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John: HI THERE!
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WELCOME TO THE SHOW.
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STILL COMING TO YOU FROM THIS
BLANK VOID.
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WHICH I ACTUALLY SHARE WITH THE
PIXAR LAMP.
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IT SAYS IF I TRY TO LEAVE, IT'LL
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CRUSH ME LIKE THE LETTER "I",
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AND I CAN'T TELL HOW SCARED
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AND/OR HORNY I SHOULD BE.
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IT'S BEEN ANOTHER BUSY WEEK.
IN THE U.S., COVID VACCINATIONS
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ARE RACING AGAINST NEW VARIANTS
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OF THE VIRUS.
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AND IN THE U.K., PRINCE PHILIP
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DIED, WHICH IS A TRAGEDY IF YOU
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DON'T KNOW A SINGLE THING ABOUT
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HIM.
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AND EVEN IF YOU KNOW A LITTLE
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ABOUT HIM, YOU MIGHT NOT KNOW
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THIS.
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TAKE IT BACK TO THE BEGINNING
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FOR US, ALASTAIR, AND TELL US
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HOW THE YOUNG PRINCE PHILIP OF
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GREECE AND DENMARK MET THE
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THEN-PRINCESS ELIZABETH.
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WELL, THEY WERE RELATED.
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John: YEAH, THAT'S RIGHT,
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PRINCE PHILIP AND
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QUEEN ELIZABETH ARE COUSINS WHO
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LATER GOT MARRIED... ALSO KNOWN
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AS A "GIULIANI MEET-CUTE."
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MEANWHILE, THE MATT GAETZ SAGA
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CONTINUES TO UNFOLD THIS WEEK,
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AND NOT IN ANY WAYS THAT LOOK
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GOOD FOR HIM.
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THE NEW REPORT OVERNIGHT
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ALLEGES GAETZ SENT CLOSE
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ASSOCIATE AND ACCUSED
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SEX TRAFFICKER JOEL GREENBERG
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$900 IN TWO LATE-NIGHT VENMO
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TRANSACTIONS IN 2018.
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ACCORDING TO THE DAILY BEAST,
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GREENBERG USED THE SAME APP TO
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SEND THREE YOUNG WOMEN,
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INCLUDING ONE WHO HAD RECENTLY
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TURNED 18, VARYING SUMS OF MONEY
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THAT AMOUNTED TO $900.
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GREENBERG MADE THE PAYMENTS TO
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THE THREE YOUNG WOMEN WITH THE
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DESCRIPTIONS "TUITION,"
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"SCHOOL," AND "SCHOOL."
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John: YOU FUCKING IDIOTS!
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I CAN'T BELIEVE I HAVE TO SAY
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THIS, BUT IF YOU'RE TRYING TO
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SUSPICIOUS POTENTIALLY CRIMINAL
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TRANSACTIONS,
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VENMO IS NOT THE APP TO USE.
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VENMO IS FOR ONE THING AND ONE
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THING ONLY: PASSING JUDGMENT ON
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FRIENDS' SPENDING HABITS WHILE
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OBSESSING OVER WILD FINANCIAL
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MYSTERIES.
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WAIT, BRIAN PAID HIS GIRLFRIEND
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FOR PIZZA?
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WHY CAN'T KAITLIN JUST LET HIM
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SLIDE ON THIS?
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THEY LIVE TOGETHER, AND IT'S
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PIZZA.
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WAIT, KAITLIN'S PAYING BRIAN
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NOW?
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FOR CAKE?
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BRIAN LIKED IT?
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THE FUCK IS GOING ON IN
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THIS RELATIONSHIP?
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AND LOOK, I HAVE TO TELL YOU,
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MATT GAETZ HAS DENIED ALL
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ACCUSATIONS.
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AND I'M SURE THERE WILL BE MORE
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TO SAY ABOUT ALL THIS WHEN HE
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GOES TO PRISON.
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BUT FOR NOW, LET'S TALK ABOUT
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IMMIGRATION.
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THERE'S BEEN A LOT OF COVERAGE
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LATELY ABOUT WHAT'S HAPPENING ON
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THE BORDER, WHICH IS TROUBLING
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AND COMPLICATED, BUT I'D
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ACTUALLY LIKE TO TALK ABOUT
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SOMETHING A LOT LESS COMPLICATED
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THAT'S ALSO GETTING A LOT LESS
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COVERAGE, AND THAT IS THE U.S.
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REFUGEE ADMISSIONS PROGRAM.
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IT'S FOR PEOPLE CURRENTLY ABROAD
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FLEEING PERSECUTION OR VIOLENCE
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WHO'VE APPLIED FOR RESETTLEMENT.
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AND THE U.S. USED TO BE A WORLD
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LEADER IN HOW MANY REFUGEES WE
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ACCEPTED, BUT THIS FUCKING GUY
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NOT ONLY SLASHED THE ADMISSIONS
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CAP DOWN TO A HISTORIC ANNUAL
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LOW OF 15,000, HE ALSO ADDED
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DISCRIMINATORY ELIGIBILITY
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CATEGORIES THAT HAVE BLOCKED
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MANY MUSLIM AND AFRICAN REFUGEES
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FROM COMING TO THE U.S.
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AND TO HIS CREDIT, BIDEN RAN ON
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A PLATFORM THAT INCLUDED
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REVERSING TRUMP'S POLICIES.
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AND SINCE TAKING OFFICE, HE'S
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BEEN ABOUT AS ELOQUENT AS BIDEN
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CAN BE ABOUT THE MORAL
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IMPERATIVE OF DOING SO.
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COME WITH ME INTO
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SIERRA LEONE.
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COME WITH ME INTO PARTS OF
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LEBANON.
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COME WITH ME AROUND THE WORLD
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AND SEE PEOPLE PILED UP IN
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CAMPS, KIDS DYING, NO WAY OUT,
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REFUGEES FLEEING FROM
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PERSECUTION.
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WE, THE UNITED STATES, USED TO
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DO OUR PART.
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WE WERE PART OF THAT.
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WE'RE... AND, YOU KNOW, THAT'S,
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YOU KNOW... SEND ME YOUR
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HUDDLED MASSES.
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COME ON!
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John: RIGHT, AND UNDERNEATH
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THAT PATRIOTIC WORD SALAD IS A
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PRETTY GOOD POINT.
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EVEN THOUGH HE'S MAKING IT WHILE
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MANAGING TO SOUND LIKE A GUY IN
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A STATUE OF LIBERTY COSTUME IN
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TIMES SQUARE.
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"SEND ME YOUR HUDDLED MASSES.
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COME ON.
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I'M BREATHING IN GREEN LEAD
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PAINT HERE, SO DO YOU WANT
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A PICTURE WITH ME AND
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BUZZ LIGHTYEAR OR NOT?"
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IN EARLY FEBRUARY, BIDEN
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ANNOUNCED THAT HE'D RAISE THE
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CEILING ON ADMISSIONS TO OVER
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62,000, ELIMINATE TRUMP'S
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RESTRICTIONS, AND RAISE THE CAP
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EVEN HIGHER NEXT YEAR.
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WHICH SOUNDS GREAT.
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UNFORTUNATELY, THAT WAS TWO
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MONTHS AGO, AND HE STILL HASN'T
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SIGNED THE PRESIDENTIAL
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DETERMINATION THAT WOULD REVISE
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TRUMP'S RULES.
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AND IT HAS BEEN HARD TO GET A
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STRAIGHT ANSWER FROM THIS
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ADMINISTRATION ABOUT WHY.
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THE PRESIDENT HAS SAID THAT
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THAT'S SOMETHING THAT SHOULD BE
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DONE IMMEDIATELY.
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WHY DIDN'T HE DO IT TODAY?
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I THINK WE'RE GONNA HAVE MORE
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AGAIN SOON IN THE COMING DAYS
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AND WEEKS ON MORE STEPS AND
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ACTIONS THAT THE PRESIDENT IS
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INTERESTED IN TAKING.
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SO I'M JUST NOT GONNA GET AHEAD
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OF THAT RIGHT NOW.
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WHY HASN'T THE PRESIDENT
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SIGNED THE PAPERWORK TO LIFT
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THE, THE... RAISE THE REFUGEE
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CAP?
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WELL, I WOULD REFER YOU TO
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THE STATE DEPARTMENT.
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LAST MONTH, THE PRESIDENT DID
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ANNOUNCE THAT HE INTENDED TO
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RAISE THE REFUGEE CAP.
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THAT HASN'T SEEMED TO HAPPEN
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YET.
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WHY HAVEN'T THOSE FLIGHTS
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CONTINUED?
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HE REMAINS COMMITTED, BUT I
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DON'T HAVE AN UPDATE ON THE
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TIMING OF THE FLIGHTS.
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DOES IT HAVE ANYTHING TO DO
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WITH THE FACT THAT RESOURCES ARE
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GOING TOWARDS THE BORDER AT THIS
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TIME?
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OR...
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NO, NO, IT'S NOT RELATED TO
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THAT.
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NO.
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John: THEN WHAT IS IT RELATED
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TO?
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ALTHOUGH PROPS TO JEN PSAKI,
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ONLY A FEW MONTHS INTO THE JOB
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AND SHE'S ALREADY WAVING AWAY
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CONCERNS ABOUT STRANDED REFUGEES
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WITH THE EASE OF
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A SPIRIT AIRLINES GATE
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AGENT LETTING YOU KNOW YOUR
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FLIGHT'S DELAYED.
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"REST ASSURED, WE'RE COMMITTED
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TO GETTING YOU TO ORLANDO
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EVENTUALLY.
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WE JUST CAN'T TELL YOU WHERE
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YOUR PLANE IS, WHY IT'S TAKING
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SO LONG, OR WHAT YEAR YOU MIGHT
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ARRIVE."
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AND THE THING IS, THERE ARE
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NEARLY 115,000 REFUGEES IN
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VARIOUS STAGES OF THE
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RESETTLEMENT PROCESS RIGHT NOW,
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WITH MORE THAN 35,000 ALREADY
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APPROVED FOR RESETTLEMENT HERE.
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BUT UNTIL BIDEN SIGNS THAT
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DETERMINATION, THEY'RE STILL
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BEHOLDEN TO TRUMP'S LOW
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ADMISSIONS CEILING AND BULLSHIT
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RACIST RULES.
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AND MUCH AMONG, MORE THAN 700
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REFUGEES HAD THEIR FLIGHTS
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CANCELED.
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AND REMEMBER, THESE ARE
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VULNERABLE PEOPLE WHO MAY HAVE
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SURRENDERED THEIR BELONGINGS OR
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HOMES IN ANTICIPATION OF LEAVING
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THE COUNTRY OR WHO ARE WAITING
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IN CAMPS.
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ALSO, ANY DELAY CAN MEAN THEIR
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REQUIRED HEALTH OR SECURITY
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CHECKS EXPIRE, AND THEY HAVE TO
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START THE WHOLE PROCESS ALL OVER
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AGAIN.
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ONE CONGOLESE WOMAN WAS
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SCHEDULED TO FLY HERE IN EARLY
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MARCH BUT HAD HER TICKET
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CANCELED, AND BECAUSE SHE'S
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PREGNANT AND NOW IN HER THIRD
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TRIMESTER, SHE CAN NO LONGER
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TRAVEL AT ALL.
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AND BY THE WAY, WHEN HER BABY IS
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BORN, THAT CHILD WILL HAVE TO
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UNDERGO A SEPARATE SCREENING
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PROCESS THAT COULD TAKE MONTHS.
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WHICH IS PRETTY WEIRD BECAUSE
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I'M RELATIVELY SURE YOU CAN'T
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HAVE FOREIGN ALLEGIANCES BEFORE
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YOU HAVE OBJECT FUCKING
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PERMANENCE.
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THERE ARE THOUSANDS OF PEOPLE
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NOW STUCK IN THIS POINTLESS
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LIMBO.
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IT'S AN INFURIATING SITUATION,
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PERHAPS BEST SUMMED BY THIS
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WOMAN, WHO CAN'T FIGURE OUT WHY
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HER FRIEND... A REFUGEE
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CURRENTLY STUCK IN A CAMP IN
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MALAWI, WHO'S BEEN APPROVED FOR
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RESETTLEMENT... CAN'T GET ON A
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PLANE.
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THIS PRESIDENT, JOE BIDEN.
262
00:06:35,300 --> 00:06:37,800
WHEN HE CAME, HE SAID THAT HE
263
00:06:37,866 --> 00:06:39,500
WOULD JUST ADD MORE REFUGEES TO
264
00:06:39,566 --> 00:06:41,266
COME TO USA.
265
00:06:41,333 --> 00:06:44,566
AND I HEAR IN THE NEWS THAT
266
00:06:44,633 --> 00:06:45,500
THERE IS A PAPER.
267
00:06:45,566 --> 00:06:46,676
I DON'T KNOW WHICH IS A PAPER OR
268
00:06:46,700 --> 00:06:47,633
SOMETHING THAT HE'S SUPPOSED TO
269
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SIGN.
270
00:06:50,200 --> 00:06:52,400
PLEASE, PLEASE, IF HE HEAR MY
271
00:06:52,466 --> 00:06:54,300
VOICE, PLEASE HELP OUR FRIENDS
272
00:06:54,366 --> 00:06:55,600
WHO ARE STRUGGLING IN THE
273
00:06:55,666 --> 00:06:56,966
REFUGEE CAMP.
274
00:06:57,033 --> 00:06:58,200
John: LOOK, AT LEAST SOME
275
00:06:58,266 --> 00:06:59,400
OF THE PEOPLE WHO VOTED FOR
276
00:06:59,466 --> 00:07:00,733
BIDEN... MAYBE RELUCTANTLY...
277
00:07:00,800 --> 00:07:05,633
DID SO ON THE UNDERSTANDING THAT
278
00:07:05,700 --> 00:07:06,466
REFUGEES WOULD NOT HAVE TO GO ON
279
00:07:06,533 --> 00:07:07,100
CAMERA TO BEG FOR THEIR
280
00:07:07,166 --> 00:07:08,242
ALREADY-APPROVED LOVED ONES TO
281
00:07:08,266 --> 00:07:10,400
BE ALLOWED TO COME HERE, BECAUSE
282
00:07:10,466 --> 00:07:11,066
THAT IS ONE OF THOSE THINGS THAT
283
00:07:11,133 --> 00:07:12,333
GOOD GUYS ARE SUPPOSED TO
284
00:07:12,400 --> 00:07:13,509
CHANGE, RIGHT NEXT TO NOT HIRING
285
00:07:13,533 --> 00:07:14,542
THEIR OWN KIDS OR NOT LETTING
286
00:07:14,566 --> 00:07:16,033
MIKE LINDELL SWAP OUT THE
287
00:07:16,100 --> 00:07:17,766
PILLOWS IN THE LINCOLN BEDROOM.
288
00:07:17,833 --> 00:07:19,266
AND FOR BIDEN, THIS IS ACTUALLY
289
00:07:19,333 --> 00:07:20,366
REALLY SIMPLE.
290
00:07:20,433 --> 00:07:21,542
HE DOESN'T NEED TO NEGOTIATE
291
00:07:21,566 --> 00:07:23,333
WITH REPUBLICANS ON THIS OR
292
00:07:23,400 --> 00:07:24,266
RECKON WITH JOE MANCHIN'S BONER
293
00:07:24,333 --> 00:07:25,366
FOR THE FILIBUSTER.
294
00:07:25,433 --> 00:07:26,713
HE JUST NEEDS TO SIGN A PIECE OF
295
00:07:26,766 --> 00:07:28,333
PAPER.
296
00:07:28,400 --> 00:07:30,166
AND FOR A GUY WHO CLEARLY WANTED
297
00:07:30,233 --> 00:07:31,700
TO BE THE PERSON WHO "RESTORED
298
00:07:31,766 --> 00:07:34,466
THE SOUL" OF AMERICA, IT'S PAST
299
00:07:34,533 --> 00:07:38,266
TIME FOR HIM TO LOOK DEEP INTO
300
00:07:38,333 --> 00:07:39,409
HIS OWN, PICK UP A FUCKING PEN,
301
00:07:39,433 --> 00:07:40,066
AND DO THE RIGHT THING.
302
00:07:40,133 --> 00:07:45,100
AND NOW THIS.
303
00:07:45,166 --> 00:07:46,333
Announcer: AND NOW, A
304
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FAREWELL TRIBUTE TO THE GREATEST
305
00:07:48,266 --> 00:07:50,033
QUESTIONS EVER ASKED ON
306
00:07:50,100 --> 00:07:52,466
YAHOO! ANSWERS.
307
00:07:52,533 --> 00:07:56,066
WHY DO MY BALLS SMELL LIKE
308
00:07:56,133 --> 00:07:58,466
HAM?
309
00:07:58,533 --> 00:08:01,000
WHAT'S WRONG ABOUT BEING
310
00:08:01,066 --> 00:08:02,242
SEXUALLY ATTRACTED TO POKEMON?
311
00:08:02,266 --> 00:08:07,500
IS IT TRUE THAT SWEAT IN PEE ARE
312
00:08:07,566 --> 00:08:07,833
LIKE COUSINS?
313
00:08:07,900 --> 00:08:13,366
WHAT IS THAT ONE MOVIE WHERE
314
00:08:13,433 --> 00:08:15,533
LINDSAY LOHAN AND JAMIE LEE
315
00:08:15,600 --> 00:08:16,000
CURTIS SWITCH BODIES?
316
00:08:16,066 --> 00:08:20,733
NOT "FREAKY FRIDAY?"
317
00:08:20,800 --> 00:08:22,000
STD FROM DOUG?
318
00:08:22,066 --> 00:08:24,733
IS IT POSSIBLE?
319
00:08:24,800 --> 00:08:26,966
OKAY, WEIRD QUESTION, I SAW A
320
00:08:27,033 --> 00:08:27,633
FROG CARRYING ANOTHER FROG ON
321
00:08:27,700 --> 00:08:32,533
ITS BACK.
322
00:08:32,600 --> 00:08:35,133
DOES OF ART CONTAIN DNA?
323
00:08:35,200 --> 00:08:42,833
HOW IS BABBY FORMED?
324
00:08:42,900 --> 00:08:43,733
John: MOVING ON.
325
00:08:43,800 --> 00:08:45,009
OUR MAIN STORY TONIGHT CONCERNS
326
00:08:45,033 --> 00:08:45,733
NURSING HOMES, THE ABSOLUTE LAST
327
00:08:45,800 --> 00:08:46,366
THING YOU WANT ANDREW CUOMO TO
328
00:08:46,433 --> 00:08:47,166
BE HANDLING, TIED COMFORTABLY
329
00:08:47,233 --> 00:08:48,242
WITH LITERALLY ANYTHING ELSE.
330
00:08:48,266 --> 00:08:49,466
NURSING HOMES, AND LONG-TERM
331
00:08:49,533 --> 00:08:50,576
CARE IN GENERAL, ARE SOMETHING
332
00:08:50,600 --> 00:08:52,966
WE TEND TO AVOID THINKING ABOUT,
333
00:08:53,033 --> 00:08:54,700
BUT THE TRUTH IS, WHETHER DUE TO
334
00:08:54,766 --> 00:08:55,700
OLD AGE OR DISABILITY, MANY OF
335
00:08:55,766 --> 00:08:57,533
US DO OR WILL REQUIRE HELP WITH
336
00:08:57,600 --> 00:08:59,433
DAILY LIVING.
337
00:08:59,500 --> 00:09:00,800
THE NUMBER OF AMERICANS 65 AND
338
00:09:00,866 --> 00:09:02,833
OLDER IS PROJECTED TO NEARLY
339
00:09:02,900 --> 00:09:04,166
DOUBLE OVER THE NEXT 40 YEARS,
340
00:09:04,233 --> 00:09:05,353
AND ONE STUDY ESTIMATED OVER
341
00:09:05,400 --> 00:09:06,733
TWO-THIRDS OF AMERICANS WHO
342
00:09:06,800 --> 00:09:08,100
REACH 65 WILL NEED LONG-TERM
343
00:09:08,166 --> 00:09:09,242
CARE AT SOME POINT IN THEIR
344
00:09:09,266 --> 00:09:12,833
LIVES.
345
00:09:12,900 --> 00:09:16,433
AND THE GOOD NEWS IS, FOR THE
346
00:09:16,500 --> 00:09:19,500
RICH, THERE ARE PLENTY OF
347
00:09:19,566 --> 00:09:19,733
OPTIONS.
348
00:09:19,800 --> 00:09:20,633
THERE ARE MULTIPLE UPSCALE
349
00:09:20,700 --> 00:09:21,200
RETIREMENT COMMUNITIES WHERE
350
00:09:21,266 --> 00:09:21,766
RESIDENTS CAN TRANSITION, IF
351
00:09:21,833 --> 00:09:23,200
NEEDED, INTO FULL-TIME NURSING
352
00:09:23,266 --> 00:09:23,800
CARE, LIKE THIS ONE, TOURED IN
353
00:09:23,866 --> 00:09:24,466
EXQUISITE FASHION BY 2 CHAINZ:
354
00:09:24,533 --> 00:09:24,900
ALL RIGHT.
355
00:09:24,966 --> 00:09:26,076
SO THE NAME OF THIS EPISODE IS
356
00:09:26,100 --> 00:09:26,866
CALLED "THE MOST EXPENSIVE
357
00:09:26,933 --> 00:09:28,666
RETIREMENT," RIGHT?
358
00:09:28,733 --> 00:09:29,766
AND SO THIS IS THE MOST
359
00:09:29,833 --> 00:09:31,066
UPSCALE, LUXURIOUS RETIREMENT
360
00:09:31,133 --> 00:09:31,766
HOME THAT I'VE EVER SEEN AND
361
00:09:31,833 --> 00:09:33,533
EVER HEARD ABOUT.
362
00:09:33,600 --> 00:09:34,533
THE BUILDING ITSELF COST
363
00:09:34,600 --> 00:09:37,000
$100 MILLION TO BUILD.
364
00:09:37,066 --> 00:09:37,900
DAMN.
365
00:09:37,966 --> 00:09:38,633
THE... THE MARBLE, IT'S FROM
366
00:09:38,700 --> 00:09:39,533
ITALY.
367
00:09:39,600 --> 00:09:41,066
IT'S CUSTOM CARPET.
368
00:09:41,133 --> 00:09:42,666
I SEE A LOT OF ART.
369
00:09:42,733 --> 00:09:43,833
I SEE THE VERSACE PLATES.
370
00:09:43,900 --> 00:09:46,400
John: OKAY.
371
00:09:46,466 --> 00:09:49,666
EXTRAVAGANCE OF THAT PLACE
372
00:09:49,733 --> 00:09:50,300
ASIDE, LET'S ALL JUST AGREE:
373
00:09:50,366 --> 00:09:51,300
THAT $195 PLATE SUCKS SHIT.
374
00:09:51,366 --> 00:09:52,733
AND I'M NOT NORMALLY A PLATE
375
00:09:52,800 --> 00:09:53,876
GUY... YOUR BOY'S A SAUCER FREAK
376
00:09:53,900 --> 00:09:54,400
FROM WAY BACK.
377
00:09:54,466 --> 00:09:55,366
I'M A BOWL BITCH.
378
00:09:55,433 --> 00:09:56,609
PLATES AREN'T REALLY MY THING.
379
00:09:56,633 --> 00:09:57,833
BUT EVEN I CAN TELL THAT PLATE
380
00:09:57,900 --> 00:09:58,633
IS A 2.
381
00:09:58,700 --> 00:10:00,466
THAT'S A 2 IN OHIO.
382
00:10:00,533 --> 00:10:01,900
IF YOU'RE GONNA SPEND THAT KIND
383
00:10:01,966 --> 00:10:05,433
OF MONEY ON A PLATE, IT BETTER
384
00:10:05,500 --> 00:10:06,033
BE REALLY BIG, REALLY FUN, OR
385
00:10:06,100 --> 00:10:06,666
REALLY, REALLY HOT.
386
00:10:06,733 --> 00:10:07,733
THAT PLATE...
387
00:10:07,800 --> 00:10:09,033
LOOK AT ME.
388
00:10:09,100 --> 00:10:12,966
PUT YOUR PHONE DOWN AND LOOK AT
389
00:10:13,033 --> 00:10:16,333
ME WHEN I'M TALKING TO YOU.
390
00:10:16,400 --> 00:10:17,266
THAT PLATE FUCKS.
391
00:10:17,333 --> 00:10:18,100
BUT THE FACT IS, MOST OF US
392
00:10:18,166 --> 00:10:19,033
AREN'T ENDING UP IN THAT PLACE.
393
00:10:19,100 --> 00:10:20,209
IN FACT, THE VAST MAJORITY OF
394
00:10:20,233 --> 00:10:21,800
PEOPLE RECEIVE LONG-TERM CARE AT
395
00:10:21,866 --> 00:10:22,733
HOME, AND AROUND 80% OF THAT
396
00:10:22,800 --> 00:10:24,000
CARE IS PROVIDED BY UNPAID
397
00:10:24,066 --> 00:10:25,209
CAREGIVERS, OFTEN FAMILY MEMBERS
398
00:10:25,233 --> 00:10:26,566
WHO WANT TO KEEP THEIR LOVED
399
00:10:26,633 --> 00:10:28,433
ONES OUT OF INSTITUTIONAL CARE,
400
00:10:28,500 --> 00:10:30,700
LIKE THIS WIFE AND DAUGHTER.
401
00:10:30,766 --> 00:10:32,433
CHERYL AND KRISTIN ARE AMONG
402
00:10:32,500 --> 00:10:34,400
THE 42 MILLION AMERICANS CARING
403
00:10:34,466 --> 00:10:35,706
FOR LOVED ONES AT HOME, AND THE
404
00:10:35,766 --> 00:10:37,666
TASKS THEY PERFORM HAVE BECOME
405
00:10:37,733 --> 00:10:39,666
INCREASINGLY COMPLEX.
406
00:10:39,733 --> 00:10:41,466
WHEN WE HAVE TO FLUSH HIS
407
00:10:41,533 --> 00:10:42,900
PICC LINE OR CLEAN HIS PEG TUBE
408
00:10:42,966 --> 00:10:44,700
OR TAKE HIS BLOOD GLUCOSE OR HIS
409
00:10:44,766 --> 00:10:46,600
BLOOD PRESSURE, YOU KNOW, NONE
410
00:10:46,666 --> 00:10:47,466
OF US WENT TO SCHOOL FOR THAT.
411
00:10:47,533 --> 00:10:48,542
I MEAN, WE'RE NOT EDUCATED THAT
412
00:10:48,566 --> 00:10:49,366
WAY.
413
00:10:49,433 --> 00:10:50,333
I DON'T FEEL LIKE I HAD
414
00:10:50,400 --> 00:10:51,576
ENOUGH TRAINING AT ALL FOR THIS.
415
00:10:51,600 --> 00:10:52,800
WE'VE KIND OF LEARNED BY TRIAL
416
00:10:52,833 --> 00:10:53,766
AND ERROR.
417
00:10:53,833 --> 00:10:59,466
John: THAT SEEMS REALLY HARD.
418
00:10:59,533 --> 00:11:00,400
AND THERE ARE CERTAIN THINGS
419
00:11:00,466 --> 00:11:01,000
YOU EXPECT TO DO BY TRIAL AND
420
00:11:01,066 --> 00:11:01,533
ERROR... SOLVING A PUZZLE,
421
00:11:01,600 --> 00:11:02,400
LEARNING TO PRONOUNCE THE NAME
422
00:11:02,466 --> 00:11:03,066
OF TAMBOURINE SATURDAY, OR
423
00:11:03,133 --> 00:11:06,466
CHOOSING A HAIRCUT... FOR THE
424
00:11:06,533 --> 00:11:07,609
RECORD, ERROR, ERROR, ERROR, AND
425
00:11:07,633 --> 00:11:09,500
ERROR... BUT PROVIDING ESSENTIAL
426
00:11:09,566 --> 00:11:11,400
MEDICAL CARE SHOULD NOT BE ONE
427
00:11:11,466 --> 00:11:13,533
OF THOSE THINGS.
428
00:11:13,600 --> 00:11:15,500
TAKING CARE OF SOMEONE AT HOME
429
00:11:15,566 --> 00:11:17,733
CAN BE AN INCREDIBLY
430
00:11:17,800 --> 00:11:20,200
COMPLICATED, FULL-TIME JOB
431
00:11:20,266 --> 00:11:21,342
THAT IS ALMOST ALWAYS UNPAID.
432
00:11:21,366 --> 00:11:24,533
IN FACT, IN TERMS OF LOST WAGES,
433
00:11:24,600 --> 00:11:25,133
THE LABOR OF FAMILY CAREGIVERS
434
00:11:25,200 --> 00:11:25,800
TOTALS ABOUT $67 BILLION
435
00:11:25,866 --> 00:11:27,066
ANNUALLY.
436
00:11:27,133 --> 00:11:29,466
THAT'S A WORKFORCE THAT, IF IT
437
00:11:29,533 --> 00:11:31,733
WERE PAID, WOULD RIVAL THE
438
00:11:31,800 --> 00:11:33,433
ENTIRE GDP OF BULGARIA.
439
00:11:33,500 --> 00:11:35,266
BUT FOR THOSE WHO CAN'T AFFORD
440
00:11:35,333 --> 00:11:37,533
TO EAT OFF UNFUCKABLE PLATES OR
441
00:11:37,600 --> 00:11:38,333
WHOSE LOVED ONES ARE UNABLE TO
442
00:11:38,400 --> 00:11:40,033
HELP THEM AT HOME, MANY WIND UP
443
00:11:40,100 --> 00:11:42,466
IN LONG-TERM CARE FACILITIES.
444
00:11:42,533 --> 00:11:43,133
THERE ARE TWO MILLION PEOPLE IN
445
00:11:43,200 --> 00:11:45,066
THEM IN THE U.S., AND AS WE'VE
446
00:11:45,133 --> 00:11:47,266
SEEN DURING THE COVID CRISIS,
447
00:11:47,333 --> 00:11:49,033
THEY CAN BE FAR FROM IDEAL.
448
00:11:49,100 --> 00:11:50,700
RESIDENTS AND STAFF IN THEM MAKE
449
00:11:50,766 --> 00:11:52,433
UP LESS THAN 1% OF THE
450
00:11:52,500 --> 00:11:53,600
POPULATION, BUT CURRENTLY
451
00:11:53,666 --> 00:11:55,500
ACCOUNT FOR A THIRD OF COVID
452
00:11:55,566 --> 00:11:57,200
DEATHS.
453
00:11:57,266 --> 00:11:58,466
THE PANDEMIC PUSHED AN ALREADY
454
00:11:58,500 --> 00:12:01,000
HEAVILY STRAINED SYSTEM TO THE
455
00:12:01,066 --> 00:12:02,276
ABSOLUTE BRINK, WITH CONDITIONS
456
00:12:02,300 --> 00:12:03,433
GETTING SO BAD THERE WERE
457
00:12:03,500 --> 00:12:04,066
NEAR-CONSTANT LOCAL NEWS STORIES
458
00:12:04,133 --> 00:12:07,933
LIKE THIS:
459
00:12:08,000 --> 00:12:09,533
ONE RESIDENT HERE SAYS HER
460
00:12:09,600 --> 00:12:11,300
CALLS FOR HELP OR IGNORED
461
00:12:11,400 --> 00:12:12,900
BECAUSE THERE WASN'T ENOUGH
462
00:12:12,966 --> 00:12:13,300
STAFF TO RESPOND.
463
00:12:13,366 --> 00:12:14,666
I'M SCREAMING, "GET ME OUT OF
464
00:12:14,733 --> 00:12:15,909
HERE, GET ME OUT OF HERE, GET ME
465
00:12:15,933 --> 00:12:16,633
OUT OF THIS THI... "
466
00:12:16,700 --> 00:12:17,533
I WAS SCREAMING AT THEM.
467
00:12:17,600 --> 00:12:18,400
I WAS IN TERRIBLE PAIN, AND THEY
468
00:12:18,466 --> 00:12:18,833
DIDN'T COME FOR ME.
469
00:12:18,900 --> 00:12:19,466
PENNY SHAW WAS IN PAIN AS SHE
470
00:12:19,533 --> 00:12:20,033
LAY HELPLESS IN HER BED AT
471
00:12:20,100 --> 00:12:21,466
BRAINTREE MANOR NURSING HOME IN
472
00:12:21,533 --> 00:12:23,866
THE MIDST OF THE COVID-19
473
00:12:23,933 --> 00:12:24,133
PANDEMIC.
474
00:12:24,200 --> 00:12:25,933
SHE BECAME SO DESPERATE SHE EVEN
475
00:12:26,000 --> 00:12:26,833
CALLED BRAINTREE POLICE FOR
476
00:12:26,900 --> 00:12:29,000
HELP.
477
00:12:29,066 --> 00:12:30,433
I CAN'T LAY IN BED FOR HOURS
478
00:12:30,500 --> 00:12:31,233
AND HOURS, YOU KNOW, IN PAIN
479
00:12:31,300 --> 00:12:36,733
LIKE THAT.
480
00:12:36,800 --> 00:12:39,233
John: I HAVE TO TELL YOU,
481
00:12:39,300 --> 00:12:42,700
WE CONTACTED THAT FACILITY, IT
482
00:12:42,766 --> 00:12:44,933
INSISTED THAT THE SAFETY OF ITS
483
00:12:45,000 --> 00:12:46,166
RESIDENTS IS OF UTMOST
484
00:12:46,233 --> 00:12:49,633
IMPORTANCE, BUT THAT IS PRETTY
485
00:12:49,700 --> 00:12:52,433
FUCKING HARD TO BELIEVE WHEN
486
00:12:52,500 --> 00:12:56,133
THEY ARE CALLING THE POLICE FOR
487
00:12:56,200 --> 00:12:57,033
HEALTH.
488
00:12:57,100 --> 00:12:57,766
THEIR ONLY TWO INSTANCES WHERE
489
00:12:57,833 --> 00:13:01,133
THAT IS TO BE EXPECTED, AND THAT
490
00:13:01,200 --> 00:13:01,266
IS
491
00:13:01,333 --> 00:13:02,900
IF YOU'RE GIVING BIRTH OR
492
00:13:02,966 --> 00:13:04,076
DIGESTING A CRUNCH WRAP SUPREME.
493
00:13:04,100 --> 00:13:04,933
BUT IT'S A LOT MORE UPSETTING
494
00:13:05,000 --> 00:13:06,300
AND THE TRUTH IS, COVID JUST
495
00:13:06,366 --> 00:13:06,866
EXPOSED WHAT WE'VE BASICALLY
496
00:13:06,933 --> 00:13:07,533
KNOWN FOR YEARS... THAT THE WAY
497
00:13:07,600 --> 00:13:08,100
THE ELDERLY AND DISABLED ARE
498
00:13:08,166 --> 00:13:08,933
TREATED IN FAR TOO MANY OF THESE
499
00:13:09,000 --> 00:13:10,533
FACILITIES IS WITH, AT BEST,
500
00:13:10,600 --> 00:13:11,100
INDIFFERENCE, AND AT WORST,
501
00:13:11,166 --> 00:13:11,500
ABUSE AND NEGLECT.
502
00:13:11,566 --> 00:13:13,366
SO TONIGHT, LET'S TALK ABOUT
503
00:13:13,433 --> 00:13:14,233
LONG-TERM CARE... HOW THE
504
00:13:14,300 --> 00:13:15,442
INDUSTRY IS STRUCTURED, HOW THAT
505
00:13:15,466 --> 00:13:16,900
STRUCTURE CREATES BAD
506
00:13:16,966 --> 00:13:19,600
INCENTIVES, AND WHAT WE CAN DO
507
00:13:19,666 --> 00:13:20,666
GOG FORWARD.
508
00:13:20,700 --> 00:13:22,466
AND WE'RE GOING TO FOCUS ON THE
509
00:13:22,533 --> 00:13:27,400
TWO MAIN TYPES OF LONG-TERM
510
00:13:27,466 --> 00:13:28,800
CARE FACILITIES: NURSING HOMES,
511
00:13:28,866 --> 00:13:29,766
AND ASSISTED LIVING FACILITIES.
512
00:13:29,833 --> 00:13:30,333
NURSING HOMES ARE MEDICAL
513
00:13:30,400 --> 00:13:30,933
FACILITIES OVERSEEN BY TRAINED
514
00:13:31,000 --> 00:13:31,533
NURSES AND LARGELY STAFFED BY
515
00:13:31,600 --> 00:13:32,866
LOW-PAID NURSING ASSISTANTS.
516
00:13:32,933 --> 00:13:35,100
AND THERE HAVE LONG BEEN ISSUES
517
00:13:35,166 --> 00:13:36,433
WITH NURSING HOME CARE... A GAO
518
00:13:36,500 --> 00:13:37,576
REPORT COVERING A FIVE-YEAR
519
00:13:37,600 --> 00:13:39,133
PERIOD BEFORE THE PANDEMIC FOUND
520
00:13:39,200 --> 00:13:42,666
THAT 82% OF HOMES HAD BEEN CITED
521
00:13:42,733 --> 00:13:44,033
FOR INFECTION PREVENTION AND
522
00:13:44,100 --> 00:13:45,400
CONTROL DEFICIENCIES, AND ABOUT
523
00:13:45,466 --> 00:13:46,900
HALF HAD PERSISTENT PROBLEMS
524
00:13:46,966 --> 00:13:48,066
THAT HAD BEEN CITED ACROSS
525
00:13:48,133 --> 00:13:49,466
MULTIPLE YEARS.
526
00:13:49,533 --> 00:13:51,333
AND A BIG REASON FOR THAT MAY BE
527
00:13:51,433 --> 00:13:53,866
BECAUSE UNDERSTAFFING IS A BIG
528
00:13:53,933 --> 00:13:55,633
PROBLEM, WITH EMPLOYEES OFTEN
529
00:13:55,700 --> 00:14:00,733
TASKED WITH TAKING CARE OF WAY
530
00:14:00,800 --> 00:14:01,666
TOO MANY RESIDENTS, AS THESE
531
00:14:01,733 --> 00:14:02,266
NURSING ASSISTANTS POINTED OUT
532
00:14:02,333 --> 00:14:02,766
JUST LAST YEAR.
533
00:14:02,833 --> 00:14:03,766
THEY'RE NOT BEING SHOWERED.
534
00:14:03,833 --> 00:14:06,600
PEOPLE FALLING OUT OF BED.
535
00:14:06,666 --> 00:14:07,233
THE MEN AREN'T BEING SHAVED.
536
00:14:07,300 --> 00:14:08,033
PEOPLE FALLEN TO WHERE THEY
537
00:14:08,100 --> 00:14:08,900
FELL OUT OF THEIR WHEELCHAIRS.
538
00:14:08,966 --> 00:14:12,433
WHAT IF THEY NEED CHANGED?
539
00:14:12,500 --> 00:14:13,233
THEY MIGHT GET IT ONE TIME.
540
00:14:13,300 --> 00:14:13,733
A DAY?
541
00:14:13,800 --> 00:14:14,466
A DAY.
542
00:14:14,533 --> 00:14:16,466
WE HAVE 22 RESIDENTS APIECE.
543
00:14:16,533 --> 00:14:19,366
MOST DAYS, THAT'S FOR ONE PERSON
544
00:14:19,433 --> 00:14:23,900
TO WASH, DRESS, GET UP, TWO
545
00:14:23,966 --> 00:14:26,466
MEALS, AND THEY'RE BEING
546
00:14:26,533 --> 00:14:27,773
NEGLECTED BECAUSE YOU CAN'T GET
547
00:14:27,833 --> 00:14:28,633
TO EVERYBODY.
548
00:14:28,700 --> 00:14:32,133
I TOLD THE ADMINISTRATOR, I'M
549
00:14:32,200 --> 00:14:36,566
EMBARRASSED OF MY WORK PROCESS
550
00:14:36,633 --> 00:14:38,033
BECAUSE I CAN'T DO WHAT I WAS
551
00:14:38,100 --> 00:14:38,633
TRAINED TO DO ON HOW TO TAKE
552
00:14:38,700 --> 00:14:42,400
CARE OF THESE RESIDENTS.
553
00:14:42,466 --> 00:14:42,933
John: THAT IS OBVIOUSLY
554
00:14:43,000 --> 00:14:43,766
UNACCEPTABLE.
555
00:14:43,833 --> 00:14:44,333
DO YOU HAVE ANY IDEA HOW BAD
556
00:14:44,400 --> 00:14:46,133
THINGS NEED TO GET FOR YOU TO
557
00:14:46,200 --> 00:14:46,633
TELL YOUR BOSS YOU'RE
558
00:14:46,700 --> 00:14:49,800
EMBARRASSED BY YOUR WORK?
559
00:14:49,866 --> 00:14:50,600
I'M NOT EVEN EMBARRASSED BY MY
560
00:14:50,666 --> 00:14:51,166
WORK, AND JUST THREE MINUTES
561
00:14:51,233 --> 00:14:51,733
AGO, I JOKED ABOUT FUCKING A
562
00:14:51,800 --> 00:14:53,766
PLATE.
563
00:14:53,833 --> 00:14:54,666
ALSO, THAT WASN'T REALLY A JOKE.
564
00:14:54,733 --> 00:14:55,900
CALL ME, WOLF PLATE.
565
00:14:55,966 --> 00:14:57,466
AND NURSING ASSISTANTS AREN'T
566
00:14:57,533 --> 00:14:58,900
JUST OVERWORKED... THEY'RE
567
00:14:58,966 --> 00:15:00,233
REALLY UNDERPAID.
568
00:15:00,300 --> 00:15:01,566
THE MEDIAN NATIONAL SALARY FOR
569
00:15:01,633 --> 00:15:02,900
THAT JOB IS BARELY $30,000 A
570
00:15:02,966 --> 00:15:05,000
YEAR.
571
00:15:05,066 --> 00:15:06,933
AND ONE REASON IS THAT NEARLY
572
00:15:07,000 --> 00:15:10,433
70% OF NURSING HOMES ARE NOW
573
00:15:10,500 --> 00:15:12,433
FOR-PROFIT INSTITUTIONS.
574
00:15:12,500 --> 00:15:13,400
AND THERE IS A LOT OF PROFIT FOR
575
00:15:13,466 --> 00:15:15,700
THEM TO MAKE, BECAUSE THEY DON'T
576
00:15:15,766 --> 00:15:16,666
PAY STAFF MUCH, BUT THEY CHARGE
577
00:15:16,733 --> 00:15:17,766
YOU A LOT.
578
00:15:17,833 --> 00:15:20,533
THE AVERAGE PER-PERSON COST FOR
579
00:15:20,600 --> 00:15:22,666
A PRIVATE ROOM IS $100,000 PER
580
00:15:22,733 --> 00:15:24,100
YEAR.
581
00:15:24,166 --> 00:15:26,600
AND IF YOU'RE THINKING, "YEAH,
582
00:15:26,666 --> 00:15:27,900
THAT IS EXPENSIVE, BUT DOESN'T
583
00:15:27,966 --> 00:15:28,533
THE MEDICARE PROGRAM I HAVE PAID
584
00:15:28,600 --> 00:15:30,266
INTO ALL MY LIFE COVER THAT?"
585
00:15:30,333 --> 00:15:31,033
WELL, NO, IT DOESN'T.
586
00:15:31,100 --> 00:15:32,242
MEDICARE ONLY FULLY COVERS THE
587
00:15:32,266 --> 00:15:33,733
FIRST 20 DAYS OF NURSING HOME
588
00:15:33,800 --> 00:15:35,666
CARE AFTER AN ELIGIBLE HOSPITAL
589
00:15:35,733 --> 00:15:37,833
VISIT, THEN PARTIALLY PAYS FOR
590
00:15:37,900 --> 00:15:39,200
UP TO 100 DAYS.
591
00:15:39,266 --> 00:15:44,633
BUT AFTER THAT, YOU ARE ON THE
592
00:15:44,700 --> 00:15:45,366
HOOK FOR ALL COSTS.
593
00:15:45,433 --> 00:15:46,266
THE ONLY OTHER WAY TO ACCESS
594
00:15:46,333 --> 00:15:47,033
TAXPAYER HELP TO LIVE IN A
595
00:15:47,100 --> 00:15:47,966
NURSING HOME IS TO ALMOST
596
00:15:48,033 --> 00:15:49,273
COMPLETELY IMPOVERISH YOURSELF,
597
00:15:49,300 --> 00:15:50,600
TO BASICALLY SPEND YOUR WAY DOWN
598
00:15:50,666 --> 00:15:51,742
TO THE POINT YOU QUALIFY FOR
599
00:15:51,766 --> 00:15:53,366
MEDICAID, THE GOVERNMENT PROGRAM
600
00:15:53,433 --> 00:15:54,766
FOR THE POOR, WHICH, CRUCIALLY,
601
00:15:54,833 --> 00:15:56,833
REIMBURSES NURSING HOMES AT LESS
602
00:15:56,900 --> 00:15:59,000
THAN HALF THE AVERAGE DAILY RATE
603
00:15:59,066 --> 00:16:02,866
PAID BY MEDICARE.
604
00:16:02,933 --> 00:16:04,133
AND WHILE YOU WOULD LIKE TO
605
00:16:04,200 --> 00:16:05,933
THINK THAT NURSING HOMES WOULD
606
00:16:06,000 --> 00:16:07,133
TREAT ALL PATIENTS THE SAME,
607
00:16:07,200 --> 00:16:08,400
WHETHER THEY'RE ON MEDICARE OR
608
00:16:08,466 --> 00:16:09,900
MEDICAID, THE TRUTH IS, YOU
609
00:16:09,966 --> 00:16:10,466
MIGHT GET TWO VERY DIFFERENT
610
00:16:10,533 --> 00:16:11,333
EXPERIENCES.
611
00:16:11,400 --> 00:16:12,542
BECAUSE IF YOU'RE ON MEDICARE,
612
00:16:12,566 --> 00:16:15,200
YOU COULD WIND UP GETTING TOO
613
00:16:15,266 --> 00:16:16,266
MUCH ATTENTION.
614
00:16:16,333 --> 00:16:17,000
JUST LISTEN TO AN ASSISTANT
615
00:16:17,066 --> 00:16:18,433
MANAGER AT ONE NURSING HOME
616
00:16:18,500 --> 00:16:19,000
CHAIN DESCRIBE HOW MEDICARE
617
00:16:19,066 --> 00:16:21,366
PATIENTS THERE WERE TREATED.
618
00:16:21,433 --> 00:16:22,233
WHAT PERCENTAGE OF THE
619
00:16:22,300 --> 00:16:23,000
THERAPY THAT YOU WERE BEING TOLD
620
00:16:23,066 --> 00:16:23,833
TO ADMINISTER DO YOU THINK WAS
621
00:16:23,900 --> 00:16:26,266
NOT NECESSARY?
622
00:16:26,333 --> 00:16:28,133
I WOULD SAY PROBABLY, AS TIME
623
00:16:28,200 --> 00:16:29,933
WENT ON, ABOUT 40%.
624
00:16:30,000 --> 00:16:31,076
40% OF THE WORK THAT YOU WERE
625
00:16:31,100 --> 00:16:31,966
DOING...
626
00:16:32,033 --> 00:16:33,600
WAS NOT REASONABLE AND NOT
627
00:16:33,666 --> 00:16:35,100
NECESSARY UNDER MEDICARE
628
00:16:35,166 --> 00:16:36,900
GUIDELINES.
629
00:16:36,966 --> 00:16:38,600
AT ANOTHER FACILITY, THE ENTIRE
630
00:16:38,666 --> 00:16:39,842
REHAB STAFF SIGNED A LETTER TO
631
00:16:39,866 --> 00:16:41,433
THEIR BOSS.
632
00:16:41,500 --> 00:16:42,900
IT READS, "WE HAVE BEEN
633
00:16:42,966 --> 00:16:43,966
ENCOURAGED TO MAXIMIZE
634
00:16:44,033 --> 00:16:44,533
REIMBURSEMENT EVEN WHEN
635
00:16:44,600 --> 00:16:48,766
CLINICALLY INAPPROPRIATE."
636
00:16:48,833 --> 00:16:49,766
John: THAT IS ABSURD.
637
00:16:49,833 --> 00:16:50,400
THE DOJ ACTUALLY FILED A LAWSUIT
638
00:16:50,466 --> 00:16:51,033
CLAIMING THAT THE CHAIN THAT
639
00:16:51,100 --> 00:16:52,466
WOMAN WORKED FOR, LIFE CARE
640
00:16:52,533 --> 00:16:53,900
CENTERS OF AMERICA... WHICH RUNS
641
00:16:53,966 --> 00:16:54,700
OVER 200 NURSING HOMES... WAS
642
00:16:54,766 --> 00:16:55,806
SUBJECTING ITS PATIENTS TO
643
00:16:55,866 --> 00:16:57,000
THERAPY EVEN AS THEY WERE ON
644
00:16:57,066 --> 00:17:00,133
THEIR DEATHBEDS.
645
00:17:00,200 --> 00:17:01,000
IT ALLEGED ONE 92-YEAR-OLD WHO
646
00:17:01,066 --> 00:17:04,900
WAS DYING OF METASTATIC CANCER
647
00:17:04,966 --> 00:17:06,900
WAS RECORDED AS HAVING HAD
648
00:17:06,966 --> 00:17:08,176
48 MINUTES OF PHYSICAL THERAPY,
649
00:17:08,200 --> 00:17:10,033
47 MINUTES OF OCCUPATIONAL
650
00:17:10,100 --> 00:17:11,000
THERAPY, AND 30 MINUTES OF
651
00:17:11,066 --> 00:17:12,666
SPEECH THERAPY, JUST TWO DAYS
652
00:17:12,733 --> 00:17:13,933
BEFORE HIS DEATH, ON A DAY HE
653
00:17:14,000 --> 00:17:14,600
WAS SPITTING UP BLOOD.
654
00:17:14,666 --> 00:17:15,133
WHICH IS ABSURD.
655
00:17:15,200 --> 00:17:16,500
RESIDENTS SHOULD BE GETTING
656
00:17:16,566 --> 00:17:18,000
PROPER NURSING CARE.
657
00:17:18,066 --> 00:17:19,933
NOT SHIT-TONS OF EXPENSIVE
658
00:17:20,000 --> 00:17:20,866
THERAPEUTIC TREATMENTS THAT ARE
659
00:17:20,933 --> 00:17:21,966
CLINICALLY INAPPROPRIATE.
660
00:17:22,033 --> 00:17:23,076
WHICH, BY THE WAY, I'M PRETTY
661
00:17:23,100 --> 00:17:24,566
SURE WAS THE ORIGINAL SLOGAN OF
662
00:17:24,633 --> 00:17:25,833
GOOP.
663
00:17:25,900 --> 00:17:27,066
NOW, LIFE CARE DENIED
664
00:17:27,133 --> 00:17:29,333
WRONGDOING, BUT AGREED TO PAY
665
00:17:29,400 --> 00:17:30,900
$145 MILLION TO RESOLVE THAT
666
00:17:30,966 --> 00:17:35,566
LAWSUIT.
667
00:17:35,633 --> 00:17:36,166
AND THEY'RE HARDLY ALONE HERE.
668
00:17:36,233 --> 00:17:37,242
OVER THE PAST DECADE, MULTIPLE
669
00:17:37,266 --> 00:17:38,200
OTHER LARGE NURSING HOME CHAINS
670
00:17:38,266 --> 00:17:40,200
HAVE BEEN CHARGED WITH
671
00:17:40,266 --> 00:17:40,766
FRAUDULENT MEDICARE BILLING
672
00:17:40,833 --> 00:17:41,942
PRACTICES AND DENIED WRONGDOING
673
00:17:41,966 --> 00:17:43,109
WHILE PAYING MILLIONS OF DOLLARS
674
00:17:43,133 --> 00:17:44,533
TO SETTLE THEIR CASES.
675
00:17:44,600 --> 00:17:48,400
YOU KNOW, LIKE YOU DO WHEN
676
00:17:48,466 --> 00:17:51,433
YOU ARE TOTALLY INNOCENT.
677
00:17:51,500 --> 00:17:52,742
SO TO RECAP HERE: IF MEDICARE IS
678
00:17:52,766 --> 00:17:53,942
PAYING, THE RISK IS, YOU COULD
679
00:17:53,966 --> 00:17:54,366
BILLED FOR UNNECESSARY
680
00:17:54,433 --> 00:17:55,200
TREATMENTS.
681
00:17:55,266 --> 00:17:56,276
BUT IF MEDICAID IS PAYING...
682
00:17:56,300 --> 00:17:57,533
WHICH, REMEMBER, REIMBURSES
683
00:17:57,600 --> 00:17:58,866
NURSING HOMES AT LESS THAN HALF
684
00:17:58,933 --> 00:18:00,700
THE AVERAGE DAILY RATE... THINGS
685
00:18:00,766 --> 00:18:02,100
COULD GET MUCH WORSE.
686
00:18:02,166 --> 00:18:04,300
BECAUSE IF FACILITIES WANT TO
687
00:18:04,366 --> 00:18:06,666
OPEN UP A BED TO A MORE
688
00:18:06,733 --> 00:18:07,666
LUCRATIVE PATIENT, THEY CAN TAKE
689
00:18:07,733 --> 00:18:08,633
DRASTIC ACTION.
690
00:18:08,700 --> 00:18:10,400
RONALD, WHO WAS 51 AND
691
00:18:10,466 --> 00:18:10,933
HOMELESS, GOT REHAB AT THE
692
00:18:11,000 --> 00:18:13,266
NURSING HOME WHERE HE LIVED FOR
693
00:18:13,333 --> 00:18:13,766
MORE THAN A YEAR.
694
00:18:13,833 --> 00:18:14,300
THEN ONE NIGHT, AROUND
695
00:18:14,366 --> 00:18:15,466
10:00 P.M., HE SAYS AN
696
00:18:15,533 --> 00:18:18,500
ADMINISTRATOR CAME INTO HIS
697
00:18:18,566 --> 00:18:18,700
ROOM.
698
00:18:18,766 --> 00:18:20,133
BIG SMILE ON THEIR FACE,
699
00:18:20,200 --> 00:18:21,533
SAYING, "WE'RE KICKING YOU OUT."
700
00:18:21,600 --> 00:18:25,000
YEAH.
701
00:18:25,066 --> 00:18:26,966
AND THEY JUST BUNDLED ME INTO A
702
00:18:27,033 --> 00:18:28,333
VAN AND JUST DROPPED ME OFF HERE
703
00:18:28,400 --> 00:18:29,666
ON THE SIDEWALK.
704
00:18:29,733 --> 00:18:31,133
THE AVALON VILLA CARE CENTER,
705
00:18:31,200 --> 00:18:32,100
THROUGH ITS LAWYERS, TOLD NBC
706
00:18:32,166 --> 00:18:34,100
NEWS IT STRONGLY DISPUTES THAT
707
00:18:34,166 --> 00:18:34,966
IT HAS INAPPROPRIATELY
708
00:18:35,033 --> 00:18:37,400
DISCHARGED ANY PATIENTS.
709
00:18:37,466 --> 00:18:38,900
THE HOMELESS SHELTER WHERE
710
00:18:38,966 --> 00:18:40,666
RONALD IS LIVING NOW SAYS IT'S
711
00:18:40,733 --> 00:18:42,700
SEEN CASES LIKE THIS BEFORE.
712
00:18:42,766 --> 00:18:45,500
EXPERTS EVEN HAVE A TERM FOR IT:
713
00:18:45,566 --> 00:18:46,700
RESIDENT DUMPING.
714
00:18:46,766 --> 00:18:47,842
John: OH, COME ON, THAT'S
715
00:18:47,866 --> 00:18:49,133
JUST FUCKING EVIL.
716
00:18:49,200 --> 00:18:50,200
"RESIDENT DUMPING" IS A
717
00:18:50,233 --> 00:18:50,900
COMPLETELY UNACCEPTABLE
718
00:18:50,966 --> 00:18:52,066
PRACTICE.
719
00:18:52,133 --> 00:18:53,133
I DON'T EVEN LIKE IT WHEN
720
00:18:53,166 --> 00:18:54,466
RESIDENTS ARE DUMPED ON
721
00:18:54,533 --> 00:18:55,566
"GREY'S ANATOMY."
722
00:18:55,633 --> 00:18:57,033
AT THE ALTAR, BURKE?
723
00:18:57,100 --> 00:18:58,666
YOU DUMPED THAT RESIDENT AT THE
724
00:18:58,733 --> 00:19:02,633
FUCKING ALTAR?
725
00:19:02,700 --> 00:19:06,433
HOW COULD YOU DO THAT TO
726
00:19:06,500 --> 00:19:06,800
CRISTINA?
727
00:19:06,866 --> 00:19:07,666
YOU FUCKING MONSTER!
728
00:19:07,733 --> 00:19:09,066
AND YOU'D HOPE REGULATORS WOULD
729
00:19:09,133 --> 00:19:10,000
PUNISH NURSING HOMES FOR DOING
730
00:19:10,066 --> 00:19:10,400
THINGS LIKE THAT.
731
00:19:10,466 --> 00:19:11,033
BUT THE OVERSIGHT HERE HAS SOME
732
00:19:11,100 --> 00:19:11,733
MASSIVE GAPS.
733
00:19:11,800 --> 00:19:12,400
FOR INSTANCE, THE FEDERAL
734
00:19:12,466 --> 00:19:13,233
GOVERNMENT KEEPS A LIST OF
735
00:19:13,300 --> 00:19:14,366
SO-CALLED "SPECIAL FOCUS
736
00:19:14,433 --> 00:19:15,442
FACILITIES"... HOMES THAT HAVE A
737
00:19:15,466 --> 00:19:16,576
PATTERN OF SERIOUS PROBLEMS OVER
738
00:19:16,600 --> 00:19:17,833
A LONG PERIOD OF TIME, AND
739
00:19:17,900 --> 00:19:18,900
THEREFORE RECEIVE EXTRA
740
00:19:18,966 --> 00:19:20,566
INSPECTIONS.
741
00:19:20,633 --> 00:19:22,600
THERE ARE 88 NURSING HOMES ON
742
00:19:22,666 --> 00:19:24,266
THAT LIST... BUT INTERESTINGLY,
743
00:19:24,333 --> 00:19:26,933
NOT BECAUSE THERE ARE ONLY
744
00:19:27,000 --> 00:19:28,833
88 HOMES THAT DESERVE TO BE, BUT
745
00:19:28,900 --> 00:19:30,266
BECAUSE, DUE TO LIMITED
746
00:19:30,333 --> 00:19:31,233
RESOURCES, THE GOVERNMENT HAS
747
00:19:31,300 --> 00:19:32,966
CAPPED THE LIST AT THAT EXACT
748
00:19:33,033 --> 00:19:35,466
NUMBER, DESPITE THE FACT THEY
749
00:19:35,533 --> 00:19:36,773
FULLY ACKNOWLEDGE AN ADDITIONAL
750
00:19:36,833 --> 00:19:37,733
400 FACILITIES QUALIFY FOR THE
751
00:19:37,800 --> 00:19:38,700
PROGRAM.
752
00:19:38,766 --> 00:19:41,133
AND LOOK, I'M NOT SAYING EVERY
753
00:19:41,200 --> 00:19:42,766
LIST SHOULD GO ON FOREVER.
754
00:19:42,833 --> 00:19:43,876
IF A LIST OF CUTEST OTTERS WAS
755
00:19:43,900 --> 00:19:44,900
CAPPED AT 88, THAT'D BE A
756
00:19:44,966 --> 00:19:46,666
PERFECTLY FINE LIST.
757
00:19:46,733 --> 00:19:49,066
BUT IF THERE WERE 400 OTHER CUTE
758
00:19:49,133 --> 00:19:50,366
OTTERS THAT WERE ALSO ABUSING
759
00:19:50,433 --> 00:19:51,673
THE ELDERLY, I'D REALLY LIKE TO
760
00:19:51,733 --> 00:19:54,500
KNOW WHO ALL OF THEM ARE.
761
00:19:54,566 --> 00:19:56,400
AND IF YOU'RE THINKING, "WELL,
762
00:19:56,466 --> 00:19:58,466
THAT'S GOOD TO KNOW.
763
00:19:58,533 --> 00:20:00,366
IF I NEED TO MOVE A LOVED ONE
764
00:20:00,433 --> 00:20:01,500
INTO A NURSING HOME, I'M
765
00:20:01,566 --> 00:20:02,466
DEFINITELY GOING TO LOOK ONLINE
766
00:20:02,533 --> 00:20:05,400
AND MAKE SURE IT'S A GOOD ONE,"
767
00:20:05,466 --> 00:20:05,800
WELL, BE CAREFUL.
768
00:20:05,866 --> 00:20:06,986
BECAUSE WHILE THE GOVERNMENT
769
00:20:07,033 --> 00:20:07,833
DOES HAVE A WEBSITE WHERE
770
00:20:07,900 --> 00:20:08,500
NURSING HOMES ARE RATED FROM ONE
771
00:20:08,566 --> 00:20:09,733
TO FIVE STARS, IT HAS AN
772
00:20:09,800 --> 00:20:12,633
ABSOLUTELY MASSIVE LOOPHOLE.
773
00:20:12,700 --> 00:20:14,100
OF THE THREE FACTORS THAT
774
00:20:14,166 --> 00:20:15,276
DETERMINE AN OVERALL RATING,
775
00:20:15,300 --> 00:20:17,233
ONLY THE HEALTH INSPECTIONS ARE
776
00:20:17,300 --> 00:20:18,866
CONDUCTED INDEPENDENTLY.
777
00:20:18,933 --> 00:20:20,133
THE OTHER STATISTICS, STAFFING
778
00:20:20,200 --> 00:20:21,933
AND QUALITY MEASURES, ARE
779
00:20:22,000 --> 00:20:22,933
SELF-REPORTED BY THE NURSING
780
00:20:23,000 --> 00:20:25,066
HOME.
781
00:20:25,133 --> 00:20:26,400
THESE SELF-REPORTED STATISTICS
782
00:20:26,466 --> 00:20:27,800
CAN BOOST A THREE-STAR RATING
783
00:20:27,866 --> 00:20:30,833
INTO A FIVE-STAR RATING OVERALL.
784
00:20:30,900 --> 00:20:32,020
THE PROBLEM IS, YOU KNOW,
785
00:20:32,066 --> 00:20:34,400
IT'S GARBAGE IN, GARBAGE OUT.
786
00:20:34,466 --> 00:20:35,542
SO WHATEVER THEY'RE TELLING THE
787
00:20:35,566 --> 00:20:37,633
FEDS, THE FEDS ARE NOT... THAT
788
00:20:37,700 --> 00:20:38,233
FEDERAL GOVERNMENT ISN'T GOING
789
00:20:38,300 --> 00:20:38,800
IN AND DOUBLE-CHECKING THAT
790
00:20:38,866 --> 00:20:39,600
THEIR NUMBERS ARE ACCURATE.
791
00:20:39,666 --> 00:20:41,500
John: YEAH.
792
00:20:41,566 --> 00:20:46,266
"GARBAGE IN, GARBAGE OUT."
793
00:20:46,333 --> 00:20:46,833
AND THAT IS PATHETIC.
794
00:20:46,900 --> 00:20:47,733
SOMETHING IMPORTANT AS OUR
795
00:20:47,800 --> 00:20:49,466
NURSING HOME RATING SYSTEM
796
00:20:49,533 --> 00:20:50,166
SHOULDN'T FOLLOW THE SAME RULE
797
00:20:50,233 --> 00:20:50,866
AS EVERY RECIPE ON VELVEETA'S
798
00:20:50,933 --> 00:20:54,400
WEBSITE.
799
00:20:54,466 --> 00:20:55,733
BECAUSE THERE'S JUST NO WAY ANY
800
00:20:55,800 --> 00:20:56,233
OF THOSE ARE GOOD.
801
00:20:56,300 --> 00:20:57,433
IF YOU'RE MAKING A RECIPE
802
00:20:57,500 --> 00:20:58,133
THAT CALLS FOR A PUDDLE OF
803
00:20:58,200 --> 00:20:59,200
LORAX JIZZ, THEN DON'T BE
804
00:20:59,266 --> 00:21:05,400
SURPRISED WHEN THE FINISHED
805
00:21:05,466 --> 00:21:06,000
PRODUCT IS EQUALLY REPULSIVE.
806
00:21:06,066 --> 00:21:06,600
IT'S GARBAGE IN, GARBAGE OUT.
807
00:21:06,666 --> 00:21:07,233
SO GIVEN EVERYTHING YOU'VE SEEN,
808
00:21:07,300 --> 00:21:08,700
IT'S HARDLY SURPRISING THAT...
809
00:21:08,766 --> 00:21:10,000
FOR REASONS OF COST OR
810
00:21:10,066 --> 00:21:11,966
CONDITIONS... MANY MIGHT WANT TO
811
00:21:12,033 --> 00:21:13,800
AVOID A NURSING HOME ALTOGETHER.
812
00:21:13,866 --> 00:21:15,166
WHICH BRINGS US TO ASSISTED
813
00:21:15,233 --> 00:21:19,066
LIVING FACILITIES, OR ALFs.
814
00:21:19,133 --> 00:21:20,066
AROUND A THIRD OF PEOPLE IN
815
00:21:20,133 --> 00:21:21,466
LONG-TERM CARE ARE IN ONE OF
816
00:21:21,533 --> 00:21:23,600
THESE, AND THEY DO COST FAR LESS
817
00:21:23,666 --> 00:21:25,500
THAN A NURSING HOME... TYPICALLY
818
00:21:25,566 --> 00:21:27,400
AROUND $50,000 A YEAR.
819
00:21:27,466 --> 00:21:28,133
ALFs STARTED OUT AS AN
820
00:21:28,200 --> 00:21:29,666
ALTERNATIVE FOR THOSE WHO NEEDED
821
00:21:29,733 --> 00:21:30,909
HELP WITH KEY ACTIVITIES... LIKE
822
00:21:30,933 --> 00:21:31,976
DRESSING, TOILETING, TAKING
823
00:21:32,000 --> 00:21:34,100
MEDICINES AND EATING... BUT ONLY
824
00:21:34,166 --> 00:21:35,342
NEEDED LIMITED MEDICAL SUPPORT.
825
00:21:35,366 --> 00:21:36,700
JUST AS WITH NURSING HOMES, THE
826
00:21:36,766 --> 00:21:38,766
VAST MAJORITY OF ALFs ARE
827
00:21:38,833 --> 00:21:42,733
FOR-PROFIT.
828
00:21:42,800 --> 00:21:43,433
BUT THERE ARE ALSO SOME KEY
829
00:21:43,500 --> 00:21:44,500
DIFFERENCES.
830
00:21:44,566 --> 00:21:45,966
ALFs ARE LARGELY PAID FOR
831
00:21:46,033 --> 00:21:48,300
OUT-OF-POCKET.
832
00:21:48,366 --> 00:21:49,833
AND THEY ARE FAR LESS REGULATED,
833
00:21:49,900 --> 00:21:50,942
MAKING EASY FOR BASICALLY ANYONE
834
00:21:50,966 --> 00:21:51,700
TO START ONE.
835
00:21:51,766 --> 00:21:55,033
AND I DO MEAN ANYONE.
836
00:21:55,100 --> 00:21:55,633
TAKE STEPHANIE COSTA.
837
00:21:55,700 --> 00:21:56,842
BY 30, SHE OWNED SIX SMALL ALFs
838
00:21:56,866 --> 00:21:57,876
IN SOUTHERN CALIFORNIA AND HAD
839
00:21:57,900 --> 00:22:01,866
MADE A LOT OF MONEY FROM THEM,
840
00:22:01,933 --> 00:22:03,266
ENOUGH TO QUALIFY HER TO
841
00:22:03,333 --> 00:22:03,800
APPEAR IN AN EPISODE OF
842
00:22:03,866 --> 00:22:04,909
"THE MILLIONAIRE MATCHMAKER."
843
00:22:04,933 --> 00:22:08,300
MY NAME IS STEPHANIE AND I'M
844
00:22:08,366 --> 00:22:09,542
30 YEARS OLD AND I OWN A CHAIN
845
00:22:09,566 --> 00:22:13,200
OF ELDERLY CARE FACILITIES.
846
00:22:13,266 --> 00:22:13,900
MY NET WORTH IS $3-4 MILLION,
847
00:22:13,966 --> 00:22:18,566
PROBABLY.
848
00:22:18,633 --> 00:22:19,300
I'VE ALWAYS HAD THIS THING OF
849
00:22:19,366 --> 00:22:19,900
TAKING CARE OF OLDER PEOPLE.
850
00:22:19,966 --> 00:22:20,900
LIKE SICK, PEOPLE THAT ARE
851
00:22:20,966 --> 00:22:21,233
DYING.
852
00:22:21,300 --> 00:22:21,966
I'VE ALWAYS REALLY FELT FOR
853
00:22:22,033 --> 00:22:22,800
THEM.
854
00:22:22,866 --> 00:22:24,066
SO I COULDN'T WAIT TO GRADUATE
855
00:22:24,100 --> 00:22:24,900
COLLEGE AND START MY OWN
856
00:22:24,966 --> 00:22:26,166
BUSINESS DOING ASSISTED LIVING
857
00:22:26,233 --> 00:22:27,276
FACILITIES LIKE NURSING HOMES.
858
00:22:27,300 --> 00:22:28,566
John: OKAY.
859
00:22:28,633 --> 00:22:29,966
THERE ARE A LOT OF UNFAIR
860
00:22:30,033 --> 00:22:31,142
REASONS THAT I INHERENTLY DON'T
861
00:22:31,166 --> 00:22:33,266
TRUST STEPHANIE COSTA, FROM HER
862
00:22:33,333 --> 00:22:34,613
DRIVING A DOUCHEY FERRARI TO THE
863
00:22:34,666 --> 00:22:35,700
FACT SHE LOOKS LIKE AN
864
00:22:35,766 --> 00:22:36,966
UNCREDITED EXTRA FROM AN
865
00:22:37,033 --> 00:22:38,333
"ENTOURAGE" PARTY SCENE TO THAT
866
00:22:38,400 --> 00:22:38,966
VOICE, WHICH SOUNDS LIKE A MOUSE
867
00:22:39,033 --> 00:22:40,076
WHO WOULDN'T DRESS CINDERELLA
868
00:22:40,100 --> 00:22:41,466
BECAUSE IT HAD BETTER THINGS TO
869
00:22:41,533 --> 00:22:44,833
DO.
870
00:22:44,900 --> 00:22:46,333
BUT IT TURNS OUT THAT
871
00:22:46,400 --> 00:22:47,200
GUT FEELING IS ENTIRELY VALID,
872
00:22:47,266 --> 00:22:48,533
BECAUSE COSTA TREATED HER
873
00:22:48,600 --> 00:22:49,233
EMPLOYEES AND RESIDENTS SO
874
00:22:49,300 --> 00:22:50,166
TERRIBLY THAT, AFTER MULTIPLE
875
00:22:50,233 --> 00:22:51,533
HEALTH AND SAFETY VIOLATIONS,
876
00:22:51,600 --> 00:22:53,100
CALIFORNIA BANNED COSTA FROM THE
877
00:22:53,166 --> 00:22:54,866
INDUSTRY FOR LIFE AND ORDERED
878
00:22:54,933 --> 00:22:58,666
HER AND HER COMPANY TO PAY ABOUT
879
00:22:58,733 --> 00:22:59,800
$1.6 MILLION FOR UNPAID
880
00:22:59,866 --> 00:23:01,266
WAGES AND PENALTIES.
881
00:23:01,333 --> 00:23:05,966
BUT IF YOU THINK THAT GAVE HER
882
00:23:06,033 --> 00:23:06,666
ACCOUNTABILITY, YOU'RE GOING TO
883
00:23:06,733 --> 00:23:07,633
WANT TO THINK AGAIN.
884
00:23:07,700 --> 00:23:08,200
SHE KEPT THIS HOME AFTER
885
00:23:08,266 --> 00:23:08,866
FILING FOR BANKRUPTCY AND
886
00:23:08,933 --> 00:23:09,733
SETTLED WITH WORKERS FOR A
887
00:23:09,800 --> 00:23:10,533
FRACTION OF WHAT SHE OWED.
888
00:23:10,600 --> 00:23:12,133
HER SIX CARE HOMES ARE NOW OWNED
889
00:23:12,200 --> 00:23:13,766
BY A PROPERTY INVESTMENT COMPANY
890
00:23:13,833 --> 00:23:15,866
REGISTERED BY HER FATHER.
891
00:23:15,933 --> 00:23:16,800
John: OH, YEAH.
892
00:23:16,866 --> 00:23:17,800
NOT JUST THAT, AS RECENTLY AS
893
00:23:17,866 --> 00:23:19,666
LAST YEAR, SHE WAS STILL LISTED
894
00:23:19,733 --> 00:23:21,100
AS THAT COMPANY'S CEO.
895
00:23:21,166 --> 00:23:21,800
SO THE STATE OF CALIFORNIA
896
00:23:21,866 --> 00:23:26,333
REALLY TAUGHT STEPHANIE COSTA A
897
00:23:26,400 --> 00:23:26,900
LESSON THERE.
898
00:23:26,966 --> 00:23:28,166
SPECIFICALLY, THE LESSON THAT
899
00:23:28,233 --> 00:23:28,766
YOU CAN TREAT YOUR ELDER CARE
900
00:23:28,833 --> 00:23:29,400
WORKERS LIKE ABSOLUTE SHIT,
901
00:23:29,466 --> 00:23:30,266
AVOID ANY REAL CONSEQUENCES, AND
902
00:23:30,333 --> 00:23:30,866
JUST KEEP LIVING YOUR LIFE IN
903
00:23:30,933 --> 00:23:32,133
THE SINGLE UGLIEST HOME IN
904
00:23:32,200 --> 00:23:32,733
BEVERLY HILLS... ALTHOUGH IT'S
905
00:23:32,800 --> 00:23:33,800
LEGITIMATELY HARD TO TELL
906
00:23:33,833 --> 00:23:35,966
WHETHER THAT'S ACTUALLY A HOME
907
00:23:36,033 --> 00:23:37,433
OR JUST AN ABANDONED
908
00:23:37,500 --> 00:23:41,133
WHITE CASTLE.
909
00:23:41,200 --> 00:23:43,800
BUT IT'S NOT JUST INDIVIDUALS
910
00:23:43,866 --> 00:23:44,466
INVOLVED HERE.
911
00:23:44,533 --> 00:23:46,133
THERE ARE ALSO BIG CORPORATIONS
912
00:23:46,200 --> 00:23:46,666
RUNNING ALFs, WHO'VE BEEN
913
00:23:46,733 --> 00:23:47,600
WORKING HARD TO FILL BEDS.
914
00:23:47,666 --> 00:23:48,466
AND DESPITE THE FACT ALFs ARE
915
00:23:48,533 --> 00:23:49,576
SUPPOSED TO BE FOR PEOPLE WHO
916
00:23:49,600 --> 00:23:50,840
REQUIRE LESS MEDICAL ATTENTION,
917
00:23:50,866 --> 00:23:52,200
RECENTLY, SOME HAVE BEEN
918
00:23:52,266 --> 00:24:00,266
AGGRESSIVELY COURTING DEMENTIA
919
00:24:00,333 --> 00:24:01,266
PATIENTS FOR MEMORY CARE
920
00:24:01,333 --> 00:24:01,900
PROGRAMS, AS SEEN IN THIS
921
00:24:01,966 --> 00:24:03,009
ADVERTISEMENT FOR BROOKDALE, THE
922
00:24:03,033 --> 00:24:03,933
LARGEST ALF PROVIDER IN THE
923
00:24:04,000 --> 00:24:04,633
COUNTRY.
924
00:24:04,700 --> 00:24:06,466
THIS IS A COMPASSIONATE PLACE
925
00:24:06,533 --> 00:24:07,100
THAT HELPS FAMILIES THROUGH VERY
926
00:24:07,166 --> 00:24:07,733
DIFFICULT STAGES OF DEMENTIA IN
927
00:24:07,800 --> 00:24:08,809
A SAFE AND COMFORTABLE SETTING,
928
00:24:08,833 --> 00:24:09,433
AND I HAVE PEACE OF MIND KNOWING
929
00:24:09,500 --> 00:24:10,609
THERE IS A STAFF, FULLY TRAINED,
930
00:24:10,633 --> 00:24:11,133
24 HOURS A DAY, SEVEN DAYS A
931
00:24:11,200 --> 00:24:12,433
WEEK.
932
00:24:12,500 --> 00:24:13,800
I CAN'T BELIEVE HOW MUCH MY
933
00:24:13,866 --> 00:24:14,333
MOM'S QUALITY OF LIFE HAS
934
00:24:14,400 --> 00:24:15,476
IMPROVED SINCE COMING HERE.
935
00:24:15,500 --> 00:24:16,933
I'M SEEING HER SMILING AND
936
00:24:17,000 --> 00:24:18,266
LAUGHING AGAIN.
937
00:24:18,333 --> 00:24:19,700
WE HELP THEM MAINTAIN THEIR
938
00:24:19,766 --> 00:24:21,033
ABILITIES AND ENCOURAGE THE USE
939
00:24:21,100 --> 00:24:22,500
OF THEIR CURRENT SKILLS IN A
940
00:24:22,566 --> 00:24:26,466
WARM, ENGAGING ENVIRONMENT.
941
00:24:26,533 --> 00:24:27,800
THIS IS A SPECIAL PLACE, AND
942
00:24:27,866 --> 00:24:28,976
EVERY DAY IS A NEW BEGINNING
943
00:24:29,000 --> 00:24:29,766
WITH LOTS OF SMILES AND
944
00:24:29,833 --> 00:24:30,833
MEMORIES.
945
00:24:30,866 --> 00:24:31,733
John: OKAY.
946
00:24:31,800 --> 00:24:33,333
I GET THAT A SENIOR LIVING
947
00:24:33,400 --> 00:24:34,766
COMMERCIAL MIGHT WANT TO HAVE AT
948
00:24:34,833 --> 00:24:35,333
LEAST ONE STAFFER WITH THEIR
949
00:24:35,400 --> 00:24:35,900
ARMS AROUND A RESIDENT'S
950
00:24:35,966 --> 00:24:36,900
SHOULDERS.
951
00:24:36,966 --> 00:24:37,866
THAT'S KIND OF NICE.
952
00:24:37,933 --> 00:24:38,366
TRUSTWORTHY.
953
00:24:38,433 --> 00:24:39,433
MAKES YOU FEEL SAFE.
954
00:24:39,466 --> 00:24:40,476
BUT IMMEDIATELY CUTTING TO
955
00:24:40,500 --> 00:24:41,166
ANOTHER ONE FEELS LIKE A BIT
956
00:24:41,233 --> 00:24:42,066
MUCH.
957
00:24:42,133 --> 00:24:43,309
AND THEN A THIRD STARTS TO MAKE
958
00:24:43,333 --> 00:24:44,900
ME FEEL A LITTLE NERVOUS.
959
00:24:44,966 --> 00:24:45,866
AND WHEN THAT FOURTH HITS, AS A
960
00:24:45,933 --> 00:24:46,976
BRITISH PERSON, I'VE GOT TO SAY,
961
00:24:47,000 --> 00:24:48,500
THAT IS JUST TOO MUCH PHYSICAL
962
00:24:48,566 --> 00:24:52,766
CONTACT.
963
00:24:52,833 --> 00:24:54,900
THAT SAID, EVEN I'LL ADMIT, AN
964
00:24:54,966 --> 00:24:56,333
ALF THAT OFFERED ALL THAT
965
00:24:56,400 --> 00:24:58,466
COMMERCIAL CLAIMS TO BUT WITH
966
00:24:58,533 --> 00:24:59,133
SIGNIFICANTLY LESS TOUCHING
967
00:24:59,200 --> 00:24:59,600
WOULD BE GREAT.
968
00:24:59,666 --> 00:25:00,533
UNFORTUNATELY, A WOMAN WHO
969
00:25:00,600 --> 00:25:01,866
WORKED AT A BROOKDALE FACILITY
970
00:25:01,933 --> 00:25:07,100
IN SOUTH CAROLINA PAINTED A VERY
971
00:25:07,166 --> 00:25:07,933
DIFFERENT PICTURE OF HOW
972
00:25:08,000 --> 00:25:08,533
STAFFERS ARE TRAINED TO WORK
973
00:25:08,600 --> 00:25:09,366
WITH DEMENTIA PATIENTS.
974
00:25:09,433 --> 00:25:10,800
WHEN YOU FIRST START, THEY
975
00:25:10,866 --> 00:25:12,666
HAVE YOU SIT THROUGH A SERIES
976
00:25:12,733 --> 00:25:14,166
OF IN-SERVICES OR ORIENTATION
977
00:25:14,233 --> 00:25:18,500
AND IT LASTS ABOUT A WEEK, BUT
978
00:25:18,566 --> 00:25:19,500
IT'S JUST VIDEO, BUT ONCE
979
00:25:19,566 --> 00:25:20,133
THEY PUT YOU OUT ON THE FLOOR,
980
00:25:20,200 --> 00:25:20,833
THEY DON'T... THEY DON'T GIVE
981
00:25:20,900 --> 00:25:21,633
YOU ANY TRAINING.
982
00:25:21,700 --> 00:25:28,233
THEY JUST STICK YOU OUT THERE.
983
00:25:28,300 --> 00:25:32,400
John: WELL, THAT'S NOT REALLY
984
00:25:32,466 --> 00:25:33,666
IDEAL, IS IT?
985
00:25:33,733 --> 00:25:34,742
IT'S HARD TO RETAIN IMPORTANT
986
00:25:34,766 --> 00:25:35,333
INFORMATION JUST BY WATCHING A
987
00:25:35,400 --> 00:25:35,533
VIDEO.
988
00:25:35,600 --> 00:25:37,366
CASE IN POINT: THIS VIDEO.
989
00:25:37,433 --> 00:25:37,733
THINK ABOUT IT.
990
00:25:37,800 --> 00:25:38,876
WHAT HAVE YOU REALLY LEARNED
991
00:25:38,900 --> 00:25:39,100
FROM THIS?
992
00:25:39,166 --> 00:25:39,700
SURE, A FEW RANDOM FACTS ABOUT
993
00:25:39,766 --> 00:25:40,366
THE LONG-TERM CARE INDUSTRY THAT
994
00:25:40,433 --> 00:25:40,933
YOU'LL PROBABLY IMMEDIATELY
995
00:25:41,000 --> 00:25:41,333
FORGET.
996
00:25:41,400 --> 00:25:42,000
BUT MAINLY, YOU'VE LEARNED THAT
997
00:25:42,066 --> 00:25:42,633
IT'S POSSIBLE TO WANT TO FUCK A
998
00:25:42,700 --> 00:25:45,866
PLATE.
999
00:25:45,933 --> 00:25:47,700
AND THAT'S A LESSON YOU WILL
1000
00:25:47,766 --> 00:25:48,033
NEVER FORGET.
1001
00:25:48,100 --> 00:25:48,633
AND BROOKDALE INSISTS THAT IT
1002
00:25:48,700 --> 00:25:49,266
OFFERS ONGOING TRAINING FOR ITS
1003
00:25:49,333 --> 00:25:50,133
WORKERS AND THAT ITS TRAINING
1004
00:25:50,200 --> 00:25:50,933
PROGRAM FOR DEMENTIA CARE
1005
00:25:51,000 --> 00:25:52,633
WORKERS MEETS OR EXCEEDS STATE
1006
00:25:52,700 --> 00:25:57,233
GUIDELINES.
1007
00:25:57,300 --> 00:26:03,200
BUT THAT IS NOT REALLY SAYING
1008
00:26:03,266 --> 00:26:04,700
MUCH, AS SOME STATES ONLY
1009
00:26:04,766 --> 00:26:08,766
REQUIRE TWO TO 30 HOURS, AND
1010
00:26:08,833 --> 00:26:10,166
SOUTH CAROLINA... WHERE THAT
1011
00:26:10,233 --> 00:26:11,466
FACILITY IS LOCATED... HAS NO
1012
00:26:11,533 --> 00:26:11,933
STATE MINIMUM AT ALL.
1013
00:26:12,000 --> 00:26:12,633
AND BY THE WAY, IF YOU'RE
1014
00:26:12,700 --> 00:26:13,566
WONDERING ABOUT WHY THERE WERE A
1015
00:26:13,633 --> 00:26:14,533
BUNCH OF SHOTS OF A POND IN THAT
1016
00:26:14,600 --> 00:26:16,066
STORY, THE ANSWER IS HORRIFYING.
1017
00:26:16,133 --> 00:26:17,309
BECAUSE A 90-YEAR-OLD RESIDENT
1018
00:26:17,333 --> 00:26:18,600
THERE, WHO WAS SUPPOSED TO BE
1019
00:26:18,666 --> 00:26:20,300
UNDER CONSTANT SUPERVISION
1020
00:26:20,366 --> 00:26:21,666
BEFORE BEING TRANSFERRED TO A
1021
00:26:21,733 --> 00:26:22,900
MEMORY CARE UNIT, DIED AFTER
1022
00:26:22,966 --> 00:26:24,733
LEAVING THE FACILITY UNNOTICED
1023
00:26:24,800 --> 00:26:26,400
IN THE MIDDLE OF THE NIGHT.
1024
00:26:26,466 --> 00:26:27,666
THERE ARE SIGNS OUT HERE
1025
00:26:27,733 --> 00:26:29,066
WARNING PEOPLE ABOUT ALLIGATORS.
1026
00:26:29,133 --> 00:26:30,566
TAKE A LOOK AT THIS ONE, IT
1027
00:26:30,633 --> 00:26:31,233
SAYS, "ALLIGATORS MAY LIVE HERE,
1028
00:26:31,300 --> 00:26:32,233
BE GATOR SAFE."
1029
00:26:32,300 --> 00:26:33,666
IN THIS CASE, THE SIGNS PROBABLY
1030
00:26:33,733 --> 00:26:34,266
WOULD NOT HAVE MADE A
1031
00:26:34,333 --> 00:26:35,100
DIFFERENCE, ACCORDING TO
1032
00:26:35,166 --> 00:26:36,300
AUTHORITIES.
1033
00:26:36,366 --> 00:26:37,666
WE'RE TOLD THE VICTIM LIKELY
1034
00:26:37,733 --> 00:26:38,533
SLIPPED OR FELL DOWN A STEEP
1035
00:26:38,600 --> 00:26:40,033
EMBANKMENT AND LANDED IN THE
1036
00:26:40,100 --> 00:26:41,433
WATER, ATTRACTING THE GATOR'S
1037
00:26:41,500 --> 00:26:43,633
ATTENTION.
1038
00:26:43,700 --> 00:26:45,133
John: HOLY FUCKING SHIT.
1039
00:26:45,200 --> 00:26:49,533
I HONESTLY DON'T EVEN KNOW WHERE
1040
00:26:49,600 --> 00:26:50,200
TO BEGIN THERE.
1041
00:26:50,266 --> 00:26:50,833
BUT I GUESS I'D START WITH: WHY
1042
00:26:50,900 --> 00:26:51,566
WOULD ANYONE PUT AN ASSISTED
1043
00:26:51,633 --> 00:26:52,500
LIVING FACILITY NEXT TO A
1044
00:26:52,566 --> 00:26:53,766
FUCKING ALLIGATOR POND?
1045
00:26:53,833 --> 00:26:55,000
THAT SEEMS LIKE THE SORT OF
1046
00:26:55,066 --> 00:26:56,076
DETAIL THAT REALLY HAS TO BE
1047
00:26:56,100 --> 00:26:57,466
INCLUDED AT THE END OF ONE OF
1048
00:26:57,533 --> 00:27:00,033
BROOKDALE'S HEARTWARMING ADS.
1049
00:27:00,100 --> 00:27:02,300
THIS IS A SPECIAL PLACE AND
1050
00:27:02,366 --> 00:27:03,233
EVERY DAY IS A NEW BEGINNING
1051
00:27:03,300 --> 00:27:04,633
WITH LOTS OF SMILES AND
1052
00:27:04,700 --> 00:27:06,133
MEMORIES.
1053
00:27:06,200 --> 00:27:08,566
ALSO, ONE OF OUR RESIDENTS
1054
00:27:08,633 --> 00:27:09,933
WAS EATEN BY AN ALLIGATOR, SO...
1055
00:27:10,000 --> 00:27:10,733
Y'KNOW...
1056
00:27:10,800 --> 00:27:12,266
THERE'S THAT.
1057
00:27:12,333 --> 00:27:14,866
John: YEAH.
1058
00:27:14,933 --> 00:27:16,433
THERE IS THAT.
1059
00:27:16,500 --> 00:27:21,200
AND THAT'S IMPORTANT INFORMATION
1060
00:27:21,266 --> 00:27:21,900
FOR PEOPLE TO KNOW, BROOKDALE.
1061
00:27:21,966 --> 00:27:22,566
AND LOOK, OBVIOUSLY, THAT'S AN
1062
00:27:22,633 --> 00:27:23,500
APPALLING STORY.
1063
00:27:23,566 --> 00:27:24,100
BUT TO BE FAIR, IT IS HARD TO
1064
00:27:24,166 --> 00:27:24,766
TALK ABOUT LONG-TERM CARE
1065
00:27:24,833 --> 00:27:25,466
WITHOUT SHOWING YOU AT LEAST ONE
1066
00:27:25,533 --> 00:27:25,933
OF THOSE.
1067
00:27:26,000 --> 00:27:26,700
JUST BE GRATEFUL I DIDN'T SHOW
1068
00:27:26,766 --> 00:27:27,633
YOU THE STORY WHERE A RESIDENT
1069
00:27:27,700 --> 00:27:28,709
JUMPED FROM A FOURTH-STORY
1070
00:27:28,733 --> 00:27:29,633
WINDOW OF AN ALF, OR THE ONE
1071
00:27:29,700 --> 00:27:30,933
ABOUT A NURSING HOME RESIDENT
1072
00:27:31,000 --> 00:27:34,600
WHO SET HERSELF ON FIRE, OR THE
1073
00:27:34,666 --> 00:27:35,466
ONE ABOUT A 91-YEAR-OLD
1074
00:27:35,533 --> 00:27:36,066
SUFFERING FROM ALZHEIMER'S WHO
1075
00:27:36,133 --> 00:27:36,933
FROZE TO DEATH ON CHRISTMAS DAY.
1076
00:27:37,000 --> 00:27:37,800
WHICH, BY THE WAY SOUNDS LIKE A
1077
00:27:37,866 --> 00:27:38,533
HOLIDAY ALBUM WRITTEN BY
1078
00:27:38,600 --> 00:27:40,766
FUCKING BJORK.
1079
00:27:40,833 --> 00:27:42,600
SO WHAT CAN WE DO?
1080
00:27:42,666 --> 00:27:44,133
WELL, OBVIOUSLY, INCREASED
1081
00:27:44,200 --> 00:27:45,242
OVERSIGHT AND ENFORCEMENT ARE
1082
00:27:45,266 --> 00:27:46,733
BADLY NEEDED.
1083
00:27:46,800 --> 00:27:48,600
THAT FACILITY WITH THE
1084
00:27:48,666 --> 00:27:49,966
ALLIGATORS WAS EVENTUALLY FINED
1085
00:27:50,033 --> 00:27:51,042
BY THE STATE FOR 11 VIOLATIONS,
1086
00:27:51,066 --> 00:27:52,166
INCLUDING NOT PROPERLY
1087
00:27:52,233 --> 00:27:54,000
PERFORMING NIGHT CHECKS AND
1088
00:27:54,066 --> 00:27:55,109
LETTING STAFFING DROP BELOW
1089
00:27:55,133 --> 00:27:57,900
REQUIRED LEVELS, BUT THE PENALTY
1090
00:27:57,966 --> 00:28:00,233
ISSUED WAS JUST $6,400.
1091
00:28:00,300 --> 00:28:02,000
AND IT FEELS LIKE IF YOU LOST A
1092
00:28:02,066 --> 00:28:03,800
LOVED ONE IN SUCH A HORRIFIC
1093
00:28:03,866 --> 00:28:05,600
WAY, YOU'D WANT MORE
1094
00:28:05,666 --> 00:28:06,706
ACCOUNTABILITY THAN "DON'T
1095
00:28:06,733 --> 00:28:07,809
WORRY, SOMEONE DECIDED THEIR
1096
00:28:07,833 --> 00:28:10,066
LIFE WAS WORTH THE PRICE OF A
1097
00:28:10,133 --> 00:28:12,733
2013 CHRYSLER MOTOWN."
1098
00:28:12,800 --> 00:28:14,040
AND THE FACT IS, THERE ARE LOTS
1099
00:28:14,066 --> 00:28:14,966
OF IDEAS ON HOW TO FORCE
1100
00:28:15,033 --> 00:28:16,600
FACILITIES TO IMPROVE...
1101
00:28:16,666 --> 00:28:18,166
MANDATING A CERTAIN AMOUNT OF
1102
00:28:18,233 --> 00:28:19,242
MONEY HAS TO GO TO PATIENT CARE,
1103
00:28:19,266 --> 00:28:20,276
FOR INSTANCE, OR THAT RESIDENTS
1104
00:28:20,300 --> 00:28:21,833
HAVE ACCESS TO A MINIMUM AMOUNT
1105
00:28:21,900 --> 00:28:24,266
OF CARE PER DAY.
1106
00:28:24,333 --> 00:28:25,700
BUT THE BIGGER FIX HERE MIGHT BE
1107
00:28:25,766 --> 00:28:27,133
TO TRY AND MAKE IT EASIER FOR AS
1108
00:28:27,200 --> 00:28:28,466
MANY PEOPLE AS POSSIBLE NOT TO
1109
00:28:28,533 --> 00:28:30,500
END UP IN THESE INSTITUTIONS IN
1110
00:28:30,566 --> 00:28:31,576
THE FIRST PLACE AND INSTEAD
1111
00:28:31,600 --> 00:28:32,533
RECEIVE WHATEVER SUPPORT THEY
1112
00:28:32,600 --> 00:28:35,400
NEED AT HOME.
1113
00:28:35,466 --> 00:28:37,400
NEARLY 90% OF PEOPLE OVER 65
1114
00:28:37,466 --> 00:28:38,766
APPARENTLY WANT TO STAY IN THEIR
1115
00:28:38,833 --> 00:28:43,866
HOME FOR AS LONG AS POSSIBLE,
1116
00:28:43,933 --> 00:28:44,600
WHICH DOES MAKE SENSE.
1117
00:28:44,666 --> 00:28:45,966
THE PROBLEM IS, RIGHT NOW, MANY
1118
00:28:46,033 --> 00:28:47,733
OF THEM CAN'T, BECAUSE UNDER
1119
00:28:47,800 --> 00:28:49,200
MEDICAID, NURSING HOME CARE IS
1120
00:28:49,266 --> 00:28:50,442
AN ENTITLEMENT... BUT HOME-BASED
1121
00:28:50,466 --> 00:28:53,000
CARE IS NOT.
1122
00:28:53,066 --> 00:28:54,766
TO ACCESS LONG-TERM SERVICES AND
1123
00:28:54,833 --> 00:28:55,400
SUPPORTS THROUGH MEDICAID IN
1124
00:28:55,466 --> 00:28:56,766
YOUR HOME, YOU NEED A WAIVER
1125
00:28:56,833 --> 00:28:58,766
FROM YOUR STATE.
1126
00:28:58,833 --> 00:28:59,500
AND TO BE FAIR, SOME, LIKE
1127
00:28:59,566 --> 00:29:02,133
WASHINGTON, DO THAT PRETTY WELL.
1128
00:29:02,200 --> 00:29:04,300
MORE THAN 70% OF THE MEDICAID
1129
00:29:04,366 --> 00:29:05,476
MONEY THEY SPEND ON LONG-TERM
1130
00:29:05,500 --> 00:29:06,676
CARE FOR OLDER PEOPLE AND ADULTS
1131
00:29:06,700 --> 00:29:08,166
WITH DISABILITIES IS SPENT ON
1132
00:29:08,233 --> 00:29:10,000
HOME AND COMMUNITY BASED
1133
00:29:10,066 --> 00:29:12,000
SERVICES... THINGS LIKE SKILLED
1134
00:29:12,066 --> 00:29:13,733
NURSING VISITS, HOME CARE AIDES
1135
00:29:13,800 --> 00:29:15,200
WHO CAN HELP WITH DAILY TASKS,
1136
00:29:15,266 --> 00:29:16,733
AND EVEN THE ABILITY TO PAY
1137
00:29:16,800 --> 00:29:18,333
FAMILY CAREGIVERS.
1138
00:29:18,400 --> 00:29:19,576
YOU KNOW, PEOPLE LIKE THOSE TWO
1139
00:29:19,600 --> 00:29:21,966
WOMEN YOU SAW EARLIER.
1140
00:29:22,033 --> 00:29:23,700
THE PROBLEM IS, OTHER STATES
1141
00:29:23,766 --> 00:29:26,000
HAVE WAITING LISTS THAT CAN BE
1142
00:29:26,066 --> 00:29:27,800
MANY YEARS LONG, BY WHICH POINT,
1143
00:29:27,866 --> 00:29:29,500
SENIORS TRYING TO ACCESS THAT
1144
00:29:29,566 --> 00:29:32,166
CARE CAN BE DEAD, BECAUSE,
1145
00:29:32,233 --> 00:29:35,633
SADLY, THAT IS HOW TIME WORKS.
1146
00:29:35,700 --> 00:29:37,200
NATIONWIDE, MORE THAN 800,000
1147
00:29:37,266 --> 00:29:38,600
PEOPLE ARE ON THESE KINDS OF
1148
00:29:38,666 --> 00:29:39,933
WAITING LISTS.
1149
00:29:40,000 --> 00:29:41,566
WHAT WE NEED IS REFORM AT A
1150
00:29:41,633 --> 00:29:42,642
NATIONAL LEVEL... AND THERE ARE
1151
00:29:42,666 --> 00:29:46,033
ACTUALLY SOME PROMISING
1152
00:29:46,100 --> 00:29:46,633
DEVELOPMENTS HERE.
1153
00:29:46,700 --> 00:29:47,909
A DISCUSSION DRAFT OF A BILL WAS
1154
00:29:47,933 --> 00:29:48,633
RECENTLY INTRODUCED THAT WOULD
1155
00:29:48,700 --> 00:29:49,742
MAKE HOME AND COMMUNITY-BASED
1156
00:29:49,766 --> 00:29:50,633
CARE AN ENTITLEMENT UNDER
1157
00:29:50,700 --> 00:29:52,300
MEDICAID.
1158
00:29:52,366 --> 00:29:53,500
AND BIDEN'S PROPOSED
1159
00:29:53,566 --> 00:29:56,100
INFRASTRUCTURE PLAN ACTUALLY
1160
00:29:56,166 --> 00:29:57,400
CALLS FOR $400 BILLION TO BE
1161
00:29:57,466 --> 00:29:58,642
SPENT ON THOSE EXACT SERVICES.
1162
00:29:58,666 --> 00:30:01,866
AND THAT WOULD BE A BIG DEAL.
1163
00:30:01,933 --> 00:30:05,333
AND LOOK, AGGRESSIVE TRANSITION
1164
00:30:05,400 --> 00:30:07,300
TO HOME-BASED CARE IS GOING TO
1165
00:30:07,366 --> 00:30:08,633
NEED RIGOROUS GUARDRAILS AND
1166
00:30:08,700 --> 00:30:10,666
OVERSIGHT TO MAKE SURE THAT
1167
00:30:10,733 --> 00:30:13,700
MONEY IS NOT MISSPENT, JUST IN A
1168
00:30:13,766 --> 00:30:14,033
DIFFERENT WAY.
1169
00:30:14,100 --> 00:30:15,176
THE LAST THING I WANT IS, FIVE
1170
00:30:15,200 --> 00:30:16,533
YEARS FROM NOW, TO BE HAVING TO
1171
00:30:16,600 --> 00:30:19,000
DO A SHOW ON THE EVILS OF
1172
00:30:19,066 --> 00:30:20,500
NEW FOR-PROFIT HOME CARE
1173
00:30:20,566 --> 00:30:22,000
AGENCIES WHO'VE BEEN DESTROYING
1174
00:30:22,066 --> 00:30:22,566
PEOPLE'S LIVES IN THEIR OWN
1175
00:30:22,633 --> 00:30:22,966
HOMES.
1176
00:30:23,033 --> 00:30:24,600
AND IF YOU'RE THINKING, "WAIT,
1177
00:30:24,666 --> 00:30:25,742
FIVE YEARS FROM NOW YOU'LL STILL
1178
00:30:25,766 --> 00:30:27,466
BE DOING SHOWS IN THE VOID?"
1179
00:30:27,533 --> 00:30:28,433
OH, NO.
1180
00:30:28,500 --> 00:30:29,300
WE'LL BE BACK IN THE VOID.
1181
00:30:29,366 --> 00:30:30,600
I DON'T WANT TO GET INTO
1182
00:30:30,666 --> 00:30:32,733
SPECIFICS, BUT...
1183
00:30:32,800 --> 00:30:33,833
SPOILER ALERT...
1184
00:30:33,900 --> 00:30:34,942
IT'S NOT A PANDEMIC NEXT TIME!
1185
00:30:34,966 --> 00:30:37,166
IT'S SPIDERS.
1186
00:30:37,233 --> 00:30:38,533
BUT WE DO NEED TO DO SOMETHING.
1187
00:30:38,600 --> 00:30:41,300
AND IT ALL STARTS WITH SHOWING
1188
00:30:41,366 --> 00:30:42,476
THAT WE GIVE A SHIT ABOUT WHAT
1189
00:30:42,500 --> 00:30:43,433
HAPPENS TO THE ELDERLY AND
1190
00:30:43,500 --> 00:30:46,766
PEOPLE WITH DISABILITIES IN THIS
1191
00:30:46,833 --> 00:30:48,433
COUNTRY, 'CAUSE RIGHT NOW,
1192
00:30:48,500 --> 00:30:49,576
EVIDENCE POINTS TO THE FACT THAT
1193
00:30:49,600 --> 00:30:50,166
WE ABSOLUTELY DON'T, AND ALL THE
1194
00:30:50,233 --> 00:30:51,000
OTHER PROBLEMS ARE STEMMING FROM
1195
00:30:51,066 --> 00:30:52,433
THAT.
1196
00:30:52,500 --> 00:30:54,366
AND THE LONGER WE CONTINUE TO
1197
00:30:54,433 --> 00:30:55,600
IGNORE THIS, THE WORSE IT'S
1198
00:30:55,666 --> 00:30:59,300
GOING TO GET.
1199
00:30:59,366 --> 00:31:00,800
BECAUSE THE FACT IS, RIGHT NOW,
1200
00:31:00,866 --> 00:31:02,133
THIS IS AN INDUSTRY WHERE THE
1201
00:31:02,200 --> 00:31:03,366
PEOPLE IN ITS CARE ARE BEING
1202
00:31:03,433 --> 00:31:04,966
FIGURATIVELY... AND SOMETIMES
1203
00:31:05,033 --> 00:31:05,533
LITERALLY... EATEN ALIVE.
1204
00:31:05,600 --> 00:31:10,433
AND NOW THIS.
1205
00:31:10,500 --> 00:31:13,466
Announcer: AND NOW, A FEW
1206
00:31:13,533 --> 00:31:14,366
MORE OF THE GREATEST QUESTIONS
1207
00:31:14,433 --> 00:31:18,666
EVER ASKED ON YAHOO! ANSWERS.
1208
00:31:18,733 --> 00:31:20,533
HOW DO I GET SPAGHETTI STANDS
1209
00:31:20,600 --> 00:31:23,666
OFF MY UNDERWEAR.
1210
00:31:23,733 --> 00:31:25,966
IS IT OKAY TO GET A TRAMPOLINE
1211
00:31:26,033 --> 00:31:27,433
WET ONCE AND A WHILE?
1212
00:31:27,500 --> 00:31:34,833
DOES THE MOVIE "AIR BUD" PAINT
1213
00:31:34,900 --> 00:31:39,400
ACCURATE PICTURE OF A DOG'S
1214
00:31:39,466 --> 00:31:39,866
SKILL?
1215
00:31:39,933 --> 00:31:42,133
MY DAD IS A GOLF, WHAT DO I DO?
1216
00:31:42,200 --> 00:31:44,866
WHY ARE THE HOLES AND KETCHUP
1217
00:31:44,933 --> 00:31:46,666
ARE ALWAYS IN THE RIGHT PLACES
1218
00:31:46,733 --> 00:31:47,933
FOR THEIR EYES?
1219
00:31:48,000 --> 00:31:50,500
WHY WASN'T I BORN AN OCTOPUS?
1220
00:31:50,566 --> 00:31:54,766
CAN A BIRD STAY ON A CLOUD?
1221
00:31:54,833 --> 00:32:02,833
HOW DO I FIX MY FARTING PENIS?
1222
00:32:05,266 --> 00:32:06,566
ALVIN AND THE CHIPMUNKS?
1223
00:32:06,633 --> 00:32:09,100
HOW DO I TURN OFF MY CAPS LOCK?
1224
00:32:09,166 --> 00:32:11,300
John: THAT'S OUR SHOW,
1225
00:32:11,366 --> 00:32:15,500
THANKS SO MUCH FOR WATCHING,
1226
00:32:15,566 --> 00:32:17,266
WE'LL SEE YOU NEXT WEEK.
1227
00:32:17,333 --> 00:32:18,333
GOOD NIGHT.
1228
00:32:18,357 --> 00:32:20,357
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