1 00:00:10,100 --> 00:00:13,900 ♪ ♪ 2 00:00:13,966 --> 00:00:20,666 ♪ ♪ 3 00:00:20,733 --> 00:00:27,700 ♪ ♪ 4 00:00:27,766 --> 00:00:30,033 >> John: HI THERE! 5 00:00:30,100 --> 00:00:31,600 WELCOME TO THE SHOW. 6 00:00:31,666 --> 00:00:33,300 STILL COMING TO YOU FROM THIS 7 00:00:33,366 --> 00:00:33,600 BLANK VOID. 8 00:00:33,666 --> 00:00:34,600 WHICH I ACTUALLY SHARE WITH THE 9 00:00:34,666 --> 00:00:37,800 PIXAR LAMP. 10 00:00:37,866 --> 00:00:38,900 IT SAYS IF I TRY TO LEAVE, IT'LL 11 00:00:38,966 --> 00:00:39,933 CRUSH ME LIKE THE LETTER "I", 12 00:00:40,000 --> 00:00:40,733 AND I CAN'T TELL HOW SCARED 13 00:00:40,800 --> 00:00:41,800 AND/OR HORNY I SHOULD BE. 14 00:00:41,866 --> 00:00:42,800 IT'S BEEN ANOTHER BUSY WEEK. 15 00:00:42,866 --> 00:00:44,166 IN THE U.S., COVID VACCINATIONS 16 00:00:44,233 --> 00:00:45,200 ARE RACING AGAINST NEW VARIANTS 17 00:00:45,266 --> 00:00:46,166 OF THE VIRUS. 18 00:00:46,233 --> 00:00:47,733 AND IN THE U.K., PRINCE PHILIP 19 00:00:47,800 --> 00:00:49,033 DIED, WHICH IS A TRAGEDY IF YOU 20 00:00:49,100 --> 00:00:50,200 DON'T KNOW A SINGLE THING ABOUT 21 00:00:50,266 --> 00:00:51,466 HIM. 22 00:00:51,533 --> 00:00:53,266 AND EVEN IF YOU KNOW A LITTLE 23 00:00:53,333 --> 00:00:53,866 ABOUT HIM, YOU MIGHT NOT KNOW 24 00:00:53,933 --> 00:00:54,700 THIS. 25 00:00:54,766 --> 00:00:56,233 >> TAKE IT BACK TO THE BEGINNING 26 00:00:56,300 --> 00:00:59,233 FOR US, ALASTAIR, AND TELL US 27 00:00:59,300 --> 00:01:00,866 HOW THE YOUNG PRINCE PHILIP OF 28 00:01:00,933 --> 00:01:02,766 GREECE AND DENMARK MET THE 29 00:01:02,833 --> 00:01:05,600 THEN-PRINCESS ELIZABETH. 30 00:01:05,666 --> 00:01:06,933 >> WELL, THEY WERE RELATED. 31 00:01:07,033 --> 00:01:10,066 >> John: YEAH, THAT'S RIGHT, 32 00:01:10,133 --> 00:01:10,600 PRINCE PHILIP AND 33 00:01:10,666 --> 00:01:11,966 QUEEN ELIZABETH ARE COUSINS WHO 34 00:01:12,033 --> 00:01:13,600 LATER GOT MARRIED -- ALSO KNOWN 35 00:01:13,666 --> 00:01:15,600 AS A "GIULIANI MEET-CUTE." 36 00:01:15,666 --> 00:01:19,666 MEANWHILE, THE MATT GAETZ SAGA 37 00:01:19,733 --> 00:01:21,433 CONTINUES TO UNFOLD THIS WEEK, 38 00:01:21,500 --> 00:01:22,033 AND NOT IN ANY WAYS THAT LOOK 39 00:01:22,100 --> 00:01:22,366 GOOD FOR HIM. 40 00:01:22,433 --> 00:01:23,000 >> THE NEW REPORT OVERNIGHT 41 00:01:23,066 --> 00:01:24,500 ALLEGES GAETZ SENT CLOSE 42 00:01:24,566 --> 00:01:26,166 ASSOCIATE AND ACCUSED 43 00:01:26,233 --> 00:01:27,166 SEX TRAFFICKER JOEL GREENBERG 44 00:01:27,233 --> 00:01:28,233 $900 IN TWO LATE-NIGHT VENMO 45 00:01:28,300 --> 00:01:30,366 TRANSACTIONS IN 2018. 46 00:01:30,433 --> 00:01:32,533 ACCORDING TO THE DAILY BEAST, 47 00:01:32,600 --> 00:01:34,266 GREENBERG USED THE SAME APP TO 48 00:01:34,333 --> 00:01:35,166 SEND THREE YOUNG WOMEN, 49 00:01:35,233 --> 00:01:37,300 INCLUDING ONE WHO HAD RECENTLY 50 00:01:37,366 --> 00:01:38,533 TURNED 18, VARYING SUMS OF MONEY 51 00:01:38,600 --> 00:01:40,933 THAT AMOUNTED TO $900. 52 00:01:41,033 --> 00:01:41,966 GREENBERG MADE THE PAYMENTS TO 53 00:01:42,033 --> 00:01:42,700 THE THREE YOUNG WOMEN WITH THE 54 00:01:42,766 --> 00:01:44,466 DESCRIPTIONS "TUITION," 55 00:01:44,533 --> 00:01:48,466 "SCHOOL," AND "SCHOOL." 56 00:01:48,533 --> 00:01:49,766 >> John: YOU FUCKING IDIOTS! 57 00:01:49,833 --> 00:01:50,800 I CAN'T BELIEVE I HAVE TO SAY 58 00:01:50,866 --> 00:01:56,600 THIS, BUT IF YOU'RE TRYING TO 59 00:01:56,666 --> 00:01:58,633 SUSPICIOUS POTENTIALLY CRIMINAL 60 00:01:58,700 --> 00:01:59,533 TRANSACTIONS, 61 00:01:59,600 --> 00:02:00,500 VENMO IS NOT THE APP TO USE. 62 00:02:00,566 --> 00:02:01,933 VENMO IS FOR ONE THING AND ONE 63 00:02:02,000 --> 00:02:02,566 THING ONLY: PASSING JUDGMENT ON 64 00:02:02,633 --> 00:02:03,200 FRIENDS' SPENDING HABITS WHILE 65 00:02:03,266 --> 00:02:03,800 OBSESSING OVER WILD FINANCIAL 66 00:02:03,866 --> 00:02:04,466 MYSTERIES. 67 00:02:04,533 --> 00:02:05,600 WAIT, BRIAN PAID HIS GIRLFRIEND 68 00:02:05,666 --> 00:02:06,266 FOR PIZZA? 69 00:02:06,333 --> 00:02:07,366 WHY CAN'T KAITLIN JUST LET HIM 70 00:02:07,433 --> 00:02:08,333 SLIDE ON THIS? 71 00:02:08,400 --> 00:02:09,900 THEY LIVE TOGETHER, AND IT'S 72 00:02:09,966 --> 00:02:10,100 PIZZA. 73 00:02:10,166 --> 00:02:10,733 WAIT, KAITLIN'S PAYING BRIAN 74 00:02:10,800 --> 00:02:12,900 NOW? 75 00:02:12,966 --> 00:02:13,166 FOR CAKE? 76 00:02:13,233 --> 00:02:14,233 BRIAN LIKED IT? 77 00:02:14,300 --> 00:02:16,533 THE FUCK IS GOING ON IN 78 00:02:16,600 --> 00:02:16,933 THIS RELATIONSHIP? 79 00:02:17,000 --> 00:02:17,933 AND LOOK, I HAVE TO TELL YOU, 80 00:02:18,000 --> 00:02:18,766 MATT GAETZ HAS DENIED ALL 81 00:02:18,833 --> 00:02:20,933 ACCUSATIONS. 82 00:02:21,000 --> 00:02:22,266 AND I'M SURE THERE WILL BE MORE 83 00:02:22,333 --> 00:02:23,300 TO SAY ABOUT ALL THIS WHEN HE 84 00:02:23,366 --> 00:02:24,866 GOES TO PRISON. 85 00:02:24,933 --> 00:02:26,233 BUT FOR NOW, LET'S TALK ABOUT 86 00:02:26,300 --> 00:02:27,466 IMMIGRATION. 87 00:02:27,533 --> 00:02:29,600 THERE'S BEEN A LOT OF COVERAGE 88 00:02:29,666 --> 00:02:30,533 LATELY ABOUT WHAT'S HAPPENING ON 89 00:02:30,600 --> 00:02:31,800 THE BORDER, WHICH IS TROUBLING 90 00:02:31,866 --> 00:02:32,433 AND COMPLICATED, BUT I'D 91 00:02:32,500 --> 00:02:33,733 ACTUALLY LIKE TO TALK ABOUT 92 00:02:33,800 --> 00:02:34,700 SOMETHING A LOT LESS COMPLICATED 93 00:02:34,766 --> 00:02:38,500 THAT'S ALSO GETTING A LOT LESS 94 00:02:38,566 --> 00:02:39,533 COVERAGE, AND THAT IS THE U.S. 95 00:02:39,600 --> 00:02:40,733 REFUGEE ADMISSIONS PROGRAM. 96 00:02:40,800 --> 00:02:41,733 IT'S FOR PEOPLE CURRENTLY ABROAD 97 00:02:41,800 --> 00:02:42,966 FLEEING PERSECUTION OR VIOLENCE 98 00:02:43,033 --> 00:02:45,266 WHO'VE APPLIED FOR RESETTLEMENT. 99 00:02:45,333 --> 00:02:46,366 AND THE U.S. USED TO BE A WORLD 100 00:02:46,433 --> 00:02:48,900 LEADER IN HOW MANY REFUGEES WE 101 00:02:48,966 --> 00:02:50,966 ACCEPTED, BUT THIS FUCKING GUY 102 00:02:51,033 --> 00:02:52,533 NOT ONLY SLASHED THE ADMISSIONS 103 00:02:52,600 --> 00:02:53,733 CAP DOWN TO A HISTORIC ANNUAL 104 00:02:53,800 --> 00:02:55,200 LOW OF 15,000, HE ALSO ADDED 105 00:02:55,266 --> 00:02:57,100 DISCRIMINATORY ELIGIBILITY 106 00:02:57,166 --> 00:02:58,466 CATEGORIES THAT HAVE BLOCKED 107 00:02:58,533 --> 00:02:59,900 MANY MUSLIM AND AFRICAN REFUGEES 108 00:02:59,966 --> 00:03:02,000 FROM COMING TO THE U.S. 109 00:03:02,066 --> 00:03:03,133 AND TO HIS CREDIT, BIDEN RAN ON 110 00:03:03,200 --> 00:03:05,266 A PLATFORM THAT INCLUDED 111 00:03:05,333 --> 00:03:06,300 REVERSING TRUMP'S POLICIES. 112 00:03:06,366 --> 00:03:08,866 AND SINCE TAKING OFFICE, HE'S 113 00:03:08,933 --> 00:03:10,100 BEEN ABOUT AS ELOQUENT AS BIDEN 114 00:03:10,166 --> 00:03:11,500 CAN BE ABOUT THE MORAL 115 00:03:11,566 --> 00:03:14,800 IMPERATIVE OF DOING SO. 116 00:03:14,866 --> 00:03:17,166 >> COME WITH ME INTO 117 00:03:17,233 --> 00:03:18,066 SIERRA LEONE. 118 00:03:18,133 --> 00:03:19,233 COME WITH ME INTO PARTS OF 119 00:03:19,300 --> 00:03:20,533 LEBANON. 120 00:03:20,600 --> 00:03:22,133 COME WITH ME AROUND THE WORLD 121 00:03:22,200 --> 00:03:23,433 AND SEE PEOPLE PILED UP IN 122 00:03:23,500 --> 00:03:25,900 CAMPS, KIDS DYING, NO WAY OUT, 123 00:03:25,966 --> 00:03:28,066 REFUGEES FLEEING FROM 124 00:03:28,133 --> 00:03:30,666 PERSECUTION. 125 00:03:30,733 --> 00:03:31,933 WE, THE UNITED STATES, USED TO 126 00:03:32,000 --> 00:03:33,433 DO OUR PART. 127 00:03:33,500 --> 00:03:37,033 WE WERE PART OF THAT. 128 00:03:37,100 --> 00:03:38,033 WE'RE -- AND, YOU KNOW, THAT'S, 129 00:03:38,100 --> 00:03:38,833 YOU KNOW -- SEND ME YOUR 130 00:03:38,900 --> 00:03:39,866 HUDDLED MASSES. 131 00:03:39,933 --> 00:03:44,333 COME ON! 132 00:03:44,400 --> 00:03:46,400 >> John: RIGHT, AND UNDERNEATH 133 00:03:46,466 --> 00:03:47,966 THAT PATRIOTIC WORD SALAD IS A 134 00:03:48,033 --> 00:03:48,733 PRETTY GOOD POINT. 135 00:03:48,800 --> 00:03:49,600 EVEN THOUGH HE'S MAKING IT WHILE 136 00:03:49,666 --> 00:03:50,233 MANAGING TO SOUND LIKE A GUY IN 137 00:03:50,300 --> 00:03:50,866 A STATUE OF LIBERTY COSTUME IN 138 00:03:50,933 --> 00:03:51,766 TIMES SQUARE. 139 00:03:51,833 --> 00:03:53,266 "SEND ME YOUR HUDDLED MASSES. 140 00:03:53,333 --> 00:03:53,500 COME ON. 141 00:03:53,566 --> 00:03:54,100 I'M BREATHING IN GREEN LEAD 142 00:03:54,166 --> 00:03:54,800 PAINT HERE, SO DO YOU WANT 143 00:03:54,866 --> 00:03:55,833 A PICTURE WITH ME AND 144 00:03:55,900 --> 00:03:57,166 BUZZ LIGHTYEAR OR NOT?" 145 00:03:57,233 --> 00:03:58,033 IN EARLY FEBRUARY, BIDEN 146 00:03:58,100 --> 00:03:58,700 ANNOUNCED THAT HE'D RAISE THE 147 00:03:58,766 --> 00:03:59,900 CEILING ON ADMISSIONS TO OVER 148 00:03:59,966 --> 00:04:02,200 62,000, ELIMINATE TRUMP'S 149 00:04:02,266 --> 00:04:02,900 RESTRICTIONS, AND RAISE THE CAP 150 00:04:02,966 --> 00:04:06,500 EVEN HIGHER NEXT YEAR. 151 00:04:06,566 --> 00:04:07,366 WHICH SOUNDS GREAT. 152 00:04:07,433 --> 00:04:08,500 UNFORTUNATELY, THAT WAS TWO 153 00:04:08,566 --> 00:04:09,466 MONTHS AGO, AND HE STILL HASN'T 154 00:04:09,533 --> 00:04:10,733 SIGNED THE PRESIDENTIAL 155 00:04:10,800 --> 00:04:11,833 DETERMINATION THAT WOULD REVISE 156 00:04:11,900 --> 00:04:14,800 TRUMP'S RULES. 157 00:04:14,866 --> 00:04:19,900 AND IT HAS BEEN HARD TO GET A 158 00:04:19,966 --> 00:04:20,433 STRAIGHT ANSWER FROM THIS 159 00:04:20,500 --> 00:04:20,966 ADMINISTRATION ABOUT WHY. 160 00:04:21,033 --> 00:04:22,266 >> THE PRESIDENT HAS SAID THAT 161 00:04:22,333 --> 00:04:22,900 THAT'S SOMETHING THAT SHOULD BE 162 00:04:22,966 --> 00:04:23,300 DONE IMMEDIATELY. 163 00:04:23,366 --> 00:04:23,833 WHY DIDN'T HE DO IT TODAY? 164 00:04:23,900 --> 00:04:25,400 >> I THINK WE'RE GONNA HAVE MORE 165 00:04:25,466 --> 00:04:27,233 AGAIN SOON IN THE COMING DAYS 166 00:04:27,300 --> 00:04:29,266 AND WEEKS ON MORE STEPS AND 167 00:04:29,333 --> 00:04:30,233 ACTIONS THAT THE PRESIDENT IS 168 00:04:30,300 --> 00:04:31,233 INTERESTED IN TAKING. 169 00:04:31,300 --> 00:04:32,200 SO I'M JUST NOT GONNA GET AHEAD 170 00:04:32,266 --> 00:04:33,266 OF THAT RIGHT NOW. 171 00:04:33,333 --> 00:04:34,200 >> WHY HASN'T THE PRESIDENT 172 00:04:34,266 --> 00:04:35,566 SIGNED THE PAPERWORK TO LIFT 173 00:04:35,633 --> 00:04:36,166 THE, THE -- RAISE THE REFUGEE 174 00:04:36,233 --> 00:04:36,900 CAP? 175 00:04:36,966 --> 00:04:38,466 >> WELL, I WOULD REFER YOU TO 176 00:04:38,533 --> 00:04:40,166 THE STATE DEPARTMENT. 177 00:04:40,233 --> 00:04:41,700 >> LAST MONTH, THE PRESIDENT DID 178 00:04:41,766 --> 00:04:43,433 ANNOUNCE THAT HE INTENDED TO 179 00:04:43,500 --> 00:04:45,000 RAISE THE REFUGEE CAP. 180 00:04:45,066 --> 00:04:45,566 THAT HASN'T SEEMED TO HAPPEN 181 00:04:45,633 --> 00:04:45,733 YET. 182 00:04:45,800 --> 00:04:46,433 WHY HAVEN'T THOSE FLIGHTS 183 00:04:46,500 --> 00:04:47,233 CONTINUED? 184 00:04:47,300 --> 00:04:47,966 >> HE REMAINS COMMITTED, BUT I 185 00:04:48,033 --> 00:04:49,066 DON'T HAVE AN UPDATE ON THE 186 00:04:49,133 --> 00:04:50,400 TIMING OF THE FLIGHTS. 187 00:04:50,466 --> 00:04:52,000 >> DOES IT HAVE ANYTHING TO DO 188 00:04:52,066 --> 00:04:53,033 WITH THE FACT THAT RESOURCES ARE 189 00:04:53,100 --> 00:04:53,800 GOING TOWARDS THE BORDER AT THIS 190 00:04:53,866 --> 00:04:54,133 TIME? 191 00:04:54,200 --> 00:04:54,866 OR -- 192 00:04:54,933 --> 00:04:56,233 >> NO, NO, IT'S NOT RELATED TO 193 00:04:56,300 --> 00:04:56,433 THAT. 194 00:04:56,500 --> 00:04:57,166 NO. 195 00:04:57,233 --> 00:04:58,366 >> John: THEN WHAT IS IT RELATED 196 00:04:58,433 --> 00:05:02,066 TO? 197 00:05:02,133 --> 00:05:03,366 ALTHOUGH PROPS TO JEN PSAKI, 198 00:05:03,433 --> 00:05:05,400 ONLY A FEW MONTHS INTO THE JOB 199 00:05:05,466 --> 00:05:06,000 AND SHE'S ALREADY WAVING AWAY 200 00:05:06,066 --> 00:05:09,133 CONCERNS ABOUT STRANDED REFUGEES 201 00:05:09,200 --> 00:05:09,933 WITH THE EASE OF 202 00:05:10,000 --> 00:05:10,433 A SPIRIT AIRLINES GATE 203 00:05:10,500 --> 00:05:11,433 AGENT LETTING YOU KNOW YOUR 204 00:05:11,500 --> 00:05:11,833 FLIGHT'S DELAYED. 205 00:05:11,900 --> 00:05:12,433 "REST ASSURED, WE'RE COMMITTED 206 00:05:12,500 --> 00:05:12,966 TO GETTING YOU TO ORLANDO 207 00:05:13,033 --> 00:05:13,266 EVENTUALLY. 208 00:05:13,333 --> 00:05:14,233 WE JUST CAN'T TELL YOU WHERE 209 00:05:14,300 --> 00:05:14,833 YOUR PLANE IS, WHY IT'S TAKING 210 00:05:14,900 --> 00:05:15,466 SO LONG, OR WHAT YEAR YOU MIGHT 211 00:05:15,533 --> 00:05:16,300 ARRIVE." 212 00:05:16,366 --> 00:05:17,666 AND THE THING IS, THERE ARE 213 00:05:17,733 --> 00:05:18,566 NEARLY 115,000 REFUGEES IN 214 00:05:18,633 --> 00:05:20,666 VARIOUS STAGES OF THE 215 00:05:20,733 --> 00:05:22,966 RESETTLEMENT PROCESS RIGHT NOW, 216 00:05:23,033 --> 00:05:24,766 WITH MORE THAN 35,000 ALREADY 217 00:05:24,833 --> 00:05:27,366 APPROVED FOR RESETTLEMENT HERE. 218 00:05:27,433 --> 00:05:29,600 BUT UNTIL BIDEN SIGNS THAT 219 00:05:29,666 --> 00:05:30,800 DETERMINATION, THEY'RE STILL 220 00:05:30,866 --> 00:05:35,633 BEHOLDEN TO TRUMP'S LOW 221 00:05:35,700 --> 00:05:37,333 ADMISSIONS CEILING AND BULLSHIT 222 00:05:37,400 --> 00:05:43,800 RACIST RULES. 223 00:05:43,866 --> 00:05:45,766 AND MUCH AMONG, MORE THAN 700 224 00:05:45,833 --> 00:05:46,933 REFUGEES HAD THEIR FLIGHTS 225 00:05:47,000 --> 00:05:47,200 CANCELED. 226 00:05:47,266 --> 00:05:47,866 AND REMEMBER, THESE ARE 227 00:05:47,933 --> 00:05:48,800 VULNERABLE PEOPLE WHO MAY HAVE 228 00:05:48,866 --> 00:05:49,433 SURRENDERED THEIR BELONGINGS OR 229 00:05:49,500 --> 00:05:50,166 HOMES IN ANTICIPATION OF LEAVING 230 00:05:50,233 --> 00:05:51,033 THE COUNTRY OR WHO ARE WAITING 231 00:05:51,100 --> 00:05:51,633 IN CAMPS. 232 00:05:51,700 --> 00:05:52,666 ALSO, ANY DELAY CAN MEAN THEIR 233 00:05:52,733 --> 00:05:53,333 REQUIRED HEALTH OR SECURITY 234 00:05:53,400 --> 00:05:54,200 CHECKS EXPIRE, AND THEY HAVE TO 235 00:05:54,266 --> 00:05:55,333 START THE WHOLE PROCESS ALL OVER 236 00:05:55,400 --> 00:05:57,233 AGAIN. 237 00:05:57,300 --> 00:05:58,600 ONE CONGOLESE WOMAN WAS 238 00:05:58,666 --> 00:06:00,500 SCHEDULED TO FLY HERE IN EARLY 239 00:06:00,566 --> 00:06:01,900 MARCH BUT HAD HER TICKET 240 00:06:01,966 --> 00:06:02,933 CANCELED, AND BECAUSE SHE'S 241 00:06:03,000 --> 00:06:04,800 PREGNANT AND NOW IN HER THIRD 242 00:06:04,866 --> 00:06:05,866 TRIMESTER, SHE CAN NO LONGER 243 00:06:05,933 --> 00:06:07,800 TRAVEL AT ALL. 244 00:06:07,866 --> 00:06:09,733 AND BY THE WAY, WHEN HER BABY IS 245 00:06:09,800 --> 00:06:10,600 BORN, THAT CHILD WILL HAVE TO 246 00:06:10,666 --> 00:06:12,133 UNDERGO A SEPARATE SCREENING 247 00:06:12,200 --> 00:06:14,500 PROCESS THAT COULD TAKE MONTHS. 248 00:06:14,566 --> 00:06:19,400 WHICH IS PRETTY WEIRD BECAUSE 249 00:06:19,466 --> 00:06:20,900 I'M RELATIVELY SURE YOU CAN'T 250 00:06:20,966 --> 00:06:24,066 HAVE FOREIGN ALLEGIANCES BEFORE 251 00:06:24,133 --> 00:06:25,033 YOU HAVE OBJECT FUCKING 252 00:06:25,100 --> 00:06:25,333 PERMANENCE. 253 00:06:25,400 --> 00:06:26,000 THERE ARE THOUSANDS OF PEOPLE 254 00:06:26,066 --> 00:06:26,566 NOW STUCK IN THIS POINTLESS 255 00:06:26,633 --> 00:06:27,066 LIMBO. 256 00:06:27,133 --> 00:06:27,866 IT'S AN INFURIATING SITUATION, 257 00:06:27,933 --> 00:06:28,533 PERHAPS BEST SUMMED BY THIS 258 00:06:28,600 --> 00:06:29,333 WOMAN, WHO CAN'T FIGURE OUT WHY 259 00:06:29,400 --> 00:06:30,166 HER FRIEND -- A REFUGEE 260 00:06:30,233 --> 00:06:31,800 CURRENTLY STUCK IN A CAMP IN 261 00:06:31,866 --> 00:06:33,033 MALAWI, WHO'S BEEN APPROVED FOR 262 00:06:33,100 --> 00:06:34,233 RESETTLEMENT -- CAN'T GET ON A 263 00:06:34,300 --> 00:06:36,733 PLANE. 264 00:06:36,800 --> 00:06:38,833 >> THIS PRESIDENT, JOE BIDEN. 265 00:06:38,900 --> 00:06:41,400 WHEN HE CAME, HE SAID THAT HE 266 00:06:41,466 --> 00:06:43,100 WOULD JUST ADD MORE REFUGEES TO 267 00:06:43,166 --> 00:06:44,866 COME TO USA. 268 00:06:44,933 --> 00:06:48,166 AND I HEAR IN THE NEWS THAT 269 00:06:48,233 --> 00:06:49,100 THERE IS A PAPER. 270 00:06:49,166 --> 00:06:50,233 I DON'T KNOW WHICH IS A PAPER OR 271 00:06:50,300 --> 00:06:51,233 SOMETHING THAT HE'S SUPPOSED TO 272 00:06:51,300 --> 00:06:53,733 SIGN. 273 00:06:53,800 --> 00:06:56,000 PLEASE, PLEASE, IF HE HEAR MY 274 00:06:56,066 --> 00:06:57,900 VOICE, PLEASE HELP OUR FRIENDS 275 00:06:57,966 --> 00:06:59,200 WHO ARE STRUGGLING IN THE 276 00:06:59,266 --> 00:07:00,566 REFUGEE CAMP. 277 00:07:00,633 --> 00:07:01,800 >> John: LOOK, AT LEAST SOME 278 00:07:01,866 --> 00:07:03,000 OF THE PEOPLE WHO VOTED FOR 279 00:07:03,066 --> 00:07:04,333 BIDEN -- MAYBE RELUCTANTLY -- 280 00:07:04,400 --> 00:07:09,233 DID SO ON THE UNDERSTANDING THAT 281 00:07:09,300 --> 00:07:10,066 REFUGEES WOULD NOT HAVE TO GO ON 282 00:07:10,133 --> 00:07:10,700 CAMERA TO BEG FOR THEIR 283 00:07:10,766 --> 00:07:11,800 ALREADY-APPROVED LOVED ONES TO 284 00:07:11,866 --> 00:07:14,000 BE ALLOWED TO COME HERE, BECAUSE 285 00:07:14,066 --> 00:07:14,666 THAT IS ONE OF THOSE THINGS THAT 286 00:07:14,733 --> 00:07:15,933 GOOD GUYS ARE SUPPOSED TO 287 00:07:16,000 --> 00:07:17,066 CHANGE, RIGHT NEXT TO NOT HIRING 288 00:07:17,133 --> 00:07:18,100 THEIR OWN KIDS OR NOT LETTING 289 00:07:18,166 --> 00:07:19,633 MIKE LINDELL SWAP OUT THE 290 00:07:19,700 --> 00:07:21,366 PILLOWS IN THE LINCOLN BEDROOM. 291 00:07:21,433 --> 00:07:22,866 AND FOR BIDEN, THIS IS ACTUALLY 292 00:07:22,933 --> 00:07:23,966 REALLY SIMPLE. 293 00:07:24,033 --> 00:07:25,100 HE DOESN'T NEED TO NEGOTIATE 294 00:07:25,166 --> 00:07:26,933 WITH REPUBLICANS ON THIS OR 295 00:07:27,000 --> 00:07:27,866 RECKON WITH JOE MANCHIN'S BONER 296 00:07:27,933 --> 00:07:28,966 FOR THE FILIBUSTER. 297 00:07:29,033 --> 00:07:30,300 HE JUST NEEDS TO SIGN A PIECE OF 298 00:07:30,366 --> 00:07:31,933 PAPER. 299 00:07:32,000 --> 00:07:33,766 AND FOR A GUY WHO CLEARLY WANTED 300 00:07:33,833 --> 00:07:35,300 TO BE THE PERSON WHO "RESTORED 301 00:07:35,366 --> 00:07:38,066 THE SOUL" OF AMERICA, IT'S PAST 302 00:07:38,133 --> 00:07:41,866 TIME FOR HIM TO LOOK DEEP INTO 303 00:07:41,933 --> 00:07:42,966 HIS OWN, PICK UP A FUCKING PEN, 304 00:07:43,033 --> 00:07:43,666 AND DO THE RIGHT THING. 305 00:07:43,733 --> 00:07:48,700 AND NOW THIS. 306 00:07:48,766 --> 00:07:49,933 >> Announcer: AND NOW, A 307 00:07:50,000 --> 00:07:51,800 FAREWELL TRIBUTE TO THE GREATEST 308 00:07:51,866 --> 00:07:53,633 QUESTIONS EVER ASKED ON 309 00:07:53,700 --> 00:07:56,066 YAHOO! ANSWERS. 310 00:07:56,133 --> 00:07:59,666 >> WHY DO MY BALLS SMELL LIKE 311 00:07:59,733 --> 00:08:02,066 HAM? 312 00:08:02,133 --> 00:08:04,600 WHAT'S WRONG ABOUT BEING 313 00:08:04,666 --> 00:08:05,800 SEXUALLY ATTRACTED TO POKEMON? 314 00:08:05,866 --> 00:08:11,100 IS IT TRUE THAT SWEAT IN PEE ARE 315 00:08:11,166 --> 00:08:11,433 LIKE COUSINS? 316 00:08:11,500 --> 00:08:16,966 WHAT IS THAT ONE MOVIE WHERE 317 00:08:17,033 --> 00:08:19,133 LINDSAY LOHAN AND JAMIE LEE 318 00:08:19,200 --> 00:08:19,600 CURTIS SWITCH BODIES? 319 00:08:19,666 --> 00:08:24,333 NOT "FREAKY FRIDAY?" 320 00:08:24,400 --> 00:08:25,600 STD FROM DOUG? 321 00:08:25,666 --> 00:08:28,333 IS IT POSSIBLE? 322 00:08:28,400 --> 00:08:30,566 OKAY, WEIRD QUESTION, I SAW A 323 00:08:30,633 --> 00:08:31,233 FROG CARRYING ANOTHER FROG ON 324 00:08:31,300 --> 00:08:36,133 ITS BACK. 325 00:08:36,200 --> 00:08:38,733 DOES OF ART CONTAIN DNA? 326 00:08:38,800 --> 00:08:46,433 HOW IS BABBY FORMED? 327 00:08:46,500 --> 00:08:47,333 >> John: MOVING ON. 328 00:08:47,400 --> 00:08:48,566 OUR MAIN STORY TONIGHT CONCERNS 329 00:08:48,633 --> 00:08:49,333 NURSING HOMES, THE ABSOLUTE LAST 330 00:08:49,400 --> 00:08:49,966 THING YOU WANT ANDREW CUOMO TO 331 00:08:50,033 --> 00:08:50,766 BE HANDLING, TIED COMFORTABLY 332 00:08:50,833 --> 00:08:51,800 WITH LITERALLY ANYTHING ELSE. 333 00:08:51,866 --> 00:08:53,066 NURSING HOMES, AND LONG-TERM 334 00:08:53,133 --> 00:08:54,133 CARE IN GENERAL, ARE SOMETHING 335 00:08:54,200 --> 00:08:56,566 WE TEND TO AVOID THINKING ABOUT, 336 00:08:56,633 --> 00:08:58,300 BUT THE TRUTH IS, WHETHER DUE TO 337 00:08:58,366 --> 00:08:59,300 OLD AGE OR DISABILITY, MANY OF 338 00:08:59,366 --> 00:09:01,133 US DO OR WILL REQUIRE HELP WITH 339 00:09:01,200 --> 00:09:03,033 DAILY LIVING. 340 00:09:03,100 --> 00:09:04,400 THE NUMBER OF AMERICANS 65 AND 341 00:09:04,466 --> 00:09:06,433 OLDER IS PROJECTED TO NEARLY 342 00:09:06,500 --> 00:09:07,766 DOUBLE OVER THE NEXT 40 YEARS, 343 00:09:07,833 --> 00:09:08,933 AND ONE STUDY ESTIMATED OVER 344 00:09:09,000 --> 00:09:10,333 TWO-THIRDS OF AMERICANS WHO 345 00:09:10,400 --> 00:09:11,700 REACH 65 WILL NEED LONG-TERM 346 00:09:11,766 --> 00:09:12,800 CARE AT SOME POINT IN THEIR 347 00:09:12,866 --> 00:09:16,433 LIVES. 348 00:09:16,500 --> 00:09:20,033 AND THE GOOD NEWS IS, FOR THE 349 00:09:20,100 --> 00:09:23,100 RICH, THERE ARE PLENTY OF 350 00:09:23,166 --> 00:09:23,333 OPTIONS. 351 00:09:23,400 --> 00:09:24,233 THERE ARE MULTIPLE UPSCALE 352 00:09:24,300 --> 00:09:24,800 RETIREMENT COMMUNITIES WHERE 353 00:09:24,866 --> 00:09:25,366 RESIDENTS CAN TRANSITION, IF 354 00:09:25,433 --> 00:09:26,800 NEEDED, INTO FULL-TIME NURSING 355 00:09:26,866 --> 00:09:27,400 CARE, LIKE THIS ONE, TOURED IN 356 00:09:27,466 --> 00:09:28,066 EXQUISITE FASHION BY 2 CHAINZ: 357 00:09:28,133 --> 00:09:28,500 >> ALL RIGHT. 358 00:09:28,566 --> 00:09:29,633 SO THE NAME OF THIS EPISODE IS 359 00:09:29,700 --> 00:09:30,466 CALLED "THE MOST EXPENSIVE 360 00:09:30,533 --> 00:09:32,266 RETIREMENT," RIGHT? 361 00:09:32,333 --> 00:09:33,366 AND SO THIS IS THE MOST 362 00:09:33,433 --> 00:09:34,666 UPSCALE, LUXURIOUS RETIREMENT 363 00:09:34,733 --> 00:09:35,366 HOME THAT I'VE EVER SEEN AND 364 00:09:35,433 --> 00:09:37,133 EVER HEARD ABOUT. 365 00:09:37,200 --> 00:09:38,133 >> THE BUILDING ITSELF COST 366 00:09:38,200 --> 00:09:40,600 $100 MILLION TO BUILD. 367 00:09:40,666 --> 00:09:41,500 >> DAMN. 368 00:09:41,566 --> 00:09:42,233 >> THE -- THE MARBLE, IT'S FROM 369 00:09:42,300 --> 00:09:43,133 ITALY. 370 00:09:43,200 --> 00:09:44,666 IT'S CUSTOM CARPET. 371 00:09:44,733 --> 00:09:46,266 >> I SEE A LOT OF ART. 372 00:09:46,333 --> 00:09:47,433 I SEE THE VERSACE PLATES. 373 00:09:47,500 --> 00:09:50,000 >> John: OKAY. 374 00:09:50,066 --> 00:09:53,266 EXTRAVAGANCE OF THAT PLACE 375 00:09:53,333 --> 00:09:53,900 ASIDE, LET'S ALL JUST AGREE: 376 00:09:53,966 --> 00:09:54,900 THAT $195 PLATE SUCKS SHIT. 377 00:09:54,966 --> 00:09:56,333 AND I'M NOT NORMALLY A PLATE 378 00:09:56,400 --> 00:09:57,433 GUY -- YOUR BOY'S A SAUCER FREAK 379 00:09:57,500 --> 00:09:58,000 FROM WAY BACK. 380 00:09:58,066 --> 00:09:58,966 I'M A BOWL BITCH. 381 00:09:59,033 --> 00:10:00,166 PLATES AREN'T REALLY MY THING. 382 00:10:00,233 --> 00:10:01,433 BUT EVEN I CAN TELL THAT PLATE 383 00:10:01,500 --> 00:10:02,233 IS A 2. 384 00:10:02,300 --> 00:10:04,066 THAT'S A 2 IN OHIO. 385 00:10:04,133 --> 00:10:05,500 IF YOU'RE GONNA SPEND THAT KIND 386 00:10:05,566 --> 00:10:09,033 OF MONEY ON A PLATE, IT BETTER 387 00:10:09,100 --> 00:10:09,633 BE REALLY BIG, REALLY FUN, OR 388 00:10:09,700 --> 00:10:10,266 REALLY, REALLY HOT. 389 00:10:10,333 --> 00:10:11,333 THAT PLATE -- 390 00:10:11,400 --> 00:10:12,633 LOOK AT ME. 391 00:10:12,700 --> 00:10:16,566 PUT YOUR PHONE DOWN AND LOOK AT 392 00:10:16,633 --> 00:10:19,933 ME WHEN I'M TALKING TO YOU. 393 00:10:20,000 --> 00:10:20,866 THAT PLATE FUCKS. 394 00:10:20,933 --> 00:10:21,700 BUT THE FACT IS, MOST OF US 395 00:10:21,766 --> 00:10:22,633 AREN'T ENDING UP IN THAT PLACE. 396 00:10:22,700 --> 00:10:23,766 IN FACT, THE VAST MAJORITY OF 397 00:10:23,833 --> 00:10:25,400 PEOPLE RECEIVE LONG-TERM CARE AT 398 00:10:25,466 --> 00:10:26,333 HOME, AND AROUND 80% OF THAT 399 00:10:26,400 --> 00:10:27,600 CARE IS PROVIDED BY UNPAID 400 00:10:27,666 --> 00:10:28,766 CAREGIVERS, OFTEN FAMILY MEMBERS 401 00:10:28,833 --> 00:10:30,166 WHO WANT TO KEEP THEIR LOVED 402 00:10:30,233 --> 00:10:32,033 ONES OUT OF INSTITUTIONAL CARE, 403 00:10:32,100 --> 00:10:34,300 LIKE THIS WIFE AND DAUGHTER. 404 00:10:34,366 --> 00:10:36,033 >> CHERYL AND KRISTIN ARE AMONG 405 00:10:36,100 --> 00:10:38,000 THE 42 MILLION AMERICANS CARING 406 00:10:38,066 --> 00:10:39,300 FOR LOVED ONES AT HOME, AND THE 407 00:10:39,366 --> 00:10:41,266 TASKS THEY PERFORM HAVE BECOME 408 00:10:41,333 --> 00:10:43,266 INCREASINGLY COMPLEX. 409 00:10:43,333 --> 00:10:45,066 >> WHEN WE HAVE TO FLUSH HIS 410 00:10:45,133 --> 00:10:46,500 PICC LINE OR CLEAN HIS PEG TUBE 411 00:10:46,566 --> 00:10:48,300 OR TAKE HIS BLOOD GLUCOSE OR HIS 412 00:10:48,366 --> 00:10:50,200 BLOOD PRESSURE, YOU KNOW, NONE 413 00:10:50,266 --> 00:10:51,066 OF US WENT TO SCHOOL FOR THAT. 414 00:10:51,133 --> 00:10:52,100 I MEAN, WE'RE NOT EDUCATED THAT 415 00:10:52,166 --> 00:10:52,966 WAY. 416 00:10:53,033 --> 00:10:53,933 >> I DON'T FEEL LIKE I HAD 417 00:10:54,000 --> 00:10:55,133 ENOUGH TRAINING AT ALL FOR THIS. 418 00:10:55,200 --> 00:10:56,366 WE'VE KIND OF LEARNED BY TRIAL 419 00:10:56,433 --> 00:10:57,366 AND ERROR. 420 00:10:57,433 --> 00:11:03,066 >> John: THAT SEEMS REALLY HARD. 421 00:11:03,133 --> 00:11:04,000 AND THERE ARE CERTAIN THINGS 422 00:11:04,066 --> 00:11:04,600 YOU EXPECT TO DO BY TRIAL AND 423 00:11:04,666 --> 00:11:05,133 ERROR -- SOLVING A PUZZLE, 424 00:11:05,200 --> 00:11:06,000 LEARNING TO PRONOUNCE THE NAME 425 00:11:06,066 --> 00:11:06,666 OF TAMBOURINE SATURDAY, OR 426 00:11:06,733 --> 00:11:10,066 CHOOSING A HAIRCUT -- FOR THE 427 00:11:10,133 --> 00:11:11,166 RECORD, ERROR, ERROR, ERROR, AND 428 00:11:11,233 --> 00:11:13,100 ERROR -- BUT PROVIDING ESSENTIAL 429 00:11:13,166 --> 00:11:15,000 MEDICAL CARE SHOULD NOT BE ONE 430 00:11:15,066 --> 00:11:17,133 OF THOSE THINGS. 431 00:11:17,200 --> 00:11:19,100 TAKING CARE OF SOMEONE AT HOME 432 00:11:19,166 --> 00:11:21,333 CAN BE AN INCREDIBLY 433 00:11:21,400 --> 00:11:23,800 COMPLICATED, FULL-TIME JOB 434 00:11:23,866 --> 00:11:24,900 THAT IS ALMOST ALWAYS UNPAID. 435 00:11:24,966 --> 00:11:28,133 IN FACT, IN TERMS OF LOST WAGES, 436 00:11:28,200 --> 00:11:28,733 THE LABOR OF FAMILY CAREGIVERS 437 00:11:28,800 --> 00:11:29,400 TOTALS ABOUT $67 BILLION 438 00:11:29,466 --> 00:11:30,666 ANNUALLY. 439 00:11:30,733 --> 00:11:33,066 THAT'S A WORKFORCE THAT, IF IT 440 00:11:33,133 --> 00:11:35,333 WERE PAID, WOULD RIVAL THE 441 00:11:35,400 --> 00:11:37,033 ENTIRE GDP OF BULGARIA. 442 00:11:37,100 --> 00:11:38,866 BUT FOR THOSE WHO CAN'T AFFORD 443 00:11:38,933 --> 00:11:41,133 TO EAT OFF UNFUCKABLE PLATES OR 444 00:11:41,200 --> 00:11:41,933 WHOSE LOVED ONES ARE UNABLE TO 445 00:11:42,000 --> 00:11:43,633 HELP THEM AT HOME, MANY WIND UP 446 00:11:43,700 --> 00:11:46,066 IN LONG-TERM CARE FACILITIES. 447 00:11:46,133 --> 00:11:46,733 THERE ARE TWO MILLION PEOPLE IN 448 00:11:46,800 --> 00:11:48,666 THEM IN THE U.S., AND AS WE'VE 449 00:11:48,733 --> 00:11:50,866 SEEN DURING THE COVID CRISIS, 450 00:11:50,933 --> 00:11:52,633 THEY CAN BE FAR FROM IDEAL. 451 00:11:52,700 --> 00:11:54,300 RESIDENTS AND STAFF IN THEM MAKE 452 00:11:54,366 --> 00:11:56,033 UP LESS THAN 1% OF THE 453 00:11:56,100 --> 00:11:57,200 POPULATION, BUT CURRENTLY 454 00:11:57,266 --> 00:11:59,100 ACCOUNT FOR A THIRD OF COVID 455 00:11:59,166 --> 00:12:00,800 DEATHS. 456 00:12:00,866 --> 00:12:02,033 THE PANDEMIC PUSHED AN ALREADY 457 00:12:02,100 --> 00:12:04,600 HEAVILY STRAINED SYSTEM TO THE 458 00:12:04,666 --> 00:12:05,833 ABSOLUTE BRINK, WITH CONDITIONS 459 00:12:05,900 --> 00:12:07,033 GETTING SO BAD THERE WERE 460 00:12:07,100 --> 00:12:07,666 NEAR-CONSTANT LOCAL NEWS STORIES 461 00:12:07,733 --> 00:12:11,533 LIKE THIS: 462 00:12:11,600 --> 00:12:13,133 >> ONE RESIDENT HERE SAYS HER 463 00:12:13,200 --> 00:12:14,900 CALLS FOR HELP OR IGNORED 464 00:12:15,000 --> 00:12:16,500 BECAUSE THERE WASN'T ENOUGH 465 00:12:16,566 --> 00:12:16,900 STAFF TO RESPOND. 466 00:12:16,966 --> 00:12:18,266 >> I'M SCREAMING, "GET ME OUT OF 467 00:12:18,333 --> 00:12:19,466 HERE, GET ME OUT OF HERE, GET ME 468 00:12:19,533 --> 00:12:20,233 OUT OF THIS THI --" 469 00:12:20,300 --> 00:12:21,133 I WAS SCREAMING AT THEM. 470 00:12:21,200 --> 00:12:22,000 I WAS IN TERRIBLE PAIN, AND THEY 471 00:12:22,066 --> 00:12:22,433 DIDN'T COME FOR ME. 472 00:12:22,500 --> 00:12:23,066 >> PENNY SHAW WAS IN PAIN AS SHE 473 00:12:23,133 --> 00:12:23,633 LAY HELPLESS IN HER BED AT 474 00:12:23,700 --> 00:12:25,066 BRAINTREE MANOR NURSING HOME IN 475 00:12:25,133 --> 00:12:27,466 THE MIDST OF THE COVID-19 476 00:12:27,533 --> 00:12:27,733 PANDEMIC. 477 00:12:27,800 --> 00:12:29,533 SHE BECAME SO DESPERATE SHE EVEN 478 00:12:29,600 --> 00:12:30,433 CALLED BRAINTREE POLICE FOR 479 00:12:30,500 --> 00:12:32,600 HELP. 480 00:12:32,666 --> 00:12:34,033 >> I CAN'T LAY IN BED FOR HOURS 481 00:12:34,100 --> 00:12:34,833 AND HOURS, YOU KNOW, IN PAIN 482 00:12:34,900 --> 00:12:40,333 LIKE THAT. 483 00:12:40,400 --> 00:12:42,833 >> John: I HAVE TO TELL YOU, 484 00:12:42,900 --> 00:12:46,300 WE CONTACTED THAT FACILITY, IT 485 00:12:46,366 --> 00:12:48,533 INSISTED THAT THE SAFETY OF ITS 486 00:12:48,600 --> 00:12:49,766 RESIDENTS IS OF UTMOST 487 00:12:49,833 --> 00:12:53,233 IMPORTANCE, BUT THAT IS PRETTY 488 00:12:53,300 --> 00:12:56,033 FUCKING HARD TO BELIEVE WHEN 489 00:12:56,100 --> 00:12:59,733 THEY ARE CALLING THE POLICE FOR 490 00:12:59,800 --> 00:13:00,633 HEALTH. 491 00:13:00,700 --> 00:13:01,366 THEIR ONLY TWO INSTANCES WHERE 492 00:13:01,433 --> 00:13:04,733 THAT IS TO BE EXPECTED, AND THAT 493 00:13:04,800 --> 00:13:04,866 IS 494 00:13:04,933 --> 00:13:06,500 IF YOU'RE GIVING BIRTH OR 495 00:13:06,566 --> 00:13:07,633 DIGESTING A CRUNCH WRAP SUPREME. 496 00:13:07,700 --> 00:13:08,533 BUT IT'S A LOT MORE UPSETTING 497 00:13:08,600 --> 00:13:09,900 AND THE TRUTH IS, COVID JUST 498 00:13:09,966 --> 00:13:10,466 EXPOSED WHAT WE'VE BASICALLY 499 00:13:10,533 --> 00:13:11,133 KNOWN FOR YEARS -- THAT THE WAY 500 00:13:11,200 --> 00:13:11,700 THE ELDERLY AND DISABLED ARE 501 00:13:11,766 --> 00:13:12,533 TREATED IN FAR TOO MANY OF THESE 502 00:13:12,600 --> 00:13:14,133 FACILITIES IS WITH, AT BEST, 503 00:13:14,200 --> 00:13:14,700 INDIFFERENCE, AND AT WORST, 504 00:13:14,766 --> 00:13:15,100 ABUSE AND NEGLECT. 505 00:13:15,166 --> 00:13:16,966 SO TONIGHT, LET'S TALK ABOUT 506 00:13:17,033 --> 00:13:17,833 LONG-TERM CARE -- HOW THE 507 00:13:17,900 --> 00:13:19,000 INDUSTRY IS STRUCTURED, HOW THAT 508 00:13:19,066 --> 00:13:20,500 STRUCTURE CREATES BAD 509 00:13:20,566 --> 00:13:23,200 INCENTIVES, AND WHAT WE CAN DO 510 00:13:23,266 --> 00:13:24,233 GOG FORWARD. 511 00:13:24,300 --> 00:13:26,066 AND WE'RE GOING TO FOCUS ON THE 512 00:13:26,133 --> 00:13:31,000 TWO MAIN TYPES OF LONG-TERM 513 00:13:31,066 --> 00:13:32,400 CARE FACILITIES: NURSING HOMES, 514 00:13:32,466 --> 00:13:33,366 AND ASSISTED LIVING FACILITIES. 515 00:13:33,433 --> 00:13:33,933 NURSING HOMES ARE MEDICAL 516 00:13:34,000 --> 00:13:34,533 FACILITIES OVERSEEN BY TRAINED 517 00:13:34,600 --> 00:13:35,133 NURSES AND LARGELY STAFFED BY 518 00:13:35,200 --> 00:13:36,466 LOW-PAID NURSING ASSISTANTS. 519 00:13:36,533 --> 00:13:38,700 AND THERE HAVE LONG BEEN ISSUES 520 00:13:38,766 --> 00:13:40,033 WITH NURSING HOME CARE -- A GAO 521 00:13:40,100 --> 00:13:41,133 REPORT COVERING A FIVE-YEAR 522 00:13:41,200 --> 00:13:42,733 PERIOD BEFORE THE PANDEMIC FOUND 523 00:13:42,800 --> 00:13:46,266 THAT 82% OF HOMES HAD BEEN CITED 524 00:13:46,333 --> 00:13:47,633 FOR INFECTION PREVENTION AND 525 00:13:47,700 --> 00:13:49,000 CONTROL DEFICIENCIES, AND ABOUT 526 00:13:49,066 --> 00:13:50,500 HALF HAD PERSISTENT PROBLEMS 527 00:13:50,566 --> 00:13:51,666 THAT HAD BEEN CITED ACROSS 528 00:13:51,733 --> 00:13:53,066 MULTIPLE YEARS. 529 00:13:53,133 --> 00:13:54,933 AND A BIG REASON FOR THAT MAY BE 530 00:13:55,033 --> 00:13:57,466 BECAUSE UNDERSTAFFING IS A BIG 531 00:13:57,533 --> 00:13:59,233 PROBLEM, WITH EMPLOYEES OFTEN 532 00:13:59,300 --> 00:14:04,333 TASKED WITH TAKING CARE OF WAY 533 00:14:04,400 --> 00:14:05,266 TOO MANY RESIDENTS, AS THESE 534 00:14:05,333 --> 00:14:05,866 NURSING ASSISTANTS POINTED OUT 535 00:14:05,933 --> 00:14:06,366 JUST LAST YEAR. 536 00:14:06,433 --> 00:14:07,366 >> THEY'RE NOT BEING SHOWERED. 537 00:14:07,433 --> 00:14:10,200 >> PEOPLE FALLING OUT OF BED. 538 00:14:10,266 --> 00:14:10,833 >> THE MEN AREN'T BEING SHAVED. 539 00:14:10,900 --> 00:14:11,633 >> PEOPLE FALLEN TO WHERE THEY 540 00:14:11,700 --> 00:14:12,500 FELL OUT OF THEIR WHEELCHAIRS. 541 00:14:12,566 --> 00:14:16,033 >> WHAT IF THEY NEED CHANGED? 542 00:14:16,100 --> 00:14:16,833 >> THEY MIGHT GET IT ONE TIME. 543 00:14:16,900 --> 00:14:17,333 >> A DAY? 544 00:14:17,400 --> 00:14:18,066 >> A DAY. 545 00:14:18,133 --> 00:14:20,066 WE HAVE 22 RESIDENTS APIECE. 546 00:14:20,133 --> 00:14:22,966 MOST DAYS, THAT'S FOR ONE PERSON 547 00:14:23,033 --> 00:14:27,500 TO WASH, DRESS, GET UP, TWO 548 00:14:27,566 --> 00:14:30,066 MEALS, AND THEY'RE BEING 549 00:14:30,133 --> 00:14:31,366 NEGLECTED BECAUSE YOU CAN'T GET 550 00:14:31,433 --> 00:14:32,233 TO EVERYBODY. 551 00:14:32,300 --> 00:14:35,733 I TOLD THE ADMINISTRATOR, I'M 552 00:14:35,800 --> 00:14:40,166 EMBARRASSED OF MY WORK PROCESS 553 00:14:40,233 --> 00:14:41,633 BECAUSE I CAN'T DO WHAT I WAS 554 00:14:41,700 --> 00:14:42,233 TRAINED TO DO ON HOW TO TAKE 555 00:14:42,300 --> 00:14:46,000 CARE OF THESE RESIDENTS. 556 00:14:46,066 --> 00:14:46,533 >> John: THAT IS OBVIOUSLY 557 00:14:46,600 --> 00:14:47,366 UNACCEPTABLE. 558 00:14:47,433 --> 00:14:47,933 DO YOU HAVE ANY IDEA HOW BAD 559 00:14:48,000 --> 00:14:49,733 THINGS NEED TO GET FOR YOU TO 560 00:14:49,800 --> 00:14:50,233 TELL YOUR BOSS YOU'RE 561 00:14:50,300 --> 00:14:53,400 EMBARRASSED BY YOUR WORK? 562 00:14:53,466 --> 00:14:54,200 I'M NOT EVEN EMBARRASSED BY MY 563 00:14:54,266 --> 00:14:54,766 WORK, AND JUST THREE MINUTES 564 00:14:54,833 --> 00:14:55,333 AGO, I JOKED ABOUT FUCKING A 565 00:14:55,400 --> 00:14:57,366 PLATE. 566 00:14:57,433 --> 00:14:58,266 ALSO, THAT WASN'T REALLY A JOKE. 567 00:14:58,333 --> 00:14:59,500 CALL ME, WOLF PLATE. 568 00:14:59,566 --> 00:15:01,066 AND NURSING ASSISTANTS AREN'T 569 00:15:01,133 --> 00:15:02,500 JUST OVERWORKED -- THEY'RE 570 00:15:02,566 --> 00:15:03,833 REALLY UNDERPAID. 571 00:15:03,900 --> 00:15:05,166 THE MEDIAN NATIONAL SALARY FOR 572 00:15:05,233 --> 00:15:06,500 THAT JOB IS BARELY $30,000 A 573 00:15:06,566 --> 00:15:08,600 YEAR. 574 00:15:08,666 --> 00:15:10,533 AND ONE REASON IS THAT NEARLY 575 00:15:10,600 --> 00:15:14,033 70% OF NURSING HOMES ARE NOW 576 00:15:14,100 --> 00:15:16,033 FOR-PROFIT INSTITUTIONS. 577 00:15:16,100 --> 00:15:17,000 AND THERE IS A LOT OF PROFIT FOR 578 00:15:17,066 --> 00:15:19,300 THEM TO MAKE, BECAUSE THEY DON'T 579 00:15:19,366 --> 00:15:20,266 PAY STAFF MUCH, BUT THEY CHARGE 580 00:15:20,333 --> 00:15:21,366 YOU A LOT. 581 00:15:21,433 --> 00:15:24,133 THE AVERAGE PER-PERSON COST FOR 582 00:15:24,200 --> 00:15:26,266 A PRIVATE ROOM IS $100,000 PER 583 00:15:26,333 --> 00:15:27,700 YEAR. 584 00:15:27,766 --> 00:15:30,200 AND IF YOU'RE THINKING, "YEAH, 585 00:15:30,266 --> 00:15:31,500 THAT IS EXPENSIVE, BUT DOESN'T 586 00:15:31,566 --> 00:15:32,133 THE MEDICARE PROGRAM I HAVE PAID 587 00:15:32,200 --> 00:15:33,866 INTO ALL MY LIFE COVER THAT?" 588 00:15:33,933 --> 00:15:34,633 WELL, NO, IT DOESN'T. 589 00:15:34,700 --> 00:15:35,800 MEDICARE ONLY FULLY COVERS THE 590 00:15:35,866 --> 00:15:37,333 FIRST 20 DAYS OF NURSING HOME 591 00:15:37,400 --> 00:15:39,266 CARE AFTER AN ELIGIBLE HOSPITAL 592 00:15:39,333 --> 00:15:41,433 VISIT, THEN PARTIALLY PAYS FOR 593 00:15:41,500 --> 00:15:42,800 UP TO 100 DAYS. 594 00:15:42,866 --> 00:15:48,233 BUT AFTER THAT, YOU ARE ON THE 595 00:15:48,300 --> 00:15:48,966 HOOK FOR ALL COSTS. 596 00:15:49,033 --> 00:15:49,866 THE ONLY OTHER WAY TO ACCESS 597 00:15:49,933 --> 00:15:50,633 TAXPAYER HELP TO LIVE IN A 598 00:15:50,700 --> 00:15:51,566 NURSING HOME IS TO ALMOST 599 00:15:51,633 --> 00:15:52,833 COMPLETELY IMPOVERISH YOURSELF, 600 00:15:52,900 --> 00:15:54,200 TO BASICALLY SPEND YOUR WAY DOWN 601 00:15:54,266 --> 00:15:55,300 TO THE POINT YOU QUALIFY FOR 602 00:15:55,366 --> 00:15:56,966 MEDICAID, THE GOVERNMENT PROGRAM 603 00:15:57,033 --> 00:15:58,366 FOR THE POOR, WHICH, CRUCIALLY, 604 00:15:58,433 --> 00:16:00,433 REIMBURSES NURSING HOMES AT LESS 605 00:16:00,500 --> 00:16:02,600 THAN HALF THE AVERAGE DAILY RATE 606 00:16:02,666 --> 00:16:06,466 PAID BY MEDICARE. 607 00:16:06,533 --> 00:16:07,733 AND WHILE YOU WOULD LIKE TO 608 00:16:07,800 --> 00:16:09,533 THINK THAT NURSING HOMES WOULD 609 00:16:09,600 --> 00:16:10,733 TREAT ALL PATIENTS THE SAME, 610 00:16:10,800 --> 00:16:12,000 WHETHER THEY'RE ON MEDICARE OR 611 00:16:12,066 --> 00:16:13,500 MEDICAID, THE TRUTH IS, YOU 612 00:16:13,566 --> 00:16:14,066 MIGHT GET TWO VERY DIFFERENT 613 00:16:14,133 --> 00:16:14,933 EXPERIENCES. 614 00:16:15,000 --> 00:16:16,100 BECAUSE IF YOU'RE ON MEDICARE, 615 00:16:16,166 --> 00:16:18,800 YOU COULD WIND UP GETTING TOO 616 00:16:18,866 --> 00:16:19,866 MUCH ATTENTION. 617 00:16:19,933 --> 00:16:20,600 JUST LISTEN TO AN ASSISTANT 618 00:16:20,666 --> 00:16:22,033 MANAGER AT ONE NURSING HOME 619 00:16:22,100 --> 00:16:22,600 CHAIN DESCRIBE HOW MEDICARE 620 00:16:22,666 --> 00:16:24,966 PATIENTS THERE WERE TREATED. 621 00:16:25,033 --> 00:16:25,833 >> WHAT PERCENTAGE OF THE 622 00:16:25,900 --> 00:16:26,600 THERAPY THAT YOU WERE BEING TOLD 623 00:16:26,666 --> 00:16:27,433 TO ADMINISTER DO YOU THINK WAS 624 00:16:27,500 --> 00:16:29,866 NOT NECESSARY? 625 00:16:29,933 --> 00:16:31,733 >> I WOULD SAY PROBABLY, AS TIME 626 00:16:31,800 --> 00:16:33,533 WENT ON, ABOUT 40%. 627 00:16:33,600 --> 00:16:34,633 >> 40% OF THE WORK THAT YOU WERE 628 00:16:34,700 --> 00:16:35,566 DOING -- 629 00:16:35,633 --> 00:16:37,200 >> WAS NOT REASONABLE AND NOT 630 00:16:37,266 --> 00:16:38,700 NECESSARY UNDER MEDICARE 631 00:16:38,766 --> 00:16:40,500 GUIDELINES. 632 00:16:40,566 --> 00:16:42,200 AT ANOTHER FACILITY, THE ENTIRE 633 00:16:42,266 --> 00:16:43,400 REHAB STAFF SIGNED A LETTER TO 634 00:16:43,466 --> 00:16:45,033 THEIR BOSS. 635 00:16:45,100 --> 00:16:46,500 IT READS, "WE HAVE BEEN 636 00:16:46,566 --> 00:16:47,566 ENCOURAGED TO MAXIMIZE 637 00:16:47,633 --> 00:16:48,133 REIMBURSEMENT EVEN WHEN 638 00:16:48,200 --> 00:16:52,366 CLINICALLY INAPPROPRIATE." 639 00:16:52,433 --> 00:16:53,366 >> John: THAT IS ABSURD. 640 00:16:53,433 --> 00:16:54,000 THE DOJ ACTUALLY FILED A LAWSUIT 641 00:16:54,066 --> 00:16:54,633 CLAIMING THAT THE CHAIN THAT 642 00:16:54,700 --> 00:16:56,066 WOMAN WORKED FOR, LIFE CARE 643 00:16:56,133 --> 00:16:57,500 CENTERS OF AMERICA -- WHICH RUNS 644 00:16:57,566 --> 00:16:58,300 OVER 200 NURSING HOMES -- WAS 645 00:16:58,366 --> 00:16:59,400 SUBJECTING ITS PATIENTS TO 646 00:16:59,466 --> 00:17:00,600 THERAPY EVEN AS THEY WERE ON 647 00:17:00,666 --> 00:17:03,733 THEIR DEATHBEDS. 648 00:17:03,800 --> 00:17:04,600 IT ALLEGED ONE 92-YEAR-OLD WHO 649 00:17:04,666 --> 00:17:08,500 WAS DYING OF METASTATIC CANCER 650 00:17:08,566 --> 00:17:10,500 WAS RECORDED AS HAVING HAD 651 00:17:10,566 --> 00:17:11,733 48 MINUTES OF PHYSICAL THERAPY, 652 00:17:11,800 --> 00:17:13,633 47 MINUTES OF OCCUPATIONAL 653 00:17:13,700 --> 00:17:14,600 THERAPY, AND 30 MINUTES OF 654 00:17:14,666 --> 00:17:16,266 SPEECH THERAPY, JUST TWO DAYS 655 00:17:16,333 --> 00:17:17,533 BEFORE HIS DEATH, ON A DAY HE 656 00:17:17,600 --> 00:17:18,200 WAS SPITTING UP BLOOD. 657 00:17:18,266 --> 00:17:18,733 WHICH IS ABSURD. 658 00:17:18,800 --> 00:17:20,100 RESIDENTS SHOULD BE GETTING 659 00:17:20,166 --> 00:17:21,600 PROPER NURSING CARE. 660 00:17:21,666 --> 00:17:23,533 NOT SHIT-TONS OF EXPENSIVE 661 00:17:23,600 --> 00:17:24,466 THERAPEUTIC TREATMENTS THAT ARE 662 00:17:24,533 --> 00:17:25,566 CLINICALLY INAPPROPRIATE. 663 00:17:25,633 --> 00:17:26,633 WHICH, BY THE WAY, I'M PRETTY 664 00:17:26,700 --> 00:17:28,166 SURE WAS THE ORIGINAL SLOGAN OF 665 00:17:28,233 --> 00:17:29,433 GOOP. 666 00:17:29,500 --> 00:17:30,666 NOW, LIFE CARE DENIED 667 00:17:30,733 --> 00:17:32,933 WRONGDOING, BUT AGREED TO PAY 668 00:17:33,000 --> 00:17:34,500 $145 MILLION TO RESOLVE THAT 669 00:17:34,566 --> 00:17:39,166 LAWSUIT. 670 00:17:39,233 --> 00:17:39,766 AND THEY'RE HARDLY ALONE HERE. 671 00:17:39,833 --> 00:17:40,800 OVER THE PAST DECADE, MULTIPLE 672 00:17:40,866 --> 00:17:41,800 OTHER LARGE NURSING HOME CHAINS 673 00:17:41,866 --> 00:17:43,800 HAVE BEEN CHARGED WITH 674 00:17:43,866 --> 00:17:44,366 FRAUDULENT MEDICARE BILLING 675 00:17:44,433 --> 00:17:45,500 PRACTICES AND DENIED WRONGDOING 676 00:17:45,566 --> 00:17:46,666 WHILE PAYING MILLIONS OF DOLLARS 677 00:17:46,733 --> 00:17:48,133 TO SETTLE THEIR CASES. 678 00:17:48,200 --> 00:17:52,000 YOU KNOW, LIKE YOU DO WHEN 679 00:17:52,066 --> 00:17:55,033 YOU ARE TOTALLY INNOCENT. 680 00:17:55,100 --> 00:17:56,300 SO TO RECAP HERE: IF MEDICARE IS 681 00:17:56,366 --> 00:17:57,500 PAYING, THE RISK IS, YOU COULD 682 00:17:57,566 --> 00:17:57,966 BILLED FOR UNNECESSARY 683 00:17:58,033 --> 00:17:58,800 TREATMENTS. 684 00:17:58,866 --> 00:17:59,833 BUT IF MEDICAID IS PAYING -- 685 00:17:59,900 --> 00:18:01,133 WHICH, REMEMBER, REIMBURSES 686 00:18:01,200 --> 00:18:02,466 NURSING HOMES AT LESS THAN HALF 687 00:18:02,533 --> 00:18:04,300 THE AVERAGE DAILY RATE -- THINGS 688 00:18:04,366 --> 00:18:05,700 COULD GET MUCH WORSE. 689 00:18:05,766 --> 00:18:07,900 BECAUSE IF FACILITIES WANT TO 690 00:18:07,966 --> 00:18:10,266 OPEN UP A BED TO A MORE 691 00:18:10,333 --> 00:18:11,266 LUCRATIVE PATIENT, THEY CAN TAKE 692 00:18:11,333 --> 00:18:12,233 DRASTIC ACTION. 693 00:18:12,300 --> 00:18:14,000 >> RONALD, WHO WAS 51 AND 694 00:18:14,066 --> 00:18:14,533 HOMELESS, GOT REHAB AT THE 695 00:18:14,600 --> 00:18:16,866 NURSING HOME WHERE HE LIVED FOR 696 00:18:16,933 --> 00:18:17,366 MORE THAN A YEAR. 697 00:18:17,433 --> 00:18:17,900 THEN ONE NIGHT, AROUND 698 00:18:17,966 --> 00:18:19,066 10:00 P.M., HE SAYS AN 699 00:18:19,133 --> 00:18:22,100 ADMINISTRATOR CAME INTO HIS 700 00:18:22,166 --> 00:18:22,300 ROOM. 701 00:18:22,366 --> 00:18:23,733 >> BIG SMILE ON THEIR FACE, 702 00:18:23,800 --> 00:18:25,133 SAYING, "WE'RE KICKING YOU OUT." 703 00:18:25,200 --> 00:18:28,600 YEAH. 704 00:18:28,666 --> 00:18:30,566 AND THEY JUST BUNDLED ME INTO A 705 00:18:30,633 --> 00:18:31,933 VAN AND JUST DROPPED ME OFF HERE 706 00:18:32,000 --> 00:18:33,266 ON THE SIDEWALK. 707 00:18:33,333 --> 00:18:34,733 >> THE AVALON VILLA CARE CENTER, 708 00:18:34,800 --> 00:18:35,700 THROUGH ITS LAWYERS, TOLD NBC 709 00:18:35,766 --> 00:18:37,700 NEWS IT STRONGLY DISPUTES THAT 710 00:18:37,766 --> 00:18:38,566 IT HAS INAPPROPRIATELY 711 00:18:38,633 --> 00:18:41,000 DISCHARGED ANY PATIENTS. 712 00:18:41,066 --> 00:18:42,500 THE HOMELESS SHELTER WHERE 713 00:18:42,566 --> 00:18:44,266 RONALD IS LIVING NOW SAYS IT'S 714 00:18:44,333 --> 00:18:46,300 SEEN CASES LIKE THIS BEFORE. 715 00:18:46,366 --> 00:18:49,100 EXPERTS EVEN HAVE A TERM FOR IT: 716 00:18:49,166 --> 00:18:50,300 RESIDENT DUMPING. 717 00:18:50,366 --> 00:18:51,400 >> John: OH, COME ON, THAT'S 718 00:18:51,466 --> 00:18:52,733 JUST FUCKING EVIL. 719 00:18:52,800 --> 00:18:53,766 "RESIDENT DUMPING" IS A 720 00:18:53,833 --> 00:18:54,500 COMPLETELY UNACCEPTABLE 721 00:18:54,566 --> 00:18:55,666 PRACTICE. 722 00:18:55,733 --> 00:18:56,700 I DON'T EVEN LIKE IT WHEN 723 00:18:56,766 --> 00:18:58,066 RESIDENTS ARE DUMPED ON 724 00:18:58,133 --> 00:18:59,166 "GREY'S ANATOMY." 725 00:18:59,233 --> 00:19:00,633 AT THE ALTAR, BURKE? 726 00:19:00,700 --> 00:19:02,266 YOU DUMPED THAT RESIDENT AT THE 727 00:19:02,333 --> 00:19:06,233 FUCKING ALTAR? 728 00:19:06,300 --> 00:19:10,033 HOW COULD YOU DO THAT TO 729 00:19:10,100 --> 00:19:10,400 CRISTINA? 730 00:19:10,466 --> 00:19:11,266 YOU FUCKING MONSTER! 731 00:19:11,333 --> 00:19:12,666 AND YOU'D HOPE REGULATORS WOULD 732 00:19:12,733 --> 00:19:13,600 PUNISH NURSING HOMES FOR DOING 733 00:19:13,666 --> 00:19:14,000 THINGS LIKE THAT. 734 00:19:14,066 --> 00:19:14,633 BUT THE OVERSIGHT HERE HAS SOME 735 00:19:14,700 --> 00:19:15,333 MASSIVE GAPS. 736 00:19:15,400 --> 00:19:16,000 FOR INSTANCE, THE FEDERAL 737 00:19:16,066 --> 00:19:16,833 GOVERNMENT KEEPS A LIST OF 738 00:19:16,900 --> 00:19:17,966 SO-CALLED "SPECIAL FOCUS 739 00:19:18,033 --> 00:19:19,000 FACILITIES" -- HOMES THAT HAVE A 740 00:19:19,066 --> 00:19:20,133 PATTERN OF SERIOUS PROBLEMS OVER 741 00:19:20,200 --> 00:19:21,433 A LONG PERIOD OF TIME, AND 742 00:19:21,500 --> 00:19:22,500 THEREFORE RECEIVE EXTRA 743 00:19:22,566 --> 00:19:24,166 INSPECTIONS. 744 00:19:24,233 --> 00:19:26,200 THERE ARE 88 NURSING HOMES ON 745 00:19:26,266 --> 00:19:27,866 THAT LIST -- BUT INTERESTINGLY, 746 00:19:27,933 --> 00:19:30,533 NOT BECAUSE THERE ARE ONLY 747 00:19:30,600 --> 00:19:32,433 88 HOMES THAT DESERVE TO BE, BUT 748 00:19:32,500 --> 00:19:33,866 BECAUSE, DUE TO LIMITED 749 00:19:33,933 --> 00:19:34,833 RESOURCES, THE GOVERNMENT HAS 750 00:19:34,900 --> 00:19:36,566 CAPPED THE LIST AT THAT EXACT 751 00:19:36,633 --> 00:19:39,066 NUMBER, DESPITE THE FACT THEY 752 00:19:39,133 --> 00:19:40,366 FULLY ACKNOWLEDGE AN ADDITIONAL 753 00:19:40,433 --> 00:19:41,333 400 FACILITIES QUALIFY FOR THE 754 00:19:41,400 --> 00:19:42,300 PROGRAM. 755 00:19:42,366 --> 00:19:44,733 AND LOOK, I'M NOT SAYING EVERY 756 00:19:44,800 --> 00:19:46,366 LIST SHOULD GO ON FOREVER. 757 00:19:46,433 --> 00:19:47,433 IF A LIST OF CUTEST OTTERS WAS 758 00:19:47,500 --> 00:19:48,500 CAPPED AT 88, THAT'D BE A 759 00:19:48,566 --> 00:19:50,266 PERFECTLY FINE LIST. 760 00:19:50,333 --> 00:19:52,666 BUT IF THERE WERE 400 OTHER CUTE 761 00:19:52,733 --> 00:19:53,966 OTTERS THAT WERE ALSO ABUSING 762 00:19:54,033 --> 00:19:55,266 THE ELDERLY, I'D REALLY LIKE TO 763 00:19:55,333 --> 00:19:58,100 KNOW WHO ALL OF THEM ARE. 764 00:19:58,166 --> 00:20:00,000 AND IF YOU'RE THINKING, "WELL, 765 00:20:00,066 --> 00:20:02,066 THAT'S GOOD TO KNOW. 766 00:20:02,133 --> 00:20:03,966 IF I NEED TO MOVE A LOVED ONE 767 00:20:04,033 --> 00:20:05,100 INTO A NURSING HOME, I'M 768 00:20:05,166 --> 00:20:06,066 DEFINITELY GOING TO LOOK ONLINE 769 00:20:06,133 --> 00:20:09,000 AND MAKE SURE IT'S A GOOD ONE," 770 00:20:09,066 --> 00:20:09,400 WELL, BE CAREFUL. 771 00:20:09,466 --> 00:20:10,566 BECAUSE WHILE THE GOVERNMENT 772 00:20:10,633 --> 00:20:11,433 DOES HAVE A WEBSITE WHERE 773 00:20:11,500 --> 00:20:12,100 NURSING HOMES ARE RATED FROM ONE 774 00:20:12,166 --> 00:20:13,333 TO FIVE STARS, IT HAS AN 775 00:20:13,400 --> 00:20:16,233 ABSOLUTELY MASSIVE LOOPHOLE. 776 00:20:16,300 --> 00:20:17,700 >> OF THE THREE FACTORS THAT 777 00:20:17,766 --> 00:20:18,833 DETERMINE AN OVERALL RATING, 778 00:20:18,900 --> 00:20:20,833 ONLY THE HEALTH INSPECTIONS ARE 779 00:20:20,900 --> 00:20:22,466 CONDUCTED INDEPENDENTLY. 780 00:20:22,533 --> 00:20:23,733 THE OTHER STATISTICS, STAFFING 781 00:20:23,800 --> 00:20:25,533 AND QUALITY MEASURES, ARE 782 00:20:25,600 --> 00:20:26,533 SELF-REPORTED BY THE NURSING 783 00:20:26,600 --> 00:20:28,666 HOME. 784 00:20:28,733 --> 00:20:30,000 THESE SELF-REPORTED STATISTICS 785 00:20:30,066 --> 00:20:31,400 CAN BOOST A THREE-STAR RATING 786 00:20:31,466 --> 00:20:34,433 INTO A FIVE-STAR RATING OVERALL. 787 00:20:34,500 --> 00:20:35,600 >> THE PROBLEM IS, YOU KNOW, 788 00:20:35,666 --> 00:20:38,000 IT'S GARBAGE IN, GARBAGE OUT. 789 00:20:38,066 --> 00:20:39,100 SO WHATEVER THEY'RE TELLING THE 790 00:20:39,166 --> 00:20:41,233 FEDS, THE FEDS ARE NOT -- THAT 791 00:20:41,300 --> 00:20:41,833 FEDERAL GOVERNMENT ISN'T GOING 792 00:20:41,900 --> 00:20:42,400 IN AND DOUBLE-CHECKING THAT 793 00:20:42,466 --> 00:20:43,200 THEIR NUMBERS ARE ACCURATE. 794 00:20:43,266 --> 00:20:45,100 >> John: YEAH. 795 00:20:45,166 --> 00:20:49,866 "GARBAGE IN, GARBAGE OUT." 796 00:20:49,933 --> 00:20:50,433 AND THAT IS PATHETIC. 797 00:20:50,500 --> 00:20:51,333 SOMETHING IMPORTANT AS OUR 798 00:20:51,400 --> 00:20:53,066 NURSING HOME RATING SYSTEM 799 00:20:53,133 --> 00:20:53,766 SHOULDN'T FOLLOW THE SAME RULE 800 00:20:53,833 --> 00:20:54,466 AS EVERY RECIPE ON VELVEETA'S 801 00:20:54,533 --> 00:20:58,000 WEBSITE. 802 00:20:58,066 --> 00:20:59,333 BECAUSE THERE'S JUST NO WAY ANY 803 00:20:59,400 --> 00:20:59,833 OF THOSE ARE GOOD. 804 00:20:59,900 --> 00:21:01,033 IF YOU'RE MAKING A RECIPE 805 00:21:01,100 --> 00:21:01,733 THAT CALLS FOR A PUDDLE OF 806 00:21:01,800 --> 00:21:02,800 LORAX JIZZ, THEN DON'T BE 807 00:21:02,866 --> 00:21:09,000 SURPRISED WHEN THE FINISHED 808 00:21:09,066 --> 00:21:09,600 PRODUCT IS EQUALLY REPULSIVE. 809 00:21:09,666 --> 00:21:10,200 IT'S GARBAGE IN, GARBAGE OUT. 810 00:21:10,266 --> 00:21:10,833 SO GIVEN EVERYTHING YOU'VE SEEN, 811 00:21:10,900 --> 00:21:12,300 IT'S HARDLY SURPRISING THAT -- 812 00:21:12,366 --> 00:21:13,600 FOR REASONS OF COST OR 813 00:21:13,666 --> 00:21:15,566 CONDITIONS -- MANY MIGHT WANT TO 814 00:21:15,633 --> 00:21:17,400 AVOID A NURSING HOME ALTOGETHER. 815 00:21:17,466 --> 00:21:18,766 WHICH BRINGS US TO ASSISTED 816 00:21:18,833 --> 00:21:22,666 LIVING FACILITIES, OR ALFs. 817 00:21:22,733 --> 00:21:23,666 AROUND A THIRD OF PEOPLE IN 818 00:21:23,733 --> 00:21:25,066 LONG-TERM CARE ARE IN ONE OF 819 00:21:25,133 --> 00:21:27,200 THESE, AND THEY DO COST FAR LESS 820 00:21:27,266 --> 00:21:29,100 THAN A NURSING HOME -- TYPICALLY 821 00:21:29,166 --> 00:21:31,000 AROUND $50,000 A YEAR. 822 00:21:31,066 --> 00:21:31,733 ALFs STARTED OUT AS AN 823 00:21:31,800 --> 00:21:33,266 ALTERNATIVE FOR THOSE WHO NEEDED 824 00:21:33,333 --> 00:21:34,466 HELP WITH KEY ACTIVITIES -- LIKE 825 00:21:34,533 --> 00:21:35,533 DRESSING, TOILETING, TAKING 826 00:21:35,600 --> 00:21:37,700 MEDICINES AND EATING -- BUT ONLY 827 00:21:37,766 --> 00:21:38,900 NEEDED LIMITED MEDICAL SUPPORT. 828 00:21:38,966 --> 00:21:40,300 JUST AS WITH NURSING HOMES, THE 829 00:21:40,366 --> 00:21:42,366 VAST MAJORITY OF ALFs ARE 830 00:21:42,433 --> 00:21:46,333 FOR-PROFIT. 831 00:21:46,400 --> 00:21:47,033 BUT THERE ARE ALSO SOME KEY 832 00:21:47,100 --> 00:21:48,100 DIFFERENCES. 833 00:21:48,166 --> 00:21:49,566 ALFs ARE LARGELY PAID FOR 834 00:21:49,633 --> 00:21:51,900 OUT-OF-POCKET. 835 00:21:51,966 --> 00:21:53,433 AND THEY ARE FAR LESS REGULATED, 836 00:21:53,500 --> 00:21:54,500 MAKING EASY FOR BASICALLY ANYONE 837 00:21:54,566 --> 00:21:55,300 TO START ONE. 838 00:21:55,366 --> 00:21:58,633 AND I DO MEAN ANYONE. 839 00:21:58,700 --> 00:21:59,233 TAKE STEPHANIE COSTA. 840 00:21:59,300 --> 00:22:00,400 BY 30, SHE OWNED SIX SMALL ALFs 841 00:22:00,466 --> 00:22:01,433 IN SOUTHERN CALIFORNIA AND HAD 842 00:22:01,500 --> 00:22:05,466 MADE A LOT OF MONEY FROM THEM, 843 00:22:05,533 --> 00:22:06,866 ENOUGH TO QUALIFY HER TO 844 00:22:06,933 --> 00:22:07,400 APPEAR IN AN EPISODE OF 845 00:22:07,466 --> 00:22:08,466 "THE MILLIONAIRE MATCHMAKER." 846 00:22:08,533 --> 00:22:11,900 >> MY NAME IS STEPHANIE AND I'M 847 00:22:11,966 --> 00:22:13,100 30 YEARS OLD AND I OWN A CHAIN 848 00:22:13,166 --> 00:22:16,800 OF ELDERLY CARE FACILITIES. 849 00:22:16,866 --> 00:22:17,500 MY NET WORTH IS $3-4 MILLION, 850 00:22:17,566 --> 00:22:22,166 PROBABLY. 851 00:22:22,233 --> 00:22:22,900 I'VE ALWAYS HAD THIS THING OF 852 00:22:22,966 --> 00:22:23,500 TAKING CARE OF OLDER PEOPLE. 853 00:22:23,566 --> 00:22:24,500 LIKE SICK, PEOPLE THAT ARE 854 00:22:24,566 --> 00:22:24,833 DYING. 855 00:22:24,900 --> 00:22:25,566 I'VE ALWAYS REALLY FELT FOR 856 00:22:25,633 --> 00:22:26,400 THEM. 857 00:22:26,466 --> 00:22:27,633 SO I COULDN'T WAIT TO GRADUATE 858 00:22:27,700 --> 00:22:28,500 COLLEGE AND START MY OWN 859 00:22:28,566 --> 00:22:29,766 BUSINESS DOING ASSISTED LIVING 860 00:22:29,833 --> 00:22:30,833 FACILITIES LIKE NURSING HOMES. 861 00:22:30,900 --> 00:22:32,166 >> John: OKAY. 862 00:22:32,233 --> 00:22:33,566 THERE ARE A LOT OF UNFAIR 863 00:22:33,633 --> 00:22:34,700 REASONS THAT I INHERENTLY DON'T 864 00:22:34,766 --> 00:22:36,866 TRUST STEPHANIE COSTA, FROM HER 865 00:22:36,933 --> 00:22:38,200 DRIVING A DOUCHEY FERRARI TO THE 866 00:22:38,266 --> 00:22:39,300 FACT SHE LOOKS LIKE AN 867 00:22:39,366 --> 00:22:40,566 UNCREDITED EXTRA FROM AN 868 00:22:40,633 --> 00:22:41,933 "ENTOURAGE" PARTY SCENE TO THAT 869 00:22:42,000 --> 00:22:42,566 VOICE, WHICH SOUNDS LIKE A MOUSE 870 00:22:42,633 --> 00:22:43,633 WHO WOULDN'T DRESS CINDERELLA 871 00:22:43,700 --> 00:22:45,066 BECAUSE IT HAD BETTER THINGS TO 872 00:22:45,133 --> 00:22:48,433 DO. 873 00:22:48,500 --> 00:22:49,933 BUT IT TURNS OUT THAT 874 00:22:50,000 --> 00:22:50,800 GUT FEELING IS ENTIRELY VALID, 875 00:22:50,866 --> 00:22:52,133 BECAUSE COSTA TREATED HER 876 00:22:52,200 --> 00:22:52,833 EMPLOYEES AND RESIDENTS SO 877 00:22:52,900 --> 00:22:53,766 TERRIBLY THAT, AFTER MULTIPLE 878 00:22:53,833 --> 00:22:55,133 HEALTH AND SAFETY VIOLATIONS, 879 00:22:55,200 --> 00:22:56,700 CALIFORNIA BANNED COSTA FROM THE 880 00:22:56,766 --> 00:22:58,466 INDUSTRY FOR LIFE AND ORDERED 881 00:22:58,533 --> 00:23:02,266 HER AND HER COMPANY TO PAY ABOUT 882 00:23:02,333 --> 00:23:03,400 $1.6 MILLION FOR UNPAID 883 00:23:03,466 --> 00:23:04,866 WAGES AND PENALTIES. 884 00:23:04,933 --> 00:23:09,566 BUT IF YOU THINK THAT GAVE HER 885 00:23:09,633 --> 00:23:10,266 ACCOUNTABILITY, YOU'RE GOING TO 886 00:23:10,333 --> 00:23:11,233 WANT TO THINK AGAIN. 887 00:23:11,300 --> 00:23:11,800 >> SHE KEPT THIS HOME AFTER 888 00:23:11,866 --> 00:23:12,466 FILING FOR BANKRUPTCY AND 889 00:23:12,533 --> 00:23:13,333 SETTLED WITH WORKERS FOR A 890 00:23:13,400 --> 00:23:14,133 FRACTION OF WHAT SHE OWED. 891 00:23:14,200 --> 00:23:15,733 HER SIX CARE HOMES ARE NOW OWNED 892 00:23:15,800 --> 00:23:17,366 BY A PROPERTY INVESTMENT COMPANY 893 00:23:17,433 --> 00:23:19,466 REGISTERED BY HER FATHER. 894 00:23:19,533 --> 00:23:20,400 >> John: OH, YEAH. 895 00:23:20,466 --> 00:23:21,400 NOT JUST THAT, AS RECENTLY AS 896 00:23:21,466 --> 00:23:23,266 LAST YEAR, SHE WAS STILL LISTED 897 00:23:23,333 --> 00:23:24,700 AS THAT COMPANY'S CEO. 898 00:23:24,766 --> 00:23:25,400 SO THE STATE OF CALIFORNIA 899 00:23:25,466 --> 00:23:29,933 REALLY TAUGHT STEPHANIE COSTA A 900 00:23:30,000 --> 00:23:30,500 LESSON THERE. 901 00:23:30,566 --> 00:23:31,766 SPECIFICALLY, THE LESSON THAT 902 00:23:31,833 --> 00:23:32,366 YOU CAN TREAT YOUR ELDER CARE 903 00:23:32,433 --> 00:23:33,000 WORKERS LIKE ABSOLUTE SHIT, 904 00:23:33,066 --> 00:23:33,866 AVOID ANY REAL CONSEQUENCES, AND 905 00:23:33,933 --> 00:23:34,466 JUST KEEP LIVING YOUR LIFE IN 906 00:23:34,533 --> 00:23:35,733 THE SINGLE UGLIEST HOME IN 907 00:23:35,800 --> 00:23:36,333 BEVERLY HILLS -- ALTHOUGH IT'S 908 00:23:36,400 --> 00:23:37,366 LEGITIMATELY HARD TO TELL 909 00:23:37,433 --> 00:23:39,566 WHETHER THAT'S ACTUALLY A HOME 910 00:23:39,633 --> 00:23:41,033 OR JUST AN ABANDONED 911 00:23:41,100 --> 00:23:44,733 WHITE CASTLE. 912 00:23:44,800 --> 00:23:47,400 BUT IT'S NOT JUST INDIVIDUALS 913 00:23:47,466 --> 00:23:48,066 INVOLVED HERE. 914 00:23:48,133 --> 00:23:49,733 THERE ARE ALSO BIG CORPORATIONS 915 00:23:49,800 --> 00:23:50,266 RUNNING ALFs, WHO'VE BEEN 916 00:23:50,333 --> 00:23:51,200 WORKING HARD TO FILL BEDS. 917 00:23:51,266 --> 00:23:52,066 AND DESPITE THE FACT ALFs ARE 918 00:23:52,133 --> 00:23:53,133 SUPPOSED TO BE FOR PEOPLE WHO 919 00:23:53,200 --> 00:23:54,400 REQUIRE LESS MEDICAL ATTENTION, 920 00:23:54,466 --> 00:23:55,800 RECENTLY, SOME HAVE BEEN 921 00:23:55,866 --> 00:24:03,866 AGGRESSIVELY COURTING DEMENTIA 922 00:24:03,933 --> 00:24:04,866 PATIENTS FOR MEMORY CARE 923 00:24:04,933 --> 00:24:05,500 PROGRAMS, AS SEEN IN THIS 924 00:24:05,566 --> 00:24:06,566 ADVERTISEMENT FOR BROOKDALE, THE 925 00:24:06,633 --> 00:24:07,533 LARGEST ALF PROVIDER IN THE 926 00:24:07,600 --> 00:24:08,233 COUNTRY. 927 00:24:08,300 --> 00:24:10,066 >> THIS IS A COMPASSIONATE PLACE 928 00:24:10,133 --> 00:24:10,700 THAT HELPS FAMILIES THROUGH VERY 929 00:24:10,766 --> 00:24:11,333 DIFFICULT STAGES OF DEMENTIA IN 930 00:24:11,400 --> 00:24:12,366 A SAFE AND COMFORTABLE SETTING, 931 00:24:12,433 --> 00:24:13,033 AND I HAVE PEACE OF MIND KNOWING 932 00:24:13,100 --> 00:24:14,166 THERE IS A STAFF, FULLY TRAINED, 933 00:24:14,233 --> 00:24:14,733 24 HOURS A DAY, SEVEN DAYS A 934 00:24:14,800 --> 00:24:16,033 WEEK. 935 00:24:16,100 --> 00:24:17,400 I CAN'T BELIEVE HOW MUCH MY 936 00:24:17,466 --> 00:24:17,933 MOM'S QUALITY OF LIFE HAS 937 00:24:18,000 --> 00:24:19,033 IMPROVED SINCE COMING HERE. 938 00:24:19,100 --> 00:24:20,533 I'M SEEING HER SMILING AND 939 00:24:20,600 --> 00:24:21,866 LAUGHING AGAIN. 940 00:24:21,933 --> 00:24:23,300 >> WE HELP THEM MAINTAIN THEIR 941 00:24:23,366 --> 00:24:24,633 ABILITIES AND ENCOURAGE THE USE 942 00:24:24,700 --> 00:24:26,100 OF THEIR CURRENT SKILLS IN A 943 00:24:26,166 --> 00:24:30,066 WARM, ENGAGING ENVIRONMENT. 944 00:24:30,133 --> 00:24:31,400 >> THIS IS A SPECIAL PLACE, AND 945 00:24:31,466 --> 00:24:32,533 EVERY DAY IS A NEW BEGINNING 946 00:24:32,600 --> 00:24:33,366 WITH LOTS OF SMILES AND 947 00:24:33,433 --> 00:24:34,400 MEMORIES. 948 00:24:34,466 --> 00:24:35,333 >> John: OKAY. 949 00:24:35,400 --> 00:24:36,933 I GET THAT A SENIOR LIVING 950 00:24:37,000 --> 00:24:38,366 COMMERCIAL MIGHT WANT TO HAVE AT 951 00:24:38,433 --> 00:24:38,933 LEAST ONE STAFFER WITH THEIR 952 00:24:39,000 --> 00:24:39,500 ARMS AROUND A RESIDENT'S 953 00:24:39,566 --> 00:24:40,500 SHOULDERS. 954 00:24:40,566 --> 00:24:41,466 THAT'S KIND OF NICE. 955 00:24:41,533 --> 00:24:41,966 TRUSTWORTHY. 956 00:24:42,033 --> 00:24:43,000 MAKES YOU FEEL SAFE. 957 00:24:43,066 --> 00:24:44,033 BUT IMMEDIATELY CUTTING TO 958 00:24:44,100 --> 00:24:44,766 ANOTHER ONE FEELS LIKE A BIT 959 00:24:44,833 --> 00:24:45,666 MUCH. 960 00:24:45,733 --> 00:24:46,866 AND THEN A THIRD STARTS TO MAKE 961 00:24:46,933 --> 00:24:48,500 ME FEEL A LITTLE NERVOUS. 962 00:24:48,566 --> 00:24:49,466 AND WHEN THAT FOURTH HITS, AS A 963 00:24:49,533 --> 00:24:50,533 BRITISH PERSON, I'VE GOT TO SAY, 964 00:24:50,600 --> 00:24:52,100 THAT IS JUST TOO MUCH PHYSICAL 965 00:24:52,166 --> 00:24:56,366 CONTACT. 966 00:24:56,433 --> 00:24:58,500 THAT SAID, EVEN I'LL ADMIT, AN 967 00:24:58,566 --> 00:24:59,933 ALF THAT OFFERED ALL THAT 968 00:25:00,000 --> 00:25:02,066 COMMERCIAL CLAIMS TO BUT WITH 969 00:25:02,133 --> 00:25:02,733 SIGNIFICANTLY LESS TOUCHING 970 00:25:02,800 --> 00:25:03,200 WOULD BE GREAT. 971 00:25:03,266 --> 00:25:04,133 UNFORTUNATELY, A WOMAN WHO 972 00:25:04,200 --> 00:25:05,466 WORKED AT A BROOKDALE FACILITY 973 00:25:05,533 --> 00:25:10,700 IN SOUTH CAROLINA PAINTED A VERY 974 00:25:10,766 --> 00:25:11,533 DIFFERENT PICTURE OF HOW 975 00:25:11,600 --> 00:25:12,133 STAFFERS ARE TRAINED TO WORK 976 00:25:12,200 --> 00:25:12,966 WITH DEMENTIA PATIENTS. 977 00:25:13,033 --> 00:25:14,400 >> WHEN YOU FIRST START, THEY 978 00:25:14,466 --> 00:25:16,266 HAVE YOU SIT THROUGH A SERIES 979 00:25:16,333 --> 00:25:17,766 OF IN-SERVICES OR ORIENTATION 980 00:25:17,833 --> 00:25:22,100 AND IT LASTS ABOUT A WEEK, BUT 981 00:25:22,166 --> 00:25:23,100 IT'S JUST VIDEO, BUT ONCE 982 00:25:23,166 --> 00:25:23,733 THEY PUT YOU OUT ON THE FLOOR, 983 00:25:23,800 --> 00:25:24,433 THEY DON'T -- THEY DON'T GIVE 984 00:25:24,500 --> 00:25:25,233 YOU ANY TRAINING. 985 00:25:25,300 --> 00:25:31,833 THEY JUST STICK YOU OUT THERE. 986 00:25:31,900 --> 00:25:36,000 >> John: WELL, THAT'S NOT REALLY 987 00:25:36,066 --> 00:25:37,266 IDEAL, IS IT? 988 00:25:37,333 --> 00:25:38,300 IT'S HARD TO RETAIN IMPORTANT 989 00:25:38,366 --> 00:25:38,933 INFORMATION JUST BY WATCHING A 990 00:25:39,000 --> 00:25:39,133 VIDEO. 991 00:25:39,200 --> 00:25:40,966 CASE IN POINT: THIS VIDEO. 992 00:25:41,033 --> 00:25:41,333 THINK ABOUT IT. 993 00:25:41,400 --> 00:25:42,433 WHAT HAVE YOU REALLY LEARNED 994 00:25:42,500 --> 00:25:42,700 FROM THIS? 995 00:25:42,766 --> 00:25:43,300 SURE, A FEW RANDOM FACTS ABOUT 996 00:25:43,366 --> 00:25:43,966 THE LONG-TERM CARE INDUSTRY THAT 997 00:25:44,033 --> 00:25:44,533 YOU'LL PROBABLY IMMEDIATELY 998 00:25:44,600 --> 00:25:44,933 FORGET. 999 00:25:45,000 --> 00:25:45,600 BUT MAINLY, YOU'VE LEARNED THAT 1000 00:25:45,666 --> 00:25:46,233 IT'S POSSIBLE TO WANT TO FUCK A 1001 00:25:46,300 --> 00:25:49,466 PLATE. 1002 00:25:49,533 --> 00:25:51,300 AND THAT'S A LESSON YOU WILL 1003 00:25:51,366 --> 00:25:51,633 NEVER FORGET. 1004 00:25:51,700 --> 00:25:52,233 AND BROOKDALE INSISTS THAT IT 1005 00:25:52,300 --> 00:25:52,866 OFFERS ONGOING TRAINING FOR ITS 1006 00:25:52,933 --> 00:25:53,733 WORKERS AND THAT ITS TRAINING 1007 00:25:53,800 --> 00:25:54,533 PROGRAM FOR DEMENTIA CARE 1008 00:25:54,600 --> 00:25:56,233 WORKERS MEETS OR EXCEEDS STATE 1009 00:25:56,300 --> 00:26:00,833 GUIDELINES. 1010 00:26:00,900 --> 00:26:06,800 BUT THAT IS NOT REALLY SAYING 1011 00:26:06,866 --> 00:26:08,300 MUCH, AS SOME STATES ONLY 1012 00:26:08,366 --> 00:26:12,366 REQUIRE TWO TO 30 HOURS, AND 1013 00:26:12,433 --> 00:26:13,766 SOUTH CAROLINA -- WHERE THAT 1014 00:26:13,833 --> 00:26:15,066 FACILITY IS LOCATED -- HAS NO 1015 00:26:15,133 --> 00:26:15,533 STATE MINIMUM AT ALL. 1016 00:26:15,600 --> 00:26:16,233 AND BY THE WAY, IF YOU'RE 1017 00:26:16,300 --> 00:26:17,166 WONDERING ABOUT WHY THERE WERE A 1018 00:26:17,233 --> 00:26:18,133 BUNCH OF SHOTS OF A POND IN THAT 1019 00:26:18,200 --> 00:26:19,666 STORY, THE ANSWER IS HORRIFYING. 1020 00:26:19,733 --> 00:26:20,866 BECAUSE A 90-YEAR-OLD RESIDENT 1021 00:26:20,933 --> 00:26:22,200 THERE, WHO WAS SUPPOSED TO BE 1022 00:26:22,266 --> 00:26:23,900 UNDER CONSTANT SUPERVISION 1023 00:26:23,966 --> 00:26:25,266 BEFORE BEING TRANSFERRED TO A 1024 00:26:25,333 --> 00:26:26,500 MEMORY CARE UNIT, DIED AFTER 1025 00:26:26,566 --> 00:26:28,333 LEAVING THE FACILITY UNNOTICED 1026 00:26:28,400 --> 00:26:30,000 IN THE MIDDLE OF THE NIGHT. 1027 00:26:30,066 --> 00:26:31,266 >> THERE ARE SIGNS OUT HERE 1028 00:26:31,333 --> 00:26:32,666 WARNING PEOPLE ABOUT ALLIGATORS. 1029 00:26:32,733 --> 00:26:34,166 TAKE A LOOK AT THIS ONE, IT 1030 00:26:34,233 --> 00:26:34,833 SAYS, "ALLIGATORS MAY LIVE HERE, 1031 00:26:34,900 --> 00:26:35,833 BE GATOR SAFE." 1032 00:26:35,900 --> 00:26:37,266 IN THIS CASE, THE SIGNS PROBABLY 1033 00:26:37,333 --> 00:26:37,866 WOULD NOT HAVE MADE A 1034 00:26:37,933 --> 00:26:38,700 DIFFERENCE, ACCORDING TO 1035 00:26:38,766 --> 00:26:39,900 AUTHORITIES. 1036 00:26:39,966 --> 00:26:41,266 WE'RE TOLD THE VICTIM LIKELY 1037 00:26:41,333 --> 00:26:42,133 SLIPPED OR FELL DOWN A STEEP 1038 00:26:42,200 --> 00:26:43,633 EMBANKMENT AND LANDED IN THE 1039 00:26:43,700 --> 00:26:45,033 WATER, ATTRACTING THE GATOR'S 1040 00:26:45,100 --> 00:26:47,233 ATTENTION. 1041 00:26:47,300 --> 00:26:48,733 >> John: HOLY FUCKING SHIT. 1042 00:26:48,800 --> 00:26:53,133 I HONESTLY DON'T EVEN KNOW WHERE 1043 00:26:53,200 --> 00:26:53,800 TO BEGIN THERE. 1044 00:26:53,866 --> 00:26:54,433 BUT I GUESS I'D START WITH: WHY 1045 00:26:54,500 --> 00:26:55,166 WOULD ANYONE PUT AN ASSISTED 1046 00:26:55,233 --> 00:26:56,100 LIVING FACILITY NEXT TO A 1047 00:26:56,166 --> 00:26:57,366 FUCKING ALLIGATOR POND? 1048 00:26:57,433 --> 00:26:58,600 THAT SEEMS LIKE THE SORT OF 1049 00:26:58,666 --> 00:26:59,633 DETAIL THAT REALLY HAS TO BE 1050 00:26:59,700 --> 00:27:01,066 INCLUDED AT THE END OF ONE OF 1051 00:27:01,133 --> 00:27:03,633 BROOKDALE'S HEARTWARMING ADS. 1052 00:27:03,700 --> 00:27:05,900 >> THIS IS A SPECIAL PLACE AND 1053 00:27:05,966 --> 00:27:06,833 EVERY DAY IS A NEW BEGINNING 1054 00:27:06,900 --> 00:27:08,233 WITH LOTS OF SMILES AND 1055 00:27:08,300 --> 00:27:09,733 MEMORIES. 1056 00:27:09,800 --> 00:27:12,166 ALSO, ONE OF OUR RESIDENTS 1057 00:27:12,233 --> 00:27:13,533 WAS EATEN BY AN ALLIGATOR, SO... 1058 00:27:13,600 --> 00:27:14,333 Y'KNOW... 1059 00:27:14,400 --> 00:27:15,866 THERE'S THAT. 1060 00:27:15,933 --> 00:27:18,466 >> John: YEAH. 1061 00:27:18,533 --> 00:27:20,033 THERE IS THAT. 1062 00:27:20,100 --> 00:27:24,800 AND THAT'S IMPORTANT INFORMATION 1063 00:27:24,866 --> 00:27:25,500 FOR PEOPLE TO KNOW, BROOKDALE. 1064 00:27:25,566 --> 00:27:26,166 AND LOOK, OBVIOUSLY, THAT'S AN 1065 00:27:26,233 --> 00:27:27,100 APPALLING STORY. 1066 00:27:27,166 --> 00:27:27,700 BUT TO BE FAIR, IT IS HARD TO 1067 00:27:27,766 --> 00:27:28,366 TALK ABOUT LONG-TERM CARE 1068 00:27:28,433 --> 00:27:29,066 WITHOUT SHOWING YOU AT LEAST ONE 1069 00:27:29,133 --> 00:27:29,533 OF THOSE. 1070 00:27:29,600 --> 00:27:30,300 JUST BE GRATEFUL I DIDN'T SHOW 1071 00:27:30,366 --> 00:27:31,233 YOU THE STORY WHERE A RESIDENT 1072 00:27:31,300 --> 00:27:32,266 JUMPED FROM A FOURTH-STORY 1073 00:27:32,333 --> 00:27:33,233 WINDOW OF AN ALF, OR THE ONE 1074 00:27:33,300 --> 00:27:34,533 ABOUT A NURSING HOME RESIDENT 1075 00:27:34,600 --> 00:27:38,200 WHO SET HERSELF ON FIRE, OR THE 1076 00:27:38,266 --> 00:27:39,066 ONE ABOUT A 91-YEAR-OLD 1077 00:27:39,133 --> 00:27:39,666 SUFFERING FROM ALZHEIMER'S WHO 1078 00:27:39,733 --> 00:27:40,533 FROZE TO DEATH ON CHRISTMAS DAY. 1079 00:27:40,600 --> 00:27:41,400 WHICH, BY THE WAY SOUNDS LIKE A 1080 00:27:41,466 --> 00:27:42,133 HOLIDAY ALBUM WRITTEN BY 1081 00:27:42,200 --> 00:27:44,366 FUCKING BJORK. 1082 00:27:44,433 --> 00:27:46,200 SO WHAT CAN WE DO? 1083 00:27:46,266 --> 00:27:47,733 WELL, OBVIOUSLY, INCREASED 1084 00:27:47,800 --> 00:27:48,800 OVERSIGHT AND ENFORCEMENT ARE 1085 00:27:48,866 --> 00:27:50,333 BADLY NEEDED. 1086 00:27:50,400 --> 00:27:52,200 THAT FACILITY WITH THE 1087 00:27:52,266 --> 00:27:53,566 ALLIGATORS WAS EVENTUALLY FINED 1088 00:27:53,633 --> 00:27:54,600 BY THE STATE FOR 11 VIOLATIONS, 1089 00:27:54,666 --> 00:27:55,766 INCLUDING NOT PROPERLY 1090 00:27:55,833 --> 00:27:57,600 PERFORMING NIGHT CHECKS AND 1091 00:27:57,666 --> 00:27:58,666 LETTING STAFFING DROP BELOW 1092 00:27:58,733 --> 00:28:01,500 REQUIRED LEVELS, BUT THE PENALTY 1093 00:28:01,566 --> 00:28:03,833 ISSUED WAS JUST $6,400. 1094 00:28:03,900 --> 00:28:05,600 AND IT FEELS LIKE IF YOU LOST A 1095 00:28:05,666 --> 00:28:07,400 LOVED ONE IN SUCH A HORRIFIC 1096 00:28:07,466 --> 00:28:09,200 WAY, YOU'D WANT MORE 1097 00:28:09,266 --> 00:28:10,266 ACCOUNTABILITY THAN "DON'T 1098 00:28:10,333 --> 00:28:11,366 WORRY, SOMEONE DECIDED THEIR 1099 00:28:11,433 --> 00:28:13,666 LIFE WAS WORTH THE PRICE OF A 1100 00:28:13,733 --> 00:28:16,333 2013 CHRYSLER MOTOWN." 1101 00:28:16,400 --> 00:28:17,600 AND THE FACT IS, THERE ARE LOTS 1102 00:28:17,666 --> 00:28:18,566 OF IDEAS ON HOW TO FORCE 1103 00:28:18,633 --> 00:28:20,200 FACILITIES TO IMPROVE -- 1104 00:28:20,266 --> 00:28:21,766 MANDATING A CERTAIN AMOUNT OF 1105 00:28:21,833 --> 00:28:22,800 MONEY HAS TO GO TO PATIENT CARE, 1106 00:28:22,866 --> 00:28:23,833 FOR INSTANCE, OR THAT RESIDENTS 1107 00:28:23,900 --> 00:28:25,433 HAVE ACCESS TO A MINIMUM AMOUNT 1108 00:28:25,500 --> 00:28:27,866 OF CARE PER DAY. 1109 00:28:27,933 --> 00:28:29,300 BUT THE BIGGER FIX HERE MIGHT BE 1110 00:28:29,366 --> 00:28:30,733 TO TRY AND MAKE IT EASIER FOR AS 1111 00:28:30,800 --> 00:28:32,066 MANY PEOPLE AS POSSIBLE NOT TO 1112 00:28:32,133 --> 00:28:34,100 END UP IN THESE INSTITUTIONS IN 1113 00:28:34,166 --> 00:28:35,133 THE FIRST PLACE AND INSTEAD 1114 00:28:35,200 --> 00:28:36,133 RECEIVE WHATEVER SUPPORT THEY 1115 00:28:36,200 --> 00:28:39,000 NEED AT HOME. 1116 00:28:39,066 --> 00:28:41,000 NEARLY 90% OF PEOPLE OVER 65 1117 00:28:41,066 --> 00:28:42,366 APPARENTLY WANT TO STAY IN THEIR 1118 00:28:42,433 --> 00:28:47,466 HOME FOR AS LONG AS POSSIBLE, 1119 00:28:47,533 --> 00:28:48,200 WHICH DOES MAKE SENSE. 1120 00:28:48,266 --> 00:28:49,566 THE PROBLEM IS, RIGHT NOW, MANY 1121 00:28:49,633 --> 00:28:51,333 OF THEM CAN'T, BECAUSE UNDER 1122 00:28:51,400 --> 00:28:52,800 MEDICAID, NURSING HOME CARE IS 1123 00:28:52,866 --> 00:28:54,000 AN ENTITLEMENT -- BUT HOME-BASED 1124 00:28:54,066 --> 00:28:56,600 CARE IS NOT. 1125 00:28:56,666 --> 00:28:58,366 TO ACCESS LONG-TERM SERVICES AND 1126 00:28:58,433 --> 00:28:59,000 SUPPORTS THROUGH MEDICAID IN 1127 00:28:59,066 --> 00:29:00,366 YOUR HOME, YOU NEED A WAIVER 1128 00:29:00,433 --> 00:29:02,366 FROM YOUR STATE. 1129 00:29:02,433 --> 00:29:03,100 AND TO BE FAIR, SOME, LIKE 1130 00:29:03,166 --> 00:29:05,733 WASHINGTON, DO THAT PRETTY WELL. 1131 00:29:05,800 --> 00:29:07,900 MORE THAN 70% OF THE MEDICAID 1132 00:29:07,966 --> 00:29:09,033 MONEY THEY SPEND ON LONG-TERM 1133 00:29:09,100 --> 00:29:10,233 CARE FOR OLDER PEOPLE AND ADULTS 1134 00:29:10,300 --> 00:29:11,766 WITH DISABILITIES IS SPENT ON 1135 00:29:11,833 --> 00:29:13,600 HOME AND COMMUNITY BASED 1136 00:29:13,666 --> 00:29:15,600 SERVICES -- THINGS LIKE SKILLED 1137 00:29:15,666 --> 00:29:17,333 NURSING VISITS, HOME CARE AIDES 1138 00:29:17,400 --> 00:29:18,800 WHO CAN HELP WITH DAILY TASKS, 1139 00:29:18,866 --> 00:29:20,333 AND EVEN THE ABILITY TO PAY 1140 00:29:20,400 --> 00:29:21,933 FAMILY CAREGIVERS. 1141 00:29:22,000 --> 00:29:23,133 YOU KNOW, PEOPLE LIKE THOSE TWO 1142 00:29:23,200 --> 00:29:25,566 WOMEN YOU SAW EARLIER. 1143 00:29:25,633 --> 00:29:27,300 THE PROBLEM IS, OTHER STATES 1144 00:29:27,366 --> 00:29:29,600 HAVE WAITING LISTS THAT CAN BE 1145 00:29:29,666 --> 00:29:31,400 MANY YEARS LONG, BY WHICH POINT, 1146 00:29:31,466 --> 00:29:33,100 SENIORS TRYING TO ACCESS THAT 1147 00:29:33,166 --> 00:29:35,766 CARE CAN BE DEAD, BECAUSE, 1148 00:29:35,833 --> 00:29:39,233 SADLY, THAT IS HOW TIME WORKS. 1149 00:29:39,300 --> 00:29:40,800 NATIONWIDE, MORE THAN 800,000 1150 00:29:40,866 --> 00:29:42,200 PEOPLE ARE ON THESE KINDS OF 1151 00:29:42,266 --> 00:29:43,533 WAITING LISTS. 1152 00:29:43,600 --> 00:29:45,166 WHAT WE NEED IS REFORM AT A 1153 00:29:45,233 --> 00:29:46,200 NATIONAL LEVEL -- AND THERE ARE 1154 00:29:46,266 --> 00:29:49,633 ACTUALLY SOME PROMISING 1155 00:29:49,700 --> 00:29:50,233 DEVELOPMENTS HERE. 1156 00:29:50,300 --> 00:29:51,466 A DISCUSSION DRAFT OF A BILL WAS 1157 00:29:51,533 --> 00:29:52,233 RECENTLY INTRODUCED THAT WOULD 1158 00:29:52,300 --> 00:29:53,300 MAKE HOME AND COMMUNITY-BASED 1159 00:29:53,366 --> 00:29:54,233 CARE AN ENTITLEMENT UNDER 1160 00:29:54,300 --> 00:29:55,900 MEDICAID. 1161 00:29:55,966 --> 00:29:57,100 AND BIDEN'S PROPOSED 1162 00:29:57,166 --> 00:29:59,700 INFRASTRUCTURE PLAN ACTUALLY 1163 00:29:59,766 --> 00:30:01,000 CALLS FOR $400 BILLION TO BE 1164 00:30:01,066 --> 00:30:02,200 SPENT ON THOSE EXACT SERVICES. 1165 00:30:02,266 --> 00:30:05,466 AND THAT WOULD BE A BIG DEAL. 1166 00:30:05,533 --> 00:30:08,933 AND LOOK, AGGRESSIVE TRANSITION 1167 00:30:09,000 --> 00:30:10,900 TO HOME-BASED CARE IS GOING TO 1168 00:30:10,966 --> 00:30:12,233 NEED RIGOROUS GUARDRAILS AND 1169 00:30:12,300 --> 00:30:14,266 OVERSIGHT TO MAKE SURE THAT 1170 00:30:14,333 --> 00:30:17,300 MONEY IS NOT MISSPENT, JUST IN A 1171 00:30:17,366 --> 00:30:17,633 DIFFERENT WAY. 1172 00:30:17,700 --> 00:30:18,733 THE LAST THING I WANT IS, FIVE 1173 00:30:18,800 --> 00:30:20,133 YEARS FROM NOW, TO BE HAVING TO 1174 00:30:20,200 --> 00:30:22,600 DO A SHOW ON THE EVILS OF 1175 00:30:22,666 --> 00:30:24,100 NEW FOR-PROFIT HOME CARE 1176 00:30:24,166 --> 00:30:25,600 AGENCIES WHO'VE BEEN DESTROYING 1177 00:30:25,666 --> 00:30:26,166 PEOPLE'S LIVES IN THEIR OWN 1178 00:30:26,233 --> 00:30:26,566 HOMES. 1179 00:30:26,633 --> 00:30:28,200 AND IF YOU'RE THINKING, "WAIT, 1180 00:30:28,266 --> 00:30:29,300 FIVE YEARS FROM NOW YOU'LL STILL 1181 00:30:29,366 --> 00:30:31,066 BE DOING SHOWS IN THE VOID?" 1182 00:30:31,133 --> 00:30:32,033 OH, NO. 1183 00:30:32,100 --> 00:30:32,900 WE'LL BE BACK IN THE VOID. 1184 00:30:32,966 --> 00:30:34,200 I DON'T WANT TO GET INTO 1185 00:30:34,266 --> 00:30:36,333 SPECIFICS, BUT -- 1186 00:30:36,400 --> 00:30:37,433 SPOILER ALERT -- 1187 00:30:37,500 --> 00:30:38,500 IT'S NOT A PANDEMIC NEXT TIME! 1188 00:30:38,566 --> 00:30:40,766 IT'S SPIDERS. 1189 00:30:40,833 --> 00:30:42,133 BUT WE DO NEED TO DO SOMETHING. 1190 00:30:42,200 --> 00:30:44,900 AND IT ALL STARTS WITH SHOWING 1191 00:30:44,966 --> 00:30:46,033 THAT WE GIVE A SHIT ABOUT WHAT 1192 00:30:46,100 --> 00:30:47,033 HAPPENS TO THE ELDERLY AND 1193 00:30:47,100 --> 00:30:50,366 PEOPLE WITH DISABILITIES IN THIS 1194 00:30:50,433 --> 00:30:52,033 COUNTRY, 'CAUSE RIGHT NOW, 1195 00:30:52,100 --> 00:30:53,133 EVIDENCE POINTS TO THE FACT THAT 1196 00:30:53,200 --> 00:30:53,766 WE ABSOLUTELY DON'T, AND ALL THE 1197 00:30:53,833 --> 00:30:54,600 OTHER PROBLEMS ARE STEMMING FROM 1198 00:30:54,666 --> 00:30:56,033 THAT. 1199 00:30:56,100 --> 00:30:57,966 AND THE LONGER WE CONTINUE TO 1200 00:30:58,033 --> 00:30:59,200 IGNORE THIS, THE WORSE IT'S 1201 00:30:59,266 --> 00:31:02,900 GOING TO GET. 1202 00:31:02,966 --> 00:31:04,400 BECAUSE THE FACT IS, RIGHT NOW, 1203 00:31:04,466 --> 00:31:05,733 THIS IS AN INDUSTRY WHERE THE 1204 00:31:05,800 --> 00:31:06,966 PEOPLE IN ITS CARE ARE BEING 1205 00:31:07,033 --> 00:31:08,566 FIGURATIVELY -- AND SOMETIMES 1206 00:31:08,633 --> 00:31:09,133 LITERALLY -- EATEN ALIVE. 1207 00:31:09,200 --> 00:31:14,033 AND NOW THIS. 1208 00:31:14,100 --> 00:31:17,066 >> Announcer: AND NOW, A FEW 1209 00:31:17,133 --> 00:31:17,966 MORE OF THE GREATEST QUESTIONS 1210 00:31:18,033 --> 00:31:22,266 EVER ASKED ON YAHOO! ANSWERS. 1211 00:31:22,333 --> 00:31:24,133 >> HOW DO I GET SPAGHETTI STANDS 1212 00:31:24,200 --> 00:31:27,266 OFF MY UNDERWEAR. 1213 00:31:27,333 --> 00:31:29,566 IS IT OKAY TO GET A TRAMPOLINE 1214 00:31:29,633 --> 00:31:31,033 WET ONCE AND A WHILE? 1215 00:31:31,100 --> 00:31:38,433 DOES THE MOVIE "AIR BUD" PAINT 1216 00:31:38,500 --> 00:31:43,000 ACCURATE PICTURE OF A DOG'S 1217 00:31:43,066 --> 00:31:43,466 SKILL? 1218 00:31:43,533 --> 00:31:45,733 MY DAD IS A GOLF, WHAT DO I DO? 1219 00:31:45,800 --> 00:31:48,466 WHY ARE THE HOLES AND KETCHUP 1220 00:31:48,533 --> 00:31:50,266 ARE ALWAYS IN THE RIGHT PLACES 1221 00:31:50,333 --> 00:31:51,533 FOR THEIR EYES? 1222 00:31:51,600 --> 00:31:54,100 WHY WASN'T I BORN AN OCTOPUS? 1223 00:31:54,166 --> 00:31:58,366 CAN A BIRD STAY ON A CLOUD? 1224 00:31:58,433 --> 00:32:08,800 HOW DO I FIX MY FARTING PENIS? 1225 00:32:08,866 --> 00:32:10,166 ALVIN AND THE CHIPMUNKS? 1226 00:32:10,233 --> 00:32:12,700 HOW DO I TURN OFF MY CAPS LOCK? 1227 00:32:12,766 --> 00:32:14,900 >> John: THAT'S OUR SHOW, 1228 00:32:14,966 --> 00:32:19,100 THANKS SO MUCH FOR WATCHING, 1229 00:32:19,166 --> 00:32:20,866 WE'LL SEE YOU NEXT WEEK. 1230 00:32:20,933 --> 00:32:21,933 GOOD NIGHT.