By task use Agency Official news agency in russia is an advice based vaccines thats a Similar Technology to the one thats been developed teter Oxford University which is known as the child docs vaccine so a child stands for chimpanzee and in a virus or expert and the basic principle is that chimpanzee advice doesnt produce any pathology in humans are you can be infected with that and have no symptoms at talk and then that genetically engineered so it had protein from the virus that you want to me nice against is inserted into the chimpanzee and in a virus genome and then your immune system when it sees this continent vaccine virus will produce lots of antibodies to the protein that you want to immunize against and in the case of covert 19 that. Protein which is the protein on surface of the of the covert 1000 virus in order to give the immune system a good chance to produce lots of antibodies against that and hopefully produce resistance in see so although we dont know anything about the details of the russian vaccine the fact that theyve noticed it is identified a species suggests to me at least that its going to be a fairly Similar Technology to the oxford want to move probably work in same way japan is facing a resurgence in cases confirmed a record 472 corona virus infections on saturday the capitals governor says a citywide state of emergency may have to be reimposed its a step thats already been taken in okinawa break is suspected to originated at a u. S. Military base the bottom line is our procedures for u. S. Forces and are stringent they are effect and what we have seen a growth in cases in a couple of our basins a banana they have been contained and there has been absolutely no connection there it has been proven to show that there has been any spread from there a costers on the base. To the local community the leader of a south Korean Church has been arrested accused of concealing and under reporting coronavirus cases prosecutors say the man he put the governments anti virus response the 88 year old denies the accusations and says he cooperated with the health department. Thousands of people are marching in berlin against germanys coronavirus restrictions demonstrators are Holding Signs protesting the lockdown measures and calling for people to resist its the 1st of several protests planned for the weekend in the german capital and old trump is known to use his president ial powers to ban the chinese own social media platform ticktock from the us the president is against microsofts reported takeover attempt of the firms u. S. Operations police in hong kong are demanding the arrest of 6 prodemocracy activists living in exile its the 1st time police have targeted activists outside the territory under the new National Security law imposed by china and iraqs Prime Minister has announced a general election next june which is a year earlier than church old most of our allies had the need promised an early vote when he took office in may months of antigovernment demonstrations demanded early elections tens of thousands of people in russias far eastern city of kut out of rusk are protesting against the arrest of serve go through girl a popular governor and he was deposed now to be accused of ordering 2 contract killings on the attempted murder of the 15 years ago prosecutors in the u. S. And britain have charged 3 people including a teenage boy with tacking twitter and theyre accused of taking over the accounts of several high profile people such as former u. S. President barack obama and tesla boss musk allegedly tweeted a bit concret currency scam which raised more than 100000. 00 in a day those were the headlines about with more news in half an hour next on our its head to head to stay with us. Im mad house and in washington d. C. Lockdown as a result of the coronavirus for this special episode ill be going head to head with not one but 2 guests a republican and a democrat on opposite sides of one of the most divisive issues in u. S. Politics today how to fix the Health Care System especially in a time of pandemic. The richest country in the history of the world the health care than any other nation and yet American Time comes most other industrialized countries millions of people remain uninsured and many others suffer crippling debt from an out of control medical bills some democrats say its time for radical over 30000 people on. This they dont get to a doctor was there should i want to have 2000000 people are going bankrupt because of the dysfunctional it cool system that we currently have you know what i think we will tell us a medicare for all so you go payer system but republicans on the right say more government will only make matters worse with regard to the idea of whether or not you have a right to a health care you have to realize what that implies its not an abstraction im a physician that means you have a right to come to my house and conscript me means you believe in slavery my guest in the 2nd half of the show is a prominent supporter of senator Bernie Sanders will be making the case for a single payer government funded Health Care System government doesnt have to suck Obamacare Repeal but my 1st guest glad he chen has advised republican president ial candidates on Health Policy and remain staunchly opposed to a state run Health Care System single payer Free Health Care medicare for all it might sound great but like all visions. If utopia ultimately produced a lot more harm than good. The fear of ours the time for a single payer for medicare for all has finally come chen and his fellow republicans defending a cruel status quo whose time is up and how much longer can the us justify a system to make some rich while keeping many other sick. Bloody trent thank you for joining me on head to head thank you mattie you said last year that the United StatesHealth Care System is the finest in the world do you still stand by that description i do many i think the United StatesHealth Care System is not perfect but i think it has a number of strengths that continue to persist innovation quality. Billett he for consumers to access a choice of different care options so yes i do believe the american Health Care System remains the finest in the world but loni even now in the age of the coronavirus with the u. S. Having the highest death toll in the world more americans dead than in world war one and with a Health Care System that doesnt guarantee care to everyone thats riddled with racial and economic inequities and the clearly was not up to the challenge when the pandemic came knocking at its door. I think we have to take a step back manny the Health Care System itself has actually handled the situation quite well the leadership that weve seen in terms of some of the Political Leadership to animate that response to the coronavirus that has been faulty but the Health Care System itself i would argue has performed pretty well how can the Coronavirus Money expose perhaps the greatest floor of all in the Us Health Care model that employer based coverage Getting Health Care through you would jump simply does not work especially given more than a full 2000000 people in the us have lost their jobs as a result of the pandemic around 27000000 of them may have lost their Health Insurance due as a result of losing their jobs thats a savage indictment of the way you run health care in the u. S. Isnt it. Well i disagree i actually think in the United States we have a system that is premised as you noted on the employer being the primary provider of Health Care HealthCare Insurance in the United States that is supplemented of course by a robust public system that covers people who are older as well as people who are poor but the employer sponsored system actually id argue has been the linchpin of a quality system of care we have in the us where people get access to a choice of different plans that oftentimes their employers help them to select you know health care can be very complicated and without the assistance of an employer or another entity that can help determine for example what some of those plans choices are it can be a very difficult field to navigate so the involvement of employers in the us i would argue has been a net positive now are there holes in the system absolutely i mean i you know there are 27000000 holdings in this is there are 27000000 homes and thats how many people have lost health care in recent months people have lost their jobs in canada in from in the u. K. In spain italy but none of those people of the health care when they lost a job that only happened in the u. S. Well and certainly it is the case that we need to have more affordable broader options for people like that i dont think anyone doubts money for moments that we need a Health Care System that covers more people ive certainly advocated for that as well but lonnie im not even talking about the 30000000 people who started the crisis without insurance in the us im talking about 27000000 people who had doubts great insurance with their jobs but when they lost their jobs they lost their health care that doesnt happen anywhere else in the rest of well into the u. S. And thinks thats mad that you do it this way. Well if you think 1st of all the answer is not to abandon the entire employer sponsored system which does work for 100000000 or more americans i think the question becomes when people lose jobs based coverage what is the best way to fill in those blanks and youre right i think there needs to be a way to fill in those blanks there need to be affordable choices that people can go to so that their health care isnt necessarily tied to their employer but im not willing nor am i ready to say that we need to do to discard the entire employer based system we have in the us that doesnt work quite well for the vast majority of americans so heres what shocks a lot of people both in the u. S. And around the world your country spends nearly twice as much on health care as the typical industrialized country americans also spend way more on Prescription Drugs than anyone else in the west and yet you consistently get what this results with Us Health Outcomes than other similar countries who spend way less than you compared to other members of the o. E. C. D. For example the u. S. Has the highest rate of avoidable deaths one of the highest number of hospitalizations from preventable causes one of the highest mortality rates from Heart Disease stroke alzheimers dementia obesity diabetes it has a Life Expectancy 2 years lower than the o. E. C. D. Average and again thats despite spending twice as much as everyone else on average well surely we spend too much theres no question about that so weve got to figure out a way to get those costs in that spending down but lets talk for a moment about outcomes because i think this is very important there is this perception that somehow the u. S. Health care system does not perform well on these basic measures what we do know is that for things like cancer mortality for example the United States does far better for certain kinds of heart conditions the United States does far better for certain kinds of of other conditions involving neurological issues or orthopedic issues the us system performs quite well so i think its fair to say im not because you are using does not do well under so many and all measures im not saying im not disagreeing but on a lot of messages highest rate of avoidable deaths one of the highest number of hospitalization from preventable causes a life expect. See lower than everyone else and youre spending twice as much not even like youre spending less so youre getting less you spend more and you get less how is that the finest Health Care System in the world i just dont get it well here again i think the fact that we do spend more is a challenge i think weve got to figure out a way to get spending down but what ive also said is that if you look carefully at some of our outcomes if you look carefully at what were doing what we are providing is we are providing the most innovative Health Care System in the world people have access to the most innovative treatments the most innovative cures and that access simply is not available in other countries its not available in other places not available in the u. S. And theres also a lot of its not available in the u. S. Either to 30 well. More broadly available in the u. S. But maybe id rather have you know us than it is in a place like canada well what is much more broadly available here than anywhere else even before the coronavirus americans were pretty unhappy with their Health Care System tens of thousands of people die every year because they dont have insurance and those who do have insurance have to deal with medical bills that are one of the leading causes some studies suggest the highest the biggest cause of personal bankruptcy in the u. S. Again something unique to the u. S. People dont go bankrupt because of medical bills in the u. K. Where im from what do you say to all those americans in debt about the finest Health Care System in the world. Well i would say 1st of all we do need to do more to fix something called surprise medical billing which has been in the news here in the u. S. The idea that someone can show up for treatment gets treated but because that person that doctor that facility wasnt part of their Health Insurance they get charged a lot more money weve got to fix that problem so i agree with you there we have a problem that we need to fix is the answer that you would take the existing system we have and try and build on it to get more affordable options to more people or is it to toss out the system entirely and go to Something Different and my point again is that the system is not perfect but it is better than i would contend than other systems around when you are in a minority of americans on this in gallup did a poll just a few months ago 63 percent of americans believe the Health Care System in this country has major problems or is in a state of crisis we talk about you know numbers and stats and abstract lets talk about some individuals cancer patient Susan Leclaire from florida late last year was on the verge of filing for bankruptcy a 2nd time because of all the debt she got from her cancer treatments the amazing comes of treatment you mentioned a moment ago and she had Health Insurance she was insured Jessica Tillman from illinois had a seizure disorder she had to file for bankruptcy in 2016 because all the medical debt she got dealing with the disorder again she had Health Insurance is that outrageous what women like jessica and susan have to endure all in the richest country in the history of the will it is outrageous theres no question about it but its also outrageous that Cancer Patients in the u. K. Have to wait weeks for access to a specialist and weeks for access to their 1st treatment the same thing in canada its unconscionable that people have to wait that long to get access to basic treatment not just for cancers many but for conditions that are chronic conditions for conditions that are debilitating so i can tell you all sorts of stories from around the world that are unconscionable that are just as tragic as the stories youve told me that doesnt make the american Health Care System worse maybe it simply means that in each of these countries we have problems we need to solve in the u. S. Weve got to solve it in our own way just as people in the u. K. And canada have to solve theres no one is disputing. Other health cases of dont have problems others are from the u. K. Theres a constant debate about problems in the end it just the canadians have to everyone has debates about the Health Care System im talking about problems unique to the us none of those other rich well countries do people those problems are not unique to do they will sign corrupt because of their medical bills p. M. O. Let me give another example insulin people in canada dont die because they have to ration their insulin because of the high cost of insulin well they die because they dont get access to coverage they generally i really dont get access to doctors jeremy crowfoot 39 from dallas died last year because he couldnt afford his insulin mika fisher 26 from wisconsin died in 2018 couldnt afford his insulin alex smith 26 from minnesota died in 2017 i could go on and on this doesnt happen in canada or spain australia people dont die because they cant afford insulin well they die because they cant get access to care they cant get access to treatment they may have Health Insurance you ca