[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.79,0:00:03.06,Default,,0000,0000,0000,,Every day in this country,
Dialogue: 0,0:00:03.06,0:00:06.23,Default,,0000,0000,0000,,families are forced to make\Nimpossible choices
Dialogue: 0,0:00:06.23,0:00:08.40,Default,,0000,0000,0000,,when it comes to their health care,
Dialogue: 0,0:00:08.40,0:00:10.84,Default,,0000,0000,0000,,like Kimberly, who said,
Dialogue: 0,0:00:10.84,0:00:15.93,Default,,0000,0000,0000,,"There was times I had to choose\Nbetween my food and my pills.
Dialogue: 0,0:00:15.93,0:00:18.06,Default,,0000,0000,0000,,It wasn't luxury stuff,
Dialogue: 0,0:00:18.06,0:00:19.78,Default,,0000,0000,0000,,because I didn't make that much.
Dialogue: 0,0:00:19.78,0:00:22.96,Default,,0000,0000,0000,,It was like, can I get\Nshampoo or conditioner?
Dialogue: 0,0:00:22.96,0:00:24.76,Default,,0000,0000,0000,,Things you take for granted.
Dialogue: 0,0:00:24.76,0:00:27.35,Default,,0000,0000,0000,,And Debbie, who said,
Dialogue: 0,0:00:27.35,0:00:30.10,Default,,0000,0000,0000,,"You put your medicine in one hand,
Dialogue: 0,0:00:30.10,0:00:32.96,Default,,0000,0000,0000,,your living costs in the other.
Dialogue: 0,0:00:32.96,0:00:35.38,Default,,0000,0000,0000,,OK, well what am I gonna do?
Dialogue: 0,0:00:35.38,0:00:37.48,Default,,0000,0000,0000,,Am I gonna get my medicine
Dialogue: 0,0:00:37.48,0:00:39.35,Default,,0000,0000,0000,,or am I gonna pay my bills?
Dialogue: 0,0:00:39.35,0:00:42.21,Default,,0000,0000,0000,,Well, I can't live without my medicine,
Dialogue: 0,0:00:42.21,0:00:45.13,Default,,0000,0000,0000,,but I can't live if I don't pay my bills."
Dialogue: 0,0:00:45.34,0:00:49.73,Default,,0000,0000,0000,,Ten thousand people die\Nevery month in this country
Dialogue: 0,0:00:49.73,0:00:52.62,Default,,0000,0000,0000,,because they don't take\Nthe medicine that they need.
Dialogue: 0,0:00:52.62,0:00:56.11,Default,,0000,0000,0000,,More people die\Nfrom not taking medications
Dialogue: 0,0:00:56.11,0:01:00.86,Default,,0000,0000,0000,,than opioid overdoses\Nand car accidents combined.
Dialogue: 0,0:01:01.19,0:01:04.91,Default,,0000,0000,0000,,But you can't take medicine\Nif you can't afford it.
Dialogue: 0,0:01:05.19,0:01:08.24,Default,,0000,0000,0000,,Today, the average household
Dialogue: 0,0:01:08.24,0:01:12.10,Default,,0000,0000,0000,,spends 3,000 dollars\Na year on medications.
Dialogue: 0,0:01:12.10,0:01:15.04,Default,,0000,0000,0000,,About a third of folks who are uninsured
Dialogue: 0,0:01:15.04,0:01:18.74,Default,,0000,0000,0000,,said that they stopped\Ntaking medicine as prescribed
Dialogue: 0,0:01:18.74,0:01:20.38,Default,,0000,0000,0000,,because of cost.
Dialogue: 0,0:01:20.38,0:01:22.76,Default,,0000,0000,0000,,Even folks with insurance,
Dialogue: 0,0:01:22.76,0:01:26.24,Default,,0000,0000,0000,,if they make under 35,000 dollars a year,
Dialogue: 0,0:01:26.24,0:01:29.48,Default,,0000,0000,0000,,half of them report\Nskipping the medications
Dialogue: 0,0:01:29.48,0:01:32.05,Default,,0000,0000,0000,,if their insurance doesn't cover it.
Dialogue: 0,0:01:32.05,0:01:36.91,Default,,0000,0000,0000,,So there are 10 million adults\Nlike Kimberly and like Debbie
Dialogue: 0,0:01:36.91,0:01:41.24,Default,,0000,0000,0000,,who are forced to make\Nimpossible choices every day.
Dialogue: 0,0:01:41.79,0:01:46.01,Default,,0000,0000,0000,,We all know that prescription\Ndrug prices are too high,
Dialogue: 0,0:01:46.01,0:01:48.06,Default,,0000,0000,0000,,and our health care system,
Dialogue: 0,0:01:48.06,0:01:51.99,Default,,0000,0000,0000,,that makes some folks uninsured\Nand other folks underinsured,
Dialogue: 0,0:01:52.50,0:01:56.96,Default,,0000,0000,0000,,doesn't prioritize\Npeople who need access now
Dialogue: 0,0:01:56.96,0:01:59.28,Default,,0000,0000,0000,,and need medications now.
Dialogue: 0,0:01:59.66,0:02:01.62,Default,,0000,0000,0000,,Ten million, it's a big number,
Dialogue: 0,0:02:01.62,0:02:04.10,Default,,0000,0000,0000,,but it's also a solvable number,
Dialogue: 0,0:02:04.10,0:02:10.81,Default,,0000,0000,0000,,because there's also 10 billion dollars\Nof perfectly good unused medication
Dialogue: 0,0:02:11.25,0:02:12.90,Default,,0000,0000,0000,,that goes to waste.
Dialogue: 0,0:02:13.07,0:02:15.32,Default,,0000,0000,0000,,So this is an injustice on two sides:
Dialogue: 0,0:02:15.32,0:02:20.61,Default,,0000,0000,0000,,people not getting the medicine\Nthat they need to survive and to thrive,
Dialogue: 0,0:02:20.61,0:02:25.54,Default,,0000,0000,0000,,and that very same medication\Nbeing sent to a medical waste incinerator
Dialogue: 0,0:02:25.82,0:02:28.05,Default,,0000,0000,0000,,to be destroyed.
Dialogue: 0,0:02:28.05,0:02:32.35,Default,,0000,0000,0000,,This waste is unconscionable,\Nbut it also offers an opportunity.
Dialogue: 0,0:02:32.35,0:02:34.30,Default,,0000,0000,0000,,I started SIRUM,
Dialogue: 0,0:02:34.30,0:02:38.96,Default,,0000,0000,0000,,a not for profit technology company,\Nwith my cofounders Adam and George,
Dialogue: 0,0:02:39.37,0:02:43.67,Default,,0000,0000,0000,,to turn discarded medications\Ninto a lifeline
Dialogue: 0,0:02:43.67,0:02:46.47,Default,,0000,0000,0000,,just like the medications\Nin this warehouse.
Dialogue: 0,0:02:47.07,0:02:48.67,Default,,0000,0000,0000,,We may not be able to fix
Dialogue: 0,0:02:48.67,0:02:52.16,Default,,0000,0000,0000,,all the ways in which\Nour health care system is failing us,
Dialogue: 0,0:02:52.16,0:02:54.17,Default,,0000,0000,0000,,but we can fix this one.
Dialogue: 0,0:02:55.15,0:02:59.72,Default,,0000,0000,0000,,Medications come from manufacturers\Nand wholesalers who have safety stock,
Dialogue: 0,0:02:59.72,0:03:02.13,Default,,0000,0000,0000,,and when it's short-dated,\Nthey destroy it.
Dialogue: 0,0:03:02.13,0:03:06.60,Default,,0000,0000,0000,,It also comes from health care facilities\Nlike hospitals, pharmacies
Dialogue: 0,0:03:06.60,0:03:09.43,Default,,0000,0000,0000,,and nursing homes\Nwho end up with surplus
Dialogue: 0,0:03:09.43,0:03:13.15,Default,,0000,0000,0000,,when a patient stops taking medication\Nor when they pass away.
Dialogue: 0,0:03:13.36,0:03:17.50,Default,,0000,0000,0000,,We can use this untapped\Nsource of medications
Dialogue: 0,0:03:17.50,0:03:22.11,Default,,0000,0000,0000,,to supply all 10 million people\Nwho need medications,
Dialogue: 0,0:03:22.70,0:03:24.36,Default,,0000,0000,0000,,and we can do this today.
Dialogue: 0,0:03:24.36,0:03:27.32,Default,,0000,0000,0000,,SIRUM gets surplus medications
Dialogue: 0,0:03:27.32,0:03:31.37,Default,,0000,0000,0000,,by putting recycling bins into\Nthese hundreds of facilities
Dialogue: 0,0:03:31.37,0:03:32.83,Default,,0000,0000,0000,,that have surplus.
Dialogue: 0,0:03:32.83,0:03:35.66,Default,,0000,0000,0000,,They fill the bin,\Nand when the box is full,
Dialogue: 0,0:03:35.66,0:03:40.02,Default,,0000,0000,0000,,SIRUM initiates a courier pickup\Nto pick up that medication,
Dialogue: 0,0:03:40.02,0:03:46.30,Default,,0000,0000,0000,,and we handle the shipping, the tracking,\Nthe manifests, and the tax receipt.
Dialogue: 0,0:03:46.53,0:03:51.30,Default,,0000,0000,0000,,Medicine donors want to donate\Nbecause it's actually cheaper an easier
Dialogue: 0,0:03:51.30,0:03:54.61,Default,,0000,0000,0000,,than the highly regulated\Nmedicine destruction process,
Dialogue: 0,0:03:54.61,0:03:59.10,Default,,0000,0000,0000,,and there are strong tax incentives\Nto actually donate.
Dialogue: 0,0:03:59.10,0:04:03.91,Default,,0000,0000,0000,,We then deliver those donated\Nmedications to people who need it.
Dialogue: 0,0:04:04.11,0:04:06.57,Default,,0000,0000,0000,,A new prescription comes in,
Dialogue: 0,0:04:06.57,0:04:11.23,Default,,0000,0000,0000,,and our platform matches that patient need\Nwith the inventory that's available.
Dialogue: 0,0:04:11.23,0:04:14.38,Default,,0000,0000,0000,,Our platform then generates\Na warehouse pick list,
Dialogue: 0,0:04:14.38,0:04:17.42,Default,,0000,0000,0000,,the medications are picked\Nand the prescriptions filled.
Dialogue: 0,0:04:17.42,0:04:22.09,Default,,0000,0000,0000,,We are building the 21st century's\Npharmacy experience
Dialogue: 0,0:04:22.09,0:04:24.95,Default,,0000,0000,0000,,that low-income families deserve.
Dialogue: 0,0:04:25.25,0:04:28.22,Default,,0000,0000,0000,,Patients can register\Nin under five minutes
Dialogue: 0,0:04:28.22,0:04:32.63,Default,,0000,0000,0000,,and have access to\Nover 500 different medications,
Dialogue: 0,0:04:32.63,0:04:37.45,Default,,0000,0000,0000,,a stable list of medications\Nfor everything from heart disease
Dialogue: 0,0:04:37.45,0:04:39.58,Default,,0000,0000,0000,,to mental health conditions,
Dialogue: 0,0:04:39.58,0:04:45.24,Default,,0000,0000,0000,,actually representing over 75 percent\Nof all prescriptions prescribed
Dialogue: 0,0:04:45.61,0:04:47.26,Default,,0000,0000,0000,,in the United States today.
Dialogue: 0,0:04:47.51,0:04:52.62,Default,,0000,0000,0000,,We also partner with a network\Nof doctors, nurses and case managers
Dialogue: 0,0:04:52.62,0:04:55.18,Default,,0000,0000,0000,,at community health centers\Nand free clinics
Dialogue: 0,0:04:55.18,0:04:57.81,Default,,0000,0000,0000,,that refer patients to the service.
Dialogue: 0,0:04:57.81,0:05:00.67,Default,,0000,0000,0000,,We make it as easy\Nfor these health care providers
Dialogue: 0,0:05:00.67,0:05:03.94,Default,,0000,0000,0000,,to have a prescription filled\Nwith donated medications
Dialogue: 0,0:05:03.94,0:05:08.04,Default,,0000,0000,0000,,as it is to send a prescription\Nto a local pharmacy.
Dialogue: 0,0:05:08.04,0:05:12.91,Default,,0000,0000,0000,,And patients can pick up medications\Non site at one of our partners
Dialogue: 0,0:05:12.91,0:05:16.68,Default,,0000,0000,0000,,or have medications delivered\Ndirectly to their home.
Dialogue: 0,0:05:16.68,0:05:20.29,Default,,0000,0000,0000,,By circumventing\Nthe traditional supply chain,
Dialogue: 0,0:05:20.29,0:05:24.12,Default,,0000,0000,0000,,we're able to offer flat,\Ntransparent pricing
Dialogue: 0,0:05:24.12,0:05:26.61,Default,,0000,0000,0000,,about two dollars
Dialogue: 0,0:05:26.61,0:05:28.85,Default,,0000,0000,0000,,for a month's supply of most medications.
Dialogue: 0,0:05:28.85,0:05:33.41,Default,,0000,0000,0000,,And that allows a predictable,\Naffordable price
Dialogue: 0,0:05:33.41,0:05:35.74,Default,,0000,0000,0000,,that folks can actually budget for.
Dialogue: 0,0:05:36.39,0:05:39.06,Default,,0000,0000,0000,,We've already supplied enough medication
Dialogue: 0,0:05:39.06,0:05:41.96,Default,,0000,0000,0000,,for 150,000 people,
Dialogue: 0,0:05:41.96,0:05:43.92,Default,,0000,0000,0000,,but we can do more.
Dialogue: 0,0:05:43.92,0:05:46.99,Default,,0000,0000,0000,,Our goal is to reach one million people
Dialogue: 0,0:05:46.99,0:05:50.69,Default,,0000,0000,0000,,with approaching a billion dollars\Nof unused medicine
Dialogue: 0,0:05:50.69,0:05:52.64,Default,,0000,0000,0000,,in the next five years,
Dialogue: 0,0:05:52.64,0:05:55.16,Default,,0000,0000,0000,,scaling our program to 12 states.
Dialogue: 0,0:05:55.37,0:05:59.90,Default,,0000,0000,0000,,At this scale, we can actually cover\Ncommunities that are home
Dialogue: 0,0:05:59.90,0:06:03.64,Default,,0000,0000,0000,,to 40 percent of the 10 million people
Dialogue: 0,0:06:03.64,0:06:07.58,Default,,0000,0000,0000,,who lack consistent, affordable access.
Dialogue: 0,0:06:07.82,0:06:11.59,Default,,0000,0000,0000,,Our direct service to one million people
Dialogue: 0,0:06:11.59,0:06:14.46,Default,,0000,0000,0000,,will drive price competition\Nfor so many more.
Dialogue: 0,0:06:15.04,0:06:16.53,Default,,0000,0000,0000,,Wal-Mart launched
Dialogue: 0,0:06:16.53,0:06:20.57,Default,,0000,0000,0000,,one of the only price innovations\Nin pharmacy in 2006
Dialogue: 0,0:06:20.57,0:06:23.24,Default,,0000,0000,0000,,by offering a limited list of medications
Dialogue: 0,0:06:23.24,0:06:25.26,Default,,0000,0000,0000,,for a flat fee of four dollars.
Dialogue: 0,0:06:25.59,0:06:27.85,Default,,0000,0000,0000,,This sparked incredible change.
Dialogue: 0,0:06:27.85,0:06:30.75,Default,,0000,0000,0000,,It sparked competitors\Nto offer other lists
Dialogue: 0,0:06:30.75,0:06:33.55,Default,,0000,0000,0000,,and price match guarantees.
Dialogue: 0,0:06:33.55,0:06:37.90,Default,,0000,0000,0000,,By targeting transparent,\Naffordable medications
Dialogue: 0,0:06:37.90,0:06:41.42,Default,,0000,0000,0000,,into these new states,
Dialogue: 0,0:06:41.42,0:06:43.87,Default,,0000,0000,0000,,we can actually drive\Nregional price competition
Dialogue: 0,0:06:43.87,0:06:48.41,Default,,0000,0000,0000,,that drives down the prices\Nfor entire low-income communities.
Dialogue: 0,0:06:48.88,0:06:51.85,Default,,0000,0000,0000,,Our health care system is complex.
Dialogue: 0,0:06:51.85,0:06:53.97,Default,,0000,0000,0000,,It is daunting.
Dialogue: 0,0:06:54.22,0:06:57.48,Default,,0000,0000,0000,,It feels impossible to make headway.
Dialogue: 0,0:06:57.48,0:07:02.63,Default,,0000,0000,0000,,But we can completely\Nreimagine medicine access.
Dialogue: 0,0:07:02.63,0:07:05.82,Default,,0000,0000,0000,,By using surplus medications
Dialogue: 0,0:07:05.82,0:07:07.28,Default,,0000,0000,0000,,as a beachhead
Dialogue: 0,0:07:07.28,0:07:12.40,Default,,0000,0000,0000,,to force change into this\Nmulti-billion dollar industry,
Dialogue: 0,0:07:12.40,0:07:15.84,Default,,0000,0000,0000,,we can create radical access\Nto medications
Dialogue: 0,0:07:15.84,0:07:18.24,Default,,0000,0000,0000,,based on a fundamental belief
Dialogue: 0,0:07:18.24,0:07:22.88,Default,,0000,0000,0000,,that people who live in one of\Nthe wealthiest nations in the world
Dialogue: 0,0:07:22.88,0:07:27.44,Default,,0000,0000,0000,,can and should have access\Nto medicine that they need
Dialogue: 0,0:07:27.44,0:07:29.78,Default,,0000,0000,0000,,to survive and to thrive.
Dialogue: 0,0:07:30.61,0:07:34.33,Default,,0000,0000,0000,,I do not pretend to have\Nall of the answers
Dialogue: 0,0:07:34.33,0:07:37.82,Default,,0000,0000,0000,,to fix all of the problems\Nin our health care system,
Dialogue: 0,0:07:38.49,0:07:41.93,Default,,0000,0000,0000,,but getting medications\Nto the millions of people
Dialogue: 0,0:07:41.93,0:07:44.13,Default,,0000,0000,0000,,who need it to live a healthy life,
Dialogue: 0,0:07:44.13,0:07:51.38,Default,,0000,0000,0000,,saving medicine to save lives,\Nthat is something we can do today.
Dialogue: 0,0:07:52.96,0:07:54.18,Default,,0000,0000,0000,,Thank you.