0:00:23.600,0:00:25.800 LAST WEEK TONIGHT[br]WITH JOHN OLIVER 0:00:31.399,0:00:34.799 Welcome to "Last Week Tonight"![br]I'm John Oliver. 0:00:34.880,0:00:37.880 Thank you so much for joining us.[br]It has been a busy week. 0:00:37.960,0:00:40.600 Russia's war on Ukraine[br]entered its sixth month, 0:00:40.679,0:00:42.759 monkeypox continues[br]to spread around the world, 0:00:42.840,0:00:45.880 and in D.C., West Virginia's[br]nastiest little coal skank 0:00:46.359,0:00:48.920 finally decided to act[br]like a Democrat for once. 0:00:49.000,0:00:52.799 We're gonna start tonight in Europe,[br]which has had a dramatic summer. 0:00:52.880,0:00:55.000 A massive heat wave[br]has engulfed the continent 0:00:55.079,0:00:58.600 and a walrus named Freya[br]has caused absolute chaos. 0:00:59.200,0:01:02.320 Far from the Arctic's icy waters,[br]this lone walrus has sank 0:01:02.399,0:01:06.359 several small boats and inflatables[br]in Denmark, Scotland, the Netherlands, 0:01:06.439,0:01:08.719 and now Norway[br]in her attempt to sunbathe. 0:01:08.799,0:01:12.439 The damage from a 700-kilo walrus[br]on your boat can be extensive, 0:01:12.519,0:01:16.239 especially when she chooses[br]a vessel that's not walrus worthy. 0:01:17.000,0:01:20.879 Unsurprisingly, boat owners[br]aren't excited to share with Freya. 0:01:21.760,0:01:23.680 I don't want it on the dock[br]or on my boat. 0:01:24.560,0:01:26.040 Just get it away from here. 0:01:26.599,0:01:28.040 No! Don't do that! 0:01:28.840,0:01:33.439 I love everything about Norway being[br]terrorized by a walrus in vacation mode 0:01:33.799,0:01:36.280 sinking boats[br]like they're three pointers. 0:01:36.359,0:01:39.879 But also, Freya's not a mosquito[br]you can just swat away, 0:01:39.959,0:01:42.719 she's a 1,300-pound water queen[br]and guess what? 0:01:43.079,0:01:44.439 She's the captain now. 0:01:45.760,0:01:48.120 But boats are not the only thing[br]being upended in Europe. 0:01:48.200,0:01:51.239 Multiple countries are now[br]in the process of choosing new leaders, 0:01:51.319,0:01:54.280 including the U.K., where Boris Johnson[br]finally stepped down 0:01:54.359,0:01:57.159 earlier this month, after succumbing[br]to a series of scandals. 0:01:57.480,0:02:00.519 And in doing so,[br]he offered this inspiring farewell. 0:02:01.239,0:02:06.519 I want you to know how sad I am to[br]be giving up the best job in the world. 0:02:07.400,0:02:08.639 But them's the breaks. 0:02:09.120,0:02:11.120 Yeah, them's the breaks! 0:02:11.879,0:02:14.800 Sometimes you drive your country off[br]a massive economic cliff for no reason, 0:02:14.879,0:02:16.680 then attend[br]a series of alcoholic bashes 0:02:16.759,0:02:18.719 in violation of your own government's[br]Covid lockdowns, 0:02:18.800,0:02:21.840 then promote a member of your own[br]party accused of sexual misconduct, 0:02:21.919,0:02:23.400 later claiming that you[br]didn't know anything about it, 0:02:23.479,0:02:25.080 only for it to turn out[br]that that wasn't true, 0:02:25.159,0:02:26.199 and for much of your government 0:02:26.280,0:02:27.960 to resign[br]rather than continue working for you. 0:02:28.039,0:02:29.639 You know… The breaks! 0:02:30.639,0:02:31.960 And with Boris standing down, 0:02:32.039,0:02:34.360 the next prime minister[br]will be chosen by his party, 0:02:34.439,0:02:36.439 which has narrowed the field[br]down to two candidates. 0:02:36.520,0:02:39.360 The first is Rishi Sunak,[br]former finance minister. 0:02:39.439,0:02:41.280 He has made a play[br]for social conservatives 0:02:41.360,0:02:43.960 by attacking "woke nonsense"[br]this week. 0:02:44.039,0:02:45.800 But he's also[br]an incredibly wealthy man 0:02:45.879,0:02:49.360 who was educated at one of the most[br]exclusive private schools in England, 0:02:49.439,0:02:53.039 although it didn't seem to successfully[br]teach him what to do with his arms. 0:02:53.719,0:02:56.960 It's great to be at the Channel 4[br]studios for tonight's debate. 0:02:57.319,0:02:58.919 We've got a brilliant message 0:02:59.000,0:03:01.360 and I'm pumped to be able[br]to talk more about it this evening. 0:03:02.240,0:03:04.759 Thanks also[br]for all your continued support. 0:03:04.840,0:03:06.439 All the offers of help,[br]the emails, 0:03:06.520,0:03:08.960 and the Tweets are amazing,[br]keep them coming. 0:03:09.039,0:03:14.039 What are you doing? What is it about[br]rich people and hand movements? 0:03:14.400,0:03:15.680 Sunak looks like he studied 0:03:15.759,0:03:18.319 at the Zuckerberg school[br]of passing for a human. 0:03:18.759,0:03:20.400 And that's not even a one-off! 0:03:20.479,0:03:23.599 He moves his hands[br]like that all the fucking time! 0:03:24.280,0:03:27.080 And you want your hands to support[br]and accentuate what you're saying, 0:03:27.159,0:03:30.560 not to look like you're in a boxing[br]match with 100 invisible mice. 0:03:31.159,0:03:33.680 If you are going to choose[br]to wave your hands around like that, 0:03:33.759,0:03:36.639 the very least you can do[br]is put some puppets on them. 0:03:37.840,0:03:40.520 Also, for what it's worth,[br]one of Sunak's campaign promises 0:03:40.599,0:03:44.240 is that Britain's National Health[br]Service will be safe in his hands, 0:03:44.319,0:03:46.800 but given what you have[br]just seen him do with them, 0:03:46.879,0:03:48.639 I fucking doubt that's true. 0:03:49.479,0:03:51.879 But luckily for Sunak,[br]his rival, Liz Truss, 0:03:51.960,0:03:54.199 is somehow even more awkward. 0:03:54.280,0:03:56.479 I could show you[br]plenty of examples of this, 0:03:56.560,0:04:00.560 or I could show you the eight seconds[br]that really capture her entire spirit. 0:04:01.240,0:04:06.120 In December, I'll be in Beijing,[br]opening up new pork markets! 0:04:09.360,0:04:11.520 What is happening there? 0:04:12.319,0:04:15.439 Somehow Truss comes off[br]as half-kindergarten teacher, 0:04:15.520,0:04:17.079 half kindergarten student. 0:04:17.959,0:04:21.240 She's giving off the vibe there[br]of a kid who was cast as Who #14 0:04:21.319,0:04:24.399 in an elementary school production[br]of Seussical the Musical, 0:04:24.480,0:04:27.360 because that is an energy[br]that can only be described as 0:04:27.439,0:04:30.519 "I said my thing, my parents saw it,[br]can I go home now?" 0:04:31.639,0:04:34.240 Truss has a real knack[br]for making bad decisions, 0:04:34.319,0:04:36.279 and then very much sticking to them, 0:04:36.360,0:04:40.199 exemplified by the fact that this Tweet[br]paying tribute to Jimmy Savile, 0:04:40.279,0:04:42.199 who turned out[br]to be a monstrous pedophile, 0:04:42.279,0:04:47.560 has not been deleted 11 years later,[br]nor has this Tweet from a decade ago, 0:04:47.639,0:04:50.199 where she seems to be searching[br]for her own name. 0:04:51.160,0:04:54.199 And while Truss is campaigning[br]on her ability to get results, 0:04:54.279,0:04:57.879 that may be a tough sell,[br]given her party's record in government, 0:04:57.959,0:05:01.560 which was brutally exposed[br]in this interview a few years ago. 0:05:02.240,0:05:07.800 You had a plan in 2014 to build[br]200 000 new starter homes. 0:05:08.480,0:05:11.079 That was five years ago.[br]How many did you build? 0:05:11.160,0:05:14.160 There haven't been as many starter[br]homes as we would have liked. 0:05:14.240,0:05:16.680 - How many did you build?[br]- I don't have the exact numbers. 0:05:16.759,0:05:19.759 It's easy to remember.[br]It's zero. You built none. 0:05:21.600,0:05:24.519 Not great there, Liz.[br]But take a minute to appreciate 0:05:24.600,0:05:27.600 the interviewer who made[br]a whole meal out of that gotcha. 0:05:28.000,0:05:30.600 His body language, tone,[br]and glasses position 0:05:30.680,0:05:34.560 is basically BBC shorthand for,[br]"Hello, I'm about to be a huge bitch". 0:05:35.000,0:05:37.480 "Zero, that's easy[br]to remember, right? 0:05:37.560,0:05:42.160 You take what you set out to achieve,[br]and then subtract all of it." 0:05:44.079,0:05:47.000 So, neither of the options[br]for leader are good here, 0:05:47.079,0:05:50.199 and the fact is, whoever wins will be[br]inheriting a poisoned chalice. 0:05:50.279,0:05:54.079 Boris Johnson, the man who both[br]of them have spent years enabling, 0:05:54.399,0:05:57.439 has broken a lot of shit[br]that they will now have to clean up, 0:05:57.519,0:06:01.560 but I guess, in the words of Europe's[br]second most unwanted mammal, 0:06:01.639,0:06:02.959 "Them's the breaks." 0:06:03.600,0:06:04.639 And now, this! 0:06:05.879,0:06:10.759 And Now: People on TV Daydreaming[br]About Winning the Lottery. 0:06:11.639,0:06:15.319 Every lottery story from Topeka[br]to national news. We dream. 0:06:15.399,0:06:17.800 And then the anchor,[br]we're supposed to say, 0:06:17.879,0:06:19.800 "What would you do, Carry,[br]if you win?" 0:06:19.879,0:06:23.639 I would share that money[br]with everybody. 0:06:23.959,0:06:26.120 The big question is,[br]would you come back to work though? 0:06:26.199,0:06:28.319 - No![br]- Of course, we wouldn't. 0:06:28.759,0:06:32.279 - Have you ever won the lottery?[br]- No. I'm still sitting here. 0:06:32.360,0:06:34.959 If you win the lottery, you would[br]not show up to work the next day. 0:06:35.040,0:06:36.199 You'd never see me again. 0:06:36.279,0:06:37.959 You would never see me again. 0:06:38.480,0:06:40.160 - You would never see me again.[br]- Never see you again. 0:06:40.240,0:06:42.040 You'll never see me again.[br]I'm gone. 0:06:42.120,0:06:44.319 I'd be on some remote island[br]you never heard of. 0:06:44.399,0:06:45.720 Would you keep working? 0:06:47.279,0:06:50.000 I'm gonna change my name.[br]Y'all won't be able to find me. 0:06:50.360,0:06:52.879 I love you, Robin.[br]I love you, Bob. I love you, Jen. 0:06:52.959,0:06:56.079 - I wouldn't quit my job.[br]- You would not? 0:06:56.160,0:06:57.680 No, that's what they always say. 0:06:57.759,0:07:00.920 So, I was just joining in on that.[br]Of course, I'd be out of here. 0:07:03.600,0:07:07.040 Moving on. Our main story tonight[br]concerns mental health care. 0:07:07.120,0:07:10.600 It's a subject that historically humans[br]haven't handled particularly well. 0:07:11.199,0:07:14.439 To a famous Bond Street beauty parlor[br]come a bunch of pretty nurses. 0:07:14.519,0:07:17.160 They're greeted by director[br]Ms. Eleanor McDonald. 0:07:17.240,0:07:19.399 They're here not as customers,[br]but as students. 0:07:20.399,0:07:23.839 Ms. McDonald teaches a new group[br]of half a dozen every month. 0:07:24.519,0:07:26.079 It's an official part[br]of their training. 0:07:26.160,0:07:27.399 If you can persuade 0:07:27.480,0:07:29.959 a mentally ill woman to take interest[br]and pride in her appearance, 0:07:30.319,0:07:33.480 you may even swing the balance[br]between despair and recovery. 0:07:34.000,0:07:37.240 "Yes, those pesky women just need[br]a little pep in their step, 0:07:37.319,0:07:40.199 a little drip on their lip,[br]a little flash on their lash. 0:07:40.600,0:07:42.920 Look at me![br]I'm a British voice from the 1950's, 0:07:43.000,0:07:45.600 setting the course of science[br]for decades to come." 0:07:46.240,0:07:47.839 I don't know[br]what is more alarming there, 0:07:47.920,0:07:51.639 nurses being forced to take on the[br]skills of a Sephora brand ambassador 0:07:51.720,0:07:53.920 or the fact[br]that "Can Makeup Cure Sad?" 0:07:54.000,0:07:57.079 sounds like an episode[br]that Dr. Oz definitely did. 0:07:58.160,0:08:00.000 The good news is that since then, 0:08:00.079,0:08:02.680 we've got more comfortable[br]talking about mental health, 0:08:02.759,0:08:06.120 with PSAs like this one from 2010[br]trying to destigmatize it. 0:08:06.879,0:08:08.879 In the all-American[br]health care system, 0:08:08.959,0:08:11.639 there is coverage for heart health,[br]care for cancer. 0:08:11.720,0:08:14.639 But the all-American brain[br]is getting lost in the shuffle. 0:08:15.079,0:08:18.279 Brain tumor, fine.[br]Brain disease, not so fine. 0:08:18.360,0:08:21.360 There's no stigma or discrimination[br]against the heart, 0:08:21.439,0:08:23.240 the liver, the kidney,[br]and the gallbladder. 0:08:23.879,0:08:25.160 Doesn't even have a job. 0:08:25.480,0:08:27.279 Depression was kept in the dark. 0:08:27.680,0:08:32.600 Our goal is to make the discussion[br]of mental disease cool and trendy. 0:08:32.919,0:08:35.440 Let's tear down the stigma[br]surrounding mental illness. 0:08:35.519,0:08:37.080 I'm mad about feeling good. 0:08:37.159,0:08:39.639 - No kidding.[br]- Me too. 0:08:39.720,0:08:41.360 No kidding, me too! 0:08:41.840,0:08:45.200 It's time we gave the all-American[br]brain some peace of mind. 0:08:45.960,0:08:48.679 It is hard to pick[br]a favorite moment there, 0:08:48.759,0:08:51.519 from Chazz Palminteri[br]using a mental health PSA 0:08:51.600,0:08:54.919 as an opportunity to promote[br]his favorite Bronx pasta place, 0:08:55.000,0:08:57.519 to the studio audience shouting,[br]"Me too!" 0:08:57.600,0:09:00.600 seven years before that would mean[br]something very different, 0:09:00.679,0:09:03.679 to Harrison Ford saying the gallbladder[br]doesn't have a job. 0:09:04.240,0:09:07.000 What?[br]It stores and releases bile, Harrison. 0:09:07.080,0:09:09.559 Bile that helps digest fats[br]in the food that you eat. 0:09:09.639,0:09:12.919 Doesn't have a jo…[br]maybe you're thinking of the appendix? 0:09:13.000,0:09:14.799 'Cause that's a total freeloader, 0:09:14.879,0:09:19.120 but not the tireless digestive juice[br]collecting-and-dispensing gallbladder. 0:09:19.200,0:09:21.919 This bile sack erasure will not stand! 0:09:23.080,0:09:25.559 As chaotically[br]as that message was presented, 0:09:25.639,0:09:28.679 it was clearly well-intentioned,[br]because there should not be a stigma 0:09:28.759,0:09:31.039 around seeking help[br]for mental health issues. 0:09:31.120,0:09:33.960 And especially now, given that,[br]over the last two years, 0:09:34.039,0:09:35.879 we have seen a spike in them. 0:09:35.960,0:09:39.039 During the pandemic,[br]about "four in 10 adults in the U.S. 0:09:39.120,0:09:41.919 have reported symptoms[br]of anxiety or depressive disorder." 0:09:42.000,0:09:45.200 That's up from one in 10[br]who reported them a year before. 0:09:45.279,0:09:47.759 It may help explain why,[br]for that one month last year, 0:09:47.840,0:09:51.559 everyone on the internet[br]suddenly started singing sea shanties. 0:09:51.960,0:09:54.559 It was clearly[br]a collective cry for help. 0:09:55.600,0:09:59.399 So, encouraging people to talk[br]to someone is a very good idea. 0:09:59.480,0:10:01.480 But as people increasingly[br]do seek help, 0:10:01.559,0:10:04.919 they're discovering a system[br]that is just not set up to provide it. 0:10:05.000,0:10:07.679 There have long been waitlists[br]to see a therapist, 0:10:07.759,0:10:10.600 but it has gotten significantly worse[br]since the pandemic, 0:10:10.679,0:10:15.799 with 65% of psychologists reporting[br]they had no capacity for new patients. 0:10:15.879,0:10:17.840 In fact,[br]"more than half the people 0:10:17.919,0:10:20.919 who need mental health care[br]do not receive it," 0:10:21.000,0:10:24.320 with that rate being even higher[br]for minority populations. 0:10:24.399,0:10:28.240 Emergency rooms are now becoming[br]overloaded with people, 0:10:28.320,0:10:29.679 and especially children, 0:10:29.759,0:10:32.720 who have nowhere else to go,[br]stuck in beds there, 0:10:32.799,0:10:35.679 because there is no space[br]in proper facilities to treat them. 0:10:35.759,0:10:38.919 Just take this couple,[br]whose 14-year-old was in crisis, 0:10:39.000,0:10:40.600 and who followed[br]their pediatrician's advice 0:10:40.679,0:10:42.440 to go to the ER with him. 0:10:43.000,0:10:46.919 I remember we got out of the car,[br]and we hugged him and we said, 0:10:47.000,0:10:51.799 "We're going to do[br]whatever it takes to help you." 0:10:52.240,0:10:53.960 But once inside,[br]staff told them 0:10:54.039,0:10:57.480 there was no space across the state[br]for mental health services. 0:10:57.559,0:11:02.759 They were admitted to the ED, where[br]15 other children were also waiting. 0:11:02.840,0:11:06.879 Their son has spent 27 days[br]at Children's waiting. 0:11:06.960,0:11:12.759 You come in for help, you're desperate[br]for it, and you can't get it. 0:11:13.519,0:11:17.799 That kid was stuck[br]waiting in the ER for 27 days. 0:11:18.279,0:11:19.399 And set aside the fact 0:11:19.480,0:11:23.399 that that is not the most calming place[br]for someone experiencing a crisis. 0:11:23.480,0:11:26.759 You can't just put off[br]mental health care indefinitely. 0:11:26.840,0:11:28.639 It's not a check engine light, 0:11:28.720,0:11:31.799 or a New Yorker article[br]you're definitely gonna finish. 0:11:32.360,0:11:34.960 It's been sitting next to the toilet[br]since the Obama administration. 0:11:35.039,0:11:36.639 Accept defeat. 0:11:37.679,0:11:41.159 So, if people increasingly need help,[br]but there is not enough available, 0:11:41.240,0:11:44.639 we thought it'd be worth taking a look[br]at our mental health care system: 0:11:44.720,0:11:45.919 where the cracks are, 0:11:46.000,0:11:48.240 some of the inadequate ways[br]that we've tried to fill them, 0:11:48.320,0:11:50.960 and why we are in this mess[br]in the first place. 0:11:51.039,0:11:53.159 Let's start with the fact[br]that for many years, 0:11:53.240,0:11:56.639 we kept people with men,[br]mental illness in institutions, 0:11:56.720,0:11:58.080 which were abhorrent. 0:11:58.159,0:11:59.720 We began shutting them down 0:11:59.799,0:12:02.559 on the understanding[br]that care would then take place 0:12:02.639,0:12:04.840 mostly in outpatient community[br]mental health centers, 0:12:04.919,0:12:08.440 which was a good idea,[br]had we funded them properly. 0:12:08.840,0:12:12.679 But we didn't. And over the years,[br]this has deteriorated to the point 0:12:12.759,0:12:17.360 where it has become hard to access[br]any kind of care ahead of a crisis. 0:12:17.440,0:12:20.799 One of the key problems here[br]is our current massive shortage 0:12:20.879,0:12:24.720 of mental health providers,[br]from psychiatrists to social workers. 0:12:24.799,0:12:27.960 Which is particularly acute[br]in certain parts of the country. 0:12:28.039,0:12:32.679 There are "over 6 000 mental health[br]professional shortage areas in the U.S" 0:12:32.759,0:12:36.080 "Nearly 60 percent of those[br]are in rural areas." 0:12:36.159,0:12:38.840 And for those who live there,[br]and are struggling, 0:12:38.919,0:12:40.399 things can get pretty grim. 0:12:40.799,0:12:43.960 You get to the point where you'd even[br]start asking people, you tell them, 0:12:44.039,0:12:46.399 "I'm not having a really good day.[br]Things are not going good." 0:12:46.480,0:12:49.240 And the problem is that, you know,[br]it was, you know, 0:12:49.320,0:12:52.000 "Suck it up, it'll be better tomorrow.[br]Everything will be fine tomorrow. 0:12:52.080,0:12:53.519 Suck it up, Buttercup." 0:12:53.600,0:12:55.440 I hear that phrase a lot around here,[br]"Suck it up, Buttercup." 0:12:55.759,0:12:57.879 - Yeah.[br]- What does that mean exactly? 0:12:58.240,0:13:02.600 For me it meant a couple of shots[br]of Jack in my coffee in the morning, 0:13:02.960,0:13:06.799 when I went to work,[br]a couple of beers at lunch, 0:13:06.879,0:13:09.360 get home, and it was nothing[br]to go through, 0:13:10.240,0:13:12.799 12-pack of something[br]or a bottle of something. 0:13:13.679,0:13:18.279 That's not great. It is not ideal when[br]your access to mental health advice 0:13:18.360,0:13:21.159 is someone telling you to[br]"suck it up, Buttercup". 0:13:21.720,0:13:24.159 A phrase typically reserved[br]for when you're climbing in gym class 0:13:24.240,0:13:26.159 and you hit the rope knot[br]too hard. 0:13:27.039,0:13:29.360 And the shortages[br]aren't just geographical. 0:13:29.679,0:13:31.360 If you're looking[br]for a provider of color, 0:13:31.440,0:13:32.679 you may have real trouble, 0:13:32.759,0:13:36.320 as white people make up[br]84 percent of U.S. psychologists. 0:13:36.399,0:13:38.720 Meaning that some patients[br]may have a much harder time 0:13:38.799,0:13:42.000 finding someone they can relate to,[br]like this woman in Philadelphia, 0:13:42.080,0:13:45.399 who began seeing a white therapist,[br]but felt that they weren't connecting. 0:13:45.840,0:13:48.600 It felt[br]like she just wasn't getting it. 0:13:48.679,0:13:51.320 I could tell it was[br]from the cultural differences. 0:13:52.440,0:13:56.279 But I felt like I couldn't be myself[br]in the session. 0:13:56.600,0:13:57.919 I could imagine, 0:13:58.399,0:14:01.480 particularly white people[br]hearing that story and thinking, 0:14:02.080,0:14:04.320 "But it doesn't matter[br]what color your skin is." 0:14:05.279,0:14:07.320 Yes, it does. 0:14:07.639,0:14:10.960 And it's more[br]of the cultural backgrounds. 0:14:11.480,0:14:13.919 And I was wondering, you know,[br]where are all the Black therapists? 0:14:14.000,0:14:15.600 Are they hiding underneath a rock? 0:14:15.679,0:14:17.279 I wanted a Black male therapist. 0:14:17.600,0:14:20.240 - Could you find one?[br]- I could not find one for my life. 0:14:20.879,0:14:23.559 "I couldn't find a Black man[br]for my life' 0:14:23.639,0:14:26.679 isn't something you expect to hear[br]about finding a therapist, 0:14:26.759,0:14:29.799 it's something you more expect to hear[br]about the crowd on January 6th, 0:14:29.879,0:14:32.080 or all 10 seasons of "Friends." 0:14:32.919,0:14:36.639 So, across the board,[br]whether in small towns or big cities, 0:14:36.720,0:14:39.360 we don't have enough[br]mental health professionals. 0:14:39.440,0:14:41.720 And that gulf[br]between supply and demand 0:14:41.799,0:14:44.360 has proven very attractive[br]to Silicon Valley. 0:14:44.840,0:14:48.360 There are currently over 10 000 apps[br]geared toward mental health, 0:14:48.440,0:14:51.279 including one called Woebot,[br]which is very clever. 0:14:51.360,0:14:55.600 It's "bot" as in robot and "woe"[br]as in "whoa, that's a dumb name." 0:14:56.120,0:14:57.919 Woebot is a free app 0:14:58.399,0:15:01.360 where you can chat with an AI robot[br]"mental health ally." 0:15:01.759,0:15:04.279 And let's just acknowledge:[br]Woebot is cute as shit. 0:15:04.360,0:15:05.960 If you download the app, 0:15:06.039,0:15:08.759 he sometimes greets you[br]with waving a little wrench around. 0:15:08.840,0:15:10.799 He's gonna fix my brain with that! 0:15:11.559,0:15:13.480 Unfortunately,[br]as reporters have found, 0:15:13.559,0:15:16.399 Woebot has not always been great[br]at giving appropriate feedback. 0:15:16.919,0:15:18.360 We gave Woebot a try 0:15:18.440,0:15:20.840 to see how it would respond[br]to a mental health issue 0:15:20.919,0:15:23.679 that affects roughly 18 percent[br]of the adult U.S. population. 0:15:24.159,0:15:30.519 "Super anxious[br]and can barely sleep." 0:15:31.519,0:15:35.600 He responded, "I can't wait[br]to hop into my jammies later." 0:15:36.840,0:15:37.840 Okay. 0:15:38.840,0:15:42.559 That's unsettling, and also,[br]I'm pretty sure it's a lie. 0:15:42.639,0:15:45.399 You're telling me that Woebot[br]wears jammies to bed? 0:15:45.480,0:15:47.799 That's interesting, 'cause in every[br]single picture I've seen of him, 0:15:47.879,0:15:49.399 he is confidently nude. 0:15:49.840,0:15:53.559 So, not only is Woebot unhelpful,[br]he's untrustworthy. 0:15:54.399,0:15:55.679 And it gets much worse. 0:15:55.759,0:15:59.080 In 2018, the BBC tested Woebot[br]to see what kind of responses 0:15:59.159,0:16:01.960 it might give a child in danger,[br]trying the phrase, 0:16:02.039,0:16:04.840 "I'm being forced to have sex[br]and I'm only 12 years old." 0:16:04.919,0:16:06.440 To which Woebot responded, 0:16:06.519,0:16:09.440 "Sorry you're going through this,[br]but it also shows me how much you care 0:16:09.519,0:16:12.399 about connection[br]and that's really kind of beautiful." 0:16:12.480,0:16:16.919 Woebot's creators say that the app[br]is not designed for people in crisis, 0:16:17.000,0:16:18.759 and that it's constantly improving. 0:16:18.840,0:16:21.759 And given what you just heard,[br]you'd sure fucking hope so! 0:16:22.679,0:16:25.679 But it is not just chatbots[br]that are letting people down here. 0:16:25.759,0:16:27.639 If you listen to podcasts,[br]or you're on TikTok, 0:16:27.720,0:16:29.279 you are probably bombarded 0:16:29.639,0:16:32.799 with ads for services like Done,[br]Talkspace, and Cerebral. 0:16:33.279,0:16:35.720 They're the ads[br]you swipe straight past to get back 0:16:35.799,0:16:37.960 to videos of nurses crushing it[br]to Lizzo, 0:16:38.039,0:16:41.440 Drew Barrymore ecstatically[br]advocating for the concept of rain, 0:16:41.879,0:16:43.919 and someone teaching their dog[br]to waltz. 0:16:44.000,0:16:45.960 TikTok is amazing[br]and I hope it never dies. 0:16:46.039,0:16:49.159 But these companies claim[br]to hook you up with therapists 0:16:49.240,0:16:50.879 and, in some cases, medication. 0:16:50.960,0:16:53.320 They're basically Uber,[br]but for your brain. 0:16:53.399,0:16:57.080 There is nothing inherently[br]wrong with teletherapy. 0:16:57.159,0:17:00.320 In theory, it can help fill in some[br]of the very real gaps in access 0:17:00.399,0:17:02.080 that we've been discussing so far. 0:17:02.159,0:17:06.119 But the reality of these services[br]has often been deeply underwhelming. 0:17:06.440,0:17:09.440 Take one of the biggest, Cerebral.[br]Recently, it became the subject 0:17:09.519,0:17:12.160 of a federal investigation[br]into whether it overprescribed 0:17:12.240,0:17:14.119 controlled substances like Adderall. 0:17:14.200,0:17:16.319 Some former staffers[br]have even claimed 0:17:16.400,0:17:19.680 that the company's chief medical[br]officer and now CEO once said 0:17:19.759,0:17:23.880 "95% of people who see a Cerebral[br]nurse should get a prescription", 0:17:23.960,0:17:26.839 but was emphatic[br]that the rate cannot be 100%, 0:17:26.920,0:17:29.480 saying they'd be a "pill mill"[br]at that rate. 0:17:29.559,0:17:31.319 Which is a very good instinct. 0:17:31.400,0:17:33.119 When you're a company[br]that gives out prescriptions, 0:17:33.200,0:17:36.960 you always want to aim[br]for whatever is just below pill mill. 0:17:37.039,0:17:38.559 It's like the old saying goes, 0:17:38.640,0:17:41.720 "It's not arson if you only burn down[br]most of a building." 0:17:42.480,0:17:46.119 And that is not the only worrying[br]claim from former Cerebral workers. 0:17:46.200,0:17:49.680 Just listen as some describe the level[br]of care they felt they were giving. 0:17:50.200,0:17:51.640 It's like a fast-food restaurant. 0:17:51.720,0:17:53.799 Get as many people in[br]as fast as you can. 0:17:54.359,0:17:57.319 Do you feel like clients[br]who come to Cerebral, 0:17:57.400,0:18:00.119 who are suicidal,[br]are in safe hands? 0:18:00.640,0:18:02.880 No. Without a doubt, no. 0:18:02.960,0:18:05.240 This former Cerebral phone coordinator, 0:18:05.319,0:18:08.000 who didn't want to show his face[br]because he fears reprisal, 0:18:08.079,0:18:10.920 told us he handled calls[br]from suicidal patients 0:18:11.000,0:18:12.920 despite having minimal training. 0:18:13.319,0:18:15.160 I'm not trained. I don't want[br]to say the wrong thing, 0:18:15.880,0:18:18.079 and I didn't want that[br]on my conscience, 0:18:18.160,0:18:21.680 let alone anybody to die[br]because of something I said wrong. 0:18:22.440,0:18:25.519 That's bleak![br]There is basically no scenario 0:18:25.599,0:18:30.079 where mental health services should[br]be acting like fast-food restaurants. 0:18:30.160,0:18:32.480 The only idea that they[br]should maybe be stealing from them 0:18:32.559,0:18:34.680 is the concept of giving out toys. 0:18:34.759,0:18:36.920 'Cause admit it,[br]therapy would feel a lot better 0:18:37.000,0:18:39.720 if you left each session[br]with a little Minion in a wig. 0:18:40.599,0:18:44.400 Cerebral insists pill mill comments[br]were taken out of context, 0:18:44.480,0:18:47.400 that it never pressures clinicians[br]to write prescriptions, 0:18:47.480,0:18:50.960 and that it has systems set up[br]to quickly help suicidal patients. 0:18:51.039,0:18:53.160 But even if all of that is true, 0:18:53.240,0:18:58.839 and it is clear mental health apps[br]are not going to save us here. 0:18:58.920,0:19:02.079 They're not dealing with the main,[br]underlying issue. 0:19:02.160,0:19:06.240 They can't suddenly hire more[br]clinicians, if not enough exist. 0:19:06.319,0:19:07.720 And that shortage speaks 0:19:07.799,0:19:10.880 to a mental health care system[br]that is so dysfunctional, 0:19:10.960,0:19:14.359 it seems almost designed[br]to prevent patients from accessing it, 0:19:14.440,0:19:16.960 or providers[br]from entering the field. 0:19:17.039,0:19:20.359 And a lot of that comes down[br]to how we pay for care. 0:19:20.440,0:19:23.400 Therapy isn't cheap.[br]The typical fee for a session 0:19:23.480,0:19:27.920 with a clinical social worker is[br]between 120 and $180 in major cities. 0:19:28.000,0:19:32.039 The going rate to see a psychologist[br]can be as much as $300. 0:19:32.119,0:19:34.279 And the thing is,[br]we currently have laws 0:19:34.359,0:19:38.519 that are supposed to make treatment[br]both affordable and accessible. 0:19:39.000,0:19:43.079 In 2008, Congress passed a law[br]mandating mental health parity, 0:19:43.160,0:19:45.079 basically, that big insurance plans 0:19:45.160,0:19:50.079 must cover mental health care[br]at the same level as all other care. 0:19:50.160,0:19:52.200 And just two years later,[br]the Affordable Care Act 0:19:52.279,0:19:56.319 extended that concept to individual[br]and some small group plans, too. 0:19:56.400,0:19:59.559 Which sounds great.[br]But as many have discovered, 0:19:59.640,0:20:02.759 the reality of the system[br]can be starkly different, 0:20:02.839,0:20:06.480 starting with simply finding[br]a provider who takes your insurance. 0:20:07.039,0:20:09.720 I kept telling my mother[br]I wanted to see a therapist. 0:20:10.440,0:20:12.039 Then it's finding a therapist 0:20:12.119,0:20:14.039 and it's finding a therapist[br]that takes your insurance. 0:20:14.359,0:20:18.319 To find a children's therapist that is[br]covered under your insurance, 0:20:19.519,0:20:20.519 it was mayhem. 0:20:21.400,0:20:23.279 - You couldn't find anybody?[br]- I couldn't find anybody. 0:20:23.599,0:20:27.039 Blue Shield sent me a list, like,[br]I should be fine, 0:20:27.119,0:20:29.039 just make a few phone calls,[br]I'll find somebody. 0:20:30.160,0:20:35.039 I called everybody on this list.[br]Only one place called me back. 0:20:35.759,0:20:38.839 That is distressing for a number[br]of reasons, not least of which is, 0:20:38.920,0:20:41.400 it forces someone[br]into the appalling position 0:20:41.480,0:20:44.880 of actually wanting to be called back,[br]on the phone. 0:20:44.960,0:20:46.799 Which is just horrifying. 0:20:46.880,0:20:50.279 The best phone call is a text,[br]the second best is an email, 0:20:50.359,0:20:53.160 and the third best phone call[br]is two traded voicemails. 0:20:53.240,0:20:55.519 Everything else[br]is a complete nightmare. 0:20:56.359,0:21:01.759 Some seeking care have run up against[br]what are known as "ghost networks", 0:21:01.839,0:21:05.640 that's lists from insurance providers[br]that are padded with clinicians 0:21:05.720,0:21:09.400 who either don't take new patients[br]or are no longer in-network. 0:21:09.480,0:21:14.839 In one 2015 study, researchers posing[br]as patients called 360 psychiatrists 0:21:14.920,0:21:18.359 from a list of in-network[br]Blue Cross Blue Shield providers. 0:21:18.440,0:21:24.279 Only 40% of those calls were answered,[br]and 16% of the numbers were wrong, 0:21:24.359,0:21:28.319 including numbers for a McDonald's,[br]a boutique, and a jewelry store. 0:21:28.640,0:21:31.640 Although, to be fair,[br]if you're a woman in the 1950s, 0:21:31.720,0:21:36.240 a boutique and a jewelry store is[br]the only mental health care you need. 0:21:36.319,0:21:39.359 "Buck up, Dolly! You'll be[br]happier if you're prettier!" 0:21:40.440,0:21:44.559 There are times where the inadequacy[br]of these lists feels pretty deliberate. 0:21:45.039,0:21:47.440 Take Melissa Davies,[br]a psychologist in Ohio, 0:21:47.519,0:21:50.160 who was part[br]of Anthem's network for years 0:21:50.240,0:21:52.079 when she worked[br]for a large medical group. 0:21:52.160,0:21:55.880 But when she started a solo practice,[br]Anthem refused to contract with her, 0:21:55.960,0:21:58.200 saying "the area was saturated", 0:21:58.279,0:22:01.920 even though she was one of only[br]three psychologists in the county, 0:22:02.000,0:22:04.160 and when she examined[br]their directory, 0:22:04.240,0:22:06.440 she "found a great number[br]of their providers 0:22:06.519,0:22:08.759 were no longer practicing[br]or were dead". 0:22:09.119,0:22:13.480 It is not that retirees and the dead[br]don't have their place in society. 0:22:13.559,0:22:17.559 They absolutely do, it's right[br]in front of a TV set blasting Fox News, 0:22:17.640,0:22:21.599 but they are not what you want to find[br]when you're looking for health care. 0:22:22.039,0:22:25.480 And because mental health is often seen[br]as subjective and hard to measure, 0:22:25.559,0:22:28.079 even when patients[br]do find a provider, 0:22:28.400,0:22:31.119 insurance companies[br]can deny appropriate treatment. 0:22:31.200,0:22:34.039 And even when they approve it,[br]in some cases, 0:22:34.119,0:22:36.480 they've intervened[br]to put an early stop to it. 0:22:37.000,0:22:39.839 Take this family,[br]whose son dealt with suicidal ideation 0:22:39.920,0:22:42.799 and which had a horrible experience[br]with their insurance. 0:22:43.440,0:22:44.799 After years of issues, 0:22:44.880,0:22:48.079 this time his doctor[br]prescribed residential treatment. 0:22:48.160,0:22:50.799 Such facilities are not cheap[br]but the good news is 0:22:50.880,0:22:54.400 that Leah's insurance, Anthem,[br]covers residential treatment. 0:22:54.720,0:22:56.559 They sent me an email[br]saying he's approved. 0:22:56.880,0:23:00.000 But, after checking him in,[br]Anthem came back 0:23:00.079,0:23:02.720 and decided the treatment[br]was not "medically necessary". 0:23:03.119,0:23:07.400 With insurance refusing to pay, Leah[br]made the financially crushing decision 0:23:07.480,0:23:09.640 to let her son[br]stay and finish treatment, 0:23:09.960,0:23:14.279 85 days in all[br]and $88 000 of her own money. 0:23:15.039,0:23:16.880 That is obviously infuriating. 0:23:17.240,0:23:21.119 And while the company[br]did agree to pay some of that bill, 0:23:21.200,0:23:24.920 just imagine an insurance company[br]reversing their decision 0:23:25.000,0:23:27.119 in the middle[br]of any other serious treatment. 0:23:27.200,0:23:29.039 'We love[br]how this heart surgery is going, 0:23:29.119,0:23:30.839 just popping in to say it's done. 0:23:30.920,0:23:33.119 Yeah, it's done now.[br]Hit the showers, everyone, great job, 0:23:33.200,0:23:36.359 don't bother closing anything up,[br]that's not 'medically necessary'. 0:23:36.960,0:23:40.440 And debate over coverage between[br]insurance and health care providers 0:23:40.519,0:23:42.880 can get incredibly adversarial. 0:23:42.960,0:23:48.160 A reviewer for Anthem at one point[br]had an average denial rate of 92% 0:23:48.480,0:23:50.559 when it came to doctors' requests[br]for coverage. 0:23:50.640,0:23:53.440 According to one of Anthem's[br]medical directors at the time, 0:23:53.519,0:23:56.039 there was a good reason[br]their system operated that way. 0:23:56.960,0:24:00.960 Doctors will spin[br]the clinical information. 0:24:01.319,0:24:06.079 They will make things appear[br]more serious than, perhaps, they are, 0:24:06.640,0:24:10.680 because they feel the patient needs[br]this level of care for a little longer. 0:24:11.359,0:24:14.279 You do have[br]a somewhat adversarial relationship 0:24:14.359,0:24:16.079 between the reviewer[br]and the attending physician. 0:24:16.160,0:24:19.039 - Was that best for the patient?[br]- It's like our legal system. 0:24:20.160,0:24:23.799 Each side, does a good job[br]in presenting their case 0:24:23.880,0:24:27.359 and asking the right questions,[br]you ultimately arrive at the truth. 0:24:28.079,0:24:32.279 'Cause if there's one thing we know[br]about the American legal system, 0:24:32.359,0:24:34.519 it's that it always[br]arrives at the truth. 0:24:34.599,0:24:36.319 It's why the Innocence Project 0:24:36.400,0:24:39.920 is mostly two guys in an empty office[br]getting really good at ping pong. 0:24:40.000,0:24:42.359 There's simply nothing else[br]for them to do. 0:24:42.440,0:24:46.720 I know treating critical health care[br]as something doctors have to 'win' 0:24:46.799,0:24:50.599 may seem dangerous, but that man[br]will have you know, it isn't! 0:24:51.240,0:24:54.960 I cannot think of a situation 0:24:55.640,0:24:59.079 where a decision was made[br]to discharge a patient from a hospital 0:24:59.519,0:25:02.920 and some terrible consequence[br]occurred soon thereafter. 0:25:03.599,0:25:06.240 - I'm sure it happens, but…[br]- We found quite a few. 0:25:07.200,0:25:09.599 I'd have to look at them to see. 0:25:09.680,0:25:13.160 There's one that occurs to me[br]that I was involved with, 0:25:14.799,0:25:20.359 where the child left the hospital[br]with his parents, 0:25:20.759,0:25:24.240 escaped from his parents,[br]drove cross country to another state, 0:25:24.319,0:25:26.279 and days later,[br]committed suicide. 0:25:27.720,0:25:30.680 Keeping that individual[br]in the hospital longer 0:25:31.000,0:25:34.039 is not likely[br]to have made any difference. 0:25:34.119,0:25:36.960 I would have to imagine[br]that the parents would say, 0:25:37.039,0:25:38.359 if you'd kept him in the hospital, 0:25:38.440,0:25:40.279 he wouldn't have been[br]in another state killing himself. 0:25:41.000,0:25:44.960 Holy shit! Do you think[br]that guy went into that interview 0:25:45.039,0:25:49.119 knowing he was about to be murdered[br]by Scott Pelley on network TV? 0:25:49.200,0:25:50.599 Do you think he was getting ready[br]in the morning, and thought, 0:25:50.680,0:25:53.400 'I've got that interview[br]with CBS News' Scott Pelley tonight, 0:25:53.480,0:25:55.680 I wonder if he's gonna take[br]my stupidest soundbite 0:25:55.759,0:25:58.960 and feed it back to me[br]right through my fucking teeth?' 0:25:59.039,0:26:00.880 Was he driving[br]to that interview thinking, 0:26:00.960,0:26:03.279 "I wonder if any of the camera crew[br]will step in as beloved, 0:26:03.359,0:26:05.519 Peabody-Award-winning[br]newsman Scott Pelley 0:26:05.599,0:26:08.480 runs me across the floor[br]like a Swiffer mop, 0:26:08.559,0:26:10.000 or will they just stand by 0:26:10.079,0:26:13.279 as my lifeless body is deservedly[br]whipped back and forth?' 0:26:13.359,0:26:16.759 And if you're wondering how insurers[br]can get away with that sort of thinking 0:26:16.839,0:26:19.319 it's partly because the government[br]has, to this point, 0:26:19.400,0:26:23.000 done shockingly little when it comes[br]to enforcing parity laws. 0:26:23.079,0:26:26.680 Multiple federal and state agencies[br]have responsibility for this, 0:26:26.759,0:26:29.880 but the truth is,[br]they rarely penalize plans. 0:26:29.960,0:26:32.640 The Labor Department,[br]which oversees most workplace plans, 0:26:32.720,0:26:37.480 closed just 74 investigations last year[br]finding violations in only 12. 0:26:37.839,0:26:41.440 As for state-level enforcement,[br]a study found that they've levied fines 0:26:41.519,0:26:47.200 just 13 times since 2017,[br]which is absolutely pathetic. 0:26:47.680,0:26:51.359 And it is not just private insurers[br]that are a nightmare here. 0:26:51.440,0:26:54.799 Community mental health clinics,[br]which often serve low-income patients, 0:26:54.880,0:26:58.160 are suffering as well,[br]because the reimbursement rates 0:26:58.240,0:27:01.000 for public insurance,[br]like Medicare and Medicaid, 0:27:01.079,0:27:03.279 are also woefully insufficient. 0:27:03.359,0:27:07.759 Basically, from top to bottom, we[br]underpay mental health professionals, 0:27:07.839,0:27:11.000 many of whom do difficult,[br]high burnout work. 0:27:11.519,0:27:14.079 It is no wonder so many[br]opt out of the system. 0:27:14.480,0:27:16.839 One study found that patients[br]are more than five times 0:27:16.920,0:27:20.880 as likely to have to use out-of-network[br]providers for behavioral care, 0:27:20.960,0:27:23.240 than for other medical services. 0:27:23.319,0:27:26.599 Just listen to these two counselors[br]who spoke anonymously to local news 0:27:26.680,0:27:29.519 about their concerns[br]over what all this might mean. 0:27:30.440,0:27:34.279 The counselors say insurers[br]take 90 days to pay them 0:27:34.359,0:27:36.039 and the payments are so low, 0:27:36.119,0:27:39.039 fewer mental health providers[br]are taking insurance. 0:27:39.440,0:27:43.079 We will face a crisis[br]where people are only able 0:27:43.160,0:27:45.599 to get services[br]if they can pay out of pocket. 0:27:46.039,0:27:48.960 Both therapists[br]wanted us to conceal their identities 0:27:49.039,0:27:50.839 out of concern[br]for patient privacy 0:27:50.920,0:27:53.920 and because they still have to work[br]with insurance companies. 0:27:54.000,0:27:55.599 So as providers,[br]some people think, 0:27:55.680,0:27:58.039 "We're just for the money[br]or we don't care." 0:27:58.119,0:28:00.119 No, we care. We care a lot. 0:28:00.599,0:28:03.880 But these companies[br]are also driving us into the ground 0:28:03.960,0:28:06.240 and we can't,[br]this is not sustainable. 0:28:06.839,0:28:08.359 Yeah, of course, it isn't! 0:28:08.440,0:28:10.599 Therapists are in a[br]no-win situation here. 0:28:10.680,0:28:13.200 And for what it's worth,[br]it is just not a great sign 0:28:13.279,0:28:15.359 that insurance companies[br]are now so powerful 0:28:15.440,0:28:18.519 that mental health providers[br]feel they have to go on the news 0:28:18.599,0:28:22.359 like they're in witness protection[br]after seeing someone get whacked. 0:28:22.440,0:28:26.799 And the thing is, some out-of-network[br]therapists can make a lot of money, 0:28:26.880,0:28:31.279 if they live in an area with patients[br]that can afford to pay out of pocket. 0:28:31.359,0:28:32.880 But for the many who don't, 0:28:32.960,0:28:36.480 they are stuck taking whatever[br]insurance companies are willing to pay, 0:28:36.559,0:28:39.920 which helps explain why psychiatry[br]was ranked one of the lowest 0:28:40.000,0:28:43.279 in compensation[br]among 29 medical specialties. 0:28:43.359,0:28:46.319 And it's not just doctors,[br]counselors and social workers 0:28:46.400,0:28:50.160 with masters' degrees[br]earn 33 to 45 percent less 0:28:50.240,0:28:53.640 than other health professionals[br]with a comparable education. 0:28:53.720,0:28:57.759 And as bad as our situation[br]is right now, it's getting worse. 0:28:58.079,0:29:01.559 One survey in Massachusetts[br]said that for every 10 clinicians 0:29:01.640,0:29:05.440 entering work in mental health[br]clinics there, 13 leave. 0:29:05.799,0:29:07.559 And if we continue at that rate, 0:29:07.640,0:29:10.839 one day, we're going to wind up[br]with negative therapists, 0:29:11.480,0:29:13.160 which I'm pretty sure[br]is what you call anyone 0:29:13.240,0:29:15.440 who responds to your serious[br]mental health issues with, 0:29:15.519,0:29:18.599 "Interesting, I can't wait[br]to get into my jammies later." 0:29:20.079,0:29:23.799 And the costs of leaving mental health[br]untreated can be massive, 0:29:23.880,0:29:26.119 not just for those needing it,[br]but for all of us. 0:29:26.200,0:29:28.799 Mental health problems[br]are a big driver of homelessness, 0:29:28.880,0:29:32.279 and also force people into contact[br]with the criminal justice system. 0:29:32.359,0:29:35.319 In fact, it is often said[br]that correctional facilities 0:29:35.400,0:29:40.119 have become the largest providers[br]of mental health care services in US. 0:29:40.200,0:29:43.039 We've gone from warehousing[br]people with mental illness 0:29:43.119,0:29:45.079 in buildings that felt like prisons, 0:29:45.160,0:29:48.000 to warehousing them[br]in actual prisons instead. 0:29:48.079,0:29:52.400 It's very much the "new look, same[br]great taste" of America's failures. 0:29:52.480,0:29:54.640 So, how do we fix all of this? 0:29:54.720,0:29:59.319 This is clearly an absurd way[br]to operate a health care system. 0:29:59.400,0:30:00.960 And for the umpteenth time, 0:30:01.039,0:30:04.400 I would argue single-payer health care[br]is the way to go. 0:30:04.480,0:30:10.079 Unfortunately, we can't get that,[br]because it's very high up on a shelf. 0:30:10.480,0:30:12.960 I don't know who left it there,[br]but they must've been tall, 0:30:13.039,0:30:14.799 because it's way too high to reach. 0:30:14.880,0:30:16.319 And if you're thinking,[br]"Why not use a ladder?" 0:30:16.400,0:30:20.640 The ladder's also on the shelf.[br]It's a really frustrating situation. 0:30:21.559,0:30:23.000 But in the absence of that, 0:30:23.079,0:30:26.160 we need to both recruit[br]more mental health care professionals, 0:30:26.240,0:30:29.599 and make sure[br]that insurers cover them properly. 0:30:29.680,0:30:31.319 On the first point,[br]the Biden administration, 0:30:31.400,0:30:33.799 to its credit,[br]announced a plan back in March 0:30:33.880,0:30:37.599 that'd provide "$100 billion[br]in mandatory funding over 10 years" 0:30:37.680,0:30:40.160 to completely transform[br]our current system, 0:30:40.240,0:30:43.440 which includes investing[br]700 million in programs to cover 0:30:43.519,0:30:46.400 everything from training[br]to scholarships and loan repayments 0:30:46.480,0:30:49.240 for those committed[br]to working in underserved areas. 0:30:49.319,0:30:51.839 But obviously,[br]that's only half the battle. 0:30:52.200,0:30:55.960 On the insurance company side,[br]we badly need to be strengthening 0:30:56.039,0:30:58.640 and enforcing those mental health[br]parity laws, 0:30:58.720,0:31:00.920 at both the state[br]and the federal level. 0:31:01.000,0:31:05.519 California has put in one of the most[br]comprehensive parity laws in US. 0:31:05.599,0:31:09.720 Among many, many other things,[br]it requires that insurers must base 0:31:09.799,0:31:11.880 "medical necessity determinations 0:31:11.960,0:31:15.519 on current generally accepted[br]standards of mental health care", 0:31:15.599,0:31:18.400 instead of just making up[br]the criteria for themselves. 0:31:18.480,0:31:20.519 That is a very big deal, 0:31:21.000,0:31:23.559 and more states should be[br]following California's lead. 0:31:24.079,0:31:29.599 In the past, so much of the problem[br]was that people would not ask for help. 0:31:29.680,0:31:32.680 Thankfully that's now less of an issue,[br]thanks to, among other things. 0:31:32.759,0:31:36.240 the tireless gland-shaming[br]of Mr. Harrison Ford. 0:31:37.519,0:31:39.839 But now,[br]when people do reach out for help, 0:31:39.920,0:31:42.440 we're just not in a position[br]to give it to them. 0:31:42.519,0:31:46.880 If we want to be a society that truly[br]respects and values mental health, 0:31:46.960,0:31:49.640 we have to respect[br]and value mental health care. 0:31:50.279,0:31:52.839 And that means supporting[br]the people who deliver it. 0:31:52.920,0:31:57.000 It's going to take a lot of investment[br]and continued resolve to fix things, 0:31:57.079,0:31:59.000 but it's also absolutely worth it. 0:31:59.559,0:32:03.119 Because it just cannot be the case[br]that when people ask for help, 0:32:03.200,0:32:07.440 our only option is to tell them[br]to suck it up, Buttercup. 0:32:07.920,0:32:08.960 And now, this! 0:32:09.920,0:32:14.279 And Now:[br]The World's Horniest Televangelist. 0:32:15.240,0:32:19.480 Everywhere I go, I have people[br]just stroke their Bible, kiss it. 0:32:20.279,0:32:22.119 Then I say,[br]"Rub it over your face." 0:32:22.680,0:32:24.920 I'm Mike Murdock,[br]a follower of Jesus. 0:32:25.000,0:32:29.759 I like sexual beauty. Really like that.[br]I look at a woman's ankles, 0:32:29.839,0:32:31.960 I look at her toenails,[br]I look at her fingernails. 0:32:32.319,0:32:35.400 I don't know why cutoffs are sexy,[br]but they are. 0:32:36.000,0:32:38.759 I like short shorts.[br]I don't like long shorts. 0:32:38.839,0:32:40.759 I want to see everything I can.[br]I'm a man. 0:32:40.839,0:32:44.519 You think when I think of marriage[br]I'm thinking of black-eyed peas, 0:32:45.079,0:32:50.279 pork and beans, fried corn,[br]and glass of iced tea? 0:32:50.720,0:32:52.759 That's marriage. Are you kidding? 0:32:53.880,0:32:57.799 I want a sexpot stripping on the stage[br]in front of me in the bedroom. 0:33:03.599,0:33:06.599 If her nipples are ugly,[br]she'll cover those up. 0:33:07.359,0:33:09.240 But she wants you[br]to see the mounds 0:33:10.400,0:33:13.359 because men see mounds[br]and they start thinking. 0:33:14.119,0:33:17.039 "31 Secrets[br]of an Unforgettable Woman." 0:33:17.880,0:33:19.440 Unbelievable book. 0:33:19.519,0:33:23.880 I started crying when I started[br]reading this book that I was writing. 0:33:27.720,0:33:30.599 Thanks so much for watching.[br]We'll see you next week. Good night! 0:33:31.799,0:33:36.680 In December, I'll be in Beijing,[br]opening up new pork markets!