Thank you, Tim. I thought I was here to introduce somebody, not be so nicely introduced, but thank you nonetheless. When I was thinking about how to introduce our next speaker, my mind was actually drawn back to last year's Nobel conference. For those of you that were here, you might recall that the topic of last year's conference was Einstein's legacy. Einstein was a brilliant individual, certainly a man way ahead of his time in his thinking, but legend has it that when he was asked many years after his greatest accomplishments, if there was anything that he regretted that he hadn't done, if there was anything he thought was a personal weakness of his, he thought for a minute and he said, I wish I better knew the right questions to ask, if only I knew the right questions to ask. Well, our next speaker, Dr. Daniel Callahan, has gained a worldwide recognition for helping us recognize and face the right questions when it comes to medical care and its access throughout the world. He's asked questions such as, do our research efforts lead to better health care for all or only some? Are our current efforts achieving our societal responsibilities? Dr. Callahan has been recognized by many as almost single-handedly starting the bioethics movement in this country. He's also been recognized as one of our nation's most treasured rabble rosers in one article that I read. I asked Dr. Callahan how he got into the area of ethics and he stated that he was doing his PhD in philosophy, which he received in 1965, and he had an interest, of course, in ethics and things that were going on around the world at that time. And if you think back to what was happening in 1965 in the United States, it was an era of limited dialysis for patients, committees deciding who lived and who died. The first human transplants had just taken place. The idea of transplanting a tissue from one human to another was really kind of a foreign concept back then. Abortion was just beginning to become a national issue and, of course, birth control was a major issue at that time. And Dr. Callahan recognized those and said, somebody has to talk about those things. Somebody has to bring these things to the attention of the United States. Give people thinking about the important questions so we can move forward in the best possible manner. So Dr. Callahan founded the Hastings Center, which was a research and educational organization that was established in 1969, for which he was the president for the next 27 years until 1996. Since that time, he's been the director of international programs where he works with colleagues around the world, focusing much of his attention on the practice of health care systems and issues of equity and health care costs. In addition to his work at the Hastings Center, he is a senior fellow at Yale University as well as the Harvard Medical School. He's also an honorary faculty member of the Charles University Medical School in Prague, Czech Republic. He's an elected member of the Institute of Medicine of the National Academy of Sciences, which I know personally is a very, very prestigious organization. In 1996, he was awarded the Freedom and Scientific Responsibility Award of the American Association for the Advancement of Sciences. He's also received many other awards. He has authored 39 books, his most recent book, which is not listed in the program, has been published in 2006, and it's entitled Medicine and the Market, Equity versus Choice. He's also a contributor to many professional journals such as the New England Journal of Medicine, the Journal of the American Medical Association, and The Atlantic. Today, Dr. Callahan will be talking to us about affordable health care, reforming the idea of medical progress. Please join me in welcoming Dr. Daniel Callahan. Thank you very much. It's an extreme pleasure to be here. It's intimidating, however, to follow two fine speakers who graduated from Lutheran schools, a privilege I did not have, and it's intimidating indeed. I should apologize right off for the fact that I am a philosopher. We are the last of the talking heads, and I show no pictures, cartoons, graphs, numbers, only ideas. Thirdly, it's very difficult to follow Dr. Osterholm, who was obviously a very moving and dynamic speaker, and of course, a very speaker who sobered us and made us worry considerably. Happily, my subject is American health care, which is a much easier, more pleasant subject to deal with. So I at least have that in my favor. I will maybe mention a few problems in our health care system. Okay, I basically have four things I'd like to accomplish here. First of all, I want to argue that there's an inherent tension now between the ideals of equitable access to health care and the pursuit of unending medical progress. Second, I want to lay out and discuss the main attitudes and ways in which the control of cost has been pursued, because the problem of cost is one of our fundamental threats as well to equitable access. Thirdly, to analyze the problem of medical progress and technological innovation, an attempt to show that we need a fresh understanding of progress and of the control of aging and death. And I think in my final, most important name perhaps, is to ask the question, how can we achieve a medical culture, once I might say more broadly, a health care culture in this country, that is sustainable, affordable, and accessible? And I'll explain more toward the end what I mean by that. Let me begin just with a very rapid summary of where we are with health care in America. I will talk mainly about the problems, but let's recall that probably most people in this audience are well insured. They get adequate and decent health care, and certainly in Minnesota, you get very good health care. 85% of us are reasonably well insured, whether through our employer or through institutions of one kind or another. And in many ways, our technology, our institutions are among the very best in the world. So we have a lot to be proud of and thankful for. However, we do face some enormous problems. Very quickly, we have some 46 million people who are uninsured. 50% of personal bankruptcies in this country are because of medical debts. We have rising co-payments and deductibles, and certainly those of you on Medicare have noticed that, as well as those of you who have company employment. Medicaid is a problem in just about every state with cuts in benefits in every direction. We spend more of our gross domestic product on health care and more per capita than any other country in the world, but we are by no means among the leaders in the quality of our health care. We see right now a cost increase that averages around between 7% and 8% a year, which is down a bit from the 10% or 12% it had been a few years ago, but still dangerously high. Europe, by contrast, has a health cost increase in the range of 3% to 4%. And of course, we are all facing the future of Medicare with the estimates that beginning in about 18 years that that program is going to be running into a significant deficit, and as the baby bloom retires, that deficit is going to get worse and worse. So, we clearly have problems. I don't think anyone can say the system is getting any better. Indeed, there are signs of deterioration in all directions. Now, why do we have these cost increases? That to me is a problem that I found fascinating from the beginning. There are lots of theories about it. One thing obvious is that we charge much higher price for medical goods and services than other countries, but beyond that, there are some other fundamental reasons as well. One reason is that we have an aging society, though interestingly enough, the impact of aging has not been that significant in our health care. Maybe somewhere between 3% and 4% a year of cost increase can be traced back to the aging, though as we move more deeply into the baby bloom retirement era, that figure of proportion is expected to increase quite radically. Secondly, our medical technology, which is what I'm going to heavily concentrate on, is a primary driver of health care costs. The estimate, pretty agreed upon by most health care economists, would be that somewhere between 40% to 50% of our cost increase each year can be traced to either new technology or intensified use of old technologies. Finally, and what's kind of fascinating phenomenon, I believe, is we really do have rising demands and expectations for health care. As our health has improved in this country, we keep raising the bar. Whatever we have is never quite good enough. People are constantly disappointed in their health and what they get from the health care system. And interestingly, a study about 15 years ago found that when asked a question similar to one asked 40 years ago whether people felt they were in better or worse health, by and large they tended to report they felt now in worse health than people 40 years ago did, though in fact objectively they were in better health. So you have the peculiar paradox of actually doing better but feeling worse a phrase some will remember from the 1970s in health care. But to be one of perhaps the greatest paradoxes is this. The healthier we've become, the more we spend on health care. We have increased longevity. We have a decrease of mortality rates from just about every major disease. People who are in older age now have a decreased disability rate compared with previous years. Nonetheless, as we get better we spend more. I sometimes think that maybe 150 years from now we'll have one final person suffering from some rare form of cancer. It will cost $3 billion. Everybody would say how it rages if we don't spend the money to save that person. That's a kind of future fantasy but the notion that as we do better we spend more. One has to ask, well where in the world is that kind of thing in? Now, let me say something about the idea of attention between medical progress and equitable care. I think it fair to say that we have in this country long at least admired the idea and usually pursued it of equitable access to good health care and indeed to an equitable society. Unfortunately, we have not achieved that. We have seen that over a half century of efforts have universal health care all of which have failed. But nonetheless people don't like the fact that they're uninsured in this country. Most people when polled on surveys for a long period of time have said that they would like universal health care by a very strong majority and we do see the scandal in the fact that there are so many people who have either no insurance or poor insurance. The problem is we have created a form of medicine I believe which is undermining the equity. If it's really the case that technological force is one of the driving forces cost to increase and at the same time our health care system is deteriorating in its coverage and one has to say why is that happening and I would want to say because we are so enamored with technology we pursue it, we want it, we spend lots of money on it, doctors love it, patients love it, the medical and drug technology industry really loves it and investors love it. And I suppose most fundamentally of all this country has from the beginning been a country that loves scientific progress, loves innovation, it's been one of the drivers of our economic power and growth over the centuries and it is certainly on display here. The problem however is that that very technology makes it harder and harder to run our health care system and the question is what do we do about that. Now over the years there have been a number of ways of trying to control costs and I want to distinguish two ways. At one level there's what I call the managerial or an organizational method. That is to say the faith that the belief that if we better organize our system, if we better find ways to manage the whole thing, to reorganize it if necessary, that we ought to be smart enough to deal with the rising cost problem and to control it. And again I think this as our level of technology is the basic kind of American belief that good management can get us out of any tight corner and that's very strong here. And the second level is what I call the ideological level and that's the long standing argument between whether our health care system should be heavily run or dominated by the government or heavily left to the private sector. Now let me say a little bit first about the managerial techniques. Anyone who pays any attention to health care knows that there are now a plethora of suggestions out there as to how to control our costs. First of all beginning some time ago we're really back to the Nixon era health maintenance organizations were thought to be one important panacea to have organized systems of care that could manage their budgets much more effectively than our present system. That worked for a while during the mid-1990s. Our health care cost in fact plateaued for a while. But it turns out the American people were unhappy with managed care in those days for a couple of reasons first of all that had interfered with their choice of health care very often. Sometimes their employers forced a particular company on them and they were simply forced to take it. But also that the standard technique was to have someone who your internist, your primary care physician who screens you before allowing you to go to a specialist. There was a lot of complaint about that. Physicians tended to complain very bitterly abetted as well that it was basically interfering with good health care that in fact bureaucrats and business types were indeed calling the shots on the health care and they thought that totally unacceptable. The net result that managed care gradually capitulated to these public pressures and a lot of the controls that actually work in controlling costs were taken away. More recently we've heard a great deal about evidence-based medicine. It's widely known that probably the majority of major medical treatments in this country have not been properly evaluated and there's been a call to do so and efforts have been underway for some time to do that. This obviously makes sense, finding out what really works and what does not work. And the problem is that has I think has been interesting and maybe found out some things but evidence-based medicine is a kind of double-sided coin in the sense it may tell us what's not working and what's wasteful but it may also tell us where we need to spend more money. It was evidence-based medicine that turned up the fact that probably only 50% of people who need hypertension medicine actually get it or cholesterol control medicine actually get it. We need to spend more money and in great part that's the result of trying to look at the evidence. Nonetheless we'll continue pursuing it and it's obviously a good idea but it may have some ironic outcomes. Secondly of course, one thing that happens with evidence-based medicine very often is you don't get just a you don't just find that something is terrific or lousy. What you get is something that's sort of good some of the time for some of the people, 20% of the time it works wonderfully, the other 80% of the time it doesn't work and then you have to make very difficult ethical and economic decisions about well just what is good enough? If you can save a life but the chance is 1 in 100 is that worth spending money on? So evidence-based medicine does not by any means solve the economic and ethical problems even if you have the evidence. Certainly there have been efforts recently to find what's called to inline, align physician behavior, physician activities and the quality of care to find ways financially or otherwise to resort to reward physicians who provide good care. There has been certainly an investment in quality improvement research and in improving the efficiency of healthcare systems. Information technology is a favorite for the past year or so. The idea that if we could all become properly wired, get ourselves computerized coast to coast we would be able to provide a better care. And finally of course, there's the use of copayments and deductibles which as I mentioned before have gone up and that's been a fairly effective means actually used around the world to control costs to some extent. The difficulty there though is if you make the copayments and deductibles too high you begin discouraging people from getting health care they should receive so it's a somewhat blunt instrument to use for controlling costs. Now I mention all of this because we have been trying to find more efficient ways of organizing a health care system since the Nixon years. It was really beginning with the Nixon administration that the question of cost began to arise in a very direct fashion and a lot of efforts were undertaken pursued by Jimmy Carter thereafter and every subsequent president. The problem is that despite all the efforts on the part of health policy experts, administrators, we have not succeeded. We have a decades of failure and we now have a 7% cost inflation rate a year and sometimes we used to hear the term the magic of compound interest. Well a 7% a year this is the horror of compound interest. Projects figures that are just out of sight. Excuse me, let me get a little water here. The second major argument in this regard has been the tension between a government dominated or controlled health care system versus one that is much more market oriented. Now let me try to summarize. The George Bush administration has been very strong on the private sector taking over but putting a lot of market things in the new drug plan and by and large the Republicans in this country would like to see less government, more private health care. Now let me, it's very difficult to kind of summarize all the arguments, but I think the essence of those who favor the market, who favor the private sector is really comes down to two rather simple propositions. First of all that people and patients should have expanded choice. Choice is their favorite value and it is the value they think should be the dominant value in the health care systems. And of course the medical savings accounts which have been pushed by the Bush administration are meant to implement that belief in choice. Secondly expanded provider competition. That is to say if you want to meaningfully give patients a choice you have to give them something to actually choose among. So therefore you would like to have a wide number of health care providers offering services in a competitive way so that we are free to choose which one we would like because either of the price or the quality of their services or both together. There's also a strong view that choice will make consumers more conscious of costs and not in one way it frees them to make more choices they want to make but it also forces them to be more conscious of choice that therefore that will help to control costs. And finally as part of that view is a very general long-standing antipathy to government intervention in our lives and certainly a earlier at least in the history of American medicine there was a long-standing antipathy to government and which is one reason we didn't earlier have a universal health care and one reason why perhaps it's still we still don't have it. In any case the idea that government per se is something to be avoided that maybe at best you need a safety net but by and large the emphasis with the market orientation is on choice not on equitable access. You can read for instance the editorial pages of the Wall Street Journal which loves the market you will not find much worry about the uninsured or in fact you won't find even much mention of it. And then so that's a very fundamental value. Now on the other hand I think those in favor of a strong government role do stress the notion of equity or sometimes use the language of justice or right to health care and their view is that generally speaking the market for some economic reasons is not well equipped really to function well in providing health care. Individuals as consumers will not be very good consumers very difficult to get knowledge and medicine medical outcomes are very uncertain. It's not to buy health care is not like buying a computer or an automobile. There aren't any guides and even if we had some guides it would still be exceedingly difficult to do and I think the art feeling very generally is therefore you do need a strong role of government in order to help people make proper choices those they do make but in some cases it will be the government that will determine what the choices are. There's a widespread belief among market proponents that government management makes possible lower bureaucratic costs and certainly they can use the Medicare program as an example because it's overhead costs are lower than those in the private sector. And they would say I think there are no government proponents that would not want to say that choice is important and choice of position as much choice as possible but in the end choice is less important than equitable access to care. Now what is the evidence to support these two ideologies they are very they're strong ideologies they run through our culture and they are increasing part of our health care system. Well my own belief and evidence at least from the recent book I wrote and the research I put into it suggests to me that the government managed government control government run systems are by far superior to anything the market has to offer. When one looks at Canada or the Western European countries one sees on the holes generally very successful health care systems. There are two kinds really one is tactical tax base which would be the United Kingdom and Canada for instance in Sweden where his direct health care system is paid for directly by taxation. The other is called social health insurance system which basically is private insurance companies providing care but the government requiring all employers with an employee contribution to be part of the health care system so that one way or the other everybody is covered. By almost any standard those countries do better than we do they do better in life expectancy and mortality rates quality of care access patient satisfaction you name it they do better. We are always on most of the list down the number 14 or 15. Despite the fact that we spend much more money per capita as percentage of our gross domestic product. It is true in some of the countries there are waiting list and this is particularly notable in Canada where one hears much about that among American market proponents and in the United Kingdom. But I've come to think maybe Dr. Aaron will say a little bit more about this that Canada and the UK are among the weakest of the universal health care systems. Market proponents rarely mention of France or Sweden countries that do do much better. Canada does have a waiting list problem they know they have a waiting list problem but by and large patient satisfaction there is somewhat higher than in the U.S. Now why is it that the European countries do better control in their costs well I'd have to say it's the heavy hand of government that's what many conservatives don't like but if you want to control us it works very well. First of all nurses and physician fees are typically set by negotiations between the government and professional associations. There are price controls on drugs so the drugs are simply much cheaper over there than here. There are much stricter standards for the introduction of new introduction and distribution of new technologies. There is control over the number of students who can enter into medical schools and a great deal of control over the construction and placement of hospitals and clinics. The net result is that costs are much better controlled in this country. Now I would say at the same time I got interested in the problem of European health care not only because of an interest in universal health care but after a number of visits there I began finding that they were anxious and worried about the future of their health care system. In this country we were have been figuring how to sort of climb our way up to the top of the mountain and get universal health care but in some European countries there's a fair amount of anxiety and a kind of sense they're hanging on to it and very strikingly most of the European countries do use some market techniques but they use the market techniques not to compete with universal health care but to make universal health a to make it work more effectively and also to provide to respond to the idea of greater choice. But the point is the European health care systems themselves have many of the same problems they control those problems better but they are facing costs that are rising faster than they should be and they are worried and they are particularly worried as we are about a much larger generation of elderly people coming along. Now I think the main problem as I've suggested at the beginning is the introduction and development and dissemination of new technologies and this comes from the idea of medical progress and I think there's probably no value more deeply embedded in American and indeed Western health care than the idea of progress and the idea of progress it's child so to speak, it's technological innovation drugs, machines, various therapies of one kind or another. Now I believe our view of progress is what I call utterly open-ended that is to say it is an unlimited view of progress if one asks anyone in medical research or health care when would you say you had enough health when would you say people have lived long enough when would you say you've relieved enough suffering I don't think anyone would have an answer to that and indeed it's a question that doesn't get asked as far as I can make out no one is interested in I think it's very much like a lot of technology in general we just should have more of it it should always get better there are always new frontiers a famous person after the end of the second world war talked of science it's the endless frontier health care is the endless frontier indeed in the 19th century the labor leader Samuel Gompers was asked what is health what do the workers want his answer was more and if one asks what is the medical research and health care establishment want the answer is more now it seems to me that if it turns out that that desire for unlimited progress begins to create severe economic problems then we have a very difficult dilemma particularly if it seems to begin interfering with the actual provision of the care that's developed from that very progress and my own view is I particularly look at the research enterprise of medicine is to see first of all that de facto I say de facto no one will quite admit this there is a war against death of any and all kinds our national institutes of health does not have a sign over the door say we're after immortality but there is nothing that kills you they don't like they're going to go after every known disease and of course if it turns out that you suffer from maladies other than that won't lead to death that they don't like those either and they will pursue those as well and of course these days we have some very interesting what I call efforts at utopian aging that is to say to carry out research to find ways to keep people alive longer and longer with better and better quality life and again no one ever will say just where that might end so what we've done is we have this very deep seated values that there has to be forward movement and it's forward movement with that end now it seems to me that that is simply a recipe for long term destruction of the healthcare system and we might not get destruction in the most gross form but we'll get destruction but by simply a creep people will pay more and more out of pocket and insured will grow everybody will ring their hands we are very good at this country and ring their hands and doing nothing at all so I think many of us for many years have thought my gosh it's sort of all suddenly going to fall apart and everybody will take action well it turns out we are very clever we're much more clever about not doing anything than we are about doing things and our history is long and solid and deep there as well so it's very possible we won't we will have a crisis but nobody won't be admitted or we'll deal with it by lots of cutting away in a way we hope people don't notice too much now my own view is that this notion of progress is based on a very false wrongful view of what medicine should be all about I don't think that medicine should have as its ultimate aim as de facto it seems to be mainly the conquest of death nor for that matter more recently somehow the conquest of aging I believe that aging and death are permanent parts of the human condition to be accepted one way or the other we are going to die of something or other we'll cure cancer and that will nicely set us up for Alzheimer's or some successor disease and it seems to me that if we're going to really seriously reform medicine we have to move away from thinking this is just a managerial organizational problem to ask debate the basic premises and I think that the common premise of endless progress war against death fight against aging together make for an impossible combination in the long run to control cost the problem of course is that here one finds that there are great differences between the right and the left in this country but both the right and the left love technological innovation the left loves it because of a tradition from the Enlightenment of using science to have the endless frontier to pursue to improve our lives indefinitely the right likes technology because it gives people more choice it's a good source of profit and money and here the left and the right hold hands and say that the fundamental values we differ on how to organize the system but we don't differ about the fundamental values and I want to say it's those fundamental values we have to rethink if we are serious about this and let me try to make that a little clearer by giving you my vision of what we or ask the question I think we need to ask it this way at this point in history that is to say can we envision and it may only be a vision can we envision a kind of medicine and healthcare system that is at once sustainable equitable and affordable sustainable equitable one understands what I mean by what do I mean by sustainable that to me is the key I mean by sustainable a healthcare system where the cost by and large do not increase significantly over the years they begin to plateau and we don't spend much more on healthcare than we do any cost increases come from a cost general increase in cost of living not because we have constantly embedded new and more expensive ways to save life because it seems to me we've got to begin entertaining the notion of us have a sustainable model in our hand because you can't keep having the cost rise at the present rate that is going to create great chaos in the years ahead and it's going to really get bad when the baby boom generation is in full retirement now it seems to me that if one wants to think if one tries to think it was a sustainable medicine then it's pretty clear you have to rethink the idea of progress if that's one of the reasons it's things that drives up God that we I don't think I'm not saying we reject the idea of progress I'm saying we have to we have to think about it in a different way we need to ask at this point what kind of progress do we really need should the war against death which has been de facto the main driver should that war continue or should we perhaps be willing to consider accepting death and then ask what is that exactly mean I've always thought American medicine has at its very heart a kind of deep deep schism those of you who know about contemporary medicine know the importance of say the palliative care movement and hospice the notion that what people need at the end of life is very good care but very fundamental part of that movement has been the notion that death is a part of life to be accepted at some point you stop fighting it and that's been a very important development but the research side of medicine is by no means buying into that at all the research side keeps death as the main target of its most fundamental efforts and it is not in any case willing to tolerate the fact that people die so far as I can make it willing to tolerate it if absolutely nothing can be done but the researchers already say well yes this year she dies of cancer but ten years from now people like her won't die and that's the way we keep going I'm saying that we have to try to go one of the wonderful things about the palliative care movement is it wants to go back to the older traditions of medicine which was comfort and care not simply an aggressive effort to save life I think we have to find a way to build that back into the healthcare system and not just in so-called end of life decision making now when I have said this in other occasions that people say well you know see that sounds very good and maybe you're absolutely right maybe we won't be able to fundamentally deal with the cost problem unless we have a kind of cultural change and I guess my answer is yes we need a cultural change and then the response is well how do you get that I guess cultural change is impossible to get particularly when we are so wedded personally professionally economically wedded to the present system that loves these wars against death and suffering because they not only make us feel better and save our lives but also because they generate a lot of money well it seems to me that during my lifetime I have seen three important cultural revolutions of a kind that would have seemed implausible a hundred years before feminism, environmentalism and the civil rights movement each of those movements began often decades ago but by the 1950s and 60s really started moving into high gear environmentalism stimulated by a book by Rachel Carson Betty Friedan of course was a key figure in feminism and of course Martin Luther King for civil rights all of them brought about a huge change in the way we think about something that for years had always been thought of very differently it was an effort to restore bring rights to people or to restore rights to give people a different vision of how we should live with blacks on the one hand with women on the other and with their environment as well I think that's what we have to do now with medicine we can't keep throwing expensive technologies at our diseases that way is obviously the route to disaster we will have to ration health care and I'm sure Dr. Aaron will say more about that tomorrow but I think at the same time as we're doing some of the managerial things that we need evidence based medicine alike we have got to be having a parallel effort to rethink the very foundations of the entire enterprise that'll be hard work but I think that is important as a revolution that will be just as important as the other three I've already mentioned and with that I will stop and let me end on one hopeful note one thing that always needs to be said when one looks at the problem of American health care is to keep in mind that we are the healthiest Americans in the history of the country that most of the improvement in health care longevity in life does not come from medical care as such it comes from an improvement in our socioeconomic condition improvement in jobs, education, a lot of environmental things those are the estimate is around 60% of the improvement in health care comes from those social causes not from the provision of medical care so even if we absolutely stop all progress which of course we won't we would still be getting healthier for quite a while to come if in fact we live much healthier lives so part of the key of rethinking progress is obviously making seriously the notion of prevention taking seriously the importance of education other background conditions that make for good health but in ways looking for other ways of having progress other than simply inventing new expensive fancy technologies to throw at them that's the dead end we have to avoid thank you


Good day, fellow investors! We are here 50 000 subscribers for a value investing channel. I am really really happy about it. I'm amazed about it and I really thank you, thank you all. So we'll be doing a lot. I don't know what to do. Nice. We'll give away 50 books. I'll talk about it in a bit. But before I first want to thank you so much for what we have been doing for what we have done with this channel. I think that our greatest success for now is that we've donated more than 10 000 dollars this year to charity. I plan to add still the earnings for the next three months, for the last three months up to December, which will hopefully be another 3000. A lot of you have donated directly, have added another about more than 1000 dollars to the pile. So I expect that the total donations for 2019 will be more than 14 000 dollars just from you subscribers from this channel. Because you watch the videos, you watch the ads and the channel makes money from those ads and that money is donated to charity. We already refurbished a very nice school in Nepal. We are working now on the second. There will be hopefully a third. And slow by slow I really believe and also the main motto of this channel is the power of compounding. It might not be much in some eyes, but we compound the good that we do by doing what we do and over the long term we slowly change the world. And that's also the motto of this investment channel. Slow and steady over the very long term you do good when it comes to investing. So thank you again for subscribing. In that note I was reading Charlie Munger and he said that all you need to become a successful investor is just to be a little bit smarter than others and do that over a very long period of time. So be a little just a little bit smarter. Everybody is going for the crypto. I'm a genius. I'm a crypto guru. I'm this and that for being much smarter. No, no, no. You just need to be a little bit smarter, but then over the very long term. And those are very hard cells. So therefore I'm even more proud that we have with such a hard sell. So just a little bit better long term mindset that we have amounted to 50,000 subscribers. We'll continue slow and steady. I hope that in the next few years we'll get to 100,000 subscribers and by then I hope I'll write a new book which will be for everybody for free. So on the lottery Modern Value Investing, the book I wrote two years ago, published a year and something ago, very good reviews on Amazon, very great success and I've decided to give 50 of them away, paper copies. And all you need to do is to subscribe to my newsletter. There is a link in the description of this video on YouTube. You subscribe that and out of all of those that subscribed for today, over the next seven days, I'll take an excel sheet out of that and then randomly pick 50 that will receive an email from me requesting their address. As it is a gift, I also ask something back from you, just type value investing or something in the comment below. It helps the YouTube algorithm and we get more subscribers, more views, we help more charities. So that's the goal of this channel. I'll continue trying to do my best to improve the quality of the videos to make it more entertaining, more educational so that we can really make this a long, long term growth education value adding to both of our lives story. I thank you very much, subscribe to the newsletter down below in the link down below and we'll see if you if you don't get this book when we reach 100 000 in the newsletter you will get the new book for free. Thank you for watching, looking forward to your comments. Thank you again because we are doing this together and I'll see you in the next video tomorrow about stock market earnings.


Hey, it's Anfa and today is rusty knife time because another package has just arrived It is a new microphone So I haven't been making videos for quite a few weeks now. The last one was UV-12 a Helm Overview and tutorial or Making music with Helm video. It was quite long and it had quite a lot of buzz around it like people liked it I I was a bit surprised that it was so nicely received and I actually wanted to make a follow-up. I Tried it and I failed miserably because Halfway through editing not recording but editing I realized that my audio is Badly distorted and it's just unbearable So I just binned that and I said, okay, I need to solve my audio troubles Some people started pointing out that this little buddy This little no-name microphone doesn't sound particularly good and as I'm trying to Bring the whole Technical and marital level of these productions up all the time. I said Time to do something about it So I I did the thing that I was considering for Many years and I finally made the decision to do it and I ordered a sure SM 57 Why some 57 not SM 58 if you don't know SM 58 is the vocal microphone. It's the one with the bulky Pop filter on top and you know the That thing But the SM 57 is more of an instrumental microphone However, some people also use it a lot for vocals and it's even used as a standard microphone for USA presidential speeches Okay, never mind. I ordered that thing And it's here. We're gonna unbox it. See how it goes There's also something else in that box But I'm gonna talk about when we open it and what I want to talk about before that is While I was away not making videos I've had a lot of things to do and one thing was to put together a new pc I was hyped to see the AMD Ryzen processors emerge and that they are very reasonably priced And I've also seen some Linux benchmarks and I said it works Let's get one and build a pc. I was Why did I want to build a pc because For the past, I don't know five six maybe 70 years. I was doing all my work Maybe I'm exaggerating maybe just five years I was doing all my work all my productive creative all stuff for the clients the freelance and Sometimes even my daily job when I didn't have the tools at the at the place I was working On the laptop It was two laptops one was the aces and another one was a Dell and I still got the Dell because it's in a good shape It's working, but it just doesn't have the juice to you know Making big audio projects with tens of tracks In arder because LMS can handle tens of tracks even on the laptop pretty well, but you know, it thinks gets stuttery Yeah, it's not helping to get creative. So I said it's time to scratch that itch I've saved some money. So I said to myself. It's time to build a new pc and let's build it with this guy So it's finally working. I have I've had some quirks to work out. I didn't have ethernet Ethernet ethernet. I didn't have ethernet support at first I had to install some driver and that But the most important thing was the anti feature called secure boot And it was enabled by default on the aces prime b350 m Dash a motherboard that I'm using then there is no easy Disable switch. So you have to do something that feels like a cheat code in a game And that really gave me a headache. I was 95 sure that this motherboard is simply broken that it can't run a system because Things start to boot and then they go Something's wrong. We can't read the data. Something's messed up Like it looked weird really weird. It looked to me like a hardware failure.  So may I ask you as is please give an easy disable switch So the pc is running after solving the secure boot problem and installing the the network driver Everything went smooth. I installed the default nvidia drivers because I have a I kept Ryzen 7 1700 in this machine 16 gigs of ram And an nvidia gtx 1060 with six gigs of ram. I have two 1080 monitors right now Finally, I have a lot of space to view and edit content and I did that I did some tests I can record gameplay video with 2.5k resolution capturing 60 frames per second. So I should be able to capture some nice footage for you I think the the the upcoming videos on anfavlog Are gonna Be fun Also much more fun to make with the new hardware. So Let's get cracking So I ordered this from a lesser known store in poland That I already bought something from so I know that they exist and that they they deliver But they didn't reply to me for like Two days with anything. I just got the email. Oh, yeah, we got your query We're processing it and I send the money and I didn't get any reply. Did you get my money? Didn't you get it? I checked on their web page and they said, uh, it's not paid. So I wrote to them like two emails and then finally they They woke up and Wrote to me that. Oh, yeah. Yeah, we're processing. It's paid. Okay. We're sending it out It's a bunch of foam here I I don't know why this box is so big Alrighty, so this is the sm57 We're gonna unbox this soon And there's another box I was wondering why is that box so big?  The more, you know So this is a to ws, um windscreen for sm57 And apparently it has a screw So it looks like it's Hard mountable. Well interesting We're gonna get to that soon Let's first First let's open up this Okay, that was a little desk lamp falling, but it didn't break All right Since we have that in place, let's see what's in the inside this box. Dear. Wow. I have a huge Sure sticker.  Oh some Cable velcro tie and this legendary sweet little leather sleeve and some papers And on to the main dish. This is the Wonderful Legend wait for it Dairy microphone. Well, it's funny that they put it right into the Mic grip Yep, that's it. That's my first sure microphone. I never owned one Sweet. Let's put it on and listen how it sounds And uh, I'm putting the sound through a lot of processing to make it a little bit better I'm compressing ds-ing equalizing I was gating a lot Too much apparently I disabled the other gate entirely for this video And I'll probably try to disable it for good because it sounds bad Why did I order an sm 57? and why don't Why don't I use a Some big car doid mic like this Sorry a big condenser mic like this because condensers are very very sensitive And they are very sensitive from up close but very sensitive from the distance also and What I partly do is play sound from my monitors And listen to that and talk at the same time and I need to capture that because sitting in the headphones I'm already sitting in headphones all day at work. So I don't want to sit in the headphones when I keep coming back That's why I need a dynamic. Let's see. I'm gonna plug this one one two so that is That is sure sm 57 Directly replacing this This first austria no-name mic I was serving me for so long And no more And this is the windscreen we're gonna need it because this mic doesn't particularly have windscreen on its own Oh, dear that is really thick cardboard It's not giving up. Alrighty Man This is packed like a tank. Maybe they pack it this like this so you you can't return it when you when you open it up because Wow, this is funky Okay, so this is the little tiny screw So whoa things are falling So that's the a to Ws there's some loose part here And and a little screw So I guess this will Mount on to I see You can you can actually With that screw you can Put it and secure it at any particular place you want So there is actually empty space between the the the the end of the foam And the start of the microphone probably should get a screwdriver I'm just gonna try use my fingernails righty. Um, will this come in? All right That's gonna sound terrible to you I'm sure I don't even have to guess I can hear it Because I have monitoring on I think it might be a little too loud even because I can I think that there's a little bit of reverberation Well If I let it go it just falls down I have a little bit screwdriver This is a bike kit It's not meant for something that's so tiny. Maybe it's gonna help me out. I wonder where this actually is Wow, I had no idea this is So Complicated now, let's just screw this in. I think it's starting to lock down. Yep kind of stabilizing It's not completely secured yet, but it is more or less And uh, uh, am I distorting? Nope The smell of a fresh foam pop filter Okay, so now I know why this is a dedicated windscreen Because it is designed To perfectly lock on the disc this thing I have no idea how that sounds I'm gonna hear it when I play this back So you probably enjoy this microphone already I I'm not enjoying it yet because I can't hear how it sounds and also I have this whole bunch of processing the eq Compression and stuff applied. That's probably really badly messing with the sound So it it's pretty gonna sound much better when I just set it up properly and get this configuration on All right, I think that's that's all for this video See you again in Next videos Thanks for watching if you have any questions about this microphone or Ryzen 7 and Linux Or have any suggestions for what I should talk about in the next videos Leave them in the comments and I will see you in the next video Bye Now I think I'm gonna capture some b-roll to fill in the spaces of this whole mess on my desk and Maybe the pc also hold on. I need to pick up the camera


Hi and welcome to the session, let us discuss the following question, question says, in figure 6.63, D is a point on site VC of triangle ABC, such that VD upon CD is equal to AB upon AC. Prove that AD is the pi sector of angle BAC. This is the figure 6.63, now let us start with the solution, now we are given in triangle ABC V is a point on BC, such that VD upon CD is equal to AB upon AC. Now we have to prove that AD is the bi sector of angle BAC or we can say we have to prove that angle BAD is equal to angle CAD. Now let us do one construction, produce AB to E such that AC is equal to AE and join C. Now let us start with the required proof. Now first of all let us consider triangle AEC, in triangle AEC, AC is equal to AE, we know by construction AC is equal to AE. Now this implies angle AEC is equal to angle AC, we know in triangle equal sides have equal opposite angles, so we can write this implies angle AEC is equal to angle AC. Now we know that we are given BD upon CD is equal to AB upon AC, so we can write BD upon CD is equal to AB upon AC, this is given in the question. Now we know AC is equal to AE, so we can substitute AE for AC. Now clearly we can see BD upon CD is equal to AB upon AE implies AD is parallel to CE, by applying converse of basic proportionality theorem we get AD is parallel to CE. We know converse of basic proportionality theorem states that if a line divides any two sides of a triangle in the same ratio then the line is parallel to third side of the triangle. Here clearly we can see in triangle BCE AD is dividing BE and BC in the same ratio, so by converse of basic proportionality theorem AD is parallel to CE. Now we know AD is parallel to CE and BE is transversal, so angle BAD is equal to angle AEC as their corresponding angles, so we can write AD is parallel to CE and BE is transversal, so we get angle BAD is equal to angle AEC. Now again we know AD is parallel to CE and AC is transversal, so angle CAD is equal to angle ACE as their alternate interior angles, so we can write AD is parallel to CE and AC is transversal, so we get angle CAD is equal to angle ACE. We have already proved that angle AEC is equal to angle ACE, let us name this expression as 1 and we have shown angle BAD is equal to angle AEC, let us name this expression as 2 and here we have shown angle CAD is equal to angle ACE, now let us name this expression as 3. Now we know angle AEC is equal to angle ACE from expression 1, we know these two angles are equal, now if these two angles are equal this implies angle BAD is equal to angle CAD, now from expressions 1, 2 and 3 we get angle BAD is equal to angle CAD, now clearly we can see in the figure angle BAD is equal to angle CAD implies AD by 6 angle BAC, so we can write this implies AD by 6 angle BAC, so this is our required proof, this completes the session, hope you understood the session, take care and have a nice day. Thank you for watching, see you in the next video.


SolarWinds MSP gives you a comprehensive secure and easy to use ITSM suite Okay, that's the cool marketing speak that these folks put on there. By the way, this is not sponsored by SolarWinds This is being told to you by a person who uses SolarWinds products I am happy with them, but we're gonna preface this a little bit So what is an RMM tool? Well, our own tool fills that gap of the fact that well Microsoft doesn't do updates right anyone who's worked in IT for a length of time Realizes that updates security antivirus is always like it's a messy Best effort as I call it security is still best effort. There's always another hold There's always another thing that has to be patched and it's a cat and mouse came up back and forth There's updates and everything else and matter of fact. I'm giving this video and recording it here on Wednesday March 3rd 2019 and patch Tuesday was yesterday Which of course there's more patches and more problems that were solved And let's get back to the point So we know that Microsoft doesn't do it right These are tools that fill that gap and try to add and enhance security now All of the RMM tools out there SolarWinds is the one we chose and we've been using it for a number of years But before someone starts writing their angry comment going but it used to not be I know It was hounddog.us then it was GFI then it was Now SolarWinds and SolarWinds has acquired many companies matter of fact Interestingly enough different products we hit use have all been acquired by SolarWinds and conglomerated into one big system Which is actually not bad And none of these are perfect if I know anything from talking to a lot of other MSPs and other friends I have an IT all these tools suck We'll start with that There's none of them that are magical that are automated into the point of they require no people to interact with them bits because computers are complex software is complex and it's This combination of multiple layers of software that your clients have to run combined with Windows Which has so much legacy support in years of messy code that there's just a lot of issues you're gonna run into So none of these are perfect. I know someone's gonna leave in the comments like oh, but you haven't tried this one Tom This is that magic bullet that solves it and what I found with any of these magical softwares that solve it They solve it for now Microsoft makes a change to the way they deploy something and everything falls apart again reality is Microsoft's trying to get better in their own way and that's how these tools are always fighting against it I've actually talked with the SolarWinds engineers. They're on it, but they they're aware of all these problems Now we like to SolarWinds platform overall In from me speaking to other vendors in what not I really do seem to like their solution But I'll admit I have not tried every single one of them.  Mostly I sat and reviewed with other MSPs I looked at tools they were using act wise and one not quite a while ago I found them to be a little bit more complex and less As complicated as this is I thought someone were more confusing to me. Also, I've settled on this I'm not saying the other products are bad This is solution we know and the pain of change will probably keep us here for a long time unless they do something disastrous Or have some major security problem and let's talk about security We really are happy with the level of security. They see they put together for SolarWinds They have not had a major security incident And I guarantee because of the scale and scope of their product base that they are being attacked heavily at Moment with connect wise and I have called out other of these small tooling companies that come out with That had CVEs or had security issues. Matter of fact, I've done several videos on kaseya and problems They've had and I will call them out by name because they've had what appears to be either a bad actor or Or product quality causing breaches So and you can search kaseya hack and you'll find videos on my channel about that and where I talk more in depth about it So let's get off those topics and say yes for SolarWinds. No, I haven't tried Name the rmm tool and try to deploy it on every one of our clients and switch back and forth because I didn't get time for that That's a lot of money out of pocket SolarWinds is a very reasonable system And this is what it looks like on the dashboard. Well, this is the demo dashboard normally there's a whole big list of clients here and it starts with the companies The company name is like art. This is we call this one Lawrence Technologies demo And we have the demo client and then we have main for the main site So the grouping starts with your company and then you have The company name, you know xyz company that you're servicing and if that company has more than one site You can name each site. For example, we have clients that have multiple locations We manage each of them and you want them grouped like this So it makes a little bit easier not a good thing is you can ungroup them You can say I want to see all the computers like you start at the top at your company name and see every computer No matter what company they belong to Now this is how we deploy a lot of patches and things like that But then you want to drill down and only see groups of computers in that particular client or even in that one location You can pretty easily do that certain their menu is actually pretty easy to navigate How did this tool get set up? Let's actually start there a little bit So when you want to deploy agents, uh, we do it remotely We don't always have to go onsite to do it So when we do a takeover for a client, um, or we're setting up a new business and we're deploying our RMM tools Uh, you just download the agent. It's actually pretty slick. So you go over here and we're going to download a site installation package We'll go next Choose the demo choose the site. There's only one in here, but there would be a whole list You know, you choose the company you're going to deploy it to what site you're going to deploy it to Which agent you're going to deploy, uh, you can actually try beta versions and sometimes beta versions have fixes in it that solve problems It's rare. We have to use it, but there's been like those one-off weird cases If there's a proxy server it has to use to get out Next Then it gives you a group policy installer or remote worker installer And you know, it all depends on how you're going to deploy it, but you can Put this together and then deploy it out to an entire network You can do a push you can individually log into these computers Things you do have to make sure of before you get in there is that there's no other tools loaded on there And you have basically a clean install Our perfect scenario is a brand new load of windows that has nothing else loaded in terms of security software or antivirus And has not been online to get goofed up and has viruses on it Is sometimes that some of the problems we have when we do takeovers is the cleanup work Of getting off either old tools that are stuck in memory or weird things that they loaded Or someone, you know, hacking around with it playing with things Those can be a little bit more headache to get the agent employee because it'll tell you why it failed Or vaguely tell you why it failed occasionally because of some latent thing that was left on the computer. So if you Sometimes I might have to do a little bit of cleanup when you're dealing with some of that So cleaning the computers before you deploy it way better just uninstall whatever One-off antivirus they have because there's more than I can name In terms of different companies just get rid of them because you want to use what their product is So for each client we build a template where we I should say we have a template that the admin Happens to be me and one of my other staff Have set up for all of our clients But then we can customize that on an individual basis Basically, there's like a global template and that global template. Let's just choose things like the antivirus and How some of the things are configured. So the is the web protection turned on? Yes, it is Managed antivirus bit defenders what they're currently using here in march of 2019 Managed antivirus is the old one. So they have two logos here, but it's because the old antivirus was The Viper I think it was we moved everything over to bit defender and we're happy with it Does it have the background installed? This is the remote background tool. These are to take control tools And like see I know these are a little small to read in it This format is cool But it doesn't zoom in because the way it has like right-click control and Able to do things with the workstation and the enhance to you why you're seeing here through a web interface Uh, it gets goofy if you try to zoom in and out. Sorry about that but Let's talk about what we can do here. So let's go ahead and edit this workstation Give you a better view. So here is the general setting Road access by default we have it turned on remote background is on patch management on based on policies that's important because When we're handling patch management The reality is all these computers are running windows And we want them all patched So that's where we start at that top view because we look at everybody's computer and we focus on patching Everybody's computer. We don't go through and have to go make sure these clients or patch knows aren't unless there's some weird exception Which is pretty rare. You don't want to patch your computer I really don't think we have any clients that are unpatched right now for any reasons Now the web protection we turn on and then we have different policies or custom policies of strict Or different things that we had configured for some clients It's sometimes we've had a couple custom ones that you see in there Back up and recovery by default this is off because we install this on an individual basis based on How we sold the client, but you can actually have it managed here You can see the backups from here as well as from the backup panels. It's kind of nice Once again, we're using the solder winds backup and the solder winds backup the integration with that Use policy on so this just has the little link that Gets them to our website if they need to we have it at the bottom to show the little icon network discovery alert routing We do have some alert policies and Whether or not there's any like critical event notices like so there's the different things there and this is one that's turned On right now, but we actually turn it off because it's on a case-by-case basis Now the way solder winds pricing goes I can't give you the detail of their pricing That is something between you and your sales rep but They have a really simple pricing system where they include all the licenses in the tool price per workstation Don't reach out to me for pricing. I don't have those answers You get pricing based on scale. So my price may not be the same as yours Whatever i'm not going to discuss the details of it, but they have a charge for each one of these things on here Like there was intelligent reports the web protection and things like that and you can work out a deal with your sales rep So you can bundle it all together But this is actually one of the reasons I like solar winds is I don't have to acquire license externally or separate It I turn these check boxes on it gives me nice clean Price breakdowns per site per client and then from there it's easy to understand How much money you're making in terms of what your tooling costs versus what you're charging the client now When you're doing the msp pricing, I will throw this out there You need to have a pretty big gap between What your tooling is because it's actually not that expensive I mean it adds up you see a big bill once you have a ton of computers on here But um that gap in between Has to one be profitable for your company to cover all the labor All the staff it takes to manage just because like I said if you're looking for an automated magic button That does all this doesn't exist so that The app has to cover payroll has to cover This building whatever marketing expenses you have and things to acquire clients to use this system Something to think about when you're doing the pricing you just don't mark up the percentage off of this It's everything else in between But from a standpoint of selling it we pretty much sell one msp package because I think that's simple I turn everything on and then the upsells are really just the risk intelligence And I see that because when you're working with some of the manufacturing companies That only do b2b sales the risk intelligence is cool But they don't have the same regulation of compliance and I'll cover what the risk intelligence is a little bit Now let's look at some of the more details of how the patches work. So here's your list of Things that when you're clicking on any one individual workstation and this works for servers I just don't have a demo server. I said I've only put one workstation in here Let's go back over to it It will tell you when things were offline online when a service check was reached. These are the Tasks that get noted like hey this computer was offline. So you you know, obviously it's like anything you want these computers online here are the Checks that are run and this is where you can add a specific check you can Customize them you can write scripts you can force something to be done here You can put some special script that checks a special thing for a special client and this can be customized on a per client basis And then you can actually just force it to run these checks or edit the checks and then see the results of each of these to see what they were and Go from there on taking action on some of those checks if there's something you take action No missing patches and if I these are just noticed as hey cool. We didn't find anything missing That's a good thing Then here's the tasks as well of what things are being done cleanup this is a attempt cleanup on there and you can build and add more automated tasks for example if you're Have some file you want compressed have a folder you want compressed Get map drives get startup applications remove log me in run that as a process because I'm trying to install something on there Whatever there's actually some cool things you can do here. And of course these are More scalable you can also because of the way the remote background works on this If you want to deploy a piece of software for a client because they have something they need to play across the works And you can use this to go out download and grab it and put it together It's actually a really nice feature to be able to have that patches and assets so It's Here's how the patch management works and this is where everyone gets angry because sometimes it doesn't install Uh, here's a couple things I had ignored purposely and we're going to go ahead and approve them Proof Here we go now this is going to get installed and it's Kicked off on the patch You this is I did this on purpose to set these up so you could try to see like I can Approve or not approve patches you can set these to auto approve I'm not going to get into every detail what there's an entire approval policy system that you can get in here And patches can be a headache Please note it did update things like chrome as well. It doesn't just update windows. It updates other applications It's aware of you can have the context of the winds for the full list I'm not I don't have time to cover all that in the scope of this video Antivirus Any threats that are found as it does the scans are all right here They're going to show up in the list so you can find a threat quarantine it remove it examine it further Um and dig into a little more web Here are the websites that this computer went to and you can then Dig into some of the categories and I think I may have tested Uh, a naughty website on here to see if it would block it and it did But it's a good way to kind of look at the different websites If this is something the management needs to know or if you uh dig into it further You can actually export this and there's ways to even dig into like blocks that were done So any of these reports can be expanded out and that's why I skipped over assets So here's the assets related to this particular one But there's an entire asset tracking system in here And this is kind of clever because a lot of people ask well, how do you manage assets? Well, the nice thing is you can add you can manage them through here in an interesting way It will summarize an entire Company all the sites under that company or just the one site give you count of the computers What version it'll even dig into information about you know, what software is installed And how many count of there? So if you have you know, 30 or 40 workstations It'll summarize everything Break it all down and then give you all that information on what's on each one and tell you what motherboard's on there You'll tell you what bios version is on all there now granted. This is a virtual machine our demo is There's a lack of some of this information in this particular machine You can look at how much memory's in them cash memory disk drive, etc. You kind of get the idea so You can also make reports based on that sequel dumps xml dump client inventory reports It goes on and on asset track its settings And dig into it further because you want to track virtual machines You want to track more more in depth Like I said read through the documentation. This is a very extensive program now Let's do this I don't have net path set up But what net path does is that's basically a ping tool To allow you to see how the client sees a site So you set up a ping and a monitoring of it So it monitors a certain site from your client's perspective Maybe they have some online ERP software they're using you can set up a monitor between their site And the ERP software because obviously if you can open a site cool But can they open a site and what was the average ping time from their site not from your site And being able to track that statistically and see how the path goes is really cool That is an upsell and also a service fee to turn it on to have it constantly monitor and logging This is just a filtered view so you can go here and I quickly created this little test And it allows you to kind of run this filter so you can group things differently It's kind of cool. I don't use it much my staff probably does But it's allowed you to if you want to monitor something based on a certain specific criteria You can check these boxes and then narrow and filter things down I actually like the dashboard view and I can see a lot from here By looking at all the different patches and things like that I can see what's going on and these turn red if something's wrong with there All right. Let's get into a little bit more detail moat access for example So the cool thing about remote access we're just going to run the take control Launches on the browser here and it's loaded This is one of the reasons this demo is being done windows because this software doesn't work in Linux So don't ask. I tried it breaks. It's hacky. I don't I run it in windows. I have a window system here to be able to do this Now the remote access is nice. It lets me jump right in and get onto this computer Our demo computer we can start looking at what's going on with it also has a couple cool features And please note. Yes, the demo computer is not set to the same resolution as my screen. That's why it's kind of smaller But it does have that support also has support for things like most multiple monitors So if there were multiple screens on this particular workstation, you could get into that It lets them know remote desktops loren systems will let you know which user So it's rm demo at loren systems.com is in a session. So that's the demo user I have particularly set up for this It has full screen and then you get these little pull downs always on top Dark menus, which it has a dark theme.  There's nothing quite like playing tug of war with a client That's really aggravating to me. Um, so I don't want to fight them. I just do it I don't tell them I'm doing it. They want to Go crazy on fighting the other direction or what you want to click on It also has a couple modes where you can just do things. He's got a laser pointer mode things like that for the remote software But it's interactions take screenshot a laser pointer. There we go Here click here click here. Yes, we do that a lot too So this just lets you help point so when you're trying to train someone remotely Um, because they can never quite describe it the way you want So a lot of times you take control sessions aren't necessary to fix something It's to tell someone that they need to click the little button at the top And yes, I know this version of windows isn't activated whenever we fork a vm That happens just so, you know that vm forking causes The system to break the license, but like I said, this is a demo and so we set up the demos Go ahead and close the session exit take control session Now I will note when we go over here and run over to take control report This is a compliance thing. I'm going to run it for uh, just the demo client Well, it all doesn't matter the only one client in here, but Please note how it says all right rmm demo rmm demo when it logged in these are important things for compliance and There's a lot of reporting that goes on inside of the rmm tool because you need to know when someone says Did someone take control of my computer? You need to be able to answer that question definitively and Reportedly so each person has a user and you can go through and user audit report notes report device indenture Policy reports of how things are set up. These are really automate Important things automated task report take control or patch management reports failure reports So you can go through and see what failed if you need it all reporting They give you a lot of tools But even have a report builder for the web protection so you can say show me more details on this particular device And then generate these reports on here And it downloaded this one to csv I think we can yeah, we can do an html report as well And we can dig into that and I could have pivoted it differently and said, okay I want to see it like on an individual workstation And we've had to work with our clients before because they want to know where their clients are going This is one of the reasons the web protection software one is important for protection two is important for Dealing with when you have those questions that come up a lot and a lot of people This is they're always asking me about dashboards and firewalls The problem is the firewall without a certificate installed becomes very blind to a lot of the traffic This tool is loaded on every workstation Therefore it gives us excellent visibility into everything that workstation did hence the reason when people ask me about Setting up filtering on firewalls. I point towards our rmm tool Now other cool features and i'm on a combination this so you can see it better So here is the remote here is the desktop And it's taking control second the launch here Go to this pc Take a look at the c drive Funny, I already have that file in there as I was playing with it So there's list dot text All right, what if you wanted to not disrupt the user not remote control into this but get connected and do something from the command line Remote password, let me get the password to this and put it in All right, here is the remote background We are command line into this computer without user interaction. So There's that list dot text file We're just going to go over here Gone This allows you to Go in the background fix and open and close things that may be running Um, actually, let's go ahead and open up chrome for example So there's google comb running on here and this is what the user sees the user doesn't see what you're doing here Remote process control image name End process tree. Are you sure? Yep Actually, I probably got to end all of them. Don't I? There we go. We found the right one that was The start of all that but you can see how in the background here It stopped chrome for running This is really nice because it allows you remote services I can start and stop services running in the background if I have to restart printer service I can control a lot of the back end without Having to go into the system itself and disrupt the user. This is really important This also allows you to do things like look at log files or run commands from the command line when you want to background Install something we've done this before to kick off things from the command line There's a lot of command line options many programs have whether you knew this or not Or you can simply pass the parameters along kick it off So it runs in the background While the users are doing whatever without actually disrupting their workflow Which that's one of the reasons I like this tool a lot We use this a ton and it um nice thing as this does work in Linux because this is all browser based here It's only the take control itself software that doesn't like I said You don't have to have the take control software open To be able to run any of the remote commands or even you know do any of the remote control background services in there Close all this So that's kind of how the remote background works now a few other things you can do on here now this Is all the workstation normally listed here You can do mobile device management. I don't have any of that set up for this particular demo Network devices is kind of cool if you want you can set up to monitor some of the network devices via snmp They have only a limited amount on the list in there, but they do have the networks Over here, which is a little bit different Now this particular demo machine is on our demo client network slash client network where we have Computers that come in our store to get work done And I tell it to go ahead and discover these and it will run around discovering all the little things like the test NAS The Synology demos you may have seen there's a test pf sense here There's a chromecast on this network. It can identify things plugged into the network and monitor them This can be very handy for Notifying you or noticing when there's different devices that you want to discover on a client network What it does is the rmo tool itself that loads on any individual computer Runs through and figures a lot of this out and gets all that details and goes Hey, here's all these devices. I found on a network really handy because well you have to find a printer when they go Hey, we just got this new. Yeah, I found it printer. You can answer the question for the client Yeah, I see a new xerox printer was added to your network. Oh, how'd you know? So this becomes very handy to go. Okay. I found the address. I know it without even having to jump into the firewall or the DTP server and try to determine the new addresses that were added It's always scanning and keeping an eye on thing and it can have a history of these devices the one they came and went Because this was on the demo network There's all kinds of things that keep coming and going This will tell you which Agent the agents hold A contest I guess if you will to determine who will be the discovery agent So they're not all just making a bunch of noise on a network Because they're all on the same site. It'll determine which one Becomes it. So it'll say discovery agent. You'll see all of them listed and you'll see a promotion to which one was actually doing it Now back over to some of the other reporting So you can dig up threat reports for clients antivirus protection quarantine patch management reports backup recovery reports web protection like we talked about risk intelligence is where it gets really cool Now this is only for the clients that have compliance, but compliance is huge So you need to know all these things security trends PCI baseline data breach trends This will really help break down a lot of the reports Now this is another tool that you can add on there. We're actually going to go and look at the scan results directly this device This is a really great tool for When you're dealing with people who you it's hard to keep track of this is from not just from your perspective as an IT but from the perspective of the client How do I keep track of people who do things stupidly and it's always found out after the fact? Well, hopefully not found out after the fact after a breach But you know this happens where someone saved a whole bunch of credit card numbers in a word document Saved it to their desktop and not even on the server. So that becomes challenging This is where the risk intelligence can really help data breach risk scans The system will find an index on an individual work station basis and give you these reports The potential liabilities kind of now. Well, what what what might it cost them? So you can actually give these reports to the client It might have cost you this much if someone were to go there and do this number of security checks executed 1615 farm abilities details it will find if they saved a and that's what it's showing here and good news is There's no unprotected data details It will find a list of documents and tell you that these documents contained Bank credit card licenses social security number. It's using just a partial to identify it Which also means it has some false positives eternal some license keys that someone had saved looked a lot like a license that it flagged as something else So you can't get them. That's why there's an exclusion list So the first time you run this don't panic There's going to be some things you'll find that may or may not be correct and You can then start creating filters for that, but it's a great interaction back and forth to the client One you're protecting them and helping protect them from a future thing because you're constantly scanning And then you'll find that one user like I said who for whatever reason Thought saving credentials in a word document was a good idea. And then you can explain to them why that's a horrible idea Now that's a data breach risk. Let's talk about PCI Compliance and I think this particular Scan results. I think this machine failed. So let's dig into that Yes It failed It's completely patched. So we are running the patch management, but It does have some compliance here set up the fail and I already know why If you notice when I logged right into the computer, what did I do? I didn't enter a password So I already know that's probably the first thing on the list Verify that host has personal firewalls automated test result compliant compliant. Where's the fail? Not compliant minimum password length. Yeah, the password length was none So right there is your password complexity and password length Automated test there's the failures of why this is not compliant and what's the other one Uh, verify the host history password in a password policy. So we failed on all those So other than that it's patched and everything else. Once again This first page right here Easy to talk to a client. It's a good talking point. You can create summaries of this and say, hey This particular person does not meet the requirements for that. And that's why we turn on risk intelligence but like I said, we're turning on on on a per client basis whether or not they even have any of that because some clients like we don't We don't have to comply. We don't have a credit card machine. We don't do credit card processing. We're a b2b company It's still sometimes a good talking point because they shouldn't have banking details saved in there But it can be a little bit of a harder upsell for some of them out there and there is a cost To have that risk intelligence both in the fact that it's running on those computers scanning these documents you set the scan times but The it does have the cost monetarily to through the rmm's platform Now one of the last things I'll talk about here Because like I said, I could go on about any one thing and dive really deep like to the script manager How you write scripts? There's so many facets because this is a complicated thing, but I will talk a little bit about the Client reports is a lot of people have asked me about this too. You have the executive summary report Client workstation reports. I think there's uh, well, it's not enabled. I think I can do a sample report Let me see here Okay, here's the example report because this demo hasn't been on long enough to do the monthly reports and things like that And I want to address that because I think it looks cool And you can fill this out for the company name and make it all fancy and pretty looking and give them a health score To let them know how much you patched and things like that And they're kind of cool talking points when you want to have a conversation with the client Um, they do have the ability to like automatically send these to your client But I will tell you it has been in my experience and myself as a business owner Is not just an it business owner, but just a business owner in general We are slammed with lots of people trying to express how they're creating value for you Don't bombard them with this. These are great talking points when you want to have assessments with the clients and they want to know Um, but just automatically emailing these without explaining or having sit-downs of the client You just are creating more noise for them But it does do this for you It can show how many alerts you resolve for that particular client And it's not that you really should have to spend too much time But there's sometimes uh being counters who go, what is it that you do and why do we write you this check every month or every Six months or however, you're uh billing yourself with that client. So it is nice that it does have all these built in We don't ever automatically just bombard our clients with them Zero of our clients have ever asked to be automatically send a bunch of reports on things I think they're always better with a sit-down explanation when you want to review things with a client But it does have all that built in. There's so many reportings on both the You know server side monitoring client month of reports weekly reports workstation monitoring reports daily weekly You can really bombard yourself with reports and bury yourself in a lot of confusion. I don't recommend it at all Um, one last thing you can do is the wall chart here. I'll cover this last Um You can go through and say I'm open a new window. There's actually no reports in here. That's the way we can filter it Yeah, it only shows when there's problems You can create like a wall report and project it out to a different monitor. Maybe drag it over to another screen in your Knock area or however you want to do that if this matters to you And it allows you to only show the problem workstations and that's actually how we focus on things ourselves We filter for only the problem workstations because those are the ones you work on And that's why when I say we the way we handle it, we start here at the top We only want to focus on all the workstations and all the workstations are having problems That's what we do to make sure that they're doing things right Um, that there's not a problem with those right there And hey, look uh while we were doing this and I know the time is wrong on the computer That's why it has the wrong time there versus the time here Um cumulative update for windows 10 that just got installed. That's that patch that we did And now it's installed on that particular workstation you can If you have to put the workstation or schedule a reboot and then schedule it at a certain time So, uh, let's go over here to Reboot you can set now later You can set a scheduled time when you want to do it But reboot later This is one of those you have to interact with the client. What time do you want to reboot it? Pick a time set it now You can have that computer reboot without you doing it and you can let the client know Because when you get busy during the day and you have to do a bunch of these things You know, uh, system needs to reboot message the client find a time or If you already have it in your agreement, I do recommend this say hey We can reboot your computers anytime after whatever hours they are closed Um, that's a pain for some of our clients are 24 hours because they don't have a specific time But for a lot of clients, you know what time they're closed and we let them know Please save and close all your applications because we may have to reboot computers based on Needing to update this that another like I said, this is a pretty big overview I could spend forever going into every little detail of every little thing, but this is uh, You know kind of give me an idea of sort of wins. We're happy with it. Um, nothing's perfect I said that at the beginning. I'm not going to reiterate that So all of them always have some level of issue that you're going to deal with But um, it works pretty well and we manage quite a few clients with it and it does maintain Uh things it makes it a lot easier than trying to do all this by hand and it's a pretty nice system All right. Hopefully this was helpful. Thanks for watching If you like this video, give it a thumbs up if you want to subscribe to this channel to see more content Hit that subscribe button and the bell icon and maybe youtube will send you a notice when we post If you want to hire us for a project that you've seen or discussed in this video head over to laurancesystems.com Where we offer both business it services and consulting services and are excited to help you with whatever project you Want to throw at us? 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