GREG NEWS | PREVENT SENIOR

Video Statistics and Information

Video
Captions Word Cloud
Reddit Comments
Captions
Rock. I'd love to know how come rock stars never go bald. Ozzy, Robert Plant, Paul McCartney, Steven Tyler... They all have more hair than I did at 15. Mick Jagger loses soccer games every day, but doesn't lose a single strand of hair. Keith Richard's head is still full of hair, even after a life of Marlboros and injecting drugs. Someday, we'll find out that the best medicine for hair loss is heroin. I'd love to see what would happen in the Congress, or at Faria Lima, then. Guess we'd see a "heroinerie" at every corner of São Paulo. "Here, we work with gourmet needles, blowtorched copper spoons, our famous heroin truffles..." "Come on, Gregório, people wouldn't become heroin addicts just to avoid hair loss". Look... I take finasteride, which can cause impotence and increase one's breasts. You think I wouldn't prick myself if that'd give me Iggy Pop's mane, for instance? "Ew, but you have to pierce the skin to use heroin!" Honey, people already do that to avoid hair loss. They get hair plugs. They pierce the head's skin and stick hair in the scalp, strand by strand, and it ends up looking like shit. And what's worse? No waves. You think people wouldn't stick some heroin here? As if! As you might've guessed, I'm not really a rock expert. I see rock festivals' line-ups and recognize no one. "'Rumble Flutters' who? 'Robic Lockles' what?" It's all Greek to me. Sometimes I think it's because I'm old, but then I see the festivals' audience and think, "No, maybe it's because I'm young!" Because, funnily enough, liking rock kind of became an old fogey's pastime. Back in my day, old people listened to oldies stations. Now, they listen to Metallica. Which makes no sense, since rock'n'roll began as music made by black youngsters - which white men hated, by the way! It's like, in 50 years, right-wing geezers only listening to Poze do Rodo funk. "I only listen to Kevin O Chris! Those were the days! We would go to 'Baile da Gaiola' intent on getting laid!" Anyway, I don't know any more rock bands. It was only when writing this show that I found out that there is a Brazilian band that managed to be featured both in Lollapalooza and Rock in Rio, in addition to serving as the opening act in the Brazilian tour of Guns N' Roses, Black Sabbath, and the Rolling Stones! Yep. That band did all that, and I'd never heard of them. And you probably haven't, either. The band's called "Doctor Pheabes". Ever heard of 'em? Didn't think so. And most curious of all: all members are doctors and dentists. You can just TELL they're doctors - I've never heard such generic rock music in my life. And you can also tell they're dentists, because their sound sounds a lot like that classic dentist sound... Listening to them makes me miss that sound. I liked their previous hit better... It was more pleasing to the ears. But how did that band manage to open for Rolling Stones with music that reminds one of tooth filling? "Oh, maybe they're actually very popular among dentists, full of followers"... Well, no. They only have 11k Instagram followers, and 3k subscribers on YouTube. It makes no sense. How did they do it? Well, they paid for it. That's not me saying it, but their very own vocalist, Eduardo Parrillo. "If you think we only did the opening act because we financed it, that is true. Whatever. Which band should play, if not us?" Well, basically any band that didn't need to pay. But just so I don't sound prejudiced against your band, let me just say that a review of one of their Rock in Rio shows said that Supla, of all people, stole their thunder during the show. Not that the band COULD steal thunder. They'd already bought it. But how did those guys raise enough money to play at Rock in Rio? Which, by the way, should have its name changed to "Rock in Rich", both for ticket prices, and what they're charging for people to play there. Anyway - they didn't raise enough money to pay Medina doing gigs at bars. Nor did they amass that fortune by filling teeth. You might not have heard of the band, but surely you know the band members' company. Doctor Pheabes's vocalist and guitarist are the owners of Prevent Senior, the healthcare provider that's been in the center of the latest scandals in the COVID corruption investigation, being accused of a myriad of iniquities, including using old people as unwitting lab rats and speeding up the deaths of COVID patients by shoving chloroquine down their throats, and O2 up their recta. Oh, how I miss the days when people said rockers'd stick heroin in their arms, rather than O2 in other people's asses. But before making headlines as a horror story, Prevent Senior was a success story. It started as a healthcare plan specifically aimed at the elderly, with relatively affordable monthly plans, under 1,000 reais. Hence "Senior" - fancy talk for "elderly". Couldn't be calling it "Prevent Geezer". Wouldn't be as charming. And curious how Prevent Senior opted to specialize in patients who, in theory, are the most expensive. In their final four months of life, people spend half the health expenses of their entire lives. That's why, according to all experts in the field who we've talked to, healthcare plans don't really care for elderly clients, since they make use of their plans more often than they pay monthly fees. Which is why, as we get older, healthcare plan costs skyrocket, reaching up to many thousands of reais past our sixties. A healthcare plan for the elderly can cost almost five times as much as one for the young, which has made beneficiaries drop their plans due to being unable to pay for increases. And that is especially cruel, because it's the elderly who most desperately need the plans. It's like a gym not accepting muscle-heads. "Sorry, we only take couch potatoes. Those biceps... clearly you'd get us in the red, so, no". Well, in that gap between the elderly wanting healthcare plans and healthcare plans wanting nothing to do with the elderly, Prevent Senior blew up. And that happened while the median age in Brazil has been rapidly increasing - the number of Brazilian elders grows nonstop. Even you, young viewer, is growing old right now, even if you're called Enzo. It sounds weird, but one day, "Enzo" will be an old man's name. Everybody will have a "Grandpa Enzo". Heck, maybe we'll have a "president Enzo" - a "presidenzo". Statistically, you're likely to vote for a "presidenzo". After all, "Jair" and "Regina" were, at one point, baby names. "Jair" was "Enzo" once. 70 years ago, daycares were full of Veras, or Gregórios... No, scratch that. Gregório's always been an "old" name. Gregórios are born 80, like Onofres and Apolinários. Weirdly enough, I was born Gregório. It must've been so weird. I vaguely remember that kids at the daycare didn't give me "good morning", but "bless me, sir!" Anyway. Prevent's revenue quadrupled between 2014 and 2020, and profits, too, increased at an astronomical rate, reaching almost 500 million reais last year - an impressive record, reached while the company's target audience was the most affected by the disease that most rapidly hospitalized and killed Brazilians in history. Prevent Senior is currently Brazil's ninth biggest healthcare provider, caring for over 500 thousand people, mostly elders. They have an army of Mrs. Ruths and Mr. Valdirs. And by what miracle are they managing to prosper so much, and profit so much, off of the elderly, who cost the most for any healthcare plan? We did some press research to uncover Prevent's secret for all that growth. Over the last decade, many news stories were published, mostly very positive ones, exploring the company's success. Valor Econômico's story was, "Going against the flow, Prevent Senior survives and thrives". Istoé, meanwhile, used this gem of a headline: "Neither 'old' nor 'elderly' - call it 'opportunity'". Which is a terrible idea. Don't try to call an old person "opportunity". They won't answer. "Excuse, Mr. Opportunity? Yes, you". "Sorry, you can't park here, because you aren't opportunity yet, ma'am". According to those pieces, Prevent's secret is that they have their own network of facilities, including eight emergency centers and 12 hospitals from the "Sancta Maggiore" network. A name that sounds like it means nothing, but surprise! It really doesn't. They made it up. I mean, there is an actual Saint Mary Maggiore, but no Mary-less "Maggiore", much less a "Sancta", which is a made-up Italian word! They fabricated an Italian and religious-sounding name, but which is neither. It's like "Häagen-Dazs" which is Danish for... nothing. It's an American company whose owner came up with a Danish-sounding name so that his products sounded foreign, and thus, he could price them higher. So very "sancta-monious" of him. Anyway - thanks to that model of being both healthcare provider and hospital owner, Prevent seemingly managed to keep costs relatively low, avoiding, as described by an Exame piece, "losses thanks to unnecessary exams". Not to be confused with "unnecessary Exame". That's the magazine. It's the so-called verticalization of health services: a single company handling everything for the patient, from the health insurance, to scheduling, to exams, to transportation, to surgeries. But the testimony of Prevent's doctors, patients, and directors to the CPI brought to light a possible new reason behind their profits, and it doesn't seem to be by "avoiding unnecessary procedures". According to the reports, Prevent has been avoiding necessary procedures, which definitely does lower costs. One of the most revealing reports to the CPI was this one, by Bruna Morato, lawyer of the doctors who reported the company. And they reported that for patients who were hospitalized in certain intensive care units for over 10 to 14 days, it was recommended to reduce oxygenation. In other words, they would slowly reduce oxygen supply. Those patients, according to doctors' reports, would depart in the ICU, freeing beds. Yep: according to Prevent doctors, when COVID-infected elderly were admitted for too long, the company's recommendation was for doctors to reduce their oxygen supplies, which is a soft way of saying that they'd let patients die, which is a soft way of saying that they'd kill their clients who were rudely insisting on living. According to various doctors who worked for the company, they were told to reduce their oxygen until, as the lawyer says in very legal, neutral words, they'd "depart". Didn't get what she meant? Then try listening to this testimony by Tadeu Andrade, a Prevent Senior patient who had a serious case of COVID. It'll become clear. At Prevent Senior, the doctor contacted my family, telling them that I'd need to be transferred to a "hybrid bed", for palliative care. So, my equipment would be turned off, they'd apply morphine in me, and I'd die. My family riled up against them, threatening to take it to court, to file for an injunction, to tell the media, so they backed down. Now, I'm alive. All that was left was to prescribe a pillow to his face. "Sorry, sir, your plan doesn't cover surviving". According to Tadeu's CPI testimony, his family hired a non-Prevent doctor who told them there was no reason to consider Tadeu's case irreversible. It was just a complicated case that'd require care, and care is expensive. It's cheaper for the patient to just die. Since the case wasn't irreversible, then it wasn't right to say he'd get "palliative care". That's a different thing. That's legitimate, humane medical actions, consisting in treating one's pain and discomfort even when nothing else can be done to save their life. Administering palliative care does not mean speeding up a patients' death. That has a different name. But I can't say it here, or our legal team will administer palliative care on me. The doctors' lawyer made Prevent's philosophy regarding palliative care quite clear, though still under her neutral lawyer speak. The one expression I often heard being utilized was: "a death is also a discharge". So, it sounds like that's how you turn the elderly into "opportunities", and make billions with them: by vacating ICU beds ASAP. After all, "a death is also a discharge". In a way, it was obvious that Prevent's billionaire model could be hiding a dark secret. After all, some areas of life are simply not profitable, elderly healthcare being the clearer example of one. It's basically impossible for the adequate care of an elderly person to be profitable, unless the person pays insane amounts. So much so that even the US, the model nation for pro-market ideology, the only rich country without a big, accessible public healthcare system, has a small exception in the capitalism that rules over everything else: elderly healthcare. American elders have the right for Medicare, a health insurance exclusive to people over 65, one that is subsidized by the government. Not even Republicans, who are completely against State intervention, have the gall to be against Medicare. They know that offering profitable health insurance for the elderly is an almost impossible task, and that serving older clients would end up breaking the insurance plans themselves. Plus, they wouldn't be crazy enough to do that, because if everyone over 65 started dying off, who would vote for the Republicans? The only way to turn the elderly into "opportunity" is by taking measures to free up beds, rather than to treat people. By working while denying treatments that can save lives, as they're expensive. And when the insurance's manager owns the hospital as well, then there's a very twisted incentive for the hospital to spend the least it can on patients during hospitalization. And that seems to be the result of Prevent's "innovating business model": the faster a patient dies, the more the company's CEO profits. So maybe next year you'll see their band opening the Coachella - because during the pandemic, Prevent Senior thrived even more than they had been before. Prevent drew in so many new clients that they opened two new hospitals, in addition to expanding their coverage from São Paulo to Rio de Janeiro, Brasília, Curitiba, Porto Alegre, and Santos. Yes, Charlie Brown Jr.'s hometown. And like the band'd say, "I see what they talk about old people on TV, and it ain't serious. Old people aren't taken seriously in Brazil". The group has also announced the construction of "Prevent Senior Town", which the company's guitarist-CEO called a "Disneyland for seniors". But a "Disneyland for seniors" already exists - it's called "SESC Copacabana". I'm not saying that every private healthcare provider follows Prevent's model. We all know that some of Brazil's best hospitals are private, such as Albert Einstein, Sírio-Libanês, and Moinhos de Vento. But they aren't COMPANIES. They're all foundations. They were created by communities and are managed by councils, that afford them thanks to donations, and they all have clinical staff unaffected by the logic of profit, with the autonomy to do whatever's necessary for the patient's well-being. The boss of any given Albert Einstein doctor doesn't own their patients' healthcare plan. That boss doesn't pay the bills of the procedures the doctors utilize to save their patients. When a doctor helps a patient through the use of an expensive procedure, the doctor's boss doesn't berate them for "increasing costs". Witnesses who testified to the CPI didn't accuse Prevent of just denying adequate treatment for patients who could still be saved. Another accusation raised against Prevent was that they'd have carried out medical experiments, without the consent of the patients or their families, to prove the efficacy of chloroquine through an adulterated study that omitted important results. That same study was of special interest to the Federal Government, who by this point was, of course, very close to Prevent. Bolsonaro sees a mess, wants to be part of it. By all indicators! According to witnesses, right when the pandemic began, when many Prevent patients started dying of COVID, surveillance over the company reported overcrowding, overcharged staff, and disorganized hospital activity. Relatives of patients have also reported that the hospitals didn't inform them of the severity of their disease, and even allowed for visitors as usual, facilitating contamination. São Paulo's Municipal Department went as far as requesting intervention in three of Prevent's hospitals. Even then-Minister of Health Luiz Henrique Mandetta suggested an intervention in the hospitals. Just goes to show - Brazil is so bad, we even miss Mandetta! The lawyer who's representing 12 Prevent doctors in the CPI claimed that after Mandetta's criticism, back in 2020, the company's execs attempted to approach Mandetta, unsuccessfully. During that same period, those same execs would have learned that there was a shadow office advising Bolsonaro. And so, they decided to go seek those guys. And by all indicators, that shadow office was comprised of doctors, such as Nise Yamaguchi, Paulo Zanotto, and Anthony Wong, who, coincidentally, advocate for the so-called "early treatment". They'd advise Bolsonaro to oppose vaccines. And according to witnesses, that group also included doctors from the Federal Council of Medicine - the people who SHOULD be ensuring medical ethics amidst the chaos. Yes, it looks like a government body meant to stop a supposed shadow office may have been part of that supposed office. According to reports, they were all perfectly aligned with Ministry of Economy Paulo Guedes. Who probably also sees retirees dying as "discharges". Because for him, high inflation and high dollar exchange rates are also "discharges" of sorts. Coincidentally, or not, 16 days after Mandetta publicly criticized Prevent Senior, Bolsonaro fired him off the Ministry. On that same day, the Federal Council of Medicine requested an emergency meeting with Bolsonaro, and soon after, approved the order for doctors to prescribe the so-called "COVID kit" to COVID-19. And the first company to puff their chest and declare that they were saving hundreds of lives with chloroquine? Yep - Prevent Senior. Doctor Pedro Batista Junior, Prevent's executive director, even made a point of stressing that the company had "great relations with the Ministry, with the Federal Government, and with all governments!" So good those relations were that, on that occasion, Bolsonaro himself published this on Facebook, celebrating how Prevent Senior had managed to reduce deaths by COVID to zero through the use of chloroquine. Bolsonaro cites data from the study that indicate that the group of patients who didn't use chloroquine saw five deaths, while the patients who used it had zero. But the information we have today indicate that Prevent omitted at least seven patient deaths in the study. So, looks like we had some fraud. Why, you ask? Probably so that the result would be the one Bolsonaro wanted to hear. The study started being carried out without the Ethics Committee's approval, and many patients and their families report that they weren't informed that they were being used as lab rats, which violates ethical research principles. Yes, it seems like harmless senior citizens were used as lab rats without their consent, and had the real reason behind their deaths omitted, their families fooled, all so that the relationship between Prevent Senior and the Federal Government remained, in Pedro Batista's words, "great". And here's the key point: the importance of medical autonomy, which Prevent itself defends so passionately when they claim that doctors have the "right" to prescribe chloroquine to a patient with COVID, despite no proven effectiveness... That autonomy really is fundamental to the medical sector, and it applies both for doctors and their patients. But what we've learned at the COVID CPI seem to indicate that the opposite happened at Prevent Senior: patients had no autonomy. According to Prevent's CEO, treatments were omitted both from patients and their families, and ID codes for diseases were altered, which means that death certificates were fraudulent, all in order to omit COVID-19. As for medical autonomy, doctors seemed to have anything but. According to reports, Prevent would impose on their staff to prescribe the so-called COVID kit, and retaliate against those who disobeyed, even by firing them. They had so little autonomy that 12 doctors claimed they were even forced to sing the company's anthem, which is this wonderful work of art. And together, we will stay And together, we will win With swords and with cannons We are the guardians Yes, it's an anthem, but it super sounds like a funeral march. "We will..." It's weird, doctors having an anthem, but the anthem itself is even weirder, which is not only funeral-ish, but also mentions swords and cannons. What doctor uses those?! If it was "catheter and scalpel", then fine, but swords and cannons?! What world do they live in? So medieval! "I'll have to operate him, Ronaldo. Hand me my hatchet!" But if you recall Dr. Pheabes, the band, then it's understandable why they force their staff to sing that thing. It's the only chance those guys have of having an audience singing one of their songs. The staff is like their paid fan club. Instead of an Onlyfans, they have and "Onlystaff"! After a group of doctors decided to report Prevent's actions, Mr. Pedro Benedito Batista Júnior, Prevent's executive director, was recorded talking to a doctor who had given a revealing interview about Prevent, and Pedro admonishes his former subordinate's actions and demands company loyalty from him! Don't be like that. Think about it. This company built your life. You've just forgotten it. That over the last eight, nine years, you were only able to get a house and stability with your family thanks to the company! You could only pay for school thanks to it. That is so sad of you. It says a lot that the company's CEO called the staff member who reported on it not to express his surprise over the claims, or anger over his subordinate for possibly making up such a story, but to beg him to be nicer to the company, that was supposedly so nice to him, as if saying, "you really won't show any gratitude for what we've done?" That's the difference between calling someone a liar, and a snitch. That's what it looks like. And it isn't just Prevent that seems to have bent to the Federal Government's policies, ignoring scientific evidence - the FCM's very own director, without a hint of shame, admitted that, back then, the council, that was supposed to act only based on scientific evidence, was making decisions aligned with the government to support Bolsonaro. And President Bolsonaro has welcomed us at the Presidential Palace five times since he came to power, a year and four months ago. All of our requests were granted by the President. All of them. He's never said, "No, I can't grant you this". Not once. And so, things become so much easier, because when there's communication, before norms are established, we have the opportunity of agreeing upon what will be proposed. And that's the path we're following in the Bolsonaro government. So, the Federal Council of Medicine does, indeed, support the Ministry of Health and the President, because we now communicate. Yep. The Federal Council of Medicine supports Bolsonaro because the President never tells them "no". I'm curious, now - so the FCM never told the President to wear a goddamn mask, for instance? Never asked him to tell people to stay home? Or to not slash the public health budget? That didn't occur for them to ask?! Then what DID you ask for, Mr. FCM director? "Hi, Mr. President, can you send my mom a video of yours? She's a big fan! Guys, he sent it! We'll have to support him - he grants our requests!" Anyway, by all indicators, it was in that supposed shadow office that people gathered so that Prevent Senior's uber-profitable model would become Brazil's main public healthcare directive. While fighting the biggest health threat in history! Yes, during the pandemic, the government allowed for the public health budget - which funds SUS - to be slashed. Over 25 billion reais of it, to be exact. But who needs SUS, when you already have Prevent Senior's stellar service? That all sounds a lot like a horror movie, which may explain Parrillo's band's name. In case you don't remember, "Dr. Pheabes", his band, was named after a horror movie. It tells the story of a man who loses his wife due to a medical error. He then decides to get revenge on the doctors responsible by killing each one of them with tortures inspired by the Plagues of Egypt. Rats, frogs, bats... Yeah, if I was the Parrillo brothers, I'd change the band's name, and pray that the victims' families never watched the movie, so they wouldn't get any ideas... But rock bottom's still further down, because Prevent Senior's case, shocking as it is, isn't an isolated incident. The incentives that led to Prevent's rise and flourish are everywhere. They're in the scrapping of the public healthcare system, and also in the seizing of the National Health Agency, ANS - which, by the way, ignored reports against Prevent Senior until it all blew up in the CPI. In Brazil's healthcare market, we're seeing more and more people making life-or-death decisions taking only finances and investor profits into account. Prevent only managed to get this far thanks to hidden support from the media, investors, and all of the public debate in Brazil, while it established a successful business model based on the collapse of the public system! Many believed in that illusion that it was totally feasible to give the healthcare of all Brazilian senior citizens to people who only think about profits. So much so that amidst that whole scandal, many of Prevent's patients defended the company. A group called "Prevent Friends" - which should honestly be called "Prevent Survivors" - boasts 54,000 members on Facebook, promoting a petition that requests "greater responsibility in the ascertainment and disclosure, out of respect for the thousands of beneficiaries who may be affected". They're afraid of being left with no insurance. Just imagine how helpless someone must be to defend a company that is charged by its own staff of committing all of those atrocities. But if I were him, I wouldn't make that much noise, because if Prevent finds out that there are still 54,000 clients living, I think they'd take measures. I think it's better to just lay low, play dead. Heck, if I were them, I wouldn't even accept any coffee they'd offer me, because the other side of that same insanity was a new scandal that came to light last week, after we found out that numerous Brazilians - entrepreneurs, members of the government - kept some their fortune in foreign banks. It's the "Pandora Papers scandal". What's the connection, you ask? Well, among them are, yes, Prevent Senior's president and Paulo Guedes. Paulo Guedes, the same multimillionaire minister who allowed for the health budget to be slashed during a pandemic. He sent his money to a tax haven so that he wouldn't have to contribute to the budget he slashed. I mean, that he allowed to be slashed. How to leave that mess? The least we expect is that all of those declared guilty are punished, but that's the minimum. Because their punishment won't fix the issue. Who'll keep the profits that were obtained through that macabre scheme? That's why, in this case, it isn't enough to just punish the individuals. They also have to hold the company accountable, especially because, in this case, the individual is the company. Prevent is a VERY private company. There isn't a council of shareholders that can take down the rocker brothers who profit off of that model. They're the owners. There's no other way. Should the accusations be proven true, the company has to be held accountable as a company. After all, its business model produce the worst incentives possible for its medical staff, and their clients, too, need to know that they won't be left behind. For that, ANS has to do the bare minimum, intervening so as to ensure that other insurance providers can provide good coverage for the elderly who pay for Prevent, and if those providers say that they can't do that without grants, ANS could confiscate the 500 million reais in profits that the Parrillo brothers made during 2020 alone for that. The worst part is, it's very likely that that kind of grant is needed, because, in truth, the traditional healthcare plan model is unfeasible. Because many private hospitals also have financial incentives to increase the prices of insurance plans, creating ways to inflate their patients' cost. So, verticalized models such as Prevent Senior's, in which the insurance company owns the hospital, have incentives for doctors to cut necessary expenses, which, as we've just seen, is tragic. But the traditional insurance model can also encourage doctors to create unnecessary expenses. Neither works, and, most of all, neither works to provide care for the elderly in a way that's accessible and right. And that's not a problem we can solve through monitoring alone - no amount of monitoring can fix a system with structurally twisted incentives. Therefore, if there's one thing we can take from the Prevent scandal, besides "always doubt Exame's stories", is that the only healthcare model we can count on for our own golden years is non-profit healthcare. Even young people with private plans now will most likely be unable to pay for it when they're 65. Unless it's a plan that lets you die without oxygen, just to save costs. We'll only see hope for a solution when Brazilian society understands that it has, as obligation and interest, protecting the healthcare of the elderly. That needs to be a team effort, with the State's support. It doesn't need to cost an arm and a leg, but it can't, and won't, generate profit. Healthcare companies are simply not the model we can't count on. In a country with a strong and well-financed healthcare system, they'd never have flourished to the point of making billions of reais to only a few people, at the expense of all of society. It's time we reduce the oxygen of those companies and put them in palliative care, giving a fitting end to a sector whose days should already be counted. That's it for this Greg News.
Info
Channel: HBO Brasil
Views: 1,017,078
Rating: undefined out of 5
Keywords: hbo brasil, hbo max, hbo max brasil, hbo, humor, porta dos fundos, comedia, brasil, governo, informacao, gregorio duvivier, politica, programa de tv, jornalismo, direita, esquerda, noticias, prevent senior
Id: JIR2461NP4E
Channel Id: undefined
Length: 31min 40sec (1900 seconds)
Published: Sat Oct 16 2021
Related Videos
Note
Please note that this website is currently a work in progress! Lots of interesting data and statistics to come.