Responsibility and heres a real weeks later 3 weeks later here we are on their bill for 12. 00 ours is your responsibility yeah this must been terrifying though while youre fighting. Cancer in a period of 6 weeks you get 3 bills for the one drug that may extend your life and its looking like its going to be you know over 12000. 00 a month. I can honestly tell you that when i was diagnosed you know there are some tears there but i cried hard more when these bills came along ive spent so much more Emotional Energy on finding ways to fund my treatment than i have or havent my cancer. At 1st jackies insurance didnt cover revlimid has been saying well we can do this ill sell my truck you know what that old bell give us the money but im going to be on this indefinitely this is not a solution we need a longer Term Solution and were not going to be paying this out of pocket it will be bankrupt before you know it and then what. So jackie spent up to 50 hours a week at times cobbling together a plan to bring down her cost this is my part d. This is my supplemental policy these are different and you know when i was involved in marketplace insurance if you want to live in this is the amount of paperwork required oh yeah its pretty complicated ive been lucky ive been ahead of the game ive been able to navigate pretty effectively through the system others are not. Just trying to wrap my head around how you can afford this drug you have multiple insurance plans youre on medicare you have found a loophole in a new state law thats helped you youre in disability and you wanted to Scale Program with all of that what do you how much that cost you or youre still in any given year its anywhere from 15. 00 to 22000. 00 for me out of pocket 15 to 22000 a year thats after insurance and thats out of your thats out of your pocket out of my pocket. One of the most effective ways to bring down the cost of medicine for people like jackie is to have more affordable generic options on the market. But experts say that Major Pharmaceutical Companies use a complex web of strategies to block generic competition. So they can maintain control of the trucks price and protect a monopoly. A company that has a monopoly goes to its potential competition and says hey weve got a better deal for both of us well give you x. Dollars to just keep your product off the market. So the Patent Holder benefits from getting preserve their monopoly and their monopoly pricing. The generic firm benefits by getting an insured payday and the public loses because we dont get more affordable medicine through competition this strategy the drug Companies Use to keep competitors out of the market is legal. And its not the only one. The way the farms and companies today use the patent system they stack of hundreds of patents on a particular drug so they basically get as low as they can out of that protective protection in order to prevent competition coming in and we all know whats competition comes in prices drop how does the patent process affect a drug like rabbit i think there are some 107. 00 patents on this drug for passing up occasions in the 1st 70 of the granted and that prevents anybody from coming in if im a generic competitor i have to mitigate my way through all these to get into the marketplace and so delays so instead of coming to market maybe you know next year i have to wait 23 is because of the way the regulatory system works in terms of you have to end the litigation for you can get approval for your generic. Industry experts told us that strategies like these have slipped back to her competition on prescription drugs by years. Celgene which mean you back should read limited did not respond to a list of questions we sent them. Im all for making a healthy profit and protecting intellectual property for a period of time but theyve abused that it doesnt matter how many great new innovations there are a great new drugs there are that are going to keep people alive you can for them drugs dont work if if we cant afford to take and. This is a total rip off. And we are ending. We will work every day to insure all americans have access to the quality affordable medication. They need and they deserve and we will not rest until this. Of unfair pricing is a total victory for the us a. President promised to make the high cost of prescription drugs a top policy priority. Hes talked about bringing down the cost of some drugs in line with their prices in other countries. But experts we spoke to say his proposals dont address the root of the problem. The Drug Companies monopoly power which according to a survey more than 70 percent of americans want to rein it. In you look at the polling with the people you say theres political will at the electorate level for radical change on this issue. But theres a disconnect between the political will of the people and that actual political will in congress. Lies or disconnect their money. The industry has extreme lobbying power about 3 lobbyists for every member of congress and spends a great deal on elections on supporting candidates in the united states. When the pharmaceutical industry says we need more incentives to conduct a certain line of research and no one wants to stand in the way of that so the legal climate continues to favor the industry more and more which means they can abuse all of us in the form of price with unchecked power. Federal filings show that pharma the group that represents most of the us is largest drug manufacturers spend about 27. 00 and a half 1000000. 00 on lobbying in 2018. When theyre asked about the high cost of prescription drugs the pharmaceutical industry often makes this argument. Lowering drug prices which type of research and development that impact the creation of new lifesaving drugs this is obviously extremely important to sustain a wave of innovation that Patrick Obrian who works for probusiness lobbying group is sympathetic to this few patients on this is in new ways ive talked to so many people in this industry that says theres an entire set of strategies for extending patents the Drug Companies are using well this is there you know i see this is all part of a. Process of attempting to stigmatize an industry that. Has delivered tremendous value to people everywhere and is unfortunate is part of a bigger at those the state can hold that big business is bad but you have americans flooding over the border to buy prescription drugs in canada but how do you explain that to wrap your head around that say yep this is this is a system that we were well you could say that other countries are getting away with murder and i wouldnt disagree they are not paying their fair share for the overall system the political situation in those countries has created a situation where the manufacturers have no Pricing Power this is them that we have works pretty well to create the right incentive for investment and also to allow following innovation and if you know the high prices on the front under part of that well thats part of the process in a free market a producer has the right to set their price. Buyers can take it or leave it but if theres only one drug to treat your illness and that company is the only one that makes and sells that drug there is no market of choice and you have to take that drugs or die i dont think its any given companys fault that theres a lack of competition you know the fact is that if someone else can figure out a better way to do that they could knock. Medicine off the market and notes im wrong fact we see that all the time. The only counterargument you can make is that prices should be high in order to Fund Innovation but theres no limit to that argument i mean under under that logic companies can literally charge anything they want and it would always be a good deal for the public which is whats happening and its not a good deal for the public. Medical innovation is expensive and we need to pay for it that doesnt mean prices should be whatever the Companies Want them to be which is the current regime. We made multiple interview requests to the top 3 insulin manufacturers see if we get a referee literally on the phone. But none of them agreed to an interview. To get someone from to go door to speak on camera. All right so would. You know if youve seen a fee responded with a statement explaining the various discount programs they offer to patients and encourage them to call the companys hotline for information. We decided to approach someone else who might know more. Secretary aleksei czar has been the face of the trump administrations truck price policy. But he has another connection to the us. Americans one in the survey says all of the homes here say he was a Top Executive at insulin manufacturer eli lilly and during this time there the price of the companys best selling insulin more than doubled. We wanted to ask him why secretaries are. We sent you one question about description prices insulin doubled when you were president that he will usa. Why did you do something about it been. One of the. Sectors i know you can hear me i know that you when youre president it will usa insulin prices double why didnt you do something about it the. President from said Pharmacy Companies are getting away with murder was he referring to Companies Like you were president of. Its corruption and its Legal Companies are free to do most of what were talking about here today they can pay to delay their competition they can extend monopolies for years or even decades they can spike prices by 5000 percent if they want to making medicines affordable is not a question of cracking down on illegal behavior its a question of cracking down on legalized corruption in the system that we have created. Alice that this is not an isolated situation since alec has passed away i have been in contact with at least 10 other families who had recently lost one of their loved ones from the same thing and ironically half of them are 26 year old. Firm is it a company is need to lower the list prices people are dying and the only way to stop that from happening is to make the products affordable. So are really fixed sounds like jackie is now 4 years into a 5 year prognosis with the help of revlimid. But to make it this far she and her husband had to train their savings and some of the money theyd set aside for retirement. Theyre now selling pieces of their life on line like furniture and dishes they were given for their wedding. My husband and i both have been incredibly careful people. Very conservative with our money. We were the kind of people that whatever the maximum was that we could put away for retirement we did all that interest posed to do we did all the things were supposed to do absolutely you know we generally had anywhere from 40. 00 to 50000. 00 in the bank just as a safety net thats gone. Thats long gone. Were not going to be that 75 year old couple with the 50 Year Anniversary party its its not really in the cards for us and weve dealt with that but i dont want to leave him completely broken and completely bankrupt at the same time and. Unless something changes. Thats likely to be the case. Unless i decide. To no longer seek treatment youre literally saying that you have to make a financial trial i will on how long to live i will there will be a Tipping Point and i will have to make a decision as to when to stop treatment and choose to die. So that i can leave my husband with enough so that he can he can make it through the next you know 30 years of his life thats whats at stake for me. Jail youre at the mercy of the state but in the land of the free shareholders have a stake it is this profit motive that continues to interfere with Adequate Health care being provided to people who are detained and incarcerated across the country salt lines investigates how the outsourcing of health care in american jails is impacting the lives and deaths of those behind bars sick inside on edge as. The multitudes the magnet for tourists from around the globe but behind the peace Risk Landscape young men leaving to die with groups in fear when i went east investigates on al jazeera. Al jazeera. Where every. Youre watching aljazeera arms the whole robin these are top news stories news coming out of saudi arabia the state owned oil company around go has been approved for listing on the countrys Stock Exchange the sale of shares in the worlds most Profitable Firm is designed to find its crown prince bin economic reform agenda confirmation of the listing comes about several weeks after attacks at around coast Oil Facilities the u. S. Judge has blocked a controversial move by the president trying to restrict visas to migrants with Health Issues or its all the ability to pay for medical bills the legislation was meant to come into effect on sunday but an oregon judge ordered a 28 day suspension on the grounds that it could do irreparable harm. Turkeys Defense Ministry has accused Kurdish Armed forces of a car bomb attack that killed at least 13 civilians including children in Northern Syria about 30 others were injured in the attack near a market in the end. Meanwhile turkey is threatening to send all eyes will scientists that its time should back to their home countries interior ministers silliman sulu says that europe must do more to repatriate its nationals. We are not a hotel for anybodys eisel members its not possible to accept this we have agreements with all these European Countries and in these agreements it says to send them back but this deprivation of citizenship is a new method you are on your own this is not acceptable for us im stating clearly that this is also a responsible what am i going to do with your terrorist police to find tear gas and used water cannon on protesters in chiles capital santiago people are angry about the low income Paul Public Health and the growing down between rich and poor really are lots of america to lucy and human got caught up in the demonstrations while talking to Lauren Taylor in a london new center. Well sure there are a lot of tear gas a lot of mourning had been near the main area where the protests have begun for the last more than 2 weeks now this protest was called to ask for the resignation of president Sebastian Pinera a much more a protest than the ones weve seen it normally but the police is being very very heavy handed its not allowing people to ponder a gate and theyre basically playing cat and mouse with the security forces. As you can see everybody is running now in this direction. But the do as i say the groups are much smaller than they have been in the last few days but the police for them once its not allowing them to gather at all and it might be because our you know fridays protest a small group. Gestures right down to a piece of one of the most emblematic statues here in santiago that is that that that you tell you where people gather and talk the riot police took over that area about just 3 hours ago and. Oh dear and us. So the protesters are now throwing rocks at them and its getting very difficult to breathe here i have to tell you law and the water cannon is now from what i can see coming in i dont actually. Trade negotiations and fears an escalating u. S. China trade war are likely to dominate day 2 of the r. C. N. Summit in bangkok members of the Southeast Asian block are hoping to finalize a major Free Trade Agreement that is led by china and includes 16 countries Thomas Parkes is from the Asia Foundation he says the impact of the trade deal so far is mixed for obviously theres a lot of anxiety about the trade situation in the region and thats actually led i think thats put a lot of wind in the sails of the negotiations for ourselves but at this point yeah the impact is mixed i think look our set up is on the verge of being signed i think youre seeing these last minute you know sort of. Last stand negotiating points from india and from from others mostly from india i think that this means that were very very close either some sort of agreement by the end of this year or within a couple of weeks after that. Tens of thousands of iraqis have joined another mass protest in whats now the largest uprising since the fall of the former leader Saddam Hussein in 2003 this was the scene in central bank until the demonstrators rallied into pleas square that angry about Economic Hardship corruption and what they call interference from iran and the u. S. Those are the headlines and back with more news in half an hour here on aljazeera next to its aljazeera investigations to stay with us. Al jazeera is Investigative Unit reveals the true scale of modern slavery in suburban britain behind the high street theres a hidden workforce under the control of slave mosque has. Now been chopped but he says a brochure to go then they tied me to the back and the guys did their job. Most of the initial victims of the modern slave trade where women exploited for sex. How much we pay you for the. Time on the. Helicopter and. Now the market for slave labor spawns a wide range of moneymaking activities from now till i can think of one. Thousands of Residential Homes that become kind of his farms gone by vietnamese gangs. In sawyer one was trapped alone and afraid the. Eastern european car washes tell us they work all day all week and live in squalor. About the amount of money. We can from those accused of modern slavery im just been surrounded with commerce you have punch someone in the stone why havent. We reveal a Blue Chip Companies that may have been caught with slaves in their supply chain its. A scam in modern slavery in the u. K. Is enormous were just seeing the tip of the iceberg. All new forms of slavery fueling the growth of rich countries in todays globalized wealth. Across the world more people are on the move than ever before the driven out of their countries by war and persecution or they leave willingly hungry for a new life in the wealthy west. But mass migration has also led to a new surge in the slave trade. Like the human cargo of 2 centuries ago many victims of modern slavery are trafficked forcibly to the u. K. Others a jute into going to britain with the promise of jobs that dont exist. Thousands of others come voluntarily in search of a better life only to fall into the hands of criminal gangs. Of britains ports the governments have set up special units to spot adults and children who are vulnerable to a life of servitude. What weve seen in the past is young i was traveling maybe with an older woman or man whos controlling their passport and being quite dominating for so were looking at peoples behaviors 1st of all and then if weve got any concerns starting a few more questions about why theyre coming into the u. K. At heathrow one of the spotters briefs a colleague on an incoming flight. Out the moment we call the remaining a flight from peak rest coming very safe particularly on this point weve had a number of young near pinkos being trafficked into the sex trade. The spot as rescue some potential victims before their ordeal begins. Today via cell phone turning on someone else. But the sheer number of people pouring into britain can be overwhelming. Was trafficked to britain from his home in vietnam when he was just 15 his parents had both died by the time he was 10. He was taken to an orphanage in a nearby convent. After his fathers death his sick mother had borrowed from loan sharks now they came for their money. They demanded the church sign over the family home when the church refused the men turned violent. Boy. They put my hands on a board they took a knife held my hand and chopped chopped off a part of a finger and wrapped it in a piece of paper and i was i would only take it to kill me if i didnt sign and learn paperwork from. The severed finger was sent to the church as a warning and they signed over the property. But the loan sharks abducted and enslaved him in a warehouse. A few years later he was taken 86000 miles by lorry to account of his farm in the u. K. The warehouse was huge. But there were many plants if you knew i said they were vegetables and there were lots of lumps you know i dont know you know. And you know. I knew you know i worked day and night i had only 2 or 3 hours to sleep and only one blanket and it was very cold. Weather you know like. I was better off dead because i worked so much i was cold and hungry and beaten i was sort of miserable would have been more comfortable to die. And comes to me even city in central viet nam. The province is a hotbed of people smugglers and human traffickers who transport locals across continents and into britain. Using an Undercover Team we tracked down one smuggler to this large gated house. That that was the. Rock that. Our research is posed as a couple hoping to live in britain. That the law that. That was. Written for. Her ever brought. Under. The smuggler makes it sound easy but the journey is fought with danger and it costs a lot of money. That the thought that. Are on fire her