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Hi everyone, It's Doctor Divya 
Srinivasa. 

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Welcome back to another episode 
of Inside Thoughts Out Loud, 

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except today's episode should be
titled Outside Thoughts Out Loud

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because I have been very vocal 
about how absurd it is that KC 

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Means is our nominee for Surgeon
General of the United States of 

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America. 
To really understand why KC 

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Means shouldn't be the Surgeon 
General, we have to define what 

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the surgeon General does. 
The surgeon general is a 

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government appointed position 
that leads the practice of 

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medicine in the United States. 
So you should be somebody who 

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has practiced medicine. 
Casey Means doesn't practice 

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medicine, hasn't practiced 
medicine, and I'm going to get 

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to this. 
She doesn't even have a medical 

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license. 
She can't even prescribe. 

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And I'm going to get to this 
too. 

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She's never in her career 
practiced unsupervised medicine.

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You have to finish residency to 
practice unsupervised medicine. 

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We're going to get there. 
We're going to talk about all of

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this, but the person that has 
been nominated by RFK Junior and

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Trump to be our surgeon General.
Again, the person who represents

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the the most, the best 
representation of the practice 

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of medicine in the United 
States, that represents the 

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healthcare of, of Americans, the
person they want has never 

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practiced medicine. 
The irony there is she didn't 

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actually finish residency. 
And I have to talk about this. 

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I actually put this on threads 
and I'm going to read you guys 

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some of the responses I got 
because here's the thing. 

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I also did a five year surgical 
program. 

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On top of that. 
I did four more years of 

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training. 
But it's not about my training. 

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It's about her lack of training.
And as someone who did five 

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years, because general surgery 
is generally 5 years long, ENT 

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surgery five years long, she was
in a surgical training program 

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program and she made it over 4 
years through and then quit. 

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And I just want the general 
public to know nobody does that.

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It's like quitting a marathon in
your last quarter mile. 

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Nobody does that. 
You're too far through. 

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Look, does surgical training 
suck? 

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Yeah, it's hard. 
You are working inhumane hours. 

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And when you do the math, you're
getting paid less than minimum 

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wage. 
It's many places have a toxic 

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work culture. 
It's not easy, all of us can 

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tell you that, but when you've 
gotten that far, nobody quits. 

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Like it's just not a thing that 
happens. 

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So I really want to know, and 
this is what I posted on 

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threads, what's the T like, what
happened? 

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Did she get kicked out? 
Did something happen? 

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Nobody quits surgical residency.
You're just too far along. 

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You're this close to being done 
with the training program. 

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And it's important because 
that's the check mark that's 

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going to get you board 
certification. 

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And if you don't have board 
certification, most hospitals 

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are not going to give you 
privileges. 

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So you got to finish something. 
Now, is it common for people to 

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drop out part way through? 
Maybe not common, but it's not 

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unheard of. 
There are people that will say, 

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I thought I wanted to be a 
surgeon, Surgery is not it for 

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me. 
And they'll do something else. 

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But doesn't this all sound 
familiar? 

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Stanford Medical School graduate
and then dropped out of surgical

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training. 
Peter Atia, I don't know what 

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this like pipeline to being a 
grifter, terrible person is, but

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both Casey and Peter have a lot 
in common. 

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I want to bring up the threads 
because I did not expect this to

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do as well as it did, and I 
think it's because a lot of 

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people picked up on just how 
unusual it is. 

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So I said Casey means quit ENT 
residency when she was within a 

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year of completion. 
As someone who also did a five 

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year surgical training program, 
I can tell you that nobody does 

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that. 
If you're going to quit, you 

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quit earlier. 
When you're that far along, you 

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just finish and then you do what
you want. 

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I know people who got through 
surgical training programs and 

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they they're not surgeons. 
They don't practice surgery. 

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That's OK, I've seen that 
happen. 

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But you don't quit that far 
down. 

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This tells me that there's more 
of the story and I have enough 

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friends here in medicine. 
Somebody spilled the tea. 

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OK, so 12,000 likes hundreds of 
comments. 

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So here's one comment. 
One comment was the rumor is 

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that she was fired for poor 
surgical skills and crippling 

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anxiety. 
I've heard that some surgical 

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programs will kick people out 
late in the game because that's 

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when they really start letting 
residents loose in the OR by 

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themselves, and inevitably they 
find out that some of them can't

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function. 
A good program should identify 

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those issues much earlier or 
strongly encourage people to do 

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fellowship or research. 
But apparently OHSOHSU is toxic.

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So this all tracks. 
I think that's a really 

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interesting comment. 
Look, I did surgical training 

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programs. 
I was not at OHSU, but I think 

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toxic is a word that's used to 
describe a lot of training 

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programs, especially in surgery.
So that aside, again, no matter 

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how toxic it may or may not have
been, she got most of the way 

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through right. 
I got to say my personal 

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experience has been it's 
residency's. 

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They don't really kick people 
out. 

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Now I've heard of people being 
required to do an extra year or 

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do something extra to bolster 
their skill set or help them get

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to a point where they are where 
they need to be to graduate. 

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But usually you only get kicked 
out of programs for things like 

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drug abuse or like like severe 
infractions. 

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We're talking severe infractions
that would require a program to 

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literally kick somebody out. 
And again, I don't know her 

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history. 
I don't know anyone. 

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I don't have any secret until I,
I am not Candace Owens. 

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But I have to tell you, as 
someone who's been through the 

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training, nobody just drops out 
like that. 

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There's more of the story 
another user commented. 

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I have personal experience with 
this. 

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My daughter is a resident and 
she hates it. 

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I hated it too, but she doesn't 
want to quit. 

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I didn't want to quit either. 
She's worked so hard to get into

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medical school and then worked 
extremely hard to get through 

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medical school. 
It makes no sense to quit when 

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you're so close. 
If Casey Means didn't care 

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enough to finish, why would she 
even want the job as surgeon 

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general? 
Compare her resume to someone 

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like Doctor Vivek Murthy. 
I mean, yeah, right. 

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Like sensible people. 
We all have the same question. 

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Girl, you couldn't even get 
through a residency. 

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You want to be the Surgeon 
General? 

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How does that make any sense 
whatsoever? 

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OK, so this is really 
interesting. 1 user shared a 

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message from her division chair.
So that's the Doctor Who's in 

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charge of the division of ENT. 
Doctor Paul Flint, who is 

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chairman of the Department of 
Otolaryngology at OHSU at the 

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time, tells Vanity Fair that 
when Means left the program, it 

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was because she found the 
surgical work too stressful and 

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was not able to continue in the 
residency. 

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At least she had the strength to
recognize that in her fourth 

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year. 
It took lots of guts. 

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I didn't push her out the door. 
He adds, however, that you lose 

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some credibility when you just 
drop out. 

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He says he believes that since 
then, she has mischaracterized 

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US medicine as a conspiracy to 
keep people sick. 

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She's wrong, he said, adding 
it's a certain attitude that 

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denies all the successes that 
occur in medicine. 

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OK, so that's, that's a really 
interesting take because he's 

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acknowledging that the reason 
she left was because of her own 

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insufficiencies as a surgeon. 
But again, it's super unusual. 

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People don't usually make it 
till their fourth year. 

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All of residency is really 
stressful and hard. 

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And although the nature of the 
stress changes because you get 

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more responsibility as you move 
through the program, many would 

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argue that the beginning years 
are actually the hardest, right?

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So she made it through all of 
that. 

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And if you want to be a doctor, 
there are other residency 

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programs, right? 
So if you quit surgery, it's 

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common to then go into 
anesthesia or pick another 

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specialty and do that residency 
program. 

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She didn't, she chose chose not 
to. 

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She chose actually to not finish
any training program. 

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And I want to take a minute and 
educate everybody on what is 

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residency like? 
How does this whole thing work? 

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People think you go to medical 
school, you graduate, you become

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a doctor. 
OK, great. 

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You're a doctor now. 
Yeah, sort of. 

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You graduate medical school and 
you get your MD degree, OK, Or 

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DO degree and you then have to 
complete a residency. 

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You have never practiced 
unsupervised medicine when you 

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were in medical school. 
So when you graduate and you get

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that doctor degree, you've never
practiced medicine in an 

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unsupervised fashion. 
When you are a resident, you do 

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not practice medicine in an 
unsupervised fashion. 

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The only time that any 
practicing physician in the 

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United States gets to practice 
medicine in an unsupervised 

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fashion is when you are done 
with the residency training 

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program. 
Even the last day of residency, 

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you are supervised. 
Your work is spoken for by an 

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attending, an attending doctor, 
an attending surgeon. 

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KC Means has never practiced 
unsupervised medicine. 

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And this woman wants to be the 
surgeon general of the United 

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States. 
I mean, it's madness. 

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It is absolute madness. 
And the fact that people are so 

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quick to overlook it, I think 
partially maybe because they 

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don't get how this whole thing 
works. 

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You can drop out of a residency.
I have many friends who have 

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changed their specialties, 
chosen to do something else. 

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Maybe some even spent extra 
years trying to get the get the 

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specialty that they want. 
Choosing the right specialty is 

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really important. 
But if you're a Peter Atia, if 

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you're AKC means and you just 
don't finish and you don't do 

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anything else, you've never 
practiced medicine in an 

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unsupervised fashion. 
And that's wild to me. 

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OK, so she didn't finish 
residency. 

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What else about KC means? 
Well, there's a lot to say. 

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The woman doesn't have a medical
license. 

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So I watched this clip where 
she's getting interrogated about

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her lack of a medical license, 
which in 2026 we are asking our 

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nominee for the surgeon general 
why she doesn't have a license 

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to practice medicine in the 
United States. 

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Wild. 
OK, so while they're asking her 

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this, they're saying do do you 
intend on getting a medical 

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license? 
I mean, you don't have one. 

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And she says, no, not only do I 
not have a medical license, I 

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don't plan on getting a medical 
license. 

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OK, please tell us. 
KC means why you don't need a 

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medical license, but you want to
be the surgeon general. 

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And she says, well, I never I 
don't see patients. 

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Why do I need a medical license 
if I don't see patients? 

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That should tell you everything 
you need to know about how 

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unqualified this woman is. 
A medical license, Sure. 

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One reason you'd get 1 is so 
that you can legally practice 

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medicine and see patients, but 
there's so much more to it than 

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that. 
When you apply for a medical 

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license, they are pulling. 
Have you been sued? 

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Have you won? 
Have you lost? 

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Have you had drug problems? 
Have you been arrested? 

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What is your history? 
Do you qualify to be a 

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physician? 
No one ever has gone through 

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that to decide whether KC means 
even qualifies to have a medical

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license, let alone be the 
Surgeon General of the United 

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States. 
She doesn't have a medical 

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license and when she's asked, 
well, do you want to get one 

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now? 
She still says no. 

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And her reasoning being I don't 
take care of patients. 

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This woman doesn't even 
understand why medical licensure

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exists for all careers, for all 
professions, right? 

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Whether there's the bar, if 
you're going to be a lawyer, 

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there's medical licensure and 
board certification if you want 

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to be a doctor. 
These entities, they hold us 

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responsible and accountable. 
If you think about all of those 

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like crazy stories you hear, I 
think there was that 

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neurosurgeon, I believe he was 
in Texas and he was 

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intentionally killing people. 
People reported him to the 

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medical board. 
They reported him to to the 

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entity that manages medical 
licensure. 

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They hold us accountable. 
This woman has never been held 

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accountable, nor does she hold a
medical license. 

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And she thinks this joke of a 
human thinks it's irrelevant 

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because she's not practicing 
medicine by seeing patients. 

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Are we for real with us? 
If I haven't convinced you 

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enough why this woman should be 
nowhere near the position of the

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surgeon general. 
Just think about what she says. 

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Think about the things she's 
gone on record as saying. 

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First of all, when she speaks, 
there is a clear lack of 

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intelligence or insight. 
She will say the word sickness 

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and disease at nauseam, but she 
won't name the disease. 

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She'll just say, oh, America is 
sick. 

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Oh, there are so many diseases. 
What diseases, Casey? 

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Have you ever treated a disease,
Casey Unsupervised? 

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Do you know, can you prescribe 
for any diseases, Casey? 

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You can't because you don't have
a medical license. 

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She'll just use these vague 
terms, which is very Maha coded,

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right? 
Vague terms that people go, oh, 

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disease, sickness. 
Those are bad words, yes. 

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What is she saying about 
sickness and disease? 

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Yet there's no specificity to 
anything that she says because 

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she's not educated in those 
topics. 

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Sure, we can talk about root 
cause analysis all day long. 

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Yes, inflammation is bad. 
We can all agree on that, But at

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the end of the day, if you don't
have a 360 degree understanding 

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of medicine and the human body 
through the practice of 

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medicine, you shouldn't be the 
surgeon general. 

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And this is a problem that we 
see with so many Wellness 

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scripters, right? 
They use these buzzwords that 

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get people hooked and they're 
able to spread misinformation so

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readily. 
I mean, Casey was also grilled 

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on her stance on vaccines. 
This woman cannot commit to a 

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singular sentence. 
She, I mean, the verbal 

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gymnastics is just so 
frustrating. 

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She doesn't want to admit that 
she's gone on record for being 

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anti vaccine despite the 
overwhelming amount of data. 

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Someone who's educated in the 
topic and I have friends who are

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educated in the topic and we may
disagree on vaccines, but we can

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have a conversation. 
We can say, well this study was 

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this, but it was underpowered 
and they know what that term 

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means or they didn't control for
enough variables. 

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These are terms that we can 
discuss. 

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There wasn't long enough follow 
up. 

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It was retrospective, not 
prospective. 

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It wasn't randomized. 
These are terms that educated 

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people in medicine use when 
discussing data and published 

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peer reviewed literature. 
If you can't use those words and

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you don't know what they mean, 
you need to sit all the way 

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down. 
KC means you need to sit all the

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way down, like far away from the
public. 

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And it's for me, this whole 
charade of KC means it just begs

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the question, why does the Trump
administration insist on hiring 

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under qualified people? 
I mean, look at Pete Hegseth, 

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look at Pam Bondi, look at Kash 
Patel. 

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Now look at KC means my 
husband's here right now and 

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he's mad because when I listed 
the people like the when I went 

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through the list of people who 
are not qualified for their 

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00:14:34,800 --> 00:14:37,320
positions, I didn't specifically
mention RFK Junior. 

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00:14:39,000 --> 00:14:43,080
Thank you Ravi for reminding us 
another person who is grossly 

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under qualified would be RFK 
Junior. 

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He's just said so many lies that
we have plentiful data to show 

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us that he's wrong. 
And people still stand by him 

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and believe him. 
And now I can't sway the entire 

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opinion of the public, you know,
with a podcast episode. 

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And I realize that I can't and I
don't want to talk about him 

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because it requires so much more
of a nuanced conversation, 

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requires time. 
And a part of me feels like, you

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00:15:11,720 --> 00:15:15,120
know what, that ship has sailed.
It was also a terrible decision.

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But right now we need to focus 
on what's important and what we 

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can possibly affect in the 
immediate setting. 

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And that is the appointment of 
see means as the surgeon 

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general. 
I just I can't even like mention

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00:15:24,800 --> 00:15:27,240
his name because then I think of
that image of him and Kid Rock 

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00:15:27,640 --> 00:15:32,320
doing a workout in the sauna. 
And it just like this is what 

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00:15:32,440 --> 00:15:33,880
the government has devolved 
into. 

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00:15:33,880 --> 00:15:37,560
This is we are a laughing stock.
Could you imagine being a world 

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00:15:37,560 --> 00:15:41,840
leader or, you know, in charge 
of, of the health and well-being

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00:15:41,840 --> 00:15:45,840
of another country and seeing 
what the mockery that RFK Junior

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00:15:45,840 --> 00:15:48,360
has made of our, of our health, 
of American health. 

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00:15:48,360 --> 00:15:51,280
I mean, it is literally 
embarrassing and it makes my 

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00:15:51,280 --> 00:15:52,880
stomach turn. 
So that will be the last that I 

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00:15:52,880 --> 00:15:57,760
say his name on this episode. 
This administration chronically 

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encourages and hires people into
positions that they are under 

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00:16:03,160 --> 00:16:05,840
qualified for. 
They don't have the education, 

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00:16:06,040 --> 00:16:08,680
they don't have the training, 
they don't have the credentials.

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00:16:08,960 --> 00:16:11,800
And to me that's a very 
calculated effort because truly 

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00:16:12,320 --> 00:16:16,520
I can give you the names of a 
couple of super MAGA trumpy 

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00:16:16,520 --> 00:16:20,480
doctors who I may disagree with 
them wholeheartedly, but they 

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00:16:20,480 --> 00:16:24,080
got through residency. 
They are board certified, they 

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00:16:24,080 --> 00:16:27,000
have a medical license. 
They have practiced medicine. 

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He didn't choose somebody like 
that, right? 

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00:16:29,400 --> 00:16:34,000
He purposefully chose somebody 
that doesn't meet any sort of 

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00:16:34,000 --> 00:16:37,440
educational or licensure 
criteria to be a practicing 

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00:16:37,440 --> 00:16:39,560
physician. 
And to me, it's just this 

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00:16:39,560 --> 00:16:42,200
continued attack on educated 
people. 

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00:16:42,480 --> 00:16:45,200
I mean, to me, it all falls in 
the same basket, The motivation 

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00:16:45,200 --> 00:16:48,040
for why would you say that 
nurses aren't professionals? 

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I mean, it's astounding to me. 
Why would you say that? 

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00:16:50,840 --> 00:16:54,600
And it's because he continues to
attack data and science and 

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00:16:54,600 --> 00:16:58,640
anybody who uses data and 
science to be who they are 

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00:16:58,640 --> 00:17:01,760
professionally, he undermines 
them by saying you don't even 

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00:17:01,760 --> 00:17:03,880
need data and science or 
licensure or board 

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00:17:03,880 --> 00:17:05,880
certification. 
You don't even need to be 

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00:17:05,880 --> 00:17:08,400
actually a practicing Dr. to be 
the surgeon general. 

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00:17:08,760 --> 00:17:12,200
That's the that's like using a 
megaphone to send the message 

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00:17:12,359 --> 00:17:15,760
that education is unimportant. 
That message will land with a 

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00:17:15,760 --> 00:17:19,520
very specific group of 
individuals that he preys on 

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00:17:19,800 --> 00:17:23,440
that are vulnerable to the 
misinformation that are easily 

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00:17:23,440 --> 00:17:29,160
manipulated, that he can then 
pull in by lying to them into 

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00:17:29,160 --> 00:17:32,160
his support system. 
And that to me is why he does 

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00:17:32,160 --> 00:17:34,600
what he does. 
He intentionally chooses under 

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00:17:34,600 --> 00:17:38,360
qualified people to draw in 
support from the least educated 

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00:17:38,360 --> 00:17:41,000
people. 
And I'm just stating facts here.

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If you look at where the 
demographics fall on who votes 

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00:17:43,680 --> 00:17:46,280
blue and who votes red, 
especially in recent elections, 

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00:17:46,600 --> 00:17:49,880
it is very much tied to college 
education, right? 

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00:17:50,120 --> 00:17:55,360
Well, if you further vilify 
people who have their education,

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00:17:55,360 --> 00:17:58,280
who have done the training, who 
have gotten the degrees, if you 

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00:17:58,280 --> 00:18:03,480
make them the villain, it's easy
then to draw in your voter 

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00:18:03,480 --> 00:18:05,880
crowd. 
That doesn't fit the blue 

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00:18:05,880 --> 00:18:08,560
demographic. 
So Casey Means is another pawn 

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00:18:08,560 --> 00:18:10,080
in the game, right? 
What does he do? 

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00:18:10,400 --> 00:18:14,680
He hires a lot of women who are 
under qualified and he's the 

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00:18:14,680 --> 00:18:16,600
puppeteer. 
They owe their job and their 

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00:18:16,600 --> 00:18:20,120
position to him because they 
would have never otherwise 

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00:18:20,120 --> 00:18:21,880
gotten it. 
They don't qualify. 

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00:18:21,880 --> 00:18:25,560
They don't have what it takes 
obviously, but he gave them the 

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00:18:25,560 --> 00:18:30,080
job so they're loyal to him and 
they will do as he says and he 

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00:18:30,080 --> 00:18:33,760
gets to be the puppeteer because
he gave them their job that they

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00:18:33,760 --> 00:18:37,080
didn't deserve. 
So it's it all goes back to 

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00:18:37,080 --> 00:18:40,800
suiting his position of power. 
It got a lot of messages from 

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00:18:40,800 --> 00:18:44,160
you guys, a lot of forwarded 
videos and commentary on when 

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00:18:44,160 --> 00:18:45,240
are you going to talk about KC 
means? 

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00:18:45,240 --> 00:18:47,880
When are you going to talk about
KC means and I didn't post about

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00:18:47,880 --> 00:18:50,200
it on Instagram because I think 
it deserved a full on 

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00:18:50,200 --> 00:18:52,200
conversation. 
So I was saving it for a podcast

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00:18:52,200 --> 00:18:56,360
episode because there are so 
many reasons why this woman 

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00:18:56,360 --> 00:18:58,400
should not be our surgeon 
general. 

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00:18:58,920 --> 00:19:02,920
And unfortunately, she's likely 
to find the support because she,

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00:19:03,360 --> 00:19:06,600
like everybody else who's in the
majority that's going to affirm 

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00:19:06,600 --> 00:19:08,800
her, they're all pawns in the 
game. 

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00:19:08,840 --> 00:19:10,360
So what can we do about it, 
right? 

371
00:19:10,360 --> 00:19:14,880
What can we do to make sure that
this woman does not become the 

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00:19:14,880 --> 00:19:16,600
surgeon general? 
You need to contact your 

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00:19:16,600 --> 00:19:19,200
senator, especially if they 
serve in the health committee. 

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00:19:19,240 --> 00:19:21,040
I'm going to read this off my 
phone because I want to make 

375
00:19:21,040 --> 00:19:23,920
sure I get it right. 
You want to call the US Capitol 

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00:19:23,920 --> 00:19:30,040
Switchboard at 202-224-3121. 
You want to ask to be connected 

377
00:19:30,040 --> 00:19:32,120
to your senator. 
You can also e-mail your 

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00:19:32,120 --> 00:19:33,240
senator. 
You just have to go to their 

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00:19:33,360 --> 00:19:35,600
website and they'll have an 
e-mail and you're going to say 

380
00:19:35,920 --> 00:19:39,920
I'm a constituent and I'm asking
Senator so and so to oppose 

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00:19:39,920 --> 00:19:43,640
confirming a Wellness 
entrepreneur who did not 

382
00:19:43,640 --> 00:19:49,360
complete any residency training 
as the next US surgeon general. 

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00:19:49,600 --> 00:19:52,280
This role requires medical 
credibility, scientific 

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00:19:52,280 --> 00:19:55,600
grounding and real public health
leadership, none of which this 

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00:19:55,600 --> 00:19:57,920
woman has if you live in 
Louisiana. 

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00:19:58,080 --> 00:20:00,800
Senator Bill Cassidy, a medical 
doctor, chairs the health 

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00:20:00,800 --> 00:20:04,080
committee and has significant 
influence over what happens 

388
00:20:04,080 --> 00:20:06,680
next. 
Call his office and make your 

389
00:20:06,680 --> 00:20:09,320
voice heard. 
Look guys, we're seeing changes.

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00:20:09,320 --> 00:20:12,440
We're seeing red districts flip 
to blue. 

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00:20:12,680 --> 00:20:16,200
We are seeing people slowly wake
up to the fact that they have 

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00:20:16,200 --> 00:20:18,000
been lied to by this 
administration. 

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00:20:18,000 --> 00:20:20,160
They have been manipulated and 
lied to. 

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00:20:20,520 --> 00:20:23,560
So it's OK. 
It doesn't matter where on the 

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00:20:23,560 --> 00:20:27,280
spectrum you fall, red to blue, 
purple, whatever green. 

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00:20:27,280 --> 00:20:31,960
These positions have to be held 
by respectable individuals who 

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00:20:31,960 --> 00:20:35,360
have earned their seat, who have
earned the right to be there. 

398
00:20:35,680 --> 00:20:40,920
KC means in no capacity should 
be our Surgeon General. 

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00:20:40,920 --> 00:20:45,400
She has 0 redeeming qualities. 
She has 0 qualifications 

400
00:20:45,400 --> 00:20:49,960
required. 
And she is, she's frankly A 

401
00:20:49,960 --> 00:20:52,600
shameful nominee. 
So let's all stand up 

402
00:20:53,400 --> 00:20:56,240
collectively agree that we 
should not support her as the 

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00:20:56,240 --> 00:20:58,440
nominee for surgeon general. 
I can't wait to hear what you 

404
00:20:58,440 --> 00:21:00,440
guys think about this. 
There's anything more you guys 

405
00:21:00,440 --> 00:21:02,800
want to know about whether it 
comes to surgical training or 

406
00:21:02,800 --> 00:21:05,360
how one actually becomes a 
practicing physician? 

407
00:21:05,600 --> 00:21:07,640
Let me know in the comments. 
I will get back to as many of 

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00:21:07,640 --> 00:21:11,000
you as possible, but that's what
I got for this episode of Inside

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00:21:11,000 --> 00:21:11,920
Thoughts Out Loud.
