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Coronavirus 6.3 - Part 3 of 4: What we need, why we can't have it, what we must do, and dangers
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Richard H. Roberts, M.D., Ph.D. presents a comprehensive update on the coronavirus pandemic with insights from medical science, economics, company management, government, and politics along with some lessons in life. Dr. Roberts received his medical degree and doctorate in biophysics from the University of Pennsylvania and completed a medical internship at the Brigham and Women's Hospital of Harvard Medical School. He was the President and CEO of a pharmaceutical company for 24 years and is a prominent community figure in the Orthodox Jewish community of Lakewood, NJ.
Categories:Health & Medicine
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Auto-generated transcript. Not time-synced to the video.
welcome back to part 3 for my sixth
YouTube video on coronavirus now I want
to switch the focus a little too to
politics and running a company and what
is what is the role of a president
president Trump Eve scene has to a
significant degree sidelined dr. Falchi
and dr. Burks now dr. Falchi testified
before the Senate a few weeks ago and he
said something which is really true
everything he says I think everything he
said so far I think is true from what
I've seen what he said is look I'm a
medical doctor I'm a biologist I can
only give you my advice based on medical
some medical science that's really true
that has nothing to do with how we're
going to behave in our society though
let me explain when I was president of
this drug company I what I knew was the
vice president's or senior vice
presidents each of their own areas of
expertise and they have they they are
they are responsible for their areas of
responsibility therefore they will give
opinions they will execute based upon
their area their domain so for example I
could have research and development
wants to make a a production size batch
of a product that they want to then test
and submit to FDA so you can get drug
approval because that's research and
developments responsibility is to get
new drug approvals yeah you know you
don't want products great so so so so
research development wants to break in
to the manufacturing schedule stop the
manufacturing schedule spent 12 or 18
hours cleaning those machines then run
the research and development batch of
this product that we don't have approval
one yet on those machines then take
another 24 hours to clean those machines
before production can go back into
making our regular products on those
machines but then the vice president of
operations says you can't do that I have
a protection schedule to me I need to
have this product made yeah I'm not
gonna be able to meet my production
schedule on this product if you break
into that machine and you take it over
for four or five days then sales and
marketing says I need the product now
this sell you can't you can't just break
into the into operations production
production schedule I have customers I'm
going to lose the customers if we can't
deliver on time our competition will
deliver on time and we're going to lose
that business forever chief financial
officer says I know for the long-term
good we need to to do research and
development but right now our cash flow
is tight we do need to make these
batches convert this raw material into
final product that we can sell and get
the cash in the door but aren't research
development says I know you've all got
your have your issues but then I'm not
going to hit my production but I'm not
gonna hit mine research of development
schedule on this or this product what do
you do
that's called the president the
president of the kulluk company is the
one who has to make the decision the R&D
guy has his concerns the operations guy
his concerns said his to be his
her estate generically the sales guy
doctor Falchi dr. Burks they are
speaking from a scientific and a public
health perspective but they're not
taking into account the economy the
social structure the social stability of
our entire country the future of the
country economically the military
stability of the country given its
economic health they're not thinking
about what's happening inside homes when
people are stuck at home people some
people are not reacting very well to
this there's some bad things happening
in families they're not thinking about
any this good thing about the virus okay
that's their job
but the president is the one who needs
to make the decision now if the
president if President Trump would have
said initially this is crazy I'm not
doing it I'm not shutting down the
country we're just gonna keep going and
then all these people died the Democrats
would have skewered him and said you
didn't listen to the doctors you're
reckless you're wild now we have a
million people dead or two million
people dead in Peacham they would they'd
impeached him over however over a whole
lot less than that so President Trump is
really in a corner he had no choice
initially and by flattening the curve
which really has happened it has allowed
the medical system to catch up with the
needs of the sick people the people that
are sick but now that we have flattened
the curve now that we have any more
ventilators now that we have resupplied
now is the time the president has to say
enough for Cohn Ian measures if you
don't wear a mask but everybody back to
work and the truth is if you would say
that and now what's going to happen is
because people and so many people are
not following the quarantine measures
social distancing measures think there's
gonna be a huge up spike again the
Democrats would have jumped on him for
that
the president actually has the best of
both worlds now because it's individual
governors who are taking taking it on
themselves to say go back to work and
then when this up uptick occurs and as
the uptick I think it's going to be
tidal wave but I don't know and we're
not gonna have to wait three months to
find out this uptick occurs the
president be able to say it's not his
fault
because he didn't tell everyone go out
without masks or he didn't say he didn't
open up the you know the the doors have
the jail break which is what it looks
like now
but the life point I wanted to make was
whether you're the president of the come
of a company or the president of the
reign of the United States or if you're
a parent or the head of any other
organization if you're the head
you're going to have competing forces my
I used to tell my executive vice
president of commercial operations when
I would have several vice president
senior vice presidents at each other's
throats you know they want this they
want that give me more this my budget I
need these sources I said the kids are
fighting again and that's what it is
they all you know the kids are fighting
again everybody has their area of
responsibility or interest this child
wants more apple juice that child wants
more of candy and that child is jealous
of this one and you have to be the
parent or you have to be the president
and and you get paid the big bucks as a
president and CEO to weigh all of these
factors hopefully you're intelligent
enough hopefully have enough foresight
and judgment to make the right decision
and as I wouldn't when I when I would
make these decisions all these - almost
all decisions I would always have my
eyes wide open looking for new data
every step along the way to see when I
needed to change change course if new
data showed me or showed us that now no
we shouldn't be doing you this way
should do it that way
you always have to keep your mind to
open open to change according to how
data comes in but understand the
president or that CEO at some point has
to make a decision I want to try to run
through a few really major concepts it
may be somewhat rapid-fire if I can
first many people will speak about the
corona virus epidemic or epidemic the
United States as being like a forest
fire and they're going to the government
is planning to use contact tracing as
they say to stamp out any embers that
are still lit in other words you use you
use social distancing and quarantine to
get that deeply rising level of
infections to level off or even struck
down a little bit in certain areas and
now as people leave if you see new area
without breaking with her other
outbreaks gonna go stamp their stamp on
those embers and put them out through
contact tracing where the government is
going to hire tens of thousands of
people to trace every one that that
person came in contact with when there's
a new new person gets sick
there are a few points I'm going to make
with this contact tracing will not work
it has worked in China because China is
a totalitarian communist country where
they have in most major cities cameras
on almost every spot where people could
be and the cameras are hooked up to
computers with artificial intelligence
and they identify everyone's name by the
by facial recognition and if someone
jaywalks meaning if they cross the
street in the middle of the street and
out of the corner the computers will
automatically put their face and their
name up on Billboard's electronic
billboards call the Wall of shame and so
China which is a totalitarian country
they can implement total lockdowns and
an absolute contact tracing another
country that can do it is Israel because
when you are when you're a country of
6.7 million Jews surrounded by 450
million Muslims most of whom would like
to kill you you learn to do away with
some of your civil rights even though
Israel is a true democracy may be the
ultimate democracy so much of they have
chaos at times but the Israel has no
problem with Mossad there's secret
organization their intelligence
organization kind of like the FBI year
there are no trouble with with a Shin
Bet excuse me we're Shin Bet monitoring
phones monitoring people which they've
done for terrorism and now the drinking
for coronavirus but in in a free country
like the United States where we don't
accept the totalitarian controls that a
country like China does and we are not
under the threat that a country like
Israel
there's no way that we're going to
tolerate now those types of intrusions
into our privacy the other thing is
there are not a few embers from the
forest fire that's been put out and
where those embers have flown and melly
have to be stamped out that's not the
case there are probably hundreds of
thousands of embers all around there's
so many that's a problem with this
that's why this virus cannot be
contained because there's so many people
that carry this virus for so long with
no symptoms that by the time they get
sick there's no way you can go back and
trace where they had been
but contact tracing does pose a major
threat to our society in in 1919 in 1989
to 1993 in the generic drug industry
there were many companies that were
caught cheating they were caught
committing fraud in their documents
against FDA an FDA formed a group of
lawyers who are prosecutors and there
they're there they're a branch of FDA
that are designated just to go after
those who are committing crimes in in
the generic drug industry well by 1993
1994 the generic and generic drug
industry was completely cleaned up I'd
say there's been an exception here or
there but it's very very rare but what
happens you don't fire those prosecutors
you don't fire those lawyers they are
like a wolf pack
looking for someone to bite
a lot of years later in the 2000s well
into the 2000s late 2000s we had a drug
that we were we were a generic drug that
we were going after and we were going to
break the brand's patent and we told the
brand the company which is what you're
supposed to do that your patent is not
valid or it's not going to apply to us
the brand company then Sue's us
litigation and sues the brand company
through through the litigation process
was able to get all of our documents
related to that drug
now FDA it passed let me go back and
we're in a tablet you know we're in a
tablet of drug many times most of what's
in that tablet is not the drug at all
for example it's a one milligram drug
the smallest tablet you can really pick
up with your fingers is about 80
milligrams to 100 milligrams so in that
100 milligram tablet you might have one
person one milligram a drug and 99
milligrams of other stuff I'm not going
to go into all the pharmaceutical
science I hope to do that in another
video so generic drug company has to
figure out how to mix and what to mix in
terms of different inactive ingredients
with the drug so the drug releases
chemical into the bloodstream over time
is the same rate as the branded product
does and many times you try one or two
formulations of that drug generically
and you'll test it in people and you
don't match the brand so that you make a
new formulation and based on science
hoping to match the brand so with this
drug we had submitted to FDA the
formulation that we had made that passed
FDA past studies and people that we were
trying to get the approval for but
unfortunately for us the FDA had passed
a law saying even though you're not
trying to get drug approval on those old
formulations you have to submit all of
them any
way along with the studies you did in
humans that failed and by strict
clerical error somebody in our research
and development department just missed
sending one of those studies on a failed
formulation that we were not trying to
get drug approval for unfortunately that
person failed to submitted to FDA