1 00:00:07,574 --> 00:00:14,581 ♪ ♪ 2 00:00:25,625 --> 00:00:30,130 [CHEERS AND APPLAUSE] 3 00:00:30,130 --> 00:00:34,367 ♪ ♪ 4 00:00:34,367 --> 00:00:35,268 John: WELCOME, WELCOME TO 5 00:00:35,268 --> 00:00:36,102 "LAST WEEK TONIGHT!" 6 00:00:36,102 --> 00:00:36,770 I'M JOHN OLIVER. 7 00:00:36,770 --> 00:00:38,938 THANKS SO MUCH FOR JOINING US. 8 00:00:38,938 --> 00:00:39,606 IT HAS BEEN A BUSY WEEK. 9 00:00:39,606 --> 00:00:40,473 UKRAINE CONTINUED TO PUSH INTO 10 00:00:40,473 --> 00:00:41,841 RUSSIAN TERRITORY, 11 00:00:41,841 --> 00:00:42,475 THE INTERNET TRIED TO FIGURE OUT 12 00:00:42,475 --> 00:00:43,276 WHAT HAPPENED BEHIND THE SCENES 13 00:00:43,276 --> 00:00:44,544 ON THIS MOVIE, AND 14 00:00:44,544 --> 00:00:46,780 THE TRUMP CAMPAIGN TRIED TO 15 00:00:46,780 --> 00:00:49,149 COUNTER THE ENTHUSIASM FOR THE 16 00:00:49,149 --> 00:00:52,352 DEMOCRATS' NEW TICKET-- WITH 17 00:00:52,352 --> 00:00:52,986 J.D. VANCE, A 18 00:00:52,986 --> 00:00:54,654 MAN WHO PERPETUALLY LOOKS LIKE 19 00:00:54,654 --> 00:00:55,255 HE GOT STUCK 10% OF THE WAY TO 20 00:00:55,255 --> 00:00:56,289 TRANSFORMING INTO A WEREWOLF-- 21 00:00:56,289 --> 00:00:57,824 DESPERATELY TRYING TO SPIN THE 22 00:00:57,824 --> 00:00:58,425 JOY OF HARRIS'S RECENT RALLIES 23 00:00:58,425 --> 00:00:58,992 AS A NEGATIVE. 24 00:00:58,992 --> 00:01:02,595 SHE SAYS SHE'S HAVING FUN. 25 00:01:02,595 --> 00:01:03,430 BUT WHILE SHE'S HAVING FUN, 26 00:01:03,430 --> 00:01:04,030 AMERICANS ARE SUFFERING UNDER 27 00:01:04,030 --> 00:01:05,732 HER POLICIES. 28 00:01:05,732 --> 00:01:08,568 WHEN SHE LAUGHS DURING A SPEECH, 29 00:01:08,568 --> 00:01:10,470 REMEMBER THAT THERE ARE AMERICAN 30 00:01:10,470 --> 00:01:11,338 FAMILIES CRYING THIS VERY DAY 31 00:01:11,338 --> 00:01:12,372 BECAUSE THEY CANNOT AFFORD 32 00:01:12,372 --> 00:01:15,408 GROCERIES. 33 00:01:15,408 --> 00:01:17,277 WHEN SHE DOES THESE RALLIES AND 34 00:01:17,277 --> 00:01:19,946 DOES THESE EVENTS AND DOES THESE 35 00:01:19,946 --> 00:01:21,448 FAKE DANCES, REMEMBER THAT THERE 36 00:01:21,448 --> 00:01:23,183 ARE PARENTS WHO LOST THEIR 37 00:01:23,183 --> 00:01:24,117 CHILDREN TO DRUGS OR VIOLENCE 38 00:01:24,117 --> 00:01:25,118 WHO WILL NEVER SEE 39 00:01:25,118 --> 00:01:26,519 THEIR CHILDREN MOVE AGAIN, MUCH 40 00:01:26,519 --> 00:01:28,488 LESS DANCE AGAIN. 41 00:01:28,488 --> 00:01:31,157 John: WHAT ARE YOU DOING? 42 00:01:31,157 --> 00:01:32,425 SCOLDING PEOPLE FOR ENJOYING 43 00:01:32,425 --> 00:01:33,860 STUFF BECAUSE THERE ARE SADDER 44 00:01:33,860 --> 00:01:35,495 THINGS HAPPENING ELSEWHERE IS A 45 00:01:35,495 --> 00:01:37,163 SHITTY THING TO DO, ALTHOUGH IT 46 00:01:37,163 --> 00:01:37,797 DOES MAKE ME CURIOUS WHAT VANCE 47 00:01:37,797 --> 00:01:38,298 IS LIKE IN OTHER SOCIAL 48 00:01:38,298 --> 00:01:40,367 SITUATIONS. 49 00:01:40,367 --> 00:01:42,002 "ALL RIGHT. 50 00:01:42,002 --> 00:01:43,636 KIDS, ENJOY SEA WORLD, MEET US 51 00:01:43,636 --> 00:01:44,270 BACK HERE AT 2:00, AND REMEMBER, 52 00:01:44,270 --> 00:01:46,206 DOLPHINS WILL SOMETIMES KILL 53 00:01:46,206 --> 00:01:46,840 PORPOISES FOR SPORT! 54 00:01:46,840 --> 00:01:47,474 HAVE FUN! 55 00:01:47,474 --> 00:01:50,477 SCIENTISTS CALL IT "PORPICIDE!" 56 00:01:50,477 --> 00:01:51,911 ALSO, FOR WHAT IT'S WORTH: 57 00:01:51,911 --> 00:01:52,779 BUMMING EVERYONE OUT WITH 58 00:01:52,779 --> 00:01:54,080 DEPRESSING FACTS ABOUT THINGS 59 00:01:54,080 --> 00:01:56,349 YOU LIKE ISN'T HOW YOU BECOME 60 00:01:56,349 --> 00:01:57,117 VICE PRESIDENT-- IT'S HOW YOU 61 00:01:57,117 --> 00:01:58,318 PUT PEOPLE TO SLEEP ONCE A WEEK 62 00:01:58,318 --> 00:01:59,185 WHILE AGING LIKE A WARTIME 63 00:01:59,185 --> 00:02:02,889 PRESIDENT. 64 00:02:02,889 --> 00:02:05,592 GET THE FUCK OFF MY CORNER! 65 00:02:05,592 --> 00:02:06,726 THE TRUMP-VANCE CAMPAIGN HAS 66 00:02:06,726 --> 00:02:08,294 BEEN TRYING TO DEFLECT CHARGES 67 00:02:08,294 --> 00:02:10,964 OF REPUBLICANS BEING "WEIRD." 68 00:02:10,964 --> 00:02:11,531 JUST LAST WEEK, TRUMP TOLD A 69 00:02:11,531 --> 00:02:12,866 RALLY, "I THINK WE'RE THE 70 00:02:12,866 --> 00:02:13,900 OPPOSITE OF WEIRD. 71 00:02:13,900 --> 00:02:14,367 THEY'RE WEIRD." 72 00:02:14,367 --> 00:02:14,834 AND TOLD A RADIO HOST, 73 00:02:14,834 --> 00:02:16,403 "NOBODY'S EVER CALLED ME WEIRD. 74 00:02:16,403 --> 00:02:17,504 I'M A LOT OF THINGS, BUT WEIRD 75 00:02:17,504 --> 00:02:20,373 I'M NOT." 76 00:02:20,373 --> 00:02:26,680 SO YOU KNOW IT'S GETTING TO HIM. 77 00:02:26,680 --> 00:02:28,815 BUT ALSO, NOBODY'S EVER CALLED 78 00:02:28,815 --> 00:02:30,083 YOU WEIRD? 79 00:02:30,083 --> 00:02:30,483 BABE, BE SERIOUS. 80 00:02:30,483 --> 00:02:31,117 YOU TRIED TO BUY GREENLAND, YOU 81 00:02:31,117 --> 00:02:31,985 STARED AT THE SUN DURING A SOLAR 82 00:02:31,985 --> 00:02:33,119 ECLIPSE, AND YOU DID THIS. 83 00:02:33,119 --> 00:02:34,521 THAT'S NOT SOMETHING A NORMAL 84 00:02:34,521 --> 00:02:34,788 GUY DOES. 85 00:02:34,788 --> 00:02:36,089 I DON'T KNOW WHAT A NORMAL GUY 86 00:02:36,089 --> 00:02:37,791 WOULD DO, BECAUSE I'M ALSO NOT 87 00:02:37,791 --> 00:02:39,192 ONE, BUT I KNOW IT'S NOT THAT. 88 00:02:39,192 --> 00:02:40,226 THE "WEIRD" LABEL HAS BEEN 89 00:02:40,226 --> 00:02:41,327 PARTICULARLY HARD TO SHAKE, 90 00:02:41,327 --> 00:02:43,930 BECAUSE REPUBLICAN CANDIDATES 91 00:02:43,930 --> 00:02:44,497 FURTHER DOWN THE BALLOT KEEP 92 00:02:44,497 --> 00:02:46,700 COMPOUNDING IT, INCLUDING SOME 93 00:02:46,700 --> 00:02:47,267 WHO WON PRIMARIES JUST THIS 94 00:02:47,267 --> 00:02:48,868 WEEK, LIKE ROYCE WHITE. 95 00:02:48,868 --> 00:02:53,006 HE BECAME MINNESOTA'S REPUBLICAN 96 00:02:53,006 --> 00:02:53,606 SENATE CANDIDATE, AND HE IS A 97 00:02:53,606 --> 00:02:54,441 LOT. 98 00:02:54,441 --> 00:02:55,075 HE'S A FORMER NBA PLAYER, 99 00:02:55,075 --> 00:02:55,942 FAR-RIGHT PODCASTER, AND A 100 00:02:55,942 --> 00:02:58,345 DIE-HARD TRUMP SUPPORTER, AS 101 00:02:58,345 --> 00:02:59,813 HE WILL TELL YOU. 102 00:02:59,813 --> 00:03:01,815 DONALD TRUMP COULD GET UP ON 103 00:03:01,815 --> 00:03:04,684 STAGE, PULL HIS PANTS DOWN, TAKE 104 00:03:04,684 --> 00:03:06,686 A SHIT UP AT THE PODIUM, AND I 105 00:03:06,686 --> 00:03:07,787 STILL WOULD NEVER VOTE FOR YOU 106 00:03:07,787 --> 00:03:12,058 FUCKING DEMOCRATS AGAIN. 107 00:03:12,058 --> 00:03:15,762 LET THAT SINK IN. 108 00:03:15,762 --> 00:03:17,564 John: OKAY, I'M LETTING IT 109 00:03:17,564 --> 00:03:18,231 SINK IN. 110 00:03:18,231 --> 00:03:20,934 ALL RIGHT, IT'S SUNK IN NOW, AND 111 00:03:20,934 --> 00:03:21,768 I DO STILL HAVE SOME QUESTIONS. 112 00:03:21,768 --> 00:03:22,335 IS THERE A PLACE WHERE TRUMP 113 00:03:22,335 --> 00:03:23,370 COULD TAKE A SHIT THAT WOULD 114 00:03:23,370 --> 00:03:23,937 MAKE YOU VOTE FOR DEMOCRATS 115 00:03:23,937 --> 00:03:25,805 AGAIN? 116 00:03:25,805 --> 00:03:26,606 LIKE ON A MERRY-GO-ROUND, WOULD 117 00:03:26,606 --> 00:03:27,807 THAT MAKE YOU VOTE FOR THEM? 118 00:03:27,807 --> 00:03:30,010 OR IF HE SHIT INSIDE A GUMBALL 119 00:03:30,010 --> 00:03:30,577 MACHINE, WOULD YOU VOTE FOR 120 00:03:30,577 --> 00:03:31,544 DEMOCRATS THEN? 121 00:03:31,544 --> 00:03:32,846 OR IF HE WENT INTO YOUR 122 00:03:32,846 --> 00:03:34,581 BATHROOM, PUT THE TOILET LID 123 00:03:34,581 --> 00:03:36,850 DOWN, AND SHIT ON THE TOILET 124 00:03:36,850 --> 00:03:38,318 INSTEAD OF IN IT-- WOULD YOU AT 125 00:03:38,318 --> 00:03:39,753 LEAST CONSIDER VOTING FOR AN 126 00:03:39,753 --> 00:03:40,353 INDEPENDENT WHO CAUCUSES WITH 127 00:03:40,353 --> 00:03:40,687 THE DEMOCRATS? 128 00:03:40,687 --> 00:03:41,788 YOU KNOW WHAT? 129 00:03:41,788 --> 00:03:43,189 LET THAT SINK IN AND GET BACK TO 130 00:03:43,189 --> 00:03:44,024 ME. 131 00:03:44,024 --> 00:03:45,291 WHITE'S BEEN ENDORSED BY 132 00:03:45,291 --> 00:03:46,192 STEVE BANNON AND ALEX JONES, 133 00:03:46,192 --> 00:03:47,660 WHOM HE ONCE SUPPORTED BY 134 00:03:47,660 --> 00:03:48,595 WRITING THIS MESSAGE ON THE SIDE 135 00:03:48,595 --> 00:03:51,097 OF HIS HEAD. 136 00:03:51,097 --> 00:03:52,465 HE'S ALSO SAID-- AMONG OTHER 137 00:03:52,465 --> 00:03:53,433 THINGS-- THAT HE'S NOT SURE IF 138 00:03:53,433 --> 00:03:54,534 A PLANE HIT THE PENTAGON ON 139 00:03:54,534 --> 00:03:55,702 9/11, CLAIMING THERE'S NO 140 00:03:55,702 --> 00:03:56,336 FOOTAGE OF IT, WHICH, OF COURSE, 141 00:03:56,336 --> 00:03:58,705 THERE VERY MUCH IS. 142 00:03:58,705 --> 00:03:59,873 AND HE EVEN ONCE TWEETED OUT 143 00:03:59,873 --> 00:04:01,941 THIS MAP HE CLAIMED SHOWED 144 00:04:01,941 --> 00:04:03,476 "CRIME IN MINNEAPOLIS" IS "OUT 145 00:04:03,476 --> 00:04:04,844 OF CONTROL", WHICH TURNED OUT TO 146 00:04:04,844 --> 00:04:07,080 BE A MAP OF THE CITY'S DRINKING 147 00:04:07,080 --> 00:04:08,248 FOUNTAINS, WHICH IS 148 00:04:08,248 --> 00:04:09,149 EMBARRASSING. 149 00:04:09,149 --> 00:04:10,350 THERE ARE SO MANY REAL CRIME 150 00:04:10,350 --> 00:04:11,718 MAPS HE COULD'VE USED, LIKE THIS 151 00:04:11,718 --> 00:04:12,619 ONE-- EXCEPT I'M KIDDING. 152 00:04:12,619 --> 00:04:13,553 THAT'S NEW YORK'S RAT 153 00:04:13,553 --> 00:04:15,755 INFORMATION PORTAL, YOU IDIOT! 154 00:04:15,755 --> 00:04:16,389 YOU JUST GOT SCHOOLED BY THE RAT 155 00:04:16,389 --> 00:04:20,927 MAP! 156 00:04:20,927 --> 00:04:21,761 RAT MAP! 157 00:04:21,761 --> 00:04:23,029 John: BUT WHITE'S JUST ONE OF 158 00:04:23,029 --> 00:04:23,596 A NUMBER OF ODD GOP SENATE 159 00:04:23,596 --> 00:04:25,665 CANDIDATES. 160 00:04:25,665 --> 00:04:26,299 IN VIRGINIA, THERE'S HUNG CAO, A 161 00:04:26,299 --> 00:04:26,900 RETIRED NAVY CAPTAIN WITH NO 162 00:04:26,900 --> 00:04:28,001 POLITICAL EXPERIENCE, WHO'S ALSO 163 00:04:28,001 --> 00:04:29,436 A VERY STRANGE MAN. 164 00:04:29,436 --> 00:04:30,036 WE CAN'T LET IT TURN LIKE 165 00:04:30,036 --> 00:04:32,872 THIS. 166 00:04:32,872 --> 00:04:34,841 THERE'S A PLACE IN MONTEREY, 167 00:04:34,841 --> 00:04:35,942 CALIFORNIA, CALLED 168 00:04:35,942 --> 00:04:36,976 "LOVER'S POINT." 169 00:04:36,976 --> 00:04:37,944 THE ORIGINAL NAME WAS 170 00:04:37,944 --> 00:04:39,079 "LOVERS OF CHRIST POINT," BUT 171 00:04:39,079 --> 00:04:39,713 NOW IT'S BECOME-- THEY TOOK OUT 172 00:04:39,713 --> 00:04:40,880 THE CHRIST, IT'S 173 00:04:40,880 --> 00:04:42,849 "LOVER'S POINT," AND IT'S 174 00:04:42,849 --> 00:04:44,117 REALLY-- MONTEREY'S A VERY DARK 175 00:04:44,117 --> 00:04:46,252 PLACE NOW, A LOT OF WITCHCRAFT, 176 00:04:46,252 --> 00:04:47,954 AND THE WICCAN COMMUNITY HAS 177 00:04:47,954 --> 00:04:49,055 REALLY TAKEN OVER. 178 00:04:49,055 --> 00:04:50,256 WE CAN'T LET THAT HAPPEN IN 179 00:04:50,256 --> 00:04:51,024 VIRGINIA. 180 00:04:51,024 --> 00:04:53,226 John: OKAY. 181 00:04:53,226 --> 00:04:55,261 IF MONTEREY IS ACTUALLY OVERRUN 182 00:04:55,261 --> 00:04:56,429 BY WITCHES-- WHICH IT'S NOT-- 183 00:04:56,429 --> 00:04:58,298 I'M FRANKLY FURIOUS THERE WASN'T 184 00:04:58,298 --> 00:04:59,132 A WITCHCRAFT STORYLINE ON 185 00:04:59,132 --> 00:05:00,767 "BIG LITTLE LIES." 186 00:05:00,767 --> 00:05:03,203 HOW COULD YOU DEPRIVE US OF 187 00:05:03,203 --> 00:05:03,970 NICOLE KIDMAN, SHOWING UP TO A 188 00:05:03,970 --> 00:05:05,438 MOONLIT ORGY AND ANNOUNCING, 189 00:05:05,438 --> 00:05:06,072 "WE COME TO THIS PLACE FOR 190 00:05:06,072 --> 00:05:07,707 MAGIC?" 191 00:05:07,707 --> 00:05:08,975 EVERYONE'S HEAD WOULD'VE 192 00:05:08,975 --> 00:05:10,710 EXPLODED! 193 00:05:10,710 --> 00:05:11,378 AND WHILE CAO AND WHITE ARE 194 00:05:11,378 --> 00:05:12,812 UNLIKELY TO WIN, OTHER 195 00:05:12,812 --> 00:05:14,347 REPUBLICAN CANDIDATES LIKE 196 00:05:14,347 --> 00:05:16,082 ERIC HOVDE-- NED FLANDERS 197 00:05:16,082 --> 00:05:17,450 WITHOUT THE RAW, SEXUAL CHARISMA 198 00:05:17,450 --> 00:05:18,952 -- DO HAVE A REAL SHOT. 199 00:05:18,952 --> 00:05:21,121 THIS WEEK, HE WON WISCONSIN'S 200 00:05:21,121 --> 00:05:23,023 SENATE PRIMARY IN A LANDSLIDE. 201 00:05:23,023 --> 00:05:24,924 HE'S THE WEALTHY CEO OF A BANK 202 00:05:24,924 --> 00:05:27,093 CALLED SUNWEST, SO HE'S 203 00:05:27,093 --> 00:05:30,397 SELF-FINANCING HIS CAMPAIGN. 204 00:05:30,397 --> 00:05:31,031 AND HE'S TAKEN SOME FLAK FOR NOT 205 00:05:31,031 --> 00:05:31,931 JUST OWNING PROPERTY IN 206 00:05:31,931 --> 00:05:32,499 CALIFORNIA, BUT SPENDING A 207 00:05:32,499 --> 00:05:33,566 SIGNIFICANT AMOUNT OF TIME THERE 208 00:05:33,566 --> 00:05:34,801 -- SOMETHING HE TRIED TO DEFLECT 209 00:05:34,801 --> 00:05:35,902 WITH THIS VIDEO. 210 00:05:35,902 --> 00:05:37,804 IT'S GOOD TO GET OUT HERE FOR 211 00:05:37,804 --> 00:05:40,006 A GOOD COLD PLUNGE. 212 00:05:40,006 --> 00:05:41,374 SO THE DEMS AND SENATOR BALDWIN 213 00:05:41,374 --> 00:05:44,744 KEEP SAYING I'M NOT FROM 214 00:05:44,744 --> 00:05:46,479 WISCONSIN, HA, WHICH IS A 215 00:05:46,479 --> 00:05:47,647 COMPLETE JOKE. 216 00:05:47,647 --> 00:05:52,152 ALL RIGHT, SENATOR BALDWIN, WHY 217 00:05:52,152 --> 00:05:53,153 DON'T YOU GET OUT HERE IN THIS 218 00:05:53,153 --> 00:05:53,820 FROZEN LAKE AND LET'S REALLY SEE 219 00:05:53,820 --> 00:05:54,387 WHO'S FROM WISCONSIN? 220 00:05:54,387 --> 00:05:55,522 I HOPE EVERYONE HAS A GREAT DAY. 221 00:05:55,522 --> 00:05:57,490 TAKE CARE. 222 00:05:57,490 --> 00:05:59,225 John: WELL, NOW I'M HAVING A 223 00:05:59,225 --> 00:06:00,627 TERRIBLE DAY, BECAUSE I DID NOT 224 00:06:00,627 --> 00:06:02,495 WANT TO SEE THAT AT ALL. 225 00:06:02,495 --> 00:06:04,230 WHY PHYSICALLY TORTURE YOURSELF 226 00:06:04,230 --> 00:06:05,665 TO PROVE YOU'RE FROM WISCONSIN, 227 00:06:05,665 --> 00:06:07,467 WHEN YOUR INCREDIBLY STRONG 228 00:06:07,467 --> 00:06:08,768 ACCENT DOES THAT ON ITS OWN? 229 00:06:08,768 --> 00:06:11,938 ALSO, CHALLENGING SOMEONE TO 230 00:06:11,938 --> 00:06:12,939 MEET YOU IN A FROZEN LAKE TO 231 00:06:12,939 --> 00:06:13,940 SCORE POLITICAL POINTS IS 232 00:06:13,940 --> 00:06:14,708 PATHETIC. 233 00:06:14,708 --> 00:06:16,209 I'D SAY IT WAS A DICK-MEASURING 234 00:06:16,209 --> 00:06:16,943 CONTEST, BUT I'M GUESSING-- 235 00:06:16,943 --> 00:06:18,111 GIVEN THE TEMPERATURE OF THAT 236 00:06:18,111 --> 00:06:19,913 WATER-- YOURS HAS DISAPPEARED 237 00:06:19,913 --> 00:06:23,016 INTO YOUR BODY RIGHT NOW. 238 00:06:23,016 --> 00:06:23,983 HOVDE'S VIEWS ARE WHAT YOU'D 239 00:06:23,983 --> 00:06:24,951 EXPECT FROM A REPUBLICAN 240 00:06:24,951 --> 00:06:26,786 CANDIDATE-- FROM SUPPORTING 241 00:06:26,786 --> 00:06:28,088 REPEALING THE AFFORDABLE CARE 242 00:06:28,088 --> 00:06:28,688 ACT TO BLAMING IMMIGRANTS FOR 243 00:06:28,688 --> 00:06:29,656 "ALL THE CRIME THAT HAS 244 00:06:29,656 --> 00:06:30,924 UNFOLDED." 245 00:06:30,924 --> 00:06:32,592 BUT HE CAN ALSO BE PRETTY 246 00:06:32,592 --> 00:06:33,660 AWKWARD WITH VOTERS, LIKE WHEN 247 00:06:33,660 --> 00:06:35,428 HE SHOWED UP AT A JUNETEENTH 248 00:06:35,428 --> 00:06:36,596 CELEBRATION AND A RADIO HOST 249 00:06:36,596 --> 00:06:37,464 TRIED TO FEED HIM SOFTBALL 250 00:06:37,464 --> 00:06:38,732 QUESTIONS. 251 00:06:38,732 --> 00:06:39,933 AND I'M GOING TO WARN YOU: THIS 252 00:06:39,933 --> 00:06:40,900 IS EXTREMELY UNCOMFORTABLE TO 253 00:06:40,900 --> 00:06:43,603 WATCH. 254 00:06:43,603 --> 00:06:44,437 WHAT IS A FEW OF YOUR 255 00:06:44,437 --> 00:06:46,873 TAKEAWAYS FROM BEING DOWN HERE 256 00:06:46,873 --> 00:06:47,707 AT THE JUNETEENTH PARADE HERE? 257 00:06:47,707 --> 00:06:48,908 IT'S A HELL OF A GOOD PARTY 258 00:06:48,908 --> 00:06:51,544 AND I'M REALLY ENJOYING IT, MAN. 259 00:06:51,544 --> 00:06:53,046 YOU KNOW, ALL THESE LITTLE 260 00:06:53,046 --> 00:06:55,148 ENTREPRENEURS, SELLING THEIR 261 00:06:55,148 --> 00:06:56,116 WARES, REALLY FRIENDLY PEOPLE, 262 00:06:56,116 --> 00:06:57,250 GREAT FOOD. 263 00:06:57,250 --> 00:06:58,418 IS THERE ANYTHING YOU'RE 264 00:06:58,418 --> 00:06:59,119 GOING TO TAKE AWAY FROM THIS 265 00:06:59,119 --> 00:07:00,787 THAT YOU DIDN'T KNOW ABOUT 266 00:07:00,787 --> 00:07:02,288 BLACK CULTURE BEFORE THAT YOU 267 00:07:02,288 --> 00:07:03,590 KNOW OF TODAY? 268 00:07:03,590 --> 00:07:05,392 LOOK, I'VE SPENT A LOT OF 269 00:07:05,392 --> 00:07:07,260 TIME IN BLACK CULTURE, AND AS 270 00:07:07,260 --> 00:07:08,728 TOREY KNOWS, I'VE SPENT A LOT OF 271 00:07:08,728 --> 00:07:10,830 TIME IN PLACES LIKE AFRICA, 272 00:07:10,830 --> 00:07:12,932 BECAUSE I HAVE HOMELESS SHELTERS 273 00:07:12,932 --> 00:07:13,566 FOR ABANDONED KIDS AND RESCUING 274 00:07:13,566 --> 00:07:15,135 KIDS OUT OF THE STREETS. 275 00:07:15,135 --> 00:07:16,436 AND I'VE BEEN INVOLVED IN 276 00:07:16,436 --> 00:07:18,371 SCHOOLING-- CHARTER SCHOOLS AND 277 00:07:18,371 --> 00:07:18,838 THINGS OF THAT NATURE. 278 00:07:18,838 --> 00:07:22,342 John: STOP TALKING! 279 00:07:22,342 --> 00:07:26,579 STOP TALKING! 280 00:07:26,579 --> 00:07:27,647 YOU ARE HURTING ME OR TO HEAR 281 00:07:27,647 --> 00:07:27,847 THAT! 282 00:07:27,847 --> 00:07:28,448 THERE ARE SO MANY EASY ANSWERS 283 00:07:28,448 --> 00:07:29,049 TO THE QUESTION "WHAT HAVE YOU 284 00:07:29,049 --> 00:07:30,016 LEARNED ABOUT BLACK CULTURE 285 00:07:30,016 --> 00:07:30,617 TODAY" AND AMONG THE WORST IS 286 00:07:30,617 --> 00:07:31,718 DEFINITELY, "NOT MUCH, BECAUSE 287 00:07:31,718 --> 00:07:34,354 I'VE ALREADY BEEN TO AFRICA." 288 00:07:34,354 --> 00:07:36,056 FUN FACT: BLACK AMERICAN CULTURE 289 00:07:36,056 --> 00:07:36,890 ISN'T ACTUALLY SYNONYMOUS WITH 290 00:07:36,890 --> 00:07:38,692 AFRICAN CULTURE. 291 00:07:38,692 --> 00:07:40,627 IF YOU WANT TO KNOW WHY, JUST 292 00:07:40,627 --> 00:07:41,828 GOOGLE "JUNETEENTH", OR ASK ONE 293 00:07:41,828 --> 00:07:43,196 OF THE-- QUOTE-- "LITTLE 294 00:07:43,196 --> 00:07:44,197 ENTREPRENEURS" YOU JUST MET. 295 00:07:44,197 --> 00:07:45,598 THEY'LL FILL YOU IN. 296 00:07:45,598 --> 00:07:47,801 AND LOOK, I GET REPUBLICANS WANT 297 00:07:47,801 --> 00:07:48,702 TO GET OUT FROM UNDER 298 00:07:48,702 --> 00:07:51,037 ACCUSATIONS OF WEIRDNESS. 299 00:07:51,037 --> 00:07:53,006 BUT THE WAY TO DO THAT IS TO 300 00:07:53,006 --> 00:07:55,208 STOP BEING SO FUCKING WEIRD. 301 00:07:55,208 --> 00:07:56,276 BECAUSE FANTASIZING ABOUT YOUR 302 00:07:56,276 --> 00:07:57,110 PARTY'S CANDIDATE SHITTING IN 303 00:07:57,110 --> 00:07:57,444 FRONT OF YOU? 304 00:07:57,444 --> 00:07:58,945 THAT'S WEIRD. 305 00:07:58,945 --> 00:08:00,313 WARNING EVERYONE ABOUT THE 306 00:08:00,313 --> 00:08:01,548 INFLUENCE OF MONTEREY WITCHES? 307 00:08:01,548 --> 00:08:02,482 WEIRD! 308 00:08:02,482 --> 00:08:03,983 INVITING YOUR FEMALE OPPONENT TO 309 00:08:03,983 --> 00:08:07,687 JOIN YOU IN A FROZEN LAKE? 310 00:08:07,687 --> 00:08:08,521 THAT IS VERY WEIRD! 311 00:08:08,521 --> 00:08:09,889 AND I DO APOLOGIZE FOR LAUGHING 312 00:08:09,889 --> 00:08:10,390 AT THESE PEOPLE. 313 00:08:10,390 --> 00:08:11,191 PARTLY BECAUSE I KNOW IT'S NOT 314 00:08:11,191 --> 00:08:12,325 NICE. 315 00:08:12,325 --> 00:08:14,260 BUT MAINLY, BECAUSE-- AS WE ALL 316 00:08:14,260 --> 00:08:16,296 NOW KNOW-- J.D. VANCE BELIEVES 317 00:08:16,296 --> 00:08:18,765 EVERY TIME SOMEONE LAUGHS, 318 00:08:18,765 --> 00:08:19,399 SOMEWHERE IN THE WORLD, A CHILD 319 00:08:19,399 --> 00:08:20,033 LOSES THEIR GROCERIES FOR SOME 320 00:08:20,033 --> 00:08:20,500 REASON. 321 00:08:20,500 --> 00:08:26,539 AND NOW THIS. 322 00:08:26,539 --> 00:08:29,075 Announcer: AND NOW... 323 00:08:29,075 --> 00:08:30,243 NEWSCASTERS COME TO TERMS WITH 324 00:08:30,243 --> 00:08:31,177 LIFE AFTER THE OLYMPICS. 325 00:08:31,177 --> 00:08:32,879 AND JUST LIKE THE OUTCOME OF 326 00:08:32,879 --> 00:08:33,880 THE OLYMPICS ARE ALMOST OVER. 327 00:08:33,880 --> 00:08:35,949 SPEAK ABOUT MY GOING TO DO WITH 328 00:08:35,949 --> 00:08:37,617 ALL OF MY TIME NOW THAT THE 329 00:08:37,617 --> 00:08:38,018 OLYMPICS ARE OVER? 330 00:08:38,018 --> 00:08:39,686 GOING TO GO BACK TO 331 00:08:39,686 --> 00:08:40,020 TAYLOR SWIFT. 332 00:08:40,020 --> 00:08:41,087 I GUESS I HAVE TO. 333 00:08:41,087 --> 00:08:42,622 I GOT NOTHING TO WATCH. 334 00:08:42,622 --> 00:08:44,257 I DON'T KNOW WHAT I'M GOING 335 00:08:44,257 --> 00:08:46,359 TO DO WITH ALL THOSE TIMES. 336 00:08:46,359 --> 00:08:48,762 IT JUST TEMPORARILY. 337 00:08:48,762 --> 00:08:52,332 NOW WE CAN GO BACK TO HATING 338 00:08:52,332 --> 00:08:53,466 EACH OTHER. 339 00:08:53,466 --> 00:08:54,668 [LAUGHTER] 340 00:08:54,668 --> 00:08:55,068 YEAH, I MEAN-- 341 00:08:55,068 --> 00:08:56,603 I DON'T KNOW ABOUT YOU GUYS, 342 00:08:56,603 --> 00:08:58,171 I'M KIND OF SAD THE OLYMPICS ARE 343 00:08:58,171 --> 00:08:58,371 OVER. 344 00:08:58,371 --> 00:08:59,506 IT WAS SO MUCH FUN. 345 00:08:59,506 --> 00:09:00,874 THERE WERE SOME PERSONAL 346 00:09:00,874 --> 00:09:02,075 BENEFITS TO THE OLYMPICS. 347 00:09:02,075 --> 00:09:04,310 LIKE, WE DIDN'T HAVE A 30 MINUTE 348 00:09:04,310 --> 00:09:05,979 NEWS PROGRAM FOR TWO STRAIGHT 349 00:09:05,979 --> 00:09:06,312 WEEKS. 350 00:09:06,312 --> 00:09:07,947 I MISS THE OLYMPICS. 351 00:09:07,947 --> 00:09:09,215 DO YOU? 352 00:09:09,215 --> 00:09:10,550 THEY WILL BE BACK IN FOUR 353 00:09:10,550 --> 00:09:11,451 YEARS IN L.A. 354 00:09:11,451 --> 00:09:13,420 HOPEFULLY I WILL BE BACK IN 355 00:09:13,420 --> 00:09:13,720 FOUR YEARS. 356 00:09:13,720 --> 00:09:15,021 I AM SO GLAD THE OLYMPICS ARE 357 00:09:15,021 --> 00:09:18,591 OVER BECAUSE I'M TIRED OF CRYING 358 00:09:18,591 --> 00:09:19,359 CRYING. 359 00:09:19,359 --> 00:09:20,026 OKAY, WATCHING-- 360 00:09:20,026 --> 00:09:20,894 HAPPY TEARS. 361 00:09:20,894 --> 00:09:22,896 TEAM USA ON THE TRACK, 362 00:09:22,896 --> 00:09:24,230 ESPECIALLY THE WOMEN'S TEAM, 363 00:09:24,230 --> 00:09:26,099 JUST A SMASHING GOLD AFTER GOLD 364 00:09:26,099 --> 00:09:26,866 AFTER GOLD. 365 00:09:26,866 --> 00:09:27,734 I'M TIRED. 366 00:09:27,734 --> 00:09:28,902 I KNOW. 367 00:09:28,902 --> 00:09:29,969 I AM TIRED. 368 00:09:29,969 --> 00:09:30,637 YOU ARE TIRED. 369 00:09:30,637 --> 00:09:32,706 MORE TIRED THAN I AM. 370 00:09:32,706 --> 00:09:33,473 BUT YOU KNOW. 371 00:09:33,473 --> 00:09:35,775 ALL RIGHT, CREWS HAVE REMOVED 372 00:09:35,775 --> 00:09:36,976 A MASSIVE OIL CARCASS THAT 373 00:09:36,976 --> 00:09:39,479 WASHED ASHORE ON THE BEACH THIS 374 00:09:39,479 --> 00:09:40,580 WEEKEND. 375 00:09:40,580 --> 00:09:41,548 John: MOVING ON. 376 00:09:41,548 --> 00:09:42,182 OUR MAIN STORY TONIGHT CONCERNS 377 00:09:42,182 --> 00:09:42,849 DEATH. 378 00:09:42,849 --> 00:09:43,950 THE ANSWER TO THE QUESTION: 379 00:09:43,950 --> 00:09:44,551 "WHAT DOES THE INTERIOR OF AN 380 00:09:44,551 --> 00:09:45,118 IHOP SMELL LIKE?" 381 00:09:45,118 --> 00:09:46,252 LOTS OF US HAVE QUESTIONS ABOUT 382 00:09:46,252 --> 00:09:46,453 DEATH. 383 00:09:46,453 --> 00:09:48,154 AND LUCKILY, THIS NURSE ON 384 00:09:48,154 --> 00:09:48,755 TIKTOK CAN ANSWER AT LEAST ONE 385 00:09:48,755 --> 00:09:51,558 OF THEM. 386 00:09:51,558 --> 00:09:52,125 HEY, GOOD NEWS TO ALL YOU 387 00:09:52,125 --> 00:09:55,395 SINNERS OUT THERE. 388 00:09:55,395 --> 00:09:56,229 I HAVE NEVER SEEN ANYONE DYING 389 00:09:56,229 --> 00:09:59,933 START SEEING SIGNS THAT THEY ARE 390 00:09:59,933 --> 00:10:01,134 GOING TO HELL, DEMONS, FIRE, 391 00:10:01,134 --> 00:10:02,369 ANYTHING LIKE THAT. 392 00:10:02,369 --> 00:10:06,272 SO I THINK WE'RE GOOD. 393 00:10:06,272 --> 00:10:08,541 John: YEAH, 394 00:10:08,541 --> 00:10:10,877 ARE YOU SURE ABOUT THAT, THOUGH? 395 00:10:10,877 --> 00:10:11,478 BECAUSE MAYBE PATIENTS AREN'T 396 00:10:11,478 --> 00:10:12,045 TELLING YOU WHAT THEY SEE. 397 00:10:12,045 --> 00:10:12,679 I GET WHY SOMEONE WOULDN'T WANT 398 00:10:12,679 --> 00:10:17,450 THEIR LAST WORDS TO BE: 399 00:10:17,450 --> 00:10:17,684 HITLER, 400 00:10:17,684 --> 00:10:18,318 JEFFREY EPSTEIN, AND WAIT-- IS 401 00:10:18,318 --> 00:10:18,918 THAT MY CHILDHOOD DOG, RUSTY? 402 00:10:18,918 --> 00:10:19,419 WHAT'RE YOU DOING HERE? 403 00:10:19,419 --> 00:10:20,053 AND WHY DOES CHARLES MANSON LOOK 404 00:10:20,053 --> 00:10:20,520 LIKE HE RESPECTS YOU? 405 00:10:20,520 --> 00:10:22,889 WHAT DID YOU DO, RUSTY? 406 00:10:22,889 --> 00:10:23,990 BAD BOY!" 407 00:10:23,990 --> 00:10:25,492 THAT NURSE ACTUALLY WORKS FOR 408 00:10:25,492 --> 00:10:26,059 THE TYPE OF MEDICAL BUSINESS 409 00:10:26,059 --> 00:10:27,894 WE'LL BE FOCUSING ON TONIGHT: 410 00:10:27,894 --> 00:10:28,128 HOSPICE. 411 00:10:28,128 --> 00:10:30,497 AND I REALIZE THAT DOING AN 412 00:10:30,497 --> 00:10:32,232 EPISODE ABOUT HOSPICE IS AN 413 00:10:32,232 --> 00:10:33,333 ALMOST OFFENSIVE PARODY OF THIS 414 00:10:33,333 --> 00:10:36,136 SHOW-- IF SOMEONE ELSE DID 415 00:10:36,136 --> 00:10:37,237 THAT, IT WOULD GENUINELY BE 416 00:10:37,237 --> 00:10:37,470 HURTFUL. 417 00:10:37,470 --> 00:10:38,672 BUT I PROMISE, THIS IS WORTH 418 00:10:38,672 --> 00:10:39,706 TALKING ABOUT. 419 00:10:39,706 --> 00:10:40,740 AND YOU'RE PROBABLY AT LEAST 420 00:10:40,740 --> 00:10:41,541 SOMEWHAT FAMILIAR WITH THE 421 00:10:41,541 --> 00:10:42,809 CONCEPT OF HOSPICE-- IT'S 422 00:10:42,809 --> 00:10:43,943 END-OF-LIFE CARE THAT HELPS 423 00:10:43,943 --> 00:10:44,477 TERMINALLY ILL PEOPLE DIE 424 00:10:44,477 --> 00:10:45,945 COMFORTABLY. 425 00:10:45,945 --> 00:10:47,247 YOU MAY EVEN HAVE SEEN ADS FOR 426 00:10:47,247 --> 00:10:49,049 HOSPICE ON TV-- AND IF YOU LIVE 427 00:10:49,049 --> 00:10:50,817 IN SOUTHEAST CONNECTICUT, YOU 428 00:10:50,817 --> 00:10:51,851 MIGHT'VE SEEN THIS WEIRDLY HORNY 429 00:10:51,851 --> 00:10:53,720 ONE. 430 00:10:53,720 --> 00:10:54,854 IF THERE WAS ONE THING I 431 00:10:54,854 --> 00:10:56,356 COULD DO OVER, I WOULD HAVE 432 00:10:56,356 --> 00:10:58,124 REACHED OUT SOONER TO CENTER FOR 433 00:10:58,124 --> 00:10:59,526 HOSPICE CARE FOR MY HUSBAND. 434 00:10:59,526 --> 00:11:01,094 WHEN CENTER FOR HOSPICE CARE 435 00:11:01,094 --> 00:11:03,263 CAME INTO OUR LIFE, IT ALLOWED 436 00:11:03,263 --> 00:11:04,564 ME TO BE WITH HIM. 437 00:11:04,564 --> 00:11:06,433 TO REALLY BE WITH HIM WITHOUT 438 00:11:06,433 --> 00:11:07,200 HAVING TO COORDINATE ALL HIS 439 00:11:07,200 --> 00:11:08,168 CARE. 440 00:11:08,168 --> 00:11:09,903 THEIR NURSES, SOCIAL WORKERS, 441 00:11:09,903 --> 00:11:12,272 AND OTHER CAREGIVERS GAVE ME THE 442 00:11:12,272 --> 00:11:14,374 FREEDOM TO BE HIS WIFE AGAIN. 443 00:11:14,374 --> 00:11:15,975 TO LOVE HIM LIKE A WIFE. 444 00:11:15,975 --> 00:11:17,510 John: WOW. 445 00:11:17,510 --> 00:11:19,412 THAT IS-- AND I SAY THIS WITH 446 00:11:19,412 --> 00:11:20,814 ABSOLUTE CERTAINTY-- THE SINGLE 447 00:11:20,814 --> 00:11:23,483 HORNIEST HOSPICE AD I'VE EVER 448 00:11:23,483 --> 00:11:24,851 SEEN, FROM THE FERVID HAND 449 00:11:24,851 --> 00:11:27,887 HUMPING, TO THIS ABSOLUTE 450 00:11:27,887 --> 00:11:28,488 MASTERCLASS IN EYE-FUCKING, TO 451 00:11:28,488 --> 00:11:29,356 THE EROTIC VEGETABLE-THEMED 452 00:11:29,356 --> 00:11:30,724 FOREPLAY. 453 00:11:30,724 --> 00:11:32,258 THAT LOOKS LESS LIKE A HOSPICE 454 00:11:32,258 --> 00:11:33,793 AD AND MORE LIKE A VHS TAPE 455 00:11:33,793 --> 00:11:34,427 CALLED "TANTRIC SEX FOR COUPLES 456 00:11:34,427 --> 00:11:36,930 OVER 50." 457 00:11:36,930 --> 00:11:40,233 HOSPICE IS DESIGNED FOR THOSE 458 00:11:40,233 --> 00:11:41,234 WITH TERMINAL ILLNESS WHO 459 00:11:41,234 --> 00:11:42,135 CHOOSE NOT TO GET TREATMENT TO 460 00:11:42,135 --> 00:11:43,536 CURE OR CONTROL IT, AND IT'S 461 00:11:43,536 --> 00:11:44,170 MEANT TO PROVIDE SUPPORT FOR THE 462 00:11:44,170 --> 00:11:44,671 PERSON AND THEIR FAMILY, 463 00:11:44,671 --> 00:11:45,872 INCLUDING RELIEF OF SYMPTOMS AND 464 00:11:45,872 --> 00:11:48,208 PAIN. 465 00:11:48,208 --> 00:11:49,809 AND THAT SUPPORT CAN TAKE MANY 466 00:11:49,809 --> 00:11:50,677 FORMS, EVEN ALLOWING FOR MOMENTS 467 00:11:50,677 --> 00:11:52,479 LIKE THIS. 468 00:11:52,479 --> 00:11:53,847 A HOSPICE PATIENT GOT A 469 00:11:53,847 --> 00:11:55,815 SPECIAL VISITOR. 470 00:11:55,815 --> 00:11:56,549 PEGGY GARRISON LOVES 471 00:11:56,549 --> 00:11:57,951 FLAMINGOS. 472 00:11:57,951 --> 00:12:01,788 SHE PAYS HOMAGE TO THE MAJESTIC 473 00:12:01,788 --> 00:12:03,957 ANIMAL WITH 158 TRINKETS AND 474 00:12:03,957 --> 00:12:05,025 DECORATIONS SHE'S COLLECTED 475 00:12:05,025 --> 00:12:06,393 THROUGHOUT HER LIFE. 476 00:12:06,393 --> 00:12:08,428 NOW THAT THE 75-YEAR-OLD IS IN 477 00:12:08,428 --> 00:12:11,131 THE FINAL STAGES OF CANCER, A 478 00:12:11,131 --> 00:12:13,466 FLAMINGO NAMED MANGO PAID HER A 479 00:12:13,466 --> 00:12:15,735 VISIT FROM THE SAN ANTONIO ZOO. 480 00:12:15,735 --> 00:12:16,369 THE SAN ANTONIO ZOO SAID IT WAS 481 00:12:16,369 --> 00:12:17,871 HAPPY TO ALLOW MANGO TO MEET 482 00:12:17,871 --> 00:12:19,139 PEGGY TO HONOR THE LIFE SHE 483 00:12:19,139 --> 00:12:23,843 SPENT LOVING THESE ANIMALS. 484 00:12:23,843 --> 00:12:26,646 John: THAT IS GREAT! 485 00:12:26,646 --> 00:12:27,847 I LOVE THAT HAPPENED FOR PEGGY! 486 00:12:27,847 --> 00:12:28,982 ALTHOUGH, DO SPARE A QUICK 487 00:12:28,982 --> 00:12:29,616 THOUGHT FOR MANGO THE FLAMINGO 488 00:12:29,616 --> 00:12:29,816 THERE. 489 00:12:29,816 --> 00:12:30,450 IMAGINE IF YOU WENT TO THE HOME 490 00:12:30,450 --> 00:12:31,184 OF SOMEONE YOU DIDN'T KNOW AND 491 00:12:31,184 --> 00:12:32,218 THEY HAD 158 IMAGES OF YOU 492 00:12:32,218 --> 00:12:33,887 EVERYWHERE. 493 00:12:33,887 --> 00:12:34,621 YOU'D DEFINITELY THINK YOU WERE 494 00:12:34,621 --> 00:12:38,425 ABOUT TO GET MURDERED. 495 00:12:38,425 --> 00:12:40,093 THAT WOMAN AND HER FAMILY HAD A 496 00:12:40,093 --> 00:12:41,127 POSITIVE EXPERIENCE WITH THEIR 497 00:12:41,127 --> 00:12:43,897 HOSPICE PROVIDER. 498 00:12:43,897 --> 00:12:44,531 AND THE GOOD NEWS IS, MANY, MANY 499 00:12:44,531 --> 00:12:44,798 PEOPLE DO. 500 00:12:44,798 --> 00:12:46,766 LOTS OF DEDICATED PEOPLE WORK 501 00:12:46,766 --> 00:12:48,234 WITH HOSPICES, PROVIDING HUGE 502 00:12:48,234 --> 00:12:50,203 RELIEF FOR DYING PATIENTS-- 503 00:12:50,203 --> 00:12:51,404 PARTICULARLY THOSE WHO WANT TO 504 00:12:51,404 --> 00:12:52,372 REMAIN AT HOME, WHERE, IN MOST 505 00:12:52,372 --> 00:12:54,941 CASES, HOSPICE CARE IS PROVIDED. 506 00:12:54,941 --> 00:12:56,609 ABOUT 1.8 MILLION MEDICARE 507 00:12:56,609 --> 00:12:58,645 BENEFICIARIES NOW RECEIVE 508 00:12:58,645 --> 00:12:59,913 HOSPICE CARE EACH YEAR. 509 00:12:59,913 --> 00:13:01,181 IN FACT, YOU'LL PROBABLY 510 00:13:01,181 --> 00:13:03,049 ENCOUNTER HOSPICE AT SOME POINT 511 00:13:03,049 --> 00:13:03,583 IN YOUR LIFE-- EITHER FOR 512 00:13:03,583 --> 00:13:04,751 YOURSELF OR FOR A LOVED ONE. 513 00:13:04,751 --> 00:13:08,355 AND AT ITS BEST, IT'S GREAT. 514 00:13:08,355 --> 00:13:10,557 UNFORTUNATELY, AT ITS WORST, IT 515 00:13:10,557 --> 00:13:11,825 IS NOT, AS THE HOSPICE INDUSTRY 516 00:13:11,825 --> 00:13:12,892 HAS BECOME RIDDLED WITH STORIES 517 00:13:12,892 --> 00:13:13,660 LIKE THESE. 518 00:13:13,660 --> 00:13:16,396 A LOCAL COMPANY AGREES TO A 519 00:13:16,396 --> 00:13:18,698 $75 MILLION SETTLEMENT OVER 520 00:13:18,698 --> 00:13:20,300 ALLEGED OVERBILLING OF HOSPICE 521 00:13:20,300 --> 00:13:20,734 SERVICES. 522 00:13:20,734 --> 00:13:22,969 A CLEVELAND DOCTOR HAS BEEN 523 00:13:22,969 --> 00:13:24,070 SENTENCED TO FIVE YEARS IN 524 00:13:24,070 --> 00:13:25,872 PRISON FOR HEALTHCARE FRAUD 525 00:13:25,872 --> 00:13:28,174 CONNECTED TO HOSPICE OPERATIONS 526 00:13:28,174 --> 00:13:28,742 IN THE STATE'S IMPOVERISHED 527 00:13:28,742 --> 00:13:29,843 DELTA REGION. 528 00:13:29,843 --> 00:13:32,112 CALIFORNIA'S ATTORNEY GENERAL 529 00:13:32,112 --> 00:13:32,912 IS ANNOUNCING THE ARREST OF OVER 530 00:13:32,912 --> 00:13:35,815 A DOZEN PEOPLE ACCUSED OF 531 00:13:35,815 --> 00:13:36,583 RUNNING A HOSPICE SCAM IN THE 532 00:13:36,583 --> 00:13:38,251 INLAND EMPIRE. 533 00:13:38,251 --> 00:13:40,353 John: IT'S TRUE. 534 00:13:40,353 --> 00:13:41,354 THERE IS A LOT OF HOSPICE FRAUD. 535 00:13:41,354 --> 00:13:43,757 A SENTENCE, BY THE WAY, RECENTLY 536 00:13:43,757 --> 00:13:44,391 VOTED "LEAST HOT" BY "THINGS TO 537 00:13:44,391 --> 00:13:45,725 WHISPER INTO YOUR PARTNER'S EAR 538 00:13:45,725 --> 00:13:46,860 DURING SEX" MAGAZINE. 539 00:13:46,860 --> 00:13:47,193 BUT IT'S TRUE: 540 00:13:47,193 --> 00:13:47,927 [WHISPERING] 541 00:13:47,927 --> 00:13:51,631 THERE'S A LOT OF HOSPICE FRAUD. 542 00:13:51,631 --> 00:13:52,132 [SPEAKS IN NORMAL VOICE] 543 00:13:52,132 --> 00:13:53,733 IN FACT, ONE GOVERNMENT REPORT 544 00:13:53,733 --> 00:13:55,735 ESTIMATED THAT HOSPICES' 545 00:13:55,735 --> 00:13:57,303 INAPPROPRIATE BILLING COSTS 546 00:13:57,303 --> 00:13:59,205 MEDICARE HUNDREDS OF MILLIONS OF 547 00:13:59,205 --> 00:14:00,273 DOLLARS A YEAR, AND EXPERTS SAY 548 00:14:00,273 --> 00:14:02,242 THEY BELIEVE THAT FIGURE TO BE 549 00:14:02,242 --> 00:14:03,710 FAR HIGHER. 550 00:14:03,710 --> 00:14:04,344 AND THE FINANCIAL CONSEQUENCES 551 00:14:04,344 --> 00:14:04,878 HERE ARE THE LEAST OF THE 552 00:14:04,878 --> 00:14:05,578 PROBLEMS. 553 00:14:05,578 --> 00:14:07,313 SO GIVEN THAT, TONIGHT, LET'S 554 00:14:07,313 --> 00:14:08,481 LOOK AT HOSPICE CARE: 555 00:14:08,481 --> 00:14:09,916 HOW IT'S SUPPOSED TO WORK, AND 556 00:14:09,916 --> 00:14:11,217 WHAT, TOO OFTEN, IS HAPPENING 557 00:14:11,217 --> 00:14:11,451 INSTEAD. 558 00:14:11,451 --> 00:14:12,052 AND LET'S START WITH THE FACT 559 00:14:12,052 --> 00:14:14,254 THAT "HOSPICE," AS WE KNOW IT, 560 00:14:14,254 --> 00:14:14,921 IS PRETTY NEW. 561 00:14:14,921 --> 00:14:17,724 HERE'S A TV REPORT FROM 1979, 562 00:14:17,724 --> 00:14:19,292 EXPLAINING IT TO AMERICANS AS IF 563 00:14:19,292 --> 00:14:19,993 FOR THE FIRST TIME. 564 00:14:19,993 --> 00:14:22,595 A NEW CONCEPT FOR TAKING CARE 565 00:14:22,595 --> 00:14:23,196 OF TERMINALLY ILL PATIENTS IS 566 00:14:23,196 --> 00:14:23,730 GAINING INTEREST IN THIS 567 00:14:23,730 --> 00:14:28,968 COUNTRY. 568 00:14:28,968 --> 00:14:30,737 IT IS CALLED HOSPICE, AND COMES 569 00:14:30,737 --> 00:14:31,237 TO US BY WAY OF ENGLAND. 570 00:14:31,237 --> 00:14:31,905 THE PHILOSOPHY BEHIND HOSPICE IS 571 00:14:31,905 --> 00:14:33,106 THAT ONCE DEATH HAS BECOME 572 00:14:33,106 --> 00:14:34,374 INEVITABLE, PATIENTS SHOULD BE 573 00:14:34,374 --> 00:14:35,642 TREATED WITH GREAT ATTENTION TO 574 00:14:35,642 --> 00:14:36,743 THEIR COMFORT AND EMOTIONAL 575 00:14:36,743 --> 00:14:37,510 NEEDS. 576 00:14:37,510 --> 00:14:38,144 John: YEAH, HOSPICE ACTUALLY 577 00:14:38,144 --> 00:14:40,213 CAME FROM ENGLAND! 578 00:14:40,213 --> 00:14:41,715 AND I KNOW THE BRITISH EXPORTING 579 00:14:41,715 --> 00:14:44,050 A NEW WAY TO DIE SOUNDS LIKE THE 580 00:14:44,050 --> 00:14:46,553 PERFECT SLOGAN FOR OVER 581 00:14:46,553 --> 00:14:47,187 400 YEARS OF COLONIALISM, BUT IN 582 00:14:47,187 --> 00:14:48,988 THIS CASE, IT WAS GENUINELY A 583 00:14:48,988 --> 00:14:50,156 GOOD THING. 584 00:14:50,156 --> 00:14:52,692 THE CONCEPT WAS ORIGINALLY 585 00:14:52,692 --> 00:14:53,593 CONCEIVED BY DAME CICELY 586 00:14:53,593 --> 00:14:54,994 SAUNDERS-- SEEN HERE LOOKING 587 00:14:54,994 --> 00:14:56,329 LIKE SHE JUST SLASHED YOUR 588 00:14:56,329 --> 00:14:57,597 TIRES. 589 00:14:57,597 --> 00:14:59,199 SHE WAS AN ENGLISH DOCTOR AND 590 00:14:59,199 --> 00:15:00,667 SOCIAL WORKER, WHO'D BEEN UPSET 591 00:15:00,667 --> 00:15:01,668 BY THE "WRETCHED HABITS OF BIG, 592 00:15:01,668 --> 00:15:03,503 BUSY HOSPITALS WHERE EVERYONE 593 00:15:03,503 --> 00:15:04,437 TIPTOES PAST THE BED AND THE 594 00:15:04,437 --> 00:15:05,372 DYING SOON LEARN TO PRETEND TO 595 00:15:05,372 --> 00:15:06,873 BE ASLEEP." 596 00:15:06,873 --> 00:15:08,708 WHICH SOUNDS BLEAK BUT REMEMBER, 597 00:15:08,708 --> 00:15:10,577 THAT WAS IN THE U.K., HOME OF 598 00:15:10,577 --> 00:15:11,544 THE FAMOUS WAR-TIME POSTER: 599 00:15:11,544 --> 00:15:14,247 "KEEP QUIET AND DIE." 600 00:15:14,247 --> 00:15:15,815 THE IDEA EVENTUALLY MIGRATED 601 00:15:15,815 --> 00:15:17,283 OVER HERE AND THE FIRST AMERICAN 602 00:15:17,283 --> 00:15:18,685 HOSPICE BEGAN CARING FOR 603 00:15:18,685 --> 00:15:20,053 PATIENTS IN 1974. 604 00:15:20,053 --> 00:15:21,554 MORE SOON FOLLOWED, MAINLY 605 00:15:21,554 --> 00:15:22,622 CONSISTING OF "A CONSTELLATION 606 00:15:22,622 --> 00:15:23,256 OF CHARITIES, MOSTLY RELIANT ON 607 00:15:23,256 --> 00:15:25,925 VOLUNTEERS." 608 00:15:25,925 --> 00:15:28,428 BUT IN 1982, REAGAN MADE A BIG 609 00:15:28,428 --> 00:15:30,597 CHANGE, WHEN HE AUTHORIZED 610 00:15:30,597 --> 00:15:32,032 MEDICARE TO COVER THE COST OF 611 00:15:32,032 --> 00:15:33,700 HOSPICE, AFTER ADVOCATES 612 00:15:33,700 --> 00:15:34,968 CONVINCED LAWMAKERS "IT WOULD BE 613 00:15:34,968 --> 00:15:36,369 CHEAPER FOR MEDICARE THAN PAYING 614 00:15:36,369 --> 00:15:38,238 FOR THE AGGRESSIVE TREATMENT 615 00:15:38,238 --> 00:15:39,039 THAT SO MANY PATIENTS RECEIVED 616 00:15:39,039 --> 00:15:40,473 UP UNTIL THEY DIED." 617 00:15:40,473 --> 00:15:41,841 THAT MOVE MEANT THERE WAS NOW A 618 00:15:41,841 --> 00:15:42,475 LOT MORE MONEY TO BE MADE IN THE 619 00:15:42,475 --> 00:15:46,713 HOSPICE BUSINESS. 620 00:15:46,713 --> 00:15:48,248 AND TODAY, OF THE COUNTRY'S 621 00:15:48,248 --> 00:15:50,216 NEARLY 6,000 PROVIDERS, 622 00:15:50,216 --> 00:15:50,817 THREE-QUARTERS ARE FOR-PROFIT. 623 00:15:50,817 --> 00:15:52,719 ONE OF THE BIGGEST AND EARLIEST 624 00:15:52,719 --> 00:15:55,288 WAS VITAS, WHICH WAS FOUNDED BY 625 00:15:55,288 --> 00:15:57,724 TWO TEACHERS AND DON GAETZ, WHO 626 00:15:57,724 --> 00:15:58,925 IS, FUN FACT, MATT GAETZ'S 627 00:15:58,925 --> 00:15:59,092 DAD. 628 00:15:59,092 --> 00:16:00,226 WHICH IS KIND OF SURPRISING. 629 00:16:00,226 --> 00:16:01,995 I DIDN'T THINK GAETZ HAD PARENTS 630 00:16:01,995 --> 00:16:03,596 IN THE TRADITIONAL SENSE. 631 00:16:03,596 --> 00:16:04,230 I JUST ASSUMED SOMEONE JIZZED ON 632 00:16:04,230 --> 00:16:06,833 A "GOODFELLAS" POSTER. 633 00:16:06,833 --> 00:16:07,734 VITAS MADE ITS FOUNDERS 634 00:16:07,734 --> 00:16:14,808 EXTREMELY WEALTHY. 635 00:16:15,775 --> 00:16:17,277 IN 2004, IT SOLD FOR 636 00:16:17,277 --> 00:16:18,712 $406 MILLION TO CHEMED, BEST 637 00:16:18,712 --> 00:16:19,946 KNOWN AS THE OWNER OF 638 00:16:19,946 --> 00:16:20,580 ROTO-ROOTER, A PLUMBING COMPANY. 639 00:16:20,580 --> 00:16:21,081 ON GLASSDOOR, CHEMED IS 640 00:16:21,081 --> 00:16:22,582 DESCRIBED AS BRINGING "A 641 00:16:22,582 --> 00:16:23,216 PROFESSIONAL DIGNITY TO TIMES OF 642 00:16:23,216 --> 00:16:23,750 TRANSITION AND SEWER LINE 643 00:16:23,750 --> 00:16:26,152 CLOGS." 644 00:16:26,152 --> 00:16:28,088 SO NOW YOU KNOW WHO TO CALL IF 645 00:16:28,088 --> 00:16:30,523 YOU'RE FACING YOUR OWN MORTALITY 646 00:16:30,523 --> 00:16:31,991 AND/OR A BACKED-UP SHIT PIPE. 647 00:16:31,991 --> 00:16:32,759 THE POINT IS, HOSPICES CAN BE 648 00:16:32,759 --> 00:16:35,295 BIG BUSINESS. 649 00:16:35,295 --> 00:16:36,930 AND IT'S WORTH TALKING ABOUT 650 00:16:36,930 --> 00:16:37,497 EXACTLY HOW THEY MAKE MONEY. 651 00:16:37,497 --> 00:16:39,366 BASICALLY, ONCE YOU'RE ENROLLED 652 00:16:39,366 --> 00:16:40,533 IN A HOSPICE, THEY GET A FLAT 653 00:16:40,533 --> 00:16:42,702 FEE EVERY DAY. 654 00:16:42,702 --> 00:16:44,671 FOR ROUTINE CARE, IT'S A LITTLE 655 00:16:44,671 --> 00:16:45,972 OVER $200 A DAY FOR THE FIRST 60 656 00:16:45,972 --> 00:16:47,374 DAYS, AND A LITTLE LESS FOR 657 00:16:47,374 --> 00:16:49,342 HOWEVER LONG YOU'RE IN HOSPICE 658 00:16:49,342 --> 00:16:50,343 AFTER THAT. 659 00:16:50,343 --> 00:16:51,945 AND THAT CAN CREATE A CLEAR 660 00:16:51,945 --> 00:16:52,846 INCENTIVE TO SIGN UP AS MANY 661 00:16:52,846 --> 00:16:54,280 PATIENTS AS POSSIBLE. 662 00:16:54,280 --> 00:16:55,715 A MARKETER FOR ONE HOSPICE IN 663 00:16:55,715 --> 00:16:56,716 GEORGIA WAS EVEN RECORDED 664 00:16:56,716 --> 00:16:59,219 TELLING A SALES REP, "HOW DO YOU 665 00:16:59,219 --> 00:16:59,619 SOLICIT PATIENTS? 666 00:16:59,619 --> 00:17:00,253 YOU SEE SOMEBODY SITTING ON THE 667 00:17:00,253 --> 00:17:01,321 FRONT PORCH IN A WHEELCHAIR AND 668 00:17:01,321 --> 00:17:04,691 YOU HIT THE BRAKES." 669 00:17:04,691 --> 00:17:06,226 AND YOU KNOW OUR SYSTEM'S BROKEN 670 00:17:06,226 --> 00:17:08,461 WHEN A HOSPICE PROVIDER'S TARGET 671 00:17:08,461 --> 00:17:10,697 DEMO IS "KIDNAPPED PORCH 672 00:17:10,697 --> 00:17:11,631 GRANDMAS". 673 00:17:11,631 --> 00:17:13,199 ONE BIG WAY HOSPICES CAN GET 674 00:17:13,199 --> 00:17:14,134 REFERRALS, THOUGH, IS BY 675 00:17:14,134 --> 00:17:15,735 BEFRIENDING STAFFS AT NURSING 676 00:17:15,735 --> 00:17:16,302 HOMES AND DOCTOR'S OFFICES. 677 00:17:16,302 --> 00:17:18,104 IN FACT, VITAS HAS BEEN 678 00:17:18,104 --> 00:17:20,273 PARTICULARLY AGGRESSIVE IN ITS 679 00:17:20,273 --> 00:17:21,408 SALES TACTICS, LIKE WHEN THEY 680 00:17:21,408 --> 00:17:22,942 WERE CAUGHT DOING THIS IN THE 681 00:17:22,942 --> 00:17:24,477 MIDDLE OF 2020. 682 00:17:24,477 --> 00:17:27,080 TEXT MESSAGES WE OBTAINED 683 00:17:27,080 --> 00:17:29,749 SHOW VITAS SALES PEOPLE VISITING 684 00:17:29,749 --> 00:17:30,984 MULTIPLE BAY AREA NURSING HOMES 685 00:17:30,984 --> 00:17:31,618 AND DOCTORS' OFFICES DURING THE 686 00:17:31,618 --> 00:17:33,186 PANDEMIC. 687 00:17:33,186 --> 00:17:35,388 THEY TOOK NUMEROUS SELFIES WITH 688 00:17:35,388 --> 00:17:38,191 HEALTH CARE WORKERS, SOME 689 00:17:38,191 --> 00:17:39,259 BRINGING GIFTS OF PIZZA, 690 00:17:39,259 --> 00:17:40,260 CHICKEN, OR DOUGHNUTS. 691 00:17:40,260 --> 00:17:42,095 UNDER ONE PICTURE, A REP EVEN 692 00:17:42,095 --> 00:17:44,864 WROTE, "SIX BOXES OF THESE MADE 693 00:17:44,864 --> 00:17:46,766 THEIR WAY INTO A LOCAL NURSING 694 00:17:46,766 --> 00:17:48,802 HOME THAT ISN'T ALLOWING FOOD IN 695 00:17:48,802 --> 00:17:51,104 FROM THE OUTSIDE." 696 00:17:51,104 --> 00:17:52,172 A FELLOW EMPLOYEE TEXTED BACK, 697 00:17:52,172 --> 00:17:54,507 "SNEAKY, SNEAKY." 698 00:17:54,507 --> 00:17:55,909 ANOTHER EMAIL SHOWS A MANAGER 699 00:17:55,909 --> 00:17:57,610 RUNNING A WEEKEND REFERRAL 700 00:17:57,610 --> 00:18:01,715 CONTEST, SAYING, "WHOEVER GETS 701 00:18:01,715 --> 00:18:02,615 THE MOST SELFIES WITH MEDICAL 702 00:18:02,615 --> 00:18:03,750 PERSONNEL COULD WIN. 703 00:18:03,750 --> 00:18:04,784 PERSONNEL INCLUDING NURSING HOME 704 00:18:04,784 --> 00:18:06,386 STAFF, EMERGENCY ROOM STAFF, 705 00:18:06,386 --> 00:18:08,521 PHYSICIANS, OR NURSES." 706 00:18:08,521 --> 00:18:09,756 John: IT'S TRUE. 707 00:18:09,756 --> 00:18:12,092 TO GET PATIENT REFERRALS, THEY 708 00:18:12,092 --> 00:18:14,361 WERE SENDING SALES REPS INTO 709 00:18:14,361 --> 00:18:15,495 NURSING HOMES, AND ENCOURAGING 710 00:18:15,495 --> 00:18:16,296 THEM TO GET SELFIES WITH HEALTH 711 00:18:16,296 --> 00:18:16,763 CARE WORKERS WHO WERE 712 00:18:16,763 --> 00:18:18,465 INTERACTING WITH HIGH-RISK 713 00:18:18,465 --> 00:18:19,232 POPULATIONS AT THE HEIGHT OF 714 00:18:19,232 --> 00:18:19,733 COVID. 715 00:18:19,733 --> 00:18:21,001 THAT SOUNDS LIKE A PLAN 716 00:18:21,001 --> 00:18:21,668 LITERALLY HATCHED BY THE 717 00:18:21,668 --> 00:18:24,137 CORONAVIRUS ITSELF. 718 00:18:24,137 --> 00:18:26,506 AND INCIDENTALLY, YOU KNOW 719 00:18:26,506 --> 00:18:27,173 WHAT'S NOT "SNEAKY, SNEAKY"? 720 00:18:27,173 --> 00:18:29,542 BRAGGING ABOUT YOUR UNETHICAL 721 00:18:29,542 --> 00:18:31,911 SALES TACTICS IN WRITING-- 722 00:18:31,911 --> 00:18:35,382 THAT IS MORE "STUPID, STUPID". 723 00:18:35,382 --> 00:18:36,850 SO THAT IS ONE WAY HOSPICES CAN 724 00:18:36,850 --> 00:18:37,417 MAKE MONEY, GETTING AS MANY 725 00:18:37,417 --> 00:18:38,318 PATIENTS AS POSSIBLE. 726 00:18:38,318 --> 00:18:38,885 ANOTHER IS TO THEN SPEND AS 727 00:18:38,885 --> 00:18:39,519 LITTLE ON THOSE PATIENTS AS YOU 728 00:18:39,519 --> 00:18:41,321 CAN. 729 00:18:41,321 --> 00:18:42,856 UNDERWHELMING CARE IS A 730 00:18:42,856 --> 00:18:43,757 PERSISTENT COMPLAINT ABOUT 731 00:18:43,757 --> 00:18:45,191 HOSPICES, WITH A RECENT SURVEY 732 00:18:45,191 --> 00:18:46,893 FINDING "OVER 1 IN 5 FAMILIES 733 00:18:46,893 --> 00:18:47,894 SAID THEIR HOSPICE AGENCY DID 734 00:18:47,894 --> 00:18:50,497 NOT ALWAYS PROVIDE TIMELY HELP." 735 00:18:50,497 --> 00:18:52,899 AND RECENT INVESTIGATIONS BY HHS 736 00:18:52,899 --> 00:18:54,968 HAVE FOUND SOME ALARMING 737 00:18:54,968 --> 00:18:56,336 EXAMPLES OF NEGLECT-- LIKE A 738 00:18:56,336 --> 00:18:57,871 HOSPICE THAT BILLED MEDICARE FOR 739 00:18:57,871 --> 00:18:58,872 17 DAYS OF CARE FOR A 70 YEAR 740 00:18:58,872 --> 00:18:59,973 OLD PATIENT THAT THEY NEVER 741 00:18:59,973 --> 00:19:00,440 VISITED. 742 00:19:00,440 --> 00:19:02,175 INSTEAD, THEY JUST CALLED HIS 743 00:19:02,175 --> 00:19:02,942 FAMILY TO INQUIRE HOW HE WAS 744 00:19:02,942 --> 00:19:06,246 DOING. 745 00:19:06,246 --> 00:19:07,280 AND IT IS HARD TO DEFEND THE 746 00:19:07,280 --> 00:19:07,814 QUALITY OF THAT COMPANY'S 747 00:19:07,814 --> 00:19:08,448 SERVICE WHEN THEY WERE-- QUITE 748 00:19:08,448 --> 00:19:11,184 LITERALLY-- PHONING IT IN. 749 00:19:11,184 --> 00:19:12,786 BUT IT GETS WORSE, BECAUSE THEY 750 00:19:12,786 --> 00:19:14,888 ALSO FOUND MULTIPLE CASES OF 751 00:19:14,888 --> 00:19:16,122 SEVERE NEGLECT, LIKE WHEN A 752 00:19:16,122 --> 00:19:17,791 HOSPICE "SKIPPED HOME VISITS AND 753 00:19:17,791 --> 00:19:19,359 FAILED TO ASSESS THE AMOUNT OF 754 00:19:19,359 --> 00:19:19,993 PAIN ONE PATIENT ENDURED," WITH 755 00:19:19,993 --> 00:19:20,493 THAT PATIENT EVENTUALLY 756 00:19:20,493 --> 00:19:22,062 SUFFERING "A MAGGOT INFESTATION 757 00:19:22,062 --> 00:19:22,929 IN HIS FEEDING TUBE" THAT 758 00:19:22,929 --> 00:19:25,432 REQUIRED A TRIP TO THE EMERGENCY 759 00:19:25,432 --> 00:19:26,332 ROOM. 760 00:19:26,332 --> 00:19:27,500 WHICH IS HORRIFYING! 761 00:19:27,500 --> 00:19:32,339 TREATMENT FOR DYING PEOPLE 762 00:19:32,339 --> 00:19:35,041 IDEALLY SHOULD NOT SOUND LIKE A 763 00:19:35,041 --> 00:19:35,575 SCENE FROM A FUCKING "SAW" 764 00:19:35,575 --> 00:19:35,875 MOVIE. 765 00:19:35,875 --> 00:19:36,743 AND PROVIDING SUBPAR CARE IS BAD 766 00:19:36,743 --> 00:19:37,477 ENOUGH. 767 00:19:37,477 --> 00:19:38,712 BUT SOME HOSPICES ENGAGE IN 768 00:19:38,712 --> 00:19:39,245 OUTRIGHT FRAUD TO OVERBILL 769 00:19:39,245 --> 00:19:40,547 MEDICARE. 770 00:19:40,547 --> 00:19:41,981 BECAUSE IF PATIENTS REQUIRE A 771 00:19:41,981 --> 00:19:45,218 HIGHER LEVEL OF CARE, HOSPICES 772 00:19:45,218 --> 00:19:46,986 CAN BILL THE GOVERNMENT AT A 773 00:19:46,986 --> 00:19:48,321 MUCH HIGHER RATE-- AS MUCH AS 774 00:19:48,321 --> 00:19:50,924 $1500 A DAY FOR "CONTINUOUS HOME 775 00:19:50,924 --> 00:19:51,725 CARE," SOMETIMES CALLED "CRISIS 776 00:19:51,725 --> 00:19:55,362 CARE." 777 00:19:55,362 --> 00:19:56,196 VITAS WAS EVEN SUED BY THE DOJ 778 00:19:56,196 --> 00:19:57,163 IN 2013 FOR "BILLING MEDICARE 779 00:19:57,163 --> 00:19:58,531 FOR MORE COSTLY CRISIS CARE 780 00:19:58,531 --> 00:19:59,132 SERVICES WHEN CERTAIN PATIENTS 781 00:19:59,132 --> 00:20:01,067 DID NOT NEED" THEM. 782 00:20:01,067 --> 00:20:02,569 OVER EIGHT YEARS, THE GOVERNMENT 783 00:20:02,569 --> 00:20:03,970 SAYS THAT VITAS GENERATED NEARLY 784 00:20:03,970 --> 00:20:05,238 $1 BILLION IN REVENUE FROM 785 00:20:05,238 --> 00:20:06,706 CRISIS CARE, AND WHILE THE 786 00:20:06,706 --> 00:20:08,775 COMPANY DIDN'T ADMIT WRONGDOING, 787 00:20:08,775 --> 00:20:09,776 IT DID PAY $75 MILLION TO SETTLE 788 00:20:09,776 --> 00:20:10,810 THAT CASE. 789 00:20:10,810 --> 00:20:13,513 YOU KNOW, THE KIND OF THING WE 790 00:20:13,513 --> 00:20:14,347 ALL DO WHEN WE HAVEN'T DONE 791 00:20:14,347 --> 00:20:15,081 ANYTHING WRONG. 792 00:20:15,081 --> 00:20:16,583 AND VITAS IS BY NO MEANS THE 793 00:20:16,583 --> 00:20:17,484 ONLY COMPANY ACCUSED OF DOING 794 00:20:17,484 --> 00:20:19,753 THIS. 795 00:20:19,753 --> 00:20:21,888 PASSAGES HOSPICE USED TO BE THE 796 00:20:21,888 --> 00:20:22,689 BIGGEST HOSPICE COMPANY IN 797 00:20:22,689 --> 00:20:24,724 ILLINOIS UNTIL THIS HAPPENED. 798 00:20:24,724 --> 00:20:26,192 PASSAGES HOSPICE IN MOLINE 799 00:20:26,192 --> 00:20:28,628 FORCED OUT OF BUSINESS TODAY 800 00:20:28,628 --> 00:20:30,597 AFTER THE INDICTMENT OF ONE OF 801 00:20:30,597 --> 00:20:31,164 ITS OWNERS ON FEDERAL FRAUD 802 00:20:31,164 --> 00:20:33,233 CHARGES. 803 00:20:33,233 --> 00:20:34,868 LAWYER SETH GILLMAN OF 804 00:20:34,868 --> 00:20:35,769 LINCOLNWOOD WAS CHARGED BY THE 805 00:20:35,769 --> 00:20:38,371 FEDS LAST MONTH FOR ALLEGEDLY 806 00:20:38,371 --> 00:20:39,105 OVERCHARGING MEDICARE AND 807 00:20:39,105 --> 00:20:41,307 MEDICAID. 808 00:20:41,307 --> 00:20:43,109 THE COMPANY AND ITS 300 809 00:20:43,109 --> 00:20:44,377 WORKERS STATEWIDE, HISTORY. 810 00:20:44,377 --> 00:20:45,245 GILLMAN FACES UP TO 15 YEARS IF 811 00:20:45,245 --> 00:20:47,480 CONVICTED. 812 00:20:47,480 --> 00:20:51,251 I WOULD DESCRIBE HIM AS THE 813 00:20:51,251 --> 00:20:52,919 LOWEST FORM OF LIFE. 814 00:20:52,919 --> 00:20:53,720 HE DESERVES WHAT'S COMING TO 815 00:20:53,720 --> 00:20:55,522 HIM. 816 00:20:55,522 --> 00:20:57,223 John: WOW. 817 00:20:57,223 --> 00:20:58,858 YOU KNOW HOW WRETCHED YOU HAVE 818 00:20:58,858 --> 00:20:59,993 TO BE FOR A MIDDLE AGED 819 00:20:59,993 --> 00:21:01,061 MIDWESTERN WOMAN TO CALL YOU 820 00:21:01,061 --> 00:21:03,463 "THE LOWEST FORM OF LIFE"? 821 00:21:03,463 --> 00:21:04,931 SHE DIDN'T EVEN DRESS IT UP WITH 822 00:21:04,931 --> 00:21:05,732 A "HE'S NOT MY CUP OF TEA" OR "I 823 00:21:05,732 --> 00:21:07,233 THINK HE HAS A LOT TO ANSWER 824 00:21:07,233 --> 00:21:08,401 FOR." 825 00:21:08,401 --> 00:21:10,704 THAT IS MIDWESTERN FOR, "I HOPE 826 00:21:10,704 --> 00:21:11,671 HE DIES IN PAIN, AND I'LL 827 00:21:11,671 --> 00:21:12,238 PERSONALLY BLOCK TRAFFIC TO 828 00:21:12,238 --> 00:21:16,109 ENSURE AN EMPTY FUNERAL HOME." 829 00:21:16,109 --> 00:21:18,178 GILLMAN WAS EVENTUALLY SENTENCED 830 00:21:18,178 --> 00:21:19,813 TO SIX AND A HALF YEARS IN 831 00:21:19,813 --> 00:21:20,880 FEDERAL PRISON FOR MASTERMINDING 832 00:21:20,880 --> 00:21:22,482 A $20 MILLION FRAUD SCHEME THAT 833 00:21:22,482 --> 00:21:23,416 INCLUDED ENROLLING PATIENTS IN 834 00:21:23,416 --> 00:21:24,017 EXPENSIVE IN-PATIENT CARE THEY 835 00:21:24,017 --> 00:21:25,251 DIDN'T NEED. 836 00:21:25,251 --> 00:21:26,686 FAMILIES TOLD REPORTERS THAT 837 00:21:26,686 --> 00:21:29,022 PASSAGES EMPLOYEES EVEN MISLED 838 00:21:29,022 --> 00:21:29,656 THEM INTO BELIEVING THEIR LOVED 839 00:21:29,656 --> 00:21:30,857 ONES HAD SERIOUS OR TERMINAL 840 00:21:30,857 --> 00:21:32,892 ILLNESSES WHEN THEY DIDN'T. 841 00:21:32,892 --> 00:21:35,862 A FEDERAL COURT FOUND GILLMAN 842 00:21:35,862 --> 00:21:37,163 POCKETED MILLIONS ANNUALLY, AND 843 00:21:37,163 --> 00:21:39,766 ENJOYED A LAVISH LIFESTYLE THAT 844 00:21:39,766 --> 00:21:40,367 INCLUDED CORPORATE AIRPLANES, 845 00:21:40,367 --> 00:21:41,434 AND LUXURY SPORTS CARS, BEHAVIOR 846 00:21:41,434 --> 00:21:43,203 HIS OWN LAWYER, IN A COURT 847 00:21:43,203 --> 00:21:44,204 FILING, PARTLY ATTRIBUTED TO THE 848 00:21:44,204 --> 00:21:44,804 FACT HE WAS "INGESTING COCAINE 849 00:21:44,804 --> 00:21:48,375 ON A DAILY BASIS." 850 00:21:48,375 --> 00:21:50,143 THAT WAS HIS DEFENSE. 851 00:21:50,143 --> 00:21:51,644 IMAGINE HOW GUILTY YOU HAVE TO 852 00:21:51,644 --> 00:21:53,279 BE FOR YOUR OWN LAWYERS TO SAY: 853 00:21:53,279 --> 00:21:55,015 "YOUR HONOR, MY CLIENT MIGHT AS 854 00:21:55,015 --> 00:21:57,484 WELL BE SHAUN WHITE THE WAY HE 855 00:21:57,484 --> 00:21:58,918 WAS SHREDDING DOWN MOUNTAINS OF 856 00:21:58,918 --> 00:21:59,319 PURE WHITE POWDER. 857 00:21:59,319 --> 00:21:59,953 I'M TALKING IN HIS DEFENSE, YOU 858 00:21:59,953 --> 00:22:02,188 UNDERSTAND." 859 00:22:02,188 --> 00:22:04,357 BUT IT'S NOT JUST EXAGGERATING 860 00:22:04,357 --> 00:22:05,492 THE AMOUNT OF CARE PATIENTS ARE 861 00:22:05,492 --> 00:22:06,793 GETTING. 862 00:22:06,793 --> 00:22:08,194 HOSPICES CAN ALSO ENROLL 863 00:22:08,194 --> 00:22:10,230 PATIENTS WHO SHOULDN'T EVEN BE 864 00:22:10,230 --> 00:22:10,764 THERE IN THE FIRST PLACE. 865 00:22:10,764 --> 00:22:11,297 BECAUSE WHILE THERE IS A 866 00:22:11,297 --> 00:22:12,332 REQUIREMENT PATIENTS HAVE A LIFE 867 00:22:12,332 --> 00:22:14,401 EXPECTANCY OF SIX MONTHS OR 868 00:22:14,401 --> 00:22:16,036 LESS, MOST OF THE MEDICARE 869 00:22:16,036 --> 00:22:17,570 SPENDING ON HOSPICE IS NOW FOR 870 00:22:17,570 --> 00:22:18,772 PATIENTS WHOSE STAYS EXCEED SIX 871 00:22:18,772 --> 00:22:22,175 MONTHS. 872 00:22:22,175 --> 00:22:23,009 AND LOOK, OBVIOUSLY, IT'S A GOOD 873 00:22:23,009 --> 00:22:23,643 THING WHEN SOMEONE LIVES LONGER 874 00:22:23,643 --> 00:22:24,444 THAN THEIR PROGNOSIS. 875 00:22:24,444 --> 00:22:25,612 THIS SHOW IS NOT PRO-DEATH. 876 00:22:25,612 --> 00:22:26,413 WELL, TO BE HONEST, SOMETIMES WE 877 00:22:26,413 --> 00:22:29,149 ARE. 878 00:22:29,149 --> 00:22:30,550 BUT MOST OF THE TIME, WE'RE NOT. 879 00:22:30,550 --> 00:22:34,554 BUT THERE ARE WORRYING SIGNS 880 00:22:34,554 --> 00:22:35,121 SOME HOSPICES ARE ENROLLING 881 00:22:35,121 --> 00:22:35,722 PATIENTS WHO DON'T NEED THEIR 882 00:22:35,722 --> 00:22:36,156 CARE. 883 00:22:36,156 --> 00:22:38,425 AND ONE INDICATOR OF THIS IS THE 884 00:22:38,425 --> 00:22:38,925 "LIVE DISCHARGE RATE"-- 885 00:22:38,925 --> 00:22:39,559 BASICALLY, HOW MANY PEOPLE LEAVE 886 00:22:39,559 --> 00:22:40,627 HOSPICE ALIVE. 887 00:22:40,627 --> 00:22:42,762 NOW, A SMALL AMOUNT OF "LIVE 888 00:22:42,762 --> 00:22:44,130 DISCHARGES" ARE TO BE EXPECTED. 889 00:22:44,130 --> 00:22:46,666 SOMEONE MIGHT BE CHOOSING A 890 00:22:46,666 --> 00:22:47,200 DIFFERENT HOSPICE, OR EVEN 891 00:22:47,200 --> 00:22:48,335 OPTING TO PURSUE CURATIVE CARE 892 00:22:48,335 --> 00:22:49,469 AGAIN. 893 00:22:49,469 --> 00:22:52,038 BUT EXPERTS TOLD US A LIVE 894 00:22:52,038 --> 00:22:54,708 DISCHARGE RATE OF MORE THAN 30% 895 00:22:54,708 --> 00:22:55,775 IS HIGH, AND ANYTHING OVER 50 IS 896 00:22:55,775 --> 00:22:56,543 A SERIOUS RED FLAG FOR POSSIBLE 897 00:22:56,543 --> 00:22:58,712 FRAUD. 898 00:22:58,712 --> 00:22:59,846 AND YET, AN ANALYSIS IN 899 00:22:59,846 --> 00:23:01,781 CALIFORNIA FOUND THAT LAST YEAR, 900 00:23:01,781 --> 00:23:03,783 MORE THAN 500 HOSPICES THERE HAD 901 00:23:03,783 --> 00:23:10,457 A LIVE DISCHARGE RATE GREATER 902 00:23:10,457 --> 00:23:13,660 70% WITH 135 HAVING A 100% 903 00:23:13,660 --> 00:23:14,627 LIVE DISCHARGE RATE. 904 00:23:14,627 --> 00:23:15,729 WHICH IS WILD. 905 00:23:15,729 --> 00:23:16,363 ONCE 100% OF PEOPLE IN YOUR CARE 906 00:23:16,363 --> 00:23:18,732 ARE LEAVING ALIVE, YOU'RE NOT A 907 00:23:18,732 --> 00:23:19,899 HOSPICE, YOU'RE A HOTEL. 908 00:23:19,899 --> 00:23:20,567 AND STATISTICALLY, AN INCREDIBLY 909 00:23:20,567 --> 00:23:22,168 SAFE ONE. 910 00:23:22,168 --> 00:23:24,204 AND THERE ARE HORROR STORIES 911 00:23:24,204 --> 00:23:25,805 WHERE PATIENTS HAVE BEEN KEPT IN 912 00:23:25,805 --> 00:23:26,473 HOSPICE WHEN THEY CLEARLY DIDN'T 913 00:23:26,473 --> 00:23:27,340 NEED TO BE. 914 00:23:27,340 --> 00:23:28,108 TAKE WHAT HAPPENED TO 915 00:23:28,108 --> 00:23:29,175 PATRICIA MARBLE. 916 00:23:29,175 --> 00:23:32,178 AFTER HER DOCTOR RECOMMENDED 917 00:23:32,178 --> 00:23:33,346 HOSPICE FOR HER, SHE SIGNED ON 918 00:23:33,346 --> 00:23:34,247 WITH A COMPANY CALLED AMEDISYS. 919 00:23:34,247 --> 00:23:35,148 BUT AS THE YEARS WENT BY, HER 920 00:23:35,148 --> 00:23:35,715 DAUGHTER REALIZED SOMETHING 921 00:23:35,715 --> 00:23:36,916 MIGHT BE UP. 922 00:23:36,916 --> 00:23:39,652 MY MOM TRUSTED HER NURSE. 923 00:23:39,652 --> 00:23:43,123 MY MOM TRUSTED THESE PEOPLE. 924 00:23:43,123 --> 00:23:44,457 TRUSTING THEM SO MUCH, MARBLE 925 00:23:44,457 --> 00:23:46,960 SAYS SHE DIDN'T QUESTION THE 926 00:23:46,960 --> 00:23:48,695 LONG LIST OF DRUGS, INCLUDING 927 00:23:48,695 --> 00:23:50,230 FENTANYL AND MORPHINE, TO MAKE 928 00:23:50,230 --> 00:23:50,597 HER COMFORTABLE. 929 00:23:50,597 --> 00:23:52,332 THE HYDROCODONE, THEY WOULD 930 00:23:52,332 --> 00:23:53,700 SIT-- THEY SAT NEXT TO HER AND 931 00:23:53,700 --> 00:23:54,868 TOLD HER SHE COULD TAKE IT 932 00:23:54,868 --> 00:23:55,402 WHENEVER SHE WAS IN PAIN. 933 00:23:55,402 --> 00:23:57,337 MEDICAL RECORDS SHARED WITH 934 00:23:57,337 --> 00:23:59,539 FOX 25 INVESTIGATES SHOW MARBLE 935 00:23:59,539 --> 00:24:00,106 REMAINED IN HOSPICE CARE FOR 936 00:24:00,106 --> 00:24:03,443 FIVE YEARS. 937 00:24:03,443 --> 00:24:04,244 THEN, EARLIER THIS YEAR, BRAGGS 938 00:24:04,244 --> 00:24:05,545 SAID SHE WENT AGAINST THE 939 00:24:05,545 --> 00:24:06,880 HOSPICE NURSE'S ORDERS AND 940 00:24:06,880 --> 00:24:08,314 FINALLY TOOK HER MOM TO AN 941 00:24:08,314 --> 00:24:09,416 OUTSIDE DOCTOR. 942 00:24:09,416 --> 00:24:10,784 THE DOCTORS WERE TELLING ME 943 00:24:10,784 --> 00:24:11,851 THAT THERE'S A PROBLEM, THAT 944 00:24:11,851 --> 00:24:13,586 THERE'S A PROBLEM WITH HER BEING 945 00:24:13,586 --> 00:24:14,954 ON HOSPICE FOR FIVE YEARS. 946 00:24:14,954 --> 00:24:17,590 MEANWHILE, 76-YEAR-OLD 947 00:24:17,590 --> 00:24:19,826 PATRICIA MARBLE IS STILL VERY 948 00:24:19,826 --> 00:24:20,126 MUCH ALIVE. 949 00:24:20,126 --> 00:24:20,794 HOW ARE YOU FEELING NOW? 950 00:24:20,794 --> 00:24:23,096 I'M FEELING A WHOLE LOT 951 00:24:23,096 --> 00:24:23,463 BETTER. 952 00:24:23,463 --> 00:24:26,700 THEY JUST FED ME THE MEDICATION, 953 00:24:26,700 --> 00:24:27,334 AND I JUST TOOK IT MYSELF, LIKE 954 00:24:27,334 --> 00:24:28,535 SHE TOLD ME. 955 00:24:28,535 --> 00:24:30,136 IT WAS SURREAL. 956 00:24:30,136 --> 00:24:34,574 IT JUST-- ALL OF A SUDDEN, THIS 957 00:24:34,574 --> 00:24:35,675 NURSE TURNS INTO RUNNING MY 958 00:24:35,675 --> 00:24:38,912 HOUSEHOLD. 959 00:24:38,912 --> 00:24:40,547 John: THAT IS AWFUL. 960 00:24:40,547 --> 00:24:41,881 SHE WAS IN HOSPICE UNNECESSARILY 961 00:24:41,881 --> 00:24:43,216 FOR FIVE YEARS, WITH THE COMPANY 962 00:24:43,216 --> 00:24:44,584 BILLING MEDICARE ALMOST HALF A 963 00:24:44,584 --> 00:24:45,485 MILLION DOLLARS FOR HER CARE. 964 00:24:45,485 --> 00:24:48,955 THAT SHOULD NEVER HAPPEN. 965 00:24:48,955 --> 00:24:50,423 THERE IS A REASON YOU'VE NEVER 966 00:24:50,423 --> 00:24:50,957 SEEN A LAWN SIGN THAT SAYS 967 00:24:50,957 --> 00:24:51,891 "IN THIS HOUSE, LOVE IS LOVE, 968 00:24:51,891 --> 00:24:53,026 SCIENCE IS REAL, AND WE'RE BEING 969 00:24:53,026 --> 00:24:53,693 HELD PRISONER BY HOSPICE NURSES, 970 00:24:53,693 --> 00:24:55,929 PLEASE SEND HELP." 971 00:24:55,929 --> 00:24:56,896 NOW, I DO HAVE TO TELL YOU, 972 00:24:56,896 --> 00:24:58,398 AMEDISYS INSISTED AT THE TIME 973 00:24:58,398 --> 00:25:00,166 THAT ALLEGATIONS SHE WAS 974 00:25:00,166 --> 00:25:02,402 DISCOURAGED FROM SEEING AN 975 00:25:02,402 --> 00:25:03,737 OUTSIDE PHYSICIAN WERE 976 00:25:03,737 --> 00:25:04,371 "COMPLETELY FALSE," THOUGH THEY 977 00:25:04,371 --> 00:25:07,707 DID LATER ENTER A CONFIDENTIAL 978 00:25:07,707 --> 00:25:08,375 SETTLEMENT WITH THE FAMILY, 979 00:25:08,375 --> 00:25:09,175 WHICH HOPEFULLY THAT WOMAN GOT 980 00:25:09,175 --> 00:25:09,909 TO ENJOY, BECAUSE SHE LIVED FOR 981 00:25:09,909 --> 00:25:10,977 SEVEN MORE YEARS AFTER THAT 982 00:25:10,977 --> 00:25:12,245 SEGMENT AIRED. 983 00:25:12,245 --> 00:25:14,114 AND IT CAN BE EVEN EASIER THAN 984 00:25:14,114 --> 00:25:14,647 THAT TO END UP IN HOSPICE 985 00:25:14,647 --> 00:25:16,649 UNNECESSARILY. 986 00:25:16,649 --> 00:25:18,518 BECAUSE THEY'RE SUPPOSED TO 987 00:25:18,518 --> 00:25:20,053 ADMIT A PATIENT ON THE 988 00:25:20,053 --> 00:25:21,054 RECOMMENDATION OF THEIR MEDICAL 989 00:25:21,054 --> 00:25:23,656 DIRECTOR, IN CONSULTATION WITH 990 00:25:23,656 --> 00:25:24,858 THE PATIENT'S OWN PHYSICIAN, "IF 991 00:25:24,858 --> 00:25:25,859 ANY." 992 00:25:25,859 --> 00:25:27,994 BUT IF THAT "ANY" DOESN'T EXIST, 993 00:25:27,994 --> 00:25:29,329 OR ISN'T AVAILABLE, THEN THE 994 00:25:29,329 --> 00:25:31,064 WHOLE DECISION MIGHT COME DOWN 995 00:25:31,064 --> 00:25:31,765 TO A DOCTOR ON THE HOSPICE'S 996 00:25:31,765 --> 00:25:32,766 PAYROLL. 997 00:25:32,766 --> 00:25:34,401 WHAT'S MORE, THERE'VE BEEN 998 00:25:34,401 --> 00:25:35,268 MULTIPLE CASES WHERE DOCTORS 999 00:25:35,268 --> 00:25:37,037 HAVE ACCEPTED BRIBES OR 1000 00:25:37,037 --> 00:25:38,738 KICKBACKS TO REFER AND RECERTIFY 1001 00:25:38,738 --> 00:25:40,874 PATIENTS WHO DIDN'T NEED CARE-- 1002 00:25:40,874 --> 00:25:42,308 INCLUDING IN THIS INCREDIBLE 1003 00:25:42,308 --> 00:25:43,176 VIDEO. 1004 00:25:43,176 --> 00:25:45,378 YOU ARE LOOKING AT UNDERCOVER 1005 00:25:45,378 --> 00:25:46,780 VIDEO OF A DOCTOR ACCEPTING 1006 00:25:46,780 --> 00:25:49,115 KICKBACKS FOR REFERRING PATIENTS 1007 00:25:49,115 --> 00:25:50,550 TO HOSPICE CARE, PATIENTS WHO 1008 00:25:50,550 --> 00:25:51,785 DON'T NEED IT 1009 00:25:51,785 --> 00:25:52,819 WE WERE EXPECTING A LOT MORE 1010 00:25:52,819 --> 00:25:55,822 THAN THAT. 1011 00:25:55,822 --> 00:25:57,257 BUT DOC, YOU NEED TO HELP ME 1012 00:25:57,257 --> 00:25:57,891 GET SOME PATIENTS IN THE DOOR. 1013 00:25:57,891 --> 00:25:58,491 BUT WHAT MORE DO YOU WANT? 1014 00:25:58,491 --> 00:25:59,626 I JUST GAVE YOU NINE PATIENTS, 1015 00:25:59,626 --> 00:26:00,360 WHAT THE [...] DO YOU WANT? 1016 00:26:00,360 --> 00:26:02,262 YOU KNOW HOW MUCH I CAN GET FROM 1017 00:26:02,262 --> 00:26:02,896 SOMEBODY ELSE FOR 25-- FOR NINE 1018 00:26:02,896 --> 00:26:03,396 PATIENTS? 1019 00:26:03,396 --> 00:26:06,066 [...] 250 BUCKS A PIECE. 1020 00:26:06,066 --> 00:26:07,834 John: YEAH, THAT'S A DOCTOR 1021 00:26:07,834 --> 00:26:08,768 ESSENTIALLY SELLING HIS PATIENTS 1022 00:26:08,768 --> 00:26:10,704 TO A HOSPICE AGENCY. 1023 00:26:10,704 --> 00:26:14,341 AND-- AND I KNOW THIS IS NOT 1024 00:26:14,341 --> 00:26:15,442 REMOTELY THE POINT-- BUT 1025 00:26:15,442 --> 00:26:16,776 HONESTLY, KIND OF LOWBALLING IT. 1026 00:26:16,776 --> 00:26:17,110 BECAUSE $250? 1027 00:26:17,110 --> 00:26:18,712 THAT'S IT? 1028 00:26:18,712 --> 00:26:19,946 YOU'RE SELLING HUMAN BEINGS, NOT 1029 00:26:19,946 --> 00:26:21,815 A PAIR OF FUCKING AIRPODS. 1030 00:26:21,815 --> 00:26:25,485 THAT SAME DOCTOR SERVED AS A 1031 00:26:25,485 --> 00:26:26,886 MEDICAL DIRECTOR FOR A DIFFERENT 1032 00:26:26,886 --> 00:26:27,587 HOSPICE GROUP WHERE SEVERAL 1033 00:26:27,587 --> 00:26:29,789 NURSES TESTIFIED THAT THE VAST 1034 00:26:29,789 --> 00:26:30,623 MAJORITY OF HOSPICE PATIENTS 1035 00:26:30,623 --> 00:26:31,991 WERE NOT TERMINALLY ILL, 1036 00:26:31,991 --> 00:26:32,625 INCLUDING ONE WHO HAD A REGULAR 1037 00:26:32,625 --> 00:26:36,463 JOB AT WALMART. 1038 00:26:36,463 --> 00:26:37,430 THE GROUP EVEN ENROLLED PATIENTS 1039 00:26:37,430 --> 00:26:38,765 WITH ILLNESSES SUCH AS 1040 00:26:38,765 --> 00:26:39,332 ALZHEIMER'S AND DEMENTIA BY 1041 00:26:39,332 --> 00:26:40,233 FALSELY TELLING THEM THEY HAD 1042 00:26:40,233 --> 00:26:41,601 LESS THAN SIX MONTHS TO LIVE, 1043 00:26:41,601 --> 00:26:42,235 AND SENT CHAPLAINS TO LIE TO THE 1044 00:26:42,235 --> 00:26:44,037 PATIENTS AND DISCUSS LAST RITES 1045 00:26:44,037 --> 00:26:45,805 AND PREPARATIONS FOR THEIR 1046 00:26:45,805 --> 00:26:46,172 IMMINENT DEATH. 1047 00:26:46,172 --> 00:26:47,440 WHICH IS HORRENDOUS. 1048 00:26:47,440 --> 00:26:49,175 FRANKLY, ANYONE WHO KNOWINGLY 1049 00:26:49,175 --> 00:26:49,776 TOOK PART IN THAT DESERVES TO 1050 00:26:49,776 --> 00:26:51,778 ROT IN HELL. 1051 00:26:51,778 --> 00:26:52,412 EXCEPT, SADLY, WE NOW KNOW THAT 1052 00:26:52,412 --> 00:26:55,181 DOESN'T EXIST. 1053 00:26:55,181 --> 00:26:56,683 SO WHERE'S THE NEXT WORST PLACE? 1054 00:26:56,683 --> 00:26:57,417 TAMPA, I GUESS? 1055 00:26:57,417 --> 00:27:00,820 THEY DESERVE TO ROT IN TAMPA! 1056 00:27:00,820 --> 00:27:03,957 AND SOME HOSPICES DON'T EVEN 1057 00:27:03,957 --> 00:27:05,558 BOTHER LYING TO PATIENTS ABOUT 1058 00:27:05,558 --> 00:27:05,959 THEIR DIAGNOSIS-- 1059 00:27:05,959 --> 00:27:08,261 THEY JUST ENROLL PEOPLE ANYWAY. 1060 00:27:08,261 --> 00:27:08,828 HOSPICES HAVE BEEN FOUND TO 1061 00:27:08,828 --> 00:27:10,230 ENLIST FAMILY AND FRIENDS TO ACT 1062 00:27:10,230 --> 00:27:11,464 AS MAKE BELIEVE CLIENTS, LURE 1063 00:27:11,464 --> 00:27:12,966 ADDICTS TO ENROLL WITH THE 1064 00:27:12,966 --> 00:27:14,534 PROMISE OF FREE PAINKILLERS, 1065 00:27:14,534 --> 00:27:15,935 DUPE PEOPLE INTO THE PROGRAM BY 1066 00:27:15,935 --> 00:27:17,237 CLAIMING IT'S FREE HOME HEALTH 1067 00:27:17,237 --> 00:27:18,405 CARE, AND HAVE EVEN STOLEN 1068 00:27:18,405 --> 00:27:19,706 PERSONAL INFORMATION TO ENROLL 1069 00:27:19,706 --> 00:27:20,140 "PHANTOM PATIENTS." 1070 00:27:20,140 --> 00:27:21,074 ESSENTIALLY ENGAGING IN IDENTITY 1071 00:27:21,074 --> 00:27:26,880 THEFT. 1072 00:27:26,880 --> 00:27:28,048 THAT IS HOW PEOPLE HAVE BEEN 1073 00:27:28,048 --> 00:27:29,382 ENROLLED IN HOSPICE WITHOUT EVEN 1074 00:27:29,382 --> 00:27:29,849 KNOWING IT. 1075 00:27:29,849 --> 00:27:31,718 IN MISSISSIPPI, A 29-YEAR-OLD 1076 00:27:31,718 --> 00:27:33,019 PREGNANT WOMAN LEARNED SHE'D 1077 00:27:33,019 --> 00:27:34,387 BEEN ENROLLED IN SOMETHING 1078 00:27:34,387 --> 00:27:34,954 CALLED "REVELATION HOSPICE," 1079 00:27:34,954 --> 00:27:35,588 ONLY WHEN SHE VISITED HER DOCTOR 1080 00:27:35,588 --> 00:27:37,190 FOR A BLOOD TEST. 1081 00:27:37,190 --> 00:27:38,591 AND I WILL SAY, IF YOU'RE GOING 1082 00:27:38,591 --> 00:27:40,226 TO UNEXPECTEDLY DISCOVER YOU'RE 1083 00:27:40,226 --> 00:27:41,428 A HOSPICE PATIENT, THERE'S NO 1084 00:27:41,428 --> 00:27:45,131 MORE FITTING NAME THAN 1085 00:27:45,131 --> 00:27:46,433 "REVELATION HOSPICE." 1086 00:27:46,433 --> 00:27:47,467 THE ONLY WAY IT COULD'VE BEEN 1087 00:27:47,467 --> 00:27:48,368 MORE ON THE NOSE IS IF IT WERE 1088 00:27:48,368 --> 00:27:48,968 CALLED THE "SURPRISE, BITCH! 1089 00:27:48,968 --> 00:27:51,871 YOU'RE IN HOSPICE!" HOSPICE. 1090 00:27:51,871 --> 00:27:53,073 AND WHILE THAT'S CLEARLY 1091 00:27:53,073 --> 00:27:54,708 RIDICULOUS, IT CAN ALSO BE 1092 00:27:54,708 --> 00:27:55,542 DANGEROUS, BECAUSE-- AS THIS 1093 00:27:55,542 --> 00:27:56,776 JOURNALIST POINTS OUT-- WHILE 1094 00:27:56,776 --> 00:27:58,545 ENROLLING IN A HOSPICE DOES GIVE 1095 00:27:58,545 --> 00:27:59,145 YOU ACCESS TO CERTAIN TYPES OF 1096 00:27:59,145 --> 00:28:00,013 CARE, IT ALSO PROHIBITS YOU FROM 1097 00:28:00,013 --> 00:28:01,948 OTHERS. 1098 00:28:01,948 --> 00:28:04,884 HOSPICE, IT PROVIDES ONLY 1099 00:28:04,884 --> 00:28:05,618 PALLIATIVE CARE, NOT CURATIVE 1100 00:28:05,618 --> 00:28:06,553 CARE. 1101 00:28:06,553 --> 00:28:10,457 SO IF YOU SIGN UP FOR HOSPICE, 1102 00:28:10,457 --> 00:28:11,825 YOU LOSE, YOU KNOW, YOUR REGULAR 1103 00:28:11,825 --> 00:28:14,494 MEDICAL COVERAGE. 1104 00:28:14,494 --> 00:28:15,395 AND IN ONE CASE, 1105 00:28:15,395 --> 00:28:17,097 A WOMAN LOST HER PLACE ON A 1106 00:28:17,097 --> 00:28:17,764 TRANSPLANT WAITING LIST. 1107 00:28:17,764 --> 00:28:21,201 SO IT HAS REAL RAMIFICATIONS. 1108 00:28:21,201 --> 00:28:22,635 John: YEAH, YOU CAN LOSE YOUR 1109 00:28:22,635 --> 00:28:27,407 ACCESS TO LIFESAVING TREATMENT 1110 00:28:27,407 --> 00:28:27,874 IF YOU ENTER HOSPICE, 1111 00:28:27,874 --> 00:28:30,076 WHICH MAKES IT EXTRA BRUTAL WHEN 1112 00:28:30,076 --> 00:28:30,643 YOU CONSIDER THAT, AS YOU'VE 1113 00:28:30,643 --> 00:28:31,244 SEEN, PEOPLE CAN BE SIGNED UP 1114 00:28:31,244 --> 00:28:32,045 WITHOUT THEIR KNOWLEDGE. 1115 00:28:32,045 --> 00:28:33,680 A CANCER PATIENT LOST ACCESS TO 1116 00:28:33,680 --> 00:28:35,215 CHEMOTHERAPY TREATMENT AFTER 1117 00:28:35,215 --> 00:28:36,449 BEING PUT IN HOSPICE WITHOUT HIS 1118 00:28:36,449 --> 00:28:37,884 KNOWLEDGE, AND OTHERS WERE 1119 00:28:37,884 --> 00:28:39,719 DENIED KIDNEY DIALYSIS, 1120 00:28:39,719 --> 00:28:40,286 MAMMOGRAMS, AND COVERAGE FOR 1121 00:28:40,286 --> 00:28:42,422 LIFE-SAVING MEDICATIONS. 1122 00:28:42,422 --> 00:28:43,857 AND THOSE JUST AREN'T THINGS YOU 1123 00:28:43,857 --> 00:28:44,457 SHOULD BE ABLE TO LOSE WITHOUT 1124 00:28:44,457 --> 00:28:46,026 REALIZING. 1125 00:28:46,026 --> 00:28:48,395 CHEMOTHERAPY ISN'T LIKE 1126 00:28:48,395 --> 00:28:49,863 A SET OF KEYS OR THE WIFE OF THE 1127 00:28:49,863 --> 00:28:50,730 HEAD OF THE CHURCH OF 1128 00:28:50,730 --> 00:28:51,564 SCIENTOLOGY. 1129 00:28:51,564 --> 00:28:54,100 WHERE'S SHELLY, DAVID? 1130 00:28:54,100 --> 00:28:55,168 WHERE'S SHELLY? 1131 00:28:55,168 --> 00:28:55,702 IT'S BEEN 17 YEARS. 1132 00:28:55,702 --> 00:28:56,503 I'M STARTING TO THINK SOMETHING 1133 00:28:56,503 --> 00:28:59,372 BAD'S HAPPENED. 1134 00:28:59,372 --> 00:29:01,641 NOW THE GOVERNMENT HAS TRIED TO 1135 00:29:01,641 --> 00:29:02,642 PUT SOME CONTROLS IN PLACE. 1136 00:29:02,642 --> 00:29:03,710 FOR INSTANCE, TO DISCOURAGE 1137 00:29:03,710 --> 00:29:06,713 HOSPICES FROM ENROLLING HEALTHY 1138 00:29:06,713 --> 00:29:08,381 PEOPLE INDEFINITELY, IT 1139 00:29:08,381 --> 00:29:09,215 PENALIZES ONES WHERE THE 1140 00:29:09,215 --> 00:29:11,151 AVERAGE STAY OF PATIENTS EXCEEDS 1141 00:29:11,151 --> 00:29:13,720 SIX MONTHS. 1142 00:29:13,720 --> 00:29:18,391 IT'S NOT A BAD IDEA IN THEORY. 1143 00:29:18,391 --> 00:29:19,826 UNFORTUNATELY, IN PRACTICE, 1144 00:29:19,826 --> 00:29:21,528 HOSPICES HAVE FOUND WAYS TO GET 1145 00:29:21,528 --> 00:29:22,395 THAT AVERAGE DOWN, LIKE PADDING 1146 00:29:22,395 --> 00:29:23,363 OUT THEIR ROSTER WITH NEW 1147 00:29:23,363 --> 00:29:24,397 PATIENTS, OR EVEN WORSE, 1148 00:29:24,397 --> 00:29:25,465 DUMPING OR DISCHARGING THOSE WHO 1149 00:29:25,465 --> 00:29:26,633 ARE STAYING TOO LONG, EVEN IF 1150 00:29:26,633 --> 00:29:27,167 THEY GENUINELY NEED CARE. 1151 00:29:27,167 --> 00:29:27,767 THE CEO OF ONE COMPANY, NOVUS 1152 00:29:27,767 --> 00:29:28,601 HEALTH SERVICES IN FRISCO, 1153 00:29:28,601 --> 00:29:30,937 TEXAS, WASN'T SHY ABOUT 1154 00:29:30,937 --> 00:29:32,372 ENCOURAGING HIS EMPLOYEES TO GET 1155 00:29:32,372 --> 00:29:34,808 PATIENTS OUT THE DOOR TO REDUCE 1156 00:29:34,808 --> 00:29:35,608 THAT AVERAGE LENGTH OF STAY. 1157 00:29:35,608 --> 00:29:37,744 THESE ARE THE OFFICES OF 1158 00:29:37,744 --> 00:29:38,845 NOVUS HEALTH CARE SERVICES IN 1159 00:29:38,845 --> 00:29:39,579 FRISCO. 1160 00:29:39,579 --> 00:29:41,114 ITS WEBSITE SAYS IT OFFERS 1161 00:29:41,114 --> 00:29:41,815 HOSPICE AND HOME HEALTH CARE 1162 00:29:41,815 --> 00:29:44,818 SERVICES ALL OVER NORTH TEXAS. 1163 00:29:44,818 --> 00:29:46,853 BRAD HARRIS FOUNDED THE COMPANY. 1164 00:29:46,853 --> 00:29:47,420 THIS IS HIS PUBLIC PROFILE 1165 00:29:47,420 --> 00:29:49,456 PICTURE ON FACEBOOK. 1166 00:29:49,456 --> 00:29:52,025 THE FBI QUOTES HARRIS AS TELLING 1167 00:29:52,025 --> 00:29:53,093 ONE WORKER, "YOU NEED TO MAKE 1168 00:29:53,093 --> 00:29:55,595 THIS PATIENT GO BYE-BYE." 1169 00:29:55,595 --> 00:29:56,096 IN ANOTHER CASE, ASKING 1170 00:29:56,096 --> 00:29:57,831 HEALTHCARE EXECUTIVES TO "FIND 1171 00:29:57,831 --> 00:29:59,666 PATIENTS WHO WOULD DIE WITHIN 24 1172 00:29:59,666 --> 00:30:01,067 HOURS," SAYING OF ONE OF HIS 1173 00:30:01,067 --> 00:30:02,502 PATIENTS, "IF THIS EXPLETIVE 1174 00:30:02,502 --> 00:30:05,105 WOULD JUST DIE." 1175 00:30:05,105 --> 00:30:05,972 John: HOLY SHIT. 1176 00:30:05,972 --> 00:30:08,141 LOOK, YOU COULD SAY THAT 1177 00:30:08,141 --> 00:30:09,142 BRAD HARRIS IS A GREEDY, 1178 00:30:09,142 --> 00:30:10,477 HEARTLESS MONSTER, BUT NOTHING 1179 00:30:10,477 --> 00:30:11,544 YOU COULD CALL HIM WILL EVER BE 1180 00:30:11,544 --> 00:30:14,014 AS INSULTING AS FEATURING THIS 1181 00:30:14,014 --> 00:30:15,582 PHOTO IN THAT NEWS REPORT-- A 1182 00:30:15,582 --> 00:30:17,050 PHOTO IN WHICH HE SOMEHOW 1183 00:30:17,050 --> 00:30:18,451 APPEARS TO BE DRUNK, HIGH, AND 1184 00:30:18,451 --> 00:30:20,220 SHITTING HIMSELF ALL AT THE SAME 1185 00:30:20,220 --> 00:30:20,420 TIME. 1186 00:30:20,420 --> 00:30:21,621 I'VE SEEN NEWSCASTS USE NICER 1187 00:30:21,621 --> 00:30:24,491 PHOTOS FOR SCHOOL SHOOTERS. 1188 00:30:24,491 --> 00:30:25,458 NBC 5 LOCAL NEWS IS FUCKING 1189 00:30:25,458 --> 00:30:27,861 VICIOUS. 1190 00:30:27,861 --> 00:30:28,828 BUT ONE OF THE KEY PROBLEMS HERE 1191 00:30:28,828 --> 00:30:31,197 IS, OUTSIDE OF MAJOR FRAUD CASES 1192 00:30:31,197 --> 00:30:32,899 LIKE THAT, THERE ARE SHOCKINGLY 1193 00:30:32,899 --> 00:30:34,701 FEW CONSEQUENCES FOR BAD 1194 00:30:34,701 --> 00:30:36,269 BEHAVIOR-- AND THE BARRIERS TO 1195 00:30:36,269 --> 00:30:37,771 OPERATING A HOSPICE CAN BE MUCH 1196 00:30:37,771 --> 00:30:39,506 LOWER THAN YOU'D THINK. 1197 00:30:39,506 --> 00:30:40,974 FOR INSTANCE, A MEDICAL 1198 00:30:40,974 --> 00:30:41,541 BACKGROUND ISN'T REQUIRED TO 1199 00:30:41,541 --> 00:30:42,676 ENTER THE BUSINESS. 1200 00:30:42,676 --> 00:30:44,277 AND MEDICARE ONLY REQUIRES THAT 1201 00:30:44,277 --> 00:30:45,345 HOSPICES BE INSPECTED ONCE EVERY 1202 00:30:45,345 --> 00:30:47,013 THREE YEARS. 1203 00:30:47,013 --> 00:30:48,281 AND SOME APPEAR TO SKIRT EVEN 1204 00:30:48,281 --> 00:30:51,184 THE MOST BASIC REQUIREMENTS. 1205 00:30:51,184 --> 00:30:52,185 FOR INSTANCE, STATE LICENSING 1206 00:30:52,185 --> 00:30:55,588 LAWS REQUIRE THAT HOSPICES AT 1207 00:30:55,588 --> 00:30:58,792 LEAST HAVE A PHYSICAL OFFICE, 1208 00:30:58,792 --> 00:31:00,960 WHICH DOESN'T FEEL LIKE TOO MUCH 1209 00:31:00,960 --> 00:31:02,062 TO ASK. 1210 00:31:02,062 --> 00:31:02,696 BUT A RECENT AUDIT IN CALIFORNIA 1211 00:31:02,696 --> 00:31:03,296 FOUND 112 HOSPICES ALL SHARED 1212 00:31:03,296 --> 00:31:03,930 THE ADDRESS OF THIS BUILDING IN 1213 00:31:03,930 --> 00:31:04,431 VAN NUYS. 1214 00:31:04,431 --> 00:31:05,465 WHICH IS RIDICULOUS. 1215 00:31:05,465 --> 00:31:06,066 THAT BUILDING CANNOT HOLD 112 1216 00:31:06,066 --> 00:31:08,335 OFFICES. 1217 00:31:08,335 --> 00:31:08,968 UNLESS, OF COURSE, THEY'RE OWNED 1218 00:31:08,968 --> 00:31:11,237 AND OPERATED BY MICE WORKING 1219 00:31:11,237 --> 00:31:12,439 WITHIN THE WALLS. 1220 00:31:12,439 --> 00:31:14,574 THAT'S RIGHT: MOUSE HOSPICE-- 1221 00:31:14,574 --> 00:31:15,208 YOU CAN HAVE THAT IDEA FOR FREE, 1222 00:31:15,208 --> 00:31:15,742 PIXAR! 1223 00:31:15,742 --> 00:31:17,577 IT'S LIKE "RATATOUILLE" MEETS 1224 00:31:17,577 --> 00:31:19,212 THE FIRST TEN MINUTES OF "UP"! 1225 00:31:19,212 --> 00:31:20,280 WHY AREN'T YOU ALREADY MAKING IT 1226 00:31:20,280 --> 00:31:23,450 NOW? 1227 00:31:23,450 --> 00:31:26,019 AND BY THIS POINT, I THINK IT'S 1228 00:31:26,019 --> 00:31:28,521 PRETTY CLEAR, WE'VE STRAYED A 1229 00:31:28,521 --> 00:31:29,289 LONG WAY FROM THE IDEAL WITH 1230 00:31:29,289 --> 00:31:32,359 WHICH THIS TIRE-SLASHER STARTED. 1231 00:31:32,359 --> 00:31:33,393 SO WHAT CAN WE DO? 1232 00:31:33,393 --> 00:31:35,128 WELL, SOME STATES ARE TRYING TO 1233 00:31:35,128 --> 00:31:37,430 FIX THINGS-- THOUGH THOSE PLANS 1234 00:31:37,430 --> 00:31:39,466 CAN OFTEN RUN INTO OPPOSITION. 1235 00:31:39,466 --> 00:31:40,600 IN CONNECTICUT, A BILL THAT 1236 00:31:40,600 --> 00:31:41,668 WOULD'VE MERELY REQUIRED A STUDY 1237 00:31:41,668 --> 00:31:43,236 ABOUT BANNING PRIVATE EQUITY 1238 00:31:43,236 --> 00:31:44,504 OWNERSHIP OF HOSPICES STALLED 1239 00:31:44,504 --> 00:31:46,506 OUT LAST YEAR, AFTER OPPOSITION 1240 00:31:46,506 --> 00:31:47,574 FROM REPUBLICANS LIKE THIS MAN. 1241 00:31:47,574 --> 00:31:49,709 THE SUGGESTION THAT SOMEHOW 1242 00:31:49,709 --> 00:31:54,414 THE PROFIT MOTIVE IS SOMEHOW 1243 00:31:54,414 --> 00:31:55,315 ADVERSELY IMPACTS THE QUALITY OF 1244 00:31:55,315 --> 00:31:56,349 A BUSINESS IS A VERY DANGEROUS 1245 00:31:56,349 --> 00:31:57,650 THING TO DO IN AMERICA. 1246 00:31:57,650 --> 00:31:59,486 IF PEOPLE DIDN'T INVENT THINGS, 1247 00:31:59,486 --> 00:32:00,787 IF PEOPLE DIDN'T COME UP WITH 1248 00:32:00,787 --> 00:32:02,355 NEW CURES, THEN THEY WOULD NOT 1249 00:32:02,355 --> 00:32:03,023 EXIST. 1250 00:32:03,023 --> 00:32:04,591 AND IF YOU DON'T HAVE A REASON 1251 00:32:04,591 --> 00:32:05,558 TO CREATE THOSE THINGS, THEN YOU 1252 00:32:05,558 --> 00:32:05,925 WON'T. 1253 00:32:05,925 --> 00:32:10,163 THIS IS AMERICA. 1254 00:32:10,163 --> 00:32:11,564 THIS IS A FREE MARKET COUNTRY. 1255 00:32:11,564 --> 00:32:13,166 THIS IS A CAPITALIST COUNTRY. 1256 00:32:13,166 --> 00:32:14,801 THIS IS NOT A SOCIALIST COUNTRY, 1257 00:32:14,801 --> 00:32:15,435 AND IT WILL NOT BE IF I CAN HELP 1258 00:32:15,435 --> 00:32:15,902 IT. 1259 00:32:15,902 --> 00:32:17,737 John: RIGHT. 1260 00:32:17,737 --> 00:32:19,305 HE VOTED NO BECAUSE HE BELIEVES 1261 00:32:19,305 --> 00:32:21,908 IN THE IDEALS OF AMERICA, WHICH 1262 00:32:21,908 --> 00:32:22,709 IS ALSO WHY-- AND THIS IS 1263 00:32:22,709 --> 00:32:24,511 TRUE-- LAST YEAR, HE WAS THE 1264 00:32:24,511 --> 00:32:26,212 LONE "NO" VOTE ON A RESOLUTION 1265 00:32:26,212 --> 00:32:27,814 EXONERATING THE VICTIMS OF THE 1266 00:32:27,814 --> 00:32:30,183 17TH CENTURY CONNECTICUT WITCH 1267 00:32:30,183 --> 00:32:31,484 TRIALS, PARTLY BECAUSE, AND I 1268 00:32:31,484 --> 00:32:32,252 QUOTE, HE DIDN'T WANT TO PAINT 1269 00:32:32,252 --> 00:32:32,852 "AMERICA AS A BAD PLACE WITH A 1270 00:32:32,852 --> 00:32:35,355 BAD HISTORY." 1271 00:32:35,355 --> 00:32:37,524 AND I DON'T KNOW WHAT'S WEIRDER: 1272 00:32:37,524 --> 00:32:38,625 THE FACT HE DID THAT, OR THE 1273 00:32:38,625 --> 00:32:39,626 FACT THAT CONNECTICUT DIDN'T 1274 00:32:39,626 --> 00:32:41,127 BOTHER TO EXONERATE VICTIMS OF 1275 00:32:41,127 --> 00:32:44,731 WITCH TRIALS UNTIL LAST YEAR. 1276 00:32:44,731 --> 00:32:46,966 WHAT HAPPENED THAT MADE THEM 1277 00:32:46,966 --> 00:32:47,600 SUDDENLY DECIDE TO ADDRESS THIS? 1278 00:32:47,600 --> 00:32:48,902 "YOU KNOW, I ALWAYS ASSUMED THE 1279 00:32:48,902 --> 00:32:50,737 WOMEN WE MURDERED IN THE 1600s 1280 00:32:50,737 --> 00:32:52,272 WERE GUILTY OF WITCHCRAFT, BUT 1281 00:32:52,272 --> 00:32:54,808 THEN I SAW "BARBIE", AND ABOUT 1282 00:32:54,808 --> 00:32:56,476 HALFWAY THROUGH THAT 1283 00:32:56,476 --> 00:32:57,544 AMERICA FERRERA SPEECH, I 1284 00:32:57,544 --> 00:32:57,944 THOUGHT, "OH SHIT! 1285 00:32:57,944 --> 00:32:58,878 THE WITCHES! 1286 00:32:58,878 --> 00:33:01,815 WE SHOULD REALLY GET ON THAT!" 1287 00:33:01,815 --> 00:33:02,716 BUT THANKFULLY, THERE HAS BEEN 1288 00:33:02,716 --> 00:33:03,883 SOME PROGRESS. 1289 00:33:03,883 --> 00:33:06,519 AT THE FEDERAL LEVEL, CMS 1290 00:33:06,519 --> 00:33:07,120 EMBARKED ON A PROJECT TO MAKE 1291 00:33:07,120 --> 00:33:09,856 UNANNOUNCED SITE VISITS TO EVERY 1292 00:33:09,856 --> 00:33:10,457 MEDICARE-ENROLLED HOSPICE, AND 1293 00:33:10,457 --> 00:33:11,691 AS A RESULT, IT'S SINCE REVOKED 1294 00:33:11,691 --> 00:33:13,426 THE MEDICARE ENROLLMENT OF 48 OF 1295 00:33:13,426 --> 00:33:15,161 THEM, WITH NEARLY 500 MORE 1296 00:33:15,161 --> 00:33:17,397 HAVING THEIR MEDICARE BILLING 1297 00:33:17,397 --> 00:33:18,131 PRIVILEGES DEACTIVATED, AND 1298 00:33:18,131 --> 00:33:20,967 REQUIRING ANOTHER INSPECTION 1299 00:33:20,967 --> 00:33:24,037 BEFORE THEY CAN BILL AGAIN. 1300 00:33:24,037 --> 00:33:24,771 WHICH IS A GOOD START. 1301 00:33:24,771 --> 00:33:25,305 CALIFORNIA'S ALSO PLACED A 1302 00:33:25,305 --> 00:33:28,475 MORATORIUM ON NEW HOSPICE 1303 00:33:28,475 --> 00:33:29,075 LICENSES-- ALTHOUGH THERE IS 1304 00:33:29,075 --> 00:33:30,243 CONCERN THAT BAD ACTORS ARE 1305 00:33:30,243 --> 00:33:30,710 SIMPLY EXPANDING INTO 1306 00:33:30,710 --> 00:33:31,745 LESS-REGULATED STATES LIKE 1307 00:33:31,745 --> 00:33:32,278 ARIZONA, NEVADA, AND TEXAS 1308 00:33:32,278 --> 00:33:34,714 INSTEAD. 1309 00:33:34,714 --> 00:33:35,749 AND EXPERTS SAY THERE'S STILL SO 1310 00:33:35,749 --> 00:33:36,649 MUCH MORE THAT WE SHOULD BE 1311 00:33:36,649 --> 00:33:38,518 DOING, INCLUDING TARGETING 1312 00:33:38,518 --> 00:33:40,253 HOSPICES WITH ESPECIALLY HIGH 1313 00:33:40,253 --> 00:33:40,754 LIVE-DISCHARGE RATES FOR 1314 00:33:40,754 --> 00:33:42,922 PARTICULAR SCRUTINY. 1315 00:33:42,922 --> 00:33:45,225 AND IT'S IMPORTANT THAT THESE 1316 00:33:45,225 --> 00:33:47,560 CHANGES ARE MADE, BECAUSE TO 1317 00:33:47,560 --> 00:33:48,194 REITERATE, HOSPICE CARE-- WHEN 1318 00:33:48,194 --> 00:33:50,597 DONE WELL-- IS HUGELY 1319 00:33:50,597 --> 00:33:51,898 BENEFICIAL TO THOSE WHO ARE 1320 00:33:51,898 --> 00:33:53,700 DYING, AND THEIR FAMILIES. 1321 00:33:53,700 --> 00:33:54,334 IT IS TOO IMPORTANT TO JUST HOPE 1322 00:33:54,334 --> 00:33:57,303 THE FREE MARKET FIXES IT. 1323 00:33:57,303 --> 00:33:59,372 AND IF YOU OR SOMEONE YOU KNOW 1324 00:33:59,372 --> 00:34:00,674 IS LOOKING FOR HOSPICE CARE, I'M 1325 00:34:00,674 --> 00:34:02,609 AFRAID THAT RIGHT NOW, YOUR BEST 1326 00:34:02,609 --> 00:34:03,443 BET MIGHT BE TO RELY ON WORD OF 1327 00:34:03,443 --> 00:34:05,945 MOUTH RECOMMENDATIONS. 1328 00:34:05,945 --> 00:34:07,280 AND IF THOSE AREN'T AVAILABLE, 1329 00:34:07,280 --> 00:34:08,281 YOU CAN CONSULT THIS GOVERNMENT 1330 00:34:08,281 --> 00:34:09,215 WEBSITE. 1331 00:34:09,215 --> 00:34:11,351 IT'S NOT PERFECT, BUT IT CAN AT 1332 00:34:11,351 --> 00:34:12,252 LEAST GIVE YOU SOME INFO ON THE 1333 00:34:12,252 --> 00:34:14,754 HOSPICE YOU'RE CONSIDERING. 1334 00:34:14,754 --> 00:34:15,321 AND IF THERE'S LITTLE TO NO 1335 00:34:15,321 --> 00:34:18,324 INFORMATION ABOUT IT, THAT MIGHT 1336 00:34:18,324 --> 00:34:19,893 BE A SIGN THEY'RE NOT REPORTING 1337 00:34:19,893 --> 00:34:20,960 THEIR QUALITY DATA TO MEDICARE, 1338 00:34:20,960 --> 00:34:22,529 SO I'D STRONGLY CONSIDER 1339 00:34:22,529 --> 00:34:23,463 SOMEWHERE ELSE. 1340 00:34:23,463 --> 00:34:24,097 LOOK, THIS INDUSTRY BADLY NEEDS 1341 00:34:24,097 --> 00:34:26,399 REFORM. 1342 00:34:26,399 --> 00:34:30,203 AND UNTIL THAT HAPPENS, AT THE 1343 00:34:30,203 --> 00:34:32,305 VERY LEAST, HOSPICE ADS SHOULD 1344 00:34:32,305 --> 00:34:33,673 BE REQUIRED TO PAINT A MUCH MORE 1345 00:34:33,673 --> 00:34:34,908 ACCURATE PICTURE-- EVEN IF 1346 00:34:34,908 --> 00:34:40,280 THAT ENDS UP LOOKING LIKE THIS. 1347 00:34:40,280 --> 00:34:41,348 ♪ ♪ 1348 00:34:41,348 --> 00:34:42,582 IF THERE WAS ONE THING I 1349 00:34:42,582 --> 00:34:43,717 COULD DO OVER, I WOULD HAVE 1350 00:34:43,717 --> 00:34:47,253 REACHED OUT SOONER FOR MY 1351 00:34:47,253 --> 00:34:47,487 HUSBAND. 1352 00:34:47,487 --> 00:34:50,657 I WANTED TO BE WITH HIM AGAIN. 1353 00:34:50,657 --> 00:34:53,259 TO REALLY BE WITH HIM. 1354 00:34:53,259 --> 00:34:54,794 TO SIT WITH HIM. 1355 00:34:54,794 --> 00:34:55,995 TO HOLD HIS HANDS. 1356 00:34:55,995 --> 00:34:57,430 TO INTRODUCE SOME SLICED 1357 00:34:57,430 --> 00:34:59,432 VEGETABLES INTO OUR ROUTINE. 1358 00:34:59,432 --> 00:35:00,433 THAT'S RIGHT. 1359 00:35:00,433 --> 00:35:03,403 RETURN TO HEART ENHANCE HOSPICE 1360 00:35:03,403 --> 00:35:04,237 CARE AND SEWAGE SOLUTIONS. 1361 00:35:04,237 --> 00:35:06,840 HERE AT HEARTS AND HANDS 1362 00:35:06,840 --> 00:35:08,041 HOSPICE CARE AND SEWAGE 1363 00:35:08,041 --> 00:35:09,042 SOLUTIONS, WE ARE PROUD TO BE 1364 00:35:09,042 --> 00:35:11,444 WITH YOU EVERY STEP OF THE WAY. 1365 00:35:11,444 --> 00:35:13,246 WELL, NOT ALWAYS LITERALLY 1366 00:35:13,246 --> 00:35:14,614 THERE. 1367 00:35:14,614 --> 00:35:15,181 [LAUGHS] 1368 00:35:15,181 --> 00:35:17,283 WE MIGHT CALL YOU ONCE IN A 1369 00:35:17,283 --> 00:35:17,684 WHILE TO CHECK IN. 1370 00:35:17,684 --> 00:35:20,687 BUT THAT'S NOT A GUARANTEE. 1371 00:35:20,687 --> 00:35:23,189 WE LOVE OUR PATIENTS SO MUCH. 1372 00:35:23,189 --> 00:35:23,790 IT IS TRULY HEARTBREAKING WHEN 1373 00:35:23,790 --> 00:35:26,393 THEY PASS AWAY. 1374 00:35:26,393 --> 00:35:27,694 I ASSUME. 1375 00:35:27,694 --> 00:35:29,229 I'VE NEVER ACTUALLY SEEN THAT 1376 00:35:29,229 --> 00:35:31,464 HAPPEN BECAUSE LAST YEAR, WE HAD 1377 00:35:31,464 --> 00:35:33,867 A 100% LIVE DISCHARGE RATE. 1378 00:35:33,867 --> 00:35:35,502 WHICH, THE MORE I THINK ABOUT 1379 00:35:35,502 --> 00:35:36,836 IT, IS A LITTLE BEER. 1380 00:35:36,836 --> 00:35:39,205 IT'S NOT THAT WEIRD. 1381 00:35:39,205 --> 00:35:41,307 AND ONCE YOU ARE ENROLLED WITH 1382 00:35:41,307 --> 00:35:42,375 THOSE, YOU WILL RECEIVE 1383 00:35:42,375 --> 00:35:43,076 EXCELLENT CARE. 1384 00:35:43,076 --> 00:35:44,344 DON'T JUST TAKE THAT FROM ME. 1385 00:35:44,344 --> 00:35:47,847 TAKE IT FROM SOME OF OUR 1386 00:35:47,847 --> 00:35:48,114 PATIENTS. 1387 00:35:48,114 --> 00:35:48,314 ♪ ♪ 1388 00:35:48,314 --> 00:35:50,050 HEARTS AND HANDS IT IS 1389 00:35:50,050 --> 00:35:50,283 AMAZING. 1390 00:35:50,283 --> 00:35:52,452 GRANDMA WAS JUST SITTING ON HER 1391 00:35:52,452 --> 00:35:54,421 PORCH, MINDING HER OWN BUSINESS, 1392 00:35:54,421 --> 00:35:55,188 WHEN THIS MAN CAME UP AND 1393 00:35:55,188 --> 00:35:56,456 ENROLLED HER. 1394 00:35:56,456 --> 00:35:58,058 IT WAS THAT FAST. 1395 00:35:58,058 --> 00:36:00,160 WE ALMOST DIDN'T KNOW WHAT WE 1396 00:36:00,160 --> 00:36:00,493 WERE SIGNING. 1397 00:36:00,493 --> 00:36:02,495 THEY HAVE BEEN MAKING SURE MY 1398 00:36:02,495 --> 00:36:04,130 FINAL SIX MONTHS WERE 1399 00:36:04,130 --> 00:36:05,198 COMFORTABLE FOR THE LAST EIGHT 1400 00:36:05,198 --> 00:36:05,398 YEARS. 1401 00:36:05,398 --> 00:36:07,033 AND TO BE HONEST, I DON'T 1402 00:36:07,033 --> 00:36:08,101 THINK I WOULD HAVE EVEN NOTICED 1403 00:36:08,101 --> 00:36:10,136 IF ANY SOCIAL WORKERS OR NURSES 1404 00:36:10,136 --> 00:36:10,470 HAD SHOWN UP. 1405 00:36:10,470 --> 00:36:14,407 WE HAVE BEEN TOO BUSY 1406 00:36:14,407 --> 00:36:15,141 FUCKING. 1407 00:36:15,141 --> 00:36:17,010 MY BODY IS DYING BUT MY PENIS IS 1408 00:36:17,010 --> 00:36:17,344 NOT. 1409 00:36:17,344 --> 00:36:18,478 E. 1410 00:36:18,478 --> 00:36:19,512 FUCKING EVERYWHERE. 1411 00:36:19,512 --> 00:36:20,680 ON THE COUCH, IN THE KITCHEN. 1412 00:36:20,680 --> 00:36:22,215 IN THE MINIVAN. 1413 00:36:22,215 --> 00:36:23,116 IN THE FOYER. 1414 00:36:23,116 --> 00:36:24,584 BY THE TRASH CANS. 1415 00:36:24,584 --> 00:36:26,386 THAT'S IT YOU ARE SITTING 1416 00:36:26,386 --> 00:36:26,853 IN-- 1417 00:36:26,853 --> 00:36:27,721 DON'T SIT THERE. 1418 00:36:27,721 --> 00:36:29,689 ESPECIALLY WALKS BY BY THE LAKE. 1419 00:36:29,689 --> 00:36:31,224 WE LIKE TO GET CAUGHT BY 1420 00:36:31,224 --> 00:36:31,891 JOGGERS. 1421 00:36:31,891 --> 00:36:33,093 BACK LIKE WE ARE MAD. 1422 00:36:33,093 --> 00:36:35,161 "HEY, WHAT ARE YOU LOOKING AT! 1423 00:36:35,161 --> 00:36:36,196 STOP IT. 1424 00:36:36,196 --> 00:36:39,632 WHAT ARE YOU LOOKING AT, 1425 00:36:39,632 --> 00:36:39,866 PERVERT? 1426 00:36:39,866 --> 00:36:41,434 WE GO ABOVE AND BEYOND TO 1427 00:36:41,434 --> 00:36:42,335 BRING JOY AND COMFORT TO OUR 1428 00:36:42,335 --> 00:36:42,602 PATIENTS. 1429 00:36:42,602 --> 00:36:44,671 WE CAN EVEN HOOK YOU UP WITH AN 1430 00:36:44,671 --> 00:36:47,841 EMOTIONAL SUPPORT FLAMINGO. 1431 00:36:47,841 --> 00:36:49,242 IS FLAMINGO! 1432 00:36:49,242 --> 00:36:50,810 I NEVER WANTED TO SEE YOU 1433 00:36:50,810 --> 00:36:51,378 FLAMINGO UP CLOSE. 1434 00:36:51,378 --> 00:36:54,147 THAT FEELS CLEAR TO ME NOW. 1435 00:36:54,147 --> 00:36:55,882 THE FLAMINGO WAS FINE. 1436 00:36:55,882 --> 00:36:58,385 I THINK SHE WOULD HAVE BEEN 1437 00:36:58,385 --> 00:37:00,253 HAPPIER IF THE HOSPICE HAD 1438 00:37:00,253 --> 00:37:01,855 PROVIDED DRUGS OR NURSES OR 1439 00:37:01,855 --> 00:37:02,088 DOCTORS. 1440 00:37:02,088 --> 00:37:02,455 BUT NO. 1441 00:37:02,455 --> 00:37:05,325 IT WAS JUST COCONUT THE 1442 00:37:05,325 --> 00:37:06,760 FLAMINGO. 1443 00:37:06,760 --> 00:37:08,828 AND HONESTLY, COCONUT WAS PRETTY 1444 00:37:08,828 --> 00:37:11,031 USELESS WHEN GRANDMA HAD A 1445 00:37:11,031 --> 00:37:13,266 SEIZURE. 1446 00:37:13,266 --> 00:37:14,367 OH, MY OH, MY GOD! 1447 00:37:14,367 --> 00:37:17,804 GRANDMA! 1448 00:37:17,804 --> 00:37:23,777 COCONUT, DO SOMETHING! 1449 00:37:23,777 --> 00:37:24,744 WHY ARE YOU HERE? 1450 00:37:24,744 --> 00:37:25,845 ♪ ♪ 1451 00:37:25,845 --> 00:37:27,080 OUR BUSINESS IS MAKING SURE 1452 00:37:27,080 --> 00:37:29,282 YOU GET TO MAKE THE MOST OF YOUR 1453 00:37:29,282 --> 00:37:31,017 FINAL DAYS. 1454 00:37:31,017 --> 00:37:32,252 OR MORE SPECIFICALLY, THAT WE 1455 00:37:32,252 --> 00:37:33,687 GET TO MAKE THE MOST OUT OF YOUR 1456 00:37:33,687 --> 00:37:37,824 FINAL DAYS. 1457 00:37:37,824 --> 00:37:38,958 YOU ARE GOING TO HELL. 1458 00:37:38,958 --> 00:37:41,061 HELL DOESN'T EXIST, FELLA. 1459 00:37:41,061 --> 00:37:43,863 I GOT THAT FROM A RELIABLE 1460 00:37:43,863 --> 00:37:44,564 SOURCE. 1461 00:37:44,564 --> 00:37:46,533 FUNNY STORY, I WASN'T EVEN 1462 00:37:46,533 --> 00:37:48,001 SUPPOSED TO BE IN HOSPICE. 1463 00:37:48,001 --> 00:37:50,170 TURNED OUT, MY DOCTOR TOOK A 1464 00:37:50,170 --> 00:37:50,603 BRIBE TO SIGN ME UP. 1465 00:37:50,603 --> 00:37:54,007 THAT MAKES SENSE. 1466 00:37:54,007 --> 00:37:56,242 A SICK MAN COULDN'T COME THIS 1467 00:37:56,242 --> 00:37:56,643 MANY TIMES A DAY. 1468 00:37:56,643 --> 00:37:58,011 HE WOULD DIE OF DEHYDRATION. 1469 00:37:58,011 --> 00:37:58,712 I COME SO MUCH. 1470 00:37:58,712 --> 00:38:00,246 SO YOU ARE NOT DYING? 1471 00:38:00,246 --> 00:38:00,447 NO. 1472 00:38:00,447 --> 00:38:03,116 I'M FINE. 1473 00:38:03,116 --> 00:38:04,818 YOU WANT TO DO IT AGAIN? 1474 00:38:04,818 --> 00:38:07,654 NO. 1475 00:38:07,654 --> 00:38:08,054 I'M FUCKING TIRED. 1476 00:38:08,054 --> 00:38:08,288 WHAT? 1477 00:38:08,288 --> 00:38:11,024 ♪ ♪ 1478 00:38:11,024 --> 00:38:13,326 HEARTS AND HANDS HOSPICE CARE 1479 00:38:13,326 --> 00:38:15,962 AND SEWAGE SOLUTIONS. 1480 00:38:15,962 --> 00:38:18,398 HONESTLY, WE ARE BETTER AT THE 1481 00:38:18,398 --> 00:38:18,698 SEWAGE PART. 1482 00:38:18,698 --> 00:38:19,899 [CHEERS AND APPLAUSE] 1483 00:38:19,899 --> 00:38:20,433 John: THAT'S OUR SHOW. 1484 00:38:20,433 --> 00:38:21,001 THANKS SO MUCH FOR WATCHING! 1485 00:38:21,001 --> 00:38:21,568 WE'RE OFF FOR THE NEXT TWO 1486 00:38:21,568 --> 00:38:22,802 WEEKS, BACK SEPTEMBER 8TH! 1487 00:38:22,802 --> 00:38:24,738 GOOD NIGHT! 1488 00:38:24,738 --> 00:38:26,606 ♪ ♪ 1489 00:38:26,606 --> 00:38:27,540 [CHEERS AND APPLAUSE] 1490 00:38:27,540 --> 00:38:28,641 ARE YOU THIRSTY? 1491 00:38:28,641 --> 00:38:31,411 I AM SO THIRSTY. 1492 00:38:31,411 --> 00:38:33,613 LET ME GET SOME OF THAT. 1493 00:38:33,613 --> 00:38:34,414 GET YOUR OWN. 1494 00:38:34,414 --> 00:38:38,018 OKAY. 1495 00:38:38,018 --> 00:38:38,518 ♪ ♪ 1496 00:38:38,518 --> 00:38:39,652 OH, MY GOD. 1497 00:38:39,652 --> 00:38:45,792 OH, THAT'S GOOD. 1498 00:38:45,792 --> 00:38:48,561 SO MANY FLUIDS IN MY MOUTH. 1499 00:38:48,561 --> 00:38:48,828 LET'S GO! 1500 00:38:48,828 --> 00:38:51,798 OKAY!