[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.47,0:00:04.17,Default,,0000,0000,0000,,Those of you who have seen the film "Moneyball,"
Dialogue: 0,0:00:04.17,0:00:06.15,Default,,0000,0000,0000,,or have read the book by Michael Lewis,
Dialogue: 0,0:00:06.15,0:00:09.29,Default,,0000,0000,0000,,will be familiar with the story of Billy Beane.
Dialogue: 0,0:00:09.29,0:00:13.98,Default,,0000,0000,0000,,Billy was supposed to be a tremendous ballplayer; all the scouts told him so.
Dialogue: 0,0:00:13.98,0:00:15.17,Default,,0000,0000,0000,,They told his parents that
Dialogue: 0,0:00:15.17,0:00:17.21,Default,,0000,0000,0000,,they predicted that he was going to be a star.
Dialogue: 0,0:00:17.21,0:00:22.16,Default,,0000,0000,0000,,But what actually happened when he signed the contract -- and by the way, he didn't
Dialogue: 0,0:00:22.16,0:00:24.58,Default,,0000,0000,0000,,want to sign that contract, he wanted to go to\Ncollege --
Dialogue: 0,0:00:24.58,0:00:27.24,Default,,0000,0000,0000,,which is what my mother, who actually does\Nlove me,
Dialogue: 0,0:00:27.24,0:00:30.10,Default,,0000,0000,0000,,said that I should do too, and I did --
Dialogue: 0,0:00:30.10,0:00:33.18,Default,,0000,0000,0000,,well, he didn't do very well. He struggled\Nmightily.
Dialogue: 0,0:00:33.18,0:00:37.71,Default,,0000,0000,0000,,He got traded a couple of times, he ended up in the Minors for most of his career,
Dialogue: 0,0:00:37.71,0:00:41.80,Default,,0000,0000,0000,,and he actually ended up in management. He ended up as a General Manager of the
Dialogue: 0,0:00:41.80,0:00:42.45,Default,,0000,0000,0000,,Oakland A's.
Dialogue: 0,0:00:42.45,0:00:46.87,Default,,0000,0000,0000,,Now for many of you in this room, ending up in management, which is also what I've done,
Dialogue: 0,0:00:46.87,0:00:48.57,Default,,0000,0000,0000,,is seen as a success.
Dialogue: 0,0:00:48.57,0:00:51.77,Default,,0000,0000,0000,,I can assure you that for a kid trying to make it in the Bigs,
Dialogue: 0,0:00:51.77,0:00:56.48,Default,,0000,0000,0000,,going into management ain't no success story. It's a failure.
Dialogue: 0,0:00:56.48,0:01:00.92,Default,,0000,0000,0000,,And what I want to talk to you about today, and share with you, is that our
Dialogue: 0,0:01:00.92,0:01:05.36,Default,,0000,0000,0000,,healthcare system, our medical system, is\Njust as bad at predicting
Dialogue: 0,0:01:05.36,0:01:09.55,Default,,0000,0000,0000,,what happens to people in it -- patients,\Nothers --
Dialogue: 0,0:01:09.55,0:01:14.16,Default,,0000,0000,0000,,as those scouts were at predicting what would happen to Billy Beane.
Dialogue: 0,0:01:14.16,0:01:16.84,Default,,0000,0000,0000,,And yet, every day
Dialogue: 0,0:01:16.84,0:01:18.80,Default,,0000,0000,0000,,thousands of people in this country
Dialogue: 0,0:01:18.80,0:01:22.73,Default,,0000,0000,0000,,are diagnosed with preconditions.
Dialogue: 0,0:01:22.73,0:01:26.97,Default,,0000,0000,0000,,We hear about pre-hypertension, we hear about pre-dementia,
Dialogue: 0,0:01:26.97,0:01:32.31,Default,,0000,0000,0000,,we hear about pre-anxiety, and I'm pretty sure that I diagnosed myself with
Dialogue: 0,0:01:32.31,0:01:33.68,Default,,0000,0000,0000,,that in the green room.
Dialogue: 0,0:01:33.68,0:01:38.04,Default,,0000,0000,0000,,We also refer to subclinical conditions.
Dialogue: 0,0:01:38.04,0:01:42.59,Default,,0000,0000,0000,,There's subclinical atherosclerosis, subclinical hardening of the arteries,
Dialogue: 0,0:01:42.59,0:01:46.12,Default,,0000,0000,0000,,obviously linked to heart attacks, potentially.
Dialogue: 0,0:01:46.12,0:01:49.56,Default,,0000,0000,0000,,One of my favorites is called\Nsubclinical acne.
Dialogue: 0,0:01:49.56,0:01:53.52,Default,,0000,0000,0000,,If you look up subclinical acne, you may find a website, which I did,
Dialogue: 0,0:01:53.52,0:01:57.65,Default,,0000,0000,0000,,which says that this is the easiest type of acne to treat.
Dialogue: 0,0:01:57.65,0:02:04.27,Default,,0000,0000,0000,,You don't have the pustules or the redness and inflammation.
Dialogue: 0,0:02:04.27,0:02:07.92,Default,,0000,0000,0000,,Maybe that's because you don't actually\Nhave acne.
Dialogue: 0,0:02:07.92,0:02:14.45,Default,,0000,0000,0000,,I have a name for all of these conditions, it's another precondition:
Dialogue: 0,0:02:14.45,0:02:16.30,Default,,0000,0000,0000,,I call them preposterous.
Dialogue: 0,0:02:16.30,0:02:22.36,Default,,0000,0000,0000,,In baseball, the game follows the pre-game.
Dialogue: 0,0:02:22.36,0:02:24.76,Default,,0000,0000,0000,,Season follows the pre-season.
Dialogue: 0,0:02:24.76,0:02:29.29,Default,,0000,0000,0000,,But with a lot of these conditions, that actually isn't the case, or at least it isn't the
Dialogue: 0,0:02:29.29,0:02:33.86,Default,,0000,0000,0000,,case all the time. It's as if there's a rain delay, every single time in many cases.
Dialogue: 0,0:02:33.86,0:02:35.68,Default,,0000,0000,0000,,We have pre-cancerous lesions,
Dialogue: 0,0:02:35.68,0:02:39.17,Default,,0000,0000,0000,,which often don't turn into cancer.
Dialogue: 0,0:02:39.17,0:02:41.03,Default,,0000,0000,0000,,And yet,
Dialogue: 0,0:02:41.03,0:02:44.95,Default,,0000,0000,0000,,if you take, for example, subclinical\Nosteoporosis, a bone thinning disease,
Dialogue: 0,0:02:44.95,0:02:46.61,Default,,0000,0000,0000,,the precondition,
Dialogue: 0,0:02:46.61,0:02:49.01,Default,,0000,0000,0000,,otherwise known as osteopenia,
Dialogue: 0,0:02:49.01,0:02:52.68,Default,,0000,0000,0000,,you would have to treat 270\Nwomen for three years
Dialogue: 0,0:02:52.68,0:02:54.88,Default,,0000,0000,0000,,in order to prevent one broken bone.
Dialogue: 0,0:02:54.88,0:02:56.49,Default,,0000,0000,0000,,That's an awful lot of women
Dialogue: 0,0:02:56.49,0:02:59.42,Default,,0000,0000,0000,,when you multiply by the number of women\Nwho were diagnosed
Dialogue: 0,0:02:59.42,0:03:01.31,Default,,0000,0000,0000,,with this osteopenia.
Dialogue: 0,0:03:01.31,0:03:03.36,Default,,0000,0000,0000,,And so is it any wonder,
Dialogue: 0,0:03:03.36,0:03:05.90,Default,,0000,0000,0000,,given all of the costs and the side effects
Dialogue: 0,0:03:05.90,0:03:10.10,Default,,0000,0000,0000,,of the drugs that we're using to treat these preconditions, that every year
Dialogue: 0,0:03:10.10,0:03:13.77,Default,,0000,0000,0000,,we're spending more than two trillion dollars on healthcare and yet
Dialogue: 0,0:03:13.77,0:03:17.06,Default,,0000,0000,0000,,100,000 people a year -- and that's a conservative estimate -- are dying
Dialogue: 0,0:03:17.06,0:03:18.97,Default,,0000,0000,0000,,not because of the conditions they have,
Dialogue: 0,0:03:18.97,0:03:23.26,Default,,0000,0000,0000,,but because of the treatments that we're giving them and the complications of those treatments?
Dialogue: 0,0:03:23.26,0:03:26.07,Default,,0000,0000,0000,,We've medicalized everything
Dialogue: 0,0:03:26.07,0:03:27.04,Default,,0000,0000,0000,,in this country.
Dialogue: 0,0:03:27.04,0:03:30.42,Default,,0000,0000,0000,,Women in the audience, I have\Nsome
Dialogue: 0,0:03:30.42,0:03:32.42,Default,,0000,0000,0000,,pretty bad news that you already know,
Dialogue: 0,0:03:32.42,0:03:35.08,Default,,0000,0000,0000,,and that's that every aspect of your\Nlife
Dialogue: 0,0:03:35.08,0:03:36.49,Default,,0000,0000,0000,,has been medicalized.
Dialogue: 0,0:03:36.49,0:03:38.91,Default,,0000,0000,0000,,Strike one is when you hit puberty.
Dialogue: 0,0:03:38.91,0:03:43.25,Default,,0000,0000,0000,,You now have something that happens to you once a month that has been medicalized.
Dialogue: 0,0:03:43.25,0:03:44.06,Default,,0000,0000,0000,,It's a condition;
Dialogue: 0,0:03:44.06,0:03:45.62,Default,,0000,0000,0000,,it has to be treated. Strike two
Dialogue: 0,0:03:45.62,0:03:47.22,Default,,0000,0000,0000,,is if you get pregnant.
Dialogue: 0,0:03:47.22,0:03:50.32,Default,,0000,0000,0000,,That's been medicalized as\Nwell.
Dialogue: 0,0:03:50.32,0:03:52.24,Default,,0000,0000,0000,,You have to have a high-tech experience
Dialogue: 0,0:03:52.24,0:03:54.97,Default,,0000,0000,0000,,of pregnancy, otherwise something might go wrong.
Dialogue: 0,0:03:54.97,0:03:58.57,Default,,0000,0000,0000,,Strike three is menopause.
Dialogue: 0,0:03:58.57,0:04:02.91,Default,,0000,0000,0000,,We all know what happened when millions of women were given hormone replacement therapy
Dialogue: 0,0:04:02.91,0:04:05.96,Default,,0000,0000,0000,,for menopausal symptoms
Dialogue: 0,0:04:05.96,0:04:10.39,Default,,0000,0000,0000,,for decades until all of a sudden we realized, because a study came out, a big one,
Dialogue: 0,0:04:10.39,0:04:11.40,Default,,0000,0000,0000,,NIH-funded.
Dialogue: 0,0:04:11.40,0:04:12.32,Default,,0000,0000,0000,,It said,
Dialogue: 0,0:04:12.32,0:04:16.91,Default,,0000,0000,0000,,actually, a lot of that hormone replacement therapy may be doing more harm than good
Dialogue: 0,0:04:16.91,0:04:18.69,Default,,0000,0000,0000,,for many of those women.
Dialogue: 0,0:04:18.69,0:04:20.94,Default,,0000,0000,0000,,Just in case,
Dialogue: 0,0:04:20.94,0:04:22.57,Default,,0000,0000,0000,,I don't want to leave the men out --
Dialogue: 0,0:04:22.57,0:04:24.19,Default,,0000,0000,0000,,I am one, after all --
Dialogue: 0,0:04:24.19,0:04:26.88,Default,,0000,0000,0000,,I have really bad news for all of you in\Nthis room,
Dialogue: 0,0:04:26.88,0:04:27.84,Default,,0000,0000,0000,,and for everyone
Dialogue: 0,0:04:27.84,0:04:29.58,Default,,0000,0000,0000,,listening and watching elsewhere:
Dialogue: 0,0:04:29.58,0:04:30.80,Default,,0000,0000,0000,,You all have
Dialogue: 0,0:04:30.80,0:04:33.73,Default,,0000,0000,0000,,a universally fatal condition.
Dialogue: 0,0:04:33.73,0:04:37.04,Default,,0000,0000,0000,,So, just take a moment.
Dialogue: 0,0:04:37.04,0:04:38.37,Default,,0000,0000,0000,,It's called pre-death.
Dialogue: 0,0:04:38.37,0:04:43.44,Default,,0000,0000,0000,,Every single one of you has it, because\Nyou have the risk factor for it,
Dialogue: 0,0:04:43.44,0:04:45.19,Default,,0000,0000,0000,,which is being alive.
Dialogue: 0,0:04:45.19,0:04:48.25,Default,,0000,0000,0000,,But I have some good news for you,\Nbecause
Dialogue: 0,0:04:48.25,0:04:52.28,Default,,0000,0000,0000,,I'm a journalist, I like to end things in a happy way or a forward-thinking way.
Dialogue: 0,0:04:52.28,0:04:56.20,Default,,0000,0000,0000,,And that good news is that if you can survive to the end of my talk, which
Dialogue: 0,0:04:56.20,0:04:58.80,Default,,0000,0000,0000,,we'll see if that happens for everyone,
Dialogue: 0,0:04:58.80,0:05:02.09,Default,,0000,0000,0000,,you will be a pre-vivor.
Dialogue: 0,0:05:02.09,0:05:06.91,Default,,0000,0000,0000,,I made up pre-death.
Dialogue: 0,0:05:06.91,0:05:11.02,Default,,0000,0000,0000,,If I used someone else's pre-death, I apologize,
Dialogue: 0,0:05:11.02,0:05:12.60,Default,,0000,0000,0000,,I think I made it up.
Dialogue: 0,0:05:12.60,0:05:14.17,Default,,0000,0000,0000,,I didn't make up pre-vivor.
Dialogue: 0,0:05:14.17,0:05:19.64,Default,,0000,0000,0000,,Pre-vivor is what a particular cancer advocacy group would like everyone who
Dialogue: 0,0:05:19.64,0:05:20.92,Default,,0000,0000,0000,,just has a risk factor,
Dialogue: 0,0:05:20.92,0:05:23.44,Default,,0000,0000,0000,,but hasn't actually had that cancer,
Dialogue: 0,0:05:23.44,0:05:24.81,Default,,0000,0000,0000,,to call themselves.
Dialogue: 0,0:05:24.81,0:05:26.39,Default,,0000,0000,0000,,You are a pre-vivor.
Dialogue: 0,0:05:26.39,0:05:30.86,Default,,0000,0000,0000,,We've had HBO here this morning. I'm wondering if Mark Burnett is anywhere in the
Dialogue: 0,0:05:30.86,0:05:32.36,Default,,0000,0000,0000,,audience, I'd like to suggest
Dialogue: 0,0:05:32.36,0:05:36.57,Default,,0000,0000,0000,,a reality TV show called "Pre-vivor."
Dialogue: 0,0:05:36.57,0:05:40.07,Default,,0000,0000,0000,,If you develop a disease, you're off\Nthe island.
Dialogue: 0,0:05:40.07,0:05:45.21,Default,,0000,0000,0000,,But the problem is, we have a system
Dialogue: 0,0:05:45.21,0:05:47.08,Default,,0000,0000,0000,,that is completely --
Dialogue: 0,0:05:47.08,0:05:49.01,Default,,0000,0000,0000,,basically promoted this.
Dialogue: 0,0:05:49.01,0:05:51.87,Default,,0000,0000,0000,,We've selected, at every point in this system,
Dialogue: 0,0:05:51.87,0:05:55.86,Default,,0000,0000,0000,,to do what we do, and to give everyone a\Nprecondition and then eventually
Dialogue: 0,0:05:55.86,0:05:57.84,Default,,0000,0000,0000,,a condition, in some cases.
Dialogue: 0,0:05:57.84,0:06:02.33,Default,,0000,0000,0000,,Start with the doctor-patient\Nrelationship. Doctors, most of them,
Dialogue: 0,0:06:02.33,0:06:07.36,Default,,0000,0000,0000,,are in a fee-for-service system. They are\Nbasically incentivized to do more --
Dialogue: 0,0:06:07.36,0:06:09.02,Default,,0000,0000,0000,,procedures, tests,
Dialogue: 0,0:06:09.02,0:06:10.68,Default,,0000,0000,0000,,prescribe medications.
Dialogue: 0,0:06:10.68,0:06:12.05,Default,,0000,0000,0000,,Patients come to them,
Dialogue: 0,0:06:12.05,0:06:16.05,Default,,0000,0000,0000,,they want to do something. We're\NAmericans, we can't just stand
Dialogue: 0,0:06:16.05,0:06:18.93,Default,,0000,0000,0000,,there, we have to do something. And so\Nthey want a drug.
Dialogue: 0,0:06:18.93,0:06:22.70,Default,,0000,0000,0000,,They want a treatment. They want to be told, this is what you have and this is how
Dialogue: 0,0:06:22.70,0:06:25.02,Default,,0000,0000,0000,,you treat it. If the doctor\Ndoesn't give you that,
Dialogue: 0,0:06:25.02,0:06:26.85,Default,,0000,0000,0000,,you go somewhere else.
Dialogue: 0,0:06:26.85,0:06:28.73,Default,,0000,0000,0000,,That's not very good for doctors'\Nbusiness.
Dialogue: 0,0:06:28.73,0:06:30.41,Default,,0000,0000,0000,,Or even worse,
Dialogue: 0,0:06:30.41,0:06:34.37,Default,,0000,0000,0000,,if you are diagnosed with something\Neventually, and the doctor didn't order that test,
Dialogue: 0,0:06:34.37,0:06:36.60,Default,,0000,0000,0000,,you get sued.
Dialogue: 0,0:06:36.60,0:06:39.63,Default,,0000,0000,0000,,We have pharmaceutical companies that are\Nconstantly trying to expand
Dialogue: 0,0:06:39.63,0:06:44.97,Default,,0000,0000,0000,,the indications, expand the number of people who are eligible for a given treatment,
Dialogue: 0,0:06:44.97,0:06:47.77,Default,,0000,0000,0000,,because that obviously helps their bottom line.\NWe have advocacy groups,
Dialogue: 0,0:06:47.77,0:06:50.02,Default,,0000,0000,0000,,like the one that's come up with\Npre-vivor,
Dialogue: 0,0:06:50.02,0:06:54.26,Default,,0000,0000,0000,,who want to make more and more people feel they are at risk, or might have a condition,
Dialogue: 0,0:06:54.26,0:06:56.39,Default,,0000,0000,0000,,so that they can raise more funds
Dialogue: 0,0:06:56.39,0:06:59.00,Default,,0000,0000,0000,,and raise visibility, et cetera.
Dialogue: 0,0:06:59.00,0:07:00.84,Default,,0000,0000,0000,,But this isn't actually,
Dialogue: 0,0:07:00.84,0:07:03.94,Default,,0000,0000,0000,,despite what journalists typically do,\Nthis isn't actually about blaming
Dialogue: 0,0:07:03.94,0:07:05.23,Default,,0000,0000,0000,,particular players.
Dialogue: 0,0:07:05.23,0:07:07.03,Default,,0000,0000,0000,,We are all responsible.
Dialogue: 0,0:07:07.03,0:07:08.47,Default,,0000,0000,0000,,I'm responsible.
Dialogue: 0,0:07:08.47,0:07:11.51,Default,,0000,0000,0000,,I actually root for the Yankees, I mean talk\Nabout
Dialogue: 0,0:07:11.51,0:07:14.70,Default,,0000,0000,0000,,rooting for the worst\Npossible
Dialogue: 0,0:07:14.70,0:07:17.31,Default,,0000,0000,0000,,offender when it comes to doing\Neverything you can do.
Dialogue: 0,0:07:17.31,0:07:18.85,Default,,0000,0000,0000,,Thank you.
Dialogue: 0,0:07:18.85,0:07:22.81,Default,,0000,0000,0000,,But everyone is responsible.
Dialogue: 0,0:07:22.81,0:07:25.72,Default,,0000,0000,0000,,I went to medical school,
Dialogue: 0,0:07:25.72,0:07:30.47,Default,,0000,0000,0000,,and I didn't have a course called How to Think Skeptically,
Dialogue: 0,0:07:30.47,0:07:32.13,Default,,0000,0000,0000,,or How Not to Order Tests.
Dialogue: 0,0:07:32.13,0:07:34.78,Default,,0000,0000,0000,,We have this system
Dialogue: 0,0:07:34.78,0:07:37.30,Default,,0000,0000,0000,,where that's what you do.
Dialogue: 0,0:07:37.30,0:07:39.93,Default,,0000,0000,0000,,And it actually took being a journalist
Dialogue: 0,0:07:39.93,0:07:43.83,Default,,0000,0000,0000,,to understand all these incentives. You know, economists like to say,
Dialogue: 0,0:07:43.83,0:07:45.05,Default,,0000,0000,0000,,there are no bad people,
Dialogue: 0,0:07:45.05,0:07:46.92,Default,,0000,0000,0000,,there are just bad incentives.
Dialogue: 0,0:07:46.92,0:07:48.53,Default,,0000,0000,0000,,And that's actually true.
Dialogue: 0,0:07:48.53,0:07:51.99,Default,,0000,0000,0000,,Because what we've created is a sort of Field of Dreams, when it comes to medical technology.
Dialogue: 0,0:07:52.00,0:07:57.30,Default,,0000,0000,0000,,So when you put another MRI in\Nevery corner, you put a robot
Dialogue: 0,0:07:57.30,0:08:00.84,Default,,0000,0000,0000,,in every hospital saying that everyone has to have robotic surgery.
Dialogue: 0,0:08:00.84,0:08:04.65,Default,,0000,0000,0000,,Well, we've created a system where if you\Nbuild it, they will come.
Dialogue: 0,0:08:04.65,0:08:08.18,Default,,0000,0000,0000,,But you can actually perversely
Dialogue: 0,0:08:08.18,0:08:10.96,Default,,0000,0000,0000,,tell people to come, convince them
Dialogue: 0,0:08:10.96,0:08:12.65,Default,,0000,0000,0000,,that they have to come.
Dialogue: 0,0:08:12.65,0:08:17.28,Default,,0000,0000,0000,,It was when I became a journalist that I really realized how I was part of this problem,
Dialogue: 0,0:08:17.46,0:08:19.49,Default,,0000,0000,0000,,and how we all are part of this problem.
Dialogue: 0,0:08:19.49,0:08:23.14,Default,,0000,0000,0000,,I was medicalizing every risk factor, I was writing stories, commissioning stories,
Dialogue: 0,0:08:23.14,0:08:26.54,Default,,0000,0000,0000,,every day, that were trying to,
Dialogue: 0,0:08:26.54,0:08:29.53,Default,,0000,0000,0000,,not necessarily make people worried, although that was what often happened.
Dialogue: 0,0:08:29.53,0:08:32.56,Default,,0000,0000,0000,,But, you know, there are ways out.
Dialogue: 0,0:08:32.56,0:08:34.43,Default,,0000,0000,0000,,I saw my own internist last week,
Dialogue: 0,0:08:34.43,0:08:36.96,Default,,0000,0000,0000,,and he said to me,
Dialogue: 0,0:08:36.96,0:08:39.48,Default,,0000,0000,0000,,"You know," and he told me something that
Dialogue: 0,0:08:39.48,0:08:41.95,Default,,0000,0000,0000,,everyone in this audience could have\Ntold me for free,
Dialogue: 0,0:08:41.95,0:08:44.44,Default,,0000,0000,0000,,but I paid him for the privilege, which\Nis that
Dialogue: 0,0:08:44.44,0:08:46.11,Default,,0000,0000,0000,,I need to lose some weight.
Dialogue: 0,0:08:46.11,0:08:50.56,Default,,0000,0000,0000,,Well, he's right. I've had honest-to-goodness high blood pressure
Dialogue: 0,0:08:50.56,0:08:52.28,Default,,0000,0000,0000,,for a dozen years now, same
Dialogue: 0,0:08:52.28,0:08:54.05,Default,,0000,0000,0000,,age my father got it,
Dialogue: 0,0:08:54.05,0:08:57.84,Default,,0000,0000,0000,,and it's a real disease. It's not pre-hypertension, it's actual
Dialogue: 0,0:08:57.84,0:08:59.81,Default,,0000,0000,0000,,hypertension, high blood pressure.
Dialogue: 0,0:08:59.81,0:09:00.80,Default,,0000,0000,0000,,Well, he's right,
Dialogue: 0,0:09:00.80,0:09:03.88,Default,,0000,0000,0000,,but he didn't say to me,
Dialogue: 0,0:09:03.88,0:09:05.56,Default,,0000,0000,0000,,well, you have pre-obesity or
Dialogue: 0,0:09:05.56,0:09:08.91,Default,,0000,0000,0000,,you have pre-diabetes, or anything like that. He didn't say,
Dialogue: 0,0:09:08.91,0:09:12.28,Default,,0000,0000,0000,,better start taking this Statin, you need to lower your cholesterol.
Dialogue: 0,0:09:12.28,0:09:15.44,Default,,0000,0000,0000,,No, he said, "Go out and lose some weight. Come back and see me in a bit,
Dialogue: 0,0:09:15.44,0:09:17.44,Default,,0000,0000,0000,,or just give me a call and let me know how you're doing."
Dialogue: 0,0:09:17.44,0:09:19.48,Default,,0000,0000,0000,,So that's, to me,
Dialogue: 0,0:09:19.48,0:09:21.12,Default,,0000,0000,0000,,a way forward.
Dialogue: 0,0:09:21.12,0:09:23.48,Default,,0000,0000,0000,,Billy Beane, by the way, learned the same\Nthing.
Dialogue: 0,0:09:23.48,0:09:25.02,Default,,0000,0000,0000,,He learned,
Dialogue: 0,0:09:25.02,0:09:28.53,Default,,0000,0000,0000,,from watching this kid who he eventually hired, who was really successful for him,
Dialogue: 0,0:09:28.53,0:09:33.41,Default,,0000,0000,0000,,that it wasn't swinging for the fences, it\Nwasn't swinging at every pitch
Dialogue: 0,0:09:33.41,0:09:38.17,Default,,0000,0000,0000,,like the sluggers do, which is what all the expensive teams like the Yankees like to --
Dialogue: 0,0:09:38.18,0:09:39.52,Default,,0000,0000,0000,,they like to pick up those guys.
Dialogue: 0,0:09:39.52,0:09:44.10,Default,,0000,0000,0000,,This kid told him, you know, you gotta watch the guys, and you gotta go out and find
Dialogue: 0,0:09:44.10,0:09:45.34,Default,,0000,0000,0000,,the guys who like to walk,
Dialogue: 0,0:09:45.34,0:09:47.05,Default,,0000,0000,0000,,because getting on base by a walk
Dialogue: 0,0:09:47.05,0:09:49.82,Default,,0000,0000,0000,,is just as good, and in our healthcare\Nsystem
Dialogue: 0,0:09:49.82,0:09:51.26,Default,,0000,0000,0000,,we need to figure out,
Dialogue: 0,0:09:51.26,0:09:52.83,Default,,0000,0000,0000,,is that really a good pitch
Dialogue: 0,0:09:52.83,0:09:55.75,Default,,0000,0000,0000,,or should we let it go by and not swing at everything?
Dialogue: 0,0:09:55.75,0:09:57.52,Default,,0000,0000,0000,,Thanks.