:0% federal trial in 00:11:54.839 --> 00:11:59.509 align:start position:0% federal trial in 2010<00:11:56.079> and<00:11:56.959> the<00:11:57.200> jury<00:11:57.920> found<00:11:58.480> pfizer<00:11:58.959> guilty<00:11:59.360> of 00:11:59.509 --> 00:11:59.519 align:start position:0% 2010 and the jury found pfizer guilty of 00:11:59.519 --> 00:12:02.310 align:start position:0% 2010 and the jury found pfizer guilty of fraud<00:11:59.920> and<00:12:00.079> racketeering<00:12:00.800> violations 00:12:02.310 --> 00:12:02.320 align:start position:0% fraud and racketeering violations 00:12:02.320 --> 00:12:03.829 align:start position:0% fraud and racketeering violations in<00:12:02.480> terms<00:12:02.880> of 00:12:03.829 --> 00:12:03.839 align:start position:0% in terms of 00:12:03.839 --> 00:12:06.230 align:start position:0% in terms of violating<00:12:04.560> the<00:12:04.720> law<00:12:05.519> it's<00:12:05.680> a<00:12:05.839> routine 00:12:06.230 --> 00:12:06.240 align:start position:0% violating the law it's a routine 00:12:06.240 --> 00:12:08.550 align:start position:0% violating the law it's a routine occurrence<00:12:07.279> the<00:12:07.440> drug<00:12:07.760> companies<00:12:08.160> have<00:12:08.320> paid 00:12:08.550 --> 00:12:08.560 align:start position:0% occurrence the drug companies have paid 00:12:08.560 --> 00:12:11.190 align:start position:0% occurrence the drug companies have paid 38<00:12:09.040> billion<00:12:09.440> dollars<00:12:09.839> worth<00:12:10.079> of<00:12:10.240> fines<00:12:10.720> from<00:12:11.040> i 00:12:11.190 --> 00:12:11.200 align:start position:0% 38 billion dollars worth of fines from i 00:12:11.200 --> 00:12:15.670 align:start position:0% 38 billion dollars worth of fines from i think<00:12:11.440> 1991<00:12:12.880> to<00:12:13.040> 2017. 00:12:15.670 --> 00:12:15.680 align:start position:0% think 1991 to 2017. 00:12:15.680 --> 00:12:20.190 align:start position:0% think 1991 to 2017. it's<00:12:16.000> never<00:12:16.639> been<00:12:17.200> enough<00:12:18.000> to<00:12:18.240> stop<00:12:18.800> the<00:12:19.440> uh 00:12:20.190 --> 00:12:20.200 align:start position:0% it's never been enough to stop the uh 00:12:20.200 --> 00:12:23.190 align:start position:0% it's never been enough to stop the uh misrepresentation<00:12:21.279> of<00:12:21.440> their<00:12:21.680> data 00:12:23.190 --> 00:12:23.200 align:start position:0% misrepresentation of their data 00:12:23.200 --> 00:12:25.750 align:start position:0% misrepresentation of their data and<00:12:23.680> rarely<00:12:24.320> are<00:12:24.480> the<00:12:24.720> fines<00:12:25.200> greater<00:12:25.600> than 00:12:25.750 --> 00:12:25.760 align:start position:0% and rarely are the fines greater than 00:12:25.760 --> 00:12:27.670 align:start position:0% and rarely are the fines greater than the<00:12:25.920> profits<00:12:26.399> that<00:12:26.480> were<00:12:26.720> made 00:12:27.670 --> 00:12:27.680 align:start position:0% the profits that were made 00:12:27.680 --> 00:12:28.629 align:start position:0% the profits that were made uh 00:12:28.629 --> 00:12:28.639 align:start position:0% uh 00:12:28.639 --> 00:12:31.829 align:start position:0% uh see<00:12:29.120> uh<00:12:29.519> executives<00:12:30.240> have<00:12:30.399> not<00:12:30.800> gone<00:12:31.040> to<00:12:31.200> jail 00:12:31.829 --> 00:12:31.839 align:start position:0% see uh executives have not gone to jail 00:12:31.839 --> 00:12:34.230 align:start position:0% see uh executives have not gone to jail for<00:12:32.399> misrepresenting<00:12:33.279> data 00:12:34.230 --> 00:12:34.240 align:start position:0% for misrepresenting data 00:12:34.240 --> 00:12:37.350 align:start position:0% for misrepresenting data that<00:12:34.720> have<00:12:35.360> involved<00:12:36.399> even<00:12:36.800> tens<00:12:37.200> of 00:12:37.350 --> 00:12:37.360 align:start position:0% that have involved even tens of 00:12:37.360 --> 00:12:40.230 align:start position:0% that have involved even tens of thousands<00:12:37.760> of<00:12:37.920> deaths<00:12:38.399> in<00:12:38.480> the<00:12:38.639> case<00:12:38.880> of<00:12:39.040> vioxx 00:12:40.230 --> 00:12:40.240 align:start position:0% thousands of deaths in the case of vioxx 00:12:40.240 --> 00:12:42.069 align:start position:0% thousands of deaths in the case of vioxx oxycontin<00:12:41.040> as<00:12:41.200> well 00:12:42.069 --> 00:12:42.079 align:start position:0% oxycontin as well 00:12:42.079 --> 00:12:44.870 align:start position:0% oxycontin as well and<00:12:42.560> when<00:12:43.120> companies<00:12:43.839> plead<00:12:44.240> guilty<00:12:44.720> to 00:12:44.870 --> 00:12:44.880 align:start position:0% and when companies plead guilty to 00:12:44.880 --> 00:12:47.190 align:start position:0% and when companies plead guilty to felonies<00:12:45.440> which<00:12:45.760> is<00:12:46.240> not<00:12:46.399> an<00:12:46.639> unusual 00:12:47.190 --> 00:12:47.200 align:start position:0% felonies which is not an unusual 00:12:47.200 --> 00:12:48.310 align:start position:0% felonies which is not an unusual occurrence 00:12:48.310 --> 00:12:48.320 align:start position:0% occurrence 00:12:48.320 --> 00:12:50.389 align:start position:0% occurrence the<00:12:48.800> government<00:12:49.360> usually<00:12:49.839> allows<00:12:50.240> the 00:12:50.389 --> 00:12:50.399 align:start position:0% the government usually allows the 00:12:50.399 --> 00:12:53.190 align:start position:0% the government usually allows the companies<00:12:51.200> the<00:12:51.680> parent<00:12:52.079> companies<00:12:52.639> to<00:12:52.800> allow 00:12:53.190 --> 00:12:53.200 align:start position:0% companies the parent companies to allow 00:12:53.200 --> 00:12:55.990 align:start position:0% companies the parent companies to allow subsidiaries<00:12:54.480> to<00:12:54.720> take<00:12:54.959> the<00:12:55.120> plea 00:12:55.990 --> 00:12:56.000 align:start position:0% subsidiaries to take the plea 00:12:56.000 --> 00:12:58.949 align:start position:0% subsidiaries to take the plea so<00:12:56.320> that<00:12:56.880> they<00:12:57.120> are<00:12:57.360> not<00:12:57.760> one<00:12:58.000> step<00:12:58.399> closer<00:12:58.800> to 00:12:58.949 --> 00:12:58.959 align:start position:0% so that they are not one step closer to 00:12:58.959 --> 00:13:01.350 align:start position:0% so that they are not one step closer to getting<00:12:59.279> disbarred<00:12:59.920> from<00:13:00.160> medicare<00:13:01.200> not 00:13:01.350 --> 00:13:01.360 align:start position:0% getting disbarred from medicare not 00:13:01.360 --> 00:13:03.750 align:start position:0% getting disbarred from medicare not being<00:13:01.600> able<00:13:01.760> to<00:13:01.839> participate<00:13:02.480> in<00:13:02.560> medicare 00:13:03.750 --> 00:13:03.760 align:start position:0% being able to participate in medicare 00:13:03.760 --> 00:13:04.949 align:start position:0% being able to participate in medicare um 00:13:04.949 --> 00:13:04.959 align:start position:0% um 00:13:04.959 --> 00:13:07.350 align:start position:0% um so<00:13:05.440> in<00:13:05.600> that<00:13:05.920> sense 00:13:07.350 --> 00:13:07.360 align:start position:0% so in that sense 00:13:07.360 --> 00:13:09.509 align:start position:0% so in that sense there<00:13:07.680> is 00:13:09.509 --> 00:13:09.519 align:start position:0% there is 00:13:09.519 --> 00:13:10.949 align:start position:0% there is a<00:13:09.680> mechanism 00:13:10.949 --> 00:13:10.959 align:start position:0% a mechanism 00:13:10.959 --> 00:13:13.350 align:start position:0% a mechanism that<00:13:11.200> is<00:13:11.440> appearing<00:13:12.160> to 00:13:13.350 --> 00:13:13.360 align:start position:0% that is appearing to 00:13:13.360 --> 00:13:15.670 align:start position:0% that is appearing to impose<00:13:13.839> law<00:13:14.079> and<00:13:14.240> order<00:13:14.880> on<00:13:15.120> drug<00:13:15.360> company 00:13:15.670 --> 00:13:15.680 align:start position:0% impose law and order on drug company 00:13:15.680 --> 00:13:18.069 align:start position:0% impose law and order on drug company behavior<00:13:16.639> but<00:13:16.880> it's<00:13:17.040> clearly<00:13:17.440> not<00:13:17.680> enough 00:13:18.069 --> 00:13:18.079 align:start position:0% behavior but it's clearly not enough 00:13:18.079 --> 00:13:20.389 align:start position:0% behavior but it's clearly not enough it's<00:13:18.240> not<00:13:18.480> working<00:13:19.360> can<00:13:19.519> you<00:13:19.600> actually<00:13:20.000> speak 00:13:20.389 --> 00:13:20.399 align:start position:0% it's not working can you actually speak 00:13:20.399 --> 00:13:22.389 align:start position:0% it's not working can you actually speak to 00:13:22.389 --> 00:13:22.399 align:start position:0% to 00:13:22.399 --> 00:13:24.470 align:start position:0% to human<00:13:22.800> nature<00:13:23.200> here 00:13:24.470 --> 00:13:24.480 align:start position:0% human nature here 00:13:24.480 --> 00:13:26.230 align:start position:0% human nature here are<00:13:24.639> people<00:13:25.120> corrupt 00:13:26.230 --> 00:13:26.240 align:start position:0% are people corrupt 00:13:26.240 --> 00:13:28.310 align:start position:0% are people corrupt are<00:13:26.399> people<00:13:26.800> malevolent 00:13:28.310 --> 00:13:28.320 align:start position:0% are people malevolent 00:13:28.320 --> 00:13:30.870 align:start position:0% are people malevolent are<00:13:28.480> people<00:13:29.120> ignorant 00:13:30.870 --> 00:13:30.880 align:start position:0% are people ignorant 00:13:30.880 --> 00:13:33.590 align:start position:0% are people ignorant that<00:13:31.440> work<00:13:31.760> at<00:13:31.839> the<00:13:32.079> low<00:13:32.320> level<00:13:33.040> and<00:13:33.360> at<00:13:33.440> the 00:13:33.590 --> 00:13:33.600 align:start position:0% that work at the low level and at the 00:13:33.600 --> 00:13:34.949 align:start position:0% that work at the low level and at the high<00:13:33.920> level 00:13:34.949 --> 00:13:34.959 align:start position:0% high level 00:13:34.959 --> 00:13:37.190 align:start position:0% high level advisor<00:13:35.519> for<00:13:35.760> example<00:13:36.399> at<00:13:36.560> big<00:13:36.800> pharma 00:13:37.190 --> 00:13:37.200 align:start position:0% advisor for example at big pharma 00:13:37.200 --> 00:13:38.550 align:start position:0% advisor for example at big pharma companies 00:13:38.550 --> 00:13:38.560 align:start position:0% companies 00:13:38.560 --> 00:13:40.310 align:start position:0% companies how's<00:13:38.880> this<00:13:39.199> possible 00:13:40.310 --> 00:13:40.320 align:start position:0% how's this possible 00:13:40.320 --> 00:13:42.069 align:start position:0% how's this possible so<00:13:40.639> i<00:13:40.800> believe 00:13:42.069 --> 00:13:42.079 align:start position:0% so i believe 00:13:42.079 --> 00:13:43.910 align:start position:0% so i believe just<00:13:42.320> in<00:13:42.399> a<00:13:42.480> small<00:13:42.800> tangent<00:13:43.199> that<00:13:43.360> most<00:13:43.600> people 00:13:43.910 --> 00:13:43.920 align:start position:0% just in a small tangent that most people 00:13:43.920 --> 00:13:45.110 align:start position:0% just in a small tangent that most people are<00:13:44.079> good 00:13:45.110 --> 00:13:45.120 align:start position:0% are good 00:13:45.120 --> 00:13:47.430 align:start position:0% are good and<00:13:45.279> i<00:13:45.440> actually<00:13:45.760> believe<00:13:46.160> if<00:13:46.240> you<00:13:46.480> join 00:13:47.430 --> 00:13:47.440 align:start position:0% and i actually believe if you join 00:13:47.440 --> 00:13:51.269 align:start position:0% and i actually believe if you join big<00:13:47.839> pharma<00:13:48.800> so<00:13:49.040> a<00:13:49.120> company<00:13:49.440> like<00:13:49.760> pfizer 00:13:51.269 --> 00:13:51.279 align:start position:0% big pharma so a company like pfizer 00:13:51.279 --> 00:13:54.069 align:start position:0% big pharma so a company like pfizer your<00:13:51.600> life<00:13:51.839> trajectory<00:13:52.560> often<00:13:52.959> involves 00:13:54.069 --> 00:13:54.079 align:start position:0% your life trajectory often involves 00:13:54.079 --> 00:13:55.670 align:start position:0% your life trajectory often involves dreaming<00:13:54.880> and 00:13:55.670 --> 00:13:55.680 align:start position:0% dreaming and 00:13:55.680 --> 00:13:58.870 align:start position:0% dreaming and wanting<00:13:56.240> and<00:13:56.480> enjoying<00:13:57.120> helping<00:13:57.519> people 00:13:58.870 --> 00:13:58.880 align:start position:0% wanting and enjoying helping people 00:13:58.880 --> 00:13:59.590 align:start position:0% wanting and enjoying helping people yes 00:13:59.590 --> 00:13:59.600 align:start position:0% yes 00:13:59.600 --> 00:14:01.030 align:start position:0% yes and<00:13:59.760> so 00:14:01.030 --> 00:14:01.040 align:start position:0% and so 00:14:01.040 --> 00:14:03.350 align:start position:0% and so and<00:14:01.120> then<00:14:01.360> we<00:14:01.519> look<00:14:01.760> at<00:14:01.839> the<00:14:02.079> outcomes 00:14:03.350 --> 00:14:03.360 align:start position:0% and then we look at the outcomes 00:14:03.360 --> 00:14:05.509 align:start position:0% and then we look at the outcomes that<00:14:03.519> you're<00:14:03.760> describing 00:14:05.509 --> 00:14:05.519 align:start position:0% that you're describing 00:14:05.519 --> 00:14:07.590 align:start position:0% that you're describing and<00:14:05.839> uh<00:14:06.160> it<00:14:06.480> looks<00:14:06.959> and<00:14:07.040> that's<00:14:07.279> why<00:14:07.440> the 00:14:07.590 --> 00:14:07.600 align:start position:0% and uh it looks and that's why the 00:14:07.600 --> 00:14:09.269 align:start position:0% and uh it looks and that's why the narrative<00:14:08.000> takes<00:14:08.399> hold 00:14:09.269 --> 00:14:09.279 align:start position:0% narrative takes hold 00:14:09.279 --> 00:14:11.910 align:start position:0% narrative takes hold that<00:14:09.600> like<00:14:09.920> pfizer<00:14:10.320> ceo<00:14:10.800> albert<00:14:11.199> brola<00:14:11.519> who<00:14:11.760> i 00:14:11.910 --> 00:14:11.920 align:start position:0% that like pfizer ceo albert brola who i 00:14:11.920 --> 00:14:13.189 align:start position:0% that like pfizer ceo albert brola who i talked<00:14:12.160> to 00:14:13.189 --> 00:14:13.199 align:start position:0% talked to 00:14:13.199 --> 00:14:14.230 align:start position:0% talked to is 00:14:14.230 --> 00:14:14.240 align:start position:0% is 00:14:14.240 --> 00:14:17.509 align:start position:0% is malevolent<00:14:15.360> the<00:14:15.519> sense<00:14:15.920> is<00:14:16.160> like 00:14:17.509 --> 00:14:17.519 align:start position:0% malevolent the sense is like 00:14:17.519 --> 00:14:20.550 align:start position:0% malevolent the sense is like these<00:14:17.839> these<00:14:18.079> companies<00:14:18.560> are<00:14:18.720> evil<00:14:19.519> so<00:14:19.920> if<00:14:20.160> the 00:14:20.550 --> 00:14:20.560 align:start position:0% these these companies are evil so if the 00:14:20.560 --> 00:14:22.550 align:start position:0% these these companies are evil so if the the<00:14:20.720> different<00:14:21.279> parts 00:14:22.550 --> 00:14:22.560 align:start position:0% the different parts 00:14:22.560 --> 00:14:23.750 align:start position:0% the different parts the<00:14:22.800> people 00:14:23.750 --> 00:14:23.760 align:start position:0% the people 00:14:23.760 --> 00:14:25.829 align:start position:0% the people are<00:14:23.920> good<00:14:24.399> and<00:14:24.560> they<00:14:24.720> want<00:14:24.959> to<00:14:25.040> do<00:14:25.279> good<00:14:25.680> how 00:14:25.829 --> 00:14:25.839 align:start position:0% are good and they want to do good how 00:14:25.839 --> 00:14:27.990 align:start position:0% are good and they want to do good how are<00:14:26.000> we<00:14:26.160> getting<00:14:26.399> these<00:14:26.639> outcomes<00:14:27.360> yeah<00:14:27.920> i 00:14:27.990 --> 00:14:28.000 align:start position:0% are we getting these outcomes yeah i 00:14:28.000 --> 00:14:29.509 align:start position:0% are we getting these outcomes yeah i think<00:14:28.240> it<00:14:28.399> has<00:14:28.560> to<00:14:28.720> do 00:14:29.509 --> 00:14:29.519 align:start position:0% think it has to do 00:14:29.519 --> 00:14:30.629 align:start position:0% think it has to do with 00:14:30.629 --> 00:14:30.639 align:start position:0% with 00:14:30.639 --> 00:14:33.030 align:start position:0% with the<00:14:31.040> cultural<00:14:31.680> milieu 00:14:33.030 --> 00:14:33.040 align:start position:0% the cultural milieu 00:14:33.040 --> 00:14:35.269 align:start position:0% the cultural milieu that<00:14:33.199> this<00:14:33.440> is<00:14:33.600> unfolding<00:14:34.240> in 00:14:35.269 --> 00:14:35.279 align:start position:0% that this is unfolding in 00:14:35.279 --> 00:14:37.590 align:start position:0% that this is unfolding in and 00:14:37.590 --> 00:14:37.600 align:start position:0% and 00:14:37.600 --> 00:14:40.470 align:start position:0% and we<00:14:37.760> need<00:14:37.920> to<00:14:38.079> look<00:14:38.240> at<00:14:38.399> sociology<00:14:39.519> uh<00:14:40.240> to 00:14:40.470 --> 00:14:40.480 align:start position:0% we need to look at sociology uh to 00:14:40.480 --> 00:14:42.949 align:start position:0% we need to look at sociology uh to understand<00:14:41.040> this<00:14:41.360> that<00:14:41.680> when<00:14:42.079> the<00:14:42.320> cultural 00:14:42.949 --> 00:14:42.959 align:start position:0% understand this that when the cultural 00:14:42.959 --> 00:14:44.550 align:start position:0% understand this that when the cultural milieu 00:14:44.550 --> 00:14:44.560 align:start position:0% milieu 00:14:44.560 --> 00:14:47.110 align:start position:0% milieu is 00:14:47.110 --> 00:14:47.120 align:start position:0% 00:14:47.120 --> 00:14:49.189 align:start position:0% set<00:14:47.440> up 00:14:49.189 --> 00:14:49.199 align:start position:0% set up 00:14:49.199 --> 00:14:52.470 align:start position:0% set up to<00:14:49.440> maximize<00:14:50.320> the<00:14:50.560> returns<00:14:51.279> on<00:14:51.519> investment 00:14:52.470 --> 00:14:52.480 align:start position:0% to maximize the returns on investment 00:14:52.480 --> 00:14:54.710 align:start position:0% to maximize the returns on investment for<00:14:52.720> shareholders<00:14:53.839> and<00:14:54.079> other<00:14:54.320> venture 00:14:54.710 --> 00:14:54.720 align:start position:0% for shareholders and other venture 00:14:54.720 --> 00:14:57.430 align:start position:0% for shareholders and other venture capitalists<00:14:55.360> and<00:14:55.920> hedge<00:14:56.160> funds<00:14:56.480> and<00:14:56.560> so<00:14:56.800> forth 00:14:57.430 --> 00:14:57.440 align:start position:0% capitalists and hedge funds and so forth 00:14:57.440 --> 00:14:58.389 align:start position:0% capitalists and hedge funds and so forth when<00:14:57.680> that 00:14:58.389 --> 00:14:58.399 align:start position:0% when that 00:14:58.399 --> 00:15:00.629 align:start position:0% when that defines<00:14:59.120> the<00:14:59.360> culture 00:15:00.629 --> 00:15:00.639 align:start position:0% defines the culture 00:15:00.639 --> 00:15:02.870 align:start position:0% defines the culture and<00:15:01.120> the<00:15:01.680> higher<00:15:02.160> up<00:15:02.320> you<00:15:02.560> are<00:15:02.720> in<00:15:02.800> the 00:15:02.870 --> 00:15:02.880 align:start position:0% and the higher up you are in the 00:15:02.880 --> 00:15:06.550 align:start position:0% and the higher up you are in the corporation<00:15:04.160> the<00:15:04.399> more<00:15:04.959> you're<00:15:05.360> in<00:15:05.600> on<00:15:05.839> the 00:15:06.550 --> 00:15:06.560 align:start position:0% corporation the more you're in on the 00:15:06.560 --> 00:15:08.949 align:start position:0% corporation the more you're in on the game<00:15:07.120> of<00:15:07.600> uh 00:15:08.949 --> 00:15:08.959 align:start position:0% game of uh 00:15:08.959 --> 00:15:10.949 align:start position:0% game of uh getting<00:15:09.360> rewarded<00:15:10.000> for<00:15:10.240> maximizing<00:15:10.880> the 00:15:10.949 --> 00:15:10.959 align:start position:0% getting rewarded for maximizing the 00:15:10.959 --> 00:15:12.949 align:start position:0% getting rewarded for maximizing the profits<00:15:11.360> of<00:15:11.440> the<00:15:11.680> investors 00:15:12.949 --> 00:15:12.959 align:start position:0% profits of the investors 00:15:12.959 --> 00:15:15.750 align:start position:0% profits of the investors that's<00:15:13.199> the<00:15:13.440> culture<00:15:14.000> they<00:15:14.240> live<00:15:14.480> in 00:15:15.750 --> 00:15:15.760 align:start position:0% that's the culture they live in 00:15:15.760 --> 00:15:19.590 align:start position:0% that's the culture they live in and<00:15:16.240> it<00:15:16.639> becomes<00:15:17.440> normative<00:15:18.160> behavior 00:15:19.590 --> 00:15:19.600 align:start position:0% and it becomes normative behavior 00:15:19.600 --> 00:15:21.110 align:start position:0% and it becomes normative behavior to<00:15:19.920> do 00:15:21.110 --> 00:15:21.120 align:start position:0% to do 00:15:21.120 --> 00:15:23.430 align:start position:0% to do things<00:15:21.680> with<00:15:22.000> science 00:15:23.430 --> 00:15:23.440 align:start position:0% things with science 00:15:23.440 --> 00:15:25.110 align:start position:0% things with science that<00:15:23.839> look 00:15:25.110 --> 00:15:25.120 align:start position:0% that look 00:15:25.120 --> 00:15:27.509 align:start position:0% that look normal<00:15:25.519> in<00:15:25.680> that<00:15:25.920> environment<00:15:26.880> and<00:15:27.199> our 00:15:27.509 --> 00:15:27.519 align:start position:0% normal in that environment and our 00:15:27.519 --> 00:15:30.069 align:start position:0% normal in that environment and our shared<00:15:27.839> values<00:15:28.399> within<00:15:28.800> that<00:15:29.040> environment<00:15:29.920> by 00:15:30.069 --> 00:15:30.079 align:start position:0% shared values within that environment by 00:15:30.079 --> 00:15:32.269 align:start position:0% shared values within that environment by good<00:15:30.320> people<00:15:31.199> whose 00:15:32.269 --> 00:15:32.279 align:start position:0% good people whose 00:15:32.279 --> 00:15:35.110 align:start position:0% good people whose self-evaluation<00:15:33.519> becomes<00:15:34.160> modified<00:15:34.800> by<00:15:34.959> the 00:15:35.110 --> 00:15:35.120 align:start position:0% self-evaluation becomes modified by the 00:15:35.120 --> 00:15:36.790 align:start position:0% self-evaluation becomes modified by the goals<00:15:35.519> that<00:15:35.680> are<00:15:35.839> shared<00:15:36.240> by<00:15:36.399> the<00:15:36.480> people 00:15:36.790 --> 00:15:36.800 align:start position:0% goals that are shared by the people 00:15:36.800 --> 00:15:39.030 align:start position:0% goals that are shared by the people around<00:15:37.199> them 00:15:39.030 --> 00:15:39.040 align:start position:0% around them 00:15:39.040 --> 00:15:40.870 align:start position:0% around them and<00:15:39.440> within<00:15:39.920> that 00:15:40.870 --> 00:15:40.880 align:start position:0% and within that 00:15:40.880 --> 00:15:42.230 align:start position:0% and within that millior 00:15:42.230 --> 00:15:42.240 align:start position:0% millior 00:15:42.240 --> 00:15:44.949 align:start position:0% millior you<00:15:42.399> have<00:15:43.040> one<00:15:43.360> set<00:15:43.519> of<00:15:43.680> standards<00:15:44.639> and<00:15:44.800> then 00:15:44.949 --> 00:15:44.959 align:start position:0% you have one set of standards and then 00:15:44.959 --> 00:15:46.629 align:start position:0% you have one set of standards and then the<00:15:45.199> rest<00:15:45.600> of 00:15:46.629 --> 00:15:46.639 align:start position:0% the rest of 00:15:46.639 --> 00:15:48.949 align:start position:0% the rest of good<00:15:47.120> american<00:15:47.759> people<00:15:48.560> have<00:15:48.800> the 00:15:48.949 --> 00:15:48.959 align:start position:0% good american people have the 00:15:48.959 --> 00:15:50.710 align:start position:0% good american people have the expectation<00:15:49.680> that<00:15:49.839> the<00:15:50.000> drug<00:15:50.240> companies<00:15:50.639> are 00:15:50.710 --> 00:15:50.720 align:start position:0% expectation that the drug companies are 00:15:50.720 --> 00:15:52.870 align:start position:0% expectation that the drug companies are trying<00:15:51.040> to<00:15:51.120> make<00:15:51.360> money<00:15:52.160> but<00:15:52.320> that<00:15:52.560> they're 00:15:52.870 --> 00:15:52.880 align:start position:0% trying to make money but that they're 00:15:52.880 --> 00:15:55.189 align:start position:0% trying to make money but that they're playing<00:15:53.440> by<00:15:54.079> rules 00:15:55.189 --> 00:15:55.199 align:start position:0% playing by rules 00:15:55.199 --> 00:15:59.350 align:start position:0% playing by rules that<00:15:55.440> aren't<00:15:55.759> part<00:15:56.160> of<00:15:56.399> the<00:15:57.040> insider<00:15:57.680> milieu 00:15:59.350 --> 00:15:59.360 align:start position:0% that aren't part of the insider milieu 00:15:59.360 --> 00:16:01.990 align:start position:0% that aren't part of the insider milieu that's<00:15:59.680> fascinating<00:16:00.320> the<00:16:00.560> the<00:16:00.880> game 00:16:01.990 --> 00:16:02.000 align:start position:0% that's fascinating the the game 00:16:02.000 --> 00:16:05.350 align:start position:0% that's fascinating the the game they're<00:16:02.320> playing<00:16:02.880> modifies<00:16:03.600> the<00:16:03.839> culture 00:16:05.350 --> 00:16:05.360 align:start position:0% they're playing modifies the culture 00:16:05.360 --> 00:16:07.749 align:start position:0% they're playing modifies the culture you<00:16:05.519> know<00:16:05.759> of<00:16:06.240> inside<00:16:06.720> the<00:16:06.880> meetings<00:16:07.440> inside 00:16:07.749 --> 00:16:07.759 align:start position:0% you know of inside the meetings inside 00:16:07.759 --> 00:16:10.470 align:start position:0% you know of inside the meetings inside the<00:16:07.920> rooms<00:16:08.480> day<00:16:08.639> to<00:16:08.880> day 00:16:10.470 --> 00:16:10.480 align:start position:0% the rooms day to day 00:16:10.480 --> 00:16:12.550 align:start position:0% the rooms day to day that<00:16:10.639> there's<00:16:10.959> a<00:16:11.120> bubble<00:16:11.519> that<00:16:11.759> forms<00:16:12.320> like 00:16:12.550 --> 00:16:12.560 align:start position:0% that there's a bubble that forms like 00:16:12.560 --> 00:16:14.949 align:start position:0% that there's a bubble that forms like we're<00:16:12.720> all<00:16:13.120> in<00:16:13.279> bubbles<00:16:13.680> of<00:16:13.839> different<00:16:14.240> sizes 00:16:14.949 --> 00:16:14.959 align:start position:0% we're all in bubbles of different sizes 00:16:14.959 --> 00:16:17.110 align:start position:0% we're all in bubbles of different sizes right<00:16:15.519> and<00:16:15.680> that<00:16:15.920> bubble<00:16:16.320> allows<00:16:16.720> you<00:16:16.880> to 00:16:17.110 --> 00:16:17.120 align:start position:0% right and that bubble allows you to 00:16:17.120 --> 00:16:18.310 align:start position:0% right and that bubble allows you to drift 00:16:18.310 --> 00:16:18.320 align:start position:0% drift 00:16:18.320 --> 00:16:21.430 align:start position:0% drift in<00:16:18.399> terms<00:16:18.720> of<00:16:18.880> what<00:16:19.199> you<00:16:19.440> see<00:16:19.839> as 00:16:21.430 --> 00:16:21.440 align:start position:0% in terms of what you see as 00:16:21.440 --> 00:16:24.150 align:start position:0% in terms of what you see as ethical<00:16:21.920> and<00:16:22.160> unethical 00:16:24.150 --> 00:16:24.160 align:start position:0% ethical and unethical 00:16:24.160 --> 00:16:26.310 align:start position:0% ethical and unethical because<00:16:24.480> you<00:16:24.720> see<00:16:24.880> the<00:16:25.120> game<00:16:25.440> as<00:16:25.680> just<00:16:26.240> you 00:16:26.310 --> 00:16:26.320 align:start position:0% because you see the game as just you 00:16:26.320 --> 00:16:28.389 align:start position:0% because you see the game as just you know<00:16:26.480> it's<00:16:26.639> just<00:16:26.880> part<00:16:27.040> of<00:16:27.120> the<00:16:27.279> game 00:16:28.389 --> 00:16:28.399 align:start position:0% know it's just part of the game 00:16:28.399 --> 00:16:31.269 align:start position:0% know it's just part of the game so<00:16:28.639> marketing<00:16:29.199> is<00:16:29.360> just<00:16:29.519> part<00:16:29.759> of<00:16:29.839> the<00:16:30.000> game 00:16:31.269 --> 00:16:31.279 align:start position:0% so marketing is just part of the game 00:16:31.279 --> 00:16:33.269 align:start position:0% so marketing is just part of the game right<00:16:31.680> and<00:16:31.920> paying<00:16:32.240> the<00:16:32.399> fines<00:16:32.720> is<00:16:32.880> just<00:16:33.120> part 00:16:33.269 --> 00:16:33.279 align:start position:0% right and paying the fines is just part 00:16:33.279 --> 00:16:34.389 align:start position:0% right and paying the fines is just part of<00:16:33.440> the<00:16:33.519> game 00:16:34.389 --> 00:16:34.399 align:start position:0% of the game 00:16:34.399 --> 00:16:36.550 align:start position:0% of the game of<00:16:34.560> science<00:16:35.120> yeah 00:16:36.550 --> 00:16:36.560 align:start position:0% of science yeah 00:16:36.560 --> 00:16:39.269 align:start position:0% of science yeah and<00:16:36.720> without<00:16:37.199> guard<00:16:37.519> rails 00:16:39.269 --> 00:16:39.279 align:start position:0% and without guard rails 00:16:39.279 --> 00:16:40.310 align:start position:0% and without guard rails it 00:16:40.310 --> 00:16:40.320 align:start position:0% it 00:16:40.320 --> 00:16:42.310 align:start position:0% it becomes<00:16:40.800> even<00:16:41.040> more<00:16:41.279> part<00:16:41.519> of<00:16:41.600> the<00:16:41.759> game<00:16:42.160> you 00:16:42.310 --> 00:16:42.320 align:start position:0% becomes even more part of the game you 00:16:42.320 --> 00:16:44.870 align:start position:0% becomes even more part of the game you keep<00:16:42.720> moving<00:16:43.279> in<00:16:43.360> that<00:16:43.600> direction<00:16:44.560> if<00:16:44.720> you're 00:16:44.870 --> 00:16:44.880 align:start position:0% keep moving in that direction if you're 00:16:44.880 --> 00:16:45.990 align:start position:0% keep moving in that direction if you're not 00:16:45.990 --> 00:16:46.000 align:start position:0% not 00:16:46.000 --> 00:16:48.069 align:start position:0% not bumping<00:16:46.399> up<00:16:46.480> against<00:16:46.880> guardrails 00:16:48.069 --> 00:16:48.079 align:start position:0% bumping up against guardrails 00:16:48.079 --> 00:16:49.910 align:start position:0% bumping up against guardrails and<00:16:48.240> i<00:16:48.320> think<00:16:48.480> that's<00:16:48.720> how<00:16:48.880> we've<00:16:49.120> gotten<00:16:49.759> to 00:16:49.910 --> 00:16:49.920 align:start position:0% and i think that's how we've gotten to 00:16:49.920 --> 00:16:53.430 align:start position:0% and i think that's how we've gotten to the<00:16:50.079> extreme<00:16:50.639> situation<00:16:51.279> we're<00:16:51.519> in<00:16:51.680> now 00:16:53.430 --> 00:16:53.440 align:start position:0% the extreme situation we're in now 00:16:53.440 --> 00:16:56.389 align:start position:0% the extreme situation we're in now so<00:16:54.000> like<00:16:54.240> i<00:16:54.399> mentioned<00:16:55.120> i<00:16:55.440> spoke<00:16:55.759> with<00:16:56.000> pfizer 00:16:56.389 --> 00:16:56.399 align:start position:0% so like i mentioned i spoke with pfizer 00:16:56.399 --> 00:17:00.150 align:start position:0% so like i mentioned i spoke with pfizer ceo<00:16:57.120> albert<00:16:57.519> berla<00:16:58.079> and<00:16:58.240> i'd<00:16:58.320> like<00:16:58.560> to 00:17:00.150 --> 00:17:00.160 align:start position:0% ceo albert berla and i'd like to 00:17:00.160 --> 00:17:01.829 align:start position:0% ceo albert berla and i'd like to raise<00:17:00.480> with<00:17:00.639> you<00:17:00.880> some<00:17:01.040> of<00:17:01.120> the<00:17:01.199> concerns<00:17:01.680> i 00:17:01.829 --> 00:17:01.839 align:start position:0% raise with you some of the concerns i 00:17:01.839 --> 00:17:03.670 align:start position:0% raise with you some of the concerns i raised<00:17:02.160> with<00:17:02.320> him 00:17:03.670 --> 00:17:03.680 align:start position:0% raised with him 00:17:03.680 --> 00:17:05.990 align:start position:0% raised with him so<00:17:04.079> one<00:17:04.480> you<00:17:04.720> already<00:17:05.039> mentioned 00:17:05.990 --> 00:17:06.000 align:start position:0% so one you already mentioned 00:17:06.000 --> 00:17:07.750 align:start position:0% so one you already mentioned i<00:17:06.240> raised<00:17:06.480> the<00:17:06.559> concern<00:17:06.959> that<00:17:07.280> pfizer<00:17:07.600> is 00:17:07.750 --> 00:17:07.760 align:start position:0% i raised the concern that pfizer is 00:17:07.760 --> 00:17:10.230 align:start position:0% i raised the concern that pfizer is engaged<00:17:08.160> in<00:17:08.319> aggressive<00:17:09.039> advertising 00:17:10.230 --> 00:17:10.240 align:start position:0% engaged in aggressive advertising 00:17:10.240 --> 00:17:12.069 align:start position:0% engaged in aggressive advertising campaigns 00:17:12.069 --> 00:17:12.079 align:start position:0% campaigns 00:17:12.079 --> 00:17:15.429 align:start position:0% campaigns as<00:17:12.319> you<00:17:12.400> can<00:17:12.559> imagine<00:17:13.199> he<00:17:13.360> said<00:17:13.679> no 00:17:15.429 --> 00:17:15.439 align:start position:0% as you can imagine he said no 00:17:15.439 --> 00:17:16.829 align:start position:0% as you can imagine he said no what<00:17:15.600> do<00:17:15.760> you 00:17:16.829 --> 00:17:16.839 align:start position:0% what do you 00:17:16.839 --> 00:17:18.390 align:start position:0% what do you think 00:17:18.390 --> 00:17:18.400 align:start position:0% think 00:17:18.400 --> 00:17:21.270 align:start position:0% think i<00:17:18.959> think<00:17:19.280> you're<00:17:19.520> both<00:17:19.839> right 00:17:21.270 --> 00:17:21.280 align:start position:0% i think you're both right 00:17:21.280 --> 00:17:23.829 align:start position:0% i think you're both right i<00:17:21.520> think<00:17:21.760> that<00:17:21.919> the<00:17:22.640> i<00:17:22.799> agree<00:17:23.039> with<00:17:23.199> you<00:17:23.600> that 00:17:23.829 --> 00:17:23.839 align:start position:0% i think that the i agree with you that 00:17:23.839 --> 00:17:27.750 align:start position:0% i think that the i agree with you that the<00:17:24.240> aggressive<00:17:24.720> advertising<00:17:25.360> campaigns 00:17:27.750 --> 00:17:27.760 align:start position:0% the aggressive advertising campaigns 00:17:27.760 --> 00:17:30.470 align:start position:0% the aggressive advertising campaigns do<00:17:28.000> not<00:17:28.240> add<00:17:28.480> value<00:17:28.880> to<00:17:29.039> society 00:17:30.470 --> 00:17:30.480 align:start position:0% do not add value to society 00:17:30.480 --> 00:17:32.950 align:start position:0% do not add value to society and<00:17:30.640> i<00:17:30.799> agree<00:17:31.120> with<00:17:31.360> him<00:17:31.679> that<00:17:32.000> they're 00:17:32.950 --> 00:17:32.960 align:start position:0% and i agree with him that they're 00:17:32.960 --> 00:17:34.870 align:start position:0% and i agree with him that they're for<00:17:33.120> the<00:17:33.280> most<00:17:33.520> part<00:17:33.840> legal 00:17:34.870 --> 00:17:34.880 align:start position:0% for the most part legal 00:17:34.880 --> 00:17:36.870 align:start position:0% for the most part legal and<00:17:35.120> it's<00:17:35.280> the<00:17:35.440> way<00:17:35.600> the<00:17:35.760> game<00:17:36.000> is<00:17:36.160> played 00:17:36.870 --> 00:17:36.880 align:start position:0% and it's the way the game is played 00:17:36.880 --> 00:17:39.510 align:start position:0% and it's the way the game is played right<00:17:37.120> so<00:17:37.679> sorry<00:17:38.000> to<00:17:38.080> interrupt<00:17:38.559> but 00:17:39.510 --> 00:17:39.520 align:start position:0% right so sorry to interrupt but 00:17:39.520 --> 00:17:43.350 align:start position:0% right so sorry to interrupt but oftentimes<00:17:40.559> his<00:17:40.880> responses<00:17:41.760> are 00:17:43.350 --> 00:17:43.360 align:start position:0% oftentimes his responses are 00:17:43.360 --> 00:17:44.789 align:start position:0% oftentimes his responses are um 00:17:44.789 --> 00:17:44.799 align:start position:0% um 00:17:44.799 --> 00:17:46.789 align:start position:0% um especially<00:17:45.280> now<00:17:45.520> he's<00:17:45.760> been<00:17:45.919> ceo<00:17:46.240> for<00:17:46.559> only 00:17:46.789 --> 00:17:46.799 align:start position:0% especially now he's been ceo for only 00:17:46.799 --> 00:17:48.549 align:start position:0% especially now he's been ceo for only like<00:17:47.039> two<00:17:47.200> years<00:17:47.520> three<00:17:47.760> years 00:17:48.549 --> 00:17:48.559 align:start position:0% like two years three years 00:17:48.559 --> 00:17:50.390 align:start position:0% like two years three years he<00:17:48.880> says<00:17:49.200> pfizer<00:17:49.520> was<00:17:49.679> a<00:17:49.760> different<00:17:50.080> company 00:17:50.390 --> 00:17:50.400 align:start position:0% he says pfizer was a different company 00:17:50.400 --> 00:17:52.470 align:start position:0% he says pfizer was a different company we've<00:17:50.640> made<00:17:50.960> mistakes 00:17:52.470 --> 00:17:52.480 align:start position:0% we've made mistakes 00:17:52.480 --> 00:17:54.710 align:start position:0% we've made mistakes right<00:17:52.720> in<00:17:52.880> the<00:17:52.960> past<00:17:53.679> we<00:17:53.840> don't<00:17:54.000> make<00:17:54.240> mistakes 00:17:54.710 --> 00:17:54.720 align:start position:0% right in the past we don't make mistakes 00:17:54.720 --> 00:17:56.310 align:start position:0% right in the past we don't make mistakes anymore 00:17:56.310 --> 00:17:56.320 align:start position:0% anymore 00:17:56.320 --> 00:17:58.150 align:start position:0% anymore that<00:17:56.559> there's<00:17:56.960> rules 00:17:58.150 --> 00:17:58.160 align:start position:0% that there's rules 00:17:58.160 --> 00:18:01.350 align:start position:0% that there's rules and<00:17:58.320> we<00:17:58.559> play<00:17:58.799> by<00:17:58.960> the<00:17:59.120> rules<00:18:00.320> so<00:18:00.559> like<00:18:00.880> uh<00:18:01.120> with 00:18:01.350 --> 00:18:01.360 align:start position:0% and we play by the rules so like uh with 00:18:01.360 --> 00:18:03.830 align:start position:0% and we play by the rules so like uh with every<00:18:01.679> concern<00:18:02.160> raised<00:18:02.720> there's<00:18:03.120> very<00:18:03.520> very 00:18:03.830 --> 00:18:03.840 align:start position:0% every concern raised there's very very 00:18:03.840 --> 00:18:06.630 align:start position:0% every concern raised there's very very strict<00:18:04.240> rules<00:18:04.880> as<00:18:05.039> he<00:18:05.200> says<00:18:05.919> in<00:18:06.000> fact<00:18:06.240> he<00:18:06.400> says 00:18:06.630 --> 00:18:06.640 align:start position:0% strict rules as he says in fact he says 00:18:06.640 --> 00:18:09.190 align:start position:0% strict rules as he says in fact he says sometimes<00:18:07.039> way<00:18:07.280> too<00:18:07.520> strict<00:18:08.400> and<00:18:08.559> we<00:18:08.720> play<00:18:08.960> by 00:18:09.190 --> 00:18:09.200 align:start position:0% sometimes way too strict and we play by 00:18:09.200 --> 00:18:09.990 align:start position:0% sometimes way too strict and we play by them 00:18:09.990 --> 00:18:10.000 align:start position:0% them 00:18:10.000 --> 00:18:12.230 align:start position:0% them and<00:18:10.160> so<00:18:10.320> in<00:18:10.400> that<00:18:10.640> sense<00:18:10.960> advertisement<00:18:12.080> it 00:18:12.230 --> 00:18:12.240 align:start position:0% and so in that sense advertisement it 00:18:12.240 --> 00:18:14.230 align:start position:0% and so in that sense advertisement it doesn't<00:18:12.559> seem<00:18:12.799> like<00:18:12.960> it's<00:18:13.039> too<00:18:13.280> aggressive 00:18:14.230 --> 00:18:14.240 align:start position:0% doesn't seem like it's too aggressive 00:18:14.240 --> 00:18:17.510 align:start position:0% doesn't seem like it's too aggressive because<00:18:14.559> it's<00:18:14.720> playing<00:18:14.960> by<00:18:15.120> the<00:18:15.280> rules 00:18:17.510 --> 00:18:17.520 align:start position:0% because it's playing by the rules 00:18:17.520 --> 00:18:19.350 align:start position:0% because it's playing by the rules and<00:18:17.760> relative<00:18:18.240> to<00:18:18.400> the<00:18:18.559> other<00:18:18.799> again<00:18:19.039> it's<00:18:19.200> the 00:18:19.350 --> 00:18:19.360 align:start position:0% and relative to the other again it's the 00:18:19.360 --> 00:18:22.070 align:start position:0% and relative to the other again it's the game<00:18:19.679> relative<00:18:20.080> to<00:18:20.240> the<00:18:20.320> other<00:18:20.559> companies 00:18:22.070 --> 00:18:22.080 align:start position:0% game relative to the other companies 00:18:22.080 --> 00:18:24.549 align:start position:0% game relative to the other companies it's<00:18:22.559> actually<00:18:22.799> not<00:18:22.960> that<00:18:23.200> aggressive 00:18:24.549 --> 00:18:24.559 align:start position:0% it's actually not that aggressive 00:18:24.559 --> 00:18:26.150 align:start position:0% it's actually not that aggressive but<00:18:24.799> relative<00:18:25.200> to<00:18:25.360> the<00:18:25.440> other<00:18:25.600> big<00:18:25.840> pharma 00:18:26.150 --> 00:18:26.160 align:start position:0% but relative to the other big pharma 00:18:26.160 --> 00:18:28.950 align:start position:0% but relative to the other big pharma company<00:18:26.480> yes<00:18:26.880> yes<00:18:27.360> i<00:18:27.440> i<00:18:27.760> hope<00:18:28.000> we<00:18:28.160> can<00:18:28.640> quickly 00:18:28.950 --> 00:18:28.960 align:start position:0% company yes yes i i hope we can quickly 00:18:28.960 --> 00:18:30.310 align:start position:0% company yes yes i i hope we can quickly get<00:18:29.200> back<00:18:29.440> to<00:18:29.679> whether<00:18:29.919> or<00:18:30.000> not<00:18:30.160> they're 00:18:30.310 --> 00:18:30.320 align:start position:0% get back to whether or not they're 00:18:30.320 --> 00:18:32.870 align:start position:0% get back to whether or not they're playing<00:18:30.559> by<00:18:30.799> the<00:18:30.880> rules<00:18:31.120> but<00:18:31.760> in<00:18:32.000> general<00:18:32.640> but 00:18:32.870 --> 00:18:32.880 align:start position:0% playing by the rules but in general but 00:18:32.880 --> 00:18:34.390 align:start position:0% playing by the rules but in general but let's<00:18:33.120> just<00:18:33.440> look<00:18:33.600> at<00:18:33.760> the<00:18:34.000> question<00:18:34.240> of 00:18:34.390 --> 00:18:34.400 align:start position:0% let's just look at the question of 00:18:34.400 --> 00:18:37.110 align:start position:0% let's just look at the question of advertising<00:18:35.520> specifically<00:18:36.559> i<00:18:36.640> think<00:18:36.799> that's 00:18:37.110 --> 00:18:37.120 align:start position:0% advertising specifically i think that's 00:18:37.120 --> 00:18:39.510 align:start position:0% advertising specifically i think that's a<00:18:37.200> good<00:18:37.360> example<00:18:38.000> of<00:18:38.720> what<00:18:38.960> it<00:18:39.039> looks<00:18:39.280> like 00:18:39.510 --> 00:18:39.520 align:start position:0% a good example of what it looks like 00:18:39.520 --> 00:18:41.750 align:start position:0% a good example of what it looks like from<00:18:39.760> within<00:18:40.160> that<00:18:40.400> culture<00:18:41.280> and<00:18:41.440> from 00:18:41.750 --> 00:18:41.760 align:start position:0% from within that culture and from 00:18:41.760 --> 00:18:44.950 align:start position:0% from within that culture and from outside<00:18:42.160> that<00:18:42.400> culture 00:18:44.950 --> 00:18:44.960 align:start position:0% 00:18:44.960 --> 00:18:48.470 align:start position:0% he's<00:18:45.360> saying<00:18:46.000> that<00:18:46.320> we<00:18:46.799> follow<00:18:47.200> the<00:18:47.520> law 00:18:48.470 --> 00:18:48.480 align:start position:0% he's saying that we follow the law 00:18:48.480 --> 00:18:50.950 align:start position:0% he's saying that we follow the law on<00:18:48.720> our<00:18:48.880> advertising<00:18:49.760> we<00:18:50.160> state<00:18:50.480> the<00:18:50.640> side 00:18:50.950 --> 00:18:50.960 align:start position:0% on our advertising we state the side 00:18:50.960 --> 00:18:53.110 align:start position:0% on our advertising we state the side effects<00:18:51.440> and<00:18:51.600> we<00:18:51.919> state<00:18:52.240> the<00:18:52.400> fda<00:18:52.799> approved 00:18:53.110 --> 00:18:53.120 align:start position:0% effects and we state the fda approved 00:18:53.120 --> 00:18:55.669 align:start position:0% effects and we state the fda approved indications<00:18:53.840> and<00:18:54.000> we<00:18:54.559> we<00:18:54.720> do<00:18:55.039> what<00:18:55.200> the<00:18:55.360> law 00:18:55.669 --> 00:18:55.679 align:start position:0% indications and we we do what the law 00:18:55.679 --> 00:18:58.390 align:start position:0% indications and we we do what the law says<00:18:55.919> we<00:18:56.080> have<00:18:56.240> to<00:18:56.400> do<00:18:56.640> for<00:18:56.799> advertising<00:18:57.840> and<00:18:58.000> i 00:18:58.390 --> 00:18:58.400 align:start position:0% says we have to do for advertising and i 00:18:58.400 --> 00:18:59.350 align:start position:0% says we have to do for advertising and i have<00:18:58.640> not 00:18:59.350 --> 00:18:59.360 align:start position:0% have not 00:18:59.360 --> 00:19:01.750 align:start position:0% have not i've<00:18:59.679> not<00:18:59.919> been<00:19:00.160> an<00:19:00.320> expert<00:19:00.799> in<00:19:00.960> litigation 00:19:01.750 --> 00:19:01.760 align:start position:0% i've not been an expert in litigation 00:19:01.760 --> 00:19:03.750 align:start position:0% i've not been an expert in litigation for<00:19:02.080> a<00:19:02.160> few<00:19:02.480> years<00:19:02.880> and<00:19:02.960> i<00:19:03.120> don't<00:19:03.280> know<00:19:03.440> what's 00:19:03.750 --> 00:19:03.760 align:start position:0% for a few years and i don't know what's 00:19:03.760 --> 00:19:05.669 align:start position:0% for a few years and i don't know what's going<00:19:03.919> on<00:19:04.160> currently<00:19:04.799> but<00:19:05.039> let's<00:19:05.200> take<00:19:05.440> him<00:19:05.600> at 00:19:05.669 --> 00:19:05.679 align:start position:0% going on currently but let's take him at 00:19:05.679 --> 00:19:07.029 align:start position:0% going on currently but let's take him at his<00:19:05.840> word 00:19:07.029 --> 00:19:07.039 align:start position:0% his word 00:19:07.039 --> 00:19:09.029 align:start position:0% his word it<00:19:07.200> could<00:19:07.360> be<00:19:07.520> true<00:19:08.080> it<00:19:08.320> might<00:19:08.480> not<00:19:08.640> be<00:19:08.799> but<00:19:08.960> it 00:19:09.029 --> 00:19:09.039 align:start position:0% it could be true it might not be but it 00:19:09.039 --> 00:19:10.870 align:start position:0% it could be true it might not be but it could<00:19:09.200> be<00:19:09.840> but 00:19:10.870 --> 00:19:10.880 align:start position:0% could be but 00:19:10.880 --> 00:19:12.710 align:start position:0% could be but if<00:19:11.120> that's<00:19:11.520> true 00:19:12.710 --> 00:19:12.720 align:start position:0% if that's true 00:19:12.720 --> 00:19:15.669 align:start position:0% if that's true in<00:19:13.039> his<00:19:13.360> world<00:19:13.919> in<00:19:14.160> his<00:19:14.480> culture<00:19:15.360> that's 00:19:15.669 --> 00:19:15.679 align:start position:0% in his world in his culture that's 00:19:15.679 --> 00:19:18.150 align:start position:0% in his world in his culture that's ethical<00:19:16.080> business<00:19:16.480> behavior 00:19:18.150 --> 00:19:18.160 align:start position:0% ethical business behavior 00:19:18.160 --> 00:19:19.110 align:start position:0% ethical business behavior from 00:19:19.110 --> 00:19:19.120 align:start position:0% from 00:19:19.120 --> 00:19:22.470 align:start position:0% from a<00:19:19.360> common<00:19:19.840> sense<00:19:20.240> person's<00:19:20.960> point<00:19:21.200> of<00:19:21.280> view 00:19:22.470 --> 00:19:22.480 align:start position:0% a common sense person's point of view 00:19:22.480 --> 00:19:25.029 align:start position:0% a common sense person's point of view a<00:19:22.640> drug<00:19:23.039> company<00:19:23.600> paying<00:19:24.080> highly<00:19:24.559> skilled 00:19:25.029 --> 00:19:25.039 align:start position:0% a drug company paying highly skilled 00:19:25.039 --> 00:19:27.190 align:start position:0% a drug company paying highly skilled media<00:19:25.760> folks 00:19:27.190 --> 00:19:27.200 align:start position:0% media folks 00:19:27.200 --> 00:19:30.310 align:start position:0% media folks to<00:19:27.919> take<00:19:28.160> the<00:19:28.400> information<00:19:28.960> about<00:19:29.280> the<00:19:29.440> drug 00:19:30.310 --> 00:19:30.320 align:start position:0% to take the information about the drug 00:19:30.320 --> 00:19:33.350 align:start position:0% to take the information about the drug and<00:19:30.640> create<00:19:31.039> the<00:19:31.280> illusion<00:19:32.160> uh<00:19:32.400> the<00:19:32.559> emotional 00:19:33.350 --> 00:19:33.360 align:start position:0% and create the illusion uh the emotional 00:19:33.360 --> 00:19:36.070 align:start position:0% and create the illusion uh the emotional impact<00:19:34.320> and<00:19:34.559> the<00:19:34.799> take<00:19:35.120> away<00:19:35.440> message<00:19:35.919> for 00:19:36.070 --> 00:19:36.080 align:start position:0% impact and the take away message for 00:19:36.080 --> 00:19:38.950 align:start position:0% impact and the take away message for viewers<00:19:36.480> of<00:19:36.840> advertisements<00:19:37.919> that<00:19:38.320> grossly 00:19:38.950 --> 00:19:38.960 align:start position:0% viewers of advertisements that grossly 00:19:38.960 --> 00:19:41.190 align:start position:0% viewers of advertisements that grossly exaggerate<00:19:39.520> the<00:19:39.600> benefit<00:19:40.000> of<00:19:40.160> the<00:19:40.240> drug<00:19:41.039> and 00:19:41.190 --> 00:19:41.200 align:start position:0% exaggerate the benefit of the drug and 00:19:41.200 --> 00:19:43.990 align:start position:0% exaggerate the benefit of the drug and minimize<00:19:41.840> the<00:19:42.000> harms<00:19:42.880> it's<00:19:43.120> sociopathic 00:19:43.990 --> 00:19:44.000 align:start position:0% minimize the harms it's sociopathic 00:19:44.000 --> 00:19:45.270 align:start position:0% minimize the harms it's sociopathic behavior 00:19:45.270 --> 00:19:45.280 align:start position:0% behavior 00:19:45.280 --> 00:19:47.990 align:start position:0% behavior to<00:19:45.600> have<00:19:46.000> viewers<00:19:46.640> of<00:19:46.960> ads 00:19:47.990 --> 00:19:48.000 align:start position:0% to have viewers of ads 00:19:48.000 --> 00:19:49.990 align:start position:0% to have viewers of ads leave<00:19:48.400> the<00:19:48.640> ad 00:19:49.990 --> 00:19:50.000 align:start position:0% leave the ad 00:19:50.000 --> 00:19:53.750 align:start position:0% leave the ad with<00:19:50.640> an<00:19:50.960> unrealistic<00:19:51.919> impression<00:19:52.880> of 00:19:53.750 --> 00:19:53.760 align:start position:0% with an unrealistic impression of 00:19:53.760 --> 00:19:56.070 align:start position:0% with an unrealistic impression of the<00:19:54.080> benefits<00:19:54.559> and<00:19:54.720> harms<00:19:55.039> of<00:19:55.120> the<00:19:55.200> drug 00:19:56.070 --> 00:19:56.080 align:start position:0% the benefits and harms of the drug 00:19:56.080 --> 00:19:59.029 align:start position:0% the benefits and harms of the drug and<00:19:56.320> yet<00:19:57.039> he's<00:19:57.360> playing<00:19:57.679> by<00:19:57.840> the<00:19:58.000> rules<00:19:58.799> he's 00:19:59.029 --> 00:19:59.039 align:start position:0% and yet he's playing by the rules he's 00:19:59.039 --> 00:20:02.549 align:start position:0% and yet he's playing by the rules he's doing<00:19:59.360> his<00:19:59.520> job<00:19:59.919> as<00:20:00.160> ceo<00:20:01.200> to<00:20:01.600> maximize<00:20:02.400> the 00:20:02.549 --> 00:20:02.559 align:start position:0% doing his job as ceo to maximize the 00:20:02.559 --> 00:20:04.470 align:start position:0% doing his job as ceo to maximize the effect<00:20:02.880> of<00:20:03.039> his<00:20:03.200> advertising 00:20:04.470 --> 00:20:04.480 align:start position:0% effect of his advertising 00:20:04.480 --> 00:20:06.710 align:start position:0% effect of his advertising and<00:20:04.640> if<00:20:04.799> he<00:20:04.960> doesn't<00:20:05.280> do<00:20:05.520> it<00:20:05.919> this<00:20:06.080> is<00:20:06.240> a<00:20:06.400> key 00:20:06.710 --> 00:20:06.720 align:start position:0% and if he doesn't do it this is a key 00:20:06.720 --> 00:20:09.350 align:start position:0% and if he doesn't do it this is a key point<00:20:07.520> if<00:20:07.679> he<00:20:07.919> doesn't<00:20:08.240> do<00:20:08.480> it<00:20:08.880> he'll<00:20:09.120> get 00:20:09.350 --> 00:20:09.360 align:start position:0% point if he doesn't do it he'll get 00:20:09.360 --> 00:20:11.830 align:start position:0% point if he doesn't do it he'll get fired<00:20:09.760> and<00:20:09.919> the<00:20:10.000> next<00:20:10.320> guy<00:20:10.640> will 00:20:11.830 --> 00:20:11.840 align:start position:0% fired and the next guy will 00:20:11.840 --> 00:20:13.510 align:start position:0% fired and the next guy will so<00:20:12.000> the<00:20:12.080> people<00:20:12.320> that<00:20:12.480> survived<00:20:12.960> the<00:20:13.039> company 00:20:13.510 --> 00:20:13.520 align:start position:0% so the people that survived the company 00:20:13.520 --> 00:20:15.430 align:start position:0% so the people that survived the company the<00:20:13.679> people<00:20:14.000> that<00:20:14.159> get<00:20:14.480> uh 00:20:15.430 --> 00:20:15.440 align:start position:0% the people that get uh 00:20:15.440 --> 00:20:17.270 align:start position:0% the people that get uh raises<00:20:16.000> in<00:20:16.080> the<00:20:16.240> company<00:20:16.640> move<00:20:16.880> up<00:20:17.039> and<00:20:17.200> the 00:20:17.270 --> 00:20:17.280 align:start position:0% raises in the company move up and the 00:20:17.280 --> 00:20:18.789 align:start position:0% raises in the company move up and the company<00:20:17.679> are<00:20:17.760> the<00:20:17.919> ones<00:20:18.159> that<00:20:18.320> play<00:20:18.559> by<00:20:18.720> the 00:20:18.789 --> 00:20:18.799 align:start position:0% company are the ones that play by the 00:20:18.799 --> 00:20:20.710 align:start position:0% company are the ones that play by the rules<00:20:19.120> and<00:20:19.200> that's<00:20:19.360> how<00:20:19.520> the<00:20:19.600> game<00:20:20.000> solidifies 00:20:20.710 --> 00:20:20.720 align:start position:0% rules and that's how the game solidifies 00:20:20.720 --> 00:20:22.870 align:start position:0% rules and that's how the game solidifies itself<00:20:21.440> but<00:20:21.600> the<00:20:21.760> game<00:20:22.320> is<00:20:22.480> within<00:20:22.799> the 00:20:22.870 --> 00:20:22.880 align:start position:0% itself but the game is within the 00:20:22.880 --> 00:20:25.430 align:start position:0% itself but the game is within the balance<00:20:23.280> of<00:20:23.360> the<00:20:23.600> law<00:20:24.240> sometimes<00:20:24.960> most<00:20:25.200> of<00:20:25.360> the 00:20:25.430 --> 00:20:25.440 align:start position:0% balance of the law sometimes most of the 00:20:25.440 --> 00:20:27.190 align:start position:0% balance of the law sometimes most of the time<00:20:25.679> not<00:20:25.919> always 00:20:27.190 --> 00:20:27.200 align:start position:0% time not always 00:20:27.200 --> 00:20:29.110 align:start position:0% time not always we'll<00:20:27.440> return<00:20:27.840> to<00:20:28.000> that<00:20:28.240> question 00:20:29.110 --> 00:20:29.120 align:start position:0% we'll return to that question 00:20:29.120 --> 00:20:31.590 align:start position:0% we'll return to that question i'm<00:20:29.440> actually<00:20:29.760> more<00:20:30.000> concerned 00:20:31.590 --> 00:20:31.600 align:start position:0% i'm actually more concerned 00:20:31.600 --> 00:20:34.310 align:start position:0% i'm actually more concerned about<00:20:31.840> the<00:20:32.000> effect<00:20:32.320> of<00:20:32.480> advertisement 00:20:34.310 --> 00:20:34.320 align:start position:0% about the effect of advertisement 00:20:34.320 --> 00:20:37.190 align:start position:0% about the effect of advertisement in<00:20:34.480> a<00:20:34.640> kind<00:20:35.039> of 00:20:37.190 --> 00:20:37.200 align:start position:0% in a kind of 00:20:37.200 --> 00:20:39.430 align:start position:0% in a kind of much<00:20:37.679> larger<00:20:38.320> scale 00:20:39.430 --> 00:20:39.440 align:start position:0% much larger scale 00:20:39.440 --> 00:20:41.430 align:start position:0% much larger scale on<00:20:39.679> the 00:20:41.430 --> 00:20:41.440 align:start position:0% on the 00:20:41.440 --> 00:20:43.270 align:start position:0% on the people<00:20:41.840> that<00:20:42.000> are<00:20:42.159> getting<00:20:42.559> funded<00:20:42.960> by<00:20:43.120> the 00:20:43.270 --> 00:20:43.280 align:start position:0% people that are getting funded by the 00:20:43.280 --> 00:20:44.710 align:start position:0% people that are getting funded by the advertisement 00:20:44.710 --> 00:20:44.720 align:start position:0% advertisement 00:20:44.720 --> 00:20:47.430 align:start position:0% advertisement in<00:20:44.880> self-censorship<00:20:46.240> just<00:20:46.480> like<00:20:46.640> more<00:20:47.039> subtle 00:20:47.430 --> 00:20:47.440 align:start position:0% in self-censorship just like more subtle 00:20:47.440 --> 00:20:48.549 align:start position:0% in self-censorship just like more subtle more 00:20:48.549 --> 00:20:48.559 align:start position:0% more 00:20:48.559 --> 00:20:50.310 align:start position:0% more uh<00:20:48.799> more<00:20:49.200> passive 00:20:50.310 --> 00:20:50.320 align:start position:0% uh more passive 00:20:50.320 --> 00:20:52.950 align:start position:0% uh more passive pressure<00:20:50.799> to<00:20:51.039> not<00:20:51.200> say<00:20:51.360> anything<00:20:51.760> negative 00:20:52.950 --> 00:20:52.960 align:start position:0% pressure to not say anything negative 00:20:52.960 --> 00:20:55.909 align:start position:0% pressure to not say anything negative because<00:20:53.200> i've<00:20:53.440> seen<00:20:53.679> this 00:20:55.909 --> 00:20:55.919 align:start position:0% because i've seen this 00:20:55.919 --> 00:20:58.390 align:start position:0% because i've seen this and<00:20:56.080> i've<00:20:56.240> been<00:20:56.480> saddened<00:20:57.039> by<00:20:57.280> it 00:20:58.390 --> 00:20:58.400 align:start position:0% and i've been saddened by it 00:20:58.400 --> 00:21:01.270 align:start position:0% and i've been saddened by it that<00:20:58.799> uh<00:20:59.120> people<00:20:59.520> sacrifice<00:21:00.240> integrity<00:21:01.039> in 00:21:01.270 --> 00:21:01.280 align:start position:0% that uh people sacrifice integrity in 00:21:01.280 --> 00:21:03.110 align:start position:0% that uh people sacrifice integrity in small<00:21:01.760> ways 00:21:03.110 --> 00:21:03.120 align:start position:0% small ways 00:21:03.120 --> 00:21:04.470 align:start position:0% small ways when<00:21:03.360> they're<00:21:03.600> being<00:21:03.840> funded<00:21:04.240> by<00:21:04.400> a 00:21:04.470 --> 00:21:04.480 align:start position:0% when they're being funded by a 00:21:04.480 --> 00:21:06.470 align:start position:0% when they're being funded by a particular<00:21:05.039> company 00:21:06.470 --> 00:21:06.480 align:start position:0% particular company 00:21:06.480 --> 00:21:08.149 align:start position:0% particular company they<00:21:06.640> don't<00:21:06.960> they<00:21:07.200> don't<00:21:07.360> see<00:21:07.520> themselves<00:21:08.000> as 00:21:08.149 --> 00:21:08.159 align:start position:0% they don't they don't see themselves as 00:21:08.159 --> 00:21:09.350 align:start position:0% they don't they don't see themselves as doing<00:21:08.480> so 00:21:09.350 --> 00:21:09.360 align:start position:0% doing so 00:21:09.360 --> 00:21:11.510 align:start position:0% doing so but<00:21:09.600> you<00:21:09.760> could<00:21:09.919> just<00:21:10.159> clearly<00:21:10.799> see<00:21:11.120> that<00:21:11.280> the 00:21:11.510 --> 00:21:11.520 align:start position:0% but you could just clearly see that the 00:21:11.520 --> 00:21:13.590 align:start position:0% but you could just clearly see that the space<00:21:11.919> of<00:21:12.080> opinions<00:21:12.799> that<00:21:12.960> they're<00:21:13.200> willing 00:21:13.590 --> 00:21:13.600 align:start position:0% space of opinions that they're willing 00:21:13.600 --> 00:21:15.110 align:start position:0% space of opinions that they're willing to<00:21:13.760> engage<00:21:14.240> in 00:21:15.110 --> 00:21:15.120 align:start position:0% to engage in 00:21:15.120 --> 00:21:16.870 align:start position:0% to engage in or<00:21:15.280> a<00:21:15.360> space<00:21:15.760> of<00:21:15.919> ideas<00:21:16.320> they're<00:21:16.480> willing<00:21:16.720> to 00:21:16.870 --> 00:21:16.880 align:start position:0% or a space of ideas they're willing to 00:21:16.880 --> 00:21:18.470 align:start position:0% or a space of ideas they're willing to play<00:21:17.200> with 00:21:18.470 --> 00:21:18.480 align:start position:0% play with 00:21:18.480 --> 00:21:20.310 align:start position:0% play with is<00:21:18.720> one<00:21:18.960> that<00:21:19.200> doesn't 00:21:20.310 --> 00:21:20.320 align:start position:0% is one that doesn't 00:21:20.320 --> 00:21:22.390 align:start position:0% is one that doesn't include<00:21:21.120> negative 00:21:22.390 --> 00:21:22.400 align:start position:0% include negative 00:21:22.400 --> 00:21:24.310 align:start position:0% include negative anything<00:21:22.799> that<00:21:22.960> could<00:21:23.200> possibly<00:21:23.760> be<00:21:23.919> negative 00:21:24.310 --> 00:21:24.320 align:start position:0% anything that could possibly be negative 00:21:24.320 --> 00:21:26.390 align:start position:0% anything that could possibly be negative about<00:21:24.640> the<00:21:24.799> company<00:21:25.440> they<00:21:25.679> just<00:21:25.840> choose<00:21:26.159> not 00:21:26.390 --> 00:21:26.400 align:start position:0% about the company they just choose not 00:21:26.400 --> 00:21:29.510 align:start position:0% about the company they just choose not to<00:21:27.039> because<00:21:27.520> you<00:21:27.600> know<00:21:28.000> why<00:21:28.799> and<00:21:28.960> that<00:21:29.280> that's 00:21:29.510 --> 00:21:29.520 align:start position:0% to because you know why and that that's 00:21:29.520 --> 00:21:31.669 align:start position:0% to because you know why and that that's really<00:21:29.919> sad<00:21:30.159> to<00:21:30.320> me<00:21:30.559> that 00:21:31.669 --> 00:21:31.679 align:start position:0% really sad to me that 00:21:31.679 --> 00:21:33.510 align:start position:0% really sad to me that you<00:21:31.760> know<00:21:32.000> if<00:21:32.080> you<00:21:32.240> give<00:21:32.400> me<00:21:32.559> a<00:21:32.640> hundred<00:21:32.960> bucks 00:21:33.510 --> 00:21:33.520 align:start position:0% you know if you give me a hundred bucks 00:21:33.520 --> 00:21:35.029 align:start position:0% you know if you give me a hundred bucks i'm<00:21:33.760> less<00:21:34.000> likely<00:21:34.320> to<00:21:34.480> say<00:21:34.720> something 00:21:35.029 --> 00:21:35.039 align:start position:0% i'm less likely to say something 00:21:35.039 --> 00:21:36.950 align:start position:0% i'm less likely to say something negative<00:21:35.520> about<00:21:35.840> you 00:21:36.950 --> 00:21:36.960 align:start position:0% negative about you 00:21:36.960 --> 00:21:38.390 align:start position:0% negative about you um 00:21:38.390 --> 00:21:38.400 align:start position:0% um 00:21:38.400 --> 00:21:40.870 align:start position:0% um that<00:21:38.640> makes<00:21:38.880> me<00:21:39.120> sad<00:21:39.840> because<00:21:40.240> like<00:21:40.480> the 00:21:40.870 --> 00:21:40.880 align:start position:0% that makes me sad because like the 00:21:40.880 --> 00:21:42.549 align:start position:0% that makes me sad because like the reason<00:21:41.120> i<00:21:41.200> wouldn't<00:21:41.440> say<00:21:41.679> something<00:21:42.000> negative 00:21:42.549 --> 00:21:42.559 align:start position:0% reason i wouldn't say something negative 00:21:42.559 --> 00:21:44.950 align:start position:0% reason i wouldn't say something negative about<00:21:42.799> you<00:21:42.960> i<00:21:43.120> prefer<00:21:44.240> is<00:21:44.400> the<00:21:44.559> pressure<00:21:44.880> of 00:21:44.950 --> 00:21:44.960 align:start position:0% about you i prefer is the pressure of 00:21:44.960 --> 00:21:46.950 align:start position:0% about you i prefer is the pressure of friendship<00:21:45.520> and<00:21:45.679> human<00:21:46.000> connection<00:21:46.720> those 00:21:46.950 --> 00:21:46.960 align:start position:0% friendship and human connection those 00:21:46.960 --> 00:21:48.230 align:start position:0% friendship and human connection those kinds<00:21:47.200> of<00:21:47.280> things 00:21:48.230 --> 00:21:48.240 align:start position:0% kinds of things 00:21:48.240 --> 00:21:50.149 align:start position:0% kinds of things so<00:21:48.640> i<00:21:48.799> understand<00:21:49.280> that 00:21:50.149 --> 00:21:50.159 align:start position:0% so i understand that 00:21:50.159 --> 00:21:52.310 align:start position:0% so i understand that um<00:21:50.559> that's<00:21:50.880> also<00:21:51.120> a<00:21:51.200> problem<00:21:51.600> by<00:21:51.760> the<00:21:51.840> way<00:21:52.080> so 00:21:52.310 --> 00:21:52.320 align:start position:0% um that's also a problem by the way so 00:21:52.320 --> 00:21:53.830 align:start position:0% um that's also a problem by the way so they<00:21:52.400> started<00:21:52.720> having<00:21:52.960> dinners<00:21:53.360> and<00:21:53.520> shaking 00:21:53.830 --> 00:21:53.840 align:start position:0% they started having dinners and shaking 00:21:53.840 --> 00:21:56.789 align:start position:0% they started having dinners and shaking hands<00:21:54.240> and<00:21:54.640> oh<00:21:55.120> aren't<00:21:55.280> we<00:21:55.520> friends<00:21:56.080> but<00:21:56.640> the 00:21:56.789 --> 00:21:56.799 align:start position:0% hands and oh aren't we friends but the 00:21:56.799 --> 00:21:58.630 align:start position:0% hands and oh aren't we friends but the fact<00:21:57.039> that<00:21:57.280> money<00:21:57.600> has<00:21:57.760> that<00:21:58.000> effect<00:21:58.480> is 00:21:58.630 --> 00:21:58.640 align:start position:0% fact that money has that effect is 00:21:58.640 --> 00:22:00.070 align:start position:0% fact that money has that effect is really<00:21:58.960> sad<00:21:59.200> to<00:21:59.360> me 00:22:00.070 --> 00:22:00.080 align:start position:0% really sad to me 00:22:00.080 --> 00:22:02.789 align:start position:0% really sad to me on<00:22:00.320> the<00:22:00.400> news<00:22:00.720> media<00:22:01.200> on<00:22:01.280> the<00:22:01.440> journalists<00:22:02.480> on 00:22:02.789 --> 00:22:02.799 align:start position:0% on the news media on the journalists on 00:22:02.799 --> 00:22:05.190 align:start position:0% on the news media on the journalists on scientists 00:22:05.190 --> 00:22:05.200 align:start position:0% scientists 00:22:05.200 --> 00:22:07.510 align:start position:0% scientists that's<00:22:05.440> scary<00:22:05.840> to<00:22:06.000> me<00:22:06.480> um<00:22:06.799> but<00:22:06.960> of<00:22:07.039> course<00:22:07.360> the 00:22:07.510 --> 00:22:07.520 align:start position:0% that's scary to me um but of course the 00:22:07.520 --> 00:22:09.270 align:start position:0% that's scary to me um but of course the direct<00:22:07.919> advertisement<00:22:08.559> to<00:22:08.640> consumers<00:22:09.120> like 00:22:09.270 --> 00:22:09.280 align:start position:0% direct advertisement to consumers like 00:22:09.280 --> 00:22:10.870 align:start position:0% direct advertisement to consumers like you<00:22:09.360> said<00:22:09.679> is<00:22:09.840> a<00:22:09.919> potentially<00:22:10.320> very<00:22:10.559> negative 00:22:10.870 --> 00:22:10.880 align:start position:0% you said is a potentially very negative 00:22:10.880 --> 00:22:13.830 align:start position:0% you said is a potentially very negative effect<00:22:11.440> i<00:22:11.360> i<00:22:11.679> wanted<00:22:11.919> to<00:22:12.080> ask<00:22:12.320> if<00:22:12.799> um 00:22:13.830 --> 00:22:13.840 align:start position:0% effect i i wanted to ask if um 00:22:13.840 --> 00:22:15.430 align:start position:0% effect i i wanted to ask if um what<00:22:14.000> do<00:22:14.000> you<00:22:14.159> think<00:22:14.400> is<00:22:14.480> the<00:22:14.640> most<00:22:14.960> negative 00:22:15.430 --> 00:22:15.440 align:start position:0% what do you think is the most negative 00:22:15.440 --> 00:22:17.830 align:start position:0% what do you think is the most negative impact<00:22:15.760> of<00:22:15.919> advertisement<00:22:17.039> is<00:22:17.200> it<00:22:17.360> that 00:22:17.830 --> 00:22:17.840 align:start position:0% impact of advertisement is it that 00:22:17.840 --> 00:22:20.230 align:start position:0% impact of advertisement is it that direct<00:22:18.240> to<00:22:18.320> consumer<00:22:18.960> on<00:22:19.120> television 00:22:20.230 --> 00:22:20.240 align:start position:0% direct to consumer on television 00:22:20.240 --> 00:22:23.430 align:start position:0% direct to consumer on television is<00:22:20.400> it<00:22:20.640> advertisement<00:22:21.360> of<00:22:21.360> the<00:22:21.440> doctors<00:22:22.159> which 00:22:23.430 --> 00:22:23.440 align:start position:0% is it advertisement of the doctors which 00:22:23.440 --> 00:22:25.350 align:start position:0% is it advertisement of the doctors which i'm<00:22:23.679> surprised<00:22:24.159> to<00:22:24.320> learn<00:22:24.640> i<00:22:24.720> was<00:22:24.880> vaguely 00:22:25.350 --> 00:22:25.360 align:start position:0% i'm surprised to learn i was vaguely 00:22:25.360 --> 00:22:27.270 align:start position:0% i'm surprised to learn i was vaguely looking<00:22:25.679> at<00:22:26.320> is<00:22:26.559> more<00:22:26.960> than<00:22:27.120> the 00:22:27.270 --> 00:22:27.280 align:start position:0% looking at is more than the 00:22:27.280 --> 00:22:28.870 align:start position:0% looking at is more than the advertisement 00:22:28.870 --> 00:22:28.880 align:start position:0% advertisement 00:22:28.880 --> 00:22:31.350 align:start position:0% advertisement more<00:22:29.280> spent<00:22:29.919> on<00:22:30.159> advertising<00:22:30.720> to<00:22:30.880> doctors 00:22:31.350 --> 00:22:31.360 align:start position:0% more spent on advertising to doctors 00:22:31.360 --> 00:22:33.110 align:start position:0% more spent on advertising to doctors than<00:22:31.520> to<00:22:31.679> consumers<00:22:32.559> that's<00:22:32.880> really 00:22:33.110 --> 00:22:33.120 align:start position:0% than to consumers that's really 00:22:33.120 --> 00:22:34.870 align:start position:0% than to consumers that's really confusing<00:22:33.679> to<00:22:33.840> me<00:22:34.000> it's<00:22:34.240> fascinating 00:22:34.870 --> 00:22:34.880 align:start position:0% confusing to me it's fascinating 00:22:34.880 --> 00:22:37.830 align:start position:0% confusing to me it's fascinating actually<00:22:35.760> and<00:22:35.840> then<00:22:36.080> also<00:22:36.480> obviously<00:22:37.039> the<00:22:37.600> the 00:22:37.830 --> 00:22:37.840 align:start position:0% actually and then also obviously the the 00:22:37.840 --> 00:22:39.669 align:start position:0% actually and then also obviously the the law<00:22:38.240> side<00:22:38.480> of<00:22:38.559> things<00:22:38.880> is<00:22:39.039> the<00:22:39.200> lobbying 00:22:39.669 --> 00:22:39.679 align:start position:0% law side of things is the lobbying 00:22:39.679 --> 00:22:40.870 align:start position:0% law side of things is the lobbying dollars 00:22:40.870 --> 00:22:40.880 align:start position:0% dollars 00:22:40.880 --> 00:22:42.630 align:start position:0% dollars which<00:22:41.039> i<00:22:41.200> think<00:22:41.360> is<00:22:41.520> less<00:22:41.760> than<00:22:42.000> all<00:22:42.159> of<00:22:42.240> those 00:22:42.630 --> 00:22:42.640 align:start position:0% which i think is less than all of those 00:22:42.640 --> 00:22:44.789 align:start position:0% which i think is less than all of those but<00:22:43.039> anyway<00:22:43.440> it's<00:22:43.679> in<00:22:44.000> the<00:22:44.159> ballpark<00:22:44.640> what 00:22:44.789 --> 00:22:44.799 align:start position:0% but anyway it's in the ballpark what 00:22:44.799 --> 00:22:47.669 align:start position:0% but anyway it's in the ballpark what concerns<00:22:45.360> you<00:22:45.840> most<00:22:46.480> well<00:22:46.720> it's<00:22:47.280> the<00:22:47.440> whole 00:22:47.669 --> 00:22:47.679 align:start position:0% concerns you most well it's the whole 00:22:47.679 --> 00:22:49.830 align:start position:0% concerns you most well it's the whole nexus<00:22:48.480> of<00:22:48.720> influence 00:22:49.830 --> 00:22:49.840 align:start position:0% nexus of influence 00:22:49.840 --> 00:22:52.230 align:start position:0% nexus of influence there's<00:22:50.080> not<00:22:50.320> one<00:22:50.640> thing<00:22:50.960> and<00:22:51.200> and<00:22:51.360> they<00:22:51.520> don't 00:22:52.230 --> 00:22:52.240 align:start position:0% there's not one thing and and they don't 00:22:52.240 --> 00:22:53.110 align:start position:0% there's not one thing and and they don't uh 00:22:53.110 --> 00:22:53.120 align:start position:0% uh 00:22:53.120 --> 00:22:54.390 align:start position:0% uh invest<00:22:53.520> all<00:22:53.600> their<00:22:53.840> they<00:22:54.000> don't<00:22:54.080> put<00:22:54.320> all 00:22:54.390 --> 00:22:54.400 align:start position:0% invest all their they don't put all 00:22:54.400 --> 00:22:56.630 align:start position:0% invest all their they don't put all their<00:22:54.559> eggs<00:22:54.720> in<00:22:54.880> one<00:22:55.039> basket<00:22:55.520> it's<00:22:55.679> a<00:22:55.760> whole 00:22:56.630 --> 00:22:56.640 align:start position:0% their eggs in one basket it's a whole 00:22:56.640 --> 00:22:59.430 align:start position:0% their eggs in one basket it's a whole surround<00:22:57.200> sound<00:22:58.000> um 00:22:59.430 --> 00:22:59.440 align:start position:0% surround sound um 00:22:59.440 --> 00:23:01.909 align:start position:0% surround sound um program<00:23:00.000> here<00:23:00.240> yeah<00:23:00.559> uh<00:23:01.039> but 00:23:01.909 --> 00:23:01.919 align:start position:0% program here yeah uh but 00:23:01.919 --> 00:23:05.430 align:start position:0% program here yeah uh but in<00:23:02.080> terms<00:23:02.400> of<00:23:02.960> advertisements<00:23:04.320> let's<00:23:04.559> take<00:23:04.720> an 00:23:05.430 --> 00:23:05.440 align:start position:0% in terms of advertisements let's take an 00:23:05.440 --> 00:23:08.390 align:start position:0% in terms of advertisements let's take an advertisement<00:23:06.080> trulicity<00:23:06.960> is<00:23:07.120> a<00:23:07.440> diabetes 00:23:08.390 --> 00:23:08.400 align:start position:0% advertisement trulicity is a diabetes 00:23:08.400 --> 00:23:11.110 align:start position:0% advertisement trulicity is a diabetes drug<00:23:08.799> a<00:23:08.960> tub<00:23:09.520> for<00:23:09.679> type<00:23:09.919> 2<00:23:10.400> diabetes<00:23:10.960> an 00:23:11.110 --> 00:23:11.120 align:start position:0% drug a tub for type 2 diabetes an 00:23:11.120 --> 00:23:12.870 align:start position:0% drug a tub for type 2 diabetes an injectable<00:23:11.679> drug 00:23:12.870 --> 00:23:12.880 align:start position:0% injectable drug 00:23:12.880 --> 00:23:15.190 align:start position:0% injectable drug and<00:23:13.039> it<00:23:13.280> lowers<00:23:13.600> blood<00:23:13.919> sugar<00:23:14.480> just<00:23:14.720> about<00:23:14.960> as 00:23:15.190 --> 00:23:15.200 align:start position:0% and it lowers blood sugar just about as 00:23:15.200 --> 00:23:17.430 align:start position:0% and it lowers blood sugar just about as well<00:23:15.600> as<00:23:16.320> um 00:23:17.430 --> 00:23:17.440 align:start position:0% well as um 00:23:17.440 --> 00:23:19.669 align:start position:0% well as um metformin<00:23:18.080> does<00:23:18.400> metformin<00:23:18.960> costs<00:23:19.280> about 00:23:19.669 --> 00:23:19.679 align:start position:0% metformin does metformin costs about 00:23:19.679 --> 00:23:21.350 align:start position:0% metformin does metformin costs about four<00:23:19.919> dollars<00:23:20.320> a<00:23:20.400> month 00:23:21.350 --> 00:23:21.360 align:start position:0% four dollars a month 00:23:21.360 --> 00:23:24.310 align:start position:0% four dollars a month uh<00:23:22.000> true<00:23:22.240> licity<00:23:22.720> costs<00:23:23.280> i<00:23:23.440> think<00:23:23.840> sixty<00:23:24.159> two 00:23:24.310 --> 00:23:24.320 align:start position:0% uh true licity costs i think sixty two 00:23:24.320 --> 00:23:26.710 align:start position:0% uh true licity costs i think sixty two hundred<00:23:24.640> dollars<00:23:25.039> a<00:23:25.120> year<00:23:25.679> so 00:23:26.710 --> 00:23:26.720 align:start position:0% hundred dollars a year so 00:23:26.720 --> 00:23:28.470 align:start position:0% hundred dollars a year so forty<00:23:27.039> eight<00:23:27.200> dollars<00:23:27.520> a<00:23:27.600> year<00:23:27.840> versus<00:23:28.159> sixty 00:23:28.470 --> 00:23:28.480 align:start position:0% forty eight dollars a year versus sixty 00:23:28.480 --> 00:23:30.950 align:start position:0% forty eight dollars a year versus sixty two<00:23:28.720> hundred<00:23:29.360> trulicity<00:23:30.080> has<00:23:30.320> distinguished 00:23:30.950 --> 00:23:30.960 align:start position:0% two hundred trulicity has distinguished 00:23:30.960 --> 00:23:33.029 align:start position:0% two hundred trulicity has distinguished itself<00:23:31.520> because<00:23:31.840> it<00:23:32.000> did<00:23:32.480> uh<00:23:32.960> the 00:23:33.029 --> 00:23:33.039 align:start position:0% itself because it did uh the 00:23:33.039 --> 00:23:35.510 align:start position:0% itself because it did uh the manufacturer<00:23:33.840> did<00:23:34.080> a<00:23:34.159> study<00:23:34.960> that<00:23:35.200> showed 00:23:35.510 --> 00:23:35.520 align:start position:0% manufacturer did a study that showed 00:23:35.520 --> 00:23:37.750 align:start position:0% manufacturer did a study that showed that<00:23:35.679> it<00:23:35.840> significantly<00:23:36.720> reduces<00:23:37.280> the<00:23:37.440> risk 00:23:37.750 --> 00:23:37.760 align:start position:0% that it significantly reduces the risk 00:23:37.760 --> 00:23:41.029 align:start position:0% that it significantly reduces the risk of<00:23:37.840> cardiovascular<00:23:38.720> disease<00:23:39.360> in<00:23:39.520> diabetics 00:23:41.029 --> 00:23:41.039 align:start position:0% of cardiovascular disease in diabetics 00:23:41.039 --> 00:23:42.789 align:start position:0% of cardiovascular disease in diabetics and<00:23:41.360> they<00:23:41.520> got<00:23:41.760> approval 00:23:42.789 --> 00:23:42.799 align:start position:0% and they got approval 00:23:42.799 --> 00:23:44.870 align:start position:0% and they got approval on<00:23:42.960> the<00:23:43.039> basis<00:23:43.520> of<00:23:43.600> that<00:23:43.919> study<00:23:44.320> that<00:23:44.640> very 00:23:44.870 --> 00:23:44.880 align:start position:0% on the basis of that study that very 00:23:44.880 --> 00:23:46.630 align:start position:0% on the basis of that study that very large<00:23:45.279> study<00:23:45.600> being<00:23:45.919> statistically 00:23:46.630 --> 00:23:46.640 align:start position:0% large study being statistically 00:23:46.640 --> 00:23:47.990 align:start position:0% large study being statistically significant 00:23:47.990 --> 00:23:48.000 align:start position:0% significant 00:23:48.000 --> 00:23:51.669 align:start position:0% significant what<00:23:48.559> the<00:23:48.960> so<00:23:49.120> the<00:23:49.279> ad<00:23:50.000> the<00:23:50.240> ads<00:23:50.559> obviously 00:23:51.669 --> 00:23:51.679 align:start position:0% what the so the ad the ads obviously 00:23:51.679 --> 00:23:53.510 align:start position:0% what the so the ad the ads obviously extol<00:23:52.000> the<00:23:52.159> virtues<00:23:52.640> of<00:23:52.720> trulicity<00:23:53.279> because 00:23:53.510 --> 00:23:53.520 align:start position:0% extol the virtues of trulicity because 00:23:53.520 --> 00:23:56.070 align:start position:0% extol the virtues of trulicity because it<00:23:53.600> reduces<00:23:54.000> the<00:23:54.159> risk<00:23:54.400> of<00:23:54.720> heart<00:23:54.960> disease<00:23:55.440> and 00:23:56.070 --> 00:23:56.080 align:start position:0% it reduces the risk of heart disease and 00:23:56.080 --> 00:23:57.830 align:start position:0% it reduces the risk of heart disease and uh<00:23:56.320> stroke<00:23:56.720> and<00:23:56.799> that's<00:23:57.039> one<00:23:57.200> of<00:23:57.279> the<00:23:57.360> major 00:23:57.830 --> 00:23:57.840 align:start position:0% uh stroke and that's one of the major 00:23:57.840 --> 00:23:59.269 align:start position:0% uh stroke and that's one of the major morbidities 00:23:59.269 --> 00:23:59.279 align:start position:0% morbidities 00:23:59.279 --> 00:24:01.990 align:start position:0% morbidities risks<00:23:59.760> of<00:24:00.000> type<00:24:00.159> 2<00:24:00.400> diabetes<00:24:01.440> what<00:24:01.600> the<00:24:01.760> ad 00:24:01.990 --> 00:24:02.000 align:start position:0% risks of type 2 diabetes what the ad 00:24:02.000 --> 00:24:03.710 align:start position:0% risks of type 2 diabetes what the ad doesn't<00:24:02.400> say<00:24:02.720> is<00:24:02.799> that<00:24:02.960> you<00:24:03.039> have<00:24:03.120> to<00:24:03.279> treat 00:24:03.710 --> 00:24:03.720 align:start position:0% doesn't say is that you have to treat 00:24:03.720 --> 00:24:05.750 align:start position:0% doesn't say is that you have to treat 323<00:24:04.720> people 00:24:05.750 --> 00:24:05.760 align:start position:0% 323 people 00:24:05.760 --> 00:24:08.630 align:start position:0% 323 people to<00:24:06.000> prevent<00:24:06.480> one<00:24:06.799> non-fatal<00:24:07.520> event<00:24:08.000> at<00:24:08.159> a<00:24:08.240> cost 00:24:08.630 --> 00:24:08.640 align:start position:0% to prevent one non-fatal event at a cost 00:24:08.640 --> 00:24:11.510 align:start position:0% to prevent one non-fatal event at a cost of<00:24:08.880> 2.7<00:24:09.679> million<00:24:10.080> dollars 00:24:11.510 --> 00:24:11.520 align:start position:0% of 2.7 million dollars 00:24:11.520 --> 00:24:13.830 align:start position:0% of 2.7 million dollars and<00:24:12.159> even<00:24:12.480> more<00:24:12.720> importantly<00:24:13.279> than<00:24:13.440> that<00:24:13.679> what 00:24:13.830 --> 00:24:13.840 align:start position:0% and even more importantly than that what 00:24:13.840 --> 00:24:15.510 align:start position:0% and even more importantly than that what the<00:24:14.000> ad<00:24:14.240> doesn't<00:24:14.640> say 00:24:15.510 --> 00:24:15.520 align:start position:0% the ad doesn't say 00:24:15.520 --> 00:24:18.470 align:start position:0% the ad doesn't say is<00:24:15.679> that<00:24:16.000> the<00:24:16.320> evidence<00:24:16.799> shows<00:24:17.600> that<00:24:17.840> engaging 00:24:18.470 --> 00:24:18.480 align:start position:0% is that the evidence shows that engaging 00:24:18.480 --> 00:24:19.830 align:start position:0% is that the evidence shows that engaging in<00:24:18.640> an<00:24:18.880> active 00:24:19.830 --> 00:24:19.840 align:start position:0% in an active 00:24:19.840 --> 00:24:21.990 align:start position:0% in an active healthy<00:24:20.240> lifestyle<00:24:20.880> program 00:24:21.990 --> 00:24:22.000 align:start position:0% healthy lifestyle program 00:24:22.000 --> 00:24:24.070 align:start position:0% healthy lifestyle program reduces<00:24:22.559> the<00:24:22.720> risk<00:24:23.120> of<00:24:23.360> heart<00:24:23.600> disease<00:24:24.000> and 00:24:24.070 --> 00:24:24.080 align:start position:0% reduces the risk of heart disease and 00:24:24.080 --> 00:24:28.549 align:start position:0% reduces the risk of heart disease and strokes<00:24:24.559> far<00:24:24.880> more<00:24:25.760> than<00:24:26.159> true<00:24:26.400> licity<00:24:26.880> does 00:24:28.549 --> 00:24:28.559 align:start position:0% strokes far more than true licity does 00:24:28.559 --> 00:24:30.710 align:start position:0% strokes far more than true licity does now<00:24:28.720> this<00:24:29.200> to<00:24:29.360> be<00:24:29.520> fair<00:24:29.679> to<00:24:29.840> the<00:24:30.000> company<00:24:30.480> the 00:24:30.710 --> 00:24:30.720 align:start position:0% now this to be fair to the company the 00:24:30.720 --> 00:24:31.990 align:start position:0% now this to be fair to the company the sponsor 00:24:31.990 --> 00:24:32.000 align:start position:0% sponsor 00:24:32.000 --> 00:24:34.950 align:start position:0% sponsor there's<00:24:32.240> never<00:24:32.559> been<00:24:32.720> a<00:24:32.880> study<00:24:33.760> that<00:24:34.480> uh 00:24:34.950 --> 00:24:34.960 align:start position:0% there's never been a study that uh 00:24:34.960 --> 00:24:39.669 align:start position:0% there's never been a study that uh compared<00:24:36.000> trulicity<00:24:37.360> to<00:24:37.840> lifestyle<00:24:38.400> changes 00:24:39.669 --> 00:24:39.679 align:start position:0% compared trulicity to lifestyle changes 00:24:39.679 --> 00:24:41.909 align:start position:0% compared trulicity to lifestyle changes but<00:24:40.159> that's<00:24:40.480> part<00:24:40.640> of<00:24:40.720> the<00:24:40.799> problem<00:24:41.600> of<00:24:41.760> our 00:24:41.909 --> 00:24:41.919 align:start position:0% but that's part of the problem of our 00:24:41.919 --> 00:24:43.669 align:start position:0% but that's part of the problem of our advertising<00:24:42.640> you<00:24:42.799> would<00:24:42.960> think<00:24:43.360> in<00:24:43.520> a 00:24:43.669 --> 00:24:43.679 align:start position:0% advertising you would think in a 00:24:43.679 --> 00:24:46.310 align:start position:0% advertising you would think in a rational<00:24:44.240> society<00:24:45.279> that<00:24:45.440> was<00:24:45.600> way<00:24:45.919> out<00:24:46.080> on<00:24:46.240> a 00:24:46.310 --> 00:24:46.320 align:start position:0% rational society that was way out on a 00:24:46.320 --> 00:24:47.350 align:start position:0% rational society that was way out on a limb 00:24:47.350 --> 00:24:47.360 align:start position:0% limb 00:24:47.360 --> 00:24:51.510 align:start position:0% limb as<00:24:47.679> a<00:24:48.000> a<00:24:48.799> lone<00:24:49.440> country<00:24:50.159> besides<00:24:50.640> new<00:24:50.799> zealand 00:24:51.510 --> 00:24:51.520 align:start position:0% as a a lone country besides new zealand 00:24:51.520 --> 00:24:53.029 align:start position:0% as a a lone country besides new zealand that<00:24:51.840> allows<00:24:52.240> direct<00:24:52.559> to<00:24:52.640> consumer 00:24:53.029 --> 00:24:53.039 align:start position:0% that allows direct to consumer 00:24:53.039 --> 00:24:54.310 align:start position:0% that allows direct to consumer advertising 00:24:54.310 --> 00:24:54.320 align:start position:0% advertising 00:24:54.320 --> 00:24:56.390 align:start position:0% advertising that<00:24:54.799> part<00:24:55.200> of 00:24:56.390 --> 00:24:56.400 align:start position:0% that part of 00:24:56.400 --> 00:24:59.110 align:start position:0% that part of allowing<00:24:56.960> direct-to-consumer<00:24:58.080> advertising 00:24:59.110 --> 00:24:59.120 align:start position:0% allowing direct-to-consumer advertising 00:24:59.120 --> 00:25:01.990 align:start position:0% allowing direct-to-consumer advertising would<00:24:59.360> be<00:24:59.760> to<00:25:00.240> mandate<00:25:00.799> that<00:25:00.960> the<00:25:01.200> companies 00:25:01.990 --> 00:25:02.000 align:start position:0% would be to mandate that the companies 00:25:02.000 --> 00:25:04.789 align:start position:0% would be to mandate that the companies establish<00:25:03.039> whether<00:25:03.440> their<00:25:03.679> drug<00:25:04.159> is<00:25:04.400> better 00:25:04.789 --> 00:25:04.799 align:start position:0% establish whether their drug is better 00:25:04.799 --> 00:25:07.830 align:start position:0% establish whether their drug is better than<00:25:05.520> say<00:25:05.840> healthy<00:25:06.240> lifestyle<00:25:06.799> adoption 00:25:07.830 --> 00:25:07.840 align:start position:0% than say healthy lifestyle adoption 00:25:07.840 --> 00:25:10.710 align:start position:0% than say healthy lifestyle adoption to<00:25:08.080> prevent<00:25:08.640> the<00:25:09.279> problems<00:25:09.840> that<00:25:10.240> they<00:25:10.480> claim 00:25:10.710 --> 00:25:10.720 align:start position:0% to prevent the problems that they claim 00:25:10.720 --> 00:25:13.110 align:start position:0% to prevent the problems that they claim to<00:25:10.799> be<00:25:10.960> preventing<00:25:11.760> but<00:25:12.159> we<00:25:12.400> don't<00:25:12.559> require 00:25:13.110 --> 00:25:13.120 align:start position:0% to be preventing but we don't require 00:25:13.120 --> 00:25:14.630 align:start position:0% to be preventing but we don't require that<00:25:13.760> so 00:25:14.630 --> 00:25:14.640 align:start position:0% that so 00:25:14.640 --> 00:25:16.630 align:start position:0% that so the<00:25:14.799> companies<00:25:15.360> can<00:25:15.520> afford<00:25:15.840> to<00:25:15.919> do<00:25:16.320> very 00:25:16.630 --> 00:25:16.640 align:start position:0% the companies can afford to do very 00:25:16.640 --> 00:25:18.870 align:start position:0% the companies can afford to do very large<00:25:17.039> studies<00:25:17.600> so<00:25:17.760> that<00:25:18.080> very<00:25:18.400> small 00:25:18.870 --> 00:25:18.880 align:start position:0% large studies so that very small 00:25:18.880 --> 00:25:20.549 align:start position:0% large studies so that very small differences<00:25:19.520> become<00:25:19.840> statistically 00:25:20.549 --> 00:25:20.559 align:start position:0% differences become statistically 00:25:20.559 --> 00:25:21.830 align:start position:0% differences become statistically significant 00:25:21.830 --> 00:25:21.840 align:start position:0% significant 00:25:21.840 --> 00:25:23.430 align:start position:0% significant and<00:25:22.240> their<00:25:22.480> studies<00:25:22.799> are<00:25:22.960> asking<00:25:23.200> the 00:25:23.430 --> 00:25:23.440 align:start position:0% and their studies are asking the 00:25:23.440 --> 00:25:25.510 align:start position:0% and their studies are asking the question<00:25:23.840> how<00:25:24.000> can<00:25:24.159> we<00:25:24.320> sell<00:25:24.559> more<00:25:24.799> drug 00:25:25.510 --> 00:25:25.520 align:start position:0% question how can we sell more drug 00:25:25.520 --> 00:25:27.669 align:start position:0% question how can we sell more drug they're<00:25:25.760> not<00:25:26.000> asking<00:25:26.400> the<00:25:26.559> question<00:25:27.279> how<00:25:27.440> can 00:25:27.669 --> 00:25:27.679 align:start position:0% they're not asking the question how can 00:25:27.679 --> 00:25:30.710 align:start position:0% they're not asking the question how can we<00:25:28.159> prevent<00:25:28.640> cardiovascular<00:25:29.600> disease<00:25:30.559> in 00:25:30.710 --> 00:25:30.720 align:start position:0% we prevent cardiovascular disease in 00:25:30.720 --> 00:25:32.630 align:start position:0% we prevent cardiovascular disease in people<00:25:30.960> with<00:25:31.039> type<00:25:31.279> 2<00:25:31.440> diabetes 00:25:32.630 --> 00:25:32.640 align:start position:0% people with type 2 diabetes 00:25:32.640 --> 00:25:34.310 align:start position:0% people with type 2 diabetes and<00:25:32.720> that's<00:25:32.960> how<00:25:33.120> we<00:25:33.200> get<00:25:33.520> off<00:25:33.760> in<00:25:33.840> this<00:25:34.159> we're 00:25:34.310 --> 00:25:34.320 align:start position:0% and that's how we get off in this we're 00:25:34.320 --> 00:25:36.710 align:start position:0% and that's how we get off in this we're now<00:25:34.559> on<00:25:34.640> the<00:25:34.880> in<00:25:34.960> the<00:25:35.120> extreme<00:25:35.840> arm 00:25:36.710 --> 00:25:36.720 align:start position:0% now on the in the extreme arm 00:25:36.720 --> 00:25:37.830 align:start position:0% now on the in the extreme arm of<00:25:36.960> this 00:25:37.830 --> 00:25:37.840 align:start position:0% of this 00:25:37.840 --> 00:25:40.710 align:start position:0% of this distortion<00:25:38.480> of<00:25:38.559> our<00:25:38.720> medical<00:25:39.120> knowledge<00:25:39.679> of 00:25:40.710 --> 00:25:40.720 align:start position:0% distortion of our medical knowledge of 00:25:40.720 --> 00:25:43.350 align:start position:0% distortion of our medical knowledge of studying<00:25:41.360> how<00:25:41.520> to<00:25:42.000> sell<00:25:42.240> more<00:25:42.480> drugs<00:25:42.960> than<00:25:43.200> how 00:25:43.350 --> 00:25:43.360 align:start position:0% studying how to sell more drugs than how 00:25:43.360 --> 00:25:45.350 align:start position:0% studying how to sell more drugs than how to<00:25:43.520> make<00:25:43.840> people<00:25:44.080> more<00:25:44.320> healthy 00:25:45.350 --> 00:25:45.360 align:start position:0% to make people more healthy 00:25:45.360 --> 00:25:47.750 align:start position:0% to make people more healthy that's<00:25:45.600> a<00:25:45.760> really<00:25:46.080> great<00:25:46.880> thing<00:25:47.039> to<00:25:47.200> compare 00:25:47.750 --> 00:25:47.760 align:start position:0% that's a really great thing to compare 00:25:47.760 --> 00:25:48.870 align:start position:0% that's a really great thing to compare to 00:25:48.870 --> 00:25:48.880 align:start position:0% to 00:25:48.880 --> 00:25:51.190 align:start position:0% to is<00:25:49.520> lifestyle<00:25:50.080> changes 00:25:51.190 --> 00:25:51.200 align:start position:0% is lifestyle changes 00:25:51.200 --> 00:25:54.470 align:start position:0% is lifestyle changes because<00:25:51.679> that<00:25:51.919> should<00:25:52.080> be<00:25:52.240> the<00:25:52.400> bar<00:25:53.120> if<00:25:53.679> you<00:25:53.840> uh 00:25:54.470 --> 00:25:54.480 align:start position:0% because that should be the bar if you uh 00:25:54.480 --> 00:25:56.789 align:start position:0% because that should be the bar if you uh if<00:25:54.640> you<00:25:54.720> do<00:25:54.880> some<00:25:55.120> basic<00:25:55.679> diet<00:25:56.080> exercise<00:25:56.640> all 00:25:56.789 --> 00:25:56.799 align:start position:0% if you do some basic diet exercise all 00:25:56.799 --> 00:25:58.310 align:start position:0% if you do some basic diet exercise all those<00:25:56.960> kinds<00:25:57.200> of<00:25:57.360> things 00:25:58.310 --> 00:25:58.320 align:start position:0% those kinds of things 00:25:58.320 --> 00:26:01.110 align:start position:0% those kinds of things how<00:25:58.480> does<00:25:58.720> this<00:25:58.880> drug<00:25:59.120> compare<00:25:59.440> to<00:25:59.600> that<00:26:00.159> right 00:26:01.110 --> 00:26:01.120 align:start position:0% how does this drug compare to that right 00:26:01.120 --> 00:26:03.190 align:start position:0% how does this drug compare to that right right<00:26:01.360> and<00:26:01.440> that<00:26:01.679> study<00:26:02.000> was<00:26:02.240> done<00:26:02.559> actually 00:26:03.190 --> 00:26:03.200 align:start position:0% right and that study was done actually 00:26:03.200 --> 00:26:05.029 align:start position:0% right and that study was done actually in<00:26:03.360> the<00:26:03.520> 90s<00:26:04.000> it's<00:26:04.159> called<00:26:04.320> the<00:26:04.480> diabetes 00:26:05.029 --> 00:26:05.039 align:start position:0% in the 90s it's called the diabetes 00:26:05.039 --> 00:26:06.789 align:start position:0% in the 90s it's called the diabetes prevention<00:26:05.600> program<00:26:06.000> it<00:26:06.080> was<00:26:06.240> federally 00:26:06.789 --> 00:26:06.799 align:start position:0% prevention program it was federally 00:26:06.799 --> 00:26:09.669 align:start position:0% prevention program it was federally funded<00:26:07.520> uh<00:26:07.760> by<00:26:07.919> the<00:26:08.080> nih<00:26:09.120> so<00:26:09.360> that<00:26:09.520> there 00:26:09.669 --> 00:26:09.679 align:start position:0% funded uh by the nih so that there 00:26:09.679 --> 00:26:12.470 align:start position:0% funded uh by the nih so that there wasn't<00:26:10.080> this<00:26:10.320> drug<00:26:10.559> company 00:26:12.470 --> 00:26:12.480 align:start position:0% wasn't this drug company 00:26:12.480 --> 00:26:14.230 align:start position:0% wasn't this drug company imperative<00:26:13.120> to<00:26:13.279> just<00:26:13.520> try<00:26:13.679> to<00:26:13.840> prove<00:26:14.080> your 00:26:14.230 --> 00:26:14.240 align:start position:0% imperative to just try to prove your 00:26:14.240 --> 00:26:16.710 align:start position:0% imperative to just try to prove your drug<00:26:14.480> was<00:26:14.640> better<00:26:14.880> than<00:26:15.200> nothing 00:26:16.710 --> 00:26:16.720 align:start position:0% drug was better than nothing 00:26:16.720 --> 00:26:19.110 align:start position:0% drug was better than nothing and<00:26:16.880> it<00:26:16.960> was<00:26:17.279> it<00:26:17.440> was<00:26:17.600> a<00:26:17.840> very<00:26:18.080> well<00:26:18.320> designed 00:26:19.110 --> 00:26:19.120 align:start position:0% and it was it was a very well designed 00:26:19.120 --> 00:26:22.390 align:start position:0% and it was it was a very well designed study<00:26:19.679> randomized<00:26:20.400> controlled<00:26:21.039> trial 00:26:22.390 --> 00:26:22.400 align:start position:0% study randomized controlled trial 00:26:22.400 --> 00:26:24.310 align:start position:0% study randomized controlled trial in<00:26:22.559> people<00:26:22.880> who<00:26:23.120> were<00:26:23.360> at<00:26:23.520> high<00:26:23.679> risk<00:26:24.159> of 00:26:24.310 --> 00:26:24.320 align:start position:0% in people who were at high risk of 00:26:24.320 --> 00:26:26.710 align:start position:0% in people who were at high risk of diabetes<00:26:24.960> so-called<00:26:25.360> pre-diabetics 00:26:26.710 --> 00:26:26.720 align:start position:0% diabetes so-called pre-diabetics 00:26:26.720 --> 00:26:28.390 align:start position:0% diabetes so-called pre-diabetics and<00:26:26.880> they<00:26:27.039> were<00:26:27.200> randomized<00:26:27.840> to<00:26:28.080> three 00:26:28.390 --> 00:26:28.400 align:start position:0% and they were randomized to three 00:26:28.400 --> 00:26:29.990 align:start position:0% and they were randomized to three different<00:26:29.120> three<00:26:29.360> different<00:26:29.600> groups<00:26:29.919> a 00:26:29.990 --> 00:26:30.000 align:start position:0% different three different groups a 00:26:30.000 --> 00:26:31.510 align:start position:0% different three different groups a placebo<00:26:30.640> group 00:26:31.510 --> 00:26:31.520 align:start position:0% placebo group 00:26:31.520 --> 00:26:33.909 align:start position:0% placebo group a<00:26:31.679> group<00:26:31.919> that<00:26:32.080> got<00:26:32.240> treated<00:26:32.559> with<00:26:32.799> metformin 00:26:33.909 --> 00:26:33.919 align:start position:0% a group that got treated with metformin 00:26:33.919 --> 00:26:36.310 align:start position:0% a group that got treated with metformin um<00:26:34.640> and<00:26:34.880> a<00:26:34.960> group<00:26:35.360> that<00:26:35.520> got<00:26:35.760> treated<00:26:36.080> with 00:26:36.310 --> 00:26:36.320 align:start position:0% um and a group that got treated with 00:26:36.320 --> 00:26:38.789 align:start position:0% um and a group that got treated with intensive<00:26:36.799> lifestyle<00:26:37.360> counseling 00:26:38.789 --> 00:26:38.799 align:start position:0% intensive lifestyle counseling 00:26:38.799 --> 00:26:42.149 align:start position:0% intensive lifestyle counseling so<00:26:39.120> this<00:26:39.760> study<00:26:40.559> really<00:26:41.039> tested 00:26:42.149 --> 00:26:42.159 align:start position:0% so this study really tested 00:26:42.159 --> 00:26:43.669 align:start position:0% so this study really tested whether<00:26:42.559> you<00:26:42.720> can<00:26:42.960> get<00:26:43.200> people<00:26:43.440> in<00:26:43.600> a 00:26:43.669 --> 00:26:43.679 align:start position:0% whether you can get people in a 00:26:43.679 --> 00:26:45.909 align:start position:0% whether you can get people in a randomized<00:26:44.240> controlled<00:26:44.640> trial 00:26:45.909 --> 00:26:45.919 align:start position:0% randomized controlled trial 00:26:45.919 --> 00:26:47.430 align:start position:0% randomized controlled trial assigned<00:26:46.480> to 00:26:47.430 --> 00:26:47.440 align:start position:0% assigned to 00:26:47.440 --> 00:26:49.510 align:start position:0% assigned to uh<00:26:47.760> intensive<00:26:48.159> lifestyle<00:26:48.640> changes<00:26:49.200> whether 00:26:49.510 --> 00:26:49.520 align:start position:0% uh intensive lifestyle changes whether 00:26:49.520 --> 00:26:50.630 align:start position:0% uh intensive lifestyle changes whether that<00:26:49.760> works 00:26:50.630 --> 00:26:50.640 align:start position:0% that works 00:26:50.640 --> 00:26:51.669 align:start position:0% that works now<00:26:50.880> the 00:26:51.669 --> 00:26:51.679 align:start position:0% now the 00:26:51.679 --> 00:26:54.549 align:start position:0% now the the<00:26:52.240> uh<00:26:52.640> common<00:26:53.039> wisdom<00:26:53.440> amongst<00:26:53.840> physicians 00:26:54.549 --> 00:26:54.559 align:start position:0% the uh common wisdom amongst physicians 00:26:54.559 --> 00:26:56.710 align:start position:0% the uh common wisdom amongst physicians and<00:26:54.720> i<00:26:54.799> think<00:26:55.039> in<00:26:55.200> general<00:26:56.000> is<00:26:56.240> that<00:26:56.320> you<00:26:56.480> can't 00:26:56.710 --> 00:26:56.720 align:start position:0% and i think in general is that you can't 00:26:56.720 --> 00:26:58.470 align:start position:0% and i think in general is that you can't get<00:26:56.960> people<00:26:57.279> to<00:26:57.440> change<00:26:57.840> you<00:26:58.000> know<00:26:58.080> you<00:26:58.240> can<00:26:58.320> do 00:26:58.470 --> 00:26:58.480 align:start position:0% get people to change you know you can do 00:26:58.480 --> 00:26:59.990 align:start position:0% get people to change you know you can do whatever<00:26:58.799> you<00:26:58.880> want<00:26:59.120> you<00:26:59.279> can<00:26:59.440> stand<00:26:59.760> on<00:26:59.840> your 00:26:59.990 --> 00:27:00.000 align:start position:0% whatever you want you can stand on your 00:27:00.000 --> 00:27:02.230 align:start position:0% whatever you want you can stand on your head<00:27:00.240> you<00:27:00.320> can<00:27:00.480> beg<00:27:00.799> and<00:27:00.880> plead<00:27:01.520> people<00:27:01.919> won't 00:27:02.230 --> 00:27:02.240 align:start position:0% head you can beg and plead people won't 00:27:02.240 --> 00:27:04.230 align:start position:0% head you can beg and plead people won't change<00:27:02.559> so<00:27:02.720> give<00:27:02.960> it<00:27:03.120> up<00:27:03.279> and<00:27:03.520> let's<00:27:03.840> just<00:27:04.000> move 00:27:04.230 --> 00:27:04.240 align:start position:0% change so give it up and let's just move 00:27:04.240 --> 00:27:06.390 align:start position:0% change so give it up and let's just move on<00:27:04.400> with<00:27:04.480> the<00:27:04.640> drugs<00:27:04.960> and<00:27:05.039> not<00:27:05.200> waste<00:27:05.520> any<00:27:05.679> time 00:27:06.390 --> 00:27:06.400 align:start position:0% on with the drugs and not waste any time 00:27:06.400 --> 00:27:08.149 align:start position:0% on with the drugs and not waste any time except<00:27:06.720> this<00:27:06.960> study<00:27:07.440> that<00:27:07.600> was<00:27:07.760> published<00:27:08.080> in 00:27:08.149 --> 00:27:08.159 align:start position:0% except this study that was published in 00:27:08.159 --> 00:27:11.029 align:start position:0% except this study that was published in the<00:27:08.240> new<00:27:08.400> england<00:27:08.640> journal<00:27:09.039> i<00:27:09.120> think<00:27:09.279> in<00:27:09.440> 2002 00:27:11.029 --> 00:27:11.039 align:start position:0% the new england journal i think in 2002 00:27:11.039 --> 00:27:13.510 align:start position:0% the new england journal i think in 2002 shows<00:27:11.600> that's<00:27:11.919> wrong<00:27:12.720> that<00:27:12.880> the<00:27:13.039> people<00:27:13.360> who 00:27:13.510 --> 00:27:13.520 align:start position:0% shows that's wrong that the people who 00:27:13.520 --> 00:27:15.350 align:start position:0% shows that's wrong that the people who were<00:27:13.760> the<00:27:14.000> in<00:27:14.159> the<00:27:14.320> intensive<00:27:14.799> lifestyle 00:27:15.350 --> 00:27:15.360 align:start position:0% were the in the intensive lifestyle 00:27:15.360 --> 00:27:17.990 align:start position:0% were the in the intensive lifestyle group<00:27:16.080> ended<00:27:16.400> up<00:27:16.559> losing<00:27:16.960> 10<00:27:17.279> pounds 00:27:17.990 --> 00:27:18.000 align:start position:0% group ended up losing 10 pounds 00:27:18.000 --> 00:27:20.389 align:start position:0% group ended up losing 10 pounds exercising<00:27:18.640> five<00:27:19.200> times<00:27:19.440> a<00:27:19.520> week<00:27:19.840> maintaining 00:27:20.389 --> 00:27:20.399 align:start position:0% exercising five times a week maintaining 00:27:20.399 --> 00:27:21.190 align:start position:0% exercising five times a week maintaining it 00:27:21.190 --> 00:27:21.200 align:start position:0% it 00:27:21.200 --> 00:27:24.230 align:start position:0% it and<00:27:21.440> reduced<00:27:22.000> the<00:27:22.240> risk<00:27:22.720> of<00:27:23.360> getting<00:27:23.600> diabetes 00:27:24.230 --> 00:27:24.240 align:start position:0% and reduced the risk of getting diabetes 00:27:24.240 --> 00:27:26.149 align:start position:0% and reduced the risk of getting diabetes by<00:27:24.399> 58 00:27:26.149 --> 00:27:26.159 align:start position:0% by 58 00:27:26.159 --> 00:27:27.990 align:start position:0% by 58 compared<00:27:26.559> to<00:27:26.720> the<00:27:26.799> metformin<00:27:27.520> group<00:27:27.760> which 00:27:27.990 --> 00:27:28.000 align:start position:0% compared to the metformin group which 00:27:28.000 --> 00:27:30.149 align:start position:0% compared to the metformin group which reduced<00:27:28.480> its<00:27:28.720> risk<00:27:29.039> of<00:27:29.200> getting<00:27:29.440> diabetes<00:27:30.000> by 00:27:30.149 --> 00:27:30.159 align:start position:0% reduced its risk of getting diabetes by 00:27:30.159 --> 00:27:31.909 align:start position:0% reduced its risk of getting diabetes by 31 00:27:31.909 --> 00:27:31.919 align:start position:0% 31 00:27:31.919 --> 00:27:33.029 align:start position:0% 31 so<00:27:32.080> that 00:27:33.029 --> 00:27:33.039 align:start position:0% so that 00:27:33.039 --> 00:27:35.269 align:start position:0% so that that<00:27:33.279> exact<00:27:33.919> study<00:27:34.320> was<00:27:34.480> done<00:27:34.720> and<00:27:34.880> it<00:27:35.039> showed 00:27:35.269 --> 00:27:35.279 align:start position:0% that exact study was done and it showed 00:27:35.279 --> 00:27:37.350 align:start position:0% that exact study was done and it showed that<00:27:35.440> lifestyle<00:27:36.240> intervention<00:27:37.039> is<00:27:37.200> the 00:27:37.350 --> 00:27:37.360 align:start position:0% that lifestyle intervention is the 00:27:37.360 --> 00:27:39.430 align:start position:0% that lifestyle intervention is the winner 00:27:39.430 --> 00:27:39.440 align:start position:0% winner 00:27:39.440 --> 00:27:40.389 align:start position:0% winner who 00:27:40.389 --> 00:27:40.399 align:start position:0% who 00:27:40.399 --> 00:27:42.710 align:start position:0% who as<00:27:40.640> a<00:27:40.720> small<00:27:41.120> tangent 00:27:42.710 --> 00:27:42.720 align:start position:0% as a small tangent 00:27:42.720 --> 00:27:44.789 align:start position:0% as a small tangent is<00:27:43.039> the<00:27:43.440> leader 00:27:44.789 --> 00:27:44.799 align:start position:0% is the leader 00:27:44.799 --> 00:27:47.110 align:start position:0% is the leader who<00:27:45.039> is<00:27:45.200> supposed<00:27:45.600> to<00:27:45.840> fight<00:27:46.080> for<00:27:46.240> the<00:27:46.559> side<00:27:46.960> of 00:27:47.110 --> 00:27:47.120 align:start position:0% who is supposed to fight for the side of 00:27:47.120 --> 00:27:49.110 align:start position:0% who is supposed to fight for the side of lifestyle<00:27:47.760> changes 00:27:49.110 --> 00:27:49.120 align:start position:0% lifestyle changes 00:27:49.120 --> 00:27:51.909 align:start position:0% lifestyle changes where's<00:27:49.679> the<00:27:49.840> big 00:27:51.909 --> 00:27:51.919 align:start position:0% where's the big 00:27:51.919 --> 00:27:54.470 align:start position:0% where's the big pharma<00:27:52.480> version<00:27:52.880> of<00:27:53.039> lifestyle<00:27:53.679> changes 00:27:54.470 --> 00:27:54.480 align:start position:0% pharma version of lifestyle changes 00:27:54.480 --> 00:27:56.149 align:start position:0% pharma version of lifestyle changes who's<00:27:54.799> supposed<00:27:55.120> to<00:27:55.200> have<00:27:55.360> the<00:27:55.520> big<00:27:55.840> bully 00:27:56.149 --> 00:27:56.159 align:start position:0% who's supposed to have the big bully 00:27:56.159 --> 00:27:59.110 align:start position:0% who's supposed to have the big bully pulpit<00:27:57.120> the<00:27:57.360> big<00:27:57.679> money<00:27:58.240> behind<00:27:58.640> lifestyle 00:27:59.110 --> 00:27:59.120 align:start position:0% pulpit the big money behind lifestyle 00:27:59.120 --> 00:28:01.590 align:start position:0% pulpit the big money behind lifestyle changes<00:27:59.679> right<00:28:00.240> in<00:28:00.320> your<00:28:00.559> sense<00:28:00.880> because 00:28:01.590 --> 00:28:01.600 align:start position:0% changes right in your sense because 00:28:01.600 --> 00:28:03.510 align:start position:0% changes right in your sense because because<00:28:01.840> that<00:28:02.000> seems<00:28:02.320> to<00:28:02.480> be<00:28:02.880> missing<00:28:03.279> in<00:28:03.440> a 00:28:03.510 --> 00:28:03.520 align:start position:0% because that seems to be missing in a 00:28:03.520 --> 00:28:05.510 align:start position:0% because that seems to be missing in a lot<00:28:03.679> of<00:28:03.840> our<00:28:04.000> discussions<00:28:04.799> about<00:28:05.200> health 00:28:05.510 --> 00:28:05.520 align:start position:0% lot of our discussions about health 00:28:05.520 --> 00:28:08.149 align:start position:0% lot of our discussions about health policy<00:28:06.240> right<00:28:06.559> that's<00:28:06.880> exactly<00:28:07.279> right<00:28:08.000> and 00:28:08.149 --> 00:28:08.159 align:start position:0% policy right that's exactly right and 00:28:08.159 --> 00:28:09.909 align:start position:0% policy right that's exactly right and the<00:28:08.320> answer<00:28:08.799> is 00:28:09.909 --> 00:28:09.919 align:start position:0% the answer is 00:28:09.919 --> 00:28:11.430 align:start position:0% the answer is that 00:28:11.430 --> 00:28:11.440 align:start position:0% that 00:28:11.440 --> 00:28:14.149 align:start position:0% that we<00:28:11.760> assume<00:28:12.720> that<00:28:12.880> the<00:28:13.039> market<00:28:13.440> has<00:28:13.679> to<00:28:13.840> solve 00:28:14.149 --> 00:28:14.159 align:start position:0% we assume that the market has to solve 00:28:14.159 --> 00:28:15.830 align:start position:0% we assume that the market has to solve all<00:28:14.320> these<00:28:14.640> problems 00:28:15.830 --> 00:28:15.840 align:start position:0% all these problems 00:28:15.840 --> 00:28:17.750 align:start position:0% all these problems and<00:28:15.919> the<00:28:16.080> market<00:28:16.640> can't<00:28:16.880> solve<00:28:17.279> all<00:28:17.520> these 00:28:17.750 --> 00:28:17.760 align:start position:0% and the market can't solve all these 00:28:17.760 --> 00:28:20.230 align:start position:0% and the market can't solve all these problems<00:28:18.240> there<00:28:18.480> needs<00:28:18.880> to<00:28:19.120> be 00:28:20.230 --> 00:28:20.240 align:start position:0% problems there needs to be 00:28:20.240 --> 00:28:22.310 align:start position:0% problems there needs to be some<00:28:20.640> way<00:28:21.039> of<00:28:21.279> protecting<00:28:21.760> the<00:28:21.919> public 00:28:22.310 --> 00:28:22.320 align:start position:0% some way of protecting the public 00:28:22.320 --> 00:28:24.470 align:start position:0% some way of protecting the public interest<00:28:23.200> for<00:28:23.520> things<00:28:23.840> that<00:28:24.159> aren't 00:28:24.470 --> 00:28:24.480 align:start position:0% interest for things that aren't 00:28:24.480 --> 00:28:26.389 align:start position:0% interest for things that aren't financially<00:28:25.120> driven 00:28:26.389 --> 00:28:26.399 align:start position:0% financially driven 00:28:26.399 --> 00:28:28.230 align:start position:0% financially driven so<00:28:26.559> that<00:28:26.720> the<00:28:26.880> overriding<00:28:27.520> question<00:28:28.000> has<00:28:28.159> to 00:28:28.230 --> 00:28:28.240 align:start position:0% so that the overriding question has to 00:28:28.240 --> 00:28:31.510 align:start position:0% so that the overriding question has to be<00:28:28.720> how<00:28:28.960> best<00:28:29.279> to<00:28:29.440> improve<00:28:29.840> americans<00:28:30.399> health 00:28:31.510 --> 00:28:31.520 align:start position:0% be how best to improve americans health 00:28:31.520 --> 00:28:33.110 align:start position:0% be how best to improve americans health not 00:28:33.110 --> 00:28:33.120 align:start position:0% not 00:28:33.120 --> 00:28:35.110 align:start position:0% not companies<00:28:33.679> funding<00:28:34.080> studies 00:28:35.110 --> 00:28:35.120 align:start position:0% companies funding studies 00:28:35.120 --> 00:28:37.110 align:start position:0% companies funding studies to<00:28:35.279> try<00:28:35.520> and<00:28:35.679> prove<00:28:36.080> that<00:28:36.240> their<00:28:36.480> new 00:28:37.110 --> 00:28:37.120 align:start position:0% to try and prove that their new 00:28:37.120 --> 00:28:39.190 align:start position:0% to try and prove that their new inexpensive<00:28:37.760> drug<00:28:38.159> is<00:28:38.240> better 00:28:39.190 --> 00:28:39.200 align:start position:0% inexpensive drug is better 00:28:39.200 --> 00:28:41.590 align:start position:0% inexpensive drug is better and<00:28:39.440> should<00:28:39.679> be<00:28:39.840> used<00:28:40.720> well<00:28:40.960> some<00:28:41.120> of<00:28:41.200> that<00:28:41.440> is 00:28:41.590 --> 00:28:41.600 align:start position:0% and should be used well some of that is 00:28:41.600 --> 00:28:42.950 align:start position:0% and should be used well some of that is also 00:28:42.950 --> 00:28:42.960 align:start position:0% also 00:28:42.960 --> 00:28:45.990 align:start position:0% also people<00:28:43.520> sort<00:28:43.679> of<00:28:43.840> uh<00:28:44.080> like<00:28:44.320> yourself<00:28:45.279> i<00:28:45.360> mean 00:28:45.990 --> 00:28:46.000 align:start position:0% people sort of uh like yourself i mean 00:28:46.000 --> 00:28:47.269 align:start position:0% people sort of uh like yourself i mean it's<00:28:46.240> funny 00:28:47.269 --> 00:28:47.279 align:start position:0% it's funny 00:28:47.279 --> 00:28:49.510 align:start position:0% it's funny you<00:28:47.440> spoke<00:28:47.679> with<00:28:47.840> joe<00:28:48.080> rogan<00:28:48.799> he<00:28:49.039> constantly 00:28:49.510 --> 00:28:49.520 align:start position:0% you spoke with joe rogan he constantly 00:28:49.520 --> 00:28:51.830 align:start position:0% you spoke with joe rogan he constantly espouses<00:28:50.000> lifestyle<00:28:50.480> changes<00:28:50.880> so<00:28:51.360> some<00:28:51.520> of<00:28:51.679> it 00:28:51.830 --> 00:28:51.840 align:start position:0% espouses lifestyle changes so some of it 00:28:51.840 --> 00:28:54.149 align:start position:0% espouses lifestyle changes so some of it is<00:28:52.000> almost<00:28:52.240> like 00:28:54.149 --> 00:28:54.159 align:start position:0% is almost like 00:28:54.159 --> 00:28:56.230 align:start position:0% is almost like understanding<00:28:55.120> the<00:28:55.360> problems<00:28:55.840> that<00:28:56.000> big 00:28:56.230 --> 00:28:56.240 align:start position:0% understanding the problems that big 00:28:56.240 --> 00:28:59.190 align:start position:0% understanding the problems that big farmers<00:28:56.720> creating<00:28:57.279> society<00:28:58.080> and<00:28:58.240> then 00:28:59.190 --> 00:28:59.200 align:start position:0% farmers creating society and then 00:28:59.200 --> 00:29:00.149 align:start position:0% farmers creating society and then uh 00:29:00.149 --> 00:29:00.159 align:start position:0% uh 00:29:00.159 --> 00:29:02.310 align:start position:0% uh sort<00:29:00.320> of<00:29:00.559> these<00:29:01.120> influential<00:29:01.840> voices 00:29:02.310 --> 00:29:02.320 align:start position:0% sort of these influential voices 00:29:02.320 --> 00:29:04.470 align:start position:0% sort of these influential voices speaking<00:29:02.720> up<00:29:02.880> against<00:29:03.279> it<00:29:03.520> so<00:29:04.159> whether 00:29:04.470 --> 00:29:04.480 align:start position:0% speaking up against it so whether 00:29:04.480 --> 00:29:06.710 align:start position:0% speaking up against it so whether they're<00:29:04.799> scientists<00:29:05.520> or<00:29:05.760> just<00:29:06.320> regular 00:29:06.710 --> 00:29:06.720 align:start position:0% they're scientists or just regular 00:29:06.720 --> 00:29:08.549 align:start position:0% they're scientists or just regular communicators 00:29:08.549 --> 00:29:08.559 align:start position:0% communicators 00:29:08.559 --> 00:29:09.990 align:start position:0% communicators yeah<00:29:08.880> i<00:29:08.960> think 00:29:09.990 --> 00:29:10.000 align:start position:0% yeah i think 00:29:10.000 --> 00:29:11.350 align:start position:0% yeah i think you<00:29:10.080> got<00:29:10.240> to<00:29:10.320> tip<00:29:10.480> your<00:29:10.640> hat<00:29:10.799> to<00:29:10.960> joe<00:29:11.200> for 00:29:11.350 --> 00:29:11.360 align:start position:0% you got to tip your hat to joe for 00:29:11.360 --> 00:29:13.110 align:start position:0% you got to tip your hat to joe for getting<00:29:11.600> that<00:29:11.760> message<00:29:12.240> out 00:29:13.110 --> 00:29:13.120 align:start position:0% getting that message out 00:29:13.120 --> 00:29:16.389 align:start position:0% getting that message out and<00:29:13.600> he<00:29:14.159> clearly<00:29:14.960> believes<00:29:15.440> it<00:29:15.679> and<00:29:15.919> does<00:29:16.159> his 00:29:16.389 --> 00:29:16.399 align:start position:0% and he clearly believes it and does his 00:29:16.399 --> 00:29:17.269 align:start position:0% and he clearly believes it and does his best 00:29:17.269 --> 00:29:17.279 align:start position:0% best 00:29:17.279 --> 00:29:19.510 align:start position:0% best but<00:29:17.440> it's<00:29:17.679> not<00:29:18.000> coming<00:29:18.399> out<00:29:18.799> in<00:29:19.039> the 00:29:19.510 --> 00:29:19.520 align:start position:0% but it's not coming out in the 00:29:19.520 --> 00:29:21.909 align:start position:0% but it's not coming out in the legitimate<00:29:20.399> avenues<00:29:20.960> in<00:29:21.039> the<00:29:21.200> legitimate 00:29:21.909 --> 00:29:21.919 align:start position:0% legitimate avenues in the legitimate 00:29:21.919 --> 00:29:23.029 align:start position:0% legitimate avenues in the legitimate channels 00:29:23.029 --> 00:29:23.039 align:start position:0% channels 00:29:23.039 --> 00:29:24.470 align:start position:0% channels that<00:29:23.679> are 00:29:24.470 --> 00:29:24.480 align:start position:0% that are 00:29:24.480 --> 00:29:27.110 align:start position:0% that are evidence-based<00:29:25.360> medicine<00:29:25.919> and<00:29:26.080> the<00:29:26.640> from<00:29:26.880> the 00:29:27.110 --> 00:29:27.120 align:start position:0% evidence-based medicine and the from the 00:29:27.120 --> 00:29:30.789 align:start position:0% evidence-based medicine and the from the sources<00:29:27.760> that<00:29:28.080> the<00:29:28.320> docs<00:29:29.120> are<00:29:29.360> trained<00:29:29.919> to 00:29:30.789 --> 00:29:30.799 align:start position:0% sources that the docs are trained to 00:29:30.799 --> 00:29:33.510 align:start position:0% sources that the docs are trained to uh<00:29:31.200> listen<00:29:31.600> to<00:29:32.000> and<00:29:32.480> and<00:29:32.720> modify<00:29:33.279> their 00:29:33.510 --> 00:29:33.520 align:start position:0% uh listen to and and modify their 00:29:33.520 --> 00:29:35.909 align:start position:0% uh listen to and and modify their patient<00:29:33.919> care<00:29:34.159> on<00:29:34.240> now<00:29:34.640> it's<00:29:34.880> not<00:29:35.440> a<00:29:35.520> hundred 00:29:35.909 --> 00:29:35.919 align:start position:0% patient care on now it's not a hundred 00:29:35.919 --> 00:29:38.149 align:start position:0% patient care on now it's not a hundred percent<00:29:36.399> i<00:29:36.480> mean<00:29:36.559> there<00:29:36.720> are<00:29:36.960> articles<00:29:37.440> in<00:29:37.679> in 00:29:38.149 --> 00:29:38.159 align:start position:0% percent i mean there are articles in in 00:29:38.159 --> 00:29:39.029 align:start position:0% percent i mean there are articles in in uh 00:29:39.029 --> 00:29:39.039 align:start position:0% uh 00:29:39.039 --> 00:29:40.950 align:start position:0% uh in<00:29:39.200> the<00:29:39.279> big<00:29:39.520> journals<00:29:40.159> about<00:29:40.399> the<00:29:40.480> benefits 00:29:40.950 --> 00:29:40.960 align:start position:0% in the big journals about the benefits 00:29:40.960 --> 00:29:43.750 align:start position:0% in the big journals about the benefits of<00:29:41.120> lifestyle<00:29:42.080> but<00:29:42.399> they<00:29:42.640> don't<00:29:43.200> carry<00:29:43.600> the 00:29:43.750 --> 00:29:43.760 align:start position:0% of lifestyle but they don't carry the 00:29:43.760 --> 00:29:45.750 align:start position:0% of lifestyle but they don't carry the same<00:29:44.240> gravitas 00:29:45.750 --> 00:29:45.760 align:start position:0% same gravitas 00:29:45.760 --> 00:29:48.310 align:start position:0% same gravitas as<00:29:46.000> the<00:29:46.320> randomized<00:29:47.039> controlled<00:29:47.600> trials<00:29:48.080> that 00:29:48.310 --> 00:29:48.320 align:start position:0% as the randomized controlled trials that 00:29:48.320 --> 00:29:50.549 align:start position:0% as the randomized controlled trials that test<00:29:48.640> this<00:29:48.880> drug<00:29:49.200> against<00:29:49.520> placebo<00:29:50.240> or<00:29:50.399> this 00:29:50.549 --> 00:29:50.559 align:start position:0% test this drug against placebo or this 00:29:50.559 --> 00:29:53.269 align:start position:0% test this drug against placebo or this drug<00:29:50.880> against<00:29:51.279> another<00:29:51.600> drug<00:29:52.320> so<00:29:52.880> the<00:29:53.039> joe 00:29:53.269 --> 00:29:53.279 align:start position:0% drug against another drug so the joe 00:29:53.279 --> 00:29:55.590 align:start position:0% drug against another drug so the joe rogans<00:29:53.679> of<00:29:53.760> the<00:29:53.919> world<00:29:54.399> keep<00:29:54.640> going<00:29:55.120> you<00:29:55.200> know 00:29:55.590 --> 00:29:55.600 align:start position:0% rogans of the world keep going you know 00:29:55.600 --> 00:29:58.230 align:start position:0% rogans of the world keep going you know i<00:29:55.840> tip<00:29:56.000> my<00:29:56.240> hat<00:29:56.960> but<00:29:57.120> it's<00:29:57.360> not<00:29:57.600> going<00:29:57.760> to<00:29:57.840> carry 00:29:58.230 --> 00:29:58.240 align:start position:0% i tip my hat but it's not going to carry 00:29:58.240 --> 00:30:00.870 align:start position:0% i tip my hat but it's not going to carry the<00:29:58.399> day<00:29:58.799> for<00:29:59.120> most<00:29:59.520> of<00:29:59.679> the<00:29:59.840> people 00:30:00.870 --> 00:30:00.880 align:start position:0% the day for most of the people 00:30:00.880 --> 00:30:03.029 align:start position:0% the day for most of the people until<00:30:01.440> it<00:30:01.600> has<00:30:01.840> the<00:30:01.919> legitimacy<00:30:02.799> of<00:30:02.880> the 00:30:03.029 --> 00:30:03.039 align:start position:0% until it has the legitimacy of the 00:30:03.039 --> 00:30:04.470 align:start position:0% until it has the legitimacy of the medical<00:30:03.440> establishment<00:30:04.159> yeah<00:30:04.320> like 00:30:04.470 --> 00:30:04.480 align:start position:0% medical establishment yeah like 00:30:04.480 --> 00:30:06.310 align:start position:0% medical establishment yeah like something<00:30:04.799> that<00:30:05.039> the<00:30:05.200> doctors<00:30:05.919> really<00:30:06.159> pay 00:30:06.310 --> 00:30:06.320 align:start position:0% something that the doctors really pay 00:30:06.320 --> 00:30:07.990 align:start position:0% something that the doctors really pay attention<00:30:06.640> to<00:30:07.039> well<00:30:07.200> there's<00:30:07.679> there's<00:30:07.840> an 00:30:07.990 --> 00:30:08.000 align:start position:0% attention to well there's there's an 00:30:08.000 --> 00:30:10.230 align:start position:0% attention to well there's there's an entire<00:30:08.480> mechanism<00:30:09.039> established<00:30:09.600> for<00:30:09.760> testing 00:30:10.230 --> 00:30:10.240 align:start position:0% entire mechanism established for testing 00:30:10.240 --> 00:30:11.190 align:start position:0% entire mechanism established for testing drugs 00:30:11.190 --> 00:30:11.200 align:start position:0% drugs 00:30:11.200 --> 00:30:12.470 align:start position:0% drugs there's<00:30:11.600> not<00:30:11.840> an 00:30:12.470 --> 00:30:12.480 align:start position:0% there's not an 00:30:12.480 --> 00:30:14.389 align:start position:0% there's not an entire<00:30:12.880> mechanism<00:30:13.520> established<00:30:14.080> for<00:30:14.320> in 00:30:14.389 --> 00:30:14.399 align:start position:0% entire mechanism established for in 00:30:14.399 --> 00:30:16.630 align:start position:0% entire mechanism established for in terms<00:30:14.640> of<00:30:14.720> scientific<00:30:15.279> rigor<00:30:16.000> of<00:30:16.240> testing 00:30:16.630 --> 00:30:16.640 align:start position:0% terms of scientific rigor of testing 00:30:16.640 --> 00:30:18.710 align:start position:0% terms of scientific rigor of testing lifestyle<00:30:17.120> changes<00:30:17.520> i<00:30:17.600> mean<00:30:17.840> it's<00:30:18.080> it's<00:30:18.480> it's 00:30:18.710 --> 00:30:18.720 align:start position:0% lifestyle changes i mean it's it's it's 00:30:18.720 --> 00:30:20.310 align:start position:0% lifestyle changes i mean it's it's it's more<00:30:18.960> difficult 00:30:20.310 --> 00:30:20.320 align:start position:0% more difficult 00:30:20.320 --> 00:30:21.909 align:start position:0% more difficult i<00:30:20.399> mean<00:30:20.640> everything<00:30:20.960> is<00:30:21.120> difficult<00:30:21.760> in 00:30:21.909 --> 00:30:21.919 align:start position:0% i mean everything is difficult in 00:30:21.919 --> 00:30:22.950 align:start position:0% i mean everything is difficult in science 00:30:22.950 --> 00:30:22.960 align:start position:0% science 00:30:22.960 --> 00:30:25.590 align:start position:0% science with<00:30:23.360> that<00:30:23.600> science<00:30:24.080> that<00:30:24.240> involves<00:30:24.640> humans 00:30:25.590 --> 00:30:25.600 align:start position:0% with that science that involves humans 00:30:25.600 --> 00:30:28.470 align:start position:0% with that science that involves humans especially<00:30:26.720> uh<00:30:27.039> but<00:30:27.200> it's<00:30:27.440> just<00:30:28.000> it's<00:30:28.240> these 00:30:28.470 --> 00:30:28.480 align:start position:0% especially uh but it's just it's these 00:30:28.480 --> 00:30:30.470 align:start position:0% especially uh but it's just it's these studies<00:30:28.880> are<00:30:28.960> very<00:30:29.200> expensive 00:30:30.470 --> 00:30:30.480 align:start position:0% studies are very expensive 00:30:30.480 --> 00:30:32.710 align:start position:0% studies are very expensive they're<00:30:30.799> difficult<00:30:31.840> it's<00:30:32.080> difficult<00:30:32.399> to<00:30:32.480> find 00:30:32.710 --> 00:30:32.720 align:start position:0% they're difficult it's difficult to find 00:30:32.720 --> 00:30:34.230 align:start position:0% they're difficult it's difficult to find conclusions<00:30:33.279> and<00:30:33.440> to<00:30:33.600> control<00:30:33.919> all<00:30:34.080> the 00:30:34.230 --> 00:30:34.240 align:start position:0% conclusions and to control all the 00:30:34.240 --> 00:30:36.470 align:start position:0% conclusions and to control all the variables<00:30:35.279> and<00:30:35.440> so<00:30:35.600> it's<00:30:35.679> very<00:30:36.000> easy<00:30:36.320> to 00:30:36.470 --> 00:30:36.480 align:start position:0% variables and so it's very easy to 00:30:36.480 --> 00:30:39.029 align:start position:0% variables and so it's very easy to dismiss<00:30:36.880> them<00:30:37.120> unless<00:30:37.600> you<00:30:37.840> really<00:30:38.240> do<00:30:38.480> a<00:30:38.640> huge 00:30:39.029 --> 00:30:39.039 align:start position:0% dismiss them unless you really do a huge 00:30:39.039 --> 00:30:41.110 align:start position:0% dismiss them unless you really do a huge study<00:30:39.360> that's<00:30:39.600> very<00:30:39.840> well<00:30:40.080> funded<00:30:40.799> and<00:30:40.960> so 00:30:41.110 --> 00:30:41.120 align:start position:0% study that's very well funded and so 00:30:41.120 --> 00:30:43.269 align:start position:0% study that's very well funded and so maybe<00:30:41.520> the<00:30:41.679> doctors<00:30:42.159> just<00:30:42.480> lean<00:30:42.720> towards<00:30:43.120> the 00:30:43.269 --> 00:30:43.279 align:start position:0% maybe the doctors just lean towards the 00:30:43.279 --> 00:30:45.029 align:start position:0% maybe the doctors just lean towards the simpler<00:30:43.679> studies 00:30:45.029 --> 00:30:45.039 align:start position:0% simpler studies 00:30:45.039 --> 00:30:46.549 align:start position:0% simpler studies over<00:30:45.279> and<00:30:45.440> over<00:30:45.679> which<00:30:45.919> is<00:30:46.000> what<00:30:46.159> the<00:30:46.320> drug 00:30:46.549 --> 00:30:46.559 align:start position:0% over and over which is what the drug 00:30:46.559 --> 00:30:47.990 align:start position:0% over and over which is what the drug companies<00:30:47.039> fund 00:30:47.990 --> 00:30:48.000 align:start position:0% companies fund 00:30:48.000 --> 00:30:51.269 align:start position:0% companies fund they<00:30:48.240> can<00:30:48.399> control<00:30:48.960> more<00:30:49.279> variables 00:30:51.269 --> 00:30:51.279 align:start position:0% they can control more variables 00:30:51.279 --> 00:30:56.950 align:start position:0% they can control more variables see<00:30:51.520> but<00:30:51.679> the<00:30:51.840> control<00:30:52.320> there<00:30:52.640> is<00:30:52.799> sometimes 00:30:56.950 --> 00:30:56.960 align:start position:0% 00:30:56.960 --> 00:30:59.509 align:start position:0% by<00:30:57.440> hiding<00:30:58.240> things<00:30:58.799> too 00:30:59.509 --> 00:30:59.519 align:start position:0% by hiding things too 00:30:59.519 --> 00:31:00.870 align:start position:0% by hiding things too right 00:31:00.870 --> 00:31:00.880 align:start position:0% right 00:31:00.880 --> 00:31:03.110 align:start position:0% right so<00:31:01.200> sometimes<00:31:01.679> you<00:31:01.840> can<00:31:02.000> just 00:31:03.110 --> 00:31:03.120 align:start position:0% so sometimes you can just 00:31:03.120 --> 00:31:06.310 align:start position:0% so sometimes you can just say<00:31:03.360> that<00:31:03.600> this<00:31:03.760> is<00:31:04.000> a<00:31:04.399> well-controlled<00:31:05.279> study 00:31:06.310 --> 00:31:06.320 align:start position:0% say that this is a well-controlled study 00:31:06.320 --> 00:31:08.630 align:start position:0% say that this is a well-controlled study by<00:31:06.559> pretending<00:31:07.440> there's<00:31:07.840> a<00:31:07.919> bunch<00:31:08.159> of<00:31:08.399> other 00:31:08.630 --> 00:31:08.640 align:start position:0% by pretending there's a bunch of other 00:31:08.640 --> 00:31:11.190 align:start position:0% by pretending there's a bunch of other stuff<00:31:09.279> just<00:31:09.519> ignoring<00:31:10.000> the<00:31:10.159> stuff 00:31:11.190 --> 00:31:11.200 align:start position:0% stuff just ignoring the stuff 00:31:11.200 --> 00:31:13.509 align:start position:0% stuff just ignoring the stuff um<00:31:11.760> that<00:31:12.240> could<00:31:12.399> be<00:31:12.640> correlated<00:31:13.120> it<00:31:13.200> could<00:31:13.360> be 00:31:13.509 --> 00:31:13.519 align:start position:0% um that could be correlated it could be 00:31:13.519 --> 00:31:15.190 align:start position:0% um that could be correlated it could be the<00:31:13.679> real<00:31:13.919> cause<00:31:14.399> of<00:31:14.559> the<00:31:14.720> effects<00:31:15.039> you're 00:31:15.190 --> 00:31:15.200 align:start position:0% the real cause of the effects you're 00:31:15.200 --> 00:31:17.350 align:start position:0% the real cause of the effects you're seeing<00:31:15.519> all<00:31:15.600> that<00:31:15.760> kind<00:31:15.919> of<00:31:16.000> stuff 00:31:17.350 --> 00:31:17.360 align:start position:0% seeing all that kind of stuff 00:31:17.360 --> 00:31:20.789 align:start position:0% seeing all that kind of stuff so<00:31:17.679> uh<00:31:18.159> money<00:31:18.559> can<00:31:19.200> buy<00:31:19.600> ignorance<00:31:20.159> i<00:31:20.240> suppose 00:31:20.789 --> 00:31:20.799 align:start position:0% so uh money can buy ignorance i suppose 00:31:20.799 --> 00:31:23.110 align:start position:0% so uh money can buy ignorance i suppose in<00:31:20.960> science<00:31:21.600> it<00:31:22.080> buys 00:31:23.110 --> 00:31:23.120 align:start position:0% in science it buys 00:31:23.120 --> 00:31:25.029 align:start position:0% in science it buys kind<00:31:23.279> of<00:31:23.440> blinders<00:31:24.080> that<00:31:24.240> are<00:31:24.399> on<00:31:24.640> that<00:31:24.799> don't 00:31:25.029 --> 00:31:25.039 align:start position:0% kind of blinders that are on that don't 00:31:25.039 --> 00:31:28.149 align:start position:0% kind of blinders that are on that don't look<00:31:25.279> outside<00:31:26.000> the<00:31:26.640> reductionist<00:31:27.519> model<00:31:28.000> and 00:31:28.149 --> 00:31:28.159 align:start position:0% look outside the reductionist model and 00:31:28.159 --> 00:31:30.710 align:start position:0% look outside the reductionist model and and<00:31:28.320> that's<00:31:28.559> another<00:31:29.039> issue<00:31:29.519> is<00:31:30.000> that<00:31:30.240> we<00:31:30.480> kind 00:31:30.710 --> 00:31:30.720 align:start position:0% and that's another issue is that we kind 00:31:30.720 --> 00:31:34.230 align:start position:0% and that's another issue is that we kind of<00:31:31.360> nobody<00:31:31.840> says<00:31:32.480> to<00:31:32.880> uh<00:31:33.200> doctors<00:31:33.679> in<00:31:33.840> training 00:31:34.230 --> 00:31:34.240 align:start position:0% of nobody says to uh doctors in training 00:31:34.240 --> 00:31:36.230 align:start position:0% of nobody says to uh doctors in training only<00:31:34.480> listen<00:31:34.799> to<00:31:34.880> reductionist 00:31:36.230 --> 00:31:36.240 align:start position:0% only listen to reductionist 00:31:36.240 --> 00:31:37.430 align:start position:0% only listen to reductionist um 00:31:37.430 --> 00:31:37.440 align:start position:0% um 00:31:37.440 --> 00:31:40.389 align:start position:0% um uh<00:31:37.679> studies<00:31:38.240> and<00:31:38.399> conclusions<00:31:39.279> and<00:31:39.919> methods 00:31:40.389 --> 00:31:40.399 align:start position:0% uh studies and conclusions and methods 00:31:40.399 --> 00:31:42.470 align:start position:0% uh studies and conclusions and methods of<00:31:40.559> promoting<00:31:41.039> health<00:31:41.600> nobody<00:31:42.000> nobody<00:31:42.240> says 00:31:42.470 --> 00:31:42.480 align:start position:0% of promoting health nobody nobody says 00:31:42.480 --> 00:31:45.269 align:start position:0% of promoting health nobody nobody says that<00:31:42.720> explicitly<00:31:43.919> but<00:31:44.159> the 00:31:45.269 --> 00:31:45.279 align:start position:0% that explicitly but the 00:31:45.279 --> 00:31:47.590 align:start position:0% that explicitly but the respectable<00:31:46.320> science 00:31:47.590 --> 00:31:47.600 align:start position:0% respectable science 00:31:47.600 --> 00:31:49.750 align:start position:0% respectable science has<00:31:47.760> to<00:31:47.919> do<00:31:48.080> with<00:31:48.320> controlling<00:31:48.880> the<00:31:49.039> factors 00:31:49.750 --> 00:31:49.760 align:start position:0% has to do with controlling the factors 00:31:49.760 --> 00:31:52.950 align:start position:0% has to do with controlling the factors and<00:31:50.399> um<00:31:51.120> i<00:31:51.200> mean<00:31:51.519> it<00:31:51.760> just<00:31:52.000> doesn't<00:31:52.399> make<00:31:52.640> sense 00:31:52.950 --> 00:31:52.960 align:start position:0% and um i mean it just doesn't make sense 00:31:52.960 --> 00:31:54.070 align:start position:0% and um i mean it just doesn't make sense to<00:31:53.120> me 00:31:54.070 --> 00:31:54.080 align:start position:0% to me 00:31:54.080 --> 00:31:55.350 align:start position:0% to me i'm<00:31:54.399> going<00:31:54.480> to<00:31:54.559> pick<00:31:54.720> on<00:31:54.880> true<00:31:55.039> literacy 00:31:55.350 --> 00:31:55.360 align:start position:0% i'm going to pick on true literacy 00:31:55.360 --> 00:31:57.350 align:start position:0% i'm going to pick on true literacy because<00:31:55.519> it's<00:31:55.679> such<00:31:55.840> an<00:31:56.159> obvious<00:31:56.720> example<00:31:57.120> but 00:31:57.350 --> 00:31:57.360 align:start position:0% because it's such an obvious example but 00:31:57.360 --> 00:31:59.990 align:start position:0% because it's such an obvious example but it's<00:31:57.519> not<00:31:58.080> more<00:31:58.320> egregious<00:31:59.279> than<00:31:59.519> the<00:31:59.760> than 00:31:59.990 --> 00:32:00.000 align:start position:0% it's not more egregious than the than 00:32:00.000 --> 00:32:01.269 align:start position:0% it's not more egregious than the than many<00:32:00.399> others 00:32:01.269 --> 00:32:01.279 align:start position:0% many others 00:32:01.279 --> 00:32:03.269 align:start position:0% many others it<00:32:01.440> doesn't<00:32:01.760> make<00:32:02.000> sense<00:32:02.240> to<00:32:02.399> me<00:32:02.559> to<00:32:02.799> allow<00:32:03.120> a 00:32:03.269 --> 00:32:03.279 align:start position:0% it doesn't make sense to me to allow a 00:32:03.279 --> 00:32:05.110 align:start position:0% it doesn't make sense to me to allow a drug<00:32:03.600> to<00:32:03.679> be<00:32:03.840> advertised<00:32:04.399> as<00:32:04.640> preventing 00:32:05.110 --> 00:32:05.120 align:start position:0% drug to be advertised as preventing 00:32:05.120 --> 00:32:08.070 align:start position:0% drug to be advertised as preventing cardiovascular<00:32:05.919> disease<00:32:06.880> when<00:32:07.120> you<00:32:07.360> haven't 00:32:08.070 --> 00:32:08.080 align:start position:0% cardiovascular disease when you haven't 00:32:08.080 --> 00:32:10.549 align:start position:0% cardiovascular disease when you haven't included<00:32:08.799> lifestyle<00:32:09.440> changes<00:32:09.919> as<00:32:10.080> an<00:32:10.240> arm<00:32:10.480> in 00:32:10.549 --> 00:32:10.559 align:start position:0% included lifestyle changes as an arm in 00:32:10.559 --> 00:32:12.789 align:start position:0% included lifestyle changes as an arm in the<00:32:10.720> study<00:32:11.600> it<00:32:11.760> just 00:32:12.789 --> 00:32:12.799 align:start position:0% the study it just 00:32:12.799 --> 00:32:14.789 align:start position:0% the study it just it's<00:32:13.120> just<00:32:13.279> so<00:32:13.519> crystal<00:32:14.080> clear<00:32:14.559> that<00:32:14.720> the 00:32:14.789 --> 00:32:14.799 align:start position:0% it's just so crystal clear that the 00:32:14.799 --> 00:32:16.470 align:start position:0% it's just so crystal clear that the purpose<00:32:15.200> of<00:32:15.279> that<00:32:15.519> study<00:32:15.919> is<00:32:16.080> to<00:32:16.240> sell 00:32:16.470 --> 00:32:16.480 align:start position:0% purpose of that study is to sell 00:32:16.480 --> 00:32:18.789 align:start position:0% purpose of that study is to sell trulicity<00:32:17.360> it's<00:32:17.600> not<00:32:17.840> to<00:32:18.000> prevent 00:32:18.789 --> 00:32:18.799 align:start position:0% trulicity it's not to prevent 00:32:18.799 --> 00:32:21.269 align:start position:0% trulicity it's not to prevent cardiovascular<00:32:19.760> disease<00:32:20.480> you<00:32:20.559> know 00:32:21.269 --> 00:32:21.279 align:start position:0% cardiovascular disease you know 00:32:21.279 --> 00:32:23.750 align:start position:0% cardiovascular disease you know if<00:32:21.760> if<00:32:22.159> we<00:32:22.320> were<00:32:22.559> in<00:32:22.720> charge<00:32:23.120> i<00:32:23.279> would<00:32:23.440> try<00:32:23.600> to 00:32:23.750 --> 00:32:23.760 align:start position:0% if if we were in charge i would try to 00:32:23.760 --> 00:32:25.909 align:start position:0% if if we were in charge i would try to convince<00:32:24.159> you<00:32:24.640> that<00:32:24.880> anywhere<00:32:25.279> that<00:32:25.519> study 00:32:25.909 --> 00:32:25.919 align:start position:0% convince you that anywhere that study 00:32:25.919 --> 00:32:29.509 align:start position:0% convince you that anywhere that study the<00:32:26.080> results<00:32:26.480> of<00:32:26.559> that<00:32:26.799> study<00:32:27.600> were 00:32:29.509 --> 00:32:29.519 align:start position:0% the results of that study were 00:32:29.519 --> 00:32:31.509 align:start position:0% the results of that study were presented<00:32:30.000> to<00:32:30.159> physicians<00:32:31.039> it<00:32:31.120> would<00:32:31.279> be 00:32:31.509 --> 00:32:31.519 align:start position:0% presented to physicians it would be 00:32:31.519 --> 00:32:34.149 align:start position:0% presented to physicians it would be stamped<00:32:32.080> in<00:32:32.240> big<00:32:32.480> red<00:32:32.720> letters<00:32:33.519> this<00:32:33.840> study 00:32:34.149 --> 00:32:34.159 align:start position:0% stamped in big red letters this study 00:32:34.159 --> 00:32:36.470 align:start position:0% stamped in big red letters this study did<00:32:34.399> not<00:32:34.640> compare<00:32:35.200> trulicity<00:32:35.840> to<00:32:36.000> lifestyle 00:32:36.470 --> 00:32:36.480 align:start position:0% did not compare trulicity to lifestyle 00:32:36.480 --> 00:32:37.590 align:start position:0% did not compare trulicity to lifestyle changes 00:32:37.590 --> 00:32:37.600 align:start position:0% changes 00:32:37.600 --> 00:32:39.750 align:start position:0% changes they<00:32:37.840> need<00:32:38.080> to<00:32:38.240> know<00:32:38.480> that<00:32:39.039> and<00:32:39.120> the<00:32:39.360> docs<00:32:39.679> are 00:32:39.750 --> 00:32:39.760 align:start position:0% they need to know that and the docs are 00:32:39.760 --> 00:32:41.990 align:start position:0% they need to know that and the docs are kind<00:32:39.919> of<00:32:40.080> trained<00:32:40.640> these<00:32:40.880> blinders<00:32:41.519> get<00:32:41.760> put 00:32:41.990 --> 00:32:42.000 align:start position:0% kind of trained these blinders get put 00:32:42.000 --> 00:32:44.470 align:start position:0% kind of trained these blinders get put on<00:32:42.640> and<00:32:42.799> they're<00:32:43.039> trained<00:32:43.440> to<00:32:43.679> kind<00:32:43.840> of<00:32:44.000> forget 00:32:44.470 --> 00:32:44.480 align:start position:0% on and they're trained to kind of forget 00:32:44.480 --> 00:32:46.230 align:start position:0% on and they're trained to kind of forget that<00:32:44.720> that's<00:32:45.039> not<00:32:45.279> there 00:32:46.230 --> 00:32:46.240 align:start position:0% that that's not there 00:32:46.240 --> 00:32:47.509 align:start position:0% that that's not there do<00:32:46.320> you<00:32:46.559> think 00:32:47.509 --> 00:32:47.519 align:start position:0% do you think 00:32:47.519 --> 00:32:49.669 align:start position:0% do you think so<00:32:47.760> first<00:32:47.919> of<00:32:48.080> all<00:32:48.159> that's<00:32:48.399> a<00:32:48.559> small<00:32:49.039> or<00:32:49.279> big 00:32:49.669 --> 00:32:49.679 align:start position:0% so first of all that's a small or big 00:32:49.679 --> 00:32:51.830 align:start position:0% so first of all that's a small or big change<00:32:50.000> to<00:32:50.159> advertisement<00:32:51.200> that<00:32:51.519> seems 00:32:51.830 --> 00:32:51.840 align:start position:0% change to advertisement that seems 00:32:51.840 --> 00:32:53.990 align:start position:0% change to advertisement that seems obvious<00:32:52.320> to<00:32:52.480> say 00:32:53.990 --> 00:32:54.000 align:start position:0% obvious to say 00:32:54.000 --> 00:32:55.990 align:start position:0% obvious to say like<00:32:54.320> in<00:32:54.799> in<00:32:54.799> enforce<00:32:55.440> that<00:32:55.600> it<00:32:55.679> should<00:32:55.919> be 00:32:55.990 --> 00:32:56.000 align:start position:0% like in in enforce that it should be 00:32:56.000 --> 00:32:59.029 align:start position:0% like in in enforce that it should be compared<00:32:56.399> to<00:32:56.559> lifestyle<00:32:56.960> changes 00:32:59.029 --> 00:32:59.039 align:start position:0% compared to lifestyle changes 00:32:59.039 --> 00:33:01.669 align:start position:0% compared to lifestyle changes do<00:32:59.200> you<00:32:59.360> think<00:32:59.679> advertisements<00:33:00.559> period<00:33:01.120> in 00:33:01.669 --> 00:33:01.679 align:start position:0% do you think advertisements period in 00:33:01.679 --> 00:33:04.070 align:start position:0% do you think advertisements period in united<00:33:02.159> states<00:33:02.480> for<00:33:03.120> pharmaceutical<00:33:03.840> drugs 00:33:04.070 --> 00:33:04.080 align:start position:0% united states for pharmaceutical drugs 00:33:04.080 --> 00:33:05.830 align:start position:0% united states for pharmaceutical drugs should<00:33:04.240> be<00:33:04.399> banned 00:33:05.830 --> 00:33:05.840 align:start position:0% should be banned 00:33:05.840 --> 00:33:07.750 align:start position:0% should be banned i<00:33:05.919> think<00:33:06.159> they<00:33:06.320> can't<00:33:06.640> be<00:33:06.799> banned<00:33:07.440> so<00:33:07.600> it 00:33:07.750 --> 00:33:07.760 align:start position:0% i think they can't be banned so it 00:33:07.760 --> 00:33:10.470 align:start position:0% i think they can't be banned so it doesn't<00:33:08.000> matter<00:33:08.240> what<00:33:08.480> i<00:33:08.559> think 00:33:10.470 --> 00:33:10.480 align:start position:0% doesn't matter what i think 00:33:10.480 --> 00:33:11.830 align:start position:0% doesn't matter what i think okay 00:33:11.830 --> 00:33:11.840 align:start position:0% okay 00:33:11.840 --> 00:33:13.909 align:start position:0% okay let's<00:33:12.080> say<00:33:12.240> you<00:33:12.399> were<00:33:12.480> a<00:33:12.559> dictator<00:33:13.200> and<00:33:13.360> two 00:33:13.909 --> 00:33:13.919 align:start position:0% let's say you were a dictator and two 00:33:13.919 --> 00:33:15.909 align:start position:0% let's say you were a dictator and two why<00:33:14.159> can't<00:33:14.399> they<00:33:14.559> be<00:33:14.720> banned<00:33:15.120> okay 00:33:15.909 --> 00:33:15.919 align:start position:0% why can't they be banned okay 00:33:15.919 --> 00:33:18.630 align:start position:0% why can't they be banned okay uh<00:33:16.159> either<00:33:16.720> answer<00:33:16.960> either<00:33:17.200> one 00:33:18.630 --> 00:33:18.640 align:start position:0% uh either answer either one 00:33:18.640 --> 00:33:21.509 align:start position:0% uh either answer either one i<00:33:18.799> believe<00:33:19.840> i've<00:33:20.000> been<00:33:20.240> told<00:33:20.559> by<00:33:20.720> lawyers<00:33:21.200> who 00:33:21.509 --> 00:33:21.519 align:start position:0% i believe i've been told by lawyers who 00:33:21.519 --> 00:33:22.710 align:start position:0% i believe i've been told by lawyers who i<00:33:21.760> trust 00:33:22.710 --> 00:33:22.720 align:start position:0% i trust 00:33:22.720 --> 00:33:25.350 align:start position:0% i trust that<00:33:22.960> the<00:33:23.440> uh<00:33:24.080> freedom<00:33:24.399> of<00:33:24.559> speech<00:33:24.960> in<00:33:25.039> the<00:33:25.279> in 00:33:25.350 --> 00:33:25.360 align:start position:0% that the uh freedom of speech in the in 00:33:25.360 --> 00:33:27.269 align:start position:0% that the uh freedom of speech in the in the<00:33:25.519> u.s<00:33:25.840> constitution 00:33:27.269 --> 00:33:27.279 align:start position:0% the u.s constitution 00:33:27.279 --> 00:33:30.470 align:start position:0% the u.s constitution is<00:33:27.519> such<00:33:27.919> that<00:33:28.080> you<00:33:28.320> can't<00:33:28.640> ban<00:33:28.880> them<00:33:29.279> that 00:33:30.470 --> 00:33:30.480 align:start position:0% is such that you can't ban them that 00:33:30.480 --> 00:33:33.190 align:start position:0% is such that you can't ban them that you<00:33:30.640> could<00:33:30.960> ban<00:33:31.279> cigarettes<00:33:32.320> and<00:33:32.559> alcohol 00:33:33.190 --> 00:33:33.200 align:start position:0% you could ban cigarettes and alcohol 00:33:33.200 --> 00:33:35.590 align:start position:0% you could ban cigarettes and alcohol which<00:33:33.440> have<00:33:33.679> no<00:33:33.919> therapeutic<00:33:34.640> use 00:33:35.590 --> 00:33:35.600 align:start position:0% which have no therapeutic use 00:33:35.600 --> 00:33:37.750 align:start position:0% which have no therapeutic use but<00:33:36.000> drugs<00:33:36.320> have<00:33:36.480> a<00:33:36.559> therapeutic<00:33:37.200> use<00:33:37.600> and 00:33:37.750 --> 00:33:37.760 align:start position:0% but drugs have a therapeutic use and 00:33:37.760 --> 00:33:38.549 align:start position:0% but drugs have a therapeutic use and they 00:33:38.549 --> 00:33:38.559 align:start position:0% they 00:33:38.559 --> 00:33:40.950 align:start position:0% they uh<00:33:39.039> advertisements<00:33:39.760> about<00:33:40.240> them<00:33:40.559> can't<00:33:40.799> be 00:33:40.950 --> 00:33:40.960 align:start position:0% uh advertisements about them can't be 00:33:40.960 --> 00:33:43.590 align:start position:0% uh advertisements about them can't be banned<00:33:41.519> let's<00:33:41.760> assume<00:33:42.640> that<00:33:42.799> they<00:33:42.960> can't<00:33:43.279> be 00:33:43.590 --> 00:33:43.600 align:start position:0% banned let's assume that they can't be 00:33:43.600 --> 00:33:46.230 align:start position:0% banned let's assume that they can't be because<00:33:43.760> we<00:33:43.919> know<00:33:44.080> they<00:33:44.240> won't<00:33:44.480> be<00:33:45.120> anyway 00:33:46.230 --> 00:33:46.240 align:start position:0% because we know they won't be anyway 00:33:46.240 --> 00:33:48.549 align:start position:0% because we know they won't be anyway um<00:33:46.720> but<00:33:47.039> let's<00:33:47.360> assume<00:33:47.679> they<00:33:47.919> can't<00:33:48.159> be<00:33:48.399> that 00:33:48.549 --> 00:33:48.559 align:start position:0% um but let's assume they can't be that 00:33:48.559 --> 00:33:51.190 align:start position:0% um but let's assume they can't be that the<00:33:49.039> and<00:33:49.360> especially<00:33:50.080> our<00:33:50.240> supreme<00:33:50.640> court<00:33:50.960> now 00:33:51.190 --> 00:33:51.200 align:start position:0% the and especially our supreme court now 00:33:51.200 --> 00:33:54.070 align:start position:0% the and especially our supreme court now is<00:33:51.360> unlike<00:33:51.679> would<00:33:51.919> be<00:33:52.080> unlikely<00:33:52.559> to<00:33:53.200> um<00:33:53.840> take 00:33:54.070 --> 00:33:54.080 align:start position:0% is unlike would be unlikely to um take 00:33:54.080 --> 00:33:55.830 align:start position:0% is unlike would be unlikely to um take that<00:33:54.320> seriously 00:33:55.830 --> 00:33:55.840 align:start position:0% that seriously 00:33:55.840 --> 00:33:58.070 align:start position:0% that seriously but<00:33:56.080> that's<00:33:56.399> not<00:33:56.640> the<00:33:56.880> issue<00:33:57.279> the<00:33:57.519> issue<00:33:57.840> is 00:33:58.070 --> 00:33:58.080 align:start position:0% but that's not the issue the issue is 00:33:58.080 --> 00:33:59.830 align:start position:0% but that's not the issue the issue is that<00:33:58.240> if<00:33:58.399> drugs<00:33:58.720> want<00:33:58.880> us<00:33:59.360> if<00:33:59.519> the<00:33:59.600> drug 00:33:59.830 --> 00:33:59.840 align:start position:0% that if drugs want us if the drug 00:33:59.840 --> 00:34:01.029 align:start position:0% that if drugs want us if the drug companies<00:34:00.159> want<00:34:00.320> to<00:34:00.399> spend<00:34:00.559> their<00:34:00.720> money 00:34:01.029 --> 00:34:01.039 align:start position:0% companies want to spend their money 00:34:01.039 --> 00:34:02.549 align:start position:0% companies want to spend their money advertising 00:34:02.549 --> 00:34:02.559 align:start position:0% advertising 00:34:02.559 --> 00:34:04.789 align:start position:0% advertising they<00:34:02.799> should<00:34:03.120> have<00:34:03.440> to 00:34:04.789 --> 00:34:04.799 align:start position:0% they should have to 00:34:04.799 --> 00:34:08.389 align:start position:0% they should have to have<00:34:05.200> independent<00:34:06.000> analysis<00:34:06.799> of<00:34:06.960> the<00:34:07.200> message 00:34:08.389 --> 00:34:08.399 align:start position:0% have independent analysis of the message 00:34:08.399 --> 00:34:10.869 align:start position:0% have independent analysis of the message that<00:34:08.720> the<00:34:08.960> viewers<00:34:09.520> are<00:34:09.679> left<00:34:10.000> with<00:34:10.399> about<00:34:10.720> the 00:34:10.869 --> 00:34:10.879 align:start position:0% that the viewers are left with about the 00:34:10.879 --> 00:34:13.829 align:start position:0% that the viewers are left with about the drug<00:34:11.679> so<00:34:11.839> that<00:34:12.079> it's<00:34:12.320> realistic<00:34:13.359> what's<00:34:13.599> the 00:34:13.829 --> 00:34:13.839 align:start position:0% drug so that it's realistic what's the 00:34:13.839 --> 00:34:16.389 align:start position:0% drug so that it's realistic what's the chance<00:34:14.159> the<00:34:14.320> drug<00:34:14.560> will<00:34:14.720> help<00:34:15.040> them<00:34:15.440> well<00:34:16.079> with 00:34:16.389 --> 00:34:16.399 align:start position:0% chance the drug will help them well with 00:34:16.399 --> 00:34:19.669 align:start position:0% chance the drug will help them well with intrulicity<00:34:17.040> it's<00:34:17.200> one<00:34:17.440> out<00:34:17.520> of<00:34:17.599> 323.<00:34:18.879> 322 00:34:19.669 --> 00:34:19.679 align:start position:0% intrulicity it's one out of 323. 322 00:34:19.679 --> 00:34:21.349 align:start position:0% intrulicity it's one out of 323. 322 people<00:34:20.000> aren't<00:34:20.159> going<00:34:20.320> to<00:34:20.639> benefit<00:34:21.040> from<00:34:21.200> the 00:34:21.349 --> 00:34:21.359 align:start position:0% people aren't going to benefit from the 00:34:21.359 --> 00:34:23.909 align:start position:0% people aren't going to benefit from the cardiovascular<00:34:22.159> reduction<00:34:22.720> risk<00:34:22.960> reduction 00:34:23.909 --> 00:34:23.919 align:start position:0% cardiovascular reduction risk reduction 00:34:23.919 --> 00:34:25.030 align:start position:0% cardiovascular reduction risk reduction um 00:34:25.030 --> 00:34:25.040 align:start position:0% um 00:34:25.040 --> 00:34:27.990 align:start position:0% um what's<00:34:25.359> the<00:34:25.599> true<00:34:25.919> cost<00:34:26.800> when<00:34:27.280> when<00:34:27.440> drugs 00:34:27.990 --> 00:34:28.000 align:start position:0% what's the true cost when when drugs 00:34:28.000 --> 00:34:30.310 align:start position:0% what's the true cost when when drugs advertise<00:34:29.119> that<00:34:29.440> you<00:34:29.599> may<00:34:29.760> be<00:34:29.919> able<00:34:30.079> to<00:34:30.159> get 00:34:30.310 --> 00:34:30.320 align:start position:0% advertise that you may be able to get 00:34:30.320 --> 00:34:33.829 align:start position:0% advertise that you may be able to get this<00:34:30.560> for<00:34:30.800> a<00:34:31.359> 25<00:34:32.079> copay<00:34:32.560> or<00:34:32.639> something 00:34:33.829 --> 00:34:33.839 align:start position:0% this for a 25 copay or something 00:34:33.839 --> 00:34:35.829 align:start position:0% this for a 25 copay or something tens<00:34:34.079> of<00:34:34.159> thousands<00:34:34.560> of<00:34:34.639> dollars<00:34:35.040> a<00:34:35.119> year<00:34:35.280> drug 00:34:35.829 --> 00:34:35.839 align:start position:0% tens of thousands of dollars a year drug 00:34:35.839 --> 00:34:39.349 align:start position:0% tens of thousands of dollars a year drug for<00:34:36.079> 25<00:34:36.800> copay<00:34:37.599> what<00:34:37.760> an<00:34:38.000> enormous<00:34:38.720> disservice 00:34:39.349 --> 00:34:39.359 align:start position:0% for 25 copay what an enormous disservice 00:34:39.359 --> 00:34:41.589 align:start position:0% for 25 copay what an enormous disservice that<00:34:39.599> is<00:34:40.000> to<00:34:40.240> misrepresent<00:34:40.960> the<00:34:41.119> costs<00:34:41.520> of 00:34:41.589 --> 00:34:41.599 align:start position:0% that is to misrepresent the costs of 00:34:41.599 --> 00:34:44.470 align:start position:0% that is to misrepresent the costs of society<00:34:42.480> that<00:34:42.720> should<00:34:42.960> not<00:34:43.119> be<00:34:43.280> allowed<00:34:44.000> so 00:34:44.470 --> 00:34:44.480 align:start position:0% society that should not be allowed so 00:34:44.480 --> 00:34:45.990 align:start position:0% society that should not be allowed so you<00:34:44.639> should<00:34:44.879> have<00:34:45.040> to 00:34:45.990 --> 00:34:46.000 align:start position:0% you should have to 00:34:46.000 --> 00:34:49.030 align:start position:0% you should have to make<00:34:46.240> it<00:34:46.480> clear<00:34:46.960> to<00:34:47.599> the<00:34:47.760> viewers<00:34:48.639> how<00:34:48.800> many 00:34:49.030 --> 00:34:49.040 align:start position:0% make it clear to the viewers how many 00:34:49.040 --> 00:34:50.149 align:start position:0% make it clear to the viewers how many people<00:34:49.200> are<00:34:49.280> going<00:34:49.359> to<00:34:49.440> benefit<00:34:49.839> what's<00:34:50.000> your 00:34:50.149 --> 00:34:50.159 align:start position:0% people are going to benefit what's your 00:34:50.159 --> 00:34:52.310 align:start position:0% people are going to benefit what's your chance<00:34:50.480> of<00:34:50.560> benefiting<00:34:51.599> how<00:34:51.760> does<00:34:51.919> it<00:34:52.000> compare 00:34:52.310 --> 00:34:52.320 align:start position:0% chance of benefiting how does it compare 00:34:52.320 --> 00:34:54.869 align:start position:0% chance of benefiting how does it compare to<00:34:52.480> lifestyle<00:34:52.960> changes<00:34:53.520> or<00:34:54.079> less<00:34:54.320> expensive 00:34:54.869 --> 00:34:54.879 align:start position:0% to lifestyle changes or less expensive 00:34:54.879 --> 00:34:57.030 align:start position:0% to lifestyle changes or less expensive therapies<00:34:55.760> what<00:34:55.919> do<00:34:56.079> you<00:34:56.159> give<00:34:56.399> up<00:34:56.560> if<00:34:56.720> you<00:34:56.800> use 00:34:57.030 --> 00:34:57.040 align:start position:0% therapies what do you give up if you use 00:34:57.040 --> 00:34:59.829 align:start position:0% therapies what do you give up if you use a<00:34:57.119> less<00:34:57.359> expensive<00:34:57.839> therapy<00:34:58.400> or<00:34:58.560> gain<00:34:59.200> perhaps 00:34:59.829 --> 00:34:59.839 align:start position:0% a less expensive therapy or gain perhaps 00:34:59.839 --> 00:35:02.230 align:start position:0% a less expensive therapy or gain perhaps and<00:35:00.000> how<00:35:00.160> much<00:35:00.400> it<00:35:00.560> costs<00:35:01.119> how<00:35:01.280> much<00:35:01.599> it<00:35:01.760> costs 00:35:02.230 --> 00:35:02.240 align:start position:0% and how much it costs how much it costs 00:35:02.240 --> 00:35:03.750 align:start position:0% and how much it costs how much it costs now<00:35:02.480> that<00:35:02.720> can<00:35:02.880> go<00:35:03.040> either<00:35:03.280> way<00:35:03.440> because<00:35:03.680> if 00:35:03.750 --> 00:35:03.760 align:start position:0% now that can go either way because if 00:35:03.760 --> 00:35:06.630 align:start position:0% now that can go either way because if you<00:35:03.920> say<00:35:04.400> humira<00:35:04.800> cost<00:35:05.040> 72<00:35:05.680> 000 00:35:06.630 --> 00:35:06.640 align:start position:0% you say humira cost 72 000 00:35:06.640 --> 00:35:08.069 align:start position:0% you say humira cost 72 000 and<00:35:06.800> it's<00:35:06.960> no<00:35:07.119> more<00:35:07.359> effective<00:35:07.839> as<00:35:08.000> a 00:35:08.069 --> 00:35:08.079 align:start position:0% and it's no more effective as a 00:35:08.079 --> 00:35:09.990 align:start position:0% and it's no more effective as a first-line<00:35:08.560> drug<00:35:08.800> than<00:35:08.960> methotrexate<00:35:09.839> which 00:35:09.990 --> 00:35:10.000 align:start position:0% first-line drug than methotrexate which 00:35:10.000 --> 00:35:12.230 align:start position:0% first-line drug than methotrexate which costs<00:35:10.560> 480 00:35:12.230 --> 00:35:12.240 align:start position:0% costs 480 00:35:12.240 --> 00:35:13.829 align:start position:0% costs 480 people<00:35:12.480> might<00:35:12.720> say<00:35:12.880> i<00:35:12.960> want<00:35:13.200> the<00:35:13.359> expensive 00:35:13.829 --> 00:35:13.839 align:start position:0% people might say i want the expensive 00:35:13.839 --> 00:35:14.870 align:start position:0% people might say i want the expensive drug 00:35:14.870 --> 00:35:14.880 align:start position:0% drug 00:35:14.880 --> 00:35:18.550 align:start position:0% drug because<00:35:15.040> i<00:35:15.200> can<00:35:15.280> get<00:35:15.440> it<00:35:15.520> for<00:35:15.680> 25<00:35:16.400> copay<00:35:17.200> um<00:35:17.680> so 00:35:18.550 --> 00:35:18.560 align:start position:0% because i can get it for 25 copay um so 00:35:18.560 --> 00:35:20.390 align:start position:0% because i can get it for 25 copay um so you'd<00:35:18.800> have<00:35:18.960> to<00:35:19.359> uh 00:35:20.390 --> 00:35:20.400 align:start position:0% you'd have to uh 00:35:20.400 --> 00:35:22.150 align:start position:0% you'd have to uh temper<00:35:20.720> that<00:35:20.960> a<00:35:21.040> little<00:35:21.280> bit<00:35:21.520> oh<00:35:21.680> you<00:35:21.839> mean 00:35:22.150 --> 00:35:22.160 align:start position:0% temper that a little bit oh you mean 00:35:22.160 --> 00:35:24.230 align:start position:0% temper that a little bit oh you mean people<00:35:22.560> are<00:35:22.800> so 00:35:24.230 --> 00:35:24.240 align:start position:0% people are so 00:35:24.240 --> 00:35:26.390 align:start position:0% people are so they<00:35:24.400> don't<00:35:24.720> care<00:35:25.440> they<00:35:25.599> don't<00:35:25.680> care<00:35:26.160> their 00:35:26.390 --> 00:35:26.400 align:start position:0% they don't care they don't care their 00:35:26.400 --> 00:35:28.150 align:start position:0% they don't care they don't care their insurance<00:35:26.800> is<00:35:26.960> going<00:35:27.040> to<00:35:27.119> cover<00:35:27.440> it<00:35:27.520> and 00:35:28.150 --> 00:35:28.160 align:start position:0% insurance is going to cover it and 00:35:28.160 --> 00:35:30.550 align:start position:0% insurance is going to cover it and it's<00:35:28.320> a<00:35:28.400> 25<00:35:29.040> copay<00:35:29.359> but<00:35:29.760> we<00:35:29.920> could<00:35:30.079> figure<00:35:30.400> out 00:35:30.550 --> 00:35:30.560 align:start position:0% it's a 25 copay but we could figure out 00:35:30.560 --> 00:35:32.630 align:start position:0% it's a 25 copay but we could figure out how<00:35:30.720> to<00:35:30.800> deal<00:35:30.960> with<00:35:31.119> that<00:35:31.520> the<00:35:31.760> the<00:35:31.920> main<00:35:32.240> point 00:35:32.630 --> 00:35:32.640 align:start position:0% how to deal with that the the main point 00:35:32.640 --> 00:35:34.470 align:start position:0% how to deal with that the the main point is<00:35:33.280> that 00:35:34.470 --> 00:35:34.480 align:start position:0% is that 00:35:34.480 --> 00:35:36.310 align:start position:0% is that if<00:35:34.640> we<00:35:34.800> assume<00:35:35.119> that<00:35:35.359> advertisements<00:35:36.160> are 00:35:36.310 --> 00:35:36.320 align:start position:0% if we assume that advertisements are 00:35:36.320 --> 00:35:37.990 align:start position:0% if we assume that advertisements are going<00:35:36.400> to<00:35:36.480> keep<00:35:36.640> going<00:35:36.960> and<00:35:37.040> they<00:35:37.280> are 00:35:37.990 --> 00:35:38.000 align:start position:0% going to keep going and they are 00:35:38.000 --> 00:35:38.790 align:start position:0% going to keep going and they are um 00:35:38.790 --> 00:35:38.800 align:start position:0% um 00:35:38.800 --> 00:35:41.670 align:start position:0% um we<00:35:39.040> could 00:35:41.670 --> 00:35:41.680 align:start position:0% 00:35:41.680 --> 00:35:42.870 align:start position:0% require 00:35:42.870 --> 00:35:42.880 align:start position:0% require 00:35:42.880 --> 00:35:45.829 align:start position:0% require that<00:35:43.040> there<00:35:43.280> be<00:35:43.599> outside<00:35:44.160> evaluation<00:35:45.359> of<00:35:45.599> the 00:35:45.829 --> 00:35:45.839 align:start position:0% that there be outside evaluation of the 00:35:45.839 --> 00:35:48.790 align:start position:0% that there be outside evaluation of the message<00:35:46.400> that<00:35:46.800> reasonable<00:35:47.599> unbiased<00:35:48.320> viewers 00:35:48.790 --> 00:35:48.800 align:start position:0% message that reasonable unbiased viewers 00:35:48.800 --> 00:35:50.870 align:start position:0% message that reasonable unbiased viewers take<00:35:49.119> away<00:35:49.440> from<00:35:49.680> the<00:35:49.839> ads 00:35:50.870 --> 00:35:50.880 align:start position:0% take away from the ads 00:35:50.880 --> 00:35:53.270 align:start position:0% take away from the ads and<00:35:51.119> the<00:35:51.359> ads<00:35:51.760> would<00:35:52.000> have<00:35:52.240> to<00:35:52.480> tell<00:35:52.720> the<00:35:52.880> truth 00:35:53.270 --> 00:35:53.280 align:start position:0% and the ads would have to tell the truth 00:35:53.280 --> 00:35:55.670 align:start position:0% and the ads would have to tell the truth about<00:35:53.520> the<00:35:53.599> drug 00:35:55.670 --> 00:35:55.680 align:start position:0% about the drug 00:35:55.680 --> 00:35:59.670 align:start position:0% about the drug and<00:35:56.240> the<00:35:56.560> the<00:35:56.839> truth<00:35:58.240> should<00:35:58.400> have<00:35:59.040> like<00:35:59.359> sub 00:35:59.670 --> 00:35:59.680 align:start position:0% and the the truth should have like sub 00:35:59.680 --> 00:36:02.150 align:start position:0% and the the truth should have like sub truth<00:36:00.079> guard<00:36:00.400> rails<00:36:01.040> meaning<00:36:01.359> like<00:36:01.599> the<00:36:01.760> cost 00:36:02.150 --> 00:36:02.160 align:start position:0% truth guard rails meaning like the cost 00:36:02.160 --> 00:36:03.589 align:start position:0% truth guard rails meaning like the cost that<00:36:02.320> we<00:36:02.480> talked<00:36:02.720> about 00:36:03.589 --> 00:36:03.599 align:start position:0% that we talked about 00:36:03.599 --> 00:36:06.230 align:start position:0% that we talked about the<00:36:04.079> effects<00:36:04.480> compared<00:36:05.200> to<00:36:05.760> things<00:36:06.000> that 00:36:06.230 --> 00:36:06.240 align:start position:0% the effects compared to things that 00:36:06.240 --> 00:36:08.950 align:start position:0% the effects compared to things that actually<00:36:06.720> you<00:36:06.800> know<00:36:06.960> lifestyle<00:36:07.520> changes 00:36:08.950 --> 00:36:08.960 align:start position:0% actually you know lifestyle changes 00:36:08.960 --> 00:36:10.310 align:start position:0% actually you know lifestyle changes um 00:36:10.310 --> 00:36:10.320 align:start position:0% um 00:36:10.320 --> 00:36:13.190 align:start position:0% um just<00:36:10.720> these<00:36:11.280> details<00:36:11.760> very<00:36:12.079> strict 00:36:13.190 --> 00:36:13.200 align:start position:0% just these details very strict 00:36:13.200 --> 00:36:14.790 align:start position:0% just these details very strict guardrails<00:36:13.839> of<00:36:13.920> what<00:36:14.160> actually<00:36:14.400> has<00:36:14.560> to<00:36:14.640> be 00:36:14.790 --> 00:36:14.800 align:start position:0% guardrails of what actually has to be 00:36:14.800 --> 00:36:16.470 align:start position:0% guardrails of what actually has to be specified 00:36:16.470 --> 00:36:16.480 align:start position:0% specified 00:36:16.480 --> 00:36:19.270 align:start position:0% specified and<00:36:16.880> i<00:36:17.119> would<00:36:17.520> make<00:36:17.680> it<00:36:17.839> against<00:36:18.160> the<00:36:18.320> law 00:36:19.270 --> 00:36:19.280 align:start position:0% and i would make it against the law 00:36:19.280 --> 00:36:21.349 align:start position:0% and i would make it against the law to<00:36:19.359> have<00:36:19.680> family<00:36:20.079> picnics<00:36:20.480> or<00:36:20.640> dogs<00:36:20.960> catching 00:36:21.349 --> 00:36:21.359 align:start position:0% to have family picnics or dogs catching 00:36:21.359 --> 00:36:24.829 align:start position:0% to have family picnics or dogs catching frisbees<00:36:22.000> in<00:36:22.079> the<00:36:22.240> ads 00:36:24.829 --> 00:36:24.839 align:start position:0% 00:36:24.839 --> 00:36:29.589 align:start position:0% so<00:36:26.079> you<00:36:26.240> mean<00:36:26.480> 95<00:36:27.520> of<00:36:27.680> the<00:36:27.839> ads<00:36:28.079> yes 00:36:29.589 --> 00:36:29.599 align:start position:0% so you mean 95 of the ads yes 00:36:29.599 --> 00:36:32.069 align:start position:0% so you mean 95 of the ads yes um<00:36:30.480> i<00:36:30.560> mean<00:36:30.720> there's<00:36:30.960> something<00:36:31.440> dark<00:36:31.760> and 00:36:32.069 --> 00:36:32.079 align:start position:0% um i mean there's something dark and 00:36:32.079 --> 00:36:33.910 align:start position:0% um i mean there's something dark and authentic<00:36:32.560> about<00:36:32.720> those<00:36:32.960> advertisements<00:36:33.760> but 00:36:33.910 --> 00:36:33.920 align:start position:0% authentic about those advertisements but 00:36:33.920 --> 00:36:35.510 align:start position:0% authentic about those advertisements but they<00:36:34.079> see<00:36:34.400> i<00:36:34.560> mean<00:36:34.720> i'm<00:36:34.880> sure<00:36:35.040> they're<00:36:35.280> being 00:36:35.510 --> 00:36:35.520 align:start position:0% they see i mean i'm sure they're being 00:36:35.520 --> 00:36:37.829 align:start position:0% they see i mean i'm sure they're being done<00:36:36.160> because<00:36:36.320> they<00:36:36.560> work<00:36:37.119> for<00:36:37.280> the<00:36:37.440> target 00:36:37.829 --> 00:36:37.839 align:start position:0% done because they work for the target 00:36:37.839 --> 00:36:43.430 align:start position:0% done because they work for the target audience 00:36:43.430 --> 00:36:43.440 align:start position:0% 00:36:43.440 --> 00:36:45.990 align:start position:0% and<00:36:43.599> then<00:36:43.760> the<00:36:43.920> doctors<00:36:44.560> too 00:36:45.990 --> 00:36:46.000 align:start position:0% and then the doctors too 00:36:46.000 --> 00:36:48.710 align:start position:0% and then the doctors too can<00:36:46.160> you<00:36:46.320> really<00:36:46.640> buy<00:36:46.880> a<00:36:47.040> doctor's<00:36:47.440> opinion 00:36:48.710 --> 00:36:48.720 align:start position:0% can you really buy a doctor's opinion 00:36:48.720 --> 00:36:50.310 align:start position:0% can you really buy a doctor's opinion why<00:36:48.960> does<00:36:49.200> it<00:36:49.280> have<00:36:49.520> such<00:36:49.760> an<00:36:49.839> effect<00:36:50.160> on 00:36:50.310 --> 00:36:50.320 align:start position:0% why does it have such an effect on 00:36:50.320 --> 00:36:52.230 align:start position:0% why does it have such an effect on doctors 00:36:52.230 --> 00:36:52.240 align:start position:0% doctors 00:36:52.240 --> 00:36:54.630 align:start position:0% doctors advertisement<00:36:52.880> to<00:36:52.960> doctors<00:36:53.440> like<00:36:54.160> you<00:36:54.400> as<00:36:54.560> a 00:36:54.630 --> 00:36:54.640 align:start position:0% advertisement to doctors like you as a 00:36:54.640 --> 00:36:56.630 align:start position:0% advertisement to doctors like you as a physician<00:36:55.359> again<00:36:55.680> like<00:36:55.920> from<00:36:56.240> everything 00:36:56.630 --> 00:36:56.640 align:start position:0% physician again like from everything 00:36:56.640 --> 00:36:59.190 align:start position:0% physician again like from everything i've<00:36:56.880> seen<00:36:57.440> people<00:36:57.760> love<00:36:58.000> you 00:36:59.190 --> 00:36:59.200 align:start position:0% i've seen people love you 00:36:59.200 --> 00:37:01.349 align:start position:0% i've seen people love you and<00:36:59.359> i<00:36:59.599> of<00:36:59.920> uh<00:37:00.240> just 00:37:01.349 --> 00:37:01.359 align:start position:0% and i of uh just 00:37:01.359 --> 00:37:03.430 align:start position:0% and i of uh just um<00:37:01.680> people<00:37:02.000> should<00:37:02.240> uh<00:37:02.720> definitely<00:37:03.040> look<00:37:03.200> you 00:37:03.430 --> 00:37:03.440 align:start position:0% um people should uh definitely look you 00:37:03.440 --> 00:37:04.710 align:start position:0% um people should uh definitely look you up<00:37:03.599> from 00:37:04.710 --> 00:37:04.720 align:start position:0% up from 00:37:04.720 --> 00:37:06.310 align:start position:0% up from there's<00:37:04.960> a<00:37:05.040> bunch<00:37:05.280> of<00:37:05.359> videos<00:37:05.680> of<00:37:05.839> you<00:37:06.000> giving 00:37:06.310 --> 00:37:06.320 align:start position:0% there's a bunch of videos of you giving 00:37:06.320 --> 00:37:11.829 align:start position:0% there's a bunch of videos of you giving talks<00:37:07.040> on<00:37:08.240> youtube<00:37:09.200> and<00:37:09.359> it's<00:37:09.599> just 00:37:11.829 --> 00:37:11.839 align:start position:0% 00:37:11.839 --> 00:37:14.870 align:start position:0% just<00:37:12.160> the<00:37:12.640> it's<00:37:12.880> so<00:37:13.040> refreshing<00:37:13.920> to<00:37:14.160> hear<00:37:14.640> just 00:37:14.870 --> 00:37:14.880 align:start position:0% just the it's so refreshing to hear just 00:37:14.880 --> 00:37:17.349 align:start position:0% just the it's so refreshing to hear just a<00:37:14.960> clarity<00:37:15.520> of<00:37:15.680> thought<00:37:16.240> about<00:37:16.640> health<00:37:16.960> policy 00:37:17.349 --> 00:37:17.359 align:start position:0% a clarity of thought about health policy 00:37:17.359 --> 00:37:18.630 align:start position:0% a clarity of thought about health policy about<00:37:17.599> health<00:37:17.839> care 00:37:18.630 --> 00:37:18.640 align:start position:0% about health care 00:37:18.640 --> 00:37:20.069 align:start position:0% about health care just<00:37:18.880> the<00:37:18.960> way<00:37:19.119> you<00:37:19.280> think<00:37:19.599> throughout<00:37:19.920> the 00:37:20.069 --> 00:37:20.079 align:start position:0% just the way you think throughout the 00:37:20.079 --> 00:37:21.349 align:start position:0% just the way you think throughout the years<00:37:20.480> thank<00:37:20.640> you 00:37:21.349 --> 00:37:21.359 align:start position:0% years thank you 00:37:21.359 --> 00:37:23.510 align:start position:0% years thank you so<00:37:21.599> like<00:37:21.839> it's<00:37:22.079> easy<00:37:22.320> to<00:37:22.480> think<00:37:22.720> about<00:37:23.040> like 00:37:23.510 --> 00:37:23.520 align:start position:0% so like it's easy to think about like 00:37:23.520 --> 00:37:25.270 align:start position:0% so like it's easy to think about like maybe<00:37:23.839> you're<00:37:24.000> criticizing<00:37:24.640> big<00:37:24.880> pharma 00:37:25.270 --> 00:37:25.280 align:start position:0% maybe you're criticizing big pharma 00:37:25.280 --> 00:37:27.670 align:start position:0% maybe you're criticizing big pharma that's<00:37:25.520> part<00:37:25.760> of<00:37:25.920> one<00:37:26.160> part<00:37:26.400> of<00:37:26.480> the<00:37:26.640> message 00:37:27.670 --> 00:37:27.680 align:start position:0% that's part of one part of the message 00:37:27.680 --> 00:37:29.510 align:start position:0% that's part of one part of the message that<00:37:27.920> you're<00:37:28.079> talking<00:37:28.480> about<00:37:28.720> but 00:37:29.510 --> 00:37:29.520 align:start position:0% that you're talking about but 00:37:29.520 --> 00:37:31.349 align:start position:0% that you're talking about but you<00:37:29.680> know<00:37:29.839> that's<00:37:30.160> not<00:37:30.640> like 00:37:31.349 --> 00:37:31.359 align:start position:0% you know that's not like 00:37:31.359 --> 00:37:33.270 align:start position:0% you know that's not like your<00:37:31.599> brilliance<00:37:32.160> actually<00:37:32.480> shines<00:37:32.960> in<00:37:33.119> in 00:37:33.270 --> 00:37:33.280 align:start position:0% your brilliance actually shines in in 00:37:33.280 --> 00:37:35.109 align:start position:0% your brilliance actually shines in in the<00:37:33.440> positive<00:37:33.920> in<00:37:34.000> the<00:37:34.079> solutions<00:37:34.640> and<00:37:34.800> how<00:37:34.960> to 00:37:35.109 --> 00:37:35.119 align:start position:0% the positive in the solutions and how to 00:37:35.119 --> 00:37:36.550 align:start position:0% the positive in the solutions and how to do<00:37:35.280> it<00:37:35.359> so 00:37:36.550 --> 00:37:36.560 align:start position:0% do it so 00:37:36.560 --> 00:37:38.790 align:start position:0% do it so as<00:37:36.880> a<00:37:36.960> doctor 00:37:38.790 --> 00:37:38.800 align:start position:0% as a doctor 00:37:38.800 --> 00:37:41.349 align:start position:0% as a doctor what<00:37:39.200> affects<00:37:39.520> your<00:37:39.760> mind<00:37:40.480> yeah<00:37:40.800> and<00:37:40.960> how<00:37:41.119> does 00:37:41.349 --> 00:37:41.359 align:start position:0% what affects your mind yeah and how does 00:37:41.359 --> 00:37:43.109 align:start position:0% what affects your mind yeah and how does big<00:37:41.520> pharma<00:37:41.920> affect<00:37:42.160> your<00:37:42.320> mind 00:37:43.109 --> 00:37:43.119 align:start position:0% big pharma affect your mind 00:37:43.119 --> 00:37:44.710 align:start position:0% big pharma affect your mind number<00:37:43.440> one 00:37:44.710 --> 00:37:44.720 align:start position:0% number one 00:37:44.720 --> 00:37:46.470 align:start position:0% number one the<00:37:44.880> information<00:37:45.440> that<00:37:45.599> comes<00:37:45.920> through 00:37:46.470 --> 00:37:46.480 align:start position:0% the information that comes through 00:37:46.480 --> 00:37:48.230 align:start position:0% the information that comes through legitimate<00:37:47.119> sources 00:37:48.230 --> 00:37:48.240 align:start position:0% legitimate sources 00:37:48.240 --> 00:37:51.030 align:start position:0% legitimate sources that<00:37:48.640> doctors<00:37:49.040> have<00:37:49.200> been<00:37:49.440> taught<00:37:50.240> to<00:37:50.400> rely<00:37:50.800> on 00:37:51.030 --> 00:37:51.040 align:start position:0% that doctors have been taught to rely on 00:37:51.040 --> 00:37:53.589 align:start position:0% that doctors have been taught to rely on evidence-based<00:37:51.760> medicine<00:37:52.480> the<00:37:52.720> articles<00:37:53.359> in 00:37:53.589 --> 00:37:53.599 align:start position:0% evidence-based medicine the articles in 00:37:53.599 --> 00:37:55.349 align:start position:0% evidence-based medicine the articles in peer-reviewed<00:37:54.240> journals 00:37:55.349 --> 00:37:55.359 align:start position:0% peer-reviewed journals 00:37:55.359 --> 00:37:57.670 align:start position:0% peer-reviewed journals the<00:37:55.520> guidelines<00:37:56.079> that<00:37:56.320> are<00:37:56.480> issued<00:37:56.960> now<00:37:57.440> those 00:37:57.670 --> 00:37:57.680 align:start position:0% the guidelines that are issued now those 00:37:57.680 --> 00:37:59.190 align:start position:0% the guidelines that are issued now those are<00:37:57.760> problematic 00:37:59.190 --> 00:37:59.200 align:start position:0% are problematic 00:37:59.200 --> 00:38:01.109 align:start position:0% are problematic because 00:38:01.109 --> 00:38:01.119 align:start position:0% because 00:38:01.119 --> 00:38:03.270 align:start position:0% because when<00:38:01.359> an<00:38:01.599> article<00:38:01.920> is<00:38:02.079> peer-reviewed<00:38:03.119> and 00:38:03.270 --> 00:38:03.280 align:start position:0% when an article is peer-reviewed and 00:38:03.280 --> 00:38:06.310 align:start position:0% when an article is peer-reviewed and published<00:38:03.680> in<00:38:03.760> a<00:38:03.920> respected<00:38:04.400> journal 00:38:06.310 --> 00:38:06.320 align:start position:0% published in a respected journal 00:38:06.320 --> 00:38:07.270 align:start position:0% published in a respected journal people 00:38:07.270 --> 00:38:07.280 align:start position:0% people 00:38:07.280 --> 00:38:08.550 align:start position:0% people and<00:38:07.440> doctors 00:38:08.550 --> 00:38:08.560 align:start position:0% and doctors 00:38:08.560 --> 00:38:10.310 align:start position:0% and doctors obviously<00:38:09.200> assume 00:38:10.310 --> 00:38:10.320 align:start position:0% obviously assume 00:38:10.320 --> 00:38:11.829 align:start position:0% obviously assume that 00:38:11.829 --> 00:38:11.839 align:start position:0% that 00:38:11.839 --> 00:38:14.230 align:start position:0% that the<00:38:12.000> peer<00:38:12.240> reviewers<00:38:12.880> have<00:38:13.119> anal<00:38:13.760> have<00:38:14.000> had 00:38:14.230 --> 00:38:14.240 align:start position:0% the peer reviewers have anal have had 00:38:14.240 --> 00:38:16.069 align:start position:0% the peer reviewers have anal have had access<00:38:14.640> to<00:38:14.800> the<00:38:14.960> data<00:38:15.680> and<00:38:15.839> they've 00:38:16.069 --> 00:38:16.079 align:start position:0% access to the data and they've 00:38:16.079 --> 00:38:18.390 align:start position:0% access to the data and they've independently<00:38:16.720> analyzed<00:38:17.200> the<00:38:17.359> data 00:38:18.390 --> 00:38:18.400 align:start position:0% independently analyzed the data 00:38:18.400 --> 00:38:20.950 align:start position:0% independently analyzed the data and<00:38:18.640> they<00:38:19.040> corroborate<00:38:19.839> the<00:38:20.079> findings<00:38:20.800> in<00:38:20.880> the 00:38:20.950 --> 00:38:20.960 align:start position:0% and they corroborate the findings in the 00:38:20.960 --> 00:38:24.310 align:start position:0% and they corroborate the findings in the manuscript<00:38:21.839> that<00:38:22.000> was<00:38:22.240> submitted<00:38:23.119> or<00:38:23.599> they 00:38:24.310 --> 00:38:24.320 align:start position:0% manuscript that was submitted or they 00:38:24.320 --> 00:38:26.150 align:start position:0% manuscript that was submitted or they give<00:38:24.480> feedback<00:38:24.960> to<00:38:25.040> the<00:38:25.200> authors<00:38:25.680> and<00:38:25.760> say<00:38:26.000> we 00:38:26.150 --> 00:38:26.160 align:start position:0% give feedback to the authors and say we 00:38:26.160 --> 00:38:28.230 align:start position:0% give feedback to the authors and say we disagree<00:38:26.640> with<00:38:26.800> you<00:38:27.359> on<00:38:27.520> this<00:38:27.839> point<00:38:28.160> and 00:38:28.230 --> 00:38:28.240 align:start position:0% disagree with you on this point and 00:38:28.240 --> 00:38:31.030 align:start position:0% disagree with you on this point and would<00:38:28.480> you<00:38:28.640> please<00:38:29.440> check<00:38:29.760> our<00:38:29.920> analysis<00:38:30.720> and 00:38:31.030 --> 00:38:31.040 align:start position:0% would you please check our analysis and 00:38:31.040 --> 00:38:32.790 align:start position:0% would you please check our analysis and if<00:38:31.200> you<00:38:31.280> agree<00:38:31.520> with<00:38:31.680> us<00:38:31.839> making<00:38:32.400> that's<00:38:32.640> what 00:38:32.790 --> 00:38:32.800 align:start position:0% if you agree with us making that's what 00:38:32.800 --> 00:38:35.510 align:start position:0% if you agree with us making that's what they<00:38:33.040> assume<00:38:33.520> the<00:38:33.680> peer<00:38:33.920> review<00:38:34.400> process<00:38:34.880> is 00:38:35.510 --> 00:38:35.520 align:start position:0% they assume the peer review process is 00:38:35.520 --> 00:38:36.790 align:start position:0% they assume the peer review process is but<00:38:35.680> it's<00:38:35.920> not 00:38:36.790 --> 00:38:36.800 align:start position:0% but it's not 00:38:36.800 --> 00:38:39.109 align:start position:0% but it's not the<00:38:36.960> peer<00:38:37.200> reviewers<00:38:37.680> don't<00:38:37.839> have<00:38:38.000> the<00:38:38.160> data 00:38:39.109 --> 00:38:39.119 align:start position:0% the peer reviewers don't have the data 00:38:39.119 --> 00:38:41.750 align:start position:0% the peer reviewers don't have the data the<00:38:39.359> peer<00:38:39.520> reviewers<00:38:40.160> have<00:38:40.320> the<00:38:40.560> manuscript 00:38:41.750 --> 00:38:41.760 align:start position:0% the peer reviewers have the manuscript 00:38:41.760 --> 00:38:43.430 align:start position:0% the peer reviewers have the manuscript that's<00:38:42.000> been<00:38:42.240> submitted 00:38:43.430 --> 00:38:43.440 align:start position:0% that's been submitted 00:38:43.440 --> 00:38:44.390 align:start position:0% that's been submitted by<00:38:43.680> the 00:38:44.390 --> 00:38:44.400 align:start position:0% by the 00:38:44.400 --> 00:38:47.349 align:start position:0% by the usually<00:38:45.040> in<00:38:45.200> conjunction<00:38:45.920> with<00:38:46.240> or<00:38:46.480> by<00:38:47.040> the 00:38:47.349 --> 00:38:47.359 align:start position:0% usually in conjunction with or by the 00:38:47.359 --> 00:38:48.310 align:start position:0% usually in conjunction with or by the drug 00:38:48.310 --> 00:38:48.320 align:start position:0% drug 00:38:48.320 --> 00:38:51.510 align:start position:0% drug company<00:38:49.280> that<00:38:49.440> manufactures<00:38:50.240> the<00:38:50.400> drug 00:38:51.510 --> 00:38:51.520 align:start position:0% company that manufactures the drug 00:38:51.520 --> 00:38:53.670 align:start position:0% company that manufactures the drug so<00:38:52.079> peer<00:38:52.400> reviewers 00:38:53.670 --> 00:38:53.680 align:start position:0% so peer reviewers 00:38:53.680 --> 00:38:54.470 align:start position:0% so peer reviewers are 00:38:54.470 --> 00:38:54.480 align:start position:0% are 00:38:54.480 --> 00:38:57.270 align:start position:0% are unable<00:38:55.280> to<00:38:55.520> perform<00:38:56.160> the<00:38:56.400> job 00:38:57.270 --> 00:38:57.280 align:start position:0% unable to perform the job 00:38:57.280 --> 00:38:59.670 align:start position:0% unable to perform the job that<00:38:57.520> doctors<00:38:58.000> think<00:38:58.240> they're<00:38:58.480> performing 00:38:59.670 --> 00:38:59.680 align:start position:0% that doctors think they're performing 00:38:59.680 --> 00:39:02.390 align:start position:0% that doctors think they're performing to<00:39:00.240> vet<00:39:00.560> the<00:39:00.800> data<00:39:01.359> to<00:39:01.520> assure<00:39:01.920> that<00:39:02.160> it's 00:39:02.390 --> 00:39:02.400 align:start position:0% to vet the data to assure that it's 00:39:02.400 --> 00:39:05.349 align:start position:0% to vet the data to assure that it's accurate<00:39:03.200> and<00:39:03.359> reasonably<00:39:03.920> complete 00:39:05.349 --> 00:39:05.359 align:start position:0% accurate and reasonably complete 00:39:05.359 --> 00:39:07.190 align:start position:0% accurate and reasonably complete they<00:39:05.520> can't<00:39:05.760> do<00:39:06.000> it 00:39:07.190 --> 00:39:07.200 align:start position:0% they can't do it 00:39:07.200 --> 00:39:08.870 align:start position:0% they can't do it and<00:39:07.359> then<00:39:07.520> we<00:39:07.680> have<00:39:07.839> the<00:39:08.079> clinical<00:39:08.480> practice 00:39:08.870 --> 00:39:08.880 align:start position:0% and then we have the clinical practice 00:39:08.880 --> 00:39:10.710 align:start position:0% and then we have the clinical practice guidelines<00:39:09.359> which<00:39:09.599> are<00:39:09.839> increasingly<00:39:10.480> more 00:39:10.710 --> 00:39:10.720 align:start position:0% guidelines which are increasingly more 00:39:10.720 --> 00:39:12.950 align:start position:0% guidelines which are increasingly more important<00:39:11.280> as 00:39:12.950 --> 00:39:12.960 align:start position:0% important as 00:39:12.960 --> 00:39:14.470 align:start position:0% important as the<00:39:13.200> information 00:39:14.470 --> 00:39:14.480 align:start position:0% the information 00:39:14.480 --> 00:39:17.270 align:start position:0% the information the<00:39:14.720> flow<00:39:15.040> of<00:39:15.200> information<00:39:15.839> keeps<00:39:16.160> getting 00:39:17.270 --> 00:39:17.280 align:start position:0% the flow of information keeps getting 00:39:17.280 --> 00:39:20.069 align:start position:0% the flow of information keeps getting brisker<00:39:17.839> and<00:39:17.920> brisker<00:39:18.800> and<00:39:18.960> docs<00:39:19.440> need<00:39:19.680> to<00:39:19.839> get 00:39:20.069 --> 00:39:20.079 align:start position:0% brisker and brisker and docs need to get 00:39:20.079 --> 00:39:22.390 align:start position:0% brisker and brisker and docs need to get to<00:39:20.240> the<00:39:20.400> bottom<00:39:20.800> line<00:39:21.119> quickly<00:39:21.920> clinical 00:39:22.390 --> 00:39:22.400 align:start position:0% to the bottom line quickly clinical 00:39:22.400 --> 00:39:24.390 align:start position:0% to the bottom line quickly clinical practice<00:39:22.800> guidelines<00:39:23.280> become<00:39:23.920> much<00:39:24.160> more 00:39:24.390 --> 00:39:24.400 align:start position:0% practice guidelines become much more 00:39:24.400 --> 00:39:25.670 align:start position:0% practice guidelines become much more important 00:39:25.670 --> 00:39:25.680 align:start position:0% important 00:39:25.680 --> 00:39:27.349 align:start position:0% important and<00:39:26.160> we<00:39:26.400> assume 00:39:27.349 --> 00:39:27.359 align:start position:0% and we assume 00:39:27.359 --> 00:39:29.349 align:start position:0% and we assume that<00:39:27.599> the<00:39:28.160> authors<00:39:28.720> of<00:39:28.800> those<00:39:28.960> clinical 00:39:29.349 --> 00:39:29.359 align:start position:0% that the authors of those clinical 00:39:29.359 --> 00:39:31.349 align:start position:0% that the authors of those clinical practice<00:39:29.760> guidelines<00:39:30.320> have<00:39:30.560> independently 00:39:31.349 --> 00:39:31.359 align:start position:0% practice guidelines have independently 00:39:31.359 --> 00:39:33.109 align:start position:0% practice guidelines have independently analyzed<00:39:31.920> the<00:39:32.000> data<00:39:32.240> from<00:39:32.400> the<00:39:32.800> clinical 00:39:33.109 --> 00:39:33.119 align:start position:0% analyzed the data from the clinical 00:39:33.119 --> 00:39:35.750 align:start position:0% analyzed the data from the clinical trials<00:39:34.000> and<00:39:34.160> make<00:39:34.560> their<00:39:34.880> recommendations 00:39:35.750 --> 00:39:35.760 align:start position:0% trials and make their recommendations 00:39:35.760 --> 00:39:37.910 align:start position:0% trials and make their recommendations that<00:39:36.000> set<00:39:36.240> the<00:39:36.400> standards<00:39:36.880> of<00:39:37.040> care<00:39:37.520> based<00:39:37.839> on 00:39:37.910 --> 00:39:37.920 align:start position:0% that set the standards of care based on 00:39:37.920 --> 00:39:40.790 align:start position:0% that set the standards of care based on their<00:39:38.160> analysis<00:39:39.040> that's<00:39:39.280> not<00:39:39.440> what<00:39:39.680> happens 00:39:40.790 --> 00:39:40.800 align:start position:0% their analysis that's not what happens 00:39:40.800 --> 00:39:41.589 align:start position:0% their analysis that's not what happens the 00:39:41.589 --> 00:39:41.599 align:start position:0% the 00:39:41.599 --> 00:39:44.150 align:start position:0% the experts<00:39:42.079> who<00:39:42.160> write<00:39:42.400> the<00:39:42.480> clinical<00:39:42.880> trials 00:39:44.150 --> 00:39:44.160 align:start position:0% experts who write the clinical trials 00:39:44.160 --> 00:39:45.670 align:start position:0% experts who write the clinical trials rely 00:39:45.670 --> 00:39:45.680 align:start position:0% rely 00:39:45.680 --> 00:39:47.349 align:start position:0% rely almost<00:39:46.079> entirely 00:39:47.349 --> 00:39:47.359 align:start position:0% almost entirely 00:39:47.359 --> 00:39:48.390 align:start position:0% almost entirely on<00:39:47.520> the 00:39:48.390 --> 00:39:48.400 align:start position:0% on the 00:39:48.400 --> 00:39:50.550 align:start position:0% on the publications<00:39:49.440> presenting<00:39:49.920> the<00:39:50.079> results<00:39:50.480> of 00:39:50.550 --> 00:39:50.560 align:start position:0% publications presenting the results of 00:39:50.560 --> 00:39:52.390 align:start position:0% publications presenting the results of the<00:39:50.640> clinical<00:39:51.040> trials<00:39:51.839> which<00:39:52.079> are<00:39:52.240> peer 00:39:52.390 --> 00:39:52.400 align:start position:0% the clinical trials which are peer 00:39:52.400 --> 00:39:54.230 align:start position:0% the clinical trials which are peer reviewed<00:39:52.880> but<00:39:53.040> the<00:39:53.119> peer<00:39:53.359> reviewers<00:39:53.839> haven't 00:39:54.230 --> 00:39:54.240 align:start position:0% reviewed but the peer reviewers haven't 00:39:54.240 --> 00:39:57.510 align:start position:0% reviewed but the peer reviewers haven't had<00:39:54.480> access<00:39:54.800> to<00:39:54.880> the<00:39:55.040> data<00:39:56.240> so<00:39:56.480> we've<00:39:56.720> got<00:39:57.280> a 00:39:57.510 --> 00:39:57.520 align:start position:0% had access to the data so we've got a 00:39:57.520 --> 00:40:01.030 align:start position:0% had access to the data so we've got a system<00:39:58.079> of<00:39:58.240> the<00:39:58.800> highest<00:39:59.280> level<00:39:59.520> of<00:39:59.680> evidence 00:40:01.030 --> 00:40:01.040 align:start position:0% system of the highest level of evidence 00:40:01.040 --> 00:40:03.030 align:start position:0% system of the highest level of evidence that<00:40:01.280> doctors<00:40:01.760> have<00:40:01.920> been<00:40:02.160> trained<00:40:02.640> over<00:40:02.880> and 00:40:03.030 --> 00:40:03.040 align:start position:0% that doctors have been trained over and 00:40:03.040 --> 00:40:05.190 align:start position:0% that doctors have been trained over and over<00:40:03.280> again<00:40:03.680> to<00:40:03.839> rely<00:40:04.319> on<00:40:04.640> to<00:40:04.800> practice 00:40:05.190 --> 00:40:05.200 align:start position:0% over again to rely on to practice 00:40:05.200 --> 00:40:06.870 align:start position:0% over again to rely on to practice evidence-based<00:40:05.839> medicine<00:40:06.319> to<00:40:06.480> be<00:40:06.640> good 00:40:06.870 --> 00:40:06.880 align:start position:0% evidence-based medicine to be good 00:40:06.880 --> 00:40:08.069 align:start position:0% evidence-based medicine to be good doctors 00:40:08.069 --> 00:40:08.079 align:start position:0% doctors 00:40:08.079 --> 00:40:11.270 align:start position:0% doctors that<00:40:08.560> has<00:40:08.880> not<00:40:09.119> been<00:40:09.680> verified<00:40:10.800> do<00:40:10.880> you<00:40:11.040> think 00:40:11.270 --> 00:40:11.280 align:start position:0% that has not been verified do you think 00:40:11.280 --> 00:40:13.510 align:start position:0% that has not been verified do you think that<00:40:11.520> data 00:40:13.510 --> 00:40:13.520 align:start position:0% that data 00:40:13.520 --> 00:40:16.950 align:start position:0% that data that's<00:40:13.839> coming<00:40:14.240> from<00:40:14.880> the<00:40:15.040> pharma<00:40:15.440> companies 00:40:16.950 --> 00:40:16.960 align:start position:0% that's coming from the pharma companies 00:40:16.960 --> 00:40:19.349 align:start position:0% that's coming from the pharma companies do<00:40:17.119> you<00:40:17.200> think<00:40:17.520> they're<00:40:17.920> uh 00:40:19.349 --> 00:40:19.359 align:start position:0% do you think they're uh 00:40:19.359 --> 00:40:21.270 align:start position:0% do you think they're uh what<00:40:19.599> level<00:40:19.839> of<00:40:20.000> manipulation<00:40:20.800> is<00:40:20.880> going<00:40:21.119> on 00:40:21.270 --> 00:40:21.280 align:start position:0% what level of manipulation is going on 00:40:21.280 --> 00:40:24.069 align:start position:0% what level of manipulation is going on with<00:40:21.440> that<00:40:21.680> data<00:40:22.480> is<00:40:22.640> it<00:40:22.720> the<00:40:22.960> at<00:40:23.119> the<00:40:23.280> study 00:40:24.069 --> 00:40:24.079 align:start position:0% with that data is it the at the study 00:40:24.079 --> 00:40:25.829 align:start position:0% with that data is it the at the study design<00:40:24.640> level 00:40:25.829 --> 00:40:25.839 align:start position:0% design level 00:40:25.839 --> 00:40:28.069 align:start position:0% design level is<00:40:26.000> it<00:40:26.160> that<00:40:26.400> literally<00:40:27.040> there's<00:40:27.359> some<00:40:27.599> data 00:40:28.069 --> 00:40:28.079 align:start position:0% is it that literally there's some data 00:40:28.079 --> 00:40:29.030 align:start position:0% is it that literally there's some data that<00:40:28.319> you 00:40:29.030 --> 00:40:29.040 align:start position:0% that you 00:40:29.040 --> 00:40:29.829 align:start position:0% that you just 00:40:29.829 --> 00:40:29.839 align:start position:0% just 00:40:29.839 --> 00:40:31.829 align:start position:0% just keep<00:40:30.240> off<00:40:30.960> you<00:40:31.119> know 00:40:31.829 --> 00:40:31.839 align:start position:0% keep off you know 00:40:31.839 --> 00:40:33.750 align:start position:0% keep off you know keep<00:40:32.079> out<00:40:32.240> of<00:40:32.400> the<00:40:32.560> charts 00:40:33.750 --> 00:40:33.760 align:start position:0% keep out of the charts 00:40:33.760 --> 00:40:35.109 align:start position:0% keep out of the charts keep<00:40:34.079> out<00:40:34.240> of<00:40:34.319> the 00:40:35.109 --> 00:40:35.119 align:start position:0% keep out of the 00:40:35.119 --> 00:40:37.430 align:start position:0% keep out of the the<00:40:35.599> aggregate<00:40:36.240> analysis<00:40:36.800> then<00:40:37.040> you<00:40:37.200> then 00:40:37.430 --> 00:40:37.440 align:start position:0% the aggregate analysis then you then 00:40:37.440 --> 00:40:38.470 align:start position:0% the aggregate analysis then you then publish 00:40:38.470 --> 00:40:38.480 align:start position:0% publish 00:40:38.480 --> 00:40:39.910 align:start position:0% publish or 00:40:39.910 --> 00:40:39.920 align:start position:0% or 00:40:39.920 --> 00:40:42.630 align:start position:0% or is<00:40:40.079> it<00:40:40.480> the<00:40:40.640> worst<00:40:40.960> case<00:40:41.280> which<00:40:41.520> is 00:40:42.630 --> 00:40:42.640 align:start position:0% is it the worst case which is 00:40:42.640 --> 00:40:44.550 align:start position:0% is it the worst case which is just<00:40:42.960> change<00:40:43.200> some<00:40:43.359> of<00:40:43.520> the<00:40:43.599> numbers 00:40:44.550 --> 00:40:44.560 align:start position:0% just change some of the numbers 00:40:44.560 --> 00:40:46.630 align:start position:0% just change some of the numbers it<00:40:44.720> happened<00:40:45.200> all<00:40:45.359> three<00:40:45.680> happen<00:40:46.079> i<00:40:46.240> can't<00:40:46.560> i 00:40:46.630 --> 00:40:46.640 align:start position:0% it happened all three happen i can't i 00:40:46.640 --> 00:40:48.710 align:start position:0% it happened all three happen i can't i don't<00:40:46.800> know<00:40:46.880> what<00:40:46.960> the<00:40:47.119> denominator<00:40:47.760> is<00:40:48.400> but<00:40:48.560> i 00:40:48.710 --> 00:40:48.720 align:start position:0% don't know what the denominator is but i 00:40:48.720 --> 00:40:49.750 align:start position:0% don't know what the denominator is but i spent<00:40:48.960> about 00:40:49.750 --> 00:40:49.760 align:start position:0% spent about 00:40:49.760 --> 00:40:51.589 align:start position:0% spent about 10<00:40:50.000> years<00:40:50.240> in<00:40:50.400> litigation 00:40:51.589 --> 00:40:51.599 align:start position:0% 10 years in litigation 00:40:51.599 --> 00:40:54.790 align:start position:0% 10 years in litigation and<00:40:52.079> for<00:40:52.400> example<00:40:53.200> in<00:40:53.359> vioxx 00:40:54.790 --> 00:40:54.800 align:start position:0% and for example in vioxx 00:40:54.800 --> 00:40:56.470 align:start position:0% and for example in vioxx which<00:40:55.040> was<00:40:55.200> withdrawn<00:40:55.760> from<00:40:55.920> the<00:40:56.000> market<00:40:56.319> in 00:40:56.470 --> 00:40:56.480 align:start position:0% which was withdrawn from the market in 00:40:56.480 --> 00:40:59.910 align:start position:0% which was withdrawn from the market in 2004<00:40:57.280> in<00:40:57.440> the<00:40:57.839> biggest<00:40:58.480> drug<00:40:58.720> recall<00:40:59.520> in 00:40:59.910 --> 00:40:59.920 align:start position:0% 2004 in the biggest drug recall in 00:40:59.920 --> 00:41:02.150 align:start position:0% 2004 in the biggest drug recall in american<00:41:00.400> history 00:41:02.150 --> 00:41:02.160 align:start position:0% american history 00:41:02.160 --> 00:41:04.630 align:start position:0% american history the<00:41:02.400> problem<00:41:02.800> was<00:41:03.520> that 00:41:04.630 --> 00:41:04.640 align:start position:0% the problem was that 00:41:04.640 --> 00:41:07.430 align:start position:0% the problem was that it<00:41:04.800> got<00:41:04.960> recalled<00:41:06.000> when<00:41:06.240> a<00:41:06.400> study<00:41:06.880> that<00:41:07.119> merck 00:41:07.430 --> 00:41:07.440 align:start position:0% it got recalled when a study that merck 00:41:07.440 --> 00:41:10.069 align:start position:0% it got recalled when a study that merck sponsored<00:41:08.560> showed<00:41:08.960> that<00:41:09.119> vioxx<00:41:09.599> doubled<00:41:09.920> the 00:41:10.069 --> 00:41:10.079 align:start position:0% sponsored showed that vioxx doubled the 00:41:10.079 --> 00:41:11.829 align:start position:0% sponsored showed that vioxx doubled the risk<00:41:10.560> more<00:41:10.720> than<00:41:10.880> double<00:41:11.119> the<00:41:11.280> risk<00:41:11.520> of<00:41:11.599> heart 00:41:11.829 --> 00:41:11.839 align:start position:0% risk more than double the risk of heart 00:41:11.839 --> 00:41:14.230 align:start position:0% risk more than double the risk of heart attacks<00:41:12.720> strokes 00:41:14.230 --> 00:41:14.240 align:start position:0% attacks strokes 00:41:14.240 --> 00:41:16.790 align:start position:0% attacks strokes and<00:41:14.480> blood<00:41:14.800> clots<00:41:15.280> serious<00:41:15.680> blood<00:41:15.920> clots<00:41:16.640> it 00:41:16.790 --> 00:41:16.800 align:start position:0% and blood clots serious blood clots it 00:41:16.800 --> 00:41:18.950 align:start position:0% and blood clots serious blood clots it got<00:41:17.040> pulled<00:41:17.280> then<00:41:18.000> but<00:41:18.160> there<00:41:18.319> was<00:41:18.480> a<00:41:18.640> study 00:41:18.950 --> 00:41:18.960 align:start position:0% got pulled then but there was a study 00:41:18.960 --> 00:41:21.430 align:start position:0% got pulled then but there was a study that<00:41:19.200> a<00:41:19.520> bigger<00:41:19.920> study<00:41:20.640> that<00:41:20.800> had<00:41:21.040> been 00:41:21.430 --> 00:41:21.440 align:start position:0% that a bigger study that had been 00:41:21.440 --> 00:41:23.190 align:start position:0% that a bigger study that had been published<00:41:21.839> in<00:41:22.000> 2000<00:41:22.640> in<00:41:22.720> the<00:41:22.800> new<00:41:22.960> england 00:41:23.190 --> 00:41:23.200 align:start position:0% published in 2000 in the new england 00:41:23.200 --> 00:41:24.630 align:start position:0% published in 2000 in the new england journal<00:41:23.520> of<00:41:23.599> medicine 00:41:24.630 --> 00:41:24.640 align:start position:0% journal of medicine 00:41:24.640 --> 00:41:28.710 align:start position:0% journal of medicine that<00:41:24.960> showed<00:41:25.280> that<00:41:25.520> vioxx<00:41:26.319> was<00:41:26.640> a<00:41:26.960> better<00:41:27.440> drug 00:41:28.710 --> 00:41:28.720 align:start position:0% that showed that vioxx was a better drug 00:41:28.720 --> 00:41:29.589 align:start position:0% that showed that vioxx was a better drug for 00:41:29.589 --> 00:41:29.599 align:start position:0% for 00:41:29.599 --> 00:41:32.870 align:start position:0% for um<00:41:30.319> arthritis<00:41:31.200> and<00:41:31.440> pain 00:41:32.870 --> 00:41:32.880 align:start position:0% um arthritis and pain 00:41:32.880 --> 00:41:34.309 align:start position:0% um arthritis and pain not<00:41:33.040> because<00:41:33.280> it<00:41:33.440> was<00:41:33.520> more<00:41:33.760> effective<00:41:34.160> it's 00:41:34.309 --> 00:41:34.319 align:start position:0% not because it was more effective it's 00:41:34.319 --> 00:41:37.349 align:start position:0% not because it was more effective it's no<00:41:34.480> more<00:41:34.640> effective<00:41:35.040> than<00:41:35.280> aleve<00:41:35.599> or<00:41:35.760> advil 00:41:37.349 --> 00:41:37.359 align:start position:0% no more effective than aleve or advil 00:41:37.359 --> 00:41:41.270 align:start position:0% no more effective than aleve or advil but<00:41:37.599> because<00:41:38.560> it<00:41:38.960> was<00:41:39.359> less<00:41:39.680> likely<00:41:40.160> to<00:41:40.319> cause 00:41:41.270 --> 00:41:41.280 align:start position:0% but because it was less likely to cause 00:41:41.280 --> 00:41:43.670 align:start position:0% but because it was less likely to cause serious<00:41:41.920> gi<00:41:42.319> complications<00:41:43.119> bleeds<00:41:43.520> and 00:41:43.670 --> 00:41:43.680 align:start position:0% serious gi complications bleeds and 00:41:43.680 --> 00:41:46.150 align:start position:0% serious gi complications bleeds and perforations<00:41:44.400> in<00:41:44.480> the<00:41:44.640> gut 00:41:46.150 --> 00:41:46.160 align:start position:0% perforations in the gut 00:41:46.160 --> 00:41:48.069 align:start position:0% perforations in the gut now<00:41:46.480> in<00:41:46.720> that<00:41:46.960> study<00:41:47.359> that<00:41:47.520> was<00:41:47.680> published<00:41:48.000> in 00:41:48.069 --> 00:41:48.079 align:start position:0% now in that study that was published in 00:41:48.079 --> 00:41:49.589 align:start position:0% now in that study that was published in the<00:41:48.160> new<00:41:48.240> england<00:41:48.560> journal 00:41:49.589 --> 00:41:49.599 align:start position:0% the new england journal 00:41:49.599 --> 00:41:51.510 align:start position:0% the new england journal that<00:41:49.760> was<00:41:50.000> never<00:41:50.240> corrected 00:41:51.510 --> 00:41:51.520 align:start position:0% that was never corrected 00:41:51.520 --> 00:41:53.670 align:start position:0% that was never corrected it<00:41:51.680> was<00:41:52.160> a<00:41:52.319> little<00:41:52.560> bit 00:41:53.670 --> 00:41:53.680 align:start position:0% it was a little bit 00:41:53.680 --> 00:41:55.190 align:start position:0% it was a little bit modified 00:41:55.190 --> 00:41:55.200 align:start position:0% modified 00:41:55.200 --> 00:41:56.950 align:start position:0% modified 15<00:41:55.599> months<00:41:55.920> after<00:41:56.079> the<00:41:56.240> drug<00:41:56.400> was<00:41:56.560> taken<00:41:56.800> off 00:41:56.950 --> 00:41:56.960 align:start position:0% 15 months after the drug was taken off 00:41:56.960 --> 00:41:59.670 align:start position:0% 15 months after the drug was taken off the<00:41:57.040> market<00:41:57.440> but<00:41:57.760> never<00:41:58.000> corrected 00:41:59.670 --> 00:41:59.680 align:start position:0% the market but never corrected 00:41:59.680 --> 00:42:02.550 align:start position:0% the market but never corrected merck<00:42:00.000> left<00:42:00.240> out<00:42:00.400> three<00:42:00.640> heart<00:42:00.880> attacks 00:42:02.550 --> 00:42:02.560 align:start position:0% merck left out three heart attacks 00:42:02.560 --> 00:42:04.710 align:start position:0% merck left out three heart attacks and<00:42:02.800> the<00:42:02.960> fda<00:42:03.440> knew<00:42:03.599> that<00:42:03.839> merck<00:42:04.240> left<00:42:04.560> out 00:42:04.710 --> 00:42:04.720 align:start position:0% and the fda knew that merck left out 00:42:04.720 --> 00:42:06.309 align:start position:0% and the fda knew that merck left out three<00:42:04.880> heart<00:42:05.119> attacks<00:42:05.520> and<00:42:05.680> the<00:42:05.839> fda's 00:42:06.309 --> 00:42:06.319 align:start position:0% three heart attacks and the fda's 00:42:06.319 --> 00:42:09.270 align:start position:0% three heart attacks and the fda's analysis<00:42:07.040> of<00:42:07.200> the<00:42:07.760> of<00:42:08.240> the<00:42:08.400> data<00:42:08.880> from<00:42:09.040> that 00:42:09.270 --> 00:42:09.280 align:start position:0% analysis of the of the data from that 00:42:09.280 --> 00:42:10.470 align:start position:0% analysis of the of the data from that study 00:42:10.470 --> 00:42:10.480 align:start position:0% study 00:42:10.480 --> 00:42:12.309 align:start position:0% study said<00:42:10.720> that<00:42:10.880> they<00:42:11.040> weren't<00:42:11.359> gonna<00:42:11.760> the<00:42:12.000> fda 00:42:12.309 --> 00:42:12.319 align:start position:0% said that they weren't gonna the fda 00:42:12.319 --> 00:42:13.829 align:start position:0% said that they weren't gonna the fda wasn't<00:42:12.640> gonna<00:42:12.880> do 00:42:13.829 --> 00:42:13.839 align:start position:0% wasn't gonna do 00:42:13.839 --> 00:42:15.430 align:start position:0% wasn't gonna do the<00:42:14.000> analysis<00:42:14.640> without<00:42:14.880> the<00:42:15.040> three<00:42:15.200> heart 00:42:15.430 --> 00:42:15.440 align:start position:0% the analysis without the three heart 00:42:15.440 --> 00:42:16.870 align:start position:0% the analysis without the three heart attacks<00:42:15.920> in<00:42:16.000> it 00:42:16.870 --> 00:42:16.880 align:start position:0% attacks in it 00:42:16.880 --> 00:42:19.990 align:start position:0% attacks in it and<00:42:17.520> the<00:42:17.760> important<00:42:18.240> part<00:42:18.480> of<00:42:18.560> this<00:42:18.800> story<00:42:19.680> is 00:42:19.990 --> 00:42:20.000 align:start position:0% and the important part of this story is 00:42:20.000 --> 00:42:22.470 align:start position:0% and the important part of this story is that<00:42:20.160> there<00:42:20.319> were<00:42:20.480> 12<00:42:20.880> authors<00:42:21.440> listed<00:42:22.000> on 00:42:22.470 --> 00:42:22.480 align:start position:0% that there were 12 authors listed on 00:42:22.480 --> 00:42:24.309 align:start position:0% that there were 12 authors listed on that<00:42:22.720> study<00:42:22.960> in<00:42:23.040> the<00:42:23.200> new<00:42:23.280> england<00:42:23.599> journal 00:42:24.309 --> 00:42:24.319 align:start position:0% that study in the new england journal 00:42:24.319 --> 00:42:26.790 align:start position:0% that study in the new england journal two<00:42:24.640> were<00:42:24.880> merck<00:42:25.280> employees<00:42:26.160> they<00:42:26.400> knew<00:42:26.560> about 00:42:26.790 --> 00:42:26.800 align:start position:0% two were merck employees they knew about 00:42:26.800 --> 00:42:28.150 align:start position:0% two were merck employees they knew about the<00:42:26.880> three<00:42:27.119> heart<00:42:27.359> attacks<00:42:27.680> that<00:42:27.839> had<00:42:27.920> been 00:42:28.150 --> 00:42:28.160 align:start position:0% the three heart attacks that had been 00:42:28.160 --> 00:42:29.510 align:start position:0% the three heart attacks that had been omitted 00:42:29.510 --> 00:42:29.520 align:start position:0% omitted 00:42:29.520 --> 00:42:30.870 align:start position:0% omitted the<00:42:30.000> other 00:42:30.870 --> 00:42:30.880 align:start position:0% the other 00:42:30.880 --> 00:42:31.829 align:start position:0% the other 10 00:42:31.829 --> 00:42:31.839 align:start position:0% 10 00:42:31.839 --> 00:42:34.390 align:start position:0% 10 authors<00:42:32.400> the<00:42:32.800> academic<00:42:33.359> authors 00:42:34.390 --> 00:42:34.400 align:start position:0% authors the academic authors 00:42:34.400 --> 00:42:36.230 align:start position:0% authors the academic authors didn't<00:42:34.720> know<00:42:34.960> about<00:42:35.200> it<00:42:35.359> they<00:42:35.520> hadn't<00:42:35.839> seen 00:42:36.230 --> 00:42:36.240 align:start position:0% didn't know about it they hadn't seen 00:42:36.240 --> 00:42:37.910 align:start position:0% didn't know about it they hadn't seen that<00:42:36.480> data 00:42:37.910 --> 00:42:37.920 align:start position:0% that data 00:42:37.920 --> 00:42:40.790 align:start position:0% that data so<00:42:38.319> merck<00:42:38.800> just 00:42:40.790 --> 00:42:40.800 align:start position:0% so merck just 00:42:40.800 --> 00:42:42.950 align:start position:0% so merck just they<00:42:40.960> had<00:42:41.119> an<00:42:41.280> excuse<00:42:41.839> it's<00:42:42.160> complicated<00:42:42.880> and 00:42:42.950 --> 00:42:42.960 align:start position:0% they had an excuse it's complicated and 00:42:42.960 --> 00:42:44.630 align:start position:0% they had an excuse it's complicated and the<00:42:43.119> fda<00:42:43.520> didn't<00:42:43.760> accept<00:42:44.079> it<00:42:44.160> so<00:42:44.319> there's<00:42:44.480> no 00:42:44.630 --> 00:42:44.640 align:start position:0% the fda didn't accept it so there's no 00:42:44.640 --> 00:42:46.630 align:start position:0% the fda didn't accept it so there's no reason<00:42:44.880> to<00:42:44.960> go<00:42:45.119> into<00:42:45.440> it 00:42:46.630 --> 00:42:46.640 align:start position:0% reason to go into it 00:42:46.640 --> 00:42:48.230 align:start position:0% reason to go into it but<00:42:46.880> merck<00:42:47.119> just<00:42:47.280> left<00:42:47.599> out<00:42:47.680> the<00:42:47.839> three<00:42:48.079> heart 00:42:48.230 --> 00:42:48.240 align:start position:0% but merck just left out the three heart 00:42:48.240 --> 00:42:49.990 align:start position:0% but merck just left out the three heart attacks<00:42:48.800> and<00:42:48.960> the<00:42:49.119> three<00:42:49.359> heart<00:42:49.599> attacks<00:42:49.920> it 00:42:49.990 --> 00:42:50.000 align:start position:0% attacks and the three heart attacks it 00:42:50.000 --> 00:42:52.309 align:start position:0% attacks and the three heart attacks it may<00:42:50.160> seem<00:42:50.480> 300<00:42:50.880> attacks<00:42:51.200> in<00:42:51.280> a<00:42:51.440> 10<00:42:51.680> 000<00:42:51.920> person 00:42:52.309 --> 00:42:52.319 align:start position:0% may seem 300 attacks in a 10 000 person 00:42:52.319 --> 00:42:54.150 align:start position:0% may seem 300 attacks in a 10 000 person study<00:42:52.640> may<00:42:52.800> seem<00:42:53.040> like<00:42:53.200> nothing 00:42:54.150 --> 00:42:54.160 align:start position:0% study may seem like nothing 00:42:54.160 --> 00:42:56.390 align:start position:0% study may seem like nothing except<00:42:54.480> they<00:42:54.720> completely<00:42:55.520> changed<00:42:56.160> the 00:42:56.390 --> 00:42:56.400 align:start position:0% except they completely changed the 00:42:56.400 --> 00:42:58.630 align:start position:0% except they completely changed the statistics<00:42:57.520> so<00:42:57.680> that<00:42:57.920> had<00:42:58.079> the<00:42:58.240> three<00:42:58.400> heart 00:42:58.630 --> 00:42:58.640 align:start position:0% statistics so that had the three heart 00:42:58.640 --> 00:43:00.550 align:start position:0% statistics so that had the three heart attacks<00:42:58.960> been<00:42:59.200> included<00:42:59.920> the<00:43:00.160> only 00:43:00.550 --> 00:43:00.560 align:start position:0% attacks been included the only 00:43:00.560 --> 00:43:02.550 align:start position:0% attacks been included the only conclusion<00:43:01.119> that<00:43:01.280> merck<00:43:01.599> could<00:43:01.760> have<00:43:01.920> made 00:43:02.550 --> 00:43:02.560 align:start position:0% conclusion that merck could have made 00:43:02.560 --> 00:43:04.550 align:start position:0% conclusion that merck could have made was<00:43:02.720> that<00:43:02.960> vioxx<00:43:03.440> significantly<00:43:04.160> increased 00:43:04.550 --> 00:43:04.560 align:start position:0% was that vioxx significantly increased 00:43:04.560 --> 00:43:06.309 align:start position:0% was that vioxx significantly increased the<00:43:04.720> risk<00:43:05.040> of<00:43:05.119> heart<00:43:05.359> attack 00:43:06.309 --> 00:43:06.319 align:start position:0% the risk of heart attack 00:43:06.319 --> 00:43:09.589 align:start position:0% the risk of heart attack and<00:43:06.480> they<00:43:06.960> abbreviated<00:43:08.079> their<00:43:08.400> endpoint 00:43:09.589 --> 00:43:09.599 align:start position:0% and they abbreviated their endpoint 00:43:09.599 --> 00:43:11.829 align:start position:0% and they abbreviated their endpoint from<00:43:10.319> heart<00:43:10.560> attacks<00:43:11.040> strokes<00:43:11.440> and<00:43:11.599> blood 00:43:11.829 --> 00:43:11.839 align:start position:0% from heart attacks strokes and blood 00:43:11.839 --> 00:43:14.630 align:start position:0% from heart attacks strokes and blood clots<00:43:12.240> to<00:43:12.400> just<00:43:12.640> heart<00:43:12.880> attacks<00:43:13.760> yeah 00:43:14.630 --> 00:43:14.640 align:start position:0% clots to just heart attacks yeah 00:43:14.640 --> 00:43:17.190 align:start position:0% clots to just heart attacks yeah so<00:43:14.800> those<00:43:15.119> are<00:43:15.760> maybe<00:43:16.319> in<00:43:16.480> their<00:43:16.720> mind<00:43:16.960> they're 00:43:17.190 --> 00:43:17.200 align:start position:0% so those are maybe in their mind they're 00:43:17.200 --> 00:43:18.630 align:start position:0% so those are maybe in their mind they're also<00:43:17.440> playing<00:43:17.680> by<00:43:17.839> the<00:43:17.920> rules<00:43:18.240> because<00:43:18.480> of 00:43:18.630 --> 00:43:18.640 align:start position:0% also playing by the rules because of 00:43:18.640 --> 00:43:20.230 align:start position:0% also playing by the rules because of some<00:43:18.880> technical<00:43:19.359> excuse<00:43:19.760> that<00:43:19.839> you<00:43:20.000> mentioned 00:43:20.230 --> 00:43:20.240 align:start position:0% some technical excuse that you mentioned 00:43:20.240 --> 00:43:22.230 align:start position:0% some technical excuse that you mentioned that<00:43:20.400> was<00:43:20.560> rejected 00:43:22.230 --> 00:43:22.240 align:start position:0% that was rejected 00:43:22.240 --> 00:43:24.069 align:start position:0% that was rejected how<00:43:22.400> can<00:43:22.560> this<00:43:22.800> no<00:43:22.960> because<00:43:23.119> this<00:43:23.280> is<00:43:23.440> not<00:43:23.920> let 00:43:24.069 --> 00:43:24.079 align:start position:0% how can this no because this is not let 00:43:24.079 --> 00:43:26.710 align:start position:0% how can this no because this is not let me<00:43:24.240> interrupt<00:43:25.119> no<00:43:25.440> that's<00:43:25.680> not<00:43:25.920> true 00:43:26.710 --> 00:43:26.720 align:start position:0% me interrupt no that's not true 00:43:26.720 --> 00:43:28.069 align:start position:0% me interrupt no that's not true um 00:43:28.069 --> 00:43:28.079 align:start position:0% um 00:43:28.079 --> 00:43:31.349 align:start position:0% um the<00:43:28.640> study<00:43:29.280> was<00:43:29.599> completed<00:43:30.319> the<00:43:30.720> blind<00:43:31.119> was 00:43:31.349 --> 00:43:31.359 align:start position:0% the study was completed the blind was 00:43:31.359 --> 00:43:34.390 align:start position:0% the study was completed the blind was broken<00:43:31.920> meaning<00:43:32.240> they<00:43:32.400> looked<00:43:32.640> at<00:43:32.720> the<00:43:32.800> data 00:43:34.390 --> 00:43:34.400 align:start position:0% broken meaning they looked at the data 00:43:34.400 --> 00:43:36.790 align:start position:0% broken meaning they looked at the data in<00:43:34.640> march<00:43:34.960> of<00:43:35.119> 2000<00:43:36.160> the<00:43:36.319> article<00:43:36.640> was 00:43:36.790 --> 00:43:36.800 align:start position:0% in march of 2000 the article was 00:43:36.800 --> 00:43:38.150 align:start position:0% in march of 2000 the article was published<00:43:37.280> in<00:43:37.359> the<00:43:37.440> new<00:43:37.599> england<00:43:37.760> journal<00:43:38.079> in 00:43:38.150 --> 00:43:38.160 align:start position:0% published in the new england journal in 00:43:38.160 --> 00:43:41.829 align:start position:0% published in the new england journal in november<00:43:38.560> of<00:43:38.720> 2000.<00:43:40.000> in<00:43:40.160> march<00:43:40.480> of<00:43:40.560> 2000<00:43:41.680> there 00:43:41.829 --> 00:43:41.839 align:start position:0% november of 2000. in march of 2000 there 00:43:41.839 --> 00:43:43.349 align:start position:0% november of 2000. in march of 2000 there was<00:43:42.079> an<00:43:42.319> email 00:43:43.349 --> 00:43:43.359 align:start position:0% was an email 00:43:43.359 --> 00:43:45.750 align:start position:0% was an email by<00:43:43.680> the<00:43:44.240> head<00:43:44.560> scientist 00:43:45.750 --> 00:43:45.760 align:start position:0% by the head scientist 00:43:45.760 --> 00:43:47.510 align:start position:0% by the head scientist that<00:43:46.000> was<00:43:46.160> published<00:43:46.720> in<00:43:46.880> the<00:43:46.960> wall<00:43:47.200> street 00:43:47.510 --> 00:43:47.520 align:start position:0% that was published in the wall street 00:43:47.520 --> 00:43:49.589 align:start position:0% that was published in the wall street journal 00:43:49.589 --> 00:43:49.599 align:start position:0% journal 00:43:49.599 --> 00:43:51.030 align:start position:0% journal that<00:43:49.839> said 00:43:51.030 --> 00:43:51.040 align:start position:0% that said 00:43:51.040 --> 00:43:53.670 align:start position:0% that said the<00:43:51.200> day<00:43:51.359> that<00:43:51.599> the<00:43:51.680> data<00:43:52.000> were<00:43:52.400> unblinded 00:43:53.670 --> 00:43:53.680 align:start position:0% the day that the data were unblinded 00:43:53.680 --> 00:43:55.510 align:start position:0% the day that the data were unblinded that<00:43:54.000> it's<00:43:54.240> a<00:43:54.480> shame<00:43:55.200> that<00:43:55.359> the 00:43:55.510 --> 00:43:55.520 align:start position:0% that it's a shame that the 00:43:55.520 --> 00:43:58.550 align:start position:0% that it's a shame that the cardiovascular<00:43:56.400> events<00:43:56.800> are<00:43:56.960> there 00:43:58.550 --> 00:43:58.560 align:start position:0% cardiovascular events are there 00:43:58.560 --> 00:44:01.670 align:start position:0% cardiovascular events are there but 00:44:01.670 --> 00:44:01.680 align:start position:0% 00:44:01.680 --> 00:44:03.510 align:start position:0% the<00:44:01.839> drug<00:44:02.160> will<00:44:02.400> do<00:44:02.640> well 00:44:03.510 --> 00:44:03.520 align:start position:0% the drug will do well 00:44:03.520 --> 00:44:08.630 align:start position:0% the drug will do well and<00:44:03.760> we<00:44:03.920> will<00:44:04.160> do<00:44:04.400> well 00:44:08.630 --> 00:44:08.640 align:start position:0% 00:44:08.640 --> 00:44:11.030 align:start position:0% but<00:44:09.119> removing<00:44:09.599> the<00:44:09.760> three<00:44:10.000> heart<00:44:10.240> attacks<00:44:10.880> how 00:44:11.030 --> 00:44:11.040 align:start position:0% but removing the three heart attacks how 00:44:11.040 --> 00:44:14.710 align:start position:0% but removing the three heart attacks how does<00:44:11.200> that<00:44:11.520> happen<00:44:12.240> like<00:44:12.560> uh 00:44:14.710 --> 00:44:14.720 align:start position:0% does that happen like uh 00:44:14.720 --> 00:44:17.190 align:start position:0% does that happen like uh who<00:44:14.960> has<00:44:15.200> to<00:44:15.359> convince<00:44:15.760> themselves<00:44:16.720> is<00:44:16.880> this 00:44:17.190 --> 00:44:17.200 align:start position:0% who has to convince themselves is this 00:44:17.200 --> 00:44:18.870 align:start position:0% who has to convince themselves is this pure<00:44:17.440> malevolence 00:44:18.870 --> 00:44:18.880 align:start position:0% pure malevolence 00:44:18.880 --> 00:44:19.670 align:start position:0% pure malevolence um 00:44:19.670 --> 00:44:19.680 align:start position:0% um 00:44:19.680 --> 00:44:21.990 align:start position:0% um you<00:44:19.920> have<00:44:20.079> to<00:44:20.240> be<00:44:20.400> the<00:44:20.560> judge<00:44:20.880> of<00:44:20.960> that<00:44:21.280> but<00:44:21.520> the 00:44:21.990 --> 00:44:22.000 align:start position:0% you have to be the judge of that but the 00:44:22.000 --> 00:44:24.069 align:start position:0% you have to be the judge of that but the person<00:44:22.480> who<00:44:22.720> was<00:44:22.960> in<00:44:23.200> charge<00:44:23.520> of<00:44:23.599> the<00:44:23.680> data 00:44:24.069 --> 00:44:24.079 align:start position:0% person who was in charge of the data 00:44:24.079 --> 00:44:26.950 align:start position:0% person who was in charge of the data safety<00:44:24.480> monitoring<00:44:25.119> board 00:44:26.950 --> 00:44:26.960 align:start position:0% safety monitoring board 00:44:26.960 --> 00:44:29.510 align:start position:0% safety monitoring board issued<00:44:27.359> a<00:44:27.520> letter<00:44:27.839> that<00:44:28.079> said<00:44:28.319> they'll<00:44:28.560> stop 00:44:29.510 --> 00:44:29.520 align:start position:0% issued a letter that said they'll stop 00:44:29.520 --> 00:44:32.230 align:start position:0% issued a letter that said they'll stop counting<00:44:30.160> cardiovascular<00:44:31.119> events 00:44:32.230 --> 00:44:32.240 align:start position:0% counting cardiovascular events 00:44:32.240 --> 00:44:34.950 align:start position:0% counting cardiovascular events a<00:44:32.480> month<00:44:32.800> before<00:44:33.119> the<00:44:33.359> trial<00:44:33.839> is<00:44:34.000> over 00:44:34.950 --> 00:44:34.960 align:start position:0% a month before the trial is over 00:44:34.960 --> 00:44:38.309 align:start position:0% a month before the trial is over and<00:44:35.119> they'll<00:44:35.359> continue<00:44:35.920> counting<00:44:36.319> gi<00:44:36.800> events 00:44:38.309 --> 00:44:38.319 align:start position:0% and they'll continue counting gi events 00:44:38.319 --> 00:44:41.670 align:start position:0% and they'll continue counting gi events and<00:44:38.640> that<00:44:38.960> person<00:44:39.440> got<00:44:39.599> a<00:44:39.760> contract<00:44:40.560> to 00:44:41.670 --> 00:44:41.680 align:start position:0% and that person got a contract to 00:44:41.680 --> 00:44:44.069 align:start position:0% and that person got a contract to consult<00:44:42.240> with<00:44:42.560> merck<00:44:43.280> for<00:44:43.520> five<00:44:43.760> thousand 00:44:44.069 --> 00:44:44.079 align:start position:0% consult with merck for five thousand 00:44:44.079 --> 00:44:47.430 align:start position:0% consult with merck for five thousand dollars<00:44:44.480> a<00:44:44.560> day<00:44:44.960> i<00:44:45.040> think<00:44:45.200> for<00:44:45.440> 12<00:44:45.680> days<00:44:46.000> a<00:44:46.160> year 00:44:47.430 --> 00:44:47.440 align:start position:0% dollars a day i think for 12 days a year 00:44:47.440 --> 00:44:49.430 align:start position:0% dollars a day i think for 12 days a year for<00:44:47.680> one<00:44:47.920> or<00:44:48.079> two<00:44:48.319> years 00:44:49.430 --> 00:44:49.440 align:start position:0% for one or two years 00:44:49.440 --> 00:44:51.510 align:start position:0% for one or two years that<00:44:49.599> was<00:44:50.000> signed<00:44:50.560> that 00:44:51.510 --> 00:44:51.520 align:start position:0% that was signed that 00:44:51.520 --> 00:44:53.829 align:start position:0% that was signed that contract 00:44:53.829 --> 00:44:53.839 align:start position:0% contract 00:44:53.839 --> 00:44:56.710 align:start position:0% contract was<00:44:54.240> signed<00:44:55.200> within<00:44:55.599> two<00:44:55.839> weeks<00:44:56.400> of<00:44:56.560> the 00:44:56.710 --> 00:44:56.720 align:start position:0% was signed within two weeks of the 00:44:56.720 --> 00:44:58.069 align:start position:0% was signed within two weeks of the decision 00:44:58.069 --> 00:44:58.079 align:start position:0% decision 00:44:58.079 --> 00:45:00.790 align:start position:0% decision to<00:44:58.240> stop<00:44:58.640> counting<00:44:59.280> heart<00:44:59.599> attacks<00:45:00.319> i<00:45:00.480> won't 00:45:00.790 --> 00:45:00.800 align:start position:0% to stop counting heart attacks i won't 00:45:00.800 --> 00:45:05.589 align:start position:0% to stop counting heart attacks i won't understand<00:45:01.760> that<00:45:02.000> man<00:45:02.319> or<00:45:02.839> woman<00:45:04.319> i<00:45:04.480> wanna 00:45:05.589 --> 00:45:05.599 align:start position:0% understand that man or woman i wanna 00:45:05.599 --> 00:45:07.750 align:start position:0% understand that man or woman i wanna i<00:45:05.760> want<00:45:06.160> it's<00:45:06.400> the<00:45:06.720> uh<00:45:07.119> i've<00:45:07.200> been<00:45:07.359> reading<00:45:07.680> a 00:45:07.750 --> 00:45:07.760 align:start position:0% i want it's the uh i've been reading a 00:45:07.760 --> 00:45:10.550 align:start position:0% i want it's the uh i've been reading a lot<00:45:07.920> about<00:45:08.160> nazi<00:45:08.560> germany<00:45:09.119> and<00:45:09.599> and<00:45:10.240> thinking 00:45:10.550 --> 00:45:10.560 align:start position:0% lot about nazi germany and and thinking 00:45:10.560 --> 00:45:13.190 align:start position:0% lot about nazi germany and and thinking a<00:45:10.640> lot<00:45:10.800> about<00:45:11.040> the<00:45:11.200> good<00:45:11.440> germans 00:45:13.190 --> 00:45:13.200 align:start position:0% a lot about the good germans 00:45:13.200 --> 00:45:15.349 align:start position:0% a lot about the good germans because 00:45:15.349 --> 00:45:15.359 align:start position:0% because 00:45:15.359 --> 00:45:18.950 align:start position:0% because i<00:45:15.520> want<00:45:15.680> to<00:45:15.839> understand<00:45:16.560> so<00:45:16.720> that<00:45:17.280> we<00:45:17.440> can<00:45:17.760> each 00:45:18.950 --> 00:45:18.960 align:start position:0% i want to understand so that we can each 00:45:18.960 --> 00:45:20.950 align:start position:0% i want to understand so that we can each encourage<00:45:19.520> each<00:45:19.680> other<00:45:19.920> to<00:45:20.160> take<00:45:20.400> the<00:45:20.560> small 00:45:20.950 --> 00:45:20.960 align:start position:0% encourage each other to take the small 00:45:20.960 --> 00:45:23.750 align:start position:0% encourage each other to take the small heroic<00:45:21.520> actions<00:45:22.000> that<00:45:22.160> prevents<00:45:22.720> that 00:45:23.750 --> 00:45:23.760 align:start position:0% heroic actions that prevents that 00:45:23.760 --> 00:45:25.829 align:start position:0% heroic actions that prevents that because<00:45:24.160> it<00:45:24.319> feels<00:45:24.640> to<00:45:24.800> me 00:45:25.829 --> 00:45:25.839 align:start position:0% because it feels to me 00:45:25.839 --> 00:45:28.309 align:start position:0% because it feels to me removing<00:45:26.400> malevolence<00:45:27.040> from<00:45:27.200> the<00:45:27.359> table 00:45:28.309 --> 00:45:28.319 align:start position:0% removing malevolence from the table 00:45:28.319 --> 00:45:30.069 align:start position:0% removing malevolence from the table where<00:45:28.480> it's<00:45:28.640> just<00:45:28.880> a<00:45:28.960> pure<00:45:29.359> psychopathic 00:45:30.069 --> 00:45:30.079 align:start position:0% where it's just a pure psychopathic 00:45:30.079 --> 00:45:31.190 align:start position:0% where it's just a pure psychopathic person 00:45:31.190 --> 00:45:31.200 align:start position:0% person 00:45:31.200 --> 00:45:33.589 align:start position:0% person that<00:45:31.359> there's<00:45:31.680> just<00:45:31.920> no<00:45:32.160> momentum 00:45:33.589 --> 00:45:33.599 align:start position:0% that there's just no momentum 00:45:33.599 --> 00:45:35.510 align:start position:0% that there's just no momentum created<00:45:34.000> by<00:45:34.240> the<00:45:34.400> game<00:45:34.720> like<00:45:34.960> you<00:45:35.119> mentioned 00:45:35.510 --> 00:45:35.520 align:start position:0% created by the game like you mentioned 00:45:35.520 --> 00:45:36.550 align:start position:0% created by the game like you mentioned yes 00:45:36.550 --> 00:45:36.560 align:start position:0% yes 00:45:36.560 --> 00:45:37.829 align:start position:0% yes and<00:45:36.800> so 00:45:37.829 --> 00:45:37.839 align:start position:0% and so 00:45:37.839 --> 00:45:40.950 align:start position:0% and so it<00:45:38.079> takes<00:45:38.720> reversing<00:45:39.359> the<00:45:39.520> momentum 00:45:40.950 --> 00:45:40.960 align:start position:0% it takes reversing the momentum 00:45:40.960 --> 00:45:42.550 align:start position:0% it takes reversing the momentum within<00:45:41.359> the<00:45:41.520> company 00:45:42.550 --> 00:45:42.560 align:start position:0% within the company 00:45:42.560 --> 00:45:44.150 align:start position:0% within the company i<00:45:42.720> think<00:45:42.960> requires 00:45:44.150 --> 00:45:44.160 align:start position:0% i think requires 00:45:44.160 --> 00:45:48.150 align:start position:0% i think requires many<00:45:44.560> small<00:45:44.960> acts<00:45:45.359> of<00:45:45.680> heroism<00:45:46.800> not<00:45:47.119> gigantic 00:45:48.150 --> 00:45:48.160 align:start position:0% many small acts of heroism not gigantic 00:45:48.160 --> 00:45:49.750 align:start position:0% many small acts of heroism not gigantic i'm<00:45:48.400> going<00:45:48.640> to<00:45:48.880> leave<00:45:49.280> and<00:45:49.359> become<00:45:49.680> a 00:45:49.750 --> 00:45:49.760 align:start position:0% i'm going to leave and become a 00:45:49.760 --> 00:45:51.750 align:start position:0% i'm going to leave and become a whistleblower<00:45:50.560> and<00:45:50.640> publish<00:45:51.040> a<00:45:51.200> book<00:45:51.440> about 00:45:51.750 --> 00:45:51.760 align:start position:0% whistleblower and publish a book about 00:45:51.760 --> 00:45:52.390 align:start position:0% whistleblower and publish a book about it 00:45:52.390 --> 00:45:52.400 align:start position:0% it 00:45:52.400 --> 00:45:53.670 align:start position:0% it but<00:45:52.640> small 00:45:53.670 --> 00:45:53.680 align:start position:0% but small 00:45:53.680 --> 00:45:56.950 align:start position:0% but small quiet<00:45:54.240> acts<00:45:54.720> of<00:45:55.040> pressuring<00:45:55.599> against<00:45:56.000> this 00:45:56.950 --> 00:45:56.960 align:start position:0% quiet acts of pressuring against this 00:45:56.960 --> 00:45:59.510 align:start position:0% quiet acts of pressuring against this like<00:45:57.440> what<00:45:57.680> are<00:45:57.760> we<00:45:58.000> doing<00:45:58.400> here<00:45:59.119> we're<00:45:59.280> trying 00:45:59.510 --> 00:45:59.520 align:start position:0% like what are we doing here we're trying 00:45:59.520 --> 00:46:01.270 align:start position:0% like what are we doing here we're trying to<00:45:59.680> help<00:46:00.000> people<00:46:00.400> is<00:46:00.560> this<00:46:00.720> the<00:46:00.880> right<00:46:01.119> thing 00:46:01.270 --> 00:46:01.280 align:start position:0% to help people is this the right thing 00:46:01.280 --> 00:46:02.950 align:start position:0% to help people is this the right thing to<00:46:01.440> do<00:46:01.599> looking<00:46:01.920> in<00:46:02.000> the<00:46:02.160> mirror<00:46:02.480> constantly 00:46:02.950 --> 00:46:02.960 align:start position:0% to do looking in the mirror constantly 00:46:02.960 --> 00:46:05.109 align:start position:0% to do looking in the mirror constantly asking<00:46:03.280> is<00:46:03.440> this<00:46:03.599> the<00:46:03.760> right<00:46:03.920> thing<00:46:04.160> to<00:46:04.319> do 00:46:05.109 --> 00:46:05.119 align:start position:0% asking is this the right thing to do 00:46:05.119 --> 00:46:07.109 align:start position:0% asking is this the right thing to do i<00:46:05.200> mean<00:46:05.359> that's<00:46:05.599> how<00:46:06.000> that's<00:46:06.240> what<00:46:06.480> integrity 00:46:07.109 --> 00:46:07.119 align:start position:0% i mean that's how that's what integrity 00:46:07.119 --> 00:46:08.630 align:start position:0% i mean that's how that's what integrity is 00:46:08.630 --> 00:46:08.640 align:start position:0% is 00:46:08.640 --> 00:46:11.109 align:start position:0% is acknowledging<00:46:09.440> the<00:46:09.680> pressures<00:46:10.079> you're<00:46:10.400> under 00:46:11.109 --> 00:46:11.119 align:start position:0% acknowledging the pressures you're under 00:46:11.119 --> 00:46:13.190 align:start position:0% acknowledging the pressures you're under and<00:46:11.280> then<00:46:11.520> still<00:46:11.839> be<00:46:12.000> able<00:46:12.160> to<00:46:12.400> zoom<00:46:12.640> out<00:46:13.040> and 00:46:13.190 --> 00:46:13.200 align:start position:0% and then still be able to zoom out and 00:46:13.200 --> 00:46:16.550 align:start position:0% and then still be able to zoom out and think<00:46:13.520> what<00:46:13.680> is<00:46:13.839> the<00:46:14.000> right<00:46:14.240> thing<00:46:14.400> to<00:46:14.560> do<00:46:14.720> here 00:46:16.550 --> 00:46:16.560 align:start position:0% think what is the right thing to do here 00:46:16.560 --> 00:46:19.750 align:start position:0% think what is the right thing to do here but<00:46:16.720> the<00:46:16.960> data<00:46:17.359> hiding<00:46:17.680> the<00:46:17.839> data 00:46:19.750 --> 00:46:19.760 align:start position:0% but the data hiding the data 00:46:19.760 --> 00:46:22.550 align:start position:0% but the data hiding the data makes<00:46:20.079> it<00:46:20.240> too<00:46:20.560> easy<00:46:21.119> to<00:46:21.359> live<00:46:21.599> in<00:46:21.760> ignorance 00:46:22.550 --> 00:46:22.560 align:start position:0% makes it too easy to live in ignorance 00:46:22.560 --> 00:46:24.550 align:start position:0% makes it too easy to live in ignorance so<00:46:22.800> like<00:46:23.040> within<00:46:23.359> those<00:46:24.000> inside<00:46:24.319> those 00:46:24.550 --> 00:46:24.560 align:start position:0% so like within those inside those 00:46:24.560 --> 00:46:29.430 align:start position:0% so like within those inside those companies 00:46:29.430 --> 00:46:29.440 align:start position:0% 00:46:29.440 --> 00:46:31.750 align:start position:0% so<00:46:29.680> your<00:46:30.000> idea 00:46:31.750 --> 00:46:31.760 align:start position:0% so your idea 00:46:31.760 --> 00:46:34.630 align:start position:0% so your idea is<00:46:31.920> that<00:46:32.079> the<00:46:32.240> reviewer<00:46:32.880> should<00:46:33.040> see<00:46:33.280> the<00:46:33.440> data 00:46:34.630 --> 00:46:34.640 align:start position:0% is that the reviewer should see the data 00:46:34.640 --> 00:46:37.430 align:start position:0% is that the reviewer should see the data that's<00:46:34.960> that's<00:46:35.280> one<00:46:35.520> step<00:46:36.240> so<00:46:36.720> to<00:46:36.960> even<00:46:37.200> push 00:46:37.430 --> 00:46:37.440 align:start position:0% that's that's one step so to even push 00:46:37.440 --> 00:46:39.030 align:start position:0% that's that's one step so to even push back<00:46:37.680> on<00:46:37.839> that<00:46:38.079> idea 00:46:39.030 --> 00:46:39.040 align:start position:0% back on that idea 00:46:39.040 --> 00:46:40.790 align:start position:0% back on that idea is 00:46:40.790 --> 00:46:40.800 align:start position:0% is 00:46:40.800 --> 00:46:42.710 align:start position:0% is i<00:46:40.960> assume<00:46:41.280> you<00:46:41.440> mean<00:46:41.680> that<00:46:41.839> data<00:46:42.240> remains 00:46:42.710 --> 00:46:42.720 align:start position:0% i assume you mean that data remains 00:46:42.720 --> 00:46:45.990 align:start position:0% i assume you mean that data remains private<00:46:43.440> except<00:46:44.160> to<00:46:44.319> the<00:46:44.560> peer<00:46:44.800> reviews 00:46:45.990 --> 00:46:46.000 align:start position:0% private except to the peer reviews 00:46:46.000 --> 00:46:48.630 align:start position:0% private except to the peer reviews reviewers<00:46:46.880> the<00:46:47.119> problem<00:46:47.760> of<00:46:47.839> course<00:46:48.160> is<00:46:48.480> as 00:46:48.630 --> 00:46:48.640 align:start position:0% reviewers the problem of course is as 00:46:48.640 --> 00:46:50.309 align:start position:0% reviewers the problem of course is as you<00:46:48.880> probably<00:46:49.280> know<00:46:49.520> is<00:46:49.599> the<00:46:49.760> peer<00:46:50.000> review 00:46:50.309 --> 00:46:50.319 align:start position:0% you probably know is the peer review 00:46:50.319 --> 00:46:52.950 align:start position:0% you probably know is the peer review process<00:46:50.720> is<00:46:50.880> not<00:46:51.280> perfect 00:46:52.950 --> 00:46:52.960 align:start position:0% process is not perfect 00:46:52.960 --> 00:46:55.349 align:start position:0% process is not perfect you<00:46:53.040> know<00:46:53.280> it's<00:46:53.680> individuals 00:46:55.349 --> 00:46:55.359 align:start position:0% you know it's individuals 00:46:55.359 --> 00:46:57.589 align:start position:0% you know it's individuals it<00:46:55.680> feels<00:46:56.000> like<00:46:56.319> there<00:46:56.560> should<00:46:56.720> be<00:46:56.880> a<00:46:57.040> lot<00:46:57.280> more 00:46:57.589 --> 00:46:57.599 align:start position:0% it feels like there should be a lot more 00:46:57.599 --> 00:46:59.510 align:start position:0% it feels like there should be a lot more eyes<00:46:58.000> on<00:46:58.160> the<00:46:58.319> data<00:46:58.640> than<00:46:58.880> just<00:46:59.119> the<00:46:59.280> peer 00:46:59.510 --> 00:46:59.520 align:start position:0% eyes on the data than just the peer 00:46:59.520 --> 00:47:01.270 align:start position:0% eyes on the data than just the peer reviewers<00:47:00.400> yes 00:47:01.270 --> 00:47:01.280 align:start position:0% reviewers yes 00:47:01.280 --> 00:47:03.589 align:start position:0% reviewers yes this<00:47:01.520> is<00:47:01.599> not<00:47:01.839> a<00:47:01.920> hard<00:47:02.160> problem<00:47:02.560> to<00:47:02.720> solve<00:47:03.440> when 00:47:03.589 --> 00:47:03.599 align:start position:0% this is not a hard problem to solve when 00:47:03.599 --> 00:47:06.150 align:start position:0% this is not a hard problem to solve when a<00:47:04.160> study<00:47:04.640> is<00:47:04.880> completed 00:47:06.150 --> 00:47:06.160 align:start position:0% a study is completed 00:47:06.160 --> 00:47:10.150 align:start position:0% a study is completed um<00:47:06.560> a<00:47:06.640> clinical<00:47:07.119> study<00:47:07.520> report<00:47:08.160> is<00:47:08.400> made 00:47:10.150 --> 00:47:10.160 align:start position:0% um a clinical study report is made 00:47:10.160 --> 00:47:12.230 align:start position:0% um a clinical study report is made and<00:47:10.319> it's<00:47:10.560> usually<00:47:10.960> several<00:47:11.280> thousand<00:47:11.680> pages 00:47:12.230 --> 00:47:12.240 align:start position:0% and it's usually several thousand pages 00:47:12.240 --> 00:47:14.309 align:start position:0% and it's usually several thousand pages and<00:47:12.400> what<00:47:12.560> it<00:47:12.640> does<00:47:13.119> is<00:47:13.359> it<00:47:13.520> takes<00:47:13.839> the<00:47:14.000> raw 00:47:14.309 --> 00:47:14.319 align:start position:0% and what it does is it takes the raw 00:47:14.319 --> 00:47:15.829 align:start position:0% and what it does is it takes the raw patient<00:47:14.800> data 00:47:15.829 --> 00:47:15.839 align:start position:0% patient data 00:47:15.839 --> 00:47:17.670 align:start position:0% patient data and<00:47:16.000> it<00:47:16.240> tabulates<00:47:16.880> it 00:47:17.670 --> 00:47:17.680 align:start position:0% and it tabulates it 00:47:17.680 --> 00:47:19.349 align:start position:0% and it tabulates it in<00:47:17.920> the<00:47:18.079> ways 00:47:19.349 --> 00:47:19.359 align:start position:0% in the ways 00:47:19.359 --> 00:47:21.990 align:start position:0% in the ways uh<00:47:19.599> it's<00:47:19.839> supposedly<00:47:20.800> and<00:47:20.960> usually 00:47:21.990 --> 00:47:22.000 align:start position:0% uh it's supposedly and usually 00:47:22.000 --> 00:47:23.670 align:start position:0% uh it's supposedly and usually in<00:47:22.160> the<00:47:22.319> ways<00:47:22.640> that<00:47:22.800> the<00:47:22.960> company<00:47:23.359> has 00:47:23.670 --> 00:47:23.680 align:start position:0% in the ways that the company has 00:47:23.680 --> 00:47:25.510 align:start position:0% in the ways that the company has pre-specified 00:47:25.510 --> 00:47:25.520 align:start position:0% pre-specified 00:47:25.520 --> 00:47:27.349 align:start position:0% pre-specified so<00:47:25.680> that<00:47:25.839> you<00:47:26.000> then<00:47:26.559> end<00:47:26.720> up<00:47:26.800> with<00:47:27.040> a 00:47:27.349 --> 00:47:27.359 align:start position:0% so that you then end up with a 00:47:27.359 --> 00:47:31.990 align:start position:0% so that you then end up with a searchable<00:47:28.319> let's<00:47:28.559> say<00:47:28.800> 3<00:47:29.200> 000<00:47:29.520> page<00:47:30.000> document 00:47:31.990 --> 00:47:32.000 align:start position:0% searchable let's say 3 000 page document 00:47:32.000 --> 00:47:32.790 align:start position:0% searchable let's say 3 000 page document as 00:47:32.790 --> 00:47:32.800 align:start position:0% as 00:47:32.800 --> 00:47:34.710 align:start position:0% as i<00:47:32.960> became<00:47:33.359> more<00:47:33.599> experienced<00:47:34.160> as<00:47:34.319> an<00:47:34.400> expert 00:47:34.710 --> 00:47:34.720 align:start position:0% i became more experienced as an expert 00:47:34.720 --> 00:47:36.069 align:start position:0% i became more experienced as an expert in<00:47:34.800> litigation 00:47:36.069 --> 00:47:36.079 align:start position:0% in litigation 00:47:36.079 --> 00:47:38.470 align:start position:0% in litigation i<00:47:36.240> could<00:47:36.400> go<00:47:36.640> through<00:47:36.800> those<00:47:37.040> documents 00:47:38.470 --> 00:47:38.480 align:start position:0% i could go through those documents 00:47:38.480 --> 00:47:40.710 align:start position:0% i could go through those documents pretty<00:47:38.800> quickly<00:47:39.359> uh<00:47:39.599> quickly<00:47:40.000> may<00:47:40.160> mean<00:47:40.400> 20 00:47:40.710 --> 00:47:40.720 align:start position:0% pretty quickly uh quickly may mean 20 00:47:40.720 --> 00:47:42.870 align:start position:0% pretty quickly uh quickly may mean 20 hours<00:47:41.119> or<00:47:41.200> 40<00:47:41.599> hours<00:47:41.920> but<00:47:42.160> it<00:47:42.240> doesn't<00:47:42.559> mean 00:47:42.870 --> 00:47:42.880 align:start position:0% hours or 40 hours but it doesn't mean 00:47:42.880 --> 00:47:45.270 align:start position:0% hours or 40 hours but it doesn't mean three<00:47:43.119> months<00:47:43.440> of<00:47:43.599> my<00:47:43.760> work 00:47:45.270 --> 00:47:45.280 align:start position:0% three months of my work 00:47:45.280 --> 00:47:46.150 align:start position:0% three months of my work and 00:47:46.150 --> 00:47:46.160 align:start position:0% and 00:47:46.160 --> 00:47:47.510 align:start position:0% and see<00:47:46.640> if 00:47:47.510 --> 00:47:47.520 align:start position:0% see if 00:47:47.520 --> 00:47:49.030 align:start position:0% see if the<00:47:47.920> companies 00:47:49.030 --> 00:47:49.040 align:start position:0% the companies 00:47:49.040 --> 00:47:51.190 align:start position:0% the companies if<00:47:49.200> the<00:47:49.440> way<00:47:49.680> the<00:47:49.839> company<00:47:50.240> has<00:47:50.559> analyzed<00:47:51.040> the 00:47:51.190 --> 00:47:51.200 align:start position:0% if the way the company has analyzed the 00:47:51.200 --> 00:47:53.750 align:start position:0% if the way the company has analyzed the data<00:47:51.599> is<00:47:51.839> consistent<00:47:52.800> with<00:47:52.960> the<00:47:53.119> way<00:47:53.599> with 00:47:53.750 --> 00:47:53.760 align:start position:0% data is consistent with the way with 00:47:53.760 --> 00:47:55.910 align:start position:0% data is consistent with the way with their<00:47:54.000> statistical<00:47:54.720> analysis<00:47:55.359> plan<00:47:55.760> and 00:47:55.910 --> 00:47:55.920 align:start position:0% their statistical analysis plan and 00:47:55.920 --> 00:47:59.990 align:start position:0% their statistical analysis plan and their<00:47:56.559> uh<00:47:56.880> pre-specified<00:47:58.240> outcome<00:47:58.640> measures 00:47:59.990 --> 00:48:00.000 align:start position:0% their uh pre-specified outcome measures 00:48:00.000 --> 00:48:02.710 align:start position:0% their uh pre-specified outcome measures it's<00:48:00.240> not<00:48:00.559> hard<00:48:01.200> and<00:48:01.440> i<00:48:01.599> think<00:48:02.000> you're<00:48:02.240> right 00:48:02.710 --> 00:48:02.720 align:start position:0% it's not hard and i think you're right 00:48:02.720 --> 00:48:04.390 align:start position:0% it's not hard and i think you're right peer<00:48:02.960> reviewers 00:48:04.390 --> 00:48:04.400 align:start position:0% peer reviewers 00:48:04.400 --> 00:48:06.230 align:start position:0% peer reviewers i<00:48:04.480> don't<00:48:04.720> peer<00:48:04.960> review<00:48:05.359> clinical<00:48:05.760> trials<00:48:06.079> but 00:48:06.230 --> 00:48:06.240 align:start position:0% i don't peer review clinical trials but 00:48:06.240 --> 00:48:07.750 align:start position:0% i don't peer review clinical trials but i<00:48:06.400> peer<00:48:06.640> review 00:48:07.750 --> 00:48:07.760 align:start position:0% i peer review 00:48:07.760 --> 00:48:09.829 align:start position:0% i peer review other<00:48:08.000> kinds<00:48:08.400> of<00:48:08.720> articles<00:48:09.200> i<00:48:09.280> have<00:48:09.440> to<00:48:09.520> do<00:48:09.680> one 00:48:09.829 --> 00:48:09.839 align:start position:0% other kinds of articles i have to do one 00:48:09.839 --> 00:48:11.750 align:start position:0% other kinds of articles i have to do one on<00:48:10.000> the<00:48:10.079> airplane<00:48:10.400> on<00:48:10.480> the<00:48:10.559> way<00:48:10.720> home<00:48:11.440> and<00:48:11.599> it's 00:48:11.750 --> 00:48:11.760 align:start position:0% on the airplane on the way home and it's 00:48:11.760 --> 00:48:13.589 align:start position:0% on the airplane on the way home and it's hard<00:48:12.079> i<00:48:12.240> mean<00:48:12.400> we're<00:48:12.559> just<00:48:12.800> ordinary<00:48:13.200> mortal 00:48:13.589 --> 00:48:13.599 align:start position:0% hard i mean we're just ordinary mortal 00:48:13.599 --> 00:48:16.710 align:start position:0% hard i mean we're just ordinary mortal people<00:48:14.319> volunteering<00:48:15.440> unpaid 00:48:16.710 --> 00:48:16.720 align:start position:0% people volunteering unpaid 00:48:16.720 --> 00:48:19.030 align:start position:0% people volunteering unpaid the<00:48:16.880> motivation<00:48:17.599> is<00:48:17.680> not<00:48:17.920> clear 00:48:19.030 --> 00:48:19.040 align:start position:0% the motivation is not clear 00:48:19.040 --> 00:48:23.030 align:start position:0% the motivation is not clear the<00:48:19.200> motivation<00:48:20.319> is<00:48:20.800> to<00:48:21.440> keep 00:48:23.030 --> 00:48:23.040 align:start position:0% the motivation is to keep 00:48:23.040 --> 00:48:25.109 align:start position:0% the motivation is to keep um<00:48:23.359> to<00:48:23.520> be<00:48:23.680> a<00:48:23.680> good<00:48:23.920> citizen 00:48:25.109 --> 00:48:25.119 align:start position:0% um to be a good citizen 00:48:25.119 --> 00:48:25.910 align:start position:0% um to be a good citizen uh 00:48:25.910 --> 00:48:25.920 align:start position:0% uh 00:48:25.920 --> 00:48:29.349 align:start position:0% uh in<00:48:26.079> the<00:48:26.160> medical<00:48:26.559> community<00:48:27.440> um<00:48:27.920> and<00:48:28.240> to<00:48:28.960> be<00:48:29.119> on 00:48:29.349 --> 00:48:29.359 align:start position:0% in the medical community um and to be on 00:48:29.359 --> 00:48:31.510 align:start position:0% in the medical community um and to be on friendly<00:48:29.760> terms<00:48:30.079> with<00:48:30.240> the<00:48:30.400> journals<00:48:31.040> so<00:48:31.280> that 00:48:31.510 --> 00:48:31.520 align:start position:0% friendly terms with the journals so that 00:48:31.520 --> 00:48:33.510 align:start position:0% friendly terms with the journals so that if<00:48:31.599> you<00:48:31.760> want<00:48:31.920> to<00:48:32.000> get<00:48:32.160> published<00:48:33.119> this<00:48:33.359> sort 00:48:33.510 --> 00:48:33.520 align:start position:0% if you want to get published this sort 00:48:33.520 --> 00:48:35.430 align:start position:0% if you want to get published this sort of<00:48:33.599> an<00:48:33.839> unspoken 00:48:35.430 --> 00:48:35.440 align:start position:0% of an unspoken 00:48:35.440 --> 00:48:37.430 align:start position:0% of an unspoken yeah<00:48:35.760> uh<00:48:36.240> incentive 00:48:37.430 --> 00:48:37.440 align:start position:0% yeah uh incentive 00:48:37.440 --> 00:48:39.750 align:start position:0% yeah uh incentive as<00:48:37.680> a<00:48:38.000> as<00:48:38.160> somebody<00:48:38.480> who<00:48:38.720> enjoys<00:48:39.119> game<00:48:39.359> theory 00:48:39.750 --> 00:48:39.760 align:start position:0% as a as somebody who enjoys game theory 00:48:39.760 --> 00:48:42.230 align:start position:0% as a as somebody who enjoys game theory i<00:48:39.920> feel<00:48:40.079> like<00:48:40.160> that<00:48:40.400> motivation<00:48:41.119> is<00:48:41.280> good<00:48:42.000> but 00:48:42.230 --> 00:48:42.240 align:start position:0% i feel like that motivation is good but 00:48:42.240 --> 00:48:44.549 align:start position:0% i feel like that motivation is good but could<00:48:42.400> be<00:48:42.480> a<00:48:42.559> lot<00:48:42.720> better 00:48:44.549 --> 00:48:44.559 align:start position:0% could be a lot better 00:48:44.559 --> 00:48:46.630 align:start position:0% could be a lot better yes<00:48:44.880> you<00:48:45.040> should<00:48:45.280> get<00:48:45.520> more<00:48:45.760> recognition<00:48:46.480> or 00:48:46.630 --> 00:48:46.640 align:start position:0% yes you should get more recognition or 00:48:46.640 --> 00:48:50.309 align:start position:0% yes you should get more recognition or in<00:48:46.800> some<00:48:47.040> way<00:48:48.160> academic<00:48:48.800> credit<00:48:49.200> for<00:48:49.440> it<00:48:49.839> um<00:48:50.160> it 00:48:50.309 --> 00:48:50.319 align:start position:0% in some way academic credit for it um it 00:48:50.319 --> 00:48:53.030 align:start position:0% in some way academic credit for it um it should<00:48:50.559> go<00:48:50.800> to<00:48:51.200> your<00:48:51.599> career<00:48:52.000> advancement<00:48:52.880> if 00:48:53.030 --> 00:48:53.040 align:start position:0% should go to your career advancement if 00:48:53.040 --> 00:48:54.630 align:start position:0% should go to your career advancement if it's<00:48:53.200> an<00:48:53.359> important<00:48:53.680> paper<00:48:54.319> and<00:48:54.480> you 00:48:54.630 --> 00:48:54.640 align:start position:0% it's an important paper and you 00:48:54.640 --> 00:48:56.790 align:start position:0% it's an important paper and you recognize<00:48:55.200> it's<00:48:55.359> an<00:48:55.440> important<00:48:55.839> paper<00:48:56.480> as<00:48:56.720> a 00:48:56.790 --> 00:48:56.800 align:start position:0% recognize it's an important paper as a 00:48:56.800 --> 00:49:00.230 align:start position:0% recognize it's an important paper as a great<00:48:57.119> peer<00:48:57.359> reviewer<00:48:58.319> that<00:48:58.480> this<00:48:58.800> is<00:48:58.960> not 00:49:00.230 --> 00:49:00.240 align:start position:0% great peer reviewer that this is not 00:49:00.240 --> 00:49:02.870 align:start position:0% great peer reviewer that this is not in<00:49:00.400> that<00:49:00.720> area<00:49:01.200> where<00:49:01.440> it's<00:49:01.680> uh 00:49:02.870 --> 00:49:02.880 align:start position:0% in that area where it's uh 00:49:02.880 --> 00:49:06.630 align:start position:0% in that area where it's uh uh<00:49:03.520> like<00:49:04.160> clearly<00:49:04.720> piece<00:49:04.960> of<00:49:05.040> crap<00:49:05.280> paper<00:49:05.839> or 00:49:06.630 --> 00:49:06.640 align:start position:0% uh like clearly piece of crap paper or 00:49:06.640 --> 00:49:08.870 align:start position:0% uh like clearly piece of crap paper or clearly<00:49:07.200> an<00:49:07.440> awesome<00:49:07.839> paper<00:49:08.240> that<00:49:08.559> doesn't 00:49:08.870 --> 00:49:08.880 align:start position:0% clearly an awesome paper that doesn't 00:49:08.880 --> 00:49:11.030 align:start position:0% clearly an awesome paper that doesn't have<00:49:09.200> controversial<00:49:09.839> aspects<00:49:10.319> to<00:49:10.480> it<00:49:10.880> and 00:49:11.030 --> 00:49:11.040 align:start position:0% have controversial aspects to it and 00:49:11.040 --> 00:49:13.270 align:start position:0% have controversial aspects to it and it's<00:49:11.119> just<00:49:11.359> a<00:49:11.520> beautiful<00:49:12.000> piece<00:49:12.240> of<00:49:12.319> work<00:49:13.040> okay 00:49:13.270 --> 00:49:13.280 align:start position:0% it's just a beautiful piece of work okay 00:49:13.280 --> 00:49:14.549 align:start position:0% it's just a beautiful piece of work okay those<00:49:13.520> are<00:49:13.680> easy 00:49:14.549 --> 00:49:14.559 align:start position:0% those are easy 00:49:14.559 --> 00:49:16.150 align:start position:0% those are easy and<00:49:14.640> then<00:49:14.880> there<00:49:15.040> is<00:49:15.200> like<00:49:15.440> the<00:49:15.680> very 00:49:16.150 --> 00:49:16.160 align:start position:0% and then there is like the very 00:49:16.160 --> 00:49:18.630 align:start position:0% and then there is like the very difficult<00:49:16.640> gray<00:49:16.960> area<00:49:17.599> which<00:49:17.839> may<00:49:18.079> require 00:49:18.630 --> 00:49:18.640 align:start position:0% difficult gray area which may require 00:49:18.640 --> 00:49:20.950 align:start position:0% difficult gray area which may require many<00:49:18.960> many<00:49:19.359> days<00:49:19.680> of<00:49:19.839> work<00:49:20.160> on<00:49:20.240> your<00:49:20.480> part<00:49:20.720> as<00:49:20.880> a 00:49:20.950 --> 00:49:20.960 align:start position:0% many many days of work on your part as a 00:49:20.960 --> 00:49:23.190 align:start position:0% many many days of work on your part as a peer<00:49:21.119> reviewer<00:49:21.760> so<00:49:22.000> it's<00:49:22.160> not<00:49:22.640> you<00:49:22.800> know<00:49:23.040> it's 00:49:23.190 --> 00:49:23.200 align:start position:0% peer reviewer so it's not you know it's 00:49:23.200 --> 00:49:25.670 align:start position:0% peer reviewer so it's not you know it's not<00:49:23.359> just<00:49:23.520> a<00:49:23.599> couple<00:49:23.920> hours<00:49:24.319> but<00:49:24.720> really 00:49:25.670 --> 00:49:25.680 align:start position:0% not just a couple hours but really 00:49:25.680 --> 00:49:28.230 align:start position:0% not just a couple hours but really seriously<00:49:26.480> reading<00:49:27.119> like<00:49:27.359> some<00:49:27.599> papers<00:49:28.000> can 00:49:28.230 --> 00:49:28.240 align:start position:0% seriously reading like some papers can 00:49:28.240 --> 00:49:30.630 align:start position:0% seriously reading like some papers can take<00:49:28.880> months<00:49:29.200> to<00:49:29.359> really<00:49:29.680> understand 00:49:30.630 --> 00:49:30.640 align:start position:0% take months to really understand 00:49:30.640 --> 00:49:33.589 align:start position:0% take months to really understand so<00:49:30.960> if<00:49:31.040> you<00:49:31.359> really<00:49:31.680> want<00:49:31.839> to<00:49:31.920> struggle<00:49:32.880> um 00:49:33.589 --> 00:49:33.599 align:start position:0% so if you really want to struggle um 00:49:33.599 --> 00:49:35.270 align:start position:0% so if you really want to struggle um there<00:49:33.839> has<00:49:34.079> to<00:49:34.240> be<00:49:34.319> an<00:49:34.480> incentive<00:49:34.960> for<00:49:35.040> that 00:49:35.270 --> 00:49:35.280 align:start position:0% there has to be an incentive for that 00:49:35.280 --> 00:49:37.349 align:start position:0% there has to be an incentive for that struggle<00:49:35.920> yes<00:49:36.480> and 00:49:37.349 --> 00:49:37.359 align:start position:0% struggle yes and 00:49:37.359 --> 00:49:39.030 align:start position:0% struggle yes and billions<00:49:37.839> of<00:49:38.000> dollars 00:49:39.030 --> 00:49:39.040 align:start position:0% billions of dollars 00:49:39.040 --> 00:49:41.190 align:start position:0% billions of dollars right<00:49:39.359> on<00:49:39.520> some<00:49:39.680> of<00:49:39.760> these<00:49:40.079> studies 00:49:41.190 --> 00:49:41.200 align:start position:0% right on some of these studies 00:49:41.200 --> 00:49:42.630 align:start position:0% right on some of these studies and<00:49:41.440> lies 00:49:42.630 --> 00:49:42.640 align:start position:0% and lies 00:49:42.640 --> 00:49:45.030 align:start position:0% and lies yeah<00:49:43.040> right<00:49:43.520> right<00:49:43.680> not<00:49:43.920> to<00:49:44.079> mention<00:49:44.640> right 00:49:45.030 --> 00:49:45.040 align:start position:0% yeah right right not to mention right 00:49:45.040 --> 00:49:45.829 align:start position:0% yeah right right not to mention right but 00:49:45.829 --> 00:49:45.839 align:start position:0% but 00:49:45.839 --> 00:49:48.390 align:start position:0% but it<00:49:46.000> would<00:49:46.240> be<00:49:46.480> easy<00:49:46.960> to<00:49:47.200> have 00:49:48.390 --> 00:49:48.400 align:start position:0% it would be easy to have 00:49:48.400 --> 00:49:51.109 align:start position:0% it would be easy to have full-time<00:49:48.960> statisticians 00:49:51.109 --> 00:49:51.119 align:start position:0% full-time statisticians 00:49:51.119 --> 00:49:53.109 align:start position:0% full-time statisticians hired<00:49:51.520> by<00:49:51.680> the<00:49:51.839> journals<00:49:52.240> or<00:49:52.480> shared<00:49:52.800> by<00:49:52.960> the 00:49:53.109 --> 00:49:53.119 align:start position:0% hired by the journals or shared by the 00:49:53.119 --> 00:49:54.309 align:start position:0% hired by the journals or shared by the journals 00:49:54.309 --> 00:49:54.319 align:start position:0% journals 00:49:54.319 --> 00:49:55.190 align:start position:0% journals um 00:49:55.190 --> 00:49:55.200 align:start position:0% um 00:49:55.200 --> 00:49:58.230 align:start position:0% um who<00:49:55.359> were<00:49:55.599> independent<00:49:56.160> of<00:49:56.319> any<00:49:56.640> other 00:49:58.230 --> 00:49:58.240 align:start position:0% who were independent of any other 00:49:58.240 --> 00:50:00.230 align:start position:0% who were independent of any other financial<00:49:58.880> incentive 00:50:00.230 --> 00:50:00.240 align:start position:0% financial incentive 00:50:00.240 --> 00:50:02.790 align:start position:0% financial incentive to<00:50:00.400> go<00:50:00.640> over<00:50:01.119> these<00:50:01.440> kind<00:50:01.599> of<00:50:01.760> methodological 00:50:02.790 --> 00:50:02.800 align:start position:0% to go over these kind of methodological 00:50:02.800 --> 00:50:03.910 align:start position:0% to go over these kind of methodological issues 00:50:03.910 --> 00:50:03.920 align:start position:0% issues 00:50:03.920 --> 00:50:07.190 align:start position:0% issues and<00:50:04.079> take<00:50:04.319> responsibility<00:50:05.280> for<00:50:05.599> the 00:50:07.190 --> 00:50:07.200 align:start position:0% and take responsibility for the 00:50:07.200 --> 00:50:09.030 align:start position:0% and take responsibility for the for<00:50:07.440> certifying<00:50:08.000> the<00:50:08.160> analyses<00:50:08.800> that<00:50:08.960> are 00:50:09.030 --> 00:50:09.040 align:start position:0% for certifying the analyses that are 00:50:09.040 --> 00:50:11.349 align:start position:0% for certifying the analyses that are done<00:50:09.599> and<00:50:09.839> then<00:50:10.160> pass<00:50:10.480> it<00:50:10.640> on<00:50:11.040> to<00:50:11.200> the 00:50:11.349 --> 00:50:11.359 align:start position:0% done and then pass it on to the 00:50:11.359 --> 00:50:12.390 align:start position:0% done and then pass it on to the volunteer 00:50:12.390 --> 00:50:12.400 align:start position:0% volunteer 00:50:12.400 --> 00:50:15.430 align:start position:0% volunteer uh<00:50:12.720> peer<00:50:12.960> reviewers<00:50:14.000> see<00:50:14.240> i<00:50:14.480> believe<00:50:14.800> in<00:50:15.200> even 00:50:15.430 --> 00:50:15.440 align:start position:0% uh peer reviewers see i believe in even 00:50:15.440 --> 00:50:17.510 align:start position:0% uh peer reviewers see i believe in even in<00:50:15.520> this<00:50:15.839> in<00:50:16.000> the<00:50:16.240> sort<00:50:16.400> of<00:50:16.640> capitalism<00:50:17.359> or 00:50:17.510 --> 00:50:17.520 align:start position:0% in this in the sort of capitalism or 00:50:17.520 --> 00:50:19.349 align:start position:0% in this in the sort of capitalism or even<00:50:17.839> social<00:50:18.240> capital 00:50:19.349 --> 00:50:19.359 align:start position:0% even social capital 00:50:19.359 --> 00:50:22.150 align:start position:0% even social capital after<00:50:19.760> watching<00:50:20.720> twitter<00:50:21.520> in<00:50:21.599> the<00:50:21.760> time<00:50:22.000> of 00:50:22.150 --> 00:50:22.160 align:start position:0% after watching twitter in the time of 00:50:22.160 --> 00:50:23.510 align:start position:0% after watching twitter in the time of covid 00:50:23.510 --> 00:50:23.520 align:start position:0% covid 00:50:23.520 --> 00:50:25.030 align:start position:0% covid and<00:50:23.680> just<00:50:23.920> looking<00:50:24.319> at<00:50:24.480> people<00:50:24.800> that 00:50:25.030 --> 00:50:25.040 align:start position:0% and just looking at people that 00:50:25.040 --> 00:50:27.349 align:start position:0% and just looking at people that investigate<00:50:25.839> themselves 00:50:27.349 --> 00:50:27.359 align:start position:0% investigate themselves 00:50:27.359 --> 00:50:29.990 align:start position:0% investigate themselves i<00:50:27.520> believe<00:50:27.920> in<00:50:28.000> the<00:50:28.160> citizenry 00:50:29.990 --> 00:50:30.000 align:start position:0% i believe in the citizenry 00:50:30.000 --> 00:50:31.990 align:start position:0% i believe in the citizenry people<00:50:30.800> if<00:50:30.960> you<00:50:31.119> give<00:50:31.280> them<00:50:31.440> access<00:50:31.760> to<00:50:31.839> the 00:50:31.990 --> 00:50:32.000 align:start position:0% people if you give them access to the 00:50:32.000 --> 00:50:33.910 align:start position:0% people if you give them access to the data<00:50:32.400> like<00:50:32.640> these<00:50:32.960> like 00:50:33.910 --> 00:50:33.920 align:start position:0% data like these like 00:50:33.920 --> 00:50:36.390 align:start position:0% data like these like citizen<00:50:34.400> scientists<00:50:35.200> arise<00:50:35.839> a<00:50:35.920> lot<00:50:36.079> of<00:50:36.240> them 00:50:36.390 --> 00:50:36.400 align:start position:0% citizen scientists arise a lot of them 00:50:36.400 --> 00:50:39.270 align:start position:0% citizen scientists arise a lot of them on<00:50:36.559> the<00:50:37.040> it's<00:50:37.440> kind<00:50:37.599> of<00:50:37.680> funny 00:50:39.270 --> 00:50:39.280 align:start position:0% on the it's kind of funny 00:50:39.280 --> 00:50:40.950 align:start position:0% on the it's kind of funny a<00:50:39.359> lot<00:50:39.520> of<00:50:39.599> people<00:50:39.920> are<00:50:40.000> just<00:50:40.319> really<00:50:40.640> used<00:50:40.800> to 00:50:40.950 --> 00:50:40.960 align:start position:0% a lot of people are just really used to 00:50:40.960 --> 00:50:42.950 align:start position:0% a lot of people are just really used to working<00:50:41.200> with<00:50:41.359> data 00:50:42.950 --> 00:50:42.960 align:start position:0% working with data 00:50:42.960 --> 00:50:44.549 align:start position:0% working with data they<00:50:43.119> don't<00:50:43.280> know<00:50:43.520> anything<00:50:43.760> about<00:50:44.000> medicine 00:50:44.549 --> 00:50:44.559 align:start position:0% they don't know anything about medicine 00:50:44.559 --> 00:50:46.710 align:start position:0% they don't know anything about medicine and<00:50:44.640> they<00:50:44.800> don't<00:50:44.880> have<00:50:45.200> actually<00:50:45.440> the<00:50:45.680> biases 00:50:46.710 --> 00:50:46.720 align:start position:0% and they don't have actually the biases 00:50:46.720 --> 00:50:49.109 align:start position:0% and they don't have actually the biases that<00:50:47.119> a<00:50:47.200> lot<00:50:47.440> of<00:50:47.520> doctors<00:50:48.000> and<00:50:48.079> medical<00:50:48.800> and<00:50:49.040> a 00:50:49.109 --> 00:50:49.119 align:start position:0% that a lot of doctors and medical and a 00:50:49.119 --> 00:50:50.950 align:start position:0% that a lot of doctors and medical and a lot<00:50:49.280> of<00:50:49.359> the<00:50:49.440> people<00:50:49.680> that<00:50:49.839> read<00:50:50.079> these<00:50:50.319> papers 00:50:50.950 --> 00:50:50.960 align:start position:0% lot of the people that read these papers 00:50:50.960 --> 00:50:53.270 align:start position:0% lot of the people that read these papers they'll<00:50:51.200> just<00:50:51.760> go<00:50:52.160> raw<00:50:52.480> into<00:50:52.720> the<00:50:52.880> data<00:50:53.200> and 00:50:53.270 --> 00:50:53.280 align:start position:0% they'll just go raw into the data and 00:50:53.280 --> 00:50:54.470 align:start position:0% they'll just go raw into the data and look<00:50:53.440> at<00:50:53.599> it<00:50:53.680> with 00:50:54.470 --> 00:50:54.480 align:start position:0% look at it with 00:50:54.480 --> 00:50:56.549 align:start position:0% look at it with like<00:50:54.880> they're<00:50:55.119> bored<00:50:55.520> almost<00:50:56.079> and<00:50:56.160> they<00:50:56.319> do 00:50:56.549 --> 00:50:56.559 align:start position:0% like they're bored almost and they do 00:50:56.559 --> 00:50:59.270 align:start position:0% like they're bored almost and they do incredible<00:50:57.280> analysis<00:50:58.240> so<00:50:58.400> i<00:50:58.640> i<00:50:58.960> you<00:50:59.119> know 00:50:59.270 --> 00:50:59.280 align:start position:0% incredible analysis so i i you know 00:50:59.280 --> 00:51:01.589 align:start position:0% incredible analysis so i i you know there's<00:50:59.599> some<00:50:59.839> argument<00:51:00.240> to<00:51:00.319> be<00:51:00.480> made<00:51:01.040> for<00:51:01.520> a 00:51:01.589 --> 00:51:01.599 align:start position:0% there's some argument to be made for a 00:51:01.599 --> 00:51:03.910 align:start position:0% there's some argument to be made for a lot<00:51:01.760> of<00:51:01.920> this<00:51:02.079> data<00:51:02.400> to<00:51:02.559> become<00:51:02.880> public 00:51:03.910 --> 00:51:03.920 align:start position:0% lot of this data to become public 00:51:03.920 --> 00:51:06.829 align:start position:0% lot of this data to become public like<00:51:04.160> de-anonymized<00:51:05.359> no<00:51:05.599> sorry 00:51:06.829 --> 00:51:06.839 align:start position:0% like de-anonymized no sorry 00:51:06.839 --> 00:51:09.510 align:start position:0% like de-anonymized no sorry anonymized<00:51:08.319> all<00:51:08.480> that<00:51:08.640> kind<00:51:08.800> of<00:51:08.880> stuff<00:51:09.200> but 00:51:09.510 --> 00:51:09.520 align:start position:0% anonymized all that kind of stuff but 00:51:09.520 --> 00:51:11.510 align:start position:0% anonymized all that kind of stuff but for<00:51:09.839> a<00:51:10.000> lot<00:51:10.160> of<00:51:10.319> it<00:51:10.400> to<00:51:10.559> be<00:51:10.720> public<00:51:11.040> especially 00:51:11.510 --> 00:51:11.520 align:start position:0% for a lot of it to be public especially 00:51:11.520 --> 00:51:13.750 align:start position:0% for a lot of it to be public especially when<00:51:11.680> you're<00:51:11.920> talking<00:51:12.240> about<00:51:12.720> things 00:51:13.750 --> 00:51:13.760 align:start position:0% when you're talking about things 00:51:13.760 --> 00:51:17.030 align:start position:0% when you're talking about things um<00:51:14.480> as<00:51:14.880> impactful<00:51:15.520> as<00:51:15.599> some<00:51:15.760> of<00:51:15.920> these<00:51:16.079> drugs 00:51:17.030 --> 00:51:17.040 align:start position:0% um as impactful as some of these drugs 00:51:17.040 --> 00:51:19.910 align:start position:0% um as impactful as some of these drugs i<00:51:17.200> agree<00:51:17.440> 100<00:51:18.079> so<00:51:18.240> let's<00:51:18.880> turn<00:51:19.200> the<00:51:19.280> micro 00:51:19.910 --> 00:51:19.920 align:start position:0% i agree 100 so let's turn the micro 00:51:19.920 --> 00:51:21.589 align:start position:0% i agree 100 so let's turn the micro let's<00:51:20.079> get<00:51:20.319> a<00:51:20.400> little<00:51:20.559> bit<00:51:20.720> more<00:51:20.960> granular 00:51:21.589 --> 00:51:21.599 align:start position:0% let's get a little bit more granular 00:51:21.599 --> 00:51:23.190 align:start position:0% let's get a little bit more granular sure<00:51:22.160> on<00:51:22.400> the 00:51:23.190 --> 00:51:23.200 align:start position:0% sure on the 00:51:23.200 --> 00:51:25.109 align:start position:0% sure on the peer<00:51:23.440> review<00:51:23.839> issue<00:51:24.160> we're<00:51:24.319> talking<00:51:24.640> about 00:51:25.109 --> 00:51:25.119 align:start position:0% peer review issue we're talking about 00:51:25.119 --> 00:51:27.750 align:start position:0% peer review issue we're talking about pre-publication<00:51:26.240> transparencies 00:51:27.750 --> 00:51:27.760 align:start position:0% pre-publication transparencies 00:51:27.760 --> 00:51:30.470 align:start position:0% pre-publication transparencies and<00:51:28.000> that<00:51:28.319> is<00:51:28.559> critically<00:51:29.040> important<00:51:29.599> once<00:51:30.319> a 00:51:30.470 --> 00:51:30.480 align:start position:0% and that is critically important once a 00:51:30.480 --> 00:51:32.790 align:start position:0% and that is critically important once a paper<00:51:30.800> is<00:51:30.960> published<00:51:31.839> the<00:51:32.000> horses<00:51:32.400> are<00:51:32.559> out<00:51:32.720> of 00:51:32.790 --> 00:51:32.800 align:start position:0% paper is published the horses are out of 00:51:32.800 --> 00:51:34.790 align:start position:0% paper is published the horses are out of the<00:51:32.880> barn<00:51:33.520> and<00:51:33.839> docs<00:51:34.160> are<00:51:34.240> going<00:51:34.319> to<00:51:34.400> read<00:51:34.640> it 00:51:34.790 --> 00:51:34.800 align:start position:0% the barn and docs are going to read it 00:51:34.800 --> 00:51:36.870 align:start position:0% the barn and docs are going to read it take<00:51:34.960> it<00:51:35.119> as<00:51:35.280> evidence-based<00:51:35.920> medicine<00:51:36.720> the 00:51:36.870 --> 00:51:36.880 align:start position:0% take it as evidence-based medicine the 00:51:36.880 --> 00:51:38.309 align:start position:0% take it as evidence-based medicine the economists<00:51:37.520> call 00:51:38.309 --> 00:51:38.319 align:start position:0% economists call 00:51:38.319 --> 00:51:41.270 align:start position:0% economists call what<00:51:38.720> then<00:51:38.960> happens<00:51:39.599> as<00:51:39.920> stickiness<00:51:40.960> that<00:51:41.119> the 00:51:41.270 --> 00:51:41.280 align:start position:0% what then happens as stickiness that the 00:51:41.280 --> 00:51:44.230 align:start position:0% what then happens as stickiness that the docs<00:51:41.839> hold<00:51:42.160> on<00:51:42.400> to<00:51:42.559> their<00:51:42.720> beliefs<00:51:43.280> and<00:51:43.440> i<00:51:44.000> my 00:51:44.230 --> 00:51:44.240 align:start position:0% docs hold on to their beliefs and i my 00:51:44.240 --> 00:51:45.430 align:start position:0% docs hold on to their beliefs and i my own 00:51:45.430 --> 00:51:45.440 align:start position:0% own 00:51:45.440 --> 00:51:48.549 align:start position:0% own my<00:51:45.599> own<00:51:45.839> voice<00:51:46.160> inside<00:51:46.720> says<00:51:47.359> once<00:51:47.680> doctors 00:51:48.549 --> 00:51:48.559 align:start position:0% my own voice inside says once doctors 00:51:48.559 --> 00:51:51.030 align:start position:0% my own voice inside says once doctors start<00:51:48.960> doing<00:51:49.440> things<00:51:50.160> to<00:51:50.319> their<00:51:50.559> patients 00:51:51.030 --> 00:51:51.040 align:start position:0% start doing things to their patients 00:51:51.040 --> 00:51:52.870 align:start position:0% start doing things to their patients bodies<00:51:51.920> they're<00:51:52.160> really<00:51:52.480> not<00:51:52.640> too 00:51:52.870 --> 00:51:52.880 align:start position:0% bodies they're really not too 00:51:52.880 --> 00:51:55.430 align:start position:0% bodies they're really not too enthusiastic<00:51:53.599> about<00:51:53.839> hearing<00:51:54.160> or<00:51:54.319> was<00:51:54.559> wrong 00:51:55.430 --> 00:51:55.440 align:start position:0% enthusiastic about hearing or was wrong 00:51:55.440 --> 00:51:57.349 align:start position:0% enthusiastic about hearing or was wrong yeah<00:51:55.760> that's<00:51:56.079> the<00:51:56.240> stickiness<00:51:56.880> of<00:51:57.040> human 00:51:57.349 --> 00:51:57.359 align:start position:0% yeah that's the stickiness of human 00:51:57.359 --> 00:52:00.069 align:start position:0% yeah that's the stickiness of human nature<00:51:57.760> wow<00:51:58.160> so<00:51:58.319> that<00:51:58.800> that<00:51:59.119> bar<00:51:59.599> once<00:51:59.839> it's 00:52:00.069 --> 00:52:00.079 align:start position:0% nature wow so that that bar once it's 00:52:00.079 --> 00:52:01.190 align:start position:0% nature wow so that that bar once it's published 00:52:01.190 --> 00:52:01.200 align:start position:0% published 00:52:01.200 --> 00:52:02.230 align:start position:0% published in 00:52:02.230 --> 00:52:02.240 align:start position:0% in 00:52:02.240 --> 00:52:04.230 align:start position:0% in the<00:52:02.400> doctors<00:52:03.200> that's<00:52:03.520> when<00:52:03.680> the<00:52:03.839> stickiness 00:52:04.230 --> 00:52:04.240 align:start position:0% the doctors that's when the stickiness 00:52:04.240 --> 00:52:06.309 align:start position:0% the doctors that's when the stickiness emerges<00:52:04.720> well<00:52:05.040> yeah<00:52:05.440> yeah<00:52:05.760> it's<00:52:05.920> hard<00:52:06.079> to<00:52:06.160> put 00:52:06.309 --> 00:52:06.319 align:start position:0% emerges well yeah yeah it's hard to put 00:52:06.319 --> 00:52:08.710 align:start position:0% emerges well yeah yeah it's hard to put that<00:52:06.559> toothpaste<00:52:07.119> back<00:52:07.359> in<00:52:07.440> the<00:52:07.520> tube<00:52:08.160> now 00:52:08.710 --> 00:52:08.720 align:start position:0% that toothpaste back in the tube now 00:52:08.720 --> 00:52:10.790 align:start position:0% that toothpaste back in the tube now that's<00:52:09.079> pre-publication 00:52:10.790 --> 00:52:10.800 align:start position:0% that's pre-publication 00:52:10.800 --> 00:52:12.950 align:start position:0% that's pre-publication transparency<00:52:11.520> which<00:52:11.680> is<00:52:11.839> essential 00:52:12.950 --> 00:52:12.960 align:start position:0% transparency which is essential 00:52:12.960 --> 00:52:14.470 align:start position:0% transparency which is essential and<00:52:13.119> you<00:52:13.280> could<00:52:13.520> have 00:52:14.470 --> 00:52:14.480 align:start position:0% and you could have 00:52:14.480 --> 00:52:17.430 align:start position:0% and you could have whoever<00:52:14.960> saw<00:52:15.200> that<00:52:15.359> data<00:52:15.920> pre-publication 00:52:17.430 --> 00:52:17.440 align:start position:0% whoever saw that data pre-publication 00:52:17.440 --> 00:52:20.150 align:start position:0% whoever saw that data pre-publication could<00:52:17.680> sign<00:52:17.920> confidentiality<00:52:18.880> agreements<00:52:19.920> so 00:52:20.150 --> 00:52:20.160 align:start position:0% could sign confidentiality agreements so 00:52:20.160 --> 00:52:22.470 align:start position:0% could sign confidentiality agreements so that<00:52:20.319> the<00:52:20.480> drug<00:52:20.720> companies<00:52:21.200> couldn't<00:52:21.599> argue 00:52:22.470 --> 00:52:22.480 align:start position:0% that the drug companies couldn't argue 00:52:22.480 --> 00:52:24.150 align:start position:0% that the drug companies couldn't argue that<00:52:22.640> we're<00:52:22.880> just<00:52:23.200> opening<00:52:23.440> the<00:52:23.599> spigots<00:52:24.000> of 00:52:24.150 --> 00:52:24.160 align:start position:0% that we're just opening the spigots of 00:52:24.160 --> 00:52:26.390 align:start position:0% that we're just opening the spigots of our<00:52:24.319> data<00:52:24.640> and<00:52:24.720> people<00:52:25.040> can<00:52:25.200> copy<00:52:25.520> it<00:52:25.760> and 00:52:26.390 --> 00:52:26.400 align:start position:0% our data and people can copy it and 00:52:26.400 --> 00:52:28.870 align:start position:0% our data and people can copy it and blo<00:52:26.800> all<00:52:26.880> the<00:52:27.040> excuses<00:52:27.520> they<00:52:27.680> make 00:52:28.870 --> 00:52:28.880 align:start position:0% blo all the excuses they make 00:52:28.880 --> 00:52:30.470 align:start position:0% blo all the excuses they make you<00:52:29.040> could<00:52:29.200> argue<00:52:29.520> that<00:52:29.599> you<00:52:29.760> didn't<00:52:30.079> have<00:52:30.240> to 00:52:30.470 --> 00:52:30.480 align:start position:0% you could argue that you didn't have to 00:52:30.480 --> 00:52:32.630 align:start position:0% you could argue that you didn't have to but<00:52:31.119> let's<00:52:31.359> just<00:52:31.599> let<00:52:31.760> them<00:52:32.000> do<00:52:32.160> it<00:52:32.319> let<00:52:32.480> the 00:52:32.630 --> 00:52:32.640 align:start position:0% but let's just let them do it let the 00:52:32.640 --> 00:52:34.309 align:start position:0% but let's just let them do it let the peer<00:52:32.800> reviewers<00:52:33.200> sign<00:52:33.440> confidentiality 00:52:34.309 --> 00:52:34.319 align:start position:0% peer reviewers sign confidentiality 00:52:34.319 --> 00:52:36.710 align:start position:0% peer reviewers sign confidentiality agreements<00:52:35.119> and<00:52:35.280> they<00:52:35.440> won't<00:52:35.680> leak<00:52:35.920> the<00:52:36.079> data 00:52:36.710 --> 00:52:36.720 align:start position:0% agreements and they won't leak the data 00:52:36.720 --> 00:52:38.309 align:start position:0% agreements and they won't leak the data but<00:52:36.880> then<00:52:37.119> you<00:52:37.359> have<00:52:37.440> to<00:52:37.599> go<00:52:37.680> to<00:52:37.920> post 00:52:38.309 --> 00:52:38.319 align:start position:0% but then you have to go to post 00:52:38.319 --> 00:52:40.230 align:start position:0% but then you have to go to post publication<00:52:39.040> transparency<00:52:39.839> which<00:52:40.000> is<00:52:40.079> what 00:52:40.230 --> 00:52:40.240 align:start position:0% publication transparency which is what 00:52:40.240 --> 00:52:42.470 align:start position:0% publication transparency which is what you<00:52:40.400> were<00:52:40.559> just<00:52:40.720> getting<00:52:41.119> at<00:52:41.680> to 00:52:42.470 --> 00:52:42.480 align:start position:0% you were just getting at to 00:52:42.480 --> 00:52:45.030 align:start position:0% you were just getting at to let<00:52:43.200> the<00:52:43.440> data<00:52:44.079> free 00:52:45.030 --> 00:52:45.040 align:start position:0% let the data free 00:52:45.040 --> 00:52:49.030 align:start position:0% let the data free and<00:52:45.280> let<00:52:46.000> citizens<00:52:46.960> and<00:52:47.280> citizen<00:52:47.839> scientists 00:52:49.030 --> 00:52:49.040 align:start position:0% and let citizens and citizen scientists 00:52:49.040 --> 00:52:51.829 align:start position:0% and let citizens and citizen scientists and<00:52:49.280> other<00:52:49.599> doctors<00:52:50.480> who<00:52:50.640> are<00:52:50.880> interested 00:52:51.829 --> 00:52:51.839 align:start position:0% and other doctors who are interested 00:52:51.839 --> 00:52:53.589 align:start position:0% and other doctors who are interested have<00:52:52.079> at<00:52:52.319> it 00:52:53.589 --> 00:52:53.599 align:start position:0% have at it 00:52:53.599 --> 00:52:56.549 align:start position:0% have at it kind<00:52:53.760> of<00:52:53.839> like<00:52:54.160> wiki<00:52:54.800> wikipedia<00:52:55.760> have<00:52:56.000> at<00:52:56.240> it 00:52:56.549 --> 00:52:56.559 align:start position:0% kind of like wiki wikipedia have at it 00:52:56.559 --> 00:52:57.670 align:start position:0% kind of like wiki wikipedia have at it and 00:52:57.670 --> 00:52:57.680 align:start position:0% and 00:52:57.680 --> 00:52:59.670 align:start position:0% and let<00:52:57.920> it<00:52:58.079> out<00:52:58.240> and<00:52:58.400> let<00:52:58.559> people<00:52:58.880> criticize<00:52:59.440> each 00:52:59.670 --> 00:52:59.680 align:start position:0% let it out and let people criticize each 00:52:59.680 --> 00:53:01.270 align:start position:0% let it out and let people criticize each other 00:53:01.270 --> 00:53:01.280 align:start position:0% other 00:53:01.280 --> 00:53:04.150 align:start position:0% other okay<00:53:01.680> so<00:53:01.920> speaking<00:53:02.319> of<00:53:02.480> the<00:53:02.640> data<00:53:03.040> the<00:53:03.280> fda 00:53:04.150 --> 00:53:04.160 align:start position:0% okay so speaking of the data the fda 00:53:04.160 --> 00:53:06.950 align:start position:0% okay so speaking of the data the fda asked<00:53:04.960> 55<00:53:05.760> years 00:53:06.950 --> 00:53:06.960 align:start position:0% asked 55 years 00:53:06.960 --> 00:53:09.190 align:start position:0% asked 55 years to<00:53:07.119> release<00:53:07.599> pfizer<00:53:08.000> vaccine<00:53:08.480> data<00:53:08.800> this<00:53:09.040> is 00:53:09.190 --> 00:53:09.200 align:start position:0% to release pfizer vaccine data this is 00:53:09.200 --> 00:53:12.670 align:start position:0% to release pfizer vaccine data this is also<00:53:09.520> something<00:53:09.920> i<00:53:10.160> raised<00:53:10.640> with<00:53:10.960> uh<00:53:11.200> albert 00:53:12.670 --> 00:53:12.680 align:start position:0% also something i raised with uh albert 00:53:12.680 --> 00:53:14.870 align:start position:0% also something i raised with uh albert barola<00:53:13.760> there's<00:53:14.000> several<00:53:14.319> things<00:53:14.559> i<00:53:14.640> didn't 00:53:14.870 --> 00:53:14.880 align:start position:0% barola there's several things i didn't 00:53:14.880 --> 00:53:16.470 align:start position:0% barola there's several things i didn't like<00:53:15.040> about<00:53:15.359> what<00:53:15.520> he<00:53:15.680> said 00:53:16.470 --> 00:53:16.480 align:start position:0% like about what he said 00:53:16.480 --> 00:53:18.630 align:start position:0% like about what he said uh<00:53:16.720> so<00:53:16.960> some<00:53:17.200> things<00:53:17.440> are<00:53:17.599> expected<00:53:18.319> and<00:53:18.480> some 00:53:18.630 --> 00:53:18.640 align:start position:0% uh so some things are expected and some 00:53:18.640 --> 00:53:21.030 align:start position:0% uh so some things are expected and some of<00:53:18.800> it<00:53:18.960> is<00:53:19.040> just<00:53:19.200> revealing<00:53:20.240> the<00:53:20.400> human<00:53:20.720> being 00:53:21.030 --> 00:53:21.040 align:start position:0% of it is just revealing the human being 00:53:21.040 --> 00:53:23.829 align:start position:0% of it is just revealing the human being which<00:53:21.200> is<00:53:21.280> what<00:53:21.440> i'm<00:53:21.599> interested<00:53:21.920> in<00:53:22.079> doing 00:53:23.829 --> 00:53:23.839 align:start position:0% which is what i'm interested in doing 00:53:23.839 --> 00:53:26.950 align:start position:0% which is what i'm interested in doing but<00:53:24.480> he<00:53:24.720> said<00:53:24.960> he<00:53:25.119> wasn't<00:53:25.440> aware<00:53:25.920> of<00:53:26.079> the<00:53:26.240> 75 00:53:26.950 --> 00:53:26.960 align:start position:0% but he said he wasn't aware of the 75 00:53:26.960 --> 00:53:29.750 align:start position:0% but he said he wasn't aware of the 75 and<00:53:27.280> the<00:53:27.359> 55.<00:53:28.079> i'm<00:53:28.160> sorry<00:53:28.400> women 00:53:29.750 --> 00:53:29.760 align:start position:0% and the 55. i'm sorry women 00:53:29.760 --> 00:53:32.309 align:start position:0% and the 55. i'm sorry women he<00:53:29.839> wasn't<00:53:30.160> aware<00:53:30.400> of<00:53:31.040> the<00:53:31.200> how<00:53:31.440> long<00:53:31.920> so<00:53:32.079> here 00:53:32.309 --> 00:53:32.319 align:start position:0% he wasn't aware of the how long so here 00:53:32.319 --> 00:53:33.750 align:start position:0% he wasn't aware of the how long so here i'll<00:53:32.559> explain<00:53:33.040> what 00:53:33.750 --> 00:53:33.760 align:start position:0% i'll explain what 00:53:33.760 --> 00:53:36.230 align:start position:0% i'll explain what do<00:53:33.839> you<00:53:34.160> do<00:53:34.319> you<00:53:34.400> know<00:53:34.960> that<00:53:35.359> since<00:53:35.680> you<00:53:35.920> spoke 00:53:36.230 --> 00:53:36.240 align:start position:0% do you do you know that since you spoke 00:53:36.240 --> 00:53:37.430 align:start position:0% do you do you know that since you spoke to<00:53:36.400> him 00:53:37.430 --> 00:53:37.440 align:start position:0% to him 00:53:37.440 --> 00:53:40.870 align:start position:0% to him pfizer<00:53:37.920> has<00:53:38.400> petitioned<00:53:39.040> the<00:53:39.359> judge<00:53:40.160> to<00:53:40.480> join 00:53:40.870 --> 00:53:40.880 align:start position:0% pfizer has petitioned the judge to join 00:53:40.880 --> 00:53:43.750 align:start position:0% pfizer has petitioned the judge to join the<00:53:41.119> suit<00:53:41.440> on<00:53:42.079> in<00:53:42.319> behalf<00:53:42.800> of<00:53:42.880> the<00:53:43.119> fda's 00:53:43.750 --> 00:53:43.760 align:start position:0% the suit on in behalf of the fda's 00:53:43.760 --> 00:53:44.950 align:start position:0% the suit on in behalf of the fda's request 00:53:44.950 --> 00:53:44.960 align:start position:0% request 00:53:44.960 --> 00:53:46.069 align:start position:0% request to 00:53:46.069 --> 00:53:46.079 align:start position:0% to 00:53:46.079 --> 00:53:49.990 align:start position:0% to release<00:53:46.480> that<00:53:46.720> data<00:53:47.200> over<00:53:47.440> 55<00:53:48.000> or<00:53:48.160> 75<00:53:48.800> years 00:53:49.990 --> 00:53:50.000 align:start position:0% release that data over 55 or 75 years 00:53:50.000 --> 00:53:52.150 align:start position:0% release that data over 55 or 75 years pfizer's<00:53:50.559> fully<00:53:50.880> aware<00:53:51.119> of<00:53:51.200> what's<00:53:51.520> going<00:53:51.760> on 00:53:52.150 --> 00:53:52.160 align:start position:0% pfizer's fully aware of what's going on 00:53:52.160 --> 00:53:54.950 align:start position:0% pfizer's fully aware of what's going on he's<00:53:52.400> aware<00:53:53.200> i'm<00:53:53.520> i'm<00:53:53.680> sure<00:53:53.839> he's<00:53:54.079> aware 00:53:54.950 --> 00:53:54.960 align:start position:0% he's aware i'm i'm sure he's aware 00:53:54.960 --> 00:53:57.510 align:start position:0% he's aware i'm i'm sure he's aware in<00:53:55.200> some<00:53:55.440> formulation<00:53:56.160> the<00:53:56.400> exact<00:53:56.960> years<00:53:57.359> he 00:53:57.510 --> 00:53:57.520 align:start position:0% in some formulation the exact years he 00:53:57.520 --> 00:53:59.589 align:start position:0% in some formulation the exact years he might<00:53:57.680> have<00:53:57.839> not<00:53:58.000> been<00:53:58.160> aware<00:53:58.960> but<00:53:59.200> but<00:53:59.359> the 00:53:59.589 --> 00:53:59.599 align:start position:0% might have not been aware but but the 00:53:59.599 --> 00:54:02.549 align:start position:0% might have not been aware but but the point<00:53:59.839> is<00:54:00.240> that<00:54:00.400> there<00:54:00.640> is 00:54:02.549 --> 00:54:02.559 align:start position:0% point is that there is 00:54:02.559 --> 00:54:04.870 align:start position:0% point is that there is that<00:54:02.800> is<00:54:03.119> the<00:54:03.359> fda<00:54:03.920> the<00:54:04.079> relationship<00:54:04.720> with 00:54:04.870 --> 00:54:04.880 align:start position:0% that is the fda the relationship with 00:54:04.880 --> 00:54:06.549 align:start position:0% that is the fda the relationship with faiza<00:54:05.200> and<00:54:05.280> the<00:54:05.359> fda 00:54:06.549 --> 00:54:06.559 align:start position:0% faiza and the fda 00:54:06.559 --> 00:54:09.030 align:start position:0% faiza and the fda in<00:54:06.720> terms<00:54:07.040> of<00:54:07.200> me<00:54:07.440> being<00:54:07.680> able<00:54:07.920> to<00:54:08.079> read 00:54:09.030 --> 00:54:09.040 align:start position:0% in terms of me being able to read 00:54:09.040 --> 00:54:11.030 align:start position:0% in terms of me being able to read human<00:54:09.920> beings 00:54:11.030 --> 00:54:11.040 align:start position:0% human beings 00:54:11.040 --> 00:54:13.270 align:start position:0% human beings was<00:54:11.359> the<00:54:11.520> thing<00:54:11.760> he<00:54:11.920> was<00:54:12.240> most<00:54:12.640> uncomfortable 00:54:13.270 --> 00:54:13.280 align:start position:0% was the thing he was most uncomfortable 00:54:13.280 --> 00:54:14.309 align:start position:0% was the thing he was most uncomfortable with 00:54:14.309 --> 00:54:14.319 align:start position:0% with 00:54:14.319 --> 00:54:16.230 align:start position:0% with that<00:54:14.640> he<00:54:14.800> didn't<00:54:15.040> want<00:54:15.200> to<00:54:15.440> talk<00:54:15.760> about<00:54:16.079> the 00:54:16.230 --> 00:54:16.240 align:start position:0% that he didn't want to talk about the 00:54:16.240 --> 00:54:17.510 align:start position:0% that he didn't want to talk about the fda 00:54:17.510 --> 00:54:17.520 align:start position:0% fda 00:54:17.520 --> 00:54:20.150 align:start position:0% fda and<00:54:17.680> that<00:54:18.319> that<00:54:18.640> relate<00:54:19.119> it<00:54:19.200> was<00:54:19.440> clear<00:54:20.000> that 00:54:20.150 --> 00:54:20.160 align:start position:0% and that that relate it was clear that 00:54:20.160 --> 00:54:22.309 align:start position:0% and that that relate it was clear that there<00:54:20.319> was<00:54:20.480> a<00:54:20.640> relationship<00:54:21.440> there 00:54:22.309 --> 00:54:22.319 align:start position:0% there was a relationship there 00:54:22.319 --> 00:54:23.589 align:start position:0% there was a relationship there that<00:54:22.880> if 00:54:23.589 --> 00:54:23.599 align:start position:0% that if 00:54:23.599 --> 00:54:25.670 align:start position:0% that if if<00:54:23.839> the<00:54:24.000> words<00:54:24.319> you<00:54:24.559> use<00:54:24.880> may<00:54:25.040> do<00:54:25.280> a<00:54:25.359> lot<00:54:25.520> of 00:54:25.670 --> 00:54:25.680 align:start position:0% if the words you use may do a lot of 00:54:25.680 --> 00:54:27.829 align:start position:0% if the words you use may do a lot of harm<00:54:26.400> potentially<00:54:26.960> because<00:54:27.359> like<00:54:27.520> you're 00:54:27.829 --> 00:54:27.839 align:start position:0% harm potentially because like you're 00:54:27.839 --> 00:54:29.990 align:start position:0% harm potentially because like you're saying<00:54:28.400> there<00:54:28.640> might<00:54:28.800> be<00:54:29.040> lawsuits<00:54:29.599> going<00:54:29.839> on 00:54:29.990 --> 00:54:30.000 align:start position:0% saying there might be lawsuits going on 00:54:30.000 --> 00:54:32.309 align:start position:0% saying there might be lawsuits going on there's<00:54:30.640> litigation<00:54:31.280> there's<00:54:31.520> legal<00:54:31.920> stuff 00:54:32.309 --> 00:54:32.319 align:start position:0% there's litigation there's legal stuff 00:54:32.319 --> 00:54:34.069 align:start position:0% there's litigation there's legal stuff all<00:54:32.480> that<00:54:32.640> kind<00:54:32.800> of<00:54:32.880> stuff<00:54:33.520> and<00:54:33.599> then<00:54:33.760> there's 00:54:34.069 --> 00:54:34.079 align:start position:0% all that kind of stuff and then there's 00:54:34.079 --> 00:54:35.750 align:start position:0% all that kind of stuff and then there's a<00:54:34.160> lot<00:54:34.319> of<00:54:34.480> games<00:54:34.880> being<00:54:35.200> played<00:54:35.440> in<00:54:35.520> this 00:54:35.750 --> 00:54:35.760 align:start position:0% a lot of games being played in this 00:54:35.760 --> 00:54:37.349 align:start position:0% a lot of games being played in this space<00:54:36.559> so 00:54:37.349 --> 00:54:37.359 align:start position:0% space so 00:54:37.359 --> 00:54:39.990 align:start position:0% space so um<00:54:37.599> i<00:54:37.760> don't<00:54:37.839> know<00:54:38.000> how<00:54:38.240> to<00:54:38.400> interpret<00:54:38.960> it<00:54:39.359> uh 00:54:39.990 --> 00:54:40.000 align:start position:0% um i don't know how to interpret it uh 00:54:40.000 --> 00:54:42.630 align:start position:0% um i don't know how to interpret it uh if<00:54:40.160> he's<00:54:40.559> actually<00:54:40.960> aware<00:54:41.200> or<00:54:41.280> not<00:54:41.520> but 00:54:42.630 --> 00:54:42.640 align:start position:0% if he's actually aware or not but 00:54:42.640 --> 00:54:44.870 align:start position:0% if he's actually aware or not but the<00:54:42.880> the<00:54:43.119> deeper<00:54:43.599> truth<00:54:44.000> is 00:54:44.870 --> 00:54:44.880 align:start position:0% the the deeper truth is 00:54:44.880 --> 00:54:48.150 align:start position:0% the the deeper truth is that<00:54:45.040> he's<00:54:45.359> deeply<00:54:45.839> uncomfortable 00:54:48.150 --> 00:54:48.160 align:start position:0% that he's deeply uncomfortable 00:54:48.160 --> 00:54:49.670 align:start position:0% that he's deeply uncomfortable um 00:54:49.670 --> 00:54:49.680 align:start position:0% um 00:54:49.680 --> 00:54:53.030 align:start position:0% um bringing<00:54:50.240> light<00:54:50.720> to<00:54:50.880> this<00:54:51.200> part<00:54:51.359> of<00:54:51.520> the<00:54:51.599> game 00:54:53.030 --> 00:54:53.040 align:start position:0% bringing light to this part of the game 00:54:53.040 --> 00:54:54.230 align:start position:0% bringing light to this part of the game yes<00:54:53.359> and 00:54:54.230 --> 00:54:54.240 align:start position:0% yes and 00:54:54.240 --> 00:54:56.630 align:start position:0% yes and i'm<00:54:54.640> going<00:54:54.799> to<00:54:54.880> read<00:54:55.119> between<00:54:55.359> the<00:54:55.520> lines<00:54:55.920> and 00:54:56.630 --> 00:54:56.640 align:start position:0% i'm going to read between the lines and 00:54:56.640 --> 00:54:58.470 align:start position:0% i'm going to read between the lines and albert<00:54:57.119> borla<00:54:57.520> certainly<00:54:57.839> didn't<00:54:58.079> ask<00:54:58.240> me<00:54:58.400> to 00:54:58.470 --> 00:54:58.480 align:start position:0% albert borla certainly didn't ask me to 00:54:58.480 --> 00:54:59.910 align:start position:0% albert borla certainly didn't ask me to speak<00:54:58.799> for<00:54:58.960> him 00:54:59.910 --> 00:54:59.920 align:start position:0% speak for him 00:54:59.920 --> 00:55:00.630 align:start position:0% speak for him but 00:55:00.630 --> 00:55:00.640 align:start position:0% but 00:55:00.640 --> 00:55:02.470 align:start position:0% but i<00:55:00.799> think<00:55:00.960> but<00:55:01.280> when<00:55:01.440> did<00:55:01.599> you<00:55:01.839> speak<00:55:02.079> to<00:55:02.160> him 00:55:02.470 --> 00:55:02.480 align:start position:0% i think but when did you speak to him 00:55:02.480 --> 00:55:04.549 align:start position:0% i think but when did you speak to him how<00:55:02.640> long<00:55:02.880> ago<00:55:03.440> wow<00:55:03.760> time<00:55:04.000> flies<00:55:04.319> when<00:55:04.400> you're 00:55:04.549 --> 00:55:04.559 align:start position:0% how long ago wow time flies when you're 00:55:04.559 --> 00:55:06.870 align:start position:0% how long ago wow time flies when you're having<00:55:04.880> fun<00:55:05.440> uh<00:55:05.680> two<00:55:05.920> months<00:55:06.160> ago<00:55:06.480> two<00:55:06.640> months 00:55:06.870 --> 00:55:06.880 align:start position:0% having fun uh two months ago two months 00:55:06.880 --> 00:55:08.549 align:start position:0% having fun uh two months ago two months ago<00:55:07.440> so 00:55:08.549 --> 00:55:08.559 align:start position:0% ago so 00:55:08.559 --> 00:55:11.990 align:start position:0% ago so that<00:55:08.799> was<00:55:09.599> just<00:55:09.839> recently<00:55:10.480> it's<00:55:10.720> come<00:55:10.960> out<00:55:11.520> uh 00:55:11.990 --> 00:55:12.000 align:start position:0% that was just recently it's come out uh 00:55:12.000 --> 00:55:14.470 align:start position:0% that was just recently it's come out uh just<00:55:12.240> in<00:55:12.400> the<00:55:12.480> past<00:55:12.880> week<00:55:13.200> it's<00:55:13.359> come<00:55:13.599> out 00:55:14.470 --> 00:55:14.480 align:start position:0% just in the past week it's come out 00:55:14.480 --> 00:55:15.270 align:start position:0% just in the past week it's come out that 00:55:15.270 --> 00:55:15.280 align:start position:0% that 00:55:15.280 --> 00:55:16.230 align:start position:0% that um 00:55:16.230 --> 00:55:16.240 align:start position:0% um 00:55:16.240 --> 00:55:19.829 align:start position:0% um pfizer<00:55:16.720> isn't<00:55:17.280> battling<00:55:17.680> the<00:55:17.920> fda<00:55:18.880> pfizer<00:55:19.359> has 00:55:19.829 --> 00:55:19.839 align:start position:0% pfizer isn't battling the fda pfizer has 00:55:19.839 --> 00:55:21.910 align:start position:0% pfizer isn't battling the fda pfizer has joined<00:55:20.160> the<00:55:20.400> fda 00:55:21.910 --> 00:55:21.920 align:start position:0% joined the fda 00:55:21.920 --> 00:55:24.789 align:start position:0% joined the fda in<00:55:22.160> the<00:55:22.400> opposition<00:55:23.119> to<00:55:23.359> the<00:55:23.440> request 00:55:24.789 --> 00:55:24.799 align:start position:0% in the opposition to the request 00:55:24.799 --> 00:55:26.950 align:start position:0% in the opposition to the request to<00:55:25.040> release<00:55:25.760> these 00:55:26.950 --> 00:55:26.960 align:start position:0% to release these 00:55:26.960 --> 00:55:29.589 align:start position:0% to release these uh<00:55:27.680> these<00:55:28.000> documents 00:55:29.589 --> 00:55:29.599 align:start position:0% uh these documents 00:55:29.599 --> 00:55:31.589 align:start position:0% uh these documents in<00:55:29.760> the<00:55:29.920> same<00:55:30.160> amount<00:55:30.400> of<00:55:30.559> time<00:55:30.799> that<00:55:30.960> the<00:55:31.119> fda 00:55:31.589 --> 00:55:31.599 align:start position:0% in the same amount of time that the fda 00:55:31.599 --> 00:55:36.789 align:start position:0% in the same amount of time that the fda took<00:55:31.839> to<00:55:32.079> evaluate<00:55:32.640> them<00:55:33.119> yeah<00:55:34.000> so<00:55:34.400> pfizer 00:55:36.789 --> 00:55:36.799 align:start position:0% took to evaluate them yeah so pfizer 00:55:36.799 --> 00:55:38.789 align:start position:0% took to evaluate them yeah so pfizer is 00:55:38.789 --> 00:55:38.799 align:start position:0% is 00:55:38.799 --> 00:55:40.150 align:start position:0% is offering 00:55:40.150 --> 00:55:40.160 align:start position:0% offering 00:55:40.160 --> 00:55:43.670 align:start position:0% offering to<00:55:40.480> help<00:55:40.880> the<00:55:41.200> fda 00:55:43.670 --> 00:55:43.680 align:start position:0% to help the fda 00:55:43.680 --> 00:55:45.829 align:start position:0% to help the fda to 00:55:45.829 --> 00:55:45.839 align:start position:0% to 00:55:45.839 --> 00:55:48.309 align:start position:0% to petition<00:55:46.400> the<00:55:46.640> judge 00:55:48.309 --> 00:55:48.319 align:start position:0% petition the judge 00:55:48.319 --> 00:55:50.630 align:start position:0% petition the judge to<00:55:48.960> not<00:55:49.280> enforce 00:55:50.630 --> 00:55:50.640 align:start position:0% to not enforce 00:55:50.640 --> 00:55:53.510 align:start position:0% to not enforce the<00:55:50.799> timeline<00:55:51.440> that<00:55:51.680> he<00:55:52.319> seems<00:55:52.640> to<00:55:52.720> be<00:55:53.200> moving 00:55:53.510 --> 00:55:53.520 align:start position:0% the timeline that he seems to be moving 00:55:53.520 --> 00:55:54.950 align:start position:0% the timeline that he seems to be moving towards<00:55:54.079> so<00:55:54.240> for<00:55:54.400> people<00:55:54.640> who<00:55:54.720> are<00:55:54.799> not 00:55:54.950 --> 00:55:54.960 align:start position:0% towards so for people who are not 00:55:54.960 --> 00:55:56.630 align:start position:0% towards so for people who are not familiar<00:55:55.520> we're<00:55:55.760> talking<00:55:56.000> about<00:55:56.240> the<00:55:56.319> freedom 00:55:56.630 --> 00:55:56.640 align:start position:0% familiar we're talking about the freedom 00:55:56.640 --> 00:55:59.030 align:start position:0% familiar we're talking about the freedom of<00:55:56.880> information<00:55:57.520> act<00:55:57.760> request 00:55:59.030 --> 00:55:59.040 align:start position:0% of information act request 00:55:59.040 --> 00:56:03.030 align:start position:0% of information act request to<00:55:59.280> release<00:55:59.920> the<00:56:00.240> pfizer<00:56:01.119> vaccine<00:56:01.920> data 00:56:03.030 --> 00:56:03.040 align:start position:0% to release the pfizer vaccine data 00:56:03.040 --> 00:56:05.109 align:start position:0% to release the pfizer vaccine data study<00:56:03.520> data 00:56:05.109 --> 00:56:05.119 align:start position:0% study data 00:56:05.119 --> 00:56:06.710 align:start position:0% study data to<00:56:05.280> release<00:56:05.680> as<00:56:05.839> much<00:56:06.079> of<00:56:06.160> the<00:56:06.240> data<00:56:06.559> as 00:56:06.710 --> 00:56:06.720 align:start position:0% to release as much of the data as 00:56:06.720 --> 00:56:08.789 align:start position:0% to release as much of the data as possible<00:56:07.200> like<00:56:07.359> the<00:56:07.520> raw<00:56:07.760> data<00:56:08.000> the<00:56:08.160> details 00:56:08.789 --> 00:56:08.799 align:start position:0% possible like the raw data the details 00:56:08.799 --> 00:56:10.549 align:start position:0% possible like the raw data the details or<00:56:09.040> so<00:56:09.200> actually<00:56:09.520> not<00:56:09.680> even<00:56:09.839> the<00:56:09.920> raw<00:56:10.160> data 00:56:10.549 --> 00:56:10.559 align:start position:0% or so actually not even the raw data 00:56:10.559 --> 00:56:11.750 align:start position:0% or so actually not even the raw data it's 00:56:11.750 --> 00:56:11.760 align:start position:0% it's 00:56:11.760 --> 00:56:12.710 align:start position:0% it's data 00:56:12.710 --> 00:56:12.720 align:start position:0% data 00:56:12.720 --> 00:56:15.030 align:start position:0% data doesn't<00:56:12.960> matter<00:56:13.280> there's<00:56:13.440> details<00:56:13.839> to<00:56:14.079> it<00:56:14.559> and 00:56:15.030 --> 00:56:15.040 align:start position:0% doesn't matter there's details to it and 00:56:15.040 --> 00:56:18.150 align:start position:0% doesn't matter there's details to it and i<00:56:15.359> think<00:56:16.160> the<00:56:16.319> response<00:56:16.880> from<00:56:17.040> the<00:56:17.200> fda<00:56:17.920> is 00:56:18.150 --> 00:56:18.160 align:start position:0% i think the response from the fda is 00:56:18.160 --> 00:56:19.589 align:start position:0% i think the response from the fda is that 00:56:19.589 --> 00:56:19.599 align:start position:0% that 00:56:19.599 --> 00:56:22.470 align:start position:0% that of<00:56:19.760> course<00:56:20.160> yes<00:56:20.480> of<00:56:20.640> course 00:56:22.470 --> 00:56:22.480 align:start position:0% of course yes of course 00:56:22.480 --> 00:56:23.750 align:start position:0% of course yes of course uh 00:56:23.750 --> 00:56:23.760 align:start position:0% uh 00:56:23.760 --> 00:56:27.270 align:start position:0% uh but<00:56:24.160> uh<00:56:24.640> you<00:56:24.799> know<00:56:24.960> we<00:56:25.119> can<00:56:25.359> only<00:56:25.680> publish<00:56:26.480> like 00:56:27.270 --> 00:56:27.280 align:start position:0% but uh you know we can only publish like 00:56:27.280 --> 00:56:29.670 align:start position:0% but uh you know we can only publish like some<00:56:27.599> x<00:56:27.920> number<00:56:28.160> of<00:56:28.319> pages<00:56:28.799> a<00:56:28.880> day 00:56:29.670 --> 00:56:29.680 align:start position:0% some x number of pages a day 00:56:29.680 --> 00:56:33.109 align:start position:0% some x number of pages a day 500<00:56:30.400> pages<00:56:30.880> 500<00:56:31.440> pages<00:56:31.760> of<00:56:31.920> data<00:56:32.640> it's<00:56:32.799> not<00:56:33.040> a 00:56:33.109 --> 00:56:33.119 align:start position:0% 500 pages 500 pages of data it's not a 00:56:33.119 --> 00:56:35.910 align:start position:0% 500 pages 500 pages of data it's not a day<00:56:33.440> though<00:56:33.920> it's<00:56:34.240> uh<00:56:34.799> whatever<00:56:35.280> a<00:56:35.440> week<00:56:35.760> i 00:56:35.910 --> 00:56:35.920 align:start position:0% day though it's uh whatever a week i 00:56:35.920 --> 00:56:37.829 align:start position:0% day though it's uh whatever a week i think<00:56:36.319> the<00:56:36.400> point<00:56:36.640> is<00:56:36.880> whatever<00:56:37.359> they're<00:56:37.599> able 00:56:37.829 --> 00:56:37.839 align:start position:0% think the point is whatever they're able 00:56:37.839 --> 00:56:41.270 align:start position:0% think the point is whatever they're able to<00:56:38.000> publish<00:56:38.480> is<00:56:38.720> ridiculous<00:56:39.280> it's<00:56:39.440> like<00:56:40.160> um 00:56:41.270 --> 00:56:41.280 align:start position:0% to publish is ridiculous it's like um 00:56:41.280 --> 00:56:44.390 align:start position:0% to publish is ridiculous it's like um my<00:56:41.599> printer<00:56:42.079> can<00:56:42.319> only<00:56:42.720> print<00:56:43.520> three<00:56:43.839> pages<00:56:44.319> a 00:56:44.390 --> 00:56:44.400 align:start position:0% my printer can only print three pages a 00:56:44.400 --> 00:56:45.430 align:start position:0% my printer can only print three pages a day 00:56:45.430 --> 00:56:45.440 align:start position:0% day 00:56:45.440 --> 00:56:48.230 align:start position:0% day and<00:56:45.760> we<00:56:45.839> cannot<00:56:46.240> afford<00:56:46.559> a<00:56:46.720> second<00:56:47.040> printer<00:56:48.000> so 00:56:48.230 --> 00:56:48.240 align:start position:0% and we cannot afford a second printer so 00:56:48.240 --> 00:56:50.870 align:start position:0% and we cannot afford a second printer so it's<00:56:48.720> it's<00:56:48.960> some<00:56:49.200> kind<00:56:49.359> of<00:56:49.520> bureaucratic 00:56:50.870 --> 00:56:50.880 align:start position:0% it's it's some kind of bureaucratic 00:56:50.880 --> 00:56:53.030 align:start position:0% it's it's some kind of bureaucratic language<00:56:51.520> for<00:56:51.920> you<00:56:52.000> know<00:56:52.160> there's<00:56:52.400> a<00:56:52.559> process 00:56:53.030 --> 00:56:53.040 align:start position:0% language for you know there's a process 00:56:53.040 --> 00:56:54.309 align:start position:0% language for you know there's a process to<00:56:53.200> this 00:56:54.309 --> 00:56:54.319 align:start position:0% to this 00:56:54.319 --> 00:56:56.230 align:start position:0% to this i<00:56:54.799> you<00:56:54.880> know<00:56:55.119> and<00:56:55.359> now<00:56:55.599> you're<00:56:55.760> saying<00:56:56.000> that 00:56:56.230 --> 00:56:56.240 align:start position:0% i you know and now you're saying that 00:56:56.240 --> 00:56:59.270 align:start position:0% i you know and now you're saying that pfizer<00:56:56.720> is<00:56:57.200> obviously<00:56:57.920> um 00:56:59.270 --> 00:56:59.280 align:start position:0% pfizer is obviously um 00:56:59.280 --> 00:57:01.829 align:start position:0% pfizer is obviously um more<00:56:59.520> engaged<00:57:00.240> in<00:57:00.640> helping<00:57:01.040> this<00:57:01.280> kind<00:57:01.599> of 00:57:01.829 --> 00:57:01.839 align:start position:0% more engaged in helping this kind of 00:57:01.839 --> 00:57:03.510 align:start position:0% more engaged in helping this kind of bureaucratic<00:57:02.480> process 00:57:03.510 --> 00:57:03.520 align:start position:0% bureaucratic process 00:57:03.520 --> 00:57:07.030 align:start position:0% bureaucratic process prosper<00:57:04.079> in<00:57:04.960> its<00:57:05.200> full<00:57:05.920> absurdity 00:57:07.030 --> 00:57:07.040 align:start position:0% prosper in its full absurdity 00:57:07.040 --> 00:57:10.549 align:start position:0% prosper in its full absurdity kafka-esque<00:57:07.920> absurdity<00:57:08.880> so 00:57:10.549 --> 00:57:10.559 align:start position:0% kafka-esque absurdity so 00:57:10.559 --> 00:57:13.670 align:start position:0% kafka-esque absurdity so what<00:57:10.880> is<00:57:11.119> this<00:57:11.760> this<00:57:12.160> really<00:57:12.480> bothered<00:57:12.960> people 00:57:13.670 --> 00:57:13.680 align:start position:0% what is this this really bothered people 00:57:13.680 --> 00:57:15.670 align:start position:0% what is this this really bothered people this<00:57:14.000> really<00:57:14.480> this<00:57:14.640> is<00:57:14.720> really<00:57:15.040> troublesome 00:57:15.670 --> 00:57:15.680 align:start position:0% this really this is really troublesome 00:57:15.680 --> 00:57:17.589 align:start position:0% this really this is really troublesome and<00:57:15.839> just<00:57:16.079> to<00:57:16.319> put<00:57:16.480> it<00:57:16.640> in 00:57:17.589 --> 00:57:17.599 align:start position:0% and just to put it in 00:57:17.599 --> 00:57:20.710 align:start position:0% and just to put it in just<00:57:18.079> plain<00:57:18.480> english<00:57:18.960> terms 00:57:20.710 --> 00:57:20.720 align:start position:0% just plain english terms 00:57:20.720 --> 00:57:24.710 align:start position:0% just plain english terms pfizer's<00:57:21.280> making<00:57:21.599> the<00:57:21.760> case<00:57:22.319> that<00:57:22.559> it<00:57:22.880> can't 00:57:24.710 --> 00:57:24.720 align:start position:0% pfizer's making the case that it can't 00:57:24.720 --> 00:57:26.870 align:start position:0% pfizer's making the case that it can't the<00:57:24.880> fda<00:57:25.599> and<00:57:25.760> pfizer<00:57:26.240> together<00:57:26.559> are<00:57:26.640> making 00:57:26.870 --> 00:57:26.880 align:start position:0% the fda and pfizer together are making 00:57:26.880 --> 00:57:28.549 align:start position:0% the fda and pfizer together are making the<00:57:27.040> case<00:57:27.359> that<00:57:27.520> they<00:57:27.760> can't<00:57:28.000> go<00:57:28.240> through<00:57:28.400> the 00:57:28.549 --> 00:57:28.559 align:start position:0% the case that they can't go through the 00:57:28.559 --> 00:57:29.829 align:start position:0% the case that they can't go through the documents 00:57:29.829 --> 00:57:29.839 align:start position:0% documents 00:57:29.839 --> 00:57:31.990 align:start position:0% documents it's<00:57:30.079> going<00:57:30.160> to<00:57:30.240> take<00:57:30.480> them<00:57:30.799> some 00:57:31.990 --> 00:57:32.000 align:start position:0% it's going to take them some 00:57:32.000 --> 00:57:35.270 align:start position:0% it's going to take them some number<00:57:32.480> 100<00:57:32.960> fold<00:57:33.599> hundreds<00:57:34.079> of<00:57:34.240> folds<00:57:35.040> more 00:57:35.270 --> 00:57:35.280 align:start position:0% number 100 fold hundreds of folds more 00:57:35.280 --> 00:57:37.190 align:start position:0% number 100 fold hundreds of folds more time<00:57:35.599> to<00:57:35.760> go<00:57:35.920> through<00:57:36.079> the<00:57:36.240> documents<00:57:36.960> than 00:57:37.190 --> 00:57:37.200 align:start position:0% time to go through the documents than 00:57:37.200 --> 00:57:38.870 align:start position:0% time to go through the documents than the<00:57:37.359> fda<00:57:37.839> required<00:57:38.240> to<00:57:38.319> go<00:57:38.480> through<00:57:38.720> the 00:57:38.870 --> 00:57:38.880 align:start position:0% the fda required to go through the 00:57:38.880 --> 00:57:41.270 align:start position:0% the fda required to go through the documents<00:57:39.680> to<00:57:40.000> approve 00:57:41.270 --> 00:57:41.280 align:start position:0% documents to approve 00:57:41.280 --> 00:57:43.990 align:start position:0% documents to approve the<00:57:41.599> vaccines<00:57:42.160> to<00:57:42.240> give<00:57:42.480> the<00:57:42.640> vaccines<00:57:43.119> full 00:57:43.990 --> 00:57:44.000 align:start position:0% the vaccines to give the vaccines full 00:57:44.000 --> 00:57:46.789 align:start position:0% the vaccines to give the vaccines full fda<00:57:44.319> approval<00:57:45.040> and<00:57:45.119> the<00:57:45.359> fda's<00:57:45.920> argument<00:57:46.559> talk 00:57:46.789 --> 00:57:46.799 align:start position:0% fda approval and the fda's argument talk 00:57:46.799 --> 00:57:48.870 align:start position:0% fda approval and the fda's argument talk about<00:57:47.040> kafka-esque 00:57:48.870 --> 00:57:48.880 align:start position:0% about kafka-esque 00:57:48.880 --> 00:57:51.750 align:start position:0% about kafka-esque is<00:57:49.119> that<00:57:49.280> to<00:57:49.440> do<00:57:49.680> it<00:57:49.839> more<00:57:50.079> rapidly<00:57:51.200> would<00:57:51.440> cost 00:57:51.750 --> 00:57:51.760 align:start position:0% is that to do it more rapidly would cost 00:57:51.760 --> 00:57:54.870 align:start position:0% is that to do it more rapidly would cost them<00:57:52.160> three<00:57:52.400> million<00:57:52.799> dollars 00:57:54.870 --> 00:57:54.880 align:start position:0% them three million dollars 00:57:54.880 --> 00:57:56.710 align:start position:0% them three million dollars three<00:57:55.119> million<00:57:55.599> dollars 00:57:56.710 --> 00:57:56.720 align:start position:0% three million dollars 00:57:56.720 --> 00:58:00.230 align:start position:0% three million dollars equals<00:57:57.359> one<00:57:57.839> hour<00:57:58.640> of<00:57:58.880> vaccine<00:57:59.520> sales<00:58:00.000> over 00:58:00.230 --> 00:58:00.240 align:start position:0% equals one hour of vaccine sales over 00:58:00.240 --> 00:58:01.910 align:start position:0% equals one hour of vaccine sales over two<00:58:00.480> years 00:58:01.910 --> 00:58:01.920 align:start position:0% two years 00:58:01.920 --> 00:58:04.230 align:start position:0% two years one<00:58:02.240> hour<00:58:02.640> of<00:58:02.799> sales 00:58:04.230 --> 00:58:04.240 align:start position:0% one hour of sales 00:58:04.240 --> 00:58:05.750 align:start position:0% one hour of sales and<00:58:04.559> they<00:58:04.799> can't<00:58:05.040> come<00:58:05.200> up<00:58:05.280> with<00:58:05.440> the<00:58:05.520> money 00:58:05.750 --> 00:58:05.760 align:start position:0% and they can't come up with the money 00:58:05.760 --> 00:58:07.990 align:start position:0% and they can't come up with the money and<00:58:05.839> now<00:58:06.160> pfizer<00:58:06.559> has<00:58:06.720> joined<00:58:07.040> the<00:58:07.280> suit<00:58:07.839> to 00:58:07.990 --> 00:58:08.000 align:start position:0% and now pfizer has joined the suit to 00:58:08.000 --> 00:58:10.390 align:start position:0% and now pfizer has joined the suit to help<00:58:08.240> the<00:58:08.480> fda<00:58:08.960> fight<00:58:09.200> off<00:58:09.440> this<00:58:09.680> judge<00:58:10.160> this 00:58:10.390 --> 00:58:10.400 align:start position:0% help the fda fight off this judge this 00:58:10.400 --> 00:58:11.670 align:start position:0% help the fda fight off this judge this mean<00:58:10.640> judge<00:58:10.960> who<00:58:11.119> thinks<00:58:11.359> they<00:58:11.440> ought<00:58:11.599> to 00:58:11.670 --> 00:58:11.680 align:start position:0% mean judge who thinks they ought to 00:58:11.680 --> 00:58:14.390 align:start position:0% mean judge who thinks they ought to release<00:58:12.000> the<00:58:12.079> data<00:58:12.799> but<00:58:13.440> evidently<00:58:14.000> pfizer 00:58:14.390 --> 00:58:14.400 align:start position:0% release the data but evidently pfizer 00:58:14.400 --> 00:58:15.670 align:start position:0% release the data but evidently pfizer isn't<00:58:14.559> offering<00:58:14.880> to<00:58:14.960> come<00:58:15.119> up<00:58:15.200> with<00:58:15.359> the<00:58:15.440> three 00:58:15.670 --> 00:58:15.680 align:start position:0% isn't offering to come up with the three 00:58:15.680 --> 00:58:18.309 align:start position:0% isn't offering to come up with the three million<00:58:16.000> dollars<00:58:16.400> either<00:58:17.200> so<00:58:17.760> bought<00:58:18.079> for 00:58:18.309 --> 00:58:18.319 align:start position:0% million dollars either so bought for 00:58:18.319 --> 00:58:19.990 align:start position:0% million dollars either so bought for three<00:58:18.480> million<00:58:18.799> i<00:58:18.880> mean<00:58:19.040> maybe 00:58:19.990 --> 00:58:20.000 align:start position:0% three million i mean maybe 00:58:20.000 --> 00:58:20.829 align:start position:0% three million i mean maybe the 00:58:20.829 --> 00:58:20.839 align:start position:0% the 00:58:20.839 --> 00:58:24.549 align:start position:0% the maybe<00:58:22.000> the<00:58:22.160> fda<00:58:22.559> should<00:58:22.720> do<00:58:22.880> a<00:58:22.960> gofundme 00:58:24.549 --> 00:58:24.559 align:start position:0% maybe the fda should do a gofundme 00:58:24.559 --> 00:58:25.349 align:start position:0% maybe the fda should do a gofundme thing 00:58:25.349 --> 00:58:25.359 align:start position:0% thing 00:58:25.359 --> 00:58:27.100 align:start position:0% thing well<00:58:25.680> obviously<00:58:26.160> the<00:58:26.319> money<00:58:26.799> thing 00:58:27.100 --> 00:58:27.110 align:start position:0% well obviously the money thing 00:58:27.110 --> 00:58:28.230 align:start position:0% well obviously the money thing [Music] 00:58:28.230 --> 00:58:28.240 align:start position:0% [Music] 00:58:28.240 --> 00:58:30.789 align:start position:0% [Music] i<00:58:28.319> mean<00:58:28.559> i'm<00:58:28.880> sure<00:58:29.440> if<00:58:29.599> elon<00:58:29.839> musk<00:58:30.160> comes<00:58:30.400> along 00:58:30.789 --> 00:58:30.799 align:start position:0% i mean i'm sure if elon musk comes along 00:58:30.799 --> 00:58:33.670 align:start position:0% i mean i'm sure if elon musk comes along and<00:58:30.960> says<00:58:31.280> i'll<00:58:31.520> give<00:58:31.680> you<00:58:32.240> 100<00:58:32.640> million 00:58:33.670 --> 00:58:33.680 align:start position:0% and says i'll give you 100 million 00:58:33.680 --> 00:58:35.349 align:start position:0% and says i'll give you 100 million publish<00:58:34.079> it<00:58:34.160> now 00:58:35.349 --> 00:58:35.359 align:start position:0% publish it now 00:58:35.359 --> 00:58:37.829 align:start position:0% publish it now i<00:58:35.599> think<00:58:35.839> they'll<00:58:36.000> come<00:58:36.240> up<00:58:36.319> with<00:58:36.480> another 00:58:37.829 --> 00:58:37.839 align:start position:0% i think they'll come up with another 00:58:37.839 --> 00:58:40.230 align:start position:0% i think they'll come up with another so<00:58:38.160> i<00:58:38.319> mean<00:58:38.480> that<00:58:38.960> there<00:58:39.280> it's<00:58:39.599> clear<00:58:40.079> that 00:58:40.230 --> 00:58:40.240 align:start position:0% so i mean that there it's clear that 00:58:40.240 --> 00:58:42.470 align:start position:0% so i mean that there it's clear that there<00:58:40.480> is<00:58:40.720> um 00:58:42.470 --> 00:58:42.480 align:start position:0% there is um 00:58:42.480 --> 00:58:45.270 align:start position:0% there is um cautiousness<00:58:43.520> i<00:58:43.680> don't<00:58:43.920> know<00:58:44.559> the<00:58:44.799> source<00:58:45.119> of 00:58:45.270 --> 00:58:45.280 align:start position:0% cautiousness i don't know the source of 00:58:45.280 --> 00:58:45.990 align:start position:0% cautiousness i don't know the source of it 00:58:45.990 --> 00:58:46.000 align:start position:0% it 00:58:46.000 --> 00:58:47.670 align:start position:0% it from<00:58:46.319> the<00:58:46.480> fda<00:58:47.040> there's<00:58:47.280> only<00:58:47.440> one 00:58:47.670 --> 00:58:47.680 align:start position:0% from the fda there's only one 00:58:47.680 --> 00:58:50.549 align:start position:0% from the fda there's only one explanation<00:58:48.480> that<00:58:48.640> i<00:58:48.799> can<00:58:48.960> think<00:58:49.200> of 00:58:50.549 --> 00:58:50.559 align:start position:0% explanation that i can think of 00:58:50.559 --> 00:58:53.190 align:start position:0% explanation that i can think of which<00:58:50.799> is<00:58:51.440> that<00:58:51.680> the<00:58:51.920> fda<00:58:52.400> and<00:58:52.559> pfizer<00:58:52.960> don't 00:58:53.190 --> 00:58:53.200 align:start position:0% which is that the fda and pfizer don't 00:58:53.200 --> 00:58:55.270 align:start position:0% which is that the fda and pfizer don't want<00:58:53.359> to<00:58:53.440> release<00:58:53.839> the<00:58:54.000> data 00:58:55.270 --> 00:58:55.280 align:start position:0% want to release the data 00:58:55.280 --> 00:58:57.510 align:start position:0% want to release the data they<00:58:55.520> don't<00:58:55.760> want<00:58:56.000> to<00:58:56.079> release<00:58:56.640> the 00:58:57.510 --> 00:58:57.520 align:start position:0% they don't want to release the 00:58:57.520 --> 00:58:59.829 align:start position:0% they don't want to release the three<00:58:57.839> or<00:58:57.920> five<00:58:58.160> hundred<00:58:58.400> thousand<00:58:58.799> pages<00:58:59.280> of 00:58:59.829 --> 00:58:59.839 align:start position:0% three or five hundred thousand pages of 00:58:59.839 --> 00:59:03.109 align:start position:0% three or five hundred thousand pages of of<00:59:00.559> uh<00:59:01.119> documents 00:59:03.109 --> 00:59:03.119 align:start position:0% of uh documents 00:59:03.119 --> 00:59:05.750 align:start position:0% of uh documents and<00:59:03.359> i<00:59:03.520> don't<00:59:03.680> know<00:59:03.920> what's<00:59:04.240> in<00:59:04.319> there<00:59:04.880> i'm<00:59:05.359> i 00:59:05.750 --> 00:59:05.760 align:start position:0% and i don't know what's in there i'm i 00:59:05.760 --> 00:59:07.990 align:start position:0% and i don't know what's in there i'm i want<00:59:05.920> to<00:59:06.000> say<00:59:06.240> one<00:59:06.400> thing<00:59:06.640> very<00:59:06.960> clearly 00:59:07.990 --> 00:59:08.000 align:start position:0% want to say one thing very clearly 00:59:08.000 --> 00:59:10.710 align:start position:0% want to say one thing very clearly i<00:59:08.240> am<00:59:08.480> not<00:59:08.720> an<00:59:08.880> anti-faxer<00:59:10.000> i<00:59:10.240> believe<00:59:10.559> the 00:59:10.710 --> 00:59:10.720 align:start position:0% i am not an anti-faxer i believe the 00:59:10.720 --> 00:59:13.589 align:start position:0% i am not an anti-faxer i believe the vaccines<00:59:11.359> work<00:59:11.839> i<00:59:12.000> believe<00:59:12.880> everybody<00:59:13.359> should 00:59:13.589 --> 00:59:13.599 align:start position:0% vaccines work i believe everybody should 00:59:13.599 --> 00:59:16.309 align:start position:0% vaccines work i believe everybody should get<00:59:13.760> vaccinated<00:59:14.799> uh<00:59:15.119> the<00:59:15.359> evidence<00:59:15.760> is<00:59:15.920> clear 00:59:16.309 --> 00:59:16.319 align:start position:0% get vaccinated uh the evidence is clear 00:59:16.319 --> 00:59:18.069 align:start position:0% get vaccinated uh the evidence is clear that<00:59:16.559> if<00:59:16.720> you're<00:59:16.880> vaccinated<00:59:17.520> you<00:59:17.680> reduce 00:59:18.069 --> 00:59:18.079 align:start position:0% that if you're vaccinated you reduce 00:59:18.079 --> 00:59:20.870 align:start position:0% that if you're vaccinated you reduce your<00:59:18.160> risk<00:59:18.480> of<00:59:18.559> dying<00:59:18.880> of<00:59:19.040> covid<00:59:19.760> by<00:59:20.000> 20-fold 00:59:20.870 --> 00:59:20.880 align:start position:0% your risk of dying of covid by 20-fold 00:59:20.880 --> 00:59:22.549 align:start position:0% your risk of dying of covid by 20-fold and<00:59:20.960> we've<00:59:21.200> got<00:59:21.440> new<00:59:21.680> sub-variants<00:59:22.319> coming 00:59:22.549 --> 00:59:22.559 align:start position:0% and we've got new sub-variants coming 00:59:22.559 --> 00:59:25.430 align:start position:0% and we've got new sub-variants coming along<00:59:23.359> and<00:59:23.599> i<00:59:24.000> just<00:59:24.160> want<00:59:24.319> to<00:59:24.400> be<00:59:24.720> very<00:59:25.119> clear 00:59:25.430 --> 00:59:25.440 align:start position:0% along and i just want to be very clear 00:59:25.440 --> 00:59:26.630 align:start position:0% along and i just want to be very clear about<00:59:25.680> this 00:59:26.630 --> 00:59:26.640 align:start position:0% about this 00:59:26.640 --> 00:59:28.230 align:start position:0% about this that<00:59:26.960> said 00:59:28.230 --> 00:59:28.240 align:start position:0% that said 00:59:28.240 --> 00:59:31.109 align:start position:0% that said there's<00:59:28.559> something<00:59:29.359> i<00:59:29.680> would 00:59:31.109 --> 00:59:31.119 align:start position:0% there's something i would 00:59:31.119 --> 00:59:32.950 align:start position:0% there's something i would give<00:59:31.280> you<00:59:31.520> ten<00:59:31.599> to<00:59:31.839> one<00:59:32.000> odds<00:59:32.319> on<00:59:32.480> a<00:59:32.559> bet<00:59:32.799> that 00:59:32.950 --> 00:59:32.960 align:start position:0% give you ten to one odds on a bet that 00:59:32.960 --> 00:59:35.109 align:start position:0% give you ten to one odds on a bet that there's<00:59:33.200> something<00:59:33.599> in<00:59:33.680> that<00:59:33.920> data 00:59:35.109 --> 00:59:35.119 align:start position:0% there's something in that data 00:59:35.119 --> 00:59:38.710 align:start position:0% there's something in that data that<00:59:35.680> um<00:59:36.400> is<00:59:36.559> going<00:59:36.640> to<00:59:36.720> be<00:59:36.880> embarrassing<00:59:37.760> to 00:59:38.710 --> 00:59:38.720 align:start position:0% that um is going to be embarrassing to 00:59:38.720 --> 00:59:41.349 align:start position:0% that um is going to be embarrassing to either<00:59:39.359> fda<00:59:39.760> or<00:59:39.920> pfizer<00:59:40.400> or<00:59:40.559> both<00:59:40.960> so<00:59:41.119> there's 00:59:41.349 --> 00:59:41.359 align:start position:0% either fda or pfizer or both so there's 00:59:41.359 --> 00:59:43.750 align:start position:0% either fda or pfizer or both so there's two<00:59:41.599> options<00:59:41.920> i<00:59:42.000> agree<00:59:42.240> with<00:59:42.400> you<00:59:42.559> 100 00:59:43.750 --> 00:59:43.760 align:start position:0% two options i agree with you 100 00:59:43.760 --> 00:59:46.549 align:start position:0% two options i agree with you 100 one<00:59:44.000> is<00:59:44.160> they<00:59:44.400> know<00:59:44.720> of<00:59:44.960> embarrassing<00:59:45.520> things 00:59:46.549 --> 00:59:46.559 align:start position:0% one is they know of embarrassing things 00:59:46.559 --> 00:59:48.069 align:start position:0% one is they know of embarrassing things that's<00:59:46.880> option<00:59:47.280> one 00:59:48.069 --> 00:59:48.079 align:start position:0% that's option one 00:59:48.079 --> 00:59:50.069 align:start position:0% that's option one and<00:59:48.319> option<00:59:48.720> two 00:59:50.069 --> 00:59:50.079 align:start position:0% and option two 00:59:50.079 --> 00:59:52.470 align:start position:0% and option two they<00:59:50.480> haven't<00:59:50.960> invested<00:59:51.440> enough<00:59:51.680> to<00:59:51.920> truly 00:59:52.470 --> 00:59:52.480 align:start position:0% they haven't invested enough to truly 00:59:52.480 --> 00:59:54.069 align:start position:0% they haven't invested enough to truly understand<00:59:52.960> the<00:59:53.119> data 00:59:54.069 --> 00:59:54.079 align:start position:0% understand the data 00:59:54.079 --> 00:59:56.470 align:start position:0% understand the data like<00:59:54.240> to<00:59:54.480> i<00:59:54.559> mean<00:59:54.720> it's<00:59:54.960> a<00:59:55.040> lot<00:59:55.280> of<00:59:55.359> data 00:59:56.470 --> 00:59:56.480 align:start position:0% like to i mean it's a lot of data 00:59:56.480 --> 00:59:58.470 align:start position:0% like to i mean it's a lot of data that<00:59:56.880> they<00:59:57.200> they<00:59:57.440> have<00:59:57.599> a<00:59:57.760> sense<00:59:58.079> there<00:59:58.319> might 00:59:58.470 --> 00:59:58.480 align:start position:0% that they they have a sense there might 00:59:58.480 --> 01:00:00.069 align:start position:0% that they they have a sense there might be<00:59:58.640> something<00:59:59.119> embarrassing<00:59:59.680> in<00:59:59.760> there<00:59:59.920> and 01:00:00.069 --> 01:00:00.079 align:start position:0% be something embarrassing in there and 01:00:00.079 --> 01:00:02.150 align:start position:0% be something embarrassing in there and if<01:00:00.160> we<01:00:00.480> release<01:00:01.040> it 01:00:02.150 --> 01:00:02.160 align:start position:0% if we release it 01:00:02.160 --> 01:00:03.750 align:start position:0% if we release it surely<01:00:02.640> the<01:00:02.799> world<01:00:03.040> will<01:00:03.200> discover<01:00:03.599> the 01:00:03.750 --> 01:00:03.760 align:start position:0% surely the world will discover the 01:00:03.760 --> 01:00:05.349 align:start position:0% surely the world will discover the embarrassing<01:00:04.400> end 01:00:05.349 --> 01:00:05.359 align:start position:0% embarrassing end 01:00:05.359 --> 01:00:07.829 align:start position:0% embarrassing end uh<01:00:06.000> to<01:00:06.160> do<01:00:06.400> uh<01:00:06.559> sort<01:00:06.720> of<01:00:06.880> the<01:00:07.040> steel<01:00:07.359> man<01:00:07.599> their 01:00:07.829 --> 01:00:07.839 align:start position:0% uh to do uh sort of the steel man their 01:00:07.839 --> 01:00:10.549 align:start position:0% uh to do uh sort of the steel man their argument<01:00:08.799> they'll<01:00:09.040> take<01:00:09.280> the<01:00:09.520> small<01:00:10.400> the 01:00:10.549 --> 01:00:10.559 align:start position:0% argument they'll take the small the 01:00:10.559 --> 01:00:11.589 align:start position:0% argument they'll take the small the press 01:00:11.589 --> 01:00:11.599 align:start position:0% press 01:00:11.599 --> 01:00:13.270 align:start position:0% press the<01:00:11.839> people<01:00:12.240> will<01:00:12.400> take<01:00:12.640> the<01:00:12.880> small 01:00:13.270 --> 01:00:13.280 align:start position:0% the people will take the small 01:00:13.280 --> 01:00:15.190 align:start position:0% the people will take the small embarrassing<01:00:13.920> things<01:00:14.400> and<01:00:14.559> blow<01:00:14.799> them<01:00:14.960> up 01:00:15.190 --> 01:00:15.200 align:start position:0% embarrassing things and blow them up 01:00:15.200 --> 01:00:17.589 align:start position:0% embarrassing things and blow them up into<01:00:15.520> big<01:00:15.760> things<01:00:16.400> yes<01:00:16.799> and<01:00:16.960> support<01:00:17.359> the 01:00:17.589 --> 01:00:17.599 align:start position:0% into big things yes and support the 01:00:17.599 --> 01:00:20.630 align:start position:0% into big things yes and support the anti-vaxx<01:00:18.559> yes<01:00:19.119> campaign<01:00:19.839> yes<01:00:20.240> i<01:00:20.400> think 01:00:20.630 --> 01:00:20.640 align:start position:0% anti-vaxx yes campaign yes i think 01:00:20.640 --> 01:00:22.630 align:start position:0% anti-vaxx yes campaign yes i think that's<01:00:20.960> all<01:00:21.200> possible 01:00:22.630 --> 01:00:22.640 align:start position:0% that's all possible 01:00:22.640 --> 01:00:25.349 align:start position:0% that's all possible nonetheless<01:00:23.839> the<01:00:24.079> data<01:00:24.720> are<01:00:24.880> about<01:00:25.200> the 01:00:25.349 --> 01:00:25.359 align:start position:0% nonetheless the data are about the 01:00:25.359 --> 01:00:29.109 align:start position:0% nonetheless the data are about the original<01:00:25.920> clinical<01:00:26.839> trial<01:00:27.839> and 01:00:29.109 --> 01:00:29.119 align:start position:0% original clinical trial and 01:00:29.119 --> 01:00:32.870 align:start position:0% original clinical trial and the<01:00:29.760> emergency<01:00:30.400> youth's<01:00:31.040> authorization<01:00:32.160> was 01:00:32.870 --> 01:00:32.880 align:start position:0% the emergency youth's authorization was 01:00:32.880 --> 01:00:34.950 align:start position:0% the emergency youth's authorization was based<01:00:33.280> on<01:00:33.440> the<01:00:33.599> first<01:00:33.920> few<01:00:34.160> months<01:00:34.640> of<01:00:34.799> the 01:00:34.950 --> 01:00:34.960 align:start position:0% based on the first few months of the 01:00:34.960 --> 01:00:36.549 align:start position:0% based on the first few months of the data<01:00:35.200> from<01:00:35.440> that<01:00:35.599> trial<01:00:36.160> and<01:00:36.240> it<01:00:36.400> was<01:00:36.480> a 01:00:36.549 --> 01:00:36.559 align:start position:0% data from that trial and it was a 01:00:36.559 --> 01:00:39.109 align:start position:0% data from that trial and it was a two-year<01:00:36.960> trial<01:00:37.760> the<01:00:38.079> rest<01:00:38.319> of<01:00:38.400> that<01:00:38.640> data<01:00:38.960> has 01:00:39.109 --> 01:00:39.119 align:start position:0% two-year trial the rest of that data has 01:00:39.119 --> 01:00:41.109 align:start position:0% two-year trial the rest of that data has not<01:00:39.359> been<01:00:39.599> opened<01:00:39.920> up<01:00:40.079> and<01:00:40.160> there<01:00:40.400> was<01:00:40.640> not<01:00:40.880> an 01:00:41.109 --> 01:00:41.119 align:start position:0% not been opened up and there was not an 01:00:41.119 --> 01:00:43.430 align:start position:0% not been opened up and there was not an advisory<01:00:41.680> committee<01:00:42.480> meeting 01:00:43.430 --> 01:00:43.440 align:start position:0% advisory committee meeting 01:00:43.440 --> 01:00:45.750 align:start position:0% advisory committee meeting to<01:00:43.680> look<01:00:43.920> at<01:00:44.000> that<01:00:44.240> data<01:00:44.960> when<01:00:45.119> the<01:00:45.359> fda 01:00:45.750 --> 01:00:45.760 align:start position:0% to look at that data when the fda 01:00:45.760 --> 01:00:48.390 align:start position:0% to look at that data when the fda granted<01:00:46.160> full<01:00:46.400> authorization<01:00:47.359> again<01:00:48.000> i<01:00:48.240> am 01:00:48.390 --> 01:00:48.400 align:start position:0% granted full authorization again i am 01:00:48.400 --> 01:00:50.150 align:start position:0% granted full authorization again i am pro-vaccine<01:00:49.200> i<01:00:49.359> am<01:00:49.440> not<01:00:49.680> making<01:00:50.000> an 01:00:50.150 --> 01:00:50.160 align:start position:0% pro-vaccine i am not making an 01:00:50.160 --> 01:00:51.270 align:start position:0% pro-vaccine i am not making an anti-facts 01:00:51.270 --> 01:00:51.280 align:start position:0% anti-facts 01:00:51.280 --> 01:00:53.349 align:start position:0% anti-facts argument<01:00:51.760> here<01:00:52.480> but 01:00:53.349 --> 01:00:53.359 align:start position:0% argument here but 01:00:53.359 --> 01:00:55.510 align:start position:0% argument here but i<01:00:53.680> suspect<01:00:54.240> that<01:00:54.480> there's<01:00:54.720> something<01:00:55.200> pretty 01:00:55.510 --> 01:00:55.520 align:start position:0% i suspect that there's something pretty 01:00:55.520 --> 01:00:57.349 align:start position:0% i suspect that there's something pretty serious<01:00:56.000> in<01:00:56.079> that<01:00:56.319> data 01:00:57.349 --> 01:00:57.359 align:start position:0% serious in that data 01:00:57.359 --> 01:01:00.950 align:start position:0% serious in that data and<01:00:57.520> the<01:00:57.680> reason<01:00:58.079> why<01:00:58.319> i'm<01:00:58.559> not<01:00:58.720> an<01:00:58.960> anti-faxer 01:01:00.950 --> 01:01:00.960 align:start position:0% and the reason why i'm not an anti-faxer 01:01:00.960 --> 01:01:03.270 align:start position:0% and the reason why i'm not an anti-faxer having<01:01:01.280> not<01:01:01.520> been<01:01:01.760> able<01:01:02.000> to<01:01:02.160> see<01:01:02.319> the<01:01:02.480> data 01:01:03.270 --> 01:01:03.280 align:start position:0% having not been able to see the data 01:01:03.280 --> 01:01:05.589 align:start position:0% having not been able to see the data that<01:01:03.440> the<01:01:03.599> fda<01:01:04.160> and<01:01:04.319> pfizer<01:01:04.799> seemed<01:01:05.040> to 01:01:05.589 --> 01:01:05.599 align:start position:0% that the fda and pfizer seemed to 01:01:05.599 --> 01:01:08.630 align:start position:0% that the fda and pfizer seemed to willing<01:01:06.000> not<01:01:06.240> just<01:01:06.480> to<01:01:06.960> put<01:01:07.200> effort<01:01:07.520> into 01:01:08.630 --> 01:01:08.640 align:start position:0% willing not just to put effort into 01:01:08.640 --> 01:01:10.870 align:start position:0% willing not just to put effort into preventing<01:01:09.119> the<01:01:09.200> release<01:01:09.599> of<01:01:09.920> but<01:01:10.160> seem<01:01:10.720> to 01:01:10.870 --> 01:01:10.880 align:start position:0% preventing the release of but seem to 01:01:10.880 --> 01:01:12.230 align:start position:0% preventing the release of but seem to have<01:01:11.040> quite<01:01:11.280> a<01:01:11.359> bit<01:01:11.440> of<01:01:11.599> energy<01:01:12.079> into 01:01:12.230 --> 01:01:12.240 align:start position:0% have quite a bit of energy into 01:01:12.240 --> 01:01:13.910 align:start position:0% have quite a bit of energy into preventing<01:01:13.040> invest 01:01:13.910 --> 01:01:13.920 align:start position:0% preventing invest 01:01:13.920 --> 01:01:15.829 align:start position:0% preventing invest quite<01:01:14.079> a<01:01:14.160> bit<01:01:14.319> of<01:01:14.400> energy<01:01:15.119> in<01:01:15.280> not<01:01:15.440> releasing 01:01:15.829 --> 01:01:15.839 align:start position:0% quite a bit of energy in not releasing 01:01:15.839 --> 01:01:17.670 align:start position:0% quite a bit of energy in not releasing that<01:01:16.000> data<01:01:16.400> the<01:01:16.559> reason<01:01:16.880> why<01:01:17.119> that<01:01:17.280> doesn't 01:01:17.670 --> 01:01:17.680 align:start position:0% that data the reason why that doesn't 01:01:17.680 --> 01:01:20.309 align:start position:0% that data the reason why that doesn't tip<01:01:17.920> me<01:01:18.079> over<01:01:18.319> into<01:01:18.480> the<01:01:18.559> anti-vaxxer<01:01:19.440> side<01:01:20.160> is 01:01:20.309 --> 01:01:20.319 align:start position:0% tip me over into the anti-vaxxer side is 01:01:20.319 --> 01:01:22.630 align:start position:0% tip me over into the anti-vaxxer side is because<01:01:20.720> that's<01:01:21.040> clinical<01:01:21.520> trial<01:01:21.839> data<01:01:22.319> early 01:01:22.630 --> 01:01:22.640 align:start position:0% because that's clinical trial data early 01:01:22.640 --> 01:01:24.309 align:start position:0% because that's clinical trial data early clinical<01:01:23.040> trial<01:01:23.280> data<01:01:23.599> that<01:01:23.760> involved 01:01:24.309 --> 01:01:24.319 align:start position:0% clinical trial data that involved 01:01:24.319 --> 01:01:26.549 align:start position:0% clinical trial data that involved several<01:01:24.640> thousand<01:01:25.040> people<01:01:25.760> we<01:01:25.920> now<01:01:26.160> have 01:01:26.549 --> 01:01:26.559 align:start position:0% several thousand people we now have 01:01:26.559 --> 01:01:29.589 align:start position:0% several thousand people we now have millions<01:01:27.599> of<01:01:28.079> data<01:01:28.480> points<01:01:28.799> from<01:01:29.040> people<01:01:29.359> who 01:01:29.589 --> 01:01:29.599 align:start position:0% millions of data points from people who 01:01:29.599 --> 01:01:32.069 align:start position:0% millions of data points from people who have<01:01:29.760> had<01:01:30.000> the<01:01:30.160> vaccine<01:01:30.960> this<01:01:31.200> is<01:01:31.359> real<01:01:31.680> world 01:01:32.069 --> 01:01:32.079 align:start position:0% have had the vaccine this is real world 01:01:32.079 --> 01:01:32.950 align:start position:0% have had the vaccine this is real world data 01:01:32.950 --> 01:01:32.960 align:start position:0% data 01:01:32.960 --> 01:01:35.910 align:start position:0% data showing<01:01:33.359> the<01:01:33.520> efficacy<01:01:34.319> of<01:01:34.559> the<01:01:34.880> vaccines<01:01:35.680> and 01:01:35.910 --> 01:01:35.920 align:start position:0% showing the efficacy of the vaccines and 01:01:35.920 --> 01:01:40.390 align:start position:0% showing the efficacy of the vaccines and so<01:01:36.160> far<01:01:36.960> knock<01:01:37.280> on<01:01:37.440> wood<01:01:38.000> there<01:01:38.319> aren't<01:01:38.880> um 01:01:40.390 --> 01:01:40.400 align:start position:0% so far knock on wood there aren't um 01:01:40.400 --> 01:01:43.750 align:start position:0% so far knock on wood there aren't um side<01:01:40.640> effects<01:01:41.119> that<01:01:41.720> overcome<01:01:43.119> the<01:01:43.280> benefits 01:01:43.750 --> 01:01:43.760 align:start position:0% side effects that overcome the benefits 01:01:43.760 --> 01:01:45.030 align:start position:0% side effects that overcome the benefits of<01:01:43.920> vaccine 01:01:45.030 --> 01:01:45.040 align:start position:0% of vaccine 01:01:45.040 --> 01:01:48.230 align:start position:0% of vaccine so<01:01:45.280> i'm<01:01:45.599> i'm<01:01:45.839> with<01:01:46.000> you<01:01:46.400> i'm<01:01:46.559> now 01:01:48.230 --> 01:01:48.240 align:start position:0% so i'm i'm with you i'm now 01:01:48.240 --> 01:01:50.069 align:start position:0% so i'm i'm with you i'm now i<01:01:48.400> guess<01:01:48.720> three<01:01:49.040> shots 01:01:50.069 --> 01:01:50.079 align:start position:0% i guess three shots 01:01:50.079 --> 01:01:53.030 align:start position:0% i guess three shots of<01:01:50.240> the<01:01:50.480> vaccine 01:01:53.030 --> 01:01:53.040 align:start position:0% of the vaccine 01:01:53.040 --> 01:01:54.470 align:start position:0% of the vaccine but<01:01:53.200> there's<01:01:53.440> a<01:01:53.520> lot<01:01:53.680> of<01:01:53.839> people<01:01:54.079> that<01:01:54.240> are 01:01:54.470 --> 01:01:54.480 align:start position:0% but there's a lot of people that are 01:01:54.480 --> 01:01:57.190 align:start position:0% but there's a lot of people that are kind<01:01:54.880> of<01:01:55.280> saying<01:01:55.680> well<01:01:56.160> even<01:01:56.400> the<01:01:56.559> data<01:01:56.880> on<01:01:57.039> the 01:01:57.190 --> 01:01:57.200 align:start position:0% kind of saying well even the data on the 01:01:57.200 --> 01:02:00.789 align:start position:0% kind of saying well even the data on the real<01:01:57.520> the<01:01:57.680> real<01:01:57.920> world<01:01:58.319> use<01:01:58.880> large-scale<01:01:59.599> data 01:02:00.789 --> 01:02:00.799 align:start position:0% real the real world use large-scale data 01:02:00.799 --> 01:02:03.430 align:start position:0% real the real world use large-scale data has<01:02:01.280> um 01:02:03.430 --> 01:02:03.440 align:start position:0% has um 01:02:03.440 --> 01:02:05.510 align:start position:0% has um has<01:02:03.920> is<01:02:04.160> messy 01:02:05.510 --> 01:02:05.520 align:start position:0% has is messy 01:02:05.520 --> 01:02:07.109 align:start position:0% has is messy the<01:02:05.599> way<01:02:05.760> it's<01:02:05.920> being<01:02:06.160> reported<01:02:06.720> the<01:02:06.799> way<01:02:06.960> it's 01:02:07.109 --> 01:02:07.119 align:start position:0% the way it's being reported the way it's 01:02:07.119 --> 01:02:08.710 align:start position:0% the way it's being reported the way it's being<01:02:07.359> interpreted 01:02:08.710 --> 01:02:08.720 align:start position:0% being interpreted 01:02:08.720 --> 01:02:11.430 align:start position:0% being interpreted well<01:02:09.119> one<01:02:09.359> thing<01:02:09.520> is<01:02:09.760> clear<01:02:10.160> to<01:02:10.319> me 01:02:11.430 --> 01:02:11.440 align:start position:0% well one thing is clear to me 01:02:11.440 --> 01:02:13.990 align:start position:0% well one thing is clear to me that<01:02:11.680> it<01:02:11.920> is<01:02:12.079> being<01:02:12.319> politicized<01:02:13.359> it's<01:02:13.680> i<01:02:13.839> mean 01:02:13.990 --> 01:02:14.000 align:start position:0% that it is being politicized it's i mean 01:02:14.000 --> 01:02:17.109 align:start position:0% that it is being politicized it's i mean if<01:02:14.160> you<01:02:14.319> just<01:02:14.640> look<01:02:14.960> objectively 01:02:17.109 --> 01:02:17.119 align:start position:0% if you just look objectively 01:02:17.119 --> 01:02:17.910 align:start position:0% if you just look objectively don't 01:02:17.910 --> 01:02:17.920 align:start position:0% don't 01:02:17.920 --> 01:02:20.470 align:start position:0% don't have<01:02:18.160> to<01:02:18.400> go<01:02:18.640> to<01:02:19.039> at<01:02:19.200> the<01:02:19.440> shallow<01:02:20.000> surface 01:02:20.470 --> 01:02:20.480 align:start position:0% have to go to at the shallow surface 01:02:20.480 --> 01:02:21.670 align:start position:0% have to go to at the shallow surface level 01:02:21.670 --> 01:02:21.680 align:start position:0% level 01:02:21.680 --> 01:02:25.190 align:start position:0% level it<01:02:21.920> seems<01:02:22.319> like<01:02:22.799> there's<01:02:23.119> two<01:02:23.440> groups 01:02:25.190 --> 01:02:25.200 align:start position:0% it seems like there's two groups 01:02:25.200 --> 01:02:26.630 align:start position:0% it seems like there's two groups that 01:02:26.630 --> 01:02:26.640 align:start position:0% that 01:02:26.640 --> 01:02:29.589 align:start position:0% that i<01:02:26.799> can't<01:02:27.039> even<01:02:27.440> put<01:02:27.599> a<01:02:27.760> term<01:02:28.079> to<01:02:28.319> it<01:02:28.640> uh<01:02:28.960> because 01:02:29.589 --> 01:02:29.599 align:start position:0% i can't even put a term to it uh because 01:02:29.599 --> 01:02:31.270 align:start position:0% i can't even put a term to it uh because it's<01:02:29.760> not<01:02:29.920> really<01:02:30.160> pro-vaccine<01:02:30.960> versus 01:02:31.270 --> 01:02:31.280 align:start position:0% it's not really pro-vaccine versus 01:02:31.280 --> 01:02:32.870 align:start position:0% it's not really pro-vaccine versus anti-vaccine<01:02:32.079> because 01:02:32.870 --> 01:02:32.880 align:start position:0% anti-vaccine because 01:02:32.880 --> 01:02:34.789 align:start position:0% anti-vaccine because it's<01:02:33.119> it's<01:02:33.599> it's<01:02:33.920> pro 01:02:34.789 --> 01:02:34.799 align:start position:0% it's it's it's pro 01:02:34.799 --> 01:02:37.589 align:start position:0% it's it's it's pro vaccine<01:02:35.520> triple<01:02:36.000> mask 01:02:37.589 --> 01:02:37.599 align:start position:0% vaccine triple mask 01:02:37.599 --> 01:02:39.589 align:start position:0% vaccine triple mask democrat 01:02:39.589 --> 01:02:39.599 align:start position:0% democrat 01:02:39.599 --> 01:02:41.109 align:start position:0% democrat liberal 01:02:41.109 --> 01:02:41.119 align:start position:0% liberal 01:02:41.119 --> 01:02:43.190 align:start position:0% liberal and<01:02:41.200> then<01:02:41.559> anti-mandate 01:02:43.190 --> 01:02:43.200 align:start position:0% and then anti-mandate 01:02:43.200 --> 01:02:44.710 align:start position:0% and then anti-mandate whatever<01:02:43.680> whatever<01:02:44.000> those<01:02:44.160> groups<01:02:44.480> are<01:02:44.640> i 01:02:44.710 --> 01:02:44.720 align:start position:0% whatever whatever those groups are i 01:02:44.720 --> 01:02:47.829 align:start position:0% whatever whatever those groups are i can't<01:02:44.960> quite<01:02:45.200> cause<01:02:45.359> they're<01:02:45.680> changing 01:02:47.829 --> 01:02:47.839 align:start position:0% can't quite cause they're changing 01:02:47.839 --> 01:02:51.029 align:start position:0% can't quite cause they're changing but<01:02:48.079> not<01:02:48.319> really<01:02:49.119> but<01:02:49.359> kind<01:02:49.680> of<01:02:50.240> so<01:02:50.480> those<01:02:50.799> two 01:02:51.029 --> 01:02:51.039 align:start position:0% but not really but kind of so those two 01:02:51.039 --> 01:02:53.190 align:start position:0% but not really but kind of so those two groups<01:02:51.440> that<01:02:51.680> feel<01:02:52.000> political<01:02:52.640> and<01:02:52.799> nature 01:02:53.190 --> 01:02:53.200 align:start position:0% groups that feel political and nature 01:02:53.200 --> 01:02:55.910 align:start position:0% groups that feel political and nature not<01:02:53.440> scientific<01:02:54.079> in<01:02:54.160> nature<01:02:54.799> it's<01:02:55.280> they're 01:02:55.910 --> 01:02:55.920 align:start position:0% not scientific in nature it's they're 01:02:55.920 --> 01:02:57.829 align:start position:0% not scientific in nature it's they're bickering<01:02:56.799> and<01:02:56.880> then 01:02:57.829 --> 01:02:57.839 align:start position:0% bickering and then 01:02:57.839 --> 01:03:00.309 align:start position:0% bickering and then it's<01:02:58.240> clear<01:02:58.720> that<01:02:59.119> this<01:02:59.520> data<01:02:59.839> is<01:03:00.000> being 01:03:00.309 --> 01:03:00.319 align:start position:0% it's clear that this data is being 01:03:00.319 --> 01:03:02.309 align:start position:0% it's clear that this data is being interpreted<01:03:01.119> by<01:03:01.280> the<01:03:01.440> different<01:03:01.839> groups 01:03:02.309 --> 01:03:02.319 align:start position:0% interpreted by the different groups 01:03:02.319 --> 01:03:03.910 align:start position:0% interpreted by the different groups differently 01:03:03.910 --> 01:03:03.920 align:start position:0% differently 01:03:03.920 --> 01:03:06.150 align:start position:0% differently it's<01:03:04.319> very<01:03:04.559> difficult<01:03:04.960> for<01:03:05.119> me<01:03:05.520> as<01:03:05.680> a<01:03:05.760> human 01:03:06.150 --> 01:03:06.160 align:start position:0% it's very difficult for me as a human 01:03:06.160 --> 01:03:07.430 align:start position:0% it's very difficult for me as a human being 01:03:07.430 --> 01:03:07.440 align:start position:0% being 01:03:07.440 --> 01:03:08.470 align:start position:0% being to 01:03:08.470 --> 01:03:08.480 align:start position:0% to 01:03:08.480 --> 01:03:11.109 align:start position:0% to understand<01:03:09.200> where<01:03:09.440> the<01:03:09.599> truth<01:03:09.920> lies 01:03:11.109 --> 01:03:11.119 align:start position:0% understand where the truth lies 01:03:11.119 --> 01:03:12.789 align:start position:0% understand where the truth lies especially<01:03:11.680> given<01:03:11.920> how<01:03:12.079> much<01:03:12.400> money<01:03:12.640> is 01:03:12.789 --> 01:03:12.799 align:start position:0% especially given how much money is 01:03:12.799 --> 01:03:15.589 align:start position:0% especially given how much money is flying<01:03:13.200> around<01:03:14.000> on<01:03:14.319> all<01:03:14.559> sides<01:03:15.280> so<01:03:15.440> the 01:03:15.589 --> 01:03:15.599 align:start position:0% flying around on all sides so the 01:03:15.599 --> 01:03:17.430 align:start position:0% flying around on all sides so the anti-vaxxers 01:03:17.430 --> 01:03:17.440 align:start position:0% anti-vaxxers 01:03:17.440 --> 01:03:19.510 align:start position:0% anti-vaxxers can<01:03:17.599> make<01:03:17.839> a<01:03:17.920> lot<01:03:18.079> of<01:03:18.240> money<01:03:18.559> too<01:03:19.119> let's<01:03:19.359> not 01:03:19.510 --> 01:03:19.520 align:start position:0% can make a lot of money too let's not 01:03:19.520 --> 01:03:21.750 align:start position:0% can make a lot of money too let's not forget<01:03:19.839> this<01:03:20.079> from<01:03:20.319> the<01:03:20.480> individual 01:03:21.750 --> 01:03:21.760 align:start position:0% forget this from the individual 01:03:21.760 --> 01:03:23.910 align:start position:0% forget this from the individual perspective<01:03:22.400> you<01:03:22.559> can<01:03:22.720> become<01:03:23.119> famous<01:03:23.680> being 01:03:23.910 --> 01:03:23.920 align:start position:0% perspective you can become famous being 01:03:23.920 --> 01:03:26.230 align:start position:0% perspective you can become famous being an<01:03:24.079> anti-vaxxer<01:03:25.280> and<01:03:25.440> so<01:03:25.599> there's<01:03:25.839> a<01:03:25.920> lot<01:03:26.079> of 01:03:26.230 --> 01:03:26.240 align:start position:0% an anti-vaxxer and so there's a lot of 01:03:26.240 --> 01:03:28.829 align:start position:0% an anti-vaxxer and so there's a lot of incentives<01:03:26.799> on<01:03:27.039> all<01:03:27.200> sides<01:03:27.599> here 01:03:28.829 --> 01:03:28.839 align:start position:0% incentives on all sides here 01:03:28.839 --> 01:03:32.230 align:start position:0% incentives on all sides here and<01:03:30.079> and<01:03:30.240> there's<01:03:30.559> real<01:03:30.880> human<01:03:31.280> emotion<01:03:31.920> and 01:03:32.230 --> 01:03:32.240 align:start position:0% and and there's real human emotion and 01:03:32.240 --> 01:03:33.270 align:start position:0% and and there's real human emotion and fear 01:03:33.270 --> 01:03:33.280 align:start position:0% fear 01:03:33.280 --> 01:03:37.510 align:start position:0% fear and<01:03:33.760> also<01:03:34.079> credibility<01:03:35.359> you<01:03:35.440> know<01:03:35.839> um 01:03:37.510 --> 01:03:37.520 align:start position:0% and also credibility you know um 01:03:37.520 --> 01:03:38.630 align:start position:0% and also credibility you know um scientists 01:03:38.630 --> 01:03:38.640 align:start position:0% scientists 01:03:38.640 --> 01:03:41.029 align:start position:0% scientists don't<01:03:38.880> want<01:03:39.119> to<01:03:39.280> ruin<01:03:39.520> their<01:03:39.760> reputation 01:03:41.029 --> 01:03:41.039 align:start position:0% don't want to ruin their reputation 01:03:41.039 --> 01:03:43.029 align:start position:0% don't want to ruin their reputation if<01:03:41.119> they<01:03:41.359> if<01:03:41.520> they<01:03:41.760> speak<01:03:42.079> out<01:03:42.400> in<01:03:42.559> whatever 01:03:43.029 --> 01:03:43.039 align:start position:0% if they if they speak out in whatever 01:03:43.039 --> 01:03:44.390 align:start position:0% if they if they speak out in whatever like<01:03:43.280> speak 01:03:44.390 --> 01:03:44.400 align:start position:0% like speak 01:03:44.400 --> 01:03:46.470 align:start position:0% like speak their<01:03:44.640> opinion<01:03:45.280> or 01:03:46.470 --> 01:03:46.480 align:start position:0% their opinion or 01:03:46.480 --> 01:03:47.910 align:start position:0% their opinion or um 01:03:47.910 --> 01:03:47.920 align:start position:0% um 01:03:47.920 --> 01:03:49.510 align:start position:0% um they<01:03:48.160> look<01:03:48.319> at<01:03:48.480> some<01:03:48.640> slice<01:03:48.960> of<01:03:49.039> the<01:03:49.119> data<01:03:49.440> and 01:03:49.510 --> 01:03:49.520 align:start position:0% they look at some slice of the data and 01:03:49.520 --> 01:03:50.950 align:start position:0% they look at some slice of the data and begin<01:03:49.760> to<01:03:50.000> interpret<01:03:50.319> it<01:03:50.480> in<01:03:50.559> some<01:03:50.720> kind<01:03:50.880> of 01:03:50.950 --> 01:03:50.960 align:start position:0% begin to interpret it in some kind of 01:03:50.960 --> 01:03:53.109 align:start position:0% begin to interpret it in some kind of way<01:03:51.200> they're<01:03:51.440> very<01:03:51.839> it's<01:03:52.240> clear<01:03:52.480> that<01:03:52.720> fear<01:03:52.960> is 01:03:53.109 --> 01:03:53.119 align:start position:0% way they're very it's clear that fear is 01:03:53.119 --> 01:03:55.190 align:start position:0% way they're very it's clear that fear is dominating<01:03:53.680> the<01:03:53.760> discourse<01:03:54.319> here<01:03:54.880> especially 01:03:55.190 --> 01:03:55.200 align:start position:0% dominating the discourse here especially 01:03:55.200 --> 01:03:58.069 align:start position:0% dominating the discourse here especially in<01:03:55.359> the<01:03:55.440> scientific<01:03:56.000> community<01:03:56.960> so<01:03:57.119> i<01:03:57.760> i<01:03:57.920> don't 01:03:58.069 --> 01:03:58.079 align:start position:0% in the scientific community so i i don't 01:03:58.079 --> 01:04:00.230 align:start position:0% in the scientific community so i i don't know<01:03:58.160> what<01:03:58.319> to<01:03:58.480> make<01:03:58.720> of<01:03:58.799> that 01:04:00.230 --> 01:04:00.240 align:start position:0% know what to make of that 01:04:00.240 --> 01:04:01.750 align:start position:0% know what to make of that um 01:04:01.750 --> 01:04:01.760 align:start position:0% um 01:04:01.760 --> 01:04:04.630 align:start position:0% um and<01:04:02.240> the<01:04:02.400> only<01:04:03.039> happy<01:04:03.440> people<01:04:03.760> here 01:04:04.630 --> 01:04:04.640 align:start position:0% and the only happy people here 01:04:04.640 --> 01:04:06.549 align:start position:0% and the only happy people here is<01:04:04.880> pfizer 01:04:06.549 --> 01:04:06.559 align:start position:0% is pfizer 01:04:06.559 --> 01:04:10.950 align:start position:0% is pfizer he's<01:04:06.799> just<01:04:07.039> plowing<01:04:07.920> all<01:04:08.160> ahead<01:04:08.559> i<01:04:08.720> mean<01:04:08.960> uh 01:04:10.950 --> 01:04:10.960 align:start position:0% he's just plowing all ahead i mean uh 01:04:10.960 --> 01:04:13.190 align:start position:0% he's just plowing all ahead i mean uh you<01:04:11.039> know<01:04:11.280> with<01:04:11.520> every<01:04:11.760> single<01:04:12.079> variant 01:04:13.190 --> 01:04:13.200 align:start position:0% you know with every single variant 01:04:13.200 --> 01:04:16.150 align:start position:0% you know with every single variant there's<01:04:13.839> x<01:04:14.240> you<01:04:14.319> know<01:04:14.880> there's<01:04:15.280> very 01:04:16.150 --> 01:04:16.160 align:start position:0% there's x you know there's very 01:04:16.160 --> 01:04:17.670 align:start position:0% there's x you know there's very i<01:04:16.319> would<01:04:16.559> say 01:04:17.670 --> 01:04:17.680 align:start position:0% i would say 01:04:17.680 --> 01:04:19.589 align:start position:0% i would say outside<01:04:18.160> of 01:04:19.589 --> 01:04:19.599 align:start position:0% outside of 01:04:19.599 --> 01:04:22.150 align:start position:0% outside of arguably<01:04:20.240> a<01:04:20.319> very<01:04:20.640> flawed<01:04:21.119> system<01:04:21.760> there's<01:04:22.079> a 01:04:22.150 --> 01:04:22.160 align:start position:0% arguably a very flawed system there's a 01:04:22.160 --> 01:04:23.990 align:start position:0% arguably a very flawed system there's a lot<01:04:22.319> of<01:04:22.559> incredible<01:04:23.280> scientific<01:04:23.839> and 01:04:23.990 --> 01:04:24.000 align:start position:0% lot of incredible scientific and 01:04:24.000 --> 01:04:25.910 align:start position:0% lot of incredible scientific and engineering<01:04:24.559> work<01:04:24.880> being<01:04:25.119> done<01:04:25.680> and 01:04:25.910 --> 01:04:25.920 align:start position:0% engineering work being done and 01:04:25.920 --> 01:04:28.390 align:start position:0% engineering work being done and constantly<01:04:26.480> developing<01:04:27.119> new<01:04:27.440> like<01:04:27.680> antiviral 01:04:28.390 --> 01:04:28.400 align:start position:0% constantly developing new like antiviral 01:04:28.400 --> 01:04:29.750 align:start position:0% constantly developing new like antiviral drugs 01:04:29.750 --> 01:04:29.760 align:start position:0% drugs 01:04:29.760 --> 01:04:32.309 align:start position:0% drugs new<01:04:30.559> of<01:04:31.039> new<01:04:31.280> vaccines<01:04:31.839> to<01:04:31.920> deal<01:04:32.079> with<01:04:32.240> the 01:04:32.309 --> 01:04:32.319 align:start position:0% new of new vaccines to deal with the 01:04:32.319 --> 01:04:35.190 align:start position:0% new of new vaccines to deal with the variants<01:04:33.280> so<01:04:33.440> they're<01:04:33.760> happily<01:04:34.319> being 01:04:35.190 --> 01:04:35.200 align:start position:0% variants so they're happily being 01:04:35.200 --> 01:04:37.510 align:start position:0% variants so they're happily being a<01:04:35.359> capitalist<01:04:36.079> machine 01:04:37.510 --> 01:04:37.520 align:start position:0% a capitalist machine 01:04:37.520 --> 01:04:38.829 align:start position:0% a capitalist machine and 01:04:38.829 --> 01:04:38.839 align:start position:0% and 01:04:38.839 --> 01:04:40.390 align:start position:0% and uh 01:04:40.390 --> 01:04:40.400 align:start position:0% uh 01:04:40.400 --> 01:04:41.910 align:start position:0% uh it's<01:04:40.559> very<01:04:40.880> difficult<01:04:41.200> to 01:04:41.910 --> 01:04:41.920 align:start position:0% it's very difficult to 01:04:41.920 --> 01:04:43.589 align:start position:0% it's very difficult to know<01:04:42.079> what<01:04:42.240> to<01:04:42.400> do<01:04:42.559> with<01:04:42.720> that 01:04:43.589 --> 01:04:43.599 align:start position:0% know what to do with that 01:04:43.599 --> 01:04:45.510 align:start position:0% know what to do with that and<01:04:43.839> let's<01:04:44.079> just<01:04:44.319> put<01:04:44.480> this<01:04:44.720> in<01:04:44.880> perspective 01:04:45.510 --> 01:04:45.520 align:start position:0% and let's just put this in perspective 01:04:45.520 --> 01:04:47.910 align:start position:0% and let's just put this in perspective for<01:04:45.680> folks<01:04:46.480> the<01:04:46.720> best-selling<01:04:47.280> drug<01:04:47.680> in<01:04:47.760> the 01:04:47.910 --> 01:04:47.920 align:start position:0% for folks the best-selling drug in the 01:04:47.920 --> 01:04:50.630 align:start position:0% for folks the best-selling drug in the world<01:04:48.400> has<01:04:48.640> been<01:04:48.880> humira<01:04:49.680> for<01:04:50.079> a<01:04:50.160> number<01:04:50.480> of 01:04:50.630 --> 01:04:50.640 align:start position:0% world has been humira for a number of 01:04:50.640 --> 01:04:53.430 align:start position:0% world has been humira for a number of years<01:04:51.359> it's<01:04:51.839> uh<01:04:52.559> uh<01:04:52.799> approved<01:04:53.200> for<01:04:53.359> the 01:04:53.430 --> 01:04:53.440 align:start position:0% years it's uh uh approved for the 01:04:53.440 --> 01:04:55.670 align:start position:0% years it's uh uh approved for the treatment<01:04:53.839> of<01:04:53.920> rheumatoid<01:04:54.480> arthritis<01:04:55.440> and 01:04:55.670 --> 01:04:55.680 align:start position:0% treatment of rheumatoid arthritis and 01:04:55.680 --> 01:04:58.630 align:start position:0% treatment of rheumatoid arthritis and eight<01:04:55.920> other<01:04:56.160> indications<01:04:57.359> uh<01:04:57.680> and<01:04:57.920> it<01:04:58.240> sold 01:04:58.630 --> 01:04:58.640 align:start position:0% eight other indications uh and it sold 01:04:58.640 --> 01:05:02.069 align:start position:0% eight other indications uh and it sold about<01:04:58.960> 20<01:04:59.280> billion<01:04:59.680> dollars<01:05:00.559> uh<01:05:00.960> globally 01:05:02.069 --> 01:05:02.079 align:start position:0% about 20 billion dollars uh globally 01:05:02.079 --> 01:05:04.549 align:start position:0% about 20 billion dollars uh globally over<01:05:02.480> the<01:05:02.640> past<01:05:03.039> few<01:05:03.359> years<01:05:03.760> it<01:05:03.920> it<01:05:04.160> leveled 01:05:04.549 --> 01:05:04.559 align:start position:0% over the past few years it it leveled 01:05:04.559 --> 01:05:07.190 align:start position:0% over the past few years it it leveled out<01:05:04.960> it<01:05:05.119> peaked<01:05:05.599> at<01:05:05.760> that<01:05:06.000> level 01:05:07.190 --> 01:05:07.200 align:start position:0% out it peaked at that level 01:05:07.200 --> 01:05:08.390 align:start position:0% out it peaked at that level pfizer 01:05:08.390 --> 01:05:08.400 align:start position:0% pfizer 01:05:08.400 --> 01:05:11.750 align:start position:0% pfizer expects<01:05:08.960> to<01:05:09.119> sell<01:05:09.520> 65<01:05:10.319> billion<01:05:10.720> dollars<01:05:11.599> of 01:05:11.750 --> 01:05:11.760 align:start position:0% expects to sell 65 billion dollars of 01:05:11.760 --> 01:05:15.109 align:start position:0% expects to sell 65 billion dollars of vaccine<01:05:12.799> in<01:05:12.960> the<01:05:13.039> first<01:05:13.280> two<01:05:13.520> years<01:05:13.920> of<01:05:14.079> the<01:05:14.640> uh 01:05:15.109 --> 01:05:15.119 align:start position:0% vaccine in the first two years of the uh 01:05:15.119 --> 01:05:18.470 align:start position:0% vaccine in the first two years of the uh pandemic<01:05:16.240> so<01:05:16.640> this<01:05:16.880> is<01:05:17.119> by<01:05:17.440> far 01:05:18.470 --> 01:05:18.480 align:start position:0% pandemic so this is by far 01:05:18.480 --> 01:05:20.950 align:start position:0% pandemic so this is by far the<01:05:18.640> biggest<01:05:19.119> selling<01:05:19.839> and<01:05:20.079> most<01:05:20.400> profitable 01:05:20.950 --> 01:05:20.960 align:start position:0% the biggest selling and most profitable 01:05:20.960 --> 01:05:24.549 align:start position:0% the biggest selling and most profitable drug<01:05:21.280> that's<01:05:21.520> ever<01:05:21.680> been<01:05:21.920> come<01:05:22.160> along 01:05:24.549 --> 01:05:24.559 align:start position:0% 01:05:24.559 --> 01:05:28.390 align:start position:0% can<01:05:24.720> i<01:05:24.880> ask<01:05:25.039> you<01:05:25.359> a<01:05:25.520> difficult<01:05:26.000> question<01:05:26.400> here 01:05:28.390 --> 01:05:28.400 align:start position:0% can i ask you a difficult question here 01:05:28.400 --> 01:05:34.230 align:start position:0% can i ask you a difficult question here in<01:05:28.640> the<01:05:28.880> fog<01:05:29.760> that<01:05:30.000> we're<01:05:30.240> operating<01:05:30.799> in<01:05:30.960> here 01:05:34.230 --> 01:05:34.240 align:start position:0% 01:05:34.240 --> 01:05:37.750 align:start position:0% on<01:05:34.480> the<01:05:35.119> pfizer<01:05:36.160> biontech 01:05:37.750 --> 01:05:37.760 align:start position:0% on the pfizer biontech 01:05:37.760 --> 01:05:40.230 align:start position:0% on the pfizer biontech vaccine 01:05:40.230 --> 01:05:40.240 align:start position:0% vaccine 01:05:40.240 --> 01:05:41.829 align:start position:0% vaccine what<01:05:40.400> was<01:05:40.640> done<01:05:40.960> well 01:05:41.829 --> 01:05:41.839 align:start position:0% what was done well 01:05:41.839 --> 01:05:44.549 align:start position:0% what was done well and<01:05:42.000> what<01:05:42.160> was<01:05:42.400> done<01:05:42.720> badly<01:05:43.359> that<01:05:43.520> you<01:05:43.680> can 01:05:44.549 --> 01:05:44.559 align:start position:0% and what was done badly that you can 01:05:44.559 --> 01:05:45.750 align:start position:0% and what was done badly that you can see<01:05:44.880> now 01:05:45.750 --> 01:05:45.760 align:start position:0% see now 01:05:45.760 --> 01:05:47.750 align:start position:0% see now it<01:05:45.839> seems<01:05:46.160> like<01:05:46.400> we'll<01:05:46.640> know 01:05:47.750 --> 01:05:47.760 align:start position:0% it seems like we'll know 01:05:47.760 --> 01:05:51.349 align:start position:0% it seems like we'll know more<01:05:48.559> decades<01:05:49.039> from<01:05:49.200> now<01:05:50.000> yes 01:05:51.349 --> 01:05:51.359 align:start position:0% more decades from now yes 01:05:51.359 --> 01:05:54.950 align:start position:0% more decades from now yes but<01:05:51.680> now<01:05:52.079> in<01:05:52.240> the<01:05:52.319> fog<01:05:52.720> of<01:05:52.880> today 01:05:54.950 --> 01:05:54.960 align:start position:0% but now in the fog of today 01:05:54.960 --> 01:05:57.829 align:start position:0% but now in the fog of today with<01:05:55.200> the<01:05:55.280> 65<01:05:56.000> billion<01:05:56.400> dollars 01:05:57.829 --> 01:05:57.839 align:start position:0% with the 65 billion dollars 01:05:57.839 --> 01:06:00.390 align:start position:0% with the 65 billion dollars flying<01:05:58.160> around 01:06:00.390 --> 01:06:00.400 align:start position:0% flying around 01:06:00.400 --> 01:06:03.029 align:start position:0% flying around where<01:06:00.960> where<01:06:01.200> do<01:06:01.280> you<01:06:01.520> land 01:06:03.029 --> 01:06:03.039 align:start position:0% where where do you land 01:06:03.039 --> 01:06:05.029 align:start position:0% where where do you land so 01:06:05.029 --> 01:06:05.039 align:start position:0% so 01:06:05.039 --> 01:06:06.470 align:start position:0% so we're<01:06:05.200> going<01:06:05.280> to<01:06:05.359> get<01:06:05.599> to 01:06:06.470 --> 01:06:06.480 align:start position:0% we're going to get to 01:06:06.480 --> 01:06:08.390 align:start position:0% we're going to get to what<01:06:06.640> i<01:06:06.720> think<01:06:06.960> is<01:06:07.039> one<01:06:07.200> of<01:06:07.280> the<01:06:07.520> key<01:06:07.920> problems 01:06:08.390 --> 01:06:08.400 align:start position:0% what i think is one of the key problems 01:06:08.400 --> 01:06:10.870 align:start position:0% what i think is one of the key problems with<01:06:08.559> the<01:06:08.640> pharmaceutical<01:06:09.680> industry<01:06:10.160> model 01:06:10.870 --> 01:06:10.880 align:start position:0% with the pharmaceutical industry model 01:06:10.880 --> 01:06:14.390 align:start position:0% with the pharmaceutical industry model in<01:06:11.039> the<01:06:11.200> united<01:06:11.599> states<01:06:12.240> about<01:06:12.880> being<01:06:13.520> profit 01:06:14.390 --> 01:06:14.400 align:start position:0% in the united states about being profit 01:06:14.400 --> 01:06:16.470 align:start position:0% in the united states about being profit driven 01:06:16.470 --> 01:06:16.480 align:start position:0% driven 01:06:16.480 --> 01:06:17.430 align:start position:0% driven so 01:06:17.430 --> 01:06:17.440 align:start position:0% so 01:06:17.440 --> 01:06:20.710 align:start position:0% so in<01:06:17.640> 2016<01:06:18.720> the<01:06:18.880> nih<01:06:19.839> did<01:06:20.079> the<01:06:20.240> key 01:06:20.710 --> 01:06:20.720 align:start position:0% in 2016 the nih did the key 01:06:20.720 --> 01:06:22.390 align:start position:0% in 2016 the nih did the key infrastructure<01:06:21.520> work 01:06:22.390 --> 01:06:22.400 align:start position:0% infrastructure work 01:06:22.400 --> 01:06:26.390 align:start position:0% infrastructure work to<01:06:22.559> make<01:06:22.880> mrna<01:06:24.000> uh<01:06:24.319> vaccines 01:06:26.390 --> 01:06:26.400 align:start position:0% to make mrna uh vaccines 01:06:26.400 --> 01:06:28.549 align:start position:0% to make mrna uh vaccines uh<01:06:26.799> that<01:06:27.039> gets<01:06:27.280> left<01:06:27.520> out<01:06:27.680> of<01:06:27.760> the<01:06:28.000> discussion 01:06:28.549 --> 01:06:28.559 align:start position:0% uh that gets left out of the discussion 01:06:28.559 --> 01:06:31.750 align:start position:0% uh that gets left out of the discussion a<01:06:28.640> lot<01:06:29.200> and<01:06:29.599> pfizer<01:06:30.000> biontech<01:06:31.119> actually<01:06:31.440> paid 01:06:31.750 --> 01:06:31.760 align:start position:0% a lot and pfizer biontech actually paid 01:06:31.760 --> 01:06:33.829 align:start position:0% a lot and pfizer biontech actually paid royalties 01:06:33.829 --> 01:06:33.839 align:start position:0% royalties 01:06:33.839 --> 01:06:36.309 align:start position:0% royalties voluntarily<01:06:35.039> to<01:06:35.200> the<01:06:35.359> nih<01:06:35.920> i<01:06:36.000> don't<01:06:36.079> know<01:06:36.240> how 01:06:36.309 --> 01:06:36.319 align:start position:0% voluntarily to the nih i don't know how 01:06:36.319 --> 01:06:37.670 align:start position:0% voluntarily to the nih i don't know how much<01:06:36.480> it<01:06:36.559> was<01:06:36.799> i<01:06:36.880> don't<01:06:36.960> think<01:06:37.119> it<01:06:37.119> was<01:06:37.359> a<01:06:37.440> whole 01:06:37.670 --> 01:06:37.680 align:start position:0% much it was i don't think it was a whole 01:06:37.680 --> 01:06:39.589 align:start position:0% much it was i don't think it was a whole lot<01:06:37.839> of<01:06:37.920> money<01:06:38.400> but<01:06:38.559> i<01:06:38.640> think<01:06:38.880> they<01:06:39.119> wanted<01:06:39.440> to 01:06:39.589 --> 01:06:39.599 align:start position:0% lot of money but i think they wanted to 01:06:39.599 --> 01:06:41.910 align:start position:0% lot of money but i think they wanted to avoid<01:06:40.319> the<01:06:40.480> litigation<01:06:41.039> that<01:06:41.200> moderna<01:06:41.680> got 01:06:41.910 --> 01:06:41.920 align:start position:0% avoid the litigation that moderna got 01:06:41.920 --> 01:06:45.910 align:start position:0% avoid the litigation that moderna got itself<01:06:42.319> into<01:06:43.119> by<01:06:43.359> just<01:06:43.680> taking<01:06:44.319> that<01:06:44.839> 2016 01:06:45.910 --> 01:06:45.920 align:start position:0% itself into by just taking that 2016 01:06:45.920 --> 01:06:48.150 align:start position:0% itself into by just taking that 2016 knowledge<01:06:46.880> and<01:06:47.440> having<01:06:47.680> that<01:06:47.839> be<01:06:48.000> the 01:06:48.150 --> 01:06:48.160 align:start position:0% knowledge and having that be the 01:06:48.160 --> 01:06:50.069 align:start position:0% knowledge and having that be the foundation<01:06:48.720> of<01:06:48.799> their<01:06:49.039> product 01:06:50.069 --> 01:06:50.079 align:start position:0% foundation of their product 01:06:50.079 --> 01:06:51.990 align:start position:0% foundation of their product so<01:06:50.319> pfizer<01:06:50.880> took<01:06:51.119> that 01:06:51.990 --> 01:06:52.000 align:start position:0% so pfizer took that 01:06:52.000 --> 01:06:53.750 align:start position:0% so pfizer took that and<01:06:52.319> they<01:06:52.640> did 01:06:53.750 --> 01:06:53.760 align:start position:0% and they did 01:06:53.760 --> 01:06:56.470 align:start position:0% and they did their<01:06:54.079> r<01:06:54.319> d<01:06:54.559> they<01:06:54.720> paid<01:06:55.039> for<01:06:55.200> their<01:06:55.440> r<01:06:55.760> d<01:06:56.160> having 01:06:56.470 --> 01:06:56.480 align:start position:0% their r d they paid for their r d having 01:06:56.480 --> 01:06:57.829 align:start position:0% their r d they paid for their r d having received 01:06:57.829 --> 01:06:57.839 align:start position:0% received 01:06:57.839 --> 01:07:00.630 align:start position:0% received that<01:06:58.079> technology<01:06:59.119> and<01:06:59.280> when<01:06:59.440> they<01:06:59.680> got<01:07:00.000> the 01:07:00.630 --> 01:07:00.640 align:start position:0% that technology and when they got the 01:07:00.640 --> 01:07:02.789 align:start position:0% that technology and when they got the genetic<01:07:01.119> code<01:07:01.920> from 01:07:02.789 --> 01:07:02.799 align:start position:0% genetic code from 01:07:02.799 --> 01:07:04.150 align:start position:0% genetic code from china 01:07:04.150 --> 01:07:04.160 align:start position:0% china 01:07:04.160 --> 01:07:07.109 align:start position:0% china about<01:07:04.400> the<01:07:04.559> vaccine<01:07:05.119> about<01:07:05.359> the<01:07:06.079> virus 01:07:07.109 --> 01:07:07.119 align:start position:0% about the vaccine about the virus 01:07:07.119 --> 01:07:09.670 align:start position:0% about the vaccine about the virus they<01:07:07.359> very<01:07:07.680> quickly<01:07:08.160> made<01:07:08.400> a<01:07:08.480> vaccine<01:07:09.359> and<01:07:09.520> the 01:07:09.670 --> 01:07:09.680 align:start position:0% they very quickly made a vaccine and the 01:07:09.680 --> 01:07:12.870 align:start position:0% they very quickly made a vaccine and the vaccine<01:07:10.400> works<01:07:10.880> and<01:07:11.599> president<01:07:12.079> trump<01:07:12.400> to<01:07:12.559> his 01:07:12.870 --> 01:07:12.880 align:start position:0% vaccine works and president trump to his 01:07:12.880 --> 01:07:16.150 align:start position:0% vaccine works and president trump to his credit<01:07:13.920> launched<01:07:14.480> operation<01:07:15.039> warp<01:07:15.359> speed<01:07:16.000> and 01:07:16.150 --> 01:07:16.160 align:start position:0% credit launched operation warp speed and 01:07:16.160 --> 01:07:18.230 align:start position:0% credit launched operation warp speed and just<01:07:16.400> threw<01:07:16.720> money<01:07:17.039> at<01:07:17.119> the<01:07:17.280> problem<01:07:18.000> they 01:07:18.230 --> 01:07:18.240 align:start position:0% just threw money at the problem they 01:07:18.240 --> 01:07:19.349 align:start position:0% just threw money at the problem they just<01:07:18.400> said 01:07:19.349 --> 01:07:19.359 align:start position:0% just said 01:07:19.359 --> 01:07:22.230 align:start position:0% just said we<01:07:19.760> we<01:07:20.160> spent<01:07:20.720> five<01:07:21.039> times<01:07:21.520> more<01:07:21.680> per<01:07:21.920> person 01:07:22.230 --> 01:07:22.240 align:start position:0% we we spent five times more per person 01:07:22.240 --> 01:07:25.109 align:start position:0% we we spent five times more per person than<01:07:22.400> the<01:07:22.640> eu<01:07:23.200> early<01:07:23.520> on<01:07:24.160> just<01:07:24.720> pay<01:07:24.880> them 01:07:25.109 --> 01:07:25.119 align:start position:0% than the eu early on just pay them 01:07:25.119 --> 01:07:26.710 align:start position:0% than the eu early on just pay them whatever<01:07:25.440> they<01:07:25.680> want 01:07:26.710 --> 01:07:26.720 align:start position:0% whatever they want 01:07:26.720 --> 01:07:29.109 align:start position:0% whatever they want let's<01:07:26.960> just<01:07:27.200> get<01:07:27.359> this<01:07:27.599> going<01:07:28.319> and<01:07:28.640> americans 01:07:29.109 --> 01:07:29.119 align:start position:0% let's just get this going and americans 01:07:29.119 --> 01:07:32.309 align:start position:0% let's just get this going and americans were<01:07:29.359> vaccinated<01:07:30.319> uh<01:07:30.640> more<01:07:30.960> quickly 01:07:32.309 --> 01:07:32.319 align:start position:0% were vaccinated uh more quickly 01:07:32.319 --> 01:07:34.069 align:start position:0% were vaccinated uh more quickly we<01:07:32.559> paid<01:07:32.799> a<01:07:32.880> lot<01:07:33.039> of<01:07:33.200> money 01:07:34.069 --> 01:07:34.079 align:start position:0% we paid a lot of money 01:07:34.079 --> 01:07:36.230 align:start position:0% we paid a lot of money the<01:07:34.240> one<01:07:34.799> mistake<01:07:35.280> that<01:07:35.520> i<01:07:35.599> think<01:07:35.760> the<01:07:35.920> federal 01:07:36.230 --> 01:07:36.240 align:start position:0% the one mistake that i think the federal 01:07:36.240 --> 01:07:38.230 align:start position:0% the one mistake that i think the federal government<01:07:36.720> made<01:07:37.039> was<01:07:37.200> they<01:07:37.440> were<01:07:37.599> paying 01:07:38.230 --> 01:07:38.240 align:start position:0% government made was they were paying 01:07:38.240 --> 01:07:40.950 align:start position:0% government made was they were paying these<01:07:38.559> guaranteed<01:07:39.680> fortunes 01:07:40.950 --> 01:07:40.960 align:start position:0% these guaranteed fortunes 01:07:40.960 --> 01:07:43.270 align:start position:0% these guaranteed fortunes and<01:07:41.119> they<01:07:41.440> didn't<01:07:41.839> require<01:07:42.960> that<01:07:43.119> the 01:07:43.270 --> 01:07:43.280 align:start position:0% and they didn't require that the 01:07:43.280 --> 01:07:45.270 align:start position:0% and they didn't require that the companies<01:07:43.920> participate 01:07:45.270 --> 01:07:45.280 align:start position:0% companies participate 01:07:45.280 --> 01:07:49.510 align:start position:0% companies participate in<01:07:45.440> a<01:07:45.599> program<01:07:46.559> to<01:07:46.880> do<01:07:47.200> global<01:07:47.839> vaccinations 01:07:49.510 --> 01:07:49.520 align:start position:0% in a program to do global vaccinations 01:07:49.520 --> 01:07:52.069 align:start position:0% in a program to do global vaccinations they<01:07:50.000> so<01:07:50.240> the<01:07:50.480> companies<01:07:51.359> doing<01:07:51.680> their 01:07:52.069 --> 01:07:52.079 align:start position:0% they so the companies doing their 01:07:52.079 --> 01:07:53.430 align:start position:0% they so the companies doing their business<01:07:52.480> model 01:07:53.430 --> 01:07:53.440 align:start position:0% business model 01:07:53.440 --> 01:07:55.750 align:start position:0% business model distributed<01:07:54.160> the<01:07:54.319> vaccines<01:07:55.440> where<01:07:55.599> they 01:07:55.750 --> 01:07:55.760 align:start position:0% distributed the vaccines where they 01:07:55.760 --> 01:07:57.910 align:start position:0% distributed the vaccines where they would<01:07:55.920> make<01:07:56.160> the<01:07:56.240> most<01:07:56.480> money<01:07:57.119> and<01:07:57.359> obviously 01:07:57.910 --> 01:07:57.920 align:start position:0% would make the most money and obviously 01:07:57.920 --> 01:07:59.190 align:start position:0% would make the most money and obviously they<01:07:58.079> would<01:07:58.240> make<01:07:58.400> the<01:07:58.559> most<01:07:58.720> money<01:07:59.039> in<01:07:59.119> the 01:07:59.190 --> 01:07:59.200 align:start position:0% they would make the most money in the 01:07:59.200 --> 01:08:01.510 align:start position:0% they would make the most money in the first<01:07:59.440> world<01:08:00.000> and<01:08:00.319> almost<01:08:00.640> all<01:08:00.799> i<01:08:00.880> think<01:08:01.039> 85 01:08:01.510 --> 01:08:01.520 align:start position:0% first world and almost all i think 85 01:08:01.520 --> 01:08:04.390 align:start position:0% first world and almost all i think 85 percent<01:08:01.760> of<01:08:01.839> the<01:08:01.920> vac<01:08:02.400> vaccines<01:08:03.119> early<01:08:03.440> on 01:08:04.390 --> 01:08:04.400 align:start position:0% percent of the vac vaccines early on 01:08:04.400 --> 01:08:07.190 align:start position:0% percent of the vac vaccines early on went<01:08:04.640> to<01:08:04.880> the<01:08:05.039> first<01:08:05.359> world<01:08:05.920> and<01:08:06.240> very 01:08:07.190 --> 01:08:07.200 align:start position:0% went to the first world and very 01:08:07.200 --> 01:08:09.430 align:start position:0% went to the first world and very very<01:08:07.680> few<01:08:07.920> vaccinations<01:08:08.720> went<01:08:08.880> to<01:08:09.039> the<01:08:09.119> third 01:08:09.430 --> 01:08:09.440 align:start position:0% very few vaccinations went to the third 01:08:09.440 --> 01:08:10.549 align:start position:0% very few vaccinations went to the third world 01:08:10.549 --> 01:08:10.559 align:start position:0% world 01:08:10.559 --> 01:08:11.910 align:start position:0% world so 01:08:11.910 --> 01:08:11.920 align:start position:0% so 01:08:11.920 --> 01:08:13.510 align:start position:0% so what<01:08:12.240> happened<01:08:12.720> is 01:08:13.510 --> 01:08:13.520 align:start position:0% what happened is 01:08:13.520 --> 01:08:14.309 align:start position:0% what happened is the 01:08:14.309 --> 01:08:14.319 align:start position:0% the 01:08:14.319 --> 01:08:16.630 align:start position:0% the there<01:08:14.480> was<01:08:14.720> such<01:08:14.960> a<01:08:15.039> low<01:08:15.359> vaccination<01:08:16.080> rate<01:08:16.400> in 01:08:16.630 --> 01:08:16.640 align:start position:0% there was such a low vaccination rate in 01:08:16.640 --> 01:08:19.110 align:start position:0% there was such a low vaccination rate in may<01:08:17.120> of<01:08:17.279> 2021 01:08:19.110 --> 01:08:19.120 align:start position:0% may of 2021 01:08:19.120 --> 01:08:23.030 align:start position:0% may of 2021 there<01:08:19.359> was<01:08:20.080> all<01:08:20.319> hands<01:08:20.719> on<01:08:20.880> deck<01:08:21.520> cry<01:08:21.920> for<01:08:22.159> help 01:08:23.030 --> 01:08:23.040 align:start position:0% there was all hands on deck cry for help 01:08:23.040 --> 01:08:25.590 align:start position:0% there was all hands on deck cry for help from<01:08:23.199> the<01:08:23.359> world<01:08:23.679> trade<01:08:24.000> organization 01:08:25.590 --> 01:08:25.600 align:start position:0% from the world trade organization 01:08:25.600 --> 01:08:28.789 align:start position:0% from the world trade organization um<01:08:26.400> the<01:08:26.560> world<01:08:26.960> health<01:08:27.279> organization 01:08:28.789 --> 01:08:28.799 align:start position:0% um the world health organization 01:08:28.799 --> 01:08:31.510 align:start position:0% um the world health organization the<01:08:29.199> imf<01:08:30.000> and<01:08:30.159> the<01:08:30.239> world<01:08:30.560> bank 01:08:31.510 --> 01:08:31.520 align:start position:0% the imf and the world bank 01:08:31.520 --> 01:08:33.430 align:start position:0% the imf and the world bank made<01:08:31.839> a<01:08:32.080> plea 01:08:33.430 --> 01:08:33.440 align:start position:0% made a plea 01:08:33.440 --> 01:08:35.510 align:start position:0% made a plea for<01:08:33.679> 50<01:08:34.000> billion<01:08:34.480> dollars 01:08:35.510 --> 01:08:35.520 align:start position:0% for 50 billion dollars 01:08:35.520 --> 01:08:38.630 align:start position:0% for 50 billion dollars so<01:08:35.759> that<01:08:35.920> we<01:08:36.159> could<01:08:36.400> get<01:08:36.719> to<01:08:37.120> 40<01:08:37.920> vaccination 01:08:38.630 --> 01:08:38.640 align:start position:0% so that we could get to 40 vaccination 01:08:38.640 --> 01:08:41.030 align:start position:0% so that we could get to 40 vaccination rate<01:08:39.040> in<01:08:39.199> the<01:08:39.359> third<01:08:39.759> world<01:08:40.480> by<01:08:40.640> the<01:08:40.799> end<01:08:40.960> of 01:08:41.030 --> 01:08:41.040 align:start position:0% rate in the third world by the end of 01:08:41.040 --> 01:08:44.309 align:start position:0% rate in the third world by the end of 2021 01:08:44.309 --> 01:08:44.319 align:start position:0% 01:08:44.319 --> 01:08:46.470 align:start position:0% and<01:08:44.560> it<01:08:44.719> was<01:08:45.120> unrequited 01:08:46.470 --> 01:08:46.480 align:start position:0% and it was unrequited 01:08:46.480 --> 01:08:48.789 align:start position:0% and it was unrequited nobody<01:08:46.880> answered 01:08:48.789 --> 01:08:48.799 align:start position:0% nobody answered 01:08:48.799 --> 01:08:52.789 align:start position:0% nobody answered and<01:08:49.520> now<01:08:49.920> africa<01:08:50.400> has<01:08:50.640> about<01:08:50.960> a<01:08:51.520> 8.9 01:08:52.789 --> 01:08:52.799 align:start position:0% and now africa has about a 8.9 01:08:52.799 --> 01:08:54.470 align:start position:0% and now africa has about a 8.9 vaccination<01:08:53.520> rate 01:08:54.470 --> 01:08:54.480 align:start position:0% vaccination rate 01:08:54.480 --> 01:08:56.390 align:start position:0% vaccination rate india<01:08:54.799> is<01:08:54.880> coming<01:08:55.279> up<01:08:55.440> but<01:08:55.679> it's<01:08:55.839> been<01:08:56.080> very 01:08:56.390 --> 01:08:56.400 align:start position:0% india is coming up but it's been very 01:08:56.400 --> 01:08:58.950 align:start position:0% india is coming up but it's been very low<01:08:57.040> the<01:08:57.359> problem<01:08:57.679> with<01:08:57.920> all<01:08:58.080> this 01:08:58.950 --> 01:08:58.960 align:start position:0% low the problem with all this 01:08:58.960 --> 01:08:59.910 align:start position:0% low the problem with all this is 01:08:59.910 --> 01:08:59.920 align:start position:0% is 01:08:59.920 --> 01:09:02.470 align:start position:0% is i<01:09:00.159> believe<01:09:00.480> those<01:09:01.040> mrna<01:09:01.679> vaccines<01:09:02.239> are 01:09:02.470 --> 01:09:02.480 align:start position:0% i believe those mrna vaccines are 01:09:02.480 --> 01:09:04.630 align:start position:0% i believe those mrna vaccines are excellent<01:09:02.880> vaccines 01:09:04.630 --> 01:09:04.640 align:start position:0% excellent vaccines 01:09:04.640 --> 01:09:06.390 align:start position:0% excellent vaccines but<01:09:04.799> if<01:09:04.960> we<01:09:05.199> leave<01:09:05.440> the<01:09:05.600> third<01:09:05.920> world 01:09:06.390 --> 01:09:06.400 align:start position:0% but if we leave the third world 01:09:06.400 --> 01:09:07.829 align:start position:0% but if we leave the third world unvaccinated 01:09:07.829 --> 01:09:07.839 align:start position:0% unvaccinated 01:09:07.839 --> 01:09:10.709 align:start position:0% unvaccinated we're<01:09:08.080> going<01:09:08.159> to<01:09:08.239> have<01:09:08.560> a<01:09:08.880> constant<01:09:09.440> supply<01:09:10.480> of 01:09:10.709 --> 01:09:10.719 align:start position:0% we're going to have a constant supply of 01:09:10.719 --> 01:09:13.510 align:start position:0% we're going to have a constant supply of variants<01:09:11.520> of<01:09:11.759> kovid<01:09:12.640> that<01:09:12.880> are<01:09:12.960> going<01:09:13.120> to<01:09:13.279> come 01:09:13.510 --> 01:09:13.520 align:start position:0% variants of kovid that are going to come 01:09:13.520 --> 01:09:16.229 align:start position:0% variants of kovid that are going to come back<01:09:14.159> into<01:09:14.400> the<01:09:14.560> united<01:09:15.040> states<01:09:15.759> and<01:09:15.920> harm 01:09:16.229 --> 01:09:16.239 align:start position:0% back into the united states and harm 01:09:16.239 --> 01:09:19.829 align:start position:0% back into the united states and harm americans<01:09:17.359> exactly<01:09:18.080> like<01:09:18.400> delta<01:09:19.040> and<01:09:19.199> omicron 01:09:19.829 --> 01:09:19.839 align:start position:0% americans exactly like delta and omicron 01:09:19.839 --> 01:09:20.709 align:start position:0% americans exactly like delta and omicron have 01:09:20.709 --> 01:09:20.719 align:start position:0% have 01:09:20.719 --> 01:09:22.950 align:start position:0% have so<01:09:20.960> we've<01:09:21.199> made<01:09:21.440> a<01:09:21.520> great<01:09:22.000> drug 01:09:22.950 --> 01:09:22.960 align:start position:0% so we've made a great drug 01:09:22.960 --> 01:09:23.829 align:start position:0% so we've made a great drug it 01:09:23.829 --> 01:09:23.839 align:start position:0% it 01:09:23.839 --> 01:09:25.910 align:start position:0% it reduces<01:09:24.319> the<01:09:24.480> risk<01:09:24.719> of<01:09:24.799> mortality<01:09:25.679> in 01:09:25.910 --> 01:09:25.920 align:start position:0% reduces the risk of mortality in 01:09:25.920 --> 01:09:28.309 align:start position:0% reduces the risk of mortality in americans<01:09:26.480> who<01:09:26.640> get<01:09:26.799> it<01:09:26.960> by<01:09:27.199> a<01:09:27.359> lot 01:09:28.309 --> 01:09:28.319 align:start position:0% americans who get it by a lot 01:09:28.319 --> 01:09:30.950 align:start position:0% americans who get it by a lot but<01:09:28.480> we're<01:09:28.719> not<01:09:29.120> doing<01:09:29.839> what<01:09:30.000> we<01:09:30.159> need<01:09:30.400> to<01:09:30.640> do 01:09:30.950 --> 01:09:30.960 align:start position:0% but we're not doing what we need to do 01:09:30.960 --> 01:09:33.349 align:start position:0% but we're not doing what we need to do to<01:09:31.120> protect<01:09:31.600> americans<01:09:32.239> from<01:09:32.480> omicron<01:09:33.199> you 01:09:33.349 --> 01:09:33.359 align:start position:0% to protect americans from omicron you 01:09:33.359 --> 01:09:35.030 align:start position:0% to protect americans from omicron you don't<01:09:33.600> have<01:09:33.679> to<01:09:33.759> be<01:09:33.920> an<01:09:34.080> idealist<01:09:34.640> and<01:09:34.719> worry 01:09:35.030 --> 01:09:35.040 align:start position:0% don't have to be an idealist and worry 01:09:35.040 --> 01:09:37.189 align:start position:0% don't have to be an idealist and worry about<01:09:35.199> global<01:09:35.520> vaccine<01:09:36.080> equity<01:09:36.880> if<01:09:37.040> you're 01:09:37.189 --> 01:09:37.199 align:start position:0% about global vaccine equity if you're 01:09:37.199 --> 01:09:38.789 align:start position:0% about global vaccine equity if you're just 01:09:38.789 --> 01:09:38.799 align:start position:0% just 01:09:38.799 --> 01:09:40.870 align:start position:0% just ordinary<01:09:39.359> selfish<01:09:39.759> people<01:09:40.080> like<01:09:40.239> most<01:09:40.480> of<01:09:40.640> us 01:09:40.870 --> 01:09:40.880 align:start position:0% ordinary selfish people like most of us 01:09:40.880 --> 01:09:42.309 align:start position:0% ordinary selfish people like most of us are<01:09:41.279> and<01:09:41.359> you're<01:09:41.600> worried<01:09:41.839> about<01:09:42.000> the<01:09:42.080> health 01:09:42.309 --> 01:09:42.319 align:start position:0% are and you're worried about the health 01:09:42.319 --> 01:09:45.030 align:start position:0% are and you're worried about the health of<01:09:42.480> americans<01:09:43.520> you<01:09:43.679> would<01:09:43.920> ensure 01:09:45.030 --> 01:09:45.040 align:start position:0% of americans you would ensure 01:09:45.040 --> 01:09:47.590 align:start position:0% of americans you would ensure global<01:09:45.520> vaccine<01:09:46.159> distribution<01:09:47.120> let<01:09:47.279> me<01:09:47.359> just 01:09:47.590 --> 01:09:47.600 align:start position:0% global vaccine distribution let me just 01:09:47.600 --> 01:09:49.030 align:start position:0% global vaccine distribution let me just make<01:09:47.759> one<01:09:47.920> more<01:09:48.159> point 01:09:49.030 --> 01:09:49.040 align:start position:0% make one more point 01:09:49.040 --> 01:09:51.110 align:start position:0% make one more point that<01:09:49.279> 50<01:09:49.600> billion<01:09:50.080> dollars<01:09:50.719> that<01:09:50.880> was 01:09:51.110 --> 01:09:51.120 align:start position:0% that 50 billion dollars that was 01:09:51.120 --> 01:09:53.189 align:start position:0% that 50 billion dollars that was requested<01:09:51.679> by<01:09:51.839> the<01:09:51.920> four<01:09:52.239> organizations<01:09:52.960> back 01:09:53.189 --> 01:09:53.199 align:start position:0% requested by the four organizations back 01:09:53.199 --> 01:09:55.270 align:start position:0% requested by the four organizations back in<01:09:53.279> may<01:09:53.520> of<01:09:53.600> 2021 01:09:55.270 --> 01:09:55.280 align:start position:0% in may of 2021 01:09:55.280 --> 01:09:56.470 align:start position:0% in may of 2021 32 01:09:56.470 --> 01:09:56.480 align:start position:0% 32 01:09:56.480 --> 01:09:57.830 align:start position:0% 32 billionaires 01:09:57.830 --> 01:09:57.840 align:start position:0% billionaires 01:09:57.840 --> 01:09:59.510 align:start position:0% billionaires made<01:09:58.080> 50<01:09:58.400> billion<01:09:58.800> dollars<01:09:59.199> from<01:09:59.440> the 01:09:59.510 --> 01:09:59.520 align:start position:0% made 50 billion dollars from the 01:09:59.520 --> 01:10:01.350 align:start position:0% made 50 billion dollars from the vaccines<01:10:00.080> at<01:10:00.159> that<01:10:00.400> point 01:10:01.350 --> 01:10:01.360 align:start position:0% vaccines at that point 01:10:01.360 --> 01:10:03.830 align:start position:0% vaccines at that point took<01:10:01.520> it<01:10:01.679> into<01:10:02.000> their<01:10:02.239> private<01:10:02.719> wealth 01:10:03.830 --> 01:10:03.840 align:start position:0% took it into their private wealth 01:10:03.840 --> 01:10:05.590 align:start position:0% took it into their private wealth so<01:10:04.080> what<01:10:04.239> had<01:10:04.400> been<01:10:04.640> taken<01:10:04.960> these<01:10:05.199> enormous 01:10:05.590 --> 01:10:05.600 align:start position:0% so what had been taken these enormous 01:10:05.600 --> 01:10:06.790 align:start position:0% so what had been taken these enormous amounts<01:10:05.920> of<01:10:06.000> money<01:10:06.159> that<01:10:06.320> had<01:10:06.400> been<01:10:06.560> taken 01:10:06.790 --> 01:10:06.800 align:start position:0% amounts of money that had been taken 01:10:06.800 --> 01:10:10.070 align:start position:0% amounts of money that had been taken into<01:10:07.120> private<01:10:07.520> wealth<01:10:08.320> was<01:10:08.640> enough<01:10:09.120> to<01:10:09.360> do 01:10:10.070 --> 01:10:10.080 align:start position:0% into private wealth was enough to do 01:10:10.080 --> 01:10:11.910 align:start position:0% into private wealth was enough to do what<01:10:10.320> those<01:10:10.560> organizations<01:10:11.280> said<01:10:11.600> needed<01:10:11.840> to 01:10:11.910 --> 01:10:11.920 align:start position:0% what those organizations said needed to 01:10:11.920 --> 01:10:14.870 align:start position:0% what those organizations said needed to be<01:10:12.159> done<01:10:12.719> to<01:10:12.960> prevent<01:10:13.440> the<01:10:14.000> sub-variants<01:10:14.719> from 01:10:14.870 --> 01:10:14.880 align:start position:0% be done to prevent the sub-variants from 01:10:14.880 --> 01:10:16.470 align:start position:0% be done to prevent the sub-variants from coming<01:10:15.199> back<01:10:15.440> and<01:10:15.600> doing<01:10:15.840> what<01:10:16.000> they're<01:10:16.159> doing 01:10:16.470 --> 01:10:16.480 align:start position:0% coming back and doing what they're doing 01:10:16.480 --> 01:10:18.390 align:start position:0% coming back and doing what they're doing so<01:10:16.640> the<01:10:16.719> money<01:10:17.040> was<01:10:17.199> there<01:10:17.679> but<01:10:17.920> how<01:10:18.080> does<01:10:18.320> the 01:10:18.390 --> 01:10:18.400 align:start position:0% so the money was there but how does the 01:10:18.400 --> 01:10:20.149 align:start position:0% so the money was there but how does the motivation<01:10:18.960> the<01:10:19.120> money-driven<01:10:19.679> motivation 01:10:20.149 --> 01:10:20.159 align:start position:0% motivation the money-driven motivation 01:10:20.159 --> 01:10:24.870 align:start position:0% motivation the money-driven motivation of<01:10:20.320> big<01:10:20.560> pharma<01:10:21.360> lead<01:10:21.600> to<01:10:21.840> that<01:10:22.480> um 01:10:24.870 --> 01:10:24.880 align:start position:0% 01:10:24.880 --> 01:10:28.390 align:start position:0% that<01:10:25.360> that<01:10:25.600> kind<01:10:26.000> of<01:10:26.320> allocation<01:10:27.040> of<01:10:27.199> vaccines 01:10:28.390 --> 01:10:28.400 align:start position:0% that that kind of allocation of vaccines 01:10:28.400 --> 01:10:30.709 align:start position:0% that that kind of allocation of vaccines because<01:10:28.800> they<01:10:28.960> can<01:10:29.120> make<01:10:29.760> more<01:10:30.000> money<01:10:30.480> in<01:10:30.640> the 01:10:30.709 --> 01:10:30.719 align:start position:0% because they can make more money in the 01:10:30.719 --> 01:10:31.750 align:start position:0% because they can make more money in the united<01:10:31.040> states<01:10:31.440> they're<01:10:31.600> going<01:10:31.679> to 01:10:31.750 --> 01:10:31.760 align:start position:0% united states they're going to 01:10:31.760 --> 01:10:33.350 align:start position:0% united states they're going to distribute<01:10:32.239> their<01:10:32.480> vaccines<01:10:32.960> where<01:10:33.120> they<01:10:33.280> can 01:10:33.350 --> 01:10:33.360 align:start position:0% distribute their vaccines where they can 01:10:33.360 --> 01:10:36.550 align:start position:0% distribute their vaccines where they can make<01:10:33.520> the<01:10:33.600> most<01:10:33.840> money<01:10:34.560> all<01:10:34.640> right<01:10:35.360> is<01:10:35.520> there 01:10:36.550 --> 01:10:36.560 align:start position:0% make the most money all right is there 01:10:36.560 --> 01:10:40.149 align:start position:0% make the most money all right is there a<01:10:36.719> malevolent<01:10:38.000> aspect<01:10:38.560> to<01:10:38.719> this 01:10:40.149 --> 01:10:40.159 align:start position:0% a malevolent aspect to this 01:10:40.159 --> 01:10:41.270 align:start position:0% a malevolent aspect to this where 01:10:41.270 --> 01:10:41.280 align:start position:0% where 01:10:41.280 --> 01:10:43.189 align:start position:0% where boy<01:10:41.679> i 01:10:43.189 --> 01:10:43.199 align:start position:0% boy i 01:10:43.199 --> 01:10:46.870 align:start position:0% boy i i<01:10:43.360> don't<01:10:43.600> like<01:10:43.920> saying<01:10:44.159> this<01:10:44.480> but 01:10:46.870 --> 01:10:46.880 align:start position:0% 01:10:46.880 --> 01:10:50.070 align:start position:0% that<01:10:47.120> they<01:10:47.280> don't<01:10:47.520> see<01:10:47.679> it<01:10:47.840> as<01:10:48.000> a<01:10:48.159> huge<01:10:48.640> problem 01:10:50.070 --> 01:10:50.080 align:start position:0% that they don't see it as a huge problem 01:10:50.080 --> 01:10:52.310 align:start position:0% that they don't see it as a huge problem that<01:10:50.320> variants<01:10:50.800> will<01:10:50.960> come<01:10:51.199> back<01:10:52.000> to<01:10:52.159> the 01:10:52.310 --> 01:10:52.320 align:start position:0% that variants will come back to the 01:10:52.320 --> 01:10:54.310 align:start position:0% that variants will come back to the united<01:10:52.560> states<01:10:53.120> i<01:10:53.280> think<01:10:53.520> it's<01:10:53.679> the<01:10:53.920> issue<01:10:54.159> we 01:10:54.310 --> 01:10:54.320 align:start position:0% united states i think it's the issue we 01:10:54.320 --> 01:10:55.750 align:start position:0% united states i think it's the issue we were<01:10:54.480> talking<01:10:54.800> about 01:10:55.750 --> 01:10:55.760 align:start position:0% were talking about 01:10:55.760 --> 01:10:57.669 align:start position:0% were talking about earlier<01:10:56.320> on<01:10:56.640> where<01:10:56.800> they're<01:10:57.040> in<01:10:57.199> a<01:10:57.280> different 01:10:57.669 --> 01:10:57.679 align:start position:0% earlier on where they're in a different 01:10:57.679 --> 01:11:01.270 align:start position:0% earlier on where they're in a different culture<01:10:58.480> and<01:10:58.640> their<01:10:58.960> culture<01:10:59.520> is<01:11:00.239> that<01:11:00.400> their 01:11:01.270 --> 01:11:01.280 align:start position:0% culture and their culture is that their 01:11:01.280 --> 01:11:03.350 align:start position:0% culture and their culture is that their moral<01:11:01.679> obligation<01:11:02.400> as<01:11:02.560> milton<01:11:02.960> friedman 01:11:03.350 --> 01:11:03.360 align:start position:0% moral obligation as milton friedman 01:11:03.360 --> 01:11:04.550 align:start position:0% moral obligation as milton friedman would<01:11:03.600> say 01:11:04.550 --> 01:11:04.560 align:start position:0% would say 01:11:04.560 --> 01:11:06.470 align:start position:0% would say is<01:11:04.719> to<01:11:04.880> maximize<01:11:05.600> the<01:11:05.760> profits<01:11:06.159> that<01:11:06.320> they 01:11:06.470 --> 01:11:06.480 align:start position:0% is to maximize the profits that they 01:11:06.480 --> 01:11:08.310 align:start position:0% is to maximize the profits that they return<01:11:06.800> to<01:11:06.960> shareholders<01:11:07.760> and<01:11:07.840> don't<01:11:08.000> think 01:11:08.310 --> 01:11:08.320 align:start position:0% return to shareholders and don't think 01:11:08.320 --> 01:11:09.350 align:start position:0% return to shareholders and don't think about 01:11:09.350 --> 01:11:09.360 align:start position:0% about 01:11:09.360 --> 01:11:11.510 align:start position:0% about the<01:11:09.520> bigger<01:11:09.920> picture<01:11:10.480> the<01:11:10.640> collateral<01:11:11.120> damage 01:11:11.510 --> 01:11:11.520 align:start position:0% the bigger picture the collateral damage 01:11:11.520 --> 01:11:12.790 align:start position:0% the bigger picture the collateral damage don't<01:11:11.679> think<01:11:11.840> about<01:11:12.080> the<01:11:12.159> collateral<01:11:12.719> and 01:11:12.790 --> 01:11:12.800 align:start position:0% don't think about the collateral and 01:11:12.800 --> 01:11:14.790 align:start position:0% don't think about the collateral and also<01:11:13.120> kind<01:11:13.280> of<01:11:13.440> believe 01:11:14.790 --> 01:11:14.800 align:start position:0% also kind of believe 01:11:14.800 --> 01:11:16.630 align:start position:0% also kind of believe convince<01:11:15.280> yourself 01:11:16.630 --> 01:11:16.640 align:start position:0% convince yourself 01:11:16.640 --> 01:11:18.790 align:start position:0% convince yourself that<01:11:16.880> if<01:11:16.960> we<01:11:17.199> give<01:11:17.440> in<01:11:17.520> to<01:11:17.760> this 01:11:18.790 --> 01:11:18.800 align:start position:0% that if we give in to this 01:11:18.800 --> 01:11:21.110 align:start position:0% that if we give in to this capitalist<01:11:19.520> machine<01:11:20.080> in<01:11:20.239> this<01:11:20.400> very<01:11:20.800> narrow 01:11:21.110 --> 01:11:21.120 align:start position:0% capitalist machine in this very narrow 01:11:21.120 --> 01:11:23.189 align:start position:0% capitalist machine in this very narrow sense<01:11:21.360> of<01:11:21.520> capitalism 01:11:23.189 --> 01:11:23.199 align:start position:0% sense of capitalism 01:11:23.199 --> 01:11:25.830 align:start position:0% sense of capitalism that<01:11:23.679> in<01:11:23.840> the<01:11:24.000> end<01:11:24.320> they'll<01:11:24.640> do<01:11:24.800> the<01:11:24.960> most<01:11:25.199> good 01:11:25.830 --> 01:11:25.840 align:start position:0% that in the end they'll do the most good 01:11:25.840 --> 01:11:28.870 align:start position:0% that in the end they'll do the most good this<01:11:26.080> kind<01:11:26.320> of<01:11:26.880> belief<01:11:27.520> that<01:11:27.760> like<01:11:28.400> if<01:11:28.560> we<01:11:28.719> just 01:11:28.870 --> 01:11:28.880 align:start position:0% this kind of belief that like if we just 01:11:28.880 --> 01:11:31.270 align:start position:0% this kind of belief that like if we just maximize<01:11:29.520> profits 01:11:31.270 --> 01:11:31.280 align:start position:0% maximize profits 01:11:31.280 --> 01:11:33.510 align:start position:0% maximize profits we'll<01:11:31.440> do<01:11:31.600> the<01:11:31.760> most<01:11:32.000> good<01:11:32.640> yeah<01:11:32.960> that's<01:11:33.280> an 01:11:33.510 --> 01:11:33.520 align:start position:0% we'll do the most good yeah that's an 01:11:33.520 --> 01:11:35.590 align:start position:0% we'll do the most good yeah that's an orthodoxy<01:11:34.320> of 01:11:35.590 --> 01:11:35.600 align:start position:0% orthodoxy of 01:11:35.600 --> 01:11:38.310 align:start position:0% orthodoxy of several<01:11:35.920> decades<01:11:36.320> ago<01:11:36.719> and<01:11:37.040> i<01:11:37.600> don't<01:11:38.080> think 01:11:38.310 --> 01:11:38.320 align:start position:0% several decades ago and i don't think 01:11:38.320 --> 01:11:40.070 align:start position:0% several decades ago and i don't think people<01:11:38.640> can<01:11:38.800> really<01:11:39.120> say<01:11:39.280> that<01:11:39.520> in<01:11:39.600> good<01:11:39.840> faith 01:11:40.070 --> 01:11:40.080 align:start position:0% people can really say that in good faith 01:11:40.080 --> 01:11:41.830 align:start position:0% people can really say that in good faith when<01:11:40.239> you're<01:11:40.480> talking<01:11:40.800> about 01:11:41.830 --> 01:11:41.840 align:start position:0% when you're talking about 01:11:41.840 --> 01:11:43.990 align:start position:0% when you're talking about uh<01:11:42.239> vaccinating<01:11:42.800> the<01:11:42.960> third<01:11:43.280> world<01:11:43.679> so<01:11:43.840> we 01:11:43.990 --> 01:11:44.000 align:start position:0% uh vaccinating the third world so we 01:11:44.000 --> 01:11:45.910 align:start position:0% uh vaccinating the third world so we don't<01:11:44.239> get<01:11:44.480> hurt<01:11:44.880> it's<01:11:45.120> a<01:11:45.199> little<01:11:45.440> bit<01:11:45.600> hard<01:11:45.840> to 01:11:45.910 --> 01:11:45.920 align:start position:0% don't get hurt it's a little bit hard to 01:11:45.920 --> 01:11:47.830 align:start position:0% don't get hurt it's a little bit hard to make<01:11:46.080> the<01:11:46.320> argument<01:11:47.199> that<01:11:47.360> the<01:11:47.440> world's<01:11:47.760> a 01:11:47.830 --> 01:11:47.840 align:start position:0% make the argument that the world's a 01:11:47.840 --> 01:11:49.669 align:start position:0% make the argument that the world's a better<01:11:48.159> place<01:11:48.480> because<01:11:48.719> the<01:11:48.880> profits<01:11:49.360> of<01:11:49.440> the 01:11:49.669 --> 01:11:49.679 align:start position:0% better place because the profits of the 01:11:49.679 --> 01:11:51.830 align:start position:0% better place because the profits of the investors<01:11:50.159> went<01:11:50.400> up<01:11:51.040> yeah<01:11:51.199> but<01:11:51.360> at<01:11:51.440> the<01:11:51.520> same 01:11:51.830 --> 01:11:51.840 align:start position:0% investors went up yeah but at the same 01:11:51.840 --> 01:11:53.110 align:start position:0% investors went up yeah but at the same time 01:11:53.110 --> 01:11:53.120 align:start position:0% time 01:11:53.120 --> 01:11:54.630 align:start position:0% time it's 01:11:54.630 --> 01:11:54.640 align:start position:0% it's 01:11:54.640 --> 01:11:57.910 align:start position:0% it's i<01:11:54.880> i<01:11:55.440> think<01:11:55.679> that's<01:11:56.000> a<01:11:56.080> belief<01:11:56.320> you<01:11:56.480> can<01:11:56.640> hold 01:11:57.910 --> 01:11:57.920 align:start position:0% i i think that's a belief you can hold 01:11:57.920 --> 01:11:59.750 align:start position:0% i i think that's a belief you can hold i<01:11:58.159> i<01:11:58.239> mean<01:11:58.400> i've<01:11:58.640> interacted<01:11:59.120> with<01:11:59.280> a<01:11:59.360> bunch<01:11:59.600> of 01:11:59.750 --> 01:11:59.760 align:start position:0% i i mean i've interacted with a bunch of 01:11:59.760 --> 01:12:01.189 align:start position:0% i i mean i've interacted with a bunch of folks<01:12:00.080> that<01:12:00.239> kind<01:12:00.400> of 01:12:01.189 --> 01:12:01.199 align:start position:0% folks that kind of 01:12:01.199 --> 01:12:02.550 align:start position:0% folks that kind of it's<01:12:01.440> the 01:12:02.550 --> 01:12:02.560 align:start position:0% it's the 01:12:02.560 --> 01:12:04.790 align:start position:0% it's the i<01:12:02.719> don't<01:12:02.880> want<01:12:03.040> to<01:12:03.120> mischaracterize<01:12:04.080> ayn<01:12:04.239> rand 01:12:04.790 --> 01:12:04.800 align:start position:0% i don't want to mischaracterize ayn rand 01:12:04.800 --> 01:12:07.510 align:start position:0% i don't want to mischaracterize ayn rand okay<01:12:05.360> i<01:12:06.080> respect<01:12:06.560> a<01:12:06.640> lot<01:12:06.800> of<01:12:06.880> people<01:12:07.280> but 01:12:07.510 --> 01:12:07.520 align:start position:0% okay i respect a lot of people but 01:12:07.520 --> 01:12:09.990 align:start position:0% okay i respect a lot of people but there's<01:12:08.159> it's<01:12:08.400> a<01:12:08.480> belief<01:12:08.960> that<01:12:09.120> can<01:12:09.360> take<01:12:09.600> hold 01:12:09.990 --> 01:12:10.000 align:start position:0% there's it's a belief that can take hold 01:12:10.000 --> 01:12:12.310 align:start position:0% there's it's a belief that can take hold if<01:12:10.239> i<01:12:10.560> just<01:12:10.880> focus<01:12:11.360> on<01:12:11.440> this<01:12:11.760> particular 01:12:12.310 --> 01:12:12.320 align:start position:0% if i just focus on this particular 01:12:12.320 --> 01:12:13.750 align:start position:0% if i just focus on this particular maximization 01:12:13.750 --> 01:12:13.760 align:start position:0% maximization 01:12:13.760 --> 01:12:15.910 align:start position:0% maximization it<01:12:13.920> will<01:12:14.080> do<01:12:14.239> the<01:12:14.320> most<01:12:14.560> good<01:12:14.800> for<01:12:14.960> the<01:12:15.040> world 01:12:15.910 --> 01:12:15.920 align:start position:0% it will do the most good for the world 01:12:15.920 --> 01:12:17.910 align:start position:0% it will do the most good for the world the<01:12:16.080> problem<01:12:16.480> is<01:12:16.719> when<01:12:16.960> you<01:12:17.120> choose<01:12:17.520> what<01:12:17.760> to 01:12:17.910 --> 01:12:17.920 align:start position:0% the problem is when you choose what to 01:12:17.920 --> 01:12:20.870 align:start position:0% the problem is when you choose what to maximize<01:12:19.040> and<01:12:19.199> you<01:12:19.360> put<01:12:19.600> blinders<01:12:20.239> on<01:12:20.640> it's 01:12:20.870 --> 01:12:20.880 align:start position:0% maximize and you put blinders on it's 01:12:20.880 --> 01:12:22.950 align:start position:0% maximize and you put blinders on it's too<01:12:21.120> easy<01:12:21.440> to<01:12:21.600> start<01:12:21.920> making 01:12:22.950 --> 01:12:22.960 align:start position:0% too easy to start making 01:12:22.960 --> 01:12:25.669 align:start position:0% too easy to start making gigantic<01:12:23.760> mistakes<01:12:24.560> that<01:12:24.800> have<01:12:25.040> a 01:12:25.669 --> 01:12:25.679 align:start position:0% gigantic mistakes that have a 01:12:25.679 --> 01:12:28.310 align:start position:0% gigantic mistakes that have a big<01:12:25.920> negative<01:12:26.640> impact<01:12:26.960> on<01:12:27.120> society<01:12:28.000> so<01:12:28.080> it 01:12:28.310 --> 01:12:28.320 align:start position:0% big negative impact on society so it 01:12:28.320 --> 01:12:30.630 align:start position:0% big negative impact on society so it really<01:12:28.560> matters<01:12:28.880> what<01:12:29.120> you're<01:12:29.280> maximizing 01:12:30.630 --> 01:12:30.640 align:start position:0% really matters what you're maximizing 01:12:30.640 --> 01:12:33.590 align:start position:0% really matters what you're maximizing right<01:12:30.880> and<01:12:31.120> if<01:12:31.440> we<01:12:31.600> had<01:12:31.840> a<01:12:31.920> true<01:12:32.239> democracy 01:12:33.590 --> 01:12:33.600 align:start position:0% right and if we had a true democracy 01:12:33.600 --> 01:12:36.390 align:start position:0% right and if we had a true democracy and<01:12:33.760> everybody<01:12:34.239> had<01:12:34.480> one<01:12:34.719> vote 01:12:36.390 --> 01:12:36.400 align:start position:0% and everybody had one vote 01:12:36.400 --> 01:12:38.149 align:start position:0% and everybody had one vote everybody<01:12:36.800> got<01:12:36.960> decent<01:12:37.360> information<01:12:37.840> and<01:12:37.920> had 01:12:38.149 --> 01:12:38.159 align:start position:0% everybody got decent information and had 01:12:38.159 --> 01:12:39.510 align:start position:0% everybody got decent information and had one<01:12:38.400> vote 01:12:39.510 --> 01:12:39.520 align:start position:0% one vote 01:12:39.520 --> 01:12:42.630 align:start position:0% one vote and<01:12:39.760> rand's<01:12:40.560> position<01:12:41.280> would<01:12:41.440> get<01:12:41.679> some<01:12:42.000> votes 01:12:42.630 --> 01:12:42.640 align:start position:0% and rand's position would get some votes 01:12:42.640 --> 01:12:43.990 align:start position:0% and rand's position would get some votes but<01:12:42.800> not<01:12:43.040> many 01:12:43.990 --> 01:12:44.000 align:start position:0% but not many 01:12:44.000 --> 01:12:46.790 align:start position:0% but not many and<01:12:44.640> it<01:12:44.800> would<01:12:44.960> be<01:12:45.199> way<01:12:45.440> out<01:12:45.679> voted<01:12:46.080> by<01:12:46.320> the 01:12:46.790 --> 01:12:46.800 align:start position:0% and it would be way out voted by the 01:12:46.800 --> 01:12:48.709 align:start position:0% and it would be way out voted by the common<01:12:47.199> people 01:12:48.709 --> 01:12:48.719 align:start position:0% common people 01:12:48.719 --> 01:12:52.870 align:start position:0% common people let<01:12:48.880> me<01:12:49.040> ask<01:12:49.199> you<01:12:49.360> about<01:12:50.080> this<01:12:50.400> very<01:12:50.880> um 01:12:52.870 --> 01:12:52.880 align:start position:0% let me ask you about this very um 01:12:52.880 --> 01:12:55.510 align:start position:0% let me ask you about this very um difficult<01:12:53.360> topic<01:12:53.760> i'm<01:12:54.239> talking<01:12:54.719> to 01:12:55.510 --> 01:12:55.520 align:start position:0% difficult topic i'm talking to 01:12:55.520 --> 01:12:56.709 align:start position:0% difficult topic i'm talking to uh 01:12:56.709 --> 01:12:56.719 align:start position:0% uh 01:12:56.719 --> 01:12:58.550 align:start position:0% uh mark<01:12:57.120> zuckerberg 01:12:58.550 --> 01:12:58.560 align:start position:0% mark zuckerberg 01:12:58.560 --> 01:13:00.550 align:start position:0% mark zuckerberg of<01:12:58.800> meta 01:13:00.550 --> 01:13:00.560 align:start position:0% of meta 01:13:00.560 --> 01:13:02.870 align:start position:0% of meta the<01:13:00.719> topic<01:13:01.040> of<01:13:01.280> censorship 01:13:02.870 --> 01:13:02.880 align:start position:0% the topic of censorship 01:13:02.880 --> 01:13:05.510 align:start position:0% the topic of censorship i<01:13:03.040> don't<01:13:03.199> know<01:13:03.280> if<01:13:03.440> you've<01:13:04.080> uh<01:13:04.400> heard<01:13:04.719> but 01:13:05.510 --> 01:13:05.520 align:start position:0% i don't know if you've uh heard but 01:13:05.520 --> 01:13:07.830 align:start position:0% i don't know if you've uh heard but there's<01:13:05.840> a<01:13:06.159> guy<01:13:06.400> named<01:13:06.719> robert<01:13:07.040> malone<01:13:07.600> and 01:13:07.830 --> 01:13:07.840 align:start position:0% there's a guy named robert malone and 01:13:07.840 --> 01:13:09.830 align:start position:0% there's a guy named robert malone and peter<01:13:08.159> mccalla<01:13:08.880> that<01:13:09.040> were<01:13:09.280> removed<01:13:09.679> from 01:13:09.830 --> 01:13:09.840 align:start position:0% peter mccalla that were removed from 01:13:09.840 --> 01:13:11.750 align:start position:0% peter mccalla that were removed from many<01:13:10.159> platforms<01:13:10.800> for<01:13:10.960> speaking<01:13:11.360> about<01:13:11.600> the 01:13:11.750 --> 01:13:11.760 align:start position:0% many platforms for speaking about the 01:13:11.760 --> 01:13:14.470 align:start position:0% many platforms for speaking about the covet<01:13:12.159> vaccine<01:13:12.640> as<01:13:12.800> being<01:13:13.120> risky<01:13:14.080> they<01:13:14.320> were 01:13:14.470 --> 01:13:14.480 align:start position:0% covet vaccine as being risky they were 01:13:14.480 --> 01:13:17.510 align:start position:0% covet vaccine as being risky they were both<01:13:14.800> on<01:13:15.360> joe<01:13:15.600> rogan's<01:13:16.080> program 01:13:17.510 --> 01:13:17.520 align:start position:0% both on joe rogan's program 01:13:17.520 --> 01:13:20.070 align:start position:0% both on joe rogan's program what<01:13:17.679> do<01:13:17.760> you<01:13:17.920> think<01:13:18.080> about 01:13:20.070 --> 01:13:20.080 align:start position:0% what do you think about 01:13:20.080 --> 01:13:23.510 align:start position:0% what do you think about censorship<01:13:21.040> in<01:13:21.120> this<01:13:21.440> space 01:13:23.510 --> 01:13:23.520 align:start position:0% censorship in this space 01:13:23.520 --> 01:13:25.030 align:start position:0% censorship in this space in<01:13:23.840> this 01:13:25.030 --> 01:13:25.040 align:start position:0% in this 01:13:25.040 --> 01:13:27.669 align:start position:0% in this difficult<01:13:25.679> space<01:13:26.719> where<01:13:27.040> so<01:13:27.199> much<01:13:27.520> is 01:13:27.669 --> 01:13:27.679 align:start position:0% difficult space where so much is 01:13:27.679 --> 01:13:29.189 align:start position:0% difficult space where so much is controlled<01:13:28.080> by 01:13:29.189 --> 01:13:29.199 align:start position:0% controlled by 01:13:29.199 --> 01:13:30.790 align:start position:0% controlled by not<01:13:29.440> controlled<01:13:29.840> but<01:13:30.159> influenced<01:13:30.560> by 01:13:30.790 --> 01:13:30.800 align:start position:0% not controlled but influenced by 01:13:30.800 --> 01:13:34.790 align:start position:0% not controlled but influenced by advertisements<01:13:31.440> from<01:13:31.600> big<01:13:31.920> pharma 01:13:34.790 --> 01:13:34.800 align:start position:0% 01:13:34.800 --> 01:13:37.189 align:start position:0% and<01:13:35.360> science<01:13:35.840> can<01:13:36.000> even<01:13:36.239> be<01:13:36.480> influenced<01:13:37.040> by 01:13:37.189 --> 01:13:37.199 align:start position:0% and science can even be influenced by 01:13:37.199 --> 01:13:39.270 align:start position:0% and science can even be influenced by big<01:13:37.440> pharma 01:13:39.270 --> 01:13:39.280 align:start position:0% big pharma 01:13:39.280 --> 01:13:41.270 align:start position:0% big pharma where<01:13:39.440> do<01:13:39.600> you<01:13:39.840> lean<01:13:40.159> on<01:13:40.400> this 01:13:41.270 --> 01:13:41.280 align:start position:0% where do you lean on this 01:13:41.280 --> 01:13:42.950 align:start position:0% where do you lean on this should<01:13:41.600> we 01:13:42.950 --> 01:13:42.960 align:start position:0% should we 01:13:42.960 --> 01:13:44.229 align:start position:0% should we allow 01:13:44.229 --> 01:13:44.239 align:start position:0% allow 01:13:44.239 --> 01:13:45.189 align:start position:0% allow should<01:13:44.480> we 01:13:45.189 --> 01:13:45.199 align:start position:0% should we 01:13:45.199 --> 01:13:48.310 align:start position:0% should we lean<01:13:45.440> towards<01:13:45.920> freedom<01:13:46.640> and<01:13:46.800> just<01:13:47.120> allow<01:13:48.000> all 01:13:48.310 --> 01:13:48.320 align:start position:0% lean towards freedom and just allow all 01:13:48.320 --> 01:13:49.510 align:start position:0% lean towards freedom and just allow all the 01:13:49.510 --> 01:13:49.520 align:start position:0% the 01:13:49.520 --> 01:13:52.550 align:start position:0% the voices<01:13:50.080> even<01:13:50.320> those<01:13:50.560> that<01:13:50.719> go<01:13:50.880> against<01:13:51.440> the 01:13:52.550 --> 01:13:52.560 align:start position:0% voices even those that go against the 01:13:52.560 --> 01:13:54.470 align:start position:0% voices even those that go against the scientific<01:13:53.120> consensus 01:13:54.470 --> 01:13:54.480 align:start position:0% scientific consensus 01:13:54.480 --> 01:13:56.790 align:start position:0% scientific consensus is<01:13:54.719> that<01:13:54.960> one<01:13:55.199> way<01:13:55.360> to<01:13:55.600> fight 01:13:56.790 --> 01:13:56.800 align:start position:0% is that one way to fight 01:13:56.800 --> 01:13:58.950 align:start position:0% is that one way to fight the 01:13:58.950 --> 01:13:58.960 align:start position:0% the 01:13:58.960 --> 01:14:02.470 align:start position:0% the the<01:13:59.199> science<01:13:59.679> that<01:13:59.920> is<01:14:00.080> funded<01:14:00.480> by<01:14:00.719> big<01:14:00.960> pharma 01:14:02.470 --> 01:14:02.480 align:start position:0% the science that is funded by big pharma 01:14:02.480 --> 01:14:05.350 align:start position:0% the science that is funded by big pharma or<01:14:02.880> is<01:14:03.040> that<01:14:03.280> do<01:14:03.520> more<01:14:03.840> harm<01:14:04.159> than<01:14:04.400> good 01:14:05.350 --> 01:14:05.360 align:start position:0% or is that do more harm than good 01:14:05.360 --> 01:14:07.270 align:start position:0% or is that do more harm than good having<01:14:05.840> too<01:14:06.000> many<01:14:06.400> voices<01:14:06.880> that<01:14:07.120> are 01:14:07.270 --> 01:14:07.280 align:start position:0% having too many voices that are 01:14:07.280 --> 01:14:09.350 align:start position:0% having too many voices that are contending<01:14:07.920> here<01:14:08.400> should<01:14:08.560> the<01:14:08.880> ultimate 01:14:09.350 --> 01:14:09.360 align:start position:0% contending here should the ultimate 01:14:09.360 --> 01:14:12.550 align:start position:0% contending here should the ultimate battle<01:14:09.840> be<01:14:10.159> fought<01:14:10.560> in<01:14:10.719> the<01:14:10.880> space<01:14:11.280> of<01:14:11.600> uh 01:14:12.550 --> 01:14:12.560 align:start position:0% battle be fought in the space of uh 01:14:12.560 --> 01:14:15.110 align:start position:0% battle be fought in the space of uh scientific<01:14:13.199> publications 01:14:15.110 --> 01:14:15.120 align:start position:0% scientific publications 01:14:15.120 --> 01:14:19.350 align:start position:0% scientific publications and<01:14:15.600> particularly<01:14:16.640> in<01:14:16.880> the<01:14:17.280> uh<01:14:17.679> era<01:14:18.159> of<01:14:18.320> kovid 01:14:19.350 --> 01:14:19.360 align:start position:0% and particularly in the uh era of kovid 01:14:19.360 --> 01:14:21.350 align:start position:0% and particularly in the uh era of kovid where<01:14:19.520> there<01:14:19.840> are<01:14:20.480> large<01:14:20.880> public<01:14:21.120> health 01:14:21.350 --> 01:14:21.360 align:start position:0% where there are large public health 01:14:21.360 --> 01:14:23.750 align:start position:0% where there are large public health ramifications<01:14:22.560> to<01:14:22.719> the<01:14:23.199> this<01:14:23.440> public 01:14:23.750 --> 01:14:23.760 align:start position:0% ramifications to the this public 01:14:23.760 --> 01:14:24.870 align:start position:0% ramifications to the this public discourse 01:14:24.870 --> 01:14:24.880 align:start position:0% discourse 01:14:24.880 --> 01:14:27.350 align:start position:0% discourse uh<01:14:25.120> the<01:14:25.360> ante<01:14:25.760> is<01:14:26.080> way<01:14:26.400> up 01:14:27.350 --> 01:14:27.360 align:start position:0% uh the ante is way up 01:14:27.360 --> 01:14:31.030 align:start position:0% uh the ante is way up so<01:14:28.159> i<01:14:28.239> don't<01:14:28.480> have<01:14:28.640> a<01:14:28.719> simple<01:14:29.040> answer<01:14:29.360> to<01:14:29.520> that 01:14:31.030 --> 01:14:31.040 align:start position:0% so i don't have a simple answer to that 01:14:31.040 --> 01:14:32.390 align:start position:0% so i don't have a simple answer to that i<01:14:31.199> think 01:14:32.390 --> 01:14:32.400 align:start position:0% i think 01:14:32.400 --> 01:14:34.709 align:start position:0% i think everyone's<01:14:32.960> allowed<01:14:33.360> their<01:14:33.600> own<01:14:33.679> opinion 01:14:34.709 --> 01:14:34.719 align:start position:0% everyone's allowed their own opinion 01:14:34.719 --> 01:14:36.470 align:start position:0% everyone's allowed their own opinion i<01:14:34.880> don't<01:14:35.120> think<01:14:35.440> everyone's<01:14:35.920> allowed<01:14:36.239> their 01:14:36.470 --> 01:14:36.480 align:start position:0% i don't think everyone's allowed their 01:14:36.480 --> 01:14:38.630 align:start position:0% i don't think everyone's allowed their own<01:14:36.719> scientific<01:14:37.360> facts 01:14:38.630 --> 01:14:38.640 align:start position:0% own scientific facts 01:14:38.640 --> 01:14:40.390 align:start position:0% own scientific facts and<01:14:38.960> how 01:14:40.390 --> 01:14:40.400 align:start position:0% and how 01:14:40.400 --> 01:14:43.030 align:start position:0% and how we<01:14:40.640> develop<01:14:41.120> a<01:14:41.280> mechanism 01:14:43.030 --> 01:14:43.040 align:start position:0% we develop a mechanism 01:14:43.040 --> 01:14:45.830 align:start position:0% we develop a mechanism that's<01:14:43.440> other<01:14:43.840> than<01:14:44.080> an<01:14:44.239> open<01:14:44.800> internet<01:14:45.280> where 01:14:45.830 --> 01:14:45.840 align:start position:0% that's other than an open internet where 01:14:45.840 --> 01:14:48.070 align:start position:0% that's other than an open internet where whoever<01:14:46.239> is<01:14:46.400> shouting<01:14:46.800> the<01:14:46.960> loudest 01:14:48.070 --> 01:14:48.080 align:start position:0% whoever is shouting the loudest 01:14:48.080 --> 01:14:50.310 align:start position:0% whoever is shouting the loudest gets<01:14:48.320> the<01:14:48.480> most<01:14:48.960> clicks<01:14:49.520> and 01:14:50.310 --> 01:14:50.320 align:start position:0% gets the most clicks and 01:14:50.320 --> 01:14:53.110 align:start position:0% gets the most clicks and the<01:14:50.560> uh<01:14:51.120> rage<01:14:51.840> creates<01:14:52.320> value<01:14:52.800> on<01:14:52.960> the 01:14:53.110 --> 01:14:53.120 align:start position:0% the uh rage creates value on the 01:14:53.120 --> 01:14:54.149 align:start position:0% the uh rage creates value on the internet 01:14:54.149 --> 01:14:54.159 align:start position:0% internet 01:14:54.159 --> 01:14:56.550 align:start position:0% internet i<01:14:54.239> think<01:14:54.480> that's<01:14:54.719> not<01:14:54.960> a<01:14:55.040> good<01:14:55.280> mechanism<01:14:56.320> for 01:14:56.550 --> 01:14:56.560 align:start position:0% i think that's not a good mechanism for 01:14:56.560 --> 01:14:58.149 align:start position:0% i think that's not a good mechanism for working<01:14:56.880> this<01:14:57.120> out 01:14:58.149 --> 01:14:58.159 align:start position:0% working this out 01:14:58.159 --> 01:15:00.149 align:start position:0% working this out and<01:14:58.480> i<01:14:58.640> don't<01:14:58.800> think<01:14:59.040> we<01:14:59.199> have<01:14:59.440> one<01:14:59.760> i<01:14:59.840> don't 01:15:00.149 --> 01:15:00.159 align:start position:0% and i don't think we have one i don't 01:15:00.159 --> 01:15:02.950 align:start position:0% and i don't think we have one i don't have<01:15:00.719> a<01:15:00.880> solution<01:15:01.360> to<01:15:01.440> this<01:15:01.679> i<01:15:01.760> mean<01:15:02.000> ideally 01:15:02.950 --> 01:15:02.960 align:start position:0% have a solution to this i mean ideally 01:15:02.960 --> 01:15:05.270 align:start position:0% have a solution to this i mean ideally if<01:15:03.120> we<01:15:03.280> had<01:15:03.440> a<01:15:03.600> philosopher<01:15:04.400> king 01:15:05.270 --> 01:15:05.280 align:start position:0% if we had a philosopher king 01:15:05.280 --> 01:15:06.950 align:start position:0% if we had a philosopher king we<01:15:05.520> could<01:15:05.920> have 01:15:06.950 --> 01:15:06.960 align:start position:0% we could have 01:15:06.960 --> 01:15:10.070 align:start position:0% we could have a<01:15:07.199> panel<01:15:07.840> of<01:15:08.159> people<01:15:08.640> who<01:15:08.960> were<01:15:09.280> not 01:15:10.070 --> 01:15:10.080 align:start position:0% a panel of people who were not 01:15:10.080 --> 01:15:13.910 align:start position:0% a panel of people who were not conflicted<01:15:11.040> by<01:15:11.360> rigid<01:15:11.840> opinions 01:15:13.910 --> 01:15:13.920 align:start position:0% conflicted by rigid opinions 01:15:13.920 --> 01:15:15.830 align:start position:0% conflicted by rigid opinions decide<01:15:14.719> on 01:15:15.830 --> 01:15:15.840 align:start position:0% decide on 01:15:15.840 --> 01:15:17.990 align:start position:0% decide on what<01:15:16.000> the<01:15:16.239> boundaries<01:15:16.800> of<01:15:16.960> public<01:15:17.360> discourse 01:15:17.990 --> 01:15:18.000 align:start position:0% what the boundaries of public discourse 01:15:18.000 --> 01:15:19.510 align:start position:0% what the boundaries of public discourse might<01:15:18.239> be 01:15:19.510 --> 01:15:19.520 align:start position:0% might be 01:15:19.520 --> 01:15:21.830 align:start position:0% might be i<01:15:19.760> don't<01:15:20.239> think<01:15:20.480> it<01:15:20.640> should<01:15:20.800> be<01:15:20.960> fully<01:15:21.360> open<01:15:21.679> i 01:15:21.830 --> 01:15:21.840 align:start position:0% i don't think it should be fully open i 01:15:21.840 --> 01:15:25.270 align:start position:0% i don't think it should be fully open i don't<01:15:22.080> think<01:15:22.400> people<01:15:22.880> who<01:15:23.280> are<01:15:23.520> making 01:15:25.270 --> 01:15:25.280 align:start position:0% don't think people who are making 01:15:25.280 --> 01:15:27.590 align:start position:0% don't think people who are making who<01:15:25.520> are<01:15:25.679> committed<01:15:26.239> to<01:15:26.480> an<01:15:26.719> anti-vaccine 01:15:27.590 --> 01:15:27.600 align:start position:0% who are committed to an anti-vaccine 01:15:27.600 --> 01:15:29.590 align:start position:0% who are committed to an anti-vaccine position<01:15:28.239> and<01:15:28.480> will<01:15:28.800> tailor<01:15:29.280> their 01:15:29.590 --> 01:15:29.600 align:start position:0% position and will tailor their 01:15:29.600 --> 01:15:32.229 align:start position:0% position and will tailor their interpretation<01:15:30.880> of<01:15:31.120> complex<01:15:31.600> scientific 01:15:32.229 --> 01:15:32.239 align:start position:0% interpretation of complex scientific 01:15:32.239 --> 01:15:34.790 align:start position:0% interpretation of complex scientific data<01:15:32.560> to<01:15:32.719> support<01:15:33.120> their<01:15:33.360> opinion 01:15:34.790 --> 01:15:34.800 align:start position:0% data to support their opinion 01:15:34.800 --> 01:15:36.709 align:start position:0% data to support their opinion i<01:15:34.960> think<01:15:35.120> that<01:15:35.280> can<01:15:35.440> be<01:15:35.600> harmful 01:15:36.709 --> 01:15:36.719 align:start position:0% i think that can be harmful 01:15:36.719 --> 01:15:38.470 align:start position:0% i think that can be harmful constraining<01:15:37.280> their<01:15:37.440> speech<01:15:37.760> can<01:15:37.920> be<01:15:38.080> harmful 01:15:38.470 --> 01:15:38.480 align:start position:0% constraining their speech can be harmful 01:15:38.480 --> 01:15:41.110 align:start position:0% constraining their speech can be harmful as<01:15:38.640> well<01:15:39.120> so<01:15:39.280> i<01:15:39.520> don't<01:15:39.760> have<01:15:39.920> an<01:15:40.080> answer<01:15:40.400> here 01:15:41.110 --> 01:15:41.120 align:start position:0% as well so i don't have an answer here 01:15:41.120 --> 01:15:44.550 align:start position:0% as well so i don't have an answer here but<01:15:41.760> yeah<01:15:42.159> i<01:15:42.400> tend<01:15:42.560> to<01:15:42.880> believe<01:15:43.360> that 01:15:44.550 --> 01:15:44.560 align:start position:0% but yeah i tend to believe that 01:15:44.560 --> 01:15:47.830 align:start position:0% but yeah i tend to believe that it's<01:15:44.880> more<01:15:45.199> dangerous<01:15:45.679> to<01:15:45.920> censor<01:15:46.960> anti-vaxx 01:15:47.830 --> 01:15:47.840 align:start position:0% it's more dangerous to censor anti-vaxx 01:15:47.840 --> 01:15:49.189 align:start position:0% it's more dangerous to censor anti-vaxx messages 01:15:49.189 --> 01:15:49.199 align:start position:0% messages 01:15:49.199 --> 01:15:51.110 align:start position:0% messages the<01:15:49.360> way<01:15:49.600> to<01:15:49.760> defeat 01:15:51.110 --> 01:15:51.120 align:start position:0% the way to defeat 01:15:51.120 --> 01:15:53.270 align:start position:0% the way to defeat anti-vaxx<01:15:51.840> messages 01:15:53.270 --> 01:15:53.280 align:start position:0% anti-vaxx messages 01:15:53.280 --> 01:15:56.550 align:start position:0% anti-vaxx messages is<01:15:53.440> by<01:15:53.679> being<01:15:54.080> great<01:15:54.560> communicators 01:15:56.550 --> 01:15:56.560 align:start position:0% is by being great communicators 01:15:56.560 --> 01:15:58.950 align:start position:0% is by being great communicators being<01:15:56.880> great<01:15:57.120> scientific<01:15:57.600> communicators<01:15:58.239> so 01:15:58.950 --> 01:15:58.960 align:start position:0% being great scientific communicators so 01:15:58.960 --> 01:16:01.990 align:start position:0% being great scientific communicators so it's<01:15:59.199> not<01:15:59.440> that<01:15:59.600> we<01:15:59.760> need<01:15:59.920> to<01:16:00.239> censor 01:16:01.990 --> 01:16:02.000 align:start position:0% it's not that we need to censor 01:16:02.000 --> 01:16:03.990 align:start position:0% it's not that we need to censor the<01:16:02.239> things<01:16:02.560> we<01:16:02.719> don't<01:16:03.040> like 01:16:03.990 --> 01:16:04.000 align:start position:0% the things we don't like 01:16:04.000 --> 01:16:06.630 align:start position:0% the things we don't like we<01:16:04.159> need<01:16:04.320> to<01:16:04.480> be<01:16:04.719> better<01:16:05.120> communicating 01:16:06.630 --> 01:16:06.640 align:start position:0% we need to be better communicating 01:16:06.640 --> 01:16:09.189 align:start position:0% we need to be better communicating the<01:16:06.880> things<01:16:07.120> we<01:16:07.360> do<01:16:07.600> like<01:16:08.159> or<01:16:08.560> the<01:16:08.800> things<01:16:09.120> that 01:16:09.189 --> 01:16:09.199 align:start position:0% the things we do like or the things that 01:16:09.199 --> 01:16:11.830 align:start position:0% the things we do like or the things that we<01:16:09.360> do<01:16:09.600> believe<01:16:10.000> represent<01:16:10.640> the 01:16:11.830 --> 01:16:11.840 align:start position:0% we do believe represent the 01:16:11.840 --> 01:16:13.830 align:start position:0% we do believe represent the a<01:16:12.000> deep<01:16:12.320> scientific<01:16:12.960> truth 01:16:13.830 --> 01:16:13.840 align:start position:0% a deep scientific truth 01:16:13.840 --> 01:16:15.350 align:start position:0% a deep scientific truth because 01:16:15.350 --> 01:16:15.360 align:start position:0% because 01:16:15.360 --> 01:16:17.189 align:start position:0% because um<01:16:16.000> i<01:16:16.159> think 01:16:17.189 --> 01:16:17.199 align:start position:0% um i think 01:16:17.199 --> 01:16:19.669 align:start position:0% um i think if<01:16:17.360> you<01:16:17.679> censor<01:16:18.400> you<01:16:18.640> get<01:16:18.880> worse<01:16:19.280> at<01:16:19.360> doing 01:16:19.669 --> 01:16:19.679 align:start position:0% if you censor you get worse at doing 01:16:19.679 --> 01:16:22.149 align:start position:0% if you censor you get worse at doing science 01:16:22.149 --> 01:16:22.159 align:start position:0% science 01:16:22.159 --> 01:16:27.189 align:start position:0% science and<01:16:22.640> you<01:16:22.880> give<01:16:23.120> the<01:16:23.360> wrong<01:16:23.679> people<01:16:24.159> power 01:16:27.189 --> 01:16:27.199 align:start position:0% 01:16:27.199 --> 01:16:30.149 align:start position:0% so<01:16:27.920> i<01:16:28.239> i<01:16:28.640> tend<01:16:28.800> to<01:16:28.960> believe<01:16:29.520> that<01:16:29.760> you<01:16:30.000> should 01:16:30.149 --> 01:16:30.159 align:start position:0% so i i tend to believe that you should 01:16:30.159 --> 01:16:33.350 align:start position:0% so i i tend to believe that you should give<01:16:30.400> power<01:16:30.880> to<01:16:31.040> the<01:16:31.280> individual<01:16:31.840> scientists 01:16:33.350 --> 01:16:33.360 align:start position:0% give power to the individual scientists 01:16:33.360 --> 01:16:35.830 align:start position:0% give power to the individual scientists and<01:16:33.600> also<01:16:33.920> give<01:16:34.159> them<01:16:34.400> the<01:16:34.560> responsibility<01:16:35.679> of 01:16:35.830 --> 01:16:35.840 align:start position:0% and also give them the responsibility of 01:16:35.840 --> 01:16:38.870 align:start position:0% and also give them the responsibility of being<01:16:36.239> better<01:16:36.800> educators<01:16:37.520> communicators 01:16:38.870 --> 01:16:38.880 align:start position:0% being better educators communicators 01:16:38.880 --> 01:16:41.590 align:start position:0% being better educators communicators expressers<01:16:39.679> of<01:16:39.840> scientific<01:16:40.560> ideas 01:16:41.590 --> 01:16:41.600 align:start position:0% expressers of scientific ideas 01:16:41.600 --> 01:16:43.510 align:start position:0% expressers of scientific ideas put<01:16:41.840> pressure<01:16:42.159> on<01:16:42.320> them<01:16:42.480> to<01:16:42.640> release<01:16:42.960> data<01:16:43.360> to 01:16:43.510 --> 01:16:43.520 align:start position:0% put pressure on them to release data to 01:16:43.520 --> 01:16:46.070 align:start position:0% put pressure on them to release data to release<01:16:43.840> that<01:16:44.080> data<01:16:44.400> in<01:16:44.480> a<01:16:44.640> way<01:16:44.800> that's<01:16:45.600> easily 01:16:46.070 --> 01:16:46.080 align:start position:0% release that data in a way that's easily 01:16:46.080 --> 01:16:48.470 align:start position:0% release that data in a way that's easily consumable<01:16:46.719> not<01:16:46.960> just<01:16:47.280> like<01:16:47.840> very<01:16:48.080> difficult 01:16:48.470 --> 01:16:48.480 align:start position:0% consumable not just like very difficult 01:16:48.480 --> 01:16:50.229 align:start position:0% consumable not just like very difficult to<01:16:48.560> understand<01:16:49.120> but<01:16:49.280> in<01:16:49.440> a<01:16:49.520> way<01:16:49.679> that<01:16:49.920> can<01:16:50.080> be 01:16:50.229 --> 01:16:50.239 align:start position:0% to understand but in a way that can be 01:16:50.239 --> 01:16:52.390 align:start position:0% to understand but in a way that can be understood<01:16:50.640> by<01:16:50.800> a<01:16:50.960> large<01:16:51.280> number<01:16:51.520> of<01:16:51.679> people 01:16:52.390 --> 01:16:52.400 align:start position:0% understood by a large number of people 01:16:52.400 --> 01:16:54.950 align:start position:0% understood by a large number of people so<01:16:52.640> the<01:16:52.880> battle<01:16:53.760> should<01:16:53.920> be<01:16:54.239> fought<01:16:54.640> in<01:16:54.800> the 01:16:54.950 --> 01:16:54.960 align:start position:0% so the battle should be fought in the 01:16:54.960 --> 01:16:57.110 align:start position:0% so the battle should be fought in the open<01:16:55.360> space<01:16:55.679> of<01:16:55.840> ideas 01:16:57.110 --> 01:16:57.120 align:start position:0% open space of ideas 01:16:57.120 --> 01:16:59.270 align:start position:0% open space of ideas versus<01:16:57.760> in 01:16:59.270 --> 01:16:59.280 align:start position:0% versus in 01:16:59.280 --> 01:17:01.110 align:start position:0% versus in in<01:16:59.360> the<01:16:59.679> quiet 01:17:01.110 --> 01:17:01.120 align:start position:0% in the quiet 01:17:01.120 --> 01:17:04.149 align:start position:0% in the quiet space<01:17:01.520> of<01:17:01.679> journals<01:17:02.560> i<01:17:02.719> think<01:17:03.040> we<01:17:03.520> no<01:17:03.760> longer 01:17:04.149 --> 01:17:04.159 align:start position:0% space of journals i think we no longer 01:17:04.159 --> 01:17:05.910 align:start position:0% space of journals i think we no longer have<01:17:04.400> that<01:17:04.719> comfort 01:17:05.910 --> 01:17:05.920 align:start position:0% have that comfort 01:17:05.920 --> 01:17:08.310 align:start position:0% have that comfort especially<01:17:06.480> at<01:17:06.560> the<01:17:06.719> highest<01:17:07.120> of<01:17:07.280> stakes<01:17:08.159> so 01:17:08.310 --> 01:17:08.320 align:start position:0% especially at the highest of stakes so 01:17:08.320 --> 01:17:10.070 align:start position:0% especially at the highest of stakes so this<01:17:08.560> kind<01:17:08.719> of<01:17:08.880> idea<01:17:09.199> that<01:17:09.360> a<01:17:09.440> couple<01:17:09.679> of<01:17:09.840> peer 01:17:10.070 --> 01:17:10.080 align:start position:0% this kind of idea that a couple of peer 01:17:10.080 --> 01:17:11.590 align:start position:0% this kind of idea that a couple of peer reviewers 01:17:11.590 --> 01:17:11.600 align:start position:0% reviewers 01:17:11.600 --> 01:17:14.870 align:start position:0% reviewers decide<01:17:12.239> the<01:17:12.480> fate<01:17:13.199> of<01:17:13.440> billions 01:17:14.870 --> 01:17:14.880 align:start position:0% decide the fate of billions 01:17:14.880 --> 01:17:15.830 align:start position:0% decide the fate of billions is 01:17:15.830 --> 01:17:15.840 align:start position:0% is 01:17:15.840 --> 01:17:18.870 align:start position:0% is is<01:17:16.480> doesn't<01:17:16.880> seem<01:17:17.120> to<01:17:17.280> be<01:17:17.440> sustainable 01:17:18.870 --> 01:17:18.880 align:start position:0% is doesn't seem to be sustainable 01:17:18.880 --> 01:17:22.470 align:start position:0% is doesn't seem to be sustainable especially<01:17:19.600> given<01:17:20.239> a<01:17:20.800> a<01:17:20.960> very<01:17:21.520> real 01:17:22.470 --> 01:17:22.480 align:start position:0% especially given a a very real 01:17:22.480 --> 01:17:24.070 align:start position:0% especially given a a very real observation<01:17:23.280> now 01:17:24.070 --> 01:17:24.080 align:start position:0% observation now 01:17:24.080 --> 01:17:26.470 align:start position:0% observation now that<01:17:24.480> um 01:17:26.470 --> 01:17:26.480 align:start position:0% that um 01:17:26.480 --> 01:17:28.390 align:start position:0% that um that<01:17:26.640> the<01:17:26.880> reason<01:17:27.280> robert<01:17:27.679> malone<01:17:28.080> has<01:17:28.239> a 01:17:28.390 --> 01:17:28.400 align:start position:0% that the reason robert malone has a 01:17:28.400 --> 01:17:30.709 align:start position:0% that the reason robert malone has a large<01:17:28.800> following 01:17:30.709 --> 01:17:30.719 align:start position:0% large following 01:17:30.719 --> 01:17:32.149 align:start position:0% large following is<01:17:30.880> there's<01:17:31.120> a<01:17:31.199> deep<01:17:31.440> distrust<01:17:32.000> of 01:17:32.149 --> 01:17:32.159 align:start position:0% is there's a deep distrust of 01:17:32.159 --> 01:17:33.830 align:start position:0% is there's a deep distrust of institutions<01:17:32.880> deep<01:17:33.120> distressed<01:17:33.679> the 01:17:33.830 --> 01:17:33.840 align:start position:0% institutions deep distressed the 01:17:33.840 --> 01:17:37.669 align:start position:0% institutions deep distressed the scientists<01:17:34.800> of<01:17:35.040> science<01:17:35.840> as<01:17:36.000> an<01:17:36.159> institution 01:17:37.669 --> 01:17:37.679 align:start position:0% scientists of science as an institution 01:17:37.679 --> 01:17:40.630 align:start position:0% scientists of science as an institution of<01:17:38.000> uh<01:17:38.320> power<01:17:38.719> centers<01:17:39.199> of<01:17:39.360> companies<01:17:39.920> of 01:17:40.630 --> 01:17:40.640 align:start position:0% of uh power centers of companies of 01:17:40.640 --> 01:17:43.910 align:start position:0% of uh power centers of companies of of<01:17:40.800> everything<01:17:41.280> and<01:17:41.840> perhaps<01:17:42.400> rightly<01:17:42.880> so<01:17:43.760> but 01:17:43.910 --> 01:17:43.920 align:start position:0% of everything and perhaps rightly so but 01:17:43.920 --> 01:17:45.750 align:start position:0% of everything and perhaps rightly so but the<01:17:44.080> way<01:17:44.320> to<01:17:44.480> defend<01:17:44.800> against<01:17:45.120> that<01:17:45.440> is<01:17:45.600> not 01:17:45.750 --> 01:17:45.760 align:start position:0% the way to defend against that is not 01:17:45.760 --> 01:17:47.030 align:start position:0% the way to defend against that is not for<01:17:45.920> the<01:17:46.080> powerful 01:17:47.030 --> 01:17:47.040 align:start position:0% for the powerful 01:17:47.040 --> 01:17:49.669 align:start position:0% for the powerful to<01:17:47.199> build<01:17:47.679> a<01:17:47.920> bigger<01:17:48.320> wall 01:17:49.669 --> 01:17:49.679 align:start position:0% to build a bigger wall 01:17:49.679 --> 01:17:52.070 align:start position:0% to build a bigger wall it's<01:17:49.840> for<01:17:50.000> the<01:17:50.080> powerful<01:17:50.480> to<01:17:50.640> be<01:17:50.800> authentic 01:17:52.070 --> 01:17:52.080 align:start position:0% it's for the powerful to be authentic 01:17:52.080 --> 01:17:53.350 align:start position:0% it's for the powerful to be authentic um 01:17:53.350 --> 01:17:53.360 align:start position:0% um 01:17:53.360 --> 01:17:55.669 align:start position:0% um and<01:17:53.600> maybe<01:17:53.920> do<01:17:54.239> a<01:17:54.320> lot<01:17:54.480> of<01:17:54.560> them<01:17:54.800> to<01:17:54.960> get<01:17:55.199> fired 01:17:55.669 --> 01:17:55.679 align:start position:0% and maybe do a lot of them to get fired 01:17:55.679 --> 01:17:57.990 align:start position:0% and maybe do a lot of them to get fired and<01:17:55.920> for<01:17:56.159> new<01:17:56.400> minds<01:17:57.199> for<01:17:57.360> new<01:17:57.600> fresh 01:17:57.990 --> 01:17:58.000 align:start position:0% and for new minds for new fresh 01:17:58.000 --> 01:17:59.189 align:start position:0% and for new minds for new fresh scientists 01:17:59.189 --> 01:17:59.199 align:start position:0% scientists 01:17:59.199 --> 01:18:01.750 align:start position:0% scientists uh<01:17:59.760> ones<01:18:00.080> who<01:18:00.239> are<01:18:00.320> more<01:18:00.560> authentic<01:18:01.120> more<01:18:01.360> real 01:18:01.750 --> 01:18:01.760 align:start position:0% uh ones who are more authentic more real 01:18:01.760 --> 01:18:03.910 align:start position:0% uh ones who are more authentic more real better<01:18:02.000> communicators<01:18:02.719> to<01:18:02.880> step<01:18:03.199> up 01:18:03.910 --> 01:18:03.920 align:start position:0% better communicators to step up 01:18:03.920 --> 01:18:07.750 align:start position:0% better communicators to step up so<01:18:04.080> i<01:18:04.239> i<01:18:04.880> fear<01:18:05.280> i<01:18:05.520> fear<01:18:05.840> censorship<01:18:06.400> because 01:18:07.750 --> 01:18:07.760 align:start position:0% so i i fear i fear censorship because 01:18:07.760 --> 01:18:09.270 align:start position:0% so i i fear i fear censorship because it<01:18:08.000> feels<01:18:08.320> like 01:18:09.270 --> 01:18:09.280 align:start position:0% it feels like 01:18:09.280 --> 01:18:12.390 align:start position:0% it feels like censorship<01:18:09.920> is<01:18:10.080> a<01:18:10.400> even<01:18:10.800> harder<01:18:11.280> job<01:18:11.840> to<01:18:12.000> do<01:18:12.159> it 01:18:12.390 --> 01:18:12.400 align:start position:0% censorship is a even harder job to do it 01:18:12.400 --> 01:18:13.830 align:start position:0% censorship is a even harder job to do it well 01:18:13.830 --> 01:18:13.840 align:start position:0% well 01:18:13.840 --> 01:18:15.110 align:start position:0% well than 01:18:15.110 --> 01:18:15.120 align:start position:0% than 01:18:15.120 --> 01:18:17.350 align:start position:0% than being<01:18:15.440> good<01:18:15.679> communicators<01:18:16.560> and<01:18:16.800> it<01:18:17.040> seems 01:18:17.350 --> 01:18:17.360 align:start position:0% being good communicators and it seems 01:18:17.360 --> 01:18:19.430 align:start position:0% being good communicators and it seems like<01:18:17.600> it's<01:18:17.760> always<01:18:18.080> the<01:18:18.320> c<01:18:18.640> students<01:18:19.040> that<01:18:19.280> end 01:18:19.430 --> 01:18:19.440 align:start position:0% like it's always the c students that end 01:18:19.440 --> 01:18:21.270 align:start position:0% like it's always the c students that end up<01:18:19.600> doing<01:18:19.840> the<01:18:20.000> censorship 01:18:21.270 --> 01:18:21.280 align:start position:0% up doing the censorship 01:18:21.280 --> 01:18:23.110 align:start position:0% up doing the censorship that<01:18:21.600> it's<01:18:21.840> like<01:18:22.239> it's<01:18:22.560> always<01:18:22.800> the 01:18:23.110 --> 01:18:23.120 align:start position:0% that it's like it's always the 01:18:23.120 --> 01:18:25.669 align:start position:0% that it's like it's always the incompetent<01:18:24.239> people<01:18:24.960> and<01:18:25.120> not<01:18:25.280> just<01:18:25.520> the 01:18:25.669 --> 01:18:25.679 align:start position:0% incompetent people and not just the 01:18:25.679 --> 01:18:27.030 align:start position:0% incompetent people and not just the incompetent 01:18:27.030 --> 01:18:27.040 align:start position:0% incompetent 01:18:27.040 --> 01:18:29.350 align:start position:0% incompetent but<01:18:27.199> the<01:18:27.360> biggest<01:18:27.840> whiners<01:18:28.719> so<01:18:28.880> like<01:18:29.120> what 01:18:29.350 --> 01:18:29.360 align:start position:0% but the biggest whiners so like what 01:18:29.360 --> 01:18:31.030 align:start position:0% but the biggest whiners so like what happens<01:18:29.760> is 01:18:31.030 --> 01:18:31.040 align:start position:0% happens is 01:18:31.040 --> 01:18:33.030 align:start position:0% happens is the<01:18:31.600> people 01:18:33.030 --> 01:18:33.040 align:start position:0% the people 01:18:33.040 --> 01:18:33.910 align:start position:0% the people that 01:18:33.910 --> 01:18:33.920 align:start position:0% that 01:18:33.920 --> 01:18:35.910 align:start position:0% that get<01:18:34.159> the<01:18:34.400> most<01:18:34.800> emotional<01:18:35.360> and<01:18:35.440> the<01:18:35.520> most 01:18:35.910 --> 01:18:35.920 align:start position:0% get the most emotional and the most 01:18:35.920 --> 01:18:39.430 align:start position:0% get the most emotional and the most outraged<01:18:36.480> will<01:18:36.800> drive<01:18:37.120> the<01:18:37.280> censorship 01:18:39.430 --> 01:18:39.440 align:start position:0% outraged will drive the censorship 01:18:39.440 --> 01:18:41.750 align:start position:0% outraged will drive the censorship and<01:18:39.600> it<01:18:39.679> doesn't<01:18:40.080> seem<01:18:40.400> like<01:18:40.719> reason<01:18:41.280> drives<01:18:41.679> a 01:18:41.750 --> 01:18:41.760 align:start position:0% and it doesn't seem like reason drives a 01:18:41.760 --> 01:18:44.149 align:start position:0% and it doesn't seem like reason drives a censorship<01:18:42.480> that's<01:18:42.800> just<01:18:43.440> objectively 01:18:44.149 --> 01:18:44.159 align:start position:0% censorship that's just objectively 01:18:44.159 --> 01:18:46.550 align:start position:0% censorship that's just objectively observing<01:18:44.719> how<01:18:44.960> censorship<01:18:45.520> seems<01:18:45.760> to<01:18:46.000> work 01:18:46.550 --> 01:18:46.560 align:start position:0% observing how censorship seems to work 01:18:46.560 --> 01:18:49.110 align:start position:0% observing how censorship seems to work in<01:18:46.800> this<01:18:47.120> current<01:18:47.840> so<01:18:48.000> there's<01:18:48.320> so<01:18:48.480> many<01:18:48.800> forms 01:18:49.110 --> 01:18:49.120 align:start position:0% in this current so there's so many forms 01:18:49.120 --> 01:18:50.390 align:start position:0% in this current so there's so many forms of<01:18:49.199> censorship 01:18:50.390 --> 01:18:50.400 align:start position:0% of censorship 01:18:50.400 --> 01:18:51.830 align:start position:0% of censorship you<01:18:50.480> know<01:18:50.640> you<01:18:50.880> look<01:18:51.040> at<01:18:51.120> the<01:18:51.199> soviet<01:18:51.520> union 01:18:51.830 --> 01:18:51.840 align:start position:0% you know you look at the soviet union 01:18:51.840 --> 01:18:54.229 align:start position:0% you know you look at the soviet union with<01:18:52.000> the<01:18:52.080> propaganda<01:18:52.800> or<01:18:53.040> nazi<01:18:53.440> germany<01:18:53.920> is<01:18:54.080> a 01:18:54.229 --> 01:18:54.239 align:start position:0% with the propaganda or nazi germany is a 01:18:54.239 --> 01:18:56.390 align:start position:0% with the propaganda or nazi germany is a very<01:18:54.480> different<01:18:54.800> level<01:18:55.199> censorship<01:18:55.760> people 01:18:56.390 --> 01:18:56.400 align:start position:0% very different level censorship people 01:18:56.400 --> 01:18:58.310 align:start position:0% very different level censorship people people<01:18:56.800> tend<01:18:56.960> to<01:18:57.199> conflate<01:18:57.760> all<01:18:57.920> these<01:18:58.080> things 01:18:58.310 --> 01:18:58.320 align:start position:0% people tend to conflate all these things 01:18:58.320 --> 01:19:00.550 align:start position:0% people tend to conflate all these things together<01:18:58.960> you<01:18:59.120> know<01:18:59.280> social<01:18:59.679> media<01:19:00.080> trying 01:19:00.550 --> 01:19:00.560 align:start position:0% together you know social media trying 01:19:00.560 --> 01:19:02.470 align:start position:0% together you know social media trying desperately<01:19:01.520> to<01:19:01.679> have 01:19:02.470 --> 01:19:02.480 align:start position:0% desperately to have 01:19:02.480 --> 01:19:03.830 align:start position:0% desperately to have trillions 01:19:03.830 --> 01:19:03.840 align:start position:0% trillions 01:19:03.840 --> 01:19:06.630 align:start position:0% trillions or<01:19:04.159> uh<01:19:04.800> hundreds<01:19:05.199> of<01:19:05.360> billions<01:19:05.840> of<01:19:06.000> exchanges 01:19:06.630 --> 01:19:06.640 align:start position:0% or uh hundreds of billions of exchanges 01:19:06.640 --> 01:19:08.390 align:start position:0% or uh hundreds of billions of exchanges a<01:19:06.719> day<01:19:07.440> and<01:19:07.600> like 01:19:08.390 --> 01:19:08.400 align:start position:0% a day and like 01:19:08.400 --> 01:19:10.630 align:start position:0% a day and like try<01:19:08.640> to<01:19:08.800> make<01:19:09.040> sure<01:19:09.280> that<01:19:09.440> their<01:19:09.679> platform<01:19:10.239> is 01:19:10.630 --> 01:19:10.640 align:start position:0% try to make sure that their platform is 01:19:10.640 --> 01:19:11.750 align:start position:0% try to make sure that their platform is has<01:19:10.960> some 01:19:11.750 --> 01:19:11.760 align:start position:0% has some 01:19:11.760 --> 01:19:14.229 align:start position:0% has some uh<01:19:12.239> semblance<01:19:12.800> of<01:19:12.960> like 01:19:14.229 --> 01:19:14.239 align:start position:0% uh semblance of like 01:19:14.239 --> 01:19:17.189 align:start position:0% uh semblance of like quote<01:19:14.880> healthy<01:19:15.280> conversations<01:19:16.239> like<01:19:16.880> people 01:19:17.189 --> 01:19:17.199 align:start position:0% quote healthy conversations like people 01:19:17.199 --> 01:19:19.110 align:start position:0% quote healthy conversations like people just<01:19:17.360> don't<01:19:17.600> go<01:19:17.840> insane<01:19:18.400> they<01:19:18.560> actually<01:19:18.880> like 01:19:19.110 --> 01:19:19.120 align:start position:0% just don't go insane they actually like 01:19:19.120 --> 01:19:20.790 align:start position:0% just don't go insane they actually like using<01:19:19.440> the<01:19:19.520> platform 01:19:20.790 --> 01:19:20.800 align:start position:0% using the platform 01:19:20.800 --> 01:19:23.270 align:start position:0% using the platform and<01:19:20.880> they<01:19:21.199> they<01:19:21.520> censor<01:19:21.920> based<01:19:22.239> on<01:19:22.400> that 01:19:23.270 --> 01:19:23.280 align:start position:0% and they they censor based on that 01:19:23.280 --> 01:19:24.790 align:start position:0% and they they censor based on that that's<01:19:23.520> a<01:19:23.679> different<01:19:24.000> level<01:19:24.239> of<01:19:24.320> censorship 01:19:24.790 --> 01:19:24.800 align:start position:0% that's a different level of censorship 01:19:24.800 --> 01:19:26.310 align:start position:0% that's a different level of censorship but<01:19:25.040> even<01:19:25.360> there 01:19:26.310 --> 01:19:26.320 align:start position:0% but even there 01:19:26.320 --> 01:19:28.630 align:start position:0% but even there you<01:19:26.480> can<01:19:26.719> really<01:19:27.040> run<01:19:27.360> afoul<01:19:28.000> of<01:19:28.159> the<01:19:28.320> people 01:19:28.630 --> 01:19:28.640 align:start position:0% you can really run afoul of the people 01:19:28.640 --> 01:19:30.070 align:start position:0% you can really run afoul of the people they<01:19:28.880> get 01:19:30.070 --> 01:19:30.080 align:start position:0% they get 01:19:30.080 --> 01:19:32.870 align:start position:0% they get the<01:19:30.400> the<01:19:30.719> the<01:19:31.040> whiny<01:19:31.600> c<01:19:31.920> students<01:19:32.400> controlling 01:19:32.870 --> 01:19:32.880 align:start position:0% the the the whiny c students controlling 01:19:32.880 --> 01:19:34.790 align:start position:0% the the the whiny c students controlling too<01:19:33.040> much<01:19:33.280> of<01:19:33.360> the<01:19:33.520> censorship 01:19:34.790 --> 01:19:34.800 align:start position:0% too much of the censorship 01:19:34.800 --> 01:19:37.189 align:start position:0% too much of the censorship i<01:19:35.040> i<01:19:35.199> believe<01:19:35.520> that<01:19:36.159> you<01:19:36.320> should<01:19:36.719> you<01:19:36.880> should 01:19:37.189 --> 01:19:37.199 align:start position:0% i i believe that you should you should 01:19:37.199 --> 01:19:39.350 align:start position:0% i i believe that you should you should actually<01:19:37.520> put<01:19:37.679> the<01:19:37.760> responsibility 01:19:39.350 --> 01:19:39.360 align:start position:0% actually put the responsibility 01:19:39.360 --> 01:19:40.630 align:start position:0% actually put the responsibility on<01:19:39.600> the 01:19:40.630 --> 01:19:40.640 align:start position:0% on the 01:19:40.640 --> 01:19:42.950 align:start position:0% on the self-proclaimed<01:19:41.440> holders<01:19:41.920> of<01:19:42.080> truth<01:19:42.400> aka 01:19:42.950 --> 01:19:42.960 align:start position:0% self-proclaimed holders of truth aka 01:19:42.960 --> 01:19:46.630 align:start position:0% self-proclaimed holders of truth aka scientists<01:19:43.840> at<01:19:44.000> being<01:19:44.320> better<01:19:44.640> communicators 01:19:46.630 --> 01:19:46.640 align:start position:0% scientists at being better communicators 01:19:46.640 --> 01:19:49.110 align:start position:0% scientists at being better communicators i<01:19:46.800> agree<01:19:47.120> with<01:19:47.199> that<01:19:47.360> i'm<01:19:47.520> not<01:19:47.920> uh<01:19:48.480> advocating 01:19:49.110 --> 01:19:49.120 align:start position:0% i agree with that i'm not uh advocating 01:19:49.120 --> 01:19:52.550 align:start position:0% i agree with that i'm not uh advocating for<01:19:49.600> any<01:19:49.840> kind<01:19:50.080> of<01:19:50.320> censorship<01:19:51.360> but 01:19:52.550 --> 01:19:52.560 align:start position:0% for any kind of censorship but 01:19:52.560 --> 01:19:55.510 align:start position:0% for any kind of censorship but uh<01:19:53.280> marshall<01:19:53.679> mcluhan<01:19:54.320> was<01:19:54.640> very<01:19:54.960> influential 01:19:55.510 --> 01:19:55.520 align:start position:0% uh marshall mcluhan was very influential 01:19:55.520 --> 01:19:57.110 align:start position:0% uh marshall mcluhan was very influential when<01:19:55.679> i<01:19:55.840> was<01:19:56.000> in<01:19:56.159> college 01:19:57.110 --> 01:19:57.120 align:start position:0% when i was in college 01:19:57.120 --> 01:19:59.270 align:start position:0% when i was in college and<01:19:57.760> his<01:19:58.239> uh 01:19:59.270 --> 01:19:59.280 align:start position:0% and his uh 01:19:59.280 --> 01:20:03.110 align:start position:0% and his uh that<01:19:59.600> meme<01:20:00.239> uh<01:20:00.960> the<01:20:01.120> medium<01:20:01.520> is<01:20:01.679> the<01:20:01.760> message 01:20:03.110 --> 01:20:03.120 align:start position:0% that meme uh the medium is the message 01:20:03.120 --> 01:20:04.709 align:start position:0% that meme uh the medium is the message it's<01:20:03.280> a<01:20:03.440> little<01:20:03.600> bit<01:20:03.760> hard<01:20:04.000> to<01:20:04.159> understand 01:20:04.709 --> 01:20:04.719 align:start position:0% it's a little bit hard to understand 01:20:04.719 --> 01:20:06.950 align:start position:0% it's a little bit hard to understand when<01:20:04.880> you're<01:20:05.040> comparing<01:20:05.520> radio<01:20:06.000> to<01:20:06.159> tv<01:20:06.719> and 01:20:06.950 --> 01:20:06.960 align:start position:0% when you're comparing radio to tv and 01:20:06.960 --> 01:20:09.030 align:start position:0% when you're comparing radio to tv and saying<01:20:07.199> radio's<01:20:07.679> hotter<01:20:08.080> or<01:20:08.239> tvs<01:20:08.639> hotter<01:20:08.960> or 01:20:09.030 --> 01:20:09.040 align:start position:0% saying radio's hotter or tvs hotter or 01:20:09.040 --> 01:20:11.910 align:start position:0% saying radio's hotter or tvs hotter or something<01:20:09.840> but<01:20:10.080> we<01:20:10.320> now<01:20:10.639> have<01:20:11.280> the<01:20:11.440> medium<01:20:11.840> as 01:20:11.910 --> 01:20:11.920 align:start position:0% something but we now have the medium as 01:20:11.920 --> 01:20:13.830 align:start position:0% something but we now have the medium as the<01:20:12.000> message<01:20:12.400> in<01:20:12.560> a<01:20:12.639> way<01:20:12.800> that<01:20:12.960> we've<01:20:13.520> never 01:20:13.830 --> 01:20:13.840 align:start position:0% the message in a way that we've never 01:20:13.840 --> 01:20:16.229 align:start position:0% the message in a way that we've never seen<01:20:14.159> we've<01:20:14.320> never<01:20:14.639> imagined<01:20:15.280> before 01:20:16.229 --> 01:20:16.239 align:start position:0% seen we've never imagined before 01:20:16.239 --> 01:20:17.270 align:start position:0% seen we've never imagined before where 01:20:17.270 --> 01:20:17.280 align:start position:0% where 01:20:17.280 --> 01:20:19.270 align:start position:0% where rage<01:20:17.760> and<01:20:18.000> anger 01:20:19.270 --> 01:20:19.280 align:start position:0% rage and anger 01:20:19.280 --> 01:20:21.669 align:start position:0% rage and anger and<01:20:19.600> polarization 01:20:21.669 --> 01:20:21.679 align:start position:0% and polarization 01:20:21.679 --> 01:20:22.790 align:start position:0% and polarization uh 01:20:22.790 --> 01:20:22.800 align:start position:0% uh 01:20:22.800 --> 01:20:27.110 align:start position:0% uh are<01:20:23.440> what<01:20:24.000> drives<01:20:24.960> the<01:20:25.520> um<01:20:26.400> traffic<01:20:26.880> on<01:20:26.960> the 01:20:27.110 --> 01:20:27.120 align:start position:0% are what drives the um traffic on the 01:20:27.120 --> 01:20:28.149 align:start position:0% are what drives the um traffic on the internet 01:20:28.149 --> 01:20:28.159 align:start position:0% internet 01:20:28.159 --> 01:20:29.910 align:start position:0% internet and 01:20:29.910 --> 01:20:29.920 align:start position:0% and 01:20:29.920 --> 01:20:31.110 align:start position:0% and we<01:20:30.320> don't 01:20:31.110 --> 01:20:31.120 align:start position:0% we don't 01:20:31.120 --> 01:20:34.070 align:start position:0% we don't it's<01:20:31.360> a<01:20:31.520> question<01:20:31.840> of<01:20:32.000> building<01:20:32.400> the<01:20:32.639> commons 01:20:34.070 --> 01:20:34.080 align:start position:0% it's a question of building the commons 01:20:34.080 --> 01:20:36.229 align:start position:0% it's a question of building the commons ideally<01:20:34.960> i<01:20:35.040> don't<01:20:35.199> know<01:20:35.280> how<01:20:35.360> to<01:20:35.520> get<01:20:35.679> there<01:20:35.920> so 01:20:36.229 --> 01:20:36.239 align:start position:0% ideally i don't know how to get there so 01:20:36.239 --> 01:20:38.310 align:start position:0% ideally i don't know how to get there so i'm<01:20:36.400> not<01:20:36.560> pretending<01:20:36.960> to<01:20:37.040> have<01:20:37.199> a<01:20:37.280> solution 01:20:38.310 --> 01:20:38.320 align:start position:0% i'm not pretending to have a solution 01:20:38.320 --> 01:20:40.709 align:start position:0% i'm not pretending to have a solution but<01:20:38.560> the<01:20:38.800> commons<01:20:39.360> of<01:20:39.600> discourse 01:20:40.709 --> 01:20:40.719 align:start position:0% but the commons of discourse 01:20:40.719 --> 01:20:42.390 align:start position:0% but the commons of discourse about<01:20:41.040> this<01:20:41.280> particular<01:20:41.920> issue<01:20:42.159> about 01:20:42.390 --> 01:20:42.400 align:start position:0% about this particular issue about 01:20:42.400 --> 01:20:43.750 align:start position:0% about this particular issue about vaccines 01:20:43.750 --> 01:20:43.760 align:start position:0% vaccines 01:20:43.760 --> 01:20:46.470 align:start position:0% vaccines is<01:20:44.080> has<01:20:44.239> been<01:20:44.480> largely<01:20:44.960> destroyed<01:20:45.600> by<01:20:45.760> the 01:20:46.470 --> 01:20:46.480 align:start position:0% is has been largely destroyed by the 01:20:46.480 --> 01:20:48.709 align:start position:0% is has been largely destroyed by the edges<01:20:47.120> by<01:20:47.280> the<01:20:47.600> drug<01:20:47.920> companies<01:20:48.400> and<01:20:48.480> the 01:20:48.709 --> 01:20:48.719 align:start position:0% edges by the drug companies and the 01:20:48.719 --> 01:20:51.189 align:start position:0% edges by the drug companies and the advocates<01:20:49.199> on<01:20:49.280> the<01:20:49.440> one<01:20:49.679> side<01:20:50.000> and<01:20:50.159> the 01:20:51.189 --> 01:20:51.199 align:start position:0% advocates on the one side and the 01:20:51.199 --> 01:20:54.310 align:start position:0% advocates on the one side and the people<01:20:51.520> who<01:20:51.760> just<01:20:52.320> criticize<01:20:53.280> and 01:20:54.310 --> 01:20:54.320 align:start position:0% people who just criticize and 01:20:54.320 --> 01:20:55.750 align:start position:0% people who just criticize and think<01:20:54.639> that 01:20:55.750 --> 01:20:55.760 align:start position:0% think that 01:20:55.760 --> 01:20:58.709 align:start position:0% think that even<01:20:56.080> though<01:20:56.239> the<01:20:56.400> data<01:20:56.800> are<01:20:56.960> flawed<01:20:57.679> that 01:20:58.709 --> 01:20:58.719 align:start position:0% even though the data are flawed that 01:20:58.719 --> 01:21:00.149 align:start position:0% even though the data are flawed that there's<01:20:58.960> no<01:20:59.120> way<01:20:59.360> vaccines<01:20:59.840> can<01:21:00.000> be 01:21:00.149 --> 01:21:00.159 align:start position:0% there's no way vaccines can be 01:21:00.159 --> 01:21:02.310 align:start position:0% there's no way vaccines can be beneficial<01:21:01.120> and<01:21:01.360> to<01:21:01.520> have<01:21:01.760> those<01:21:02.000> people 01:21:02.310 --> 01:21:02.320 align:start position:0% beneficial and to have those people 01:21:02.320 --> 01:21:04.070 align:start position:0% beneficial and to have those people screaming<01:21:02.719> at<01:21:02.880> each<01:21:03.040> other 01:21:04.070 --> 01:21:04.080 align:start position:0% screaming at each other 01:21:04.080 --> 01:21:06.470 align:start position:0% screaming at each other does<01:21:04.560> nothing<01:21:05.120> to<01:21:05.360> improve 01:21:06.470 --> 01:21:06.480 align:start position:0% does nothing to improve 01:21:06.480 --> 01:21:09.270 align:start position:0% does nothing to improve the<01:21:06.639> health<01:21:07.199> of<01:21:07.440> the<01:21:08.159> 95<01:21:08.719> percent<01:21:09.040> of<01:21:09.199> the 01:21:09.270 --> 01:21:09.280 align:start position:0% the health of the 95 percent of the 01:21:09.280 --> 01:21:10.709 align:start position:0% the health of the 95 percent of the people<01:21:09.679> in<01:21:09.760> the<01:21:09.920> middle 01:21:10.709 --> 01:21:10.719 align:start position:0% people in the middle 01:21:10.719 --> 01:21:13.189 align:start position:0% people in the middle who<01:21:11.360> want<01:21:11.760> to<01:21:12.400> un 01:21:13.189 --> 01:21:13.199 align:start position:0% who want to un 01:21:13.199 --> 01:21:15.910 align:start position:0% who want to un know<01:21:13.600> what<01:21:14.000> the<01:21:14.320> rational<01:21:14.880> way<01:21:15.040> to<01:21:15.199> go<01:21:15.440> forward 01:21:15.910 --> 01:21:15.920 align:start position:0% know what the rational way to go forward 01:21:15.920 --> 01:21:18.550 align:start position:0% know what the rational way to go forward is<01:21:16.400> and<01:21:16.639> protect<01:21:17.040> their<01:21:17.199> families<01:21:17.760> from<01:21:18.000> covid 01:21:18.550 --> 01:21:18.560 align:start position:0% is and protect their families from covid 01:21:18.560 --> 01:21:19.350 align:start position:0% is and protect their families from covid and 01:21:19.350 --> 01:21:19.360 align:start position:0% and 01:21:19.360 --> 01:21:20.870 align:start position:0% and live<01:21:19.520> a<01:21:19.600> good<01:21:19.920> life<01:21:20.239> and<01:21:20.400> be<01:21:20.560> able<01:21:20.719> to 01:21:20.870 --> 01:21:20.880 align:start position:0% live a good life and be able to 01:21:20.880 --> 01:21:23.590 align:start position:0% live a good life and be able to participate<01:21:21.440> in<01:21:21.520> the<01:21:21.679> economy<01:21:22.560> and 01:21:23.590 --> 01:21:23.600 align:start position:0% participate in the economy and 01:21:23.600 --> 01:21:25.110 align:start position:0% participate in the economy and that's<01:21:23.840> the<01:21:24.080> problem 01:21:25.110 --> 01:21:25.120 align:start position:0% that's the problem 01:21:25.120 --> 01:21:26.790 align:start position:0% that's the problem i<01:21:25.280> don't<01:21:25.440> have<01:21:25.600> a<01:21:25.679> solution<01:21:26.320> well<01:21:26.480> there's<01:21:26.719> a 01:21:26.790 --> 01:21:26.800 align:start position:0% i don't have a solution well there's a 01:21:26.800 --> 01:21:28.790 align:start position:0% i don't have a solution well there's a difficult<01:21:27.280> problem<01:21:27.600> for<01:21:27.840> uh<01:21:28.080> spotify<01:21:28.639> and 01:21:28.790 --> 01:21:28.800 align:start position:0% difficult problem for uh spotify and 01:21:28.800 --> 01:21:30.550 align:start position:0% difficult problem for uh spotify and youtube<01:21:29.440> i<01:21:29.600> don't<01:21:29.679> know<01:21:29.760> if<01:21:29.840> you<01:21:30.000> heard<01:21:30.320> this 01:21:30.550 --> 01:21:30.560 align:start position:0% youtube i don't know if you heard this 01:21:30.560 --> 01:21:32.470 align:start position:0% youtube i don't know if you heard this is<01:21:30.719> a<01:21:31.040> thing<01:21:31.280> that<01:21:31.440> joe<01:21:31.679> rogan<01:21:32.000> is<01:21:32.159> currently 01:21:32.470 --> 01:21:32.480 align:start position:0% is a thing that joe rogan is currently 01:21:32.480 --> 01:21:35.510 align:start position:0% is a thing that joe rogan is currently going<01:21:32.719> through<01:21:33.280> as<01:21:33.520> a<01:21:33.679> platform<01:21:34.560> whether<01:21:34.880> to 01:21:35.510 --> 01:21:35.520 align:start position:0% going through as a platform whether to 01:21:35.520 --> 01:21:37.270 align:start position:0% going through as a platform whether to censor<01:21:35.920> the<01:21:36.080> conversation<01:21:36.639> that<01:21:36.800> for<01:21:36.880> example 01:21:37.270 --> 01:21:37.280 align:start position:0% censor the conversation that for example 01:21:37.280 --> 01:21:39.030 align:start position:0% censor the conversation that for example joe's<01:21:37.679> having 01:21:39.030 --> 01:21:39.040 align:start position:0% joe's having 01:21:39.040 --> 01:21:40.470 align:start position:0% joe's having so<01:21:39.199> i<01:21:39.360> don't<01:21:39.440> know<01:21:39.520> if<01:21:39.600> you<01:21:39.760> heard<01:21:40.000> but<01:21:40.159> neil 01:21:40.470 --> 01:21:40.480 align:start position:0% so i don't know if you heard but neil 01:21:40.480 --> 01:21:43.110 align:start position:0% so i don't know if you heard but neil young<01:21:40.960> and<01:21:41.199> other<01:21:41.520> musicians<01:21:42.159> have<01:21:42.320> kind<01:21:42.480> of 01:21:43.110 --> 01:21:43.120 align:start position:0% young and other musicians have kind of 01:21:43.120 --> 01:21:44.870 align:start position:0% young and other musicians have kind of spoke<01:21:43.520> out<01:21:43.840> and<01:21:44.080> saying<01:21:44.320> they're<01:21:44.560> going<01:21:44.719> to 01:21:44.870 --> 01:21:44.880 align:start position:0% spoke out and saying they're going to 01:21:44.880 --> 01:21:47.750 align:start position:0% spoke out and saying they're going to leave<01:21:45.120> the<01:21:45.280> platform<01:21:45.760> because 01:21:47.750 --> 01:21:47.760 align:start position:0% leave the platform because 01:21:47.760 --> 01:21:49.189 align:start position:0% leave the platform because joe<01:21:48.000> rogan<01:21:48.320> is<01:21:48.400> allowed<01:21:48.639> to<01:21:48.800> be<01:21:48.880> on<01:21:49.040> this 01:21:49.189 --> 01:21:49.199 align:start position:0% joe rogan is allowed to be on this 01:21:49.199 --> 01:21:50.470 align:start position:0% joe rogan is allowed to be on this platform<01:21:49.679> having<01:21:49.920> these<01:21:50.159> kinds<01:21:50.400> of 01:21:50.470 --> 01:21:50.480 align:start position:0% platform having these kinds of 01:21:50.480 --> 01:21:52.310 align:start position:0% platform having these kinds of conversations<01:21:51.199> with<01:21:51.440> the<01:21:51.520> likes<01:21:51.760> of<01:21:51.920> robert 01:21:52.310 --> 01:21:52.320 align:start position:0% conversations with the likes of robert 01:21:52.320 --> 01:21:54.629 align:start position:0% conversations with the likes of robert malone 01:21:54.629 --> 01:21:54.639 align:start position:0% malone 01:21:54.639 --> 01:21:56.470 align:start position:0% malone and<01:21:54.800> it's<01:21:55.040> clear<01:21:55.280> to<01:21:55.440> me<01:21:55.520> that<01:21:55.760> spotify<01:21:56.320> and 01:21:56.470 --> 01:21:56.480 align:start position:0% and it's clear to me that spotify and 01:21:56.480 --> 01:21:57.750 align:start position:0% and it's clear to me that spotify and youtube 01:21:57.750 --> 01:21:57.760 align:start position:0% youtube 01:21:57.760 --> 01:21:59.910 align:start position:0% youtube are<01:21:58.080> being<01:21:58.560> significantly<01:21:59.280> influenced<01:21:59.760> by 01:21:59.910 --> 01:21:59.920 align:start position:0% are being significantly influenced by 01:21:59.920 --> 01:22:01.830 align:start position:0% are being significantly influenced by these<01:22:00.320> extreme<01:22:00.800> voices<01:22:01.120> like<01:22:01.360> you<01:22:01.440> mentioned 01:22:01.830 --> 01:22:01.840 align:start position:0% these extreme voices like you mentioned 01:22:01.840 --> 01:22:03.270 align:start position:0% these extreme voices like you mentioned on<01:22:02.000> each<01:22:02.239> side 01:22:03.270 --> 01:22:03.280 align:start position:0% on each side 01:22:03.280 --> 01:22:05.030 align:start position:0% on each side and<01:22:03.440> it's<01:22:03.600> also<01:22:03.840> clear<01:22:04.080> to<01:22:04.239> me<01:22:04.320> that<01:22:04.560> facebook 01:22:05.030 --> 01:22:05.040 align:start position:0% and it's also clear to me that facebook 01:22:05.040 --> 01:22:06.709 align:start position:0% and it's also clear to me that facebook is<01:22:05.120> the<01:22:05.280> same<01:22:05.679> and<01:22:05.840> it<01:22:05.920> was<01:22:06.080> going<01:22:06.320> back<01:22:06.560> and 01:22:06.709 --> 01:22:06.719 align:start position:0% is the same and it was going back and 01:22:06.719 --> 01:22:07.590 align:start position:0% is the same and it was going back and forth 01:22:07.590 --> 01:22:07.600 align:start position:0% forth 01:22:07.600 --> 01:22:09.669 align:start position:0% forth in<01:22:07.679> fact<01:22:07.920> that's<01:22:08.159> why<01:22:08.880> facebook<01:22:09.280> has<01:22:09.440> been 01:22:09.669 --> 01:22:09.679 align:start position:0% in fact that's why facebook has been 01:22:09.679 --> 01:22:11.350 align:start position:0% in fact that's why facebook has been oscillating<01:22:10.239> on<01:22:10.320> the<01:22:10.480> censorship<01:22:11.040> is<01:22:11.199> like 01:22:11.350 --> 01:22:11.360 align:start position:0% oscillating on the censorship is like 01:22:11.360 --> 01:22:13.510 align:start position:0% oscillating on the censorship is like one<01:22:11.600> group<01:22:11.840> gets<01:22:12.159> louder<01:22:12.560> than<01:22:12.719> the<01:22:12.880> other 01:22:13.510 --> 01:22:13.520 align:start position:0% one group gets louder than the other 01:22:13.520 --> 01:22:15.669 align:start position:0% one group gets louder than the other depending<01:22:14.000> on<01:22:14.560> whether<01:22:14.880> it's<01:22:15.040> an<01:22:15.199> election 01:22:15.669 --> 01:22:15.679 align:start position:0% depending on whether it's an election 01:22:15.679 --> 01:22:18.550 align:start position:0% depending on whether it's an election year 01:22:18.550 --> 01:22:18.560 align:start position:0% 01:22:18.560 --> 01:22:19.750 align:start position:0% it's<01:22:18.960> uh 01:22:19.750 --> 01:22:19.760 align:start position:0% it's uh 01:22:19.760 --> 01:22:21.430 align:start position:0% it's uh there's<01:22:20.000> several<01:22:20.320> things<01:22:20.560> to<01:22:20.719> say<01:22:20.960> here<01:22:21.120> so 01:22:21.430 --> 01:22:21.440 align:start position:0% there's several things to say here so 01:22:21.440 --> 01:22:23.189 align:start position:0% there's several things to say here so one<01:22:21.840> it<01:22:22.000> does<01:22:22.239> seem<01:22:22.560> i<01:22:22.639> think<01:22:22.800> you<01:22:22.960> put<01:22:23.120> it 01:22:23.189 --> 01:22:23.199 align:start position:0% one it does seem i think you put it 01:22:23.199 --> 01:22:24.470 align:start position:0% one it does seem i think you put it really<01:22:23.440> well 01:22:24.470 --> 01:22:24.480 align:start position:0% really well 01:22:24.480 --> 01:22:26.390 align:start position:0% really well it<01:22:24.639> would<01:22:24.800> be<01:22:25.040> amazing<01:22:25.520> if<01:22:25.600> these<01:22:25.840> platforms 01:22:26.390 --> 01:22:26.400 align:start position:0% it would be amazing if these platforms 01:22:26.400 --> 01:22:28.229 align:start position:0% it would be amazing if these platforms could<01:22:26.639> find<01:22:26.960> mechanisms<01:22:27.520> to<01:22:27.679> listen<01:22:28.000> to<01:22:28.080> the 01:22:28.229 --> 01:22:28.239 align:start position:0% could find mechanisms to listen to the 01:22:28.239 --> 01:22:29.350 align:start position:0% could find mechanisms to listen to the center 01:22:29.350 --> 01:22:29.360 align:start position:0% center 01:22:29.360 --> 01:22:32.310 align:start position:0% center to<01:22:29.600> the<01:22:29.760> um<01:22:30.480> to<01:22:30.639> the<01:22:30.880> big<01:22:31.280> center<01:22:31.920> that's 01:22:32.310 --> 01:22:32.320 align:start position:0% to the um to the big center that's 01:22:32.320 --> 01:22:34.390 align:start position:0% to the um to the big center that's actually<01:22:32.719> going<01:22:32.880> to<01:22:33.040> be<01:22:33.199> affected 01:22:34.390 --> 01:22:34.400 align:start position:0% actually going to be affected 01:22:34.400 --> 01:22:37.270 align:start position:0% actually going to be affected by<01:22:34.560> the<01:22:34.719> results<01:22:35.440> of<01:22:35.600> the<01:22:36.080> our<01:22:36.320> pursuit<01:22:36.880> of 01:22:37.270 --> 01:22:37.280 align:start position:0% by the results of the our pursuit of 01:22:37.280 --> 01:22:38.790 align:start position:0% by the results of the our pursuit of scientific<01:22:37.920> truth 01:22:38.790 --> 01:22:38.800 align:start position:0% scientific truth 01:22:38.800 --> 01:22:40.470 align:start position:0% scientific truth right<01:22:39.280> um 01:22:40.470 --> 01:22:40.480 align:start position:0% right um 01:22:40.480 --> 01:22:42.470 align:start position:0% right um and<01:22:40.800> listen<01:22:41.120> to<01:22:41.280> those<01:22:41.600> voices<01:22:42.080> i<01:22:42.239> also 01:22:42.470 --> 01:22:42.480 align:start position:0% and listen to those voices i also 01:22:42.480 --> 01:22:44.629 align:start position:0% and listen to those voices i also believe<01:22:42.880> that<01:22:43.120> most<01:22:43.440> people<01:22:43.920> are<01:22:44.080> intelligent 01:22:44.629 --> 01:22:44.639 align:start position:0% believe that most people are intelligent 01:22:44.639 --> 01:22:45.750 align:start position:0% believe that most people are intelligent enough 01:22:45.750 --> 01:22:45.760 align:start position:0% enough 01:22:45.760 --> 01:22:48.229 align:start position:0% enough to<01:22:46.000> process<01:22:46.480> information<01:22:47.600> and<01:22:47.760> to<01:22:47.920> make<01:22:48.159> up 01:22:48.229 --> 01:22:48.239 align:start position:0% to process information and to make up 01:22:48.239 --> 01:22:50.550 align:start position:0% to process information and to make up their<01:22:48.400> own<01:22:48.560> minds<01:22:49.280> like<01:22:49.440> they're<01:22:49.679> not 01:22:50.550 --> 01:22:50.560 align:start position:0% their own minds like they're not 01:22:50.560 --> 01:22:52.470 align:start position:0% their own minds like they're not in<01:22:50.800> terms<01:22:51.120> of 01:22:52.470 --> 01:22:52.480 align:start position:0% in terms of 01:22:52.480 --> 01:22:54.070 align:start position:0% in terms of um<01:22:53.280> this 01:22:54.070 --> 01:22:54.080 align:start position:0% um this 01:22:54.080 --> 01:22:55.590 align:start position:0% um this it's<01:22:54.239> complicated<01:22:54.800> of<01:22:54.880> course<01:22:55.120> because<01:22:55.280> we've 01:22:55.590 --> 01:22:55.600 align:start position:0% it's complicated of course because we've 01:22:55.600 --> 01:22:57.030 align:start position:0% it's complicated of course because we've just<01:22:55.760> been<01:22:55.920> talking<01:22:56.159> about<01:22:56.320> advertisement 01:22:57.030 --> 01:22:57.040 align:start position:0% just been talking about advertisement 01:22:57.040 --> 01:22:59.110 align:start position:0% just been talking about advertisement and<01:22:57.199> how<01:22:57.360> people<01:22:57.600> can<01:22:57.760> be<01:22:57.920> influenced<01:22:58.800> but<01:22:58.960> i 01:22:59.110 --> 01:22:59.120 align:start position:0% and how people can be influenced but i 01:22:59.120 --> 01:23:01.510 align:start position:0% and how people can be influenced but i feel<01:22:59.280> like<01:22:59.679> if<01:22:59.840> you<01:23:00.239> have 01:23:01.510 --> 01:23:01.520 align:start position:0% feel like if you have 01:23:01.520 --> 01:23:04.229 align:start position:0% feel like if you have raw<01:23:02.080> long-form 01:23:04.229 --> 01:23:04.239 align:start position:0% raw long-form 01:23:04.239 --> 01:23:07.270 align:start position:0% raw long-form podcasts<01:23:05.040> or<01:23:06.080> programs<01:23:06.719> where<01:23:06.880> people 01:23:07.270 --> 01:23:07.280 align:start position:0% podcasts or programs where people 01:23:07.280 --> 01:23:09.430 align:start position:0% podcasts or programs where people express<01:23:07.679> their<01:23:07.920> mind<01:23:08.480> and 01:23:09.430 --> 01:23:09.440 align:start position:0% express their mind and 01:23:09.440 --> 01:23:12.310 align:start position:0% express their mind and express<01:23:10.080> their<01:23:10.320> argument<01:23:10.880> in<01:23:11.199> full 01:23:12.310 --> 01:23:12.320 align:start position:0% express their argument in full 01:23:12.320 --> 01:23:14.070 align:start position:0% express their argument in full i<01:23:12.480> think<01:23:12.719> people<01:23:12.960> can<01:23:13.280> hear<01:23:13.520> it<01:23:13.600> to<01:23:13.760> make<01:23:14.000> up 01:23:14.070 --> 01:23:14.080 align:start position:0% i think people can hear it to make up 01:23:14.080 --> 01:23:15.430 align:start position:0% i think people can hear it to make up their<01:23:14.320> own<01:23:14.480> mind 01:23:15.430 --> 01:23:15.440 align:start position:0% their own mind 01:23:15.440 --> 01:23:17.669 align:start position:0% their own mind and<01:23:15.600> if<01:23:15.760> those<01:23:16.080> arguments<01:23:16.800> have<01:23:17.040> a<01:23:17.199> platform 01:23:17.669 --> 01:23:17.679 align:start position:0% and if those arguments have a platform 01:23:17.679 --> 01:23:19.910 align:start position:0% and if those arguments have a platform on<01:23:17.840> which<01:23:18.000> they<01:23:18.159> can<01:23:18.400> live<01:23:19.040> then<01:23:19.360> other<01:23:19.600> people 01:23:19.910 --> 01:23:19.920 align:start position:0% on which they can live then other people 01:23:19.920 --> 01:23:21.189 align:start position:0% on which they can live then other people could<01:23:20.159> provide 01:23:21.189 --> 01:23:21.199 align:start position:0% could provide 01:23:21.199 --> 01:23:23.189 align:start position:0% could provide better<01:23:21.600> arguments<01:23:22.159> if<01:23:22.239> they<01:23:22.400> disagree<01:23:22.960> with 01:23:23.189 --> 01:23:23.199 align:start position:0% better arguments if they disagree with 01:23:23.199 --> 01:23:26.229 align:start position:0% better arguments if they disagree with it<01:23:23.760> and<01:23:23.920> now<01:23:24.320> we<01:23:24.719> as<01:23:25.120> human<01:23:25.440> beings<01:23:25.920> as 01:23:26.229 --> 01:23:26.239 align:start position:0% it and now we as human beings as 01:23:26.239 --> 01:23:28.390 align:start position:0% it and now we as human beings as rationals<01:23:26.800> intelligent<01:23:27.280> human<01:23:27.520> beings<01:23:28.239> can 01:23:28.390 --> 01:23:28.400 align:start position:0% rationals intelligent human beings can 01:23:28.400 --> 01:23:30.470 align:start position:0% rationals intelligent human beings can look<01:23:28.639> at<01:23:28.719> both<01:23:29.040> and<01:23:29.120> make<01:23:29.360> up<01:23:29.600> our<01:23:29.760> own<01:23:29.920> minds 01:23:30.470 --> 01:23:30.480 align:start position:0% look at both and make up our own minds 01:23:30.480 --> 01:23:32.149 align:start position:0% look at both and make up our own minds that's<01:23:30.719> where<01:23:30.880> social<01:23:31.280> media<01:23:31.520> can<01:23:31.679> be<01:23:31.920> very 01:23:32.149 --> 01:23:32.159 align:start position:0% that's where social media can be very 01:23:32.159 --> 01:23:33.030 align:start position:0% that's where social media can be very good 01:23:33.030 --> 01:23:33.040 align:start position:0% good 01:23:33.040 --> 01:23:35.830 align:start position:0% good at<01:23:33.280> like<01:23:33.679> this<01:23:34.000> collective<01:23:34.639> intelligence 01:23:35.830 --> 01:23:35.840 align:start position:0% at like this collective intelligence 01:23:35.840 --> 01:23:37.430 align:start position:0% at like this collective intelligence we<01:23:36.159> together 01:23:37.430 --> 01:23:37.440 align:start position:0% we together 01:23:37.440 --> 01:23:39.590 align:start position:0% we together listen<01:23:37.760> to<01:23:37.920> all<01:23:38.159> these<01:23:38.400> voices<01:23:38.880> and<01:23:39.199> make<01:23:39.440> up 01:23:39.590 --> 01:23:39.600 align:start position:0% listen to all these voices and make up 01:23:39.600 --> 01:23:41.990 align:start position:0% listen to all these voices and make up our<01:23:39.760> own<01:23:39.920> mind<01:23:40.639> humble<01:23:41.040> ourselves<01:23:41.600> actually 01:23:41.990 --> 01:23:42.000 align:start position:0% our own mind humble ourselves actually 01:23:42.000 --> 01:23:45.350 align:start position:0% our own mind humble ourselves actually often<01:23:42.719> you<01:23:42.880> know<01:23:43.040> you<01:23:43.280> think<01:23:43.920> you<01:23:44.159> know<01:23:44.880> like 01:23:45.350 --> 01:23:45.360 align:start position:0% often you know you think you know like 01:23:45.360 --> 01:23:47.669 align:start position:0% often you know you think you know like you're<01:23:45.520> an<01:23:45.760> expert<01:23:46.639> say<01:23:46.800> you<01:23:46.880> have<01:23:47.040> a<01:23:47.120> phd<01:23:47.520> in<01:23:47.600> a 01:23:47.669 --> 01:23:47.679 align:start position:0% you're an expert say you have a phd in a 01:23:47.679 --> 01:23:49.669 align:start position:0% you're an expert say you have a phd in a certain<01:23:48.000> thing<01:23:48.480> so<01:23:48.719> there's<01:23:48.960> this<01:23:49.199> confidence 01:23:49.669 --> 01:23:49.679 align:start position:0% certain thing so there's this confidence 01:23:49.679 --> 01:23:51.669 align:start position:0% certain thing so there's this confidence that<01:23:49.840> comes<01:23:50.080> with<01:23:50.239> that<01:23:50.880> and 01:23:51.669 --> 01:23:51.679 align:start position:0% that comes with that and 01:23:51.679 --> 01:23:54.310 align:start position:0% that comes with that and the<01:23:51.920> collective<01:23:52.480> intelligence<01:23:53.360> uncensored 01:23:54.310 --> 01:23:54.320 align:start position:0% the collective intelligence uncensored 01:23:54.320 --> 01:23:56.790 align:start position:0% the collective intelligence uncensored allows<01:23:54.639> you<01:23:54.800> to<01:23:54.960> humble<01:23:55.360> yourself<01:23:55.760> eventually 01:23:56.790 --> 01:23:56.800 align:start position:0% allows you to humble yourself eventually 01:23:56.800 --> 01:23:59.270 align:start position:0% allows you to humble yourself eventually like<01:23:57.360> as<01:23:57.520> you<01:23:57.679> discover<01:23:58.639> you<01:23:58.800> know<01:23:58.960> all<01:23:59.120> it 01:23:59.270 --> 01:23:59.280 align:start position:0% like as you discover you know all it 01:23:59.280 --> 01:24:01.110 align:start position:0% like as you discover you know all it takes<01:23:59.520> is<01:23:59.679> a<01:23:59.920> few<01:24:00.159> times 01:24:01.110 --> 01:24:01.120 align:start position:0% takes is a few times 01:24:01.120 --> 01:24:03.270 align:start position:0% takes is a few times you<01:24:01.199> know<01:24:01.440> looking<01:24:02.080> back 01:24:03.270 --> 01:24:03.280 align:start position:0% you know looking back 01:24:03.280 --> 01:24:04.070 align:start position:0% you know looking back uh 01:24:04.070 --> 01:24:04.080 align:start position:0% uh 01:24:04.080 --> 01:24:07.110 align:start position:0% uh five<01:24:04.320> years<01:24:04.639> later<01:24:05.040> realizing<01:24:05.679> i<01:24:05.840> was<01:24:06.159> wrong 01:24:07.110 --> 01:24:07.120 align:start position:0% five years later realizing i was wrong 01:24:07.120 --> 01:24:08.470 align:start position:0% five years later realizing i was wrong and<01:24:07.280> that's<01:24:07.600> really<01:24:07.840> healthy<01:24:08.239> for<01:24:08.400> a 01:24:08.470 --> 01:24:08.480 align:start position:0% and that's really healthy for a 01:24:08.480 --> 01:24:09.830 align:start position:0% and that's really healthy for a scientist<01:24:08.960> that's<01:24:09.120> really<01:24:09.360> healthy<01:24:09.679> for 01:24:09.830 --> 01:24:09.840 align:start position:0% scientist that's really healthy for 01:24:09.840 --> 01:24:12.229 align:start position:0% scientist that's really healthy for anybody<01:24:10.159> to<01:24:10.320> go<01:24:10.480> through<01:24:10.960> and<01:24:11.199> only<01:24:11.600> through 01:24:12.229 --> 01:24:12.239 align:start position:0% anybody to go through and only through 01:24:12.239 --> 01:24:14.709 align:start position:0% anybody to go through and only through having<01:24:12.560> that<01:24:12.880> open<01:24:13.280> discourse<01:24:13.840> can<01:24:14.080> can<01:24:14.560> can 01:24:14.709 --> 01:24:14.719 align:start position:0% having that open discourse can can can 01:24:14.719 --> 01:24:18.149 align:start position:0% having that open discourse can can can you<01:24:14.880> really<01:24:15.120> have<01:24:15.280> that<01:24:15.920> that<01:24:16.239> said<01:24:16.960> spotify 01:24:18.149 --> 01:24:18.159 align:start position:0% you really have that that said spotify 01:24:18.159 --> 01:24:19.590 align:start position:0% you really have that that said spotify also 01:24:19.590 --> 01:24:19.600 align:start position:0% also 01:24:19.600 --> 01:24:22.550 align:start position:0% also just<01:24:19.840> like<01:24:20.159> pfizer<01:24:20.639> is<01:24:20.719> a<01:24:20.880> company 01:24:22.550 --> 01:24:22.560 align:start position:0% just like pfizer is a company 01:24:22.560 --> 01:24:24.709 align:start position:0% just like pfizer is a company which<01:24:22.880> is<01:24:23.040> why 01:24:24.709 --> 01:24:24.719 align:start position:0% which is why 01:24:24.719 --> 01:24:26.550 align:start position:0% which is why this<01:24:25.040> podcast 01:24:26.550 --> 01:24:26.560 align:start position:0% this podcast 01:24:26.560 --> 01:24:28.229 align:start position:0% this podcast i<01:24:26.719> don't<01:24:26.800> know<01:24:26.880> if<01:24:26.960> you<01:24:27.120> know<01:24:27.199> what<01:24:27.360> rss<01:24:27.920> feeds 01:24:28.229 --> 01:24:28.239 align:start position:0% i don't know if you know what rss feeds 01:24:28.239 --> 01:24:29.110 align:start position:0% i don't know if you know what rss feeds are 01:24:29.110 --> 01:24:29.120 align:start position:0% are 01:24:29.120 --> 01:24:31.990 align:start position:0% are but<01:24:29.360> podcasts<01:24:30.000> can't<01:24:30.159> be<01:24:30.400> censored<01:24:31.360> so<01:24:31.679> joe's 01:24:31.990 --> 01:24:32.000 align:start position:0% but podcasts can't be censored so joe's 01:24:32.000 --> 01:24:33.590 align:start position:0% but podcasts can't be censored so joe's in<01:24:32.080> the<01:24:32.239> unfortunate<01:24:32.800> position<01:24:33.199> he<01:24:33.360> only 01:24:33.590 --> 01:24:33.600 align:start position:0% in the unfortunate position he only 01:24:33.600 --> 01:24:35.270 align:start position:0% in the unfortunate position he only lives<01:24:33.840> on<01:24:34.000> spotify 01:24:35.270 --> 01:24:35.280 align:start position:0% lives on spotify 01:24:35.280 --> 01:24:37.750 align:start position:0% lives on spotify so<01:24:35.600> spotify<01:24:36.080> has<01:24:36.159> been<01:24:36.400> actually<01:24:37.040> very<01:24:37.360> good 01:24:37.750 --> 01:24:37.760 align:start position:0% so spotify has been actually very good 01:24:37.760 --> 01:24:39.990 align:start position:0% so spotify has been actually very good at<01:24:38.080> saying<01:24:38.320> we're<01:24:38.560> staying<01:24:38.880> out<01:24:39.040> of<01:24:39.199> it<01:24:39.760> for 01:24:39.990 --> 01:24:40.000 align:start position:0% at saying we're staying out of it for 01:24:40.000 --> 01:24:41.990 align:start position:0% at saying we're staying out of it for now 01:24:41.990 --> 01:24:42.000 align:start position:0% now 01:24:42.000 --> 01:24:45.430 align:start position:0% now but<01:24:42.639> rss<01:24:43.360> this<01:24:43.600> is<01:24:43.760> pirate<01:24:44.159> radio<01:24:44.800> nobody<01:24:45.199> can 01:24:45.430 --> 01:24:45.440 align:start position:0% but rss this is pirate radio nobody can 01:24:45.440 --> 01:24:47.830 align:start position:0% but rss this is pirate radio nobody can censor<01:24:45.840> it's<01:24:46.000> the<01:24:46.159> internet<01:24:47.040> so 01:24:47.830 --> 01:24:47.840 align:start position:0% censor it's the internet so 01:24:47.840 --> 01:24:50.070 align:start position:0% censor it's the internet so um<01:24:48.480> financially 01:24:50.070 --> 01:24:50.080 align:start position:0% um financially 01:24:50.080 --> 01:24:52.550 align:start position:0% um financially in<01:24:50.239> terms<01:24:50.639> of<01:24:50.960> platforms<01:24:51.760> this<01:24:52.000> cannot<01:24:52.320> be 01:24:52.550 --> 01:24:52.560 align:start position:0% in terms of platforms this cannot be 01:24:52.560 --> 01:24:55.510 align:start position:0% in terms of platforms this cannot be censored<01:24:53.440> which<01:24:53.760> is<01:24:53.920> why<01:24:54.400> uh<01:24:54.880> podcasts<01:24:55.440> are 01:24:55.510 --> 01:24:55.520 align:start position:0% censored which is why uh podcasts are 01:24:55.520 --> 01:24:58.870 align:start position:0% censored which is why uh podcasts are really<01:24:55.760> beautiful<01:24:56.639> and<01:24:56.800> so<01:24:57.280> if<01:24:57.520> spotify<01:24:58.639> or 01:24:58.870 --> 01:24:58.880 align:start position:0% really beautiful and so if spotify or 01:24:58.880 --> 01:25:00.149 align:start position:0% really beautiful and so if spotify or youtube 01:25:00.149 --> 01:25:00.159 align:start position:0% youtube 01:25:00.159 --> 01:25:01.590 align:start position:0% youtube wants<01:25:00.560> to<01:25:00.800> be 01:25:01.590 --> 01:25:01.600 align:start position:0% wants to be 01:25:01.600 --> 01:25:04.149 align:start position:0% wants to be the<01:25:01.840> host<01:25:02.480> of<01:25:02.719> podcasts 01:25:04.149 --> 01:25:04.159 align:start position:0% the host of podcasts 01:25:04.159 --> 01:25:06.950 align:start position:0% the host of podcasts i<01:25:04.320> think<01:25:04.719> where<01:25:04.960> they<01:25:05.280> flourish 01:25:06.950 --> 01:25:06.960 align:start position:0% i think where they flourish 01:25:06.960 --> 01:25:08.470 align:start position:0% i think where they flourish is 01:25:08.470 --> 01:25:08.480 align:start position:0% is 01:25:08.480 --> 01:25:10.790 align:start position:0% is free<01:25:08.800> expression 01:25:10.790 --> 01:25:10.800 align:start position:0% free expression 01:25:10.800 --> 01:25:12.870 align:start position:0% free expression no<01:25:10.960> matter<01:25:11.280> how<01:25:11.520> crazy 01:25:12.870 --> 01:25:12.880 align:start position:0% no matter how crazy 01:25:12.880 --> 01:25:15.430 align:start position:0% no matter how crazy yes<01:25:13.440> but<01:25:13.600> i<01:25:13.679> do<01:25:13.840> want<01:25:14.080> to 01:25:15.430 --> 01:25:15.440 align:start position:0% yes but i do want to 01:25:15.440 --> 01:25:16.870 align:start position:0% yes but i do want to push<01:25:15.760> back<01:25:16.000> a<01:25:16.080> little<01:25:16.239> bit<01:25:16.480> on<01:25:16.560> what<01:25:16.719> you're 01:25:16.870 --> 01:25:16.880 align:start position:0% push back a little bit on what you're 01:25:16.880 --> 01:25:17.990 align:start position:0% push back a little bit on what you're saying 01:25:17.990 --> 01:25:18.000 align:start position:0% saying 01:25:18.000 --> 01:25:21.350 align:start position:0% saying because<01:25:18.400> i<01:25:18.480> have<01:25:18.800> um<01:25:19.280> anti-facts<01:25:20.400> friends 01:25:21.350 --> 01:25:21.360 align:start position:0% because i have um anti-facts friends 01:25:21.360 --> 01:25:23.189 align:start position:0% because i have um anti-facts friends who<01:25:21.600> i<01:25:21.760> love 01:25:23.189 --> 01:25:23.199 align:start position:0% who i love 01:25:23.199 --> 01:25:26.229 align:start position:0% who i love they're<01:25:23.520> dear<01:25:24.000> cherished<01:25:24.639> friends<01:25:26.000> and 01:25:26.229 --> 01:25:26.239 align:start position:0% they're dear cherished friends and 01:25:26.239 --> 01:25:28.629 align:start position:0% they're dear cherished friends and they'll<01:25:26.560> send<01:25:26.800> me<01:25:26.960> stuff 01:25:28.629 --> 01:25:28.639 align:start position:0% they'll send me stuff 01:25:28.639 --> 01:25:30.229 align:start position:0% they'll send me stuff and<01:25:28.880> it'll<01:25:29.199> take<01:25:29.440> me 01:25:30.229 --> 01:25:30.239 align:start position:0% and it'll take me 01:25:30.239 --> 01:25:31.510 align:start position:0% and it'll take me an<01:25:30.480> hour 01:25:31.510 --> 01:25:31.520 align:start position:0% an hour 01:25:31.520 --> 01:25:34.149 align:start position:0% an hour to<01:25:31.679> go<01:25:31.920> through<01:25:32.159> what<01:25:32.400> they<01:25:32.639> sent 01:25:34.149 --> 01:25:34.159 align:start position:0% to go through what they sent 01:25:34.159 --> 01:25:37.669 align:start position:0% to go through what they sent to<01:25:34.400> see<01:25:34.960> if<01:25:35.280> it<01:25:35.600> is<01:25:35.840> credible 01:25:37.669 --> 01:25:37.679 align:start position:0% to see if it is credible 01:25:37.679 --> 01:25:39.030 align:start position:0% to see if it is credible and 01:25:39.030 --> 01:25:39.040 align:start position:0% and 01:25:39.040 --> 01:25:40.390 align:start position:0% and usually<01:25:39.440> it's<01:25:39.600> not 01:25:40.390 --> 01:25:40.400 align:start position:0% usually it's not 01:25:40.400 --> 01:25:42.310 align:start position:0% usually it's not it's<01:25:40.560> not<01:25:40.719> a<01:25:40.800> random<01:25:41.199> sample<01:25:41.520> of<01:25:41.600> the<01:25:41.760> anti-vax 01:25:42.310 --> 01:25:42.320 align:start position:0% it's not a random sample of the anti-vax 01:25:42.320 --> 01:25:43.750 align:start position:0% it's not a random sample of the anti-vax argument<01:25:42.719> i'm<01:25:42.880> not 01:25:43.750 --> 01:25:43.760 align:start position:0% argument i'm not 01:25:43.760 --> 01:25:45.910 align:start position:0% argument i'm not saying<01:25:44.000> i<01:25:44.080> can<01:25:44.239> disprove<01:25:45.120> the<01:25:45.360> anti-vaxx 01:25:45.910 --> 01:25:45.920 align:start position:0% saying i can disprove the anti-vaxx 01:25:45.920 --> 01:25:48.390 align:start position:0% saying i can disprove the anti-vaxx argument<01:25:46.639> but<01:25:46.800> i<01:25:46.960> am<01:25:47.120> saying<01:25:47.920> that<01:25:48.159> it's 01:25:48.390 --> 01:25:48.400 align:start position:0% argument but i am saying that it's 01:25:48.400 --> 01:25:51.750 align:start position:0% argument but i am saying that it's almost<01:25:48.719> like<01:25:49.120> we<01:25:49.280> were<01:25:49.440> talking<01:25:49.760> about<01:25:50.480> uh<01:25:51.040> how 01:25:51.750 --> 01:25:51.760 align:start position:0% almost like we were talking about uh how 01:25:51.760 --> 01:25:54.149 align:start position:0% almost like we were talking about uh how medical<01:25:52.159> science<01:25:52.719> clinical<01:25:53.280> trials<01:25:54.000> the 01:25:54.149 --> 01:25:54.159 align:start position:0% medical science clinical trials the 01:25:54.159 --> 01:25:55.669 align:start position:0% medical science clinical trials the presentation<01:25:54.800> of<01:25:54.880> clinical<01:25:55.199> trials<01:25:55.520> to 01:25:55.669 --> 01:25:55.679 align:start position:0% presentation of clinical trials to 01:25:55.679 --> 01:25:58.950 align:start position:0% presentation of clinical trials to physicians<01:25:56.639> could<01:25:56.800> be<01:25:57.040> improved<01:25:57.920> and 01:25:58.950 --> 01:25:58.960 align:start position:0% physicians could be improved and 01:25:58.960 --> 01:26:01.350 align:start position:0% physicians could be improved and the<01:25:59.120> first<01:25:59.360> thing<01:25:59.600> we<01:25:59.760> came<01:26:00.000> up<01:26:00.159> with<01:26:00.560> is<01:26:01.199> to 01:26:01.350 --> 01:26:01.360 align:start position:0% the first thing we came up with is to 01:26:01.360 --> 01:26:04.470 align:start position:0% the first thing we came up with is to have<01:26:01.800> pre-publication<01:26:02.960> transparency<01:26:04.239> in<01:26:04.400> the 01:26:04.470 --> 01:26:04.480 align:start position:0% have pre-publication transparency in the 01:26:04.480 --> 01:26:06.709 align:start position:0% have pre-publication transparency in the peer<01:26:04.719> review<01:26:05.120> process<01:26:05.679> yes<01:26:06.159> so<01:26:06.400> bad 01:26:06.709 --> 01:26:06.719 align:start position:0% peer review process yes so bad 01:26:06.719 --> 01:26:08.950 align:start position:0% peer review process yes so bad information<01:26:07.600> biased<01:26:08.080> information<01:26:08.639> doesn't 01:26:08.950 --> 01:26:08.960 align:start position:0% information biased information doesn't 01:26:08.960 --> 01:26:11.990 align:start position:0% information biased information doesn't get<01:26:09.280> out<01:26:09.920> as<01:26:10.159> if<01:26:10.320> it's<01:26:10.560> legitimate<01:26:11.600> and<01:26:11.840> you 01:26:11.990 --> 01:26:12.000 align:start position:0% get out as if it's legitimate and you 01:26:12.000 --> 01:26:14.550 align:start position:0% get out as if it's legitimate and you can't<01:26:12.320> put<01:26:12.480> it<01:26:12.639> back<01:26:13.360> recapture<01:26:14.000> it<01:26:14.159> once<01:26:14.400> it 01:26:14.550 --> 01:26:14.560 align:start position:0% can't put it back recapture it once it 01:26:14.560 --> 01:26:15.990 align:start position:0% can't put it back recapture it once it gets<01:26:14.880> out 01:26:15.990 --> 01:26:16.000 align:start position:0% gets out 01:26:16.000 --> 01:26:18.310 align:start position:0% gets out i<01:26:16.320> think<01:26:16.480> there's<01:26:16.719> an<01:26:17.040> element<01:26:17.440> of<01:26:17.520> that 01:26:18.310 --> 01:26:18.320 align:start position:0% i think there's an element of that 01:26:18.320 --> 01:26:19.669 align:start position:0% i think there's an element of that in<01:26:18.560> the 01:26:19.669 --> 01:26:19.679 align:start position:0% in the 01:26:19.679 --> 01:26:21.270 align:start position:0% in the arguments<01:26:20.239> that<01:26:20.400> are<01:26:20.560> going<01:26:20.880> on<01:26:21.040> about 01:26:21.270 --> 01:26:21.280 align:start position:0% arguments that are going on about 01:26:21.280 --> 01:26:23.350 align:start position:0% arguments that are going on about vaccines<01:26:21.920> and<01:26:22.000> they're<01:26:22.239> on<01:26:22.320> both<01:26:22.639> sides<01:26:23.120> but<01:26:23.280> i 01:26:23.350 --> 01:26:23.360 align:start position:0% vaccines and they're on both sides but i 01:26:23.360 --> 01:26:27.830 align:start position:0% vaccines and they're on both sides but i think<01:26:23.520> the<01:26:23.679> anti-fax<01:26:25.040> side<01:26:25.679> puts<01:26:26.000> out<01:26:26.480> more 01:26:27.830 --> 01:26:27.840 align:start position:0% think the anti-fax side puts out more 01:26:27.840 --> 01:26:30.149 align:start position:0% think the anti-fax side puts out more units<01:26:28.320> of<01:26:28.480> information 01:26:30.149 --> 01:26:30.159 align:start position:0% units of information 01:26:30.159 --> 01:26:32.470 align:start position:0% units of information claiming<01:26:30.639> to<01:26:30.880> show<01:26:31.199> that<01:26:31.360> the<01:26:31.679> vaccines<01:26:32.239> don't 01:26:32.470 --> 01:26:32.480 align:start position:0% claiming to show that the vaccines don't 01:26:32.480 --> 01:26:33.430 align:start position:0% claiming to show that the vaccines don't work 01:26:33.430 --> 01:26:33.440 align:start position:0% work 01:26:33.440 --> 01:26:34.550 align:start position:0% work and 01:26:34.550 --> 01:26:34.560 align:start position:0% and 01:26:34.560 --> 01:26:36.550 align:start position:0% and i<01:26:34.719> guess<01:26:34.960> in<01:26:35.120> an<01:26:35.280> ideal<01:26:35.679> situation<01:26:36.400> there 01:26:36.550 --> 01:26:36.560 align:start position:0% i guess in an ideal situation there 01:26:36.560 --> 01:26:39.669 align:start position:0% i guess in an ideal situation there would<01:26:36.719> be<01:26:37.040> real<01:26:37.440> time<01:26:38.239> fact<01:26:38.560> checking<01:26:39.440> by 01:26:39.669 --> 01:26:39.679 align:start position:0% would be real time fact checking by 01:26:39.679 --> 01:26:42.229 align:start position:0% would be real time fact checking by independent<01:26:40.239> people<01:26:41.040> not<01:26:41.280> to<01:26:41.520> censor<01:26:41.920> it<01:26:42.080> but 01:26:42.229 --> 01:26:42.239 align:start position:0% independent people not to censor it but 01:26:42.239 --> 01:26:43.830 align:start position:0% independent people not to censor it but to<01:26:42.480> just<01:26:42.800> say 01:26:43.830 --> 01:26:43.840 align:start position:0% to just say 01:26:43.840 --> 01:26:45.830 align:start position:0% to just say that<01:26:44.080> study<01:26:44.560> was<01:26:44.719> set<01:26:44.960> up<01:26:45.040> to<01:26:45.199> do<01:26:45.440> this<01:26:45.760> and 01:26:45.830 --> 01:26:45.840 align:start position:0% that study was set up to do this and 01:26:45.840 --> 01:26:48.229 align:start position:0% that study was set up to do this and this<01:26:46.080> is<01:26:46.239> what<01:26:46.400> the<01:26:46.560> conclusions<01:26:47.199> were<01:26:47.920> so<01:26:48.080> the 01:26:48.229 --> 01:26:48.239 align:start position:0% this is what the conclusions were so the 01:26:48.239 --> 01:26:51.270 align:start position:0% this is what the conclusions were so the way<01:26:48.480> it<01:26:48.560> was<01:26:48.719> stated<01:26:49.520> uh<01:26:50.000> is<01:26:50.480> on<01:26:50.719> one<01:26:50.960> side<01:26:51.199> of 01:26:51.270 --> 01:26:51.280 align:start position:0% way it was stated uh is on one side of 01:26:51.280 --> 01:26:52.950 align:start position:0% way it was stated uh is on one side of this<01:26:51.520> argument<01:26:52.320> but<01:26:52.480> that's<01:26:52.639> what<01:26:52.800> i'm 01:26:52.950 --> 01:26:52.960 align:start position:0% this argument but that's what i'm 01:26:52.960 --> 01:26:55.270 align:start position:0% this argument but that's what i'm arguing<01:26:53.520> yeah<01:26:53.760> i<01:26:53.840> agree<01:26:54.080> with<01:26:54.239> you<01:26:54.880> what<01:26:55.120> i'm 01:26:55.270 --> 01:26:55.280 align:start position:0% arguing yeah i agree with you what i'm 01:26:55.280 --> 01:26:57.990 align:start position:0% arguing yeah i agree with you what i'm arguing<01:26:55.920> is<01:26:56.159> that<01:26:56.719> this<01:26:57.040> big<01:26:57.440> network<01:26:57.840> of 01:26:57.990 --> 01:26:58.000 align:start position:0% arguing is that this big network of 01:26:58.000 --> 01:26:59.430 align:start position:0% arguing is that this big network of humans<01:26:58.400> that<01:26:58.560> we<01:26:58.719> have<01:26:58.960> that<01:26:59.199> is<01:26:59.280> the 01:26:59.430 --> 01:26:59.440 align:start position:0% humans that we have that is the 01:26:59.440 --> 01:27:01.430 align:start position:0% humans that we have that is the collective<01:26:59.920> intelligence<01:27:00.880> can't<01:27:01.120> do<01:27:01.280> that 01:27:01.430 --> 01:27:01.440 align:start position:0% collective intelligence can't do that 01:27:01.440 --> 01:27:04.229 align:start position:0% collective intelligence can't do that real<01:27:01.760> time<01:27:02.400> if<01:27:02.560> you<01:27:03.199> allow<01:27:03.600> it<01:27:03.679> to<01:27:03.920> if<01:27:04.080> you 01:27:04.229 --> 01:27:04.239 align:start position:0% real time if you allow it to if you 01:27:04.239 --> 01:27:06.149 align:start position:0% real time if you allow it to if you encourage<01:27:04.719> people<01:27:05.040> to<01:27:05.199> do<01:27:05.360> it<01:27:05.760> and<01:27:05.920> the 01:27:06.149 --> 01:27:06.159 align:start position:0% encourage people to do it and the 01:27:06.159 --> 01:27:08.310 align:start position:0% encourage people to do it and the scientists<01:27:07.040> as<01:27:07.280> opposed<01:27:07.600> to<01:27:07.760> listen<01:27:08.080> i 01:27:08.310 --> 01:27:08.320 align:start position:0% scientists as opposed to listen i 01:27:08.320 --> 01:27:10.550 align:start position:0% scientists as opposed to listen i interact<01:27:09.040> with<01:27:09.360> a<01:27:09.440> lot<01:27:09.600> of<01:27:09.760> colleagues<01:27:10.320> a<01:27:10.400> lot 01:27:10.550 --> 01:27:10.560 align:start position:0% interact with a lot of colleagues a lot 01:27:10.560 --> 01:27:12.470 align:start position:0% interact with a lot of colleagues a lot of<01:27:10.800> friends<01:27:11.120> that<01:27:11.280> are<01:27:11.360> scientists 01:27:12.470 --> 01:27:12.480 align:start position:0% of friends that are scientists 01:27:12.480 --> 01:27:15.030 align:start position:0% of friends that are scientists they<01:27:12.719> roll<01:27:13.040> their<01:27:13.280> eyes<01:27:14.000> their<01:27:14.239> response<01:27:14.800> is 01:27:15.030 --> 01:27:15.040 align:start position:0% they roll their eyes their response is 01:27:15.040 --> 01:27:16.390 align:start position:0% they roll their eyes their response is like 01:27:16.390 --> 01:27:16.400 align:start position:0% like 01:27:16.400 --> 01:27:18.070 align:start position:0% like like<01:27:16.639> they<01:27:16.800> don't<01:27:17.040> want<01:27:17.199> to<01:27:17.360> interact<01:27:17.840> with 01:27:18.070 --> 01:27:18.080 align:start position:0% like they don't want to interact with 01:27:18.080 --> 01:27:20.149 align:start position:0% like they don't want to interact with this<01:27:18.719> but<01:27:19.280> it 01:27:20.149 --> 01:27:20.159 align:start position:0% this but it 01:27:20.159 --> 01:27:22.870 align:start position:0% this but it that<01:27:20.400> that's<01:27:20.639> just<01:27:20.880> not<01:27:21.120> the<01:27:21.199> right<01:27:21.440> response 01:27:22.870 --> 01:27:22.880 align:start position:0% that that's just not the right response 01:27:22.880 --> 01:27:25.510 align:start position:0% that that's just not the right response when<01:27:23.120> a<01:27:23.520> huge<01:27:23.920> number<01:27:24.239> of<01:27:24.480> people<01:27:25.040> believe 01:27:25.510 --> 01:27:25.520 align:start position:0% when a huge number of people believe 01:27:25.520 --> 01:27:26.310 align:start position:0% when a huge number of people believe this 01:27:26.310 --> 01:27:26.320 align:start position:0% this 01:27:26.320 --> 01:27:28.470 align:start position:0% this it<01:27:26.560> is<01:27:26.719> your<01:27:26.960> job<01:27:27.280> as<01:27:27.520> communicators<01:27:28.320> to 01:27:28.470 --> 01:27:28.480 align:start position:0% it is your job as communicators to 01:27:28.480 --> 01:27:31.189 align:start position:0% it is your job as communicators to defend<01:27:28.880> your<01:27:29.120> ideas<01:27:29.920> it<01:27:30.080> is<01:27:30.239> no<01:27:30.480> longer<01:27:31.040> the 01:27:31.189 --> 01:27:31.199 align:start position:0% defend your ideas it is no longer the 01:27:31.199 --> 01:27:33.189 align:start position:0% defend your ideas it is no longer the case<01:27:31.520> that<01:27:31.600> you<01:27:31.760> go<01:27:31.920> to<01:27:32.000> a<01:27:32.080> conference<01:27:33.040> and 01:27:33.189 --> 01:27:33.199 align:start position:0% case that you go to a conference and 01:27:33.199 --> 01:27:35.430 align:start position:0% case that you go to a conference and defend<01:27:33.600> your<01:27:33.840> ideas<01:27:34.239> to<01:27:34.400> two<01:27:34.639> other 01:27:35.430 --> 01:27:35.440 align:start position:0% defend your ideas to two other 01:27:35.440 --> 01:27:37.270 align:start position:0% defend your ideas to two other uh<01:27:36.000> nerds<01:27:36.320> that<01:27:36.480> have<01:27:36.560> been<01:27:36.719> working<01:27:37.040> on<01:27:37.199> the 01:27:37.270 --> 01:27:37.280 align:start position:0% uh nerds that have been working on the 01:27:37.280 --> 01:27:39.830 align:start position:0% uh nerds that have been working on the same<01:27:37.600> problem<01:27:38.080> forever<01:27:38.560> i<01:27:38.639> mean<01:27:39.120> sure<01:27:39.440> you<01:27:39.600> can 01:27:39.830 --> 01:27:39.840 align:start position:0% same problem forever i mean sure you can 01:27:39.840 --> 01:27:42.229 align:start position:0% same problem forever i mean sure you can do<01:27:40.000> that<01:27:40.239> but<01:27:40.400> then<01:27:40.639> you're 01:27:42.229 --> 01:27:42.239 align:start position:0% do that but then you're 01:27:42.239 --> 01:27:45.590 align:start position:0% do that but then you're rejecting<01:27:42.800> the<01:27:43.000> responsibility<01:27:44.000> you<01:27:44.400> have 01:27:45.590 --> 01:27:45.600 align:start position:0% rejecting the responsibility you have 01:27:45.600 --> 01:27:48.149 align:start position:0% rejecting the responsibility you have explicitly<01:27:46.320> or<01:27:46.480> implicitly<01:27:47.040> accepted<01:27:48.000> when 01:27:48.149 --> 01:27:48.159 align:start position:0% explicitly or implicitly accepted when 01:27:48.159 --> 01:27:50.229 align:start position:0% explicitly or implicitly accepted when you<01:27:48.320> go<01:27:48.560> into<01:27:48.800> this<01:27:49.040> field<01:27:49.760> that<01:27:49.920> you<01:27:50.080> will 01:27:50.229 --> 01:27:50.239 align:start position:0% you go into this field that you will 01:27:50.239 --> 01:27:53.030 align:start position:0% you go into this field that you will defend<01:27:50.880> the<01:27:51.199> ideas<01:27:51.679> of<01:27:51.920> truth<01:27:52.480> and<01:27:52.639> the<01:27:52.719> way<01:27:52.880> to 01:27:53.030 --> 01:27:53.040 align:start position:0% defend the ideas of truth and the way to 01:27:53.040 --> 01:27:55.750 align:start position:0% defend the ideas of truth and the way to defend<01:27:53.520> them<01:27:54.080> is<01:27:54.320> in<01:27:54.400> the<01:27:54.560> open<01:27:55.120> battlefield 01:27:55.750 --> 01:27:55.760 align:start position:0% defend them is in the open battlefield 01:27:55.760 --> 01:27:57.830 align:start position:0% defend them is in the open battlefield of<01:27:55.920> ideas<01:27:56.719> and<01:27:57.120> become<01:27:57.440> a<01:27:57.520> better 01:27:57.830 --> 01:27:57.840 align:start position:0% of ideas and become a better 01:27:57.840 --> 01:27:59.350 align:start position:0% of ideas and become a better communicator 01:27:59.350 --> 01:27:59.360 align:start position:0% communicator 01:27:59.360 --> 01:28:00.950 align:start position:0% communicator and<01:27:59.520> i<01:27:59.679> believe<01:28:00.000> that<01:28:00.159> when<01:28:00.320> you<01:28:00.480> have<01:28:00.560> a<01:28:00.639> large 01:28:00.950 --> 01:28:00.960 align:start position:0% and i believe that when you have a large 01:28:00.960 --> 01:28:02.550 align:start position:0% and i believe that when you have a large you<01:28:01.040> said<01:28:01.199> you<01:28:01.360> invested<01:28:01.760> one<01:28:01.920> or<01:28:02.000> two<01:28:02.239> hours 01:28:02.550 --> 01:28:02.560 align:start position:0% you said you invested one or two hours 01:28:02.560 --> 01:28:05.030 align:start position:0% you said you invested one or two hours in<01:28:02.639> this<01:28:02.800> particular<01:28:03.679> but<01:28:03.840> that's<01:28:04.239> little 01:28:05.030 --> 01:28:05.040 align:start position:0% in this particular but that's little 01:28:05.040 --> 01:28:06.629 align:start position:0% in this particular but that's little ants<01:28:05.440> interacting 01:28:06.629 --> 01:28:06.639 align:start position:0% ants interacting 01:28:06.639 --> 01:28:09.669 align:start position:0% ants interacting at<01:28:06.880> scale<01:28:07.760> i<01:28:07.920> think<01:28:08.159> that<01:28:08.639> uh<01:28:09.040> allows<01:28:09.360> us<01:28:09.520> to 01:28:09.669 --> 01:28:09.679 align:start position:0% at scale i think that uh allows us to 01:28:09.679 --> 01:28:11.270 align:start position:0% at scale i think that uh allows us to progress 01:28:11.270 --> 01:28:11.280 align:start position:0% progress 01:28:11.280 --> 01:28:13.430 align:start position:0% progress towards<01:28:11.679> truth<01:28:12.000> at<01:28:12.080> least<01:28:12.400> you<01:28:12.560> know 01:28:13.430 --> 01:28:13.440 align:start position:0% towards truth at least you know 01:28:13.440 --> 01:28:15.270 align:start position:0% towards truth at least you know at<01:28:13.520> least<01:28:13.760> i<01:28:13.920> hope<01:28:14.159> so<01:28:14.719> i<01:28:14.800> think<01:28:14.960> you're<01:28:15.120> an 01:28:15.270 --> 01:28:15.280 align:start position:0% at least i hope so i think you're an 01:28:15.280 --> 01:28:17.030 align:start position:0% at least i hope so i think you're an optimist<01:28:15.840> i<01:28:16.000> i<01:28:16.320> want<01:28:16.480> to<01:28:16.560> work<01:28:16.800> with<01:28:16.880> you<01:28:17.040> a 01:28:17.030 --> 01:28:17.040 align:start position:0% optimist i i want to work with you a 01:28:17.040 --> 01:28:18.870 align:start position:0% optimist i i want to work with you a little<01:28:17.199> bit<01:28:17.440> on<01:28:17.520> this 01:28:18.870 --> 01:28:18.880 align:start position:0% little bit on this 01:28:18.880 --> 01:28:22.950 align:start position:0% little bit on this let's<01:28:19.040> say<01:28:19.520> um<01:28:20.239> a<01:28:20.400> person<01:28:20.800> like<01:28:21.120> joe<01:28:21.840> rogan<01:28:22.480> who 01:28:22.950 --> 01:28:22.960 align:start position:0% let's say um a person like joe rogan who 01:28:22.960 --> 01:28:25.669 align:start position:0% let's say um a person like joe rogan who by<01:28:23.120> the<01:28:23.280> way<01:28:23.520> had<01:28:23.760> me<01:28:24.080> on<01:28:24.239> his<01:28:24.480> podcast<01:28:25.440> and 01:28:25.669 --> 01:28:25.679 align:start position:0% by the way had me on his podcast and 01:28:25.679 --> 01:28:27.510 align:start position:0% by the way had me on his podcast and left<01:28:25.920> an<01:28:26.080> amazing<01:28:26.480> conversation<01:28:27.199> i<01:28:27.280> really 01:28:27.510 --> 01:28:27.520 align:start position:0% left an amazing conversation i really 01:28:27.520 --> 01:28:30.310 align:start position:0% left an amazing conversation i really enjoyed<01:28:27.840> it<01:28:28.000> well<01:28:28.239> thank<01:28:28.480> you<01:28:28.960> i<01:28:29.120> did<01:28:29.360> too<01:28:30.000> and 01:28:30.310 --> 01:28:30.320 align:start position:0% enjoyed it well thank you i did too and 01:28:30.320 --> 01:28:31.990 align:start position:0% enjoyed it well thank you i did too and i<01:28:30.480> didn't<01:28:30.719> know<01:28:30.960> joe<01:28:31.360> i<01:28:31.520> didn't<01:28:31.679> know<01:28:31.840> much 01:28:31.990 --> 01:28:32.000 align:start position:0% i didn't know joe i didn't know much 01:28:32.000 --> 01:28:33.750 align:start position:0% i didn't know joe i didn't know much about<01:28:32.159> his<01:28:32.320> podcast<01:28:32.800> he<01:28:32.880> pushed<01:28:33.120> back<01:28:33.440> on<01:28:33.520> joe 01:28:33.750 --> 01:28:33.760 align:start position:0% about his podcast he pushed back on joe 01:28:33.760 --> 01:28:35.430 align:start position:0% about his podcast he pushed back on joe a<01:28:33.840> bunch<01:28:34.159> which<01:28:34.320> is<01:28:34.560> great 01:28:35.430 --> 01:28:35.440 align:start position:0% a bunch which is great 01:28:35.440 --> 01:28:37.590 align:start position:0% a bunch which is great and<01:28:35.679> he<01:28:35.840> was<01:28:36.159> love<01:28:36.320> it<01:28:36.560> he<01:28:36.800> was<01:28:36.960> a<01:28:37.120> gentleman 01:28:37.590 --> 01:28:37.600 align:start position:0% and he was love it he was a gentleman 01:28:37.600 --> 01:28:39.750 align:start position:0% and he was love it he was a gentleman and<01:28:37.760> we<01:28:37.920> had<01:28:38.080> it<01:28:38.239> out<01:28:38.400> in<01:28:38.480> fact<01:28:38.960> he<01:28:39.199> put<01:28:39.440> one 01:28:39.750 --> 01:28:39.760 align:start position:0% and we had it out in fact he put one 01:28:39.760 --> 01:28:40.550 align:start position:0% and we had it out in fact he put one clip 01:28:40.550 --> 01:28:40.560 align:start position:0% clip 01:28:40.560 --> 01:28:42.229 align:start position:0% clip at<01:28:40.719> one<01:28:40.880> point<01:28:41.199> he<01:28:41.360> said<01:28:41.520> something<01:28:41.840> that<01:28:42.000> was 01:28:42.229 --> 01:28:42.239 align:start position:0% at one point he said something that was 01:28:42.239 --> 01:28:44.229 align:start position:0% at one point he said something that was a<01:28:42.320> little<01:28:42.480> bit<01:28:42.719> wrong<01:28:43.040> and<01:28:43.199> i<01:28:43.280> corrected<01:28:43.760> him 01:28:44.229 --> 01:28:44.239 align:start position:0% a little bit wrong and i corrected him 01:28:44.239 --> 01:28:46.149 align:start position:0% a little bit wrong and i corrected him and<01:28:44.560> he<01:28:44.800> had<01:28:45.040> the<01:28:45.199> guy 01:28:46.149 --> 01:28:46.159 align:start position:0% and he had the guy 01:28:46.159 --> 01:28:48.870 align:start position:0% and he had the guy who<01:28:46.400> jamie<01:28:46.960> jamie<01:28:47.360> he<01:28:47.520> had<01:28:47.760> jamie<01:28:48.159> check<01:28:48.480> it 01:28:48.870 --> 01:28:48.880 align:start position:0% who jamie jamie he had jamie check it 01:28:48.880 --> 01:28:51.430 align:start position:0% who jamie jamie he had jamie check it and<01:28:49.199> was<01:28:49.440> very<01:28:49.760> forthright<01:28:50.400> in<01:28:50.639> saying<01:28:51.120> yeah 01:28:51.430 --> 01:28:51.440 align:start position:0% and was very forthright in saying yeah 01:28:51.440 --> 01:28:53.270 align:start position:0% and was very forthright in saying yeah you<01:28:51.520> know<01:28:51.840> john's<01:28:52.159> got<01:28:52.320> a<01:28:52.400> right<01:28:52.639> here<01:28:53.199> you 01:28:53.270 --> 01:28:53.280 align:start position:0% you know john's got a right here you 01:28:53.280 --> 01:28:58.070 align:start position:0% you know john's got a right here you know<01:28:53.440> we<01:28:53.600> got<01:28:53.760> to<01:28:53.840> modify<01:28:54.159> this<01:28:54.800> in 01:28:58.070 --> 01:28:58.080 align:start position:0% 01:28:58.080 --> 01:29:00.229 align:start position:0% well<01:28:58.480> i<01:28:58.719> did<01:28:58.960> i<01:28:59.040> wasn't<01:28:59.280> trying<01:28:59.520> to<01:28:59.600> get<01:28:59.760> them 01:29:00.229 --> 01:29:00.239 align:start position:0% well i did i wasn't trying to get them 01:29:00.239 --> 01:29:01.990 align:start position:0% well i did i wasn't trying to get them no<01:29:00.400> just<01:29:00.639> trying<01:29:00.880> on<01:29:01.199> yeah<01:29:01.440> you<01:29:01.600> totally<01:29:01.920> it 01:29:01.990 --> 01:29:02.000 align:start position:0% no just trying on yeah you totally it 01:29:02.000 --> 01:29:03.430 align:start position:0% no just trying on yeah you totally it was<01:29:02.159> there's<01:29:02.400> a<01:29:02.480> beautiful<01:29:02.880> exchange<01:29:03.280> there's 01:29:03.430 --> 01:29:03.440 align:start position:0% was there's a beautiful exchange there's 01:29:03.440 --> 01:29:05.430 align:start position:0% was there's a beautiful exchange there's so<01:29:03.600> much<01:29:03.840> respect<01:29:04.239> in<01:29:04.400> the<01:29:04.480> room<01:29:04.800> pushing<01:29:05.199> back 01:29:05.430 --> 01:29:05.440 align:start position:0% so much respect in the room pushing back 01:29:05.440 --> 01:29:08.310 align:start position:0% so much respect in the room pushing back and<01:29:05.600> forth<01:29:05.840> that's<01:29:06.080> great<01:29:06.320> yeah<01:29:07.040> so<01:29:07.679> i<01:29:07.840> respect 01:29:08.310 --> 01:29:08.320 align:start position:0% and forth that's great yeah so i respect 01:29:08.320 --> 01:29:10.950 align:start position:0% and forth that's great yeah so i respect him<01:29:08.960> and<01:29:09.920> i<01:29:10.159> think 01:29:10.950 --> 01:29:10.960 align:start position:0% him and i think 01:29:10.960 --> 01:29:13.189 align:start position:0% him and i think when<01:29:11.199> he<01:29:11.440> has<01:29:11.679> somebody<01:29:12.159> on 01:29:13.189 --> 01:29:13.199 align:start position:0% when he has somebody on 01:29:13.199 --> 01:29:16.629 align:start position:0% when he has somebody on who's<01:29:13.840> a<01:29:14.159> died<01:29:14.480> in<01:29:14.560> the<01:29:14.719> wool<01:29:15.120> anti-faxer 01:29:16.629 --> 01:29:16.639 align:start position:0% who's a died in the wool anti-faxer 01:29:16.639 --> 01:29:20.310 align:start position:0% who's a died in the wool anti-faxer the<01:29:16.880> question<01:29:17.360> is<01:29:18.000> how<01:29:18.239> can<01:29:18.639> you 01:29:20.310 --> 01:29:20.320 align:start position:0% the question is how can you 01:29:20.320 --> 01:29:21.590 align:start position:0% the question is how can you balance 01:29:21.590 --> 01:29:21.600 align:start position:0% balance 01:29:21.600 --> 01:29:23.510 align:start position:0% balance if<01:29:21.760> it<01:29:21.920> needs<01:29:22.239> balance 01:29:23.510 --> 01:29:23.520 align:start position:0% if it needs balance 01:29:23.520 --> 01:29:25.189 align:start position:0% if it needs balance in<01:29:23.679> real<01:29:24.080> time<01:29:24.320> i'm<01:29:24.480> not<01:29:24.639> talking<01:29:24.960> about 01:29:25.189 --> 01:29:25.199 align:start position:0% in real time i'm not talking about 01:29:25.199 --> 01:29:27.669 align:start position:0% in real time i'm not talking about afterwards<01:29:26.159> i'm<01:29:26.320> talking<01:29:26.880> in<01:29:27.120> real<01:29:27.440> time 01:29:27.669 --> 01:29:27.679 align:start position:0% afterwards i'm talking in real time 01:29:27.679 --> 01:29:29.750 align:start position:0% afterwards i'm talking in real time maybe<01:29:27.920> you<01:29:28.080> record<01:29:28.719> well<01:29:28.960> he<01:29:29.040> does<01:29:29.280> record<01:29:29.600> it 01:29:29.750 --> 01:29:29.760 align:start position:0% maybe you record well he does record it 01:29:29.760 --> 01:29:32.229 align:start position:0% maybe you record well he does record it obviously<01:29:30.719> but<01:29:31.040> maybe<01:29:31.440> when<01:29:31.679> there's<01:29:32.080> a 01:29:32.229 --> 01:29:32.239 align:start position:0% obviously but maybe when there's a 01:29:32.239 --> 01:29:33.750 align:start position:0% obviously but maybe when there's a statement<01:29:32.880> made 01:29:33.750 --> 01:29:33.760 align:start position:0% statement made 01:29:33.760 --> 01:29:35.430 align:start position:0% statement made that<01:29:34.159> is 01:29:35.430 --> 01:29:35.440 align:start position:0% that is 01:29:35.440 --> 01:29:37.990 align:start position:0% that is made<01:29:35.760> as<01:29:36.000> if<01:29:36.159> it's<01:29:36.400> fact-based 01:29:37.990 --> 01:29:38.000 align:start position:0% made as if it's fact-based 01:29:38.000 --> 01:29:40.470 align:start position:0% made as if it's fact-based maybe<01:29:38.320> that<01:29:38.560> statement<01:29:39.280> should<01:29:39.520> be<01:29:40.080> checked 01:29:40.470 --> 01:29:40.480 align:start position:0% maybe that statement should be checked 01:29:40.480 --> 01:29:41.990 align:start position:0% maybe that statement should be checked by 01:29:41.990 --> 01:29:42.000 align:start position:0% by 01:29:42.000 --> 01:29:43.669 align:start position:0% by some<01:29:42.560> folks 01:29:43.669 --> 01:29:43.679 align:start position:0% some folks 01:29:43.679 --> 01:29:45.750 align:start position:0% some folks who 01:29:45.750 --> 01:29:45.760 align:start position:0% who 01:29:45.760 --> 01:29:49.110 align:start position:0% who imaginary<01:29:46.400> folks<01:29:46.639> who<01:29:46.800> are<01:29:46.960> trustworthy<01:29:48.080> and 01:29:49.110 --> 01:29:49.120 align:start position:0% imaginary folks who are trustworthy and 01:29:49.120 --> 01:29:51.910 align:start position:0% imaginary folks who are trustworthy and in<01:29:49.440> real<01:29:49.840> time<01:29:50.400> as<01:29:50.639> that<01:29:51.040> discussion<01:29:51.600> is<01:29:51.679> being 01:29:51.910 --> 01:29:51.920 align:start position:0% in real time as that discussion is being 01:29:51.920 --> 01:29:54.149 align:start position:0% in real time as that discussion is being played<01:29:52.320> on<01:29:52.400> the<01:29:52.560> podcast 01:29:54.149 --> 01:29:54.159 align:start position:0% played on the podcast 01:29:54.159 --> 01:29:57.189 align:start position:0% played on the podcast to<01:29:54.639> show<01:29:55.280> what<01:29:55.840> independent 01:29:57.189 --> 01:29:57.199 align:start position:0% to show what independent 01:29:57.199 --> 01:29:59.189 align:start position:0% to show what independent experts<01:29:57.840> say<01:29:58.080> about<01:29:58.400> that<01:29:58.639> claim<01:29:59.040> that's 01:29:59.189 --> 01:29:59.199 align:start position:0% experts say about that claim that's 01:29:59.199 --> 01:30:00.870 align:start position:0% experts say about that claim that's really<01:29:59.360> interesting<01:29:59.760> idea<01:30:00.080> by<01:30:00.239> the<01:30:00.320> way<01:30:00.639> this 01:30:00.870 --> 01:30:00.880 align:start position:0% really interesting idea by the way this 01:30:00.880 --> 01:30:02.790 align:start position:0% really interesting idea by the way this for<01:30:01.040> some<01:30:01.199> reason<01:30:01.520> this<01:30:01.760> idea<01:30:02.080> popped<01:30:02.400> into<01:30:02.639> my 01:30:02.790 --> 01:30:02.800 align:start position:0% for some reason this idea popped into my 01:30:02.800 --> 01:30:05.030 align:start position:0% for some reason this idea popped into my head<01:30:03.040> now<01:30:03.280> is<01:30:03.920> i<01:30:04.000> think<01:30:04.239> real<01:30:04.480> time<01:30:04.719> is<01:30:04.800> very 01:30:05.030 --> 01:30:05.040 align:start position:0% head now is i think real time is very 01:30:05.040 --> 01:30:06.390 align:start position:0% head now is i think real time is very difficult<01:30:05.520> and 01:30:06.390 --> 01:30:06.400 align:start position:0% difficult and 01:30:06.400 --> 01:30:08.550 align:start position:0% difficult and it's<01:30:06.560> not<01:30:06.800> difficult<01:30:07.280> but<01:30:07.760> it<01:30:07.920> kind<01:30:08.080> of<01:30:08.239> ruins 01:30:08.550 --> 01:30:08.560 align:start position:0% it's not difficult but it kind of ruins 01:30:08.560 --> 01:30:09.830 align:start position:0% it's not difficult but it kind of ruins the<01:30:08.639> conversation<01:30:09.199> because<01:30:09.440> you<01:30:09.520> want<01:30:09.760> the 01:30:09.830 --> 01:30:09.840 align:start position:0% the conversation because you want the 01:30:09.840 --> 01:30:11.669 align:start position:0% the conversation because you want the idea<01:30:10.159> to<01:30:10.239> breathe<01:30:10.719> yeah 01:30:11.669 --> 01:30:11.679 align:start position:0% idea to breathe yeah 01:30:11.679 --> 01:30:13.189 align:start position:0% idea to breathe yeah i<01:30:12.080> think<01:30:12.239> what's 01:30:13.189 --> 01:30:13.199 align:start position:0% i think what's 01:30:13.199 --> 01:30:15.110 align:start position:0% i think what's very<01:30:13.440> possible<01:30:13.840> is<01:30:14.000> before<01:30:14.480> it's<01:30:14.719> published 01:30:15.110 --> 01:30:15.120 align:start position:0% very possible is before it's published 01:30:15.120 --> 01:30:16.950 align:start position:0% very possible is before it's published it's<01:30:15.199> the<01:30:15.360> pre-publication 01:30:16.950 --> 01:30:16.960 align:start position:0% it's the pre-publication 01:30:16.960 --> 01:30:19.270 align:start position:0% it's the pre-publication before<01:30:17.440> it's<01:30:17.600> published<01:30:18.400> you<01:30:18.639> let<01:30:18.880> a<01:30:18.960> bunch<01:30:19.199> of 01:30:19.270 --> 01:30:19.280 align:start position:0% before it's published you let a bunch of 01:30:19.280 --> 01:30:21.270 align:start position:0% before it's published you let a bunch of people<01:30:19.600> review<01:30:20.080> it<01:30:20.320> and<01:30:20.400> they<01:30:20.560> can<01:30:20.800> add<01:30:21.040> their 01:30:21.270 --> 01:30:21.280 align:start position:0% people review it and they can add their 01:30:21.280 --> 01:30:22.629 align:start position:0% people review it and they can add their voices 01:30:22.629 --> 01:30:22.639 align:start position:0% voices 01:30:22.639 --> 01:30:25.270 align:start position:0% voices in<01:30:22.880> post<01:30:23.679> before<01:30:24.000> it's<01:30:24.159> published 01:30:25.270 --> 01:30:25.280 align:start position:0% in post before it's published 01:30:25.280 --> 01:30:28.310 align:start position:0% in post before it's published they<01:30:25.440> can<01:30:25.679> add<01:30:26.080> arguments<01:30:27.040> um 01:30:28.310 --> 01:30:28.320 align:start position:0% they can add arguments um 01:30:28.320 --> 01:30:30.229 align:start position:0% they can add arguments um you<01:30:28.400> know<01:30:28.800> what<01:30:28.960> they<01:30:29.199> you<01:30:29.280> know<01:30:29.760> arguments 01:30:30.229 --> 01:30:30.239 align:start position:0% you know what they you know arguments 01:30:30.239 --> 01:30:31.830 align:start position:0% you know what they you know arguments against<01:30:30.560> certain<01:30:30.880> parts<01:30:31.360> that's<01:30:31.679> very 01:30:31.830 --> 01:30:31.840 align:start position:0% against certain parts that's very 01:30:31.840 --> 01:30:33.350 align:start position:0% against certain parts that's very interesting<01:30:32.239> it's<01:30:32.400> a<01:30:32.480> sort<01:30:32.639> of<01:30:32.800> as<01:30:33.040> one 01:30:33.350 --> 01:30:33.360 align:start position:0% interesting it's a sort of as one 01:30:33.360 --> 01:30:35.189 align:start position:0% interesting it's a sort of as one podcast<01:30:33.920> publish 01:30:35.189 --> 01:30:35.199 align:start position:0% podcast publish 01:30:35.199 --> 01:30:37.270 align:start position:0% podcast publish uh<01:30:35.520> like<01:30:35.840> addendums 01:30:37.270 --> 01:30:37.280 align:start position:0% uh like addendums 01:30:37.280 --> 01:30:38.950 align:start position:0% uh like addendums publish<01:30:37.600> the<01:30:37.760> peer<01:30:38.000> review<01:30:38.400> together<01:30:38.800> with 01:30:38.950 --> 01:30:38.960 align:start position:0% publish the peer review together with 01:30:38.960 --> 01:30:40.950 align:start position:0% publish the peer review together with the<01:30:39.040> publication<01:30:39.760> yes<01:30:40.320> that's<01:30:40.719> very 01:30:40.950 --> 01:30:40.960 align:start position:0% the publication yes that's very 01:30:40.960 --> 01:30:42.310 align:start position:0% the publication yes that's very interesting 01:30:42.310 --> 01:30:42.320 align:start position:0% interesting 01:30:42.320 --> 01:30:44.229 align:start position:0% interesting um<01:30:43.040> i<01:30:43.199> might<01:30:43.440> actually<01:30:43.679> do<01:30:43.840> that<01:30:44.000> that's 01:30:44.229 --> 01:30:44.239 align:start position:0% um i might actually do that that's 01:30:44.239 --> 01:30:46.070 align:start position:0% um i might actually do that that's really<01:30:44.480> interesting<01:30:45.199> because<01:30:45.440> uh<01:30:45.760> i've<01:30:45.920> been 01:30:46.070 --> 01:30:46.080 align:start position:0% really interesting because uh i've been 01:30:46.080 --> 01:30:48.950 align:start position:0% really interesting because uh i've been doing<01:30:46.320> more<01:30:46.480> debates<01:30:47.040> where<01:30:47.360> at<01:30:47.520> the<01:30:47.679> same 01:30:48.950 --> 01:30:48.960 align:start position:0% doing more debates where at the same 01:30:48.960 --> 01:30:51.590 align:start position:0% doing more debates where at the same time<01:30:49.360> have<01:30:49.920> multiple<01:30:50.400> people 01:30:51.590 --> 01:30:51.600 align:start position:0% time have multiple people 01:30:51.600 --> 01:30:53.750 align:start position:0% time have multiple people which<01:30:51.920> has<01:30:52.080> a<01:30:52.159> different<01:30:52.480> dynamic<01:30:53.440> because 01:30:53.750 --> 01:30:53.760 align:start position:0% which has a different dynamic because 01:30:53.760 --> 01:30:56.070 align:start position:0% which has a different dynamic because both<01:30:54.080> people<01:30:54.639> i<01:30:54.800> mean 01:30:56.070 --> 01:30:56.080 align:start position:0% both people i mean 01:30:56.080 --> 01:30:57.830 align:start position:0% both people i mean it's<01:30:56.400> really<01:30:56.719> nice<01:30:56.880> to<01:30:57.040> have<01:30:57.120> the<01:30:57.280> time<01:30:57.600> to 01:30:57.830 --> 01:30:57.840 align:start position:0% it's really nice to have the time to 01:30:57.840 --> 01:30:58.790 align:start position:0% it's really nice to have the time to pause 01:30:58.790 --> 01:30:58.800 align:start position:0% pause 01:30:58.800 --> 01:31:01.189 align:start position:0% pause just<01:30:59.120> on<01:30:59.280> you<01:30:59.520> by<01:30:59.760> yourself 01:31:01.189 --> 01:31:01.199 align:start position:0% just on you by yourself 01:31:01.199 --> 01:31:03.030 align:start position:0% just on you by yourself to<01:31:01.360> fact<01:31:01.679> check<01:31:02.000> to<01:31:02.159> look<01:31:02.320> at<01:31:02.400> the<01:31:02.639> study<01:31:02.880> that 01:31:03.030 --> 01:31:03.040 align:start position:0% to fact check to look at the study that 01:31:03.040 --> 01:31:05.110 align:start position:0% to fact check to look at the study that was<01:31:03.199> mentioned<01:31:04.000> to<01:31:04.159> understand<01:31:04.639> what's<01:31:04.880> going 01:31:05.110 --> 01:31:05.120 align:start position:0% was mentioned to understand what's going 01:31:05.120 --> 01:31:07.590 align:start position:0% was mentioned to understand what's going on<01:31:05.520> so<01:31:05.679> the<01:31:05.920> peer<01:31:06.080> review<01:31:06.480> process 01:31:07.590 --> 01:31:07.600 align:start position:0% on so the peer review process 01:31:07.600 --> 01:31:09.590 align:start position:0% on so the peer review process to<01:31:07.760> have<01:31:08.000> a<01:31:08.080> little<01:31:08.320> bit<01:31:08.480> of<01:31:08.639> time<01:31:09.360> that's 01:31:09.590 --> 01:31:09.600 align:start position:0% to have a little bit of time that's 01:31:09.600 --> 01:31:11.270 align:start position:0% to have a little bit of time that's really<01:31:09.840> interesting<01:31:10.320> i 01:31:11.270 --> 01:31:11.280 align:start position:0% really interesting i 01:31:11.280 --> 01:31:12.790 align:start position:0% really interesting i actually<01:31:11.679> would 01:31:12.790 --> 01:31:12.800 align:start position:0% actually would 01:31:12.800 --> 01:31:15.030 align:start position:0% actually would i'd<01:31:12.960> like<01:31:13.120> to<01:31:13.280> try<01:31:13.600> that<01:31:14.239> to<01:31:14.400> agree<01:31:14.719> with<01:31:14.880> you 01:31:15.030 --> 01:31:15.040 align:start position:0% i'd like to try that to agree with you 01:31:15.040 --> 01:31:17.830 align:start position:0% i'd like to try that to agree with you on<01:31:15.199> some<01:31:15.440> point<01:31:15.760> in<01:31:15.840> terms<01:31:16.080> of<01:31:16.480> anti-vaxx<01:31:17.600> i've 01:31:17.830 --> 01:31:17.840 align:start position:0% on some point in terms of anti-vaxx i've 01:31:17.840 --> 01:31:19.830 align:start position:0% on some point in terms of anti-vaxx i've been<01:31:18.080> fascinated<01:31:18.800> by<01:31:19.199> listening<01:31:19.600> to 01:31:19.830 --> 01:31:19.840 align:start position:0% been fascinated by listening to 01:31:19.840 --> 01:31:22.310 align:start position:0% been fascinated by listening to arguments<01:31:20.639> from<01:31:20.960> uh<01:31:21.440> this<01:31:21.760> community<01:31:22.159> of 01:31:22.310 --> 01:31:22.320 align:start position:0% arguments from uh this community of 01:31:22.320 --> 01:31:24.149 align:start position:0% arguments from uh this community of folks<01:31:22.639> that's<01:31:22.800> been<01:31:23.040> quite<01:31:23.280> large<01:31:23.760> called 01:31:24.149 --> 01:31:24.159 align:start position:0% folks that's been quite large called 01:31:24.159 --> 01:31:26.070 align:start position:0% folks that's been quite large called flat<01:31:24.639> earthers<01:31:25.360> the<01:31:25.520> people<01:31:25.760> that<01:31:25.840> believe 01:31:26.070 --> 01:31:26.080 align:start position:0% flat earthers the people that believe 01:31:26.080 --> 01:31:27.990 align:start position:0% flat earthers the people that believe the<01:31:26.239> earth<01:31:26.480> is<01:31:26.639> flat 01:31:27.990 --> 01:31:28.000 align:start position:0% the earth is flat 01:31:28.000 --> 01:31:30.390 align:start position:0% the earth is flat and<01:31:28.400> i<01:31:28.560> don't<01:31:28.639> know<01:31:28.719> if<01:31:28.880> you've<01:31:29.280> ever<01:31:30.080> listened 01:31:30.390 --> 01:31:30.400 align:start position:0% and i don't know if you've ever listened 01:31:30.400 --> 01:31:32.149 align:start position:0% and i don't know if you've ever listened to<01:31:30.560> them<01:31:30.800> or<01:31:31.040> read 01:31:32.149 --> 01:31:32.159 align:start position:0% to them or read 01:31:32.159 --> 01:31:33.669 align:start position:0% to them or read their<01:31:32.480> arguments 01:31:33.669 --> 01:31:33.679 align:start position:0% their arguments 01:31:33.679 --> 01:31:36.310 align:start position:0% their arguments but<01:31:33.920> it's<01:31:34.080> fascinating<01:31:34.719> how<01:31:35.120> consistent<01:31:36.080> and 01:31:36.310 --> 01:31:36.320 align:start position:0% but it's fascinating how consistent and 01:31:36.320 --> 01:31:38.149 align:start position:0% but it's fascinating how consistent and convincing<01:31:36.960> it<01:31:37.120> all<01:31:37.280> sounds<01:31:37.679> when<01:31:37.840> you<01:31:38.000> just 01:31:38.149 --> 01:31:38.159 align:start position:0% convincing it all sounds when you just 01:31:38.159 --> 01:31:40.870 align:start position:0% convincing it all sounds when you just kind<01:31:38.320> of<01:31:38.560> take<01:31:38.800> it<01:31:38.960> in<01:31:39.520> just<01:31:39.679> like 01:31:40.870 --> 01:31:40.880 align:start position:0% kind of take it in just like 01:31:40.880 --> 01:31:42.709 align:start position:0% kind of take it in just like just<01:31:41.360> to<01:31:41.440> take<01:31:41.679> it<01:31:41.760> in<01:31:41.920> like<01:31:42.159> listening 01:31:42.709 --> 01:31:42.719 align:start position:0% just to take it in like listening 01:31:42.719 --> 01:31:46.390 align:start position:0% just to take it in like listening normally<01:31:43.600> it's<01:31:43.840> all<01:31:44.080> very<01:31:44.400> logical 01:31:46.390 --> 01:31:46.400 align:start position:0% normally it's all very logical 01:31:46.400 --> 01:31:48.229 align:start position:0% normally it's all very logical like<01:31:46.639> if<01:31:46.800> you<01:31:46.880> don't<01:31:47.199> think 01:31:48.229 --> 01:31:48.239 align:start position:0% like if you don't think 01:31:48.239 --> 01:31:49.030 align:start position:0% like if you don't think very 01:31:49.030 --> 01:31:49.040 align:start position:0% very 01:31:49.040 --> 01:31:50.629 align:start position:0% very well<01:31:49.360> no<01:31:49.679> i 01:31:50.629 --> 01:31:50.639 align:start position:0% well no i 01:31:50.639 --> 01:31:53.350 align:start position:0% well no i um<01:31:51.360> so<01:31:51.679> the<01:31:51.840> thing<01:31:52.080> is 01:31:53.350 --> 01:31:53.360 align:start position:0% um so the thing is 01:31:53.360 --> 01:31:55.430 align:start position:0% um so the thing is the<01:31:53.520> reality<01:31:54.159> is 01:31:55.430 --> 01:31:55.440 align:start position:0% the reality is 01:31:55.440 --> 01:31:57.510 align:start position:0% the reality is at<01:31:55.600> the<01:31:55.760> very<01:31:56.080> basic<01:31:56.480> human<01:31:56.880> level<01:31:57.120> with<01:31:57.360> our 01:31:57.510 --> 01:31:57.520 align:start position:0% at the very basic human level with our 01:31:57.520 --> 01:31:59.030 align:start position:0% at the very basic human level with our limited<01:31:57.920> cognitive 01:31:59.030 --> 01:31:59.040 align:start position:0% limited cognitive 01:31:59.040 --> 01:32:00.550 align:start position:0% limited cognitive capabilities 01:32:00.550 --> 01:32:00.560 align:start position:0% capabilities 01:32:00.560 --> 01:32:03.110 align:start position:0% capabilities the<01:32:00.800> earth<01:32:01.280> is<01:32:01.760> pretty<01:32:02.159> flat<01:32:02.480> when<01:32:02.639> you<01:32:02.880> go 01:32:03.110 --> 01:32:03.120 align:start position:0% the earth is pretty flat when you go 01:32:03.120 --> 01:32:05.110 align:start position:0% the earth is pretty flat when you go outside<01:32:03.600> and<01:32:03.679> you<01:32:03.840> look<01:32:04.080> it's<01:32:04.400> flat<01:32:04.719> so<01:32:04.880> like 01:32:05.110 --> 01:32:05.120 align:start position:0% outside and you look it's flat so like 01:32:05.120 --> 01:32:07.990 align:start position:0% outside and you look it's flat so like when<01:32:05.360> you<01:32:05.520> use<01:32:05.920> common<01:32:06.320> sense<01:32:06.719> reasoning 01:32:07.990 --> 01:32:08.000 align:start position:0% when you use common sense reasoning 01:32:08.000 --> 01:32:09.990 align:start position:0% when you use common sense reasoning it's<01:32:08.239> very<01:32:08.480> easy<01:32:08.800> to<01:32:08.960> play<01:32:09.280> to<01:32:09.520> that<01:32:09.840> to 01:32:09.990 --> 01:32:10.000 align:start position:0% it's very easy to play to that to 01:32:10.000 --> 01:32:12.149 align:start position:0% it's very easy to play to that to convince<01:32:10.400> you<01:32:10.560> that<01:32:10.639> the<01:32:10.719> earth<01:32:11.040> is<01:32:11.120> flat<01:32:11.920> plus 01:32:12.149 --> 01:32:12.159 align:start position:0% convince you that the earth is flat plus 01:32:12.159 --> 01:32:13.830 align:start position:0% convince you that the earth is flat plus there's<01:32:12.400> powerful<01:32:12.880> organizations<01:32:13.520> that<01:32:13.679> want 01:32:13.830 --> 01:32:13.840 align:start position:0% there's powerful organizations that want 01:32:13.840 --> 01:32:17.270 align:start position:0% there's powerful organizations that want to<01:32:14.480> manipulate<01:32:15.120> you<01:32:15.440> and<01:32:15.600> so<01:32:15.760> on 01:32:17.270 --> 01:32:17.280 align:start position:0% to manipulate you and so on 01:32:17.280 --> 01:32:19.590 align:start position:0% to manipulate you and so on but<01:32:17.840> then<01:32:18.320> there's<01:32:18.880> you<01:32:18.960> know<01:32:19.120> the<01:32:19.280> whole 01:32:19.590 --> 01:32:19.600 align:start position:0% but then there's you know the whole 01:32:19.600 --> 01:32:21.750 align:start position:0% but then there's you know the whole progress<01:32:20.159> of<01:32:20.320> science<01:32:20.800> and<01:32:20.960> physics<01:32:21.440> of<01:32:21.600> the 01:32:21.750 --> 01:32:21.760 align:start position:0% progress of science and physics of the 01:32:21.760 --> 01:32:23.430 align:start position:0% progress of science and physics of the past<01:32:22.560> but 01:32:23.430 --> 01:32:23.440 align:start position:0% past but 01:32:23.440 --> 01:32:25.350 align:start position:0% past but that's<01:32:23.760> difficult<01:32:24.159> to<01:32:24.320> integrate<01:32:24.800> into<01:32:25.040> your 01:32:25.350 --> 01:32:25.360 align:start position:0% that's difficult to integrate into your 01:32:25.360 --> 01:32:27.430 align:start position:0% that's difficult to integrate into your thought<01:32:25.600> process<01:32:26.000> so<01:32:26.239> it's<01:32:26.719> it's<01:32:26.960> very<01:32:27.199> true 01:32:27.430 --> 01:32:27.440 align:start position:0% thought process so it's it's very true 01:32:27.440 --> 01:32:28.870 align:start position:0% thought process so it's it's very true that<01:32:28.000> the 01:32:28.870 --> 01:32:28.880 align:start position:0% that the 01:32:28.880 --> 01:32:30.709 align:start position:0% that the people<01:32:29.120> should<01:32:29.280> listen<01:32:29.520> to<01:32:30.080> flat<01:32:30.320> earthers 01:32:30.709 --> 01:32:30.719 align:start position:0% people should listen to flat earthers 01:32:30.719 --> 01:32:31.669 align:start position:0% people should listen to flat earthers because 01:32:31.669 --> 01:32:31.679 align:start position:0% because 01:32:31.679 --> 01:32:34.390 align:start position:0% because it<01:32:31.840> was<01:32:32.080> very<01:32:32.400> revealing<01:32:32.960> to<01:32:33.120> me<01:32:33.360> how<01:32:33.600> easily 01:32:34.390 --> 01:32:34.400 align:start position:0% it was very revealing to me how easily 01:32:34.400 --> 01:32:36.790 align:start position:0% it was very revealing to me how easily it<01:32:34.560> is<01:32:35.040> how<01:32:35.280> easy<01:32:35.600> it<01:32:35.760> is<01:32:35.840> to<01:32:35.920> be<01:32:36.159> convinced<01:32:36.719> of 01:32:36.790 --> 01:32:36.800 align:start position:0% it is how easy it is to be convinced of 01:32:36.800 --> 01:32:39.270 align:start position:0% it is how easy it is to be convinced of basically<01:32:37.360> anything 01:32:39.270 --> 01:32:39.280 align:start position:0% basically anything 01:32:39.280 --> 01:32:42.870 align:start position:0% basically anything by<01:32:39.760> uh<01:32:40.080> uh<01:32:40.320> charismatic<01:32:41.280> uh<01:32:41.760> arguments<01:32:42.400> right 01:32:42.870 --> 01:32:42.880 align:start position:0% by uh uh charismatic uh arguments right 01:32:42.880 --> 01:32:44.629 align:start position:0% by uh uh charismatic uh arguments right and<01:32:43.199> if<01:32:43.520> we're<01:32:43.840> arguing<01:32:44.080> about<01:32:44.239> whether<01:32:44.480> the 01:32:44.629 --> 01:32:44.639 align:start position:0% and if we're arguing about whether the 01:32:44.639 --> 01:32:47.189 align:start position:0% and if we're arguing about whether the fla<01:32:45.040> earth<01:32:45.360> is<01:32:45.520> flat<01:32:45.840> or<01:32:45.920> not<01:32:46.560> uh<01:32:46.800> as<01:32:46.880> long<01:32:47.120> as 01:32:47.189 --> 01:32:47.199 align:start position:0% fla earth is flat or not uh as long as 01:32:47.199 --> 01:32:49.030 align:start position:0% fla earth is flat or not uh as long as we're<01:32:47.280> not<01:32:47.440> navigating<01:32:48.000> airplanes<01:32:48.639> and<01:32:48.719> doing 01:32:49.030 --> 01:32:49.040 align:start position:0% we're not navigating airplanes and doing 01:32:49.040 --> 01:32:50.790 align:start position:0% we're not navigating airplanes and doing other<01:32:49.199> kinds<01:32:49.440> of<01:32:49.520> things<01:32:49.840> trying<01:32:50.000> to<01:32:50.080> get 01:32:50.790 --> 01:32:50.800 align:start position:0% other kinds of things trying to get 01:32:50.800 --> 01:32:53.669 align:start position:0% other kinds of things trying to get satellites<01:32:51.440> to<01:32:52.000> do<01:32:52.239> transmission 01:32:53.669 --> 01:32:53.679 align:start position:0% satellites to do transmission 01:32:53.679 --> 01:32:56.070 align:start position:0% satellites to do transmission it's<01:32:53.920> not<01:32:54.080> that<01:32:54.400> important<01:32:54.880> what<01:32:55.040> we<01:32:55.280> believe 01:32:56.070 --> 01:32:56.080 align:start position:0% it's not that important what we believe 01:32:56.080 --> 01:32:58.229 align:start position:0% it's not that important what we believe but<01:32:56.320> if<01:32:56.400> we're<01:32:56.800> arguing<01:32:57.360> about 01:32:58.229 --> 01:32:58.239 align:start position:0% but if we're arguing about 01:32:58.239 --> 01:33:00.390 align:start position:0% but if we're arguing about how<01:32:58.560> we<01:32:58.880> approach<01:32:59.360> the<01:32:59.520> worst<01:32:59.840> public<01:33:00.080> health 01:33:00.390 --> 01:33:00.400 align:start position:0% how we approach the worst public health 01:33:00.400 --> 01:33:01.510 align:start position:0% how we approach the worst public health crisis 01:33:01.510 --> 01:33:01.520 align:start position:0% crisis 01:33:01.520 --> 01:33:02.229 align:start position:0% crisis in 01:33:02.229 --> 01:33:02.239 align:start position:0% in 01:33:02.239 --> 01:33:03.669 align:start position:0% in i<01:33:02.400> don't<01:33:02.480> know<01:33:02.639> how<01:33:02.960> long<01:33:03.199> i<01:33:03.280> think<01:33:03.520> we're 01:33:03.669 --> 01:33:03.679 align:start position:0% i don't know how long i think we're 01:33:03.679 --> 01:33:05.910 align:start position:0% i don't know how long i think we're getting<01:33:03.920> worse<01:33:04.239> than<01:33:04.320> the<01:33:04.480> spanish<01:33:04.800> flu<01:33:05.120> now 01:33:05.910 --> 01:33:05.920 align:start position:0% getting worse than the spanish flu now 01:33:05.920 --> 01:33:07.350 align:start position:0% getting worse than the spanish flu now um<01:33:06.239> i<01:33:06.320> don't<01:33:06.400> know<01:33:06.480> what<01:33:06.639> the<01:33:06.719> total<01:33:07.040> global 01:33:07.350 --> 01:33:07.360 align:start position:0% um i don't know what the total global 01:33:07.360 --> 01:33:09.430 align:start position:0% um i don't know what the total global deaths<01:33:07.679> with<01:33:07.840> spanish<01:33:08.239> flu<01:33:08.400> were<01:33:08.639> but<01:33:09.199> in<01:33:09.360> the 01:33:09.430 --> 01:33:09.440 align:start position:0% deaths with spanish flu were but in the 01:33:09.440 --> 01:33:10.709 align:start position:0% deaths with spanish flu were but in the united<01:33:09.760> states<01:33:10.000> we<01:33:10.159> certainly<01:33:10.400> have<01:33:10.560> more 01:33:10.709 --> 01:33:10.719 align:start position:0% united states we certainly have more 01:33:10.719 --> 01:33:12.550 align:start position:0% united states we certainly have more deaths<01:33:10.960> than<01:33:11.120> we<01:33:11.199> had<01:33:11.360> from<01:33:11.520> spanish<01:33:11.920> flu<01:33:12.320> plus 01:33:12.550 --> 01:33:12.560 align:start position:0% deaths than we had from spanish flu plus 01:33:12.560 --> 01:33:15.750 align:start position:0% deaths than we had from spanish flu plus the<01:33:12.719> economic<01:33:13.600> pain<01:33:13.920> and<01:33:14.080> suffering<01:33:14.719> yes<01:33:15.280> yes 01:33:15.750 --> 01:33:15.760 align:start position:0% the economic pain and suffering yes yes 01:33:15.760 --> 01:33:19.030 align:start position:0% the economic pain and suffering yes yes and<01:33:15.920> the<01:33:16.480> damage<01:33:16.800> to<01:33:16.960> the<01:33:17.120> kids<01:33:17.920> in<01:33:18.639> school<01:33:18.960> and 01:33:19.030 --> 01:33:19.040 align:start position:0% and the damage to the kids in school and 01:33:19.040 --> 01:33:19.750 align:start position:0% and the damage to the kids in school and stuff 01:33:19.750 --> 01:33:19.760 align:start position:0% stuff 01:33:19.760 --> 01:33:21.910 align:start position:0% stuff we<01:33:19.920> got<01:33:20.080> a<01:33:20.159> problem<01:33:20.560> and<01:33:20.719> it's<01:33:21.120> not<01:33:21.280> going<01:33:21.520> away 01:33:21.910 --> 01:33:21.920 align:start position:0% we got a problem and it's not going away 01:33:21.920 --> 01:33:23.990 align:start position:0% we got a problem and it's not going away unfortunately<01:33:22.960> so<01:33:23.120> when<01:33:23.280> we<01:33:23.440> get<01:33:23.600> a<01:33:23.679> problem 01:33:23.990 --> 01:33:24.000 align:start position:0% unfortunately so when we get a problem 01:33:24.000 --> 01:33:27.110 align:start position:0% unfortunately so when we get a problem like<01:33:24.239> that<01:33:24.960> it's<01:33:25.199> not<01:33:25.679> just<01:33:26.000> an<01:33:26.159> interesting 01:33:27.110 --> 01:33:27.120 align:start position:0% like that it's not just an interesting 01:33:27.120 --> 01:33:28.950 align:start position:0% like that it's not just an interesting bar<01:33:27.360> room<01:33:27.760> conversation<01:33:28.400> about<01:33:28.639> whether<01:33:28.880> the 01:33:28.950 --> 01:33:28.960 align:start position:0% bar room conversation about whether the 01:33:28.960 --> 01:33:30.229 align:start position:0% bar room conversation about whether the earth<01:33:29.199> is<01:33:29.360> flat 01:33:30.229 --> 01:33:30.239 align:start position:0% earth is flat 01:33:30.239 --> 01:33:34.229 align:start position:0% earth is flat it<01:33:30.639> there<01:33:30.880> are<01:33:30.960> millions<01:33:31.360> of<01:33:31.440> lives<01:33:31.840> involved 01:33:34.229 --> 01:33:34.239 align:start position:0% it there are millions of lives involved 01:33:34.239 --> 01:33:37.189 align:start position:0% it there are millions of lives involved let<01:33:34.400> me<01:33:34.560> ask<01:33:34.800> you<01:33:35.360> yet<01:33:35.600> another<01:33:36.000> question<01:33:36.320> that 01:33:37.189 --> 01:33:37.199 align:start position:0% let me ask you yet another question that 01:33:37.199 --> 01:33:39.590 align:start position:0% let me ask you yet another question that issue<01:33:37.520> i<01:33:37.920> raised<01:33:38.239> with<01:33:38.480> faisal<01:33:38.880> ceo<01:33:39.280> albert 01:33:39.590 --> 01:33:39.600 align:start position:0% issue i raised with faisal ceo albert 01:33:39.600 --> 01:33:41.990 align:start position:0% issue i raised with faisal ceo albert berla 01:33:41.990 --> 01:33:42.000 align:start position:0% berla 01:33:42.000 --> 01:33:45.270 align:start position:0% berla it's<01:33:42.239> the<01:33:42.320> question<01:33:42.719> of<01:33:43.199> revolving<01:33:43.840> doors 01:33:45.270 --> 01:33:45.280 align:start position:0% it's the question of revolving doors 01:33:45.280 --> 01:33:47.350 align:start position:0% it's the question of revolving doors that<01:33:45.440> there<01:33:45.840> seems<01:33:46.080> to<01:33:46.239> be<01:33:46.400> a<01:33:46.560> revolving<01:33:47.120> door 01:33:47.350 --> 01:33:47.360 align:start position:0% that there seems to be a revolving door 01:33:47.360 --> 01:33:50.950 align:start position:0% that there seems to be a revolving door between<01:33:47.760> pfizer<01:33:48.480> fda<01:33:49.199> and<01:33:49.440> cdc 01:33:50.950 --> 01:33:50.960 align:start position:0% between pfizer fda and cdc 01:33:50.960 --> 01:33:53.430 align:start position:0% between pfizer fda and cdc people<01:33:51.280> that<01:33:51.440> have<01:33:51.600> worked<01:33:51.920> at<01:33:52.000> the<01:33:52.239> fda<01:33:53.199> now 01:33:53.430 --> 01:33:53.440 align:start position:0% people that have worked at the fda now 01:33:53.440 --> 01:33:56.390 align:start position:0% people that have worked at the fda now work<01:33:53.760> at<01:33:54.000> pfizer<01:33:54.719> and<01:33:54.960> vice<01:33:55.280> versa 01:33:56.390 --> 01:33:56.400 align:start position:0% work at pfizer and vice versa 01:33:56.400 --> 01:34:00.629 align:start position:0% work at pfizer and vice versa include<01:33:56.800> in<01:33:57.040> the<01:33:57.199> cdc<01:33:57.760> and<01:33:57.920> so<01:33:58.159> on 01:34:00.629 --> 01:34:00.639 align:start position:0% 01:34:00.639 --> 01:34:02.229 align:start position:0% what<01:34:00.800> do<01:34:00.880> you<01:34:00.960> think<01:34:01.120> about<01:34:01.360> that<01:34:01.600> so<01:34:01.920> first<01:34:02.159> of 01:34:02.229 --> 01:34:02.239 align:start position:0% what do you think about that so first of 01:34:02.239 --> 01:34:04.310 align:start position:0% what do you think about that so first of all<01:34:02.400> his<01:34:02.639> response<01:34:03.199> once<01:34:03.440> again<01:34:03.840> is<01:34:04.000> there's 01:34:04.310 --> 01:34:04.320 align:start position:0% all his response once again is there's 01:34:04.320 --> 01:34:06.629 align:start position:0% all his response once again is there's rules<01:34:04.960> there's<01:34:05.280> very<01:34:05.520> strict<01:34:05.920> rules<01:34:06.320> and<01:34:06.400> we 01:34:06.629 --> 01:34:06.639 align:start position:0% rules there's very strict rules and we 01:34:06.639 --> 01:34:08.629 align:start position:0% rules there's very strict rules and we follow<01:34:07.040> them 01:34:08.629 --> 01:34:08.639 align:start position:0% follow them 01:34:08.639 --> 01:34:12.870 align:start position:0% follow them do<01:34:08.800> you<01:34:08.880> think<01:34:09.120> that's<01:34:09.440> a<01:34:09.600> problem 01:34:12.870 --> 01:34:12.880 align:start position:0% 01:34:12.880 --> 01:34:14.629 align:start position:0% and<01:34:13.040> also<01:34:13.360> maybe<01:34:13.679> this<01:34:13.840> is<01:34:14.000> a<01:34:14.080> good<01:34:14.239> time<01:34:14.480> to 01:34:14.629 --> 01:34:14.639 align:start position:0% and also maybe this is a good time to 01:34:14.639 --> 01:34:16.149 align:start position:0% and also maybe this is a good time to talk<01:34:14.880> about 01:34:16.149 --> 01:34:16.159 align:start position:0% talk about 01:34:16.159 --> 01:34:18.950 align:start position:0% talk about this<01:34:16.480> pfizer<01:34:16.960> played<01:34:17.120> by<01:34:17.360> the<01:34:17.440> rules 01:34:18.950 --> 01:34:18.960 align:start position:0% this pfizer played by the rules 01:34:18.960 --> 01:34:21.189 align:start position:0% this pfizer played by the rules let's<01:34:19.520> one<01:34:19.679> at<01:34:19.840> a<01:34:19.920> time<01:34:20.239> one<01:34:20.560> time<01:34:20.880> okay<01:34:21.120> and 01:34:21.189 --> 01:34:21.199 align:start position:0% let's one at a time one time okay and 01:34:21.199 --> 01:34:23.270 align:start position:0% let's one at a time one time okay and this<01:34:21.440> isn't<01:34:21.679> even<01:34:21.920> about<01:34:22.159> pfizer<01:34:22.639> but<01:34:22.880> it's<01:34:23.120> an 01:34:23.270 --> 01:34:23.280 align:start position:0% this isn't even about pfizer but it's an 01:34:23.280 --> 01:34:25.669 align:start position:0% this isn't even about pfizer but it's an answer<01:34:23.520> to<01:34:23.679> the<01:34:23.840> question<01:34:24.239> yes<01:34:24.880> so<01:34:25.360> there's 01:34:25.669 --> 01:34:25.679 align:start position:0% answer to the question yes so there's 01:34:25.679 --> 01:34:28.229 align:start position:0% answer to the question yes so there's this<01:34:25.920> drug<01:34:26.239> agia<01:34:26.639> helm<01:34:27.360> that<01:34:27.520> was<01:34:27.760> approved<01:34:28.080> by 01:34:28.229 --> 01:34:28.239 align:start position:0% this drug agia helm that was approved by 01:34:28.239 --> 01:34:31.590 align:start position:0% this drug agia helm that was approved by the<01:34:28.400> fda<01:34:29.280> uh<01:34:29.679> maybe<01:34:30.000> six<01:34:30.239> months<01:34:30.480> ago<01:34:31.280> it's<01:34:31.520> a 01:34:31.590 --> 01:34:31.600 align:start position:0% the fda uh maybe six months ago it's a 01:34:31.600 --> 01:34:32.629 align:start position:0% the fda uh maybe six months ago it's a drug 01:34:32.629 --> 01:34:32.639 align:start position:0% drug 01:34:32.639 --> 01:34:34.870 align:start position:0% drug to<01:34:32.880> prevent<01:34:33.520> the<01:34:33.760> progression 01:34:34.870 --> 01:34:34.880 align:start position:0% to prevent the progression 01:34:34.880 --> 01:34:38.310 align:start position:0% to prevent the progression of<01:34:35.120> low-grade<01:34:35.760> alzheimer's<01:34:36.400> disease 01:34:38.310 --> 01:34:38.320 align:start position:0% of low-grade alzheimer's disease 01:34:38.320 --> 01:34:41.189 align:start position:0% of low-grade alzheimer's disease the<01:34:38.960> target<01:34:39.760> for 01:34:41.189 --> 01:34:41.199 align:start position:0% the target for 01:34:41.199 --> 01:34:43.590 align:start position:0% the target for drug<01:34:41.600> development<01:34:42.159> for<01:34:42.320> alzheimer's<01:34:42.880> disease 01:34:43.590 --> 01:34:43.600 align:start position:0% drug development for alzheimer's disease 01:34:43.600 --> 01:34:45.910 align:start position:0% drug development for alzheimer's disease has<01:34:43.760> been<01:34:44.000> the<01:34:44.239> amyloid<01:34:45.119> reducing<01:34:45.600> the 01:34:45.910 --> 01:34:45.920 align:start position:0% has been the amyloid reducing the 01:34:45.920 --> 01:34:48.149 align:start position:0% has been the amyloid reducing the amyloid<01:34:46.480> plaques<01:34:46.960> in<01:34:47.040> the<01:34:47.119> brain<01:34:47.840> which 01:34:48.149 --> 01:34:48.159 align:start position:0% amyloid plaques in the brain which 01:34:48.159 --> 01:34:50.310 align:start position:0% amyloid plaques in the brain which correlate<01:34:48.800> with<01:34:48.960> the<01:34:49.040> progression 01:34:50.310 --> 01:34:50.320 align:start position:0% correlate with the progression 01:34:50.320 --> 01:34:52.149 align:start position:0% correlate with the progression of<01:34:50.960> alzheimer's 01:34:52.149 --> 01:34:52.159 align:start position:0% of alzheimer's 01:34:52.159 --> 01:34:53.030 align:start position:0% of alzheimer's and 01:34:53.030 --> 01:34:53.040 align:start position:0% and 01:34:53.040 --> 01:34:54.870 align:start position:0% and biogen<01:34:53.760> showed 01:34:54.870 --> 01:34:54.880 align:start position:0% biogen showed 01:34:54.880 --> 01:34:55.750 align:start position:0% biogen showed that 01:34:55.750 --> 01:34:55.760 align:start position:0% that 01:34:55.760 --> 01:34:59.510 align:start position:0% that its<01:34:56.080> drug<01:34:56.719> agilem<01:34:57.840> reduces<01:34:58.719> amyloid<01:34:59.199> plaques 01:34:59.510 --> 01:34:59.520 align:start position:0% its drug agilem reduces amyloid plaques 01:34:59.520 --> 01:35:00.950 align:start position:0% its drug agilem reduces amyloid plaques in<01:34:59.600> the<01:34:59.679> brain 01:35:00.950 --> 01:35:00.960 align:start position:0% in the brain 01:35:00.960 --> 01:35:03.109 align:start position:0% in the brain they<01:35:01.119> did<01:35:01.360> two<01:35:01.600> clinical<01:35:02.080> trials<01:35:02.960> to 01:35:03.109 --> 01:35:03.119 align:start position:0% they did two clinical trials to 01:35:03.119 --> 01:35:05.510 align:start position:0% they did two clinical trials to determine<01:35:03.600> the<01:35:03.760> clinical<01:35:04.239> efficacy 01:35:05.510 --> 01:35:05.520 align:start position:0% determine the clinical efficacy 01:35:05.520 --> 01:35:07.830 align:start position:0% determine the clinical efficacy and<01:35:05.679> they<01:35:05.920> found<01:35:06.159> that<01:35:06.400> neither<01:35:06.800> trial 01:35:07.830 --> 01:35:07.840 align:start position:0% and they found that neither trial 01:35:07.840 --> 01:35:09.910 align:start position:0% and they found that neither trial showed<01:35:08.080> a<01:35:08.159> meaningful<01:35:08.719> benefit 01:35:09.910 --> 01:35:09.920 align:start position:0% showed a meaningful benefit 01:35:09.920 --> 01:35:12.149 align:start position:0% showed a meaningful benefit and<01:35:10.159> in<01:35:10.400> those<01:35:10.639> two<01:35:10.880> trials 01:35:12.149 --> 01:35:12.159 align:start position:0% and in those two trials 01:35:12.159 --> 01:35:15.189 align:start position:0% and in those two trials 33<01:35:12.800> percent<01:35:13.440> more<01:35:13.760> people<01:35:14.239> in<01:35:14.400> the<01:35:14.480> agi-helm 01:35:15.189 --> 01:35:15.199 align:start position:0% 33 percent more people in the agi-helm 01:35:15.199 --> 01:35:17.990 align:start position:0% 33 percent more people in the agi-helm group<01:35:15.920> develop<01:35:16.480> symptomatic<01:35:17.119> brain<01:35:17.520> swelling 01:35:17.990 --> 01:35:18.000 align:start position:0% group develop symptomatic brain swelling 01:35:18.000 --> 01:35:20.310 align:start position:0% group develop symptomatic brain swelling and<01:35:18.159> bleeding<01:35:18.960> than<01:35:19.199> people<01:35:19.520> in<01:35:19.600> the<01:35:19.679> placebo 01:35:20.310 --> 01:35:20.320 align:start position:0% and bleeding than people in the placebo 01:35:20.320 --> 01:35:21.990 align:start position:0% and bleeding than people in the placebo group 01:35:21.990 --> 01:35:22.000 align:start position:0% group 01:35:22.000 --> 01:35:23.270 align:start position:0% group there<01:35:22.159> was<01:35:22.320> an 01:35:23.270 --> 01:35:23.280 align:start position:0% there was an 01:35:23.280 --> 01:35:25.109 align:start position:0% there was an advisory<01:35:23.840> committee 01:35:25.109 --> 01:35:25.119 align:start position:0% advisory committee 01:35:25.119 --> 01:35:27.030 align:start position:0% advisory committee convened 01:35:27.030 --> 01:35:27.040 align:start position:0% convened 01:35:27.040 --> 01:35:28.390 align:start position:0% convened to<01:35:27.600> debate 01:35:28.390 --> 01:35:28.400 align:start position:0% to debate 01:35:28.400 --> 01:35:30.709 align:start position:0% to debate the<01:35:28.719> and<01:35:28.880> determine<01:35:29.679> how<01:35:29.920> they<01:35:30.080> felt<01:35:30.400> about 01:35:30.709 --> 01:35:30.719 align:start position:0% the and determine how they felt about 01:35:30.719 --> 01:35:33.270 align:start position:0% the and determine how they felt about the<01:35:31.280> approvability<01:35:32.239> of<01:35:32.400> agile<01:35:32.719> helm<01:35:33.040> given 01:35:33.270 --> 01:35:33.280 align:start position:0% the approvability of agile helm given 01:35:33.280 --> 01:35:35.030 align:start position:0% the approvability of agile helm given those<01:35:33.600> facts 01:35:35.030 --> 01:35:35.040 align:start position:0% those facts 01:35:35.040 --> 01:35:37.030 align:start position:0% those facts and<01:35:35.760> those<01:35:36.000> facts<01:35:36.320> aren't<01:35:36.560> in<01:35:36.639> dispute 01:35:37.030 --> 01:35:37.040 align:start position:0% and those facts aren't in dispute 01:35:37.040 --> 01:35:39.750 align:start position:0% and those facts aren't in dispute they're<01:35:37.280> in<01:35:37.679> biogen<01:35:38.239> slides<01:35:38.880> uh<01:35:39.199> as<01:35:39.360> well<01:35:39.520> as 01:35:39.750 --> 01:35:39.760 align:start position:0% they're in biogen slides uh as well as 01:35:39.760 --> 01:35:41.510 align:start position:0% they're in biogen slides uh as well as fda<01:35:40.159> documents 01:35:41.510 --> 01:35:41.520 align:start position:0% fda documents 01:35:41.520 --> 01:35:43.830 align:start position:0% fda documents the<01:35:42.080> advisory<01:35:42.800> committee 01:35:43.830 --> 01:35:43.840 align:start position:0% the advisory committee 01:35:43.840 --> 01:35:44.790 align:start position:0% the advisory committee voted 01:35:44.790 --> 01:35:44.800 align:start position:0% voted 01:35:44.800 --> 01:35:45.669 align:start position:0% voted 10 01:35:45.669 --> 01:35:45.679 align:start position:0% 10 01:35:45.679 --> 01:35:47.590 align:start position:0% 10 against<01:35:46.239> approval 01:35:47.590 --> 01:35:47.600 align:start position:0% against approval 01:35:47.600 --> 01:35:49.910 align:start position:0% against approval and<01:35:47.920> one<01:35:48.320> abstain 01:35:49.910 --> 01:35:49.920 align:start position:0% and one abstain 01:35:49.920 --> 01:35:52.550 align:start position:0% and one abstain so<01:35:50.080> that's<01:35:50.400> essentially<01:35:51.119> universal 01:35:52.550 --> 01:35:52.560 align:start position:0% so that's essentially universal 01:35:52.560 --> 01:35:56.149 align:start position:0% so that's essentially universal unanimous<01:35:53.520> vote<01:35:53.920> against<01:35:54.480> approving<01:35:55.199> agile 01:35:56.149 --> 01:35:56.159 align:start position:0% unanimous vote against approving agile 01:35:56.159 --> 01:35:58.229 align:start position:0% unanimous vote against approving agile now<01:35:56.320> the<01:35:56.400> advisory<01:35:56.880> committees<01:35:57.360> have<01:35:57.520> been 01:35:58.229 --> 01:35:58.239 align:start position:0% now the advisory committees have been 01:35:58.239 --> 01:35:59.189 align:start position:0% now the advisory committees have been pretty 01:35:59.189 --> 01:35:59.199 align:start position:0% pretty 01:35:59.199 --> 01:36:01.990 align:start position:0% pretty much<01:35:59.760> cleansed<01:36:00.639> of<01:36:00.800> financial<01:36:01.360> conflicts<01:36:01.840> of 01:36:01.990 --> 01:36:02.000 align:start position:0% much cleansed of financial conflicts of 01:36:02.000 --> 01:36:03.189 align:start position:0% much cleansed of financial conflicts of interest 01:36:03.189 --> 01:36:03.199 align:start position:0% interest 01:36:03.199 --> 01:36:06.470 align:start position:0% interest so<01:36:03.360> this<01:36:03.600> advisory<01:36:04.159> committee<01:36:04.480> votes<01:36:04.880> 10 01:36:06.470 --> 01:36:06.480 align:start position:0% so this advisory committee votes 10 01:36:06.480 --> 01:36:09.189 align:start position:0% so this advisory committee votes 10 no<01:36:07.119> one<01:36:07.360> abstention 01:36:09.189 --> 01:36:09.199 align:start position:0% no one abstention 01:36:09.199 --> 01:36:11.990 align:start position:0% no one abstention and<01:36:09.280> the<01:36:09.520> fda<01:36:10.159> overrules 01:36:11.990 --> 01:36:12.000 align:start position:0% and the fda overrules 01:36:12.000 --> 01:36:13.830 align:start position:0% and the fda overrules the<01:36:12.159> unanimous<01:36:12.719> opinion<01:36:13.119> of<01:36:13.199> its<01:36:13.360> advisory 01:36:13.830 --> 01:36:13.840 align:start position:0% the unanimous opinion of its advisory 01:36:13.840 --> 01:36:14.790 align:start position:0% the unanimous opinion of its advisory committee 01:36:14.790 --> 01:36:14.800 align:start position:0% committee 01:36:14.800 --> 01:36:17.430 align:start position:0% committee and<01:36:14.960> approves<01:36:15.440> the<01:36:15.600> drug 01:36:17.430 --> 01:36:17.440 align:start position:0% and approves the drug 01:36:17.440 --> 01:36:19.189 align:start position:0% and approves the drug three<01:36:17.760> of<01:36:17.920> the<01:36:18.000> members<01:36:18.320> of<01:36:18.480> the<01:36:18.639> advisory 01:36:19.189 --> 01:36:19.199 align:start position:0% three of the members of the advisory 01:36:19.199 --> 01:36:21.189 align:start position:0% three of the members of the advisory committee<01:36:20.080> resign 01:36:21.189 --> 01:36:21.199 align:start position:0% committee resign 01:36:21.199 --> 01:36:22.390 align:start position:0% committee resign they<01:36:21.360> say<01:36:21.520> we're<01:36:21.679> not<01:36:21.760> going<01:36:21.840> to<01:36:21.920> depart<01:36:22.320> if 01:36:22.390 --> 01:36:22.400 align:start position:0% they say we're not going to depart if 01:36:22.400 --> 01:36:23.750 align:start position:0% they say we're not going to depart if the<01:36:22.560> fda<01:36:22.880> is<01:36:22.960> not<01:36:23.119> going<01:36:23.199> to<01:36:23.280> listen<01:36:23.520> to<01:36:23.679> a 01:36:23.750 --> 01:36:23.760 align:start position:0% the fda is not going to listen to a 01:36:23.760 --> 01:36:25.669 align:start position:0% the fda is not going to listen to a unanimous<01:36:24.320> vote<01:36:24.719> against<01:36:25.040> approving<01:36:25.440> this 01:36:25.669 --> 01:36:25.679 align:start position:0% unanimous vote against approving this 01:36:25.679 --> 01:36:26.550 align:start position:0% unanimous vote against approving this drug 01:36:26.550 --> 01:36:26.560 align:start position:0% drug 01:36:26.560 --> 01:36:29.510 align:start position:0% drug which<01:36:26.800> shows<01:36:27.119> more<01:36:27.360> harm<01:36:27.600> than<01:36:27.760> benefit 01:36:29.510 --> 01:36:29.520 align:start position:0% which shows more harm than benefit 01:36:29.520 --> 01:36:31.590 align:start position:0% which shows more harm than benefit undisputed 01:36:31.590 --> 01:36:31.600 align:start position:0% undisputed 01:36:31.600 --> 01:36:33.750 align:start position:0% undisputed we're<01:36:31.840> not<01:36:32.000> going<01:36:32.159> to<01:36:32.320> participate<01:36:32.960> in<01:36:33.040> this 01:36:33.750 --> 01:36:33.760 align:start position:0% we're not going to participate in this 01:36:33.760 --> 01:36:36.870 align:start position:0% we're not going to participate in this and<01:36:34.000> the<01:36:34.400> argument<01:36:35.440> against<01:36:35.920> approval<01:36:36.639> is 01:36:36.870 --> 01:36:36.880 align:start position:0% and the argument against approval is 01:36:36.880 --> 01:36:38.950 align:start position:0% and the argument against approval is that<01:36:37.040> the<01:36:37.280> surrogate<01:36:37.760> endpoint<01:36:38.800> the 01:36:38.950 --> 01:36:38.960 align:start position:0% that the surrogate endpoint the 01:36:38.960 --> 01:36:41.590 align:start position:0% that the surrogate endpoint the reduction<01:36:39.440> of<01:36:39.520> amyloid<01:36:40.400> the<01:36:40.560> progression<01:36:40.960> of 01:36:41.590 --> 01:36:41.600 align:start position:0% reduction of amyloid the progression of 01:36:41.600 --> 01:36:43.350 align:start position:0% reduction of amyloid the progression of amyloid<01:36:42.080> plaques 01:36:43.350 --> 01:36:43.360 align:start position:0% amyloid plaques 01:36:43.360 --> 01:36:46.470 align:start position:0% amyloid plaques is<01:36:43.600> known<01:36:43.920> by<01:36:44.080> the<01:36:44.320> fda<01:36:45.199> not<01:36:45.440> to<01:36:45.600> be<01:36:45.760> a<01:36:45.920> valid 01:36:46.470 --> 01:36:46.480 align:start position:0% is known by the fda not to be a valid 01:36:46.480 --> 01:36:49.109 align:start position:0% is known by the fda not to be a valid clinical<01:36:46.960> indicator<01:36:47.920> it<01:36:48.080> doesn't<01:36:48.560> correlate 01:36:49.109 --> 01:36:49.119 align:start position:0% clinical indicator it doesn't correlate 01:36:49.119 --> 01:36:51.430 align:start position:0% clinical indicator it doesn't correlate 27<01:36:49.679> studies<01:36:50.159> have<01:36:50.320> shown<01:36:50.880> it<01:36:51.040> doesn't 01:36:51.430 --> 01:36:51.440 align:start position:0% 27 studies have shown it doesn't 01:36:51.440 --> 01:36:53.270 align:start position:0% 27 studies have shown it doesn't correlate<01:36:51.920> with<01:36:52.080> clinical<01:36:52.480> progression 01:36:53.270 --> 01:36:53.280 align:start position:0% correlate with clinical progression 01:36:53.280 --> 01:36:55.109 align:start position:0% correlate with clinical progression interrupting<01:36:53.840> the<01:36:54.000> amyloid<01:36:54.400> plaques<01:36:54.800> doesn't 01:36:55.109 --> 01:36:55.119 align:start position:0% interrupting the amyloid plaques doesn't 01:36:55.119 --> 01:36:57.430 align:start position:0% interrupting the amyloid plaques doesn't mean<01:36:55.600> that<01:36:55.840> you're 01:36:57.430 --> 01:36:57.440 align:start position:0% mean that you're 01:36:57.440 --> 01:36:59.030 align:start position:0% mean that you're that<01:36:57.600> your<01:36:57.760> alzheimer's 01:36:59.030 --> 01:36:59.040 align:start position:0% that your alzheimer's 01:36:59.040 --> 01:37:01.990 align:start position:0% that your alzheimer's doesn't<01:36:59.360> get<01:36:59.600> worse 01:37:01.990 --> 01:37:02.000 align:start position:0% 01:37:02.000 --> 01:37:03.510 align:start position:0% so<01:37:02.159> it<01:37:02.320> seems<01:37:02.719> like 01:37:03.510 --> 01:37:03.520 align:start position:0% so it seems like 01:37:03.520 --> 01:37:06.390 align:start position:0% so it seems like it's<01:37:03.760> a<01:37:04.080> slam<01:37:04.480> dunk<01:37:05.199> and<01:37:05.520> the<01:37:05.760> fda<01:37:06.159> made<01:37:06.320> a 01:37:06.390 --> 01:37:06.400 align:start position:0% it's a slam dunk and the fda made a 01:37:06.400 --> 01:37:09.109 align:start position:0% it's a slam dunk and the fda made a mistake<01:37:06.880> and<01:37:07.360> they<01:37:07.600> should<01:37:08.000> do<01:37:08.480> whatever<01:37:08.880> they 01:37:09.109 --> 01:37:09.119 align:start position:0% mistake and they should do whatever they 01:37:09.119 --> 01:37:10.790 align:start position:0% mistake and they should do whatever they do<01:37:09.280> to<01:37:09.600> protect<01:37:09.920> their<01:37:10.159> bureaucratic 01:37:10.790 --> 01:37:10.800 align:start position:0% do to protect their bureaucratic 01:37:10.800 --> 01:37:11.990 align:start position:0% do to protect their bureaucratic reputation 01:37:11.990 --> 01:37:12.000 align:start position:0% reputation 01:37:12.000 --> 01:37:15.270 align:start position:0% reputation so<01:37:12.400> the<01:37:12.719> head<01:37:12.960> of<01:37:13.199> the<01:37:13.760> bureau<01:37:14.320> of<01:37:14.400> the<01:37:14.639> fda<01:37:15.119> the 01:37:15.270 --> 01:37:15.280 align:start position:0% so the head of the bureau of the fda the 01:37:15.280 --> 01:37:17.189 align:start position:0% so the head of the bureau of the fda the center<01:37:15.600> for<01:37:15.760> drug<01:37:16.000> evaluation<01:37:16.639> and<01:37:16.719> research 01:37:17.189 --> 01:37:17.199 align:start position:0% center for drug evaluation and research 01:37:17.199 --> 01:37:19.189 align:start position:0% center for drug evaluation and research that<01:37:17.360> approves<01:37:17.760> new<01:37:18.000> drugs 01:37:19.189 --> 01:37:19.199 align:start position:0% that approves new drugs 01:37:19.199 --> 01:37:21.830 align:start position:0% that approves new drugs who<01:37:19.679> had<01:37:19.920> spent<01:37:20.320> 16<01:37:20.880> years 01:37:21.830 --> 01:37:21.840 align:start position:0% who had spent 16 years 01:37:21.840 --> 01:37:24.229 align:start position:0% who had spent 16 years as<01:37:22.159> an<01:37:22.400> executive<01:37:23.119> in<01:37:23.280> the<01:37:23.520> pharmaceutical 01:37:24.229 --> 01:37:24.239 align:start position:0% as an executive in the pharmaceutical 01:37:24.239 --> 01:37:25.270 align:start position:0% as an executive in the pharmaceutical industry 01:37:25.270 --> 01:37:25.280 align:start position:0% industry 01:37:25.280 --> 01:37:26.790 align:start position:0% industry issued<01:37:25.679> a<01:37:25.760> statement 01:37:26.790 --> 01:37:26.800 align:start position:0% issued a statement 01:37:26.800 --> 01:37:27.990 align:start position:0% issued a statement and<01:37:27.040> said 01:37:27.990 --> 01:37:28.000 align:start position:0% and said 01:37:28.000 --> 01:37:30.950 align:start position:0% and said what<01:37:28.239> we<01:37:28.400> should<01:37:28.639> do<01:37:28.880> in<01:37:29.040> this<01:37:29.199> situation 01:37:30.950 --> 01:37:30.960 align:start position:0% what we should do in this situation 01:37:30.960 --> 01:37:33.189 align:start position:0% what we should do in this situation is<01:37:31.280> to<01:37:31.840> loosen 01:37:33.189 --> 01:37:33.199 align:start position:0% is to loosen 01:37:33.199 --> 01:37:34.870 align:start position:0% is to loosen the<01:37:33.600> prohibition 01:37:34.870 --> 01:37:34.880 align:start position:0% the prohibition 01:37:34.880 --> 01:37:37.030 align:start position:0% the prohibition of<01:37:35.119> financial<01:37:35.679> ties<01:37:36.000> of<01:37:36.159> interest<01:37:36.800> with<01:37:36.960> the 01:37:37.030 --> 01:37:37.040 align:start position:0% of financial ties of interest with the 01:37:37.040 --> 01:37:38.629 align:start position:0% of financial ties of interest with the drug<01:37:37.360> companies 01:37:38.629 --> 01:37:38.639 align:start position:0% drug companies 01:37:38.639 --> 01:37:44.790 align:start position:0% drug companies so<01:37:38.800> we<01:37:39.040> get<01:37:39.280> less<01:37:39.600> emotional<01:37:40.239> responses 01:37:44.790 --> 01:37:44.800 align:start position:0% 01:37:44.800 --> 01:37:49.270 align:start position:0% said<01:37:44.960> this<01:37:45.199> it's<01:37:45.440> in<01:37:45.600> print 01:37:49.270 --> 01:37:49.280 align:start position:0% 01:37:49.280 --> 01:37:51.430 align:start position:0% people<01:37:49.600> are<01:37:49.679> just<01:37:49.920> too<01:37:50.239> emotional<01:37:50.800> about<01:37:51.040> this 01:37:51.430 --> 01:37:51.440 align:start position:0% people are just too emotional about this 01:37:51.440 --> 01:37:53.189 align:start position:0% people are just too emotional about this people<01:37:51.679> were<01:37:51.840> just<01:37:52.080> too<01:37:52.320> emotional<01:37:52.800> the<01:37:52.960> 10 01:37:53.189 --> 01:37:53.199 align:start position:0% people were just too emotional the 10 01:37:53.199 --> 01:37:55.430 align:start position:0% people were just too emotional the 10 people<01:37:53.440> who<01:37:53.679> voted<01:37:54.000> against<01:37:54.480> it<01:37:54.880> and<01:37:55.040> the<01:37:55.199> no 01:37:55.430 --> 01:37:55.440 align:start position:0% people who voted against it and the no 01:37:55.440 --> 01:37:57.189 align:start position:0% people who voted against it and the no people<01:37:55.679> who<01:37:55.840> voted<01:37:56.239> for<01:37:56.480> it<01:37:56.639> it's<01:37:56.800> all<01:37:56.960> too 01:37:57.189 --> 01:37:57.199 align:start position:0% people who voted for it it's all too 01:37:57.199 --> 01:37:58.390 align:start position:0% people who voted for it it's all too emotional 01:37:58.390 --> 01:37:58.400 align:start position:0% emotional 01:37:58.400 --> 01:38:00.790 align:start position:0% emotional so<01:37:58.800> this<01:37:59.040> gets<01:37:59.280> back<01:37:59.840> this<01:38:00.000> is<01:38:00.080> a<01:38:00.239> long<01:38:00.480> answer 01:38:00.790 --> 01:38:00.800 align:start position:0% so this gets back this is a long answer 01:38:00.800 --> 01:38:02.470 align:start position:0% so this gets back this is a long answer to<01:38:00.960> your<01:38:01.199> short<01:38:01.600> question 01:38:02.470 --> 01:38:02.480 align:start position:0% to your short question 01:38:02.480 --> 01:38:05.109 align:start position:0% to your short question i<01:38:02.639> think<01:38:02.800> this<01:38:03.119> is<01:38:03.280> a<01:38:03.600> wonderful<01:38:04.239> window<01:38:04.880> into 01:38:05.109 --> 01:38:05.119 align:start position:0% i think this is a wonderful window into 01:38:05.119 --> 01:38:07.830 align:start position:0% i think this is a wonderful window into the<01:38:05.360> thinking<01:38:05.840> of<01:38:06.000> the<01:38:06.239> fda 01:38:07.830 --> 01:38:07.840 align:start position:0% the thinking of the fda 01:38:07.840 --> 01:38:09.510 align:start position:0% the thinking of the fda that<01:38:08.000> financial<01:38:08.480> conflicts<01:38:08.960> of<01:38:09.119> interest 01:38:09.510 --> 01:38:09.520 align:start position:0% that financial conflicts of interest 01:38:09.520 --> 01:38:11.030 align:start position:0% that financial conflicts of interest don't<01:38:09.760> matter 01:38:11.030 --> 01:38:11.040 align:start position:0% don't matter 01:38:11.040 --> 01:38:13.109 align:start position:0% don't matter in<01:38:11.199> a<01:38:11.280> situation<01:38:12.000> when<01:38:12.159> i<01:38:12.239> think<01:38:12.480> it's<01:38:12.719> obvious 01:38:13.109 --> 01:38:13.119 align:start position:0% in a situation when i think it's obvious 01:38:13.119 --> 01:38:14.870 align:start position:0% in a situation when i think it's obvious that<01:38:13.280> they<01:38:13.440> would<01:38:13.679> matter 01:38:14.870 --> 01:38:14.880 align:start position:0% that they would matter 01:38:14.880 --> 01:38:16.790 align:start position:0% that they would matter but<01:38:15.040> there's<01:38:15.199> not<01:38:15.440> a<01:38:15.520> direct<01:38:16.080> financial 01:38:16.790 --> 01:38:16.800 align:start position:0% but there's not a direct financial 01:38:16.800 --> 01:38:19.750 align:start position:0% but there's not a direct financial conflict<01:38:17.280> of<01:38:17.440> interest<01:38:17.920> it's<01:38:18.159> kind<01:38:18.400> of 01:38:19.750 --> 01:38:19.760 align:start position:0% conflict of interest it's kind of 01:38:19.760 --> 01:38:21.189 align:start position:0% conflict of interest it's kind of like<01:38:20.000> it's<01:38:20.239> not 01:38:21.189 --> 01:38:21.199 align:start position:0% like it's not 01:38:21.199 --> 01:38:23.030 align:start position:0% like it's not like<01:38:21.440> like<01:38:21.920> like<01:38:22.239> uh 01:38:23.030 --> 01:38:23.040 align:start position:0% like like like uh 01:38:23.040 --> 01:38:24.390 align:start position:0% like like like uh albert<01:38:23.600> said 01:38:24.390 --> 01:38:24.400 align:start position:0% albert said 01:38:24.400 --> 01:38:25.910 align:start position:0% albert said there's<01:38:24.719> rules 01:38:25.910 --> 01:38:25.920 align:start position:0% there's rules 01:38:25.920 --> 01:38:27.910 align:start position:0% there's rules i<01:38:26.080> mean<01:38:26.400> you're<01:38:26.639> not<01:38:26.800> allowed<01:38:27.040> to<01:38:27.199> have<01:38:27.360> direct 01:38:27.910 --> 01:38:27.920 align:start position:0% i mean you're not allowed to have direct 01:38:27.920 --> 01:38:30.709 align:start position:0% i mean you're not allowed to have direct financial<01:38:28.480> conflicts<01:38:29.040> of<01:38:29.199> interest<01:38:29.679> it's 01:38:30.709 --> 01:38:30.719 align:start position:0% financial conflicts of interest it's 01:38:30.719 --> 01:38:33.350 align:start position:0% financial conflicts of interest it's it's<01:38:31.040> indirect<01:38:32.159> right<01:38:32.400> but<01:38:32.560> what<01:38:32.719> i'm<01:38:32.960> saying 01:38:33.350 --> 01:38:33.360 align:start position:0% it's indirect right but what i'm saying 01:38:33.360 --> 01:38:34.390 align:start position:0% it's indirect right but what i'm saying is 01:38:34.390 --> 01:38:34.400 align:start position:0% is 01:38:34.400 --> 01:38:37.750 align:start position:0% is i'm<01:38:34.639> not<01:38:34.800> denying<01:38:35.199> what<01:38:35.360> he<01:38:35.520> said<01:38:35.760> is<01:38:35.920> true 01:38:37.750 --> 01:38:37.760 align:start position:0% i'm not denying what he said is true 01:38:37.760 --> 01:38:41.990 align:start position:0% i'm not denying what he said is true but<01:38:37.920> the<01:38:38.239> fda<01:38:39.199> a<01:38:39.360> high<01:38:39.679> official<01:38:40.159> in<01:38:40.239> the<01:38:40.480> fda 01:38:41.990 --> 01:38:42.000 align:start position:0% but the fda a high official in the fda 01:38:42.000 --> 01:38:44.070 align:start position:0% but the fda a high official in the fda is<01:38:42.159> saying<01:38:42.880> that<01:38:43.119> we<01:38:43.280> need<01:38:43.520> to<01:38:43.679> allow 01:38:44.070 --> 01:38:44.080 align:start position:0% is saying that we need to allow 01:38:44.080 --> 01:38:46.149 align:start position:0% is saying that we need to allow conflicts<01:38:44.639> of<01:38:44.800> interest<01:38:45.360> in<01:38:45.520> our<01:38:45.679> advisory 01:38:46.149 --> 01:38:46.159 align:start position:0% conflicts of interest in our advisory 01:38:46.159 --> 01:38:48.229 align:start position:0% conflicts of interest in our advisory committee<01:38:46.560> meetings 01:38:48.229 --> 01:38:48.239 align:start position:0% committee meetings 01:38:48.239 --> 01:38:49.270 align:start position:0% committee meetings uh 01:38:49.270 --> 01:38:49.280 align:start position:0% uh 01:38:49.280 --> 01:38:51.109 align:start position:0% uh and<01:38:49.679> that 01:38:51.109 --> 01:38:51.119 align:start position:0% and that 01:38:51.119 --> 01:38:53.270 align:start position:0% and that she<01:38:51.280> wants<01:38:51.520> to<01:38:51.600> change<01:38:51.920> the<01:38:52.080> rules 01:38:53.270 --> 01:38:53.280 align:start position:0% she wants to change the rules 01:38:53.280 --> 01:38:54.470 align:start position:0% she wants to change the rules right<01:38:53.600> so 01:38:54.470 --> 01:38:54.480 align:start position:0% right so 01:38:54.480 --> 01:38:56.390 align:start position:0% right so albert<01:38:54.800> borla<01:38:55.280> would<01:38:55.440> still<01:38:55.600> be 01:38:56.390 --> 01:38:56.400 align:start position:0% albert borla would still be 01:38:56.400 --> 01:38:59.990 align:start position:0% albert borla would still be playing<01:38:56.719> by<01:38:56.880> the<01:38:57.040> rules<01:38:57.920> but<01:38:58.239> it<01:38:58.400> just<01:38:58.719> shows 01:38:59.990 --> 01:39:00.000 align:start position:0% playing by the rules but it just shows 01:39:00.000 --> 01:39:03.270 align:start position:0% playing by the rules but it just shows how<01:39:00.400> one-sided<01:39:01.119> the<01:39:01.280> thinking<01:39:01.679> here<01:39:02.080> is 01:39:03.270 --> 01:39:03.280 align:start position:0% how one-sided the thinking here is 01:39:03.280 --> 01:39:04.870 align:start position:0% how one-sided the thinking here is but<01:39:03.520> you<01:39:03.679> think<01:39:03.840> that's<01:39:04.080> influenced<01:39:04.560> by<01:39:04.719> the 01:39:04.870 --> 01:39:04.880 align:start position:0% but you think that's influenced by the 01:39:04.880 --> 01:39:06.709 align:start position:0% but you think that's influenced by the fact<01:39:05.119> that<01:39:05.440> there<01:39:05.600> were<01:39:05.840> pharmaceutical 01:39:06.709 --> 01:39:06.719 align:start position:0% fact that there were pharmaceutical 01:39:06.719 --> 01:39:09.350 align:start position:0% fact that there were pharmaceutical executives<01:39:07.280> working<01:39:07.679> at<01:39:07.760> the<01:39:07.840> fda<01:39:08.880> and<01:39:09.040> vice 01:39:09.350 --> 01:39:09.360 align:start position:0% executives working at the fda and vice 01:39:09.360 --> 01:39:13.189 align:start position:0% executives working at the fda and vice versa<01:39:09.840> and<01:39:09.920> they<01:39:10.080> think<01:39:10.239> that's<01:39:10.560> a<01:39:10.639> great<01:39:10.880> idea 01:39:13.189 --> 01:39:13.199 align:start position:0% versa and they think that's a great idea 01:39:13.199 --> 01:39:14.790 align:start position:0% versa and they think that's a great idea who<01:39:13.520> gets<01:39:13.760> to<01:39:13.920> fix<01:39:14.159> this<01:39:14.400> do<01:39:14.480> you<01:39:14.560> think<01:39:14.719> it 01:39:14.790 --> 01:39:14.800 align:start position:0% who gets to fix this do you think it 01:39:14.800 --> 01:39:17.430 align:start position:0% who gets to fix this do you think it should<01:39:14.960> be<01:39:15.119> just<01:39:15.440> banned<01:39:16.400> like<01:39:16.639> if<01:39:16.719> you<01:39:16.960> work 01:39:17.430 --> 01:39:17.440 align:start position:0% should be just banned like if you work 01:39:17.440 --> 01:39:19.030 align:start position:0% should be just banned like if you work two<01:39:17.600> separate<01:39:18.000> questions 01:39:19.030 --> 01:39:19.040 align:start position:0% two separate questions 01:39:19.040 --> 01:39:20.629 align:start position:0% two separate questions one<01:39:19.360> is<01:39:19.600> should<01:39:19.920> the 01:39:20.629 --> 01:39:20.639 align:start position:0% one is should the 01:39:20.639 --> 01:39:23.590 align:start position:0% one is should the uh<01:39:20.960> officials<01:39:21.440> at<01:39:21.520> the<01:39:21.679> fda<01:39:22.239> come<01:39:22.480> from<01:39:22.719> pharma 01:39:23.590 --> 01:39:23.600 align:start position:0% uh officials at the fda come from pharma 01:39:23.600 --> 01:39:26.310 align:start position:0% uh officials at the fda come from pharma and<01:39:23.760> vice<01:39:24.080> versa<01:39:24.719> yes<01:39:24.960> that's<01:39:25.199> one<01:39:25.440> question 01:39:26.310 --> 01:39:26.320 align:start position:0% and vice versa yes that's one question 01:39:26.320 --> 01:39:27.590 align:start position:0% and vice versa yes that's one question and<01:39:26.480> the<01:39:26.639> other<01:39:26.880> question<01:39:27.199> is<01:39:27.360> should 01:39:27.590 --> 01:39:27.600 align:start position:0% and the other question is should 01:39:27.600 --> 01:39:29.350 align:start position:0% and the other question is should advisory<01:39:28.080> committee<01:39:28.480> members<01:39:28.880> be<01:39:29.040> allowed<01:39:29.280> to 01:39:29.350 --> 01:39:29.360 align:start position:0% advisory committee members be allowed to 01:39:29.360 --> 01:39:31.590 align:start position:0% advisory committee members be allowed to have<01:39:29.520> financial<01:39:30.000> conflicts<01:39:30.480> of<01:39:30.639> interest 01:39:31.590 --> 01:39:31.600 align:start position:0% have financial conflicts of interest 01:39:31.600 --> 01:39:33.030 align:start position:0% have financial conflicts of interest yes 01:39:33.030 --> 01:39:33.040 align:start position:0% yes 01:39:33.040 --> 01:39:34.629 align:start position:0% yes i<01:39:33.199> think 01:39:34.629 --> 01:39:34.639 align:start position:0% i think 01:39:34.639 --> 01:39:37.109 align:start position:0% i think in<01:39:34.880> my<01:39:35.119> opinion<01:39:35.840> and<01:39:36.239> people<01:39:36.560> might<01:39:36.800> say<01:39:36.960> i'm 01:39:37.109 --> 01:39:37.119 align:start position:0% in my opinion and people might say i'm 01:39:37.119 --> 01:39:38.149 align:start position:0% in my opinion and people might say i'm biased 01:39:38.149 --> 01:39:38.159 align:start position:0% biased 01:39:38.159 --> 01:39:40.229 align:start position:0% biased i<01:39:38.320> think<01:39:38.719> fina<01:39:39.280> advisory<01:39:39.679> committee<01:39:40.000> people 01:39:40.229 --> 01:39:40.239 align:start position:0% i think fina advisory committee people 01:39:40.239 --> 01:39:42.149 align:start position:0% i think fina advisory committee people should<01:39:40.400> not<01:39:40.639> have<01:39:40.800> conflicts<01:39:41.280> of<01:39:41.360> interest<01:39:42.000> i 01:39:42.149 --> 01:39:42.159 align:start position:0% should not have conflicts of interest i 01:39:42.159 --> 01:39:43.510 align:start position:0% should not have conflicts of interest i think<01:39:42.320> their<01:39:42.560> only<01:39:42.800> interest<01:39:43.119> ought<01:39:43.360> to<01:39:43.440> be 01:39:43.510 --> 01:39:43.520 align:start position:0% think their only interest ought to be 01:39:43.520 --> 01:39:46.870 align:start position:0% think their only interest ought to be the<01:39:43.679> public<01:39:44.000> interest<01:39:44.800> and<01:39:44.960> that's<01:39:45.600> was<01:39:45.920> true 01:39:46.870 --> 01:39:46.880 align:start position:0% the public interest and that's was true 01:39:46.880 --> 01:39:49.189 align:start position:0% the public interest and that's was true from<01:39:47.119> my<01:39:47.360> understanding<01:39:47.920> of<01:39:48.080> this<01:39:48.239> situation 01:39:49.189 --> 01:39:49.199 align:start position:0% from my understanding of this situation 01:39:49.199 --> 01:39:51.830 align:start position:0% from my understanding of this situation it's<01:39:49.600> the<01:39:50.080> afterward<01:39:50.560> in<01:39:50.719> my<01:39:50.880> book<01:39:51.199> i<01:39:51.520> spent 01:39:51.830 --> 01:39:51.840 align:start position:0% it's the afterward in my book i spent 01:39:51.840 --> 01:39:54.310 align:start position:0% it's the afterward in my book i spent some<01:39:52.000> time<01:39:52.320> studying<01:39:52.719> it<01:39:52.880> about<01:39:53.119> agile<01:39:54.159> i 01:39:54.310 --> 01:39:54.320 align:start position:0% some time studying it about agile i 01:39:54.320 --> 01:39:56.229 align:start position:0% some time studying it about agile i think<01:39:54.480> it's<01:39:54.639> a<01:39:54.719> slam<01:39:55.119> dunk<01:39:55.679> that<01:39:55.840> there<01:39:56.000> ought 01:39:56.229 --> 01:39:56.239 align:start position:0% think it's a slam dunk that there ought 01:39:56.239 --> 01:39:58.709 align:start position:0% think it's a slam dunk that there ought to<01:39:56.320> be<01:39:56.480> no<01:39:56.719> conflicts<01:39:57.119> of<01:39:57.280> interest<01:39:57.600> now<01:39:57.760> the 01:39:58.709 --> 01:39:58.719 align:start position:0% to be no conflicts of interest now the 01:39:58.719 --> 01:40:00.870 align:start position:0% to be no conflicts of interest now the head<01:39:58.880> of<01:39:59.040> cedar<01:39:59.679> center<01:39:59.920> for<01:40:00.080> drug<01:40:00.320> evaluation 01:40:00.870 --> 01:40:00.880 align:start position:0% head of cedar center for drug evaluation 01:40:00.880 --> 01:40:02.390 align:start position:0% head of cedar center for drug evaluation research<01:40:01.360> thinks<01:40:01.679> that<01:40:01.840> that's<01:40:02.159> going<01:40:02.320> to 01:40:02.390 --> 01:40:02.400 align:start position:0% research thinks that that's going to 01:40:02.400 --> 01:40:05.030 align:start position:0% research thinks that that's going to give<01:40:02.639> you<01:40:02.880> a<01:40:03.040> biased<01:40:03.520> result<01:40:04.560> because<01:40:04.880> we 01:40:05.030 --> 01:40:05.040 align:start position:0% give you a biased result because we 01:40:05.040 --> 01:40:07.350 align:start position:0% give you a biased result because we don't<01:40:05.199> have<01:40:05.440> company<01:40:05.920> influence 01:40:07.350 --> 01:40:07.360 align:start position:0% don't have company influence 01:40:07.360 --> 01:40:11.109 align:start position:0% don't have company influence and<01:40:07.920> that<01:40:08.400> i<01:40:08.639> think<01:40:08.880> shows<01:40:09.280> how 01:40:11.109 --> 01:40:11.119 align:start position:0% and that i think shows how 01:40:11.119 --> 01:40:14.229 align:start position:0% and that i think shows how how<01:40:11.520> biased<01:40:12.000> their<01:40:12.159> thinking<01:40:12.639> is 01:40:14.229 --> 01:40:14.239 align:start position:0% how biased their thinking is 01:40:14.239 --> 01:40:16.550 align:start position:0% how biased their thinking is that<01:40:14.560> not<01:40:14.880> having<01:40:15.280> company<01:40:15.760> influence<01:40:16.239> is<01:40:16.400> a 01:40:16.550 --> 01:40:16.560 align:start position:0% that not having company influence is a 01:40:16.560 --> 01:40:19.189 align:start position:0% that not having company influence is a bias 01:40:19.189 --> 01:40:19.199 align:start position:0% 01:40:19.199 --> 01:40:21.830 align:start position:0% let<01:40:19.360> me<01:40:19.520> try<01:40:19.760> to<01:40:20.000> load<01:40:20.239> that<01:40:20.480> in<01:40:21.119> i'm<01:40:21.360> trying<01:40:21.600> to 01:40:21.830 --> 01:40:21.840 align:start position:0% let me try to load that in i'm trying to 01:40:21.840 --> 01:40:24.950 align:start position:0% let me try to load that in i'm trying to empathize<01:40:22.480> with<01:40:22.639> the<01:40:22.800> belief<01:40:23.199> that<01:40:23.520> companies 01:40:24.950 --> 01:40:24.960 align:start position:0% empathize with the belief that companies 01:40:24.960 --> 01:40:28.550 align:start position:0% empathize with the belief that companies should<01:40:25.119> have<01:40:25.280> a<01:40:25.440> voice<01:40:25.840> at<01:40:25.920> the<01:40:26.080> table 01:40:28.550 --> 01:40:28.560 align:start position:0% 01:40:28.560 --> 01:40:30.310 align:start position:0% i<01:40:28.719> mean<01:40:29.119> yeah<01:40:29.440> it's<01:40:29.600> part<01:40:29.840> of<01:40:29.920> the<01:40:30.000> game 01:40:30.310 --> 01:40:30.320 align:start position:0% i mean yeah it's part of the game 01:40:30.320 --> 01:40:31.590 align:start position:0% i mean yeah it's part of the game they've<01:40:30.480> convinced<01:40:30.960> themselves<01:40:31.280> that<01:40:31.360> this 01:40:31.590 --> 01:40:31.600 align:start position:0% they've convinced themselves that this 01:40:31.600 --> 01:40:34.149 align:start position:0% they've convinced themselves that this is<01:40:31.679> how<01:40:31.920> it<01:40:32.000> should<01:40:32.159> be<01:40:32.320> played 01:40:34.149 --> 01:40:34.159 align:start position:0% is how it should be played 01:40:34.159 --> 01:40:36.229 align:start position:0% is how it should be played and<01:40:34.400> but<01:40:34.719> they<01:40:34.960> have<01:40:35.199> a<01:40:35.280> voice<01:40:35.520> at<01:40:35.679> the<01:40:35.840> table 01:40:36.229 --> 01:40:36.239 align:start position:0% and but they have a voice at the table 01:40:36.239 --> 01:40:38.070 align:start position:0% and but they have a voice at the table they've<01:40:36.560> designed<01:40:36.960> the<01:40:37.119> studies<01:40:37.760> right 01:40:38.070 --> 01:40:38.080 align:start position:0% they've designed the studies right 01:40:38.080 --> 01:40:40.870 align:start position:0% they've designed the studies right that's<01:40:38.480> their<01:40:38.639> voice 01:40:40.870 --> 01:40:40.880 align:start position:0% that's their voice 01:40:40.880 --> 01:40:42.950 align:start position:0% that's their voice i<01:40:40.960> mean<01:40:41.199> what<01:40:41.440> bigger<01:40:41.760> voice<01:40:42.239> do<01:40:42.400> you<01:40:42.480> deserve 01:40:42.950 --> 01:40:42.960 align:start position:0% i mean what bigger voice do you deserve 01:40:42.960 --> 01:40:45.510 align:start position:0% i mean what bigger voice do you deserve but<01:40:43.119> i<01:40:43.280> i<01:40:43.440> do<01:40:43.600> also<01:40:43.920> think<01:40:44.560> on<01:40:44.719> the<01:40:44.960> on<01:40:45.040> the<01:40:45.199> more 01:40:45.510 --> 01:40:45.520 align:start position:0% but i i do also think on the on the more 01:40:45.520 --> 01:40:48.470 align:start position:0% but i i do also think on the on the more challenging<01:40:46.480> question<01:40:46.960> i<01:40:47.199> i<01:40:47.360> do<01:40:47.600> think<01:40:47.840> that 01:40:48.470 --> 01:40:48.480 align:start position:0% challenging question i i do think that 01:40:48.480 --> 01:40:52.070 align:start position:0% challenging question i i do think that there<01:40:48.719> should<01:40:48.880> be<01:40:49.119> a<01:40:49.280> ban<01:40:50.159> if<01:40:50.320> you<01:40:50.480> work 01:40:52.070 --> 01:40:52.080 align:start position:0% there should be a ban if you work 01:40:52.080 --> 01:40:53.910 align:start position:0% there should be a ban if you work at<01:40:52.239> a<01:40:52.320> pharmaceutical<01:40:53.119> company<01:40:53.520> you<01:40:53.679> should 01:40:53.910 --> 01:40:53.920 align:start position:0% at a pharmaceutical company you should 01:40:53.920 --> 01:40:57.109 align:start position:0% at a pharmaceutical company you should not<01:40:54.320> be<01:40:54.480> allowed<01:40:54.800> to<01:40:55.040> work<01:40:55.280> at<01:40:55.440> any 01:40:57.109 --> 01:40:57.119 align:start position:0% not be allowed to work at any 01:40:57.119 --> 01:40:58.229 align:start position:0% not be allowed to work at any um 01:40:58.229 --> 01:40:58.239 align:start position:0% um 01:40:58.239 --> 01:40:59.830 align:start position:0% um regulatory 01:40:59.830 --> 01:40:59.840 align:start position:0% regulatory 01:40:59.840 --> 01:41:03.030 align:start position:0% regulatory agency<01:41:00.639> yes<01:41:01.199> you<01:41:01.360> should<01:41:01.520> not<01:41:01.840> i<01:41:02.000> mean<01:41:02.159> that 01:41:03.030 --> 01:41:03.040 align:start position:0% agency yes you should not i mean that 01:41:03.040 --> 01:41:05.189 align:start position:0% agency yes you should not i mean that going<01:41:03.280> back<01:41:03.520> and<01:41:03.679> forth<01:41:03.920> is<01:41:04.080> just<01:41:04.719> even<01:41:05.040> if 01:41:05.189 --> 01:41:05.199 align:start position:0% going back and forth is just even if 01:41:05.199 --> 01:41:08.390 align:start position:0% going back and forth is just even if it's<01:41:05.520> 30<01:41:05.840> years<01:41:06.080> later<01:41:06.880> i<01:41:07.040> agree<01:41:07.440> and<01:41:07.760> i<01:41:08.159> have 01:41:08.390 --> 01:41:08.400 align:start position:0% it's 30 years later i agree and i have 01:41:08.400 --> 01:41:10.950 align:start position:0% it's 30 years later i agree and i have another<01:41:08.960> nomination<01:41:09.600> for<01:41:09.760> a<01:41:09.920> ban 01:41:10.950 --> 01:41:10.960 align:start position:0% another nomination for a ban 01:41:10.960 --> 01:41:13.109 align:start position:0% another nomination for a ban we're<01:41:11.199> in<01:41:11.280> this<01:41:11.600> crazy<01:41:12.159> situation<01:41:12.880> where 01:41:13.109 --> 01:41:13.119 align:start position:0% we're in this crazy situation where 01:41:13.119 --> 01:41:15.109 align:start position:0% we're in this crazy situation where medicare<01:41:13.679> is<01:41:13.840> not<01:41:14.000> allowed<01:41:14.239> to<01:41:14.400> negotiate<01:41:15.040> the 01:41:15.109 --> 01:41:15.119 align:start position:0% medicare is not allowed to negotiate the 01:41:15.119 --> 01:41:17.669 align:start position:0% medicare is not allowed to negotiate the price<01:41:15.440> of<01:41:15.520> drugs<01:41:16.320> with<01:41:16.480> the<01:41:16.560> drug<01:41:16.880> companies 01:41:17.669 --> 01:41:17.679 align:start position:0% price of drugs with the drug companies 01:41:17.679 --> 01:41:19.510 align:start position:0% price of drugs with the drug companies so<01:41:17.840> the<01:41:17.920> drug<01:41:18.159> companies<01:41:18.560> get<01:41:18.719> a<01:41:18.800> patent<01:41:19.280> on<01:41:19.440> a 01:41:19.510 --> 01:41:19.520 align:start position:0% so the drug companies get a patent on a 01:41:19.520 --> 01:41:20.709 align:start position:0% so the drug companies get a patent on a new<01:41:19.679> drug 01:41:20.709 --> 01:41:20.719 align:start position:0% new drug 01:41:20.719 --> 01:41:22.390 align:start position:0% new drug unlike<01:41:21.199> every<01:41:21.360> other<01:41:21.600> developed<01:41:22.000> country 01:41:22.390 --> 01:41:22.400 align:start position:0% unlike every other developed country 01:41:22.400 --> 01:41:24.149 align:start position:0% unlike every other developed country they<01:41:22.560> can<01:41:22.719> charge<01:41:23.040> whatever<01:41:23.440> they<01:41:23.600> want<01:41:24.000> so 01:41:24.149 --> 01:41:24.159 align:start position:0% they can charge whatever they want so 01:41:24.159 --> 01:41:26.149 align:start position:0% they can charge whatever they want so they<01:41:24.320> have<01:41:24.639> a<01:41:24.719> monopoly 01:41:26.149 --> 01:41:26.159 align:start position:0% they have a monopoly 01:41:26.159 --> 01:41:27.669 align:start position:0% they have a monopoly on<01:41:26.320> a<01:41:26.480> utility 01:41:27.669 --> 01:41:27.679 align:start position:0% on a utility 01:41:27.679 --> 01:41:29.510 align:start position:0% on a utility because<01:41:27.840> no<01:41:28.000> one<01:41:28.159> else<01:41:28.239> can<01:41:28.400> make<01:41:28.560> the<01:41:28.719> drug 01:41:29.510 --> 01:41:29.520 align:start position:0% because no one else can make the drug 01:41:29.520 --> 01:41:31.030 align:start position:0% because no one else can make the drug charge<01:41:29.760> whatever<01:41:30.080> they<01:41:30.239> want<01:41:30.480> and<01:41:30.560> medicare 01:41:31.030 --> 01:41:31.040 align:start position:0% charge whatever they want and medicare 01:41:31.040 --> 01:41:33.350 align:start position:0% charge whatever they want and medicare has<01:41:31.199> to<01:41:31.280> pay<01:41:31.520> for<01:41:31.679> it<01:41:32.000> and<01:41:32.159> you<01:41:32.239> say<01:41:32.880> how<01:41:33.040> did<01:41:33.199> we 01:41:33.350 --> 01:41:33.360 align:start position:0% has to pay for it and you say how did we 01:41:33.360 --> 01:41:36.629 align:start position:0% has to pay for it and you say how did we get<01:41:33.600> in<01:41:33.679> this<01:41:34.080> crazy<01:41:34.719> situation 01:41:36.629 --> 01:41:36.639 align:start position:0% get in this crazy situation 01:41:36.639 --> 01:41:39.669 align:start position:0% get in this crazy situation so<01:41:36.880> how<01:41:37.040> we<01:41:37.199> got<01:41:37.520> here<01:41:38.080> is<01:41:38.320> that<01:41:38.560> in<01:41:38.639> 2003<01:41:39.520> when 01:41:39.669 --> 01:41:39.679 align:start position:0% so how we got here is that in 2003 when 01:41:39.679 --> 01:41:41.990 align:start position:0% so how we got here is that in 2003 when medicare<01:41:40.159> part<01:41:40.400> d<01:41:40.639> was<01:41:40.880> passed 01:41:41.990 --> 01:41:42.000 align:start position:0% medicare part d was passed 01:41:42.000 --> 01:41:43.910 align:start position:0% medicare part d was passed billy<01:41:42.320> thousand<01:41:42.719> was<01:41:42.880> head<01:41:43.040> of<01:41:43.119> the<01:41:43.600> ways<01:41:43.840> and 01:41:43.910 --> 01:41:43.920 align:start position:0% billy thousand was head of the ways and 01:41:43.920 --> 01:41:45.830 align:start position:0% billy thousand was head of the ways and means<01:41:44.719> ways<01:41:44.960> and<01:41:45.040> means<01:41:45.280> committee<01:41:45.600> in<01:41:45.679> the 01:41:45.830 --> 01:41:45.840 align:start position:0% means ways and means committee in the 01:41:45.840 --> 01:41:48.550 align:start position:0% means ways and means committee in the house<01:41:46.239> played<01:41:46.480> a<01:41:46.560> key<01:41:46.800> role<01:41:47.520> in<01:41:47.840> ushering<01:41:48.239> this 01:41:48.550 --> 01:41:48.560 align:start position:0% house played a key role in ushering this 01:41:48.560 --> 01:41:51.189 align:start position:0% house played a key role in ushering this through<01:41:48.880> with<01:41:49.040> the<01:41:49.400> non-negotiation<01:41:50.800> clause 01:41:51.189 --> 01:41:51.199 align:start position:0% through with the non-negotiation clause 01:41:51.199 --> 01:41:52.310 align:start position:0% through with the non-negotiation clause of<01:41:51.360> it 01:41:52.310 --> 01:41:52.320 align:start position:0% of it 01:41:52.320 --> 01:41:55.030 align:start position:0% of it and<01:41:52.719> after<01:41:53.040> it<01:41:53.119> was<01:41:53.440> passed<01:41:53.840> billy<01:41:54.239> thousand 01:41:55.030 --> 01:41:55.040 align:start position:0% and after it was passed billy thousand 01:41:55.040 --> 01:41:57.350 align:start position:0% and after it was passed billy thousand did<01:41:55.199> not<01:41:55.440> finish<01:41:55.840> out<01:41:56.000> his<01:41:56.159> term<01:41:56.400> in<01:41:56.560> congress 01:41:57.350 --> 01:41:57.360 align:start position:0% did not finish out his term in congress 01:41:57.360 --> 01:41:59.430 align:start position:0% did not finish out his term in congress he<01:41:57.600> went<01:41:57.760> to<01:41:57.920> pharma<01:41:58.480> for<01:41:58.719> two<01:41:58.880> million<01:41:59.199> dollar 01:41:59.430 --> 01:41:59.440 align:start position:0% he went to pharma for two million dollar 01:41:59.440 --> 01:42:01.990 align:start position:0% he went to pharma for two million dollar a<01:41:59.520> year<01:41:59.840> job 01:42:01.990 --> 01:42:02.000 align:start position:0% a year job 01:42:02.000 --> 01:42:03.990 align:start position:0% a year job this<01:42:02.320> is 01:42:03.990 --> 01:42:04.000 align:start position:0% this is 01:42:04.000 --> 01:42:05.990 align:start position:0% this is this<01:42:04.239> is<01:42:04.400> incredible<01:42:05.119> you<01:42:05.280> might<01:42:05.600> think<01:42:05.840> that 01:42:05.990 --> 01:42:06.000 align:start position:0% this is incredible you might think that 01:42:06.000 --> 01:42:09.350 align:start position:0% this is incredible you might think that a<01:42:06.080> ban<01:42:06.400> on<01:42:06.560> that<01:42:06.719> would<01:42:06.880> be<01:42:07.040> a<01:42:07.119> good<01:42:07.280> idea 01:42:09.350 --> 01:42:09.360 align:start position:0% a ban on that would be a good idea 01:42:09.360 --> 01:42:11.350 align:start position:0% a ban on that would be a good idea i<01:42:09.600> spoke<01:42:09.920> with<01:42:10.080> francis<01:42:10.480> collins<01:42:10.880> head<01:42:11.040> of<01:42:11.199> the 01:42:11.350 --> 01:42:11.360 align:start position:0% i spoke with francis collins head of the 01:42:11.360 --> 01:42:13.750 align:start position:0% i spoke with francis collins head of the nih<01:42:12.000> on<01:42:12.080> this<01:42:12.320> podcast 01:42:13.750 --> 01:42:13.760 align:start position:0% nih on this podcast 01:42:13.760 --> 01:42:17.990 align:start position:0% nih on this podcast he<01:42:14.320> and<01:42:14.719> nih<01:42:15.280> have<01:42:15.440> a<01:42:15.600> lot<01:42:16.560> of<01:42:16.880> power 01:42:17.990 --> 01:42:18.000 align:start position:0% he and nih have a lot of power 01:42:18.000 --> 01:42:22.070 align:start position:0% he and nih have a lot of power over<01:42:18.480> funding<01:42:19.119> in<01:42:19.280> science<01:42:20.159> yes 01:42:22.070 --> 01:42:22.080 align:start position:0% over funding in science yes 01:42:22.080 --> 01:42:23.910 align:start position:0% over funding in science yes what<01:42:22.239> are<01:42:22.320> they<01:42:22.560> doing<01:42:22.880> right<01:42:23.440> what<01:42:23.600> are<01:42:23.760> they 01:42:23.910 --> 01:42:23.920 align:start position:0% what are they doing right what are they 01:42:23.920 --> 01:42:25.750 align:start position:0% what are they doing right what are they doing<01:42:24.239> wrong 01:42:25.750 --> 01:42:25.760 align:start position:0% doing wrong 01:42:25.760 --> 01:42:28.790 align:start position:0% doing wrong in<01:42:25.920> this<01:42:26.239> interplay<01:42:26.800> with<01:42:26.960> big<01:42:27.280> pharma 01:42:28.790 --> 01:42:28.800 align:start position:0% in this interplay with big pharma 01:42:28.800 --> 01:42:32.070 align:start position:0% in this interplay with big pharma how<01:42:29.040> connected<01:42:29.600> are<01:42:29.760> they 01:42:32.070 --> 01:42:32.080 align:start position:0% 01:42:32.080 --> 01:42:34.390 align:start position:0% again<01:42:32.400> returning<01:42:32.800> to<01:42:32.880> the<01:42:33.040> question 01:42:34.390 --> 01:42:34.400 align:start position:0% again returning to the question 01:42:34.400 --> 01:42:35.750 align:start position:0% again returning to the question what<01:42:34.639> are<01:42:34.719> they<01:42:34.880> doing<01:42:35.199> right<01:42:35.360> what<01:42:35.520> are<01:42:35.600> they 01:42:35.750 --> 01:42:35.760 align:start position:0% what are they doing right what are they 01:42:35.760 --> 01:42:38.790 align:start position:0% what are they doing right what are they doing<01:42:36.000> wrong<01:42:36.320> in<01:42:36.400> your<01:42:36.560> view<01:42:36.880> yeah<01:42:37.600> so<01:42:38.159> my 01:42:38.790 --> 01:42:38.800 align:start position:0% doing wrong in your view yeah so my 01:42:38.800 --> 01:42:41.030 align:start position:0% doing wrong in your view yeah so my knowledge<01:42:39.199> of<01:42:39.360> the<01:42:39.520> nih<01:42:40.000> is<01:42:40.080> not<01:42:40.239> as<01:42:40.400> granular 01:42:41.030 --> 01:42:41.040 align:start position:0% knowledge of the nih is not as granular 01:42:41.040 --> 01:42:44.470 align:start position:0% knowledge of the nih is not as granular as<01:42:41.360> my<01:42:41.600> knowledge<01:42:42.159> of<01:42:42.639> pharma 01:42:44.470 --> 01:42:44.480 align:start position:0% as my knowledge of pharma 01:42:44.480 --> 01:42:47.430 align:start position:0% as my knowledge of pharma that<01:42:44.719> said<01:42:45.520> in<01:42:45.760> broad<01:42:46.159> brush<01:42:46.400> strokes 01:42:47.430 --> 01:42:47.440 align:start position:0% that said in broad brush strokes 01:42:47.440 --> 01:42:51.189 align:start position:0% that said in broad brush strokes the<01:42:47.600> nih<01:42:48.320> is<01:42:48.560> doing<01:42:48.800> the<01:42:49.199> infrastructure<01:42:50.239> work 01:42:51.189 --> 01:42:51.199 align:start position:0% the nih is doing the infrastructure work 01:42:51.199 --> 01:42:52.310 align:start position:0% the nih is doing the infrastructure work for 01:42:52.310 --> 01:42:52.320 align:start position:0% for 01:42:52.320 --> 01:42:54.149 align:start position:0% for all<01:42:52.560> drug<01:42:52.880> development<01:42:53.360> i<01:42:53.440> think<01:42:53.600> they've 01:42:54.149 --> 01:42:54.159 align:start position:0% all drug development i think they've 01:42:54.159 --> 01:42:56.149 align:start position:0% all drug development i think they've participated<01:42:54.880> in<01:42:55.040> a<01:42:55.119> hundred<01:42:55.520> percent<01:42:55.920> of<01:42:56.000> the 01:42:56.149 --> 01:42:56.159 align:start position:0% participated in a hundred percent of the 01:42:56.159 --> 01:42:57.590 align:start position:0% participated in a hundred percent of the drugs<01:42:56.560> that<01:42:56.719> have<01:42:56.800> been<01:42:56.960> approved<01:42:57.360> by<01:42:57.520> the 01:42:57.590 --> 01:42:57.600 align:start position:0% drugs that have been approved by the 01:42:57.600 --> 01:42:59.990 align:start position:0% drugs that have been approved by the united<01:42:58.080> the<01:42:58.320> fda<01:42:58.800> over<01:42:58.960> the<01:42:59.040> past<01:42:59.360> 10<01:42:59.600> years<01:42:59.920> or 01:42:59.990 --> 01:43:00.000 align:start position:0% united the fda over the past 10 years or 01:43:00.000 --> 01:43:01.350 align:start position:0% united the fda over the past 10 years or so 01:43:01.350 --> 01:43:01.360 align:start position:0% so 01:43:01.360 --> 01:43:03.109 align:start position:0% so they've<01:43:01.600> done<01:43:02.000> infrastructure<01:43:02.719> work<01:43:02.960> and 01:43:03.109 --> 01:43:03.119 align:start position:0% they've done infrastructure work and 01:43:03.119 --> 01:43:04.149 align:start position:0% they've done infrastructure work and what<01:43:03.280> they<01:43:03.440> do 01:43:04.149 --> 01:43:04.159 align:start position:0% what they do 01:43:04.159 --> 01:43:05.750 align:start position:0% what they do is<01:43:04.400> not 01:43:05.750 --> 01:43:05.760 align:start position:0% is not 01:43:05.760 --> 01:43:07.990 align:start position:0% is not work<01:43:06.159> on<01:43:06.320> particular<01:43:06.960> drugs 01:43:07.990 --> 01:43:08.000 align:start position:0% work on particular drugs 01:43:08.000 --> 01:43:09.590 align:start position:0% work on particular drugs but<01:43:08.159> they<01:43:08.400> develop 01:43:09.590 --> 01:43:09.600 align:start position:0% but they develop 01:43:09.600 --> 01:43:12.310 align:start position:0% but they develop work<01:43:10.080> on<01:43:10.320> drug<01:43:11.040> targets 01:43:12.310 --> 01:43:12.320 align:start position:0% work on drug targets 01:43:12.320 --> 01:43:13.030 align:start position:0% work on drug targets on 01:43:13.030 --> 01:43:13.040 align:start position:0% on 01:43:13.040 --> 01:43:15.030 align:start position:0% on targets<01:43:13.520> in<01:43:13.600> the<01:43:13.760> human<01:43:14.080> body<01:43:14.400> that<01:43:14.639> can<01:43:14.800> be 01:43:15.030 --> 01:43:15.040 align:start position:0% targets in the human body that can be 01:43:15.040 --> 01:43:16.870 align:start position:0% targets in the human body that can be affected<01:43:15.520> by<01:43:15.760> drugs 01:43:16.870 --> 01:43:16.880 align:start position:0% affected by drugs 01:43:16.880 --> 01:43:19.430 align:start position:0% affected by drugs and<01:43:17.520> might<01:43:17.840> be<01:43:18.080> beneficial 01:43:19.430 --> 01:43:19.440 align:start position:0% and might be beneficial 01:43:19.440 --> 01:43:21.430 align:start position:0% and might be beneficial to<01:43:19.679> turn<01:43:20.000> on<01:43:20.239> or<01:43:20.400> off 01:43:21.430 --> 01:43:21.440 align:start position:0% to turn on or off 01:43:21.440 --> 01:43:23.430 align:start position:0% to turn on or off and<01:43:21.600> then<01:43:21.840> the<01:43:22.000> drug<01:43:22.320> companies<01:43:22.800> can<01:43:23.280> when 01:43:23.430 --> 01:43:23.440 align:start position:0% and then the drug companies can when 01:43:23.440 --> 01:43:25.510 align:start position:0% and then the drug companies can when they<01:43:23.600> find<01:43:23.920> a<01:43:24.000> target<01:43:24.480> that<01:43:24.719> is 01:43:25.510 --> 01:43:25.520 align:start position:0% they find a target that is 01:43:25.520 --> 01:43:26.709 align:start position:0% they find a target that is mutable 01:43:26.709 --> 01:43:26.719 align:start position:0% mutable 01:43:26.719 --> 01:43:29.590 align:start position:0% mutable um<01:43:27.360> and<01:43:27.520> potentially<01:43:28.080> beneficial<01:43:29.280> then<01:43:29.440> the 01:43:29.590 --> 01:43:29.600 align:start position:0% um and potentially beneficial then the 01:43:29.600 --> 01:43:32.149 align:start position:0% um and potentially beneficial then the drug<01:43:29.920> companies<01:43:30.480> can<01:43:30.639> take<01:43:30.880> the<01:43:30.960> research<01:43:31.920> and 01:43:32.149 --> 01:43:32.159 align:start position:0% drug companies can take the research and 01:43:32.159 --> 01:43:33.830 align:start position:0% drug companies can take the research and choose<01:43:32.480> to<01:43:32.639> invest<01:43:33.040> in<01:43:33.119> the<01:43:33.280> development<01:43:33.760> of 01:43:33.830 --> 01:43:33.840 align:start position:0% choose to invest in the development of 01:43:33.840 --> 01:43:36.629 align:start position:0% choose to invest in the development of the<01:43:33.920> drugs<01:43:34.560> specific<01:43:35.119> drug 01:43:36.629 --> 01:43:36.639 align:start position:0% the drugs specific drug 01:43:36.639 --> 01:43:39.189 align:start position:0% the drugs specific drug that's<01:43:37.040> our<01:43:37.280> model<01:43:38.320> now 01:43:39.189 --> 01:43:39.199 align:start position:0% that's our model now 01:43:39.199 --> 01:43:42.629 align:start position:0% that's our model now 96<01:43:40.400> of<01:43:40.560> the<01:43:40.719> research<01:43:41.199> that's<01:43:41.520> done 01:43:42.629 --> 01:43:42.639 align:start position:0% 96 of the research that's done 01:43:42.639 --> 01:43:45.270 align:start position:0% 96 of the research that's done in<01:43:42.880> clinical<01:43:43.280> trials<01:43:44.080> in<01:43:44.159> the<01:43:44.239> united<01:43:44.639> states 01:43:45.270 --> 01:43:45.280 align:start position:0% in clinical trials in the united states 01:43:45.280 --> 01:43:47.669 align:start position:0% in clinical trials in the united states is<01:43:45.440> about<01:43:45.679> drugs<01:43:46.000> and<01:43:46.080> devices<01:43:47.119> and<01:43:47.360> only<01:43:47.600> a 01:43:47.669 --> 01:43:47.679 align:start position:0% is about drugs and devices and only a 01:43:47.679 --> 01:43:49.270 align:start position:0% is about drugs and devices and only a fraction<01:43:48.080> of<01:43:48.159> the<01:43:48.239> four<01:43:48.400> percent<01:43:48.800> that's<01:43:48.960> left 01:43:49.270 --> 01:43:49.280 align:start position:0% fraction of the four percent that's left 01:43:49.280 --> 01:43:52.390 align:start position:0% fraction of the four percent that's left over<01:43:50.000> is<01:43:50.239> about<01:43:50.560> preventive<01:43:51.040> medicine<01:43:51.760> and 01:43:52.390 --> 01:43:52.400 align:start position:0% over is about preventive medicine and 01:43:52.400 --> 01:43:54.390 align:start position:0% over is about preventive medicine and how<01:43:52.560> to<01:43:52.639> make<01:43:52.800> americans<01:43:53.280> healthier 01:43:54.390 --> 01:43:54.400 align:start position:0% how to make americans healthier 01:43:54.400 --> 01:43:55.990 align:start position:0% how to make americans healthier i<01:43:54.560> think 01:43:55.990 --> 01:43:56.000 align:start position:0% i think 01:43:56.000 --> 01:43:58.390 align:start position:0% i think again<01:43:56.400> from<01:43:56.560> the<01:43:56.800> satellite<01:43:57.440> view 01:43:58.390 --> 01:43:58.400 align:start position:0% again from the satellite view 01:43:58.400 --> 01:44:02.629 align:start position:0% again from the satellite view the<01:43:58.639> nih<01:43:59.840> is<01:44:00.080> investing 01:44:02.629 --> 01:44:02.639 align:start position:0% the nih is investing 01:44:02.639 --> 01:44:05.350 align:start position:0% the nih is investing more<01:44:03.280> in<01:44:03.600> science<01:44:04.159> that<01:44:04.400> can<01:44:04.800> lead<01:44:05.119> to 01:44:05.350 --> 01:44:05.360 align:start position:0% more in science that can lead to 01:44:05.360 --> 01:44:07.270 align:start position:0% more in science that can lead to commercial<01:44:05.920> development 01:44:07.270 --> 01:44:07.280 align:start position:0% commercial development 01:44:07.280 --> 01:44:08.870 align:start position:0% commercial development rather<01:44:07.600> than<01:44:07.840> as<01:44:08.000> you<01:44:08.159> said<01:44:08.400> at<01:44:08.480> the<01:44:08.560> beginning 01:44:08.870 --> 01:44:08.880 align:start position:0% rather than as you said at the beginning 01:44:08.880 --> 01:44:11.510 align:start position:0% rather than as you said at the beginning of<01:44:08.960> the<01:44:09.119> podcast<01:44:10.080> there's<01:44:10.320> no<01:44:10.560> big<01:44:11.040> fitness 01:44:11.510 --> 01:44:11.520 align:start position:0% of the podcast there's no big fitness 01:44:11.520 --> 01:44:14.870 align:start position:0% of the podcast there's no big fitness and<01:44:11.840> lifestyle<01:44:12.480> industry<01:44:13.440> that<01:44:13.679> can<01:44:14.239> counter 01:44:14.870 --> 01:44:14.880 align:start position:0% and lifestyle industry that can counter 01:44:14.880 --> 01:44:15.910 align:start position:0% and lifestyle industry that can counter pharma 01:44:15.910 --> 01:44:15.920 align:start position:0% pharma 01:44:15.920 --> 01:44:18.629 align:start position:0% pharma so<01:44:16.159> i<01:44:16.239> think<01:44:16.560> at<01:44:16.719> the<01:44:16.960> nih<01:44:17.600> level<01:44:18.400> that 01:44:18.629 --> 01:44:18.639 align:start position:0% so i think at the nih level that 01:44:18.639 --> 01:44:20.790 align:start position:0% so i think at the nih level that countering<01:44:19.040> can<01:44:19.199> be<01:44:19.360> done<01:44:19.600> and<01:44:19.760> the<01:44:20.159> diabetes 01:44:20.790 --> 01:44:20.800 align:start position:0% countering can be done and the diabetes 01:44:20.800 --> 01:44:22.950 align:start position:0% countering can be done and the diabetes prevention<01:44:21.360> program<01:44:22.159> study<01:44:22.480> that<01:44:22.560> we<01:44:22.719> talked 01:44:22.950 --> 01:44:22.960 align:start position:0% prevention program study that we talked 01:44:22.960 --> 01:44:25.350 align:start position:0% prevention program study that we talked about<01:44:23.119> before<01:44:23.520> where<01:44:23.840> lifestyle<01:44:24.800> was<01:44:25.040> part<01:44:25.199> of 01:44:25.350 --> 01:44:25.360 align:start position:0% about before where lifestyle was part of 01:44:25.360 --> 01:44:27.109 align:start position:0% about before where lifestyle was part of a<01:44:25.440> randomized<01:44:26.000> trial<01:44:26.400> and<01:44:26.480> was<01:44:26.639> shown<01:44:26.880> to<01:44:26.960> be 01:44:27.109 --> 01:44:27.119 align:start position:0% a randomized trial and was shown to be 01:44:27.119 --> 01:44:28.870 align:start position:0% a randomized trial and was shown to be more<01:44:27.280> effective<01:44:27.760> than<01:44:27.920> metformin<01:44:28.719> at 01:44:28.870 --> 01:44:28.880 align:start position:0% more effective than metformin at 01:44:28.880 --> 01:44:30.870 align:start position:0% more effective than metformin at preventing<01:44:29.360> the<01:44:29.440> development<01:44:29.840> of<01:44:29.920> diabetes 01:44:30.870 --> 01:44:30.880 align:start position:0% preventing the development of diabetes 01:44:30.880 --> 01:44:34.550 align:start position:0% preventing the development of diabetes that<01:44:31.199> is<01:44:31.840> absolute<01:44:32.639> proof<01:44:33.119> positive<01:44:34.320> that 01:44:34.550 --> 01:44:34.560 align:start position:0% that is absolute proof positive that 01:44:34.560 --> 01:44:36.149 align:start position:0% that is absolute proof positive that investing<01:44:35.040> in<01:44:35.119> that<01:44:35.280> kind<01:44:35.520> of<01:44:35.600> science<01:44:36.000> can 01:44:36.149 --> 01:44:36.159 align:start position:0% investing in that kind of science can 01:44:36.159 --> 01:44:37.750 align:start position:0% investing in that kind of science can produce<01:44:36.560> good<01:44:36.719> results 01:44:37.750 --> 01:44:37.760 align:start position:0% produce good results 01:44:37.760 --> 01:44:40.229 align:start position:0% produce good results so<01:44:37.920> i<01:44:38.080> think<01:44:38.800> that 01:44:40.229 --> 01:44:40.239 align:start position:0% so i think that 01:44:40.239 --> 01:44:42.950 align:start position:0% so i think that we're<01:44:40.560> aimed<01:44:41.199> at<01:44:41.360> drug<01:44:41.679> development 01:44:42.950 --> 01:44:42.960 align:start position:0% we're aimed at drug development 01:44:42.960 --> 01:44:45.229 align:start position:0% we're aimed at drug development and<01:44:43.119> what<01:44:43.280> we<01:44:43.520> ought<01:44:43.760> to<01:44:43.920> be<01:44:44.080> aimed<01:44:44.480> at<01:44:44.800> is<01:44:44.960> an 01:44:45.229 --> 01:44:45.239 align:start position:0% and what we ought to be aimed at is an 01:44:45.239 --> 01:44:47.590 align:start position:0% and what we ought to be aimed at is an epidemiological<01:44:46.320> approach 01:44:47.590 --> 01:44:47.600 align:start position:0% epidemiological approach 01:44:47.600 --> 01:44:49.830 align:start position:0% epidemiological approach to<01:44:48.080> improving<01:44:48.560> the<01:44:48.639> health<01:44:48.960> of<01:44:49.119> all<01:44:49.280> americans 01:44:49.830 --> 01:44:49.840 align:start position:0% to improving the health of all americans 01:44:49.840 --> 01:44:50.870 align:start position:0% to improving the health of all americans we<01:44:50.000> rank 01:44:50.870 --> 01:44:50.880 align:start position:0% we rank 01:44:50.880 --> 01:44:53.109 align:start position:0% we rank 68th<01:44:51.600> in<01:44:51.679> the<01:44:51.840> world<01:44:52.320> in<01:44:52.480> healthy<01:44:52.880> life 01:44:53.109 --> 01:44:53.119 align:start position:0% 68th in the world in healthy life 01:44:53.119 --> 01:44:54.870 align:start position:0% 68th in the world in healthy life expectancy 01:44:54.870 --> 01:44:54.880 align:start position:0% expectancy 01:44:54.880 --> 01:44:56.709 align:start position:0% expectancy despite<01:44:55.360> spending<01:44:55.760> an<01:44:55.920> extra<01:44:56.159> trillion<01:44:56.560> and<01:44:56.639> a 01:44:56.709 --> 01:44:56.719 align:start position:0% despite spending an extra trillion and a 01:44:56.719 --> 01:44:58.950 align:start position:0% despite spending an extra trillion and a half<01:44:56.960> dollars<01:44:57.360> a<01:44:57.520> year 01:44:58.950 --> 01:44:58.960 align:start position:0% half dollars a year 01:44:58.960 --> 01:44:59.990 align:start position:0% half dollars a year and 01:44:59.990 --> 01:45:00.000 align:start position:0% and 01:45:00.000 --> 01:45:02.390 align:start position:0% and i<01:45:00.719> believe<01:45:01.199> strongly 01:45:02.390 --> 01:45:02.400 align:start position:0% i believe strongly 01:45:02.400 --> 01:45:04.629 align:start position:0% i believe strongly that<01:45:02.560> the<01:45:02.719> reason<01:45:03.119> why<01:45:03.360> we've<01:45:03.520> gotten<01:45:04.159> in<01:45:04.320> this 01:45:04.629 --> 01:45:04.639 align:start position:0% that the reason why we've gotten in this 01:45:04.639 --> 01:45:06.790 align:start position:0% that the reason why we've gotten in this crazy<01:45:05.119> position 01:45:06.790 --> 01:45:06.800 align:start position:0% crazy position 01:45:06.800 --> 01:45:08.070 align:start position:0% crazy position is<01:45:07.040> because 01:45:08.070 --> 01:45:08.080 align:start position:0% is because 01:45:08.080 --> 01:45:10.149 align:start position:0% is because our<01:45:08.560> the<01:45:08.800> knowledge<01:45:09.280> that<01:45:09.440> we're<01:45:09.600> producing 01:45:10.149 --> 01:45:10.159 align:start position:0% our the knowledge that we're producing 01:45:10.159 --> 01:45:12.390 align:start position:0% our the knowledge that we're producing is<01:45:10.320> about<01:45:10.560> new<01:45:10.719> drugs<01:45:11.040> and<01:45:11.199> devices 01:45:12.390 --> 01:45:12.400 align:start position:0% is about new drugs and devices 01:45:12.400 --> 01:45:14.870 align:start position:0% is about new drugs and devices and<01:45:12.560> it's<01:45:12.880> not<01:45:13.280> about<01:45:13.760> improving<01:45:14.239> population 01:45:14.870 --> 01:45:14.880 align:start position:0% and it's not about improving population 01:45:14.880 --> 01:45:17.910 align:start position:0% and it's not about improving population health<01:45:15.679> in<01:45:15.840> this<01:45:16.159> problem<01:45:16.880> the<01:45:17.040> nih<01:45:17.600> is<01:45:17.760> the 01:45:17.910 --> 01:45:17.920 align:start position:0% health in this problem the nih is the 01:45:17.920 --> 01:45:20.870 align:start position:0% health in this problem the nih is the perfect<01:45:18.400> institution<01:45:19.520> to<01:45:19.760> play<01:45:20.000> a<01:45:20.159> role<01:45:20.639> in 01:45:20.870 --> 01:45:20.880 align:start position:0% perfect institution to play a role in 01:45:20.880 --> 01:45:23.350 align:start position:0% perfect institution to play a role in rebalancing<01:45:21.840> our<01:45:22.000> research<01:45:22.480> agenda<01:45:23.040> and<01:45:23.199> some 01:45:23.350 --> 01:45:23.360 align:start position:0% rebalancing our research agenda and some 01:45:23.360 --> 01:45:25.189 align:start position:0% rebalancing our research agenda and some of<01:45:23.440> that<01:45:23.600> is<01:45:23.760> on<01:45:23.840> the<01:45:24.000> leadership<01:45:24.480> side<01:45:24.800> with 01:45:25.189 --> 01:45:25.199 align:start position:0% of that is on the leadership side with 01:45:25.199 --> 01:45:27.830 align:start position:0% of that is on the leadership side with francis<01:45:25.679> collins<01:45:26.000> and<01:45:26.159> anthony<01:45:26.560> fauci 01:45:27.830 --> 01:45:27.840 align:start position:0% francis collins and anthony fauci 01:45:27.840 --> 01:45:31.430 align:start position:0% francis collins and anthony fauci not<01:45:28.159> just<01:45:28.840> speaking<01:45:30.000> uh<01:45:30.480> about 01:45:31.430 --> 01:45:31.440 align:start position:0% not just speaking uh about 01:45:31.440 --> 01:45:32.950 align:start position:0% not just speaking uh about basically<01:45:31.920> everything<01:45:32.239> that<01:45:32.400> just<01:45:32.639> leads<01:45:32.800> to 01:45:32.950 --> 01:45:32.960 align:start position:0% basically everything that just leads to 01:45:32.960 --> 01:45:34.790 align:start position:0% basically everything that just leads to drug<01:45:33.199> development<01:45:33.679> vaccine<01:45:34.080> development<01:45:34.639> but 01:45:34.790 --> 01:45:34.800 align:start position:0% drug development vaccine development but 01:45:34.800 --> 01:45:36.629 align:start position:0% drug development vaccine development but also<01:45:35.119> speaking<01:45:35.440> about<01:45:35.600> healthy<01:45:36.000> lifestyles 01:45:36.629 --> 01:45:36.639 align:start position:0% also speaking about healthy lifestyles 01:45:36.639 --> 01:45:37.430 align:start position:0% also speaking about healthy lifestyles and 01:45:37.430 --> 01:45:37.440 align:start position:0% and 01:45:37.440 --> 01:45:39.510 align:start position:0% and uh<01:45:37.679> speaking<01:45:38.080> about<01:45:38.320> health 01:45:39.510 --> 01:45:39.520 align:start position:0% uh speaking about health 01:45:39.520 --> 01:45:42.149 align:start position:0% uh speaking about health not<01:45:39.760> just<01:45:40.000> sickness<01:45:40.639> yes<01:45:40.880> and<01:45:41.119> investing<01:45:41.840> and 01:45:42.149 --> 01:45:42.159 align:start position:0% not just sickness yes and investing and 01:45:42.159 --> 01:45:44.390 align:start position:0% not just sickness yes and investing and investing<01:45:42.719> in<01:45:43.119> i<01:45:43.119> mean 01:45:44.390 --> 01:45:44.400 align:start position:0% investing in i mean 01:45:44.400 --> 01:45:47.270 align:start position:0% investing in i mean it's<01:45:44.639> it's<01:45:44.880> like<01:45:45.119> uh 01:45:47.270 --> 01:45:47.280 align:start position:0% it's it's like uh 01:45:47.280 --> 01:45:49.350 align:start position:0% it's it's like uh it<01:45:47.600> fee<01:45:47.920> one<01:45:48.159> fee<01:45:48.400> is<01:45:48.480> the<01:45:48.639> other<01:45:48.880> one<01:45:49.119> you<01:45:49.199> have 01:45:49.350 --> 01:45:49.360 align:start position:0% it fee one fee is the other one you have 01:45:49.360 --> 01:45:51.270 align:start position:0% it fee one fee is the other one you have to<01:45:49.840> communicate<01:45:50.320> to<01:45:50.480> the<01:45:50.639> public<01:45:51.040> the 01:45:51.270 --> 01:45:51.280 align:start position:0% to communicate to the public the 01:45:51.280 --> 01:45:53.990 align:start position:0% to communicate to the public the importance<01:45:51.840> of<01:45:52.400> of<01:45:52.639> investing<01:45:53.119> in<01:45:53.280> health<01:45:53.920> and 01:45:53.990 --> 01:45:54.000 align:start position:0% importance of of investing in health and 01:45:54.000 --> 01:45:55.830 align:start position:0% importance of of investing in health and that<01:45:54.239> leads<01:45:54.560> to<01:45:54.800> you 01:45:55.830 --> 01:45:55.840 align:start position:0% that leads to you 01:45:55.840 --> 01:45:57.669 align:start position:0% that leads to you getting<01:45:56.239> props<01:45:56.639> for<01:45:56.880> investing<01:45:57.280> in<01:45:57.440> health 01:45:57.669 --> 01:45:57.679 align:start position:0% getting props for investing in health 01:45:57.679 --> 01:45:59.109 align:start position:0% getting props for investing in health and<01:45:57.760> then<01:45:57.920> you<01:45:58.000> can<01:45:58.239> invest<01:45:58.560> in<01:45:58.639> health<01:45:58.880> more 01:45:59.109 --> 01:45:59.119 align:start position:0% and then you can invest in health more 01:45:59.119 --> 01:46:01.350 align:start position:0% and then you can invest in health more and<01:45:59.199> more<01:45:59.440> and<01:45:59.520> then<01:45:59.840> that<01:46:00.480> communicates<01:46:01.280> i 01:46:01.350 --> 01:46:01.360 align:start position:0% and more and then that communicates i 01:46:01.360 --> 01:46:03.189 align:start position:0% and more and then that communicates i mean<01:46:01.600> everything<01:46:01.920> that<01:46:02.080> anthony<01:46:02.480> fauci<01:46:02.960> says 01:46:03.189 --> 01:46:03.199 align:start position:0% mean everything that anthony fauci says 01:46:03.199 --> 01:46:05.750 align:start position:0% mean everything that anthony fauci says that<01:46:03.360> francis<01:46:03.760> collins<01:46:04.239> says<01:46:04.960> has<01:46:05.199> an<01:46:05.360> impact 01:46:05.750 --> 01:46:05.760 align:start position:0% that francis collins says has an impact 01:46:05.760 --> 01:46:07.109 align:start position:0% that francis collins says has an impact on<01:46:05.920> scientists 01:46:07.109 --> 01:46:07.119 align:start position:0% on scientists 01:46:07.119 --> 01:46:08.709 align:start position:0% on scientists i<01:46:07.199> mean<01:46:07.360> the 01:46:08.709 --> 01:46:08.719 align:start position:0% i mean the 01:46:08.719 --> 01:46:09.910 align:start position:0% i mean the you<01:46:08.880> know<01:46:09.199> it 01:46:09.910 --> 01:46:09.920 align:start position:0% you know it 01:46:09.920 --> 01:46:12.550 align:start position:0% you know it it<01:46:10.159> sets<01:46:10.400> the<01:46:10.840> priorities<01:46:11.920> i<01:46:12.159> i<01:46:12.239> don't<01:46:12.400> think 01:46:12.550 --> 01:46:12.560 align:start position:0% it sets the priorities i i don't think 01:46:12.560 --> 01:46:13.590 align:start position:0% it sets the priorities i i don't think they 01:46:13.590 --> 01:46:13.600 align:start position:0% they 01:46:13.600 --> 01:46:16.709 align:start position:0% they it's<01:46:13.920> the<01:46:14.159> sad<01:46:14.400> thing<01:46:14.639> about<01:46:15.119> leaders 01:46:16.709 --> 01:46:16.719 align:start position:0% it's the sad thing about leaders 01:46:16.719 --> 01:46:18.629 align:start position:0% it's the sad thing about leaders um 01:46:18.629 --> 01:46:18.639 align:start position:0% um 01:46:18.639 --> 01:46:20.149 align:start position:0% um forgive<01:46:19.040> me<01:46:19.199> for<01:46:19.360> saying<01:46:19.600> the<01:46:19.679> word<01:46:19.920> but 01:46:20.149 --> 01:46:20.159 align:start position:0% forgive me for saying the word but 01:46:20.159 --> 01:46:21.990 align:start position:0% forgive me for saying the word but mediocre<01:46:20.880> leaders 01:46:21.990 --> 01:46:22.000 align:start position:0% mediocre leaders 01:46:22.000 --> 01:46:24.709 align:start position:0% mediocre leaders is<01:46:22.159> they<01:46:22.400> don't<01:46:22.639> see<01:46:22.880> themselves<01:46:23.840> as 01:46:24.709 --> 01:46:24.719 align:start position:0% is they don't see themselves as 01:46:24.719 --> 01:46:26.709 align:start position:0% is they don't see themselves as part<01:46:24.960> of<01:46:25.119> a<01:46:25.280> game 01:46:26.709 --> 01:46:26.719 align:start position:0% part of a game 01:46:26.719 --> 01:46:27.669 align:start position:0% part of a game they 01:46:27.669 --> 01:46:27.679 align:start position:0% they 01:46:27.679 --> 01:46:30.149 align:start position:0% they uh<01:46:28.159> they<01:46:28.400> don't<01:46:28.800> see<01:46:29.040> the<01:46:29.199> momentum<01:46:29.840> it's<01:46:30.000> like 01:46:30.149 --> 01:46:30.159 align:start position:0% uh they don't see the momentum it's like 01:46:30.159 --> 01:46:31.669 align:start position:0% uh they don't see the momentum it's like a<01:46:30.239> fish<01:46:30.480> in<01:46:30.639> the<01:46:30.719> water<01:46:31.040> they<01:46:31.199> don't<01:46:31.360> see<01:46:31.600> the 01:46:31.669 --> 01:46:31.679 align:start position:0% a fish in the water they don't see the 01:46:31.679 --> 01:46:33.109 align:start position:0% a fish in the water they don't see the water 01:46:33.109 --> 01:46:33.119 align:start position:0% water 01:46:33.119 --> 01:46:35.430 align:start position:0% water great<01:46:33.520> leaders<01:46:34.000> stand<01:46:34.400> up<01:46:34.560> and<01:46:34.719> reverse<01:46:35.280> the 01:46:35.430 --> 01:46:35.440 align:start position:0% great leaders stand up and reverse the 01:46:35.440 --> 01:46:37.830 align:start position:0% great leaders stand up and reverse the direction<01:46:35.920> of<01:46:36.080> how<01:46:36.320> things<01:46:36.560> are<01:46:36.719> going<01:46:37.040> and<01:46:37.520> i 01:46:37.830 --> 01:46:37.840 align:start position:0% direction of how things are going and i 01:46:37.840 --> 01:46:40.790 align:start position:0% direction of how things are going and i actually<01:46:38.159> put<01:46:38.320> a<01:46:38.400> lot<01:46:38.639> of<01:46:38.719> responsibility 01:46:40.790 --> 01:46:40.800 align:start position:0% actually put a lot of responsibility 01:46:40.800 --> 01:46:43.510 align:start position:0% actually put a lot of responsibility some<01:46:40.960> people<01:46:41.280> say<01:46:41.520> too<01:46:41.679> much<01:46:42.000> but<01:46:42.560> whatever<01:46:43.440> i 01:46:43.510 --> 01:46:43.520 align:start position:0% some people say too much but whatever i 01:46:43.520 --> 01:46:45.030 align:start position:0% some people say too much but whatever i think<01:46:43.840> leaders 01:46:45.030 --> 01:46:45.040 align:start position:0% think leaders 01:46:45.040 --> 01:46:46.950 align:start position:0% think leaders carry<01:46:45.280> the<01:46:45.360> responsibility<01:46:46.239> i<01:46:46.400> put<01:46:46.639> a<01:46:46.719> lot<01:46:46.880> of 01:46:46.950 --> 01:46:46.960 align:start position:0% carry the responsibility i put a lot of 01:46:46.960 --> 01:46:48.790 align:start position:0% carry the responsibility i put a lot of responsibility<01:46:47.679> on<01:46:47.840> anthony<01:46:48.239> fauci<01:46:48.719> and 01:46:48.790 --> 01:46:48.800 align:start position:0% responsibility on anthony fauci and 01:46:48.800 --> 01:46:50.870 align:start position:0% responsibility on anthony fauci and francis<01:46:49.199> collins<01:46:49.600> for<01:46:49.840> not<01:46:50.560> actually 01:46:50.870 --> 01:46:50.880 align:start position:0% francis collins for not actually 01:46:50.880 --> 01:46:53.030 align:start position:0% francis collins for not actually speaking<01:46:51.280> a<01:46:51.360> lot<01:46:51.520> more<01:46:51.760> about<01:46:52.000> health 01:46:53.030 --> 01:46:53.040 align:start position:0% speaking a lot more about health 01:46:53.040 --> 01:46:54.550 align:start position:0% speaking a lot more about health not<01:46:53.600> not 01:46:54.550 --> 01:46:54.560 align:start position:0% not not 01:46:54.560 --> 01:46:59.270 align:start position:0% not not and<01:46:54.880> bigger<01:46:55.840> inspiring<01:46:56.560> people 01:46:59.270 --> 01:46:59.280 align:start position:0% 01:46:59.280 --> 01:47:01.189 align:start position:0% in<01:46:59.360> the<01:46:59.600> power 01:47:01.189 --> 01:47:01.199 align:start position:0% in the power 01:47:01.199 --> 01:47:03.350 align:start position:0% in the power and 01:47:03.350 --> 01:47:03.360 align:start position:0% and 01:47:03.360 --> 01:47:06.629 align:start position:0% and the<01:47:03.600> trustworthiness<01:47:04.639> of<01:47:04.800> science 01:47:06.629 --> 01:47:06.639 align:start position:0% the trustworthiness of science 01:47:06.639 --> 01:47:08.550 align:start position:0% the trustworthiness of science you<01:47:06.800> know<01:47:07.040> that<01:47:07.280> that's<01:47:07.520> on<01:47:07.679> the<01:47:07.840> shoulders<01:47:08.320> of 01:47:08.550 --> 01:47:08.560 align:start position:0% you know that that's on the shoulders of 01:47:08.560 --> 01:47:10.310 align:start position:0% you know that that's on the shoulders of um 01:47:10.310 --> 01:47:10.320 align:start position:0% um 01:47:10.320 --> 01:47:12.149 align:start position:0% um anthony<01:47:10.800> fauci 01:47:12.149 --> 01:47:12.159 align:start position:0% anthony fauci 01:47:12.159 --> 01:47:13.830 align:start position:0% anthony fauci uh<01:47:12.400> i'm<01:47:12.560> gonna<01:47:12.800> abstain<01:47:13.199> from<01:47:13.360> that<01:47:13.600> because 01:47:13.830 --> 01:47:13.840 align:start position:0% uh i'm gonna abstain from that because 01:47:13.840 --> 01:47:16.470 align:start position:0% uh i'm gonna abstain from that because i'm<01:47:14.000> not<01:47:14.159> expert<01:47:14.560> enough<01:47:15.119> but<01:47:15.760> neither<01:47:16.080> am<01:47:16.239> i 01:47:16.470 --> 01:47:16.480 align:start position:0% i'm not expert enough but neither am i 01:47:16.480 --> 01:47:19.510 align:start position:0% i'm not expert enough but neither am i but<01:47:16.639> i'm<01:47:16.880> opinionated 01:47:19.510 --> 01:47:19.520 align:start position:0% but i'm opinionated 01:47:19.520 --> 01:47:22.470 align:start position:0% but i'm opinionated i<01:47:19.679> am<01:47:19.840> too<01:47:20.000> but<01:47:20.159> not<01:47:20.400> on<01:47:20.560> camera<01:47:21.040> yes 01:47:22.470 --> 01:47:22.480 align:start position:0% i am too but not on camera yes 01:47:22.480 --> 01:47:24.310 align:start position:0% i am too but not on camera yes no<01:47:22.719> but<01:47:23.040> seriously 01:47:24.310 --> 01:47:24.320 align:start position:0% no but seriously 01:47:24.320 --> 01:47:27.030 align:start position:0% no but seriously the<01:47:24.560> problem<01:47:25.360> is<01:47:25.520> pretty<01:47:25.840> simple 01:47:27.030 --> 01:47:27.040 align:start position:0% the problem is pretty simple 01:47:27.040 --> 01:47:30.149 align:start position:0% the problem is pretty simple that<01:47:27.280> we're<01:47:27.440> investing<01:47:28.000> 96<01:47:28.960> of<01:47:29.119> our 01:47:30.149 --> 01:47:30.159 align:start position:0% that we're investing 96 of our 01:47:30.159 --> 01:47:32.390 align:start position:0% that we're investing 96 of our clinical<01:47:30.960> funding<01:47:31.280> of<01:47:31.440> clinical<01:47:31.840> research<01:47:32.239> in 01:47:32.390 --> 01:47:32.400 align:start position:0% clinical funding of clinical research in 01:47:32.400 --> 01:47:34.390 align:start position:0% clinical funding of clinical research in drugs<01:47:32.639> and<01:47:32.800> devices 01:47:34.390 --> 01:47:34.400 align:start position:0% drugs and devices 01:47:34.400 --> 01:47:36.870 align:start position:0% drugs and devices and<01:47:34.960> 80<01:47:35.600> of<01:47:35.679> our<01:47:35.840> health<01:47:36.159> is<01:47:36.320> determined<01:47:36.719> by 01:47:36.870 --> 01:47:36.880 align:start position:0% and 80 of our health is determined by 01:47:36.880 --> 01:47:39.109 align:start position:0% and 80 of our health is determined by how<01:47:37.040> we<01:47:37.199> live<01:47:37.360> our<01:47:37.520> lives<01:47:38.080> yes 01:47:39.109 --> 01:47:39.119 align:start position:0% how we live our lives yes 01:47:39.119 --> 01:47:40.310 align:start position:0% how we live our lives yes and 01:47:40.310 --> 01:47:40.320 align:start position:0% and 01:47:40.320 --> 01:47:43.109 align:start position:0% and this<01:47:40.560> is<01:47:40.719> ridiculous<01:47:41.840> we're<01:47:42.560> the<01:47:42.719> united 01:47:43.109 --> 01:47:43.119 align:start position:0% this is ridiculous we're the united 01:47:43.119 --> 01:47:45.590 align:start position:0% this is ridiculous we're the united states<01:47:43.600> is<01:47:43.920> going<01:47:44.400> further<01:47:44.880> and<01:47:45.040> further 01:47:45.590 --> 01:47:45.600 align:start position:0% states is going further and further 01:47:45.600 --> 01:47:48.950 align:start position:0% states is going further and further behind<01:47:46.639> the<01:47:46.800> other<01:47:47.360> wealthy<01:47:47.760> countries<01:47:48.800> in 01:47:48.950 --> 01:47:48.960 align:start position:0% behind the other wealthy countries in 01:47:48.960 --> 01:47:51.109 align:start position:0% behind the other wealthy countries in terms<01:47:49.199> of<01:47:49.360> our<01:47:49.440> health<01:47:49.679> we<01:47:49.840> ranked<01:47:50.400> 38th<01:47:51.040> in 01:47:51.109 --> 01:47:51.119 align:start position:0% terms of our health we ranked 38th in 01:47:51.119 --> 01:47:54.149 align:start position:0% terms of our health we ranked 38th in healthy<01:47:51.440> life<01:47:51.679> expectancy<01:47:52.320> in<01:47:52.400> 2000<01:47:53.520> and<01:47:53.760> now 01:47:54.149 --> 01:47:54.159 align:start position:0% healthy life expectancy in 2000 and now 01:47:54.159 --> 01:47:55.990 align:start position:0% healthy life expectancy in 2000 and now we're<01:47:54.320> spending<01:47:55.040> a<01:47:55.280> trillion<01:47:55.600> and<01:47:55.760> a<01:47:55.760> half 01:47:55.990 --> 01:47:56.000 align:start position:0% we're spending a trillion and a half 01:47:56.000 --> 01:47:58.790 align:start position:0% we're spending a trillion and a half dollars<01:47:56.480> extra<01:47:56.960> and<01:47:57.040> we<01:47:57.280> rank<01:47:57.520> 68.<01:47:58.320> we've<01:47:58.480> gone 01:47:58.790 --> 01:47:58.800 align:start position:0% dollars extra and we rank 68. we've gone 01:47:58.800 --> 01:48:01.189 align:start position:0% dollars extra and we rank 68. we've gone down<01:47:59.440> you<01:47:59.520> have<01:47:59.679> this<01:48:00.000> excellent<01:48:00.880> there's<01:48:01.119> a 01:48:01.189 --> 01:48:01.199 align:start position:0% down you have this excellent there's a 01:48:01.199 --> 01:48:05.430 align:start position:0% down you have this excellent there's a few<01:48:01.520> uh<01:48:01.920> charts<01:48:02.320> that<01:48:02.719> i'll<01:48:02.960> overlay<01:48:04.239> that 01:48:05.430 --> 01:48:05.440 align:start position:0% few uh charts that i'll overlay that 01:48:05.440 --> 01:48:08.149 align:start position:0% few uh charts that i'll overlay that tell<01:48:05.679> the<01:48:05.840> story<01:48:06.400> in 01:48:08.149 --> 01:48:08.159 align:start position:0% tell the story in 01:48:08.159 --> 01:48:10.550 align:start position:0% tell the story in in<01:48:08.239> really<01:48:08.560> powerful<01:48:08.960> ways<01:48:09.199> so<01:48:09.679> so<01:48:09.840> one<01:48:10.080> is<01:48:10.400> the 01:48:10.550 --> 01:48:10.560 align:start position:0% in really powerful ways so so one is the 01:48:10.560 --> 01:48:13.510 align:start position:0% in really powerful ways so so one is the healthcare<01:48:11.040> spending<01:48:11.440> is<01:48:11.520> percentage<01:48:12.080> of<01:48:12.239> gdp 01:48:13.510 --> 01:48:13.520 align:start position:0% healthcare spending is percentage of gdp 01:48:13.520 --> 01:48:15.750 align:start position:0% healthcare spending is percentage of gdp that<01:48:14.080> on<01:48:14.239> the<01:48:14.400> x-axis<01:48:15.040> is<01:48:15.199> years<01:48:15.520> and<01:48:15.679> the 01:48:15.750 --> 01:48:15.760 align:start position:0% that on the x-axis is years and the 01:48:15.760 --> 01:48:18.390 align:start position:0% that on the x-axis is years and the y-axis<01:48:16.400> is<01:48:16.639> percentage<01:48:17.760> and<01:48:17.840> the<01:48:18.000> united 01:48:18.390 --> 01:48:18.400 align:start position:0% y-axis is percentage and the united 01:48:18.400 --> 01:48:20.950 align:start position:0% y-axis is percentage and the united states<01:48:18.880> as<01:48:19.119> compared<01:48:19.600> to<01:48:19.920> other<01:48:20.159> countries<01:48:20.719> on 01:48:20.950 --> 01:48:20.960 align:start position:0% states as compared to other countries on 01:48:20.960 --> 01:48:21.990 align:start position:0% states as compared to other countries on average 01:48:21.990 --> 01:48:22.000 align:start position:0% average 01:48:22.000 --> 01:48:23.030 align:start position:0% average has<01:48:22.239> been 01:48:23.030 --> 01:48:23.040 align:start position:0% has been 01:48:23.040 --> 01:48:25.109 align:start position:0% has been much<01:48:23.520> larger 01:48:25.109 --> 01:48:25.119 align:start position:0% much larger 01:48:25.119 --> 01:48:27.270 align:start position:0% much larger and<01:48:25.440> and<01:48:25.760> growing<01:48:26.400> right<01:48:26.719> we<01:48:26.960> are<01:48:27.040> now 01:48:27.270 --> 01:48:27.280 align:start position:0% and and growing right we are now 01:48:27.280 --> 01:48:31.030 align:start position:0% and and growing right we are now spending<01:48:27.600> seven<01:48:27.920> percent<01:48:28.400> more<01:48:28.960> of<01:48:29.199> our 01:48:31.030 --> 01:48:31.040 align:start position:0% spending seven percent more of our 01:48:31.040 --> 01:48:31.669 align:start position:0% spending seven percent more of our point gdp 01:48:31.669 --> 01:48:31.679 align:start position:0% point gdp 01:48:31.679 --> 01:48:33.990 align:start position:0% point gdp percent<01:48:32.159> versus<01:48:32.800> ten<01:48:33.040> point<01:48:33.280> seven<01:48:33.600> percent 01:48:33.990 --> 01:48:34.000 align:start position:0% percent versus ten point seven percent 01:48:34.000 --> 01:48:35.270 align:start position:0% percent versus ten point seven percent on<01:48:34.159> health<01:48:34.480> care 01:48:35.270 --> 01:48:35.280 align:start position:0% on health care 01:48:35.280 --> 01:48:38.229 align:start position:0% on health care seven<01:48:35.840> percent<01:48:36.800> and<01:48:36.960> i<01:48:37.119> think<01:48:37.360> gdp<01:48:38.000> is<01:48:38.080> the 01:48:38.229 --> 01:48:38.239 align:start position:0% seven percent and i think gdp is the 01:48:38.239 --> 01:48:39.590 align:start position:0% seven percent and i think gdp is the fairest<01:48:38.560> way<01:48:38.719> to<01:48:38.880> compare<01:48:39.199> health<01:48:39.440> care 01:48:39.590 --> 01:48:39.600 align:start position:0% fairest way to compare health care 01:48:39.600 --> 01:48:42.310 align:start position:0% fairest way to compare health care spending<01:48:40.000> was<01:48:40.639> per<01:48:40.880> person<01:48:41.520> in<01:48:41.679> dollars<01:48:42.080> we're 01:48:42.310 --> 01:48:42.320 align:start position:0% spending was per person in dollars we're 01:48:42.320 --> 01:48:44.470 align:start position:0% spending was per person in dollars we're spending<01:48:42.639> even<01:48:43.360> the<01:48:43.600> difference<01:48:44.080> is<01:48:44.239> even 01:48:44.470 --> 01:48:44.480 align:start position:0% spending even the difference is even 01:48:44.480 --> 01:48:45.510 align:start position:0% spending even the difference is even greater 01:48:45.510 --> 01:48:45.520 align:start position:0% greater 01:48:45.520 --> 01:48:48.870 align:start position:0% greater but<01:48:45.920> other<01:48:46.239> costs<01:48:47.040> vary<01:48:47.360> with<01:48:47.600> gdp<01:48:48.159> so<01:48:48.560> let's 01:48:48.870 --> 01:48:48.880 align:start position:0% but other costs vary with gdp so let's 01:48:48.880 --> 01:48:50.870 align:start position:0% but other costs vary with gdp so let's stick<01:48:49.119> with<01:48:49.280> the<01:48:49.440> conservative<01:48:50.000> way<01:48:50.159> to<01:48:50.320> do<01:48:50.480> it 01:48:50.870 --> 01:48:50.880 align:start position:0% stick with the conservative way to do it 01:48:50.880 --> 01:48:53.030 align:start position:0% stick with the conservative way to do it 17.7 01:48:53.030 --> 01:48:53.040 align:start position:0% 17.7 01:48:53.040 --> 01:48:53.830 align:start position:0% 17.7 or 01:48:53.830 --> 01:48:53.840 align:start position:0% or 01:48:53.840 --> 01:48:55.669 align:start position:0% or you<01:48:53.920> know<01:48:54.239> 18 01:48:55.669 --> 01:48:55.679 align:start position:0% you know 18 01:48:55.679 --> 01:48:58.149 align:start position:0% you know 18 of<01:48:55.920> gdp<01:48:56.880> 18 01:48:58.149 --> 01:48:58.159 align:start position:0% of gdp 18 01:48:58.159 --> 01:49:00.870 align:start position:0% of gdp 18 of<01:48:58.320> gdp<01:48:59.040> spent<01:48:59.440> on<01:48:59.679> healthcare 01:49:00.870 --> 01:49:00.880 align:start position:0% of gdp spent on healthcare 01:49:00.880 --> 01:49:03.350 align:start position:0% of gdp spent on healthcare seven<01:49:01.199> percent<01:49:01.679> higher<01:49:02.080> than<01:49:02.239> the<01:49:02.800> comparable 01:49:03.350 --> 01:49:03.360 align:start position:0% seven percent higher than the comparable 01:49:03.360 --> 01:49:09.109 align:start position:0% seven percent higher than the comparable country<01:49:03.840> average<01:49:04.719> right<01:49:05.320> 17.7<01:49:06.639> versus<01:49:07.040> 10.7<01:49:08.239> 7 01:49:09.109 --> 01:49:09.119 align:start position:0% country average right 17.7 versus 10.7 7 01:49:09.119 --> 01:49:11.830 align:start position:0% country average right 17.7 versus 10.7 7 higher<01:49:09.840> right<01:49:10.320> and<01:49:10.560> 7 01:49:11.830 --> 01:49:11.840 align:start position:0% higher right and 7 01:49:11.840 --> 01:49:15.030 align:start position:0% higher right and 7 of<01:49:12.159> 23<01:49:12.800> trillion<01:49:13.199> dollar<01:49:13.599> gdp 01:49:15.030 --> 01:49:15.040 align:start position:0% of 23 trillion dollar gdp 01:49:15.040 --> 01:49:18.229 align:start position:0% of 23 trillion dollar gdp is<01:49:15.360> more<01:49:15.599> than<01:49:15.840> 1.5<01:49:16.719> trillion<01:49:17.119> dollars<01:49:17.599> a<01:49:17.679> year 01:49:18.229 --> 01:49:18.239 align:start position:0% is more than 1.5 trillion dollars a year 01:49:18.239 --> 01:49:19.990 align:start position:0% is more than 1.5 trillion dollars a year in<01:49:18.400> excess<01:49:18.960> and<01:49:19.040> then<01:49:19.199> you<01:49:19.360> have<01:49:19.520> another 01:49:19.990 --> 01:49:20.000 align:start position:0% in excess and then you have another 01:49:20.000 --> 01:49:21.830 align:start position:0% in excess and then you have another chart<01:49:20.400> that<01:49:20.639> shows<01:49:20.960> healthcare<01:49:21.440> system 01:49:21.830 --> 01:49:21.840 align:start position:0% chart that shows healthcare system 01:49:21.840 --> 01:49:23.350 align:start position:0% chart that shows healthcare system performance 01:49:23.350 --> 01:49:23.360 align:start position:0% performance 01:49:23.360 --> 01:49:25.750 align:start position:0% performance compared<01:49:23.840> to<01:49:24.000> spending 01:49:25.750 --> 01:49:25.760 align:start position:0% compared to spending 01:49:25.760 --> 01:49:28.709 align:start position:0% compared to spending and<01:49:26.320> there's<01:49:26.639> a<01:49:26.800> cloud<01:49:27.760> a<01:49:28.000> point<01:49:28.320> cloud<01:49:28.639> of 01:49:28.709 --> 01:49:28.719 align:start position:0% and there's a cloud a point cloud of 01:49:28.719 --> 01:49:30.550 align:start position:0% and there's a cloud a point cloud of different<01:49:29.119> countries<01:49:29.760> the 01:49:30.550 --> 01:49:30.560 align:start position:0% different countries the 01:49:30.560 --> 01:49:33.270 align:start position:0% different countries the x-axis<01:49:31.280> being<01:49:32.000> healthcare<01:49:32.639> spending<01:49:33.040> is<01:49:33.199> a 01:49:33.270 --> 01:49:33.280 align:start position:0% x-axis being healthcare spending is a 01:49:33.280 --> 01:49:35.189 align:start position:0% x-axis being healthcare spending is a percentage<01:49:33.679> of<01:49:33.840> gdp<01:49:34.400> which<01:49:34.560> we<01:49:34.719> just<01:49:34.960> talked 01:49:35.189 --> 01:49:35.199 align:start position:0% percentage of gdp which we just talked 01:49:35.199 --> 01:49:36.310 align:start position:0% percentage of gdp which we just talked about 01:49:36.310 --> 01:49:36.320 align:start position:0% about 01:49:36.320 --> 01:49:38.709 align:start position:0% about that<01:49:36.560> uh<01:49:36.880> us<01:49:37.440> is<01:49:37.840> you<01:49:38.000> know<01:49:38.159> seven<01:49:38.400> percent 01:49:38.709 --> 01:49:38.719 align:start position:0% that uh us is you know seven percent 01:49:38.719 --> 01:49:40.950 align:start position:0% that uh us is you know seven percent higher<01:49:38.960> than<01:49:39.119> everyone<01:49:39.599> the<01:49:39.760> average 01:49:40.950 --> 01:49:40.960 align:start position:0% higher than everyone the average 01:49:40.960 --> 01:49:44.390 align:start position:0% higher than everyone the average and<01:49:41.040> then<01:49:41.280> on<01:49:41.440> the<01:49:41.599> y-axis<01:49:42.480> is<01:49:42.800> uh<01:49:43.280> performance 01:49:44.390 --> 01:49:44.400 align:start position:0% and then on the y-axis is uh performance 01:49:44.400 --> 01:49:48.149 align:start position:0% and then on the y-axis is uh performance so<01:49:44.719> x-axis<01:49:45.520> spending<01:49:46.159> y-axis<01:49:46.880> performance 01:49:48.149 --> 01:49:48.159 align:start position:0% so x-axis spending y-axis performance 01:49:48.159 --> 01:49:50.310 align:start position:0% so x-axis spending y-axis performance and<01:49:48.320> there's<01:49:48.560> a<01:49:48.719> point<01:49:49.040> cloud<01:49:49.599> we'll<01:49:49.840> overlay 01:49:50.310 --> 01:49:50.320 align:start position:0% and there's a point cloud we'll overlay 01:49:50.320 --> 01:49:52.310 align:start position:0% and there's a point cloud we'll overlay this<01:49:50.560> if<01:49:50.639> you're<01:49:50.800> watching<01:49:51.199> on<01:49:51.360> youtube 01:49:52.310 --> 01:49:52.320 align:start position:0% this if you're watching on youtube 01:49:52.320 --> 01:49:55.830 align:start position:0% this if you're watching on youtube of<01:49:52.480> a<01:49:52.560> bunch<01:49:52.880> of<01:49:52.960> countries<01:49:53.760> that<01:49:54.000> have<01:49:54.239> uh 01:49:55.830 --> 01:49:55.840 align:start position:0% of a bunch of countries that have uh 01:49:55.840 --> 01:49:57.589 align:start position:0% of a bunch of countries that have uh performance 01:49:57.589 --> 01:49:57.599 align:start position:0% performance 01:49:57.599 --> 01:49:58.550 align:start position:0% performance uh 01:49:58.550 --> 01:49:58.560 align:start position:0% uh 01:49:58.560 --> 01:50:02.629 align:start position:0% uh for<01:49:58.719> what<01:49:58.880> they're<01:49:59.119> spending<01:50:00.159> and<01:50:00.239> then<01:50:00.480> us 01:50:02.629 --> 01:50:02.639 align:start position:0% for what they're spending and then us 01:50:02.639 --> 01:50:06.550 align:start position:0% for what they're spending and then us is<01:50:03.040> is<01:50:03.599> all<01:50:03.920> alone<01:50:04.560> on<01:50:04.719> the<01:50:05.440> right<01:50:05.840> bottom<01:50:06.400> side 01:50:06.550 --> 01:50:06.560 align:start position:0% is is all alone on the right bottom side 01:50:06.560 --> 01:50:09.430 align:start position:0% is is all alone on the right bottom side of<01:50:06.719> the<01:50:06.880> chart<01:50:07.440> where<01:50:07.599> it's<01:50:07.840> low<01:50:08.159> performance 01:50:09.430 --> 01:50:09.440 align:start position:0% of the chart where it's low performance 01:50:09.440 --> 01:50:12.790 align:start position:0% of the chart where it's low performance and<01:50:09.599> high<01:50:09.840> spending<01:50:10.719> correct 01:50:12.790 --> 01:50:12.800 align:start position:0% and high spending correct 01:50:12.800 --> 01:50:14.790 align:start position:0% and high spending correct so<01:50:13.040> this<01:50:13.280> is<01:50:13.440> a<01:50:13.599> system 01:50:14.790 --> 01:50:14.800 align:start position:0% so this is a system 01:50:14.800 --> 01:50:17.109 align:start position:0% so this is a system that<01:50:15.040> is<01:50:15.440> abiding<01:50:16.239> by 01:50:17.109 --> 01:50:17.119 align:start position:0% that is abiding by 01:50:17.119 --> 01:50:19.830 align:start position:0% that is abiding by spending<01:50:18.000> that<01:50:18.239> is<01:50:18.400> directed<01:50:18.960> by 01:50:19.830 --> 01:50:19.840 align:start position:0% spending that is directed by 01:50:19.840 --> 01:50:21.589 align:start position:0% spending that is directed by the<01:50:20.000> most<01:50:20.239> profitable<01:50:20.800> ways<01:50:21.040> to<01:50:21.199> deliver 01:50:21.589 --> 01:50:21.599 align:start position:0% the most profitable ways to deliver 01:50:21.599 --> 01:50:23.589 align:start position:0% the most profitable ways to deliver health<01:50:21.840> care<01:50:22.320> so<01:50:22.480> you<01:50:22.639> put<01:50:22.880> that<01:50:23.119> in<01:50:23.199> the<01:50:23.280> hands 01:50:23.589 --> 01:50:23.599 align:start position:0% health care so you put that in the hands 01:50:23.599 --> 01:50:27.189 align:start position:0% health care so you put that in the hands of<01:50:24.159> big<01:50:24.480> pharma<01:50:24.960> is<01:50:25.199> you<01:50:25.360> maximize<01:50:26.000> for<01:50:26.239> profit 01:50:27.189 --> 01:50:27.199 align:start position:0% of big pharma is you maximize for profit 01:50:27.199 --> 01:50:29.750 align:start position:0% of big pharma is you maximize for profit you're<01:50:27.360> going<01:50:27.599> to<01:50:27.760> decrease<01:50:28.320> performance 01:50:29.750 --> 01:50:29.760 align:start position:0% you're going to decrease performance 01:50:29.760 --> 01:50:31.589 align:start position:0% you're going to decrease performance and<01:50:29.920> increase<01:50:30.320> spending 01:50:31.589 --> 01:50:31.599 align:start position:0% and increase spending 01:50:31.599 --> 01:50:34.709 align:start position:0% and increase spending yes<01:50:32.239> but<01:50:32.480> i<01:50:32.560> want<01:50:32.719> to<01:50:32.960> qualify<01:50:33.599> that<01:50:34.239> and<01:50:34.480> say 01:50:34.709 --> 01:50:34.719 align:start position:0% yes but i want to qualify that and say 01:50:34.719 --> 01:50:36.790 align:start position:0% yes but i want to qualify that and say it's<01:50:34.880> not<01:50:35.040> all<01:50:35.199> big<01:50:35.360> pharma's<01:50:35.840> fault 01:50:36.790 --> 01:50:36.800 align:start position:0% it's not all big pharma's fault 01:50:36.800 --> 01:50:38.790 align:start position:0% it's not all big pharma's fault uh<01:50:37.360> they're<01:50:37.520> not<01:50:37.679> responsible<01:50:38.239> for<01:50:38.480> all<01:50:38.639> the 01:50:38.790 --> 01:50:38.800 align:start position:0% uh they're not responsible for all the 01:50:38.800 --> 01:50:40.709 align:start position:0% uh they're not responsible for all the problems<01:50:39.199> in<01:50:39.360> our<01:50:39.440> health<01:50:39.679> care<01:50:40.239> system<01:50:40.639> the 01:50:40.709 --> 01:50:40.719 align:start position:0% problems in our health care system the 01:50:40.719 --> 01:50:42.149 align:start position:0% problems in our health care system the administ<01:50:41.119> they're<01:50:41.280> not<01:50:41.440> responsible<01:50:41.920> for<01:50:42.080> the 01:50:42.149 --> 01:50:42.159 align:start position:0% administ they're not responsible for the 01:50:42.159 --> 01:50:44.470 align:start position:0% administ they're not responsible for the administrative<01:50:42.800> costs<01:50:43.119> for<01:50:43.360> example 01:50:44.470 --> 01:50:44.480 align:start position:0% administrative costs for example 01:50:44.480 --> 01:50:47.990 align:start position:0% administrative costs for example but<01:50:44.880> they<01:50:45.280> are<01:50:45.440> the<01:50:45.679> largest<01:50:46.400> component<01:50:47.360> of 01:50:47.990 --> 01:50:48.000 align:start position:0% but they are the largest component of 01:50:48.000 --> 01:50:51.189 align:start position:0% but they are the largest component of the<01:50:48.320> rising<01:50:49.360> our<01:50:49.599> rising<01:50:50.080> health<01:50:50.320> care<01:50:50.639> costs 01:50:51.189 --> 01:50:51.199 align:start position:0% the rising our rising health care costs 01:50:51.199 --> 01:50:53.109 align:start position:0% the rising our rising health care costs and<01:50:51.440> it<01:50:51.520> has<01:50:51.760> to<01:50:51.920> do<01:50:52.080> with<01:50:52.320> this<01:50:52.560> knowledge 01:50:53.109 --> 01:50:53.119 align:start position:0% and it has to do with this knowledge 01:50:53.119 --> 01:50:54.070 align:start position:0% and it has to do with this knowledge issue 01:50:54.070 --> 01:50:54.080 align:start position:0% issue 01:50:54.080 --> 01:50:56.149 align:start position:0% issue controlling<01:50:54.719> the<01:50:54.880> knowledge<01:50:55.440> that<01:50:55.679> doctors 01:50:56.149 --> 01:50:56.159 align:start position:0% controlling the knowledge that doctors 01:50:56.159 --> 01:50:57.830 align:start position:0% controlling the knowledge that doctors have 01:50:57.830 --> 01:50:57.840 align:start position:0% have 01:50:57.840 --> 01:50:59.750 align:start position:0% have makes<01:50:58.159> it<01:50:58.320> so<01:50:58.480> that<01:50:58.639> doctors<01:50:59.119> can<01:50:59.360> live<01:50:59.599> with 01:50:59.750 --> 01:50:59.760 align:start position:0% makes it so that doctors can live with 01:50:59.760 --> 01:51:02.310 align:start position:0% makes it so that doctors can live with this<01:51:00.080> situation<01:51:01.199> believing<01:51:01.840> that<01:51:02.080> it's 01:51:02.310 --> 01:51:02.320 align:start position:0% this situation believing that it's 01:51:02.320 --> 01:51:06.310 align:start position:0% this situation believing that it's optimal<01:51:03.119> when<01:51:03.280> it's<01:51:03.840> a<01:51:04.080> wreck<01:51:04.840> yeah<01:51:06.000> let<01:51:06.159> me 01:51:06.310 --> 01:51:06.320 align:start position:0% optimal when it's a wreck yeah let me 01:51:06.320 --> 01:51:08.870 align:start position:0% optimal when it's a wreck yeah let me ask<01:51:06.480> you<01:51:06.639> the<01:51:06.800> big<01:51:07.119> so<01:51:07.360> as<01:51:07.520> a<01:51:07.679> physician 01:51:08.870 --> 01:51:08.880 align:start position:0% ask you the big so as a physician 01:51:08.880 --> 01:51:10.070 align:start position:0% ask you the big so as a physician the 01:51:10.070 --> 01:51:10.080 align:start position:0% the 01:51:10.080 --> 01:51:11.910 align:start position:0% the so<01:51:10.320> everything<01:51:10.719> you've<01:51:10.960> seen<01:51:11.520> we've<01:51:11.679> talked 01:51:11.910 --> 01:51:11.920 align:start position:0% so everything you've seen we've talked 01:51:11.920 --> 01:51:13.589 align:start position:0% so everything you've seen we've talked about<01:51:12.239> 80<01:51:12.560> percent 01:51:13.589 --> 01:51:13.599 align:start position:0% about 80 percent 01:51:13.599 --> 01:51:18.629 align:start position:0% about 80 percent of<01:51:13.760> the<01:51:13.920> impact<01:51:14.239> on<01:51:14.480> health<01:51:14.800> is<01:51:15.040> lifestyle 01:51:18.629 --> 01:51:18.639 align:start position:0% 01:51:18.639 --> 01:51:20.870 align:start position:0% how<01:51:18.800> do<01:51:18.960> we<01:51:19.119> live<01:51:19.360> longer<01:51:20.080> what<01:51:20.320> advice<01:51:20.719> would 01:51:20.870 --> 01:51:20.880 align:start position:0% how do we live longer what advice would 01:51:20.880 --> 01:51:23.030 align:start position:0% how do we live longer what advice would you<01:51:21.040> give<01:51:21.280> to<01:51:21.440> general<01:51:21.840> people<01:51:22.080> what<01:51:22.639> what 01:51:23.030 --> 01:51:23.040 align:start position:0% you give to general people what what 01:51:23.040 --> 01:51:24.550 align:start position:0% you give to general people what what space 01:51:24.550 --> 01:51:24.560 align:start position:0% space 01:51:24.560 --> 01:51:26.390 align:start position:0% space of<01:51:24.800> ideas 01:51:26.390 --> 01:51:26.400 align:start position:0% of ideas 01:51:26.400 --> 01:51:29.669 align:start position:0% of ideas result<01:51:27.199> in<01:51:27.440> living<01:51:28.320> longer<01:51:29.040> and<01:51:29.280> higher 01:51:29.669 --> 01:51:29.679 align:start position:0% result in living longer and higher 01:51:29.679 --> 01:51:31.910 align:start position:0% result in living longer and higher quality<01:51:30.159> lives<01:51:30.639> right<01:51:31.040> this<01:51:31.280> is<01:51:31.440> a<01:51:31.599> very 01:51:31.910 --> 01:51:31.920 align:start position:0% quality lives right this is a very 01:51:31.920 --> 01:51:34.470 align:start position:0% quality lives right this is a very simple<01:51:32.320> question<01:51:32.719> to<01:51:32.960> answer 01:51:34.470 --> 01:51:34.480 align:start position:0% simple question to answer 01:51:34.480 --> 01:51:35.830 align:start position:0% simple question to answer exercise 01:51:35.830 --> 01:51:35.840 align:start position:0% exercise 01:51:35.840 --> 01:51:37.750 align:start position:0% exercise for<01:51:36.000> at<01:51:36.159> least<01:51:36.400> a<01:51:36.480> half<01:51:36.800> hour 01:51:37.750 --> 01:51:37.760 align:start position:0% for at least a half hour 01:51:37.760 --> 01:51:40.950 align:start position:0% for at least a half hour at<01:51:37.840> least<01:51:38.159> five<01:51:38.480> times<01:51:38.719> a<01:51:38.880> week 01:51:40.950 --> 01:51:40.960 align:start position:0% at least five times a week 01:51:40.960 --> 01:51:42.229 align:start position:0% at least five times a week number<01:51:41.280> one 01:51:42.229 --> 01:51:42.239 align:start position:0% number one 01:51:42.239 --> 01:51:45.430 align:start position:0% number one number<01:51:42.560> two<01:51:43.119> don't<01:51:43.440> smoke 01:51:45.430 --> 01:51:45.440 align:start position:0% number two don't smoke 01:51:45.440 --> 01:51:47.350 align:start position:0% number two don't smoke number<01:51:45.760> three<01:51:46.080> maintain<01:51:46.560> a<01:51:46.719> reasonably 01:51:47.350 --> 01:51:47.360 align:start position:0% number three maintain a reasonably 01:51:47.360 --> 01:51:50.229 align:start position:0% number three maintain a reasonably healthy<01:51:48.159> body<01:51:48.480> weight<01:51:49.280> some<01:51:49.520> people<01:51:49.840> argue 01:51:50.229 --> 01:51:50.239 align:start position:0% healthy body weight some people argue 01:51:50.239 --> 01:51:51.910 align:start position:0% healthy body weight some people argue that<01:51:50.800> being 01:51:51.910 --> 01:51:51.920 align:start position:0% that being 01:51:51.920 --> 01:51:54.790 align:start position:0% that being lower<01:51:52.320> than<01:51:52.480> a<01:51:52.560> bmi<01:51:53.040> of<01:51:53.119> 25<01:51:53.679> is<01:51:53.840> healthy 01:51:54.790 --> 01:51:54.800 align:start position:0% lower than a bmi of 25 is healthy 01:51:54.800 --> 01:51:57.589 align:start position:0% lower than a bmi of 25 is healthy i<01:51:54.960> think<01:51:55.440> that<01:51:55.679> may<01:51:55.840> be<01:51:56.080> true<01:51:56.400> but<01:51:56.639> i<01:51:56.800> think 01:51:57.589 --> 01:51:57.599 align:start position:0% i think that may be true but i think 01:51:57.599 --> 01:52:01.109 align:start position:0% i think that may be true but i think getting<01:51:58.159> above<01:51:58.719> 30<01:51:59.280> is<01:51:59.440> unhealthy<01:52:00.480> and<01:52:00.800> that 01:52:01.109 --> 01:52:01.119 align:start position:0% getting above 30 is unhealthy and that 01:52:01.119 --> 01:52:04.470 align:start position:0% getting above 30 is unhealthy and that ought<01:52:01.360> to<01:52:01.520> be<01:52:01.920> now<01:52:02.560> that's<01:52:03.040> largely<01:52:03.760> uh 01:52:04.470 --> 01:52:04.480 align:start position:0% ought to be now that's largely uh 01:52:04.480 --> 01:52:07.589 align:start position:0% ought to be now that's largely uh largely<01:52:04.960> impacted<01:52:05.440> by<01:52:05.599> socioeconomic<01:52:06.480> status 01:52:07.589 --> 01:52:07.599 align:start position:0% largely impacted by socioeconomic status 01:52:07.599 --> 01:52:09.589 align:start position:0% largely impacted by socioeconomic status and<01:52:07.760> we<01:52:08.159> don't<01:52:08.400> want<01:52:08.639> to<01:52:08.719> blame<01:52:09.040> the<01:52:09.119> victims 01:52:09.589 --> 01:52:09.599 align:start position:0% and we don't want to blame the victims 01:52:09.599 --> 01:52:11.910 align:start position:0% and we don't want to blame the victims here<01:52:09.840> so<01:52:10.000> we<01:52:10.159> got<01:52:10.320> to<01:52:10.400> understand<01:52:11.520> that<01:52:11.679> when 01:52:11.910 --> 01:52:11.920 align:start position:0% here so we got to understand that when 01:52:11.920 --> 01:52:14.149 align:start position:0% here so we got to understand that when we<01:52:12.080> talk<01:52:12.320> about<01:52:12.639> all<01:52:12.800> of<01:52:12.960> these<01:52:13.199> things 01:52:14.149 --> 01:52:14.159 align:start position:0% we talk about all of these things 01:52:14.159 --> 01:52:15.669 align:start position:0% we talk about all of these things not<01:52:14.400> cigarettes<01:52:14.880> but 01:52:15.669 --> 01:52:15.679 align:start position:0% not cigarettes but 01:52:15.679 --> 01:52:17.030 align:start position:0% not cigarettes but exercise 01:52:17.030 --> 01:52:17.040 align:start position:0% exercise 01:52:17.040 --> 01:52:19.750 align:start position:0% exercise in<01:52:17.360> a<01:52:17.520> good<01:52:17.760> diet<01:52:18.400> and 01:52:19.750 --> 01:52:19.760 align:start position:0% in a good diet and 01:52:19.760 --> 01:52:23.030 align:start position:0% in a good diet and maintaining<01:52:20.239> a<01:52:20.320> healthy<01:52:20.639> body<01:52:20.880> weight 01:52:23.030 --> 01:52:23.040 align:start position:0% maintaining a healthy body weight 01:52:23.040 --> 01:52:27.030 align:start position:0% maintaining a healthy body weight we<01:52:23.280> have<01:52:23.520> to<01:52:23.760> include<01:52:24.639> in<01:52:24.880> doing<01:52:25.199> those<01:52:25.520> things 01:52:27.030 --> 01:52:27.040 align:start position:0% we have to include in doing those things 01:52:27.040 --> 01:52:28.470 align:start position:0% we have to include in doing those things the 01:52:28.470 --> 01:52:28.480 align:start position:0% the 01:52:28.480 --> 01:52:30.550 align:start position:0% the impediments<01:52:29.440> to<01:52:29.679> people<01:52:30.000> of<01:52:30.159> lower 01:52:30.550 --> 01:52:30.560 align:start position:0% impediments to people of lower 01:52:30.560 --> 01:52:33.270 align:start position:0% impediments to people of lower socioeconomic<01:52:31.520> status<01:52:32.400> being<01:52:32.719> able<01:52:32.960> to<01:52:33.040> make 01:52:33.270 --> 01:52:33.280 align:start position:0% socioeconomic status being able to make 01:52:33.280 --> 01:52:35.990 align:start position:0% socioeconomic status being able to make those<01:52:33.520> changes<01:52:34.320> we've<01:52:34.480> got<01:52:34.639> to<01:52:34.880> understand 01:52:35.990 --> 01:52:36.000 align:start position:0% those changes we've got to understand 01:52:36.000 --> 01:52:36.790 align:start position:0% those changes we've got to understand that 01:52:36.790 --> 01:52:36.800 align:start position:0% that 01:52:36.800 --> 01:52:38.550 align:start position:0% that personal<01:52:37.280> responsibility<01:52:38.000> accounts<01:52:38.320> for 01:52:38.550 --> 01:52:38.560 align:start position:0% personal responsibility accounts for 01:52:38.560 --> 01:52:39.750 align:start position:0% personal responsibility accounts for some<01:52:38.800> of<01:52:38.880> this 01:52:39.750 --> 01:52:39.760 align:start position:0% some of this 01:52:39.760 --> 01:52:42.629 align:start position:0% some of this but<01:52:40.000> also<01:52:40.320> social<01:52:41.040> circumstances<01:52:42.239> accounts 01:52:42.629 --> 01:52:42.639 align:start position:0% but also social circumstances accounts 01:52:42.639 --> 01:52:45.109 align:start position:0% but also social circumstances accounts for<01:52:42.800> some<01:52:43.040> of<01:52:43.199> it<01:52:43.920> and 01:52:45.109 --> 01:52:45.119 align:start position:0% for some of it and 01:52:45.119 --> 01:52:47.270 align:start position:0% for some of it and back<01:52:45.360> to<01:52:45.520> your<01:52:45.679> fishbowl<01:52:46.320> analogy<01:52:46.880> if<01:52:47.040> you're 01:52:47.270 --> 01:52:47.280 align:start position:0% back to your fishbowl analogy if you're 01:52:47.280 --> 01:52:48.310 align:start position:0% back to your fishbowl analogy if you're swimming 01:52:48.310 --> 01:52:48.320 align:start position:0% swimming 01:52:48.320 --> 01:52:51.109 align:start position:0% swimming in<01:52:48.480> a<01:52:49.040> fishbowl<01:52:50.000> if<01:52:50.080> you<01:52:50.239> live<01:52:50.400> in<01:52:50.480> a<01:52:50.560> fish<01:52:50.880> tank 01:52:51.109 --> 01:52:51.119 align:start position:0% in a fishbowl if you live in a fish tank 01:52:51.119 --> 01:52:53.910 align:start position:0% in a fishbowl if you live in a fish tank that's<01:52:51.360> not<01:52:51.520> being<01:52:51.760> properly<01:52:52.159> maintained 01:52:53.910 --> 01:52:53.920 align:start position:0% that's not being properly maintained 01:52:53.920 --> 01:52:55.669 align:start position:0% that's not being properly maintained the<01:52:54.080> approach<01:52:54.639> wouldn't<01:52:54.960> be<01:52:55.119> to<01:52:55.280> treat 01:52:55.669 --> 01:52:55.679 align:start position:0% the approach wouldn't be to treat 01:52:55.679 --> 01:52:59.350 align:start position:0% the approach wouldn't be to treat individual<01:52:56.800> sick<01:52:57.199> fish<01:52:58.000> it<01:52:58.080> would<01:52:58.239> be<01:52:58.400> to<01:52:59.119> fix 01:52:59.350 --> 01:52:59.360 align:start position:0% individual sick fish it would be to fix 01:52:59.360 --> 01:53:00.629 align:start position:0% individual sick fish it would be to fix your 01:53:00.629 --> 01:53:00.639 align:start position:0% your 01:53:00.639 --> 01:53:02.950 align:start position:0% your fish<01:53:00.880> tank<01:53:01.440> to<01:53:01.599> get<01:53:01.760> the<01:53:01.840> bacteria<01:53:02.560> out<01:53:02.639> of<01:53:02.800> it 01:53:02.950 --> 01:53:02.960 align:start position:0% fish tank to get the bacteria out of it 01:53:02.960 --> 01:53:03.669 align:start position:0% fish tank to get the bacteria out of it and 01:53:03.669 --> 01:53:03.679 align:start position:0% and 01:53:03.679 --> 01:53:06.390 align:start position:0% and whatever<01:53:04.080> bad<01:53:04.320> stuff<01:53:04.639> is<01:53:04.880> in<01:53:04.960> there<01:53:05.679> and 01:53:06.390 --> 01:53:06.400 align:start position:0% whatever bad stuff is in there and 01:53:06.400 --> 01:53:08.950 align:start position:0% whatever bad stuff is in there and make<01:53:06.639> your<01:53:07.040> fish<01:53:07.360> tank<01:53:07.760> healthier<01:53:08.400> well<01:53:08.639> we 01:53:08.950 --> 01:53:08.960 align:start position:0% make your fish tank healthier well we 01:53:08.960 --> 01:53:10.149 align:start position:0% make your fish tank healthier well we invest 01:53:10.149 --> 01:53:10.159 align:start position:0% invest 01:53:10.159 --> 01:53:11.990 align:start position:0% invest far<01:53:10.480> less<01:53:10.800> than<01:53:11.040> the<01:53:11.360> other<01:53:11.599> wealthy 01:53:11.990 --> 01:53:12.000 align:start position:0% far less than the other wealthy 01:53:12.000 --> 01:53:13.990 align:start position:0% far less than the other wealthy countries<01:53:12.400> do<01:53:12.800> we're<01:53:13.119> flipped<01:53:13.599> we<01:53:13.760> have<01:53:13.920> the 01:53:13.990 --> 01:53:14.000 align:start position:0% countries do we're flipped we have the 01:53:14.000 --> 01:53:17.589 align:start position:0% countries do we're flipped we have the mirror<01:53:14.400> image<01:53:15.119> in<01:53:15.280> the<01:53:15.520> spending<01:53:16.080> on<01:53:16.800> social 01:53:17.589 --> 01:53:17.599 align:start position:0% mirror image in the spending on social 01:53:17.599 --> 01:53:19.510 align:start position:0% mirror image in the spending on social determinants<01:53:18.239> of<01:53:18.320> health<01:53:18.960> and<01:53:19.199> medical 01:53:19.510 --> 01:53:19.520 align:start position:0% determinants of health and medical 01:53:19.520 --> 01:53:21.589 align:start position:0% determinants of health and medical determinants<01:53:20.159> of<01:53:20.239> health<01:53:20.719> we<01:53:20.880> have<01:53:21.119> exactly 01:53:21.589 --> 01:53:21.599 align:start position:0% determinants of health we have exactly 01:53:21.599 --> 01:53:25.030 align:start position:0% determinants of health we have exactly the<01:53:21.840> wrong<01:53:22.159> order<01:53:23.040> and<01:53:23.280> not<01:53:23.520> only<01:53:23.840> does<01:53:24.080> that 01:53:25.030 --> 01:53:25.040 align:start position:0% the wrong order and not only does that 01:53:25.040 --> 01:53:26.870 align:start position:0% the wrong order and not only does that choke<01:53:25.360> off<01:53:25.760> social<01:53:26.080> determinants<01:53:26.560> of<01:53:26.639> health 01:53:26.870 --> 01:53:26.880 align:start position:0% choke off social determinants of health 01:53:26.880 --> 01:53:28.870 align:start position:0% choke off social determinants of health which<01:53:27.119> are<01:53:27.199> very<01:53:27.440> important<01:53:28.239> but<01:53:28.480> actually 01:53:28.870 --> 01:53:28.880 align:start position:0% which are very important but actually 01:53:28.880 --> 01:53:30.629 align:start position:0% which are very important but actually just<01:53:29.119> the<01:53:29.360> ratio 01:53:30.629 --> 01:53:30.639 align:start position:0% just the ratio 01:53:30.639 --> 01:53:33.030 align:start position:0% just the ratio even<01:53:30.960> if<01:53:31.040> you<01:53:31.199> were<01:53:31.360> spending 01:53:33.030 --> 01:53:33.040 align:start position:0% even if you were spending 01:53:33.040 --> 01:53:34.950 align:start position:0% even if you were spending if<01:53:33.119> we<01:53:33.280> raise<01:53:33.599> the<01:53:33.760> social 01:53:34.950 --> 01:53:34.960 align:start position:0% if we raise the social 01:53:34.960 --> 01:53:37.030 align:start position:0% if we raise the social spending<01:53:35.760> and<01:53:36.000> raise<01:53:36.239> the<01:53:36.560> our<01:53:36.719> medical 01:53:37.030 --> 01:53:37.040 align:start position:0% spending and raise the our medical 01:53:37.040 --> 01:53:39.589 align:start position:0% spending and raise the our medical spending<01:53:37.360> in<01:53:37.440> proportion<01:53:38.320> it's<01:53:38.480> the<01:53:38.719> ratio<01:53:39.360> of 01:53:39.589 --> 01:53:39.599 align:start position:0% spending in proportion it's the ratio of 01:53:39.599 --> 01:53:41.189 align:start position:0% spending in proportion it's the ratio of social<01:53:39.920> spending<01:53:40.239> to<01:53:40.400> medical<01:53:40.800> spending 01:53:41.189 --> 01:53:41.199 align:start position:0% social spending to medical spending 01:53:41.199 --> 01:53:42.870 align:start position:0% social spending to medical spending that's<01:53:41.440> the<01:53:41.599> problem 01:53:42.870 --> 01:53:42.880 align:start position:0% that's the problem 01:53:42.880 --> 01:53:45.189 align:start position:0% that's the problem so<01:53:43.199> and<01:53:43.520> why<01:53:43.760> do<01:53:43.920> we<01:53:44.080> do<01:53:44.239> that<01:53:44.480> well<01:53:44.639> the<01:53:44.880> answer 01:53:45.189 --> 01:53:45.199 align:start position:0% so and why do we do that well the answer 01:53:45.199 --> 01:53:47.589 align:start position:0% so and why do we do that well the answer is<01:53:45.360> perfectly<01:53:45.920> obvious<01:53:46.400> that<01:53:46.639> the<01:53:46.960> way<01:53:47.360> to 01:53:47.589 --> 01:53:47.599 align:start position:0% is perfectly obvious that the way to 01:53:47.599 --> 01:53:50.629 align:start position:0% is perfectly obvious that the way to transfer<01:53:48.239> money<01:53:48.639> from<01:53:48.880> working<01:53:49.280> americans<01:53:50.320> to 01:53:50.629 --> 01:53:50.639 align:start position:0% transfer money from working americans to 01:53:50.639 --> 01:53:51.830 align:start position:0% transfer money from working americans to investors 01:53:51.830 --> 01:53:51.840 align:start position:0% investors 01:53:51.840 --> 01:53:54.550 align:start position:0% investors is<01:53:52.000> through<01:53:52.239> the<01:53:52.320> biomedical<01:53:53.040> model 01:53:54.550 --> 01:53:54.560 align:start position:0% is through the biomedical model 01:53:54.560 --> 01:53:57.669 align:start position:0% is through the biomedical model not<01:53:54.800> through<01:53:55.040> the<01:53:55.679> social<01:53:56.080> health<01:53:56.480> model 01:53:57.669 --> 01:53:57.679 align:start position:0% not through the social health model 01:53:57.679 --> 01:54:00.950 align:start position:0% not through the social health model and<01:53:58.239> that's<01:53:58.639> the<01:53:58.880> problem<01:53:59.280> for<01:53:59.920> and<01:54:00.159> i 01:54:00.950 --> 01:54:00.960 align:start position:0% and that's the problem for and i 01:54:00.960 --> 01:54:03.669 align:start position:0% and that's the problem for and i i'd<01:54:01.360> like<01:54:01.599> to<01:54:01.920> discuss<01:54:02.400> this<01:54:02.800> because 01:54:03.669 --> 01:54:03.679 align:start position:0% i'd like to discuss this because 01:54:03.679 --> 01:54:06.310 align:start position:0% i'd like to discuss this because the<01:54:03.920> market<01:54:04.480> isn't<01:54:04.800> going<01:54:04.960> to<01:54:05.040> get<01:54:05.280> us 01:54:06.310 --> 01:54:06.320 align:start position:0% the market isn't going to get us 01:54:06.320 --> 01:54:08.629 align:start position:0% the market isn't going to get us to<01:54:06.639> a<01:54:06.800> reasonable<01:54:07.360> allocation<01:54:08.000> all<01:54:08.159> the<01:54:08.320> other 01:54:08.629 --> 01:54:08.639 align:start position:0% to a reasonable allocation all the other 01:54:08.639 --> 01:54:10.310 align:start position:0% to a reasonable allocation all the other wealthy<01:54:09.040> countries<01:54:09.599> that<01:54:09.760> are<01:54:09.920> so<01:54:10.080> much 01:54:10.310 --> 01:54:10.320 align:start position:0% wealthy countries that are so much 01:54:10.320 --> 01:54:12.310 align:start position:0% wealthy countries that are so much healthier<01:54:10.800> than<01:54:10.960> we<01:54:11.119> are<01:54:11.599> and<01:54:11.760> spending<01:54:12.159> so 01:54:12.310 --> 01:54:12.320 align:start position:0% healthier than we are and spending so 01:54:12.320 --> 01:54:13.990 align:start position:0% healthier than we are and spending so much<01:54:12.480> less<01:54:12.719> than<01:54:12.960> we<01:54:13.199> are 01:54:13.990 --> 01:54:14.000 align:start position:0% much less than we are 01:54:14.000 --> 01:54:16.310 align:start position:0% much less than we are have<01:54:14.320> some<01:54:14.719> form<01:54:15.199> of<01:54:15.360> government<01:54:15.920> inter 01:54:16.310 --> 01:54:16.320 align:start position:0% have some form of government inter 01:54:16.320 --> 01:54:18.629 align:start position:0% have some form of government inter intervention<01:54:17.040> in<01:54:17.280> in<01:54:17.520> the<01:54:18.080> quality<01:54:18.400> of<01:54:18.480> the 01:54:18.629 --> 01:54:18.639 align:start position:0% intervention in in the quality of the 01:54:18.639 --> 01:54:20.709 align:start position:0% intervention in in the quality of the health<01:54:19.040> data<01:54:19.360> that's<01:54:19.679> available<01:54:20.400> in<01:54:20.560> the 01:54:20.709 --> 01:54:20.719 align:start position:0% health data that's available in the 01:54:20.719 --> 01:54:24.229 align:start position:0% health data that's available in the budgeting<01:54:21.440> of<01:54:21.760> health<01:54:22.159> and<01:54:22.320> social 01:54:24.229 --> 01:54:24.239 align:start position:0% budgeting of health and social 01:54:24.239 --> 01:54:25.830 align:start position:0% budgeting of health and social factors 01:54:25.830 --> 01:54:25.840 align:start position:0% factors 01:54:25.840 --> 01:54:27.910 align:start position:0% factors and<01:54:26.000> we<01:54:26.239> don't<01:54:26.639> we're<01:54:26.880> kind<01:54:27.040> of<01:54:27.119> the<01:54:27.199> wild<01:54:27.599> west 01:54:27.910 --> 01:54:27.920 align:start position:0% and we don't we're kind of the wild west 01:54:27.920 --> 01:54:29.910 align:start position:0% and we don't we're kind of the wild west and<01:54:28.000> we<01:54:28.159> let<01:54:28.320> the<01:54:28.480> market<01:54:29.199> determine<01:54:29.679> those 01:54:29.910 --> 01:54:29.920 align:start position:0% and we let the market determine those 01:54:29.920 --> 01:54:33.270 align:start position:0% and we let the market determine those allocations<01:54:30.960> and<01:54:31.119> it's<01:54:31.840> it's<01:54:32.080> an 01:54:33.270 --> 01:54:33.280 align:start position:0% allocations and it's it's an 01:54:33.280 --> 01:54:36.550 align:start position:0% allocations and it's it's an awful<01:54:33.760> failure<01:54:34.239> it's<01:54:34.400> a<01:54:34.480> horrendous<01:54:35.199> failure 01:54:36.550 --> 01:54:36.560 align:start position:0% awful failure it's a horrendous failure 01:54:36.560 --> 01:54:38.229 align:start position:0% awful failure it's a horrendous failure so<01:54:36.719> one<01:54:36.960> argument 01:54:38.229 --> 01:54:38.239 align:start position:0% so one argument 01:54:38.239 --> 01:54:40.950 align:start position:0% so one argument against<01:54:38.880> government<01:54:39.679> or<01:54:40.080> sorry<01:54:40.719> an 01:54:40.950 --> 01:54:40.960 align:start position:0% against government or sorry an 01:54:40.960 --> 01:54:42.790 align:start position:0% against government or sorry an alternative<01:54:41.840> to<01:54:42.000> the<01:54:42.239> government 01:54:42.790 --> 01:54:42.800 align:start position:0% alternative to the government 01:54:42.800 --> 01:54:44.629 align:start position:0% alternative to the government intervention 01:54:44.629 --> 01:54:44.639 align:start position:0% intervention 01:54:44.639 --> 01:54:47.189 align:start position:0% intervention is<01:54:45.119> the<01:54:45.360> market 01:54:47.189 --> 01:54:47.199 align:start position:0% is the market 01:54:47.199 --> 01:54:49.990 align:start position:0% is the market can<01:54:47.360> work<01:54:47.760> better<01:54:48.239> if<01:54:48.560> the<01:54:48.719> citizenry<01:54:49.760> has 01:54:49.990 --> 01:54:50.000 align:start position:0% can work better if the citizenry has 01:54:50.000 --> 01:54:51.510 align:start position:0% can work better if the citizenry has better<01:54:50.320> information 01:54:51.510 --> 01:54:51.520 align:start position:0% better information 01:54:51.520 --> 01:54:54.229 align:start position:0% better information so<01:54:51.679> one<01:54:51.920> argument<01:54:52.480> is<01:54:52.639> that<01:54:52.960> you<01:54:53.040> know 01:54:54.229 --> 01:54:54.239 align:start position:0% so one argument is that you know 01:54:54.239 --> 01:54:55.910 align:start position:0% so one argument is that you know um 01:54:55.910 --> 01:54:55.920 align:start position:0% um 01:54:55.920 --> 01:54:58.149 align:start position:0% um you<01:54:56.000> know<01:54:56.320> communicators<01:54:57.199> like<01:54:57.440> podcasts<01:54:58.000> and 01:54:58.149 --> 01:54:58.159 align:start position:0% you know communicators like podcasts and 01:54:58.159 --> 01:54:59.990 align:start position:0% you know communicators like podcasts and so<01:54:58.320> on<01:54:58.560> but<01:54:58.960> you<01:54:59.119> know<01:54:59.280> other<01:54:59.520> channels<01:54:59.840> of 01:54:59.990 --> 01:55:00.000 align:start position:0% so on but you know other channels of 01:55:00.000 --> 01:55:01.350 align:start position:0% so on but you know other channels of communication 01:55:01.350 --> 01:55:01.360 align:start position:0% communication 01:55:01.360 --> 01:55:03.430 align:start position:0% communication will<01:55:01.760> uh<01:55:02.159> will<01:55:02.320> be<01:55:02.480> the<01:55:02.639> way<01:55:02.800> to<01:55:02.960> fight<01:55:03.199> big 01:55:03.430 --> 01:55:03.440 align:start position:0% will uh will be the way to fight big 01:55:03.440 --> 01:55:05.830 align:start position:0% will uh will be the way to fight big pharma<01:55:03.840> your<01:55:04.000> book<01:55:04.320> is<01:55:04.400> the<01:55:04.480> way<01:55:04.639> to<01:55:05.280> so<01:55:05.599> by 01:55:05.830 --> 01:55:05.840 align:start position:0% pharma your book is the way to so by 01:55:05.840 --> 01:55:08.310 align:start position:0% pharma your book is the way to so by providing<01:55:06.400> information<01:55:07.440> the<01:55:07.599> alternative<01:55:08.159> to 01:55:08.310 --> 01:55:08.320 align:start position:0% providing information the alternative to 01:55:08.320 --> 01:55:10.310 align:start position:0% providing information the alternative to the<01:55:08.400> government<01:55:08.880> intervention 01:55:10.310 --> 01:55:10.320 align:start position:0% the government intervention 01:55:10.320 --> 01:55:12.070 align:start position:0% the government intervention on<01:55:10.639> every<01:55:10.960> aspect<01:55:11.360> of<01:55:11.440> this<01:55:11.679> including 01:55:12.070 --> 01:55:12.080 align:start position:0% on every aspect of this including 01:55:12.080 --> 01:55:13.589 align:start position:0% on every aspect of this including communication<01:55:12.639> with<01:55:12.800> the<01:55:12.880> doctors<01:55:13.360> is<01:55:13.440> to 01:55:13.589 --> 01:55:13.599 align:start position:0% communication with the doctors is to 01:55:13.599 --> 01:55:16.149 align:start position:0% communication with the doctors is to provide<01:55:13.920> them<01:55:14.159> other<01:55:14.400> information<01:55:15.360> and<01:55:15.520> not 01:55:16.149 --> 01:55:16.159 align:start position:0% provide them other information and not 01:55:16.159 --> 01:55:17.510 align:start position:0% provide them other information and not allow<01:55:16.480> the<01:55:16.560> market<01:55:16.880> to<01:55:17.040> provide<01:55:17.360> that 01:55:17.510 --> 01:55:17.520 align:start position:0% allow the market to provide that 01:55:17.520 --> 01:55:18.550 align:start position:0% allow the market to provide that information 01:55:18.550 --> 01:55:18.560 align:start position:0% information 01:55:18.560 --> 01:55:19.589 align:start position:0% information by 01:55:19.589 --> 01:55:19.599 align:start position:0% by 01:55:19.599 --> 01:55:21.189 align:start position:0% by basically 01:55:21.189 --> 01:55:21.199 align:start position:0% basically 01:55:21.199 --> 01:55:24.550 align:start position:0% basically making<01:55:21.679> it<01:55:21.840> exciting<01:55:22.400> to<01:55:22.719> to<01:55:22.880> buy<01:55:23.199> books<01:55:23.840> to<01:55:24.239> be 01:55:24.550 --> 01:55:24.560 align:start position:0% making it exciting to to buy books to be 01:55:24.560 --> 01:55:25.750 align:start position:0% making it exciting to to buy books to be to<01:55:24.719> get<01:55:24.960> make<01:55:25.199> better<01:55:25.440> and<01:55:25.520> better 01:55:25.750 --> 01:55:25.760 align:start position:0% to get make better and better 01:55:25.760 --> 01:55:28.950 align:start position:0% to get make better and better communicators<01:55:26.880> on<01:55:27.199> on<01:55:27.520> twitter<01:55:28.159> through 01:55:28.950 --> 01:55:28.960 align:start position:0% communicators on on twitter through 01:55:28.960 --> 01:55:31.750 align:start position:0% communicators on on twitter through books<01:55:29.679> through<01:55:30.000> op-eds<01:55:30.719> through<01:55:31.040> podcasts 01:55:31.750 --> 01:55:31.760 align:start position:0% books through op-eds through podcasts 01:55:31.760 --> 01:55:33.990 align:start position:0% books through op-eds through podcasts through<01:55:32.159> so<01:55:32.400> on<01:55:32.800> so<01:55:33.119> basically<01:55:33.840> because 01:55:33.990 --> 01:55:34.000 align:start position:0% through so on so basically because 01:55:34.000 --> 01:55:35.750 align:start position:0% through so on so basically because there's<01:55:34.239> a<01:55:34.239> lot<01:55:34.400> of<01:55:34.560> incentive 01:55:35.750 --> 01:55:35.760 align:start position:0% there's a lot of incentive 01:55:35.760 --> 01:55:37.510 align:start position:0% there's a lot of incentive to<01:55:36.080> um 01:55:37.510 --> 01:55:37.520 align:start position:0% to um 01:55:37.520 --> 01:55:39.510 align:start position:0% to um communicate<01:55:38.239> against<01:55:38.560> the<01:55:38.639> messages<01:55:39.199> of<01:55:39.280> big 01:55:39.510 --> 01:55:39.520 align:start position:0% communicate against the messages of big 01:55:39.520 --> 01:55:41.830 align:start position:0% communicate against the messages of big pharma<01:55:40.320> there's<01:55:40.719> there's<01:55:41.040> incentive<01:55:41.520> because 01:55:41.830 --> 01:55:41.840 align:start position:0% pharma there's there's incentive because 01:55:41.840 --> 01:55:43.910 align:start position:0% pharma there's there's incentive because people<01:55:42.239> want<01:55:42.880> to<01:55:43.040> understand<01:55:43.520> what's<01:55:43.760> good 01:55:43.910 --> 01:55:43.920 align:start position:0% people want to understand what's good 01:55:43.920 --> 01:55:45.350 align:start position:0% people want to understand what's good for<01:55:44.080> their<01:55:44.320> lives<01:55:44.639> and<01:55:44.719> they're<01:55:44.880> willing<01:55:45.199> to 01:55:45.350 --> 01:55:45.360 align:start position:0% for their lives and they're willing to 01:55:45.360 --> 01:55:47.030 align:start position:0% for their lives and they're willing to listen<01:55:45.599> to<01:55:45.840> charismatic<01:55:46.480> people<01:55:46.800> that<01:55:46.880> are 01:55:47.030 --> 01:55:47.040 align:start position:0% listen to charismatic people that are 01:55:47.040 --> 01:55:49.030 align:start position:0% listen to charismatic people that are able<01:55:47.280> to<01:55:47.440> clearly<01:55:47.920> explain 01:55:49.030 --> 01:55:49.040 align:start position:0% able to clearly explain 01:55:49.040 --> 01:55:51.189 align:start position:0% able to clearly explain uh<01:55:49.520> what<01:55:49.760> what<01:55:50.000> is<01:55:50.080> good<01:55:50.239> for<01:55:50.400> them<01:55:50.880> and<01:55:50.960> they 01:55:51.189 --> 01:55:51.199 align:start position:0% uh what what is good for them and they 01:55:51.199 --> 01:55:52.550 align:start position:0% uh what what is good for them and they do<01:55:51.679> and 01:55:52.550 --> 01:55:52.560 align:start position:0% do and 01:55:52.560 --> 01:55:54.149 align:start position:0% do and more<01:55:52.719> than<01:55:52.960> 80<01:55:53.199> percent<01:55:53.520> of<01:55:53.599> people<01:55:53.920> think 01:55:54.149 --> 01:55:54.159 align:start position:0% more than 80 percent of people think 01:55:54.159 --> 01:55:56.070 align:start position:0% more than 80 percent of people think that<01:55:54.320> drugs<01:55:54.639> cost<01:55:54.880> too<01:55:55.119> much<01:55:55.360> and<01:55:55.520> the<01:55:55.760> drug 01:55:56.070 --> 01:55:56.080 align:start position:0% that drugs cost too much and the drug 01:55:56.080 --> 01:55:59.750 align:start position:0% that drugs cost too much and the drug industry<01:55:56.560> is<01:55:56.719> too<01:55:57.360> interested<01:55:57.920> in<01:55:58.080> profits<01:55:59.040> um 01:55:59.750 --> 01:55:59.760 align:start position:0% industry is too interested in profits um 01:55:59.760 --> 01:56:02.229 align:start position:0% industry is too interested in profits um and<01:56:00.239> but<01:56:00.400> they<01:56:00.639> still<01:56:00.800> get<01:56:01.040> influenced 01:56:02.229 --> 01:56:02.239 align:start position:0% and but they still get influenced 01:56:02.239 --> 01:56:03.350 align:start position:0% and but they still get influenced they<01:56:02.480> can't 01:56:03.350 --> 01:56:03.360 align:start position:0% they can't 01:56:03.360 --> 01:56:05.189 align:start position:0% they can't you<01:56:03.520> can't<01:56:03.679> get<01:56:03.840> the<01:56:03.920> vote<01:56:04.159> through<01:56:04.400> congress 01:56:05.189 --> 01:56:05.199 align:start position:0% you can't get the vote through congress 01:56:05.199 --> 01:56:07.589 align:start position:0% you can't get the vote through congress yeah<01:56:05.440> you<01:56:05.520> know<01:56:06.080> uh<01:56:06.880> democrats<01:56:07.520> and 01:56:07.589 --> 01:56:07.599 align:start position:0% yeah you know uh democrats and 01:56:07.599 --> 01:56:09.669 align:start position:0% yeah you know uh democrats and republicans<01:56:08.239> alike<01:56:08.639> are<01:56:08.800> taking<01:56:09.119> money<01:56:09.440> from 01:56:09.669 --> 01:56:09.679 align:start position:0% republicans alike are taking money from 01:56:09.679 --> 01:56:12.550 align:start position:0% republicans alike are taking money from congress<01:56:10.159> and<01:56:10.320> somehow<01:56:11.280> uh 01:56:12.550 --> 01:56:12.560 align:start position:0% congress and somehow uh 01:56:12.560 --> 01:56:14.950 align:start position:0% congress and somehow uh it<01:56:12.719> just<01:56:12.880> doesn't<01:56:13.199> work<01:56:13.599> out<01:56:13.840> that<01:56:14.000> these 01:56:14.950 --> 01:56:14.960 align:start position:0% it just doesn't work out that these 01:56:14.960 --> 01:56:17.030 align:start position:0% it just doesn't work out that these even<01:56:15.280> small<01:56:15.679> changes 01:56:17.030 --> 01:56:17.040 align:start position:0% even small changes 01:56:17.040 --> 01:56:20.070 align:start position:0% even small changes i<01:56:17.119> mean<01:56:17.280> the<01:56:17.520> the<01:56:18.159> the<01:56:18.560> pared-down 01:56:20.070 --> 01:56:20.080 align:start position:0% i mean the the the pared-down 01:56:20.080 --> 01:56:22.709 align:start position:0% i mean the the the pared-down part<01:56:20.400> of<01:56:20.639> medicare<01:56:21.199> the<01:56:21.360> recommend<01:56:21.760> the<01:56:22.320> plan 01:56:22.709 --> 01:56:22.719 align:start position:0% part of medicare the recommend the plan 01:56:22.719 --> 01:56:26.470 align:start position:0% part of medicare the recommend the plan for<01:56:23.280> uh<01:56:24.000> increasing<01:56:24.639> medicare<01:56:25.119> negotiation 01:56:26.470 --> 01:56:26.480 align:start position:0% for uh increasing medicare negotiation 01:56:26.480 --> 01:56:29.189 align:start position:0% for uh increasing medicare negotiation drug<01:56:26.800> costs<01:56:27.599> and<01:56:27.760> build<01:56:28.000> back<01:56:28.239> better 01:56:29.189 --> 01:56:29.199 align:start position:0% drug costs and build back better 01:56:29.199 --> 01:56:31.270 align:start position:0% drug costs and build back better it's<01:56:29.520> literally<01:56:30.320> going<01:56:30.480> to<01:56:30.639> reduce<01:56:31.040> the 01:56:31.270 --> 01:56:31.280 align:start position:0% it's literally going to reduce the 01:56:31.280 --> 01:56:34.790 align:start position:0% it's literally going to reduce the number<01:56:31.599> of<01:56:31.840> new<01:56:32.080> drugs<01:56:32.719> that<01:56:32.960> are 01:56:34.790 --> 01:56:34.800 align:start position:0% number of new drugs that are 01:56:34.800 --> 01:56:36.149 align:start position:0% number of new drugs that are beneficial 01:56:36.149 --> 01:56:36.159 align:start position:0% beneficial 01:56:36.159 --> 01:56:38.629 align:start position:0% beneficial uniquely<01:56:36.560> beneficial<01:56:37.599> by<01:56:37.840> about<01:56:38.159> one<01:56:38.400> new 01:56:38.629 --> 01:56:38.639 align:start position:0% uniquely beneficial by about one new 01:56:38.639 --> 01:56:42.790 align:start position:0% uniquely beneficial by about one new drug<01:56:39.360> or<01:56:39.520> two<01:56:39.760> new<01:56:40.000> drugs<01:56:40.800> over<01:56:41.119> 30<01:56:41.440> years 01:56:42.790 --> 01:56:42.800 align:start position:0% drug or two new drugs over 30 years 01:56:42.800 --> 01:56:43.830 align:start position:0% drug or two new drugs over 30 years it<01:56:43.040> it 01:56:43.830 --> 01:56:43.840 align:start position:0% it it 01:56:43.840 --> 01:56:47.430 align:start position:0% it it it<01:56:44.400> will<01:56:44.639> have<01:56:44.880> virtually<01:56:45.840> an<01:56:46.280> indecipherable 01:56:47.430 --> 01:56:47.440 align:start position:0% it will have virtually an indecipherable 01:56:47.440 --> 01:56:51.109 align:start position:0% it will have virtually an indecipherable impact<01:56:48.400> and<01:56:48.560> yet<01:56:48.880> pharma<01:56:49.360> is<01:56:49.520> talking<01:56:49.920> about 01:56:51.109 --> 01:56:51.119 align:start position:0% impact and yet pharma is talking about 01:56:51.119 --> 01:56:52.070 align:start position:0% impact and yet pharma is talking about um 01:56:52.070 --> 01:56:52.080 align:start position:0% um 01:56:52.080 --> 01:56:55.030 align:start position:0% um the<01:56:52.320> impact<01:56:52.719> on<01:56:52.960> innovation<01:56:53.760> and<01:56:54.000> if<01:56:54.159> you<01:56:54.719> vote 01:56:55.030 --> 01:56:55.040 align:start position:0% the impact on innovation and if you vote 01:56:55.040 --> 01:56:57.109 align:start position:0% the impact on innovation and if you vote for<01:56:55.199> this<01:56:55.920> if<01:56:56.000> you<01:56:56.159> let<01:56:56.400> your<01:56:56.560> congressman 01:56:57.109 --> 01:56:57.119 align:start position:0% for this if you let your congressman 01:56:57.119 --> 01:57:01.109 align:start position:0% for this if you let your congressman vote<01:56:57.360> for<01:56:57.520> this<01:56:58.239> you're<01:56:58.480> going<01:56:58.639> to 01:57:01.109 --> 01:57:01.119 align:start position:0% 01:57:01.119 --> 01:57:02.870 align:start position:0% severely 01:57:02.870 --> 01:57:02.880 align:start position:0% severely 01:57:02.880 --> 01:57:04.709 align:start position:0% severely slow<01:57:03.199> down<01:57:03.440> drug<01:57:03.760> innovation<01:57:04.320> and<01:57:04.400> that's 01:57:04.709 --> 01:57:04.719 align:start position:0% slow down drug innovation and that's 01:57:04.719 --> 01:57:09.430 align:start position:0% slow down drug innovation and that's going<01:57:04.800> to<01:57:05.360> affect<01:57:05.679> the<01:57:05.840> quality<01:57:06.159> of<01:57:06.320> your<01:57:06.480> life 01:57:09.430 --> 01:57:09.440 align:start position:0% 01:57:09.440 --> 01:57:12.149 align:start position:0% let<01:57:09.599> me<01:57:09.760> ask<01:57:10.080> you<01:57:10.320> um 01:57:12.149 --> 01:57:12.159 align:start position:0% let me ask you um 01:57:12.159 --> 01:57:14.709 align:start position:0% let me ask you um about<01:57:12.719> um 01:57:14.709 --> 01:57:14.719 align:start position:0% about um 01:57:14.719 --> 01:57:17.030 align:start position:0% about um over<01:57:15.040> medication 01:57:17.030 --> 01:57:17.040 align:start position:0% over medication 01:57:17.040 --> 01:57:18.149 align:start position:0% over medication that<01:57:17.199> we've<01:57:17.360> been 01:57:18.149 --> 01:57:18.159 align:start position:0% that we've been 01:57:18.159 --> 01:57:19.830 align:start position:0% that we've been talking<01:57:18.560> about<01:57:18.719> from<01:57:18.880> different<01:57:19.280> angles<01:57:19.599> but 01:57:19.830 --> 01:57:19.840 align:start position:0% talking about from different angles but 01:57:19.840 --> 01:57:20.790 align:start position:0% talking about from different angles but one 01:57:20.790 --> 01:57:20.800 align:start position:0% one 01:57:20.800 --> 01:57:23.589 align:start position:0% one difficult<01:57:21.760> question<01:57:22.080> for<01:57:22.239> me<01:57:22.560> i'll<01:57:22.719> just 01:57:23.589 --> 01:57:23.599 align:start position:0% difficult question for me i'll just 01:57:23.599 --> 01:57:25.430 align:start position:0% difficult question for me i'll just i'll<01:57:23.760> pick<01:57:24.080> one<01:57:24.320> of<01:57:24.400> the<01:57:24.480> difficult<01:57:24.880> topics 01:57:25.430 --> 01:57:25.440 align:start position:0% i'll pick one of the difficult topics 01:57:25.440 --> 01:57:26.870 align:start position:0% i'll pick one of the difficult topics depression 01:57:26.870 --> 01:57:26.880 align:start position:0% depression 01:57:26.880 --> 01:57:30.390 align:start position:0% depression so<01:57:27.199> depression<01:57:27.760> is<01:57:28.080> is<01:57:28.560> a<01:57:28.719> serious 01:57:30.390 --> 01:57:30.400 align:start position:0% so depression is is a serious 01:57:30.400 --> 01:57:32.870 align:start position:0% so depression is is a serious painful 01:57:32.870 --> 01:57:32.880 align:start position:0% painful 01:57:32.880 --> 01:57:34.870 align:start position:0% painful condition<01:57:33.360> that<01:57:33.520> leads<01:57:33.840> to<01:57:34.000> a<01:57:34.080> lot<01:57:34.320> of<01:57:34.480> people 01:57:34.870 --> 01:57:34.880 align:start position:0% condition that leads to a lot of people 01:57:34.880 --> 01:57:37.109 align:start position:0% condition that leads to a lot of people suffering<01:57:35.360> in<01:57:35.440> the<01:57:35.520> world 01:57:37.109 --> 01:57:37.119 align:start position:0% suffering in the world 01:57:37.119 --> 01:57:39.750 align:start position:0% suffering in the world and<01:57:37.360> yet<01:57:37.920> it<01:57:38.159> is<01:57:38.320> likely<01:57:38.800> they<01:57:38.960> were<01:57:39.360> over 01:57:39.750 --> 01:57:39.760 align:start position:0% and yet it is likely they were over 01:57:39.760 --> 01:57:42.229 align:start position:0% and yet it is likely they were over prescribing<01:57:40.400> antidepressants 01:57:42.229 --> 01:57:42.239 align:start position:0% prescribing antidepressants 01:57:42.239 --> 01:57:43.830 align:start position:0% prescribing antidepressants so<01:57:42.480> as<01:57:42.639> a<01:57:42.800> doctor 01:57:43.830 --> 01:57:43.840 align:start position:0% so as a doctor 01:57:43.840 --> 01:57:46.870 align:start position:0% so as a doctor as<01:57:44.000> a<01:57:44.159> patient<01:57:44.880> as<01:57:45.040> a<01:57:45.199> health<01:57:45.440> care<01:57:45.760> system 01:57:46.870 --> 01:57:46.880 align:start position:0% as a patient as a health care system 01:57:46.880 --> 01:57:49.189 align:start position:0% as a patient as a health care system as<01:57:47.119> a<01:57:47.199> society<01:57:48.239> what<01:57:48.400> do<01:57:48.560> we<01:57:48.639> do<01:57:48.800> with<01:57:48.960> that 01:57:49.189 --> 01:57:49.199 align:start position:0% as a society what do we do with that 01:57:49.199 --> 01:57:50.310 align:start position:0% as a society what do we do with that fact 01:57:50.310 --> 01:57:50.320 align:start position:0% fact 01:57:50.320 --> 01:57:51.109 align:start position:0% fact that 01:57:51.109 --> 01:57:51.119 align:start position:0% that 01:57:51.119 --> 01:57:52.870 align:start position:0% that people<01:57:51.599> suffer 01:57:52.870 --> 01:57:52.880 align:start position:0% people suffer 01:57:52.880 --> 01:57:55.350 align:start position:0% people suffer there's<01:57:53.119> a<01:57:53.199> lot<01:57:53.440> of<01:57:53.520> people<01:57:53.920> suffering 01:57:55.350 --> 01:57:55.360 align:start position:0% there's a lot of people suffering 01:57:55.360 --> 01:57:57.430 align:start position:0% there's a lot of people suffering from<01:57:55.599> depression 01:57:57.430 --> 01:57:57.440 align:start position:0% from depression 01:57:57.440 --> 01:57:59.350 align:start position:0% from depression and<01:57:57.520> there's<01:57:57.920> also<01:57:58.239> people<01:57:58.560> suffering<01:57:59.040> from 01:57:59.350 --> 01:57:59.360 align:start position:0% and there's also people suffering from 01:57:59.360 --> 01:58:01.830 align:start position:0% and there's also people suffering from over<01:57:59.599> prescribing<01:58:00.400> of<01:58:00.639> antidepressants 01:58:01.830 --> 01:58:01.840 align:start position:0% over prescribing of antidepressants 01:58:01.840 --> 01:58:02.790 align:start position:0% over prescribing of antidepressants right 01:58:02.790 --> 01:58:02.800 align:start position:0% right 01:58:02.800 --> 01:58:05.430 align:start position:0% right so<01:58:03.119> a<01:58:03.280> paper<01:58:03.840> in<01:58:03.920> the<01:58:04.000> new<01:58:04.159> england<01:58:04.480> journal<01:58:05.119> by 01:58:05.430 --> 01:58:05.440 align:start position:0% so a paper in the new england journal by 01:58:05.440 --> 01:58:06.870 align:start position:0% so a paper in the new england journal by eric<01:58:05.840> turner 01:58:06.870 --> 01:58:06.880 align:start position:0% eric turner 01:58:06.880 --> 01:58:09.109 align:start position:0% eric turner showed<01:58:07.440> that<01:58:07.679> the<01:58:08.159> data 01:58:09.109 --> 01:58:09.119 align:start position:0% showed that the data 01:58:09.119 --> 01:58:10.870 align:start position:0% showed that the data if<01:58:09.280> you<01:58:09.360> put<01:58:09.520> all<01:58:09.679> the<01:58:09.760> data<01:58:10.000> together<01:58:10.639> from 01:58:10.870 --> 01:58:10.880 align:start position:0% if you put all the data together from 01:58:10.880 --> 01:58:12.229 align:start position:0% if you put all the data together from antidepressants 01:58:12.229 --> 01:58:12.239 align:start position:0% antidepressants 01:58:12.239 --> 01:58:14.510 align:start position:0% antidepressants you<01:58:12.480> find<01:58:12.800> out<01:58:13.199> that 01:58:14.510 --> 01:58:14.520 align:start position:0% you find out that 01:58:14.520 --> 01:58:17.830 align:start position:0% you find out that antidepressants<01:58:15.599> are<01:58:15.840> not<01:58:16.320> effective 01:58:17.830 --> 01:58:17.840 align:start position:0% antidepressants are not effective 01:58:17.840 --> 01:58:19.589 align:start position:0% antidepressants are not effective for<01:58:18.080> people<01:58:18.320> who<01:58:18.560> are<01:58:18.719> depressed<01:58:19.199> but<01:58:19.440> don't 01:58:19.589 --> 01:58:19.599 align:start position:0% for people who are depressed but don't 01:58:19.599 --> 01:58:22.149 align:start position:0% for people who are depressed but don't have<01:58:19.760> a<01:58:19.920> major<01:58:20.320> depression 01:58:22.149 --> 01:58:22.159 align:start position:0% have a major depression 01:58:22.159 --> 01:58:24.390 align:start position:0% have a major depression major<01:58:22.480> depression<01:58:22.960> is<01:58:23.119> a<01:58:23.280> serious 01:58:24.390 --> 01:58:24.400 align:start position:0% major depression is a serious 01:58:24.400 --> 01:58:28.790 align:start position:0% major depression is a serious problem<01:58:25.199> people<01:58:25.679> can't<01:58:26.000> function<01:58:26.480> normally 01:58:28.790 --> 01:58:28.800 align:start position:0% problem people can't function normally 01:58:28.800 --> 01:58:30.950 align:start position:0% problem people can't function normally they<01:58:29.280> have<01:58:29.520> a<01:58:29.599> hard<01:58:29.840> time<01:58:30.080> getting<01:58:30.400> out<01:58:30.639> doing 01:58:30.950 --> 01:58:30.960 align:start position:0% they have a hard time getting out doing 01:58:30.960 --> 01:58:32.310 align:start position:0% they have a hard time getting out doing performing<01:58:31.440> their 01:58:32.310 --> 01:58:32.320 align:start position:0% performing their 01:58:32.320 --> 01:58:34.870 align:start position:0% performing their normal<01:58:32.719> social<01:58:33.440> roles 01:58:34.870 --> 01:58:34.880 align:start position:0% normal social roles 01:58:34.880 --> 01:58:35.669 align:start position:0% normal social roles um 01:58:35.669 --> 01:58:35.679 align:start position:0% um 01:58:35.679 --> 01:58:38.550 align:start position:0% um but<01:58:35.840> what's<01:58:36.159> happened<01:58:36.560> is<01:58:36.800> that<01:58:37.040> the 01:58:38.550 --> 01:58:38.560 align:start position:0% but what's happened is that the 01:58:38.560 --> 01:58:41.430 align:start position:0% but what's happened is that the publicity<01:58:39.360> i<01:58:39.440> mean<01:58:39.920> prozac<01:58:40.480> nation 01:58:41.430 --> 01:58:41.440 align:start position:0% publicity i mean prozac nation 01:58:41.440 --> 01:58:42.950 align:start position:0% publicity i mean prozac nation was<01:58:41.679> a<01:58:41.760> good<01:58:42.000> example 01:58:42.950 --> 01:58:42.960 align:start position:0% was a good example 01:58:42.960 --> 01:58:43.750 align:start position:0% was a good example of 01:58:43.750 --> 01:58:43.760 align:start position:0% of 01:58:43.760 --> 01:58:45.430 align:start position:0% of making<01:58:44.159> the<01:58:44.320> argument<01:58:44.800> that<01:58:44.960> why<01:58:45.199> should 01:58:45.430 --> 01:58:45.440 align:start position:0% making the argument that why should 01:58:45.440 --> 01:58:47.589 align:start position:0% making the argument that why should people<01:58:46.000> settle<01:58:46.320> for<01:58:46.560> normal<01:58:46.960> happiness<01:58:47.440> when 01:58:47.589 --> 01:58:47.599 align:start position:0% people settle for normal happiness when 01:58:47.599 --> 01:58:48.870 align:start position:0% people settle for normal happiness when they<01:58:47.760> can<01:58:47.920> have<01:58:48.159> better<01:58:48.400> than<01:58:48.560> normal 01:58:48.870 --> 01:58:48.880 align:start position:0% they can have better than normal 01:58:48.880 --> 01:58:50.790 align:start position:0% they can have better than normal happiness<01:58:49.760> and<01:58:49.920> if<01:58:50.080> you're<01:58:50.239> not<01:58:50.400> having 01:58:50.790 --> 01:58:50.800 align:start position:0% happiness and if you're not having 01:58:50.800 --> 01:58:52.390 align:start position:0% happiness and if you're not having normal<01:58:51.199> happiness 01:58:52.390 --> 01:58:52.400 align:start position:0% normal happiness 01:58:52.400 --> 01:58:54.709 align:start position:0% normal happiness you<01:58:52.560> should<01:58:52.719> take<01:58:52.960> a<01:58:53.040> drug<01:58:53.520> well 01:58:54.709 --> 01:58:54.719 align:start position:0% you should take a drug well 01:58:54.719 --> 01:58:55.750 align:start position:0% you should take a drug well they 01:58:55.750 --> 01:58:55.760 align:start position:0% they 01:58:55.760 --> 01:58:59.350 align:start position:0% they that<01:58:56.080> concept<01:58:56.800> that<01:58:57.360> serotonin 01:58:59.350 --> 01:58:59.360 align:start position:0% that concept that serotonin 01:58:59.360 --> 01:59:02.070 align:start position:0% that concept that serotonin metabolism<01:59:00.320> is<01:59:00.560> the<01:59:00.960> root<01:59:01.520> cause<01:59:01.920> of 01:59:02.070 --> 01:59:02.080 align:start position:0% metabolism is the root cause of 01:59:02.080 --> 01:59:03.510 align:start position:0% metabolism is the root cause of depression 01:59:03.510 --> 01:59:03.520 align:start position:0% depression 01:59:03.520 --> 01:59:05.589 align:start position:0% depression is<01:59:03.679> really<01:59:04.000> a<01:59:04.080> destructive<01:59:04.719> one<01:59:05.040> we<01:59:05.119> don't<01:59:05.440> we 01:59:05.589 --> 01:59:05.599 align:start position:0% is really a destructive one we don't we 01:59:05.599 --> 01:59:07.910 align:start position:0% is really a destructive one we don't we have<01:59:05.760> drugs<01:59:06.159> that<01:59:06.400> change<01:59:07.119> serotonin 01:59:07.910 --> 01:59:07.920 align:start position:0% have drugs that change serotonin 01:59:07.920 --> 01:59:09.510 align:start position:0% have drugs that change serotonin metabolism<01:59:08.639> but<01:59:08.800> we<01:59:08.880> don't<01:59:09.040> know<01:59:09.199> if<01:59:09.280> that's 01:59:09.510 --> 01:59:09.520 align:start position:0% metabolism but we don't know if that's 01:59:09.520 --> 01:59:10.310 align:start position:0% metabolism but we don't know if that's why 01:59:10.310 --> 01:59:10.320 align:start position:0% why 01:59:10.320 --> 01:59:11.270 align:start position:0% why uh 01:59:11.270 --> 01:59:11.280 align:start position:0% uh 01:59:11.280 --> 01:59:14.229 align:start position:0% uh antidepressants<01:59:12.080> work<01:59:12.320> on<01:59:12.480> major<01:59:12.800> depression 01:59:14.229 --> 01:59:14.239 align:start position:0% antidepressants work on major depression 01:59:14.239 --> 01:59:15.510 align:start position:0% antidepressants work on major depression and<01:59:14.400> they<01:59:14.480> don't<01:59:14.719> certainly<01:59:15.040> don't<01:59:15.199> work<01:59:15.360> on 01:59:15.510 --> 01:59:15.520 align:start position:0% and they don't certainly don't work on 01:59:15.520 --> 01:59:17.030 align:start position:0% and they don't certainly don't work on everybody<01:59:15.920> with<01:59:16.000> major<01:59:16.320> depression<01:59:16.719> i<01:59:16.800> forget 01:59:17.030 --> 01:59:17.040 align:start position:0% everybody with major depression i forget 01:59:17.040 --> 01:59:18.870 align:start position:0% everybody with major depression i forget what<01:59:17.119> the<01:59:17.199> number<01:59:17.520> needed<01:59:17.840> to<01:59:17.920> treat<01:59:18.239> is<01:59:18.400> i 01:59:18.870 --> 01:59:18.880 align:start position:0% what the number needed to treat is i 01:59:18.880 --> 01:59:20.709 align:start position:0% what the number needed to treat is i think<01:59:19.119> it's<01:59:19.280> around<01:59:19.760> four 01:59:20.709 --> 01:59:20.719 align:start position:0% think it's around four 01:59:20.719 --> 01:59:22.870 align:start position:0% think it's around four one<01:59:20.960> out<01:59:21.040> of<01:59:21.199> four<01:59:21.520> people<01:59:22.159> have<01:59:22.320> significant 01:59:22.870 --> 01:59:22.880 align:start position:0% one out of four people have significant 01:59:22.880 --> 01:59:25.189 align:start position:0% one out of four people have significant improvement<01:59:23.440> but<01:59:23.599> the<01:59:23.760> people<01:59:24.320> without<01:59:24.880> major 01:59:25.189 --> 01:59:25.199 align:start position:0% improvement but the people without major 01:59:25.199 --> 01:59:26.950 align:start position:0% improvement but the people without major depression 01:59:26.950 --> 01:59:26.960 align:start position:0% depression 01:59:26.960 --> 01:59:29.589 align:start position:0% depression don't<01:59:27.280> get<01:59:27.520> better<01:59:28.080> and<01:59:28.480> the<01:59:28.719> vast<01:59:29.040> majority 01:59:29.589 --> 01:59:29.599 align:start position:0% don't get better and the vast majority 01:59:29.599 --> 01:59:31.589 align:start position:0% don't get better and the vast majority of<01:59:29.679> these<01:59:29.920> drugs<01:59:30.400> are<01:59:30.480> used<01:59:30.800> for<01:59:31.040> people 01:59:31.589 --> 01:59:31.599 align:start position:0% of these drugs are used for people 01:59:31.599 --> 01:59:33.589 align:start position:0% of these drugs are used for people without<01:59:32.080> major<01:59:32.480> depression 01:59:33.589 --> 01:59:33.599 align:start position:0% without major depression 01:59:33.599 --> 01:59:36.470 align:start position:0% without major depression so<01:59:33.920> what's<01:59:34.159> happened<01:59:34.719> is<01:59:35.040> that<01:59:35.280> the 01:59:36.470 --> 01:59:36.480 align:start position:0% so what's happened is that the 01:59:36.480 --> 01:59:39.589 align:start position:0% so what's happened is that the feelings<01:59:37.280> of<01:59:37.920> life<01:59:38.320> satisfaction<01:59:39.360> of 01:59:39.589 --> 01:59:39.599 align:start position:0% feelings of life satisfaction of 01:59:39.599 --> 01:59:41.990 align:start position:0% feelings of life satisfaction of happiness<01:59:40.239> and<01:59:40.480> not<01:59:40.800> sadness 01:59:41.990 --> 01:59:42.000 align:start position:0% happiness and not sadness 01:59:42.000 --> 01:59:43.109 align:start position:0% happiness and not sadness have<01:59:42.400> been 01:59:43.109 --> 01:59:43.119 align:start position:0% have been 01:59:43.119 --> 01:59:45.750 align:start position:0% have been medicalized<01:59:43.840> the<01:59:44.000> normal<01:59:44.480> range<01:59:44.800> of<01:59:44.960> feelings 01:59:45.750 --> 01:59:45.760 align:start position:0% medicalized the normal range of feelings 01:59:45.760 --> 01:59:47.750 align:start position:0% medicalized the normal range of feelings have<01:59:45.920> been<01:59:46.159> medicalized 01:59:47.750 --> 01:59:47.760 align:start position:0% have been medicalized 01:59:47.760 --> 01:59:49.109 align:start position:0% have been medicalized and<01:59:48.000> that's<01:59:48.239> not<01:59:48.400> to<01:59:48.560> say<01:59:48.800> that<01:59:48.960> they 01:59:49.109 --> 01:59:49.119 align:start position:0% and that's not to say that they 01:59:49.119 --> 01:59:50.950 align:start position:0% and that's not to say that they shouldn't<01:59:49.360> be<01:59:49.520> attended<01:59:50.000> to 01:59:50.950 --> 01:59:50.960 align:start position:0% shouldn't be attended to 01:59:50.960 --> 01:59:53.830 align:start position:0% shouldn't be attended to but<01:59:51.520> it<01:59:52.080> the<01:59:52.320> evidence<01:59:52.800> shows<01:59:53.119> that<01:59:53.360> attending 01:59:53.830 --> 01:59:53.840 align:start position:0% but it the evidence shows that attending 01:59:53.840 --> 01:59:56.229 align:start position:0% but it the evidence shows that attending to<01:59:54.080> them<01:59:54.239> by<01:59:54.480> giving<01:59:54.719> somebody<01:59:55.119> a<01:59:55.199> medicine 01:59:56.229 --> 01:59:56.239 align:start position:0% to them by giving somebody a medicine 01:59:56.239 --> 01:59:58.229 align:start position:0% to them by giving somebody a medicine doesn't<01:59:56.639> help<01:59:57.040> except<01:59:57.440> that<01:59:57.520> they<01:59:57.760> feel<01:59:58.000> like 01:59:58.229 --> 01:59:58.239 align:start position:0% doesn't help except that they feel like 01:59:58.239 --> 02:00:00.070 align:start position:0% doesn't help except that they feel like somebody<01:59:58.880> cares<01:59:59.199> about<01:59:59.360> them<01:59:59.599> and<01:59:59.679> believes 02:00:00.070 --> 02:00:00.080 align:start position:0% somebody cares about them and believes 02:00:00.080 --> 02:00:02.390 align:start position:0% somebody cares about them and believes that<02:00:00.239> they're<02:00:00.480> suffering<02:00:01.360> but<02:00:01.920> there<02:00:02.159> are 02:00:02.390 --> 02:00:02.400 align:start position:0% that they're suffering but there are 02:00:02.400 --> 02:00:03.990 align:start position:0% that they're suffering but there are problems<02:00:02.960> in<02:00:03.119> living 02:00:03.990 --> 02:00:04.000 align:start position:0% problems in living 02:00:04.000 --> 02:00:06.629 align:start position:0% problems in living that<02:00:04.560> give<02:00:04.800> rise<02:00:05.280> to<02:00:05.920> much<02:00:06.239> of<02:00:06.400> this 02:00:06.629 --> 02:00:06.639 align:start position:0% that give rise to much of this 02:00:06.639 --> 02:00:08.470 align:start position:0% that give rise to much of this symptomatology<02:00:07.679> of 02:00:08.470 --> 02:00:08.480 align:start position:0% symptomatology of 02:00:08.480 --> 02:00:10.629 align:start position:0% symptomatology of less<02:00:08.719> than<02:00:08.960> major<02:00:09.280> depression<02:00:10.159> and<02:00:10.400> let's 02:00:10.629 --> 02:00:10.639 align:start position:0% less than major depression and let's 02:00:10.639 --> 02:00:13.270 align:start position:0% less than major depression and let's call<02:00:10.880> it<02:00:11.040> what<02:00:11.280> it<02:00:11.440> is<02:00:12.239> and<02:00:12.480> figure<02:00:12.880> out<02:00:13.040> a<02:00:13.119> way 02:00:13.270 --> 02:00:13.280 align:start position:0% call it what it is and figure out a way 02:00:13.280 --> 02:00:14.709 align:start position:0% call it what it is and figure out a way to<02:00:13.440> help<02:00:13.760> people 02:00:14.709 --> 02:00:14.719 align:start position:0% to help people 02:00:14.719 --> 02:00:17.990 align:start position:0% to help people in<02:00:14.880> visual<02:00:15.199> therapy<02:00:15.679> group<02:00:15.920> therapy<02:00:16.800> um 02:00:17.990 --> 02:00:18.000 align:start position:0% in visual therapy group therapy um 02:00:18.000 --> 02:00:19.750 align:start position:0% in visual therapy group therapy um maybe<02:00:18.320> lifestyle<02:00:18.800> modification<02:00:19.360> would<02:00:19.520> work 02:00:19.750 --> 02:00:19.760 align:start position:0% maybe lifestyle modification would work 02:00:19.760 --> 02:00:21.109 align:start position:0% maybe lifestyle modification would work we<02:00:19.840> got<02:00:20.000> to<02:00:20.080> try<02:00:20.320> that 02:00:21.109 --> 02:00:21.119 align:start position:0% we got to try that 02:00:21.119 --> 02:00:23.990 align:start position:0% we got to try that um<02:00:21.840> but<02:00:22.320> let's<02:00:22.639> call<02:00:22.880> it<02:00:22.960> what<02:00:23.199> it<02:00:23.360> is<02:00:23.679> instead 02:00:23.990 --> 02:00:24.000 align:start position:0% um but let's call it what it is instead 02:00:24.000 --> 02:00:28.310 align:start position:0% um but let's call it what it is instead of<02:00:24.320> saying<02:00:24.639> oh<02:00:24.960> you're<02:00:25.840> uh<02:00:26.320> in<02:00:26.480> this<02:00:26.800> vast 02:00:28.310 --> 02:00:28.320 align:start position:0% of saying oh you're uh in this vast 02:00:28.320 --> 02:00:29.830 align:start position:0% of saying oh you're uh in this vast basket<02:00:28.719> of<02:00:28.880> people<02:00:29.119> who<02:00:29.280> are<02:00:29.360> depressed<02:00:29.760> so 02:00:29.830 --> 02:00:29.840 align:start position:0% basket of people who are depressed so 02:00:29.840 --> 02:00:31.750 align:start position:0% basket of people who are depressed so we'll<02:00:30.000> give<02:00:30.159> you<02:00:30.239> an<02:00:30.400> antidepressant<02:00:31.520> even 02:00:31.750 --> 02:00:31.760 align:start position:0% we'll give you an antidepressant even 02:00:31.760 --> 02:00:34.070 align:start position:0% we'll give you an antidepressant even though<02:00:31.920> the<02:00:32.080> evidence<02:00:32.560> shows<02:00:33.280> that<02:00:33.760> people 02:00:34.070 --> 02:00:34.080 align:start position:0% though the evidence shows that people 02:00:34.080 --> 02:00:35.830 align:start position:0% though the evidence shows that people who<02:00:34.400> are<02:00:34.639> suffering<02:00:35.040> from<02:00:35.280> your<02:00:35.440> level<02:00:35.679> of 02:00:35.830 --> 02:00:35.840 align:start position:0% who are suffering from your level of 02:00:35.840 --> 02:00:38.149 align:start position:0% who are suffering from your level of depression<02:00:36.560> don't<02:00:36.800> get<02:00:36.960> better 02:00:38.149 --> 02:00:38.159 align:start position:0% depression don't get better 02:00:38.159 --> 02:00:39.270 align:start position:0% depression don't get better and<02:00:38.320> that's 02:00:39.270 --> 02:00:39.280 align:start position:0% and that's 02:00:39.280 --> 02:00:40.390 align:start position:0% and that's a<02:00:39.440> consequence 02:00:40.390 --> 02:00:40.400 align:start position:0% a consequence 02:00:40.400 --> 02:00:43.430 align:start position:0% a consequence of<02:00:40.639> not<02:00:41.119> um<02:00:41.920> focusing<02:00:42.480> on 02:00:43.430 --> 02:00:43.440 align:start position:0% of not um focusing on 02:00:43.440 --> 02:00:45.510 align:start position:0% of not um focusing on preventative<02:00:44.159> medicine<02:00:44.719> the<02:00:44.880> lifestyle 02:00:45.510 --> 02:00:45.520 align:start position:0% preventative medicine the lifestyle 02:00:45.520 --> 02:00:48.149 align:start position:0% preventative medicine the lifestyle changes<02:00:46.000> all<02:00:46.080> that<02:00:46.239> kind<02:00:46.400> of<02:00:46.560> stuff<02:00:47.040> well<02:00:47.760> yes 02:00:48.149 --> 02:00:48.159 align:start position:0% changes all that kind of stuff well yes 02:00:48.159 --> 02:00:50.229 align:start position:0% changes all that kind of stuff well yes but<02:00:48.320> it's<02:00:48.480> really<02:00:48.719> a<02:00:48.800> consequence<02:00:49.599> of<02:00:50.080> the 02:00:50.229 --> 02:00:50.239 align:start position:0% but it's really a consequence of the 02:00:50.239 --> 02:00:52.950 align:start position:0% but it's really a consequence of the drug<02:00:50.560> companies<02:00:51.119> creating<02:00:51.679> the<02:00:51.920> impression 02:00:52.950 --> 02:00:52.960 align:start position:0% drug companies creating the impression 02:00:52.960 --> 02:00:56.550 align:start position:0% drug companies creating the impression that<02:00:53.199> if<02:00:53.280> you're<02:00:53.520> sad<02:00:53.760> take<02:00:54.000> a<02:00:54.080> pill 02:00:56.550 --> 02:00:56.560 align:start position:0% 02:00:56.560 --> 02:00:59.030 align:start position:0% if<02:00:56.719> you're 02:00:59.030 --> 02:00:59.040 align:start position:0% 02:00:59.040 --> 02:01:01.030 align:start position:0% non-major<02:00:59.679> depression 02:01:01.030 --> 02:01:01.040 align:start position:0% non-major depression 02:01:01.040 --> 02:01:03.350 align:start position:0% non-major depression how<02:01:01.199> do<02:01:01.360> you<02:01:01.520> overcome<02:01:02.000> depression 02:01:03.350 --> 02:01:03.360 align:start position:0% how do you overcome depression 02:01:03.360 --> 02:01:04.629 align:start position:0% how do you overcome depression well<02:01:03.599> you<02:01:03.760> have<02:01:03.920> to<02:01:04.000> talk<02:01:04.159> about<02:01:04.320> what<02:01:04.480> the 02:01:04.629 --> 02:01:04.639 align:start position:0% well you have to talk about what the 02:01:04.639 --> 02:01:06.629 align:start position:0% well you have to talk about what the problem<02:01:04.960> is 02:01:06.629 --> 02:01:06.639 align:start position:0% problem is 02:01:06.639 --> 02:01:08.390 align:start position:0% problem is so<02:01:06.880> talk<02:01:07.199> therapy 02:01:08.390 --> 02:01:08.400 align:start position:0% so talk therapy 02:01:08.400 --> 02:01:11.350 align:start position:0% so talk therapy lifestyle<02:01:08.960> changes<02:01:09.840> well<02:01:10.080> no<02:01:10.639> i'm<02:01:10.800> not 02:01:11.350 --> 02:01:11.360 align:start position:0% lifestyle changes well no i'm not 02:01:11.360 --> 02:01:13.830 align:start position:0% lifestyle changes well no i'm not jumping<02:01:11.760> to<02:01:11.920> that<02:01:12.159> i'm<02:01:12.400> saying<02:01:12.800> that 02:01:13.830 --> 02:01:13.840 align:start position:0% jumping to that i'm saying that 02:01:13.840 --> 02:01:16.070 align:start position:0% jumping to that i'm saying that you<02:01:14.159> ought<02:01:14.480> to<02:01:15.040> a 02:01:16.070 --> 02:01:16.080 align:start position:0% you ought to a 02:01:16.080 --> 02:01:17.669 align:start position:0% you ought to a the<02:01:16.239> way<02:01:16.480> you<02:01:16.719> feel 02:01:17.669 --> 02:01:17.679 align:start position:0% the way you feel 02:01:17.679 --> 02:01:19.350 align:start position:0% the way you feel must<02:01:17.920> be<02:01:18.080> respected 02:01:19.350 --> 02:01:19.360 align:start position:0% must be respected 02:01:19.360 --> 02:01:21.030 align:start position:0% must be respected yeah<02:01:19.599> acknowledge<02:01:20.159> that<02:01:20.320> you're<02:01:20.480> suffering 02:01:21.030 --> 02:01:21.040 align:start position:0% yeah acknowledge that you're suffering 02:01:21.040 --> 02:01:22.790 align:start position:0% yeah acknowledge that you're suffering acknowledge<02:01:21.440> that<02:01:21.599> you're<02:01:21.840> suffering<02:01:22.560> and 02:01:22.790 --> 02:01:22.800 align:start position:0% acknowledge that you're suffering and 02:01:22.800 --> 02:01:24.870 align:start position:0% acknowledge that you're suffering and deal<02:01:23.119> with<02:01:23.280> health<02:01:23.520> care<02:01:23.760> providers<02:01:24.639> who 02:01:24.870 --> 02:01:24.880 align:start position:0% deal with health care providers who 02:01:24.880 --> 02:01:27.750 align:start position:0% deal with health care providers who acknowledge<02:01:25.679> that<02:01:25.920> you're<02:01:26.159> suffering<02:01:27.119> so 02:01:27.750 --> 02:01:27.760 align:start position:0% acknowledge that you're suffering so 02:01:27.760 --> 02:01:30.070 align:start position:0% acknowledge that you're suffering so let's<02:01:28.400> take<02:01:28.560> that<02:01:28.800> first<02:01:29.040> step 02:01:30.070 --> 02:01:30.080 align:start position:0% let's take that first step 02:01:30.080 --> 02:01:33.589 align:start position:0% let's take that first step and<02:01:30.639> first<02:01:30.880> step<02:01:31.599> also<02:01:32.239> big<02:01:32.400> first<02:01:32.639> step<02:01:32.960> yeah 02:01:33.589 --> 02:01:33.599 align:start position:0% and first step also big first step yeah 02:01:33.599 --> 02:01:36.070 align:start position:0% and first step also big first step yeah family<02:01:33.920> docs<02:01:34.239> are<02:01:34.320> pretty<02:01:34.560> good<02:01:34.719> at<02:01:34.880> that 02:01:36.070 --> 02:01:36.080 align:start position:0% family docs are pretty good at that 02:01:36.080 --> 02:01:37.510 align:start position:0% family docs are pretty good at that that's<02:01:36.639> kind<02:01:36.880> of 02:01:37.510 --> 02:01:37.520 align:start position:0% that's kind of 02:01:37.520 --> 02:01:40.310 align:start position:0% that's kind of the<02:01:38.159> arena<02:01:38.960> that<02:01:39.280> caused<02:01:39.599> me<02:01:39.760> to<02:01:39.920> go<02:01:40.080> into 02:01:40.310 --> 02:01:40.320 align:start position:0% the arena that caused me to go into 02:01:40.320 --> 02:01:41.750 align:start position:0% the arena that caused me to go into family<02:01:40.639> medicine 02:01:41.750 --> 02:01:41.760 align:start position:0% family medicine 02:01:41.760 --> 02:01:44.149 align:start position:0% family medicine the<02:01:42.000> subjective<02:01:42.639> experience<02:01:43.199> of<02:01:43.280> the<02:01:43.360> patient 02:01:44.149 --> 02:01:44.159 align:start position:0% the subjective experience of the patient 02:01:44.159 --> 02:01:46.629 align:start position:0% the subjective experience of the patient okay<02:01:44.639> so<02:01:44.960> you're<02:01:45.360> a<02:01:45.520> person 02:01:46.629 --> 02:01:46.639 align:start position:0% okay so you're a person 02:01:46.639 --> 02:01:49.030 align:start position:0% okay so you're a person who<02:01:46.880> is<02:01:47.119> not<02:01:47.440> getting<02:01:47.920> the<02:01:48.239> enjoyment<02:01:48.800> out<02:01:48.880> of 02:01:49.030 --> 02:01:49.040 align:start position:0% who is not getting the enjoyment out of 02:01:49.040 --> 02:01:51.030 align:start position:0% who is not getting the enjoyment out of their<02:01:49.199> life<02:01:49.520> that<02:01:49.679> they<02:01:50.159> feel<02:01:50.480> they<02:01:50.719> ought<02:01:50.960> to 02:01:51.030 --> 02:01:51.040 align:start position:0% their life that they feel they ought to 02:01:51.040 --> 02:01:54.550 align:start position:0% their life that they feel they ought to be<02:01:51.199> getting<02:01:52.000> now<02:01:52.320> let's<02:01:52.960> figure<02:01:53.360> out<02:01:53.599> why 02:01:54.550 --> 02:01:54.560 align:start position:0% be getting now let's figure out why 02:01:54.560 --> 02:01:56.390 align:start position:0% be getting now let's figure out why and<02:01:54.800> whether<02:01:55.119> that<02:01:55.360> means<02:01:55.760> some<02:01:55.920> time<02:01:56.159> with<02:01:56.320> a 02:01:56.390 --> 02:01:56.400 align:start position:0% and whether that means some time with a 02:01:56.400 --> 02:01:58.229 align:start position:0% and whether that means some time with a social<02:01:56.800> worker<02:01:57.199> sometime<02:01:57.679> with<02:01:57.920> a 02:01:58.229 --> 02:01:58.239 align:start position:0% social worker sometime with a 02:01:58.239 --> 02:02:00.709 align:start position:0% social worker sometime with a psychiatrist<02:01:58.960> sometime<02:01:59.360> with<02:01:59.599> a<02:02:00.080> psychiatric 02:02:00.709 --> 02:02:00.719 align:start position:0% psychiatrist sometime with a psychiatric 02:02:00.719 --> 02:02:02.310 align:start position:0% psychiatrist sometime with a psychiatric nurse 02:02:02.310 --> 02:02:02.320 align:start position:0% nurse 02:02:02.320 --> 02:02:04.229 align:start position:0% nurse i'm<02:02:02.480> not<02:02:02.719> sure<02:02:03.040> how<02:02:03.199> you'd<02:02:03.360> best<02:02:03.599> do<02:02:03.760> that<02:02:04.000> most 02:02:04.229 --> 02:02:04.239 align:start position:0% i'm not sure how you'd best do that most 02:02:04.239 --> 02:02:06.070 align:start position:0% i'm not sure how you'd best do that most effectively<02:02:04.800> and<02:02:04.960> efficiently<02:02:05.679> but<02:02:05.840> that's 02:02:06.070 --> 02:02:06.080 align:start position:0% effectively and efficiently but that's 02:02:06.080 --> 02:02:07.430 align:start position:0% effectively and efficiently but that's what<02:02:06.239> you<02:02:06.320> need<02:02:06.560> to<02:02:06.719> do 02:02:07.430 --> 02:02:07.440 align:start position:0% what you need to do 02:02:07.440 --> 02:02:11.030 align:start position:0% what you need to do and<02:02:07.920> it<02:02:08.239> may<02:02:08.480> be<02:02:08.960> that<02:02:09.199> there's<02:02:09.840> um<02:02:10.400> a<02:02:10.560> marital 02:02:11.030 --> 02:02:11.040 align:start position:0% and it may be that there's um a marital 02:02:11.040 --> 02:02:13.510 align:start position:0% and it may be that there's um a marital problem<02:02:11.599> and<02:02:12.239> there's<02:02:12.480> something<02:02:12.880> going<02:02:13.199> on 02:02:13.510 --> 02:02:13.520 align:start position:0% problem and there's something going on 02:02:13.520 --> 02:02:14.870 align:start position:0% problem and there's something going on and<02:02:14.080> uh 02:02:14.870 --> 02:02:14.880 align:start position:0% and uh 02:02:14.880 --> 02:02:17.589 align:start position:0% and uh one<02:02:15.119> of<02:02:15.199> the<02:02:15.360> spouses<02:02:16.639> can't<02:02:17.119> find 02:02:17.589 --> 02:02:17.599 align:start position:0% one of the spouses can't find 02:02:17.599 --> 02:02:19.510 align:start position:0% one of the spouses can't find satisfaction<02:02:18.560> in<02:02:18.639> the<02:02:18.800> life<02:02:19.040> they<02:02:19.199> have<02:02:19.360> to 02:02:19.510 --> 02:02:19.520 align:start position:0% satisfaction in the life they have to 02:02:19.520 --> 02:02:21.669 align:start position:0% satisfaction in the life they have to live<02:02:19.760> in<02:02:19.920> within<02:02:20.159> the<02:02:20.320> relationship<02:02:21.440> maybe 02:02:21.669 --> 02:02:21.679 align:start position:0% live in within the relationship maybe 02:02:21.679 --> 02:02:23.589 align:start position:0% live in within the relationship maybe there's<02:02:21.920> a<02:02:22.000> past<02:02:22.320> history<02:02:22.719> of<02:02:22.880> trauma<02:02:23.360> or 02:02:23.589 --> 02:02:23.599 align:start position:0% there's a past history of trauma or 02:02:23.599 --> 02:02:26.470 align:start position:0% there's a past history of trauma or abuse<02:02:24.560> that<02:02:25.040> somebody<02:02:25.520> is<02:02:25.679> projecting<02:02:26.239> onto 02:02:26.470 --> 02:02:26.480 align:start position:0% abuse that somebody is projecting onto 02:02:26.480 --> 02:02:28.390 align:start position:0% abuse that somebody is projecting onto their<02:02:26.719> current<02:02:27.119> situation 02:02:28.390 --> 02:02:28.400 align:start position:0% their current situation 02:02:28.400 --> 02:02:30.950 align:start position:0% their current situation uh<02:02:28.719> maybe<02:02:28.960> the<02:02:29.239> socioeconomic<02:02:30.239> circumstances 02:02:30.950 --> 02:02:30.960 align:start position:0% uh maybe the socioeconomic circumstances 02:02:30.960 --> 02:02:32.390 align:start position:0% uh maybe the socioeconomic circumstances where<02:02:31.119> they<02:02:31.360> can't<02:02:31.679> find 02:02:32.390 --> 02:02:32.400 align:start position:0% where they can't find 02:02:32.400 --> 02:02:34.790 align:start position:0% where they can't find a<02:02:32.639> job<02:02:32.960> that<02:02:33.199> gives<02:02:33.520> them<02:02:33.920> self-respect<02:02:34.639> and 02:02:34.790 --> 02:02:34.800 align:start position:0% a job that gives them self-respect and 02:02:34.800 --> 02:02:36.550 align:start position:0% a job that gives them self-respect and enough<02:02:35.040> money<02:02:35.360> to<02:02:35.440> live 02:02:36.550 --> 02:02:36.560 align:start position:0% enough money to live 02:02:36.560 --> 02:02:38.229 align:start position:0% enough money to live all<02:02:37.199> you<02:02:37.280> know 02:02:38.229 --> 02:02:38.239 align:start position:0% all you know 02:02:38.239 --> 02:02:40.070 align:start position:0% all you know an<02:02:38.480> infinite<02:02:38.960> range<02:02:39.280> of<02:02:39.360> things<02:02:39.599> but<02:02:39.760> let's 02:02:40.070 --> 02:02:40.080 align:start position:0% an infinite range of things but let's 02:02:40.080 --> 02:02:42.070 align:start position:0% an infinite range of things but let's figure<02:02:40.400> out<02:02:40.719> make<02:02:40.960> a<02:02:41.040> diagnosis<02:02:41.679> first<02:02:42.000> the 02:02:42.070 --> 02:02:42.080 align:start position:0% figure out make a diagnosis first the 02:02:42.080 --> 02:02:44.790 align:start position:0% figure out make a diagnosis first the diagnosis<02:02:42.800> isn't<02:02:43.599> that<02:02:43.760> the<02:02:44.000> person<02:02:44.480> feels 02:02:44.790 --> 02:02:44.800 align:start position:0% diagnosis isn't that the person feels 02:02:44.800 --> 02:02:46.790 align:start position:0% diagnosis isn't that the person feels sadder<02:02:45.440> than<02:02:45.599> they<02:02:45.920> feel 02:02:46.790 --> 02:02:46.800 align:start position:0% sadder than they feel 02:02:46.800 --> 02:02:48.470 align:start position:0% sadder than they feel than<02:02:46.960> they<02:02:47.119> want<02:02:47.280> to<02:02:47.440> feel 02:02:48.470 --> 02:02:48.480 align:start position:0% than they want to feel 02:02:48.480 --> 02:02:51.109 align:start position:0% than they want to feel the<02:02:48.639> diagnosis<02:02:49.360> is<02:02:49.599> why<02:02:50.320> does<02:02:50.560> the<02:02:50.719> person 02:02:51.109 --> 02:02:51.119 align:start position:0% the diagnosis is why does the person 02:02:51.119 --> 02:02:54.390 align:start position:0% the diagnosis is why does the person feel<02:02:51.360> sadder<02:02:51.840> than<02:02:52.000> they<02:02:52.159> want<02:02:52.320> to<02:02:52.480> feel 02:02:54.390 --> 02:02:54.400 align:start position:0% feel sadder than they want to feel 02:02:54.400 --> 02:02:56.229 align:start position:0% feel sadder than they want to feel you<02:02:54.560> mentioned<02:02:55.040> this<02:02:55.280> is<02:02:55.360> what<02:02:55.679> made<02:02:55.920> you<02:02:56.080> want 02:02:56.229 --> 02:02:56.239 align:start position:0% you mentioned this is what made you want 02:02:56.239 --> 02:02:57.669 align:start position:0% you mentioned this is what made you want to<02:02:56.400> get 02:02:57.669 --> 02:02:57.679 align:start position:0% to get 02:02:57.679 --> 02:03:00.870 align:start position:0% to get into<02:02:58.000> family<02:02:58.400> medicine 02:03:00.870 --> 02:03:00.880 align:start position:0% into family medicine 02:03:00.880 --> 02:03:02.629 align:start position:0% into family medicine as<02:03:01.040> a<02:03:01.199> doctor<02:03:01.679> what<02:03:01.840> do<02:03:01.920> you<02:03:02.000> think<02:03:02.159> about<02:03:02.400> the 02:03:02.629 --> 02:03:02.639 align:start position:0% as a doctor what do you think about the 02:03:02.639 --> 02:03:09.270 align:start position:0% as a doctor what do you think about the saying<02:03:03.119> save<02:03:03.440> one<02:03:03.679> life<02:03:04.080> save<02:03:04.400> the<02:03:04.560> world 02:03:09.270 --> 02:03:09.280 align:start position:0% 02:03:09.280 --> 02:03:11.109 align:start position:0% this<02:03:09.520> was<02:03:09.760> always 02:03:11.109 --> 02:03:11.119 align:start position:0% this was always 02:03:11.119 --> 02:03:13.030 align:start position:0% this was always moving<02:03:11.599> to<02:03:11.760> me<02:03:12.000> about 02:03:13.030 --> 02:03:13.040 align:start position:0% moving to me about 02:03:13.040 --> 02:03:15.589 align:start position:0% moving to me about doctors<02:03:13.679> because<02:03:14.239> you<02:03:14.400> have<02:03:14.639> like<02:03:14.800> this 02:03:15.589 --> 02:03:15.599 align:start position:0% doctors because you have like this 02:03:15.599 --> 02:03:17.669 align:start position:0% doctors because you have like this human<02:03:16.000> in<02:03:16.080> front<02:03:16.239> of<02:03:16.400> you 02:03:17.669 --> 02:03:17.679 align:start position:0% human in front of you 02:03:17.679 --> 02:03:19.109 align:start position:0% human in front of you and<02:03:18.080> um 02:03:19.109 --> 02:03:19.119 align:start position:0% and um 02:03:19.119 --> 02:03:22.310 align:start position:0% and um your<02:03:19.360> time<02:03:19.679> is<02:03:19.840> worth<02:03:20.159> money 02:03:22.310 --> 02:03:22.320 align:start position:0% your time is worth money 02:03:22.320 --> 02:03:26.229 align:start position:0% your time is worth money your<02:03:23.040> what<02:03:23.199> you<02:03:23.360> prescribe<02:03:24.400> and<02:03:24.880> your<02:03:25.199> efforts 02:03:26.229 --> 02:03:26.239 align:start position:0% your what you prescribe and your efforts 02:03:26.239 --> 02:03:28.790 align:start position:0% your what you prescribe and your efforts after<02:03:26.560> the<02:03:26.719> visit<02:03:27.199> or<02:03:27.280> worth<02:03:27.599> money 02:03:28.790 --> 02:03:28.800 align:start position:0% after the visit or worth money 02:03:28.800 --> 02:03:31.270 align:start position:0% after the visit or worth money and<02:03:29.199> uh<02:03:29.599> it<02:03:29.760> seems<02:03:30.080> like<02:03:30.480> the<02:03:30.639> task<02:03:31.040> of<02:03:31.119> the 02:03:31.270 --> 02:03:31.280 align:start position:0% and uh it seems like the task of the 02:03:31.280 --> 02:03:34.629 align:start position:0% and uh it seems like the task of the doctors<02:03:31.920> to<02:03:32.080> not<02:03:32.800> think<02:03:32.960> about<02:03:33.280> any<02:03:33.520> of<02:03:33.599> that 02:03:34.629 --> 02:03:34.639 align:start position:0% doctors to not think about any of that 02:03:34.639 --> 02:03:36.950 align:start position:0% doctors to not think about any of that uh<02:03:34.960> or 02:03:36.950 --> 02:03:36.960 align:start position:0% uh or 02:03:36.960 --> 02:03:39.030 align:start position:0% uh or not<02:03:37.280> not<02:03:37.440> the<02:03:37.679> task<02:03:38.159> but 02:03:39.030 --> 02:03:39.040 align:start position:0% not not the task but 02:03:39.040 --> 02:03:40.709 align:start position:0% not not the task but it<02:03:39.280> seems<02:03:39.679> like 02:03:40.709 --> 02:03:40.719 align:start position:0% it seems like 02:03:40.719 --> 02:03:42.470 align:start position:0% it seems like a<02:03:40.960> great<02:03:41.280> doctor 02:03:42.470 --> 02:03:42.480 align:start position:0% a great doctor 02:03:42.480 --> 02:03:45.109 align:start position:0% a great doctor despite<02:03:43.119> all<02:03:43.280> that<02:03:43.520> just<02:03:43.760> forgets<02:03:44.239> it<02:03:44.480> all<02:03:44.960> and 02:03:45.109 --> 02:03:45.119 align:start position:0% despite all that just forgets it all and 02:03:45.119 --> 02:03:47.270 align:start position:0% despite all that just forgets it all and just<02:03:45.360> cares<02:03:45.679> about<02:03:45.920> the<02:03:46.080> one<02:03:46.400> human<02:03:47.119> and 02:03:47.270 --> 02:03:47.280 align:start position:0% just cares about the one human and 02:03:47.280 --> 02:03:49.510 align:start position:0% just cares about the one human and somehow<02:03:47.760> that<02:03:48.079> feels 02:03:49.510 --> 02:03:49.520 align:start position:0% somehow that feels 02:03:49.520 --> 02:03:51.910 align:start position:0% somehow that feels like<02:03:50.079> the<02:03:50.320> love<02:03:50.639> and<02:03:50.800> effort<02:03:51.199> you<02:03:51.360> put<02:03:51.679> into 02:03:51.910 --> 02:03:51.920 align:start position:0% like the love and effort you put into 02:03:51.920 --> 02:03:53.910 align:start position:0% like the love and effort you put into helping<02:03:52.320> one<02:03:52.639> person<02:03:53.199> is<02:03:53.360> the<02:03:53.599> thing<02:03:53.760> that 02:03:53.910 --> 02:03:53.920 align:start position:0% helping one person is the thing that 02:03:53.920 --> 02:03:56.629 align:start position:0% helping one person is the thing that will<02:03:54.159> save<02:03:54.400> the<02:03:54.560> world<02:03:55.360> it's<02:03:55.679> not<02:03:56.000> like<02:03:56.239> some 02:03:56.629 --> 02:03:56.639 align:start position:0% will save the world it's not like some 02:03:56.639 --> 02:04:01.189 align:start position:0% will save the world it's not like some economic<02:03:57.360> argument<02:03:58.320> or<02:03:58.560> some 02:04:01.189 --> 02:04:01.199 align:start position:0% 02:04:01.199 --> 02:04:02.950 align:start position:0% political<02:04:01.840> argument 02:04:02.950 --> 02:04:02.960 align:start position:0% political argument 02:04:02.960 --> 02:04:07.589 align:start position:0% political argument or<02:04:03.199> financial<02:04:03.920> argument<02:04:04.480> it's<02:04:04.719> a<02:04:04.800> very<02:04:05.280> human 02:04:07.589 --> 02:04:07.599 align:start position:0% or financial argument it's a very human 02:04:07.599 --> 02:04:08.629 align:start position:0% or financial argument it's a very human drive 02:04:08.629 --> 02:04:08.639 align:start position:0% drive 02:04:08.639 --> 02:04:10.629 align:start position:0% drive that<02:04:08.960> ultimately<02:04:09.520> is<02:04:09.599> behind<02:04:10.079> all<02:04:10.239> of<02:04:10.400> this 02:04:10.629 --> 02:04:10.639 align:start position:0% that ultimately is behind all of this 02:04:10.639 --> 02:04:12.950 align:start position:0% that ultimately is behind all of this that<02:04:10.800> will<02:04:11.199> do<02:04:11.440> good<02:04:11.679> for<02:04:11.840> the<02:04:11.920> world 02:04:12.950 --> 02:04:12.960 align:start position:0% that will do good for the world 02:04:12.960 --> 02:04:13.990 align:start position:0% that will do good for the world yes 02:04:13.990 --> 02:04:14.000 align:start position:0% yes 02:04:14.000 --> 02:04:15.589 align:start position:0% yes i<02:04:14.159> think<02:04:14.400> that's<02:04:14.719> true 02:04:15.589 --> 02:04:15.599 align:start position:0% i think that's true 02:04:15.599 --> 02:04:17.510 align:start position:0% i think that's true and<02:04:16.079> at<02:04:16.159> the<02:04:16.320> same<02:04:16.639> time 02:04:17.510 --> 02:04:17.520 align:start position:0% and at the same time 02:04:17.520 --> 02:04:19.589 align:start position:0% and at the same time i<02:04:17.599> think<02:04:17.840> it's<02:04:18.079> equally<02:04:18.639> true 02:04:19.589 --> 02:04:19.599 align:start position:0% i think it's equally true 02:04:19.599 --> 02:04:21.910 align:start position:0% i think it's equally true that<02:04:19.840> all<02:04:20.159> physicians<02:04:20.960> need<02:04:21.199> to<02:04:21.360> have<02:04:21.520> a<02:04:21.599> sense 02:04:21.910 --> 02:04:21.920 align:start position:0% that all physicians need to have a sense 02:04:21.920 --> 02:04:23.589 align:start position:0% that all physicians need to have a sense of<02:04:22.079> responsibility 02:04:23.589 --> 02:04:23.599 align:start position:0% of responsibility 02:04:23.599 --> 02:04:25.430 align:start position:0% of responsibility about<02:04:23.920> how<02:04:24.239> the 02:04:25.430 --> 02:04:25.440 align:start position:0% about how the 02:04:25.440 --> 02:04:28.069 align:start position:0% about how the common<02:04:26.159> uh<02:04:26.480> resources 02:04:28.069 --> 02:04:28.079 align:start position:0% common uh resources 02:04:28.079 --> 02:04:29.750 align:start position:0% common uh resources are<02:04:28.400> allocated 02:04:29.750 --> 02:04:29.760 align:start position:0% are allocated 02:04:29.760 --> 02:04:31.430 align:start position:0% are allocated to<02:04:30.079> serve 02:04:31.430 --> 02:04:31.440 align:start position:0% to serve 02:04:31.440 --> 02:04:33.350 align:start position:0% to serve all<02:04:31.760> the<02:04:31.920> whole<02:04:32.159> population's<02:04:32.880> interests 02:04:33.350 --> 02:04:33.360 align:start position:0% all the whole population's interests 02:04:33.360 --> 02:04:35.830 align:start position:0% all the whole population's interests best<02:04:34.079> that's<02:04:34.320> a<02:04:34.480> tension<02:04:35.119> that<02:04:35.280> you<02:04:35.440> have<02:04:35.599> as<02:04:35.760> a 02:04:35.830 --> 02:04:35.840 align:start position:0% best that's a tension that you have as a 02:04:35.840 --> 02:04:37.910 align:start position:0% best that's a tension that you have as a physician<02:04:36.320> let's<02:04:36.480> take<02:04:36.960> uh<02:04:37.280> the<02:04:37.440> extreme 02:04:37.910 --> 02:04:37.920 align:start position:0% physician let's take uh the extreme 02:04:37.920 --> 02:04:39.830 align:start position:0% physician let's take uh the extreme example<02:04:38.320> let's<02:04:38.480> say<02:04:38.639> you<02:04:38.800> had<02:04:38.960> a<02:04:39.360> patient<02:04:39.679> in 02:04:39.830 --> 02:04:39.840 align:start position:0% example let's say you had a patient in 02:04:39.840 --> 02:04:41.350 align:start position:0% example let's say you had a patient in front<02:04:40.000> of<02:04:40.159> you 02:04:41.350 --> 02:04:41.360 align:start position:0% front of you 02:04:41.360 --> 02:04:44.470 align:start position:0% front of you who<02:04:42.079> uh<02:04:42.480> if<02:04:42.560> you<02:04:42.719> gave<02:04:42.960> a<02:04:43.040> 10<02:04:43.520> 1<02:04:43.840> 10<02:04:44.079> billion 02:04:44.470 --> 02:04:44.480 align:start position:0% who uh if you gave a 10 1 10 billion 02:04:44.480 --> 02:04:46.229 align:start position:0% who uh if you gave a 10 1 10 billion dollar<02:04:45.119> pill<02:04:45.520> to 02:04:46.229 --> 02:04:46.239 align:start position:0% dollar pill to 02:04:46.239 --> 02:04:49.030 align:start position:0% dollar pill to you<02:04:46.400> would<02:04:46.560> save<02:04:46.880> their<02:04:47.040> life 02:04:49.030 --> 02:04:49.040 align:start position:0% you would save their life 02:04:49.040 --> 02:04:51.350 align:start position:0% you would save their life i<02:04:49.360> i<02:04:49.760> would<02:04:49.920> just<02:04:50.079> be<02:04:50.320> tortured<02:04:50.719> by<02:04:50.880> that<02:04:51.119> as<02:04:51.280> a 02:04:51.350 --> 02:04:51.360 align:start position:0% i i would just be tortured by that as a 02:04:51.360 --> 02:04:53.589 align:start position:0% i i would just be tortured by that as a physician<02:04:52.239> because<02:04:52.560> i<02:04:52.639> know<02:04:52.880> that<02:04:53.040> 10<02:04:53.280> billion 02:04:53.589 --> 02:04:53.599 align:start position:0% physician because i know that 10 billion 02:04:53.599 --> 02:04:56.069 align:start position:0% physician because i know that 10 billion dollars<02:04:54.480> spent<02:04:54.880> properly 02:04:56.069 --> 02:04:56.079 align:start position:0% dollars spent properly 02:04:56.079 --> 02:04:57.470 align:start position:0% dollars spent properly in<02:04:56.560> an 02:04:57.470 --> 02:04:57.480 align:start position:0% in an 02:04:57.480 --> 02:05:00.550 align:start position:0% in an epidemiologically<02:04:58.800> guided<02:04:59.360> way<02:05:00.159> is<02:05:00.320> going<02:05:00.480> to 02:05:00.550 --> 02:05:00.560 align:start position:0% epidemiologically guided way is going to 02:05:00.560 --> 02:05:02.950 align:start position:0% epidemiologically guided way is going to save<02:05:00.880> a<02:05:01.040> whole<02:05:01.280> lot<02:05:01.520> more<02:05:01.760> lives<02:05:02.480> than<02:05:02.719> one 02:05:02.950 --> 02:05:02.960 align:start position:0% save a whole lot more lives than one 02:05:02.960 --> 02:05:05.589 align:start position:0% save a whole lot more lives than one life<02:05:03.520> so<02:05:03.679> it's<02:05:03.920> also<02:05:04.239> your<02:05:04.480> responsibility<02:05:05.440> as 02:05:05.589 --> 02:05:05.599 align:start position:0% life so it's also your responsibility as 02:05:05.599 --> 02:05:07.430 align:start position:0% life so it's also your responsibility as a<02:05:05.679> physician<02:05:06.320> to<02:05:06.480> walk<02:05:06.800> away<02:05:07.040> from<02:05:07.199> that 02:05:07.430 --> 02:05:07.440 align:start position:0% a physician to walk away from that 02:05:07.440 --> 02:05:08.550 align:start position:0% a physician to walk away from that patient 02:05:08.550 --> 02:05:08.560 align:start position:0% patient 02:05:08.560 --> 02:05:11.109 align:start position:0% patient i<02:05:09.280> i<02:05:09.520> wouldn't<02:05:09.840> say<02:05:10.079> that<02:05:10.480> i<02:05:10.560> think<02:05:10.800> it's<02:05:10.960> your 02:05:11.109 --> 02:05:11.119 align:start position:0% i i wouldn't say that i think it's your 02:05:11.119 --> 02:05:13.910 align:start position:0% i i wouldn't say that i think it's your responsibility<02:05:12.000> torture 02:05:13.910 --> 02:05:13.920 align:start position:0% responsibility torture 02:05:13.920 --> 02:05:17.030 align:start position:0% responsibility torture that's<02:05:14.159> exactly<02:05:14.639> right 02:05:17.030 --> 02:05:17.040 align:start position:0% 02:05:17.040 --> 02:05:21.350 align:start position:0% the<02:05:17.199> human<02:05:17.599> condition 02:05:21.350 --> 02:05:21.360 align:start position:0% 02:05:21.360 --> 02:05:23.109 align:start position:0% that's<02:05:21.599> a<02:05:21.679> tough<02:05:22.079> job<02:05:22.400> but 02:05:23.109 --> 02:05:23.119 align:start position:0% that's a tough job but 02:05:23.119 --> 02:05:24.550 align:start position:0% that's a tough job but yeah<02:05:23.599> yeah 02:05:24.550 --> 02:05:24.560 align:start position:0% yeah yeah 02:05:24.560 --> 02:05:27.109 align:start position:0% yeah yeah to<02:05:24.719> maintain<02:05:25.199> your<02:05:25.679> humanity<02:05:26.400> through<02:05:26.639> it<02:05:26.800> all 02:05:27.109 --> 02:05:27.119 align:start position:0% to maintain your humanity through it all 02:05:27.119 --> 02:05:29.430 align:start position:0% to maintain your humanity through it all yeah<02:05:27.599> but<02:05:27.920> you've<02:05:28.159> been<02:05:28.400> asking 02:05:29.430 --> 02:05:29.440 align:start position:0% yeah but you've been asking 02:05:29.440 --> 02:05:32.229 align:start position:0% yeah but you've been asking at<02:05:29.599> different<02:05:29.840> points<02:05:30.159> in<02:05:30.239> this<02:05:30.400> conversation 02:05:32.229 --> 02:05:32.239 align:start position:0% at different points in this conversation 02:05:32.239 --> 02:05:35.910 align:start position:0% at different points in this conversation why<02:05:32.560> are<02:05:32.840> doctors<02:05:34.320> so<02:05:34.480> complacent 02:05:35.910 --> 02:05:35.920 align:start position:0% why are doctors so complacent 02:05:35.920 --> 02:05:37.589 align:start position:0% why are doctors so complacent about<02:05:36.159> the<02:05:36.560> tremendous<02:05:37.040> amount<02:05:37.199> of<02:05:37.280> money 02:05:37.589 --> 02:05:37.599 align:start position:0% about the tremendous amount of money 02:05:37.599 --> 02:05:38.790 align:start position:0% about the tremendous amount of money we're<02:05:37.760> spending 02:05:38.790 --> 02:05:38.800 align:start position:0% we're spending 02:05:38.800 --> 02:05:40.470 align:start position:0% we're spending why<02:05:38.960> do<02:05:39.119> they<02:05:39.280> accept<02:05:39.840> knowledge<02:05:40.239> from 02:05:40.470 --> 02:05:40.480 align:start position:0% why do they accept knowledge from 02:05:40.480 --> 02:05:42.790 align:start position:0% why do they accept knowledge from different<02:05:40.880> sources<02:05:41.360> that<02:05:41.920> may<02:05:42.159> not<02:05:42.320> pan<02:05:42.639> out 02:05:42.790 --> 02:05:42.800 align:start position:0% different sources that may not pan out 02:05:42.800 --> 02:05:45.189 align:start position:0% different sources that may not pan out when<02:05:42.960> they<02:05:43.199> really<02:05:43.440> know<02:05:43.599> the<02:05:43.760> truth 02:05:45.189 --> 02:05:45.199 align:start position:0% when they really know the truth 02:05:45.199 --> 02:05:47.510 align:start position:0% when they really know the truth and<02:05:45.280> the<02:05:45.520> answer<02:05:45.920> is<02:05:46.159> that<02:05:46.320> they're<02:05:46.960> trying<02:05:47.360> to 02:05:47.510 --> 02:05:47.520 align:start position:0% and the answer is that they're trying to 02:05:47.520 --> 02:05:49.910 align:start position:0% and the answer is that they're trying to do<02:05:47.760> their<02:05:48.000> best<02:05:48.320> for<02:05:48.480> their<02:05:48.639> patients 02:05:49.910 --> 02:05:49.920 align:start position:0% do their best for their patients 02:05:49.920 --> 02:05:52.229 align:start position:0% do their best for their patients yeah<02:05:50.560> and<02:05:51.199> um 02:05:52.229 --> 02:05:52.239 align:start position:0% yeah and um 02:05:52.239 --> 02:05:55.030 align:start position:0% yeah and um there's<02:05:52.639> this<02:05:53.280> it's<02:05:53.520> the<02:05:53.679> same<02:05:54.159> kind<02:05:54.400> of 02:05:55.030 --> 02:05:55.040 align:start position:0% there's this it's the same kind of 02:05:55.040 --> 02:05:56.310 align:start position:0% there's this it's the same kind of torture 02:05:56.310 --> 02:05:56.320 align:start position:0% torture 02:05:56.320 --> 02:05:58.870 align:start position:0% torture to<02:05:56.960> figure<02:05:57.360> out<02:05:57.679> what<02:05:57.840> the<02:05:57.920> hell<02:05:58.239> is<02:05:58.400> going<02:05:58.639> on 02:05:58.870 --> 02:05:58.880 align:start position:0% to figure out what the hell is going on 02:05:58.880 --> 02:06:00.709 align:start position:0% to figure out what the hell is going on with<02:05:59.040> the<02:05:59.199> data 02:06:00.709 --> 02:06:00.719 align:start position:0% with the data 02:06:00.719 --> 02:06:03.910 align:start position:0% with the data and<02:06:00.960> that's<02:06:01.280> a<02:06:01.520> sort<02:06:01.679> of<02:06:01.840> future<02:06:02.320> project<02:06:03.360> and 02:06:03.910 --> 02:06:03.920 align:start position:0% and that's a sort of future project and 02:06:03.920 --> 02:06:04.950 align:start position:0% and that's a sort of future project and maybe 02:06:04.950 --> 02:06:04.960 align:start position:0% maybe 02:06:04.960 --> 02:06:06.390 align:start position:0% maybe people<02:06:05.280> will<02:06:05.360> read<02:06:05.599> my<02:06:05.760> book<02:06:06.079> and<02:06:06.159> maybe 02:06:06.390 --> 02:06:06.400 align:start position:0% people will read my book and maybe 02:06:06.400 --> 02:06:07.910 align:start position:0% people will read my book and maybe they'll<02:06:06.719> get<02:06:06.880> a<02:06:06.960> little<02:06:07.119> more<02:06:07.360> excited<02:06:07.679> about 02:06:07.910 --> 02:06:07.920 align:start position:0% they'll get a little more excited about 02:06:07.920 --> 02:06:10.229 align:start position:0% they'll get a little more excited about it<02:06:08.079> become<02:06:08.320> more<02:06:08.560> legitimate<02:06:09.119> and<02:06:09.199> practice<02:06:10.079> i 02:06:10.229 --> 02:06:10.239 align:start position:0% it become more legitimate and practice i 02:06:10.239 --> 02:06:12.069 align:start position:0% it become more legitimate and practice i would<02:06:10.400> feel<02:06:10.800> like<02:06:10.960> my<02:06:11.119> life<02:06:11.360> was<02:06:11.520> worthwhile 02:06:12.069 --> 02:06:12.079 align:start position:0% would feel like my life was worthwhile 02:06:12.079 --> 02:06:13.589 align:start position:0% would feel like my life was worthwhile if<02:06:12.159> that<02:06:12.320> happened 02:06:13.589 --> 02:06:13.599 align:start position:0% if that happened 02:06:13.599 --> 02:06:14.629 align:start position:0% if that happened but 02:06:14.629 --> 02:06:14.639 align:start position:0% but 02:06:14.639 --> 02:06:15.990 align:start position:0% but at<02:06:14.800> the<02:06:14.880> same<02:06:15.119> time<02:06:15.360> they've<02:06:15.520> got<02:06:15.679> to<02:06:15.760> do 02:06:15.990 --> 02:06:16.000 align:start position:0% at the same time they've got to do 02:06:16.000 --> 02:06:17.030 align:start position:0% at the same time they've got to do something 02:06:17.030 --> 02:06:17.040 align:start position:0% something 02:06:17.040 --> 02:06:18.629 align:start position:0% something with<02:06:17.199> the<02:06:17.280> patient<02:06:17.679> in<02:06:17.760> front<02:06:18.000> of<02:06:18.079> them 02:06:18.629 --> 02:06:18.639 align:start position:0% with the patient in front of them 02:06:18.639 --> 02:06:21.109 align:start position:0% with the patient in front of them they've<02:06:18.880> got<02:06:19.119> to<02:06:19.199> make<02:06:19.440> a<02:06:19.520> decision 02:06:21.109 --> 02:06:21.119 align:start position:0% they've got to make a decision 02:06:21.119 --> 02:06:23.589 align:start position:0% they've got to make a decision and<02:06:21.440> they<02:06:21.840> probably<02:06:22.480> there<02:06:22.719> are<02:06:23.119> not<02:06:23.280> many 02:06:23.589 --> 02:06:23.599 align:start position:0% and they probably there are not many 02:06:23.599 --> 02:06:25.589 align:start position:0% and they probably there are not many weirdos<02:06:24.159> like<02:06:24.400> me<02:06:24.800> who 02:06:25.589 --> 02:06:25.599 align:start position:0% weirdos like me who 02:06:25.599 --> 02:06:27.430 align:start position:0% weirdos like me who invest<02:06:26.000> their<02:06:26.239> life<02:06:26.560> in<02:06:26.639> figuring<02:06:27.040> out<02:06:27.199> what's 02:06:27.430 --> 02:06:27.440 align:start position:0% invest their life in figuring out what's 02:06:27.440 --> 02:06:29.109 align:start position:0% invest their life in figuring out what's behind<02:06:27.760> the<02:06:27.840> data<02:06:28.239> they're<02:06:28.639> trying<02:06:28.880> to<02:06:28.960> get 02:06:29.109 --> 02:06:29.119 align:start position:0% behind the data they're trying to get 02:06:29.119 --> 02:06:30.390 align:start position:0% behind the data they're trying to get through<02:06:29.280> the<02:06:29.360> day<02:06:29.679> and<02:06:29.760> do<02:06:29.920> the<02:06:30.079> right<02:06:30.239> thing 02:06:30.390 --> 02:06:30.400 align:start position:0% through the day and do the right thing 02:06:30.400 --> 02:06:31.589 align:start position:0% through the day and do the right thing for<02:06:30.560> their<02:06:30.719> patient 02:06:31.589 --> 02:06:31.599 align:start position:0% for their patient 02:06:31.599 --> 02:06:33.030 align:start position:0% for their patient so 02:06:33.030 --> 02:06:33.040 align:start position:0% so 02:06:33.040 --> 02:06:34.950 align:start position:0% so they're<02:06:33.280> tortured<02:06:33.679> by<02:06:33.840> that<02:06:34.000> decision<02:06:34.480> too 02:06:34.950 --> 02:06:34.960 align:start position:0% they're tortured by that decision too 02:06:34.960 --> 02:06:36.709 align:start position:0% they're tortured by that decision too and<02:06:35.119> so 02:06:36.709 --> 02:06:36.719 align:start position:0% and so 02:06:36.719 --> 02:06:38.470 align:start position:0% and so if<02:06:36.960> you're<02:06:37.119> not<02:06:37.360> careful 02:06:38.470 --> 02:06:38.480 align:start position:0% if you're not careful 02:06:38.480 --> 02:06:39.990 align:start position:0% if you're not careful big<02:06:38.800> pharma 02:06:39.990 --> 02:06:40.000 align:start position:0% big pharma 02:06:40.000 --> 02:06:42.550 align:start position:0% big pharma can<02:06:40.239> manipulate<02:06:41.040> that 02:06:42.550 --> 02:06:42.560 align:start position:0% can manipulate that 02:06:42.560 --> 02:06:44.870 align:start position:0% can manipulate that that<02:06:42.880> drive<02:06:43.280> to<02:06:43.440> try<02:06:43.599> to<02:06:43.679> help<02:06:43.920> the<02:06:44.079> patient 02:06:44.870 --> 02:06:44.880 align:start position:0% that drive to try to help the patient 02:06:44.880 --> 02:06:47.910 align:start position:0% that drive to try to help the patient that<02:06:45.280> um<02:06:46.239> that<02:06:46.560> humanity<02:06:47.280> of 02:06:47.910 --> 02:06:47.920 align:start position:0% that um that humanity of 02:06:47.920 --> 02:06:49.669 align:start position:0% that um that humanity of dealing<02:06:48.239> with<02:06:48.400> the<02:06:48.560> uncertainty<02:06:49.119> of<02:06:49.280> it<02:06:49.440> all 02:06:49.669 --> 02:06:49.679 align:start position:0% dealing with the uncertainty of it all 02:06:49.679 --> 02:06:51.830 align:start position:0% dealing with the uncertainty of it all like<02:06:49.840> what<02:06:50.000> is<02:06:50.159> the<02:06:50.239> best<02:06:50.480> thing<02:06:50.639> to<02:06:50.880> do 02:06:51.830 --> 02:06:51.840 align:start position:0% like what is the best thing to do 02:06:51.840 --> 02:06:53.830 align:start position:0% like what is the best thing to do big<02:06:52.079> pharma<02:06:52.400> can<02:06:52.560> step<02:06:52.880> in<02:06:53.040> and<02:06:53.199> use<02:06:53.440> money<02:06:53.679> to 02:06:53.830 --> 02:06:53.840 align:start position:0% big pharma can step in and use money to 02:06:53.840 --> 02:06:55.910 align:start position:0% big pharma can step in and use money to manipulate<02:06:54.480> that<02:06:54.719> humanity<02:06:55.440> yeah<02:06:55.679> i<02:06:55.760> would 02:06:55.910 --> 02:06:55.920 align:start position:0% manipulate that humanity yeah i would 02:06:55.920 --> 02:06:57.910 align:start position:0% manipulate that humanity yeah i would state<02:06:56.239> it<02:06:56.560> quite<02:06:56.880> differently<02:06:57.440> it's<02:06:57.599> sort<02:06:57.760> of 02:06:57.910 --> 02:06:57.920 align:start position:0% state it quite differently it's sort of 02:06:57.920 --> 02:07:01.109 align:start position:0% state it quite differently it's sort of an<02:06:58.320> opt<02:06:58.800> out<02:06:59.040> rather<02:06:59.360> than<02:06:59.920> an<02:07:00.159> opt-in<02:07:00.880> big 02:07:01.109 --> 02:07:01.119 align:start position:0% an opt out rather than an opt-in big 02:07:01.119 --> 02:07:02.790 align:start position:0% an opt out rather than an opt-in big pharma<02:07:01.440> will<02:07:01.760> do<02:07:02.000> that 02:07:02.790 --> 02:07:02.800 align:start position:0% pharma will do that 02:07:02.800 --> 02:07:07.910 align:start position:0% pharma will do that and<02:07:02.960> you<02:07:03.119> need<02:07:03.280> to<02:07:03.440> opt<02:07:03.840> out<02:07:04.000> of<02:07:04.159> it 02:07:07.910 --> 02:07:07.920 align:start position:0% 02:07:07.920 --> 02:07:10.149 align:start position:0% what<02:07:08.159> advice<02:07:08.960> would<02:07:09.199> you<02:07:09.360> give<02:07:09.599> to<02:07:09.760> a<02:07:09.920> young 02:07:10.149 --> 02:07:10.159 align:start position:0% what advice would you give to a young 02:07:10.159 --> 02:07:14.550 align:start position:0% what advice would you give to a young person<02:07:10.639> today<02:07:11.280> in<02:07:11.440> high<02:07:11.679> school<02:07:12.079> or<02:07:12.239> college 02:07:14.550 --> 02:07:14.560 align:start position:0% person today in high school or college 02:07:14.560 --> 02:07:16.950 align:start position:0% person today in high school or college stepping<02:07:14.960> into<02:07:15.199> this<02:07:15.440> complicated<02:07:16.159> world 02:07:16.950 --> 02:07:16.960 align:start position:0% stepping into this complicated world 02:07:16.960 --> 02:07:19.109 align:start position:0% stepping into this complicated world full<02:07:17.199> of<02:07:17.360> advertisements 02:07:19.109 --> 02:07:19.119 align:start position:0% full of advertisements 02:07:19.119 --> 02:07:22.470 align:start position:0% full of advertisements of<02:07:19.440> big<02:07:19.760> powerful<02:07:20.639> institutions 02:07:22.470 --> 02:07:22.480 align:start position:0% of big powerful institutions 02:07:22.480 --> 02:07:24.790 align:start position:0% of big powerful institutions of<02:07:22.639> big<02:07:23.040> rich<02:07:23.360> companies 02:07:24.790 --> 02:07:24.800 align:start position:0% of big rich companies 02:07:24.800 --> 02:07:26.470 align:start position:0% of big rich companies how<02:07:24.960> to<02:07:25.119> have<02:07:25.280> a<02:07:25.360> positive<02:07:25.920> impact<02:07:26.239> in<02:07:26.320> the 02:07:26.470 --> 02:07:26.480 align:start position:0% how to have a positive impact in the 02:07:26.480 --> 02:07:28.709 align:start position:0% how to have a positive impact in the world<02:07:27.040> how<02:07:27.280> to<02:07:27.440> live<02:07:27.840> a<02:07:28.000> life<02:07:28.239> they<02:07:28.400> can<02:07:28.560> be 02:07:28.709 --> 02:07:28.719 align:start position:0% world how to live a life they can be 02:07:28.719 --> 02:07:30.790 align:start position:0% world how to live a life they can be proud<02:07:29.040> of 02:07:30.790 --> 02:07:30.800 align:start position:0% proud of 02:07:30.800 --> 02:07:34.550 align:start position:0% proud of i<02:07:30.960> would<02:07:31.199> say<02:07:31.840> should<02:07:32.239> that<02:07:32.480> person 02:07:34.550 --> 02:07:34.560 align:start position:0% i would say should that person 02:07:34.560 --> 02:07:36.709 align:start position:0% i would say should that person who<02:07:34.800> has<02:07:35.119> only<02:07:35.360> good<02:07:35.599> motives 02:07:36.709 --> 02:07:36.719 align:start position:0% who has only good motives 02:07:36.719 --> 02:07:38.390 align:start position:0% who has only good motives go<02:07:37.119> into<02:07:37.360> medicine<02:07:38.000> they<02:07:38.159> have<02:07:38.239> an 02:07:38.390 --> 02:07:38.400 align:start position:0% go into medicine they have an 02:07:38.400 --> 02:07:39.750 align:start position:0% go into medicine they have an inclination<02:07:38.880> to<02:07:38.960> go<02:07:39.119> into<02:07:39.280> medicine<02:07:39.679> and 02:07:39.750 --> 02:07:39.760 align:start position:0% inclination to go into medicine and 02:07:39.760 --> 02:07:41.990 align:start position:0% inclination to go into medicine and they've<02:07:40.000> asked<02:07:40.239> me<02:07:40.880> what<02:07:41.119> i<02:07:41.199> think<02:07:41.440> about<02:07:41.679> that 02:07:41.990 --> 02:07:42.000 align:start position:0% they've asked me what i think about that 02:07:42.000 --> 02:07:45.350 align:start position:0% they've asked me what i think about that given<02:07:42.800> what<02:07:42.960> i<02:07:43.199> know<02:07:43.599> about<02:07:44.239> the<02:07:44.560> undermining 02:07:45.350 --> 02:07:45.360 align:start position:0% given what i know about the undermining 02:07:45.360 --> 02:07:47.830 align:start position:0% given what i know about the undermining of<02:07:46.000> american<02:07:46.400> health<02:07:46.639> care<02:07:46.880> at<02:07:46.960> this<02:07:47.119> point 02:07:47.830 --> 02:07:47.840 align:start position:0% of american health care at this point 02:07:47.840 --> 02:07:50.550 align:start position:0% of american health care at this point and<02:07:48.000> my<02:07:48.239> answer<02:07:48.639> is<02:07:48.800> if<02:07:48.960> you<02:07:49.040> got<02:07:49.199> the<02:07:49.360> calling 02:07:50.550 --> 02:07:50.560 align:start position:0% and my answer is if you got the calling 02:07:50.560 --> 02:07:52.310 align:start position:0% and my answer is if you got the calling you<02:07:50.719> should<02:07:50.960> do<02:07:51.119> it 02:07:52.310 --> 02:07:52.320 align:start position:0% you should do it 02:07:52.320 --> 02:07:53.910 align:start position:0% you should do it you<02:07:52.480> should<02:07:52.639> do<02:07:52.800> it<02:07:52.960> because<02:07:53.360> nobody's<02:07:53.840> going 02:07:53.910 --> 02:07:53.920 align:start position:0% you should do it because nobody's going 02:07:53.920 --> 02:07:56.069 align:start position:0% you should do it because nobody's going to<02:07:54.000> do<02:07:54.159> it<02:07:54.239> better<02:07:54.560> than<02:07:54.719> you 02:07:56.069 --> 02:07:56.079 align:start position:0% to do it better than you 02:07:56.079 --> 02:07:58.629 align:start position:0% to do it better than you and<02:07:56.239> if<02:07:56.400> you<02:07:56.560> don't<02:07:56.800> have<02:07:57.040> the<02:07:57.199> calling 02:07:58.629 --> 02:07:58.639 align:start position:0% and if you don't have the calling 02:07:58.639 --> 02:08:00.950 align:start position:0% and if you don't have the calling and<02:07:58.800> you're<02:07:59.040> in<02:07:59.199> it<02:07:59.280> for<02:07:59.440> the<02:07:59.520> money 02:08:00.950 --> 02:08:00.960 align:start position:0% and you're in it for the money 02:08:00.960 --> 02:08:03.189 align:start position:0% and you're in it for the money you're<02:08:01.119> not<02:08:01.360> going<02:08:01.440> to<02:08:01.520> be<02:08:01.599> proud<02:08:01.840> of<02:08:02.000> yourself 02:08:03.189 --> 02:08:03.199 align:start position:0% you're not going to be proud of yourself 02:08:03.199 --> 02:08:06.629 align:start position:0% you're not going to be proud of yourself how<02:08:03.360> do<02:08:03.520> you<02:08:03.599> prevent<02:08:04.320> yourself<02:08:05.199> from 02:08:06.629 --> 02:08:06.639 align:start position:0% how do you prevent yourself from 02:08:06.639 --> 02:08:07.750 align:start position:0% how do you prevent yourself from doing 02:08:07.750 --> 02:08:07.760 align:start position:0% doing 02:08:07.760 --> 02:08:09.350 align:start position:0% doing from 02:08:09.350 --> 02:08:09.360 align:start position:0% from 02:08:09.360 --> 02:08:11.189 align:start position:0% from letting<02:08:09.679> the<02:08:09.840> system<02:08:10.320> change<02:08:10.639> you<02:08:10.960> over<02:08:11.119> a 02:08:11.189 --> 02:08:11.199 align:start position:0% letting the system change you over a 02:08:11.199 --> 02:08:14.310 align:start position:0% letting the system change you over a year<02:08:11.599> over<02:08:11.920> years<02:08:12.320> and<02:08:12.400> years<02:08:12.880> like<02:08:13.440> letting 02:08:14.310 --> 02:08:14.320 align:start position:0% year over years and years like letting 02:08:14.320 --> 02:08:15.310 align:start position:0% year over years and years like letting letting<02:08:14.639> the<02:08:14.880> game 02:08:15.310 --> 02:08:15.320 align:start position:0% letting the game 02:08:15.320 --> 02:08:16.629 align:start position:0% letting the game [Music] 02:08:16.629 --> 02:08:16.639 align:start position:0% [Music] 02:08:16.639 --> 02:08:20.709 align:start position:0% [Music] of<02:08:16.960> pharmaceutical<02:08:17.840> influence<02:08:18.800> affect<02:08:19.280> you 02:08:20.709 --> 02:08:20.719 align:start position:0% of pharmaceutical influence affect you 02:08:20.719 --> 02:08:23.550 align:start position:0% of pharmaceutical influence affect you it's<02:08:20.960> a<02:08:21.199> very<02:08:21.520> hard<02:08:21.840> question<02:08:22.560> because<02:08:23.040> the 02:08:23.550 --> 02:08:23.560 align:start position:0% it's a very hard question because the 02:08:23.560 --> 02:08:26.310 align:start position:0% it's a very hard question because the sociologic<02:08:24.800> norms 02:08:26.310 --> 02:08:26.320 align:start position:0% sociologic norms 02:08:26.320 --> 02:08:27.990 align:start position:0% sociologic norms are<02:08:26.480> to<02:08:26.639> be<02:08:26.800> affected 02:08:27.990 --> 02:08:28.000 align:start position:0% are to be affected 02:08:28.000 --> 02:08:29.669 align:start position:0% are to be affected and<02:08:28.320> to 02:08:29.669 --> 02:08:29.679 align:start position:0% and to 02:08:29.679 --> 02:08:32.870 align:start position:0% and to um<02:08:30.159> trust<02:08:30.719> the<02:08:30.880> sources<02:08:31.360> of<02:08:31.599> information 02:08:32.870 --> 02:08:32.880 align:start position:0% um trust the sources of information 02:08:32.880 --> 02:08:35.030 align:start position:0% um trust the sources of information that<02:08:33.280> are<02:08:33.599> largely<02:08:34.079> controlled<02:08:34.480> by<02:08:34.639> the<02:08:34.800> drug 02:08:35.030 --> 02:08:35.040 align:start position:0% that are largely controlled by the drug 02:08:35.040 --> 02:08:37.510 align:start position:0% that are largely controlled by the drug industry<02:08:36.320> and<02:08:36.480> that's<02:08:36.880> why<02:08:37.119> i<02:08:37.280> wrote 02:08:37.510 --> 02:08:37.520 align:start position:0% industry and that's why i wrote 02:08:37.520 --> 02:08:39.270 align:start position:0% industry and that's why i wrote sickening<02:08:38.239> is<02:08:38.480> to 02:08:39.270 --> 02:08:39.280 align:start position:0% sickening is to 02:08:39.280 --> 02:08:40.629 align:start position:0% sickening is to um 02:08:40.629 --> 02:08:40.639 align:start position:0% um 02:08:40.639 --> 02:08:43.510 align:start position:0% um to<02:08:40.960> try<02:08:41.520> and<02:08:41.679> help<02:08:42.159> those 02:08:43.510 --> 02:08:43.520 align:start position:0% to try and help those 02:08:43.520 --> 02:08:45.910 align:start position:0% to try and help those people<02:08:43.920> in<02:08:44.079> the<02:08:44.159> medical<02:08:44.639> profession 02:08:45.910 --> 02:08:45.920 align:start position:0% people in the medical profession 02:08:45.920 --> 02:08:48.310 align:start position:0% people in the medical profession to<02:08:46.320> understand<02:08:46.960> that<02:08:47.119> what's<02:08:47.440> going<02:08:47.760> on<02:08:48.079> right 02:08:48.310 --> 02:08:48.320 align:start position:0% to understand that what's going on right 02:08:48.320 --> 02:08:50.470 align:start position:0% to understand that what's going on right now<02:08:49.040> looks<02:08:49.520> normal 02:08:50.470 --> 02:08:50.480 align:start position:0% now looks normal 02:08:50.480 --> 02:08:52.229 align:start position:0% now looks normal but<02:08:50.719> it's<02:08:51.040> not 02:08:52.229 --> 02:08:52.239 align:start position:0% but it's not 02:08:52.239 --> 02:08:53.990 align:start position:0% but it's not the<02:08:52.400> health<02:08:52.719> of<02:08:52.880> americans<02:08:53.440> is<02:08:53.679> going 02:08:53.990 --> 02:08:54.000 align:start position:0% the health of americans is going 02:08:54.000 --> 02:08:55.350 align:start position:0% the health of americans is going downhill 02:08:55.350 --> 02:08:55.360 align:start position:0% downhill 02:08:55.360 --> 02:08:57.189 align:start position:0% downhill our<02:08:55.599> society<02:08:56.079> is<02:08:56.159> getting<02:08:56.480> ruined<02:08:56.960> by<02:08:57.119> the 02:08:57.189 --> 02:08:57.199 align:start position:0% our society is getting ruined by the 02:08:57.199 --> 02:08:58.950 align:start position:0% our society is getting ruined by the money<02:08:57.520> that's<02:08:57.760> getting<02:08:58.000> pulled<02:08:58.320> out<02:08:58.480> of<02:08:58.560> that 02:08:58.950 --> 02:08:58.960 align:start position:0% money that's getting pulled out of that 02:08:58.960 --> 02:09:00.310 align:start position:0% money that's getting pulled out of that pulled<02:08:59.280> out<02:08:59.440> of 02:09:00.310 --> 02:09:00.320 align:start position:0% pulled out of 02:09:00.320 --> 02:09:01.510 align:start position:0% pulled out of other 02:09:01.510 --> 02:09:01.520 align:start position:0% other 02:09:01.520 --> 02:09:02.629 align:start position:0% other social 02:09:02.629 --> 02:09:02.639 align:start position:0% social 02:09:02.639 --> 02:09:05.030 align:start position:0% social socially<02:09:03.040> beneficial<02:09:04.000> uses 02:09:05.030 --> 02:09:05.040 align:start position:0% socially beneficial uses 02:09:05.040 --> 02:09:07.669 align:start position:0% socially beneficial uses to<02:09:05.199> pay<02:09:05.360> for<02:09:05.599> health<02:09:05.840> care<02:09:06.639> that<02:09:07.040> is<02:09:07.440> not 02:09:07.669 --> 02:09:07.679 align:start position:0% to pay for health care that is not 02:09:07.679 --> 02:09:10.310 align:start position:0% to pay for health care that is not helping<02:09:08.079> us 02:09:10.310 --> 02:09:10.320 align:start position:0% 02:09:10.320 --> 02:09:12.870 align:start position:0% so<02:09:10.639> fundamentally 02:09:12.870 --> 02:09:12.880 align:start position:0% so fundamentally 02:09:12.880 --> 02:09:15.430 align:start position:0% so fundamentally the<02:09:13.040> thing<02:09:13.280> that<02:09:13.440> is<02:09:13.679> normal 02:09:15.430 --> 02:09:15.440 align:start position:0% the thing that is normal 02:09:15.440 --> 02:09:17.350 align:start position:0% the thing that is normal not<02:09:15.840> question 02:09:17.350 --> 02:09:17.360 align:start position:0% not question 02:09:17.360 --> 02:09:19.350 align:start position:0% not question the<02:09:17.599> normal<02:09:18.480> don't 02:09:19.350 --> 02:09:19.360 align:start position:0% the normal don't 02:09:19.360 --> 02:09:22.069 align:start position:0% the normal don't uh<02:09:20.079> if<02:09:20.239> you<02:09:20.400> conform 02:09:22.069 --> 02:09:22.079 align:start position:0% uh if you conform 02:09:22.079 --> 02:09:24.470 align:start position:0% uh if you conform conform<02:09:22.719> hesitantly 02:09:24.470 --> 02:09:24.480 align:start position:0% conform hesitantly 02:09:24.480 --> 02:09:26.390 align:start position:0% conform hesitantly well<02:09:25.040> you<02:09:25.280> have<02:09:25.440> to<02:09:25.599> conform<02:09:26.079> you<02:09:26.159> can't 02:09:26.390 --> 02:09:26.400 align:start position:0% well you have to conform you can't 02:09:26.400 --> 02:09:29.750 align:start position:0% well you have to conform you can't become<02:09:26.719> a<02:09:26.880> doctor<02:09:27.280> without<02:09:28.000> conforming<02:09:28.880> um<02:09:29.440> i 02:09:29.750 --> 02:09:29.760 align:start position:0% become a doctor without conforming um i 02:09:29.760 --> 02:09:30.950 align:start position:0% become a doctor without conforming um i i 02:09:30.950 --> 02:09:30.960 align:start position:0% i 02:09:30.960 --> 02:09:35.030 align:start position:0% i i<02:09:31.280> just<02:09:31.440> made<02:09:31.679> it<02:09:31.840> through 02:09:35.030 --> 02:09:35.040 align:start position:0% 02:09:35.040 --> 02:09:35.830 align:start position:0% but 02:09:35.830 --> 02:09:35.840 align:start position:0% but 02:09:35.840 --> 02:09:38.870 align:start position:0% but there<02:09:36.000> aren't<02:09:36.159> many<02:09:36.560> and<02:09:36.800> it's<02:09:37.440> uh<02:09:37.840> hard<02:09:38.079> work 02:09:38.870 --> 02:09:38.880 align:start position:0% there aren't many and it's uh hard work 02:09:38.880 --> 02:09:39.910 align:start position:0% there aren't many and it's uh hard work um 02:09:39.910 --> 02:09:39.920 align:start position:0% um 02:09:39.920 --> 02:09:40.709 align:start position:0% um but 02:09:40.709 --> 02:09:40.719 align:start position:0% but 02:09:40.719 --> 02:09:43.270 align:start position:0% but you<02:09:40.960> have<02:09:41.199> to<02:09:41.360> conform<02:09:42.400> and<02:09:42.560> even<02:09:42.880> with<02:09:43.040> my 02:09:43.270 --> 02:09:43.280 align:start position:0% you have to conform and even with my 02:09:43.280 --> 02:09:45.910 align:start position:0% you have to conform and even with my colleagues<02:09:43.760> in<02:09:43.840> my<02:09:44.000> own<02:09:44.239> practice<02:09:44.960> i<02:09:45.280> couldn't 02:09:45.910 --> 02:09:45.920 align:start position:0% colleagues in my own practice i couldn't 02:09:45.920 --> 02:09:47.270 align:start position:0% colleagues in my own practice i couldn't convince<02:09:46.480> them 02:09:47.270 --> 02:09:47.280 align:start position:0% convince them 02:09:47.280 --> 02:09:48.870 align:start position:0% convince them that<02:09:47.440> some<02:09:47.599> of<02:09:47.760> the<02:09:47.840> beliefs<02:09:48.239> they<02:09:48.400> had<02:09:48.639> about 02:09:48.870 --> 02:09:48.880 align:start position:0% that some of the beliefs they had about 02:09:48.880 --> 02:09:50.550 align:start position:0% that some of the beliefs they had about how<02:09:49.040> best<02:09:49.280> to<02:09:49.440> practice 02:09:50.550 --> 02:09:50.560 align:start position:0% how best to practice 02:09:50.560 --> 02:09:53.589 align:start position:0% how best to practice weren't<02:09:50.960> accurate<02:09:51.360> there's<02:09:51.599> one<02:09:51.840> scene 02:09:53.589 --> 02:09:53.599 align:start position:0% weren't accurate there's one scene 02:09:53.599 --> 02:09:56.470 align:start position:0% weren't accurate there's one scene a<02:09:54.000> younger<02:09:54.400> physician<02:09:55.440> had<02:09:55.679> prescribed 02:09:56.470 --> 02:09:56.480 align:start position:0% a younger physician had prescribed 02:09:56.480 --> 02:09:58.790 align:start position:0% a younger physician had prescribed hormone<02:09:56.880> replacement<02:09:57.520> therapy<02:09:57.840> this<02:09:58.320> back<02:09:58.560> in 02:09:58.790 --> 02:09:58.800 align:start position:0% hormone replacement therapy this back in 02:09:58.800 --> 02:10:01.430 align:start position:0% hormone replacement therapy this back in 2000<02:09:59.360> 2001<02:10:00.320> had<02:10:00.480> prescribed<02:10:01.040> hormone 02:10:01.430 --> 02:10:01.440 align:start position:0% 2000 2001 had prescribed hormone 02:10:01.440 --> 02:10:03.589 align:start position:0% 2000 2001 had prescribed hormone replacement<02:10:02.079> therapy<02:10:02.560> for<02:10:02.800> one<02:10:02.960> of<02:10:03.199> my 02:10:03.589 --> 02:10:03.599 align:start position:0% replacement therapy for one of my 02:10:03.599 --> 02:10:05.910 align:start position:0% replacement therapy for one of my patients<02:10:04.239> who<02:10:04.480> happened<02:10:04.719> to<02:10:04.800> be<02:10:05.440> a<02:10:05.599> really 02:10:05.910 --> 02:10:05.920 align:start position:0% patients who happened to be a really 02:10:05.920 --> 02:10:07.990 align:start position:0% patients who happened to be a really good<02:10:06.159> personal<02:10:06.639> friend<02:10:07.199> and<02:10:07.360> i<02:10:07.520> saw<02:10:07.760> that 02:10:07.990 --> 02:10:08.000 align:start position:0% good personal friend and i saw that 02:10:08.000 --> 02:10:09.189 align:start position:0% good personal friend and i saw that patient 02:10:09.189 --> 02:10:09.199 align:start position:0% patient 02:10:09.199 --> 02:10:10.390 align:start position:0% patient covering 02:10:10.390 --> 02:10:10.400 align:start position:0% covering 02:10:10.400 --> 02:10:12.149 align:start position:0% covering for<02:10:10.719> my<02:10:10.960> colleague 02:10:12.149 --> 02:10:12.159 align:start position:0% for my colleague 02:10:12.159 --> 02:10:14.629 align:start position:0% for my colleague at<02:10:12.239> one<02:10:12.480> point<02:10:12.800> and<02:10:13.119> i<02:10:13.280> saw<02:10:13.520> that<02:10:13.920> her<02:10:14.239> hormone 02:10:14.629 --> 02:10:14.639 align:start position:0% at one point and i saw that her hormone 02:10:14.639 --> 02:10:17.109 align:start position:0% at one point and i saw that her hormone replacement<02:10:15.119> therapy<02:10:15.599> had<02:10:15.760> been<02:10:16.400> uh<02:10:16.719> renewed 02:10:17.109 --> 02:10:17.119 align:start position:0% replacement therapy had been uh renewed 02:10:17.119 --> 02:10:18.950 align:start position:0% replacement therapy had been uh renewed and<02:10:17.199> i<02:10:17.280> said<02:10:17.440> are<02:10:17.520> you<02:10:17.679> having<02:10:17.840> hot<02:10:18.000> flashes<02:10:18.560> or 02:10:18.950 --> 02:10:18.960 align:start position:0% and i said are you having hot flashes or 02:10:18.960 --> 02:10:22.550 align:start position:0% and i said are you having hot flashes or any<02:10:19.199> problem<02:10:19.440> no<02:10:19.599> no<02:10:19.760> no<02:10:20.000> no<02:10:20.480> but<02:10:20.960> uh<02:10:21.440> dr<02:10:22.239> so<02:10:22.480> and 02:10:22.550 --> 02:10:22.560 align:start position:0% any problem no no no no but uh dr so and 02:10:22.560 --> 02:10:25.030 align:start position:0% any problem no no no no but uh dr so and so<02:10:23.119> said<02:10:23.360> it's<02:10:23.520> better<02:10:23.760> for<02:10:23.920> my<02:10:24.079> health 02:10:25.030 --> 02:10:25.040 align:start position:0% so said it's better for my health 02:10:25.040 --> 02:10:27.430 align:start position:0% so said it's better for my health and<02:10:25.280> i<02:10:25.440> said<02:10:25.679> no<02:10:26.079> it's<02:10:26.320> not<02:10:26.560> the<02:10:26.880> research<02:10:27.360> is 02:10:27.430 --> 02:10:27.440 align:start position:0% and i said no it's not the research is 02:10:27.440 --> 02:10:28.950 align:start position:0% and i said no it's not the research is showing<02:10:27.760> that<02:10:27.920> it's<02:10:28.079> not<02:10:28.320> it's<02:10:28.480> harmful<02:10:28.880> for 02:10:28.950 --> 02:10:28.960 align:start position:0% showing that it's not it's harmful for 02:10:28.960 --> 02:10:30.310 align:start position:0% showing that it's not it's harmful for your<02:10:29.119> health<02:10:29.360> and<02:10:29.440> i<02:10:29.520> think<02:10:29.679> you<02:10:29.840> should<02:10:30.000> stop 02:10:30.310 --> 02:10:30.320 align:start position:0% your health and i think you should stop 02:10:30.320 --> 02:10:31.270 align:start position:0% your health and i think you should stop it 02:10:31.270 --> 02:10:31.280 align:start position:0% it 02:10:31.280 --> 02:10:33.270 align:start position:0% it so<02:10:31.920> my<02:10:32.239> colleague 02:10:33.270 --> 02:10:33.280 align:start position:0% so my colleague 02:10:33.280 --> 02:10:35.830 align:start position:0% so my colleague approached<02:10:33.840> me<02:10:34.480> when<02:10:34.639> she<02:10:34.880> saw<02:10:35.119> the<02:10:35.280> chart<02:10:35.760> and 02:10:35.830 --> 02:10:35.840 align:start position:0% approached me when she saw the chart and 02:10:35.840 --> 02:10:37.990 align:start position:0% approached me when she saw the chart and said<02:10:36.000> wait<02:10:36.239> a<02:10:36.320> minute<02:10:36.560> that's<02:10:36.880> my<02:10:37.119> patient 02:10:37.990 --> 02:10:38.000 align:start position:0% said wait a minute that's my patient 02:10:38.000 --> 02:10:40.470 align:start position:0% said wait a minute that's my patient maybe<02:10:38.320> your<02:10:38.480> friend<02:10:38.800> but<02:10:38.960> it's<02:10:39.199> my<02:10:39.440> patient 02:10:40.470 --> 02:10:40.480 align:start position:0% maybe your friend but it's my patient 02:10:40.480 --> 02:10:43.750 align:start position:0% maybe your friend but it's my patient and<02:10:40.880> i<02:10:41.199> went<02:10:41.440> to<02:10:41.760> a<02:10:42.000> conference<02:10:42.560> at<02:10:42.800> my 02:10:43.750 --> 02:10:43.760 align:start position:0% and i went to a conference at my 02:10:43.760 --> 02:10:44.709 align:start position:0% and i went to a conference at my from 02:10:44.709 --> 02:10:44.719 align:start position:0% from 02:10:44.719 --> 02:10:47.830 align:start position:0% from my<02:10:44.960> alma<02:10:45.280> mater<02:10:45.920> medical<02:10:46.320> school<02:10:47.199> and<02:10:47.440> they 02:10:47.830 --> 02:10:47.840 align:start position:0% my alma mater medical school and they 02:10:47.840 --> 02:10:49.589 align:start position:0% my alma mater medical school and they said<02:10:48.079> that<02:10:48.320> healthy<02:10:48.719> people<02:10:48.960> should<02:10:49.119> be<02:10:49.280> given 02:10:49.589 --> 02:10:49.599 align:start position:0% said that healthy people should be given 02:10:49.599 --> 02:10:51.189 align:start position:0% said that healthy people should be given hormone<02:10:50.000> replacement 02:10:51.189 --> 02:10:51.199 align:start position:0% hormone replacement 02:10:51.199 --> 02:10:53.350 align:start position:0% hormone replacement and<02:10:51.360> i<02:10:51.599> said<02:10:52.320> there's<02:10:52.639> got<02:10:52.800> to<02:10:52.880> be<02:10:53.040> drug 02:10:53.350 --> 02:10:53.360 align:start position:0% and i said there's got to be drug 02:10:53.360 --> 02:10:55.589 align:start position:0% and i said there's got to be drug companies<02:10:53.840> involved<02:10:54.320> in<02:10:54.400> this<02:10:55.119> and<02:10:55.280> she<02:10:55.440> said 02:10:55.589 --> 02:10:55.599 align:start position:0% companies involved in this and she said 02:10:55.599 --> 02:10:58.310 align:start position:0% companies involved in this and she said no<02:10:55.760> no<02:10:56.000> no<02:10:56.239> it<02:10:56.320> was<02:10:56.560> at<02:10:56.639> my<02:10:56.880> university<02:10:57.599> it<02:10:57.760> was 02:10:58.310 --> 02:10:58.320 align:start position:0% no no no it was at my university it was 02:10:58.320 --> 02:10:59.910 align:start position:0% no no no it was at my university it was it<02:10:58.400> was<02:10:58.560> not<02:10:58.719> a<02:10:58.800> drug<02:10:59.119> company<02:10:59.520> thing<02:10:59.760> we 02:10:59.910 --> 02:10:59.920 align:start position:0% it was not a drug company thing we 02:10:59.920 --> 02:11:02.550 align:start position:0% it was not a drug company thing we didn't<02:11:00.079> go<02:11:00.239> to<02:11:00.400> a<02:11:00.960> caribbean<02:11:01.520> island<02:11:02.159> i<02:11:02.320> said 02:11:02.550 --> 02:11:02.560 align:start position:0% didn't go to a caribbean island i said 02:11:02.560 --> 02:11:05.030 align:start position:0% didn't go to a caribbean island i said do<02:11:02.639> you<02:11:02.719> have<02:11:02.880> the<02:11:03.199> syllabus<02:11:03.840> she<02:11:04.000> said<02:11:04.239> yeah 02:11:05.030 --> 02:11:05.040 align:start position:0% do you have the syllabus she said yeah 02:11:05.040 --> 02:11:07.030 align:start position:0% do you have the syllabus she said yeah and<02:11:05.199> she<02:11:05.360> went<02:11:05.599> and<02:11:05.679> got<02:11:05.920> the<02:11:06.000> syllabus<02:11:06.639> and 02:11:07.030 --> 02:11:07.040 align:start position:0% and she went and got the syllabus and 02:11:07.040 --> 02:11:08.790 align:start position:0% and she went and got the syllabus and sure<02:11:07.199> enough<02:11:07.520> it<02:11:07.599> was<02:11:07.760> sponsored<02:11:08.320> by<02:11:08.480> a<02:11:08.560> drug 02:11:08.790 --> 02:11:08.800 align:start position:0% sure enough it was sponsored by a drug 02:11:08.800 --> 02:11:11.510 align:start position:0% sure enough it was sponsored by a drug company<02:11:10.239> they're<02:11:10.480> everywhere<02:11:11.199> they're 02:11:11.510 --> 02:11:11.520 align:start position:0% company they're everywhere they're 02:11:11.520 --> 02:11:14.149 align:start position:0% company they're everywhere they're everywhere<02:11:12.159> and<02:11:12.400> it's<02:11:12.719> back<02:11:12.960> to<02:11:13.599> that 02:11:14.149 --> 02:11:14.159 align:start position:0% everywhere and it's back to that 02:11:14.159 --> 02:11:16.390 align:start position:0% everywhere and it's back to that groups<02:11:14.719> of<02:11:15.119> experts 02:11:16.390 --> 02:11:16.400 align:start position:0% groups of experts 02:11:16.400 --> 02:11:17.270 align:start position:0% groups of experts share 02:11:17.270 --> 02:11:17.280 align:start position:0% share 02:11:17.280 --> 02:11:19.750 align:start position:0% share unspoken<02:11:18.079> assumptions 02:11:19.750 --> 02:11:19.760 align:start position:0% unspoken assumptions 02:11:19.760 --> 02:11:21.910 align:start position:0% unspoken assumptions and<02:11:20.320> in<02:11:20.480> order<02:11:20.800> to<02:11:20.960> be<02:11:21.199> included<02:11:21.679> in<02:11:21.760> that 02:11:21.910 --> 02:11:21.920 align:start position:0% and in order to be included in that 02:11:21.920 --> 02:11:23.669 align:start position:0% and in order to be included in that group<02:11:22.079> of<02:11:22.239> experts<02:11:22.719> you<02:11:22.880> have<02:11:23.040> to<02:11:23.199> share<02:11:23.360> those 02:11:23.669 --> 02:11:23.679 align:start position:0% group of experts you have to share those 02:11:23.679 --> 02:11:26.229 align:start position:0% group of experts you have to share those unspoken<02:11:24.239> assumptions<02:11:25.119> and<02:11:25.199> what<02:11:25.440> i'm<02:11:25.920> hoping 02:11:26.229 --> 02:11:26.239 align:start position:0% unspoken assumptions and what i'm hoping 02:11:26.239 --> 02:11:28.709 align:start position:0% unspoken assumptions and what i'm hoping to<02:11:26.400> do<02:11:26.560> with<02:11:26.719> my<02:11:26.880> book<02:11:27.199> sickening<02:11:27.840> and<02:11:28.320> being 02:11:28.709 --> 02:11:28.719 align:start position:0% to do with my book sickening and being 02:11:28.719 --> 02:11:30.790 align:start position:0% to do with my book sickening and being here<02:11:29.360> having<02:11:29.599> this<02:11:29.760> wonderful<02:11:30.159> conversation 02:11:30.790 --> 02:11:30.800 align:start position:0% here having this wonderful conversation 02:11:30.800 --> 02:11:31.830 align:start position:0% here having this wonderful conversation with<02:11:30.960> you 02:11:31.830 --> 02:11:31.840 align:start position:0% with you 02:11:31.840 --> 02:11:34.950 align:start position:0% with you is<02:11:32.159> to<02:11:32.560> create<02:11:33.040> an<02:11:33.280> alternative<02:11:34.159> to<02:11:34.320> this 02:11:34.950 --> 02:11:34.960 align:start position:0% is to create an alternative to this 02:11:34.960 --> 02:11:36.149 align:start position:0% is to create an alternative to this normal 02:11:36.149 --> 02:11:36.159 align:start position:0% normal 02:11:36.159 --> 02:11:37.510 align:start position:0% normal that 02:11:37.510 --> 02:11:37.520 align:start position:0% that 02:11:37.520 --> 02:11:39.430 align:start position:0% that people<02:11:38.079> can 02:11:39.430 --> 02:11:39.440 align:start position:0% people can 02:11:39.440 --> 02:11:41.109 align:start position:0% people can pursue 02:11:41.109 --> 02:11:41.119 align:start position:0% pursue 02:11:41.119 --> 02:11:42.950 align:start position:0% pursue and 02:11:42.950 --> 02:11:42.960 align:start position:0% and 02:11:42.960 --> 02:11:44.950 align:start position:0% and practice<02:11:43.520> better<02:11:43.840> medicine 02:11:44.950 --> 02:11:44.960 align:start position:0% practice better medicine 02:11:44.960 --> 02:11:47.669 align:start position:0% practice better medicine and<02:11:45.280> also<02:11:45.760> prevent<02:11:46.639> burnout<02:11:47.040> i<02:11:47.119> mean<02:11:47.440> about 02:11:47.669 --> 02:11:47.679 align:start position:0% and also prevent burnout i mean about 02:11:47.679 --> 02:11:49.510 align:start position:0% and also prevent burnout i mean about half<02:11:47.920> the<02:11:48.079> doctors<02:11:48.800> complain<02:11:49.199> that<02:11:49.360> they're 02:11:49.510 --> 02:11:49.520 align:start position:0% half the doctors complain that they're 02:11:49.520 --> 02:11:52.229 align:start position:0% half the doctors complain that they're burned<02:11:49.840> out<02:11:50.079> and<02:11:50.159> they've<02:11:50.400> had<02:11:50.719> it<02:11:51.119> and<02:11:51.840> i 02:11:52.229 --> 02:11:52.239 align:start position:0% burned out and they've had it and i 02:11:52.239 --> 02:11:54.310 align:start position:0% burned out and they've had it and i think<02:11:52.560> that<02:11:52.880> this<02:11:53.119> is<02:11:53.360> a<02:11:53.599> subjective<02:11:54.079> i<02:11:54.159> don't 02:11:54.310 --> 02:11:54.320 align:start position:0% think that this is a subjective i don't 02:11:54.320 --> 02:11:55.910 align:start position:0% think that this is a subjective i don't have<02:11:54.560> data<02:11:54.800> on<02:11:54.880> this<02:11:55.040> this<02:11:55.280> is<02:11:55.520> just<02:11:55.679> my 02:11:55.910 --> 02:11:55.920 align:start position:0% have data on this this is just my 02:11:55.920 --> 02:11:58.790 align:start position:0% have data on this this is just my opinion<02:11:56.800> um<02:11:57.440> but<02:11:57.760> i<02:11:58.079> think<02:11:58.239> that<02:11:58.480> a<02:11:58.560> lot<02:11:58.719> of 02:11:58.790 --> 02:11:58.800 align:start position:0% opinion um but i think that a lot of 02:11:58.800 --> 02:12:02.310 align:start position:0% opinion um but i think that a lot of that<02:11:59.119> burnout<02:11:59.840> is<02:12:00.239> so-called<02:12:00.880> moral<02:12:01.360> injury 02:12:02.310 --> 02:12:02.320 align:start position:0% that burnout is so-called moral injury 02:12:02.320 --> 02:12:05.589 align:start position:0% that burnout is so-called moral injury from<02:12:02.639> practicing<02:12:03.520> in<02:12:03.679> a<02:12:03.840> way<02:12:04.320> that 02:12:05.589 --> 02:12:05.599 align:start position:0% from practicing in a way that 02:12:05.599 --> 02:12:08.310 align:start position:0% from practicing in a way that the<02:12:05.840> docs<02:12:06.239> know<02:12:06.960> isn't<02:12:07.280> working 02:12:08.310 --> 02:12:08.320 align:start position:0% the docs know isn't working 02:12:08.320 --> 02:12:10.310 align:start position:0% the docs know isn't working it's<02:12:08.560> not<02:12:08.719> actually<02:12:09.040> providing<02:12:09.440> an<02:12:09.679> uh 02:12:10.310 --> 02:12:10.320 align:start position:0% it's not actually providing an uh 02:12:10.320 --> 02:12:12.390 align:start position:0% it's not actually providing an uh alternative<02:12:10.800> to<02:12:11.040> the<02:12:11.440> normal<02:12:11.840> it's<02:12:12.000> expanding 02:12:12.390 --> 02:12:12.400 align:start position:0% alternative to the normal it's expanding 02:12:12.400 --> 02:12:13.910 align:start position:0% alternative to the normal it's expanding the<02:12:12.560> normal<02:12:12.880> it's<02:12:13.040> shifting<02:12:13.360> the<02:12:13.440> normal<02:12:13.760> just 02:12:13.910 --> 02:12:13.920 align:start position:0% the normal it's shifting the normal just 02:12:13.920 --> 02:12:16.069 align:start position:0% the normal it's shifting the normal just like<02:12:14.159> with<02:12:14.320> kuhn<02:12:14.800> i<02:12:14.880> mean<02:12:15.119> you're<02:12:15.599> basically 02:12:16.069 --> 02:12:16.079 align:start position:0% like with kuhn i mean you're basically 02:12:16.079 --> 02:12:18.470 align:start position:0% like with kuhn i mean you're basically looking<02:12:16.400> for 02:12:18.470 --> 02:12:18.480 align:start position:0% looking for 02:12:18.480 --> 02:12:20.629 align:start position:0% looking for to<02:12:18.719> shift<02:12:19.280> the<02:12:19.520> way 02:12:20.629 --> 02:12:20.639 align:start position:0% to shift the way 02:12:20.639 --> 02:12:22.229 align:start position:0% to shift the way medicine<02:12:21.119> is<02:12:21.280> done 02:12:22.229 --> 02:12:22.239 align:start position:0% medicine is done 02:12:22.239 --> 02:12:23.830 align:start position:0% medicine is done to<02:12:22.400> the<02:12:22.560> original 02:12:23.830 --> 02:12:23.840 align:start position:0% to the original 02:12:23.840 --> 02:12:25.589 align:start position:0% to the original i<02:12:24.000> mean<02:12:24.239> to<02:12:24.400> the<02:12:24.560> intent 02:12:25.589 --> 02:12:25.599 align:start position:0% i mean to the intent 02:12:25.599 --> 02:12:28.069 align:start position:0% i mean to the intent that<02:12:25.920> it<02:12:26.079> represents<02:12:26.960> that<02:12:27.199> the<02:12:27.440> the<02:12:27.840> the 02:12:28.069 --> 02:12:28.079 align:start position:0% that it represents that the the the 02:12:28.079 --> 02:12:31.109 align:start position:0% that it represents that the the the ideal<02:12:28.960> of<02:12:29.199> medicine<02:12:29.760> of<02:12:29.920> health<02:12:30.159> care<02:12:30.480> yeah<02:12:30.719> in 02:12:31.109 --> 02:12:31.119 align:start position:0% ideal of medicine of health care yeah in 02:12:31.119 --> 02:12:33.589 align:start position:0% ideal of medicine of health care yeah in cuny<02:12:31.440> in<02:12:31.599> terms<02:12:32.079> to<02:12:32.239> have<02:12:32.400> a<02:12:32.560> revolution<02:12:33.520> and 02:12:33.589 --> 02:12:33.599 align:start position:0% cuny in terms to have a revolution and 02:12:33.599 --> 02:12:35.430 align:start position:0% cuny in terms to have a revolution and that<02:12:33.840> revolution<02:12:34.560> would<02:12:34.719> be 02:12:35.430 --> 02:12:35.440 align:start position:0% that revolution would be 02:12:35.440 --> 02:12:38.069 align:start position:0% that revolution would be to<02:12:35.679> practice<02:12:36.239> medicine<02:12:36.800> in<02:12:36.880> a<02:12:37.040> way<02:12:37.760> that<02:12:37.920> will 02:12:38.069 --> 02:12:38.079 align:start position:0% to practice medicine in a way that will 02:12:38.079 --> 02:12:39.069 align:start position:0% to practice medicine in a way that will be 02:12:39.069 --> 02:12:39.079 align:start position:0% be 02:12:39.079 --> 02:12:41.669 align:start position:0% be epidemiologically<02:12:40.239> most<02:12:40.560> effective 02:12:41.669 --> 02:12:41.679 align:start position:0% epidemiologically most effective 02:12:41.679 --> 02:12:43.830 align:start position:0% epidemiologically most effective not<02:12:42.000> most<02:12:42.320> profitable<02:12:42.960> for<02:12:43.119> the<02:12:43.280> people<02:12:43.520> who 02:12:43.830 --> 02:12:43.840 align:start position:0% not most profitable for the people who 02:12:43.840 --> 02:12:46.069 align:start position:0% not most profitable for the people who are<02:12:44.320> providing<02:12:44.880> you<02:12:45.199> with<02:12:45.440> what's<02:12:45.760> called 02:12:46.069 --> 02:12:46.079 align:start position:0% are providing you with what's called 02:12:46.079 --> 02:12:47.270 align:start position:0% are providing you with what's called knowledge 02:12:47.270 --> 02:12:47.280 align:start position:0% knowledge 02:12:47.280 --> 02:12:49.990 align:start position:0% knowledge you<02:12:47.440> helped<02:12:47.679> a<02:12:47.760> lot<02:12:48.079> of<02:12:48.159> people<02:12:48.639> as<02:12:48.880> a<02:12:48.960> doctor 02:12:49.990 --> 02:12:50.000 align:start position:0% you helped a lot of people as a doctor 02:12:50.000 --> 02:12:53.109 align:start position:0% you helped a lot of people as a doctor as<02:12:50.159> an<02:12:50.320> educator 02:12:53.109 --> 02:12:53.119 align:start position:0% 02:12:53.119 --> 02:12:56.390 align:start position:0% live<02:12:53.440> better<02:12:53.760> lives<02:12:54.639> live<02:12:54.960> longer 02:12:56.390 --> 02:12:56.400 align:start position:0% live better lives live longer 02:12:56.400 --> 02:12:58.950 align:start position:0% live better lives live longer but<02:12:56.560> you<02:12:56.719> yourself<02:12:57.199> are<02:12:57.280> a<02:12:57.360> mortal<02:12:57.760> being 02:12:58.950 --> 02:12:58.960 align:start position:0% but you yourself are a mortal being 02:12:58.960 --> 02:13:00.629 align:start position:0% but you yourself are a mortal being do<02:12:59.119> you<02:12:59.280> think<02:12:59.520> about 02:13:00.629 --> 02:13:00.639 align:start position:0% do you think about 02:13:00.639 --> 02:13:02.790 align:start position:0% do you think about your<02:13:00.880> own<02:13:01.119> mortality<02:13:02.079> do<02:13:02.239> you<02:13:02.320> think<02:13:02.480> about 02:13:02.790 --> 02:13:02.800 align:start position:0% your own mortality do you think about 02:13:02.800 --> 02:13:04.709 align:start position:0% your own mortality do you think about your<02:13:02.960> death<02:13:03.520> are<02:13:03.599> you<02:13:03.760> afraid<02:13:04.079> of<02:13:04.239> death<02:13:04.560> oh 02:13:04.709 --> 02:13:04.719 align:start position:0% your death are you afraid of death oh 02:13:04.719 --> 02:13:05.830 align:start position:0% your death are you afraid of death oh yeah<02:13:04.960> um 02:13:05.830 --> 02:13:05.840 align:start position:0% yeah um 02:13:05.840 --> 02:13:10.470 align:start position:0% yeah um i'm<02:13:06.079> not<02:13:06.400> i've<02:13:06.880> faced<02:13:07.199> it 02:13:10.470 --> 02:13:10.480 align:start position:0% 02:13:10.480 --> 02:13:12.069 align:start position:0% been<02:13:10.719> close 02:13:12.069 --> 02:13:12.079 align:start position:0% been close 02:13:12.079 --> 02:13:13.589 align:start position:0% been close yourself<02:13:12.719> yeah 02:13:13.589 --> 02:13:13.599 align:start position:0% yourself yeah 02:13:13.599 --> 02:13:14.790 align:start position:0% yourself yeah yeah 02:13:14.790 --> 02:13:14.800 align:start position:0% yeah 02:13:14.800 --> 02:13:16.950 align:start position:0% yeah how<02:13:14.960> do<02:13:15.119> you<02:13:15.280> think<02:13:15.440> about<02:13:15.760> it<02:13:16.079> what<02:13:16.400> wisdom<02:13:16.880> do 02:13:16.950 --> 02:13:16.960 align:start position:0% how do you think about it what wisdom do 02:13:16.960 --> 02:13:19.589 align:start position:0% how do you think about it what wisdom do you<02:13:17.119> gain<02:13:17.360> from<02:13:17.760> having<02:13:18.079> come<02:13:18.400> close<02:13:18.639> to<02:13:18.800> death 02:13:19.589 --> 02:13:19.599 align:start position:0% you gain from having come close to death 02:13:19.599 --> 02:13:23.030 align:start position:0% you gain from having come close to death oh<02:13:19.920> the<02:13:20.000> fact<02:13:20.239> that<02:13:20.400> the<02:13:20.560> whole<02:13:20.880> thing<02:13:21.119> ends 02:13:23.030 --> 02:13:23.040 align:start position:0% oh the fact that the whole thing ends 02:13:23.040 --> 02:13:25.669 align:start position:0% oh the fact that the whole thing ends it's<02:13:23.280> liberating 02:13:25.669 --> 02:13:25.679 align:start position:0% it's liberating 02:13:25.679 --> 02:13:27.350 align:start position:0% it's liberating it's<02:13:25.840> very<02:13:26.079> liberating<02:13:26.400> i<02:13:26.480> mean<02:13:26.639> i'm<02:13:26.880> serious 02:13:27.350 --> 02:13:27.360 align:start position:0% it's very liberating i mean i'm serious 02:13:27.360 --> 02:13:29.430 align:start position:0% it's very liberating i mean i'm serious i<02:13:27.520> i<02:13:27.760> was<02:13:28.239> close 02:13:29.430 --> 02:13:29.440 align:start position:0% i i was close 02:13:29.440 --> 02:13:31.830 align:start position:0% i i was close and<02:13:29.679> not<02:13:29.920> too<02:13:30.079> long<02:13:30.320> ago 02:13:31.830 --> 02:13:31.840 align:start position:0% and not too long ago 02:13:31.840 --> 02:13:33.990 align:start position:0% and not too long ago um 02:13:33.990 --> 02:13:34.000 align:start position:0% um 02:13:34.000 --> 02:13:36.709 align:start position:0% um and<02:13:34.639> uh 02:13:36.709 --> 02:13:36.719 align:start position:0% and uh 02:13:36.719 --> 02:13:38.310 align:start position:0% and uh it<02:13:36.960> was<02:13:37.119> a<02:13:37.280> sense<02:13:37.599> of 02:13:38.310 --> 02:13:38.320 align:start position:0% it was a sense of 02:13:38.320 --> 02:13:39.510 align:start position:0% it was a sense of you<02:13:38.480> know 02:13:39.510 --> 02:13:39.520 align:start position:0% you know 02:13:39.520 --> 02:13:41.750 align:start position:0% you know this<02:13:39.920> may<02:13:40.079> be<02:13:40.159> the<02:13:40.239> way<02:13:40.480> it<02:13:40.639> ends 02:13:41.750 --> 02:13:41.760 align:start position:0% this may be the way it ends 02:13:41.760 --> 02:13:42.830 align:start position:0% this may be the way it ends and 02:13:42.830 --> 02:13:42.840 align:start position:0% and 02:13:42.840 --> 02:13:45.669 align:start position:0% and um<02:13:43.920> i've<02:13:44.079> done<02:13:44.320> my<02:13:44.480> best 02:13:45.669 --> 02:13:45.679 align:start position:0% um i've done my best 02:13:45.679 --> 02:13:48.149 align:start position:0% um i've done my best it's<02:13:45.840> not<02:13:46.000> been<02:13:46.239> perfect 02:13:48.149 --> 02:13:48.159 align:start position:0% it's not been perfect 02:13:48.159 --> 02:13:51.189 align:start position:0% it's not been perfect and<02:13:48.639> if<02:13:48.800> it<02:13:48.960> ends<02:13:49.199> here<02:13:49.840> it<02:13:50.079> ends<02:13:50.320> here<02:13:51.040> the 02:13:51.189 --> 02:13:51.199 align:start position:0% and if it ends here it ends here the 02:13:51.199 --> 02:13:52.550 align:start position:0% and if it ends here it ends here the people<02:13:51.440> around<02:13:51.760> me<02:13:51.920> are<02:13:52.000> trying<02:13:52.159> to<02:13:52.239> do<02:13:52.400> their 02:13:52.550 --> 02:13:52.560 align:start position:0% people around me are trying to do their 02:13:52.560 --> 02:13:54.390 align:start position:0% people around me are trying to do their best 02:13:54.390 --> 02:13:54.400 align:start position:0% best 02:13:54.400 --> 02:13:57.750 align:start position:0% best and<02:13:54.639> in<02:13:54.800> fact<02:13:55.440> uh<02:13:56.079> i<02:13:56.239> got<02:13:56.400> pulled<02:13:56.719> out<02:13:56.800> of<02:13:56.960> it 02:13:57.750 --> 02:13:57.760 align:start position:0% and in fact uh i got pulled out of it 02:13:57.760 --> 02:13:59.189 align:start position:0% and in fact uh i got pulled out of it but<02:13:58.000> it<02:13:58.239> didn't<02:13:58.480> look<02:13:58.639> like<02:13:58.880> i<02:13:58.960> was<02:13:59.040> going<02:13:59.119> to 02:13:59.189 --> 02:13:59.199 align:start position:0% but it didn't look like i was going to 02:13:59.199 --> 02:14:01.430 align:start position:0% but it didn't look like i was going to get<02:13:59.360> pulled<02:13:59.679> out<02:13:59.760> of<02:13:59.920> it 02:14:01.430 --> 02:14:01.440 align:start position:0% get pulled out of it 02:14:01.440 --> 02:14:04.709 align:start position:0% get pulled out of it are<02:14:01.599> you<02:14:01.840> ultimately<02:14:02.400> grateful 02:14:04.709 --> 02:14:04.719 align:start position:0% are you ultimately grateful 02:14:04.719 --> 02:14:06.069 align:start position:0% are you ultimately grateful for<02:14:04.880> the<02:14:05.040> ride 02:14:06.069 --> 02:14:06.079 align:start position:0% for the ride 02:14:06.079 --> 02:14:09.189 align:start position:0% for the ride even<02:14:06.320> though<02:14:06.480> it<02:14:06.639> ends<02:14:07.280> well<02:14:07.599> it's<02:14:07.760> a 02:14:09.189 --> 02:14:09.199 align:start position:0% even though it ends well it's a 02:14:09.199 --> 02:14:11.750 align:start position:0% even though it ends well it's a little<02:14:09.440> hot 02:14:11.750 --> 02:14:11.760 align:start position:0% 02:14:11.760 --> 02:14:13.030 align:start position:0% i<02:14:11.920> think<02:14:12.159> so 02:14:13.030 --> 02:14:13.040 align:start position:0% i think so 02:14:13.040 --> 02:14:14.069 align:start position:0% i think so if<02:14:13.199> i<02:14:13.360> know 02:14:14.069 --> 02:14:14.079 align:start position:0% if i know 02:14:14.079 --> 02:14:15.750 align:start position:0% if i know you<02:14:14.159> know<02:14:14.320> you<02:14:14.480> can't<02:14:14.880> take<02:14:15.119> the<02:14:15.280> ride<02:14:15.599> if<02:14:15.679> you 02:14:15.750 --> 02:14:15.760 align:start position:0% you know you can't take the ride if you 02:14:15.760 --> 02:14:18.709 align:start position:0% you know you can't take the ride if you know<02:14:15.920> what<02:14:16.079> the<02:14:16.560> it's<02:14:16.719> going<02:14:16.800> to<02:14:16.880> end<02:14:17.119> well 02:14:18.709 --> 02:14:18.719 align:start position:0% know what the it's going to end well 02:14:18.719 --> 02:14:21.030 align:start position:0% know what the it's going to end well it's<02:14:18.880> not<02:14:19.040> the<02:14:19.199> real<02:14:19.440> ride<02:14:19.840> it's<02:14:20.000> just<02:14:20.239> a<02:14:20.320> ride 02:14:21.030 --> 02:14:21.040 align:start position:0% it's not the real ride it's just a ride 02:14:21.040 --> 02:14:22.069 align:start position:0% it's not the real ride it's just a ride um 02:14:22.069 --> 02:14:22.079 align:start position:0% um 02:14:22.079 --> 02:14:23.270 align:start position:0% um but<02:14:22.400> i 02:14:23.270 --> 02:14:23.280 align:start position:0% but i 02:14:23.280 --> 02:14:26.390 align:start position:0% but i haven't<02:14:23.599> gone<02:14:23.920> through<02:14:24.159> the<02:14:24.320> whole<02:14:24.639> thing<02:14:25.119> i 02:14:26.390 --> 02:14:26.400 align:start position:0% haven't gone through the whole thing i 02:14:26.400 --> 02:14:29.109 align:start position:0% haven't gone through the whole thing i definitely<02:14:27.360> freed<02:14:27.760> me<02:14:28.159> of<02:14:28.320> a<02:14:28.480> sense<02:14:28.880> of 02:14:29.109 --> 02:14:29.119 align:start position:0% definitely freed me of a sense of 02:14:29.119 --> 02:14:31.189 align:start position:0% definitely freed me of a sense of anxiety<02:14:29.920> about<02:14:30.239> death 02:14:31.189 --> 02:14:31.199 align:start position:0% anxiety about death 02:14:31.199 --> 02:14:32.550 align:start position:0% anxiety about death and<02:14:31.599> it 02:14:32.550 --> 02:14:32.560 align:start position:0% and it 02:14:32.560 --> 02:14:35.430 align:start position:0% and it said<02:14:32.800> to<02:14:32.960> me<02:14:33.520> do<02:14:33.679> you<02:14:33.840> best<02:14:34.239> every<02:14:34.480> day 02:14:35.430 --> 02:14:35.440 align:start position:0% said to me do you best every day 02:14:35.440 --> 02:14:38.310 align:start position:0% said to me do you best every day because<02:14:35.840> it's<02:14:36.079> going<02:14:36.159> to<02:14:36.320> end<02:14:36.480> sometime 02:14:38.310 --> 02:14:38.320 align:start position:0% because it's going to end sometime 02:14:38.320 --> 02:14:40.310 align:start position:0% because it's going to end sometime i<02:14:38.480> apologize<02:14:39.119> for<02:14:39.280> the<02:14:39.360> ridiculously<02:14:40.079> big 02:14:40.310 --> 02:14:40.320 align:start position:0% i apologize for the ridiculously big 02:14:40.320 --> 02:14:42.709 align:start position:0% i apologize for the ridiculously big question<02:14:40.719> but<02:14:40.880> what<02:14:41.040> do<02:14:41.119> you<02:14:41.280> think<02:14:41.520> is<02:14:41.679> the<02:14:42.000> uh 02:14:42.709 --> 02:14:42.719 align:start position:0% question but what do you think is the uh 02:14:42.719 --> 02:14:44.149 align:start position:0% question but what do you think is the uh the<02:14:42.880> meaning 02:14:44.149 --> 02:14:44.159 align:start position:0% the meaning 02:14:44.159 --> 02:14:45.669 align:start position:0% the meaning of<02:14:44.480> life 02:14:45.669 --> 02:14:45.679 align:start position:0% of life 02:14:45.679 --> 02:14:51.990 align:start position:0% of life of<02:14:45.920> our<02:14:46.239> human<02:14:46.639> existence 02:14:51.990 --> 02:14:52.000 align:start position:0% 02:14:52.000 --> 02:14:54.470 align:start position:0% i<02:14:52.239> i<02:14:52.400> think<02:14:52.560> it's<02:14:52.800> to<02:14:52.960> care<02:14:53.199> about<02:14:53.520> something 02:14:54.470 --> 02:14:54.480 align:start position:0% i i think it's to care about something 02:14:54.480 --> 02:14:56.870 align:start position:0% i i think it's to care about something and<02:14:54.639> do<02:14:54.880> your<02:14:55.040> best<02:14:55.280> with<02:14:55.520> it 02:14:56.870 --> 02:14:56.880 align:start position:0% and do your best with it 02:14:56.880 --> 02:14:59.510 align:start position:0% and do your best with it whether<02:14:57.280> it's<02:14:57.840> being<02:14:58.159> a<02:14:58.239> doctor<02:14:58.800> and<02:14:59.199> trying 02:14:59.510 --> 02:14:59.520 align:start position:0% whether it's being a doctor and trying 02:14:59.520 --> 02:15:00.870 align:start position:0% whether it's being a doctor and trying to 02:15:00.870 --> 02:15:00.880 align:start position:0% to 02:15:00.880 --> 02:15:02.790 align:start position:0% to make<02:15:01.119> sure<02:15:01.520> that<02:15:01.840> the<02:15:02.159> greatest<02:15:02.480> number<02:15:02.719> of 02:15:02.790 --> 02:15:02.800 align:start position:0% make sure that the greatest number of 02:15:02.800 --> 02:15:05.109 align:start position:0% make sure that the greatest number of people<02:15:03.040> get<02:15:03.199> the<02:15:03.280> best<02:15:03.599> health<02:15:03.840> care 02:15:05.109 --> 02:15:05.119 align:start position:0% people get the best health care 02:15:05.119 --> 02:15:06.310 align:start position:0% people get the best health care um 02:15:06.310 --> 02:15:06.320 align:start position:0% um 02:15:06.320 --> 02:15:08.149 align:start position:0% um or<02:15:06.639> it's<02:15:06.880> a<02:15:06.960> gardener<02:15:07.360> who<02:15:07.520> wants<02:15:07.760> to<02:15:07.920> have<02:15:08.079> the 02:15:08.149 --> 02:15:08.159 align:start position:0% or it's a gardener who wants to have the 02:15:08.159 --> 02:15:09.669 align:start position:0% or it's a gardener who wants to have the most<02:15:08.400> beautiful<02:15:08.800> plants<02:15:09.280> or<02:15:09.360> it's<02:15:09.599> a 02:15:09.669 --> 02:15:09.679 align:start position:0% most beautiful plants or it's a 02:15:09.679 --> 02:15:12.069 align:start position:0% most beautiful plants or it's a grandparent<02:15:10.320> who<02:15:10.560> wants<02:15:10.960> to<02:15:11.119> have<02:15:11.360> a<02:15:11.840> good 02:15:12.069 --> 02:15:12.079 align:start position:0% grandparent who wants to have a good 02:15:12.079 --> 02:15:13.669 align:start position:0% grandparent who wants to have a good relationship<02:15:12.639> with<02:15:12.800> their<02:15:12.960> grandchildren 02:15:13.669 --> 02:15:13.679 align:start position:0% relationship with their grandchildren 02:15:13.679 --> 02:15:16.310 align:start position:0% relationship with their grandchildren but<02:15:14.239> whatever<02:15:14.719> it<02:15:14.880> is 02:15:16.310 --> 02:15:16.320 align:start position:0% but whatever it is 02:15:16.320 --> 02:15:19.030 align:start position:0% but whatever it is that<02:15:16.800> gives<02:15:17.119> you<02:15:17.360> a<02:15:17.520> sense<02:15:17.840> of<02:15:18.000> meaning 02:15:19.030 --> 02:15:19.040 align:start position:0% that gives you a sense of meaning 02:15:19.040 --> 02:15:21.750 align:start position:0% that gives you a sense of meaning as<02:15:19.280> long<02:15:19.440> as<02:15:19.520> it<02:15:19.599> doesn't<02:15:19.840> hurt<02:15:20.079> other<02:15:20.320> people 02:15:21.750 --> 02:15:21.760 align:start position:0% as long as it doesn't hurt other people 02:15:21.760 --> 02:15:22.950 align:start position:0% as long as it doesn't hurt other people to<02:15:21.920> really 02:15:22.950 --> 02:15:22.960 align:start position:0% to really 02:15:22.960 --> 02:15:24.870 align:start position:0% to really commit<02:15:23.280> yourself<02:15:23.679> to<02:15:23.920> it 02:15:24.870 --> 02:15:24.880 align:start position:0% commit yourself to it 02:15:24.880 --> 02:15:26.790 align:start position:0% commit yourself to it that<02:15:25.040> commitment<02:15:25.599> that<02:15:26.079> being<02:15:26.480> in<02:15:26.560> that 02:15:26.790 --> 02:15:26.800 align:start position:0% that commitment that being in that 02:15:26.800 --> 02:15:29.750 align:start position:0% that commitment that being in that commitment<02:15:27.440> for<02:15:27.599> me<02:15:27.840> is<02:15:28.000> the<02:15:28.079> meaning<02:15:28.400> of<02:15:28.560> life 02:15:29.750 --> 02:15:29.760 align:start position:0% commitment for me is the meaning of life 02:15:29.760 --> 02:15:31.270 align:start position:0% commitment for me is the meaning of life put<02:15:30.000> your<02:15:30.239> whole 02:15:31.270 --> 02:15:31.280 align:start position:0% put your whole 02:15:31.280 --> 02:15:34.310 align:start position:0% put your whole heart<02:15:31.520> and<02:15:31.679> soul<02:15:32.000> into<02:15:32.320> the<02:15:32.480> thing<02:15:32.880> yep 02:15:34.310 --> 02:15:34.320 align:start position:0% heart and soul into the thing yep 02:15:34.320 --> 02:15:36.790 align:start position:0% heart and soul into the thing yep what<02:15:34.560> is<02:15:34.639> it<02:15:34.800> the<02:15:34.880> bukowski<02:15:35.520> poem<02:15:35.920> go<02:15:36.400> all<02:15:36.639> the 02:15:36.790 --> 02:15:36.800 align:start position:0% what is it the bukowski poem go all the 02:15:36.800 --> 02:15:38.790 align:start position:0% what is it the bukowski poem go all the way 02:15:38.790 --> 02:15:38.800 align:start position:0% way 02:15:38.800 --> 02:15:41.350 align:start position:0% way john<02:15:39.440> um<02:15:40.000> you're<02:15:40.159> an<02:15:40.320> incredible<02:15:40.800> human<02:15:41.119> being 02:15:41.350 --> 02:15:41.360 align:start position:0% john um you're an incredible human being 02:15:41.360 --> 02:15:43.030 align:start position:0% john um you're an incredible human being incredible<02:15:41.840> educator<02:15:42.400> like<02:15:42.639> i<02:15:42.719> said<02:15:42.960> i 02:15:43.030 --> 02:15:43.040 align:start position:0% incredible educator like i said i 02:15:43.040 --> 02:15:44.950 align:start position:0% incredible educator like i said i recommend<02:15:43.520> people<02:15:43.760> listen<02:15:44.079> to<02:15:44.159> your<02:15:44.400> lectures 02:15:44.950 --> 02:15:44.960 align:start position:0% recommend people listen to your lectures 02:15:44.960 --> 02:15:47.430 align:start position:0% recommend people listen to your lectures it's<02:15:45.280> it's<02:15:45.599> so<02:15:45.920> refreshing<02:15:46.560> to<02:15:46.800> see<02:15:46.960> that 02:15:47.430 --> 02:15:47.440 align:start position:0% it's it's so refreshing to see that 02:15:47.440 --> 02:15:49.430 align:start position:0% it's it's so refreshing to see that clarity<02:15:47.920> of<02:15:48.000> thought<02:15:48.320> and<02:15:48.400> brilliance<02:15:49.199> and 02:15:49.430 --> 02:15:49.440 align:start position:0% clarity of thought and brilliance and 02:15:49.440 --> 02:15:51.750 align:start position:0% clarity of thought and brilliance and obviously<02:15:49.840> your<02:15:50.079> criticism<02:15:50.639> of<02:15:50.800> big<02:15:51.040> pharma 02:15:51.750 --> 02:15:51.760 align:start position:0% obviously your criticism of big pharma 02:15:51.760 --> 02:15:54.149 align:start position:0% obviously your criticism of big pharma or<02:15:52.000> your<02:15:52.320> illumination<02:15:53.199> of 02:15:54.149 --> 02:15:54.159 align:start position:0% or your illumination of 02:15:54.159 --> 02:15:54.950 align:start position:0% or your illumination of the 02:15:54.950 --> 02:15:54.960 align:start position:0% the 02:15:54.960 --> 02:15:57.189 align:start position:0% the mechanisms<02:15:55.599> of<02:15:55.760> big<02:15:56.000> pharma<02:15:56.400> is<02:15:56.880> really 02:15:57.189 --> 02:15:57.199 align:start position:0% mechanisms of big pharma is really 02:15:57.199 --> 02:15:59.189 align:start position:0% mechanisms of big pharma is really important<02:15:57.599> at<02:15:57.679> this<02:15:57.920> time<02:15:58.320> so 02:15:59.189 --> 02:15:59.199 align:start position:0% important at this time so 02:15:59.199 --> 02:16:02.229 align:start position:0% important at this time so i<02:15:59.360> really<02:15:59.599> hope<02:15:59.920> people<02:16:00.639> read<02:16:00.880> your<02:16:01.040> book 02:16:02.229 --> 02:16:02.239 align:start position:0% i really hope people read your book 02:16:02.239 --> 02:16:04.390 align:start position:0% i really hope people read your book sickening<02:16:02.719> that's<02:16:02.960> out<02:16:03.360> today<02:16:03.760> or<02:16:04.000> depending 02:16:04.390 --> 02:16:04.400 align:start position:0% sickening that's out today or depending 02:16:04.400 --> 02:16:07.669 align:start position:0% sickening that's out today or depending on<02:16:04.560> when<02:16:04.719> this<02:16:04.880> comes<02:16:05.199> out 02:16:07.669 --> 02:16:07.679 align:start position:0% 02:16:07.679 --> 02:16:09.109 align:start position:0% thank<02:16:07.920> you<02:16:08.000> so<02:16:08.159> much<02:16:08.480> for<02:16:08.639> spending<02:16:08.960> your 02:16:09.109 --> 02:16:09.119 align:start position:0% thank you so much for spending your 02:16:09.119 --> 02:16:11.910 align:start position:0% thank you so much for spending your extremely<02:16:09.679> valuable<02:16:10.159> time<02:16:10.960> with<02:16:11.199> me<02:16:11.360> today<02:16:11.840> it 02:16:11.910 --> 02:16:11.920 align:start position:0% extremely valuable time with me today it 02:16:11.920 --> 02:16:14.229 align:start position:0% extremely valuable time with me today it was<02:16:12.079> it<02:16:12.239> was<02:16:12.400> amazing<02:16:12.960> well<02:16:13.119> lex<02:16:13.440> i<02:16:13.840> wanted 02:16:14.229 --> 02:16:14.239 align:start position:0% was it was amazing well lex i wanted 02:16:14.239 --> 02:16:16.790 align:start position:0% was it was amazing well lex i wanted back<02:16:14.480> to<02:16:14.639> you<02:16:15.040> uh<02:16:15.440> thanks<02:16:15.840> for 02:16:16.790 --> 02:16:16.800 align:start position:0% back to you uh thanks for 02:16:16.800 --> 02:16:19.589 align:start position:0% back to you uh thanks for engaging<02:16:17.360> in<02:16:17.440> this<02:16:17.679> conversation<02:16:18.719> for 02:16:19.589 --> 02:16:19.599 align:start position:0% engaging in this conversation for 02:16:19.599 --> 02:16:21.510 align:start position:0% engaging in this conversation for creating<02:16:20.159> the<02:16:20.320> space<02:16:20.719> to<02:16:20.880> have<02:16:21.119> it<02:16:21.280> and 02:16:21.510 --> 02:16:21.520 align:start position:0% creating the space to have it and 02:16:21.520 --> 02:16:24.229 align:start position:0% creating the space to have it and creating<02:16:22.000> a<02:16:22.560> listenership<02:16:23.280> that<02:16:23.920> is 02:16:24.229 --> 02:16:24.239 align:start position:0% creating a listenership that is 02:16:24.239 --> 02:16:26.790 align:start position:0% creating a listenership that is interested<02:16:25.040> in<02:16:25.599> understanding<02:16:26.239> serious 02:16:26.790 --> 02:16:26.800 align:start position:0% interested in understanding serious 02:16:26.800 --> 02:16:28.709 align:start position:0% interested in understanding serious ideas<02:16:27.280> and<02:16:27.679> i<02:16:27.920> really<02:16:28.159> appreciate<02:16:28.639> the 02:16:28.709 --> 02:16:28.719 align:start position:0% ideas and i really appreciate the 02:16:28.719 --> 02:16:30.390 align:start position:0% ideas and i really appreciate the conversation<02:16:29.360> and<02:16:29.520> i<02:16:29.599> should<02:16:29.840> mention<02:16:30.159> that 02:16:30.390 --> 02:16:30.400 align:start position:0% conversation and i should mention that 02:16:30.400 --> 02:16:31.910 align:start position:0% conversation and i should mention that offline<02:16:30.880> you<02:16:31.040> told<02:16:31.199> me<02:16:31.280> you<02:16:31.440> listened<02:16:31.679> to<02:16:31.840> the 02:16:31.910 --> 02:16:31.920 align:start position:0% offline you told me you listened to the 02:16:31.920 --> 02:16:34.709 align:start position:0% offline you told me you listened to the gilbert<02:16:32.399> strang<02:16:32.800> episode<02:16:33.599> uh<02:16:33.920> so<02:16:34.160> for<02:16:34.399> anyone 02:16:34.709 --> 02:16:34.719 align:start position:0% gilbert strang episode uh so for anyone 02:16:34.719 --> 02:16:37.030 align:start position:0% gilbert strang episode uh so for anyone who<02:16:34.880> don't<02:16:35.040> know<02:16:35.280> goodwill<02:16:35.599> strang<02:16:36.000> another 02:16:37.030 --> 02:16:37.040 align:start position:0% who don't know goodwill strang another 02:16:37.040 --> 02:16:38.950 align:start position:0% who don't know goodwill strang another epic<02:16:37.439> human<02:16:37.760> being<02:16:38.000> that<02:16:38.160> should<02:16:38.319> check<02:16:38.639> out 02:16:38.950 --> 02:16:38.960 align:start position:0% epic human being that should check out 02:16:38.960 --> 02:16:40.469 align:start position:0% epic human being that should check out if<02:16:39.120> you<02:16:39.200> don't<02:16:39.439> know<02:16:39.840> anything<02:16:40.240> about 02:16:40.469 --> 02:16:40.479 align:start position:0% if you don't know anything about 02:16:40.479 --> 02:16:42.549 align:start position:0% if you don't know anything about mathematics<02:16:41.200> or<02:16:41.280> linear<02:16:41.679> algebra<02:16:42.080> go<02:16:42.319> look 02:16:42.549 --> 02:16:42.559 align:start position:0% mathematics or linear algebra go look 02:16:42.559 --> 02:16:45.110 align:start position:0% mathematics or linear algebra go look him<02:16:42.719> up<02:16:43.280> he's<02:16:43.439> one<02:16:43.599> of<02:16:43.679> the<02:16:43.840> great<02:16:44.479> mathematics 02:16:45.110 --> 02:16:45.120 align:start position:0% him up he's one of the great mathematics 02:16:45.120 --> 02:16:47.270 align:start position:0% him up he's one of the great mathematics educators<02:16:45.599> of<02:16:45.760> all<02:16:46.000> time<02:16:46.559> so 02:16:47.270 --> 02:16:47.280 align:start position:0% educators of all time so 02:16:47.280 --> 02:16:49.110 align:start position:0% educators of all time so of<02:16:47.439> all<02:16:47.599> the<02:16:47.760> people<02:16:48.160> you<02:16:48.319> mentioned<02:16:48.639> to<02:16:48.800> me<02:16:48.960> i 02:16:49.110 --> 02:16:49.120 align:start position:0% of all the people you mentioned to me i 02:16:49.120 --> 02:16:50.709 align:start position:0% of all the people you mentioned to me i appreciate<02:16:49.519> that<02:16:49.599> you<02:16:49.760> mentioned<02:16:50.080> him 02:16:50.709 --> 02:16:50.719 align:start position:0% appreciate that you mentioned him 02:16:50.719 --> 02:16:53.990 align:start position:0% appreciate that you mentioned him because<02:16:50.960> he<02:16:51.200> is<02:16:51.439> a<02:16:51.920> rock<02:16:52.240> star<02:16:52.719> of<02:16:52.880> mathematics 02:16:53.990 --> 02:16:54.000 align:start position:0% because he is a rock star of mathematics 02:16:54.000 --> 02:16:55.509 align:start position:0% because he is a rock star of mathematics john<02:16:54.240> thank<02:16:54.399> you<02:16:54.479> so<02:16:54.639> much<02:16:54.800> for<02:16:54.960> talking<02:16:55.359> this 02:16:55.509 --> 02:16:55.519 align:start position:0% john thank you so much for talking this 02:16:55.519 --> 02:16:57.750 align:start position:0% john thank you so much for talking this is<02:16:55.599> awesome<02:16:56.080> great<02:16:56.399> thank<02:16:56.559> you 02:16:57.750 --> 02:16:57.760 align:start position:0% is awesome great thank you 02:16:57.760 --> 02:16:58.709 align:start position:0% is awesome great thank you thanks<02:16:58.000> for<02:16:58.160> listening<02:16:58.479> to<02:16:58.639> this 02:16:58.709 --> 02:16:58.719 align:start position:0% thanks for listening to this 02:16:58.719 --> 02:17:00.709 align:start position:0% thanks for listening to this conversation<02:16:59.200> with<02:16:59.359> john<02:16:59.599> abramson<02:17:00.559> to 02:17:00.709 --> 02:17:00.719 align:start position:0% conversation with john abramson to 02:17:00.719 --> 02:17:02.629 align:start position:0% conversation with john abramson to support<02:17:01.120> this<02:17:01.280> podcast<02:17:02.000> please<02:17:02.240> check<02:17:02.479> out 02:17:02.629 --> 02:17:02.639 align:start position:0% support this podcast please check out 02:17:02.639 --> 02:17:04.870 align:start position:0% support this podcast please check out our<02:17:02.719> sponsors<02:17:03.280> in<02:17:03.439> the<02:17:03.519> description 02:17:04.870 --> 02:17:04.880 align:start position:0% our sponsors in the description 02:17:04.880 --> 02:17:07.349 align:start position:0% our sponsors in the description and<02:17:05.040> now<02:17:05.679> let<02:17:05.840> me<02:17:06.000> leave<02:17:06.160> you<02:17:06.399> some<02:17:06.639> words<02:17:07.200> from 02:17:07.349 --> 02:17:07.359 align:start position:0% and now let me leave you some words from 02:17:07.359 --> 02:17:09.990 align:start position:0% and now let me leave you some words from marcus<02:17:07.840> aurelius 02:17:09.990 --> 02:17:10.000 align:start position:0% marcus aurelius 02:17:10.000 --> 02:17:12.950 align:start position:0% marcus aurelius waste<02:17:10.319> no<02:17:10.719> time<02:17:11.280> arguing<02:17:12.160> about<02:17:12.479> what<02:17:12.639> a<02:17:12.719> good 02:17:12.950 --> 02:17:12.960 align:start position:0% waste no time arguing about what a good 02:17:12.960 --> 02:17:14.790 align:start position:0% waste no time arguing about what a good man<02:17:13.359> should<02:17:13.599> be 02:17:14.790 --> 02:17:14.800 align:start position:0% man should be 02:17:14.800 --> 02:17:16.790 align:start position:0% man should be be<02:17:15.040> one 02:17:16.790 --> 02:17:16.800 align:start position:0% be one 02:17:16.800 --> 02:17:18.549 align:start position:0% be one thank<02:17:17.040> you<02:17:17.120> for<02:17:17.280> listening<02:17:17.840> and<02:17:18.000> hope<02:17:18.240> to<02:17:18.319> see 02:17:18.549 --> 02:17:18.559 align:start position:0% thank you for listening and hope to see 02:17:18.559 --> 02:17:28.309 align:start position:0% thank you for listening and hope to see you<02:17:19.040> next<02:17:19.280> time 02:17:28.309 --> 02:17:28.319 align:start position:0% 02:17:28.319 --> 02:17:30.399 align:start position:0% you