What is up everybody, Jason here for JaspysCaseBricks.com. We did it guys. This has been marinating for a little bit here but we're finally here guys. Sold out, 2023 hip rate football, one of a kind edition, series five, where every single card in this box or in this case I should say, is a one of one. This is a 10 box case, our random team number one, sorry. And like I said, these are the bigger cell sheet hits so there should be one of those in one of these cases here that we have. And like I said, only 100 hand numbered boxes produced. We have 10 here, so good luck. Thank you everybody that bought in straight up and to everybody else that wanded through fillers, 21, 122 and 123. There's the teams right there, everybody gets your random team, let's roll. Four to six, 10 times, here we go. One, two, three, four, five, six, seven, eight, nine and 10. Four to six, four, six, 10. Logan, down to Jeff. 10 here, one, two, three, four, five, six, seven, eight, nine and 10. 10 times, 10, 10. Steelers, down to the Jets.  Jason K with the Seahawks, Chad Coleman with the Broncos, Ryan with the Patriots, Sportport you have the Titans, B-Fits you have the Colts, Chad B with the Saints, Chad Tucker with the Rams, Johnny you have the Dolphins, Raymond with the Jaguars, Sportport with the Bengals, Roger with the Packers, Nicole with the Cardinals, Jalen you have the Houston Texans, Anthony with the Bucks, Michael with the Ravens, Johnny with the Four Yaners, Joe Clanton with the Falcons, Michael Rand with the Lions, Eugene with the Giants, Sportport with the Chargers, Ryan Redmond with the Vegas Raiders, and then Jeff with the Jets. So obviously, like I said, some of you guys may have gotten some cell sheet teams, so hopefully your cell sheet hit does pop out. But like I said, obviously, besides those cell sheets, they only preview 10, that means there's still 90 other players, cards of the teams that haven't been shown yet, so you never know guys. I might pop out of here. And Jalen's like, I would love to text them any other day. Well, you never know man, there could still be some cool texts in here. You know, obviously I'm sure they're not gonna put a CJ Strout 101 in here, but you can definitely put some other players in here. Yeah, I'll give you guys some time for trade, Ryan Press now wants to see if anybody wants to patriot, so we'll give it a little bit of time. That's so neat. So it looks like there's a Christian McCaffrey, one-on-one from Elements for the Panthers. It looks like there's a Bijan, one-on-one, looks like they're from Black. There's a Triple Patches, that one probably a Ranimizer, so I'm assuming, well, Frank Gore of 49ers, Vikings, and Lions, there's a T. Higgins, Gold Vinyl, Christian Watson for the Packers, Lamar Jackson, rookie Nike Swoosh booklet, Kenneth Walker, Seahawks, Logo Patch Auto, one-on-one Tua Rookie, A.J. Brown Rookie Diamond, it looks like, or a second-year Diamond, one-on-one. Ben Rothesberger, Classics, one-on-one. So, and instead of Jeremy's here, Jeff's saying, willing to go with the Bengals for the Jets. Let me know if you're good already trade, but I can leave it up there for a little bit longer, so I'll give it. Cool, cool, cool, yeah. Yeah, Sportport, are you watching Sportport? I think Jeff is proposing to trade with you with the Bengals, but if not all good, I'll probably close it right now. And I don't know if the 49ers, or Johnny, I don't know if he's gonna have the 49ers available, but I'll give it another 30 seconds just to be safe.  Okay, Sportport State is good, okay. Boom, boom, boom. All right, going once, going twice. All right, there we go guys, trade with Nicole's. A lot of try to trade couldn't trade modules though, so let's see who gets that opportunity there with you guys. All right, here we go guys. So there's everybody there, boom, boom. There's the case here, safe for us. Here we go, box seven of a hundred. How about a one of one? Jonathan Taylor, little new era tag in there, and the ink from 2021 XR football.  There you go, there's our first one of one. Oh, bokew. I mean, I'm obviously gonna be excited to hit any one of these crazy one of ones on the cell sheet here, but I kind of wanna hit the Lamar Jackson one. That'd be a pretty sweet one. Also, the Kenneth Walker looks pretty solid. Let's see, will we get lucky to hit here. What is this? Whoa, how about a Justin Herbert one of one? Little NFL shield, bright. From 2021 Luminance, that is pretty darn sweet. Sporeport, there you go. Flawless one of one. Woo, wow, that is pretty darn nice right there. How about a Calvin Ridley, Nike Sush one of one? Nice, I think that's a second year Calvin Ridley. But how about for the Atlanta Falcons Joe? That is awesome. Some good stuff in here guys, you know, so far, even though we haven't hit a cell sheet here yet. This one feels really light, so I have a feeling it's a greater card. Feels like at least, or maybe not. No, it's just a really thin one. How about an Aaron Rages, one of one for the Green Bay Packers? It looks like it says center field, or certified sorry, accomplishments, one of one. Green Bay Packers, that is Roger. All right, after this box we're halfway through guys. Whoa, we have a case hit. And it doesn't feel like a great card so it might be any other one I guess. There we go guys. Bijan Robinson, one of one. What a break. Two hits for the Falcons in this case. And that is a beautiful looking Bijan. I don't know, is that just his base? Just as a one-on-one or? I don't know, it looks pretty darn sweet though. Very nice, congrats Joe. Case hit, here we go, next one. Halfway through now guys, five more. National Treasures, one of one DJ Shark. Look at that, NFL Shield. And there's our first try to trade, couldn't trade Mojo for the Jaguars. Very nice man. How about a Christian McCaffrey? Nice, plates and patches on card. It's leaps and bounds, one of one. That is sick. So the other one was a different Christian McCaffrey on the sell sheet. And very nice. Carolina going to Rime Press now. They go a little CMC. And how about a Darnell Mooney? NFL Shield and autograph from Select, one of one. And is this a rookie Darnell Mooney or was he a 2020 rookie? I feel like he was 2021 as well. It could be mistaken. Nice one there for the Bears though, Eric. Two more to go. Super fracter. How about a Skymore rookie wave gold vinyl? One of one, it's kind of hiding under there. Very nice. For the Chiefs, it's going to A-A-Ron who got randomized as his team. Definitely probably staying in the PC I assume. All right, last box here guys. Good luck. I know there's still plenty out there for tits that we haven't hit for customers in here. But hopefully you're hit list still. This is your hit here. It's flawless. And it is for the Bengals, Chad Johnson. One of one. Very nice. From 2020 flawless. And that's going to Sportport and the Cincinnati Bengals. There you go guys. Like I said, unfortunately not everybody was gonna get it. Sorry about that guys for the people that didn't. But for the people that did, obviously. Hey, congrats. Really, really nice stuff in here. There you go guys. Just like that, the break is over. So again, I don't think we have another case of this. So probably won't be reposting this, but there's potentially some other stuff that can be posted up for some football. I know we have some spectra right now, but I'm sure Nick will be looking to add some more stuff as well guys. So appreciate it. Jasperyskatesbreak.com.


Wilkinson maritime communities often suffer merits of health and human rights challenges and are sought to reach the need for collaborative efforts to tackle them. Now these were the crux of discussion at a workshop put together by the Health of Mother Earth Foundation in Lagos. Details in this report. The country is highly endowed with coastal and marine resources and has several water bodies which serve as habitats to several species. However, the coastline is faced with numerous challenges including climate change, flooding, overfishing and pollution that have predisposed each to rapid and ill managed degradation. This workshop has been put together to address workers' health and human rights in the maritime environment. A lot of activities are going on. We have oil companies going offshore to explore for oil. We have illegal, unreported and illegal, unregulated and unreported fishing going on. We have human trafficking issues in our forced labor. We have several human rights abuses going on because of some of these activities that are carried on in the ocean. Dr. Francis Fagboulay is a public health practitioner. He raises concerns for workers and communities in the maritime environment. While highlighting the lack of access to health care facilities by residents in these communities, he is of the opinion that there should be consolidated actions by all stakeholders. The truth is that they are exposed to a lot of health hazards and because of that you find that particularly those in the coastal communities the health indices are poorer compared to the other places and we need to take cognizance of this and help them out concerning them. As residents from the coastal community share some of the issues they face experts say there is the need to develop institutional framework and an all-inclusive freshwater and marine protected areas policy to protect the aquatic ecosystem. The federal government when they promise they will promise they will promise they say they will give us engine they will give us boats. When we have almost about 50 60 communities and they brought the engine like 20 can it be enough? One can even be for only one person. They are livelihoodals actually taking away from them and most of them are finding it very difficult to start all over again. So they are looking for interventions people that can really give them assistance as in fishing nets maybe help them with boats too. So I have to come here to represent them because I feel that they need the assistance. You hear issues of overfishing people fishermen no longer have the usual catch that they normally used to so the issues are they are on the rise. Other speakers highlighted the roles of labor unions and CESOs in the protection of human rights in the maritime environment among other issues. Hello hope you enjoyed the news please do subscribe to our youtube channel and don't forget to hit the notification button so you get notified about fresh news updates.


Welcome to the second video publishing today. Oh my goodness. It's the day before the 2019 London Marathon. It's going down tomorrow morning in London, but here we go 2 a.m. Mountain time. That's right Remember we are banned from live streaming on YouTube for three months. Therefore what I've decided to do 2 a.m. Mountain time. That's my time in Colorado So that's 4 a.m. On the east coast 1 a.m. On the west coast and then in Europe It's gonna be you know obviously live for you guys when you guys are waking up on Sunday morning So basically we're gonna go live and we're gonna have a watch party and don't worry I'm not gonna film the screen of what I'm watching But we're gonna have a watch party here in the studio for the 2019 London Marathon on Facebook that's right on Facebook. So my Facebook page is down below We're just down in the description scroll down with your thumb there hit the like button on the Facebook page And then basically we're gonna go live at 2 a.m. On Sunday morning Okay, so that's really early and if you're if you're like a really early morning person on the east coast You're good And if you're a really late night owl on the west coast you're good So I think we'll have a good and then everybody in Europe. Holy smokes in Asia what time it'll in Asia It'll be it'll be in the afternoon So we're good like we'll have a good audience to to hang out with talk about the London Marathon Talk about the predictions that we're all gonna make down below in the comments here in a second and yes keyword for this vlog is Big Ben and did you know big Ben is I didn't like why do they call the tower in London? Big Ben that big tall tower the clock tower. It's actually named. I didn't know this until yesterday It's named after the 14 ton Bell that is at the top of Big Ben. How cool is that? I love it. So anyway, that is the key words Big Ben for London. I'm just so excited and let's begin on the men's side first here We go so the two big names that are being discussed right now all over the place are Elliot Kipchogi from Kenya The current world record holder for the marathon distance and Mo Farah from Great Britain Those are the two names that everyone's buzzing about the basically the big epic battle That's about to go down Mo on his home turf in London trying to oh I don't know trying to go up against the probably the greatest marathon runner of all time Let's just call the spade a spade right now, but before we tell before we break down that battle I do want to talk about a few other names. Here we go Wilson Kip saying that's right. Wilson Kip saying from Kenya has a 203 23 PR to his name 203. That's the real deal. That's amazing. And he has won New York City Tokyo and Berlin okay, and then so he has won three of the six major world marathons around the world So you've got Chicago, New York, Boston Berlin London and Tokyo so he's won three of the six so that's it. So that what does that tell me that tells me that Wilson Kip saying is Ready for the big stage.  So anyway, look out for Wilson Kip saying he's yeah I I'm gonna have my eye on him very very closely, especially early in the race Okay, another name Abraham Kip tum from Kenya as well. He's got a 205 26 to his name. So pretty fast not too bad I have my eye on him as well. And then one other Tamarat Tola of Ethiopia who has a 206 17 to his his name and he's young So he's only 28. So I don't know I just I was looking through all of the names entered and I'll name a few a few others But I was looking at all the names entered and I was just like man 28 years old He doesn't have a ton of marathon experience But he burst onto the scene with a 206 and as his first marathon. So anyway, that's a pretty good introductory marathon Record and one more name. Okay. I got to mention one more Daniel Wanjiru from Kenya with a 205 21 Anyway, I've seen his name pop up a little bit in the last dad last 12 to 18 months So I'm gonna have my eye on him as well. All right, let's get into this battle between Elliot Kipchogi and Mo Farah Listen, it's like it's a lot of hype for Mo. I hope he I hope it's not too much pressure because it's on his home Home turf, but Kipchogi. I mean 201 39 versus Mo Farah's so Mo Farah has a 205 11 to his name versus Kipchogi's 201 39 that's basically four minutes a little under four minutes difference That's a ton of time. But I will say to Mo's credit that 205 11 was just six What six months ago a little over six months ago in Chicago? So I would say that's a good confidence booster for for Mo and Mo's best time at London Thus far is a 206 21 Whereas Kipchogi's best time at London is a 203 0 5 So smoking fast so again a three-minute difference between Kipchogi and Mo Farah and also just mentioned like Kipchogi's going for his fourth Win tomorrow morning in London. So he's won. He's won London three times. That's so impressive I just to be able to to be that consistent if he pulls it off again I'm just gonna like that's a that's just incredible just incredible and for my dark horse on the men's side We're going with Abraham Kip tum who has who I already mentioned who has that 205 26 to his name for his PR You know, it's it's a it's a it's a little bit of a long shot, but that's why it's a dark horse So he is my dark horse for the 2019 London Marathon Okay My dark horse Abraham Kip tum. So I'm just here on the computer It is 11 19 p.m. Heading toward midnight and I'm just double-checking triple-checking all my stats all my numbers that I'm giving to you the PRs and the predictions Abraham Kip. I'm glad I am on Twitter and just staying updated with London Marathon news has been banned Abraham Kip tum has been disqualified. He cannot run the London Marathon because they've a potential Basically, what are they calling it a hold on one second a Biological passport violation. So anyway, I'm not gonna get into the details some sort of drug doping I don't know what I don't know all the I probably nobody knows the details But Abraham Kip tum is not racing the London Marathon. That's crazy And he just broke the half marathon world record like five months ago and kind of came out of nowhere and did it So took it from my my my I like a Zerzenze to these From Eritrea Zerzenze to these was the former half marathon world record holder. Anyway, I digress craziness This is like a breaking news happening in real time. I'm glad I'm triple-checking this stuff. All right. Love you guys Roll the tape and how I kind of come up with these predictions and thoughts is basically looking at 5k 10k Half marathon PRs and when they set those PRs, all right So that's kind of my process of breaking down What have they done in the last two years three years five years and then and because what that tells me is basically Do they show up on race day? Are they do they have leg speed? So how do they do on the track because you know and how does that translate to the roads to the half in the Full let's move on to the ladies. So the two big names on the ladies side here We go Mary Catani and Vivian chariot both from Kenya those two names watch out But first let's talk about a few others Gladys Chirono of Kenya has a 218 11 to her name and it's so interesting for me as I like chased down my first marathon attempt to kind of Relate to some of these times on the ladies side. Anyway, it's just fascinating to see these times Bridget Love that name Bridget Kozgi of Kenya with a 218 35 and then Rosa Derej of Ethiopia with a 219 17 so a pretty tight pack there for I would say like that the next After Mary Catani and Vivian chariot of Kenya those next three names are probably gonna be near the top Of this race. I'm also excited for for an American on the men's side like they're like it's I don't know What's going on? But there's basically no men on the men's side for the United States going I shouldn't listen There are a couple but no names that I actually even recognize so but on the ladies side. I'm excited for Molly huddle That's right. She has a 226 to her name Molly huddle She's she's been doing really well at the 5k 10k distance, but she I feel like 226 for her for the marathon for her PR is untapped I wouldn't be surprised if we see a pretty big drop in her PR time tomorrow morning in London Molly huddle Look out for that name. I'm just gonna say it I'm going with like a 222. That's kind of a big jump. I'm going with 222 I wouldn't be shocked if she can drop her time by that much In London tomorrow, so look out for Molly huddle on from the US. Okay, Mary Kitani of Kenya. Here we go She is going for her fourth win at London. That's amazing So kind of like a Kitchogi on the men's side. She is going for her fourth win that would tie another I don't remember her name, but that would tie another lady for four wins at London. That's awesome And she ran a 2701 two years ago at London 2701 so definitely a she's got a really fast time on this course So that's impressive Ian okay one more on Mary Katani of Kenya. She's got a 105 50 for her half marathon to her name That's blazing 105 50 is moving. So so that means she's she's got good speed now I think oh gosh, I don't know when she set that half marathon time, but I'll try and find it and post it now So anyway, that's when she set her half marathon time We shall see but look out for Vivian chariot last year's 2018 London Marathon champion who's also from Kenya. She was the gold. So here's where I'm here's where I'm at This is where breaking down the speed. She was the gold medalist in the 5k at the Rio Olympics in 2016 not the 10k, but the 5k that tells me she is still fast even though that was gosh three years ago But that's like to us to win the 5k in the gold medal At the Rio Olympics and now be pounding the ground on the pavement in the marathon She's guy. I mean, I'm just gonna say if I had to pick one right now I would go with Vivian over Mary there. I said it. I said it Vivian over Mary for the win tomorrow morning at the London Marathon. I'm gonna go with a 217 high 217 high for Vivian tomorrow for for the win and on the men's side I'm gonna make my prediction right now. Here we go Kipchogi 202 45 202 45 he breaks his old time by about 20 seconds 202 45 Kipchogi for the win I don't even think I think second place is 90 seconds back. All right I'm gonna say which is fast really fast So Kipchogi for the win and for the women's dark horse. Here we go Yuki Ando That's right Yuki Ando of Japan who has a 220 wonder her name. We shall see. I don't know that's my dark horse on the ladies side and Question of the day who you got who's winning this race?  I'm I'm going Kipchogi. I think it's a safe bet, but also a time prediction. Oh, man, maybe I Don't want to get in trouble, but maybe someday we can have a little contest for who gets the closest time For the men and ladies winner. I don't want to get into any sort of betting But you know what it'd be fun to do a little contest at some point. I love you guys Thanks for being here 2 a.m Sunday morning mountain time everybody in Europe spread the word live on Facebook down below is the link go like the page And we will go live.  All right seek beauty work hard and love each other Big Ben here we go. Here we go. Oh, it's going down


Yeah, I'm doing how you bet you sent $1. I think it's probably worth about that. No, especially not this. No, not that. That's a galaxy? It's a galaxy? No, no 20. Can't hide it. Can't hide it. How big was the stop for your first defense there to get off the field when y'all needed it in that game? Defense, definitely. We definitely stepped up. We took a step and it felt amazing celebrating after the game, but also after watching the take. We get to see the step that we still need to get better at. But also we get to see that we did take a step and we heading in the right direction. Yeah, so the play was set up for Dante. We say everybody just move out the way and Dante go get him. No, but all seriousness though, it was a great effort by him. We all had one-on-one rushes and he was able to get there with just great effort coming in fresh. Grady was just doing grady stuff the whole day. It's a tremendous effort from those guys and the rest of us around me to step up and play our part as well. I don't know. I wouldn't know that. I wouldn't know that answer.  So whatever that role would be, whether it's outside, inside, over the center, whatever the case, off the ball. I'm a versatile guy and I can kind of do a lot of them. So I'd be able to take it on mentally. Yeah, by far. Now, I don't think I had to do nothing extra myself. I think a lot of the conditioning from our program is definitely helping me stay in shape when I'm out there. It's like I'm thinking to myself, I would normally be tired but I'm not really as exhausted as I normally would be. So I could tell that all the conditioning paying off. I don't want to talk too much more about conditioning because we might have to run more. So yeah, I think just by skiing, it's a multiple front. And you know, we got a lot of different fronts going in a lot, a lot more to it than with the surface seas. So definitely moving around more. Yes, way more than I have in the past, but I've been with Dean and Ted before. So I'm familiar with it. Yeah, I think it could take a toll on you if you're not, if you don't really dive into it. So for me, it's a lot of extra, a lot of extra study and a lot of extra questions. Taking notes while I'm also like marking down questions while I'm taking notes in the study room and then going to the coaches after they already explained it just to get a little bit more detail. So I make a surround, do it the wrong way. And learning from my mistakes on the field, whether it's at practice or even in some games, learning from, you know, the ways in which I got to drop certain stuff like that, just fine tune those details. So that way the next time I'm out there, I'm able to execute at a high level. Yeah, I think they do a good job with doing the concepts, but it's concept based. So a lot of the stuff, it looked like it's, you know, I can't give away the secrets, but it looked like a lot. And when you really break it down, it's a lot easier once you understand the concepts behind it. So you'll say, okay, this is one thing. And then when you might call a hold on the defense and, okay, it's the same as this one except for these two people doing a different thing. And it's like that all around the structure of the whole defense. So once you kind of bracket them up into different concepts and categories, you can kind of like take a lot more load off of your body. You'd be like, okay, this call is just like this call for me. It might be different for the backing, but for me, this call is the same. Yeah, always, if I understand it, I want to ask it because I hate getting stuff wrong on the field. I take pride in that. So I definitely, you know, been asking, but been a lot more questions this year than the past years though. Yeah. So at first it was just, it was just all like, you know, familiarizing myself with it and learning it the same way I always do. But just like coming in and saying, okay, I got to, I feel like I think I know what I'm doing here. But let me go ask and then, you know, just make sure I clarify it and stuff like that. So yeah. We've been doing a lot more diving into it collectively as a group after, you know, after hours. So I think that's definitely helping in a big way with getting home and getting to the quarterback and even guys like me who winning rushes and getting close is just helping, you know, some rivalry at a whole group where we do a lot of extra stuff together. So I think that's what I think that's something big that we've been doing different. Right. Oh, besides from, you know, getting cussed out. No, no, no. But I think it's been like us. We're really evaluating ourselves watching the film. You know, we think, okay, I got this guy. If I make a, you know, I've been setting him up outside all day. Now I'm going to go inside. And then at one time you go inside, it costs the whole team. So quarterback able to roll out, make throws where he comfortable. He comfortable making throws in seven on seven space. So it's real, it's real important for us to stick to the game plan. Don't take those rushes when it's not your time. You're going to have a, you're going to have a time in a game where you can make certain different rushes that you like. And there's going to be some times where you got to sacrifice for the team.  And so that's, we got to just build a trust. And that's what we've been doing lately. Exactly. Right. Yeah. I think when you come in on Monday and we got to watch the film and you see a guy win a rush and you got, you got somebody who might not have done their job the right way that it was drawn up. And if they would have that guy would have got a sack.  So next time, let me make sure I don't let nobody else down or I want to make it his sack the next time. And that way I'll be able to get mine. When mine come in, we all start taking on that accountability and responsibility and we take on that role for each other. I think it was a matter of time because we've been striving and training in that direction. You know, Eagles was a tough loss for us. And, you know, we've been building ever since then. And just, you know, staying with that tunnel vision mindset really helped not allowing all the outside noise to get in and just trying to really like build on the same thing that we've been working on since OTA. So we first got here and, you know, that's starting to pay off. And we just want to keep taking more and more strides and more steps and kind of, you know, get another one. We just need one more. Oh, me to the core. Yeah, me to the core. I came from there, so I definitely wanted that one. But, you know, maybe we get to see him again. Yeah, since college, I was doing it, but I think I kind of like structured my notes a lot more ever since coming from being in Tampa with Gerald McCoy and then going to Baltimore to Real Suggs and Elvis Dumerville being around Brandon Graham and Philly. Kind of just like seeing the older guys do it and then, you know, kind of like taking after that. And then I'll implement my own mindset. I might not write down everything the coach say. I got to simply, I got to break it down for me and write down what applied to me. So stuff like that kind of helped me understand it more when I'm going over it. I'm not reading over the stuff that I have no, you know, involvement in. I'm not looking at coverages on the back end when I'm supposed to be looking at stuff that I'm going through up front. So no, no, no, I got, I got to, I just type on the iPad that we provided. Yeah. No, you got to buy your own keyboard. So I just type on the screen. I might use my little pen to take, take some notes in there. No, it's a lot of people that write with them. I'm really just like slowly typing, trying to, trying to get the words in. He's taking big steps. He's taking quantum leaps and I'm happy to see it.  So, you know, just extending that same concept, extending that same hand to him. He willingly wanting to learn. He going to be good when he going to be good when he, he learned a couple of things he going to be, he going to be a pretty good player in his league. Yeah. So he a longer guy, right? By nature. And I haven't really seen too many guys come in young. That's able to, that's already know they length and play with it and use it. And that's something that's his, his strength right now. So anything after that is going to make him better. But he already know how to use his length. He already using his hands to keep lockers off of him and that's to his advantage. So that's like one of the things that me, myself, a lot of people who I've seen coming up, they might have those tricks but just don't use them and don't know how to use them coming from college where you've got natural raw ability. They able to just dominate guys but he coming in with the techniques already at hand. No problem. No problem. No problem.


We're going to start right now and one first thank the Mead Public Library for having us today and obviously thank you for your interest in the town hall meeting we're having today. My name is Billy Feilinger and I'm the Executive Director of the Wisconsin Alliance for Tide Americans. Myself and Doug will be introducing ourselves in a minute but I first would like to introduce Patty Haferman who's the county's elder benefit specialist and when we have these town hall meetings around the state we always like to invite the elder benefit specialist and let them talk for a minute or two to introduce themselves if you don't know her. Doug and I always call the elder benefit specialist the angels of our state. We're really very fortunate to have at least one elder benefit specialist in every county in the state of Wisconsin so at this point Patty do you want to make some very brief comments and then hopefully that'll be fine. Thank you. Thank you for inviting me. I am the elderly benefit specialist so if you are somebody who is turning 60 thinking about retiring I would be the person you would call. I see some familiar faces in here it's kind of nice to see. I work with Medicare I work with Social Security all four parts of Medicare people say that to me all the time. You work with all four parts Pat and I go yes, yes I do, sad but I do. And we're located the plastic holder that you got is from the agency where I am located. I'm located in the ADRC here in Sheboygan County out actually in Sheboygan Falls ADRC stands for Aging and Disability Resource Center and like I said we're kind of a one-stop shop out there. You can come out and see me if you have people that you know that are disabled from the age of 18 up to 59 and a half there's a disability bend spec that works in this county now to help people get disability so there's a lot out there. There's a lot out there at the ADRC and you're always welcome just to stop by and see us. If you want to see me the people in here that know me would say call her and make an appointment. You all have my card in there. That's my direct number to my office okay. I tend to be in and out a lot sometimes but you'll always get a call back don't worry about that. Okay. Thanks. Thank you so much. Thanks for inviting me. Okay. And if anybody has any questions Patty will be here till around what time Patty? 10.30. 10.30 okay. Maybe afterwards but you already gave a card and everybody's is everyone get a packet? Great. And thanks again for coming Patty. As I said before my name is Billy Feilinger and I'm the executive director of the Wisconsin Alliance for retired Americans and Ron Miller is back there from community access from your area. Myself and Doug and Nate from Know Your Care have been going around the state of Wisconsin in all different parts of the state holding these kinds of town hall meetings. Our organization is a nonprofit organization. We provide public education and advocacy with people like yourselves and others around the state on state and federal programs that affect you, current or future retirees.  One other quick thing from what Patty just said if you are on Medicare right now because she said 60 and over, if you're on Medicare right now there is a window of an opportunity every year if you're not interested in your current insurance plan you can change it during that window. I think in 2011 I think it was like from October 15th or 16th or November 15th to the middle of December. So October, it was October 15th okay. And so this next year if you have a plan and you're interested in thinking about changing it Patty's the best person to talk to. At this point I'm going to introduce Doug Hill from Know Your Care and then I will make some comments and then we'll open to questions and concerns that you might have. Doug Hill. Thanks Billy. I really appreciate it. I'm going to stand up. I have a raspy voice so sometimes people have a hard time hearing me but thank you for having us here today. We're happy to be here. Nate and I drove over from Wausau this morning so it was a little bit foggy but not me and spring is on the way so we feel good about that. As Billy said my name is Doug Hill. I am the state director of an organization called Know Your Care Wisconsin.  And our organizational mission or task is to go around the state of Wisconsin to help educate and answer questions about the Affordable Care Act. The health care reform law that was passed almost two years ago now March 23rd will mark the two year anniversary of the health care reform law becoming law and being signed by President Obama. And if you're unfamiliar with the health care reform law or the Affordable Care Act it's more often referred to in the media as Obamacare. So when you talk about Obamacare it's kind of interchangeable with the health care reform law. One of the things I like to say right off the bat when we talk about you know the benefits of the Affordable Care Act and the Affordable Care Act itself is I understand and I acknowledge right away that when the health care law was passed that it was controversial, that many people were for it, many people were against it, there were people supporting it and people not supporting it. But our organization really doesn't take a position of being for or against it. Obviously I'm here to talk about it so I want to talk about the positive aspects of the law but our organization really believes that it's important that people understand the Affordable Care Act law, the benefits that are available to them just as we would any other law I think very often times as public policy is passed whether it be at the city level, the state level or the national level very often times people don't fully understand every single aspect of it and it's important that that we do as citizens because it does affect us and so that's really the core mission of our organization is to try and go out around the state with organizations like Billy and other organizations to talk about the Affordable Care Act. Even if you were supportive or not supportive of the Affordable Care Act there are benefits of the law right now that are affecting you and members of your family and members of your community and before I talk about the specific ones that affect seniors and people in Medicare I'm just going to talk about a few aspects of the law that are currently in place affecting everybody. Two years ago when the law was signed on March 23rd two years ago a number of the provisions of the law came into effect right away and one of the core ones was the elimination of pre-existing conditions for children so previous to the law being signed if your child had a pre-existing condition they could by law be removed from your health insurance and so when the law was signed that's one of the first measures that took effect that no longer could children be kicked off of your health insurance because of pre-existing condition that part of the law will affect all Americans starting January 1, 2014 okay another provision of the law affected young adults age 26 and under so starting January 1 of this past year if you were a young adult age 26 or under you can now stay under your parents health insurance previous to that young adults didn't have access to the possibility of staying under their parents health insurance and as young adults graduate from college they move into the work world or go on to two-year college or four-year college having access to health care is one of those things that they didn't have in the past and that they now have access to over 23 million young adults since the law came into effect now have health insurance under their parents plan so that's another aspect one more is starting August 1st of this year preventive services for all women will be covered including mammography cervical cancer screening some assistance with things like nutrition and and breast feeding issues with domestic violence and things like that a lot of those measures will now be covered under the Affordable Care Act so women can go in for some of those preventive services that you know tend to be a cost a little bit more and they might not have access to so those are some of the things that are in place right now and when the law is fully in effect in January 1 of 2014 a lot of these measures will be fully in effect but what we want to talk about mainly here today is the preventive services to senior citizens and elder Americans who are on Medicare because the Affordable Care Act when we talk about preventive services one of the things that I think is most important to point out is that 75% of all the money that is spent on health insurance in this country goes to treat chronic disease things like diabetes high blood pressure hypertension 75% of all the money expended in this country goes to treat chronic disease and one of the main aspects of the Affordable Care Act whether it's for children for women for young adults and for elder Americans is to try and get after those preventive measures and preventive care so that we can hopefully by getting a handle on health care and disease and illness at the early part of onset we can try and keep those costs down and save money so you'll see as you look at various aspects of the Affordable Care Act that prevention is really a key part and you might say well why is you know you know why prevention for senior citizens or prevention for for young adults or for women just to give you one more statistic in Shiboyan Shiboyan County there are 19,296 people on Medicare that's 17% of the population and it's about one in every six people so you can see that you know it it does have a pretty big effect on a number of people here in Shiboyan County so talking really quickly about the Affordable Care Act measures for preventive care for Medicare for the next couple minutes. Billy and I like to use this really great handbook it's the Your Guide to Medicare Preventive Services it's a publication by the Centers for Medicare and Medicaid Services and it's a great booklet because it's user friendly does everybody have one if okay hey Nate could you bring up a couple more hold up your hand if you don't have one Nate will bring you a booklet these these are really great just because they're they're really user friendly and now under the Affordable Care Act law there are a number of preventive benefits that are available to people on on Medicare and this booklet is a great guide to help us walk through some of those preventive benefits and that's what I'll talk about now so if when you get your book if for those of you that don't have them Nate's coming up right now if you open up to the table of contents which is on page 3 I'll just really briefly go through this under the introduction the first section is what you can do to help preventive illness just kind of talks about some good tips that you should know in helping with preventive care the second part under section one is how to talk to your doctor health care provider just some tips that you should know when you're talking about preventive care and then some basic things you should know when you're reading about this booklet under section 2 talking about preventive care now because the Affordable Care Act you're once you become Medicare eligible so for me it'll be about 22 years I'll be Medicare eligible it's funny that I when my wife and I go on walks now instead of talking about kids and things like that we're starting to talk about retirement and things like that so it's it's pretty funny I do have a way to that's never to never too early to plan so now for me in 22 years once I become Medicare eligible I'm entitled to what's called a welcome to Medicare prevention visit and what that is it's a really brief introductory visit for me to sit down with my health care provider so that I can start the dialogue with them about my health care and some things that my doctor may want me to know and so I'm still on page 3 and I'm talking about preventive services welcome to Medicare preventive visit and so what this is is it's not a full blown physical where they're gonna do diagnostic tests or things like that it's really meant to start the dialogue with your physician so we'll go in and I'll sit down they might do a blood pressure they might do a pulse and ask some medical history maybe I'm on some prescription drugs at that time and I'll say here's what I'm you know the prescription drugs I'm on and it's an opportunity for me to you know share my concerns and for the doctor to share their concerns with me as to some things that you know I might want to be concerned about so then after that one-time welcome visit each year every year you're entitled to a an annual wellness visit okay and this would be for free and at no cost okay and at this this one-time visit is very similar wellness visit is very similar to the welcome to a Medicare visit where again you're doing a brief health history you know the blood pressure or the pulse things like that it's kind of a review of the year saying hey here's here's where my health is right now here's some things that happen to me this year here are things I'm concerned about and it's an opportunity for you to talk to your doctor again about things that you're concerned about and it's an opportunity for him or her to share with them some things that they think that you should be thinking about and so again it's not a full-blown diagnostic you know visit with tasks but again it's it's trying to get that dialogue going one of the best questions we get when we're doing these preventive forms is as I go through these preventive benefits is well hey Doug I'm already a Medicare don't I already get these benefits in these treatments right now and my answer is yes you do what's different though because the Affordable Care Act is a lot of these services now are for free or at a reduced cost and a reduced co-pay so that's the big thing and we'll talk about some of those as we go through these so some of the other preventive services that are covered now because the other Affordable Care Act cardiovascular screening breast cancer screening including mammography cervical cancer screening colorectal cancer screening for men prostate cancer screening a number of immunizations including flu shots so now you should be able to go in and get a flu shot for free you shouldn't be paying for it at least once a year bone mass measurement diabetes screening with supplies and management training nutritional therapy like home attesting and a number of other preventive services all meant to help us get a handle on on our on our health I'm gonna ask you to turn a page 15 really quickly I'm just gonna highlight that section yeah no no this is sure some of them you might have to there might be a part be deductible for it but if you are on if you're on on Medicare you have access to all these preventive services and I might add at this point in time as well that the Affordable Care Act does not affect anybody on Medicare I know there's been a lot of I was called rumors or misinformation saying the Affordable Care Act you know makes people you know move off of the insurance that they already have that that's totally not true if you're on Medicare you stay on Medicare if you're on the VA health care system you stay on the VA health care system if you're on a private insurance plan that you still carry from your previous employer you stay on that the Affordable Care Act does nothing to move you off of that you still get to stay on on that if you if you want to okay okay so page 15 is a talks about colorectal cancer screening and why I like using this one is because it provides a number of different examples so in each section on each page it'll highlight a different preventive service and so in this one it highlights colorectal cancer screening and so at the very top it just talks about some basic facts about colorectal cancer usually found in people 50 or older talks about different screenings for polyps and things like that and then it jumps right into who is covered so in this instance all people Medicare age 15 older but there's no minimum age to have a screening colonoscopy okay and one of the questions we get as well how can someone age 50 or under you know be on Medicare sometimes in a disability situation people who become disabled are entitled to be under Medicare when you pay the FICA tax that you pay like I pay FICA you all paid FICA as we did through our jobs part of that that that tax that we pay is if in extreme circumstances we become disabled sometimes you are able to be on Medicare earlier and then you normally would be not at the same coverage rate but sometimes you're able to so that's why it says under age 50 then how often are these colorectal screening cancers covered so each one of these tests is is covered and each one is covered at a different rate so for instance like the feet fecal occult blood test you can you're entitled to that every 12 months and then the colonoscopy is every 120 months but if you're at high risk you can get it sooner I think here it says every 24 months and then it jumps into if you have original costs or original Medicare so for in this instance you pay nothing for the fecal occult blood test you pay nothing for the screening for the colonoscopy if your doctor accepts the Medicare assignment and then for instance it kind of gives some specifics for like the barium enemas you pay 20% of the Medicare approved amount for the doctor services and then in this instance the PARP deductible doesn't apply but if it's done in a hospital on outpatient setting then you'll pay the co-pay that would normally be covered under the Medicare PARP yep okay yeah when you when you're every once you're entitled here once every yep the 120 correct every 10 years exactly that would be starting there and it's the same thing you someone asked me is it on a calendar year or is it on when you have it and it's it's not on the calendar it's when you have it so if for instance I turn 65 I Medicare eligible I go in and say okay I want to get that that preventive screening for the colonoscopy and I do it in March then every it would it would start from that March date and that's true of any preventive service that you would have for instance the flu shot if you got that just happen to get it in June it would be on that June to June it wouldn't be on that on the calendar year that's a great question and then at the very end it just talks about if you're at risk for colorectal cancer and some some brief tips there so this is it follows pretty similar for the for the other screening and prevention benefits that are in here I'm going to pause at this time turn it over to Billy for his comments I'm going to be here for questions and answers and I'd be more than happy to help you out with questions and concerns and if I don't have the answer I'll make sure I get your name and number and and get back to you but I'm going to turn over to Billy great thanks Doug and then as Doug said once I get through and I'll probably talk to me like about 10 minutes and then open it up to concerns or questions you folks might have as I said my name is Billy Feilinger and I'm the executive director of the Wisconsin Alliance for retired Americans and as Doug as his part I'd like to talk about the impact potential impact that Congress and president can have on specifically as it relates to Social Security and Medicare so if you remember late in the summer of 2011 early in the fall the Congress created this committee called the super committee and the purpose of the super committee was to address the federal deficit what kind of cuts would be necessary to address the deficit as well as enhancing revenues for the Congress to take action to reduce that deficit and as you probably know or maybe don't know that they were supposed to make recommendations in December to the Congress and then the Congress supposed to take a vote on those issues well as it turned out to make a long story short they didn't have enough votes at the super committee level to bring anything to the Congress but I can guarantee you if you've been following that all those things that they were talking about are still on the table as possible cuts and revenue enhancements but we're feel very strongly that until the entire population of our country participates in sacrifice to deal with the deficit we will not support any of the things I'm about to tell you and most of these things that I'm about to tell you probably will not impact you but could impact your kids your grandkids I became a grandfather twice now and I want to make sure I'm sure you do too want to make sure that our kids and our grandkids have these great programs called Social Security and Medicare so there really are five reasons why we're in the financial predicament that we're in and this is not Billy Feilinger from the Wisconsin Alliance telling you this this is coming from the Correctional Budget Office which is a nonpartisan independent federal department within the federal government who has have reported in back in 2010 there are five basic reasons why we're in this financial predicament one we have two wars one is now going to an end the Iraqi war but neither one of those wars were ever paid for until President Obama came on board secondly there's a program called Medicare Part D that's not the exact language but back in 2000 and through three a law was passed to deal with Medicare beneficiaries having some of their costs through Medicare paying for your physician drugs it's a 500 billion dollar program that started in 2006 for 10 years it wasn't paid for the third we had two of the largest tax cuts in the history of America back in 2001 and 2003 where overalls over half of it went to the wealthiest 2% of Americans that wasn't paid for for we currently have double digit increases to health care costs now that is a problem and that does impact on medic the Medicare system which I'll talk about a minute double digit increase and the fifth reason we're in the predicament we're in is that we've had the worst economic downturn since the Great Depression that started back in 2007 those are the five reasons we're in this predicament did anybody hear me saying about Social Security Social Security hasn't contributed one penny to the federal deficit not one penny in fact your trust fund the Social Security trust fund has a surplus of 2.7 trillion dollars in your trust fund 2.7 trillion dollar surplus I know some of you are smiling I'll tell you why that some people say it's just nanogens it's Ponzi scheme it's a bunch of IOU papers I'll talk about that in a minute but if the federal government did nothing and we're not recommending they do that your trust fund would be able to pay a hundred percent benefits until the year 2037 and remember we want our kids and our grandkids have this great program called Social Security so some things are going to have to change back in 1982 then President Reagan Republican Speaker of the House Democrat Tip O'Neill came together and were able to come up with a compromise on Social Security because of what they were able to do people like myself a baby boomer will now have Social Security when I decide to retire have a hundred percent benefits because what those men in the Congress did back in 1982 we believe that the adults in the Congress today and the president need to come up with a compromise it's not going to be an easy one because we want to make sure that our kids and our grandkids have Social Security so how does an elected official a congressman your congressman or US senator here in the state of Wisconsin tell you that your trust fund is a Ponzi Social Security is a Ponzi scheme and it's a bunch of IOUs there's only one way they could say that to you in all honesty and look you straight in the eye that they would have to default on your Treasury bonds both Democrats and Republicans have taken money from your trust fund to use for other federal programs our belief is it should be a lockbox remember back in 2000 then Vice President Gore ran and running for president said he thought that the Social Security trust fund should be a lockbox well it's not happening so the federal government is using your money but in response to that they have to have issued Treasury bonds guarantee Treasury bonds they're the same Treasury bonds that I bought for my grandkids when they were first were born in the last few years they're the exact same guaranteed Treasury bonds that we issue to China that we issued at Japan so only way that an elected official from our state or our country who could look you straight in the eye and say there are a bunch of pieces of paper IOUs don't that doesn't exist there's a Ponzi scheme the only way they can do that is they're gonna have to tell you they're gonna default on those Treasury bonds and I would like to see the day that anybody in our country or in our state who are elected officials your congressman and your US Centers wants to default they're gonna have to vote on that and I can guarantee you with you being the largest block of voters I don't care if you're a Republican or a Democrat you're gonna vote those people out of office because they haven't stuck to their commitments that they had made to people like yourselves and future generations with those Treasury bonds so one thing we think should happen before I talk about Medicare right now workers who contribute of their income is about a hundred up to 108 thousand dollars so any worker in our country that makes up to 108 thousand dollars they contribute a hundred percent anybody worker above that 108 to whatever it might be does not contribute on that part of their income now they don't get they don't get contributions for Social Security when they retire but they get it up to 108 thousand dollars so for example Billy Feilinger is a worker today making fifty thousand dollars a year I pay a hundred percent contributions people like Phil us let's say Bill Gates just joking around here makes three hundred thousand dollars he only pays one third contribution to your trust fund we believe if we start having them pay either a hundred percent no matter what their income is we will have this problem almost solved by the year two thousand and seventy five now we're not going to be living but again we want our kids and our grandkids have this great program so we believe that something that should happen right now it's something similar to what happened in 1982 the three things that Congress today are looking at are changing their retirement age right now it goes from around 65 upwards to 67 depending on when you were born but they want to go to almost 70 years old and I always like to give the example there in Appleton I met with about 25 steel worker retirees there was one woman who was getting a hundred percent benefits because she lasted as long as she did but I could tell that she was having problems had wristbands and other things around her wrist because she was a steelworker and had a very difficult job if she had a work till 70 years old there's no way that woman would have been able to work to 70 years old if that was the maximum that was what she had to do she would have seen significant cuts in her benefits if we increase it over the next 20 30 years upwards up to 70 years old the second is means testing now some people might say means texting is not a big deal that some people in Congress want to change that certain people would not get Social Security if you made $200,000 a year as a worker the reason why we're against that is because we believe we want the entire population who works to participate in Social Security one we think it's a smart thing politically that all Americans are participating in and secondly we don't want this to turn into something that's called a welfare program because people like yourselves have earned this income that you get when you retire so we don't like means testing the third one which could impact you is changing the formula for cost of living now the last couple years I think you got a rebate of $250 two years ago I don't know if you got one last year this year it's 3.6 percent cost of living increase well there's some people in Congress who want to change that formula that 3.6 percent by changing the form would be even less than 3.6 so we're opposed to all those things but that one could impact on your lives now Medicare the trust fund is in financial problems but thanks to the Affordable Health Care Act your trust fund will last minimally till the year 2024 and will still be able to make pay benefits after that but it would be a lot less so we do need to make some changes but because of the Affordable Health Care Act the trust fund is solvent until the year around 2024 the other reason we like we support the Affordable Health Care Act or the following reason as Doug said kids right now who have pre-existing conditions can no longer being thrown off of an insurance plan kids 26 and under will can still stay on their parents insurance plan today 26 and under that right now a small insurance company has to because the Affordable Health Care Act has to pay 80 percent of their premiums to directly pay for medical expenses larger insurance companies premiums have to pay 85 percent of all the premiums that they get revenue 85 percent has to go for medical expenses and last before I talked specifically about retirees is the fact that we they have put more money in the Affordable Health Care Act to look at fraud duplication of billing waste things of that sort many of health care providers do not mean to do anything fraudulent they make mistakes so we want to get a handle on those and then there is a percentage of health care providers who are doing fraud and we got to make sure we get every one of those pennies back so we can use every one of those pennies to help for direct certain medical services anybody on Medicare Part D anybody here on Medicare Part D okay back in 2003 that law that I talked about past called Medicare Part D and there were two specific three provisions that I want to mention today real quickly one is the donor hole because of the Affordable Health Care Act previously if you met the donor hole you had to pay a hundred percent of your out of your pocket to up to seventy hundred dollars in 2012 that would have been twenty nine hundred dollars up to seventy six hundred dollars in 2012 anybody who gotten to that donor hole before the law passed would have to be a hundred percent out of their pockets then after that ninety five percent of my catastrophic would be picked up by Medicare five percent by the consumer of Medicare beneficiary because of the law up to twenty nine hundred dollars they pay seventy five percent the Medicare that you pay twenty five percent after that if you're on a brand name prescription drug you will get a fifty percent discount if you're in the donor hole from twenty hundred dollars to seventy seven hundred dollars if you are on a generic prescription drug they will pay for there will be a fourteen percent discount in fact in this in the county of Sherboy County there's about thirteen hundred twenty five Medicare beneficiaries in 2011 who fell in the donut hole sorry about that who fell in the donut hole and they received these discounts up and the total was about eight hundred fifty thousand dollar savings for in Sherboy County people who met the donut hole do that eight hundred fifty thousand dollar savings because of the Affordable Health Care Act the second thing is Medicare advantage people know Medicare advantage anybody on Medicare advantage okay you might not be totally pleased what I'm about to say over and by the way before I forget Medicare parking will end in terms of the donut hole by the year two thousand and twenty there will no longer be a donut hole obviously we want it sooner than that but that's what will be totally closed Medicare van is someone just asking what is the Medicare advantage Medicare advantage is an alternative program that you can have with a private insurance company before the law changed the former health care law changed that the the federal government was subsidizing tax dollars our tax dollars to give two insurance companies somewhere in the neighborhood of 13 to 15 percent tax subsidies to private insurance companies compared to traditional Medicare Part D or Medicare in general now they do get more benefits if you're on Medicare advantage so I don't want to say they compare apples to apples but 13 to 15 percent tax subsidies those insurance companies for this program and sorry about that shut this off sorry about that I don't like seeing I love seeing my grandkids but I wish we just go off now oh there it goes so over the next several years there will be a reduction in that subsidy but the program will continue but at some point the insurance companies who have Medicare advantage are gonna have to figure out if they want to keep those customers are they gonna keep the level of cost the same or the premiums the same or the co-pays the same or the deductibles that's something that has to be worked out but because of there will be some reduction in those subsidies over the next ten years there will be a savings of about 1.6 billion dollars because of those reductions in the subsidies so at this point I think I'd like to open it up to Doug and myself to questions or concerns you have and again thanks so much for coming we have about 15 20 minutes yes one and then back to you back there Carol yes absolutely my understanding and I think this is true I wish Patty was here I'm pretty sure that the county's elder benefits specialist has that data I don't know if in Wisconsin if there's a website that you could go to and answer what your question but I'm pretty sure Patty the elder benefits specialist should have that information and if she doesn't she'll have a better idea where to get that information you know I don't know that's a great question I wrote it down because I'm gonna I'm gonna check to see if there's something specific that is best to point people to but I do know that on the back side on the back cover of this handout there's a website it's www.mymedicare.gov just before I can find an answer for that that's what I would recommend there might be something where people can go search out so if you give Doug your name and your phone number he'll give you a buzz back yeah but I think that's a great question because use I mean rather than hunting and pecking for everything to go to one spot that will list them would be great that's right it's a very narrow no the question is is starting in about two weeks the Supreme Court is going to hear a case where essentially the constitutionality of the individual mandate portion of the Affordable Care Act is being challenged and unconstitutional and essentially what that boils down to is the Affordable Care Act mandates that every citizen in the country if they don't already have some sort of unhealthcare like Medicare, like VA, like private insurance or retirement health insurance like in their previous employer be required to purchase at least a minimal coverage of health insurance and the premise behind that for the law is that it's been proven through actual health tables and through studies that the best way to lure the cost of health care is to basically put everybody in the pool because when you put everybody in the pool, healthy people are also put in the pool and you put healthy people in the pool who pay premiums and don't utilize services that cost them for everybody as opposed to just putting the sick people in the pool so that part of the law is going to be challenged and as the lady said that's just the one aspect of it so we'll vote that you'll hear the arguments that I'm getting sometime in the Supreme Court, we'll probably be going at the end of the time. And that if it's if it's not overturned that specific will happen in 2014. Just one quick more thing that Carol and one of the reasons we support it is because of the following. Billy Feilinger does not have a primary care doctor does not have insurance. My daughter gets hurt. I take her to the emergency room. Well, guess what? Who pays for that? All of us around this room here and others around the country and the cost is much more significant by taking my daughter into that nursing and to the emergency hospital than it would be if she had a primary care doctor. And so that's another reason why we were very supportive besides the cost effectiveness of including everybody in the population. Carol and then you. Because in the last two years they've cut over a billion in Medicare payouts primarily because they set up three sites in Arizona. I'm not sure what city of Los Angeles and Miami is. It's the portable air care act put together they enabled the task force of HHS officials and FBI investigators who investigate Medicare fraud. And that's how much they have pulled out of the system because and it's only the tip of the iceberg. They found that there is a Russian and I believe Albanian criminal gang that were operating out of post office boxes storefront. They were paying senior citizens for their Medicare numbers and they were also paying off doctors to submit fraudulent claims. In fact last two weeks ago a nightline session on I guess a doctor in Arizona that they were trying to interview. But this is an ongoing continuing thing and for the lady who is concerned about doctors not accepting consignment there is one insurance company in Wisconsin that will offer a Medicare supplemental plan that will pay the difference between what Medicare approves and what a doctor charges for non-assigned claims. I know because I have it and I have one thing that I have to use that the pharmacy will not accept assignment on and I get that paid 100%. In fact other than my insurance premium I paid nothing for any of my medical claim. Wisconsin also has a unique thing in their tax code that if you take the standard deduction they still allow you to write off cost of your health insurance. We have a presidential election coming up in a few months. If the party who becomes president doesn't support the Affordable Care Act and if the Senate and the House also no longer support it and any of what you've talked about the entire Affordable Care Act or other people that just be voted out. Absolutely. So depending on who gets into office starting in 2013 everything that we've talked about today if there was a majority in the Congress and the president to support the repeal they could do that and eliminate everything that Doug and I talked about today. Yes. I don't know the exact amount and I would assume it would depend on the service medical services but generally speaking it's significantly more obviously if you're taking your kid like my situation I would try to do that but I'm just saying if I would have done that. I don't know if it's $1100. It's pretty significant though. I'm not sure I'd use $1100. I've never heard that exact amount but I know it's significant. Yes and then back there. There's such a huge gap in the price charge for services. Party Express that's $5,000. You won't let it be refused suddenly. It's sad that it was such a big money insurance. Right. And I think the insurance companies are the ones that need to be closed. Yes back there. Yeah I just got on Medicare and I had this wellness visit. I called my doctor and he wants me to have a full physical right away so I called Medicare today and I talked to them and she says that's fine as long as they accept a salary. That's fine. So is that what long as the doctor accept what Medicare will pay? Yeah absolutely as long as the doctor is a Medicare accepting doctor they will do it but the one thing that we've gone through doing almost 50 of these forms is that often not often but at times someone will call for their wellness visit and they'll go in for the wellness visit and then during the wellness visit the doctor may say well hey you know based upon our conversation I think you should have this test and then that test gets in that envelope of being free. So there may be diagnostic tests that come about because of that wellness visit. He said I would be fine as long as he accepts. And I agree with that statement but I just want to be clear that if it gets in a situation where they start doing other diagnostics that it would go beyond that but absolutely if they accept the assignment and you do it annually you're ready to do that. People have that chance to talk first yes and then over there yes. That's not true. You go to the doctor. You wait for three months for your things to come back. They've got to send it to the insurance company. You get back a slip that says Medicare did the lollipsting either goes to the insurance and you pay the bill. What the lady is saying is at times. Does Medicare pay for diagnosis? No. As far as anything. Does it pay for diagnosis? The diagnosis test has always come back with a note from Medicare. Your lab is covered. There's so many not covered. They can't go fishing for things to diagnosis conditions. If you have a history of cholesterol they can check your cholesterol. So in plain English first of all the doctor has to establish that you have diabetes before they'll pay for diabetes. Burn the test but you have to prove that you have diabetes before they have it. No. My daughter had a surgery for a gallbladder emergency. She had to go to a hospital. Okay. Nothing is covered by insurance. Insurance just takes your money and puts it into their funds and his benefits of people that she got by stock. That's what insurance is doing. If our plans to fight they should be fighting what's happening to these premiums. Because the insurance companies are making money off of it. Plenty of money. I'm not disagreeing with that. The thing I'm having a hard time figuring out is it would depend on specifically what diagnosis. And you're saying your daughter. I'm saying that no matter what with the insurance companies. The insurance company and Medicare work together. If Medicare doesn't allow it the insurance don't cover it. And you pay it. Young people are being self-insured. They put their self-suring accounts. They have no faith in your Medicare whatsoever. I have grandchildren that tell me. Forget it grandma. I'll just put my money away on my page. I don't pay my own bills. And that's, they're more than we. I mean there's more young people than old now. That are in the workforce. And that's where your money's going. But no. I just went to the eye doctor. They said I have to have cataract surgery. They told me I have to have it within three months. Or all this diagnostic testing. Will not be any good. And I have to pay it out of my own pocket. If I don't make up my mind within three months I'll have it done. And they also tell me. They're just going to put up. They're going to put up the lens in there. Taking the lens, all the brittle lens in there. Giving me a pair of glasses. Because if they put up extra lens in Medicare, don't pay it. I have to go to Dr. Larson. I have to pay $2,000 to reach out. To get a lens so I can see. Just to summarize. Because he just informed me now. Because that's caused cosmetic. This is what I've been told. To summarize basically. Why doesn't Medicare provide funding for more. Service that you're suggesting today. Is that pretty much. Ventures. You have to have dental insurance. That's a laugh at this thing. There are definitely. I mean the best of all worlds. Ideally. I'm agreeing with what you're saying. But right now there are not enough people. In Congress. Who would support. It being under one system. And really dealing with more than just. Like no words. You talked about dental. You talked about eyes. Those are the two essentials. I'm agreeing with you. I'm agreeing with you. Actually co-correct will let you down here. And all these others pre-ventive. That you're telling people to have. By the time you get to be 70 years old. I'm sorry. Your life is just about over. Count the years. Get up in the morning and say thank you. Carol, let me just. The person behind.  Because I want to know the words behind you. She. The other people normally are not on Medicare. I am 70. I am not. No, you're talking about your granddaughter. I'm talking about. Everybody. Is. But that is an advocate. By the insurance. Different program. It's not funny. I'm not talking about Medicaid. My daughter paid her own bill. $20,000 all over savings accounts. I'm saying. That our government should be looking into. My insurance companies are doing with the money. Not what Medicare is. Well. I'm talking about the insurance companies. Was taking your premium and investing in the stock market. And this company back up in that company making money. It's a fact. You know. We're the wrong people to say this. We agree with you. We agree with you. We agree. We agree. We agree. The provider bills are wrong. We agree. We agree. We agree. We agree. We agree. We agree. We agree. We agree. We agree. We agree. We agree. We agree. I think this is a reasonable point. I did a not hearing member. And. The dust there. Well. Back there. You had a question. Or comment. Like. To the. Is. When. 8acer. And unfortunately it's not. That's like. That's a question. That's come up. And it's, you know, 200 or $400. And the reason why. Is. Really. Went into that purpose. Com potent of. Save. a doctor's group and a doctor's panel to put it together. And what they did is they started with the initial preventive services that they felt were best to start with. And that's not to say that the shingles vaccine is not an important vaccine or is it important to anybody. My father had shingles and was in the yard for 12 days because of it. So I get that. But I think what they wanted to do is start with initial preventive services. And there may be a possibility of that in the future. But unfortunately, now it's not. So one more question who hasn't had a chance to talk. Yes. If a person has Medicare supplement insurance, most of these policies also carry a preventive clause in there. Some are $150, some are $300. They will pay for shingles. Just end on this. Your frustration. We're on the same page. You've got to believe me. In the best of all worlds, you have a right to certain things. And when your daughter is paying ex-dollars out for insurance, that's wrong. That's why we don't go along. I could go along with you. I'm sorry. OK, one more quick comment. Go ahead. Just one comment. You may have known that in the papers that the state insurance commissioner requested a waiver on the 80% premiums to health care request to civilians. If you want to get health care with that too, if I start voting right, would God say? He said that. We're going to say have that conversation. Thank you so much. There's still some coffee left. And I hope this was helpful for you today. Thank you so much. You're welcome.


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how to create realistic vines in alcohol markers, not too hard. Grab some paper, using some Bristol from Sketchbar and some sketch markers to make some hearts. The hearts don't have to be perfectly shaped. They're even better if they're not. Overlap some of them and make some bigger ones at the bottom, smaller ones up at the top of the plant. And then start to add in some of the stems, make some of them go in front and some of them go in between the leaves. Next, choose some leaves that are going to be pushed to the back and add shadows to those. And then once you have the shadows in, you can start adding some detail to the ones that are in the foreground. And that, my friends, is.