Speaker 1: You are about to listen to the Doctor Dahlia Show,
Speaker 1: sassy stimulating talk radio and now here's Doctor Dahlia.
Speaker 2: Doctor, Doctor, tell me.
Speaker 1: True I'm supposed to do?
Speaker 2: Doctor Doctor? Will it be okay?
Speaker 3: Got the cast that makes me Doctor?
Speaker 2: You've got me right off the doctor.
Speaker 4: Welcome back, everybody. Hope you're having a wonderful summer.
Speaker 2: Thank you all for tuning in.
Speaker 4: Sadly, this cyclospora outbreak is not over, and in fact,
Speaker 4: it looks like it's already taken some lives. The Michigan
Speaker 4: Department of Health and Human Services has announced this week
Speaker 4: that two people within Michigan with significant underlying health conditions
Speaker 4: have died in connection with the outbreak of the intestinal
Speaker 4: illness cyclistriasis caused by thespora parasite.
Speaker 2: According to the Department of Health.
Speaker 4: They said the two deaths have been identified as part
Speaker 4: of the cyclosporiasis outbreak affecting Michigan. Now, Michigan has been
Speaker 4: the state with I believe the most cases. We can't
Speaker 4: say it's ground zero because there's multiple outbreaks going on
Speaker 4: right now with cyclospora. One link was iceberg lettuce, but
Speaker 4: cyclospora happens every year. During this time of year because
Speaker 4: the parasite likes the nooks and crannies of berries and
Speaker 4: the little crevices and lettuce, and the surface area of
Speaker 4: shredded lettuce is much more than a single piece when
Speaker 4: you have those little pieces.
Speaker 2: So we usually see cyclospora.
Speaker 4: Outbreaks every year, but the degree of this one is
Speaker 4: a lot larger. I believe there's been over eleven two
Speaker 4: hundred and thirty four cases in Michigan alone. Ohio has
Speaker 4: about four thousand cases now. Hospitalizations are still up. Even
Speaker 4: though cyclosporiass is generally not a life threatening illness, death
Speaker 4: could still happen if you're vulnerable, and cyclospora has now
Speaker 4: been found in at least forty five states.
Speaker 2: I think we've been a.
Speaker 4: Little slow to get that data because many people have
Speaker 4: been calling telemedicine companies and getting treated and not tested.
Speaker 4: Most telemedicine companies say you gotta get tested. The CDC
Speaker 4: needs to know the case count. But other people are saying, oh,
Speaker 4: I need an antabotic, so they're asking for it. They're
Speaker 4: looking up the antabotics on CHANGINGTP. Then they're calling up
Speaker 4: with something different, getting that antabotic and self treating. So
Speaker 4: I think you know, I wouldn't be surprised if there
Speaker 4: were cases in all states.
Speaker 2: It's just we might not know about it.
Speaker 4: But as of Monday, so a couple of days ago,
Speaker 4: there's been eleven and thirty four cases of cyclosparias is
Speaker 4: reported in Michigan alone, four thousand in Ohio, and in
Speaker 4: terms of other states, the numbers are coming in. So
Speaker 4: you know, why, why would somebody die from this parasite?
Speaker 2: Well, your.
Speaker 4: Body is very, very smart, and we've talked about why
Speaker 4: diarrhea happens. When your body detects something that shouldn't be
Speaker 4: whether it's a virus, whether it's a bacteria, whether it's
Speaker 4: a parasite, it will draw fluid from the intestine. Because
Speaker 4: the intestine knows how to suck up fluid. We could
Speaker 4: also draw from it to flesh it out, and so
Speaker 4: the body will try its hardest, and since you get
Speaker 4: cyclospora from fecal oral route, you ingest it. The body
Speaker 4: feels that it's going to take hold in the intestine
Speaker 4: and then it'll flesh it out. The problem is is
Speaker 4: the immune response that could follow if the body doesn't
Speaker 4: know that it flushed it all out, or it still
Speaker 4: thinks it's there or now it's you know, opened up
Speaker 4: Pandora's box. You could continue fleshing and fleshing and get
Speaker 4: extremely dehydrated. If you lose your fluids, now that can
Speaker 4: cause other end organ damage. We need to get a
Speaker 4: little bit more data as to how these people died.
Speaker 2: Did they die because they lost so much electrolytes? I
Speaker 2: apologize like electrolytes.
Speaker 4: When you do have diarrhea, not only do you lose water,
Speaker 4: but you lose your potassium and magnesium and other salts.
Speaker 4: If you lose too much of your salts, that can
Speaker 4: then cause you to have admirable heart rhythms.
Speaker 2: Right.
Speaker 4: If you can't eat now you have malnourishment, you're not
Speaker 4: metabolizing your medications correctly.
Speaker 2: So there's a lot of.
Speaker 4: Different things that could happen to somebody who has a
Speaker 4: horrible intestinal illness, and I've seen people really crump and
Speaker 4: get extremely extremely sick. Cyclospora or cyclosporiasis usually doesn't kill,
Speaker 4: but it has that potential.
Speaker 2: The problem is is here we are months into this.
Speaker 4: Outbreak, having over eleven thousand cases in one state alone.
Speaker 4: We don't have the average person getting tested. We don't
Speaker 4: know the numbers I think it is a lot bigger.
Speaker 4: And it's interesting because I drive by Taco Bells and
Speaker 4: other Mexican restaurants and fast food and you don't see
Speaker 4: the drive through line as busy as you see the
Speaker 4: McDonald's and the innt out.
Speaker 2: I think people are starting to panic. And you know, I've.
Speaker 4: Always told you guys, the the fast food places or
Speaker 4: these convenient food places that try to sell fresh ingredients
Speaker 4: and vegetables often are the ones behind the eight ball
Speaker 4: as it relates to infectious disease and food born illness.
Speaker 4: Like that's why you heard a lot about Chipotle in
Speaker 4: the news before COVID. Now they've really stepped things up
Speaker 4: and you don't hear a lot of.
Speaker 2: Food born illness.
Speaker 4: But remember Chipotle was in the news almost every week
Speaker 4: and and I don't know what it was ever found
Speaker 4: with that, but because they used fresh ingredients, there was
Speaker 4: a lot of questions as to well, wait a second,
Speaker 4: you know, how do we know these fresh ingredients are
Speaker 4: not carrying bacterian parasites, whereas places like McDonald's and in
Speaker 4: and out, You know, if they're not using a.
Speaker 2: Lot of fresh ingredients, they could be.
Speaker 4: But you know, if a lot of their You know
Speaker 4: your quarter pound or with cheese has the slivered onions.
Speaker 2: Onions could still you have you know, a bacteria and
Speaker 2: parasites on them.
Speaker 4: But if they aren't having the shredded lettuce on those,
Speaker 4: you might not hear as many issues.
Speaker 2: The Big Mac I think has shredded lettuce. So these
Speaker 2: other fans food places do. But it depends on on
Speaker 2: their quality assurance.
Speaker 4: It depends on how they address their their their food
Speaker 4: borne pathogens, their hand washing.
Speaker 2: Et cetera. So any place.
Speaker 4: The point I'm trying to make is any of these
Speaker 4: locations could could you know, serve a as a as
Speaker 4: a potential source even your own home cooked food.
Speaker 2: This is why we have you watch your vegetables.
Speaker 4: You know all sometimes buy pre washed broccoli, pre washed spinach.
Speaker 2: You should still wash that. How do you know it
Speaker 2: was washed thoroughly?
Speaker 4: How do you know something didn't get into the vacuum
Speaker 4: seal bag wash it or it's not I mean it's
Speaker 4: not sterile, So I would I would be a lot
Speaker 4: more diligent with that.
Speaker 2: Many of you are very very frustrated.
Speaker 4: You're having diarrhea, so you're calling up to telemedicine companies.
Speaker 4: They won't treat you over the phone again for us
Speaker 4: to diagnose you with a parasite versus nora virus versus
Speaker 4: E coli versus travelers diarrhea.
Speaker 2: It's difficult because.
Speaker 4: They really need to know the numbers in the cases
Speaker 4: and tell amedicine. Even though it's helping people get access,
Speaker 4: it is kind of interfering with the epidemiological studies that
Speaker 4: need to be done, and so you would have to
Speaker 4: call your doctor or go to an urgent care to
Speaker 4: get tested.
Speaker 2: Don't let this diarrhea go.
Speaker 4: I know a lot of people are like, Oh, I'm
Speaker 4: losing weight, this is wonderful, I'm feeling great.
Speaker 2: Wouldn't I wouldn't have that attitude towards this. It's dangerous
Speaker 2: now that we.
Speaker 4: Know it's causing hospitalizations, can kill people. And yeah, I'm
Speaker 4: really worried that people are going to undernourish and stay
Speaker 4: away from vegetables completely. Just wash for vegetables and be
Speaker 4: careful eating out one eight seven seven doct dollar, don't go.
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Speaker 2: Thank you all for tuning in.
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Speaker 4: So some of you probably saw this article saying one session,
Speaker 4: just a single session of brisk walking per week, could
Speaker 4: shed just as much much fat as three weekly workouts.
Speaker 4: And I'm sure many people are looking at that going great.
Speaker 4: I don't have to do the one hundred and fifty
Speaker 4: minutes a week that's being recommended, and I could just
Speaker 4: work out once I did a lot of housework on
Speaker 4: the weekend.
Speaker 2: I'm good. No you're not. But I'll tell you what
Speaker 2: this study said. The scientist from the University of Hong
Speaker 2: Kong looked at.
Speaker 4: Specifically interval walking, which a workout that involves very fast
Speaker 4: walking interspersed with short periods of rest where you go
Speaker 4: fast and you stop, and you go fast and you stop.
Speaker 4: And they did a four month trial, according to Daily Mail,
Speaker 4: looking at three hundred and fifteen adults with abdominal obesity,
Speaker 4: and the abdominal obesity is the dangerous type of fat.
Speaker 4: We call it visceral fat, where it surrounds the stomach
Speaker 4: and abdomen, and visceral fat harms our health more than
Speaker 4: fat on our arms and legs, because it surrounds vital organs.
Speaker 2: Raises a risk of heart disease, diabetes, other major illnesses.
Speaker 4: Having that big wayte having the fatty deposits around your
Speaker 4: major organs not good.
Speaker 2: So in the study.
Speaker 4: The participants were assigned to one of three groups. One
Speaker 4: group completed a seventy five minute session of walking interval
Speaker 4: training a week for the study period. Another group split
Speaker 4: that seventy five minute session into three workouts across the week.
Speaker 4: Another acted as a control group and did no exercise
Speaker 4: at all. The researchers measured the body fat using a
Speaker 4: bone density scan, which gives an accurate measurement of fat.
Speaker 2: To muscle ratio.
Speaker 4: The scientists measured total body fat mass, body fat percentage,
Speaker 4: and waste or comforts three times before participants started the study,
Speaker 4: immediately afterwards, and then again four months.
Speaker 2: After it ended.
Speaker 4: And then the study was published in the journal Nature Communications,
Speaker 4: and it found that at the sixteen week assessment, both
Speaker 4: of those groups that were doing the interval training showed
Speaker 4: similar improvement. So it suggested that total exercise volume may
Speaker 4: matter more than how that exercise is spread across the week.
Speaker 2: There were no significant change is in blood pressure or cholesterol.
Speaker 4: Excuse me, so the authors think that maybe it's because
Speaker 4: the participants level was already fairly normal at the start. Now,
Speaker 4: the waistline reductions persisted for at least four months after
Speaker 4: the exercise program ended. Although the fat loss and weight
Speaker 4: loss advantages faded by that point, so the researchers concluded
Speaker 4: that once weekly interval training may be feasible and effective
Speaker 4: alternative for people who struggle to fit multiple exercise sessions
Speaker 4: into their schedules. You know, really, people, you can't fit
Speaker 4: in exercise every day.
Speaker 2: The day is long, and I get.
Speaker 4: I worked a lot, and I worked in hospitals, and
Speaker 4: I took the stairs then instead of the elevator, I
Speaker 4: wouldn't take the shortcut to the room and walk around.
Speaker 2: I would on my break walk.
Speaker 4: You know, there's ways to increase your steps and increase
Speaker 4: your activity. Professor Paco su Ming Phi, the studies lead
Speaker 4: researcher at the University of Hong Kong, said, while thrice
Speaker 4: weekly interval training remains a commonly recommended approach for the
Speaker 4: therapeutic management of obesity, our finding show that once weekly
Speaker 4: interval training offers similar benefits and represents a practical exercise strategy.
Speaker 4: They see for many adults with central obesity who struggle
Speaker 4: to balance work, study, family, and other commitments, time constraints
Speaker 4: are a primary barrier to exercising multiple times per week.
Speaker 2: You know, there's been studies looking at you only need
Speaker 2: ten minutes. Just try and get ten minutes in, you know,
Speaker 2: switching subjects here breastfeeding. There's a lot of women that say,
Speaker 2: I can't do it. I'm gonna have to be back
Speaker 2: at work. I can't breastfeed. You know.
Speaker 4: I only got two weeks off with my first child
Speaker 4: and three days off with the second. I still did
Speaker 4: the breastfeeding and the pumping. Now I made less milk,
Speaker 4: but as long as I could get the baby Samana bodies,
Speaker 4: every little bit counts.
Speaker 2: And what I've done in.
Speaker 4: My life is had that attitude every little bit counts.
Speaker 2: Now. Am I have my ideal weight? Absolutely not. And
Speaker 2: I really need to be in the gym longer, and
Speaker 2: I do need to exercise more. But I do exercise
Speaker 2: a lot a lot.
Speaker 4: I'm hiking, I'm walking, I'm working out, I'm treadmillon, I'm
Speaker 4: lifting weights. But genetics doesn't seem to be as with me.
Speaker 4: My metabolism isn't with me like it used to be.
Speaker 4: But I've always worked out even when I was on
Speaker 4: bed rest, and I was put on bed rest when
Speaker 4: I was pregnant, I still worked out in bed. I mean,
Speaker 4: I just always moved because I knew if I don't
Speaker 4: keep my muscles up, my metabolism will go down.
Speaker 2: I need to build my muscle. I need to keep
Speaker 2: my muscle up.
Speaker 4: I need to keep moving, and so we need to
Speaker 4: find ways to move. Have one of those little cycles
Speaker 4: underneath your desk where while you're working you could cycle.
Speaker 4: But these studies saying you know you could get away
Speaker 4: with just one workout a week, that's I think too little,
Speaker 4: because your body needs exercise. Your body was never designed
Speaker 4: to sit in the cave as a caveman for twenty
Speaker 4: four hours. Your body was designed to hunt, gather, get
Speaker 4: up to go to the bathroom, chase the kid, go
Speaker 4: and fish, climb the tree, grab the fruit. You were
Speaker 4: designed to move, and those who don't move don't do well.
Speaker 2: So to think that you could.
Speaker 4: Do that six days a week and only one day move, no,
Speaker 4: that's not healthy.
Speaker 2: And that's why I don't really like these studies. Now,
Speaker 2: I get what they're saying.
Speaker 4: If you're only fitting in one workout on the weekend,
Speaker 4: that's gonna still be worth something, and.
Speaker 2: I credit them for that. Let's say your friend says.
Speaker 4: Look, I want you to come out and play pickleball
Speaker 4: on Saturday and you go and you play pickleball for
Speaker 4: an hour or two. That's gonna be a good workout.
Speaker 4: Don't break any bones because people are breaking bones now
Speaker 4: playing pickaball, But that's gonna be a good workout. But
Speaker 4: that doesn't mean you get to them. Blow off exercise
Speaker 4: the rest of the week. But what this does tell
Speaker 4: you is try to do some activity on the weekend
Speaker 4: if that's your time off. Walk the dogs, you know,
Speaker 4: do more housework, you know, go and check on the neighbors.
Speaker 4: Don't drive up to your mailbox. There's a lot of
Speaker 4: things you could do to stay active. When it comes
Speaker 4: to laundry. Let's say you have a laundry room. You know,
Speaker 4: maybe rather than trying to carry everything and everything fall
Speaker 4: on the ground as you're going back to your apartment
Speaker 4: or going back to where the laundry goes, why don't
Speaker 4: you go piece by piece add find little ways to
Speaker 4: add extra moves. You want to walk over to the
Speaker 4: kitchen to bring your plate and your fork and your spoon.
Speaker 4: Bring your fork, then go back, bring your plate, go back,
Speaker 4: bring your cup.
Speaker 2: Put some music on and dance to the music.
Speaker 4: If there's a commercial or an ad break while watching
Speaker 4: a movie, get up and walk back and forth in
Speaker 4: your room. We talk about pedometer readings and how the
Speaker 4: ten thousand steps was a marketing strategy back in the
Speaker 4: sixties during the the I believe the Tokyo Olympics by
Speaker 4: a company that wanted to sell panometers saying you need
Speaker 4: ten thousand steps. It wasn't scientifically sound, but I love
Speaker 4: that number. Ten thousand steps. Ten thousand steps is not
Speaker 4: hard to do. Make yourself that goal. And if you're
Speaker 4: getting ready to go to bed and you're only at
Speaker 4: eighty five hundred, it only takes a few minutes to
Speaker 4: get those extra fifteen hundred steps walk back and forth.
Speaker 4: If you think that's gonna rev you up, then make
Speaker 4: sure the next day you're doing your steps in the
Speaker 4: morning so you could feel confident that you could go
Speaker 4: to sleep. You know, it's it's it kills me that
Speaker 4: we're trying to find shortcuts to doing something that.
Speaker 2: Our body needs.
Speaker 4: We're driving, we're taking buses, we're we're parking right up
Speaker 4: to the door of where we work, or we're parking
Speaker 4: in our garage, your car portal.
Speaker 2: Right next to our apartment. You know, we I was
Speaker 2: just in New.
Speaker 4: York twice, actually and boy are people more slender there.
Speaker 4: Why because they're walking everywhere, they're biking everywhere. But for
Speaker 4: those of us who live more rural or suburban, we're
Speaker 4: dry everywhere.
Speaker 2: We're not exercising.
Speaker 4: The only way we're gonna lose weight or keep our
Speaker 4: weight down is not eating crap that effects and changes
Speaker 4: our metabolism, eating smaller portions, eating healthier, clean, single ingredient foods,
Speaker 4: and moving more. These GLP ones, they're only temporary, making
Speaker 4: people not think of food noise. I watch that rebel.
Speaker 2: I think her name is what Rebel Wilson.
Speaker 4: She's losing weight, she's doing I think ROW or one
Speaker 4: of these online h GLP one.
Speaker 2: Sort of things.
Speaker 4: And you see her riding a bike and someone's offering
Speaker 4: her rocky road. They're offering her food and and she's able.
Speaker 2: To deal with the food noise.
Speaker 4: I think those medications work really really well with that
Speaker 4: until your body gets used to it. You're gonna have
Speaker 4: to come up with then a plan when these GLP
Speaker 4: one stop working, and for everybody I think, I think
Speaker 4: it happens or you can't afford it anymore because there's
Speaker 4: too expensive, even at five hundred a month, So build
Speaker 4: that muscle. Keep exercising, and I love that she's exercising,
Speaker 4: and she's talking about making good food choices because you can't.
Speaker 2: Just rely on the shot.
Speaker 4: You can't just rely on exercising once a day.
Speaker 2: My problem with.
Speaker 4: Exercising is I want a roller skate, I want a
Speaker 4: bike ride, and I'm falling.
Speaker 2: Okay, I don't want to break anything. Pickleball.
Speaker 4: You know, my husband almost broke a bone play pickle ball.
Speaker 4: So you're gonna have to find exercise that you could
Speaker 4: do with longevity. And that's why I like walking, especially
Speaker 4: the brisk walking one eight seven seven doct dollar.
Speaker 3: You oh go away.
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Speaker 2: Welcome back to the.
Speaker 4: Doctor Dolli Show one eight seven seven dot Dolli one
Speaker 4: eight seven seventy O C D A L I C.
Speaker 4: You can't make this stuff up. So in New York City,
Speaker 4: you know how they want to do those government run
Speaker 4: grocery stores where they're going to be providing staples of
Speaker 4: food at thirty percent off. Other options at the store
Speaker 4: may be still regular price, but they want eggs and
Speaker 4: fruit and meat and fish and cheese milk to.
Speaker 2: Be thirty percent off. YEA, well, that's great. It sounds beautiful,
Speaker 2: full sounds.
Speaker 4: You know, all these socialist ideas seem to make people salivate, going.
Speaker 2: Oh, look at all these goodies, look at all.
Speaker 4: These you know, uh, you know, free healthcare and free
Speaker 4: bus rides and student loans being written off.
Speaker 2: They make it all sound good until.
Speaker 4: You start to look at the practicality of it. So
Speaker 4: then questions come up, going, okay, so you have these
Speaker 4: stores where everything's thirty percent off, and we've had in
Speaker 4: the history books, some of these stores never have enough
Speaker 4: supply because somebody buys out the cheaper stuff, either resells
Speaker 4: it or stocks up on it.
Speaker 2: So excuse me.
Speaker 4: When Mamdani mayor Mamdannie New York was asked about that, how.
Speaker 2: Are you going to ensure that the people who this
Speaker 2: is for is going to be able to take advantage
Speaker 2: of it?
Speaker 4: Well, that's going to involve some sort of ID. Now
Speaker 4: this is coming from the same group of individuals who are.
Speaker 2: Anti voter ID. It's it's just ridiculous. It's the hypocrisy man.
Speaker 2: So New York.
Speaker 4: City mayors Ara Momdami earlier this week said what they're
Speaker 4: going to use as a quote library card esque system
Speaker 4: to be employed to prevent abuse at these markets. You see,
Speaker 4: this is an example of promising without looking at the
Speaker 4: ramifications and understanding the.
Speaker 2: Infrastructure of it.
Speaker 4: So a reporter asked about how are they going to
Speaker 4: prevent bulk purchases of groceries at the artificial discount from
Speaker 4: being resold at MSRP or higher. According to Fox News,
Speaker 4: So the mayor responded that the government.
Speaker 2: Grocery request for proposal.
Speaker 4: Makes clear that this is a program for New Yorkers
Speaker 4: to be able to put food on the table, not
Speaker 4: a program for people to be able to make a
Speaker 4: quick buck through reselling.
Speaker 2: And then he pass it over to his EDC head.
Speaker 4: Jenny Pack, to add additional details. So then she said,
Speaker 4: we are looking to make sure that we target New Yorkers,
Speaker 4: whether it be a sort of library card esque thing,
Speaker 4: and also we manage who's buying and that is focused
Speaker 4: on everyday New Yorkers, she said, So we are mindful
Speaker 4: of that, and so we're going to make sure that
Speaker 4: we have all the things in place to ensure that
Speaker 4: does not happen. Well, if that's the case, that would
Speaker 4: mean some sort of ID When asked about the parent divergence,
Speaker 4: according to Fox News, between Pack's response referencing a possible
Speaker 4: ID card system and opposition to voter ID, a Mandami
Speaker 4: spokesperson said it was an apples to orange contrast. They said,
Speaker 4: comparisons to voter ID laws or the save Act simply
Speaker 4: do not apply. This is not an identification system, nor
Speaker 4: is it a mechanism to verify who someone is, where
Speaker 4: they live, or how much they earn, even though they
Speaker 4: just docked close to a million apartment owners.
Speaker 2: For that Pettitteer tax.
Speaker 4: So, according to Mondonnie spokesperson, they said, it is a
Speaker 4: practical inventory management tool.
Speaker 2: To ensure affordability.
Speaker 4: Groceries remain available for the people who need them instead
Speaker 4: of being cleared.
Speaker 2: Off shelves for resale, they say.
Speaker 4: The spokesperson pointed to the mayor's comments specifically regarding book
Speaker 4: buying concerns, saying that the premise of the reporter's question
Speaker 4: not whether people from Pennsylvania, New Jersey or upstate New
Speaker 4: York will be able to shop at the subsidized outlets.
Speaker 4: So they said, to be absolutely clear, New York City
Speaker 4: grocery stores will be open to everyone. There will be
Speaker 4: no system to verify identity, residency, or income, and no
Speaker 4: one will be asked to show ID to shop.
Speaker 2: Well, then, then.
Speaker 4: How are you ensuring you're helping the individuals who need
Speaker 4: the help? Okay, we have seen people take advantage of discounts,
Speaker 4: and I mean somebody could.
Speaker 2: Very easily drive to that burrow, jump out of the car,
Speaker 2: say ride.
Speaker 4: Around the block a couple of times, go and get
Speaker 4: their groceries come out. I mean, are they going to
Speaker 4: limit how much milk you could buy? How are they
Speaker 4: going to you know, the whole purpose of this is
Speaker 4: to help the very New Yorkers who need the need
Speaker 4: the financial assistance. Unless that's really what they don't want
Speaker 4: to do. Is it that they want to make all
Speaker 4: these promises this DSA group and say look, we made
Speaker 4: good on.
Speaker 2: It, whether it works or.
Speaker 4: Not, and say, yes, it is helping people. People are
Speaker 4: getting cheaper groceries. Well yeah, is it the people who
Speaker 4: need the cheaper groceries or is it the people.
Speaker 2: Taking advantage they don't?
Speaker 4: They might not have to worry about that. They in
Speaker 4: their mind might be, look, we just have to make
Speaker 4: the grocery stores, get them rolled out as quickly as possible,
Speaker 4: show that they're giving thirty percent off discounts, and then
Speaker 4: we could say we're in the clear. And that's not
Speaker 4: the way you govern. So instead of the ID, what
Speaker 4: they might do is something like a customer card, similar
Speaker 4: to loyalty programs that other grocers like Shoprid or food
Speaker 4: Lion or weice. So the customer card would be designed
Speaker 4: by the private operator of the city run store to
Speaker 4: help manage supply, prevent people from buying large quantities of
Speaker 4: discounted staples for resale, and is strictly intended to make
Speaker 4: sure the savings reach families putting food on the table. Yeah,
Speaker 4: but don't you need for a customer card? Don't you
Speaker 4: need ID? So this is this is it's this is
Speaker 4: ludicrous and listen, listen. I want people to get as
Speaker 4: I've been a big fan of the Wick program where
Speaker 4: if somebody needs milk or fish or staples, they could
Speaker 4: go into the store, show their Wick card and actually
Speaker 4: get the milk, actually get the food. I love the
Speaker 4: idea of individuals and families who don't have the funds
Speaker 4: to feed their family to actually get the food to
Speaker 4: feed their family. I support that entirely. Hypocrisy is ridiculous.
Speaker 4: And so the DSA has put themselves into.
Speaker 2: A corner where where.
Speaker 4: You know, if they're so anti voter ID, then you know,
Speaker 4: how are they you know, identifying who gets to you know,
Speaker 4: you know, take advantage of all the goodies they want
Speaker 4: to give. Now, when it comes to the city buses,
Speaker 4: it's just gonna be whoever wants to ride the bus
Speaker 4: can ride it for free. So they're they're going to
Speaker 4: try to get away from the id that way. But
Speaker 4: what's happening when then with the city buses, well, people
Speaker 4: who need, you know, a warm area to sleep or
Speaker 4: need to be in the cool homeless people are going
Speaker 4: to be sleeping and living on the buses and this
Speaker 4: is something that we have found in the past happened.
Speaker 4: So then the average person is not going to be
Speaker 4: able to use the bus for commutes. So it's it's
Speaker 4: what they want to do and what they claim they
Speaker 4: can do. Uh in theory is not very practical. Uh.
Speaker 4: And then the bodegas and the small business grocery stores,
Speaker 4: they're going to be hurting as a result of these
Speaker 4: How are they going to compete with a local borough
Speaker 4: grocery store that's selling food at thirty percent less? Now,
Speaker 4: we all believe that the supply is going to run
Speaker 4: low where they're not going to be able to have
Speaker 4: enough stock, So somebody next to one of these stores
Speaker 4: will probably do well because somebody is going to go
Speaker 4: in want to get their thirty percent off milk or
Speaker 4: thirty percent off meat, it's going to be gone. Somebody
Speaker 4: will have already bought it up, so they're going to
Speaker 4: have to go to the store next to them.
Speaker 2: Or the bodega to go and get the food they need.
Speaker 4: So most likely, you know, I think, you know, if
Speaker 4: the stores are run as poorly as they have before,
Speaker 4: the the you know, the the I think the small
Speaker 4: business owners, especially since there's only five of these stores
Speaker 4: that are going to be in the whole entire city
Speaker 4: of New York City, I think small business will do
Speaker 4: okay in the long run.
Speaker 2: If this grows, they could get killed. They could just.
Speaker 4: Completely get get priced out of the market. And and
Speaker 4: you know, when the Democratic Socialists are all about going
Speaker 4: after the rim, which who's protecting then the small business
Speaker 4: owner that's trying to make a living and has very
Speaker 4: high overhead and you know, minimum profit, you know, selling
Speaker 4: basic food and groceries.
Speaker 2: So it's going to be interesting to see what they do, you.
Speaker 4: Know, I mean, it's it's a joke, what what what
Speaker 4: what the DSA wants to do?
Speaker 2: And and and.
Speaker 4: It's it doesn't look like they thought things through.
Speaker 2: And I'm glad the reporters are challenging them on it.
Speaker 2: You know, I want people to get the food they need.
Speaker 2: I want people to get the nutrition they need. But
Speaker 2: you can't be hypocritical when it comes to ID one
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Speaker 2: So the fraud doesn't cease.
Speaker 4: Federal state officials are expected to announce another healthcare fraud
Speaker 4: scheme and a significant crackdown thanks to the diligence that
Speaker 4: we have with this administration looking for this waste, fraud
Speaker 4: and abuse. And we're being told that officials with the
Speaker 4: Department of Justice and Centers for Medicare and Medicaid Services
Speaker 4: are going to speak later today about some of their
Speaker 4: anti fraud initiatives and what they found.
Speaker 2: This latest takedown is coming out of Pennsylvania.
Speaker 4: Pennsylvania Attorney General Dave Sunday is expected to join be
Speaker 4: joined by representatives from the federal Department of Justice, as
Speaker 4: well as doctor muhammat Oz, administrator for the Centers of
Speaker 4: Medicare and Medicaid Services. The press conference is supposed to
Speaker 4: be scheduled for this morning at a federal building in Philly.
Speaker 4: Last year, according to forty three state and federal prosecutors
Speaker 4: announced charges against more than three hundred people in connection
Speaker 4: to fifteen billion dollars fifteen billion worth of false claims
Speaker 4: orchestrated by international crime syndicates, and then earlier this year,
Speaker 4: doctor Oz announced a nationwide auditive Medicaid programs, saying that
Speaker 4: as agency plans to require states to take more responsibility
Speaker 4: in combating healthcare fraud, it blows my mind that this
Speaker 4: isn't already done. According to doctor Oz, he said, it's
Speaker 4: an example of what would like them to do to
Speaker 4: prove that they're serious about this. And if you don't
Speaker 4: take it seriously, it indicates to us that we might
Speaker 4: have to take the audits that we're doing to the
Speaker 4: different states more aggressively. So with what's going on in Philadelphia,
Speaker 4: and we're going to be getting more details a little
Speaker 4: bit later today, but there were I believe again false claims,
Speaker 4: ghost visits that were billed for, and we believe that
Speaker 4: one of the culprits was even doing this out of jail.
Speaker 2: I'm just blown away that.
Speaker 4: You know, when when I took care of patients with
Speaker 4: Medicare and Medicaid, I mean, as with any other insurance
Speaker 4: HICCK for form, we made sure that we were using
Speaker 4: the utmost accuracy because the consequences not only from a
Speaker 4: criminal standpoint, but also from a logistical standpoint and from
Speaker 4: a patient care standpoint.
Speaker 2: Is disastrous.
Speaker 4: If you bill incorrectly, if you bill inappropriately, if you
Speaker 4: you know, get get audited or committed or accused of fraud,
Speaker 4: it's it's just an absolute mess.
Speaker 2: And so you just don't mess, you know, you don't
Speaker 2: do it wrong.
Speaker 4: It's it's But but when there's lack of oversight, and
Speaker 4: this is what we had in the previous administration, in
Speaker 4: the previous few years, where whoever was in charge didn't care.
Speaker 4: They didn't monitor the border, they didn't look at people's
Speaker 4: past criminal records, they didn't look at you know, a
Speaker 4: voter ID and snap benefit.
Speaker 2: They just completely.
Speaker 4: Ignored, you know, all avenues where individuals could take advantage
Speaker 4: and and find susceptibilities and vulnerabilities in.
Speaker 2: The systems and such that now we've got.
Speaker 4: So many people take advantage for years, we have to
Speaker 4: unroot it and unrooted and pull it out by the roots.
Speaker 4: Is very very difficult, especially when we're barely finding the
Speaker 4: little leaves of the tree.
Speaker 2: Yeah, I'm trying. I'm trying out some new metaphors here.
Speaker 4: And so what ends up happening whenever something like this
Speaker 4: happens is then the honest, innocent people like the patients
Speaker 4: or the medical providers now have.
Speaker 2: More hoops to go through more work.
Speaker 4: Now that there's there's more scrutiny, you're gonna have some
Speaker 4: individuals say, you know what, all right, that's fine, but
Speaker 4: I don't have the staff, I don't have the manpower,
Speaker 4: I don't want to.
Speaker 2: Be accused of fraud.
Speaker 4: So I'm just gonna not take Medicare. I'm just going
Speaker 4: to not take Medicaid. And we're hearing a rise in
Speaker 4: medical providers avoid using government run healthcare so that they
Speaker 4: don't get caught up in this mess. Now there's the
Speaker 4: individuals that are actually committing fraud, and then there's the
Speaker 4: individuals who are doing good. But now they're going to
Speaker 4: have much more oversight, much more documentation, much more burdensome, red.
Speaker 2: Tape, and bureaucracy.
Speaker 4: Why because the bad people screwed it up for the
Speaker 4: good people. And so the people who are really getting
Speaker 4: hurt are the patients. The ones with medicare the ones
Speaker 4: with Medicaid. The old Medicaid was a real pain in
Speaker 4: the butt. I remember early on in the early two thousands,
Speaker 4: where patients would get Medicare, Medicaid eligible, but it didn't
Speaker 4: mean that they were going to have Medicaid pay for
Speaker 4: their care, and so doctors were not getting paid. So
Speaker 4: what did doctors end up doing saying, well, look, we're
Speaker 4: just not taking Medicaid, And so you had Medicaid patients
Speaker 4: scrambling for doctors who would take their cases.
Speaker 2: So it was it was it. You know, nobody's gonna.
Speaker 4: Cry a river or play a violin for doctors. But
Speaker 4: and I don't want people to, but whenever we have
Speaker 4: a system that really starts to affect how patients can
Speaker 4: access healthcare, that's gonna be Let me just switch gears
Speaker 4: for a quick second on how this fraud happens and
Speaker 4: why it's so rampant. When a doctor is legitimate and
Speaker 4: seeing seeing or a nurse partitioner or a PA, they're
Speaker 4: seeing a patient, they order a test, they administer care, they.
Speaker 2: Document, and they have to document very very thoroughly.
Speaker 4: And that documentation doesn't mean that the visit happened at
Speaker 4: one hundred percent. But you have a lot of checks
Speaker 4: and balances in terms of well, the patient came in,
Speaker 4: the patient checked in, the patient provided payment, the patient
Speaker 4: had an exam, a nurse did vitals, so there's multiple
Speaker 4: people involved. There's witnesses that saw the patient, you took
Speaker 4: care of the patient, you documented. Sometimes U will will
Speaker 4: have a chaperone in the room saying, yes, I saw
Speaker 4: the procedure, witness the procedure. Patient gets a prescription, they
Speaker 4: go and get that prescription. There's a pharmacy or a
Speaker 4: medical supply company, and so there's many people involved in
Speaker 4: that train of care such that when a person goes
Speaker 4: from point A to point Z, there's enough proof that
Speaker 4: that care was given. What's happening with these fraud cases
Speaker 4: is there's submitting claims.
Speaker 2: On work that was never done, either with.
Speaker 4: A fake patient or with a patient that says, yeah,
Speaker 4: go ahead and use my name.
Speaker 2: I'll say you saw me.
Speaker 4: But the fraud can be anywhere from you not having
Speaker 4: done the service to you, doing an unnecessary service to you,
Speaker 4: overdoing a service for you, charging for repeated services. The
Speaker 4: fraud is so general that there's many ways that people
Speaker 4: might think they're trying to evade the system, but they're
Speaker 4: still screwing the system and screwing the taxpayers over and
Speaker 4: so anybody involved and that obviously is complicit and you
Speaker 4: know should have you know, criminal charges against him. Unfortunately,
Speaker 4: some of the victims within this are the actual patients.
Speaker 4: So the patient goes into the medical provider thinks, Okay,
Speaker 4: I'm just having my regular medical visit done. I'm getting
Speaker 4: my burn care done, or I'm getting my medical supplies,
Speaker 4: or I'm getting my treatment, and then the doctor decides
Speaker 4: to go, yeah, I had to see them three times
Speaker 4: this week, or I had to in addition, give them
Speaker 4: something else to take home, and the patient is just unaware.
Speaker 4: So somebody asks a patient, did you see this doctor? Yeah,
Speaker 4: I saw the doctor.
Speaker 2: Did he take care of him? Yes he did. Did
Speaker 2: you get X, Y and Z? Well I thought I did,
Speaker 2: Maybe I did, maybe I didn't.
Speaker 4: And so when they start to slip in extra charges
Speaker 4: or slip so you know, when people are fraudulent or criminal,
Speaker 4: they start out small and they see what they could
Speaker 4: get away with, where they could sandwich in the fraud,
Speaker 4: and then some of them go, you know what, nobody's looking,
Speaker 4: nobody's paying attention, and then they.
Speaker 2: Just outright go blatant.
Speaker 4: And unfortunately, we're only finding the blatant cases.
Speaker 2: And so when I hear, you.
Speaker 4: Know, time after time that we're finding three hundred and
Speaker 4: fifteen billion in fraud or seven hundred and fifteen million
Speaker 4: or all these different I think in Chicago, Chicago prosecutors
Speaker 4: have indicated to indicted two people for three hundred and
Speaker 4: fifteen million in fraudulent billy. That's just in Chicago, you know,
Speaker 4: and this was reported about six weeks ago. When you
Speaker 4: hear of these cases, it's the ones that are rampant,
Speaker 4: and you wonder how much of the mild subtle I
Speaker 4: don't want to say mile.
Speaker 2: None of it is mild, but the.
Speaker 4: More subtle, co vert fraud is being done where people
Speaker 4: are starting to dip their toe into the fraud water.
Speaker 4: And so unfortunately, the fraud is very easy to do.
Speaker 4: And I know people are talking about the honor system.
Speaker 4: It's really not an honor system. And honor system is
Speaker 4: just take my word for it. No, you're supposed to
Speaker 4: document if you're given a medical supply, there's a sticker
Speaker 4: on that, and you're supposed to write the code or
Speaker 4: put that code in the chart. There's always a paper trail.
Speaker 4: You're supposed to be doing the paper trail.
Speaker 2: Some people are playing dumb, they're not being very diligent.
Speaker 2: They're like, oh woe is me, Oh I.
Speaker 4: Forgot to put that down, or the patient forgot.
Speaker 2: To take it or oops, my bad, but no.
Speaker 3: No.
Speaker 4: Fraud means there's intent, and there's recurrence, and there's malice,
Speaker 4: and so it's pretty easy to find one eight seven
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