President Trump Participates in The Great, Historic Investment in Rural Health Roundtable

[00:00:01] [music] [00:00:07] [music] [00:00:09] Ladies and gentlemen, the President of [00:00:11] the United States, Donald J. Trump. [00:00:16] [music] [00:00:20] [music] [00:00:26] [music] [00:00:32] >> [music] [00:00:35] >> Thank you very much, please. [00:00:37] This is a very important one today. [00:00:40] We've worked on it long and hard. For [00:00:42] years, they've been working on it. And I [00:00:46] see Kevin's in the audience. And I just [00:00:47] want to thank you. You were fantastic on [00:00:49] television today. I actually want to [00:00:51] keep you where you are if you want to [00:00:52] know the truth. Kevin Hassid is so good. [00:00:54] I'm saying, "Wait a minute. If I move [00:00:56] them, these Fed guys, certainly the one [00:00:58] we have now, they don't talk much. I [00:01:00] would lose you. I It's a serious concern [00:01:02] to me. So, I just want to say thank you [00:01:04] very much. You've done incredible. [00:01:07] We don't want to lose him, Susie. We'll [00:01:10] see how it all works out. Okay. Thank [00:01:11] you, Kevin. Great job. [00:01:14] And thank you for all being here as we [00:01:16] discuss the largest investment in rural [00:01:19] healthcare in American history. This is [00:01:20] the big one. We're delighted to be [00:01:23] joined by many incredible members of the [00:01:25] health care community, including [00:01:27] doctors, nurses, and pharmacists from [00:01:29] all across America. [00:01:32] We're also very happy to have with us [00:01:34] some very talented people, a man who is [00:01:38] really good at this, extremely [00:01:40] non-controversial, which is I wanted [00:01:42] somebody non-controversial. [00:01:44] So, I chose Robert F. Kennedy Jr. [00:01:48] [laughter] [00:01:50] Dad doll she bang up. [applause] [00:01:52] >> The best [00:01:56] >> and he's also happens to be a great guy. [00:01:59] >> Uh Brook Rollins who's doing a fantastic [00:02:01] job at agriculture and thank you. And [00:02:03] how are the prices coming? [00:02:05] >> They're coming there, sir. They're [00:02:06] coming down. [00:02:07] >> Don't forget we inherited a mess. [00:02:09] >> Remember eggs? They were up four times [00:02:11] higher than they ever were. And in my [00:02:13] first day, they said, "What are you [00:02:15] gonna do about eggs?" They said, "I [00:02:16] didn't cause the problem." We didn't [00:02:17] cause We inherited a mess, but the [00:02:19] prices are coming down. [00:02:21] >> Yes, sir. Wholesale prices are down 86%. [00:02:24] Retail a little bit less than that, but [00:02:25] but yes, you're making America [00:02:27] affordable again. [00:02:28] >> With you in charge, I have no doubt and [00:02:30] I appreciate it. Thank you. [00:02:31] >> Thank you. [00:02:32] >> And administrator for the Centers for [00:02:35] Medicare and Medicaid Services, a really [00:02:38] good man, a really brilliant guy, Dr. [00:02:41] Meett Oz. Thank you very much. Thank [00:02:43] you, Dr. Oz. [applause] [00:02:48] And thank you also to Governor Jim [00:02:51] Pillan, Senator Dan Sullivan, and [00:02:53] Representatives Rob Breznahan, Mike [00:02:56] Lawler, John Maguire, and Nick Begage. [00:02:59] Thank you all for being here. Appreciate [00:03:01] it very much. [applause] [00:03:05] And we have other congressmen here, I [00:03:07] see, and a couple of senators. And we [00:03:09] appreciate everybody being here. [00:03:10] Everyone wants to be a part of this. [00:03:12] It's very so important. It's maybe I [00:03:15] don't know for many people there's [00:03:16] nothing more important. I would say [00:03:18] maybe defense you know we need defense [00:03:20] and we need offense too. By the way as [00:03:23] part of the great big beautiful bill [00:03:24] we're increased and we have increased [00:03:27] funding for the health care by an [00:03:30] unprecedented [00:03:31] 50 billion dollars. That's rural health [00:03:35] care. Nobody thought that was going to [00:03:36] happen and we got it done. So, we have [00:03:39] rural healthcare for those that were [00:03:41] trying to make a case that we weren't [00:03:43] taking care of the rural community. I'm [00:03:45] all about the rural community. We won [00:03:47] the rural communities by numbers that [00:03:49] nobody's ever won them before. And we're [00:03:51] taking care of those great people. So, [00:03:53] we already did this. We increased [00:03:55] funding for rural health care by an [00:03:57] unprecedented record setting $50 billion [00:04:01] over five years, which will benefit [00:04:03] Americans in all 50 states. And this [00:04:06] made possible and was made possible by [00:04:08] cutting massive waste, fraud, and abuse [00:04:11] from Medicaid and reinvesting those [00:04:14] funds to revitalize hospitals and our [00:04:16] cherished rural communities and [00:04:18] hospitals in rural communities. And I [00:04:21] want to say with all of the fraud that [00:04:22] we're seeing in Minnesota and California [00:04:24] and other places, I actually think that [00:04:27] if we do an unbelievable job, you could [00:04:29] almost balance your budget, Kevin. If [00:04:32] you take a look at the kind of numbers [00:04:33] you're talking about, nobody ever saw [00:04:34] anything like it. They're all corrupt [00:04:36] politicians. From the governor of [00:04:38] Minnesota to the governor of California [00:04:40] to the everybody. They're they're just [00:04:42] corrupt politicians. And you're talking [00:04:45] about hundreds of billions of dollars in [00:04:48] fraud, waste, fraud, and abuse. But in [00:04:52] fraud, you're talking about hundreds of [00:04:54] billions of dollars under the [00:04:56] unaffordable care act, which is [00:04:58] Obamacare. It's called the unaffordable. [00:05:00] It is unaffordable. Remember that [00:05:03] rural hospitals and communities were [00:05:05] devastated by soaring cost and that [00:05:07] continues. Despite colossal increases in [00:05:10] government spending since Obamacare was [00:05:13] passed, only 7% of the annual Medicaid [00:05:16] spending on rural hospitals has gone to [00:05:18] rural hospitals. So, uh, there's only a [00:05:21] very little They didn't care. Obama [00:05:23] didn't care about the rural community to [00:05:25] be totally blunt. What he did care about [00:05:28] is insurance companies. And this was a [00:05:31] bill to make insurance companies [00:05:32] wealthy. And they did. They made [00:05:34] insurance companies very wealthy. I [00:05:36] would say they don't like me too much [00:05:39] because they spent hundreds of billions [00:05:41] of dollars. And we're going to have that [00:05:43] money spent to the people and given to [00:05:44] the people, not we're going to [00:05:46] circumvent the insurance companies. [00:05:48] Partially as a result, rural health care [00:05:51] facilities have suffered from low [00:05:53] occupancy rates, workforce shortages, [00:05:56] and failing programs that uh put [00:05:59] band-aids, literally put band-aids over [00:06:02] the problems in those communities. And [00:06:04] we're not going to have that. We're [00:06:05] taking great care of them. With the [00:06:07] rural health transformation program, we [00:06:10] are getting rural communities the health [00:06:13] support they need, and we're getting it [00:06:15] immediately. These funds will go to [00:06:17] empowering rural hospitals, [00:06:19] strengthening their workforce, [00:06:20] modernizing facilities and technology, [00:06:23] and ensuring that rural Americans get [00:06:26] worldclass health care in their own [00:06:29] community, right smack in their own [00:06:31] community like they've never had it [00:06:32] before. And they've been hurt very badly [00:06:35] by the unaffordable care act. Every [00:06:38] single Democrat in Congress voted [00:06:39] against the lifeline for rural [00:06:42] communities. And I hope everyone knows [00:06:44] this and this is not about elections, [00:06:46] but I hope you remember this in the [00:06:47] midterms because the Democrats are are [00:06:50] just so horrible toward the rural [00:06:53] community. But I want to take a moment [00:06:56] to thank the incredible House and Senate [00:06:58] Republicans who work so hard on making [00:07:01] this historic investment possible. [00:07:03] That's what they did. And they did work [00:07:05] hard. We I don't think got a Democrat [00:07:10] vote. Did we? Did we get one Democrat [00:07:12] vote? We got all Republican votes. It [00:07:15] was an amazing It was amazing feat. And [00:07:17] I want to thank Mike, our speaker of the [00:07:20] house, Mike Johnson, and John Thun for [00:07:23] really doing a great job. It was tough. [00:07:25] You know, we have small majorities and [00:07:28] want to thank the congressmen that are [00:07:31] here for doing in particular for working [00:07:33] so hard and getting this done. Yesterday [00:07:35] I also announced our framework to lower [00:07:38] health care prices for all Americans [00:07:40] including those in rural America and [00:07:43] we're calling it the great health care [00:07:46] plan. You know we had to come up with a [00:07:47] name and everybody wanted to say oh well [00:07:49] can we put something about lowering [00:07:51] costs because we're lowering costs very [00:07:53] substantially. [00:07:54] So I had Bobby and I had Oz. We had [00:07:57] everybody in there. We had whole group [00:07:59] of people and we're trying to come up [00:08:01] with so we're saying the cost reduction [00:08:04] plan that gives you good health care. [00:08:07] And I said it's too long. It's not going [00:08:10] to sell. I said we had more plans and [00:08:13] they wanted to get the words cost [00:08:15] reduction in their law especially you. [00:08:18] They wanted cost reduction in and then [00:08:21] they wanted great healthc care in. I [00:08:24] said, "Look, you can have one or the [00:08:25] other, but it gets too long. We're [00:08:26] talking about the name of a plan." So, [00:08:29] we got it down to seven or eight words [00:08:31] and which is far too long. Nobody can [00:08:33] remember that much. And I said, "Uh, how [00:08:36] about just call it because this is the [00:08:39] great health care plan." Now, a great [00:08:42] plan has to be cost-effective otherwise [00:08:45] it can't be a great plan. That's the way [00:08:46] I looked at it. So, we have a very [00:08:48] glamorous name. It's called the great [00:08:50] health care plan, not the unaffordable [00:08:52] care act. I don't like that name. This [00:08:54] is called officially the great health [00:08:56] care plan. That means low price and [00:08:58] great healthcare. So you're going to [00:08:59] have at a lower price great healthcare. [00:09:02] First, our proposal codifies the massive [00:09:05] discounts on prescription drugs that my [00:09:08] administration is achieving through our [00:09:10] most favored nation provisions. Okay, we [00:09:15] can go into this. [00:09:17] [applause] [00:09:20] We can go into this for hours, but the [00:09:24] bottom line is we'll be paying the [00:09:26] lowest price of any nation in the world. [00:09:29] Whoever is paying the lowest, we match [00:09:31] it. This could have been done years ago. [00:09:34] I was going to do it in my first [00:09:35] administration. So, but when COVID came [00:09:38] toward the end, I said, "H, I can't [00:09:41] believe it wasn't the right it wasn't [00:09:43] exactly a good time to be doing it." But [00:09:45] I said, "Why isn't somebody doing it?" [00:09:48] And the reason they're not doing it is [00:09:49] that no other nation would agree. [00:09:51] France, as an example, paid 10% of what [00:09:54] we paid. Germany was paying 13 or 14% [00:09:58] what we paid. In other words, we paid [00:10:00] many times more, not a little bit more, [00:10:02] not 10% more, 10 times more. A pill [00:10:05] would cost 10 times more in New York [00:10:08] than it would cost in London, as an [00:10:10] example, than it would cost in Munich. [00:10:13] And this went on for many decades. This [00:10:15] was uh right from the beginning. And the [00:10:18] reason it went on was a little bit of [00:10:20] the health care companies, but it was [00:10:22] other nations. And I understand that if [00:10:23] I were heading Germany, I'm not going to [00:10:25] double and triple and quadruple my [00:10:27] healthcare. They got the health care [00:10:29] companies to pay just took place over a [00:10:33] long period of time, got worse and [00:10:34] worse, and it just hit numbers that were [00:10:37] just absolutely unsailable. And if you [00:10:39] remember, the doctors in the audience [00:10:41] remember this say, "Well, we have to do [00:10:43] research and development." I said, [00:10:45] 'Well, what about research and [00:10:46] development for Germany? Well, we've [00:10:47] decided to put up the so the pill would [00:10:50] cost five times more because of research [00:10:52] and development and five times more for [00:10:54] other reason. They had all these phony [00:10:56] reasons and finally I said to the [00:10:58] healthcare companies, we can't do it [00:11:01] anymore. We can't do it. And it started [00:11:04] really I tell the story. It wasn't meant [00:11:06] to be funny. People find it funny. But a [00:11:09] friend of mine who's a very smart guy, [00:11:11] very very rich, very powerful man [00:11:14] actually, [00:11:15] but he was very fat. And he took the [00:11:18] fat, I call it the fat drug. I won't [00:11:20] give you which one. [00:11:22] It was epic. I won't tell you that. [00:11:26] And he went to London on one of his many [00:11:29] business trips. It's all he does is [00:11:31] business. He can't walk across the [00:11:32] street, but he's a great businessman. [00:11:35] And he said, 'President, president. I [00:11:38] said, 'What? He used to call me Donnie. [00:11:40] Now he calls me president. I said, [00:11:42] 'You've come a long way. Goes, but I [00:11:45] have a problem. What's your problem? In [00:11:47] New York, I pay $1,300 [00:11:49] for this drug. Now, this means nothing [00:11:52] to him. This is like a penny out of your [00:11:54] wallet. The guy's worth hundreds of [00:11:57] millions, billions of dollars. He said, [00:12:00] "And in London, sir, I pay just a [00:12:03] fraction of that." I said, 'What are you [00:12:05] paying? $87. [00:12:08] I said, 'Well, is it the same drug? I [00:12:11] knew exactly what he was getting at [00:12:12] because I've, you know, it bothered me [00:12:14] for a long time. He said, "It's the [00:12:16] exact same drug." And because of his [00:12:18] wealth and his business smarts, he had a [00:12:20] check. It was made in the same plant by [00:12:23] the same company. It's identical. And [00:12:26] here I pay 87. And in New York, I paid [00:12:29] $1,300. [00:12:31] So, [00:12:33] it was too much to bear because after I [00:12:37] told him that the drug does not work on [00:12:39] him, because I saw him recently, he's [00:12:41] actually fatter than ever. I said, "The [00:12:44] drug is not working on you. You're going [00:12:46] to have to go to something else, but it [00:12:48] does work on a lot of people." And he [00:12:51] said, "Thanks. You make me feel good." I [00:12:53] said, "Well, I got to be truthful. [00:12:55] Always tell the truth, right, Mr. [00:12:56] Congress?" said, "Oh, look, one of the [00:12:59] great one of the great congressmen." [00:13:02] Uh, but the drug, we have to do [00:13:06] something about it because that's the [00:13:07] same with every I would say, Bobby, [00:13:09] every drug essentially doesn't have to [00:13:10] be in that proportion. In some cases, [00:13:12] it's much worse because what happened I [00:13:15] might as well get off this crap because [00:13:16] it doesn't explain it properly. Because [00:13:18] what happened is these countries are [00:13:21] very smart and the drug companies would [00:13:25] go to them and they look we're paying [00:13:27] $10 for the pill. We're not paying more. [00:13:29] Charge America. [00:13:31] >> And this happened [00:13:33] one time, then the next year, the next [00:13:35] year. This is over 40 years. All of a [00:13:38] sudden, they're paying $10 for a pill [00:13:41] and we're paying [00:13:43] like $130 for the same pill. It just [00:13:46] happened over years slowly. And it got [00:13:49] to a point over the last 10, 12, 15 [00:13:51] years where it just was unbearable. And [00:13:55] I went to a great executive at Eli Liy, [00:13:59] the top man. He's a very smart guy. And [00:14:02] I confronted him. And he had the same [00:14:04] line that they always had, blah blah [00:14:06] blah, research and development. I said, [00:14:08] "Look, look, we got to stop this [00:14:10] nonsense. We're paying 10 times more for [00:14:14] things in Europe. It's not research and [00:14:17] development. And if it is research and [00:14:18] development, they should pay their fair [00:14:20] share of that, too." And he said to me, [00:14:22] and he's a great guy, he said, "Look, [00:14:25] uh, you're right. We can't defend it [00:14:27] anymore." I said, "You're admitting it [00:14:29] because these guys had a stand all of [00:14:32] them. They must have taken a class [00:14:34] together. Must have been. It's probably [00:14:36] illegal what they did. Lawler, you'll [00:14:37] check it. Right. They must have gone to [00:14:39] school together and said, "This is the [00:14:41] way we're going to fight this crazy [00:14:42] thing where the United States pays 10, [00:14:45] 12, 13 times more for a drug." Same [00:14:47] drug. Same drug made in the same plant. [00:14:50] And he said, "Here's the problem we [00:14:52] have. The nations are brutal. When we go [00:14:56] in and say, "We have to give you an [00:14:58] increase." They say, "No, put it on [00:15:00] America. We're not paying you anything." [00:15:02] And they say it with such power and they [00:15:04] actually shut us off from selling the [00:15:06] drug and it just happened over and over [00:15:10] again. It got a little worse, a little [00:15:11] worse, a little worse. All of a sudden, [00:15:12] we're paying many times more for the [00:15:13] same. They said, "It's not going to [00:15:15] happen anymore." He said, "The problem [00:15:16] is, sir, you'll never get the nations to [00:15:19] agree. It'll it's impossible. They're [00:15:21] very tough." And they are. And they'd [00:15:24] have to agree to a doubling or tripling [00:15:26] of their drug prices in order to get you [00:15:28] down because the world is a bigger place [00:15:30] than us. So it's not like you cut it in [00:15:33] half. Actually, if they raised it a [00:15:35] little bit, we'd go down a lot. You [00:15:38] understand that? I think people [00:15:39] understand that. So you raise it like [00:15:41] from 10 to $20 or $10 to $30, but we'd [00:15:44] go from 130 down to 30 or down to 20. So [00:15:49] because the numbers are much bigger, the [00:15:51] numbers on their side are much bigger. [00:15:53] So they'd need a doubling or tripling or [00:15:55] quadrupling. [00:15:57] Now, if you're the head of France, the [00:15:59] last thing you want to do is say, I'm [00:16:01] going to quadruple the cost of a drug. [00:16:05] And that's the way it is. But I said, I [00:16:08] know, but it's not fair. And this has [00:16:09] taken place. [00:16:11] And the head of Eli Liy, and I really [00:16:14] mean it. An unbelievable executive, an [00:16:16] unbelievable guy, one of the most [00:16:18] successful companies, and who's, by the [00:16:20] way, spending hundreds of billions of [00:16:23] dollars right now. He's building, he [00:16:24] told me the other day, he's building six [00:16:27] major plants in the United States. You [00:16:29] know why he's doing that? Because of [00:16:30] tariffs. He's doing that because of [00:16:33] tariffs. Without tariffs, he wouldn't be [00:16:34] doing it. Nobody understood tariffs [00:16:37] until I came along. Nobody unders other [00:16:40] than President McKinley. He understood [00:16:42] him a long time ago. And because of him, [00:16:45] we we were the richest nation that we [00:16:47] ever were at that period of time. And [00:16:50] then uh when he died, he was [00:16:52] assassinated. Teddy Roosevelt came over [00:16:55] and he in inherited a war chest and he [00:16:57] built the Panama Canal, which is the [00:17:00] single most expensive [00:17:02] thing ever built by in the history of [00:17:04] the United States, relatively. We spent [00:17:07] what would be the equivalent of $5 [00:17:09] trillion building the Panama Canal. It [00:17:12] was also the most successful thing [00:17:13] probably we've ever built and to this [00:17:15] day. And then Jimmy Carter gave it away [00:17:18] for $1. This is the same theory we have [00:17:20] on favored nations. The great Jimmy [00:17:22] Carter, President Jimmy Carter, gave it [00:17:24] away for $1. We lost 38,000 [00:17:29] men. In those days, it was men. I hate [00:17:31] to say this, but mostly men. They didn't [00:17:33] have a lot of women workers on the [00:17:35] Panama Canal. But we lost 38,000 people. [00:17:39] Uh they died from malaria and and snake [00:17:42] bites. Was a combination of that, a [00:17:44] vicious snake, one of the most vicious. [00:17:46] You get hit, you're dead. They died from [00:17:49] snake price. 38,000. [00:17:51] They paid workers from the United States [00:17:53] three times more than they made to come [00:17:55] over to Panama and dig. For many of [00:17:58] them, that was not a good deal. They [00:18:00] died 38,000. We gave it away for that. [00:18:03] But that same stupidity having to do [00:18:06] with the Panama Canal, and I could tell [00:18:07] you about a hundred other stories, too. [00:18:10] You don't have time. But that's what [00:18:12] went into this whole thing with favorite [00:18:15] nations. So Europe and other nations all [00:18:18] over the world were getting drugs from [00:18:21] the same plant, same factory, same [00:18:23] everything, same location, everything, [00:18:25] same company for a tiny fraction of what [00:18:28] we're paying. So our people were paying [00:18:30] a tremendous amount. So the gentleman [00:18:33] from Eli Liy and others, we had a [00:18:36] meeting and they all finally put up [00:18:38] their hands. He got us, [00:18:40] we give up. And they were great from [00:18:43] that time. But we had a problem. The [00:18:47] other nations weren't going for it. [00:18:49] France turned it down. Germany turned it [00:18:51] down. UK turned it down. European Union [00:18:55] turned it down. The whole group. [00:18:58] And they said, "There's nothing you can [00:18:59] do about it, sir." I said, "Yes, there [00:19:02] is." "No, there isn't. You'll never be [00:19:04] able to get them up. Never. I mean, the [00:19:06] whole industry is going to be torn [00:19:08] apart." I said, "We'll get them up [00:19:09] easily." Are you crazy? Of course, we'll [00:19:11] get them up. That's what I do for a [00:19:13] living. I get people up. So I called I [00:19:16] started with President Mcronone of [00:19:19] France and a very nice person. I like [00:19:20] him a lot. Hope he's listening because [00:19:22] he doesn't believe that. But I do. He's [00:19:24] a nice man. And I said, "Uh, man, [00:19:27] Emmanuel." [00:19:29] Yes, Dunel. Dunel, thank you so much for [00:19:32] calling. Oh, I said, "You're not going [00:19:33] to like this call. You're going to have [00:19:36] to get your drug prices up." "No, no, [00:19:37] no, no, no. I will not do that." I said, [00:19:40] "Emmanuel, [00:19:41] we're paying 13 times more than 13 [00:19:44] times, not 13%. [00:19:46] 13 times more than you are for this [00:19:48] pill." I I rattled off some numbers that [00:19:50] are crazy. You know the numbers I'm [00:19:53] talking about, Oz Oz would give me some [00:19:55] numbers. I said, "This is crazy. We're [00:19:56] paying 10 times, 12 times, 13 time." No, [00:19:59] no, no, no. I will not do that. I said, [00:20:01] "Look, you've got to do it 100% you're [00:20:04] going to do it." "No, no, Donald, I told [00:20:06] you I will not do that." [00:20:08] He said, "Here's a story, Emanuel. If [00:20:09] you don't do it, I'm going to put a 25% [00:20:11] tariff on all goods, wine, champagnes, [00:20:14] and everything else coming into the [00:20:15] United States of America." He said, [00:20:16] "Donald, I would love to do this for [00:20:18] you. [00:20:21] It would be a great honor to do it." And [00:20:23] that's where it began. And I went [00:20:26] through country after country. Susie was [00:20:28] responsible for getting every one of [00:20:30] those leaders on the thing. Susie, by [00:20:33] the way, stand up, Susie. She is doing [00:20:35] such a good job. [00:20:36] >> [applause] [00:20:38] >> She's the first [00:20:42] She's the first female [00:20:45] chief of staff and she might be the best [00:20:48] chief of staff, too. But she's doing a [00:20:49] great job. Thank you, Susie. So, Susie [00:20:52] [applause] [00:20:54] Susie got him on and I just went one [00:20:56] after another. I called Germany. No, no, [00:20:59] no. We will not do that. They said, "No, [00:21:02] we're going to put a 25% tariff." which [00:21:04] is by the way about [00:21:06] seven times more than they would have to [00:21:09] pay by raising their drug like seven [00:21:11] times. This wasn't like a little bit [00:21:13] more, seven times more. And and I may do [00:21:17] that for Greenland, too. I may put a [00:21:18] tariff on countries if they don't go [00:21:20] along with Greenland because we need [00:21:21] Greenland for national security. So, I [00:21:23] may do that. I'll give you a little I'll [00:21:24] talk about I'll take you out of that. In [00:21:26] fact, that'll end up being the story. [00:21:27] But actually, this is a much bigger [00:21:29] story because we're reducing healthcare [00:21:30] by numbers that you haven't seen. So I [00:21:33] spoke to the top 10 countries. They all [00:21:36] said no and within about two minutes [00:21:37] they all agreed and we were off to the [00:21:40] races. And now we have favored nations. [00:21:44] It's called most favored nations. So if [00:21:48] France is paying let's say $20 or $30 [00:21:52] instead of $10, we are going to pay that [00:21:54] 20 or 30. We pay the lowest price [00:21:58] whatever the lowest price is. So if [00:22:00] France is paying $100, but Germanyy's [00:22:03] paying $20, we pay what Germany pays. So [00:22:06] we go from a horrible situation on [00:22:10] drugs, prescription drugs to the lowest [00:22:13] price anywhere in the world. Is that a [00:22:15] correct statement? Because they're going [00:22:17] to blame you. If you if you want to [00:22:18] correct me, you can. But you know, you [00:22:20] won't be here for long if you do. [00:22:23] >> They'll say has left employment. [00:22:27] >> No, but is that a correct statement? [00:22:29] That's absolutely correct statement and [00:22:30] that's what we want to codify in the [00:22:32] great healthcare plan. [00:22:34] >> Yeah, that's why it's so important [00:22:35] >> because if the president's not here, [00:22:37] there's a flight risk with these [00:22:39] companies not obliging us anymore [00:22:42] because I think it's the strength of [00:22:44] your personality, but also they know [00:22:45] they will follow through with the [00:22:47] threats if we don't act. So, we believe [00:22:48] other countries will change their [00:22:49] opinions and so will drug companies. So, [00:22:51] we've got to get it into legislation. [00:22:53] >> Well, if you have the wrong president, [00:22:55] the countries have tremendous influence [00:22:56] over us. You know, they look why are why [00:22:59] why did we go to an income tax system [00:23:01] instead of a tariff system? We had the [00:23:03] wealthiest nation. If you go back to uh [00:23:07] the 1800s, [00:23:10] 1887, we had money, so much money, we [00:23:13] didn't know what to do with it. But the [00:23:14] countries at that time, same, no [00:23:17] different. They have a tremendous [00:23:18] influence over this country for whatever [00:23:20] reason. I don't know, but they do. So, [00:23:22] if you have the wrong president, they'll [00:23:24] change the system in two minutes. I [00:23:25] mean, they'll change it. And the drug [00:23:26] companies are very powerful too. You [00:23:28] have to deal with them. In this case, it [00:23:30] was both. I mean, you had a problem with [00:23:31] the drug companies, but you had a a [00:23:33] tougher problem in theory, other than [00:23:35] the fact that I understood how to deal [00:23:37] with them. And, uh, I'm the tariff king, [00:23:39] and the tariff king has done a great [00:23:40] job. And I hope we win the Supreme Court [00:23:42] case because if we don't, uh, be a shame [00:23:46] for our country. Be a shame. We have, we [00:23:49] have a great, safe, beautiful country [00:23:51] now. We're doing better than we've ever [00:23:52] done. and we hit 42 stock market highs [00:23:56] during the 11-month period that I've [00:23:57] been here. It's never there's never been [00:23:58] anything like it. Stock markets hitting [00:24:00] a new high again today. So, it's, you [00:24:02] know, it's been incredible. So, just to [00:24:04] end it on this because it's such a big [00:24:06] subject and it can't be explained by [00:24:07] reading as good as my speech writer is. [00:24:10] He's fantastic, but he can't write it in [00:24:12] one sentence what we're talking about. [00:24:14] So, we're going to get most favored [00:24:15] nations. We will take be taking [00:24:17] prescription drugs down to levels never [00:24:20] even contemplated. And that's all great [00:24:23] for health care because when you're [00:24:26] paying a tiny fraction of what you had [00:24:29] anticipated paying prior to today, prior [00:24:33] to this month, this all took place over [00:24:34] the last month and a half. And the sad [00:24:37] part is that when we first announced it, [00:24:40] and we did it in a little bit less more [00:24:42] general form, when we first announced [00:24:43] it, the Times did a a story on page 22 [00:24:48] or something way back in the little [00:24:49] story in the back of the newspaper. This [00:24:52] is the biggest revolution in the history [00:24:53] of of medicine in this country because [00:24:56] it's price. You're going to buy the [00:24:58] drugs for a a small fraction of what you [00:25:02] were paying for them last month. And I [00:25:05] tell the story of my first term, I was [00:25:07] the one after 28 years that got drug [00:25:10] prices down. It was either one quarter [00:25:12] or 1/8 of 1%. I got them down for the [00:25:15] year. First time in 28 years. I was so [00:25:17] proud of myself. I called the news [00:25:18] conference. I said, "Ladies and [00:25:20] gentlemen, for the first time [00:25:23] in 28 years, drug prices have gone down [00:25:27] for the year. 1/8 of a point." In fact, [00:25:31] I had a chart. It was the worst chart [00:25:32] I've ever seen. It was a line that went [00:25:35] from January to December and it was dead [00:25:38] straight. [00:25:39] You had to get a little, you know, like [00:25:41] a carpenter here, sister. Do you see? I [00:25:44] said, "This doesn't look good. It's not [00:25:46] the greatest line, but I was proud of it [00:25:48] because it did. It went down either a [00:25:50] quarter of a point or an eighth of a [00:25:51] point. Tiny. [00:25:53] And now think of what we're doing. We're [00:25:55] bringing [00:25:57] medicine down by many times. By many [00:26:01] times, nobody's ever seen. And there are [00:26:04] two ways of calc. You could say a [00:26:05] th00and% 2,000 or you could say 90% or [00:26:08] 80%. The Democrats want you to say 90 or [00:26:12] 80, but there are two ways of [00:26:13] calculating it. You understand that, [00:26:15] Dan? And uh we'll take either way. It [00:26:18] doesn't matter, but we'll be paying a [00:26:20] tiny fraction. So, that's going to go [00:26:22] into our plan. And and what Oz said is [00:26:26] very important. It's very important that [00:26:28] whoever is in this office is, you know, [00:26:31] strong and intelligent [00:26:34] and if it if they're not, they could, [00:26:35] you know, it could be ended. But what we [00:26:37] want to do is we want to have it [00:26:38] codified. So, it's very hard to change. [00:26:41] And that's all part of the process. I [00:26:43] think it's the greatest revolution [00:26:46] because it's financial is, you know, a [00:26:47] big part of the drugs and all of the [00:26:49] doctors sitting there know exactly what [00:26:51] I'm talking about. They have their [00:26:52] patients in Europe and they're saying, [00:26:54] "I can't believe it. I'm buying the same [00:26:55] thing for, you know, 15% of what I pay [00:26:58] in New York or in Chicago." And they're [00:27:02] all nodding their heads. That's right. [00:27:04] That's uh not going to happen anymore. [00:27:06] We we pay now just to end it the lowest [00:27:09] price in the world, whatever that is. [00:27:12] That's what the United States of America [00:27:15] will be paying. Isn't that an amazing [00:27:17] long story? I was going to say long, [00:27:19] boring. It's not boring. To me, it's [00:27:21] long and exciting. It's the biggest [00:27:23] thing to happen to healthcare. I don't [00:27:25] think there's anything we can do. We can [00:27:27] do all of our different methods, but [00:27:29] there's nothing we can do that can ever [00:27:31] top what we do. And the press should [00:27:34] treat it fairly instead of not writing [00:27:36] about it because they don't write about [00:27:37] it because it's me. primarily because [00:27:39] it's me, but also because it's [00:27:41] Republican and they don't write about it [00:27:43] and they should be ashamed. But [00:27:45] fortunately, the public understands it [00:27:47] and that's why we won the election in a [00:27:49] landslide. So, it's a great thing. Uh, [00:27:52] instead of Americans paying the highest [00:27:55] drug prices anywhere in the world by far [00:27:58] by 10 times sometimes, will now pay the [00:28:02] lowest cost paid by the lowest nation. [00:28:05] So the lowest nation, whatever that is, [00:28:07] I hope they negotiate a great deal. I [00:28:10] hope they somebody out there of all [00:28:11] those nations going to be a better [00:28:13] negotiator than everybody else. And [00:28:15] whatever they get, we get Mike. Is that [00:28:17] pretty good? Look at Mike. Even law. [00:28:19] First time I've ever seen him smile. [00:28:23] And next, our plan would reduce your [00:28:25] insurance premiums by stopping [00:28:26] government payoffs to big insurance [00:28:28] companies and sending the money directly [00:28:30] to the people. So instead of and this [00:28:32] started [00:28:34] and I'm not really a health care maven [00:28:36] but I was always a good businessman. It [00:28:38] started I'm reading the paper and I see [00:28:39] the money that the insurance companies [00:28:41] were making from us on Obamacare [00:28:45] and they're up by a,000% [00:28:48] 16 I think one was up 1723% [00:28:51] 1700%. [00:28:54] And it's because of the massive amount [00:28:55] of money that's sent to them by the [00:28:58] United States government. And I said, [00:28:59] "Why don't we just send it directly to [00:29:01] the people instead?" And I made that [00:29:03] statement. It was a common sense [00:29:04] statement. I didn't check with anybody. [00:29:06] I didn't even call us or anything. Just [00:29:08] made sense. I made a statement and it [00:29:10] went viral. Can you believe it? It was [00:29:12] so popular. In other words, we cut out [00:29:16] the insurance companies. They're making [00:29:17] a fortune. And you know, they're they're [00:29:19] good people. They're business people. I [00:29:21] don't blame them. But we cut them out. [00:29:23] We pay the money directly to the people. [00:29:27] the people love it. I said it, you know, [00:29:30] I said it as a non-professional in that [00:29:32] business and I made the statement like [00:29:34] it was all of a sudden it's like the the [00:29:37] biggest story that one the biggest story [00:29:39] and I get a call from Caroline who's [00:29:41] around here someplace. She said, "Sir, [00:29:44] we're getting inundated. Margot called [00:29:46] me too." Margot, you called me too. [00:29:49] Margot, everyone knows Margot. She's [00:29:50] been here from the beginning. Right from [00:29:52] the beginning. But she said, "Sir, both [00:29:54] of them." They said, "So, we're being [00:29:56] inundated by what? You made a statement [00:29:59] about health care being paid directly to [00:30:01] the people into health savings accounts [00:30:04] or whatever you want to healthcare [00:30:05] accounts." And I said, "I did. What's [00:30:08] the story?" He said, "It's it's crazy. [00:30:12] It's blown up. People loved it." And so [00:30:16] that's where we started. So Obamacare [00:30:19] was designed to make insurance companies [00:30:21] rich. It really was. I mean, maybe not [00:30:24] knowingly at the time by Obama because [00:30:26] he didn't know much about this stuff [00:30:28] that was designed by other people in [00:30:29] Congress that are total pros that are [00:30:31] bought off by the insurance companies. [00:30:33] And the problem we'll have with this is [00:30:34] we'll get no Democrat votes. Even though [00:30:37] it should be very bad, very bad for them [00:30:40] if they don't. But maybe you'll get [00:30:41] some, you'll call some of your friends, [00:30:43] fellas, and Bob, you'll call some of [00:30:45] your your friends over on the other [00:30:47] side. I don't know how they can reject [00:30:48] it. It's just so popular. It's so [00:30:50] compelling. So Obamacare was designed to [00:30:53] make insurance companies rich with [00:30:54] taxpayer subsidies. And I want that [00:30:56] extra money straight to the health [00:30:59] savings accounts for you. And you can [00:31:01] choose your own health care. You go out [00:31:02] and negotiate your own healthcare. It [00:31:04] makes people entrepreneurs. Many [00:31:06] entrepreneurs, they'll pick the health [00:31:08] care that's best for them because it's [00:31:09] so different. A young person, they need [00:31:12] health care for different reasons and an [00:31:14] old person doesn't need certain things [00:31:16] that a young person needs and vice [00:31:18] versa. To further reduce insurance [00:31:21] premiums, my plan ends the giant [00:31:23] kickbacks to insurance brokers and [00:31:26] corporate middlemen. We're getting rid [00:31:27] of the middlemen. How long have you [00:31:29] heard doctors? All these doctors over [00:31:30] there look so smart. They're all [00:31:32] brilliant people. I assume you're [00:31:34] brilliant. Otherwise, you wouldn't be [00:31:35] here, right? I assume we have the best. [00:31:37] Do we have the best of the doctors? I [00:31:38] would imagine. Right. Hey, how cool is [00:31:41] the White House? Okay. [00:31:44] They're always in operating rooms. I [00:31:45] wouldn't want to be in an oper I don't [00:31:47] like operating rooms, but they do. But [00:31:49] how cool is the White House, right? The [00:31:51] coolest place on earth. And this is [00:31:52] where it all begins. This is where we [00:31:56] came up with a little concept about a [00:31:59] place called Venezuela. How did that [00:32:01] work out? And this is going to be the [00:32:03] same thing in terms of its precision. [00:32:06] Its importance is so big. It's going to [00:32:08] work just like that. The winners when [00:32:11] Venezuela was so amazing, but I equate [00:32:15] that to other things because we can do [00:32:16] other things like that. It doesn't [00:32:18] always have to be a Minnesota [00:32:21] where everything is corrupt, where they [00:32:23] have health care centers that nobody [00:32:25] shows up and somebody's making millions [00:32:26] of dollars. Where they have daycare [00:32:28] centers where there are no kids. It's a [00:32:30] scam. It's a big scam. It's like a [00:32:33] horrible thing. We have a country that [00:32:35] was great. We have a country that's now [00:32:37] great again. It's it's really it's [00:32:39] really come a long way. Make America [00:32:40] great again is almost going to be [00:32:42] obsolete because our country is very [00:32:44] close to you know we originally we're [00:32:48] going to keep America great. We may have [00:32:49] to switch to keep America great. But I [00:32:51] don't know there's something about MAGA. [00:32:52] We should never change it. Susie said [00:32:54] don't change. We like we like MAGA. [00:32:57] Everybody likes MAGA. So we want to make [00:32:59] this precision just like a Venezuela. [00:33:02] Just like the attack on the Iran nuclear [00:33:05] weapons which wiped that out. Just like [00:33:07] all of the other things we do. their [00:33:09] precision. We want to make it the [00:33:11] opposite of Minnesota, California, and [00:33:13] all these places that are so badly run. [00:33:15] So to further reduce insurance premiums, [00:33:18] my plan ends the giant kickbacks to [00:33:20] those insurance brokers and corporate [00:33:22] middlemen that you've been hearing about [00:33:23] for so long. It also funds the so-called [00:33:27] cost sharing reduction program to bring [00:33:29] down the cost of the most common plans [00:33:32] on the exchanges by more than 15%. [00:33:36] And next, the great health care plan [00:33:37] mandates unprecedented accountability [00:33:40] and transparency from insurance [00:33:42] companies and all health care providers. [00:33:45] We want transparency. You're not allowed [00:33:47] to ask a doctor how much is it going to [00:33:49] cost. You're going to have your heart [00:33:50] ripped out and you're not allowed to [00:33:52] negotiate. [00:33:54] This is a giant scam. It's in certain [00:33:58] ways, look, nothing can compare to most [00:34:00] most favored nations. But when you give [00:34:02] yourself the right to negotiate, you're [00:34:04] not allowed to even ask how much it [00:34:05] costs. You're supposed to go into a [00:34:06] hospital and get operated on. Then they [00:34:08] send you a bill and you have to file for [00:34:10] bankruptcy. Not going to let that [00:34:12] happen. So we're going to have insurance [00:34:15] companies and health care providers [00:34:17] going to have to have great and [00:34:18] hospitals great transparency. The word [00:34:21] transparency is a very important word. [00:34:24] So they can't get away with ripping you [00:34:26] off any longer. requires insurance [00:34:27] companies to make it easy for you to [00:34:30] compare plans. You got to be able to [00:34:32] compare plans. You can't do that now. [00:34:33] You're not allowed to do that. It's not [00:34:36] even believable. I tell you what, I used [00:34:38] to sit before I was a politician home [00:34:40] and I used to say, "How how's that [00:34:42] possible? Things things happen that I [00:34:45] guess it's just the forces of nature, [00:34:47] the forces of power, and you end up with [00:34:51] very very badly treated people and they [00:34:54] won't stand for it. But these forces are [00:34:57] going to release uh [00:35:00] an earthquake of reduced price [00:35:03] healthcare. You're going to have [00:35:04] massively reduced cost. This is no [00:35:06] longer we're going to cut it by the [00:35:08] famous 1/8 of a point. You're going to [00:35:10] have massively reduced health care and [00:35:13] it's going to be massively better. [00:35:15] You're going to have great healthcare at [00:35:17] a much lower price which is a the two [00:35:19] things. We want great health care and we [00:35:20] want low price. You're going to have [00:35:22] great healthare at low price. Now you [00:35:24] have terrible health care at a high [00:35:27] price. [00:35:28] You have horrible, horrible Obamacare [00:35:32] health care like everything else he did. [00:35:34] It was crap. It was a horrible plan. It [00:35:37] was from day one and should have never [00:35:39] been approved. [00:35:41] It was a very sad night that night when [00:35:43] there was a thumb raise. Most [00:35:45] importantly, we'll require any hospital [00:35:47] or insurer who accepts Medicare, [00:35:50] Medicaid to prominently post all prices. [00:35:52] You're going to post your prices at [00:35:54] their place of business, something they [00:35:56] don't have to do, something they're not [00:35:57] even allowed to do. [00:36:00] We'll have the maximum price [00:36:01] transparency and the cost will come down [00:36:03] just by that. Not even talking about [00:36:05] favored nations. The price will come [00:36:07] down. So, just in conclusion, I'm [00:36:09] calling on Congress to pass this [00:36:11] framework into law so that we can get [00:36:14] immediate relief to the American people, [00:36:16] including rural America. And I hope to [00:36:17] get Democrat votes. They know they saw [00:36:20] it. I know a lot of Democrats and [00:36:24] they say that plan is unbelievable. Are [00:36:26] you going to vote? Well, I'm going to [00:36:27] try. They they have tremendous pressure [00:36:30] on them. Vote no. [00:36:33] Vote no. We have a couple of [00:36:36] Republicans. Massie, Thomas Mass. He [00:36:38] always votes no. He's like something [00:36:39] wrong with the guy. If you have any [00:36:42] clinical psychiatrists in there, maybe [00:36:44] go check out his mind. But he always [00:36:46] votes no. He's a very bad person. He's a [00:36:49] very bad Republican, bad American. When [00:36:50] you always vote, no, just vote no. Do [00:36:53] you approve? No. You know, there's not a [00:36:56] thing you can say to him either. Lola, [00:36:58] look, Lola wants to be nice. He likes to [00:37:00] get along with everybody. I don't. I [00:37:02] don't. But they vote no. But so, I don't [00:37:04] know. You know, you have some people, [00:37:06] they're very I call him Rand Paul Jr. [00:37:08] Ran Paul always votes. I don't know why [00:37:10] he votes no, but he just I guess he [00:37:12] thinks it's good politics. I got him [00:37:13] elected twice. If I didn't endorse him, [00:37:16] he wouldn't have been elected. that he [00:37:18] doesn't reciprocate and I guess that's [00:37:19] okay. But I want to hear now if I could [00:37:22] from Dr. Oz and then we're going to have [00:37:24] Dan Sullivan say a few words and Rob and [00:37:27] Mike and uh Governor, you're going to [00:37:30] say a few words and we appreciate you [00:37:32] being here very much. You're doing a [00:37:33] fantastic job. I just want to leave by [00:37:37] saying that this is the biggest thing to [00:37:40] ever happen to healthcare in our [00:37:42] country. It will not be covered that way [00:37:45] by the fake news and that's a sad thing. [00:37:49] It will probably not be voted positively [00:37:51] by the Democrats and that's a sad thing. [00:37:54] They all know how good it is. I think we [00:37:57] can make healthc care into a Republican [00:37:58] issue because the Republicans are going [00:38:00] to be close to unanimous on this. It [00:38:02] should be unanimous. Maybe we will be [00:38:04] unanimous, but it'll be close. [00:38:06] But we have a small majority. We [00:38:08] probably need a little bit of help from [00:38:09] the Democrats. So whatever we can do uh [00:38:12] we're going to do it. It's the biggest [00:38:14] thing to happen to healthcare maybe from [00:38:17] the beginning. So Oz would you take it [00:38:19] away please? Thank you very much Mr. [00:38:21] President. [00:38:24] [applause] [00:38:28] Mr. President, thank you for standing up [00:38:29] for American healthcare. And I just want [00:38:31] to underline this fundamentally [00:38:33] important issue. We need Congress to [00:38:34] help craft the great America healthcare [00:38:37] plan. And the great healthcare plan will [00:38:39] work. It's a brilliantly conceived [00:38:41] framework and as it comes to the [00:38:44] American people and they understand that [00:38:45] they'll want it and it should represent [00:38:47] the analogous situation similar to what [00:38:50] you did so brilliantly last spring with [00:38:52] the working families tax cut legislation [00:38:54] that the president mentioned has created [00:38:56] the rural health transformation fund [00:38:58] which is why we're here today. I want to [00:39:00] put a a little bit of te texture around [00:39:02] why this is such an important issue [00:39:04] because the rural health transformation [00:39:06] fund is the largest investment ever in [00:39:09] American history in our rural [00:39:12] communities. [00:39:12] >> Yeah. [applause] [00:39:18] [applause] [00:39:21] >> 50% increase the amount of money that [00:39:23] Medicaid, which Secretary Kennedy and I [00:39:25] regulate, into our rural communities. [00:39:27] $50 billion. You can do the math. It's 1 [00:39:30] billion per state. And that's an [00:39:31] important factor because it got them [00:39:33] competing. There's 60 million rural [00:39:35] Americans. Uh and these folks do not [00:39:38] have access to the same care that's [00:39:40] available in urban and suburban America. [00:39:42] Their life expectancy if they're in a [00:39:44] vulnerable situation is nine years [00:39:46] shorter because your your zip code [00:39:48] actually is your destiny. It determines [00:39:51] how long you're going to live. and we [00:39:52] can make a dent in this because the high [00:39:54] rates of chronic disease and uh and [00:39:57] other ailments that plague our rural [00:39:58] areas are often driven because we they [00:40:00] don't have access to care. That's going [00:40:02] to change because of the sentinel [00:40:04] legislation. And again, it's similar [00:40:08] teams, the same leadership, same [00:40:10] president, same congress that passed the [00:40:13] working families tax cut legislation [00:40:14] which is incredibly popular around the [00:40:16] country and will make the great [00:40:18] healthcare plan successful as well. From [00:40:20] the day the legislation was signed to [00:40:22] create this uh this wonderful fund, this [00:40:25] transformational fund, the C the team at [00:40:27] CMS, which is under Secretary Kennedy, [00:40:30] began working and they're here today, [00:40:31] Steph Carlton, outstanding chief of [00:40:33] staff, Alina Czech eye, and Emily Chan [00:40:35] that day started working. It was July [00:40:37] the 4th, by the way, on the specific [00:40:39] vision for the program. How do you [00:40:41] actually get the money out the door in [00:40:42] six months, the president was insistent, [00:40:44] did not want the money in Washington. [00:40:46] So, we began working closely to make [00:40:48] sure that we'd use the money not as a [00:40:50] band-aid, but to empower those closest [00:40:52] to the challenges that rural patients [00:40:55] face. And who are those people? The 50 [00:40:56] people who know rural healthcare the [00:40:58] best, the governors. They wanted the [00:41:00] money out of Washington into the [00:41:01] governor's hands. And that was done in a [00:41:03] remarkable way. The governor's thought [00:41:05] big. We have one here from Nebraska [00:41:07] who's actually the first to start [00:41:08] working on on uh community engagement, [00:41:11] which is part of that legislation as [00:41:13] well. But we have to rightsize health [00:41:16] care in rural America. And that's an [00:41:18] important phrase. All 50 states [00:41:20] submitted amazing ideas to transform [00:41:22] rural rural healthc carees in ways that [00:41:24] should have been done decades ago. The [00:41:26] CMS team awarded each team their portion [00:41:28] of the $50 billion investment precisely [00:41:31] with the same precision that we took [00:41:33] Venezuela leadership uh you know [00:41:36] convicted individual um and with Iran as [00:41:38] well. The same precision on time before [00:41:40] the end of the year and got it out of [00:41:41] Washington into the states. Now, I want [00:41:43] us to take a step back and do a little [00:41:44] thought experiment, Mr. President, if [00:41:46] you wanted to do this. [00:41:48] If you, and God forbid this happened, [00:41:50] had turned your head the other way in [00:41:51] Butler, Pennsylvania, [00:41:54] it wouldn't have been an ear injury. [00:41:57] Now, I've been to Butler. I'm from [00:41:59] Pennsylvania. Butler General Hospital is [00:42:01] a good hospital. They don't have [00:42:02] neurosurgery there. If you have an [00:42:05] injury to the head, you have a golden [00:42:07] hour to get cared for. you were taken to [00:42:09] Butler General Hospital because the [00:42:12] injury thankfully was not as lethal as [00:42:14] it was deter designed to be. Uh it [00:42:17] wasn't the problem. But if you'd had a [00:42:18] head injury, you could have had your [00:42:20] life saved. But without a neurosurgeon, [00:42:22] and there is no neurosurgeon at Butler [00:42:24] General Hospital, unfortunately, you [00:42:26] wouldn't have an option because [00:42:27] Pittsburgh is a far far right away. [00:42:29] That's the closest metropolitan area [00:42:31] where there are lots of neurosurgeons. [00:42:33] But with this bill, this legislation [00:42:35] rather, this funding of $50 billion, [00:42:38] Pennsylvania got its share and they're [00:42:40] going to be able to build tele medicine [00:42:42] hookups, even teleobotic surgery that [00:42:44] would allow a injured individual in a [00:42:46] car accident or any other reason that [00:42:48] has a head injury in Butler General and [00:42:50] rural hospitals across the country to be [00:42:51] able to access the best care our nation [00:42:53] has to offer so rural America will not [00:42:56] suffer. That's the promise of what this [00:42:58] money offers to our nation. It's not [00:43:01] just paying the bills. It's not just [00:43:03] picking up the pieces. It's actually [00:43:05] transforming using technology we have [00:43:08] widely available in urban America the [00:43:10] way we save lives in rural America. Each [00:43:12] state competed aggressively because for [00:43:14] a billion dollars, Mr. President, you'll [00:43:16] fight pretty hard. And they gave us [00:43:18] brilliant ideas that they're talking [00:43:20] with each other about. So, we're [00:43:22] actually creating teams that now across [00:43:24] state lines will connect because they're [00:43:26] all Americans. And they base their [00:43:28] advances on several pillars. Secretary [00:43:30] Kennedy can talk about MAHA because [00:43:32] there's Maha elements to this as well, [00:43:33] but very precisely sustainable access. [00:43:36] We asked states, how can we bring top [00:43:38] care closer like in the thought [00:43:40] experiment I gave you for Butler General [00:43:42] in Pennsylvania and North Carolina their [00:43:44] regional SP spoke models which at hub [00:43:46] and spoke means you've got a big [00:43:48] hospital in the city and they adopt or [00:43:50] work closely with some rural hospitals [00:43:52] to solve solve the challenges of [00:43:54] fragmented care and that actually works. [00:43:57] You share administrative uh back office [00:44:00] work. You group purchase your stuff. You [00:44:01] save money. You exchange medical [00:44:03] records. Alabama has no OBGYNS in many [00:44:07] of their counties. So, they're doing [00:44:10] something pretty cool. They're actually [00:44:12] having robots do ultrasounds on these [00:44:14] pregnant moms. So, we can actually get [00:44:16] those images back to the big center. So, [00:44:18] we know if that child has a problem and [00:44:20] we know if that mother's at risk. We [00:44:22] have one of the highest mort maternal [00:44:24] mortality rates in the world in the [00:44:26] country with the best medicine in the [00:44:28] world. It's often stated people ask does [00:44:30] healthcare stink in America? Well, they [00:44:32] don't like it. Would you leave America [00:44:33] to get healthcare elsewhere? Nobody [00:44:35] leaves. We have the best healthcare if [00:44:37] you can get to it. We don't want rural [00:44:38] America left behind anymore. As an [00:44:40] aside, by the way, we've talked about [00:44:42] the most favored nation drug pricing. [00:44:44] One of the first companies in and areas [00:44:47] we use most favored nation drug pricing [00:44:49] is fertility drugs. That's why we're [00:44:51] going to have so many Trump babies [00:44:53] because we've dropped dramatically the [00:44:55] most expensive part of the fertility [00:44:57] space. And so America no longer will pay [00:44:59] so many times more. In that case, it was [00:45:01] 10 times more for the same fertility [00:45:02] drugs uh that they're available for moms [00:45:05] who want to get pregnant in Europe. I [00:45:07] want to thank Terry who's here as a [00:45:09] nurse practitioner. Andrew is a doctor. [00:45:11] West Virginia, uh New Mexico. They're [00:45:13] representatives of the workforce in [00:45:15] rural America, but there are only two of [00:45:17] them here representative because we [00:45:19] don't have enough people working in [00:45:20] rural America. It's a big challenge. So, [00:45:22] Delaware is creating its own medical [00:45:25] school, their first ever medical school [00:45:26] in a rural part of the state. So, that [00:45:28] can get more local talent that will stay [00:45:30] local in those parts of Delaware. [00:45:32] Michigan is launching the high school to [00:45:34] healthcare pipeline grant program. They [00:45:36] want to take kids out of high school in [00:45:38] Michigan, local rural communities, and [00:45:40] get them into the system. get them [00:45:41] trained as nurses because they'll stay [00:45:43] home because they're from those [00:45:44] communities and they'll save lives for [00:45:46] decades there. These are the pro types [00:45:48] of programs that can get our rural [00:45:49] communities and economies [00:45:52] up to high gear and keep it that way [00:45:54] long after this five-year funding is [00:45:56] done. And finally, tech innovation. [00:45:58] Rural communities would benefit the most [00:46:00] from high-tech advances like we just [00:46:02] discussed as possibly if there was a [00:46:04] head trauma case. Many states want to [00:46:06] partner with our CMS data [00:46:09] interoperability network. It was created [00:46:11] by Amy Gleason who uh who spearheaded so [00:46:14] much of the technology transformation uh [00:46:16] in in our government. It's going to [00:46:17] support the president's pledge to [00:46:19] provide transparency that he mentioned [00:46:20] as part of the great healthcare plan and [00:46:23] Congress can ensure these are all [00:46:25] available for decades to come if we can [00:46:27] get this legislation through. as in the [00:46:29] tech innovation forefront. Just to give [00:46:30] you a couple examples, Texas and Hawaii [00:46:33] are making targeted investments in [00:46:34] statewide teleahalth. So everybody has [00:46:36] teleaalth. The best doctors with the [00:46:38] best knowledge available where you are [00:46:40] we'll meet you where you are. If you're [00:46:41] a vet and depressed and you're thinking [00:46:43] of taking your life, we'll be there. [00:46:45] Just, you know, let us know you're in [00:46:46] trouble and we'll help. Alaska wants to [00:46:48] deploy, and I'm going to hand it to [00:46:49] Senator Sullivan in a second, wants to [00:46:51] deploy unmanned pharmaceutical [00:46:52] distribution kiosks and drones that will [00:46:56] deliver medications because in the North [00:46:57] Slope of Alaska, you can't get there [00:46:59] this time of year. So, these [00:47:00] technologies, they exist. Why are we [00:47:02] using them in Midtown Manhattan? We [00:47:03] should use them in rural Alaska. This [00:47:06] administration is committed to [00:47:07] collaborating with all 50 states, all [00:47:10] 50, red and blue, all 50 states to carry [00:47:14] out bold plans to tackle the challenges [00:47:16] that local communities face. We're not [00:47:18] pouring funds blindly, however, into a [00:47:20] broken system. We're going to carefully, [00:47:22] precisely, as the president said, target [00:47:24] this investment with healthcare front [00:47:26] running rampant. And I was in Minnesota [00:47:28] this week, Mr. President. It's worse [00:47:30] than we've heard, but Minnesota, pardon [00:47:32] the pun, is not is just a tip of the [00:47:34] iceberg. California is the varsity team [00:47:36] when it comes to fraud, waste, and [00:47:38] abuse. We're not going to let that [00:47:39] happen. We want transparency for this [00:47:41] $50 billion investment. We owe it to [00:47:44] Capitol Hill. We owe it to this [00:47:45] president, and we want accountability to [00:47:46] be a top priority. For that reason, [00:47:48] we've off we've created a office of [00:47:50] rural health transformation at CMS for [00:47:53] long-term oversight, the office led by [00:47:56] uh Alina Czech Guy. Alina again was one [00:47:58] of the the people helped create this [00:48:00] program in the in the forefront, will [00:48:01] guide, she was in the first [00:48:02] administration, Mr. President. She's [00:48:04] going to guide states in implementing [00:48:05] their rural health transformation plans, [00:48:07] coordinate all the federal and state [00:48:09] partnerships, making sure there's [00:48:11] appropriate oversight. In addition, [00:48:13] every single state is going to have a [00:48:14] dedicated project officer. We will be [00:48:16] there with you. We're going to help you. [00:48:18] Please engage us. You've got lots of [00:48:20] lives at risk. It's a true state federal [00:48:22] partnership. Unbelievable, extraordinary [00:48:25] milestone for healthcare. Your zip code [00:48:27] will no longer dictate whether you have [00:48:29] excellent healthcare. Your zip code will [00:48:30] no longer be your destiny. is not going [00:48:32] to dictate your life expectancy. Mr. [00:48:35] President, I cannot thank you enough for [00:48:37] the leadership that it took to get this [00:48:38] $50 billion dollar investment in rural [00:48:40] healthcare. They don't make a lot of [00:48:42] noise. They just want to get the job [00:48:44] done. You stood up for them and [00:48:45] Congress, God bless you for making this [00:48:47] possible. Please do it again. Please do [00:48:49] it again for the great healthcare plan. [00:48:51] Let me hand it to Dan Sullivan who's a [00:48:53] spectacular member of the Senate and [00:48:55] obviously Alaska. Uh they're pretty [00:48:57] rural. [00:48:58] >> Thank you. Uh thank you Dr. [00:49:01] and [applause] [00:49:07] and Mr. President, I am very honored to [00:49:10] be here. This is a really exciting day. [00:49:12] I want to thank you, sir, and your team. [00:49:15] Worked really closely with Dr. Oz, uh, [00:49:18] Secretary Kennedy, many others. You [00:49:20] know, this is a great example of how [00:49:23] Congress working closely with your [00:49:26] administration can achieve historic [00:49:29] things. This is historic for our rural [00:49:33] health care certainly in the working [00:49:36] families tax cuts act. You combine it [00:49:38] with what you were talking about sir in [00:49:41] terms of uh drug price reductions for [00:49:45] all Americans. So these are two things [00:49:48] that are happening right now and are [00:49:50] historic and I agree 100% with you Mr. [00:49:52] President hasn't got a lot of press. uh [00:49:55] even though it is historic is going to [00:49:58] really impact people in rural America, [00:50:00] especially my state, uh this fund that I [00:50:03] want to talk about, but what you've done [00:50:05] on the drug pricing is even [00:50:07] >> and will you get Lisa Marowski to vote [00:50:09] for it? [00:50:10] >> She voted for it. [00:50:11] >> No. Are you going to get her to vote for [00:50:12] the great big beautiful healthc care [00:50:15] bill that we're doing? [00:50:16] >> Oh, when we get that, I think MFN drug [00:50:18] pricing, I bet every every member of [00:50:20] Congress votes. [00:50:21] >> Are you going to get her to vote for it? [00:50:22] >> We'll work on it, sir. Um, [00:50:25] we'll work on uh so let me actually talk [00:50:30] a little bit about the context of what's [00:50:31] going on in Alaska and how this and how [00:50:34] this relates to it. You know, after four [00:50:37] years of being locked up and shut down [00:50:41] by the previous administration, we are [00:50:43] on the cusp of achieving some huge goals [00:50:47] in my state that we've been working on [00:50:49] for decades. We have this huge resource [00:50:51] development boom going on on the north [00:50:53] slope of Alaska. I was with a bunch of [00:50:55] the inupat Alaskan native uh [00:50:59] people who live up there. They are so [00:51:01] excited about what's happening there. We [00:51:04] are as you know Mr. President building [00:51:06] ice breakers when we're homeporting some [00:51:08] of those in Alaska. We have huge [00:51:11] historic infrastructure and economic and [00:51:15] national security investments happening. [00:51:18] In particular, the gas line that you uh [00:51:20] have championed so much, the big LG [00:51:22] project, all of these things are [00:51:24] happening. It's really exciting. By the [00:51:26] way, all of these issues I just talked [00:51:28] about, all of those were in the Working [00:51:30] Families Tax Cuts Act. So, there's a lot [00:51:33] of excitement. But, Mr. President, in [00:51:35] addition to a strong economy, the [00:51:38] thousands of jobs that these projects [00:51:39] are going to have, we have to have a [00:51:41] strong health care system in every [00:51:43] state. And rural Alaska, as you [00:51:46] mentioned, as Dr. Oz mentioned, has h [00:51:49] often almost always been an afterthought [00:51:52] when it comes to investing in health [00:51:56] care in America. And that's not [00:51:59] happening anymore after the Working [00:52:01] Families Tax Cuts Act. As you said, Mr. [00:52:04] President, as Dr. Oz said, this is the [00:52:05] biggest investment in rural health care [00:52:08] in American history. $50 billion. The [00:52:12] award the great state of Alaska was able [00:52:15] to get working with Dr. Oz. And the [00:52:18] parameters of the bill was about 1.4 [00:52:21] billion over five years to transform our [00:52:24] health care system. So, that's really [00:52:28] exciting. But here's the big deal. This [00:52:30] is not just about money. Th the this [00:52:33] bill isn't just about money. It the [00:52:36] reason it's so impactful is that its [00:52:39] focus on letting states and governors [00:52:43] design the system that they need. Alaska [00:52:47] has many unique healthc care challenges, [00:52:50] Mr. President, as you know. But for [00:52:52] decades, the mentality in Washington DC [00:52:55] is this approach to onesizefits-all. [00:52:58] DC tells every state, "Here's how you [00:53:01] have to do it." And it never works. It [00:53:03] never works. It certainly doesn't work [00:53:06] in my state. I'll just give you one [00:53:07] example. The federal match on Medicaid, [00:53:10] our state, uh, typically has the lowest [00:53:12] match in the country, even though we [00:53:14] have the highest health care costs and [00:53:15] highest delivery costs in the country. [00:53:17] The one-sizefits-all, [00:53:20] um, doesn't work. This bill is [00:53:22] different. This bill that we wrote with [00:53:25] your administration is all about [00:53:27] allowing states to design a system that [00:53:30] works for them with CMS guidance. And [00:53:33] this will be a generational opportunity [00:53:35] for every state to bring health care [00:53:38] closer to home to make it more [00:53:41] responsive responsive to the people who [00:53:43] live in that state and make it more [00:53:46] affordable. I'll just end with this, Mr. [00:53:47] President. Like I said, a lot of [00:53:49] excitement. We got Governor Dun Levy who [00:53:51] sends his greetings uh was hosting the [00:53:54] stakeholders in Alaska who are going to [00:53:57] be applying for these funds working with [00:54:00] CMS in our state. Uh over the last [00:54:03] couple days we have over 300 people [00:54:05] coming to these meetings on how to use [00:54:08] this transformation fund to better [00:54:11] health care in Alaska. And this is going [00:54:13] to help my constituents, going to help [00:54:15] every American. And it is really [00:54:17] exciting. And I want to thank again you, [00:54:19] Mr. President, and your team. [00:54:20] >> Thank you, Dan. [00:54:21] >> Thank you very much. [00:54:23] >> Thank you very much. We're going to have [00:54:24] to go very fast. We're going to have to [00:54:26] go very We are way behind schedule, and [00:54:29] I have a couple of meetings that are [00:54:30] very important. Nothing more important [00:54:33] than this, but let's go. Come on, Bob. [00:54:38] >> Rob, fire round, please. Uh, Mr. [00:54:40] President, thank you very much for [00:54:42] having me here today. And I represent [00:54:43] northeastern Pennsylvania. your governor [00:54:45] from Scranton, Pennsylvania. So, uh [00:54:47] never had the opportunity to meet, but [00:54:49] uh I inherited a very similar problem. [00:54:51] But before I was even sworn into office, [00:54:53] I had two hospitals, Moses Taylor and [00:54:55] Regional and Scranton that were [00:54:56] eminently facing closure. Um and it's [00:54:59] been and working with Dr. Oz, [00:55:00] Administrator Oz, and the CMS team has [00:55:02] been absolutely incredible on so many [00:55:05] levels. And thank you uh again for [00:55:07] intervening and and shephering us [00:55:08] through that process. But when you're [00:55:10] looking at Pennsylvania, we're going to [00:55:11] receive uh over $193 million. In 5 [00:55:14] years, it'll be over a billion dollars [00:55:16] for the Commonwealth of Pennsylvania. [00:55:18] And when you think about northeastern [00:55:19] Pennsylvania, uh clinics and regional [00:55:21] hospitals, rural hospitals are the [00:55:23] backbones of our communities. So, making [00:55:25] a targeted investment that is not just [00:55:27] going to band-aid over poor operational [00:55:29] procedures, it's going to actually [00:55:31] transform rural healthcare. Uh that's [00:55:34] what we are so excited about. Pike [00:55:36] County in my district is the largest [00:55:37] growing uh county in the Commonwealth of [00:55:40] Pennsylvania where there's not a [00:55:41] hospital. The nearest commute to a [00:55:42] hospital is over 55 minutes away. So, [00:55:44] these are going to be funds that will be [00:55:46] so imperative. Um the unprecedented [00:55:49] investment is going to be incredible and [00:55:51] uh thank you for having me up here and [00:55:52] being a part of this journey. [00:55:53] >> Thank you, Rob. Appreciate it. [00:55:55] >> Thank you, Mr. President. Uh this is a [00:55:57] great opportunity to be here with you [00:55:59] and your team. Dr. Oz has been a [00:56:00] tremendous asset. The $50 billion dollar [00:56:03] commitment to rural health uh [00:56:05] transformation is critical. New York [00:56:07] state is going to see about 212 million [00:56:10] in the first year which is vital for [00:56:12] workforce development, access to care, [00:56:14] primary, behavioral, maternal, [00:56:16] emergency, uh tele medicine, etc. How [00:56:19] did we uh how were we able to do it? [00:56:22] Because we rooted out waste, fraud, and [00:56:24] abuse in the system. Democrats will just [00:56:27] say we cut a trillion dollars in [00:56:28] Medicaid. That's not what we did. We [00:56:30] said you need to be eligible. You need [00:56:33] to be a citizen. You need to uh work if [00:56:37] you are able-bodied without dependent [00:56:39] children. We reigned in the provider tax [00:56:41] and state directed payments which have [00:56:43] exploded over years. And we are taking [00:56:46] this money not only preserving Medicaid [00:56:48] for the ID community, our seniors, our [00:56:50] children, our single mothers, but we're [00:56:52] investing it in rural health. When you [00:56:54] look at Obamacare, uh, health insurance [00:56:57] premiums have risen 96% since Obamacare [00:57:00] took effect. Insurance revenues up [00:57:02] 2,000%. Mr. President, you are a,000% [00:57:05] correct that the insurance companies are [00:57:08] the problem. They wrote Obamacare. It's [00:57:10] to their benefit and the American people [00:57:12] are being screwed. And so, we can get a [00:57:15] bipartisan agreement on what you are [00:57:17] trying to do. Uh when it comes to [00:57:19] lowering drug prices, I will tell you [00:57:21] one of the largest pharmaceutical [00:57:23] companies is in my district in [00:57:24] Westchester County. I met with them in [00:57:27] 2024 and I said, "What would you do to [00:57:29] lower drug prices?" And the response was [00:57:31] go after the European price controls. [00:57:33] You are spot on on taking on the price [00:57:36] controls that have been put in place. [00:57:38] Most favored nation is the single best [00:57:40] thing we can do to lower prescription [00:57:43] drug prices here in America. The [00:57:44] pharmaceutical companies will tell you [00:57:46] that privately. And that is the [00:57:48] fundamental fact. We need to go after [00:57:50] PBM reform, associated health care [00:57:53] plans. We put that on the floor. Every [00:57:55] Democrat voted against it. Every [00:57:57] Republican for it. Those would reduce [00:57:59] costs by 11% because businesses, small [00:58:02] businesses would be able to pull [00:58:04] together and purchase health care plans [00:58:06] at a lower rate. We need to go after uh [00:58:09] the PBMs and make sure that insurance [00:58:11] companies are not owning providers and [00:58:13] owning PBMs. That is what is driving up [00:58:16] the cost of health care in this country. [00:58:18] Uh you've talked about IVF. I've been a [00:58:20] big champion on this. We need to make [00:58:22] sure the insurance companies cover it. I [00:58:24] also have a tax bill to provide tax [00:58:26] incentives to Americans. And what you [00:58:28] have done to lower IVF costs on the [00:58:30] drugs is critical. And you are a [00:58:33] thousand% correct on expanding HSAs. I [00:58:36] fundamentally believe that we can [00:58:38] address the issues with Obamacare, make [00:58:40] sure that the American people have [00:58:43] access to care at a lower rate. We can [00:58:45] get a bipartisan agreement to address [00:58:48] the EPC [00:58:49] with expansion of HSA so that the money [00:58:52] goes to the people and not the insurance [00:58:54] companies. We are committed to working [00:58:56] to get this done and I thank you for [00:58:58] your leadership. [00:58:58] >> Thank you. Thank you, [00:59:00] >> Governor, [00:59:02] >> Mr. President. a gigantic thank you and [00:59:04] uh thank you for your incredible [00:59:05] leadership. Your courage gives me cou [00:59:08] more courage to say it the way it is. Uh [00:59:11] we're working very hard in Nebraska to [00:59:13] run government like a business. This [00:59:15] investment into rural America which by [00:59:17] the way in all of Nebraska, you pull [00:59:20] 85%. I don't know what the hell's wrong [00:59:22] with the other 15, but you're 85 is a [00:59:25] pretty good number. Uh I think uh [00:59:27] [clears throat] be very very brief. This [00:59:30] plan will allow us to do common sense, [00:59:33] pragmatic investments in rural Nebraska [00:59:37] and they will be sustainable. We will [00:59:39] make sure that we don't need another [00:59:42] dollar after five years. We are working [00:59:45] on simple things like food. Real food is [00:59:49] good medicine. We're working on making [00:59:52] sure that all of our veterans Nebraska [00:59:54] is 500 miles long, 250 m wide. No longer [00:59:58] are veterans going to have to drive to [01:00:00] Omaha to get care. We're going to take [01:00:03] care of our veterans at home. [01:00:04] Investments in technology so we can [01:00:07] educate our children in rural Nebraska [01:00:09] to provide health care uh are really [01:00:11] really important issues and I think that [01:00:14] uh the other is we've invi developed [01:00:16] what we call six regions one Nebraska [01:00:19] and that will f focus and take advantage [01:00:22] of those. So, we're working on what we [01:00:24] have and then being able to use these [01:00:26] resources uh to also help us within [01:00:29] mental health and uh and drug care as [01:00:32] well. So, we're incredibly grateful. [01:00:34] Nebraska, we work hard. We're about [01:00:36] faith, family, hard work, the American [01:00:38] dream, and we don't ask for much help in [01:00:41] rural Nebraska. So, we're really [01:00:43] grateful for this investment. Thank you. [01:00:45] >> Thank you. [01:00:45] >> Thank you. [01:00:46] >> Thank you for being here. [01:00:50] >> One minute. How about 30 seconds? How [01:00:53] about 30 seconds, sir? Uh, as a small [01:00:55] town kid from Glenrose, Texas, [01:00:57] population 1,200 where I grew up, what [01:00:59] you are doing today, uh, changes [01:01:01] everything. And on behalf of our farmers [01:01:04] and our ranchers in rural America, it is [01:01:06] a new day and we're so grateful. The [01:01:08] final thing I'll say is I think about [01:01:10] Abraham Lincoln who also sat in this [01:01:11] room and I think about other presidents [01:01:13] throughout American history and you [01:01:15] think about how the fundamental course [01:01:17] of American history has changed in [01:01:20] certain pivot points throughout history. [01:01:22] I think about you as the peace [01:01:24] president. Uh eight wars solved more [01:01:27] coming. I think about you as the [01:01:30] security president. A border that is [01:01:32] secure for the first time and more than [01:01:34] any time in American history. I think [01:01:37] about you as the prosperity president. [01:01:39] We talk about Kevin wages going up. [01:01:41] >> We'll give her more than one minute. In [01:01:43] fact, [laughter] [01:01:44] >> oh no, I'm almost done. [01:01:46] >> She can No, she can speak as long as she [01:01:48] wants. [01:01:49] >> I'm almost done. [laughter] [01:01:51] The the prosperity president and what's [01:01:53] happening. Think about you as the [01:01:55] affordability president. Everything is [01:01:57] coming down. Inflation is coming down. [01:02:00] The cost of groceries is coming down. [01:02:02] Fuel, housing, etc. And sir, today in [01:02:06] the last two weeks, you will go down in [01:02:08] history as the greatest president for [01:02:11] the health of this country in history. [01:02:14] Think about our new dietary guidelines [01:02:16] from Bobby Kennedy and I, but with your [01:02:18] leadership putting real food back in the [01:02:20] middle of our healthc care conversation. [01:02:24] Whole milk for healthy kids with those [01:02:26] dairy farmers two days ago. We were in [01:02:28] Pennsylvania talking about it yesterday [01:02:30] and today putting the patient and the [01:02:33] doctor back in charge of health care [01:02:36] with great leaders like Governor Panin. [01:02:38] God bless you, your leadership and all [01:02:40] of our leaders. Thank you so much, sir. [01:02:41] >> Thank you very much. Doing a [applause] [01:02:43] great job. [01:02:44] And Terry and Andrew, thank you. Thank [01:02:47] you very much for being here. I hear [01:02:48] you're just outstanding people and have [01:02:51] really helped. We appreciate it. You [01:02:52] want to say something? [01:02:53] >> Thank you, President Trump. And I would [01:02:55] just echo everything that's been said [01:02:57] here. Thank you very much for what [01:02:58] you're doing. I'm from the northwest [01:03:00] corner of New Mexico. We also work with [01:03:02] the Navajo Nation, [01:03:04] >> right? [01:03:04] >> And uh so we have a lot of rural areas [01:03:07] in our state and in our county. I'm also [01:03:11] a county commissioner. So I take as [01:03:13] being a nurse practitioner, county [01:03:15] commissioner with the uh heavy weight in [01:03:18] order to see this happen. And uh it will [01:03:22] help prevent uh produce accessibility [01:03:25] which is a huge thing. People have to [01:03:27] drive for miles in order to see a health [01:03:30] care provider workforce quality care and [01:03:33] sustainability for our hospitals. That's [01:03:35] what we're looking at. We meet next week [01:03:38] as uh in Santa Fe with our legislators. [01:03:42] And so that is we're going to be [01:03:43] addressing the lure compact as is [01:03:46] >> and they've got to clean up their [01:03:47] elections in New Mexico. We're working [01:03:50] >> because those elections are so corrupt. [01:03:52] It's incredible. If they clean it up, we [01:03:54] win by a lot. But they are really [01:03:56] corrupt elections. So I think if you [01:03:58] want to do this, you have to tell them [01:03:59] to start working on that. It's [01:04:01] unbelievably one of the more corrupt [01:04:03] states in terms of that. But you [01:04:05] uncorrupted. So I appreciate you being [01:04:07] here. [01:04:07] >> Well, the Northwest corner loves you. [01:04:09] >> I know. I know. No, we have great love [01:04:12] in New Mexico, but it's uh the elections [01:04:14] are so corrupt, not much you can do [01:04:16] about it. We have that with numerous [01:04:18] states. Thank you very much. Uh, Andrew, [01:04:21] thank you very much. You have anything [01:04:22] to say, [01:04:23] >> Mr. President? Thank you for having me [01:04:25] here today. It's a It's an honor to be [01:04:26] here to represent my community. I'm from [01:04:28] Northwest Georgia, grew up in West [01:04:29] Virginia, uh, to represent my colleagues [01:04:32] and my profession. It's truly an honor. [01:04:33] This is so important to our patients, to [01:04:36] put the physician and the patient back [01:04:38] together and take everything else out of [01:04:39] the middle. I uh, practice in [01:04:41] cardiology. You know, having efficient, [01:04:43] effective, high quality care is so [01:04:45] important and time is of the essence and [01:04:48] patients need to be able to have close [01:04:49] proximity to their doctors to get the [01:04:50] care that they deserve. Quality of care [01:04:53] shouldn't matter about the zip code. Uh [01:04:55] we should be able to do what we are best [01:04:57] at and take care of our patients on an [01:04:58] equal playing field and this certainly [01:05:00] helps that. I greatly appreciate all [01:05:02] that you've done for the American [01:05:03] people. You are an inspiration to us. [01:05:05] You make us believe no problem is too [01:05:07] big to solve. I mean, you you are a [01:05:09] representative of that and I thank you [01:05:10] for your leadership. Thank you for this [01:05:12] opportunity to be here and thank you for [01:05:14] putting healthcare at the forefront. [01:05:15] It's so important to every patient and [01:05:17] every family that we take care of. [01:05:18] >> Thank you very much, Andrew. Great job. [01:05:20] Great job you both do. Amazing. I've [01:05:22] heard unbelievable things. And doctors [01:05:24] in particular, thank you very much for [01:05:26] being here. We very much appreciate it. [01:05:28] Uh thank you everybody. It's big story. [01:05:31] Thank you. [01:05:34] [applause] Thank you.