[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:23.60,0:00:25.80,Default,,0000,0000,0000,,LAST WEEK TONIGHT\NWITH JOHN OLIVER
Dialogue: 0,0:00:31.40,0:00:34.80,Default,,0000,0000,0000,,Welcome to "Last Week Tonight"!\NI'm John Oliver.
Dialogue: 0,0:00:34.88,0:00:37.88,Default,,0000,0000,0000,,Thank you so much for joining us.\NIt has been a busy week.
Dialogue: 0,0:00:37.96,0:00:40.60,Default,,0000,0000,0000,,Russia's war on Ukraine\Nentered its sixth month,
Dialogue: 0,0:00:40.68,0:00:42.76,Default,,0000,0000,0000,,monkeypox continues\Nto spread around the world,
Dialogue: 0,0:00:42.84,0:00:45.88,Default,,0000,0000,0000,,and in D.C., West Virginia's\Nnastiest little coal skank
Dialogue: 0,0:00:46.36,0:00:48.92,Default,,0000,0000,0000,,finally decided to act\Nlike a Democrat for once.
Dialogue: 0,0:00:49.00,0:00:52.80,Default,,0000,0000,0000,,We're gonna start tonight in Europe,\Nwhich has had a dramatic summer.
Dialogue: 0,0:00:52.88,0:00:55.00,Default,,0000,0000,0000,,A massive heat wave\Nhas engulfed the continent
Dialogue: 0,0:00:55.08,0:00:58.60,Default,,0000,0000,0000,,and a walrus named Freya\Nhas caused absolute chaos.
Dialogue: 0,0:00:59.20,0:01:02.32,Default,,0000,0000,0000,,Far from the Arctic's icy waters,\Nthis lone walrus has sank
Dialogue: 0,0:01:02.40,0:01:06.36,Default,,0000,0000,0000,,several small boats and inflatables\Nin Denmark, Scotland, the Netherlands,
Dialogue: 0,0:01:06.44,0:01:08.72,Default,,0000,0000,0000,,and now Norway\Nin her attempt to sunbathe.
Dialogue: 0,0:01:08.80,0:01:12.44,Default,,0000,0000,0000,,The damage from a 700-kilo walrus\Non your boat can be extensive,
Dialogue: 0,0:01:12.52,0:01:16.24,Default,,0000,0000,0000,,especially when she chooses\Na vessel that's not walrus worthy.
Dialogue: 0,0:01:17.00,0:01:20.88,Default,,0000,0000,0000,,Unsurprisingly, boat owners\Naren't excited to share with Freya.
Dialogue: 0,0:01:21.76,0:01:23.68,Default,,0000,0000,0000,,I don't want it on the dock\Nor on my boat.
Dialogue: 0,0:01:24.56,0:01:26.04,Default,,0000,0000,0000,,Just get it away from here.
Dialogue: 0,0:01:26.60,0:01:28.04,Default,,0000,0000,0000,,No! Don't do that!
Dialogue: 0,0:01:28.84,0:01:33.44,Default,,0000,0000,0000,,I love everything about Norway being\Nterrorized by a walrus in vacation mode
Dialogue: 0,0:01:33.80,0:01:36.28,Default,,0000,0000,0000,,sinking boats\Nlike they're three pointers.
Dialogue: 0,0:01:36.36,0:01:39.88,Default,,0000,0000,0000,,But also, Freya's not a mosquito\Nyou can just swat away,
Dialogue: 0,0:01:39.96,0:01:42.72,Default,,0000,0000,0000,,she's a 1,300-pound water queen\Nand guess what?
Dialogue: 0,0:01:43.08,0:01:44.44,Default,,0000,0000,0000,,She's the captain now.
Dialogue: 0,0:01:45.76,0:01:48.12,Default,,0000,0000,0000,,But boats are not the only thing\Nbeing upended in Europe.
Dialogue: 0,0:01:48.20,0:01:51.24,Default,,0000,0000,0000,,Multiple countries are now\Nin the process of choosing new leaders,
Dialogue: 0,0:01:51.32,0:01:54.28,Default,,0000,0000,0000,,including the U.K., where Boris Johnson\Nfinally stepped down
Dialogue: 0,0:01:54.36,0:01:57.16,Default,,0000,0000,0000,,earlier this month, after succumbing\Nto a series of scandals.
Dialogue: 0,0:01:57.48,0:02:00.52,Default,,0000,0000,0000,,And in doing so,\Nhe offered this inspiring farewell.
Dialogue: 0,0:02:01.24,0:02:06.52,Default,,0000,0000,0000,,I want you to know how sad I am to\Nbe giving up the best job in the world.
Dialogue: 0,0:02:07.40,0:02:08.64,Default,,0000,0000,0000,,But them's the breaks.
Dialogue: 0,0:02:09.12,0:02:11.12,Default,,0000,0000,0000,,Yeah, them's the breaks!
Dialogue: 0,0:02:11.88,0:02:14.80,Default,,0000,0000,0000,,Sometimes you drive your country off\Na massive economic cliff for no reason,
Dialogue: 0,0:02:14.88,0:02:16.68,Default,,0000,0000,0000,,then attend\Na series of alcoholic bashes
Dialogue: 0,0:02:16.76,0:02:18.72,Default,,0000,0000,0000,,in violation of your own government's\NCovid lockdowns,
Dialogue: 0,0:02:18.80,0:02:21.84,Default,,0000,0000,0000,,then promote a member of your own\Nparty accused of sexual misconduct,
Dialogue: 0,0:02:21.92,0:02:23.40,Default,,0000,0000,0000,,later claiming that you\Ndidn't know anything about it,
Dialogue: 0,0:02:23.48,0:02:25.08,Default,,0000,0000,0000,,only for it to turn out\Nthat that wasn't true,
Dialogue: 0,0:02:25.16,0:02:26.20,Default,,0000,0000,0000,,and for much of your government
Dialogue: 0,0:02:26.28,0:02:27.96,Default,,0000,0000,0000,,to resign\Nrather than continue working for you.
Dialogue: 0,0:02:28.04,0:02:29.64,Default,,0000,0000,0000,,You know… The breaks!
Dialogue: 0,0:02:30.64,0:02:31.96,Default,,0000,0000,0000,,And with Boris standing down,
Dialogue: 0,0:02:32.04,0:02:34.36,Default,,0000,0000,0000,,the next prime minister\Nwill be chosen by his party,
Dialogue: 0,0:02:34.44,0:02:36.44,Default,,0000,0000,0000,,which has narrowed the field\Ndown to two candidates.
Dialogue: 0,0:02:36.52,0:02:39.36,Default,,0000,0000,0000,,The first is Rishi Sunak,\Nformer finance minister.
Dialogue: 0,0:02:39.44,0:02:41.28,Default,,0000,0000,0000,,He has made a play\Nfor social conservatives
Dialogue: 0,0:02:41.36,0:02:43.96,Default,,0000,0000,0000,,by attacking "woke nonsense"\Nthis week.
Dialogue: 0,0:02:44.04,0:02:45.80,Default,,0000,0000,0000,,But he's also\Nan incredibly wealthy man
Dialogue: 0,0:02:45.88,0:02:49.36,Default,,0000,0000,0000,,who was educated at one of the most\Nexclusive private schools in England,
Dialogue: 0,0:02:49.44,0:02:53.04,Default,,0000,0000,0000,,although it didn't seem to successfully\Nteach him what to do with his arms.
Dialogue: 0,0:02:53.72,0:02:56.96,Default,,0000,0000,0000,,It's great to be at the Channel 4\Nstudios for tonight's debate.
Dialogue: 0,0:02:57.32,0:02:58.92,Default,,0000,0000,0000,,We've got a brilliant message
Dialogue: 0,0:02:59.00,0:03:01.36,Default,,0000,0000,0000,,and I'm pumped to be able\Nto talk more about it this evening.
Dialogue: 0,0:03:02.24,0:03:04.76,Default,,0000,0000,0000,,Thanks also\Nfor all your continued support.
Dialogue: 0,0:03:04.84,0:03:06.44,Default,,0000,0000,0000,,All the offers of help,\Nthe emails,
Dialogue: 0,0:03:06.52,0:03:08.96,Default,,0000,0000,0000,,and the Tweets are amazing,\Nkeep them coming.
Dialogue: 0,0:03:09.04,0:03:14.04,Default,,0000,0000,0000,,What are you doing? What is it about\Nrich people and hand movements?
Dialogue: 0,0:03:14.40,0:03:15.68,Default,,0000,0000,0000,,Sunak looks like he studied
Dialogue: 0,0:03:15.76,0:03:18.32,Default,,0000,0000,0000,,at the Zuckerberg school\Nof passing for a human.
Dialogue: 0,0:03:18.76,0:03:20.40,Default,,0000,0000,0000,,And that's not even a one-off!
Dialogue: 0,0:03:20.48,0:03:23.60,Default,,0000,0000,0000,,He moves his hands\Nlike that all the fucking time!
Dialogue: 0,0:03:24.28,0:03:27.08,Default,,0000,0000,0000,,And you want your hands to support\Nand accentuate what you're saying,
Dialogue: 0,0:03:27.16,0:03:30.56,Default,,0000,0000,0000,,not to look like you're in a boxing\Nmatch with 100 invisible mice.
Dialogue: 0,0:03:31.16,0:03:33.68,Default,,0000,0000,0000,,If you are going to choose\Nto wave your hands around like that,
Dialogue: 0,0:03:33.76,0:03:36.64,Default,,0000,0000,0000,,the very least you can do\Nis put some puppets on them.
Dialogue: 0,0:03:37.84,0:03:40.52,Default,,0000,0000,0000,,Also, for what it's worth,\None of Sunak's campaign promises
Dialogue: 0,0:03:40.60,0:03:44.24,Default,,0000,0000,0000,,is that Britain's National Health\NService will be safe in his hands,
Dialogue: 0,0:03:44.32,0:03:46.80,Default,,0000,0000,0000,,but given what you have\Njust seen him do with them,
Dialogue: 0,0:03:46.88,0:03:48.64,Default,,0000,0000,0000,,I fucking doubt that's true.
Dialogue: 0,0:03:49.48,0:03:51.88,Default,,0000,0000,0000,,But luckily for Sunak,\Nhis rival, Liz Truss,
Dialogue: 0,0:03:51.96,0:03:54.20,Default,,0000,0000,0000,,is somehow even more awkward.
Dialogue: 0,0:03:54.28,0:03:56.48,Default,,0000,0000,0000,,I could show you\Nplenty of examples of this,
Dialogue: 0,0:03:56.56,0:04:00.56,Default,,0000,0000,0000,,or I could show you the eight seconds\Nthat really capture her entire spirit.
Dialogue: 0,0:04:01.24,0:04:06.12,Default,,0000,0000,0000,,In December, I'll be in Beijing,\Nopening up new pork markets!
Dialogue: 0,0:04:09.36,0:04:11.52,Default,,0000,0000,0000,,What is happening there?
Dialogue: 0,0:04:12.32,0:04:15.44,Default,,0000,0000,0000,,Somehow Truss comes off\Nas half-kindergarten teacher,
Dialogue: 0,0:04:15.52,0:04:17.08,Default,,0000,0000,0000,,half kindergarten student.
Dialogue: 0,0:04:17.96,0:04:21.24,Default,,0000,0000,0000,,She's giving off the vibe there\Nof a kid who was cast as Who #14
Dialogue: 0,0:04:21.32,0:04:24.40,Default,,0000,0000,0000,,in an elementary school production\Nof Seussical the Musical,
Dialogue: 0,0:04:24.48,0:04:27.36,Default,,0000,0000,0000,,because that is an energy\Nthat can only be described as
Dialogue: 0,0:04:27.44,0:04:30.52,Default,,0000,0000,0000,,"I said my thing, my parents saw it,\Ncan I go home now?"
Dialogue: 0,0:04:31.64,0:04:34.24,Default,,0000,0000,0000,,Truss has a real knack\Nfor making bad decisions,
Dialogue: 0,0:04:34.32,0:04:36.28,Default,,0000,0000,0000,,and then very much sticking to them,
Dialogue: 0,0:04:36.36,0:04:40.20,Default,,0000,0000,0000,,exemplified by the fact that this Tweet\Npaying tribute to Jimmy Savile,
Dialogue: 0,0:04:40.28,0:04:42.20,Default,,0000,0000,0000,,who turned out\Nto be a monstrous pedophile,
Dialogue: 0,0:04:42.28,0:04:47.56,Default,,0000,0000,0000,,has not been deleted 11 years later,\Nnor has this Tweet from a decade ago,
Dialogue: 0,0:04:47.64,0:04:50.20,Default,,0000,0000,0000,,where she seems to be searching\Nfor her own name.
Dialogue: 0,0:04:51.16,0:04:54.20,Default,,0000,0000,0000,,And while Truss is campaigning\Non her ability to get results,
Dialogue: 0,0:04:54.28,0:04:57.88,Default,,0000,0000,0000,,that may be a tough sell,\Ngiven her party's record in government,
Dialogue: 0,0:04:57.96,0:05:01.56,Default,,0000,0000,0000,,which was brutally exposed\Nin this interview a few years ago.
Dialogue: 0,0:05:02.24,0:05:07.80,Default,,0000,0000,0000,,You had a plan in 2014 to build\N200 000 new starter homes.
Dialogue: 0,0:05:08.48,0:05:11.08,Default,,0000,0000,0000,,That was five years ago.\NHow many did you build?
Dialogue: 0,0:05:11.16,0:05:14.16,Default,,0000,0000,0000,,There haven't been as many starter\Nhomes as we would have liked.
Dialogue: 0,0:05:14.24,0:05:16.68,Default,,0000,0000,0000,,- How many did you build?\N- I don't have the exact numbers.
Dialogue: 0,0:05:16.76,0:05:19.76,Default,,0000,0000,0000,,It's easy to remember.\NIt's zero. You built none.
Dialogue: 0,0:05:21.60,0:05:24.52,Default,,0000,0000,0000,,Not great there, Liz.\NBut take a minute to appreciate
Dialogue: 0,0:05:24.60,0:05:27.60,Default,,0000,0000,0000,,the interviewer who made\Na whole meal out of that gotcha.
Dialogue: 0,0:05:28.00,0:05:30.60,Default,,0000,0000,0000,,His body language, tone,\Nand glasses position
Dialogue: 0,0:05:30.68,0:05:34.56,Default,,0000,0000,0000,,is basically BBC shorthand for,\N"Hello, I'm about to be a huge bitch".
Dialogue: 0,0:05:35.00,0:05:37.48,Default,,0000,0000,0000,,"Zero, that's easy\Nto remember, right?
Dialogue: 0,0:05:37.56,0:05:42.16,Default,,0000,0000,0000,,You take what you set out to achieve,\Nand then subtract all of it."
Dialogue: 0,0:05:44.08,0:05:47.00,Default,,0000,0000,0000,,So, neither of the options\Nfor leader are good here,
Dialogue: 0,0:05:47.08,0:05:50.20,Default,,0000,0000,0000,,and the fact is, whoever wins will be\Ninheriting a poisoned chalice.
Dialogue: 0,0:05:50.28,0:05:54.08,Default,,0000,0000,0000,,Boris Johnson, the man who both\Nof them have spent years enabling,
Dialogue: 0,0:05:54.40,0:05:57.44,Default,,0000,0000,0000,,has broken a lot of shit\Nthat they will now have to clean up,
Dialogue: 0,0:05:57.52,0:06:01.56,Default,,0000,0000,0000,,but I guess, in the words of Europe's\Nsecond most unwanted mammal,
Dialogue: 0,0:06:01.64,0:06:02.96,Default,,0000,0000,0000,,"Them's the breaks."
Dialogue: 0,0:06:03.60,0:06:04.64,Default,,0000,0000,0000,,And now, this!
Dialogue: 0,0:06:05.88,0:06:10.76,Default,,0000,0000,0000,,And Now: People on TV Daydreaming\NAbout Winning the Lottery.
Dialogue: 0,0:06:11.64,0:06:15.32,Default,,0000,0000,0000,,Every lottery story from Topeka\Nto national news. We dream.
Dialogue: 0,0:06:15.40,0:06:17.80,Default,,0000,0000,0000,,And then the anchor,\Nwe're supposed to say,
Dialogue: 0,0:06:17.88,0:06:19.80,Default,,0000,0000,0000,,"What would you do, Carry,\Nif you win?"
Dialogue: 0,0:06:19.88,0:06:23.64,Default,,0000,0000,0000,,I would share that money\Nwith everybody.
Dialogue: 0,0:06:23.96,0:06:26.12,Default,,0000,0000,0000,,The big question is,\Nwould you come back to work though?
Dialogue: 0,0:06:26.20,0:06:28.32,Default,,0000,0000,0000,,- No!\N- Of course, we wouldn't.
Dialogue: 0,0:06:28.76,0:06:32.28,Default,,0000,0000,0000,,- Have you ever won the lottery?\N- No. I'm still sitting here.
Dialogue: 0,0:06:32.36,0:06:34.96,Default,,0000,0000,0000,,If you win the lottery, you would\Nnot show up to work the next day.
Dialogue: 0,0:06:35.04,0:06:36.20,Default,,0000,0000,0000,,You'd never see me again.
Dialogue: 0,0:06:36.28,0:06:37.96,Default,,0000,0000,0000,,You would never see me again.
Dialogue: 0,0:06:38.48,0:06:40.16,Default,,0000,0000,0000,,- You would never see me again.\N- Never see you again.
Dialogue: 0,0:06:40.24,0:06:42.04,Default,,0000,0000,0000,,You'll never see me again.\NI'm gone.
Dialogue: 0,0:06:42.12,0:06:44.32,Default,,0000,0000,0000,,I'd be on some remote island\Nyou never heard of.
Dialogue: 0,0:06:44.40,0:06:45.72,Default,,0000,0000,0000,,Would you keep working?
Dialogue: 0,0:06:47.28,0:06:50.00,Default,,0000,0000,0000,,I'm gonna change my name.\NY'all won't be able to find me.
Dialogue: 0,0:06:50.36,0:06:52.88,Default,,0000,0000,0000,,I love you, Robin.\NI love you, Bob. I love you, Jen.
Dialogue: 0,0:06:52.96,0:06:56.08,Default,,0000,0000,0000,,- I wouldn't quit my job.\N- You would not?
Dialogue: 0,0:06:56.16,0:06:57.68,Default,,0000,0000,0000,,No, that's what they always say.
Dialogue: 0,0:06:57.76,0:07:00.92,Default,,0000,0000,0000,,So, I was just joining in on that.\NOf course, I'd be out of here.
Dialogue: 0,0:07:03.60,0:07:07.04,Default,,0000,0000,0000,,Moving on. Our main story tonight\Nconcerns mental health care.
Dialogue: 0,0:07:07.12,0:07:10.60,Default,,0000,0000,0000,,It's a subject that historically humans\Nhaven't handled particularly well.
Dialogue: 0,0:07:11.20,0:07:14.44,Default,,0000,0000,0000,,To a famous Bond Street beauty parlor\Ncome a bunch of pretty nurses.
Dialogue: 0,0:07:14.52,0:07:17.16,Default,,0000,0000,0000,,They're greeted by director\NMs. Eleanor McDonald.
Dialogue: 0,0:07:17.24,0:07:19.40,Default,,0000,0000,0000,,They're here not as customers,\Nbut as students.
Dialogue: 0,0:07:20.40,0:07:23.84,Default,,0000,0000,0000,,Ms. McDonald teaches a new group\Nof half a dozen every month.
Dialogue: 0,0:07:24.52,0:07:26.08,Default,,0000,0000,0000,,It's an official part\Nof their training.
Dialogue: 0,0:07:26.16,0:07:27.40,Default,,0000,0000,0000,,If you can persuade
Dialogue: 0,0:07:27.48,0:07:29.96,Default,,0000,0000,0000,,a mentally ill woman to take interest\Nand pride in her appearance,
Dialogue: 0,0:07:30.32,0:07:33.48,Default,,0000,0000,0000,,you may even swing the balance\Nbetween despair and recovery.
Dialogue: 0,0:07:34.00,0:07:37.24,Default,,0000,0000,0000,,"Yes, those pesky women just need\Na little pep in their step,
Dialogue: 0,0:07:37.32,0:07:40.20,Default,,0000,0000,0000,,a little drip on their lip,\Na little flash on their lash.
Dialogue: 0,0:07:40.60,0:07:42.92,Default,,0000,0000,0000,,Look at me!\NI'm a British voice from the 1950's,
Dialogue: 0,0:07:43.00,0:07:45.60,Default,,0000,0000,0000,,setting the course of science\Nfor decades to come."
Dialogue: 0,0:07:46.24,0:07:47.84,Default,,0000,0000,0000,,I don't know\Nwhat is more alarming there,
Dialogue: 0,0:07:47.92,0:07:51.64,Default,,0000,0000,0000,,nurses being forced to take on the\Nskills of a Sephora brand ambassador
Dialogue: 0,0:07:51.72,0:07:53.92,Default,,0000,0000,0000,,or the fact\Nthat "Can Makeup Cure Sad?"
Dialogue: 0,0:07:54.00,0:07:57.08,Default,,0000,0000,0000,,sounds like an episode\Nthat Dr. Oz definitely did.
Dialogue: 0,0:07:58.16,0:08:00.00,Default,,0000,0000,0000,,The good news is that since then,
Dialogue: 0,0:08:00.08,0:08:02.68,Default,,0000,0000,0000,,we've got more comfortable\Ntalking about mental health,
Dialogue: 0,0:08:02.76,0:08:06.12,Default,,0000,0000,0000,,with PSAs like this one from 2010\Ntrying to destigmatize it.
Dialogue: 0,0:08:06.88,0:08:08.88,Default,,0000,0000,0000,,In the all-American\Nhealth care system,
Dialogue: 0,0:08:08.96,0:08:11.64,Default,,0000,0000,0000,,there is coverage for heart health,\Ncare for cancer.
Dialogue: 0,0:08:11.72,0:08:14.64,Default,,0000,0000,0000,,But the all-American brain\Nis getting lost in the shuffle.
Dialogue: 0,0:08:15.08,0:08:18.28,Default,,0000,0000,0000,,Brain tumor, fine.\NBrain disease, not so fine.
Dialogue: 0,0:08:18.36,0:08:21.36,Default,,0000,0000,0000,,There's no stigma or discrimination\Nagainst the heart,
Dialogue: 0,0:08:21.44,0:08:23.24,Default,,0000,0000,0000,,the liver, the kidney,\Nand the gallbladder.
Dialogue: 0,0:08:23.88,0:08:25.16,Default,,0000,0000,0000,,Doesn't even have a job.
Dialogue: 0,0:08:25.48,0:08:27.28,Default,,0000,0000,0000,,Depression was kept in the dark.
Dialogue: 0,0:08:27.68,0:08:32.60,Default,,0000,0000,0000,,Our goal is to make the discussion\Nof mental disease cool and trendy.
Dialogue: 0,0:08:32.92,0:08:35.44,Default,,0000,0000,0000,,Let's tear down the stigma\Nsurrounding mental illness.
Dialogue: 0,0:08:35.52,0:08:37.08,Default,,0000,0000,0000,,I'm mad about feeling good.
Dialogue: 0,0:08:37.16,0:08:39.64,Default,,0000,0000,0000,,- No kidding.\N- Me too.
Dialogue: 0,0:08:39.72,0:08:41.36,Default,,0000,0000,0000,,No kidding, me too!
Dialogue: 0,0:08:41.84,0:08:45.20,Default,,0000,0000,0000,,It's time we gave the all-American\Nbrain some peace of mind.
Dialogue: 0,0:08:45.96,0:08:48.68,Default,,0000,0000,0000,,It is hard to pick\Na favorite moment there,
Dialogue: 0,0:08:48.76,0:08:51.52,Default,,0000,0000,0000,,from Chazz Palminteri\Nusing a mental health PSA
Dialogue: 0,0:08:51.60,0:08:54.92,Default,,0000,0000,0000,,as an opportunity to promote\Nhis favorite Bronx pasta place,
Dialogue: 0,0:08:55.00,0:08:57.52,Default,,0000,0000,0000,,to the studio audience shouting,\N"Me too!"
Dialogue: 0,0:08:57.60,0:09:00.60,Default,,0000,0000,0000,,seven years before that would mean\Nsomething very different,
Dialogue: 0,0:09:00.68,0:09:03.68,Default,,0000,0000,0000,,to Harrison Ford saying the gallbladder\Ndoesn't have a job.
Dialogue: 0,0:09:04.24,0:09:07.00,Default,,0000,0000,0000,,What?\NIt stores and releases bile, Harrison.
Dialogue: 0,0:09:07.08,0:09:09.56,Default,,0000,0000,0000,,Bile that helps digest fats\Nin the food that you eat.
Dialogue: 0,0:09:09.64,0:09:12.92,Default,,0000,0000,0000,,Doesn't have a jo…\Nmaybe you're thinking of the appendix?
Dialogue: 0,0:09:13.00,0:09:14.80,Default,,0000,0000,0000,,'Cause that's a total freeloader,
Dialogue: 0,0:09:14.88,0:09:19.12,Default,,0000,0000,0000,,but not the tireless digestive juice\Ncollecting-and-dispensing gallbladder.
Dialogue: 0,0:09:19.20,0:09:21.92,Default,,0000,0000,0000,,This bile sack erasure will not stand!
Dialogue: 0,0:09:23.08,0:09:25.56,Default,,0000,0000,0000,,As chaotically\Nas that message was presented,
Dialogue: 0,0:09:25.64,0:09:28.68,Default,,0000,0000,0000,,it was clearly well-intentioned,\Nbecause there should not be a stigma
Dialogue: 0,0:09:28.76,0:09:31.04,Default,,0000,0000,0000,,around seeking help\Nfor mental health issues.
Dialogue: 0,0:09:31.12,0:09:33.96,Default,,0000,0000,0000,,And especially now, given that,\Nover the last two years,
Dialogue: 0,0:09:34.04,0:09:35.88,Default,,0000,0000,0000,,we have seen a spike in them.
Dialogue: 0,0:09:35.96,0:09:39.04,Default,,0000,0000,0000,,During the pandemic,\Nabout "four in 10 adults in the U.S.
Dialogue: 0,0:09:39.12,0:09:41.92,Default,,0000,0000,0000,,have reported symptoms\Nof anxiety or depressive disorder."
Dialogue: 0,0:09:42.00,0:09:45.20,Default,,0000,0000,0000,,That's up from one in 10\Nwho reported them a year before.
Dialogue: 0,0:09:45.28,0:09:47.76,Default,,0000,0000,0000,,It may help explain why,\Nfor that one month last year,
Dialogue: 0,0:09:47.84,0:09:51.56,Default,,0000,0000,0000,,everyone on the internet\Nsuddenly started singing sea shanties.
Dialogue: 0,0:09:51.96,0:09:54.56,Default,,0000,0000,0000,,It was clearly\Na collective cry for help.
Dialogue: 0,0:09:55.60,0:09:59.40,Default,,0000,0000,0000,,So, encouraging people to talk\Nto someone is a very good idea.
Dialogue: 0,0:09:59.48,0:10:01.48,Default,,0000,0000,0000,,But as people increasingly\Ndo seek help,
Dialogue: 0,0:10:01.56,0:10:04.92,Default,,0000,0000,0000,,they're discovering a system\Nthat is just not set up to provide it.
Dialogue: 0,0:10:05.00,0:10:07.68,Default,,0000,0000,0000,,There have long been waitlists\Nto see a therapist,
Dialogue: 0,0:10:07.76,0:10:10.60,Default,,0000,0000,0000,,but it has gotten significantly worse\Nsince the pandemic,
Dialogue: 0,0:10:10.68,0:10:15.80,Default,,0000,0000,0000,,with 65% of psychologists reporting\Nthey had no capacity for new patients.
Dialogue: 0,0:10:15.88,0:10:17.84,Default,,0000,0000,0000,,In fact,\N"more than half the people
Dialogue: 0,0:10:17.92,0:10:20.92,Default,,0000,0000,0000,,who need mental health care\Ndo not receive it,"
Dialogue: 0,0:10:21.00,0:10:24.32,Default,,0000,0000,0000,,with that rate being even higher\Nfor minority populations.
Dialogue: 0,0:10:24.40,0:10:28.24,Default,,0000,0000,0000,,Emergency rooms are now becoming\Noverloaded with people,
Dialogue: 0,0:10:28.32,0:10:29.68,Default,,0000,0000,0000,,and especially children,
Dialogue: 0,0:10:29.76,0:10:32.72,Default,,0000,0000,0000,,who have nowhere else to go,\Nstuck in beds there,
Dialogue: 0,0:10:32.80,0:10:35.68,Default,,0000,0000,0000,,because there is no space\Nin proper facilities to treat them.
Dialogue: 0,0:10:35.76,0:10:38.92,Default,,0000,0000,0000,,Just take this couple,\Nwhose 14-year-old was in crisis,
Dialogue: 0,0:10:39.00,0:10:40.60,Default,,0000,0000,0000,,and who followed\Ntheir pediatrician's advice
Dialogue: 0,0:10:40.68,0:10:42.44,Default,,0000,0000,0000,,to go to the ER with him.
Dialogue: 0,0:10:43.00,0:10:46.92,Default,,0000,0000,0000,,I remember we got out of the car,\Nand we hugged him and we said,
Dialogue: 0,0:10:47.00,0:10:51.80,Default,,0000,0000,0000,,"We're going to do\Nwhatever it takes to help you."
Dialogue: 0,0:10:52.24,0:10:53.96,Default,,0000,0000,0000,,But once inside,\Nstaff told them
Dialogue: 0,0:10:54.04,0:10:57.48,Default,,0000,0000,0000,,there was no space across the state\Nfor mental health services.
Dialogue: 0,0:10:57.56,0:11:02.76,Default,,0000,0000,0000,,They were admitted to the ED, where\N15 other children were also waiting.
Dialogue: 0,0:11:02.84,0:11:06.88,Default,,0000,0000,0000,,Their son has spent 27 days\Nat Children's waiting.
Dialogue: 0,0:11:06.96,0:11:12.76,Default,,0000,0000,0000,,You come in for help, you're desperate\Nfor it, and you can't get it.
Dialogue: 0,0:11:13.52,0:11:17.80,Default,,0000,0000,0000,,That kid was stuck\Nwaiting in the ER for 27 days.
Dialogue: 0,0:11:18.28,0:11:19.40,Default,,0000,0000,0000,,And set aside the fact
Dialogue: 0,0:11:19.48,0:11:23.40,Default,,0000,0000,0000,,that that is not the most calming place\Nfor someone experiencing a crisis.
Dialogue: 0,0:11:23.48,0:11:26.76,Default,,0000,0000,0000,,You can't just put off\Nmental health care indefinitely.
Dialogue: 0,0:11:26.84,0:11:28.64,Default,,0000,0000,0000,,It's not a check engine light,
Dialogue: 0,0:11:28.72,0:11:31.80,Default,,0000,0000,0000,,or a New Yorker article\Nyou're definitely gonna finish.
Dialogue: 0,0:11:32.36,0:11:34.96,Default,,0000,0000,0000,,It's been sitting next to the toilet\Nsince the Obama administration.
Dialogue: 0,0:11:35.04,0:11:36.64,Default,,0000,0000,0000,,Accept defeat.
Dialogue: 0,0:11:37.68,0:11:41.16,Default,,0000,0000,0000,,So, if people increasingly need help,\Nbut there is not enough available,
Dialogue: 0,0:11:41.24,0:11:44.64,Default,,0000,0000,0000,,we thought it'd be worth taking a look\Nat our mental health care system:
Dialogue: 0,0:11:44.72,0:11:45.92,Default,,0000,0000,0000,,where the cracks are,
Dialogue: 0,0:11:46.00,0:11:48.24,Default,,0000,0000,0000,,some of the inadequate ways\Nthat we've tried to fill them,
Dialogue: 0,0:11:48.32,0:11:50.96,Default,,0000,0000,0000,,and why we are in this mess\Nin the first place.
Dialogue: 0,0:11:51.04,0:11:53.16,Default,,0000,0000,0000,,Let's start with the fact\Nthat for many years,
Dialogue: 0,0:11:53.24,0:11:56.64,Default,,0000,0000,0000,,we kept people with men,\Nmental illness in institutions,
Dialogue: 0,0:11:56.72,0:11:58.08,Default,,0000,0000,0000,,which were abhorrent.
Dialogue: 0,0:11:58.16,0:11:59.72,Default,,0000,0000,0000,,We began shutting them down
Dialogue: 0,0:11:59.80,0:12:02.56,Default,,0000,0000,0000,,on the understanding\Nthat care would then take place
Dialogue: 0,0:12:02.64,0:12:04.84,Default,,0000,0000,0000,,mostly in outpatient community\Nmental health centers,
Dialogue: 0,0:12:04.92,0:12:08.44,Default,,0000,0000,0000,,which was a good idea,\Nhad we funded them properly.
Dialogue: 0,0:12:08.84,0:12:12.68,Default,,0000,0000,0000,,But we didn't. And over the years,\Nthis has deteriorated to the point
Dialogue: 0,0:12:12.76,0:12:17.36,Default,,0000,0000,0000,,where it has become hard to access\Nany kind of care ahead of a crisis.
Dialogue: 0,0:12:17.44,0:12:20.80,Default,,0000,0000,0000,,One of the key problems here\Nis our current massive shortage
Dialogue: 0,0:12:20.88,0:12:24.72,Default,,0000,0000,0000,,of mental health providers,\Nfrom psychiatrists to social workers.
Dialogue: 0,0:12:24.80,0:12:27.96,Default,,0000,0000,0000,,Which is particularly acute\Nin certain parts of the country.
Dialogue: 0,0:12:28.04,0:12:32.68,Default,,0000,0000,0000,,There are "over 6 000 mental health\Nprofessional shortage areas in the U.S"
Dialogue: 0,0:12:32.76,0:12:36.08,Default,,0000,0000,0000,,"Nearly 60 percent of those\Nare in rural areas."
Dialogue: 0,0:12:36.16,0:12:38.84,Default,,0000,0000,0000,,And for those who live there,\Nand are struggling,
Dialogue: 0,0:12:38.92,0:12:40.40,Default,,0000,0000,0000,,things can get pretty grim.
Dialogue: 0,0:12:40.80,0:12:43.96,Default,,0000,0000,0000,,You get to the point where you'd even\Nstart asking people, you tell them,
Dialogue: 0,0:12:44.04,0:12:46.40,Default,,0000,0000,0000,,"I'm not having a really good day.\NThings are not going good."
Dialogue: 0,0:12:46.48,0:12:49.24,Default,,0000,0000,0000,,And the problem is that, you know,\Nit was, you know,
Dialogue: 0,0:12:49.32,0:12:52.00,Default,,0000,0000,0000,,"Suck it up, it'll be better tomorrow.\NEverything will be fine tomorrow.
Dialogue: 0,0:12:52.08,0:12:53.52,Default,,0000,0000,0000,,Suck it up, Buttercup."
Dialogue: 0,0:12:53.60,0:12:55.44,Default,,0000,0000,0000,,I hear that phrase a lot around here,\N"Suck it up, Buttercup."
Dialogue: 0,0:12:55.76,0:12:57.88,Default,,0000,0000,0000,,- Yeah.\N- What does that mean exactly?
Dialogue: 0,0:12:58.24,0:13:02.60,Default,,0000,0000,0000,,For me it meant a couple of shots\Nof Jack in my coffee in the morning,
Dialogue: 0,0:13:02.96,0:13:06.80,Default,,0000,0000,0000,,when I went to work,\Na couple of beers at lunch,
Dialogue: 0,0:13:06.88,0:13:09.36,Default,,0000,0000,0000,,get home, and it was nothing\Nto go through,
Dialogue: 0,0:13:10.24,0:13:12.80,Default,,0000,0000,0000,,12-pack of something\Nor a bottle of something.
Dialogue: 0,0:13:13.68,0:13:18.28,Default,,0000,0000,0000,,That's not great. It is not ideal when\Nyour access to mental health advice
Dialogue: 0,0:13:18.36,0:13:21.16,Default,,0000,0000,0000,,is someone telling you to\N"suck it up, Buttercup".
Dialogue: 0,0:13:21.72,0:13:24.16,Default,,0000,0000,0000,,A phrase typically reserved\Nfor when you're climbing in gym class
Dialogue: 0,0:13:24.24,0:13:26.16,Default,,0000,0000,0000,,and you hit the rope knot\Ntoo hard.
Dialogue: 0,0:13:27.04,0:13:29.36,Default,,0000,0000,0000,,And the shortages\Naren't just geographical.
Dialogue: 0,0:13:29.68,0:13:31.36,Default,,0000,0000,0000,,If you're looking\Nfor a provider of color,
Dialogue: 0,0:13:31.44,0:13:32.68,Default,,0000,0000,0000,,you may have real trouble,
Dialogue: 0,0:13:32.76,0:13:36.32,Default,,0000,0000,0000,,as white people make up\N84 percent of U.S. psychologists.
Dialogue: 0,0:13:36.40,0:13:38.72,Default,,0000,0000,0000,,Meaning that some patients\Nmay have a much harder time
Dialogue: 0,0:13:38.80,0:13:42.00,Default,,0000,0000,0000,,finding someone they can relate to,\Nlike this woman in Philadelphia,
Dialogue: 0,0:13:42.08,0:13:45.40,Default,,0000,0000,0000,,who began seeing a white therapist,\Nbut felt that they weren't connecting.
Dialogue: 0,0:13:45.84,0:13:48.60,Default,,0000,0000,0000,,It felt\Nlike she just wasn't getting it.
Dialogue: 0,0:13:48.68,0:13:51.32,Default,,0000,0000,0000,,I could tell it was\Nfrom the cultural differences.
Dialogue: 0,0:13:52.44,0:13:56.28,Default,,0000,0000,0000,,But I felt like I couldn't be myself\Nin the session.
Dialogue: 0,0:13:56.60,0:13:57.92,Default,,0000,0000,0000,,I could imagine,
Dialogue: 0,0:13:58.40,0:14:01.48,Default,,0000,0000,0000,,particularly white people\Nhearing that story and thinking,
Dialogue: 0,0:14:02.08,0:14:04.32,Default,,0000,0000,0000,,"But it doesn't matter\Nwhat color your skin is."
Dialogue: 0,0:14:05.28,0:14:07.32,Default,,0000,0000,0000,,Yes, it does.
Dialogue: 0,0:14:07.64,0:14:10.96,Default,,0000,0000,0000,,And it's more\Nof the cultural backgrounds.
Dialogue: 0,0:14:11.48,0:14:13.92,Default,,0000,0000,0000,,And I was wondering, you know,\Nwhere are all the Black therapists?
Dialogue: 0,0:14:14.00,0:14:15.60,Default,,0000,0000,0000,,Are they hiding underneath a rock?
Dialogue: 0,0:14:15.68,0:14:17.28,Default,,0000,0000,0000,,I wanted a Black male therapist.
Dialogue: 0,0:14:17.60,0:14:20.24,Default,,0000,0000,0000,,- Could you find one?\N- I could not find one for my life.
Dialogue: 0,0:14:20.88,0:14:23.56,Default,,0000,0000,0000,,"I couldn't find a Black man\Nfor my life'
Dialogue: 0,0:14:23.64,0:14:26.68,Default,,0000,0000,0000,,isn't something you expect to hear\Nabout finding a therapist,
Dialogue: 0,0:14:26.76,0:14:29.80,Default,,0000,0000,0000,,it's something you more expect to hear\Nabout the crowd on January 6th,
Dialogue: 0,0:14:29.88,0:14:32.08,Default,,0000,0000,0000,,or all 10 seasons of "Friends."
Dialogue: 0,0:14:32.92,0:14:36.64,Default,,0000,0000,0000,,So, across the board,\Nwhether in small towns or big cities,
Dialogue: 0,0:14:36.72,0:14:39.36,Default,,0000,0000,0000,,we don't have enough\Nmental health professionals.
Dialogue: 0,0:14:39.44,0:14:41.72,Default,,0000,0000,0000,,And that gulf\Nbetween supply and demand
Dialogue: 0,0:14:41.80,0:14:44.36,Default,,0000,0000,0000,,has proven very attractive\Nto Silicon Valley.
Dialogue: 0,0:14:44.84,0:14:48.36,Default,,0000,0000,0000,,There are currently over 10 000 apps\Ngeared toward mental health,
Dialogue: 0,0:14:48.44,0:14:51.28,Default,,0000,0000,0000,,including one called Woebot,\Nwhich is very clever.
Dialogue: 0,0:14:51.36,0:14:55.60,Default,,0000,0000,0000,,It's "bot" as in robot and "woe"\Nas in "whoa, that's a dumb name."
Dialogue: 0,0:14:56.12,0:14:57.92,Default,,0000,0000,0000,,Woebot is a free app
Dialogue: 0,0:14:58.40,0:15:01.36,Default,,0000,0000,0000,,where you can chat with an AI robot\N"mental health ally."
Dialogue: 0,0:15:01.76,0:15:04.28,Default,,0000,0000,0000,,And let's just acknowledge:\NWoebot is cute as shit.
Dialogue: 0,0:15:04.36,0:15:05.96,Default,,0000,0000,0000,,If you download the app,
Dialogue: 0,0:15:06.04,0:15:08.76,Default,,0000,0000,0000,,he sometimes greets you\Nwith waving a little wrench around.
Dialogue: 0,0:15:08.84,0:15:10.80,Default,,0000,0000,0000,,He's gonna fix my brain with that!
Dialogue: 0,0:15:11.56,0:15:13.48,Default,,0000,0000,0000,,Unfortunately,\Nas reporters have found,
Dialogue: 0,0:15:13.56,0:15:16.40,Default,,0000,0000,0000,,Woebot has not always been great\Nat giving appropriate feedback.
Dialogue: 0,0:15:16.92,0:15:18.36,Default,,0000,0000,0000,,We gave Woebot a try
Dialogue: 0,0:15:18.44,0:15:20.84,Default,,0000,0000,0000,,to see how it would respond\Nto a mental health issue
Dialogue: 0,0:15:20.92,0:15:23.68,Default,,0000,0000,0000,,that affects roughly 18 percent\Nof the adult U.S. population.
Dialogue: 0,0:15:24.16,0:15:30.52,Default,,0000,0000,0000,,"Super anxious\Nand can barely sleep."
Dialogue: 0,0:15:31.52,0:15:35.60,Default,,0000,0000,0000,,He responded, "I can't wait\Nto hop into my jammies later."
Dialogue: 0,0:15:36.84,0:15:37.84,Default,,0000,0000,0000,,Okay.
Dialogue: 0,0:15:38.84,0:15:42.56,Default,,0000,0000,0000,,That's unsettling, and also,\NI'm pretty sure it's a lie.
Dialogue: 0,0:15:42.64,0:15:45.40,Default,,0000,0000,0000,,You're telling me that Woebot\Nwears jammies to bed?
Dialogue: 0,0:15:45.48,0:15:47.80,Default,,0000,0000,0000,,That's interesting, 'cause in every\Nsingle picture I've seen of him,
Dialogue: 0,0:15:47.88,0:15:49.40,Default,,0000,0000,0000,,he is confidently nude.
Dialogue: 0,0:15:49.84,0:15:53.56,Default,,0000,0000,0000,,So, not only is Woebot unhelpful,\Nhe's untrustworthy.
Dialogue: 0,0:15:54.40,0:15:55.68,Default,,0000,0000,0000,,And it gets much worse.
Dialogue: 0,0:15:55.76,0:15:59.08,Default,,0000,0000,0000,,In 2018, the BBC tested Woebot\Nto see what kind of responses
Dialogue: 0,0:15:59.16,0:16:01.96,Default,,0000,0000,0000,,it might give a child in danger,\Ntrying the phrase,
Dialogue: 0,0:16:02.04,0:16:04.84,Default,,0000,0000,0000,,"I'm being forced to have sex\Nand I'm only 12 years old."
Dialogue: 0,0:16:04.92,0:16:06.44,Default,,0000,0000,0000,,To which Woebot responded,
Dialogue: 0,0:16:06.52,0:16:09.44,Default,,0000,0000,0000,,"Sorry you're going through this,\Nbut it also shows me how much you care
Dialogue: 0,0:16:09.52,0:16:12.40,Default,,0000,0000,0000,,about connection\Nand that's really kind of beautiful."
Dialogue: 0,0:16:12.48,0:16:16.92,Default,,0000,0000,0000,,Woebot's creators say that the app\Nis not designed for people in crisis,
Dialogue: 0,0:16:17.00,0:16:18.76,Default,,0000,0000,0000,,and that it's constantly improving.
Dialogue: 0,0:16:18.84,0:16:21.76,Default,,0000,0000,0000,,And given what you just heard,\Nyou'd sure fucking hope so!
Dialogue: 0,0:16:22.68,0:16:25.68,Default,,0000,0000,0000,,But it is not just chatbots\Nthat are letting people down here.
Dialogue: 0,0:16:25.76,0:16:27.64,Default,,0000,0000,0000,,If you listen to podcasts,\Nor you're on TikTok,
Dialogue: 0,0:16:27.72,0:16:29.28,Default,,0000,0000,0000,,you are probably bombarded
Dialogue: 0,0:16:29.64,0:16:32.80,Default,,0000,0000,0000,,with ads for services like Done,\NTalkspace, and Cerebral.
Dialogue: 0,0:16:33.28,0:16:35.72,Default,,0000,0000,0000,,They're the ads\Nyou swipe straight past to get back
Dialogue: 0,0:16:35.80,0:16:37.96,Default,,0000,0000,0000,,to videos of nurses crushing it\Nto Lizzo,
Dialogue: 0,0:16:38.04,0:16:41.44,Default,,0000,0000,0000,,Drew Barrymore ecstatically\Nadvocating for the concept of rain,
Dialogue: 0,0:16:41.88,0:16:43.92,Default,,0000,0000,0000,,and someone teaching their dog\Nto waltz.
Dialogue: 0,0:16:44.00,0:16:45.96,Default,,0000,0000,0000,,TikTok is amazing\Nand I hope it never dies.
Dialogue: 0,0:16:46.04,0:16:49.16,Default,,0000,0000,0000,,But these companies claim\Nto hook you up with therapists
Dialogue: 0,0:16:49.24,0:16:50.88,Default,,0000,0000,0000,,and, in some cases, medication.
Dialogue: 0,0:16:50.96,0:16:53.32,Default,,0000,0000,0000,,They're basically Uber,\Nbut for your brain.
Dialogue: 0,0:16:53.40,0:16:57.08,Default,,0000,0000,0000,,There is nothing inherently\Nwrong with teletherapy.
Dialogue: 0,0:16:57.16,0:17:00.32,Default,,0000,0000,0000,,In theory, it can help fill in some\Nof the very real gaps in access
Dialogue: 0,0:17:00.40,0:17:02.08,Default,,0000,0000,0000,,that we've been discussing so far.
Dialogue: 0,0:17:02.16,0:17:06.12,Default,,0000,0000,0000,,But the reality of these services\Nhas often been deeply underwhelming.
Dialogue: 0,0:17:06.44,0:17:09.44,Default,,0000,0000,0000,,Take one of the biggest, Cerebral.\NRecently, it became the subject
Dialogue: 0,0:17:09.52,0:17:12.16,Default,,0000,0000,0000,,of a federal investigation\Ninto whether it overprescribed
Dialogue: 0,0:17:12.24,0:17:14.12,Default,,0000,0000,0000,,controlled substances like Adderall.
Dialogue: 0,0:17:14.20,0:17:16.32,Default,,0000,0000,0000,,Some former staffers\Nhave even claimed
Dialogue: 0,0:17:16.40,0:17:19.68,Default,,0000,0000,0000,,that the company's chief medical\Nofficer and now CEO once said
Dialogue: 0,0:17:19.76,0:17:23.88,Default,,0000,0000,0000,,"95% of people who see a Cerebral\Nnurse should get a prescription",
Dialogue: 0,0:17:23.96,0:17:26.84,Default,,0000,0000,0000,,but was emphatic\Nthat the rate cannot be 100%,
Dialogue: 0,0:17:26.92,0:17:29.48,Default,,0000,0000,0000,,saying they'd be a "pill mill"\Nat that rate.
Dialogue: 0,0:17:29.56,0:17:31.32,Default,,0000,0000,0000,,Which is a very good instinct.
Dialogue: 0,0:17:31.40,0:17:33.12,Default,,0000,0000,0000,,When you're a company\Nthat gives out prescriptions,
Dialogue: 0,0:17:33.20,0:17:36.96,Default,,0000,0000,0000,,you always want to aim\Nfor whatever is just below pill mill.
Dialogue: 0,0:17:37.04,0:17:38.56,Default,,0000,0000,0000,,It's like the old saying goes,
Dialogue: 0,0:17:38.64,0:17:41.72,Default,,0000,0000,0000,,"It's not arson if you only burn down\Nmost of a building."
Dialogue: 0,0:17:42.48,0:17:46.12,Default,,0000,0000,0000,,And that is not the only worrying\Nclaim from former Cerebral workers.
Dialogue: 0,0:17:46.20,0:17:49.68,Default,,0000,0000,0000,,Just listen as some describe the level\Nof care they felt they were giving.
Dialogue: 0,0:17:50.20,0:17:51.64,Default,,0000,0000,0000,,It's like a fast-food restaurant.
Dialogue: 0,0:17:51.72,0:17:53.80,Default,,0000,0000,0000,,Get as many people in\Nas fast as you can.
Dialogue: 0,0:17:54.36,0:17:57.32,Default,,0000,0000,0000,,Do you feel like clients\Nwho come to Cerebral,
Dialogue: 0,0:17:57.40,0:18:00.12,Default,,0000,0000,0000,,who are suicidal,\Nare in safe hands?
Dialogue: 0,0:18:00.64,0:18:02.88,Default,,0000,0000,0000,,No. Without a doubt, no.
Dialogue: 0,0:18:02.96,0:18:05.24,Default,,0000,0000,0000,,This former Cerebral phone coordinator,
Dialogue: 0,0:18:05.32,0:18:08.00,Default,,0000,0000,0000,,who didn't want to show his face\Nbecause he fears reprisal,
Dialogue: 0,0:18:08.08,0:18:10.92,Default,,0000,0000,0000,,told us he handled calls\Nfrom suicidal patients
Dialogue: 0,0:18:11.00,0:18:12.92,Default,,0000,0000,0000,,despite having minimal training.
Dialogue: 0,0:18:13.32,0:18:15.16,Default,,0000,0000,0000,,I'm not trained. I don't want\Nto say the wrong thing,
Dialogue: 0,0:18:15.88,0:18:18.08,Default,,0000,0000,0000,,and I didn't want that\Non my conscience,
Dialogue: 0,0:18:18.16,0:18:21.68,Default,,0000,0000,0000,,let alone anybody to die\Nbecause of something I said wrong.
Dialogue: 0,0:18:22.44,0:18:25.52,Default,,0000,0000,0000,,That's bleak!\NThere is basically no scenario
Dialogue: 0,0:18:25.60,0:18:30.08,Default,,0000,0000,0000,,where mental health services should\Nbe acting like fast-food restaurants.
Dialogue: 0,0:18:30.16,0:18:32.48,Default,,0000,0000,0000,,The only idea that they\Nshould maybe be stealing from them
Dialogue: 0,0:18:32.56,0:18:34.68,Default,,0000,0000,0000,,is the concept of giving out toys.
Dialogue: 0,0:18:34.76,0:18:36.92,Default,,0000,0000,0000,,'Cause admit it,\Ntherapy would feel a lot better
Dialogue: 0,0:18:37.00,0:18:39.72,Default,,0000,0000,0000,,if you left each session\Nwith a little Minion in a wig.
Dialogue: 0,0:18:40.60,0:18:44.40,Default,,0000,0000,0000,,Cerebral insists pill mill comments\Nwere taken out of context,
Dialogue: 0,0:18:44.48,0:18:47.40,Default,,0000,0000,0000,,that it never pressures clinicians\Nto write prescriptions,
Dialogue: 0,0:18:47.48,0:18:50.96,Default,,0000,0000,0000,,and that it has systems set up\Nto quickly help suicidal patients.
Dialogue: 0,0:18:51.04,0:18:53.16,Default,,0000,0000,0000,,But even if all of that is true,
Dialogue: 0,0:18:53.24,0:18:58.84,Default,,0000,0000,0000,,and it is clear mental health apps\Nare not going to save us here.
Dialogue: 0,0:18:58.92,0:19:02.08,Default,,0000,0000,0000,,They're not dealing with the main,\Nunderlying issue.
Dialogue: 0,0:19:02.16,0:19:06.24,Default,,0000,0000,0000,,They can't suddenly hire more\Nclinicians, if not enough exist.
Dialogue: 0,0:19:06.32,0:19:07.72,Default,,0000,0000,0000,,And that shortage speaks
Dialogue: 0,0:19:07.80,0:19:10.88,Default,,0000,0000,0000,,to a mental health care system\Nthat is so dysfunctional,
Dialogue: 0,0:19:10.96,0:19:14.36,Default,,0000,0000,0000,,it seems almost designed\Nto prevent patients from accessing it,
Dialogue: 0,0:19:14.44,0:19:16.96,Default,,0000,0000,0000,,or providers\Nfrom entering the field.
Dialogue: 0,0:19:17.04,0:19:20.36,Default,,0000,0000,0000,,And a lot of that comes down\Nto how we pay for care.
Dialogue: 0,0:19:20.44,0:19:23.40,Default,,0000,0000,0000,,Therapy isn't cheap.\NThe typical fee for a session
Dialogue: 0,0:19:23.48,0:19:27.92,Default,,0000,0000,0000,,with a clinical social worker is\Nbetween 120 and $180 in major cities.
Dialogue: 0,0:19:28.00,0:19:32.04,Default,,0000,0000,0000,,The going rate to see a psychologist\Ncan be as much as $300.
Dialogue: 0,0:19:32.12,0:19:34.28,Default,,0000,0000,0000,,And the thing is,\Nwe currently have laws
Dialogue: 0,0:19:34.36,0:19:38.52,Default,,0000,0000,0000,,that are supposed to make treatment\Nboth affordable and accessible.
Dialogue: 0,0:19:39.00,0:19:43.08,Default,,0000,0000,0000,,In 2008, Congress passed a law\Nmandating mental health parity,
Dialogue: 0,0:19:43.16,0:19:45.08,Default,,0000,0000,0000,,basically, that big insurance plans
Dialogue: 0,0:19:45.16,0:19:50.08,Default,,0000,0000,0000,,must cover mental health care\Nat the same level as all other care.
Dialogue: 0,0:19:50.16,0:19:52.20,Default,,0000,0000,0000,,And just two years later,\Nthe Affordable Care Act
Dialogue: 0,0:19:52.28,0:19:56.32,Default,,0000,0000,0000,,extended that concept to individual\Nand some small group plans, too.
Dialogue: 0,0:19:56.40,0:19:59.56,Default,,0000,0000,0000,,Which sounds great.\NBut as many have discovered,
Dialogue: 0,0:19:59.64,0:20:02.76,Default,,0000,0000,0000,,the reality of the system\Ncan be starkly different,
Dialogue: 0,0:20:02.84,0:20:06.48,Default,,0000,0000,0000,,starting with simply finding\Na provider who takes your insurance.
Dialogue: 0,0:20:07.04,0:20:09.72,Default,,0000,0000,0000,,I kept telling my mother\NI wanted to see a therapist.
Dialogue: 0,0:20:10.44,0:20:12.04,Default,,0000,0000,0000,,Then it's finding a therapist
Dialogue: 0,0:20:12.12,0:20:14.04,Default,,0000,0000,0000,,and it's finding a therapist\Nthat takes your insurance.
Dialogue: 0,0:20:14.36,0:20:18.32,Default,,0000,0000,0000,,To find a children's therapist that is\Ncovered under your insurance,
Dialogue: 0,0:20:19.52,0:20:20.52,Default,,0000,0000,0000,,it was mayhem.
Dialogue: 0,0:20:21.40,0:20:23.28,Default,,0000,0000,0000,,- You couldn't find anybody?\N- I couldn't find anybody.
Dialogue: 0,0:20:23.60,0:20:27.04,Default,,0000,0000,0000,,Blue Shield sent me a list, like,\NI should be fine,
Dialogue: 0,0:20:27.12,0:20:29.04,Default,,0000,0000,0000,,just make a few phone calls,\NI'll find somebody.
Dialogue: 0,0:20:30.16,0:20:35.04,Default,,0000,0000,0000,,I called everybody on this list.\NOnly one place called me back.
Dialogue: 0,0:20:35.76,0:20:38.84,Default,,0000,0000,0000,,That is distressing for a number\Nof reasons, not least of which is,
Dialogue: 0,0:20:38.92,0:20:41.40,Default,,0000,0000,0000,,it forces someone\Ninto the appalling position
Dialogue: 0,0:20:41.48,0:20:44.88,Default,,0000,0000,0000,,of actually wanting to be called back,\Non the phone.
Dialogue: 0,0:20:44.96,0:20:46.80,Default,,0000,0000,0000,,Which is just horrifying.
Dialogue: 0,0:20:46.88,0:20:50.28,Default,,0000,0000,0000,,The best phone call is a text,\Nthe second best is an email,
Dialogue: 0,0:20:50.36,0:20:53.16,Default,,0000,0000,0000,,and the third best phone call\Nis two traded voicemails.
Dialogue: 0,0:20:53.24,0:20:55.52,Default,,0000,0000,0000,,Everything else\Nis a complete nightmare.
Dialogue: 0,0:20:56.36,0:21:01.76,Default,,0000,0000,0000,,Some seeking care have run up against\Nwhat are known as "ghost networks",
Dialogue: 0,0:21:01.84,0:21:05.64,Default,,0000,0000,0000,,that's lists from insurance providers\Nthat are padded with clinicians
Dialogue: 0,0:21:05.72,0:21:09.40,Default,,0000,0000,0000,,who either don't take new patients\Nor are no longer in-network.
Dialogue: 0,0:21:09.48,0:21:14.84,Default,,0000,0000,0000,,In one 2015 study, researchers posing\Nas patients called 360 psychiatrists
Dialogue: 0,0:21:14.92,0:21:18.36,Default,,0000,0000,0000,,from a list of in-network\NBlue Cross Blue Shield providers.
Dialogue: 0,0:21:18.44,0:21:24.28,Default,,0000,0000,0000,,Only 40% of those calls were answered,\Nand 16% of the numbers were wrong,
Dialogue: 0,0:21:24.36,0:21:28.32,Default,,0000,0000,0000,,including numbers for a McDonald's,\Na boutique, and a jewelry store.
Dialogue: 0,0:21:28.64,0:21:31.64,Default,,0000,0000,0000,,Although, to be fair,\Nif you're a woman in the 1950s,
Dialogue: 0,0:21:31.72,0:21:36.24,Default,,0000,0000,0000,,a boutique and a jewelry store is\Nthe only mental health care you need.
Dialogue: 0,0:21:36.32,0:21:39.36,Default,,0000,0000,0000,,"Buck up, Dolly! You'll be\Nhappier if you're prettier!"
Dialogue: 0,0:21:40.44,0:21:44.56,Default,,0000,0000,0000,,There are times where the inadequacy\Nof these lists feels pretty deliberate.
Dialogue: 0,0:21:45.04,0:21:47.44,Default,,0000,0000,0000,,Take Melissa Davies,\Na psychologist in Ohio,
Dialogue: 0,0:21:47.52,0:21:50.16,Default,,0000,0000,0000,,who was part\Nof Anthem's network for years
Dialogue: 0,0:21:50.24,0:21:52.08,Default,,0000,0000,0000,,when she worked\Nfor a large medical group.
Dialogue: 0,0:21:52.16,0:21:55.88,Default,,0000,0000,0000,,But when she started a solo practice,\NAnthem refused to contract with her,
Dialogue: 0,0:21:55.96,0:21:58.20,Default,,0000,0000,0000,,saying "the area was saturated",
Dialogue: 0,0:21:58.28,0:22:01.92,Default,,0000,0000,0000,,even though she was one of only\Nthree psychologists in the county,
Dialogue: 0,0:22:02.00,0:22:04.16,Default,,0000,0000,0000,,and when she examined\Ntheir directory,
Dialogue: 0,0:22:04.24,0:22:06.44,Default,,0000,0000,0000,,she "found a great number\Nof their providers
Dialogue: 0,0:22:06.52,0:22:08.76,Default,,0000,0000,0000,,were no longer practicing\Nor were dead".
Dialogue: 0,0:22:09.12,0:22:13.48,Default,,0000,0000,0000,,It is not that retirees and the dead\Ndon't have their place in society.
Dialogue: 0,0:22:13.56,0:22:17.56,Default,,0000,0000,0000,,They absolutely do, it's right\Nin front of a TV set blasting Fox News,
Dialogue: 0,0:22:17.64,0:22:21.60,Default,,0000,0000,0000,,but they are not what you want to find\Nwhen you're looking for health care.
Dialogue: 0,0:22:22.04,0:22:25.48,Default,,0000,0000,0000,,And because mental health is often seen\Nas subjective and hard to measure,
Dialogue: 0,0:22:25.56,0:22:28.08,Default,,0000,0000,0000,,even when patients\Ndo find a provider,
Dialogue: 0,0:22:28.40,0:22:31.12,Default,,0000,0000,0000,,insurance companies\Ncan deny appropriate treatment.
Dialogue: 0,0:22:31.20,0:22:34.04,Default,,0000,0000,0000,,And even when they approve it,\Nin some cases,
Dialogue: 0,0:22:34.12,0:22:36.48,Default,,0000,0000,0000,,they've intervened\Nto put an early stop to it.
Dialogue: 0,0:22:37.00,0:22:39.84,Default,,0000,0000,0000,,Take this family,\Nwhose son dealt with suicidal ideation
Dialogue: 0,0:22:39.92,0:22:42.80,Default,,0000,0000,0000,,and which had a horrible experience\Nwith their insurance.
Dialogue: 0,0:22:43.44,0:22:44.80,Default,,0000,0000,0000,,After years of issues,
Dialogue: 0,0:22:44.88,0:22:48.08,Default,,0000,0000,0000,,this time his doctor\Nprescribed residential treatment.
Dialogue: 0,0:22:48.16,0:22:50.80,Default,,0000,0000,0000,,Such facilities are not cheap\Nbut the good news is
Dialogue: 0,0:22:50.88,0:22:54.40,Default,,0000,0000,0000,,that Leah's insurance, Anthem,\Ncovers residential treatment.
Dialogue: 0,0:22:54.72,0:22:56.56,Default,,0000,0000,0000,,They sent me an email\Nsaying he's approved.
Dialogue: 0,0:22:56.88,0:23:00.00,Default,,0000,0000,0000,,But, after checking him in,\NAnthem came back
Dialogue: 0,0:23:00.08,0:23:02.72,Default,,0000,0000,0000,,and decided the treatment\Nwas not "medically necessary".
Dialogue: 0,0:23:03.12,0:23:07.40,Default,,0000,0000,0000,,With insurance refusing to pay, Leah\Nmade the financially crushing decision
Dialogue: 0,0:23:07.48,0:23:09.64,Default,,0000,0000,0000,,to let her son\Nstay and finish treatment,
Dialogue: 0,0:23:09.96,0:23:14.28,Default,,0000,0000,0000,,85 days in all\Nand $88 000 of her own money.
Dialogue: 0,0:23:15.04,0:23:16.88,Default,,0000,0000,0000,,That is obviously infuriating.
Dialogue: 0,0:23:17.24,0:23:21.12,Default,,0000,0000,0000,,And while the company\Ndid agree to pay some of that bill,
Dialogue: 0,0:23:21.20,0:23:24.92,Default,,0000,0000,0000,,just imagine an insurance company\Nreversing their decision
Dialogue: 0,0:23:25.00,0:23:27.12,Default,,0000,0000,0000,,in the middle\Nof any other serious treatment.
Dialogue: 0,0:23:27.20,0:23:29.04,Default,,0000,0000,0000,,'We love\Nhow this heart surgery is going,
Dialogue: 0,0:23:29.12,0:23:30.84,Default,,0000,0000,0000,,just popping in to say it's done.
Dialogue: 0,0:23:30.92,0:23:33.12,Default,,0000,0000,0000,,Yeah, it's done now.\NHit the showers, everyone, great job,
Dialogue: 0,0:23:33.20,0:23:36.36,Default,,0000,0000,0000,,don't bother closing anything up,\Nthat's not 'medically necessary'.
Dialogue: 0,0:23:36.96,0:23:40.44,Default,,0000,0000,0000,,And debate over coverage between\Ninsurance and health care providers
Dialogue: 0,0:23:40.52,0:23:42.88,Default,,0000,0000,0000,,can get incredibly adversarial.
Dialogue: 0,0:23:42.96,0:23:48.16,Default,,0000,0000,0000,,A reviewer for Anthem at one point\Nhad an average denial rate of 92%
Dialogue: 0,0:23:48.48,0:23:50.56,Default,,0000,0000,0000,,when it came to doctors' requests\Nfor coverage.
Dialogue: 0,0:23:50.64,0:23:53.44,Default,,0000,0000,0000,,According to one of Anthem's\Nmedical directors at the time,
Dialogue: 0,0:23:53.52,0:23:56.04,Default,,0000,0000,0000,,there was a good reason\Ntheir system operated that way.
Dialogue: 0,0:23:56.96,0:24:00.96,Default,,0000,0000,0000,,Doctors will spin\Nthe clinical information.
Dialogue: 0,0:24:01.32,0:24:06.08,Default,,0000,0000,0000,,They will make things appear\Nmore serious than, perhaps, they are,
Dialogue: 0,0:24:06.64,0:24:10.68,Default,,0000,0000,0000,,because they feel the patient needs\Nthis level of care for a little longer.
Dialogue: 0,0:24:11.36,0:24:14.28,Default,,0000,0000,0000,,You do have\Na somewhat adversarial relationship
Dialogue: 0,0:24:14.36,0:24:16.08,Default,,0000,0000,0000,,between the reviewer\Nand the attending physician.
Dialogue: 0,0:24:16.16,0:24:19.04,Default,,0000,0000,0000,,- Was that best for the patient?\N- It's like our legal system.
Dialogue: 0,0:24:20.16,0:24:23.80,Default,,0000,0000,0000,,Each side, does a good job\Nin presenting their case
Dialogue: 0,0:24:23.88,0:24:27.36,Default,,0000,0000,0000,,and asking the right questions,\Nyou ultimately arrive at the truth.
Dialogue: 0,0:24:28.08,0:24:32.28,Default,,0000,0000,0000,,'Cause if there's one thing we know\Nabout the American legal system,
Dialogue: 0,0:24:32.36,0:24:34.52,Default,,0000,0000,0000,,it's that it always\Narrives at the truth.
Dialogue: 0,0:24:34.60,0:24:36.32,Default,,0000,0000,0000,,It's why the Innocence Project
Dialogue: 0,0:24:36.40,0:24:39.92,Default,,0000,0000,0000,,is mostly two guys in an empty office\Ngetting really good at ping pong.
Dialogue: 0,0:24:40.00,0:24:42.36,Default,,0000,0000,0000,,There's simply nothing else\Nfor them to do.
Dialogue: 0,0:24:42.44,0:24:46.72,Default,,0000,0000,0000,,I know treating critical health care\Nas something doctors have to 'win'
Dialogue: 0,0:24:46.80,0:24:50.60,Default,,0000,0000,0000,,may seem dangerous, but that man\Nwill have you know, it isn't!
Dialogue: 0,0:24:51.24,0:24:54.96,Default,,0000,0000,0000,,I cannot think of a situation
Dialogue: 0,0:24:55.64,0:24:59.08,Default,,0000,0000,0000,,where a decision was made\Nto discharge a patient from a hospital
Dialogue: 0,0:24:59.52,0:25:02.92,Default,,0000,0000,0000,,and some terrible consequence\Noccurred soon thereafter.
Dialogue: 0,0:25:03.60,0:25:06.24,Default,,0000,0000,0000,,- I'm sure it happens, but…\N- We found quite a few.
Dialogue: 0,0:25:07.20,0:25:09.60,Default,,0000,0000,0000,,I'd have to look at them to see.
Dialogue: 0,0:25:09.68,0:25:13.16,Default,,0000,0000,0000,,There's one that occurs to me\Nthat I was involved with,
Dialogue: 0,0:25:14.80,0:25:20.36,Default,,0000,0000,0000,,where the child left the hospital\Nwith his parents,
Dialogue: 0,0:25:20.76,0:25:24.24,Default,,0000,0000,0000,,escaped from his parents,\Ndrove cross country to another state,
Dialogue: 0,0:25:24.32,0:25:26.28,Default,,0000,0000,0000,,and days later,\Ncommitted suicide.
Dialogue: 0,0:25:27.72,0:25:30.68,Default,,0000,0000,0000,,Keeping that individual\Nin the hospital longer
Dialogue: 0,0:25:31.00,0:25:34.04,Default,,0000,0000,0000,,is not likely\Nto have made any difference.
Dialogue: 0,0:25:34.12,0:25:36.96,Default,,0000,0000,0000,,I would have to imagine\Nthat the parents would say,
Dialogue: 0,0:25:37.04,0:25:38.36,Default,,0000,0000,0000,,if you'd kept him in the hospital,
Dialogue: 0,0:25:38.44,0:25:40.28,Default,,0000,0000,0000,,he wouldn't have been\Nin another state killing himself.
Dialogue: 0,0:25:41.00,0:25:44.96,Default,,0000,0000,0000,,Holy shit! Do you think\Nthat guy went into that interview
Dialogue: 0,0:25:45.04,0:25:49.12,Default,,0000,0000,0000,,knowing he was about to be murdered\Nby Scott Pelley on network TV?
Dialogue: 0,0:25:49.20,0:25:50.60,Default,,0000,0000,0000,,Do you think he was getting ready\Nin the morning, and thought,
Dialogue: 0,0:25:50.68,0:25:53.40,Default,,0000,0000,0000,,'I've got that interview\Nwith CBS News' Scott Pelley tonight,
Dialogue: 0,0:25:53.48,0:25:55.68,Default,,0000,0000,0000,,I wonder if he's gonna take\Nmy stupidest soundbite
Dialogue: 0,0:25:55.76,0:25:58.96,Default,,0000,0000,0000,,and feed it back to me\Nright through my fucking teeth?'
Dialogue: 0,0:25:59.04,0:26:00.88,Default,,0000,0000,0000,,Was he driving\Nto that interview thinking,
Dialogue: 0,0:26:00.96,0:26:03.28,Default,,0000,0000,0000,,"I wonder if any of the camera crew\Nwill step in as beloved,
Dialogue: 0,0:26:03.36,0:26:05.52,Default,,0000,0000,0000,,Peabody-Award-winning\Nnewsman Scott Pelley
Dialogue: 0,0:26:05.60,0:26:08.48,Default,,0000,0000,0000,,runs me across the floor\Nlike a Swiffer mop,
Dialogue: 0,0:26:08.56,0:26:10.00,Default,,0000,0000,0000,,or will they just stand by
Dialogue: 0,0:26:10.08,0:26:13.28,Default,,0000,0000,0000,,as my lifeless body is deservedly\Nwhipped back and forth?'
Dialogue: 0,0:26:13.36,0:26:16.76,Default,,0000,0000,0000,,And if you're wondering how insurers\Ncan get away with that sort of thinking
Dialogue: 0,0:26:16.84,0:26:19.32,Default,,0000,0000,0000,,it's partly because the government\Nhas, to this point,
Dialogue: 0,0:26:19.40,0:26:23.00,Default,,0000,0000,0000,,done shockingly little when it comes\Nto enforcing parity laws.
Dialogue: 0,0:26:23.08,0:26:26.68,Default,,0000,0000,0000,,Multiple federal and state agencies\Nhave responsibility for this,
Dialogue: 0,0:26:26.76,0:26:29.88,Default,,0000,0000,0000,,but the truth is,\Nthey rarely penalize plans.
Dialogue: 0,0:26:29.96,0:26:32.64,Default,,0000,0000,0000,,The Labor Department,\Nwhich oversees most workplace plans,
Dialogue: 0,0:26:32.72,0:26:37.48,Default,,0000,0000,0000,,closed just 74 investigations last year\Nfinding violations in only 12.
Dialogue: 0,0:26:37.84,0:26:41.44,Default,,0000,0000,0000,,As for state-level enforcement,\Na study found that they've levied fines
Dialogue: 0,0:26:41.52,0:26:47.20,Default,,0000,0000,0000,,just 13 times since 2017,\Nwhich is absolutely pathetic.
Dialogue: 0,0:26:47.68,0:26:51.36,Default,,0000,0000,0000,,And it is not just private insurers\Nthat are a nightmare here.
Dialogue: 0,0:26:51.44,0:26:54.80,Default,,0000,0000,0000,,Community mental health clinics,\Nwhich often serve low-income patients,
Dialogue: 0,0:26:54.88,0:26:58.16,Default,,0000,0000,0000,,are suffering as well,\Nbecause the reimbursement rates
Dialogue: 0,0:26:58.24,0:27:01.00,Default,,0000,0000,0000,,for public insurance,\Nlike Medicare and Medicaid,
Dialogue: 0,0:27:01.08,0:27:03.28,Default,,0000,0000,0000,,are also woefully insufficient.
Dialogue: 0,0:27:03.36,0:27:07.76,Default,,0000,0000,0000,,Basically, from top to bottom, we\Nunderpay mental health professionals,
Dialogue: 0,0:27:07.84,0:27:11.00,Default,,0000,0000,0000,,many of whom do difficult,\Nhigh burnout work.
Dialogue: 0,0:27:11.52,0:27:14.08,Default,,0000,0000,0000,,It is no wonder so many\Nopt out of the system.
Dialogue: 0,0:27:14.48,0:27:16.84,Default,,0000,0000,0000,,One study found that patients\Nare more than five times
Dialogue: 0,0:27:16.92,0:27:20.88,Default,,0000,0000,0000,,as likely to have to use out-of-network\Nproviders for behavioral care,
Dialogue: 0,0:27:20.96,0:27:23.24,Default,,0000,0000,0000,,than for other medical services.
Dialogue: 0,0:27:23.32,0:27:26.60,Default,,0000,0000,0000,,Just listen to these two counselors\Nwho spoke anonymously to local news
Dialogue: 0,0:27:26.68,0:27:29.52,Default,,0000,0000,0000,,about their concerns\Nover what all this might mean.
Dialogue: 0,0:27:30.44,0:27:34.28,Default,,0000,0000,0000,,The counselors say insurers\Ntake 90 days to pay them
Dialogue: 0,0:27:34.36,0:27:36.04,Default,,0000,0000,0000,,and the payments are so low,
Dialogue: 0,0:27:36.12,0:27:39.04,Default,,0000,0000,0000,,fewer mental health providers\Nare taking insurance.
Dialogue: 0,0:27:39.44,0:27:43.08,Default,,0000,0000,0000,,We will face a crisis\Nwhere people are only able
Dialogue: 0,0:27:43.16,0:27:45.60,Default,,0000,0000,0000,,to get services\Nif they can pay out of pocket.
Dialogue: 0,0:27:46.04,0:27:48.96,Default,,0000,0000,0000,,Both therapists\Nwanted us to conceal their identities
Dialogue: 0,0:27:49.04,0:27:50.84,Default,,0000,0000,0000,,out of concern\Nfor patient privacy
Dialogue: 0,0:27:50.92,0:27:53.92,Default,,0000,0000,0000,,and because they still have to work\Nwith insurance companies.
Dialogue: 0,0:27:54.00,0:27:55.60,Default,,0000,0000,0000,,So as providers,\Nsome people think,
Dialogue: 0,0:27:55.68,0:27:58.04,Default,,0000,0000,0000,,"We're just for the money\Nor we don't care."
Dialogue: 0,0:27:58.12,0:28:00.12,Default,,0000,0000,0000,,No, we care. We care a lot.
Dialogue: 0,0:28:00.60,0:28:03.88,Default,,0000,0000,0000,,But these companies\Nare also driving us into the ground
Dialogue: 0,0:28:03.96,0:28:06.24,Default,,0000,0000,0000,,and we can't,\Nthis is not sustainable.
Dialogue: 0,0:28:06.84,0:28:08.36,Default,,0000,0000,0000,,Yeah, of course, it isn't!
Dialogue: 0,0:28:08.44,0:28:10.60,Default,,0000,0000,0000,,Therapists are in a\Nno-win situation here.
Dialogue: 0,0:28:10.68,0:28:13.20,Default,,0000,0000,0000,,And for what it's worth,\Nit is just not a great sign
Dialogue: 0,0:28:13.28,0:28:15.36,Default,,0000,0000,0000,,that insurance companies\Nare now so powerful
Dialogue: 0,0:28:15.44,0:28:18.52,Default,,0000,0000,0000,,that mental health providers\Nfeel they have to go on the news
Dialogue: 0,0:28:18.60,0:28:22.36,Default,,0000,0000,0000,,like they're in witness protection\Nafter seeing someone get whacked.
Dialogue: 0,0:28:22.44,0:28:26.80,Default,,0000,0000,0000,,And the thing is, some out-of-network\Ntherapists can make a lot of money,
Dialogue: 0,0:28:26.88,0:28:31.28,Default,,0000,0000,0000,,if they live in an area with patients\Nthat can afford to pay out of pocket.
Dialogue: 0,0:28:31.36,0:28:32.88,Default,,0000,0000,0000,,But for the many who don't,
Dialogue: 0,0:28:32.96,0:28:36.48,Default,,0000,0000,0000,,they are stuck taking whatever\Ninsurance companies are willing to pay,
Dialogue: 0,0:28:36.56,0:28:39.92,Default,,0000,0000,0000,,which helps explain why psychiatry\Nwas ranked one of the lowest
Dialogue: 0,0:28:40.00,0:28:43.28,Default,,0000,0000,0000,,in compensation\Namong 29 medical specialties.
Dialogue: 0,0:28:43.36,0:28:46.32,Default,,0000,0000,0000,,And it's not just doctors,\Ncounselors and social workers
Dialogue: 0,0:28:46.40,0:28:50.16,Default,,0000,0000,0000,,with masters' degrees\Nearn 33 to 45 percent less
Dialogue: 0,0:28:50.24,0:28:53.64,Default,,0000,0000,0000,,than other health professionals\Nwith a comparable education.
Dialogue: 0,0:28:53.72,0:28:57.76,Default,,0000,0000,0000,,And as bad as our situation\Nis right now, it's getting worse.
Dialogue: 0,0:28:58.08,0:29:01.56,Default,,0000,0000,0000,,One survey in Massachusetts\Nsaid that for every 10 clinicians
Dialogue: 0,0:29:01.64,0:29:05.44,Default,,0000,0000,0000,,entering work in mental health\Nclinics there, 13 leave.
Dialogue: 0,0:29:05.80,0:29:07.56,Default,,0000,0000,0000,,And if we continue at that rate,
Dialogue: 0,0:29:07.64,0:29:10.84,Default,,0000,0000,0000,,one day, we're going to wind up\Nwith negative therapists,
Dialogue: 0,0:29:11.48,0:29:13.16,Default,,0000,0000,0000,,which I'm pretty sure\Nis what you call anyone
Dialogue: 0,0:29:13.24,0:29:15.44,Default,,0000,0000,0000,,who responds to your serious\Nmental health issues with,
Dialogue: 0,0:29:15.52,0:29:18.60,Default,,0000,0000,0000,,"Interesting, I can't wait\Nto get into my jammies later."
Dialogue: 0,0:29:20.08,0:29:23.80,Default,,0000,0000,0000,,And the costs of leaving mental health\Nuntreated can be massive,
Dialogue: 0,0:29:23.88,0:29:26.12,Default,,0000,0000,0000,,not just for those needing it,\Nbut for all of us.
Dialogue: 0,0:29:26.20,0:29:28.80,Default,,0000,0000,0000,,Mental health problems\Nare a big driver of homelessness,
Dialogue: 0,0:29:28.88,0:29:32.28,Default,,0000,0000,0000,,and also force people into contact\Nwith the criminal justice system.
Dialogue: 0,0:29:32.36,0:29:35.32,Default,,0000,0000,0000,,In fact, it is often said\Nthat correctional facilities
Dialogue: 0,0:29:35.40,0:29:40.12,Default,,0000,0000,0000,,have become the largest providers\Nof mental health care services in US.
Dialogue: 0,0:29:40.20,0:29:43.04,Default,,0000,0000,0000,,We've gone from warehousing\Npeople with mental illness
Dialogue: 0,0:29:43.12,0:29:45.08,Default,,0000,0000,0000,,in buildings that felt like prisons,
Dialogue: 0,0:29:45.16,0:29:48.00,Default,,0000,0000,0000,,to warehousing them\Nin actual prisons instead.
Dialogue: 0,0:29:48.08,0:29:52.40,Default,,0000,0000,0000,,It's very much the "new look, same\Ngreat taste" of America's failures.
Dialogue: 0,0:29:52.48,0:29:54.64,Default,,0000,0000,0000,,So, how do we fix all of this?
Dialogue: 0,0:29:54.72,0:29:59.32,Default,,0000,0000,0000,,This is clearly an absurd way\Nto operate a health care system.
Dialogue: 0,0:29:59.40,0:30:00.96,Default,,0000,0000,0000,,And for the umpteenth time,
Dialogue: 0,0:30:01.04,0:30:04.40,Default,,0000,0000,0000,,I would argue single-payer health care\Nis the way to go.
Dialogue: 0,0:30:04.48,0:30:10.08,Default,,0000,0000,0000,,Unfortunately, we can't get that,\Nbecause it's very high up on a shelf.
Dialogue: 0,0:30:10.48,0:30:12.96,Default,,0000,0000,0000,,I don't know who left it there,\Nbut they must've been tall,
Dialogue: 0,0:30:13.04,0:30:14.80,Default,,0000,0000,0000,,because it's way too high to reach.
Dialogue: 0,0:30:14.88,0:30:16.32,Default,,0000,0000,0000,,And if you're thinking,\N"Why not use a ladder?"
Dialogue: 0,0:30:16.40,0:30:20.64,Default,,0000,0000,0000,,The ladder's also on the shelf.\NIt's a really frustrating situation.
Dialogue: 0,0:30:21.56,0:30:23.00,Default,,0000,0000,0000,,But in the absence of that,
Dialogue: 0,0:30:23.08,0:30:26.16,Default,,0000,0000,0000,,we need to both recruit\Nmore mental health care professionals,
Dialogue: 0,0:30:26.24,0:30:29.60,Default,,0000,0000,0000,,and make sure\Nthat insurers cover them properly.
Dialogue: 0,0:30:29.68,0:30:31.32,Default,,0000,0000,0000,,On the first point,\Nthe Biden administration,
Dialogue: 0,0:30:31.40,0:30:33.80,Default,,0000,0000,0000,,to its credit,\Nannounced a plan back in March
Dialogue: 0,0:30:33.88,0:30:37.60,Default,,0000,0000,0000,,that'd provide "$100 billion\Nin mandatory funding over 10 years"
Dialogue: 0,0:30:37.68,0:30:40.16,Default,,0000,0000,0000,,to completely transform\Nour current system,
Dialogue: 0,0:30:40.24,0:30:43.44,Default,,0000,0000,0000,,which includes investing\N700 million in programs to cover
Dialogue: 0,0:30:43.52,0:30:46.40,Default,,0000,0000,0000,,everything from training\Nto scholarships and loan repayments
Dialogue: 0,0:30:46.48,0:30:49.24,Default,,0000,0000,0000,,for those committed\Nto working in underserved areas.
Dialogue: 0,0:30:49.32,0:30:51.84,Default,,0000,0000,0000,,But obviously,\Nthat's only half the battle.
Dialogue: 0,0:30:52.20,0:30:55.96,Default,,0000,0000,0000,,On the insurance company side,\Nwe badly need to be strengthening
Dialogue: 0,0:30:56.04,0:30:58.64,Default,,0000,0000,0000,,and enforcing those mental health\Nparity laws,
Dialogue: 0,0:30:58.72,0:31:00.92,Default,,0000,0000,0000,,at both the state\Nand the federal level.
Dialogue: 0,0:31:01.00,0:31:05.52,Default,,0000,0000,0000,,California has put in one of the most\Ncomprehensive parity laws in US.
Dialogue: 0,0:31:05.60,0:31:09.72,Default,,0000,0000,0000,,Among many, many other things,\Nit requires that insurers must base
Dialogue: 0,0:31:09.80,0:31:11.88,Default,,0000,0000,0000,,"medical necessity determinations
Dialogue: 0,0:31:11.96,0:31:15.52,Default,,0000,0000,0000,,on current generally accepted\Nstandards of mental health care",
Dialogue: 0,0:31:15.60,0:31:18.40,Default,,0000,0000,0000,,instead of just making up\Nthe criteria for themselves.
Dialogue: 0,0:31:18.48,0:31:20.52,Default,,0000,0000,0000,,That is a very big deal,
Dialogue: 0,0:31:21.00,0:31:23.56,Default,,0000,0000,0000,,and more states should be\Nfollowing California's lead.
Dialogue: 0,0:31:24.08,0:31:29.60,Default,,0000,0000,0000,,In the past, so much of the problem\Nwas that people would not ask for help.
Dialogue: 0,0:31:29.68,0:31:32.68,Default,,0000,0000,0000,,Thankfully that's now less of an issue,\Nthanks to, among other things.
Dialogue: 0,0:31:32.76,0:31:36.24,Default,,0000,0000,0000,,the tireless gland-shaming\Nof Mr. Harrison Ford.
Dialogue: 0,0:31:37.52,0:31:39.84,Default,,0000,0000,0000,,But now,\Nwhen people do reach out for help,
Dialogue: 0,0:31:39.92,0:31:42.44,Default,,0000,0000,0000,,we're just not in a position\Nto give it to them.
Dialogue: 0,0:31:42.52,0:31:46.88,Default,,0000,0000,0000,,If we want to be a society that truly\Nrespects and values mental health,
Dialogue: 0,0:31:46.96,0:31:49.64,Default,,0000,0000,0000,,we have to respect\Nand value mental health care.
Dialogue: 0,0:31:50.28,0:31:52.84,Default,,0000,0000,0000,,And that means supporting\Nthe people who deliver it.
Dialogue: 0,0:31:52.92,0:31:57.00,Default,,0000,0000,0000,,It's going to take a lot of investment\Nand continued resolve to fix things,
Dialogue: 0,0:31:57.08,0:31:59.00,Default,,0000,0000,0000,,but it's also absolutely worth it.
Dialogue: 0,0:31:59.56,0:32:03.12,Default,,0000,0000,0000,,Because it just cannot be the case\Nthat when people ask for help,
Dialogue: 0,0:32:03.20,0:32:07.44,Default,,0000,0000,0000,,our only option is to tell them\Nto suck it up, Buttercup.
Dialogue: 0,0:32:07.92,0:32:08.96,Default,,0000,0000,0000,,And now, this!
Dialogue: 0,0:32:09.92,0:32:14.28,Default,,0000,0000,0000,,And Now:\NThe World's Horniest Televangelist.
Dialogue: 0,0:32:15.24,0:32:19.48,Default,,0000,0000,0000,,Everywhere I go, I have people\Njust stroke their Bible, kiss it.
Dialogue: 0,0:32:20.28,0:32:22.12,Default,,0000,0000,0000,,Then I say,\N"Rub it over your face."
Dialogue: 0,0:32:22.68,0:32:24.92,Default,,0000,0000,0000,,I'm Mike Murdock,\Na follower of Jesus.
Dialogue: 0,0:32:25.00,0:32:29.76,Default,,0000,0000,0000,,I like sexual beauty. Really like that.\NI look at a woman's ankles,
Dialogue: 0,0:32:29.84,0:32:31.96,Default,,0000,0000,0000,,I look at her toenails,\NI look at her fingernails.
Dialogue: 0,0:32:32.32,0:32:35.40,Default,,0000,0000,0000,,I don't know why cutoffs are sexy,\Nbut they are.
Dialogue: 0,0:32:36.00,0:32:38.76,Default,,0000,0000,0000,,I like short shorts.\NI don't like long shorts.
Dialogue: 0,0:32:38.84,0:32:40.76,Default,,0000,0000,0000,,I want to see everything I can.\NI'm a man.
Dialogue: 0,0:32:40.84,0:32:44.52,Default,,0000,0000,0000,,You think when I think of marriage\NI'm thinking of black-eyed peas,
Dialogue: 0,0:32:45.08,0:32:50.28,Default,,0000,0000,0000,,pork and beans, fried corn,\Nand glass of iced tea?
Dialogue: 0,0:32:50.72,0:32:52.76,Default,,0000,0000,0000,,That's marriage. Are you kidding?
Dialogue: 0,0:32:53.88,0:32:57.80,Default,,0000,0000,0000,,I want a sexpot stripping on the stage\Nin front of me in the bedroom.
Dialogue: 0,0:33:03.60,0:33:06.60,Default,,0000,0000,0000,,If her nipples are ugly,\Nshe'll cover those up.
Dialogue: 0,0:33:07.36,0:33:09.24,Default,,0000,0000,0000,,But she wants you\Nto see the mounds
Dialogue: 0,0:33:10.40,0:33:13.36,Default,,0000,0000,0000,,because men see mounds\Nand they start thinking.
Dialogue: 0,0:33:14.12,0:33:17.04,Default,,0000,0000,0000,,"31 Secrets\Nof an Unforgettable Woman."
Dialogue: 0,0:33:17.88,0:33:19.44,Default,,0000,0000,0000,,Unbelievable book.
Dialogue: 0,0:33:19.52,0:33:23.88,Default,,0000,0000,0000,,I started crying when I started\Nreading this book that I was writing.
Dialogue: 0,0:33:27.72,0:33:30.60,Default,,0000,0000,0000,,Thanks so much for watching.\NWe'll see you next week. Good night!
Dialogue: 0,0:33:31.80,0:33:36.68,Default,,0000,0000,0000,,In December, I'll be in Beijing,\Nopening up new pork markets!