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Speaker 1: What's going on?

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Speaker 2: Thank you so much for listening to this podcast. It

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is heard live every day from noon to three on

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WBT Radio in Charlotte. And if you want exclusive content

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like invitations to events, the weekly live stream, my daily

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show prep with all the links, become a patron, go

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to thepeakclendarshow dot com. Make sure you hit the subscribe button.

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Get every episode for free right to your smartphone or tablet.

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And again, thank you so much for your support. I

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want to welcome to the program Andrew Dunn. And he

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is an op ed contributor over at the Charlotte Observer.

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He's also the publisher of long Leaf Politics. He joins

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us every Tuesday at noon. Andrew, you doing all right, sir?

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Speaker 3: I am good to be with you. And hey, if

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you're looking for investors on in Greenland, I'm in okay.

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Speaker 2: Hey, Well, I suspect your contribution might be equivalent to mine,

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which is like twenty dollars.

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Speaker 1: How much can I buy Greenland for you? Yeah? What

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does twenty dollars get me?

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Speaker 2: All right? And so let's talk about an effort that's

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up in Raleigh. But it's also I've heard this idea

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kicked around at the national level as well. And you

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wrote about this for your piece at the Charlotte Observer

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about well, what the left is calling a power grab,

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but it doesn't need to be a partisan thing like

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this Rains Act.

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Speaker 1: R ei NS.

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Speaker 2: The Rains Act, you say, it's actually it's not really

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a power grab. It's Republicans doing the right thing.

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Speaker 3: Yeah, that's exactly right. So the Rains Act is the

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brainchild of Representative Alan Chester out in Nash County, and

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he's a real smart guy. Had the chance to talk

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to him not too long ago. But basically, it wants

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to right size the relationship between the executive branch and

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the legislative branch on important things that are coming out.

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So all of the executive branch positions, that's the governor,

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but it's also Secretary of State, the treasurer, etc. That

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are all the way on down the list, they all

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have the ability to implement regulations that execute the laws

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that the General Assembly passes. And so what the Rains

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Act does is basically says, hey, if you're gonna if

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you want to implement a regulation that's going to have

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an impact of more than a million dollars, the General

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Assembly wants to take a look at it first and

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sign off on that. Basically, what it's trying to do

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is prevent the executive branch from essentially passing laws under

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the guise of legislation. And we're really not talking about

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a whole lot of regulations that would fit that criteria,

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So it's really only the big ticket ones we're talking

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you know, I've seen some estimates as high as sixty

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a year, but the updated numbers I'm getting is it's

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probably only going to be like ten to fifteen per year.

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So we're not talking about a huge a huge change

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in process, but for stuff that's going to really make

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an impact on people and businesses in North Carolina. The

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General Assembly just wants to add some accountability.

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Speaker 1: To that is.

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Speaker 2: So it doesn't sound like this is as big of

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a problem at the state level as it is at

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the national level, where you've got these you know, unelected

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bureaucrats that are empowered probably through poorly constructed law or

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by abuse, that they start making rules that are beyond

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the scope of what Congress actually wanted.

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Speaker 3: That's exactly right, not as big a problem at the

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state level, but still you know, worth keeping an eye on.

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I'm definitely more excited about the prospect of something like

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this passing at the federal level. And some of it

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is because the executive branch agencies at the federal level

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have gotten you know, two bowl in what they're trying

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to do. But some of it is the fault of

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Congress and previous Congresses actually delegating their authority to the

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executive branch. I mean, there was there was an era

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when so many laws were put together. We're basically said,

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all right, executive branch, you figure this out, when really

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it should have been the Congress sitting those guidelines.

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Speaker 2: Yeah, and there's a lot of incentive for members of

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Congress to offload essentially the legislative responsibilities to you know,

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faceless bureaucrats. It this way, they don't they're not harmed,

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and they get to rail against, you know, electorally, they're

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not harmed, and then they get to rail against the

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excesses that those bureaucrats undertake. And so I suspect that

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that would be a harder lift up there than it

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might be here. What's your sense on its prospects in

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Raleigh winning approval.

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Speaker 3: I think they're very good. I think that this bill

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will pass and probably the I mean I could see

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Governor Stein signing it or letting it go into law

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without his signature. I don't think this will end up

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being as controversial as.

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Speaker 4: He might think.

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Speaker 2: Yeah, but you say it's that this is a good

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course of action, that this is trying to You said

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this is a necessary course correction.

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Speaker 4: Why Yeah, So.

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Speaker 3: I mean a lot of it has to do, you know,

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with the interplay the federal and the state government. You know,

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like we just talked about, it's not as big a

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deal at the state level as it is at the federal. However,

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I mean, there still are ten to fifteen regulations each

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year that are going to have a million dollars or

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more of an impact on businesses or families in North Carolina.

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So it's worth having that accountability there. I mean, I

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can't say that I'm super familiar with all the regulations

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that come out. It's not a very transparent process. So

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this is going to put it in front of a

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general Assembly where there's going to be some open debate.

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There's going to be accountability. You can call your lawmaker

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to talk about how you would be impacted by this regulation.

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I doubt very many people are calling any regulators in

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the executive branch to talk about regulations if they even

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know they're coming down the line.

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Speaker 2: So you don't consider this to be a power grab

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by the Republican legislature, not at all.

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Speaker 3: I mean, I think this is what the proper the

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pupper role that the legislature should take in this process.

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Speaker 2: Yeah, let me shift gears, because now is the time

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I actually saw somebody wondering whether Roy Cooper was actually

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getting into the US Senate race because it's only like

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three hundred something days away. So you have some advice

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over on your website, long Leaf Politics long leafpol dot

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com for people that are thinking about running for office.

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And you, I guess you and I don't know who

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is Ian Richardson that you've built this campaign.

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Speaker 1: Starter kit with.

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Speaker 3: Yeah, he's a real smart guys, lives in the area.

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We work together on the Dan Forest campaign. He was

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the deputy campaign manager, so he's got a lot of

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experience on the ground running campaigns. And he and I

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we both have heard from a lot of folks over

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the years. You know, people will call up and say, Hey,

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I'm thinking I'm running for this seed or that seed.

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What do you think? Not really knowing whether they have

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a good shot at it, and then you know how

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to actually get started and people can figure it out.

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And that's mostly what people do now, but it takes

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a lot of time, and people make a lot of mistakes,

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waste a lot of time, and waste a lot of money.

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So we saw an opportunity to put together a low

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cost product that helps people answer the question, hey, is

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this a good idea, but then also have the option

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to get off the ground quickly and cheaply, without without

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making all the mistakes that we've seen.

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Speaker 2: Are you is this kit primarily for you know, like

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local races, municipal, county or you or like is it

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for any level all the way up to national?

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Speaker 3: It's primarily for the down ballot races. You know, at

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the top of the ticket type races you know they're

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going to hire a general concert because they know they're

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going to have the fundraising bear to actually afford that.

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What we're primarily focused on is lower levels, you know,

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general assembly, county commissioner, city council, stuff like that. You know,

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low dollar races where they're not you know, people aren't

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going to be able to afford you know, a high

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price consultant, but still just want a little.

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Speaker 5: Bit of help.

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Speaker 2: Yeah, so you say that this is a way to

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help avoid traps that sink new campaigns. Do you like,

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can you think of an example, like of a mistake

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that most of these local candidates make when they first

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start their campaigns.

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Speaker 5: Yeah.

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Speaker 3: I mean there's a lot talk all day about it,

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but I mean the first one is on the front end,

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picking where you know what seat to run for. You know,

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some people really feel passionate about one particular seat, but

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they don't realize that so much of politics as a

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timing game. You don't really want to run again in

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a popular incumbent at the you know, the peak of

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their power, so you know, maybe this is the right

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time to sit out a cycle or two and do

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some other things, and we can help guide people in

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that way. But then the other one is setting up

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an initial campaign budget, understanding how much money that you're

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gonna need to raise to be successful in this race,

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and what types of things to spend money on. You know,

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you'll see people will you know, maybe they'll spend money

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setting up a texting platform, when really they you know,

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that's a waste of money that they'll get better leverage

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out of doing something else.

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Speaker 1: What's your opinion on yard signs.

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Speaker 3: You know it may be unpopular, but I still think

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that yard signs done right can have a big impact. Actually.

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I think of you know, Tark Pakari when he was

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first running for city council. His yard signs were were

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well done and got his name out there, and that's

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how I first came across the name there. You know,

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if you're just putting your yard sign where everybody else

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has theirs, then it's like one out of a million.

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Then it might not be worthwhile. But if you do

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it right, it can work.

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Speaker 1: Yeah.

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Speaker 2: Tim Moore, now, Congressman Tim Moore when he was speaker,

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I asked him once about that some event, and he said, well,

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if I see the yard signs in private homes yards

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versus public rideaways, like, that's a better indication of public

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sentiment when you see lots of people putting the yard

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signs on their own property versus just sticking them at

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an intersection, because that's some campaign worker.

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Speaker 3: That did that exactly.

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Speaker 5: Yeah.

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Speaker 4: Uh.

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Speaker 2: Andrew Dunn, publisher of long Leaf Politics, that's long leafpol

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dot com, also a contributing columnist over at the Charlotte Observer.

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Speaker 1: Thanks for your time, Andrew, I appreciate it.

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Speaker 3: Man, thank you.

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Speaker 2: Here's a great idea. How about making an escape to

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a really special and secluded getaway in western North Carolina.

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Just a quick drive up the mountain and Cabins of

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Asheville is your connection. Whether you're celebrating an anniversary, a honeymoon,

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maybe you want to plan a memorable proposal, or get

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family and friends together for a big old reunion, Cabins

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of Ashville has the ideal spot for you where you

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can reconnect with your loved ones and the things that

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truly matter. Nestled within the breath taking fourteen thousand acres

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of the Pisga National Forest, their cabins offer a serene

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escape in the heart of the Blue Ridge Mountains. Centrally

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located between Asheville and the entrance of the Great Smoky

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Mountain National Park. It's the perfect balance of seclusion and

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proximity to all the local attractions with hot tubs, fireplaces,

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two villas, and a great lodge with eleven king sized bedrooms.

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Cabins of Ashville has the ideal spot for you for

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any occasion, and they have pet friendly accommodations. Call or

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Let's head over here and speak with Mark. Hello, Mark,

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how are you?

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Speaker 1: Mark? Hey? Hey, Hey, I'm good. What's up?

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Speaker 5: Real quick?

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Speaker 4: These?

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Speaker 5: Uh, these are times you were talking about. I've always

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just looked at him as as just a total waste

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because most of them, I don't know what percentage, but

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most of them say, you know, Joe Blow for US

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Senate on a red, white and blue background. That tells

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me absolutely nothing.

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Speaker 2: And if you see it everywhere, you if you see

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it everywhere, though, wouldn't that indicate a level of support

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for Joe Blow.

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Speaker 5: No, I would say, you know, you've got more rabid uh,

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you know, devoted followers. I don't think. I don't think

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there's any correlation. I think it would be our less

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than point series five.

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Speaker 2: Well, but that's the whole But that's the whole point

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of the signs on private property. We're talking because, as

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I went over with Andrew Dunn, was the this was

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the the strategy or the thinking behind the yard signs

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and how they can be helpful in measuring public sentiment.

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From the former Speaker of the House now Congressman Tim Moore,

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He's pointed out if you see them just you know,

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along the side of the road or at an intersection

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on the public right of way, that's just campaign workers.

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That doesn't indicate people's support. But if you see yard

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signs in people's front yards on their own, that means

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they had to go and request the sign, or they

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had to agree to get the sign. And so the

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more of those that you see, like you drive down

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the road and if you know eighty percent of the

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homes have a yard sign for this one candidate, then

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that would indicate a certain level of support among a

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lot of people.

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Speaker 5: Right right. But I would counter that by saying, couldn't

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you almost a priority predict what I live in a

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place called Bibera, Glenn. Yeah, if you're familiar with it,

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but I would expect to see a lot of you know,

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Republican size.

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Speaker 2: Yeah, so during a Republican primary, for example, if you

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saw one candidate's name more than another. You would think,

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oh this, this candidate may have more support among those

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Republican primary voters.

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Speaker 5: Right, yeah, well those people are.

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Speaker 1: Well, I mean you said, uh.

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Speaker 2: The point here is that it is represent it can

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be I should say, it can be representative of a

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level of support if you're if you see a lot

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of the signs, right, and that's all that's all it is. Now,

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it's not going to be it's obviously not a campaign platform.

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It's all about just getting name I D name recognitions.

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So when you are thinking about voting, you want to

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research your candidates, and you pull up your ballot, you're

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going to see that guy's name and you are going

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to remember, oh, I saw Joe Blow for Senate.

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Speaker 1: I saw that guy signs all over my neighborhood.

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Speaker 5: So like I can't remember where I put my key

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ten seconds age, I remember these guys.

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Speaker 1: There are meds for that. Mark you.

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Speaker 5: Yeah, we need to talk about pharmaceuticals one day. I'd

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love to talk to you about that.

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Speaker 4: Yeah, okay, Mark, I appreciate the call, man, thank you.

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Speaker 1: So yeah all right?

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Speaker 2: Yeah, Also if done well right, like you could use

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your if you have a name that that looks good

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With a particular slogan on a sign, you can create

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viral moments, or you can get a lot of what

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they call earned media coverage, where you do something and

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it earns you media earned media, and so that then

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means you're getting media covering pro bono.

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Speaker 1: You don't have to pay for it at all.

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Speaker 2: Right, If you do signs well and it creates some

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sort of a buzz, then you know people have done

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this with Billboard campaigns and the like, you know, guerrilla

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marketing efforts.

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Speaker 1: That kind of stuff.

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Speaker 2: So I think it's just it's all and how it's done,

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00:16:18,559 --> 00:16:21,039
you know, all right, So spring is here a time

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00:16:21,120 --> 00:16:25,919
of renewal and celebrations. You've got graduations, weddings, anniversaries and

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00:16:25,960 --> 00:16:28,519
the special days for mom and dad. Your family's making

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00:16:28,600 --> 00:16:30,559
memories that are going to last a lifetime. But let

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me ask you, are all of those treasured moments from

312
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days gone by? Are they hidden away on old VCR tapes,

313
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eight millimeter films, photos slides? Are they preserved? Because over time,

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these precious memories can fade and deteriorate, losing the magic

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of yesterday. At Creative Video, they help you protect what

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ninety seven, located in mint Hill, just off four eighty five.

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Mail orders are accepted to get all the details that

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00:17:20,160 --> 00:17:24,440
create a video dot com. Happy April Fools Day to

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00:17:24,519 --> 00:17:26,799
all who celebrate, and if you are one who celebrates,

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I loathe you.

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Speaker 1: Now I'm kidding.

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Speaker 2: It's just a joke. Happy April Fools. No, I don't

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do the I don't do the practical jokes and all

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of that. I don't mainly because I'm not good at it,

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00:17:44,079 --> 00:17:46,640
nor do I care to be good at it.

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Speaker 1: Because you know then what it like. I've developed this skill.

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00:17:51,440 --> 00:17:54,960
Speaker 2: I've taken time away from my busy, busy schedule to

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00:17:55,039 --> 00:17:57,519
try to hone this craft that I only could use

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00:17:57,559 --> 00:18:01,359
one day a year. Eh, the juice ain't worth the

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00:18:01,359 --> 00:18:07,279
squeeze on that form me. So that's why I look,

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00:18:07,359 --> 00:18:09,920
that's why I put the rim shots into the program,

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so you know when I'm joking, which, by the way,

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this is a bit of a delayed rim shot. I

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did not actually go to Greenland.

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Speaker 1: So there you go.

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Speaker 2: All right, that was just a joke, and that's different

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than practical jokes for April fools. There is a line there, Okay, anyway,

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could could it be that we could see the end

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of the can the certificate of needs? Oh well, I

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guess it would be certificates of need. Yeah, it's like

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attorneys general right. North Carolina has some really stupid law

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called the Certificate of Need, and state lawmakers have now

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filed a bill to dismantle this really stupid law. According

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to Jeff Morover at the Carolina Journal dot com, it

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takes aim at the healthcare regulatory regime, which restricts the

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establishment or expansion of healthcare facilities and services in the state.

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I have talked about the con the certificate of need

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law for years because it's really stupid. The law, a

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whole raft of them, requires healthcare providers to secure what

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they call a certificate of need from the government before

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you can build a new facility, or if you want

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to add hospital beds or you want to buy major

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medical equipment, think about how stupid that law is. Hey,

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I would like to add some beds to this hospital

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because you know, we have a lot of patients. We're

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running a hospital. We've realized we need some additional beds,

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so we would like to just you know, buy some

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additional beds and set them up.

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Speaker 1: Please please, Raleigh, Please can I have some extra beds?

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Or hm?

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Speaker 2: You know what, These MRI machines seem to be in

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high demand. We could be doing a lot of MRIs

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for people, or cat scans and such. You know when

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you want to bring your cat in and have it scan.

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And so we're thinking, hey, you know what, let's add

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a couple of more of these machines.

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Speaker 1: Please Raleigh, please maybe add some more machines like this.

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Speaker 2: Is so stupid. If the hospital wants to invest or

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a facility, wants to invest in some scanner, some machinery,

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some equipment, they would know better than gov CO whether

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or not they actually will get a return on that investment.

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And if they don't, then they go out of business.

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They maybe have to sell the machine. Here's the thing

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at some point, those machines get paid off, right, at

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some point, it's just almost pure profit. At that point,

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once the machine is paid off and you're still using

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it after a couple of years, you're just making money

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hand over fist. And then you can buy your next machine,

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and then you could do twice as much. And at

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some point, yes, you're going to say, Okay, we have

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enough machines. The sweet spot was three machines, and that's

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the number that we're looking at because the supply is

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meeting the demand and that's what we wanted.

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Speaker 1: Or it maybe you're the only.

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Speaker 2: Cat scan in operation in town and I see that

393
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you're the only one, and you have restricted the use

394
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with only one cat scan machine, and so I'm like,

395
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you know what, I feel like I could offer more

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cat scans for this demand that is being unmet by

397
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the current supply that you have one machine. So I

398
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go out and I buy two machines and now I'm

399
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doing cat scans and I'm taking business away from you.

400
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Speaker 1: And who benefits you? Right?

401
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Speaker 2: The public does because now you are getting more access

402
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and more machines means competition between you and me, because

403
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you don't want to lose your client base. So you're

404
00:22:21,480 --> 00:22:25,599
gonna now start offering maybe a cheaper price. I don't

405
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have to pay for two machines. I've had this one

406
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machine for a while. It's paid off, So I'm gonna

407
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I'm gonna cut the price on that. Now I'm gonna

408
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have to turn around and cut the price. And so

409
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now we are going to what drive down the price

410
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for the customer. Stop me if you've heard this model before.

411
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This is the free market. This is the free market.

412
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You are the free market. I am the free market.

413
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I say it all the time. We are the free market.

414
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Us making all of these decisions, the businesses making their decisions,

415
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millions and millions of decision points every single second of

416
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every single day. There's no way that govc UP in

417
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Raleigh is going to be able to know what all

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of those decision points are at any given moment. It's impossible.

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It is the fatal conceit of central planners that they

420
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can somehow know this information even with AI. Yes, all right,

421
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let me go over here and talk to Andy. Hello, Andy,

422
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welcome to the program.

423
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Speaker 4: Hey how are you doing today?

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Speaker 1: Hey, I'm good. What's up?

425
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Speaker 4: Good? So I was shocked when you told when you

426
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said that they were having to ask to get in

427
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another piece of equipment because it makes sense, Because it

428
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doesn't make sense, but it makes sense now to me.

429
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About an experience I had last March. I had a

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stroke and I was in Carolins Medical Center for four

431
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days and it took about two and a half days

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to get an MRI while I was having stroke symptoms.

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And every time I would ask, what are we waiting on? Well,

434
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you're in line. There's a lot of people waiting in

435
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front of you. Yeah, why would they not have another

436
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RI machine? They've got all these people waiting to get

437
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in our eyes? It doesn't make.

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Speaker 1: Sense, right.

439
00:24:14,319 --> 00:24:17,279
Speaker 2: The market is sending them a signal that they cannot

440
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now respond to or won't respond to. But they cannot

441
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respond to it because they probably would have to go

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through and get a certificate of need from the government.

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Speaker 4: That's the craziest thing I've ever heard.

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Speaker 1: Isn't it.

445
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Speaker 2: That's it's the stupidest law, and we have it in

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this state and you're experiencing it.

447
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Speaker 1: And by the way, you're doing all right from the

448
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from the stroke.

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Speaker 4: You look good, Thank the Lord.

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Speaker 1: Yeah, good good. Yeah. I've heard the same.

451
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Speaker 4: Crazy is why are there why is there not somebody saying, hey,

452
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there's got to be people who have died waiting to

453
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get these these tests done.

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Speaker 2: I'm sure, yeah, I mean the numbers would indicate, i mean,

455
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just basic laws of probability, right, would indicate that that

456
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would be the case. Sure, Yeah, Andy, I appreciate Yeah, man,

457
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I appreciate the call. Thank you for the UH, for

458
00:25:05,920 --> 00:25:08,880
the personal info the story there, because I've heard the

459
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same from a friend up in Anshville. She was in

460
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the hospital for over a week because they had I

461
00:25:14,119 --> 00:25:17,200
think she said, they had two MRI machines and one

462
00:25:17,200 --> 00:25:20,200
of them broke down, and so everybody was in line

463
00:25:20,240 --> 00:25:21,799
for this one machine.

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Speaker 1: And she's in the hospital.

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Speaker 2: I mean, think about the cost now to the system

466
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where you've got somebody who's in the hospital waiting for

467
00:25:30,720 --> 00:25:33,799
an MRI before they can be discharged, and they can't

468
00:25:33,839 --> 00:25:37,039
get them through the process because you have a line

469
00:25:37,079 --> 00:25:39,599
because the one your one other backup machine is now

470
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has gone down.

471
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Speaker 1: It's just it.

472
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Speaker 2: It is a very stupid law. And so kudos to

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00:25:48,119 --> 00:25:53,960
Senator Benon Sorry, the UH representative from Johnston, the Senator

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from Johnston County, North Carolina, for introducing this legislation to

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repeal North Carolina's con law.

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Speaker 1: It's about time, all right.

477
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Speaker 2: If you're listening to this show, you know I try

478
00:26:06,880 --> 00:26:08,640
to keep up with all sorts of current events, and

479
00:26:08,720 --> 00:26:10,759
I know you do too. And you've probably heard me

480
00:26:10,799 --> 00:26:15,039
say get your news from multiple sources. Why well, because

481
00:26:15,039 --> 00:26:17,720
it's how you detect media bias, which is why I've

482
00:26:17,759 --> 00:26:21,079
been so impressed with ground News. It's an app, and

483
00:26:21,279 --> 00:26:24,200
it's a website, and it combines news from around the

484
00:26:24,200 --> 00:26:26,880
world in one place so you can compare coverage and

485
00:26:27,039 --> 00:26:30,839
verify information. You can check it out at check dot ground,

486
00:26:31,160 --> 00:26:34,200
dot news slash pete. I put the link in the

487
00:26:34,200 --> 00:26:37,440
podcast description too. I started using ground News a few

488
00:26:37,480 --> 00:26:40,160
months ago and more recently chose to work with them

489
00:26:40,200 --> 00:26:43,000
as an affiliate because it lets me see clearly how

490
00:26:43,119 --> 00:26:46,519
stories get covered and by whom. The blind spot feature

491
00:26:46,559 --> 00:26:49,240
shows you which stories get ignored by the left and

492
00:26:49,319 --> 00:26:49,720
the right.

493
00:26:49,920 --> 00:26:50,759
Speaker 1: See for yourself.

494
00:26:51,079 --> 00:26:55,559
Speaker 2: Check dot ground, dot news slash pete. Subscribe through that

495
00:26:55,640 --> 00:26:58,559
link and you'll get fifteen percent off any subscription. I

496
00:26:58,680 --> 00:27:02,000
use the Vantage plan to get unlimited access to every feature.

497
00:27:02,200 --> 00:27:04,960
Your subscription then not only helps my podcast, but it

498
00:27:05,000 --> 00:27:08,160
also supports ground News as they make the media landscape

499
00:27:08,200 --> 00:27:12,039
more transparent. All right, back to the Carolina Journal story

500
00:27:13,039 --> 00:27:19,559
about the con law potentially being repealed. There's another aspect

501
00:27:19,559 --> 00:27:22,759
to this. Jeff Moore, writing at Carolina Journal dot com,

502
00:27:23,079 --> 00:27:26,960
The process of securing a certificate of need takes time

503
00:27:27,000 --> 00:27:32,240
and money. Competitors can tie up con decisions in lengthy

504
00:27:32,279 --> 00:27:36,160
court battles. Right, So you want to get an MRI

505
00:27:36,400 --> 00:27:40,400
machine at your facility, I'm your competitor, So I start

506
00:27:41,000 --> 00:27:45,720
filing all sorts of temporary restraining orders or injunctions or

507
00:27:46,680 --> 00:27:49,319
gum up the works and stuff so I can block

508
00:27:49,400 --> 00:27:53,160
you from competing with me because maybe I've got an

509
00:27:53,319 --> 00:27:55,119
MRI machine I want people.

510
00:27:54,880 --> 00:27:58,160
Speaker 1: To go to. So that's one way that they use

511
00:27:58,200 --> 00:27:59,720
these cons Another.

512
00:28:01,039 --> 00:28:03,839
Speaker 2: Is that I will get the certificate of need so

513
00:28:04,359 --> 00:28:08,880
you can't because part of this it's the stupidest thing.

514
00:28:09,000 --> 00:28:10,640
I feel like I'm saying that a lot, but it's

515
00:28:10,680 --> 00:28:14,319
so true. It's such a stupid law. I've told this

516
00:28:14,319 --> 00:28:17,759
story before, but like it is the quintessential example of it.

517
00:28:18,720 --> 00:28:21,599
They were wanting to open up on the county line

518
00:28:21,599 --> 00:28:24,440
between I think Henderson County and Bunkham County years ago,

519
00:28:24,519 --> 00:28:26,839
it's like ten years ago, and one of the I

520
00:28:26,839 --> 00:28:29,319
think it was Party Health, and they wanted to open

521
00:28:29,400 --> 00:28:36,759
up a colonoscopy center. Okay, they wanted to open up

522
00:28:36,759 --> 00:28:39,960
this center and the other hospital I think it was

523
00:28:40,079 --> 00:28:45,839
mission they objected, They said, we don't need it. And

524
00:28:45,920 --> 00:28:48,759
so then you end up with like some government regulators

525
00:28:49,079 --> 00:28:53,880
doing market analysis to determine whether or not this service

526
00:28:54,079 --> 00:28:57,680
is actually needed or not in the market based on

527
00:28:57,720 --> 00:29:00,759
the number of people and our market analys indicating, look,

528
00:29:00,880 --> 00:29:01,279
you're not.

529
00:29:01,240 --> 00:29:02,319
Speaker 1: Putting any money up.

530
00:29:02,640 --> 00:29:06,440
Speaker 2: Okay, I don't trust your market analysis, gov CO, because

531
00:29:06,480 --> 00:29:08,440
you have no skin in this game. You know who

532
00:29:08,480 --> 00:29:13,079
does I mean besides the patients, the party guys, the

533
00:29:13,119 --> 00:29:15,559
ones who were wanting to open the clinic. They're putting

534
00:29:15,559 --> 00:29:17,079
the money up. They're the ones that are going to

535
00:29:17,119 --> 00:29:20,400
build a facility, staff it, put the equipment in there.

536
00:29:20,759 --> 00:29:23,839
And if they did a market analysis that turned out

537
00:29:23,880 --> 00:29:28,279
to be flawed, they lose their money. Their skin is

538
00:29:28,319 --> 00:29:30,799
in the game, right, their money's on the table, not

539
00:29:30,920 --> 00:29:34,720
gov cos. And and so they held this hearing. They

540
00:29:34,720 --> 00:29:38,759
held a public hearing, and they had members of the

541
00:29:38,799 --> 00:29:41,279
community showing up, and some woman gets up there and

542
00:29:41,319 --> 00:29:43,960
she starts saying, I don't think that this is necessary.

543
00:29:44,400 --> 00:29:49,519
She offered no credentials, like just some rando from down

544
00:29:49,519 --> 00:29:52,720
the block who's like, I think we don't need anymore

545
00:29:52,920 --> 00:29:58,359
Colonoscobe centers. Your opinion does not matter. I'm sorry to

546
00:29:58,400 --> 00:30:02,839
be the bearer of this reality, but you and your

547
00:30:02,920 --> 00:30:06,039
level of expertise are irrelevant in this situation.

548
00:30:06,440 --> 00:30:08,039
Speaker 1: You don't know what you're talking about.

549
00:30:08,240 --> 00:30:11,000
Speaker 2: So no, even though it's a public hearing, and maybe

550
00:30:11,000 --> 00:30:13,079
this is the only opportunity you had to leave the

551
00:30:13,079 --> 00:30:15,920
house this week and talk to people, but your opinion

552
00:30:15,960 --> 00:30:19,240
doesn't matter. You don't know what you're talking about. I

553
00:30:19,279 --> 00:30:21,960
would never get up there and tell some industry you

554
00:30:22,839 --> 00:30:26,079
shouldn't open your facility here because we don't need it.

555
00:30:26,319 --> 00:30:31,920
And I'm basing this on no information whatsoever. Critics point

556
00:30:31,960 --> 00:30:34,440
to the CON laws as a contributing factor in North

557
00:30:34,480 --> 00:30:38,480
Carolina's unenviable position as the highest cost health care market

558
00:30:38,519 --> 00:30:43,279
in the nation, representing a purely bureaucratic barrier that propels

559
00:30:43,640 --> 00:30:50,319
rising healthcare costs and limits accessibility. While more piecemeal reforms

560
00:30:50,359 --> 00:30:54,119
of CON regulations have been enacted and proposed over the years.

561
00:30:54,440 --> 00:30:57,440
Senate Bill three p seventy and a companion piece over

562
00:30:57,559 --> 00:31:00,240
in the House House Bill four to fifty five. If

563
00:31:00,440 --> 00:31:04,799
they aim for a wholesale repeal of the law, it

564
00:31:04,799 --> 00:31:08,880
would take effect on January one, twenty twenty six, if

565
00:31:08,920 --> 00:31:11,759
it is approved, and if it gets the governor's signature,

566
00:31:11,880 --> 00:31:13,920
or he could just let it become law without his signature.

567
00:31:14,759 --> 00:31:19,880
The constitutionality of the certificate of need regime has been

568
00:31:19,960 --> 00:31:24,240
challenged in court multiple times. Last October, the State Supreme

569
00:31:24,279 --> 00:31:28,480
Court vacated a lower court decision in one of those challenges,

570
00:31:28,839 --> 00:31:33,759
keeping the legal case against certificate of need laws alive. Okay,

571
00:31:33,799 --> 00:31:36,119
so we still don't have a determination as to whether

572
00:31:36,200 --> 00:31:39,359
or not this is constitutional, whether it's even allowed. They're

573
00:31:39,359 --> 00:31:43,559
still litigating this stuff. Sponsors of this bill are not

574
00:31:43,640 --> 00:31:47,079
content to wait for the court rulings to potentially overturn

575
00:31:47,160 --> 00:31:51,279
the regime. As a matter of state policy, lawmakers believe

576
00:31:51,359 --> 00:31:55,519
that state bureaucrats should play no part in restricting healthcare

577
00:31:55,640 --> 00:31:58,759
offerings within the tar Heel State, and they would be

578
00:31:59,039 --> 00:32:04,519
absolutely one, one hundred percent correct in that position. All right,

579
00:32:04,559 --> 00:32:06,119
that'll do it for this episode.

580
00:32:06,119 --> 00:32:07,480
Speaker 1: Thank you so much for listening.

581
00:32:07,599 --> 00:32:09,720
Speaker 2: I could not do the show without your support and

582
00:32:09,799 --> 00:32:12,480
the support of the businesses that advertise on the podcast.

583
00:32:12,880 --> 00:32:14,920
So if you'd like, please support them too and tell

584
00:32:14,960 --> 00:32:16,680
them you heard it here. You can also become a

585
00:32:16,720 --> 00:32:21,400
patron at my Patreon page or go to dpetecleanershow dot com. Again,

586
00:32:21,640 --> 00:32:24,160
thank you so much for listening, and don't break anything

587
00:32:24,200 --> 00:32:25,920
while I'm gone.

