Bill Meyer Show Podcast - Sponsored by Clouser Drilling www.ClouserDrilling.com - 05-12-25_MONDAY_6AM
Episode Date: May 12, 2025Morning News then Tim Keller, Chairman and Founder, U.S. Diabetes Care dot com - Discusses the Trump EO lowering prescription drug prices, will it work? ALso the challenge of diabetes treatment and ho...w his app and clinic operates.
Transcript
Discussion (0)
The Bill Meyer Show podcast is sponsored by Clouser Drilling.
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Here's Bill Meyer.
Good morning and how are you holding up this morning?
It is May 12th, 52 degrees, a little bit of light rain off and on here.
Felt pretty good last night.
It's going to be a little bit of a cooler, sometimes showery kind of week, but
that is about it right now. Then I guess we'll start warming up a little bit later, so a little
bit cooler than normal. But I got to tell you, the stock market looks like it's going to be relatively
hot this morning. Dow futures are up more than a thousand points this after the announcement of
the Trump administration coming up with a talk with the Chinese, and they're going
to slash the tariffs.
Now once again though, this is slashing it for 90 days.
So I think that the Chinese tariff on US goods will be still around 10%.
And the reciprocal tariffs, the way I'm understanding this, go from 145% down to 30%.
So the rate is down 115%.
Markets are really liking this.
Remember though, 90 days.
Does this mean we're out of the woods?
Who knows?
Who knows?
A good negotiating tactic could be.
We'll see. We'll see. So 30%
tariffs on Chinese goods coming in, 10% tariffs on United States goods going to China.
The one thing I would still say though is that China has a lot of domestic policies in place,
which make it still next to impossible or highly discourages American imports. I don't know how much of a change this will be, but the markets sure like it this morning.
Gold giving back about 2% to 3% this morning, and I understand because the tariffs going
down would not be as inflationary as have been baked in the cake.
The part that I will be really curious to see about with the stock roaring today, the
stock market's probably going to be roaring today.
This is going to be a big, big, big day in the stock markets.
I'll be curious to see how much of this money is institutional.
And by the way, I'm not talking things down,
but something that I noticed here by reading various financial bloggers
that I admire and I've been paying attention to them for quite some time,
they've been making more and more note that the people who have been buying the dips in the recent stock market rallies after Liberation Day,
you know, you had the trashing of the market there for a little while, and then we were getting some nice relief rallies and people were able to do okay on that. But where most
of the stock money has been coming from is not institutional investors.
So in other words, the big money has been sitting out the stock market here for the
last few weeks. The big money has been sitting on its hands, essentially, and
sitting on cash. And what I would like to see, and I don't know how we can try to figure this out,
I'll see if I can dig into this more. Maybe I can call my buddy Matt, you know, the stock guy,
and ask him about this. But when you have the institutional money, the big money,
the market movers that were staying away from the stock market, that reminds me of sheep being set
up for the shear.
You know, the little people dying.
You know, because we, the little people, are always being trained that when the stock market dips,
well, you buy the dips.
You buy the dips, you buy the dips, you buy the dips, which really works great.
But, you know, when you have the Warren Buffett types and the big hedge funds and the big institutional investors staying on the side,
that's kind of a bit of a warning side that, oh, okay,
time for the sheep to get sheared again.
I'm just talking about the history of the markets, the way these things work.
When you have all the little guys piling in with their little baby 401ks like me, small
money in the grand scheme of things, and all the institutional people are saying, no, thanks. It's something to think about, right?
So we'll see. Maybe today with the tariffs going down, you'll see the institutional money coming
back into the markets and that's what might be driving that, okay? And so that makes it a very,
very different kind of stock market. Martin Armstrong would be one of the first people,
you know, the guy who I spoke to a number of, I need to get him back on. Martin Armstrong would be one of the first people, you know, the guy who I spoke to a number of,
I need to get him back on. Martin Armstrong is the guy that has that Socrates software that does
financial prediction. He says you always have to look at the capital flows, where the money is
flowing. And money has been flowing out of the United States ever since Liberation Day,
which also made it difficult to catch a bid on some of the treasury
auctions too in the bond market. And President Trump no doubt knew that he had what, 60 to 90
days to get something moving because Trump didn't want to be like Biden. Trump didn't want to be
like the Biden administration, you know, empty shelves Biden during the, you know, the COVID time,
that sort of thing. Didn't want that. Didn't want the supply
chain rather broken, but knows that something had to be done. Something had to be done to
reassert some better balance in the trading relationships, especially with China.
All right. So there we go. 90 days cooling off. We'll see where this goes.
And all I can say is wait and see, right?
But the market seems to like it here for the time being.
Something else that we're gonna talk about
with the guests this morning,
in fact, I have Tim Keller who's joining me.
He's chairman and founder of US Diabetes Care.
President Trump signs an executive order
to reduce prescription drug prices.
I'm gonna talk with Tim about that and see what he thinks. And what the order says, it'll claim that we'll see a prescription drug
price drop between 30 and 80 percent. This is big news if this ends up being the case.
This may be why pharmaceutical stocks are not looking quite so good this morning.
What they've done though is that this would essentially mean that we would have the most
favored nation policy.
The United States will pay the same price as the country in the world that pays the
lowest price anywhere in the world.
So this whole deal in which the United States, we United States folks, end up getting screwed
when we buy our drugs or
when the hospital buys the drugs for us and then quintuples the cost,
that kind of thing. And they're selling the drugs lower everywhere else.
They sell them lower to Canada. They sell them lower to China. They sell them lower
elsewhere. Everybody else gets a better deal than we do. President Trump says
that ends. That was very interesting. We'll talk with with Tim about that. Trump is also
in the news. Trump's driving a lot of the news cycle right now. Absolutely no
doubt about that. And Jason Sullivan joins me after 7 o'clock. And he wrote a
really interesting article on Gateway Pundit about Ukrainian influences behind
the Trump assassination attempt.
One of the assassination attempts, especially the 17-year-old Wisconsin native Nikita Kassop
murdered his parents, stole 14 grand, and then plotted to assassinate the president using
a militarized drone.
Well, Jason says that there's evidence that there was a Ukrainian
connection. Very interesting. So I don't know much about it other than what I read
in the Gateway Pundit story, but we'll talk with him about that. Captain Bill
Simpson is going to be joining me too. Says that even artificial intelligence
is going for the wild horse fire brigade. We'll see about that. I've kind of
wondered about that. And then Dr. Dennis Powers, naturally, where past meets present, along with your calls and opinion.
19 minutes after 6.
Are the laws too tough on open meetings?
You know we have open meeting laws in Oregon.
Is it getting tough to actually communicate
because of the open meeting laws?
Well, I'm at week has a really interesting story.
I'll tell you about that in just a little bit.
Very interesting stuff.
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Hey honey, you need to read the story on how the Rogue Valley and River got their name.
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Hi, I'm Matt Stone owner of Stone Heating and Air and I'm on
106.3 KMED.
Twenty-five minutes after 67705633 appreciate you being here
this Monday morning.
By the way, apologies for some problems on KMED signal
yesterday.
Late last night, I ended up getting some off-air alarms, like early Sunday morning.
I wasn't quite sure what was going on.
It was during coast-to-coast time.
It was like running out of time.
And then I finally was awakened at 4.30 or 4 o'clock 4.30 and realized there must be
something else going on here. And just to show you what a luxurious kind of job that I have.
So I realized, I'm taking a look in there and realized what could be going on, what's going on, why is Coast to Coast running out?
Because it's just running a replay of what was going on earlier in the morning.
So I just want to give you a little inside baseball. Then we figured out that the satellite system that brings in not only the news, but a lot
of the syndicated programming coming in here, all the main shows, Markley, Van Kampen, and
Robbins, it was failing.
The signal was really, really low.
I'm going, what the heck's going on here?
So I get out of my PJs and trundle down to the radio station for 430 in the morning Sunday.
And then I'm looking at the receivers and going like, hey, this is a big deal.
And there's almost no signal.
So I go and I get a ladder and I climb up on the satellite receiver or the satellite dish out in
the back here, get the ladder. And like I said, this is, you know, people are saying, yeah, Bill, you work three hours a day and after that no I'm on call right so I'm
up there and we had just a brand new big yellow jacket nested nest that had built
itself in the satellite receiver cone up there where all the stuff is and it just
built it right in there and so at 4, 5 o'clock in the morning,
I'm up there on the ladder and, you know, poking a soft stick up in there to try to get loose the
saddle or the hornets. All the hornets are up there. And fortunately, it was cold yesterday
morning. So that worked out really great. So, you know, they were all back into the nest
and they were just blocking out the radio signal.
It was just something simple like that.
And so that's why things were so flaky going in.
And I guess the nest finally got big enough
that it was cutting out the signals a lot.
So anyway, we knocked it out
and I ended up putting a little plastic cap over it
to keep the wasps out. I don't know why they
did not they design these commercial satellite receiver big big big big dishes
like we have in the back. I don't know why they left those things open, why they
didn't have screens in them, but I ended up just getting a plastic cap from like
a paint can, from like a spray paint can, and it slides in there just perfectly so
I just put it in there and that should keep them out.
So that was it. That's what was going on. People were writing me, what's going on with your signal?
You idiot! Only one person said idiot. But don't you listen? Well no, I can sleep at night time.
I do have to sleep sometime. I'm a one horse kind of guy.
But that's what happened and And the yellows have been, it's amazing that you can have just tiny little insects
that will bring down the entire system.
It just astounds me when you think about it.
Just these tiny little insects
blocking out the satellite signal.
So that's what happened.
That's just a little bit of personal inside baseball.
Okay, so you know that we care here at KMED and KBXE,
we care and we we wanted to make sure
that you get all your stuff. Okay? All right. A couple of Pentagon stories I found really
interesting this morning too in the news cycle. It's more than just the markets,
although the markets are looking really hot. They're going to open up in about five minutes.
But the Pentagon, Pete Hegseth, very, very busy. He has banned affirmative action at military service academies.
He put out a note about this, and U.S. military service academies are no longer allowed to
consider race, gender, or ethnicity in their admissions process, ending the practice of
affirmative action upheld by the Supreme Court a couple of years ago.
It was a memo published late Friday, so that was really interesting. And Hexeth also has ordered the military to pull all the library,
to pull and review all of the library books that address diversity, anti-racism, or gender issues
by the 21st of May. So they have like about nine days to do this. This is another memo issued by Secretary Pete Heksef on Friday.
And he wants to get rid of all these diversity and equity programs, policies and instructional
materials and also follows similar efforts to remove hundreds of books from libraries
at the military academies on this one.
In other words, let's stop pushing this poison and purge the poison from the
system. So that's what the Secretary of Defense is doing. And I wonder if all of the attacks on
him is about this more than anything else. I don't know, but you do wonder. Although, frankly,
he should get signal off of all his devices. If I were advising him as a PR person, I'd just say,
hey Pete, why don't you just dump the signal app? All right, it's okay. It can live without
you here for a few years. Wait until you're out. Okay? All right. So we got
that story. This is the one I was just mentioning here before the break about
the Ethics Commission. Now the Ethics Commission has been in the news the last
few days.
On the end of the week, though, we had former Secretary of State Shabia Fagan not only get
her law license back, but remember she was fined $1,600, right?
And then the Ethics Commission felt embarrassed by that, and they more than doubled the fine.
I think it's $3,600, which is what they ended up fining her.
I'm sure that will make sure that we get really, really honest politicians from now on, you know, after that. I mean, you think about this,
because gosh, you know, if the fine was only $1,600, well, that's not much of a punishment.
So yeah, I'm being sarcastic. Okay, you know, you know me by this time, but a $3,600 fine.
Think about this, though. Think about this. Everyone's
making a big deal. Oh, Shemeah Fagans now. She had to pay a $3,600 fine instead of a $1,600 fine for
all that Lamoda weed money. You know how much she was paid to be the consultant for the Lamoda
weed company, the cannabis group here? We got them here in Southern Oregon too, right? Ten thousand dollars a month. Yeah, she was only getting about six thousand dollars a month to be
the Secretary of State, maybe a little bit more than that, plus PERS of course.
But yeah, she was getting ten thousand dollars a month from the weed company to
consult it, and that of course went sideways with the Ethics Commission. So, I
think she ended up paying the equivalent of maybe a week
and a half, maybe two weeks of weed money after all those months that she was getting at $10,000
a month from LaMotta. LaMotta. And that's all right. It's all fixed now because it's $3,600 now.
And they gave her her law license back. Yay. Boy, they're really tough.
But on the serious side of the Ethics Commission,
Willamette Week has a fascinating article and I'd highly suggest you go to wweek.com.
League of Oregon City says Ethics Commission has distorted public meetings laws.
So they went soft on Shemeah Fagan, honestly, still, right? But you know how many times we
have local politicians talk
about the ethics investigations?
Herman Bairdschucker talks about this, like dozens that
have been launched against him for years.
They've all been dismissed.
I guess there's one left that he was talking about last week.
But what the League of Oregon Cities is saying is that the
Oregon Ethics Commission, interpreting of a new public meetings law
makes it so difficult for elected officials to communicate that it's next to impossible
to not violate the ethics law. And what this new state law does is that it stops local
elected officials from using serial communications to essentially operate as a
quorum outside the public eye.
And the league says that the Commission's interpretations has caused all sorts of confusion
and alarm across Oregon cities that are subjected to the new restrictions.
It barred serial communications that form a quorum, that is, a majority of a governing
body outside a public view.
Now, you think about this as like playing a game of telephone governing body outside a public view. Now you think about this is like
playing a game of telephone is the example that the Willamette Week uses here. One city councilor
talks to another city councilor about a policy and what they were thinking about this and that
the councilor then runs into a colleague in the hallway describes what they were just talking
about so it's like going da-da-da-da-da-da-da-da. It would be like Rick Dyer talks to Randy Sparacino, Randy Sparacino then talks to Colleen Roberts.
In Josephine County, you would have Andreas Black talks to Ron Smith, and Ron Smith then
talks to Chris Barnett, you know, that kind of thing. And so they make it next to possible.
League of Oregon Cities says that the Commission's interpretation has led to grave
concerns. As Commission staff have begun training public officials themselves into the Oregon public
meeting law, city officials start calling, had began calling the Oregon Commission with grave
concerns over the content of the training. Commission staff have asserted in trainings that a mayor's quote in a newspaper about city business could
result in a serial meeting violation, that a city councilor's conversation
with a city manager about city business could result in a serial meeting
violation, and that an elected officials conversation with a consultant about a
concern could result in that same kind
of serial violation. So I think that's pretty interesting. One of the
challenges with this though is that by the time some policy ends up being
brought to a public meeting, the councilors or the commissions are seeing
it for the first time. And is that a way to actually run the railroad?
I would say not. That would actually end up giving even more power to non-elected
staff,
wouldn't it? And maybe that's what the legislature and the Oregon Commission is
wanting. They don't want pesky politicians who are elected deciding
they want the professionalized staff everywhere. Yeah, I'm having a little
fun with that, being a little sarcastic, but you do have to wonder if this would
end up actually giving more power to the staff to direct the commissioners and
the counselors and things because, well, we don't want you playing telephone with
one another. We'll come up with the proper solutions and then you will see
it for the first time and then you can talk about the solution for the first time
in open meeting.
Is it that bad?
I don't know, but even the League of Oregon Cities is saying, hey, this new open meetings
law is not working out and could really be a big problem.
So we'll keep an eye on that.
Maybe I'll talk to some of the politicians about that over the coming weeks.
632 at KMED, 99.3 KBXG, cheaper prescription drug prices.
We're going to talk about that with Tim Keller.
He'll be coming up after news.
Did you know that the average public university...
That's right.
Weight loss seminar today at the Hilton Garden Inn Hotel in Medford, 5.30 PM.
Registration begins at 5 PM.
Stop smoking seminar at 8 PM. Registration starts at 7.30 PM. The Bill Myers Show is on.
News Talk 1063 KMED.
Tim Keller joins me.
He's the chairman and founder of U.S. Diabetes Care.
Tim, how are you doing this morning?
Welcome to the show.
Good morning.
How are you?
I'm doing fine.
Hey, could you tell me a little bit about your background, US diabetes care,
and what this is all about? Otherwise, I would imagine that given all the metabolic syndrome,
your business is most likely booming, wouldn't you say? Welcome.
Yeah. Well, you know, metabolic syndrome has been a problem for a while. Obviously, you
know, back in the 1950s when Big Pharma Medical got together and the processed food industry
and, you know, made a bunch of things the food and everything to make us sick. There's no money in a cure.
Just it's kind of a relation of how U.S. Diabetes Care really got started because we're about the truth about diabetes.
What is probably a untruth that is very commonly believed about diabetes given your
given your experience? In Westernized medicine, doctors are trained to treat a symptom not a patient
and doctors were trained to say that once a diabetic always a diabetic. Now
when I'm talking about diabetes I'm talking about type 2, type 3, insulin
resistance, gestational diabetes, things like that. Type 1, obviously autoimmune, we know, is a condition
where the pancreas just doesn't make insulin. But all the other conditions of diabetes is
a cause of insulin resistance in the muscles, muscular dysfunction of the cells that ends
up leading to hyperglycemia or insulin resistance that takes over diabetes of the body. And
that all can be reversed,
but in Westernized medicine, they tell you it can't.
All right, so what does the US Diabetes Care do?
Are you almost like an alternative health solution
in diabetes or a specialized pharmacy?
Just give me an overview, that's all.
Yeah, so we're a specialty clinic only focusing on diabetes.
We do clinical diabetes, unfortunately we have to do that just because when people come to us, We're a specialty clinic only focusing on diabetes.
We do clinical diabetes, unfortunately, we have to do that just because when people come to us,
they come to us in a full-blown diabetic state
or this pre-diabetes crap that's going around
and there's really no such thing as pre-diabetes.
I tell people you're not pre-pregnant.
You either have diabetes or you don't.
But they came up with a pre-world
because there's more medicine to sell if they get
somebody hooked on metformin or diabetic drugs early.
Is that kind of the same thing like the doctors will say, well, you're pre-hypertension and
they want to give you statins and various drugs early on?
Absolutely.
Same kind of thing?
Absolutely.
Yeah.
And they're all related.
The insulin resistance causes high blood pressure,
it causes lipidemia, causes cholesterol,
it causes everything.
So, if they can get you in a pre,
call you a pre-state and get you some fear in you, right?
So that's how they get you on medication early.
The reality is, is if your blood pressure's a little
elevated, or your cholesterol's a little elevated,
your body lives off cholesterol,
you really don't need to go on medication, you just need to make lifestyle changes.
And so that's what U.S. Diabetes Care, if you really want the foundation of us,
even though we do clinical diabetes, we are a foundational lifestyle medicine
center. So we actually put the truth about education. You can't fix people in
their body if you don't fix them in their mind. And what I mean by
fixing in their mind is educating them on the truth of what they don't know about their own health.
All right. Now you actually have an app out there to help people on diabetes.
Tell me a bit about that, then we'll move on to what Trump did over the weekend.
Yeah, so the app is simply
lifestyle education. All right, so we have a worldwide app. You can get on Apple or Android.
You can go to our website at us diabetes care calm hit learn more tab
And you can get the app directly from there and what this app is, you know
Look, we don't want to do a bunch of gaming or anything like that
we're focusing on peer education of diabetes and
You know anybody that watches our education series and learns from it, if they follow 70%,
they're gonna reverse their conditions.
It's just that we're giving the truth about diabetes.
And we talk about everything.
We talk about diet, lifestyle, exercise,
oxidative stress, anxiety, healthy fats versus bad fats.
We talk about brain health.
I mean, there's a lot of things
we cover in our education series.
I wanted to get your, or take your temperature on something. There's a friend of mine,
I was sharing some emails with him at one point, and he had moved to Italy. And he moved to Italy
with his family and they're eating pasta, eating tons and tons of pasta over there.
And eating tons of pasta over there, they lose lose weight and yet that same diet in the United States with United States grains most people
tend to blimp up and I know do you look into that at all I'm just kind of
curious like pasta in Italy there they tend to be very simple I wouldn't
know if it's necessarily organic but it, but it's a different farming method
and processing method that they would have there. Any thoughts on that?
Yeah, so once again, a big pharma, big agriculture, they made a double yield of the wheat,
hydra-isomized wheat, high fructose corn syrup, processed flour and sugar. It's used to make everything in the inner center aisles.
I mean, refined foods, which are pastas,
they're nothing like what's in Italy.
These are basically chemical poisons
that we really suggest our diabetics to get away from.
When we talk about whole food pastas, whole wheat pastas,
things that are meld, it's called the double yield
of the wheat, it's terrible stuff for you.
So we do more of the sprouted pasta,
which is our sprouted breads or Ezekiel bread,
which is made from just the sprout of the wheat
and you're not getting all these chemical processes
or double yields of wheat.
You don't mind me interjecting here. Hey Tim, what is it about sprouted wheat though that makes that
difference? Eating a sprouted wheat product rather than a ground wheat out of the wheat seed so to
speak. What's the difference there? Why is that different? Well the difference is the sprout is
just the top of the the wheat, right? So you're just taking off the top layer, which is non-chemical processed when you start getting into the stock and the wheat and the ground up wheat.
But that's normally a double yield of the wheat, which is a processing to make more,
you know, more wheat or be able to double the production of it. And that stuff is modified.
So it's basically not good for you.
Yeah.
Does the American Diabetes Association do a good job advising people on what to eat?
Absolutely not.
Why not?
The American Diabetes Association pyramid has been upside down for years.
They've tried to correct it and make it a little better.
But quite honestly, American Diabetes Association pyramid is driven by Big Pharma. They're all in bed together. I mean, they call it a non-profit
organization, but there's millions of profit going in from lobbyists and everything else
controlling the agenda. There's no money in a cure and they're just keeping Americans sick.
I did find it interesting when I would see them advocate drinking fruit juice.
And I'm thinking to myself, all right, if you're diabetic, I'm thinking one of the worst things you could probably do is drink a fruit juice rather than eating a piece of fruit.
Wouldn't that be the case? I never thought that made sense to me, just on the outside looking in.
Yeah. Well, you know, it's common sense, right? You get the fruit from its normal source. It's a lot healthier. You take a
fruit juice with a concentrate, look at the sugar. If any diabetic and everyone wants to really kind of reevaluate that,
look at the sugar content in those fruit juices.
I mean, they're 72 to
122 grams of sugar.
Unbelievable. If you correlate that into teaspoons, there's probably about 80 teaspoons of sugar in a, you know, one liter of juice. It's absurd.
Yeah, I would figure though, given the sounds of what you're doing at U.S.
Diabetes Care, is that you're a big fan of that Make America Healthy Again
push from RFK Jr.? Is that fair?
I'm actually a huge fan, you you know because we've been doing the
maha movement at u.s. diabetes care for the last nine years so we're we're big for the maha movement
i hope it i hope they stay to the agenda and the course and i hope it goes well i think there's a
lot of changes that need to be made um i don't know if it's going to all happen in the you know
they're moving pretty quick but you know when you talk about the healthcare movement and even this new order that actually Donald
Trump just is going to sign, which is going to lower 30 to 80% of prescription costs,
you know, that's going to take some time.
You know, even the order will pass.
And the reason why I say that is they might be, you know, 30 to 80% of that cost will
be taken off the top
But they don't know what we do behind the scenes and you know
We spend half of our time clinically doing prior authorizations with the insurance company
They don't pay for stuff now. So now if they're something gonna take a 30 80 percent hit they're gonna make a lot
you know, even though we think that the drug will be cheaper for the
patient to get the prior authorizations will probably
triple or quadruple on our end and make it a lot harder for patients to get
anything. Yeah, could you help me understand that part? By the way, I'm
talking with Tim Keller. He's the chairman and founder of US Diabetes Care.
President Trump's order is about giving us the most favored nation's status, so to
speak. So if there's some other country, let's say that there's a cancer treatment, some sort of cancer treatment,
or some other prescription drug which people are wanting, and if it's
sold for a certain cost overseas, we get the lowest cost for whatever it's being
sold for overseas. Does that make sense? Is that a good policy? Or is
there something in this order that might cause more trouble than we think we're an unintended consequence
I don't know. What do you think?
Well, you know exactly what I just said, you know, you're starting playing the you know, low cost game are
Comparable cost to what it what we charge people overseas for the same exact drug
I mean, I'll just give you an example of insulin just because I can talk about that, educately. Some of the other drugs, not so much. Insulin
in 2003 for a vial of insulin was only $32. Now a vial of insulin is probably about almost
$400. So the cost has went up about 3-400%. So then you come back to the fact of you know insulin being so well
and so mostly prescribed but then they control the narrow of insulin because
when okay say our doctor prescribed a diabetic a certain drug of in stages any
kind of insulin there's a lot of enter influence and doctor and actually
there's only three manufacturers of insulin in the world. So let's talk about that. So when we
prescribe that drug and then that patient goes to the pharmacy, they get
denied payment of that drug because it's not the agenda they're pushing and big
pharma. So we have to do what they call as a prior authorization. So our nurses
have to call and literally fight with the insurance company to get the drug that's preferred for that patient
Okay, I don't understand Tim. Why would if you have a prescription and you take it to the drug to the to the pharmacy
Why could that be denied? I don't understand. Could you help me please?
Yeah, it's being denied because once again big pharma and big medical control the agenda
denied because once again big pharma and big medical control the agenda with it and the insurance companies control the agenda on what they're willing to pay for not pay for
so they are never following the doctor's order on on in a prescription that's prescribed
we have to do prior authorizations in the background which means fighting with the system
to get the drug that the doctor actually look the doctor has a relationship with the system to get the drug that the doctor actually, look, the doctor has a relationship with the patient. They know what the patient needs. Not Big Pharma, not
Big Medical, not the insurance companies, but we fight every day, all day long to get
the patients what they need.
All right. I guess I'm, Tim, I still don't understand. I'm sorry, maybe I'm just being
dense and I haven't had enough coffee this morning, okay?
I'm going to take this through you.
Let's say that, all right, if I had diabetes and let's say the doctor were to give me a
prescription for Jardians.
You're familiar with that, right?
Very common, very popular diabetes drug right now.
And I have the script in my hand, all right?
And I go down to the pharmacy, my local pharmacy, and I said,
okay, I would like my prescription of Jardians. And the Trump administration has put in their order,
30 to 80% less because I'm going to get the price for whatever the lowest price that it was available
elsewhere is available. How could it be denied to me if I have my
prescription? Let's say even if I'm a cash customer, okay I'm a cash customer
just want to come in there and pay for it. Could they still deny this somehow or
do they? How does this work? I'm just I'm sorry to be kind of thick-headed about
this, okay? So you've got a very important point. I mean if you're cash customer you
can get anything you want. Okay.
The unfortunate part is all these diabetics that are out there, most of them are low income, live in rural areas. There's not a lot of money. And if they need a percent, like I will talk about
Jardians, Jardians out of pocket for you for a month supply is probably around $1,100.
Wow, that's pretty pricey drug, no wonder.
Okay.
Yeah, so if you got a person that,
no way he's gonna be able to pay cash,
they go in there and they,
look, the pharmacy runs your insurance, right?
And they come back to you with your farmer,
it's called a PBM, pharmacy benefits manager,
and they say, this drug was denied.
You need to go back to your provider, and then the provider has to do a prior authorization.
So now they have to fight with the insurance company to get you this drug approved.
So just having the prescription, just having the script doesn't get you home unless you're
paying cash.
But then that if you're paying cash. But then if
you're paying cash $1,100 a month, well let me put it this way, would that cash
price then go down from $1,100 a month let's say to maybe you know four or
five hundred a month? No. No? No. Unless you have the skill set to
the fight and negotiate with the pharmacy on a discount, I mean the price is what it
is. There is a cash pay mentality in healthcare that you can negotiate a cash price, but in
pharmacy it is what it is. And so, you know, like you go get a knee scope and you're going
to a surgery center and you're saying, hey, I'm a cash payer, you can negotiate a cash
price. But unfortunately, the reason why the you know, the system's so broken, and in the big pharma world is that, you know,
you're paying what they're wanting you to pay. And, and you know, that's why, you know,
Donald Trump signed this order because, you know, he's realized that the cost of prescriptions
are crazy. I mean, and if you know, that's just one drug jarred, if you talk about long
acting insulin, insulin injection, you're talking about another know, that's just one drug guardians. You talk about long-acting insulin, insulin injection,
you're talking about another $1,500 a month drug.
I mean, who can afford that?
The average person afford that on a,
think if they have three, four diabetic drugs,
can't afford it.
I can understand how you could run out of cash real quick.
I didn't realize they were that expensive because,
well, you know, I get this,
I get some of these drugs for a relative of mine.
And I see a nice copay there. You had brought up pharmacy benefit managers. I had a group on, or I guess on a couple of times here recently from National Taxpayer Union. And what she was
telling me is that the pharmacy benefit managers are being accused right now of getting
drug price cuts from Big Pharma and then not passing that along. Is that kind of
what you're relating to or alluding to when you when you discuss this whole
idea that the pharmacy benefit manager is in the way and not giving you
your cut? Yes, because okay so the way it works is,
Big Pharma passes down the drugs
to pharmacy benefit managers,
which are within the insurance companies.
When we have our insurance card and we go to the pharmacy,
the insurance that we have for healthcare
is totally separate of a PBM.
So PBMs are the pharmacy benefit manager.
That's a whole separate insurance on your, within your insurance. So the PBM controls the narrative on whether you get
these drugs or not. And you're exactly right. They're getting discounts and they're not
passing the discounts along. They're selling the drug based on their pharmacy benefit manager
price. And then if they deny the drug, which, you know, I'd say 80% of the time they do, it
comes back to the fight for us.
And then you've got to understand from a clinical level, if you're spending half of your clinical
time fighting with pharmacy benefit managers to get the patients the drugs they need, you're
taking valuable time in the clinic away from those patients.
All right. Let me then ask your opinion.
The new executive order of the Trump administration to cut things out of 30 to 80 percent.
We're not going to see that in the end user when we go just buy drugs.
You don't believe that will work?
Whether an executive order is signed or not, I think there's a lot of mystery on what discounts
are we giving and then a lot of mystery to the pharmacy benefit manager.
I think it's a little more complex than just going 30 to 80% off the top of the drug.
I think there's going to be a lot of snake oil sneaking that's going on behind big farm
and pharmacy benefit managers to make sure that they're still profitable.
What do you think would be a better process to bring better transparency? Because I was
under the impression that, you know, between the laws that Senator Ron Wyden has been involved
with in the past, everyone's talking about, hey, you should be able to know the cost of something
before you go in. When it comes to drugs, gosh, I had no idea that Jordians was that expensive. No wonder,
you know, no wonder that Medicare is almost broke. Well, practically broke even right now, right?
Yeah, so the reality is, I think the only way to make that executive overwork is that
Donald Trump does the executive order 30-80% off most drugs and then they eliminate prior
authorizations. So basically when you
give it when a doctor who is medically trained to prescribe a drug that is the
right drug for that patient makes that that that the pharmacy benefit managers
and other people that are involved have no control over that. Get the hell out
of the way, let the doctor be the doctor, let the patient be the patient, and
get these pharmacy benefit managers out of the doctor, let the patient be the patient, and get these pharmacy benefit
managers out of the way. No prior authorizations to the drug. They just get the drug at whatever
the discount is going to be. Okay, now, all right. Now I understand. Okay, the light went over my
thick head, off over my thick head. When you talk about the prior authorization, I'm thinking,
okay, well, the doctor priorly authorized it. When you say prior authorization, you're talking about the
insurance company and the pharmacy benefit manager okaying it. Is that where
I was making the mistake? Is that it? Yep, 100%. Okay. It doesn't matter what the
doctor prescribed. It all matters what they're gonna approve. And see, this is
where the problem lies. They got to get out of the the way if a doctor prescribed something for that patient that's what
he prescribed well there shouldn't be a fight about it got it now I understand
Tim thanks for dealing with my thick head this morning okay I really
appreciate it I'm fine with it man yeah cuz not I got 36 years 36 years in
medical I mean I talk over a lot of people's heads, so I apologize.
I try to make it simplifies.
No, no, no.
You weren't talking over my head.
I just wasn't following the actual procedure.
I'm not in the medical world, right?
And I know that there are probably a lot of people listening doing the same thing.
They may understand, prior authorization is the insurance company, dummy.
That kind of thing.
They're yelling at the radio. That is really interesting. So it's still the insurance company dummy, you know, that kind of thing they're yelling at the radio. That is really
interesting. So it's still the insurance company getting between that. Does this also mean then
that, you know, unless the Trump administration were to attack what is known as the formulary
within the insurance industry, what they will permit and what they will permit to pay for or
not pay for as the case might be, is that also part of this issue that you were speaking about?
100%. I mean and you talk about let's talk about one formula or loan because
once again the dieback spent insulin. Insulin is only made by three
manufacturers Eli Lilly, Amerisforce Bergen and Norvo Nordis. Three of them
and in the world and you what? They will not let anyone
else make insulin from a generic standpoint because they say, this is their excuse, it's hilarious.
They say the proteins in insulin are so difficult to reduplicate or manufacture that only the top
three can do it. That sounds like a racket. That's the biggest BS story I've ever heard in the world
because Amerisource Bergen,
who's the largest generic manufacturer of drugs
after they go off patent, can absolutely make insulin.
But they're not allowed to make insulin
because you know why?
They're the biggest racket in the world.
They're making millions and millions and millions and millions
of dollars off the back of diabetics selling insulin.
Tim, who is in charge of the racket that declares that only three companies can make insulin?
Help me out.
Well, the reality comes down to, I say it goes back politically to the lobbyists in, you know, big pharma.
You know, there's too much money being passed around between Eli Lilly, Norbert Nordis,
and these big manufacturers of drugs that, you know, they control the narrative.
So when you ask that question, I mean, that's a loaded gun because there's so much corruption
within those spaces that, you know, they're going to control the narrative and there's
no one that can touch them.
And like I said, when they come out and say no one else can make insulin because it's
too difficult of a drug to make, well, right there tells you all you need to know if you
have any kind of common sense.
Got it.
Tim Keller, once again, the chairman and founder of U.S. Di USDiabetesCare.com is the website. There is the education app that's also
in there to help you with diabetes and management. And the other thing, one more question I wanted to
ask, does that app integrate with any other health tracking applications or devices, you know,
insulin monitoring? How does that work? Just before you take off, please. devices, you know, insulin monitoring, how does that work
just before you take off? Well, right now, the app is just education. We are working on an app,
2.0, that should be done in about 60 days that will complement those kind of things just because
it's been asked. But you know, when I made this first app, I really wanted people to focus on
the education and not the gaming aspect of an app because I think we've already proven that we reverse 90% of the diabetics that
actually follow a program, you know, not... We don't use that data based on who completes
the program have reversed their diabetes. And that means type 2, type 3, insulin resistance
and, you know, any other diabetics that's not type 1.
You know, and I make that correlation because I've already had a couple type 1s come back and say
some of my information. I wasn't correct and I'm like, you know, they're type 1s, autoimmune,
they're in a whole different lane. You know, we can help autoimmune type 1 diabetics lessen their
insulin use based on our lifestyle education,
but we're not going to reverse your disease. Yeah, generally, but type 2 and type 3, that's
almost like the metabolic syndrome. You've gained weight, diabetes kind of thing. Yeah,
we created ourselves by eating the processed foods that are out there. All right, very good. Tim,
great talking with you. Thanks for explaining to me this whole thing about prior authorization and a bit of that racket. We'll have to continue to fight that end of it,
but I appreciate you coming on here. USDiabetesCare.com. Find out more and I'll post your information.
Good talk. Thank you very much. All right. Thank you. Have a good day.
Sure will. This is KMED, KMED HD1, Eagle Point, Medford, KBXG, Grants Pass.
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