[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:01.12,0:00:02.100,Default,,0000,0000,0000,,Every day in this country,
Dialogue: 0,0:00:03.02,0:00:05.100,Default,,0000,0000,0000,,families are forced to make\Nimpossible choices
Dialogue: 0,0:00:06.02,0:00:08.11,Default,,0000,0000,0000,,when it comes to their health care.
Dialogue: 0,0:00:08.14,0:00:10.39,Default,,0000,0000,0000,,Like Kimberly, who said,
Dialogue: 0,0:00:11.39,0:00:15.63,Default,,0000,0000,0000,,"There was times I had to choose\Nbetween my food and my pills.
Dialogue: 0,0:00:15.66,0:00:18.99,Default,,0000,0000,0000,,It wasn't luxury stuff,\Nbecause I didn't make that much.
Dialogue: 0,0:00:19.01,0:00:21.87,Default,,0000,0000,0000,,It was like, 'Can I get\Nshampoo or conditioner?'
Dialogue: 0,0:00:22.59,0:00:24.30,Default,,0000,0000,0000,,Things you take for granted."
Dialogue: 0,0:00:24.32,0:00:26.95,Default,,0000,0000,0000,,And Debbie, who said,
Dialogue: 0,0:00:26.97,0:00:29.77,Default,,0000,0000,0000,,"You put your medicine in one hand,
Dialogue: 0,0:00:29.80,0:00:31.100,Default,,0000,0000,0000,,your living costs in the other.
Dialogue: 0,0:00:32.62,0:00:35.16,Default,,0000,0000,0000,,OK. Well, what am I going to do?
Dialogue: 0,0:00:35.19,0:00:37.12,Default,,0000,0000,0000,,Am I going to get my medicine
Dialogue: 0,0:00:37.14,0:00:38.77,Default,,0000,0000,0000,,or am I going to pay my bills?
Dialogue: 0,0:00:39.34,0:00:41.95,Default,,0000,0000,0000,,Well, I can't live without my medicine,
Dialogue: 0,0:00:41.98,0:00:44.67,Default,,0000,0000,0000,,but I can't live if I don't pay my bills."
Dialogue: 0,0:00:45.06,0:00:49.47,Default,,0000,0000,0000,,Ten thousand people die\Nevery month in this country,
Dialogue: 0,0:00:49.49,0:00:52.07,Default,,0000,0000,0000,,because they don't take\Nthe medicine that they need.
Dialogue: 0,0:00:52.62,0:00:55.93,Default,,0000,0000,0000,,More people die\Nfrom not taking medications
Dialogue: 0,0:00:55.95,0:01:00.71,Default,,0000,0000,0000,,than opioid overdoses\Nand car accidents combined.
Dialogue: 0,0:01:01.49,0:01:04.87,Default,,0000,0000,0000,,But you can't take medicine\Nif you can't afford it.
Dialogue: 0,0:01:05.28,0:01:10.39,Default,,0000,0000,0000,,Today, the average household\Nspends 3,000 dollars a year
Dialogue: 0,0:01:10.41,0:01:11.98,Default,,0000,0000,0000,,on medications.
Dialogue: 0,0:01:12.01,0:01:14.93,Default,,0000,0000,0000,,About a third of folks who are uninsured
Dialogue: 0,0:01:14.95,0:01:18.72,Default,,0000,0000,0000,,said that they stopped\Ntaking medicine as prescribed
Dialogue: 0,0:01:18.74,0:01:20.17,Default,,0000,0000,0000,,because of cost.
Dialogue: 0,0:01:20.19,0:01:22.57,Default,,0000,0000,0000,,Even folks with insurance,
Dialogue: 0,0:01:22.60,0:01:25.87,Default,,0000,0000,0000,,if they make under 35,000 dollars a year,
Dialogue: 0,0:01:25.90,0:01:29.49,Default,,0000,0000,0000,,half of them report\Nskipping the medications
Dialogue: 0,0:01:29.52,0:01:31.36,Default,,0000,0000,0000,,if their insurance doesn't cover it.
Dialogue: 0,0:01:31.81,0:01:36.67,Default,,0000,0000,0000,,So there are 10 million adults\Nlike Kimberly and like Debbie
Dialogue: 0,0:01:36.70,0:01:41.10,Default,,0000,0000,0000,,who are forced to make\Nimpossible choices every day.
Dialogue: 0,0:01:41.56,0:01:45.54,Default,,0000,0000,0000,,We all know that prescription\Ndrug prices are too high.
Dialogue: 0,0:01:46.13,0:01:48.11,Default,,0000,0000,0000,,And our health care system,
Dialogue: 0,0:01:48.14,0:01:52.26,Default,,0000,0000,0000,,that makes some folks uninsured\Nand other folks underinsured,
Dialogue: 0,0:01:52.29,0:01:56.68,Default,,0000,0000,0000,,doesn't prioritize\Npeople who need access now
Dialogue: 0,0:01:56.70,0:01:59.15,Default,,0000,0000,0000,,and need medications now.
Dialogue: 0,0:01:59.53,0:02:01.84,Default,,0000,0000,0000,,Ten million -- it's a big number,
Dialogue: 0,0:02:01.86,0:02:03.86,Default,,0000,0000,0000,,but it's also a solvable number,
Dialogue: 0,0:02:03.88,0:02:07.92,Default,,0000,0000,0000,,because there's also 10 billion dollars
Dialogue: 0,0:02:07.94,0:02:11.31,Default,,0000,0000,0000,,of perfectly good, unused medication
Dialogue: 0,0:02:11.34,0:02:12.73,Default,,0000,0000,0000,,that goes to waste.
Dialogue: 0,0:02:12.76,0:02:15.39,Default,,0000,0000,0000,,So this is an injustice on two sides:
Dialogue: 0,0:02:15.41,0:02:20.26,Default,,0000,0000,0000,,people not getting the medicine\Nthat they need to survive and to thrive,
Dialogue: 0,0:02:20.29,0:02:25.92,Default,,0000,0000,0000,,and that very same medication\Nbeing sent to a medical waste incinerator
Dialogue: 0,0:02:25.94,0:02:27.29,Default,,0000,0000,0000,,to be destroyed.
Dialogue: 0,0:02:27.32,0:02:32.21,Default,,0000,0000,0000,,This waste is unconscionable,\Nbut it also offers an opportunity.
Dialogue: 0,0:02:32.24,0:02:34.04,Default,,0000,0000,0000,,I started SIRUM,
Dialogue: 0,0:02:34.07,0:02:39.35,Default,,0000,0000,0000,,a not-for-profit technology company,\Nwith my cofounders Adam and George,
Dialogue: 0,0:02:39.37,0:02:43.45,Default,,0000,0000,0000,,to turn discarded medications\Ninto a lifeline,
Dialogue: 0,0:02:43.48,0:02:46.47,Default,,0000,0000,0000,,just like the medications\Nin this warehouse.
Dialogue: 0,0:02:46.86,0:02:48.44,Default,,0000,0000,0000,,We may not be able to fix
Dialogue: 0,0:02:48.46,0:02:51.90,Default,,0000,0000,0000,,all the ways in which\Nour health care system is failing us,
Dialogue: 0,0:02:51.92,0:02:54.31,Default,,0000,0000,0000,,but we can fix this one.
Dialogue: 0,0:02:54.93,0:02:59.56,Default,,0000,0000,0000,,Medications come from manufacturers\Nand wholesalers who have safety stock,
Dialogue: 0,0:02:59.58,0:03:01.75,Default,,0000,0000,0000,,and when it's short-dated,\Nthey destroy it.
Dialogue: 0,0:03:02.13,0:03:04.46,Default,,0000,0000,0000,,It also comes from health care facilities
Dialogue: 0,0:03:04.48,0:03:07.56,Default,,0000,0000,0000,,like hospitals, pharmacies\Nand nursing homes,
Dialogue: 0,0:03:07.58,0:03:11.39,Default,,0000,0000,0000,,who end up with surplus\Nwhen a patient stops taking medication
Dialogue: 0,0:03:11.41,0:03:13.21,Default,,0000,0000,0000,,or when they pass away.
Dialogue: 0,0:03:13.24,0:03:17.31,Default,,0000,0000,0000,,We can use this untapped\Nsource of medications
Dialogue: 0,0:03:17.33,0:03:22.45,Default,,0000,0000,0000,,to supply all 10 million people\Nwho need medications.
Dialogue: 0,0:03:22.47,0:03:24.12,Default,,0000,0000,0000,,And we can do this today.
Dialogue: 0,0:03:24.59,0:03:27.40,Default,,0000,0000,0000,,SIRUM gets surplus medications
Dialogue: 0,0:03:27.43,0:03:31.13,Default,,0000,0000,0000,,by putting recycling bins into\Nthese hundreds of facilities
Dialogue: 0,0:03:31.16,0:03:32.54,Default,,0000,0000,0000,,that have surplus.
Dialogue: 0,0:03:32.56,0:03:35.80,Default,,0000,0000,0000,,They fill the bin,\Nand when the box is full,
Dialogue: 0,0:03:35.82,0:03:39.72,Default,,0000,0000,0000,,SIRUM initiates a courier pickup\Nto pick up that medication,
Dialogue: 0,0:03:39.75,0:03:46.26,Default,,0000,0000,0000,,and we handle the shipping, the tracking,\Nthe manifests and the tax receipt.
Dialogue: 0,0:03:46.29,0:03:51.28,Default,,0000,0000,0000,,Medicine donors want to donate\Nbecause it's actually cheaper and easier
Dialogue: 0,0:03:51.30,0:03:54.51,Default,,0000,0000,0000,,than the highly regulated\Nmedicine destruction process.
Dialogue: 0,0:03:54.92,0:03:59.22,Default,,0000,0000,0000,,And there are strong tax incentives\Nto actually donate.
Dialogue: 0,0:03:59.24,0:04:03.67,Default,,0000,0000,0000,,We then deliver those donated medications\Nto people who need it.
Dialogue: 0,0:04:03.70,0:04:05.52,Default,,0000,0000,0000,,A new prescription comes in,
Dialogue: 0,0:04:05.54,0:04:10.95,Default,,0000,0000,0000,,and our platform matches that patient need\Nwith the inventory that's available.
Dialogue: 0,0:04:10.97,0:04:14.02,Default,,0000,0000,0000,,Our platform then generates\Na warehouse pick list,
Dialogue: 0,0:04:14.04,0:04:17.05,Default,,0000,0000,0000,,the medications are picked\Nand the prescriptions filled.
Dialogue: 0,0:04:17.43,0:04:21.86,Default,,0000,0000,0000,,We are building the 21st-century\Npharmacy experience
Dialogue: 0,0:04:21.89,0:04:24.71,Default,,0000,0000,0000,,that low-income families deserve.
Dialogue: 0,0:04:25.02,0:04:27.93,Default,,0000,0000,0000,,Patients can register\Nin under five minutes
Dialogue: 0,0:04:27.96,0:04:32.47,Default,,0000,0000,0000,,and have access to\Nover 500 different medications,
Dialogue: 0,0:04:32.49,0:04:37.17,Default,,0000,0000,0000,,a stable list of medications\Nfor everything from heart disease
Dialogue: 0,0:04:37.19,0:04:39.14,Default,,0000,0000,0000,,to mental health conditions,
Dialogue: 0,0:04:39.17,0:04:45.17,Default,,0000,0000,0000,,actually representing over 75 percent\Nof all prescriptions prescribed
Dialogue: 0,0:04:45.19,0:04:46.81,Default,,0000,0000,0000,,in the United States today.
Dialogue: 0,0:04:47.20,0:04:52.48,Default,,0000,0000,0000,,We also partner with a network of doctors,\Nnurses and case managers
Dialogue: 0,0:04:52.50,0:04:55.15,Default,,0000,0000,0000,,at community health centers\Nand free clinics
Dialogue: 0,0:04:55.18,0:04:57.46,Default,,0000,0000,0000,,that refer patients to the service.
Dialogue: 0,0:04:57.49,0:05:00.46,Default,,0000,0000,0000,,We make it as easy\Nfor these health care providers
Dialogue: 0,0:05:00.48,0:05:03.64,Default,,0000,0000,0000,,to have a prescription filled\Nwith donated medications
Dialogue: 0,0:05:03.67,0:05:07.51,Default,,0000,0000,0000,,as it is to send a prescription\Nto a local pharmacy.
Dialogue: 0,0:05:07.92,0:05:12.68,Default,,0000,0000,0000,,And patients can pick up medications\Non-site at one of our partners
Dialogue: 0,0:05:12.71,0:05:16.07,Default,,0000,0000,0000,,or have medications delivered\Ndirectly to their home.
Dialogue: 0,0:05:16.42,0:05:19.95,Default,,0000,0000,0000,,By circumventing\Nthe traditional supply chain,
Dialogue: 0,0:05:19.98,0:05:23.79,Default,,0000,0000,0000,,we're able to offer flat,\Ntransparent pricing --
Dialogue: 0,0:05:23.82,0:05:28.18,Default,,0000,0000,0000,,about two dollars for a month's supply\Nof most medications.
Dialogue: 0,0:05:29.00,0:05:33.15,Default,,0000,0000,0000,,And that allows a predictable,\Naffordable price
Dialogue: 0,0:05:33.17,0:05:35.74,Default,,0000,0000,0000,,that folks can actually budget for.
Dialogue: 0,0:05:36.09,0:05:41.24,Default,,0000,0000,0000,,We've already supplied enough medication\Nfor 150,000 people.
Dialogue: 0,0:05:41.76,0:05:43.57,Default,,0000,0000,0000,,But we can do more.
Dialogue: 0,0:05:43.59,0:05:46.75,Default,,0000,0000,0000,,Our goal is to reach one million people
Dialogue: 0,0:05:46.78,0:05:50.82,Default,,0000,0000,0000,,with approaching a billion dollars\Nof unused medicine
Dialogue: 0,0:05:50.84,0:05:52.47,Default,,0000,0000,0000,,in the next five years,
Dialogue: 0,0:05:52.50,0:05:55.23,Default,,0000,0000,0000,,scaling our program to 12 states.
Dialogue: 0,0:05:55.26,0:05:59.67,Default,,0000,0000,0000,,At this scale, we can actually cover\Ncommunities that are home
Dialogue: 0,0:05:59.70,0:06:03.61,Default,,0000,0000,0000,,to 40 percent of the 10 million people
Dialogue: 0,0:06:03.64,0:06:07.69,Default,,0000,0000,0000,,who lack consistent, affordable access.
Dialogue: 0,0:06:07.72,0:06:11.32,Default,,0000,0000,0000,,Our direct service to one million people
Dialogue: 0,0:06:11.34,0:06:14.82,Default,,0000,0000,0000,,will drive price competition\Nfor so many more.
Dialogue: 0,0:06:14.84,0:06:18.92,Default,,0000,0000,0000,,Walmart launched one of the only\Nprice innovations in pharmacy
Dialogue: 0,0:06:18.95,0:06:20.60,Default,,0000,0000,0000,,in 2006,
Dialogue: 0,0:06:20.62,0:06:23.21,Default,,0000,0000,0000,,by offering a limited list of medications
Dialogue: 0,0:06:23.24,0:06:25.44,Default,,0000,0000,0000,,for a flat fee of four dollars.
Dialogue: 0,0:06:25.46,0:06:27.49,Default,,0000,0000,0000,,This sparked incredible change.
Dialogue: 0,0:06:27.51,0:06:31.07,Default,,0000,0000,0000,,It sparked competitors\Nto offer other lists
Dialogue: 0,0:06:31.10,0:06:33.66,Default,,0000,0000,0000,,and price match guarantees.
Dialogue: 0,0:06:33.68,0:06:37.82,Default,,0000,0000,0000,,By targeting transparent,\Naffordable medications
Dialogue: 0,0:06:37.85,0:06:39.75,Default,,0000,0000,0000,,into these new states,
Dialogue: 0,0:06:39.77,0:06:43.12,Default,,0000,0000,0000,,we can actually drive\Nregional price competition
Dialogue: 0,0:06:43.15,0:06:48.52,Default,,0000,0000,0000,,that drives down the prices\Nfor entire low-income communities.
Dialogue: 0,0:06:48.88,0:06:51.73,Default,,0000,0000,0000,,Our health care system is complex.
Dialogue: 0,0:06:52.40,0:06:53.72,Default,,0000,0000,0000,,It is daunting.
Dialogue: 0,0:06:54.22,0:06:57.45,Default,,0000,0000,0000,,It feels impossible to make headway.
Dialogue: 0,0:06:57.48,0:07:02.32,Default,,0000,0000,0000,,But we can completely\Nreimagine medicine access.
Dialogue: 0,0:07:03.24,0:07:08.42,Default,,0000,0000,0000,,By using surplus medications\Nas a beachhead to force change
Dialogue: 0,0:07:08.44,0:07:11.88,Default,,0000,0000,0000,,into this multibillion dollar industry,
Dialogue: 0,0:07:11.90,0:07:15.92,Default,,0000,0000,0000,,we can create radical access\Nto medications
Dialogue: 0,0:07:15.94,0:07:18.14,Default,,0000,0000,0000,,based on a fundamental belief
Dialogue: 0,0:07:18.16,0:07:22.86,Default,,0000,0000,0000,,that people who live in one of\Nthe wealthiest nations in the world
Dialogue: 0,0:07:22.88,0:07:27.42,Default,,0000,0000,0000,,can and should have access\Nto medicine that they need
Dialogue: 0,0:07:27.44,0:07:29.90,Default,,0000,0000,0000,,to survive and to thrive.
Dialogue: 0,0:07:30.52,0:07:33.100,Default,,0000,0000,0000,,I do not pretend to have\Nall of the answers
Dialogue: 0,0:07:34.02,0:07:37.76,Default,,0000,0000,0000,,to fix all of the problems\Nin our health care system.
Dialogue: 0,0:07:38.19,0:07:41.60,Default,,0000,0000,0000,,But getting medications\Nto the millions of people
Dialogue: 0,0:07:41.63,0:07:44.28,Default,,0000,0000,0000,,who need it to live a healthy life,
Dialogue: 0,0:07:44.30,0:07:47.66,Default,,0000,0000,0000,,saving medicine to save lives --
Dialogue: 0,0:07:47.68,0:07:51.79,Default,,0000,0000,0000,,that is something we can do today.
Dialogue: 0,0:07:52.76,0:07:53.98,Default,,0000,0000,0000,,Thank you.