Dr. Patrick Soon-Shiong
speaker
969 appearances
7 recordings
4 series
first heard Nov 2024
last heard 9 Oct
Dr. Patrick Soon-Shiong’s voice in public audio — every appearance, attributed to the second.
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So you've never measured it and you've never studied it. And somebody is asking for it to be studied. Then you throw out a conjecture and then you call that a quack. That's actually wrong because the idea is I'm such a scientist. I just want to understand the data. And if only we can then have opinion based on facts rather than opinion based on speculation, we'd have a better society.
Not only is it going to be tested, what one farmer did, according to the story, and I want to go do this investigation myself, is because I think either the families or the son was getting cancer, they tested themselves in their milk and in their blood, and it was exceedingly high. to the extent that what he's doing to all his cattle and his milk now, he's throwing it down the drain.
And then he had to actually, unfortunately, euthanize his dairy cows. This is the tragedy that we're facing as a nation. And the good news about all of it, it's fixable. And that's what's so exciting. It's fixable. So, you know, when President Trump went out and said, they broke it, we fix it. I don't mean that as a political statement.
There are so many things that we can do now because we can measure it, understand it and fix it, which really means we need to measure it so that we have a quantifiable data fact and no speculation, no right, no left. It's not a political statement to say you have cancer with your Republican or Democrat or centrist or liberal. You're an American and we have to fix it.
OK, again, I don't want to get political, but I presented this to President Obama. Think about that. And I visited the White House with Dr. Jim Weinstein, who was the president of Dartmouth. Dr. Jim Kim was the president then of the World Bank and myself, because we had a solution.
The solution was to identify a system where the people who care for the patient, meaning the doctors, have real-time information about the chronically ill. The chronically ill represent about 10% of the population, but cost 80% of the healthcare costs. At the time I was presenting to President Obama, I think our healthcare costs were maybe in the 3 trillion. It's now 4.8 trillion.
We are spending more money than the rest of the world and have about a 49th outcome, best outcome. The solution we put in there was to have real-time data in every geography so that you can incentivize the physician to induce health into the patient rather than illness and provide a financial incentive from the fee-for-service to really a mechanism.
We have the best doctor in the best region and the best location looking after the patient and in reducing health. So for example, you have a patient that is a pre-diabetic, the patient is not diabetic yet. Your job then as a doctor is to keep the patient in that status as a pre-diabetic and make sure it doesn't become diabetic with a kidney failure. Well, guess why the system now works.
If you have a patient that's a pre-diabetic, contract as a government with insurance company and the insurance company gets paid more if the patient goes from pre-diabetic to diabetic think about that they're incentivized for sick care versus for health care so sadly when the accountable care act came out
I wrote an article, which you can go find, where I said the Accountable Care Act is neither accountable nor affordable. And, you know, it wasn't a political statement. It was a statement in which I was trying to induce a solution. During President Trump's first term, he made two massive important changes.
One, the right to try law, which changed the lives of people that otherwise felt they had no choice but to go to hospice and die. And secondly, he put forth a system of managed care that was based on the geography, but most importantly, contracted directly with the doctors, as opposed to a middleman of these insurance companies. And sadly, you watch the
output and the uproar in the country about the denials that the insurance companies work towards and the poor outcome in increased cost. That program was blocked immediately by the Biden administration. They put in the current system called REACH, which then put the contracting instead of directed the doctors now back to the insurance companies and you see the outcome.
These are, again, fixable ways of addressing changing the incentive so that the doctor and patient could have direct interaction with each other. And we convert this perverse incentive of trying to drive what we call upcoding of higher costs as you get sicker to an incentive you get paid more if you're healthier.
So if you take into consideration what I've just said about the cancer, you take into consideration what I said about the toxic materials, you take into consideration about awareness of having safer food, and you take into consideration of the ability of the doctor to have real-time data to manage a cancer patient, a diabetic patient, a cardiac patient, ICU patient.
and be incentivized to improve that patient's health rather than drive the patient to the ICU or the ER as it currently is, we change healthcare. So, you know, I think the opportunity if I, I will be presenting as podcasts soon. What I see is five problems in the nation and in healthcare and real solutions.
Problem one, I think we are losing the war on cancer with our empiric trial and error of toxic chemotherapy. And I think we are on the brink of curing cancer with immunotherapy, targeting the tumor and activating a body's immune system. If this change is made during this administration, we could see the results of that.
Problem number two is transforming sick care to health care and to address what I call the uncoordinated disintegrated high cost care to address chronic disease. Problem number three, we have this food industrial complex of toxic preservatives in supply chain. And the problem number five,
We need to create our own raw material sources so that we have not a national security issue of dependence on raw materials or pharmaceuticals from the rest of the world. All of these massive big problems, I think, are completely soluble within the next four years.
All right. Well, as I said, it's a The conversation we need to have is really long form in which we get into the details. So to explain to the American public what's at stake. And I really hope that people understand that the choices that was made by the present elect in picking Robert Kennedy, Dr. Marty McCurry and Dr. Oz.
I believe I inspire choices that can actually change the course of healthcare in our nation.
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