27:07 Man, and another factor in the road that got us here seems to be this gradual takeover of independent medical practices by corporations. Most used to have a private practice but now 90% of doctors are associated with the hospital and with that I understand that's where following the protocols becomes such a big part of the job it seems to parallel something we've talked about in education where They don't have the autonomy they used to have and now there can i be holding to a digital lesson plan their last teachers and more facilitators of centralized corporate software at least that's the direction schooling is going it seems like with doctors its there's a lot less autonomy and.
27:53 it becomes more of this, well you're really just a facilitator of this protocol handed down from on high. Maybe people are worried about the litigiousness of medicine and that if you stray from the protocol and try to do something that works, you open yourself up to liability that doesn't exist if you just follow that protocol but this corporate dominance and the fact that doctors don't have truly independent practices anymore is a huge factor, right? It's very important. And this is something that I have been pushing back against obviously unsuccessfully for almost my entire career mostly with the Association of American Physicians and Surgeons. And I remember doing an interview with Betsy McCoy who was the Lieutenant Governor of New York and he was a healthcare advocate
28:45 where I was asked, what do I fear most about Obamacare? This is in the like around 2009-2010. And I said, I fear the loss of physician autonomy. That doctors are going to be told how to practice medicine that it wasn't enough just to pay for medical care at a central level they want to control medical care and that's exactly what happened and they did it through guidelines through evidence-based medicine which became tyrannical and then the gradual moving of physicians away from private practice into hospital
29:22 or clinic setting where they are not directly responsible to their patients financially, where they're getting paid a salary and therefore have to tow the line. And if the hospital or clinic or health system says you give everybody remdesivir well you better give it! If you bucked the system you're going to be out and you're going to be easily replaced because they have made doctors into replaceable cogs in a big machine And doctors have gone along with it. And I'm sorry to say that medical education is not what it used to be, I mean, I went down to St. George's University hoping to be able to have some input into the education of the next generation physicians and teach them what it really meant to be a doctor instead
30:13 a guideline pusher and someone who's, you know just prescribing pills to everybody without any real consideration of risk versus benefit. And I stress that at every lecture I tried to introduce an elective course, okay? I didn't want to change the curriculum. I wanted to give an elective course to the students giving them an alternative to the guideline-based approach to care that was based in real science. Well it got voted down they wouldn't accept it! I couldn't do it okay so the medical education has I think been dumbed down. I hate to say it but it's true
30:55 The basic sciences are compressed into such a short time period that it's truly impossible for even the very smart student, and there are still a lot of smart people going to medical school. But it's impossible for them to really get a feel for in depth so that they're not able to think for themselves and think outside the box and be creative and use their understanding of pathophysiology disease natural history and pharmacology in a creative way, and give each patient an individual consultation visit that is going to serve their needs. So they've been conditioned in a way to accept the guidelines. And I know this for a fact because this is what young doctors tell me right? That they don't really...that they're waiting to hear from these bodies like the NIH and the WHO
31:50 They're paralyzed. They cannot really act as independent thinking positions, and I think it's mostly this and also the fear of being fired if you step outside the line that has enabled this horrific response to this disease that we have seen Well, that is a great breakdown of a lot of the problems that got us here. Another one now this isn't something I've heard you talk about but i was recently talking to a doctor about how she felt what problems exist in the medical sphere and we were talking about insurance reimbursement that goes to the doctor and her issue the way she framed it as