00:01Russell Brand was backstage hugging the Secretary of Agriculture, but here he is.
00:08Yes.
00:09Took my heart to a whole new level.
00:11She initiated that contact, so I shall make clear, Doctor.
00:15Actually, you initiated it.
00:17Thank you for joining us.
00:19Shall I be the host of this, Doctor, even though your experience and expertise goes way beyond medicine,
00:24and even beyond government, and into hosting?
00:26Do I have your permission to host this conversation?
00:28So, as you know well, the stage left person is the host.
00:32That was from Oprah days, because Oprah didn't want to walk across the whole stage without her shoes on,
00:36so she would sit there closest to the exit.
00:38So, yes, you are the host by de facto.
00:41I don't know.
00:42Not by de facto.
00:44I want a deliberate anointing.
00:47Anointing you as the host.
00:48Dan, what do you think?
00:48Thank you very much.
00:49Dr. Oz, Dan Brillman, thank you very much for joining us today at this important Maha Summit.
00:54We have a great opportunity here to discuss some of the complexity of contemporary American health.
01:00One of the things that's always struck me about you in particular, Doctor, aside from the hair, the evident beauty,
01:05the incredible family,
01:07the ability to surf across time as if they were literal waves, is that you have managed to ensure that
01:15care in the spiritual dimension has continued to be relevant while in a position of government.
01:21What is the biggest crisis that is facing American health right now, and what do you see as your foremost
01:28obligation when it comes to dealing with a culture that has seemed to, for a long time, engender sickness?
01:35Without question, the reason you're here is the reason we're in trouble in healthcare in America.
01:41There is no way to make healthcare costs affordable if what's driving at least 75% of it is chronic
01:49illness.
01:49And so if you look at other countries and what they pay per person on healthcare, we're at least twice
01:54as expensive because we're twice as fat.
01:56And that plays through. We're 43% obesity two years ago. Now we're down to about 40%.
02:01That drop is partly from the GLP-1 medication, but partly because of what's being talked about here.
02:07The lifestyle changes that we know translate to a reduction in obesity.
02:11Obesity, of course, drives hypertension, drives diabetes, and downstream complications, strokes, heart attacks, kidney failure, all the stuff that comes
02:17from that.
02:18So we're in the right room if you want to deal with the real drivers of costs.
02:22But it's not just about making a healthy lifestyle de facto.
02:26There are some fundamental problems we have in this country with our most vulnerable.
02:31And those vulnerable populations come in two kinds. The first is providers, doctors, nurses, etc.
02:37You may not believe this, but every doctor deep in their heart knows for sure they finished top half of
02:42the class.
02:44Not possible. But that's what they think.
02:46So when they're not doing as well as everybody else, they don't actually take charge of that problem.
02:51We have to deal with that.
02:52The second big issue is a good part of this country doesn't really prioritize their health.
02:57We see it in many places, but the most obvious is the Medicaid population where Dan Brillman, who runs this
03:03group with spectacular finesse and an appropriate appreciation of its importance.
03:09I think you can enlighten folks in some of the things you're trying to do.
03:11Again, this is a population where you don't meet them where they are.
03:15You're not going to get them on board.
03:17That was beautifully articulated, doctor.
03:19And I saw you resist the temptation to host.
03:22You nearly threw directly to Dan, which would have been a real live castrating of me.
03:27Which I'm happy that you had the discipline.
03:29I consider that part of your hypocritic oath to do no harm to me while I'm on the stage.
03:35Now, Dan, we've just met for the first time and you are at a nexus of great significance.
03:39As an Englishman, I don't understand, well, actually much, but I certainly don't understand Medicaid and Medicare and the complex
03:46obligations that must come with attempting to manage a relationship between the state and private insurance.
03:55Now, what do you consider to be a priority to ensure that with the limitations you have, even though I
04:00know that you have, you are blessed with extraordinary budgets.
04:02The HHS has a larger budget than my entire nation.
04:06And yet we have healthier people and we live on fish and chips, nostalgia and guilt.
04:15So, Dan, what precisely is it that we must or that you in your role as head of Medicaid must
04:21focus on to ensure that the health outcomes that I know that you and Dr. Oz are committed to are
04:26achieved?
04:26Now, let's turn into Chase504.
