字幕列表 影片播放 列印英文字幕 >> THANK YOU ALL FOR JOINING US THIS AFTERNOON FOR "NOW THIS" IN A CONVERSATION WITH PRESIDENTIAL CANDIDATE ANDREW YANG FRESH OFF THE POLK COUNTY STEAK FRY STAGE, I AM SUE DINSDALE THE EXECUTIVE DIRECTOR OF IOWA CITIZEN ACTION NETWORK AND WE HAVE BEEN WORKING WITH THE MAIN STREET ALLIANCE FOR ABOUT THE LAST 11 YEARS. AND IT'S SO PERFECT THAT WE ARE HAVING IT HERE IN THIS SPOT. BECAUSE ONE DAY WHEN I WAS STARTING TO ORGANIZE AND FIND SMALL BUSINESS OWNERS AND WE WERE ORGANIZING AROUND HEALTHCARE, I WALKED BY A LITTLE SHOP ABOUT A BLOCK AWAY AND THERE WAS A T-SHIRT IN THE WINDOW THAT SAID AMERICA. ONLY THE INSURED SURVIVE. SO I WENT IN AND VISITED WITH THE OWNER, MIKE DRAPER. AND ENDED UP FACILITATING A TRIP FOR HIM TO D.C. TO TESTIFY BEFORE CONGRESS. >> GOOD FOR YOU. >> ABOUT THE IMPORTANCE OF HEALTHCARE FOR SMALL BUSINESS OWNERS. SO THAT IS THE FOCUS OF OUR CONVERSATION TODAY. WE MIT HIT ON A FEW OTHER TOPICS TOOK BUT WE'LL START WITH SOME HEALTHCARE QUESTIONS. >> THAT'S AN EXPERIENCE I CAN RELATE TO VERY DIRECTLY. I RAN A SMALL BUSINESS AND HEALTHCARE WAS ONE OUR BIGGEST EXPENSES. THE WORST PART ABOUT IF IS ALL OF THE INCENTIVES ATTACHED TO IT WERE VERY MUCH THE OPPOSITE WHAT WHAT YOU WOULD WANTS. WHERE IF YOU TIRED SOMEONE YOU HAD TO FACTOR IN HEALTHCARE EXPENSES. IF YOU HAD TO CONSIDER WHETHER SOMEONE WAS A FULL-TIME EMPLOYEE OR A CONTRACTOR, ALL OF A SUDDEN WHEN THEY TURNED TO FULL-TIME EMPLOYEE THEIR HEALTHCARE EXPENSES WOULD BE MUCH, MUCH HIGHER. WHICH IS THE OPPOSITE OF WHAT YOU WANT YOU WOULD LIKE TO ENCOURAGE A BUSINESSLIKE MINE TO HIGHER PEOPLE. AND THE PRICES ONLY WENT IN ONE DIRECTION, EVER. YOU NEVER GET GOOD NEWS. GOOD NEWS YOUR HEALTH INSURANCE IS CHEAPER. WHY HAVE WE NEVER ACTUALLY HEARD THAT? AND PERHAPS THE WORST PART, WAS THAT YOU HAD TO HAVE PERIODIC REALLY DIFFICULT CONVERSATIONS WITH YOUR STAFF. >> RIGHT. >> BECAUSE YOU ARE LIKE, HEY, GUYS, INSURANCE COSTS WENT UP AGAIN, SO WE ARE GOING TO COVER THIS, BUT WE WANT LIKE YOU TO COVER THIS. AND LIKE, YOU KNOW, SO THAT STINKS. AND THEN WHEN WE HAD TO ACTUALLY CHANGE COVERAGE, THEN IT BECAME THIS MASSIVE PROCESS BECAUSE PEOPLE OBVIOUSLY HAVE VERY STRONG FEELINGS ABOUT THEIR HEALTHCARE COVERAGE. AND THERE WAS A BIG PART OF ME THAT JUST THOUGHT HOW RIDICULOUS IS THIS? LIKE I AM RUNNING A BUSINESS, IN MY CASE IT WAS AN EDUCATION BUSINESS, I SHOULD NOT BE LIKE GIVING MYSELF BRAIN DAMAGE TRYING TO FIGURE OUT ALL THESE INSURANCE PLANS. AND I SHOULD NOT BE HAVING THESE CONVERSATIONS WITH MY WORKERS THAT END UP BEING VERY PERSONAL. SOME OF THEM HAVE HEALTH SITUATIONS SOME HAVE FAMILY MEMBERS, SOME ARE FAMILY PLANNING MODE, ET CETERA, ET CETERA. AND I THOUGHT TO MYSELF, THIS ENTIRE SET OF OBLIGATIONS FALLING ON EMPLOYER THIS IS WAY IS NOT WHAT WE SHOULD WANT AS A COUNTRY. BECAUSE WE SHOULD BE ENCOURAGING BUSINESSES TO HIRE PEOPLE RIGHT AND LEFT. >> EXACT. >> I TO TREAT THEM WELL, TO GIVE THEM BENEFITS, WE SHOULD BE ENCOURAGING PEOPLE TO CHANGE JOBS AND START NEW BUSINESS FIST THAT'S WHAT THEY WANT. RIGHT NOW OUR HEALTH INSURANCE SYSTEM KEEPS PEOPLE LOCKED IN PLACE THERE IS A TECHNICAL ECONOMIC TOMORROW FOR IT. IT'S CALLED JOB LOCK. THERE ARE MILLIONS OF AMERICANS IN JOB LOCK RIGHT NOW. WHERE THEY ARE ON THE FENCE TOO FAST WHETHER THIS IS WHAT THEY SHOULD BE DOING, BUT THEN THEY THINK, WELL, I CAN'T LEAVE BECAUSE OF MY HEALTHCARE. HOW MANY OF YOU KNOW SOMEONE IN THAT SITUATION OR YOURSELF? WE ALL DO. I AM ALL FOR PEOPLE STAYING PUT IN THAT'S WHERE THEY BELONG. BUT I'M NOT FOR PEOPLE STAYING PUT BECAUSE STILL LIKE THEY WERE NO CHOICE. ECONOMY WIDE AND SOCIETY AT THIS WIDE DYNAMISM IS A POSITIVE THING. PEOPLE STARTING NEW BUSINESS IS HIS INCREDIBLY POSITIVE THING AND I AM 100 PERCENT SURE THAT OUR HEALTHCARE COSTS RIGHT NOW ARE STIFLING PEOPLE FROM STARTING BUSINESSES IN MANY CONTEXT HERE AND IOWA. >> AND WE DO FIND THAT WHEN WE TALK TO SMALL BUSINESS OWNERS AROUND THE STATE, IT'S A BIG ISSUE. IT'S THE BIGGEST ISSUE FOR THEM. >> IT'S ONE OF THE THINGS THAT KEEPS PEOPLE FROM TAKING A RISK AND STARTING IS A BUSINESS. AN SOMEONE WHO HAS DONE THAT IT'S REALLY DIFFICULT. THE LAST THING YOU WANT TO DO IS ADD IN ANOTHER FACTOR OF DIFFICULTY AND COST AND ANXIETY AND I FRANKLY EVERYBODY RELATIONSHIP STRESS. WHERE IF YOU ARE A PERSON WHO -- LIKE I AM MARRIED AND HAVE TWO KIDS, IF YOU DECIDE TO MAKE THAT CHANGE, THAT'S NOT JUST YOU YOU HAVE TO TURN TO YOUR FAMILY AND PARTNER, SAYING HEY, I WANT TO START THIS BUSINESS BUT WE RELY UPON MY JOB FOR HEALTHCARE COVERAGE, SO HOW ABOUT WE CUT BACK ON THAT. OR HOW ABOUT WE FIND SOME OTHER WAY. THESE CONVERSATIONS HAPPEN EVERY DAY. IMAGINE IF IT WAS A DIFFERENT CONVERSATION HEY, I WANT TO START THIS BUSINESS AND HEALTHCARE WAS PROVIDED BY OUR GOVERNMENT. IN THE PUBLIC SECTOR AND YOU WOULD GET RID OF THIS GIANT OBSTACLE. RIGHT NOW, ONE OF THE -- THERE ARE SO MANY STATISTICS IN AMERICA THAT ARE TO ME VERY, VERY DISCOURAGING. BUT ONE OF THEM IS THAT THE RATES OF BUSINESS FORMATION AND ENTREPRENEURSHIP ARE AT MULTI-DECK EIGHT LOWS IN THE COUNTRY. SO WE TALK ABOUT AMERICA AS A HOME OF ENTREPRENEURSHIP, BUT WE ARE MAKING IT MUCH, MUCH HARDER FOR PEOPLE TO ACTUALLY START BUSINESSES AND THIS IS DOUBLY TRUE FOR YOUNG PEOPLE. IF YOU LOOK AT BUSINESS FORMATION RATES FOR YOUNGER AMERICANS, THEY ARE ALSO AT ALL TIME OR HISTORIC LOWS AND SOMETHING THAT WE HAVE TO TURN AROUND. >> VERY GOOD. WELL, WE HAVE A GREAT GROUP OF PEOPLE HERE AND I KNOW THEY HAVE LOTS OF QUESTIONS FOR YOU. SO WOULD YOU LIKE TO START. >> YEAH. I AM KYLIE ROSE A STUDENT AT DRAKE UNIVERSITY. AND IT'S MY SENIOR YEAR, AND SOMETHING THAT I JUST NOTICED AS A YOUNG WOMAN IS THAT THERE IS NOT A LOT OF ACCESS TO BASIC CONTRACEPTIVE CARE, ESPECIALLY IN LOW-INCOME COMMUNITIES. MY QUESTION FOR YOU IS HOW AS PRESIDENT WOULD YOU MAKE BASIC CONTRACEPTION MORE AVAILABLE? >> I AM IN MEDICARE FOR ALL CAMP THAT WE NEED A QUALITY PUBLIC OPTION. AND IF YOU HAD A PUBLIC OPTION, I AM NOT IN THE CAMP THAT YOU SHOULD GET RID OF ALL PRIVATE INSURERS IMMEDIATELY. THE GOAL OF THE PUBLIC OPTION SHOULD BE TO DEMONSTRATE IT'S A SUPERIOR OPTION TO WHAT ELSE IS OUT THERE BASED ON COST AND COVERAGE AND EFFICACY. BUT IF YOU HAD A PUBLIC OPTION, ONE OF THE FIRST THINGS THAT YOU WOULD BE DOING IS MAKING BASIC CON EXTRA ACCEPT TIFF CARE AVAILABLE TO ANYONE WHO WANTS IT. AND I SAY THIS WITH 100 PERCENT QUALITY CONTRA SEVEN TIFF CONTRA YOU ARE HELPING WOMEN MAKE PLANS ABOUT THEIR PROFESSIONAL LIVES AND CAREERS AND THAT ACTUALLY ADDS A LOT TO YOUR ECONOMIC PRODUCTIVITY. WOMEN ARE IN MY MIND THE GREATEST UNDER APPRECIATED AND UNTAPPED RESOURCE HERE IN THIS COUNTRY. AND YOU THINK IT'S LIKE, WHAT DO YOU MEAN? WOMEN ARE ALREADY -- NO, THEY ARE NOT. I AM TOTALLY SURE OF THIS BECAUSE I HAVE SEEN THE OBSTACLES PRESENTS TO WOMEN TRYING TO START BUSINESSES BUSID HAVING QUALITY CONTRACEPTIVE CARE SHOULD NOT BE AN OBSTACLE AT ALL. IT WOULD PAY FOR ITSELF MANY, MANY TIMES OVER. >> KIND OF FOLLOWING ALONG OWE THAT LINE. A WOMAN'S RIGHT TO CHOICE WHAT HAPPENED WITH HER BODY, ARE YOU -- >> I AM FOR WOMEN'S REPRODUCTIVE RIGHTS AS FUNDAMENTAL HUMAN RIGHTS. I THINK IT'S EMBARRASSING THAT MALE LEGISLATORS HAVE AN OPINION ON THIS. WE SHOULD JUST LEAVE THE ROOM AND LET WOMEN FIGURE IT OUT. COME BACK AND THE WOMEN TELL US WHAT THEY WANT TO DO. I HAVE A FEELING I KNOW WHICH WAY THEY WOULD DECIDE. BUT FOR -- NOW, IN THE ABSENCE OF THAT SITUATION. THEN I WOULD CHAMPION WOMEN'S REPRODUCTIVE RIGHTS THAT HIGH LEFT LEVELS, INCLUDING ADDING SUPREME YOUR JUSTICES. THERE IS NOTHING SAYING THAT WE NEED NINE SUPREME COURT JUSTICE WE JUST REMEMBER THAT BUT IN OUR HISTORY THERE HAVE BEEN FIVE, 11, 12. SO I AM ALL FOR PROTECTING WOMEN'S REPRODUCTIVE RIGHTS IN THE MOST FUNDAMENTAL WAYS. >> THANK YOU. >> I AM KEVIN PETERSON I LIVE IN WEST DES MOINES I HAVE A LIFESTYLE WELLNESS COMPANY. CALLED PETERSON HOLISTIC SERVICES IN URBAN DALE AND I HAVE BEEN A HEALTH AND WELLNESS PROVIDER FOR OVER 10 YEARS. I HAVE GONE FLEW HEALTH CONS FORMS ACTION MYSELF I LOST 150 POUNDS OVER THE YEARS. I KNOW ABOUT HEALTH TRANSFORMATION IT'S SOMETHING THIS COUNTRY REALLY NEEDS. AND AS A PROVIDER, I REALLY BELIEVE THAT THE HEART AND SOUL OF THAT TRANSFORMATION IS CLEAN NUTRITION AND NUTRITION EDUCATION, FUNCTIONAL FITNESS TRAINING AND THINGS LIKE THAT. WHAT I WANT TO KNOW FOR YOU IS WHERE IN YOUR PLATFORM, WHERE IN YOUR MANAGING OF THIS HEALTHCARE SYSTEM. ARE THOSE TRULY PREVENTIVE MEASURES OF NUTRITION AND FUNCTION THE MOVEMENT THAT ARE REALLY ARE THAT HEART AND SOUL OF HEALTH -- CARRYING ON HEALTH AND PREVENTING DISEASE? >> I LOVE THIS QUESTION SO MUCH. I WANT TO SHAKE YOUR HAND. [ LAUGHTER ] >> I HIT THE NAIL ON THE HEAD IN SO MANY WAYS. AND I WAS TALKING TO MARK CUBAN, DO YOU KNOW WHO HE IS? >> YEAH. >> MARK CUBAN SAID TO ME THAT ONE OF THE BIG PROBLEMS IN HEALTHCARE, IS FOOD AND NUTRITION. AND THAT IF YOU HAD BUILDING UP ALL OF THIS HEALTH DEBT, IF YOU WILL, BY EATING CRAP AND THE REST OF IT, IT ENDS UP COST OUR SOCIETY IN BOTH HUMAN AND ECONOMIC WAYS. AND SO THE QUESTION IS HOW DO YOU GO EARLIER IN THE FOOD CHAIN AND MAKE IT SO THAT PEOPLE HAVE BETTER NUTRITION AND EDUCATION ABOUT NUTRITION, BETTER ACCESS TO DECENT HEALTHY FOOD INSTEAD OF THE CRAP ON THE CORNER. AND THE CRAP COT CORNER WE ALL KNOW IS MUCH, MUCH CHEAPER SO IF YOU ARE IN ANY ECONOMIC PROBLEMS THE EASY THING DO IS IT'S FREAKING DOLLAR MENU TIME. >> I AM STAGGERED AT HOW MUCH FAST FOOD YOU CAN BUY FOR A VERY LOW AMOUNT OF MONEY. THE DOLLAR MENU BLOWS MY MIND. I DON'T EN INDULGE IN THE DOLLAR MENU IF AT ALL. ANYWAY, I DIGRESS, THERE ARE VERY IMPORTANT THINGS THAT WE CAN DO TO HELP MOVE SOCIETY IN THE DIRECTION YOU ARE DESCRIBING. NUMBER ONE, IS AS YOU ALL KNOW, MY FLAGSHIP PROPOSAL IS TO PUT A THOUSAND DOLLARS A MONTH IN TO PEOPLE'S HANDS IF THEY HAD THAT ECONOMIC BOOT OFF THEIR THROATS, THEN THEY COULD MAKE A CHOICE TO PURSUE EATING MORE FRESH FOOD, FRUIT AND VEGETABLE, LESS FAST FOOD. AND THEN SOME OF THOSE RETAILERS AND PROVIDERS WOULD ACTUALLY GO TO THE NEIGHBORHOODS. BECAUSE WE KNOW RIGHT NOW IF YOU ARE AT WHOLE FOODS YOU ARE NOT GOING ANYWHERE NEAR, YOU KNOW, LIKE SOME POOR NEIGHBORHOOD. THEY CAN'T AFFORD MY STUFF. IF MORE PEOPLE CAN AFFORD YOUR STUFF, THEN MAYBE YOU DO END UP TRYING TO GET THERE. SO THAT'S BIG MOVE NUMBER ONE. BIG MOVE NUMBER TWO. IS THAT RIGHT NOW, WE HAVE BOTH AN ECONOMY MEASURED AROUND PRODUCTIVE AND A HEALTHCARE SYSTEM DESIGNED AROUND COST AND REVENUE. BOTH OF THESE THINGS OF LEADING US IN THE WRONG DIRECTION, GD IT. P IS AT RECORD HIGHS BUT OUR LIFE EXPECTANCY DID IS GOING DOWN, WHAT DO YOU LISTEN TO? LIFE EXPECTANCY WHAT GOOD IS PRODUCTIVE IF YOU ARE TYING. I I WOULD TAKE GDP AND A PLAINLY THIS MEASUREMENT IS 100 YEAR OLD OLD AND OUT OF DATE, INCREASINGLY USELESS AND LOW RELATIONSHIPS TO ACTUALLY HOW WE ARE DOING WHICH IS OUR HEALTH AND LIFE EXPECTANCY, WELLNESS. OUT MENTAL HEALTH, FREEDOM FROM SUBSTANCE ABUSE, CHILD SUCCESS RACE, CLEAN AIR AND WATER I WOULD MAKE THOSE THE MEASUREMENTS OF THE NEW ECONOMY. ALL THE ENERGIES GOING TOWARDS TRYING TO INCREASE YOUR GDP WOULD BE GOING TOWARDS TRYING TO INCREASE OUR WELL BEING AND LOOK AROUND THE COMMUNITIES AND SAY A LOT OF PEOPLE ARE EATING VERY POORLY, A LOT OF PEOPLE COULD BE MADE MUCH, MUCH HEALTHIER AND THE GREAT THING IS THAT IT WOULD SAVE US A TON OF MONEY, IF YOU HAVE PEOPLE WHO ARE DEVELOPING DIABETES DISCUSS SHOWING UP FOR TREATMENTS AT EARLIER AGES THAT'S INCREDIBLY EXPENSIVE AND WE BEAR THAT COST NOT JUST IN THE TREATMENT. BUT ALSO BECAUSE THOSE PEOPLE BECOME LESS PRODUCTIVE, THEY BECOME SICKER EARLIER AND HAVE PROBLEMS, SO THERE WAS ONE STUDY THAT SHOWED IF YOU WERE TO ALLEVIATE POVERTY, YOU WOULD INCREASE GDP BY $700 BILLION JUST ON THE BASES OF BET EVERYONE INDICATION AND HEALTH OUTCOMES, YOU HAVE PEOPLE HEALTHIER LONGER AND THEY WOULD GET MORE STUFF DONE. THE BIG MOVE IS TO CHANGE OUR ACTUAL MEASUREMENTS TO CORRESPOND WITH THE WORK THAT YOU ARE DOING. CAN YOU IMAGINE DES MOINES GETTING LIKE A HEALTH AND WELLNESS SCORE THE SAME WAY AS GETTING SPORTS SCORES, ON THE NEWS, EVERY QUARTER IT WOULD BE LIKE, HEY, HOUR WE DOING THIS QUARTER IT WOULD BE LIKE THIS. AND THEN, YOU KNOW, I HAVE A FEELING WE COULD GROW YOUR BUSINESS A GREAT DEAL. BECAUSE OF THE PEOPLE THAT WOULD NEED OR SHOULD BE USING YOUR BUSINESS, WHAT PERCENTAGE ACTUALLY PURSUE THIS REGIMENT THAT WE ARE TALKING ABOUT? PROBABLY TWO, THREE, FOUR, 5%. IT'S LIKE VERY, VERY LOW. >> I THINK A LOT OF THE BARRIER IS REALLY IN RIGHT NOW THE INSURANCE COVERAGE. YOU KNOW, I THINK PEOPLE ARE WANTING WANTING AND CRAVE THIS INFORMATION AND GUIDANCE. I THINK THE YOUNGER AGAIN RAISE WOULD BENEFIT FROM THIS CONVERSATION THEY QUAIL HEAR ABOUT THE VALUE OF NUTRITION AND CLEAN EATING. BUT IT IS THE FOLKS IN THEIR MID 30s IN TO THERAPISTs THAT HAVE GONE THROUGH THIS BOOM OF NEVERRED FOODS AND THEY HAVE TO GO THROUGH A PROCESS TO GET THEMSELVES OUT OF IT. >> SOUNDS BEING LIKE YOU WENT THROUGH THAT PERSONALLY? >> I AB ABSOLUTELY WENT THROUGH THAT PERSONALLY AND I WORK TO TAKE THINGS THROUGH THAT PROCESS. >> GOOD FOR YOU YOU ARE SUCH A ROLE MODEL. >> THANK YOU. >> THE THIRD WAITS IS WE MAKE IT SO YOUR WORK IS MAINSTREAM AND YOU GO IN TO THE GUT OF THE HEALTHCARE SYSTEM. WHY ARE WE SPENDING OUR GDP ON HEALTHCARE. >> IT'S BECAUSE IT'S NOT DESIGNED TO MAKE US HEALTHY IT'S DESIGNED TO GENERATE REVENUE. YOU HAVE DEVICE COMPANIES AND DRUG COMPANIES AND HEALTH INSURANCE COMPANY THAT SAYS ALL HAVE RECORD-HIGH PROFIT MARGINS. THEY ARE PROFITING OFF OF US IT'S THIS TROUBLING WEIGHT ON OUR ECONOMY AND SOCIETY AND YOU HAVE TO CHANGE INCENTIVES AND I AM INSPIRED BY THE RESULTS THAT CLEVELAND CLINIC WHERE DOCTORS GET PAID A FLAT SALARY AND THEY THINK YOU NEED TO PRESCRIBE FEWER PROCEDURES BECAUSE THEY DON'T GET PAID BASED UPON HOW MANY PROCEDURES THEY DO. AND THEIR OUTCOMES ARE BETTER THAN OTHER HOSPITALS BECAUSE WE ARE OVER TREATING THINGS, WE OVER TREAT BECAUSE PEOPLE DON'T WANT TO GET SUED YOU CAN ONLY GET SUED FOR NOT DOING THE THING, IT'S LIKE I DECIDED YOU DIDN'T NEED IT IF SOMETHING HAPPENS I COULD BE SUED AND I GUESS I WILL SAY YOU NEED IT IT. SO YOU WIND UP BUILDING UP ALL OF THIS COST. IF YOU COULD CHANGE IMAGINE A HOSPITAL'S INCENTIVE BEING TIED TO HOW HEALTHY PEOPLE ARE LOCALLY. YOU KNOW WHAT THAT HOSPITAL WOULD UP VEST IN, HIS SERVICE, YOU KNOW WHAT WE NEED TO DO. WE NEED TOMORROW INDICATE PEOPLE ON NUTRITION, GET BETTER FOOD, WE NEED TO TRY TO -- THE IDEAL DESIGN OF A HOSPITAL WOULD BE A HOSPITAL DESIGNED TO PEOPLE PEOPLE FROM NOT SHOWING UP TO THAT HOSPITAL. IF NO ONE SHOWED YOU RIGHT NOW THE HOSPITAL WOULD GO OUT OF BUSINESSLIKE THAT MUCH BECAUSE THE HOSPITAL NEEDS TO HAVE ANY NEED TO DO THINGS TO GET THEM PAID. THESE ARE BIG CHANGES BUT MORE FEASIBLE THAN YOU ALL THINK. OR WATCHING THIS DO YOU THINK. NUMBER ONE EVERYONE GETTING A THOUSAND DOLLARS A MONTH IT SOUNDS LYING A FANTASY ALL IT TAKES IS THE MAJORITY OF AMERICANS SAYING WE ARE GOING DO THAT. IT'S DONE, THEY DID IT IN ALASKA IT'S BEEN IN EFFECT FOR 40 YEARS, YOU JUST NEED A MAJORITY OF US AND CONGRESS SAYING WE CAN DO IT. AND DO IT. DEFINITION OF GDP ALL IT TAKES IS PRESIDENT YOUNG GOING TO THE BUREAU ECONOMIC ANALYSIS SAYING THE GDP IS OUT DATED AND DUMB AND WE'LL UPDATE IT AND I'LL PRESENT THESE NUMBERS TO YOU THAT STAYED OF THE UNION EVERY YEAR, NOTHING CAN PREVENT ME FROM DOING THAT. HERE ARE THE NUMBERS, EIGHT AMERICANS ARE DOING OF DRUGS EVERY HOUR THAT'S HORRIFYING, WE'LL TRY TO GET THAT DOWN. YOU HAVE REAL PROBLEMS AND PRESENT THEM. THE THIRD ONE IS THE HARDEST GETTING THE HEALTHCARE SYSTEMS INCENTIVES TIED TO OUR HEALTH AND WELLNESS THAT, ONE IS NOT EASY. I'M HOOP I TO SAY PROMISING EXPERIENCES ARE HAPPENING IN THAT SPACE RIGHT FOUND AROUND SOMETHING CALLED VALUE-BASED MEDICINE. IF YOU ARE PRODUCING VALUE WITH PATIENTS HE GET COMMENTS AND PUBLIC OPTION IS A HUGE STEP IN THAT DIRECTION. AS SOON AS THE GOVERNMENT ASSUMES THE COST FOR 10s OF MILLIONS OF AMERICANS, ALL OF A SUDDEN THE GOVERNMENT'S INCENTIVES ARE TO TRY TO GET YOU HEALTHIER THAT WOULD END UP MAINSTREAMING A LOT OF WHAT YOU ARE DOING FOR YOUR CUSTOMERS. >> NEXT UP. >> HI. MY NAME IS JESSE MAY. AND I AM A BIRTH DUE LOS ANGELES HERE IN DES MOINES. >> GOOD FOR YOU, THAT'S INCREDIBLE. THIS MIGHT BE TOO MUCH INFORMATION AND WE USE AID DOULA AND AS THE HUSBAND AND FATHER I LOVED HER. >> THAT'S WHAT ALL THE HUSBANDS SAY, TOO, YES, THANK YOU SO MUCH. >> DOULAS ARE AMAZING AND THIS DUE HA LA IN PARTICULAR IS AMAZING WHAT'S YOUR NAME. >> JESSE MAY. >> THE DO LOS ANGELES WHO LIVES WHERE? >> DES MOINES. >> SO IF YOU ARE ANYWHERE NEAR DES MOINES AND NEED A De LEEUW BEING IT'S JESSE MAY. >> THANK YOU. OKAY, MY QUESTION IS DIRECTIONED TOWARDS THIS. OUR NATION IS STRAGGLE TO GO KEEP MOTHERS HEALTHY, SAFE AND ALIVE. AND DISPROPORTIONATELY, BLACK MOTHERS AND IMMIGRANT MONTH NEVERS AND [ INAUDIBLE ] SURE MONTH MOTHERS SEPARATE RATES THREE TO FIVE TIMES OF WHITE WOMEN IN THIS COUNTRY. WHEN PRESIDENT, WHAT STEPS WILL YOU TAKE THAT FEDERAL AND STATE LEVELS TO DECREASE THE MATERNAL MORTALITY RATE AND INCREASE MATERNAL HEALTH AS A WHOLE IN THIS COUNTRY? >> THIS IS VERY PERSONAL FOR ME. I HAVE FRIEND THAT HAVE STRUGGLED WITH MA TERM HEALTH. A LOT OF IT IS SOCIOECONOMIC. IF YOU ARE IN A POOR AREA, POOR NEIGHBORHOOD. YOU HAVE WORSE OR NONEXISTENT PRENADAL CARE. NUTRITION. VITAMINS LEADING UP. IN EXTREME CASES MIGHT HAVE A DRUG PROBLEM AND SOMETIMES SAID CHILD IS BORN INHERITING THOSE PROBLEMS. BUT THE STATISTICS AROUND THIS IT, SHOULD BE SHOCKING TO AMERICANS. BECAUSE OUR -- OUR LIFE EXPECTANCY ORRIN FANT MORTALITY RATE IS A TOTAL ABERRATION RELATIVE TO OTHER DEVELOPED COUNTRIES. IF YOU LOOK AT A LIST IT'S LIKE OTHER DEVELOPED COUNTRIES AND THE UNITED STATES, AND A LOT THAT HAVE IS BECAUSE OF THE ECONOMIC AND EQUITYS THAT YOU POINT OUT. A LOT OF IT IS BECAUSE OF LIKE BLACK WELL, BLACK MOMS, IMMIGRANT MOMS DON'T HAVE THE RESOURCES THEY NEED. THEY NEEDED RESOURCES TO HAVE AT LEAST A CHANCE TO HELP THE BABY DEVELOP IN A HEALTHY WAY AND NEED TO TIE THESE INSTITUTIONS INCENTIVES TO HAVE AN INFANT MORTALITY RATE FRANKLY WITHIN THE NATIONAL NORMS OR STANDARDS AND THIS HAPPENS IMMEDIATELY AFTER BIRTH BUT I THINK IT'S CRUCIAL. ONLY FOUR COUNTRIES DON'T HAVE MANDATORY PAID MATERNAL LEAVE FOR NEW MOMS THE UNITED STATES OF AMERICA, SWAZ EILAND, LASSO THOUGH AND PAPUA NEW GUINEA, I WOULD SUGGEST THIS IS IN THE A LIST WE BELONG ON IT JUST GOES TO SHOW HOW PATHOLOGICALLY ANTI-MOM, ANTI-FAMILY THIS DOESN'T ARE YOU IS. I WAS SHOCKED MYSELF WHEN MY WIFE GAVE BIRTH LIKE JUST HOW RIDICULOUS THE PROCESS WAS AGAINST HER IT FELT LIKE AT EVERY TURN. I FEEL VERY PASSIONATELY ABOUT THIS. MY WIFE DECIDED TO PURSUE NATURAL WILD BIRTH WITH A DOULA SO I APPLAUD WHAT YOU DO FOR A LIVING. AND WE HAD A TREMENDOUS EXPERIENCE WITH THAT AND WOULD RECOMMEND IT TO OTHERS. OBJECT OBVIOUSLY IT'S VERY PERSONAL FOR THE MOTHER ON WHAT SHE DECIDES TO DO BUT THAT WORKED TODAY US. >> YOU TALKED ABOUT THE PAID FAMILY MEDICAL LEAVE AND CHILDCARE AND THOSE ARE ISSUES THAT YOU DON'T NORMALLY THINK OF SMALL BUSINESSES BEING EXCITED ABOUT, BUT THEY ARE. THERE ARE PLANS OUT THERE IN IOWA, TWO OPPOSING PLANS WE HAVE A COUPLE OF OUR CONGRESSIONAL REPRESENTATIVES SIGNING ONTO THE FAMILY ACT AND THAN WE HAVE OUR SENATOR WHO WANTS TO ROB SOCIAL SECURITY EARNINGS. TO PAY FOR PAID FAMILY MEDICAL LEAVE. HOW WOULD YOU PAY FOR THAT? AND THEN WHAT WOULD WE DO ABOUT LIKE CHILDCARE DESERT, OR EXORBITANT COST OF CHILDCARE THAT WE WANT THE CHILDCARE WORKERS TO BE PAID, BECAUSE THEY ARE PROBABLY THE MOST IMPORTANT PEOPLE IN A CHILD'S LIFE ASIDE FROM THEIR PARENTS. >> THIS IS ANOTHER EXAMPLE OF US SHOEING OURSELVES IN THE FOOT IN TERMS OF HOW WE THINK ABOUT COSTS. IT'S VERY CLEAR FROM THE DATA PAYING FOR PAID MATERNAL LEAVE IT PAYS FOR ITSELF. IT PAYS IN TERMS OF THE WOMAN STAYING IN THE CORK FORCE AND I AM SURE CHILD DEVELOPMENT AND THE REST OF IT. AS SOMEONE WHO HAS RAN A SMALL BUSINESS I WAS HAPPY TO PAY FOR THINGS IN THAT DIRECTION I THINK IT SHOULD NOT COME OFF THE SHOULDERS OF THE SMALL BUSINESS IT'S SOCIETY THAT WILL BENEFIT SOCIETY BENEFITS IN THAT WOMAN IS ABLE TO RETURN TO WORK IN A CERTAIN TIME FRAME. SOCIETY BENEFITS IF THE KID IS DEVELOPED. >> DON'T FORGET ABOUT THE FATHERS TOO. >> THE FATHER, IDEALLY YOU WOULD HAVE MATERNITY LEAVE, YES, BUT ALSO SHARED PA PARENT THE LEAVE AND THE PARENTS CAN CAN DIVVY IP BUT IT SHOULD NOT COME OFF THE BACKS OF EMPLOYERS. ALL YOUR FINANCIAL INCENTIVES ARE TO THE TO DO THE WRONG THING IT'S TERRIBLE. >> IT IS. >> AS A PERSON YOU ARE TRYING TO DO THE RIDE THING. >> Reporter: BUT WAIT A MINUTE, WHY ARE TREMENDOUS TRYING TO MAKE IS SO HARD TO DO THE WRONG THING. AS A SEWED WE SHOULD DO THE RIGHT THING AND THEN YOU SHOULD FOCUS YOUR BUSINESS AND NOT HAVE TO MAKE DIFFICULT HUMAN DECISIONS ALL THE TIME. >> THANK YOU. >> AS YOU CAN TELL I LIVED IT. IT'S A BIZARRE SYSTEM. >> IT'S INTERESTING IN IOWA WHEN I TALK TO PEOPLE ABOUT PAID FAMILY MEDICAL LEAVE THEY DON'T KNOW WHAT I AM TALKING ABOUT. IT'S NOT AN ISSUE THAT'S REALLY RISEN UP AND SO I THINK WE ALL NEED TO WORK ON MAKING THAT AN ISSUE IN THE NEXT ELECTION. >> THIS IS THE BIG TRANSFORMATION. I CHANGE ECONOMIC MEASUREMENTS TO BE HUMAN PROGRESS, ALL OF THE SUDDEN DAY-CARE PAYS FOR ITSELF. MATERNAL LEAVE PAYS FOR ITSELF. THAT'S THE PERHAPS THAT COUNTRY HAS GOTTEN IN TO WE SEE EVERYTHING AS AN ECONOMIC INPUT AND THAT EVERYTHING HAS TO BE ABOUT CAPITAL EFFICIENCY THEN YOU HAVE VERY RIDICULOUS OUTCOMES FROM THAT. IT'S LIKE, HEY, YOU ARE GOING TO LOSE YOUR JOB IN A COAL MINE MAYBE WE'LL TURN NEW TO CODERS, EVEN THOUGH THAT MAKES ZERO SENSE, THE ONLY WAY YOU THINK THAT'S I HAVE BEEN POSSIBLE IS IF YOU GET BRAIN WASHED THAT ECONOMIC VALUE IS THE SAME THING AS HUMAN VALUE. IF ANYTHING, WE HAVE TO GO THE OTHER DIRECTION AND SAY, HUMAN VALUE IS ECONOMIC VALUE. AND THEN ALL OF A SUDDEN, CHILDCARE, EDUCATION, NURTURING, CARE GIVING IT ALL BECOMES INVESTMENTS I INVESTMENTS INSTEAD OF EXPENSE LINES, THAT HAS TO BE THE DIRECTION WE GO. IF YOU KNOW ANYTHING ABOUT MY CAMPAIGN YOU KNOW I AM ABOUT TRYING TO EVOLVE THE NBA TO THE 21st CENTURY ECONOMY, ALL OF A LOT OF THE CAPITAL EFFICIENT JOBS ARE GOING TO GET USURPED BY MACHINES, CLEARLY. THERE ARE SELF DRIVING TRUCKS ON THE HIGHWAYS RIGHT NOW DRIVING A TRUCK IS THE MOST COMMON JOB IN 29 STATES. WHAT IS THE PATH FORWARD? THE ONLY PATH FORWARD THAT WINS FOR US IS IF WE CHANGE OUR ECONOMIC MEASUREMENTS TO BE HUMAN FLOURISHING AND THEN MOVE IN THAT DIRECTION AS FAST AS POSSIBLE. >> THANK YOU. >> MY NAME IS JAMIE AM A CURRENT MEDICAL STUDENT HERE IN IOWA. BUT I AM ORIGINALLY FROM A ORIGINALLY A MEDICALLY UNDER SERVED COMMUNITY IN WASHINGTON STATE. MY QUESTION IS ABOUT EDUCATION, STAGGERING AMOUNTS OF DEBT -- >> 200K EASY. >> QUARTER OF A MILLION UP TO -- >> MORE? >> YEAH. COMBINING UNDER GRAD DEBT ALONG WITH THAT LEADING IN TO ALMOST HALF A MILLION DOLLARS FOR SOME OF MY FRIENDS . >> WOW. I WAS TRYING TO BE CONSERVATIVE. IT'S MORE LIKE THREE OR 400K. >> I MEAN, IT'S I KNOW FROM GOING IN TO GRADUATION, AND GOING LOOKING FOR A RESIDENCY POSITION OR LOOKING FOR A JOB GOING ON AND SO SO FORTH, THAT A WEIGHT THAT MYSELF AND A LOT OF PEERS WILL BE FEELING. EVEN THOUGH PEOPLE LIKE US WOULD WANT TO GO IN TO SERVE SOME OF THESE COMMUNITIES LIKE MEDICALLY UNDER SERVED COMMUNITIES THAT WE ARE FROM. >> I HAVE SUCH STRONG FEELINGS ABOUT THIS. CONTINUES. >> MY QUESTION TO YOU WOULD BE HOW IN YOUR FIRST DAY AS PRESIDENT WOULD YOU MAKE GRADUATE MEDICAL EDUCATION MORE AFFORDABLE AND ACCESSIBLE ESPECIALLY THOSE FROM LOW INCOME FAMILIES SO THAT THEY CAN GO BACK AND SERVE THE COMMUNITIES THAT THEY CAME FROM? >> I LOVE THIS QUESTION SO MUCH. AND IT'S SO PROFOUND, I HAVE A QUESTION FOR THAT NO ONE EVER THINKS ABOUT. WHY ARE THERE TWO FEW DOCTORS IN THE UNITED STATES OF AMERICA? IS IT BECAUSE THERE IS A SHORTAGE OF YOUNG PEOPLE WHO WANT TO BECOME DOCTORS? NO. IT'S BECAUSE WE HAVE ARTIFICIALLY CONSTRAINEDDED THE SUPPLY OF DOCTORS FOR DECADES. WE HAVE MADE IT INCREDIBLY EXPENSIVE TO EDUCATE DOCTORS, AND WE HAVE SAID GUESS WHAT, WE ARE NOT GOING INCREASE THE NUMBER OF SLOTS. THIS IS ESSENTIALLY THE AMA MEDICAL LOBBY ARTIFICIAL CONSTRAINING SUPPLIES SO THAT THEY CAN KEEP EARNINGS VERY, VERY HIGH. AND THE COST OF EDUCATION IS SKYROCKETED. I SOUNDS LIKE YOU WILL SO SEVERAL HUNDRED THOUSAND DOLLARS I OWED $100,000 MYSELF IN SCHOOL LOANS SO I KNOW HOW ONEROUS IT IS. HERE IS WHAT WE DO, TAKE SMART PEOPLE THAT WANTS TO BE DOCTORS AND SAY, GREAT, YOU GOT IN TO MEDICAL SCHOOL. THERE WERE A LOT OF OTHER PEOPLE THAT WANTED TO BE DOING TOUR BUD THEY SHUT THE DOOR ON THEM AND THEN THROW HUNDREDS OF THOUSANDS OF DOLLARS OF DEBT AND MAYBE YOU WANTED TO BE A PRIMARY CARE DOCTOR IN AN UNDERSERVED AREA BUT WE ARE SETTING UP THE INCENTIVES SO IT'S VERY DIFFICULT FOR YOU DO THAT. WE HAVE A MASSIVE DEBT AND IF YOU GO FOR THAT AREA YOU MAKE LESS MONEY IN A MORE DIFFICULT ENVIRONMENT. SO WHEN YOU ARE IN TRAINING YOUR EN UP INCENTIVES ARE TO SPECIALIZE AND DO SOMETHING MORE LUCRATIVE AND NOT PRIMARY CARE, NOT FAMILY MEDICINE. AND THEN AFTER YOU SPECIALIZE, THEN YOUR INCENTIVES ARE TO GO TO A DENSELY POPULATED URBAN AREA THAT WILL PAY NEW YOUR SPECIALTY A LOT OF MONEY. I MADE A JOKE THAT LAST DEBATE THAT I AM ASIAN AND I KNOW DOOR DOCTORS BUT THEY ARE TRUE FACT I AM ASIAN AND I KNOW A LOT OF DOCTORS THEY LIVED VERSIONS OF THIS SHOWED UP TO MEDICAL SCHOOL AND YOU ARE IN THE SYSTEM AND WAIT A MINUTE, I OWE HOW MUCH? WHAT? IT'S LIKE I GUESS I SHOULD STICK AROUND AND GET THAT FELLOWSHIP IN, YOU KNOW, ANESTHESIOLOGIST, TERM TO GO. AND DERMATOLOGY, NOW I HAVE THIS THING, IF I GO TO THE COASTAL CITY I CAN MAKE A KILLII GUESS THAT'S MY MOVE. THOSE ARE THE INCENTIVES WE SET UP. WHAT DO WE NEED DO? FIRST? THE SHORT-TERM WE SHOULD FORGET A LOT OF THE MEDICAL SCHOOL DEBT FOR SOMEONE WHO DECIDES TO GO TO AN UNDERSERVED AREA. I THINK ABOUT 30% OF THE COUNTRY IS A PRIMARY CARE DESERT WHERE PEOPLE CAN'T ACCESS PRIMARY CARE DOCTORS. THE BIG THING WE NEED TO DO, THOUGH, WE NEED TO BREAK THE STRANGLE HOLD OF THE MEDICAL LOBBY ON TREATING PATIENTS. BECAUSE THE FACT IS IN THIS ERA. IF YOU HAVE A NURSE TRACK TIPS THE OR PRIMARY CARE SPECIALIST SUPPLEMENTED BY AI THAT CAN TELL THEM, YOU KNOW, WHAT THIS IS LIST FOR YOU, A.I. AT THIS POINT CAN SUPPLEMENT A HUMAN DIAGNOSIS IN SOME CASES IT CAN DO A LOT OF THE WORK. RIGHT NOW IT'S SUPERIOR TO A HUMAN RADIOLOGIST ON IDENTIFYING TUMORS ON A RADIOLOGIST FILM BECAUSE SOFTWARE CAN SEE SHADES OF GRAY THAT HUMANS CAN'T THEY CAN REFERENCE DATA POINTS WHERE A HUMAN CAN ONLY REFERENCE HUNDREDS OF THOUSANDS. WE NEED TO MAKE THAT RESOURCE AVAILABLE TO MORE AMERICANS BY SAYING, LOOK, THIS INFURIATES ME YOU GO TO THE DOCTOR AND SAY THERE ARE NOT ENOUGH DOCTORS, HOW ABOUT WE LET NURSE PRACTICE PRACTITIONERS SEE PATIENTS IN RURAL AREAS THAT DON'T HAVE DOCTORS, WHAT DO YOU THINK THE MEDICAL LOBBY SAYS ABOUT THAT? NO, IT'S A DOCTOR. IT HAS TO BE A DOCTOR. THAT'S MESSED UP. YOU HAVE TO EITHER INCREASE THE SUPPLY AND WE'LL PUT MONEY TO WORK TO HEM YOU DO THAT. AND WE HAVE TO LOOSEN UP LICENSES RESTRICTIONS. THERE IS ANOTHER TRAP IN THE DOCTOR WORLD THAT YOU'LL SEE, IS THAT YOU HAVE STATE BY STATE LICENSING. AND THE STATE BY STATE LICENSING MAKES VERY LITTLE SENSE BECAUSE FRANKLY, IF YOU ARE A DORK QUALIFIED IN IOWA, YOU COULD PROBABLY SEE HUMAN PATIENTS IN MINNESOTA. HUMAN ANATOMY IS MORE OR LESS THE SAME ACROSS STATE LINES IT'S NOT LIKE MINUTE MINNESOTANS HAV. >> YOU NEVER KNOW. >> SO WHY IS IT STATE BY STATE? AGAIN, JUST THE LOBBYIST TRYING TO PROTECT SRAEFR JUSTICE BUSINESSES YOU LOWER THE LICENSING REQUIREMENTS AND MAKE MEDICAL TRAINING MORE PORTABLE AND INCREASE THE SUPPLY AND TRY TO GET THE COST DOWN AND YOU FORGIVE THE DEBT AND THEN YOU HOPEFULLY PROVIDE NEW WAYS FOR PEOPLE GETTING CARE. THIS IS OBVIOUSLY, YOU KNOW, I HAVE I AM PASSIONATE ABOUT THIS BECAUSE I SEE HOW DEEP THE EN FISH IS IS EFFICIENCIES ARE BECAUSE MY FRIENDS ARE DOCTORS LITTLE YOU FEEL LIKE YOU HAVE NO CHOICE BECAUSE WE HAVE SADDLED YOU WITH LIFE-CHANGING DEBT. I DON'T THINK THAT IS NECESSARILY THE RIGHT WAY TO INCENTIVIZE DOCTORS TO DO THE RIGHT THING, IT'S LIKE I WAS TALKING ABOUT SMALL BUSINESS OWNERS IT'S LIKE WE ARE GOING TO ASK YOU TO DO THE RIGHT THING BUT WE'LL HAVE ALL YOUR INCENTIVES BEING THE OTHER DIRECTION IT'S THE SAME WITH DOCTORS WE WANT TO YOU RETURN TO YOUR COMMUNITY AND SEE POOR PEOPLE WHO NEED A FAMILY DOCTOR, BUT WE ARE GOING TO ACTUALLY MAKE IT MUCH, MUCH EASIER FOR YOU TO GO LIKE TRY TO BECOME AN ORTHOPEDIC SURGEON IN NEW YORK CITY. >> VERY GOOD. YOU JUST MENTIONED SMALL BUSINESS OWNERS, AND I JUST WANT TO MAKE A COMMENT TO PEOPLE THAT ARE LISTENING ONLINE, THAT WE ARE HOLDING THIS IN A SMALL BUSINESS AND IN A COFFEE SHOP WHERE THE BARISTA IS WORKING REALLY HARD OVER THERE. SO IF YOU ARE HEARING SOME NOISES THAT DON'T SOUND LIKE YOU ARE IN SOMEONE'S LIVING ROOM, THAT'S WHY. AND WE ARE VERY HAPPY THAT MIKE DRAPER LET US USE HIS STORE TODAY FOR THIS EVENT. AND YOU ARE UP. >> SURE. >> HI, I AM AUBREY MASSMAN, I AM ALSO A MEDICAL STUDENT IN MY THIRD YEAR STARTING TO CLINICAL CO ROTATIONS SO FINALLY GETTING OUT IN TO THE WORLD AND SEEING PATIENTS HERE IN IOWA AND I WANT TO ASK ABOUT MENTAL HEALTH I NOTICE THAT'S A PRETTY BIG DISPARITY ESPECIALLY HERE IN IOWA. WE ARE RANKED AS THE LAST IN THE COUNTRY ON INPATIENT PSYCHIATRIC UNITS PER CAP PA. AND SO I I WOULD LIKE TO ASK FIRST OF ALL, I KNOW YOU TALK ABOUT EXEC OPINIONSING ACCESS TO MENTAL HEALTH HOW DO YOU BOLSTER THAT WORKFORCE, I KNOW THE BIG ISSUE HERE IS A LACK OF SUPPLY. AND YOU ALSO HAVE MENTIONED IN THE PAST IS UP LAMB THAT GO WITH A.I. AND I WANT TO KNOW HOW YOU DO THAT IN SUCH A DIFFICULT FIELD. >> MY BROTHER SAY PSYCHOLOGY PROFESS ORAL SO I HAVE STRONG FEELINGS ABOUT THE FACT THAT WE ARE IN THE MIDST OF A MENTAL HEALTH CRISIS IN THIS COUNTRY GOING UNADDRESSED AND ONE OF THE BIG PRINCIPAL IS HIS THAT MENTAL HEALTH IS HEALTH. AND THERE ARE SOME EFFORTSES TO% INTEGRATE MENTAL HEALTH WITH TREATMENTS THAT PEOPLE SEEK. IMAGINE SOMEONE SHOWING UP TO THE HOSPITAL WITH A RANGE OF ISSUES, LET'S CALL THEM DRUG ADDITIONS. A LOT OF THESE THINGS HAVE PSYCHOLOGICAL TIE INS SO THERE WAS ONE FACILITY. THEY PREFER TO YOU THE THERAPIST DOWN THE HALL. AND THE THERAPIST SEES YOU TOO. AND AND THEY HAVE BETTER HEALTH OUTCOMES THAN A STAND-ALONE FACILITY. BUT THAT DOESN'T ADDRESS WHAT YOU ARE TOPPING ABOUT THE LACK OF PROVIDERS. THERE IS NO SHORTAGE OF PEOPLE THAT WANT THE ROLES, THEY ARE MAKING IT HARD AND EXPENSIVE FOR SOMEONE TO ACTUALLY GET THOSE ROLES. PART OF IT IS IF THEY SHIFT OUR MEANT LITTLE HEALTH AND WE SAY WE ARE NOT INVESTING MUCH IN THE MENTAL HEALTH OF PEOPLE IN A PARTICULAR AREA. AND THEN OVERTIME, THE GOVERNMENT@OUGHT TO FILL THOSE GAPS. IT WOULD LOOK UP AND SAYING WELL, LITERALLY IT'S THE GOVERNMENT'S JOB TO MAKE US STRONGER AND HEALTHIER, IF YOU% ARE LOOKING UP AND SAYING, WELL, PEOPLE ARE UNHEALTHY IN THAT AREA BECAUSE, GUESS WHAT, THEY KNOW PSYCHOLOGISTS, NO THERAPISTS, NO COUNSELORS, THE GOVERNMENT WOULD SAY LET'S CHANGE THAT AND YOU PUT RESOURCES TO WORK. PEOPLE KNOW PEOPLE. I SNOW SOMEBODY WHO WOULD LOVE TO ENTER THIS FIELD. WE HAVE MADE THE TRAINING DIFFICULT TO ACCESS, EXPENSIVE, WE HAVE SET UP IN MY MIND, VERY ART FINISH BARRIERS AROUND TEST SCORES, IT'S LIKE YOU NEED TO BE A FREAKING GENIUS TO -- TO LIKE GET CERTAIN DEGREES AND IT'S TOTALLY UNNECESSARY. THERE ARE A LOT OF PEOPLE THAT WOULD BE EXCELLENT IN ROLES HELPING OTHER PEOPLE. WE NEED TO OPEN IT UP SO PEOPLE CAN BE IN THAT POSITION. >> WHEN WE ARE TALKING ABOUT MENTAL HEALTH, A LOT OF PEOPLE, YOU KNOW, WHERE THEY END UP IS IN OUR JAILS AND PRISON SYSTEM. >> VERY MUCH SO. >> I THINK THAT'S A BIG, BICK ISSUE WHEN IT COMES TO THAT. AND WHAT CAN WE DO ABOUT THAT? WITH USED TO HAVE FACILITIES IN IOWA IN EVERY COUNT THAT I PEOPLE CAN GO TO AND NOW THEY ARE LIKE, WHAT, THREE IN THE STATE, MAYBE? I MEAN, IT'S -- >> IT'S ALL TIED TOGETHER. WE HAVE THIS INCREDIBLY PUNITIVE SYSTEM OF MASS INCARCERATION AND IN SOMEONE IS MENTALLY ILL AND STRUGGLING AND COMMITS SOMETHING CRIMINAL WE JUST THROW THEM IN JAIL AND THINGS IN MANY CASES JUST GET WORSE IN JAIL. >> RIGHT. >> COMPOUND THAT GO, WE HAVE PRIVATE PRISONS. SO THEIR ECONOMIC INCENTIVES ARE ACTUALLY TO TREATY FAIRLY POORLY BECAUSE THEY CAN SAVE MONEY AND THEN IF YOU COME BACK, THEY MAKE MORE MONEY. >> RIGHT. >> THAT'S A GHASTLY SET OF INCENTIVES, AS I THINK YOU CAN TELL, I AM ABOUT TRYING TO GET THE RIGHT INCENTIVES IN PLACE SO THAT WE CAN DO THE RIGHT THING. IT'S ONE OF MY GREAT FRUSTRATIONS IS THAT ESSENTIALLY RIGHT NOW THE INCENTIVES IN AMERICAN LIFE ARE GEM CORRUPT. WHERE THEY ARE ALL ABOUT MAXIMIZING THE BOTTOM LINE IN EVERY DIRECTION. AND THE BOTTOM LINE AND THE HUMAN BOTTOM LINE ARE DID I VERGEING IN VERY IMPORTANT WAYS, SO IF YOU HAVE A PRIVATE PRISON AND YOU ARE TRYING TO BE MAXIMALLY PROFIT AM, YOU CUT CORN ORES TREATMENT. YOU DON'T CARE ABOUT RECIDIVISM AT ALL. AND SO WHAT YOU HAVE TO DO IS IN MY MIND GET RID OF PRIVATE PRISONS IN NOT AN AREA WHERE PROFIT MOTIVATION MAKES ANY SENSE AND THEN YOU WOULD PAY JAILS BASED UPON SUCCESS PRESSURES LIKE REHABILITATION AND REENTERING SOCIETY AND TREATMENT OF MENTAL ILLNESSES AND YOU KNOW WHAT WILL HELP A LOT. IS WHEN THEY OUT IF THEY HAVE A THOUSAND BUCKS A MONTH AND THERE IS NO JOB WAITING FOR THEM WITH A THOUSAND BUCKS A MONTH PEOPLE WOULD BE HAPPY TO SEE THEM. HEY, I AM YOU THE ON. GREAT, YOU BROUGHT A DID I HAVE DID HE WANT WITH YOU. IT'S UNFORTUNATE THAT PROBABLY WOULD CHANGE THE RAY PEOPLE REACT. >> HI, I AM RYAN MORSE JETER AND IS A LIVE HERE IN DES MOINES. ONE OF THE THINGS THAT CAPTIVATED MYSELF AND MY FAMILY ABOUT YOUR CAMPAIGN IS, YOUR WANT AND OUR NEED TO CHANGE THE WAY THAT WE MEASURE WHAT A SUCCESSFUL SOCIETY AND SUCCESSFUL ECONOMY LOOK LIKE. AND I ALSO REALLY LOVE THE FACT THAT YOU WANT TO USE POWER POINT DECKS TO DO SOME OF THIS. I WORK FOR A LARGE CORPORATION, I SEE A LOT OF POWER POINT DECKS, SOME ARE BETTER SOME ARE WORSE BUT THEY ALL GET THE INFORMATION ACROSS FAIRLY SIMPLY, THEY ARE EASILY TO UNDERSTAND. I GUESS I HAVE TWO QUESTIONS. FIRST QUESTION WOULD BE CAN YOU PROMISE THE AMERICAN PEOPLE THAT YOU WON'T USE A SHARPIE TO ADJUST ANY OF THOSE PRESENTATIONS? >> YES, THUMBS UP, AWESOME. >> SECOND QUESTION WOULD BE HOW TO YOU PLAN TO IMPLEMENT SOME OF THESE CHANGES IN THE WAY WE APPRECIATE YOU ARE, YOU ANSWERED SOME BEFORE IN REGARDS TO GDP. ARE YOU LOOKING FOR A CUMULATIVE NUMBER OR PUT TOGETHER A POWER POINT PRESS TAKES WITH DIFFERENT NUMBERS THAT SHOW YOU HAVE A WAY YOU WANT TO SHOW US, WHAT, I GUESS SCORE, HOW DO WE SCORE THIS? >> WELL, THANK YOU, AND YOU SEE THE VISION VERY CLEARLY, A GDP IS LEADING US OFF A CLIFF AND IT'S AT RECORD HIGH, ALSO RECORD HIGHS SUICIDES, DRUG OVERDOSES, ANXIETY, STRESS, IT'S THE OPPOSITE OF WHAT WE NEED. NOW, I AM HAPPY TO SAY WE HAVE MEASUREMENTS FOR THINGS LIKE LIKE EXPECTANCY OBVIOUSLY. WE HAVE MEASUREMENTS, THEY ARE NOT WHAT THEY SHOULD BE FOR THINGS LIKE MENTAL HEALTH, DRUG OVERDOSE RATES AND DEATHS OF DESPAIR, CHILDHOOD SUCCESS RATE TORQUE SOME DEGREE, TO SOME DEGREE WE HAVE ENVIRONMENTAL QUALITY MEASUREMENTS LIKE YOU HAVE SOME LIMITED SENSE OF HOW CLEAN OUR AIR AND WATER ARE. AND I AM HAPPY TO SAY THAT ME GOING DOWN THE STREET TO THE BUREAU OF ECONOMIC ANALYSIS AND SAYING, GUESS WHAT, THESE ARE THE NEW PRESSURES AND REPORTING GDP YOU USE THESE AND USING THE POWER POINT SAYING, ALL RIGHT, HERE IS OUR CURRENT LIFE EXPECTANCY, 78.4, GOING DOWN FOR THREE YEARS. THAT IS NOT NORMAL. THAT HAS NOT HAPPENED IN 100 YEARS. WHAT ARE THE MOVES WE CAN MAKE QUICKLY TO HELP REVERSE THIS DECLINE IN LIFE EVENING PECK TANS I. RIGHT NOW THE TWO BIG PROBLEMS ARE SUICIDES AND DRUG OVERDOSES SO YOU SAY IF EIGHT AMERICANS ARE DIEING OF DRUGS EVERY HOUR, THAT IS HORRIFYING. AND WAY TOO HIGH. AND SO THEN HOW ARE REGOING TO GET THOSE NUMBERS DOWN IN A SHORT PERIOD OF TIME. NUMBER LIKE THE AMERICAN SCORECARD YOU GET USED TO SAY AND SAY THE AMERICAN SCORECARD IS GETTING BETTER OR WORSE AND THEN INDIVIDUAL MEASUREMENTS FOR DEATH, DESPAIR FOR LIFE EXPECT TANS I, MENTAL HEALTH AND THEN AFTER WE GOT GOOD AT THAT IT. YOU COULD INTERVIEWS MEASUREMENTS HE YOU WANT FOR THINGS LIKE ASSOCIATES YOUR ECONOMIC FAIRNESS AND CULTURAL DYNAMISM YOU COULD BE HEY, IF THERE IS LIKE -- LET'S SAY, FOR EXAMPLE, INSTEAD OF ARTISTS DOING SOME BEAUTIFYING DES MOINES, THAT ACTUALLY LIKE GETS A TICK SOMEWHERE. THAT'S AFTER YOU GET VERY, VERY SOPHISTICATED. THE BASIC MEASUREMENTS ARE THERE. AND MOST OF THE AMERICAN PEOPLE WOULD UNDERSTAND IMMEDIATELY. IF I SAY LIFE EXPECTANCY, YOU GET IT. IF I SAY DRUG OVERDOSES EVERYONE GETS IT UNFORTUNATELY. OVERTIME THIS IS JUST WHAT ANY IN MY MIND EFFECTIVE ORGANIZATION WOULD DO. IS THAT YOU LOOK AT WHAT THE REAL PROBLEMS ARE, AND THEN YOU START TRYING TO ATTACK THEM. BUT YOU HAVE TO KNOW WHAT THE BASELINE IS? >> BUT THANK YOU FOR SEEING THE VISION. THIS IS A VISION OF A HUMAN CERTAINTIED ECONOMY. OR HUMAN CAPITALISM FOR SURE. >> WE SEAT VISION FOR SHORT. >> GREAT. DO YOU SEE THE VISION, I AM NOT SUPPOSED TO LOOK AT YOU. [ LAUGHTER ] >> OKAY, SO I THINK I AM THE LAST MEDICAL STUDENT IN THE ROOM. [ LAUGHTER ] >> MY NAME IS ALEXI AM A SECOND YEAR MEDICAL STUDENTS IN DES MOINES, MY QUESTION IS KIND OF CENTERED ON ABORTION. SO AS WE ALL KNOW, WOMEN'S REPRODUCTIVE RIGHTS ARE CURRENTLY UNDER ATTACK ALL ACROSS COUNTRY. SPECIFICALLY I THINK MOST NOTABLY BY LIMITING ACCESS TO SAFE AND COMPETENT ABORTION SERVICES. LIKE WOMEN ARE CERTAINLY WE TALK ABOUT THE DESERT OF LIKE PRIMARY HEALTHCARE DEBTS EFFORTS DESERTO DRIVE HOURS AND HOURS WITH MANDATORY WAITING PERIODS FORK ME PERSONALLYING I AM HOPING TO SPECIAL EYES IN REPRODUCTIVE MEDICINE SO THIS IS A PARTICULARLY IMPORTANT KIND OF TREND THAT I HAVE BEEN PAYING ATTENTION TO. WHAT IS YOUR PLAN SPECIFICALLY TO ADDRESS THESE ATTACKS ON WOMEN'S RIGHTS WITHIN YOUR FIRST 100 DAYS IN OFFICE? >> I WOULD LIKE TO CODIFY ROW V WADE IN TO LAW. THE RESOURCES AVAILABLE FOR PLANNED PARENTHOOD AND WOMEN'S REPRODUCTIVE RIGHTS SENTERS AROUND THE COUNTRY RIM. TO ME THESE CENTERS ARE, ONE, IMPORTANT FOR HEALTH. LIKE WOMEN'S HEALTH IS HEALTH. BUT, TWO, THERE IS LIKE A REAL EQUITY ISSUE BECAUSE AS YOU ARE SAYING, THAT IN YOU LIVE IN A POOR AREA, THEN IT'S MUCH, MUCH HARDER AND THAT TO ME IS NAUGHTON 1KWRU6D. SO WE NEED TO PUT RESOURCES TO WORK TO TO PUT HE CAN WIT I IN THAT. MY PROPOSE IS TO GIVE EVERYBODY A THOUSAND DOLLARS A MONTH WHICH WOULD HELP BALANCE SAID INEQUITIES BETWEEN JUNE COMMUNITIES, QUICKLY. THE MAIN THING IS TO TRY TO REVERSE THE ATTACKS AND REPRODUCTIVE RIGHTS AND GET CENTERS TO PROVIDE THIS CARE. >> WOULD YOU PUSH FOR LEGISLATION TO KIND OF LIKE DOWN REGULATE TRACK LAWS. THE TARGETED REGULATION OF ABORTION PROVIDERS A LOT OF THOSE LOOK AT LEGISLATION INNING SID CUT INSIDIOUS,, DOCTORS PASSIONATE ABOUT IT AND WILL GIVE ABORTIONS THERE ARE GAG RULES DO YOU HAVE PLANS TO PUSH FOR LEGISLATION THAT WOULD BASICALLY BE THOSE LAWS? >> TO ME THERE SHOULD BE NOTHING STAND BE STANDING BETWEEN WHAT A DOCTOR THINKS IS RIGHT FOR THE PATIENT AND NOTHING FOR EXPECTANT MOM FROM PURSUING THAT CARE, TO ME WE HAVE TO RESPECT WOMEN'S RIGHTS TO CHOOSE AND THAT INCLUDES NOT JUST THROWING UP BARRIERS IN THE WAY. >> I AM A VERY UNIQUE POSITION BECAUSE I AM A SOCIAL WORKER HERE IN DES MOINES AS I CARE FOR MY SPECIAL NEEDS DAUGHTER I WORK FOR A SMALL BUSINESS WHERE I CAN'T AFFORD HEALTH INSURANCE. IRONICALLY ENOUGH THE REASON I AM HERE IS BECAUSE MY DAUGHTER LOST HER MEDICATION AND MY QUESTION TO YOU HAS DIRECT LINKS TO BIG FARM. ONE OF HER MEDICATIONS, SO SHE LOST A MONTH'S -- A MONTH'S SUPPLY OF MEDICATION. ONE OF NOT SCRIPTS, JUST ONE,, ON GOOD RX SIEVE HUNDRED $89 AND THAT'S THE GENERIC VERSION, THAT'S ONE OF THE FOUR PILLS THAT SHE HAS TO TAKE. IN ADDITION TO HEALTHCARE BEING AS EXPENSIVE AS IT IS FOR SMALL BUSINESSES AND THE FACT THAT I AM A PRODUCT OF THAT SMALL BUSINESS. YOU ALSO HAVE PREEXISTING CONDITIONS BUT WE STILL ALSO HAVE BIG FARM. AND NBA THIS INDUSTRY THAT IS LUCRATIVE AND RIDICULOUS. WHAT WOULD YOU DO ABOUT THAT? >> WELL, FIRST, THANK YOU FOR EVERYTHING THAT YOU DO, ONE OF MY BOYS IS AUTISTIC AND TO ME, BEING NEUROLOGICALLY ATYPICAL IS THE NEW NORMAL. BUT I UNDERSTAND WHAT PARENTS DO. YOU KNOW. I I AM ONE. SO THANK YOU. WHY IS IT THAT DRUG PRICES ONLY GO IN ONE DIRECTION? WHY DO THEY ONLY GO UP? SO I HAVE A FOUR-POINT PLAN TO REVERSE THE INCREASES IN DRUG PRICE THAT'S THINK WOULD WORK QUICKLY. IF YOU NEGOTIATE ON BEHALF OF THE AMERICAN PEOPLE YOU WILL NOT BELIEVE THIS H RIGHT NOW THE GOVERNMENT IS NOT ALLOWED TO NEGOTIATE FOR LOWER DRUG PRICES ON BEHALF OF AMERICAN PEOPLE BECAUSE THE DRUG LOB IS A SO POWERFUL OF COURSE THEY MADE IT SO YOU CAN'T EVERYBODY NEGOTIATE. THAT'S NUMBER ONE, NEGOTIATE NO LOWER PRICES, NUMBER TWO, IS YOU ADOPT INTERNATIONAL STANDARDS FOR THE COST OF DRUGS AND PROVIDE -- APPLY IT TO AMERICAN DRUG COMPANIES. YOU ARE ALSO NOT GOING TO BELIEVE THIS, AMERICAN DRUG COMPANIES ROUTINELY CHARGE US TWO, THREE, FOUR TIMES AS MUCH AS THEY CHARGE FOR THE SAME DRUGS IN OTHER COUNTRIES. IN MANY CASE WEST SIX IS A DIED THE DEVELOPMENT OF THAT YOUNG. SO WHAT WE'LL SAY IS WE'LL HAVE I PRICING SCHEDULE SAY YOU CANNOT CHARGE THE AMERICAN PEOPLE MORE THAN YOU ARE CHARGING OTHER PEOPLE BASED ON A COST AVERAGE. NUMBER THREE, WE HAVE THE ABILITY TO ENFORCEBLY LICENSE YOUR DRUG IF YOU DO NOT ABIDE BY NUMBER TWO AND WE HAVE OUR OWN MANUFACTURING FACILITIES TO MANUFACTURE THE DRUG UNDER OUR OWN LICENSE. THAT'S LIKE A HARMER, IF YOU HAVE YOUR OWN GOVERNMENT FACILITIES. DO YOU THINK DRUG COMPANIES WOULD COMPETE THEIR PRICES YOU U WERE CONTROLLED IF THEY SAY THAT WAS THE OUTCOME IF THEY GOAL GAUGE US. THIS IS THE ONLY WAY FOR IT TO WORK THE ONLY WAY FOR THEM IS TO STICK IT TO US AND PROFIT THE HIGHEST ABILITY THAT THEY CAN. AND YOU KIND UP IN SITUATIONS LIKE YOURS WHERE, YOU KNOW, YOU CAN'T AFFORD THE DRUGS THAT YOU NEED. AND THEY DON'T CARE. THEIR INCENTIVES ARE ALL TO JUST TRY AND SQUEEZE MORPH I OUT OF US. THE HEALTHCARE HAS RUN AMUCK AND THE GOVERNMENT IS WAY BEHIND THE CURVE AND HELD CAPTIVE. OUR GOVERNMENT RIGHT NOW IS NOT OUR GOVERNMENT IN MANY RESPECTS. THIS MAY SOUND FAR AFIELD BUT I THINK IT'S IMPORTANT. I HAVE BEEN RUNNING FOR GOVERNMENT FOR MONTHS, PEOPLE AND MONEY ARE IN TWO DIFFERENT PLACES, IF A THOUSAND IOWANS OR 10,000 IOWANS VOTE FOR YOU THAT'S TREMENDOUS, BUT YOU HAVE ALL THE MONEY COMING FROM THE CORPORATES. LIKE THE DRUG INDUSTRY SPEND HUNDREDs OF MILLIONS OF DOLLARS LOBBYING. IF YOU ARE A POLITICIAN YOU ARE RESPONSIVE TO THE MONEY, YOU CAN COUNT THE MONEY, YOU KNOW, YOU CAN SEE IT IN YOUR BANK ACCOUNT. AND THEIR FOOD IS NICER, LIKE THE PEOPLE ARE, YOU KNOW, THE PEOPLE ARE BETTER DRESSED. AND SOME OF THEM CAN GIVE YOU A JOB AFTER. SO IF YOU ARE A LEGISLATOR YOUR EN SENSITIVE IS TO GO TOWARDS THE MON, THE WAY WE OVERCOME IN IS TO MAKE IT SO THE DRUG COMPANIES CAN'T STICK IT TO US AT EVERY TURN YOU GIVE EVERY AMERICANA DID YOU WANT HUNDRED 100 DEMOCRACY DOLLARS THAT WE CAN GIVE TO ANY CAMPAIGN WE WOULD THIS WOULD WASH OUT THE LOBBYIST FACTOR BY 8-1, IF YOU GET ENOUGH PEOPLE BEHIND YOU SAYING PRESIDENT YANG AND YOU SHOULD KNOW I AM RIGHT NOW FUELED ENTIRELY BY SMALL DOLLAR DONATIONS. THE AVERAGE DONATION TO MY CAMPAIGN IS $25 ONLINE, MY FANS ARE EVERYBODY CHEAPER THAN BERNIES. I HAVE NO CORPORATE MONEY TO PER ANSWER TO. IF I GO TO THE LEGISLATURE AND SAY, HEY, GUYS, GUESS WHAT, DRUG COMPANIES ARE RUNNING A MUCK. WE HAVE THIS FOUR-POINT PLAN TO BRING THE PRICES YOU REMEMBERED CONTROL. OVEN TO GET THE LEGISLATORS TO GO AGAINST THE COR THE PRACTICE MASTERS THE ONLY WAY TO THEY DO THAT IS IF THEY SEE SIDING FOR THE PEOPLE -- WITH THE PEOPLE IS GOOD FOR THEM. HOW WILL THEY DO THE RIGHT THING FIGURE WE HAVE THE MONEY. THAT'S THE ONLY WAY. THIS IS THE WHY TO SAY I THINK DETERMINED TO HAVING DRUG COMPANIES WORK FOR US RATHER THAN SUBJECT TO THEIR ARBITRARY PRICE INCREASES. >> HI, ANDREW, MY NAME IS MICHAEL AND I AM UNIQUELY PRIVILEGED TO COME FROM A FAMILY WHO HAS BEEN GIVEN A HEART FOR MENTAL HEALTH. AND MORE SPECIFICALLY, IN THE LAST FIVE TO 10 YEARS, DRUG ADDICTION. I HAVE HAD THE OPPORTUNITY TO WORK THAT POLK COUNTY JAIL WITH AN ALTERNATIVE SENTENCING PROGRAM, AS WELL ALSO MY DAD WHO HAS WORK ED IN THAT ALTERNATIVE SENTENCING PROGRAM, FOR PEOPLE WITH NONVIOLENT DRUG-BASED OFFENSES. MY QUESTION, IS HOW YOU WOULD DEAL WITH THE RESIT JIM RECIDIVS FOR THESE MEN AND WOMEN AND LOOKING ATTA DICK, WHAT YOUR PLAN IS MOVING FORWARD FOR THESE PEOPLE WHOSE LIFE HAVE HIS BEEN UP TURNED EITHER BY BIG PHARMACEUTICAL COMPANIES THAT HAVE EFFECTIVELY MADE THEM ADDICTED OR JUST THROUGH THE WAY THAT LIFE HAS FALLEN UPON THEM? >> CONGRATULATIONS FOR ALL THAT YOU AND YOUR FAMILY HAVE DONE. WHY DO WE HAVE AN OPIOID EPIDEMIC THIS COUNTRY? BECAUSE PURDUE PHARMA DISTRIBUTED MILLIONS OF OKAY ICON TIFF PREVISIONS AND MADE 10s OF BILLIONS OF DOLLARS THEY DO THE FINED FIVE OR 600 MILLION WHICH SOUND LIKE A LOT THAT UNTIL YOU KNOW THEY MADE THIRD BILLION THEY NOT A 2% FINE AND THEY ARE SOME OF THE RICHEST PEOPLE IN THE COUNTRY. THEY DISTRIBUTED MILLIONS OF OXYCONTIN PRECIPITATIONS THERE WAS ONE POINT WHERE THERE I WAS MORE PRESUMPTIONS THAN HUMAN BEINGS IN THE STATE OF OHIO. WHO CAN LOOK AT THAT AND SAY IT'S APPROPRIATE. IT DOESN'T MAKE SENSE, THEY MARKETED IT AS A NONADDICTIVE WONDER DRUG. IT WAS SUPER KICK TIFF. THE OXI ADDICTION HAS SPEARED NOW IN TO HEROINE AND FENTANYL. AND OTHER OPIATES THAT ARE CHEAPER. EASIER TO GET. AID AMERICANS DIEING EVERY HOUR, COUNTLESS OTHERS LIFED IMPACTED. OR? SOME CASES RUINED.
B1 中級 美國腔 2020年候選人楊元慶在愛荷華州得梅因市與選民對話|NowThis (2020 Hopeful Andrew Yang Talks with Voters in Des Moines, Iowa | NowThis) 35 0 王惟惟 發佈於 2021 年 01 月 14 日 更多分享 分享 收藏 回報 影片單字