Your Therapist Needs Therapy 148 - Wisconsin's Mental Health Action Plan

This week Jeremy goes over the recently released ‘Mental Health Action Plan’ from the Wisconsin Department of Health Services. Jeremy breaks down what he likes about it, what he really doesn’t like about it, and questions why more mental health providers aren’t involved in the process. It’s a mixed bag for sure, but an educational trip hopefully to read boring government documents with a therapist’s lens. 

As always, Jeremy has all his practice info at Wellness with Jer, and you can find him on Instagram and YouTube. To show your love for the show you can pick up some merch! We appreciate support from likes, follows, and shares as well! None of my online work would be possible without my media maven Kenny, so check out their work as well at kenlingdesign.com

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Podcasts about therapy do not replace actual therapy, and listening to a podcast about therapy does not signify a therapeutic relationship.If you or someone you know is in crisis please call or text the nationwide crisis line at 988, or text HELLO to 741741. The Trevor Project has a crisis line for LGBTQ+ young people that can be reached by texting 678678.

Transcript

Another edition of Your Therapist Needs

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Therapy,

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a podcast where sometimes multiple,

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sometimes just me,

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therapists talk about their mental health

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journey and how they navigate mental

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wellness while working in the mental

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health field.

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I'm your host, Jeremy Schumacher,

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licensed marriage and family therapist.

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Licensed, might I add,

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in the state of Wisconsin,

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which is the topic of our conversation?

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Episode.

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It's the topic of the episode today.

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Today we are going to talk about the

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recently released action plan for

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Wisconsin's mental health.

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Okay.

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I don't want to spoil it because I'm

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probably going to record for like an hour

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here.

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So please listen.

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Like and subscribe.

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Leave me a review wherever you're

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listening to podcasts.

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If it's on Apple,

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I won't look at it because I'm protesting

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and have been for however long I've been

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protesting Apple products.

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But everywhere else, I'll probably see it.

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Yeah, I don't want to spoil it.

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There's a bunch of good stuff.

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and uh there's a bunch of stuff that

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i don't think will matter um there's a

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lot of fluff uh because it's the

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government i guess you know and i think

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if you listen to the podcast or you

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watch my youtube or know me personally um

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you know i'm paradoxical uh in a lot

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of ways and but leftist right like

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In an ideal world, I'd be a pacifist.

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In a more ideal world,

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I'd be an anarchist.

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I think there are things that I talk

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about a lot on current events and politics

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and how it intersects with religious

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trauma and other stuff, systems theory,

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stuff like that.

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Things that I've spent my whole career

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working on.

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But one of the things that shapes my

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career is I've spent my whole career

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working in the state of Wisconsin.

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And I'm not a fan of...

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The government, right?

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Pink Floyd's my favorite band.

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I have a Pink Floyd poster if you're

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watching on the YouTubes.

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There's a poster for The Wall behind me.

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There's a poster of body art for a

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bunch of Pink Floyd albums behind me.

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Also Lord of the Rings,

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which is oddly pro-monarchy, I guess.

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So, you know, paradoxical.

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I'm not a fan of the government.

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Pink Floyd song, Mother,

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Should I Trust the Government?

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And whenever it's performed live,

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the audience always yells back really

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loudly, no!

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Because of course not.

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Is the state government better or worse

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than the federal government?

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I don't know, I shrugged.

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I like Tony Evers as the governor.

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I think he's done a bang up job

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in a really hard position of having a

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state that's one of the worst gerrymanders

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until recently it got fixed.

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It's still gerrymandered, right?

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It got fixed from how bad it was,

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but it's not like we have actual

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democratic representation in our state.

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The state legislature is pretty much full

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of sycophants and morons.

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who have little r's after their name

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because again like there's a lot of rural

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people who are represented in at the state

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legislature level that doesn't necessarily

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reflect where the majority of people

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actually live in the state of wisconsin it

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should be that land doesn't vote but again

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our country was founded sort of on the

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idea that land owners get to vote because

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racism so you know is the state

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action plan gonna fix a ton no like

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it's it's not designed to i guess so

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what i'm saying in a very roundabout way

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is let's temper our expectations and i'm

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going to offer some criticism too because

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of course i am that's raised by english

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teachers who read all of my papers with

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a red pen in hand and slashed a

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bunch of stuff um

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There's stuff that I think they're

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underplaying and or missing,

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or maybe it's politically expedient to not

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talk about it.

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I don't know.

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I'm not a politician.

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And when I was in higher ed,

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I was real bad at playing the politics

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needed to exist in higher ed.

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So I'm not that person.

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I am a mental health professional and

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somebody who works with us on a regular

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basis.

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I've been in the mental health field for

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seventeen years, which is wild.

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I just don't think of myself as being

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that old.

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But here we are.

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And

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Yeah, I have thoughts.

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So let's get into it.

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I will share this with you.

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If I can.

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Yeah.

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If you're watching on YouTube,

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obviously that's going to make a lot more

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sense if you're listening to the podcast,

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because it is a podcast after all.

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After all, yeah.

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I'll read it to you.

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So, you know,

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you don't need to be seeing it.

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But if you're playing along at home with

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the visual version,

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you'll see Wisconsin's Mental Health

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Action Plan up on your screen.

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This came out May, twenty twenty six.

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Something I think a lot of people don't

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know is when you're a licensed

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professional and I'm.

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Oh,

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this is going to derail the whole episode.

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There's a lot of things wrong with

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licensing and credentialing, for sure,

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a hundred percent, gatekeeping,

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institutional racism,

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systemic racism systemic misogyny uh

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patriarchy like there's a bunch of stuff

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it's it's needlessly tedious and whatever

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it's also woefully underfunded and i still

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think necessary until we have a better

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system of community building and managing

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things on i would say a community level

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as human beings things like credentialing

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boards and state licensure matter

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because a lot of harm can get done

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otherwise and i again the the

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credentialing and licensure process can be

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harmful in and of itself and credentialed

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and licensed people also do harm there is

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no way to eliminate that as a species

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we we just have never shown

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a capability to not do any harm at

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all.

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Womp womp.

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But one of the things that comes with

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licensure is we get updates from the

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government, from our credentialing boards,

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from our licensures.

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a clinical member for the Wisconsin

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Association of Marriage and Family

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Therapists.

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I'm a clinical member of the American

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Association of Marriage and Family

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Therapists.

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I'm a member of a bunch of different

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therapy staff.

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I get their updates.

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But as a licensed professional in the

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state of Wisconsin,

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I also get health care updates from the

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state.

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And during something like COVID,

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during measles outbreaks that have

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happened in the state,

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in the case of monkeypox in the state,

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it's been really helpful to get stuff like

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that because a lot of times my clients

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don't have access to that information.

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And the only reason I have access to

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that information is because I am licensed.

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And can I share that information?

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Can I help clients make informed

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decisions?

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Can we talk about facts and data and

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scientific reporting?

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Like, yeah,

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we can do all of that in a

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way.

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It's another source of information that

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holds, helps,

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Mental health professionals,

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medical health professionals make informed

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decisions.

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It helps us help our clients.

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It's really actually a cool thing.

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And again,

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I think it's just a lot something a

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lot of people don't think about.

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Like,

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why do I have updates in my inbox

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about like measles outbreaks?

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Well,

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because I'm a health care professional.

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Right.

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On that state level,

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mental health and physical health aren't

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differentiated.

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Again, they are.

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I'm oversimplifying.

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But like in that categorization.

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Yeah.

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That goes out to health care providers,

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which mental health professionals are one

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of.

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So I got this email and I'm a

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dork.

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So I read stuff like this.

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So, of course, yeah.

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Working together to improve the mental

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health of Wisconsinites.

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sign me up right they didn't nobody asked

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me uh we're gonna scroll a little bit

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i don't know how this is gonna play

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on youtube if you're watching and it makes

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you dizzy please take care of yourself and

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stop watching as i scroll uh there's a

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whole table of contents introduction um

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we're gonna get into some of the facts

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and data what to do about it letter

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from the council chair it's all very

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formal thank you to the honorable governor

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um

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the things that I want to talk about

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is why sort of this was made, right?

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So in the, in, in the introduction,

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we need an action plan to address the

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root causes of Wisconsin's burgeoning

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mental health crises, factual, uh,

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mental health crises everywhere, right?

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Across all demographics,

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across all age ranges in other countries

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as well.

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This is not a unique to Wisconsin thing.

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It is good that Wisconsin is trying to

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address it.

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Um,

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Increase awareness, reduce stigma, great,

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love it, doesn't go far enough,

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but agree and build capacity for us to

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expand access to mental health services

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statewide.

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Again, I'm on board, right?

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To improve and support the mental health

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of all Wisconsinites,

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we must take a whole of government

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approach in our response.

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Yes, correct.

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And they define what mental health is.

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And again,

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this stuff is bullshit a lot of times

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and it's super fucking tedious.

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I get that, right?

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People don't read academic papers because

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they're exciting.

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But some of this stuff is really

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important,

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and I think it's helpful to understand the

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framing they're taking on some of this

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stuff,

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which is a framing I agree with and

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I would recommend, right?

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They are drawing from the SAMHSA

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definition of mental health is defined as

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our emotional, psychological,

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and social well-being.

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And I think that gets underlined and

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circled like three times as we're going to

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move through this action plan,

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affecting how we think, feel, and act,

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and helps determine how we handle stress,

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relate to others, and make choices.

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Yeah,

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that's a good definition of mental health.

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Again,

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it has very little to do with our

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brains,

00:10:16.099 --> 00:10:18.279
which I think is what people in wider

00:10:18.320 --> 00:10:20.600
society or cultural zeitgeist is around

00:10:20.679 --> 00:10:22.701
mental health is psychology is in the

00:10:22.740 --> 00:10:25.361
brain, but mental health is emotional,

00:10:25.402 --> 00:10:27.363
psychological, and social wellbeing,

00:10:27.863 --> 00:10:29.803
which affects how we think, feel, and act.

00:10:29.864 --> 00:10:30.984
It's not just thinking,

00:10:31.043 --> 00:10:34.144
it's not just feeling, it's everything,

00:10:34.205 --> 00:10:34.965
how we handle stress,

00:10:34.985 --> 00:10:36.466
how we relate to others and make choices.

00:10:37.515 --> 00:10:39.697
Wisconsin's mental health crisis reaches

00:10:39.817 --> 00:10:41.177
all corners of our state and impacts

00:10:41.197 --> 00:10:42.778
Wisconsinites of all ages and backgrounds.

00:10:42.938 --> 00:10:44.899
One in five Wisconsin adults experience

00:10:44.938 --> 00:10:46.539
mental health illness each year,

00:10:46.779 --> 00:10:48.181
and one in twenty adults has serious

00:10:48.221 --> 00:10:49.181
thoughts of suicide each year.

00:10:49.461 --> 00:10:52.842
That's pretty par for the course in our

00:10:52.863 --> 00:10:53.682
country right now.

00:10:55.183 --> 00:10:57.524
I don't keep tabs on every piece of

00:10:57.565 --> 00:10:58.865
data everywhere.

00:10:59.485 --> 00:11:02.067
I'm neurodivergent in a way where a lot

00:11:02.086 --> 00:11:03.847
of the stuff that I read sticks.

00:11:05.028 --> 00:11:05.469
It's not

00:11:06.327 --> 00:11:08.109
quite photographic memory as other people

00:11:08.129 --> 00:11:08.750
would understand it.

00:11:08.830 --> 00:11:11.831
But I have lots of graduate level degrees

00:11:12.192 --> 00:11:14.673
that I got by reading something once and

00:11:14.753 --> 00:11:16.695
not ever needing to study or take notes

00:11:16.754 --> 00:11:18.216
on it because stuff just sort of sticks.

00:11:18.755 --> 00:11:20.236
I'm not saying my brain is super awesome

00:11:20.277 --> 00:11:22.118
because sometimes it's not.

00:11:24.058 --> 00:11:26.500
But when I was asking for funding and

00:11:26.519 --> 00:11:28.020
working on building a department in higher

00:11:28.181 --> 00:11:30.822
ed before, during and after COVID,

00:11:31.621 --> 00:11:32.883
these were around the numbers that we were

00:11:32.923 --> 00:11:33.243
seeing.

00:11:33.283 --> 00:11:34.364
These were some of these numbers that we

00:11:34.384 --> 00:11:36.404
were on trajectory to see even before

00:11:36.445 --> 00:11:36.784
COVID.

00:11:36.845 --> 00:11:39.125
COVID made things worse from a mental

00:11:39.145 --> 00:11:39.926
health perspective.

00:11:41.667 --> 00:11:43.008
I mean, a million plus people died,

00:11:43.207 --> 00:11:44.048
certainly not a good thing.

00:11:44.707 --> 00:11:45.788
So nationally,

00:11:45.849 --> 00:11:48.129
nine point two percent of adults with any

00:11:48.149 --> 00:11:49.230
mental illness were uninsured,

00:11:49.331 --> 00:11:50.671
limiting access to counseling,

00:11:50.711 --> 00:11:52.211
medication and other treatment options.

00:11:53.277 --> 00:11:54.360
Yes, this is a problem.

00:11:55.243 --> 00:11:56.727
There's a huge problem of not having

00:11:56.768 --> 00:11:59.155
enough providers as well,

00:11:59.296 --> 00:12:00.399
which the action plan will get into.

00:12:00.986 --> 00:12:02.028
In twenty twenty three.

00:12:02.168 --> 00:12:02.447
Again,

00:12:02.467 --> 00:12:03.629
this is where the government's kind of

00:12:03.649 --> 00:12:03.889
slow.

00:12:04.149 --> 00:12:05.250
So is psychology as a whole.

00:12:05.330 --> 00:12:05.509
Again,

00:12:05.549 --> 00:12:08.971
to do research well and have accurate

00:12:09.052 --> 00:12:10.113
longitudinal data,

00:12:10.513 --> 00:12:11.974
data that's that's been tracked over a

00:12:12.014 --> 00:12:15.537
period of time does take time to collect,

00:12:15.596 --> 00:12:17.518
collate, verify, et cetera.

00:12:17.977 --> 00:12:19.980
So we're citing some numbers from a couple

00:12:20.000 --> 00:12:21.159
of years ago already.

00:12:22.041 --> 00:12:22.902
In twenty twenty three,

00:12:23.022 --> 00:12:24.722
nine hundred twenty one Wisconsinites died

00:12:24.763 --> 00:12:28.445
by suicide for each death by suicide.

00:12:29.105 --> 00:12:30.606
Death from suicide would be.

00:12:31.908 --> 00:12:32.827
better language, I think,

00:12:33.229 --> 00:12:34.990
as many as one hundred other thirty one

00:12:35.029 --> 00:12:36.510
hundred thirty five other people were

00:12:36.530 --> 00:12:38.471
affected for twenty twenty three.

00:12:38.511 --> 00:12:40.052
This means nearly one hundred twenty five

00:12:40.092 --> 00:12:41.313
thousand neighbors, friends,

00:12:41.354 --> 00:12:42.975
coworkers and family members were impacted

00:12:43.014 --> 00:12:46.537
by a suicide, which is like, again,

00:12:46.758 --> 00:12:47.817
is a huge number.

00:12:48.259 --> 00:12:48.519
That's

00:12:49.769 --> 00:12:52.370
large enough to have a state assembly

00:12:52.791 --> 00:12:55.471
representative and then some in our state

00:12:55.552 --> 00:12:59.452
right we're talking about huge portions of

00:12:59.773 --> 00:13:01.913
of numbers right milwaukee which is our

00:13:01.933 --> 00:13:04.315
largest city tops out around seven hundred

00:13:04.335 --> 00:13:07.416
thousand people in the city proper right

00:13:07.635 --> 00:13:09.035
more than that in the surroundings and as

00:13:09.076 --> 00:13:10.716
we get into that suburbs some of that

00:13:10.756 --> 00:13:12.798
stuff but like when you drive around the

00:13:12.837 --> 00:13:15.099
city and see the little population signs i

00:13:15.538 --> 00:13:17.198
don't know if it's seven still i think

00:13:17.259 --> 00:13:18.759
it's like six hundred eighty six thousand

00:13:18.779 --> 00:13:19.379
or something like that

00:13:19.861 --> 00:13:23.154
So that's our largest city in this state.

00:13:23.255 --> 00:13:24.360
And we're looking at,

00:13:25.221 --> 00:13:25.481
you know,

00:13:25.841 --> 00:13:28.383
a big chunk of that is affected by

00:13:28.722 --> 00:13:29.562
a suicide, right?

00:13:29.643 --> 00:13:32.865
Just one component of a mental health

00:13:32.904 --> 00:13:33.725
crisis, right?

00:13:35.144 --> 00:13:38.046
One final sort of end of the line

00:13:38.086 --> 00:13:40.606
symptom, not root cause for mental health.

00:13:40.667 --> 00:13:43.107
So like, this is a huge thing.

00:13:43.388 --> 00:13:45.308
When you look at one in five adults

00:13:45.989 --> 00:13:47.028
has a mental health illness,

00:13:47.068 --> 00:13:49.450
like that number's too low, first of all.

00:13:49.889 --> 00:13:51.431
And then like, yeah, that's,

00:13:53.956 --> 00:13:56.735
that affects the other eighty percent

00:13:56.836 --> 00:13:58.356
still to a wide range like there's very

00:13:58.397 --> 00:14:00.437
few people who are not affected by mental

00:14:00.456 --> 00:14:03.278
health wisconsin youth continue to report

00:14:03.337 --> 00:14:04.837
highly concerning levels of anxiety

00:14:04.857 --> 00:14:06.618
depression self-harm and suicidal thoughts

00:14:06.717 --> 00:14:08.639
in twenty twenty three thirty five percent

00:14:08.658 --> 00:14:10.818
of students reported feeling sad and or

00:14:10.839 --> 00:14:13.019
hopeless almost every day for two weeks or

00:14:13.058 --> 00:14:15.620
more in a row nineteen percent considered

00:14:15.659 --> 00:14:17.919
suicide and nine percent attempted suicide

00:14:17.940 --> 00:14:21.201
again those numbers are like horrifically

00:14:21.301 --> 00:14:22.701
high we have

00:14:24.128 --> 00:14:27.471
reacted too late to this um again doesn't

00:14:27.511 --> 00:14:28.773
mean doom and gloom we shouldn't do

00:14:28.832 --> 00:14:30.835
anything just saying like four numbers to

00:14:30.875 --> 00:14:32.797
be at this point it's it's sort of

00:14:32.856 --> 00:14:35.519
hard to fathom because again we're talking

00:14:35.559 --> 00:14:39.144
about percentages of hundreds of thousands

00:14:39.244 --> 00:14:43.067
millions of people students right eighteen

00:14:43.107 --> 00:14:44.330
and under so

00:14:45.615 --> 00:14:47.557
Yeah, it's brutal out there, y'all.

00:14:47.618 --> 00:14:49.139
If you weren't aware there was a mental

00:14:49.158 --> 00:14:49.799
health crisis,

00:14:50.701 --> 00:14:53.945
some real sobering numbers here to start

00:14:54.004 --> 00:14:54.326
off with.

00:14:54.745 --> 00:14:56.307
Then it gets into how can the government

00:14:56.327 --> 00:14:57.188
help, which again,

00:14:57.870 --> 00:15:00.033
broad strokes was fine and I would agree

00:15:00.052 --> 00:15:00.192
with.

00:15:01.152 --> 00:15:03.753
I have some thoughts about the council.

00:15:05.633 --> 00:15:06.052
Uh,

00:15:07.173 --> 00:15:10.134
one of the reasons stuff like this matters

00:15:10.313 --> 00:15:12.434
and is helpful is you get a bunch

00:15:12.455 --> 00:15:14.775
of people who are lifers in the government

00:15:15.336 --> 00:15:16.855
and they know how to navigate the

00:15:16.895 --> 00:15:18.657
bureaucracy and get things done.

00:15:19.596 --> 00:15:22.717
That's a lot of this council, uh,

00:15:22.738 --> 00:15:24.038
it's interagency, uh,

00:15:25.304 --> 00:15:26.625
I think it's super lacking in mental

00:15:26.666 --> 00:15:27.787
health representation.

00:15:28.628 --> 00:15:30.529
You have a council on mental health

00:15:31.150 --> 00:15:32.331
problems and you have a bunch of

00:15:32.351 --> 00:15:34.734
government agency secretaries, right?

00:15:35.174 --> 00:15:38.116
Secretary, secretary, deputy secretary,

00:15:38.177 --> 00:15:39.118
secretary, secretary,

00:15:39.198 --> 00:15:40.580
executive assistant secretary,

00:15:40.639 --> 00:15:42.442
assistant deputy secretary, secretary,

00:15:42.922 --> 00:15:44.764
CEO, executive director, right?

00:15:44.783 --> 00:15:46.666
Like that's who makes up the council.

00:15:47.984 --> 00:15:49.565
like much love in my heart to every

00:15:49.605 --> 00:15:50.785
secretary i've ever worked with in my

00:15:50.846 --> 00:15:52.226
entire life those are the people who run

00:15:52.267 --> 00:15:54.028
the show a lot of times don't get

00:15:54.067 --> 00:15:56.349
me wrong um these are not mental health

00:15:56.389 --> 00:15:58.171
professionals i did a quick scan of like

00:15:58.211 --> 00:16:00.172
four of the ten names and like uh

00:16:00.652 --> 00:16:02.513
one of them was a medical was trained

00:16:02.953 --> 00:16:05.355
and has a medical license um but the

00:16:05.394 --> 00:16:08.817
rest of them are cpas they're they're

00:16:08.876 --> 00:16:09.597
bureaucrats

00:16:10.666 --> 00:16:13.206
And with as much love in my heart

00:16:13.267 --> 00:16:14.888
as I can muster for a bureaucrat,

00:16:15.489 --> 00:16:17.610
that's not going to be the change we

00:16:17.669 --> 00:16:19.850
need in this mental health crisis,

00:16:20.471 --> 00:16:23.513
is what they suggest in this beneficial.

00:16:23.653 --> 00:16:23.913
Yes.

00:16:23.994 --> 00:16:25.653
Will it affect people and be helpful?

00:16:25.714 --> 00:16:26.495
Yes, absolutely.

00:16:26.975 --> 00:16:30.017
But again, it doesn't dream.

00:16:30.057 --> 00:16:32.577
It doesn't say, how could we do better?

00:16:33.158 --> 00:16:34.078
It says, this sucks.

00:16:34.119 --> 00:16:35.500
How can we make this suck a little

00:16:35.559 --> 00:16:35.799
less?

00:16:37.628 --> 00:16:39.548
without really talking about like needing

00:16:39.568 --> 00:16:41.750
to change anything, which is what we need.

00:16:41.789 --> 00:16:44.932
We need to overhaul the way we approach

00:16:44.971 --> 00:16:47.273
mental health because we need different

00:16:47.312 --> 00:16:49.774
societal norms in order to be healthy.

00:16:50.153 --> 00:16:52.215
The way our society is set up is

00:16:52.615 --> 00:16:54.936
so that people are mentally unwell because

00:16:54.995 --> 00:16:59.138
capitalism requires that people be unwell.

00:16:59.719 --> 00:17:02.179
There needs to be a constant level of

00:17:02.240 --> 00:17:04.480
stress to participate in capitalism

00:17:04.520 --> 00:17:05.842
because the working class can't be

00:17:05.882 --> 00:17:06.241
comfortable.

00:17:07.480 --> 00:17:10.481
so um again i don't think it dreams

00:17:10.521 --> 00:17:12.182
big enough i think it it reads like

00:17:12.202 --> 00:17:13.903
a bunch of bureaucrats wrote it there are

00:17:14.022 --> 00:17:15.564
parts of it that i really didn't like

00:17:15.624 --> 00:17:17.744
that read from people who don't work in

00:17:17.785 --> 00:17:19.644
mental health did they talk to mental

00:17:19.664 --> 00:17:22.666
health experts yes did they talk to

00:17:23.007 --> 00:17:24.606
regular people yeah it talks about like

00:17:24.906 --> 00:17:26.167
how they went around the state and talked

00:17:26.188 --> 00:17:27.667
to regular wisconsinites as well as

00:17:27.748 --> 00:17:28.608
experts and providers

00:17:29.607 --> 00:17:29.847
Again,

00:17:30.288 --> 00:17:32.009
I'm going to guess that has predominantly

00:17:32.029 --> 00:17:34.291
been people who participate in state

00:17:34.392 --> 00:17:38.634
agencies and are somehow connected to what

00:17:38.654 --> 00:17:39.555
the government is doing.

00:17:39.575 --> 00:17:41.037
There's not a lot of like, again,

00:17:42.096 --> 00:17:43.557
overhaul in any of this,

00:17:43.679 --> 00:17:45.900
which I don't know how much money this

00:17:46.560 --> 00:17:47.240
is allocated.

00:17:47.320 --> 00:17:49.143
Again, Evers, our governor,

00:17:49.522 --> 00:17:50.364
who is a Democrat,

00:17:50.443 --> 00:17:52.964
has really been fighting an uphill battle

00:17:53.025 --> 00:17:54.246
against the Republican controlled

00:17:54.306 --> 00:17:54.987
legislature.

00:17:55.847 --> 00:17:57.308
He came in after Scott Walker really

00:17:57.729 --> 00:17:58.950
gerrymandered the state to hell.

00:17:59.368 --> 00:18:00.630
and did a bunch of what should have

00:18:00.650 --> 00:18:04.490
been illegal stuff in a lame duck session

00:18:05.411 --> 00:18:07.731
to really hamper Tony Evers.

00:18:07.811 --> 00:18:08.031
Again,

00:18:08.051 --> 00:18:09.373
when Wisconsin gets to vote

00:18:10.593 --> 00:18:12.973
democratically, we are Democrat.

00:18:13.653 --> 00:18:14.694
We lean left.

00:18:15.015 --> 00:18:16.976
Wisconsin has a long history with the

00:18:17.016 --> 00:18:17.596
Socialist Party.

00:18:17.615 --> 00:18:20.596
We were one of the first socialist mayors

00:18:20.696 --> 00:18:21.396
here in Milwaukee.

00:18:22.718 --> 00:18:23.518
So again,

00:18:24.519 --> 00:18:26.519
this idea that Wisconsin is purple is only

00:18:26.558 --> 00:18:27.359
because, again,

00:18:28.208 --> 00:18:29.410
we're not a democratic country.

00:18:30.310 --> 00:18:33.494
Um, but so again,

00:18:33.615 --> 00:18:35.717
like I'm scrolling down for the people who

00:18:35.876 --> 00:18:36.097
can see it,

00:18:36.137 --> 00:18:37.499
Wisconsin department of health services,

00:18:37.519 --> 00:18:38.641
department of administration,

00:18:38.921 --> 00:18:39.961
department of agriculture,

00:18:39.981 --> 00:18:41.964
trade and consumer protection.

00:18:42.474 --> 00:18:44.876
Department for Corrections, DSPS,

00:18:44.896 --> 00:18:46.298
that's the licensing agency.

00:18:46.577 --> 00:18:48.299
That's probably the only one that has

00:18:48.380 --> 00:18:50.080
anything to do with mental health.

00:18:50.101 --> 00:18:53.423
I get that Corrections and the VA offer

00:18:53.442 --> 00:18:55.045
a lot of mental health services to those

00:18:55.085 --> 00:18:55.424
people.

00:18:56.405 --> 00:18:56.925
But again,

00:18:57.487 --> 00:19:00.469
that's not necessarily that the secretary

00:19:00.989 --> 00:19:02.509
who's representing them on this council

00:19:02.570 --> 00:19:03.951
has any mental health training.

00:19:04.832 --> 00:19:05.732
Military Affairs,

00:19:06.272 --> 00:19:07.354
Wisconsin Department of Children and

00:19:07.394 --> 00:19:09.915
Families, the Veterans Affairs,

00:19:10.076 --> 00:19:10.916
Workforce Development.

00:19:11.116 --> 00:19:11.576
Again, it's...

00:19:12.471 --> 00:19:13.792
For being about mental health,

00:19:13.853 --> 00:19:15.054
it's like just a bunch of government

00:19:15.114 --> 00:19:15.554
agencies.

00:19:16.134 --> 00:19:18.095
I won't say somewhat thrown together,

00:19:18.576 --> 00:19:20.616
but like nothing in there screams mental

00:19:20.656 --> 00:19:21.257
health at me.

00:19:21.636 --> 00:19:24.298
Even DSPS, they license MMA gyms.

00:19:24.338 --> 00:19:25.500
They license barbers.

00:19:25.539 --> 00:19:26.980
They license a bunch of people who have

00:19:27.040 --> 00:19:28.161
nothing to do with mental health.

00:19:28.221 --> 00:19:31.583
It's just the licensing institution in the

00:19:31.663 --> 00:19:34.085
state that oversee all licenses.

00:19:34.825 --> 00:19:37.666
So yeah, I think...

00:19:40.165 --> 00:19:43.049
swing and a miss on who was included

00:19:43.931 --> 00:19:49.698
um well that's the government for you i

00:19:49.718 --> 00:19:50.598
don't know why i did that in the

00:19:50.638 --> 00:19:53.222
southern jawline that's the government for

00:19:53.262 --> 00:19:53.363
you

00:19:56.474 --> 00:19:57.996
Subject matter experts from each council

00:19:58.056 --> 00:19:59.656
agency supported two focus areas of the

00:19:59.676 --> 00:20:00.196
council's work,

00:20:00.257 --> 00:20:02.137
prevention and services to support a

00:20:02.397 --> 00:20:04.818
strong foundation for mental wellness and

00:20:04.939 --> 00:20:06.538
appropriate care and treatment to ensure a

00:20:06.558 --> 00:20:08.019
coordinated response to mental illness.

00:20:08.079 --> 00:20:10.161
Again, in theory, this is all great.

00:20:12.317 --> 00:20:12.837
Right.

00:20:12.857 --> 00:20:14.380
What does the strong foundation look like?

00:20:14.400 --> 00:20:15.780
Let's scroll down a bit and look at

00:20:15.820 --> 00:20:17.702
that strong foundation work group.

00:20:17.722 --> 00:20:19.564
The vision is improving the mental health

00:20:19.584 --> 00:20:21.205
of our state will require us to improve

00:20:21.266 --> 00:20:23.126
our environments, policies and systems,

00:20:23.166 --> 00:20:24.769
which ultimately affect people's mental

00:20:25.048 --> 00:20:26.150
health and quality of life.

00:20:26.671 --> 00:20:27.010
Yes,

00:20:27.290 --> 00:20:30.134
mental health is directly tied to quality

00:20:30.153 --> 00:20:30.473
of life.

00:20:30.513 --> 00:20:31.555
If quality of life is low,

00:20:31.595 --> 00:20:32.695
mental health is going to be low.

00:20:33.240 --> 00:20:33.720
right?

00:20:33.740 --> 00:20:35.662
It's not even about mental illness at that

00:20:35.682 --> 00:20:35.902
point.

00:20:35.981 --> 00:20:37.903
It's just on quality of life.

00:20:38.884 --> 00:20:40.025
Yeah, that needs to be better.

00:20:40.086 --> 00:20:41.125
That's environments, policies,

00:20:41.145 --> 00:20:41.686
and systems.

00:20:42.607 --> 00:20:43.307
A hundred percent agree.

00:20:43.627 --> 00:20:46.150
Focus, housing, food access, childcare,

00:20:46.210 --> 00:20:47.010
healthy relationships,

00:20:47.050 --> 00:20:48.752
financial stability, social connectedness,

00:20:49.032 --> 00:20:50.153
social and emotional learning,

00:20:50.433 --> 00:20:51.734
and other priorities identified.

00:20:52.576 --> 00:20:55.238
Hell to the yes, right?

00:20:55.637 --> 00:20:57.940
None of that is therapy.

00:21:00.615 --> 00:21:01.296
Right?

00:21:01.915 --> 00:21:03.577
Why so many therapists are burnt out and

00:21:03.637 --> 00:21:04.979
why so many people are struggling right

00:21:05.019 --> 00:21:08.142
now is because it is correct for your

00:21:08.162 --> 00:21:09.683
brain to look around at the world and

00:21:09.884 --> 00:21:11.645
go, yo, what the fuck?

00:21:12.980 --> 00:21:14.823
That's the correct response to have a

00:21:14.883 --> 00:21:17.223
stress response to a stressful situation

00:21:17.345 --> 00:21:18.164
is correct.

00:21:18.184 --> 00:21:19.506
Your brain's working correctly.

00:21:19.526 --> 00:21:21.488
That's not mental illness, right?

00:21:21.688 --> 00:21:23.970
We shouldn't have entire generation of

00:21:24.049 --> 00:21:25.330
millennials who are burnt out.

00:21:25.371 --> 00:21:26.672
We shouldn't have an entire generation of

00:21:26.731 --> 00:21:28.953
Gen Z who's apathetic to the workforce

00:21:28.973 --> 00:21:31.875
because it seems to suck, which is again,

00:21:32.115 --> 00:21:33.438
correct.

00:21:35.019 --> 00:21:36.859
Why should they participate in organized

00:21:36.920 --> 00:21:38.942
civilization when organized civilization

00:21:38.961 --> 00:21:41.483
has nothing to offer them, but wage labor,

00:21:41.503 --> 00:21:42.644
right?

00:21:45.462 --> 00:21:47.924
Why work really hard for most of your

00:21:47.984 --> 00:21:50.907
life just to make some rich asshole more

00:21:50.968 --> 00:21:51.248
money?

00:21:51.909 --> 00:21:54.090
Sounds like a bad deal, because it is.

00:21:54.111 --> 00:21:55.251
That's your brain working correctly.

00:21:55.731 --> 00:21:57.773
So in order to improve mental health,

00:21:57.814 --> 00:21:58.994
we do need housing.

00:22:01.242 --> 00:22:01.482
right?

00:22:01.742 --> 00:22:03.763
Maslow's hierarchy of needs is overly

00:22:03.784 --> 00:22:05.125
simplistic and been a little bit,

00:22:05.505 --> 00:22:06.726
I wouldn't say it's been disproven.

00:22:06.865 --> 00:22:09.126
It's been proven to be woefully overly

00:22:09.166 --> 00:22:09.626
simplistic.

00:22:09.747 --> 00:22:12.308
But for a wide general audience here,

00:22:12.909 --> 00:22:14.028
you may be familiar with Maslow's

00:22:14.048 --> 00:22:15.150
hierarchy of needs, right?

00:22:15.210 --> 00:22:16.990
What we need to be functional, food,

00:22:17.010 --> 00:22:18.912
water, shelter, first and foremost, right?

00:22:19.112 --> 00:22:19.491
And rest.

00:22:19.652 --> 00:22:20.153
We need to sleep.

00:22:20.272 --> 00:22:22.314
Our brains need it or we die.

00:22:23.253 --> 00:22:24.714
we will die from lack of sleep that

00:22:24.734 --> 00:22:26.756
that's a real thing um so we need

00:22:26.816 --> 00:22:29.636
housing shelter we need that also safety

00:22:29.797 --> 00:22:32.538
place to rest uh food access yeah we

00:22:32.558 --> 00:22:35.000
gotta eat to live uh and ideally we

00:22:35.019 --> 00:22:38.221
could eat healthy that'd be cool child

00:22:38.260 --> 00:22:40.362
care yes if we're going to take care

00:22:40.422 --> 00:22:43.324
of the future and have a civilization in

00:22:43.344 --> 00:22:45.025
the future we need to have child care

00:22:45.950 --> 00:22:46.871
Healthy relationships.

00:22:46.911 --> 00:22:47.451
What does that look?

00:22:47.471 --> 00:22:48.031
What does that mean?

00:22:48.471 --> 00:22:49.593
Well, again,

00:22:49.653 --> 00:22:50.574
I think it's talking about social

00:22:50.614 --> 00:22:51.394
connectedness here.

00:22:52.414 --> 00:22:54.777
That's a separate topic that it gets.

00:22:55.438 --> 00:22:56.818
But healthy relationships, right?

00:22:56.878 --> 00:23:00.382
With family members, with our neighbors,

00:23:00.541 --> 00:23:03.183
with the things that provide meaning in

00:23:03.243 --> 00:23:03.565
our life.

00:23:03.785 --> 00:23:04.545
Yeah, I think that's great.

00:23:05.205 --> 00:23:06.047
Financial stability.

00:23:09.028 --> 00:23:11.050
To a degree, yeah.

00:23:13.782 --> 00:23:14.363
Yes.

00:23:15.384 --> 00:23:15.943
Again,

00:23:16.124 --> 00:23:19.924
like that's a social construct that like

00:23:19.984 --> 00:23:21.945
you would have financial instability,

00:23:22.906 --> 00:23:23.146
right?

00:23:23.207 --> 00:23:25.748
Like this is where it's like, well, yeah,

00:23:25.807 --> 00:23:27.728
financial stability does decrease stress.

00:23:27.768 --> 00:23:29.469
Like the idea that like money doesn't buy

00:23:29.509 --> 00:23:31.450
happiness is provably false.

00:23:31.769 --> 00:23:33.369
There's a certain level at which money

00:23:33.410 --> 00:23:35.290
won't buy more happiness.

00:23:36.592 --> 00:23:38.432
But again, if you're like a millennial,

00:23:38.531 --> 00:23:40.432
there's not a single issue you're dealing

00:23:40.452 --> 00:23:41.713
with in your life that money wouldn't

00:23:41.753 --> 00:23:42.094
improve.

00:23:42.653 --> 00:23:44.715
um i wouldn't say not a single because

00:23:44.756 --> 00:23:46.217
again i'm a relationship therapist and a

00:23:46.277 --> 00:23:47.919
lot of what people are dealing with in

00:23:47.959 --> 00:23:50.881
their relationships is is poor decisions

00:23:50.902 --> 00:23:53.644
that they themselves have made um social

00:23:53.683 --> 00:23:56.205
connectedness yeah like again i i don't

00:23:56.246 --> 00:23:58.548
think i i read this whole document uh

00:23:58.567 --> 00:24:00.089
start to finish which is

00:24:00.851 --> 00:24:01.392
I'm a skimmer,

00:24:01.551 --> 00:24:03.173
so I was really actually taking my time.

00:24:03.973 --> 00:24:05.535
I don't think third spaces come up at

00:24:05.654 --> 00:24:05.815
all,

00:24:05.855 --> 00:24:07.116
but it's something I talk about a ton.

00:24:07.257 --> 00:24:09.719
It's one of the reasons I am deeply

00:24:09.759 --> 00:24:15.203
critical of the sex pest ring of criminals

00:24:15.243 --> 00:24:17.986
that is organized religion that gets a tax

00:24:18.026 --> 00:24:19.688
break and other things don't.

00:24:20.648 --> 00:24:23.030
We need third spaces that aren't tied to

00:24:23.171 --> 00:24:23.530
religion.

00:24:25.025 --> 00:24:26.446
And religion isn't using those third

00:24:26.467 --> 00:24:28.188
spaces because religion keeps losing

00:24:28.228 --> 00:24:28.469
money.

00:24:28.669 --> 00:24:30.931
So they're just trying to participate in

00:24:30.971 --> 00:24:32.392
both capitalism and politics.

00:24:32.511 --> 00:24:34.253
So they really shouldn't be tax exempt.

00:24:35.055 --> 00:24:36.155
But we need more third spaces.

00:24:36.195 --> 00:24:37.797
This is a conversation I have with clients

00:24:37.997 --> 00:24:39.159
on the regular.

00:24:39.179 --> 00:24:40.519
Where do they go to meet people?

00:24:40.579 --> 00:24:41.461
How do they connect?

00:24:41.560 --> 00:24:42.981
When we talk about building community,

00:24:43.321 --> 00:24:44.403
what does that actually look like?

00:24:44.462 --> 00:24:45.964
How can they do that if they don't

00:24:45.984 --> 00:24:48.948
have extra funds?

00:24:48.968 --> 00:24:49.327
I don't know.

00:24:50.867 --> 00:24:51.108
Again,

00:24:51.189 --> 00:24:52.772
all my diplomas on the wall didn't teach

00:24:52.813 --> 00:24:55.439
me how to deal with late stage capitalism

00:24:55.539 --> 00:24:56.803
and empire crumbling.

00:24:58.586 --> 00:24:59.829
So yeah, all this stuff is really great.

00:25:01.835 --> 00:25:04.336
theory i'm aboard implementation let's

00:25:04.556 --> 00:25:07.455
let's see uh the coordinated response work

00:25:07.496 --> 00:25:09.196
group's vision was when a person or loved

00:25:09.277 --> 00:25:10.876
one needs help they get the care they

00:25:10.896 --> 00:25:11.957
need no matter their mental health

00:25:11.997 --> 00:25:13.798
symptoms or which door they come through

00:25:14.458 --> 00:25:17.298
focus of a no wrong door approach a

00:25:17.337 --> 00:25:20.019
sustainable workforce uh a no wrong door

00:25:20.058 --> 00:25:21.398
approach is it doesn't really matter where

00:25:21.419 --> 00:25:23.480
somebody goes to seek help that they will

00:25:23.519 --> 00:25:24.420
get um

00:25:25.454 --> 00:25:27.895
directed to and helped to get to the

00:25:28.536 --> 00:25:29.217
correct place.

00:25:29.596 --> 00:25:31.397
So anyone asking for help is going to

00:25:31.438 --> 00:25:32.258
get the help that they need.

00:25:32.538 --> 00:25:34.259
Love that in theory.

00:25:35.559 --> 00:25:36.599
No wrong door approach,

00:25:36.640 --> 00:25:38.480
a sustainable workforce, eye roll,

00:25:38.520 --> 00:25:38.980
but whatever.

00:25:39.862 --> 00:25:40.741
Data-driven responses.

00:25:41.142 --> 00:25:41.383
Again,

00:25:41.423 --> 00:25:44.384
like the government providing for life,

00:25:44.423 --> 00:25:46.404
liberty, pursuit of happiness,

00:25:46.464 --> 00:25:47.525
not financial gain,

00:25:47.746 --> 00:25:49.326
not financial stability, like life,

00:25:49.365 --> 00:25:50.386
liberty, pursuit of happiness.

00:25:51.968 --> 00:25:53.728
It doesn't have to be workforce.

00:25:53.847 --> 00:25:54.868
Data-driven responses.

00:25:56.240 --> 00:25:57.619
That could mean a lot of different things

00:25:57.660 --> 00:25:58.760
to a lot of different people.

00:25:58.840 --> 00:25:59.161
Again,

00:25:59.421 --> 00:26:02.642
if you talk to Sam Altman or Elon

00:26:02.662 --> 00:26:03.842
Musk, they're going to talk about AI.

00:26:03.882 --> 00:26:05.001
If you talk to me,

00:26:05.041 --> 00:26:08.103
I'm going to say peer-reviewed empirical

00:26:08.143 --> 00:26:10.324
data.

00:26:10.784 --> 00:26:12.023
I don't know what they mean by data-driven

00:26:12.064 --> 00:26:12.624
responses,

00:26:12.683 --> 00:26:14.464
but it sounds nice if they mean it

00:26:14.505 --> 00:26:14.964
correctly.

00:26:17.195 --> 00:26:18.676
And trauma-informed care and healthcare

00:26:18.696 --> 00:26:20.817
facilities, correctional facilities,

00:26:20.936 --> 00:26:22.238
community-based organizations,

00:26:22.298 --> 00:26:22.917
and workplaces,

00:26:22.958 --> 00:26:24.498
including state offices and other places

00:26:24.598 --> 00:26:25.338
people access services.

00:26:25.558 --> 00:26:28.259
Yeah, we need more trauma-informed folks,

00:26:28.839 --> 00:26:30.259
trauma-sensitive work, for sure,

00:26:30.641 --> 00:26:32.161
across all those institutions.

00:26:33.101 --> 00:26:34.842
Then we have a picture of a bunch

00:26:34.862 --> 00:26:38.182
of white people and a few non-whites.

00:26:38.323 --> 00:26:39.002
It's Wisconsin.

00:26:39.403 --> 00:26:39.763
But again,

00:26:42.384 --> 00:26:43.845
Milwaukee and Madison are diverse places.

00:26:44.412 --> 00:26:46.152
the rest of the state is not so

00:26:46.732 --> 00:26:47.593
i'm not gonna make a big deal about

00:26:47.633 --> 00:26:54.394
that um where are we for time we're

00:26:54.413 --> 00:27:00.955
we're we're we're we're we're we're we're

00:27:00.976 --> 00:27:05.017
we're we're we're we're we're we're we're

00:27:05.037 --> 00:27:05.376
we're we're

00:27:09.457 --> 00:27:10.957
Even those who are never diagnosed with a

00:27:10.977 --> 00:27:12.038
mental health condition can struggle with

00:27:12.057 --> 00:27:13.218
challenges that impact their mental

00:27:13.238 --> 00:27:13.597
well-being.

00:27:13.917 --> 00:27:14.298
Additionally,

00:27:14.317 --> 00:27:15.699
some Wisconsinites are more susceptible to

00:27:15.739 --> 00:27:16.699
experiencing mental health challenges

00:27:16.719 --> 00:27:18.259
based on their situational circumstances

00:27:18.318 --> 00:27:19.480
and environmental factors,

00:27:19.920 --> 00:27:22.280
like letting Menards pollute our rivers

00:27:22.340 --> 00:27:23.020
and Great Lakes.

00:27:23.621 --> 00:27:24.840
Wisconsinites' impacts on mental health

00:27:24.861 --> 00:27:25.721
are identified below,

00:27:25.902 --> 00:27:27.241
along with state and national trends that

00:27:27.261 --> 00:27:28.521
demonstrate the challenges people are

00:27:28.801 --> 00:27:29.201
facing.

00:27:31.462 --> 00:27:33.824
Students' feelings of belonging in their

00:27:33.864 --> 00:27:35.104
schools decreased from seventy four

00:27:35.144 --> 00:27:36.785
percent in twenty thirteen to fifty four

00:27:36.805 --> 00:27:37.865
percent in twenty twenty three.

00:27:38.694 --> 00:27:40.976
It's a big drop.

00:27:41.016 --> 00:27:42.217
Fifty nine percent of high school students

00:27:42.257 --> 00:27:44.278
report experiencing at least one mental

00:27:44.317 --> 00:27:45.459
challenge within the past year.

00:27:45.818 --> 00:27:47.240
Teen girls have reported high levels of

00:27:47.279 --> 00:27:48.181
violence, depression,

00:27:48.221 --> 00:27:49.362
self-harm and suicide risk.

00:27:49.821 --> 00:27:50.102
Gosh,

00:27:50.162 --> 00:27:52.042
maybe we should not have a president who's

00:27:52.143 --> 00:27:53.844
a pedophile and maybe not have a pope

00:27:53.903 --> 00:27:56.145
who's spent his whole career defending

00:27:57.185 --> 00:27:58.626
priests who molested children.

00:27:59.827 --> 00:28:00.087
Right.

00:28:00.127 --> 00:28:00.428
Like.

00:28:02.210 --> 00:28:04.330
Why are women suffering from so much

00:28:04.371 --> 00:28:04.891
violence?

00:28:04.931 --> 00:28:07.292
Because we keep promoting men who are

00:28:07.333 --> 00:28:07.673
violent.

00:28:10.952 --> 00:28:12.854
I've never worked with a cop who wasn't

00:28:12.874 --> 00:28:13.794
abusing his spouse.

00:28:14.334 --> 00:28:15.693
That's anecdotal, right?

00:28:15.974 --> 00:28:19.395
That's not every situation ever.

00:28:20.155 --> 00:28:22.256
But like, again, mental health career,

00:28:22.636 --> 00:28:25.656
it's not nothing.

00:28:26.958 --> 00:28:28.278
Nearly nine percent of Wisconsin's youth

00:28:28.298 --> 00:28:29.759
have attempted suicide and ninety percent

00:28:29.778 --> 00:28:31.199
have seriously considered suicide.

00:28:31.239 --> 00:28:34.279
That is such a bummer.

00:28:37.768 --> 00:28:39.230
Children ages zero to five,

00:28:39.269 --> 00:28:40.570
sixty eight percent of Wisconsin doctors

00:28:40.611 --> 00:28:42.073
do not ask about parental concerns with

00:28:42.113 --> 00:28:43.193
learning development or behavioral

00:28:43.233 --> 00:28:43.574
problems.

00:28:43.714 --> 00:28:45.036
Ninety percent of brain development occurs

00:28:45.076 --> 00:28:46.136
between ages zero to five.

00:28:46.277 --> 00:28:47.699
Experts advise that mental health care be

00:28:47.759 --> 00:28:49.320
embedded early into routine care.

00:28:50.102 --> 00:28:50.662
Mental health care,

00:28:50.961 --> 00:28:51.682
not just for the children,

00:28:51.702 --> 00:28:52.644
but also the parents.

00:28:52.924 --> 00:28:53.105
Right.

00:28:53.424 --> 00:28:55.047
We're in the middle of like perimental

00:28:55.106 --> 00:28:56.709
mental health awareness week.

00:28:57.368 --> 00:28:57.890
Right.

00:28:59.451 --> 00:29:00.111
It's bad.

00:29:00.191 --> 00:29:02.531
The reason moms and dads,

00:29:02.632 --> 00:29:04.791
one in five moms, I think this is,

00:29:05.112 --> 00:29:06.332
again, data I saw recently,

00:29:06.392 --> 00:29:07.752
but it's just going from memory.

00:29:08.512 --> 00:29:10.452
One in five moms will have symptoms,

00:29:11.012 --> 00:29:12.273
postpartum symptoms.

00:29:12.374 --> 00:29:14.134
One in ten dads will have postpartum

00:29:14.153 --> 00:29:14.513
symptoms.

00:29:15.094 --> 00:29:16.474
So that's, again,

00:29:16.555 --> 00:29:19.515
appalling numbers in a supposedly first

00:29:19.535 --> 00:29:21.895
world country that has the worst mortality

00:29:21.915 --> 00:29:23.695
rate, both for babies and for mothers.

00:29:24.695 --> 00:29:26.136
We're failing.

00:29:27.237 --> 00:29:27.696
We're failing.

00:29:28.422 --> 00:29:30.002
uh mental health conditions are the

00:29:30.022 --> 00:29:32.884
leading point that i was making mental

00:29:32.904 --> 00:29:34.026
health conditions are a leading cause of

00:29:34.066 --> 00:29:35.747
pregnancy related death in wisconsin in

00:29:35.787 --> 00:29:37.087
twenty twenty thirty eight percent of

00:29:37.167 --> 00:29:38.469
pregnancy related deaths were due to

00:29:38.509 --> 00:29:39.750
mental health conditions including

00:29:39.849 --> 00:29:42.612
overdose uh forty one percent of parents

00:29:42.673 --> 00:29:44.034
nationally said that most days are so

00:29:44.074 --> 00:29:46.634
stressed they cannot function that's not

00:29:46.694 --> 00:29:49.057
because of mental health problems that's

00:29:49.116 --> 00:29:51.419
because civilization isn't supporting

00:29:51.499 --> 00:29:54.601
human existence parents and caregivers

00:29:54.621 --> 00:29:56.182
face stressors such as financial strain

00:29:57.676 --> 00:29:58.718
Ding, ding, ding.

00:29:59.378 --> 00:29:59.979
Time demands,

00:30:00.019 --> 00:30:01.180
concerns over children's health and

00:30:01.220 --> 00:30:02.602
safety, isolation and loneliness,

00:30:02.662 --> 00:30:04.123
and difficulty managing technology and

00:30:04.163 --> 00:30:04.623
social media.

00:30:05.023 --> 00:30:05.263
Again,

00:30:05.483 --> 00:30:07.586
that difficulty managing social media is

00:30:07.605 --> 00:30:09.268
because like everything sucks and what's

00:30:09.307 --> 00:30:10.909
available to us is our phones.

00:30:11.169 --> 00:30:12.230
We're supposed to go meet friends.

00:30:12.269 --> 00:30:13.111
We don't have any money.

00:30:14.231 --> 00:30:15.753
Everything costs something.

00:30:16.213 --> 00:30:17.575
We don't own things anymore.

00:30:17.615 --> 00:30:20.317
Everything is a subscription model, right?

00:30:23.345 --> 00:30:25.546
We're focused on the loneliness epidemic

00:30:25.586 --> 00:30:29.627
and not financial strain.

00:30:29.688 --> 00:30:29.867
Again,

00:30:29.907 --> 00:30:32.710
I don't think universal basic income comes

00:30:32.769 --> 00:30:34.069
up at all either in this,

00:30:34.109 --> 00:30:36.711
which are such easy layups that are backed

00:30:36.731 --> 00:30:37.872
by so much research.

00:30:38.692 --> 00:30:39.952
It's maddening to read something like

00:30:39.972 --> 00:30:40.192
this.

00:30:41.233 --> 00:30:44.375
And this is where I have some complaints

00:30:44.595 --> 00:30:45.256
about this.

00:30:46.227 --> 00:30:47.428
half an hour in we're getting to my

00:30:47.468 --> 00:30:49.448
complaints he said somewhat sarcastically

00:30:49.949 --> 00:30:52.490
uh people who live in rural areas are

00:30:52.549 --> 00:30:54.730
struggling work for work workforce

00:30:54.750 --> 00:30:56.090
shortages are more challenging in rural

00:30:56.211 --> 00:30:57.971
areas as fewer providers means people may

00:30:57.991 --> 00:30:59.412
have longer wait times or must travel

00:30:59.451 --> 00:31:03.334
further to see a provider sooner yeah uh

00:31:03.354 --> 00:31:05.153
sixty-six of wisconsin seventy duke

00:31:05.173 --> 00:31:06.234
counties contain a mental health

00:31:06.275 --> 00:31:08.496
professional shortage area again that

00:31:08.576 --> 00:31:12.537
includes the urban areas we're a poorly

00:31:12.596 --> 00:31:13.657
resourced state

00:31:14.611 --> 00:31:16.712
Every therapist I know asks every other

00:31:16.732 --> 00:31:18.614
therapist I know if they know of any

00:31:18.713 --> 00:31:20.894
psychiatrists who are taking new clients.

00:31:21.996 --> 00:31:23.557
All of us are looking for NPs who

00:31:23.576 --> 00:31:24.738
have mental health training who can

00:31:24.778 --> 00:31:27.099
prescribe because that's the best way that

00:31:27.119 --> 00:31:29.020
our clients can get both good level of

00:31:29.080 --> 00:31:30.442
care with somebody who actually like

00:31:30.701 --> 00:31:32.723
spends time and talks to them and actually

00:31:32.784 --> 00:31:33.624
listens to them.

00:31:34.305 --> 00:31:37.366
And there's, you know, not enough of them.

00:31:37.386 --> 00:31:38.708
Twenty-eight percent of counties had no

00:31:38.748 --> 00:31:39.868
practicing psychiatrists.

00:31:40.212 --> 00:31:42.032
And seventy six percent face significant

00:31:42.053 --> 00:31:43.453
shortage defined as fewer than one

00:31:43.493 --> 00:31:44.834
psychiatrist for every ten thousand

00:31:44.874 --> 00:31:45.213
residents.

00:31:45.634 --> 00:31:47.934
And again, that's such a stupid number.

00:31:48.275 --> 00:31:49.454
When I worked in higher ed,

00:31:49.775 --> 00:31:51.174
I worked with all the student athletes,

00:31:51.255 --> 00:31:52.296
not every single one of them.

00:31:52.336 --> 00:31:54.155
But like I oversaw the student athletes

00:31:54.175 --> 00:31:54.935
was eight hundred.

00:31:55.395 --> 00:31:55.576
Right.

00:31:55.895 --> 00:31:58.777
One one provider for eight hundred is not

00:31:58.836 --> 00:31:59.116
enough.

00:31:59.576 --> 00:32:02.317
So a shortage defined as fewer than one

00:32:02.357 --> 00:32:03.698
psychiatrist for every ten thousand

00:32:03.738 --> 00:32:04.057
residents.

00:32:04.397 --> 00:32:06.818
how is one psychiatrist going to see ten

00:32:06.878 --> 00:32:09.319
thousand people that simply cannot be

00:32:09.980 --> 00:32:13.301
right it's a preposterous statistic so

00:32:13.362 --> 00:32:16.182
like again a hundred percent are facing a

00:32:16.202 --> 00:32:19.183
shortage if we used actual good parameters

00:32:19.223 --> 00:32:21.704
for our data most rural adults agree that

00:32:21.744 --> 00:32:24.125
availability embarrassment uh fifty five

00:32:24.145 --> 00:32:25.746
percent said availability fifty two

00:32:25.766 --> 00:32:27.307
percent said availability and stigma said

00:32:27.326 --> 00:32:29.248
fifty one percent would be a barrier if

00:32:29.268 --> 00:32:30.367
they were seeking help for mental health

00:32:30.387 --> 00:32:31.929
conditions again i don't know

00:32:32.528 --> 00:32:34.029
I don't have a lot of sympathy on

00:32:34.130 --> 00:32:35.170
embarrassment and stigma.

00:32:35.230 --> 00:32:36.070
Grow the fuck up.

00:32:36.211 --> 00:32:39.252
Like asking for help doesn't make you a

00:32:39.292 --> 00:32:39.873
bad person.

00:32:41.193 --> 00:32:43.795
I have little tolerance for being like,

00:32:44.234 --> 00:32:45.035
ah, shucks.

00:32:45.076 --> 00:32:47.096
The people in the rural areas need more

00:32:47.156 --> 00:32:47.457
help.

00:32:47.497 --> 00:32:48.737
Like if we put more help out there

00:32:49.117 --> 00:32:51.699
and like, I don't know, mom,

00:32:51.719 --> 00:32:54.019
pa and rip in Wisconsin who are like,

00:32:54.119 --> 00:32:54.500
rah,

00:32:54.599 --> 00:32:56.320
going to therapy might make you woke or

00:32:56.361 --> 00:32:58.962
gay or something like, no, fuck that.

00:32:59.042 --> 00:33:01.483
Like I don't have sympathy for that.

00:33:02.701 --> 00:33:04.202
Availability is a problem.

00:33:05.384 --> 00:33:07.326
Farmers and farm workers are most likely

00:33:07.365 --> 00:33:08.406
to say financial issues.

00:33:08.507 --> 00:33:10.188
Eighty percent weather or other factors

00:33:10.208 --> 00:33:10.769
beyond their control.

00:33:10.868 --> 00:33:11.890
Eighty two percent in the state of the

00:33:11.910 --> 00:33:12.549
farm economy.

00:33:12.931 --> 00:33:14.352
Eighty percent impact farmers mental

00:33:14.372 --> 00:33:16.534
health.

00:33:16.574 --> 00:33:16.773
Sure.

00:33:19.010 --> 00:33:19.832
Yeah,

00:33:19.872 --> 00:33:22.035
but also like we need to revamp farming

00:33:22.055 --> 00:33:24.178
completely because we keep growing crops

00:33:24.198 --> 00:33:25.940
that have no nutritional value and we're

00:33:25.960 --> 00:33:27.442
depleting the land of any of its natural

00:33:27.481 --> 00:33:30.586
resources because we are existing under

00:33:30.625 --> 00:33:31.126
capitalism.

00:33:31.366 --> 00:33:33.309
Mental health can't fix capitalism.

00:33:35.846 --> 00:33:37.165
People who have served our nation,

00:33:37.266 --> 00:33:37.767
veterans.

00:33:37.886 --> 00:33:39.987
Wisconsin has approximately three hundred

00:33:40.487 --> 00:33:42.807
thirty one thousand veterans.

00:33:43.407 --> 00:33:44.268
In twenty twenty two,

00:33:44.307 --> 00:33:46.028
one hundred forty five veterans died by

00:33:46.087 --> 00:33:46.567
suicide.

00:33:46.969 --> 00:33:48.308
Veterans make up six point two of

00:33:48.328 --> 00:33:49.608
Wisconsin's adult population,

00:33:49.729 --> 00:33:51.430
yet they account for sixteen point two of

00:33:51.690 --> 00:33:53.029
adult suicide deaths.

00:33:53.509 --> 00:33:53.750
Again,

00:33:54.089 --> 00:33:57.230
that's appalling and also happening across

00:33:57.250 --> 00:33:57.631
the nation.

00:33:58.351 --> 00:33:59.750
Point in time national data shows on a

00:33:59.790 --> 00:34:00.671
single night in January,

00:34:00.711 --> 00:34:01.592
twenty twenty three,

00:34:01.612 --> 00:34:03.852
there were thirty five thousand plus

00:34:04.892 --> 00:34:06.333
veterans who experienced homelessness in

00:34:06.353 --> 00:34:07.173
the United States.

00:34:07.272 --> 00:34:09.012
This reflects a seven point four increase

00:34:10.532 --> 00:34:12.393
in seven point four percent increase in

00:34:12.414 --> 00:34:13.634
the number of veterans experiencing

00:34:13.713 --> 00:34:17.614
homelessness from twenty twenty two.

00:34:17.635 --> 00:34:20.255
That's your Republican legislature, again,

00:34:20.474 --> 00:34:22.755
like gutting the VA,

00:34:22.856 --> 00:34:24.235
gutting services like this.

00:34:25.293 --> 00:34:28.934
for no good reason again like imperial uh

00:34:29.034 --> 00:34:31.514
tendencies and sending people to war for

00:34:31.916 --> 00:34:34.436
profit of oil barons is a bad idea

00:34:34.516 --> 00:34:36.936
but like certainly abandoning them when

00:34:36.976 --> 00:34:39.878
they have seen horrific things under the

00:34:39.938 --> 00:34:42.820
propaganda of being for our country is

00:34:44.920 --> 00:34:47.902
disgusting and should be criminal uh

00:34:47.922 --> 00:34:48.621
depending on the branch

00:34:49.695 --> 00:34:50.856
not for the service members,

00:34:50.916 --> 00:34:53.398
for the politicians who are not supporting

00:34:53.739 --> 00:34:56.260
those people who they asked to do more

00:34:56.300 --> 00:34:57.521
than they themselves were willing to do.

00:34:58.123 --> 00:34:58.922
Depending on the branch,

00:34:58.943 --> 00:34:59.983
up to thirty one percent of service

00:35:00.003 --> 00:35:03.327
members develop post traumatic stress

00:35:03.347 --> 00:35:04.648
disorder after a train from combat.

00:35:05.068 --> 00:35:05.168
Again,

00:35:05.208 --> 00:35:06.309
I'm going to say that number is low

00:35:06.329 --> 00:35:08.190
because not enough people are trained to

00:35:08.291 --> 00:35:09.130
identify trauma.

00:35:09.572 --> 00:35:11.092
And they're just talking about, like,

00:35:11.532 --> 00:35:14.054
I'm going to say the DSM four version

00:35:14.635 --> 00:35:15.956
of how trauma was defined.

00:35:16.376 --> 00:35:18.498
And that's bad because the DSM-V version

00:35:18.557 --> 00:35:20.077
of how we talk about PTSD is bad

00:35:20.117 --> 00:35:21.898
because we don't even include complex PTSD

00:35:21.918 --> 00:35:22.199
yet.

00:35:22.579 --> 00:35:25.719
So that number is incredibly low.

00:35:27.119 --> 00:35:30.822
Also, yeah, whatever.

00:35:30.862 --> 00:35:33.461
Yes, we need services for that.

00:35:34.822 --> 00:35:35.242
Badly.

00:35:36.583 --> 00:35:37.244
And that's, again,

00:35:37.264 --> 00:35:38.844
like gets back to like housing.

00:35:38.963 --> 00:35:40.545
Housing is a solvable problem.

00:35:40.985 --> 00:35:43.704
Immediately charge stupid high taxes on

00:35:43.744 --> 00:35:46.126
people who own more than one property and

00:35:46.306 --> 00:35:47.826
get veterans housed.

00:35:47.885 --> 00:35:52.467
We have enough houses to house people.

00:35:52.586 --> 00:35:53.387
It's not a mystery.

00:35:55.307 --> 00:36:00.489
Get private equity out of homeownership.

00:36:00.509 --> 00:36:01.568
People who work in behavioral health and

00:36:01.588 --> 00:36:02.228
public service.

00:36:02.809 --> 00:36:02.989
Yeah.

00:36:03.873 --> 00:36:05.496
We all have trauma, secondary trauma.

00:36:05.655 --> 00:36:07.257
We're overworked, under-resourced.

00:36:07.458 --> 00:36:09.240
There aren't resources to refer people to.

00:36:09.681 --> 00:36:10.943
So we end up taking on more than

00:36:10.963 --> 00:36:11.463
we could hold.

00:36:12.125 --> 00:36:13.085
La-di-da-di-da.

00:36:13.527 --> 00:36:14.268
I'm not dismissing that.

00:36:14.288 --> 00:36:15.148
I'm just not going to spend a ton

00:36:15.168 --> 00:36:15.688
of time on that.

00:36:16.911 --> 00:36:18.452
Wisconsin state employees are eligible for

00:36:18.472 --> 00:36:20.655
mental health programs which provide peer

00:36:20.675 --> 00:36:21.556
and professional supports.

00:36:22.378 --> 00:36:24.018
however these have low utilization rates

00:36:24.099 --> 00:36:25.460
one to two percent of eligible employees

00:36:25.559 --> 00:36:27.561
again like that's where they start getting

00:36:27.601 --> 00:36:30.164
into like stigma stuff like that's a poor

00:36:30.623 --> 00:36:33.827
idea right because it's it's going to be

00:36:33.847 --> 00:36:35.208
during work hours and it's going to be

00:36:35.228 --> 00:36:37.989
telehealth like that's not community

00:36:38.010 --> 00:36:41.152
building it just isn't that's not peer

00:36:41.172 --> 00:36:41.512
support

00:36:42.563 --> 00:36:43.123
as we would need it.

00:36:44.103 --> 00:36:45.184
People in crisis.

00:36:45.565 --> 00:36:45.885
Yes.

00:36:46.065 --> 00:36:46.364
Again,

00:36:46.445 --> 00:36:48.907
I would say we're in a better spot

00:36:49.007 --> 00:36:50.967
than some states because again,

00:36:51.108 --> 00:36:54.530
thanks to a few key Democrats in the

00:36:54.590 --> 00:36:56.251
state leadership,

00:36:56.911 --> 00:36:58.692
we're actually still funding crisis lines,

00:36:58.733 --> 00:37:01.193
which federal funding got cut.

00:37:01.974 --> 00:37:02.715
And like, those are,

00:37:04.170 --> 00:37:06.331
a last line of defense sort of safety

00:37:06.371 --> 00:37:06.570
net.

00:37:06.630 --> 00:37:07.771
Those are not preventative.

00:37:07.811 --> 00:37:09.813
Those are not awesome or flawless all of

00:37:09.853 --> 00:37:10.293
the time.

00:37:10.833 --> 00:37:11.954
So again,

00:37:11.994 --> 00:37:16.275
we're like better than other states,

00:37:16.315 --> 00:37:17.275
but it's still bad.

00:37:18.476 --> 00:37:21.137
Talks about drug use a little bit.

00:37:21.398 --> 00:37:23.199
It doesn't include alcohol in that because

00:37:23.219 --> 00:37:23.438
again,

00:37:23.478 --> 00:37:24.798
then you'd have to say that like maybe

00:37:24.860 --> 00:37:26.599
the Tavern League of Wisconsin shouldn't

00:37:26.619 --> 00:37:29.302
be the thing that controls a ton of

00:37:29.322 --> 00:37:30.141
policy and decisions.

00:37:31.757 --> 00:37:33.059
uh people involved in the correctional

00:37:33.119 --> 00:37:35.681
system again we just should not have a

00:37:35.721 --> 00:37:37.661
carceral system that would solve a lot

00:37:37.702 --> 00:37:38.902
that's certainly not what they're going to

00:37:38.943 --> 00:37:41.324
say in wisconsin nearly half forty six

00:37:41.344 --> 00:37:42.726
percent of adults who are incarcerated

00:37:42.746 --> 00:37:44.588
have a diagnosed diagnosable mental

00:37:44.648 --> 00:37:46.630
illness eighteen of the twenty adult

00:37:46.670 --> 00:37:48.532
correctional institutions that provide

00:37:48.572 --> 00:37:49.692
mental health care in wisconsin have

00:37:49.733 --> 00:37:51.474
designations as health professional

00:37:51.494 --> 00:37:54.436
shortage areas within the department of

00:37:54.476 --> 00:37:56.318
corrections psychological services staff

00:37:56.338 --> 00:37:57.719
vacancies currently set at eighteen

00:37:57.759 --> 00:37:58.119
percent

00:37:59.068 --> 00:38:00.590
Social service at twenty one percent and

00:38:00.610 --> 00:38:01.831
youth counselors, eight percent.

00:38:02.391 --> 00:38:04.014
It's nice that youth counselors is the

00:38:04.054 --> 00:38:04.914
lowest percentage.

00:38:04.994 --> 00:38:05.295
Again,

00:38:05.375 --> 00:38:08.418
nearly ten percent of youth counselor

00:38:08.458 --> 00:38:09.579
positions are vacant.

00:38:09.699 --> 00:38:10.460
That's a problem.

00:38:11.461 --> 00:38:12.583
Approximately thirty two percent of

00:38:12.603 --> 00:38:14.485
correctional officers reported mild to

00:38:14.565 --> 00:38:15.907
severe depressive symptoms and thirty

00:38:15.927 --> 00:38:17.608
seven percent reported mild to severe

00:38:17.668 --> 00:38:17.929
anxiety.

00:38:18.188 --> 00:38:19.510
Yeah, don't work for the carceral system.

00:38:19.550 --> 00:38:20.411
It's bad for your mental health.

00:38:25.132 --> 00:38:27.112
People with unmet needs, unhoused,

00:38:27.612 --> 00:38:29.972
population increase is increasing still

00:38:30.032 --> 00:38:30.373
now.

00:38:30.813 --> 00:38:32.353
Wisconsinites struggle with social

00:38:32.414 --> 00:38:33.974
isolation and inadequate social

00:38:33.994 --> 00:38:35.054
connections because everything's too

00:38:35.134 --> 00:38:36.114
fucking expensive.

00:38:37.155 --> 00:38:39.054
This episode is not good for my mental

00:38:39.074 --> 00:38:39.355
health.

00:38:40.775 --> 00:38:42.496
Eleven percent of households in Wisconsin

00:38:42.536 --> 00:38:43.976
live below the federal poverty line,

00:38:44.137 --> 00:38:45.757
and that number is a joke.

00:38:46.277 --> 00:38:47.498
And another twenty three percent of

00:38:47.538 --> 00:38:49.038
Wisconsin households earn more than this,

00:38:49.057 --> 00:38:50.338
but cannot afford basic household

00:38:50.358 --> 00:38:50.798
necessities.

00:38:51.119 --> 00:38:51.998
You would think that would

00:38:53.652 --> 00:38:55.313
That gives away the game that the federal

00:38:55.353 --> 00:38:58.896
poverty line is a silly number, right?

00:38:58.956 --> 00:39:01.818
It's like what you need to do to

00:39:01.858 --> 00:39:04.099
not die is the poverty line as opposed

00:39:04.139 --> 00:39:05.880
to like meet basic household needs,

00:39:05.900 --> 00:39:06.860
which we would think would be the actual

00:39:06.900 --> 00:39:07.420
poverty line.

00:39:07.961 --> 00:39:08.581
It's a whole thing.

00:39:08.702 --> 00:39:09.643
I'm not going to get into it.

00:39:10.202 --> 00:39:13.005
The actual poverty line in modern times

00:39:13.045 --> 00:39:14.565
would be something like a household

00:39:14.626 --> 00:39:15.786
earning like one hundred thirty two

00:39:15.806 --> 00:39:16.907
thousand dollars or something like that.

00:39:17.088 --> 00:39:19.110
which again is why we have a generation

00:39:19.751 --> 00:39:21.592
of people and everyone under those people,

00:39:21.632 --> 00:39:23.014
millennials who are living paycheck to

00:39:23.054 --> 00:39:24.275
paycheck and pretty much have been their

00:39:24.295 --> 00:39:26.916
entire working careers because there is no

00:39:27.157 --> 00:39:28.338
social climbing anymore.

00:39:28.998 --> 00:39:30.179
More than eight percent of Wisconsinites

00:39:30.199 --> 00:39:31.802
did not receive needed medical care in the

00:39:31.842 --> 00:39:33.664
past twelve months because of the cost.

00:39:33.804 --> 00:39:35.065
This proportion is higher,

00:39:35.144 --> 00:39:36.626
up to nineteen point three percent for

00:39:36.686 --> 00:39:37.728
non-white Wisconsinites.

00:39:38.188 --> 00:39:39.528
I'm just going to say tack on another

00:39:39.568 --> 00:39:41.670
like twenty five to thirty percent to

00:39:41.710 --> 00:39:43.670
those numbers because those are incredibly

00:39:43.751 --> 00:39:44.032
low.

00:39:44.851 --> 00:39:47.052
People don't go to the hospital because

00:39:47.092 --> 00:39:48.213
they don't know how much it'll cost.

00:39:48.233 --> 00:39:49.574
They don't ride in an ambulance because

00:39:49.594 --> 00:39:50.675
they don't know how much it will cost.

00:39:50.715 --> 00:39:50.936
Again,

00:39:50.956 --> 00:39:53.197
the idea that health care is for profit

00:39:53.277 --> 00:39:54.797
is like terrible.

00:39:56.599 --> 00:39:57.460
In twenty twenty three,

00:39:57.480 --> 00:39:59.221
an estimated three thousand one hundred

00:39:59.260 --> 00:40:00.561
ninety seven Wisconsin deaths were

00:40:00.581 --> 00:40:02.523
attributed to alcohol in addition to lives

00:40:02.563 --> 00:40:02.943
lost.

00:40:04.338 --> 00:40:06.000
They talk about binge drinking costs four

00:40:06.019 --> 00:40:07.581
hundred billion dollars a year.

00:40:08.541 --> 00:40:10.742
Sorry, four billion dollars a year,

00:40:11.603 --> 00:40:13.264
which is approximately seven hundred per

00:40:13.284 --> 00:40:14.184
Wisconsin resident.

00:40:15.885 --> 00:40:16.166
And again,

00:40:16.206 --> 00:40:18.547
I don't care that productivity is lost,

00:40:18.588 --> 00:40:19.849
which is where a lot of that number

00:40:19.889 --> 00:40:20.449
is coming from.

00:40:20.568 --> 00:40:21.190
But like, yeah,

00:40:21.210 --> 00:40:22.530
we we have a problem with drinking here.

00:40:23.771 --> 00:40:26.072
We're kind of proud of it.

00:40:26.213 --> 00:40:27.253
That's a cultural thing.

00:40:28.775 --> 00:40:30.835
OK, root causes.

00:40:31.697 --> 00:40:32.878
Let's scroll and see if it says

00:40:32.938 --> 00:40:33.458
capitalism.

00:40:35.697 --> 00:40:37.059
It doesn't say capitalism anywhere.

00:40:38.440 --> 00:40:38.920
Yikes.

00:40:39.240 --> 00:40:42.103
We maybe are missing something important

00:40:42.143 --> 00:40:43.844
if we're not willing to talk about this

00:40:44.025 --> 00:40:46.847
system that overarches everything here.

00:40:47.748 --> 00:40:49.148
Root causes of mental health crisis in

00:40:49.168 --> 00:40:51.210
Wisconsin.

00:40:51.231 --> 00:40:52.371
Understanding the factors that contribute

00:40:52.391 --> 00:40:53.652
to our mental health crisis is a key

00:40:53.713 --> 00:40:55.936
step in identifying solutions.

00:40:55.956 --> 00:40:56.356
I love that.

00:40:57.681 --> 00:40:58.802
Lack of integrated systems.

00:40:59.103 --> 00:40:59.422
Yes.

00:41:00.262 --> 00:41:01.143
Because of capitalism.

00:41:03.963 --> 00:41:04.324
Right?

00:41:05.144 --> 00:41:06.605
Because we could just have single-payer

00:41:06.644 --> 00:41:08.626
healthcare, quote-unquote socialism,

00:41:09.746 --> 00:41:11.387
and that would integrate the systems.

00:41:11.907 --> 00:41:12.547
Bing, bang, boom.

00:41:12.807 --> 00:41:13.228
We did it.

00:41:13.807 --> 00:41:14.588
Go home, everyone.

00:41:16.168 --> 00:41:16.869
Access to care.

00:41:16.909 --> 00:41:18.949
We could have single-payer healthcare,

00:41:19.349 --> 00:41:21.471
and that would improve access to care for

00:41:21.570 --> 00:41:24.612
everyone.

00:41:24.652 --> 00:41:26.413
Stigma would not be solved by capitalism.

00:41:28.023 --> 00:41:29.485
that I'm aware of by single payer health

00:41:29.505 --> 00:41:29.704
care.

00:41:31.706 --> 00:41:33.786
But I think, again,

00:41:34.987 --> 00:41:37.329
there's a huge generational shift in the

00:41:37.349 --> 00:41:38.329
stigma around mental health.

00:41:38.730 --> 00:41:40.490
When you're talking about old people and

00:41:40.510 --> 00:41:41.431
millennials and younger,

00:41:42.431 --> 00:41:45.134
that shift is insane.

00:41:45.153 --> 00:41:48.215
The twenty six year olds who come into

00:41:48.255 --> 00:41:50.217
my office know a ton about mental health

00:41:50.257 --> 00:41:52.418
and have no qualms about asking for mental

00:41:52.438 --> 00:41:52.757
health care.

00:41:55.871 --> 00:41:57.432
The kids aren't all right because of

00:41:57.512 --> 00:41:58.393
policy choices,

00:41:58.414 --> 00:42:01.356
but the kids are all right in the

00:42:01.396 --> 00:42:03.259
way they care about themselves and each

00:42:03.298 --> 00:42:03.498
other.

00:42:05.402 --> 00:42:06.463
Awareness, again,

00:42:07.083 --> 00:42:08.744
there's a big generational gap.

00:42:10.447 --> 00:42:12.128
I do agree with Wisconsinites may not know

00:42:12.148 --> 00:42:13.570
where to go for help, again,

00:42:13.690 --> 00:42:14.672
if you're talking rurally,

00:42:14.711 --> 00:42:14.811
but

00:42:15.362 --> 00:42:16.742
I wouldn't say in the urban setting how

00:42:16.762 --> 00:42:17.563
much it will cost.

00:42:17.682 --> 00:42:19.905
It's ding, ding, ding, ding, ding, ding,

00:42:20.385 --> 00:42:22.565
ding, ding, ding, ding, ding, ding.

00:42:23.005 --> 00:42:24.547
Let's just like circle that sixty five

00:42:24.586 --> 00:42:27.068
more times and say we could have single

00:42:27.108 --> 00:42:29.329
payer health care where you go to the

00:42:30.090 --> 00:42:33.572
any care, physical care, health care, PT,

00:42:34.612 --> 00:42:36.193
dentist, eye doctor, whatever,

00:42:36.353 --> 00:42:38.074
and not have to worry about that or

00:42:38.094 --> 00:42:39.014
how they'll pay for it.

00:42:39.074 --> 00:42:39.255
Right.

00:42:39.335 --> 00:42:41.016
Like, yeah.

00:42:41.036 --> 00:42:42.376
Because insurance is a scam.

00:42:44.126 --> 00:42:45.527
Mental health symptoms like body aches,

00:42:45.608 --> 00:42:46.588
inability to concentrate,

00:42:46.648 --> 00:42:47.648
inability to get out of bed,

00:42:47.730 --> 00:42:48.469
loss of appetite,

00:42:48.510 --> 00:42:49.510
losing interest in hobbies,

00:42:49.550 --> 00:42:53.514
and trouble sleeping can go unaddressed.

00:42:53.574 --> 00:42:55.494
Sounds a lot like depression to me,

00:42:56.936 --> 00:42:59.318
or PTSD, or any other number of things,

00:42:59.418 --> 00:43:01.898
or just like burnout from living in a

00:43:02.000 --> 00:43:03.380
capitalist dystopia.

00:43:04.246 --> 00:43:05.467
People are uncertain if seeking help will

00:43:05.507 --> 00:43:06.927
negatively impact their jobs or other

00:43:07.007 --> 00:43:08.307
aspects of their lives and livelihood.

00:43:08.688 --> 00:43:08.867
Again,

00:43:08.887 --> 00:43:10.548
because the capitalist ruling class are

00:43:10.608 --> 00:43:13.309
douchebags who only exist to extract

00:43:13.369 --> 00:43:15.670
wealth from other people.

00:43:15.710 --> 00:43:17.052
If your boss is going to fire you

00:43:17.072 --> 00:43:18.112
because of a mental health problem,

00:43:18.431 --> 00:43:21.693
your boss shouldn't get to own a company.

00:43:21.733 --> 00:43:22.554
Ta-da!

00:43:24.054 --> 00:43:24.695
Stress.

00:43:25.456 --> 00:43:26.275
I do agree with stress.

00:43:27.657 --> 00:43:27.876
Again,

00:43:28.117 --> 00:43:30.418
financial strain is probably big stress

00:43:30.438 --> 00:43:30.858
for everyone.

00:43:32.184 --> 00:43:33.985
Farmer must contend with unpredictable

00:43:34.025 --> 00:43:35.085
weather and the market prices.

00:43:35.306 --> 00:43:36.465
Man, what's up with the weather?

00:43:36.485 --> 00:43:38.045
Right?

00:43:38.065 --> 00:43:38.686
That's a weird one.

00:43:39.027 --> 00:43:39.126
Oh,

00:43:39.206 --> 00:43:41.246
could it be climate change because of

00:43:41.527 --> 00:43:46.088
capitalism?

00:43:46.447 --> 00:43:47.889
It's really maddening to read stuff like

00:43:47.909 --> 00:43:49.009
this when it's like, hey,

00:43:49.268 --> 00:43:50.668
other countries have figured some of this

00:43:50.688 --> 00:43:52.829
stuff out and are doing a lot better.

00:43:53.510 --> 00:43:54.349
Again, I said earlier,

00:43:54.429 --> 00:43:56.411
mental health crisis across demographics,

00:43:56.490 --> 00:43:57.351
across different countries.

00:43:58.371 --> 00:43:59.931
I wouldn't say anybody solved mental

00:44:00.012 --> 00:44:00.311
health.

00:44:01.809 --> 00:44:07.030
and uh climate change other countries have

00:44:07.070 --> 00:44:10.331
adopted at least hopeful programs so you

00:44:10.351 --> 00:44:12.431
know instead of farmers being like oh i

00:44:12.452 --> 00:44:14.172
don't know where to go because i live

00:44:14.311 --> 00:44:15.873
in the middle of nowhere and take a

00:44:15.913 --> 00:44:17.152
bunch of government money and then vote

00:44:17.172 --> 00:44:19.552
against my own good interest we could like

00:44:19.853 --> 00:44:22.934
you know have green energy would be cool

00:44:23.914 --> 00:44:25.655
and sustainable farming practices instead

00:44:25.695 --> 00:44:27.394
of for-profit farming practices would also

00:44:27.434 --> 00:44:27.715
be cool

00:44:28.938 --> 00:44:31.760
We could have food.

00:44:32.141 --> 00:44:33.342
We could have universal basic income.

00:44:33.481 --> 00:44:34.262
There, that's all.

00:44:34.302 --> 00:44:34.643
Solved it.

00:44:34.762 --> 00:44:35.503
Affordable childcare.

00:44:35.643 --> 00:44:36.264
Solved that too.

00:44:36.804 --> 00:44:37.445
Transportation.

00:44:37.565 --> 00:44:38.766
That would take longer to solve,

00:44:38.806 --> 00:44:39.166
but again,

00:44:39.206 --> 00:44:41.427
public transportation would be lovely to

00:44:41.467 --> 00:44:41.827
have.

00:44:44.210 --> 00:44:46.731
Everybody experiences adversities due to

00:44:46.771 --> 00:44:48.092
institutional discrimination.

00:44:48.333 --> 00:44:48.632
Yeah.

00:44:49.253 --> 00:44:49.454
Yeah.

00:44:50.355 --> 00:44:51.876
People of all backgrounds, ages, races,

00:44:51.916 --> 00:44:52.777
ethnicities, genders,

00:44:52.817 --> 00:44:54.378
and sexual orientations.

00:44:54.438 --> 00:44:56.659
Yeah.

00:44:56.699 --> 00:44:57.400
None of it's good.

00:45:00.436 --> 00:45:01.197
Social connection.

00:45:01.677 --> 00:45:02.257
Yeah, that's a problem.

00:45:02.498 --> 00:45:04.297
Like an investment in early intervention

00:45:04.338 --> 00:45:04.818
and prevention.

00:45:04.938 --> 00:45:05.177
Again,

00:45:05.478 --> 00:45:08.039
because people like the Republicans in the

00:45:08.059 --> 00:45:11.519
state legislature vote against social

00:45:11.559 --> 00:45:12.300
emotional learning.

00:45:12.760 --> 00:45:13.000
Again,

00:45:13.019 --> 00:45:14.661
stuff that's backed by a ton of research.

00:45:15.021 --> 00:45:17.221
But let's argue about getting the Ten

00:45:17.240 --> 00:45:18.400
Commandments put in classrooms.

00:45:19.081 --> 00:45:20.262
Because kindergartners should know what

00:45:20.282 --> 00:45:22.362
adultery is.

00:45:22.461 --> 00:45:23.023
Idiots.

00:45:24.623 --> 00:45:25.063
Idiots.

00:45:26.182 --> 00:45:27.423
And funding is a problem.

00:45:28.664 --> 00:45:29.083
Which is true.

00:45:30.958 --> 00:45:32.099
I won't disagree with that.

00:45:32.378 --> 00:45:32.639
Again,

00:45:33.599 --> 00:45:38.461
I want the government to provide space for

00:45:38.501 --> 00:45:39.641
people to live their lives.

00:45:40.242 --> 00:45:41.422
And if somebody needs a certain level of

00:45:41.463 --> 00:45:42.523
care, yeah,

00:45:43.423 --> 00:45:44.483
the government should fund that.

00:45:45.465 --> 00:45:47.525
I'll pay my taxes so the government can

00:45:47.545 --> 00:45:47.965
fund that.

00:45:48.646 --> 00:45:50.226
I don't want to pay taxes that go

00:45:50.266 --> 00:45:54.889
to ballrooms or blowing up brown people or

00:45:54.929 --> 00:45:56.289
incarcerating brown people.

00:45:58.409 --> 00:46:01.072
This is less tax goes to that now

00:46:01.092 --> 00:46:02.594
because we're just letting private equity

00:46:02.614 --> 00:46:04.014
take over prisons because actually if you

00:46:04.034 --> 00:46:05.255
turn people into a commodity,

00:46:05.797 --> 00:46:07.858
you can make lots of money off of

00:46:07.898 --> 00:46:08.840
them, turns out.

00:46:10.721 --> 00:46:13.164
Really cool civilization we've got here.

00:46:14.940 --> 00:46:16.882
Uh, here's where people were included.

00:46:16.961 --> 00:46:17.983
Regular people were included.

00:46:18.282 --> 00:46:19.523
Meeting basic needs.

00:46:19.864 --> 00:46:21.184
Folks don't have access to housing.

00:46:21.405 --> 00:46:22.666
You can tell this is a regular person

00:46:22.686 --> 00:46:23.166
because they said it.

00:46:23.186 --> 00:46:25.108
Folks don't have access to housing, water,

00:46:25.148 --> 00:46:26.108
food, sleep, safety.

00:46:26.148 --> 00:46:26.289
Like,

00:46:26.329 --> 00:46:27.771
you could just have Charlie Berens read

00:46:27.811 --> 00:46:28.010
this.

00:46:28.471 --> 00:46:29.231
Man, it's a walk a minute.

00:46:30.032 --> 00:46:31.152
They're not going to have any mental

00:46:31.193 --> 00:46:31.653
wellness.

00:46:32.675 --> 00:46:34.675
Housing, water, food, sleep, safety.

00:46:36.016 --> 00:46:37.117
Time off from work.

00:46:38.018 --> 00:46:39.539
Basic needs accounted for.

00:46:39.559 --> 00:46:40.621
Wow.

00:46:41.583 --> 00:46:43.224
Focus on activities that build community.

00:46:43.364 --> 00:46:45.146
We would need space to do that and

00:46:45.206 --> 00:46:46.346
free time to do that.

00:46:47.367 --> 00:46:49.768
How about six-hour workdays and a four-day

00:46:49.807 --> 00:46:52.128
workweek and universal basic income and

00:46:52.148 --> 00:46:55.351
have fucking Menards pay their taxes?

00:46:55.990 --> 00:46:56.652
If you're like, Jeremy,

00:46:56.672 --> 00:46:58.032
why are you so anti-Menards?

00:46:58.072 --> 00:47:00.094
It's because the Menards family is the

00:47:00.134 --> 00:47:01.894
largest polluter of the state for like the

00:47:01.934 --> 00:47:03.235
past two decades.

00:47:03.735 --> 00:47:04.596
Don't quote me on that.

00:47:04.655 --> 00:47:06.976
This is an approximation, allegedly.

00:47:09.414 --> 00:47:10.036
And again,

00:47:10.175 --> 00:47:11.617
they just keep doing it because the fines

00:47:11.637 --> 00:47:13.239
are so small that it's worth it for

00:47:13.259 --> 00:47:14.219
their profit margin.

00:47:15.360 --> 00:47:17.864
Fuck shareholders and the capitalist

00:47:17.923 --> 00:47:18.525
ruling class.

00:47:19.726 --> 00:47:21.126
Focus on activities that build community.

00:47:21.166 --> 00:47:22.509
People are becoming more isolated from

00:47:22.568 --> 00:47:24.431
genuine human interaction all the time and

00:47:24.451 --> 00:47:25.751
people need support in real time.

00:47:26.253 --> 00:47:26.472
Yeah.

00:47:27.289 --> 00:47:29.070
I'm old enough to be like a lot

00:47:29.110 --> 00:47:30.632
of the places that used to play volleyball

00:47:30.692 --> 00:47:31.311
have shut down.

00:47:31.532 --> 00:47:33.873
Bar league softball did not come back

00:47:34.054 --> 00:47:35.835
after COVID the way that it was before

00:47:35.875 --> 00:47:36.255
COVID.

00:47:36.594 --> 00:47:37.175
Um,

00:47:37.215 --> 00:47:38.695
because a lot of these things are not

00:47:38.755 --> 00:47:40.277
run by like the rec department.

00:47:40.336 --> 00:47:41.978
Some of them are shout out to your

00:47:42.018 --> 00:47:43.018
local rec department,

00:47:43.077 --> 00:47:44.338
check out what they're offering.

00:47:45.039 --> 00:47:45.159
Um,

00:47:45.179 --> 00:47:46.519
but there's a price associated with that.

00:47:46.619 --> 00:47:47.860
Again, it's, it's not free.

00:47:48.320 --> 00:47:49.681
It could be, it should be,

00:47:50.161 --> 00:47:50.842
but it's not.

00:47:51.643 --> 00:47:51.702
Um,

00:47:53.262 --> 00:47:55.045
And losing space, right?

00:47:55.144 --> 00:47:55.324
Not,

00:47:55.465 --> 00:47:57.887
not having space to do some of this

00:47:57.907 --> 00:47:59.248
stuff, having it,

00:47:59.590 --> 00:48:01.612
having wellness be for profit,

00:48:02.072 --> 00:48:03.713
having health be for profit.

00:48:04.275 --> 00:48:05.655
I'm literally holding my head.

00:48:05.916 --> 00:48:08.858
It's like, it's so stupid.

00:48:08.898 --> 00:48:09.340
It hurts.

00:48:11.780 --> 00:48:13.282
uh and then there's not a coordinated

00:48:13.322 --> 00:48:14.561
response we have to meet people where

00:48:14.581 --> 00:48:15.663
they're at and when they're dealing with

00:48:15.702 --> 00:48:16.923
mental health we're dealing with the whole

00:48:16.963 --> 00:48:19.385
person try not to make it so difficult

00:48:19.465 --> 00:48:21.045
one person said things are hard enough

00:48:21.085 --> 00:48:23.047
forms processes are challenging state

00:48:23.106 --> 00:48:24.766
agencies should provide more collaboration

00:48:24.806 --> 00:48:26.568
and streamline resources and processes to

00:48:26.608 --> 00:48:28.469
make things less confusing and make them

00:48:28.528 --> 00:48:30.210
easier for those who are seeking help a

00:48:30.250 --> 00:48:32.710
hundred percent agree it's a difficult and

00:48:32.751 --> 00:48:34.132
daunting system to navigate while in

00:48:34.152 --> 00:48:35.532
mental health crisis from a patient's

00:48:35.552 --> 00:48:37.873
perspective yes

00:48:39.318 --> 00:48:40.599
Yeah, and again,

00:48:40.699 --> 00:48:43.864
when you sell everything to a company like

00:48:43.983 --> 00:48:46.547
Epic, when Freighter and...

00:48:49.590 --> 00:48:52.251
aurora and whoever else is in the area

00:48:52.291 --> 00:48:54.992
won't talk to each other and like right

00:48:55.711 --> 00:48:57.313
everybody's tracking all of our data we

00:48:57.353 --> 00:48:59.873
have no privacy anymore and none of that

00:48:59.893 --> 00:49:01.713
gets used to our personal benefit

00:49:01.793 --> 00:49:03.434
everybody again is just extracting wealth

00:49:03.494 --> 00:49:05.353
off of us so yes they're needing more

00:49:05.373 --> 00:49:09.195
uh integrated systems i'll say it again i

00:49:09.215 --> 00:49:10.536
don't know what that does to my microphone

00:49:10.556 --> 00:49:12.335
it might have sounded terrible i'll say it

00:49:12.376 --> 00:49:16.916
again single-payer health care would solve

00:49:16.976 --> 00:49:17.336
that

00:49:19.972 --> 00:49:22.934
an integrated system what if there's just

00:49:24.355 --> 00:49:28.458
one this is one system wouldn't that be

00:49:28.518 --> 00:49:33.481
integrated oh what a mystery this council

00:49:33.501 --> 00:49:38.543
couldn't figure that one out dorks i won't

00:49:38.563 --> 00:49:40.746
be like capitalist bootlickers because you

00:49:40.766 --> 00:49:42.067
know i don't know any of these people

00:49:42.146 --> 00:49:45.409
but this is also why i'm like not

00:49:45.449 --> 00:49:46.449
fun to have at parties

00:49:50.056 --> 00:49:51.177
And I listen to Igor.

00:49:51.338 --> 00:49:51.737
I don't know.

00:49:53.739 --> 00:49:54.980
That's more than one reason I'm not fun

00:49:55.000 --> 00:49:55.619
to have at parties.

00:49:56.981 --> 00:49:58.661
Once a person... Okay, yeah,

00:49:58.701 --> 00:49:59.862
we need more integrated systems.

00:50:00.561 --> 00:50:00.822
Yes.

00:50:01.483 --> 00:50:03.043
Access to care and basic needs not being

00:50:03.083 --> 00:50:03.664
met.

00:50:03.704 --> 00:50:03.923
Yeah.

00:50:04.364 --> 00:50:04.664
And again,

00:50:04.704 --> 00:50:07.626
the solution is we'll try and be better

00:50:07.666 --> 00:50:08.365
about those things.

00:50:08.385 --> 00:50:11.047
You shouldn't have to wait months to see

00:50:11.068 --> 00:50:11.648
a provider.

00:50:11.887 --> 00:50:13.068
Could add to the suicide rate.

00:50:13.128 --> 00:50:14.148
It just shouldn't be so hard to ask

00:50:14.168 --> 00:50:14.449
for help.

00:50:14.548 --> 00:50:15.429
If you have a broken arm,

00:50:15.449 --> 00:50:16.849
you go to the doctor and it's fixed.

00:50:17.291 --> 00:50:19.532
Which again, like, nah, not in America.

00:50:21.360 --> 00:50:22.521
We don't get an ambulance because we don't

00:50:22.541 --> 00:50:23.561
know how much it's going to cost.

00:50:23.880 --> 00:50:25.001
If you have a mental health crisis,

00:50:25.021 --> 00:50:26.282
you can't even just go to the doctor.

00:50:27.262 --> 00:50:28.523
Yeah, correct.

00:50:28.963 --> 00:50:30.184
Also correct for doctors.

00:50:30.545 --> 00:50:31.804
You wouldn't believe how long it's taken

00:50:31.824 --> 00:50:34.706
me to get temporary prisms put on my

00:50:34.726 --> 00:50:36.688
glasses because I'm old and a vision

00:50:36.728 --> 00:50:37.447
problem style.

00:50:38.467 --> 00:50:41.369
Our opportunities to ensure affordable,

00:50:41.449 --> 00:50:42.811
accessible, and timely care,

00:50:42.851 --> 00:50:44.291
Wisconsin agencies can work together by

00:50:44.811 --> 00:50:47.193
prioritizing access to care in integrated

00:50:47.233 --> 00:50:47.612
systems.

00:50:48.501 --> 00:50:49.963
see we're not addressing the affordability

00:50:50.003 --> 00:50:52.105
problem they will annex us to care but

00:50:53.085 --> 00:50:58.610
the action plan hooray and like evers is

00:50:58.710 --> 00:51:00.251
up he can't run for governor anymore so

00:51:00.271 --> 00:51:01.813
we do need to elect a new governor

00:51:01.853 --> 00:51:04.494
and let's make sure it's a democrat and

00:51:04.594 --> 00:51:06.737
let's vote for the one that's furthest on

00:51:06.777 --> 00:51:09.659
the left uh again like this is where

00:51:09.679 --> 00:51:10.820
it gets into like a lot of here's

00:51:10.840 --> 00:51:12.420
what we can do now without a

00:51:16.498 --> 00:51:16.760
Again,

00:51:16.840 --> 00:51:18.860
Evers has done a bang-up job with we're

00:51:18.880 --> 00:51:20.442
the one state in the area that doesn't

00:51:20.461 --> 00:51:21.222
have weed legal,

00:51:21.282 --> 00:51:23.304
so we're missing a ton of tax income

00:51:23.844 --> 00:51:25.985
from that because that would be cool.

00:51:26.846 --> 00:51:28.327
Instead of everybody driving to Illinois

00:51:28.507 --> 00:51:30.807
or Minnesota or Michigan,

00:51:30.989 --> 00:51:31.688
depending on where you're at.

00:51:33.556 --> 00:51:35.599
Focus on prevention, integrate systems,

00:51:35.639 --> 00:51:37.740
decrease stigma and increase awareness.

00:51:37.940 --> 00:51:39.362
Again, like we have funding,

00:51:39.422 --> 00:51:42.065
like balanced budget, budget surplus,

00:51:42.164 --> 00:51:44.367
even in some instances where like we can

00:51:44.407 --> 00:51:46.088
move some money around for this stuff.

00:51:46.630 --> 00:51:48.550
But we're not having the conversation

00:51:48.572 --> 00:51:50.253
about like taxing the rich and

00:51:51.153 --> 00:51:53.635
redistributing that wealth so that things

00:51:53.675 --> 00:51:54.157
are affordable.

00:51:56.574 --> 00:51:57.916
Streamline service access,

00:51:58.096 --> 00:52:00.157
develop an integrated state platform.

00:52:00.297 --> 00:52:00.697
Again,

00:52:01.777 --> 00:52:04.099
if private equity firms aren't going to

00:52:04.139 --> 00:52:05.059
play nice,

00:52:05.099 --> 00:52:06.539
then it doesn't matter what the state

00:52:06.559 --> 00:52:07.340
does.

00:52:08.101 --> 00:52:08.300
Again,

00:52:08.320 --> 00:52:09.942
the state could say it's illegal to do

00:52:09.981 --> 00:52:11.282
this here for profit,

00:52:11.523 --> 00:52:13.123
and that's not part of the solution.

00:52:14.284 --> 00:52:15.264
There is an easy,

00:52:15.405 --> 00:52:16.925
obvious way to integrate systems,

00:52:16.985 --> 00:52:18.405
and they're not having that conversation.

00:52:19.327 --> 00:52:20.987
Help state agencies and partners promote

00:52:21.027 --> 00:52:22.007
mental health and wellness.

00:52:22.128 --> 00:52:23.768
Again, having the little...

00:52:26.311 --> 00:52:29.012
take care of yourself at the end of

00:52:29.032 --> 00:52:30.371
an email sign off is great.

00:52:30.492 --> 00:52:31.972
And on social media is great.

00:52:32.112 --> 00:52:33.032
It might help someone,

00:52:33.152 --> 00:52:36.454
but like have a four day work week

00:52:36.474 --> 00:52:38.675
would be something the state could do at

00:52:38.715 --> 00:52:40.235
least for state employees.

00:52:41.655 --> 00:52:42.976
So now like we're not,

00:52:43.016 --> 00:52:44.556
we're not do that promote mental health

00:52:44.576 --> 00:52:46.277
and wellness resources, but not,

00:52:47.936 --> 00:52:50.197
not do not do that ourselves.

00:52:50.217 --> 00:52:51.778
I don't know.

00:52:51.898 --> 00:52:53.219
It like, again, it's just like,

00:52:55.512 --> 00:52:57.813
create resources to explain insurance to

00:52:57.853 --> 00:53:00.135
people is helpful, or just be like,

00:53:00.536 --> 00:53:02.898
make it illegal for insurers to use weird

00:53:02.958 --> 00:53:03.900
fucking language.

00:53:05.460 --> 00:53:07.262
Make it illegal for an insurance company

00:53:07.282 --> 00:53:08.664
to make more than a million dollars in

00:53:08.704 --> 00:53:09.164
profit.

00:53:09.664 --> 00:53:10.065
Guess what?

00:53:10.186 --> 00:53:11.867
None of the insurance companies could be

00:53:11.907 --> 00:53:12.467
here then.

00:53:16.311 --> 00:53:20.373
Tax them or go single payer would be

00:53:20.414 --> 00:53:20.653
better.

00:53:20.994 --> 00:53:21.954
And then tax rich people.

00:53:22.655 --> 00:53:23.637
Increase focus on prevention.

00:53:23.717 --> 00:53:24.978
Again, yeah, a hundred percent.

00:53:25.097 --> 00:53:25.577
Start young,

00:53:25.717 --> 00:53:27.820
get it earlier in the schools, yada, yada,

00:53:27.840 --> 00:53:28.079
yada.

00:53:28.320 --> 00:53:29.360
We've done a lot of that.

00:53:29.460 --> 00:53:30.702
Again, like the young people,

00:53:30.882 --> 00:53:32.163
the way that they approach mental health,

00:53:32.182 --> 00:53:33.364
the way they take care of themselves,

00:53:33.384 --> 00:53:34.485
the way they advocate for their mental

00:53:34.505 --> 00:53:36.146
health is a lot better than it used

00:53:36.166 --> 00:53:36.427
to be.

00:53:36.786 --> 00:53:37.668
I do think we need to work on

00:53:38.108 --> 00:53:39.088
some distress tolerance.

00:53:39.208 --> 00:53:40.409
Maybe that's just, again,

00:53:40.510 --> 00:53:43.231
skewed by who I see in therapy and

00:53:43.271 --> 00:53:44.072
I'm married to a teacher.

00:53:44.853 --> 00:53:46.132
And I have two kids who are school-aged.

00:53:46.813 --> 00:53:51.213
So, you know, societally, like, yeah,

00:53:51.253 --> 00:53:57.735
we need to have a more... Excuse me.

00:53:57.755 --> 00:54:00.436
Gotta take a sip of my medicinal caffeine

00:54:00.476 --> 00:54:00.757
drink.

00:54:02.876 --> 00:54:05.137
We do need more collectivist ideology on,

00:54:05.177 --> 00:54:06.297
like, again,

00:54:07.217 --> 00:54:08.358
taking care of more people instead of

00:54:08.378 --> 00:54:09.217
being so individual.

00:54:09.577 --> 00:54:11.079
I don't expect the state to solve that.

00:54:11.838 --> 00:54:11.978
But.

00:54:13.206 --> 00:54:14.068
provide trusted, accurate,

00:54:14.088 --> 00:54:15.532
and accessible prevention resources.

00:54:16.614 --> 00:54:17.596
Again,

00:54:17.615 --> 00:54:19.601
for as much as we have done to

00:54:20.081 --> 00:54:21.385
make Narcan available,

00:54:21.545 --> 00:54:23.148
to have

00:54:24.369 --> 00:54:25.528
resources available to people.

00:54:25.608 --> 00:54:27.168
All that stuff is great return on

00:54:27.190 --> 00:54:27.730
investment.

00:54:28.929 --> 00:54:31.170
Doing some of this stuff at the state

00:54:31.190 --> 00:54:31.590
level,

00:54:32.050 --> 00:54:34.150
making sure kids have lunches at school,

00:54:34.231 --> 00:54:35.510
have breakfast at school.

00:54:35.931 --> 00:54:38.291
These are great things that Wisconsin

00:54:38.630 --> 00:54:39.291
continues to do,

00:54:39.331 --> 00:54:40.532
even if the federal government tries to

00:54:40.632 --> 00:54:41.411
cut money to it.

00:54:41.851 --> 00:54:44.211
It's why you vote for Democrats.

00:54:46.132 --> 00:54:48.032
And again, like, yeah, reduce stigma,

00:54:48.132 --> 00:54:51.414
but there's not an action plan on that.

00:54:51.574 --> 00:54:52.853
Like, acknowledge mental health.

00:54:52.914 --> 00:54:53.054
Like,

00:54:53.563 --> 00:54:55.264
we've done the awareness months for how

00:54:55.304 --> 00:54:56.246
long and like,

00:54:56.646 --> 00:54:57.726
we're still talking about stigma.

00:54:58.007 --> 00:54:59.608
So maybe something more than that,

00:54:59.628 --> 00:55:02.329
maybe like action,

00:55:03.170 --> 00:55:04.871
have sensory friendly rooms,

00:55:04.931 --> 00:55:06.652
have sensory friendly corners in every

00:55:06.693 --> 00:55:07.974
room, right?

00:55:08.054 --> 00:55:10.755
Like make sure everything's wheelchair

00:55:10.775 --> 00:55:11.215
accessible,

00:55:11.275 --> 00:55:13.056
make sure we don't have lead on the

00:55:13.097 --> 00:55:16.338
walls or in the drinking water, right?

00:55:16.358 --> 00:55:17.280
Which was the thing we were doing.

00:55:17.300 --> 00:55:19.181
And then RFK Jr interrupted it and cut

00:55:19.221 --> 00:55:20.302
the funding to it.

00:55:20.342 --> 00:55:20.601
So yeah,

00:55:22.202 --> 00:55:24.222
Make America have lead poisoning again.

00:55:25.443 --> 00:55:26.563
Support employee mental health.

00:55:26.963 --> 00:55:28.704
Again, this is where I'm like, yeah,

00:55:28.724 --> 00:55:30.664
you're missing the mark entirely to be

00:55:30.704 --> 00:55:31.246
like, wow,

00:55:31.266 --> 00:55:32.905
we should let our state employees know

00:55:32.925 --> 00:55:34.226
more about our EAP,

00:55:34.246 --> 00:55:36.146
which covers three therapy sessions

00:55:36.166 --> 00:55:38.268
because that should solve everything.

00:55:39.889 --> 00:55:42.030
You're not doing it, state government.

00:55:43.429 --> 00:55:44.791
Bureaucrats who have been in the

00:55:44.811 --> 00:55:46.291
bureaucracy for more than twenty five

00:55:46.331 --> 00:55:47.692
years, you're not doing it.

00:55:48.572 --> 00:55:50.032
How are you helping other people do it?

00:55:53.603 --> 00:55:54.704
It drives me batty.

00:55:54.724 --> 00:55:55.744
I'm scrolling kind of fast.

00:55:55.824 --> 00:55:57.266
I just know this is turning into a

00:55:57.326 --> 00:55:58.326
long episode.

00:56:01.887 --> 00:56:03.128
Improve mental health services through

00:56:03.148 --> 00:56:04.228
continued mental health-focused

00:56:04.268 --> 00:56:04.768
conversations.

00:56:04.889 --> 00:56:06.530
Partners provide clear next steps and

00:56:06.550 --> 00:56:08.070
follow-up on how those conversations will

00:56:08.110 --> 00:56:09.751
influence practice.

00:56:10.231 --> 00:56:14.652
I mean, again, it's a financial thing.

00:56:14.932 --> 00:56:16.793
I don't think it's lack of awareness,

00:56:16.833 --> 00:56:18.434
per se.

00:56:18.514 --> 00:56:20.635
I think people don't go to...

00:56:21.916 --> 00:56:22.536
therapy,

00:56:22.597 --> 00:56:24.637
don't go to mental health things because

00:56:24.717 --> 00:56:28.500
they don't know how much it'll cost,

00:56:29.320 --> 00:56:30.221
right?

00:56:30.240 --> 00:56:32.101
Collaborate with county mental health

00:56:32.141 --> 00:56:33.882
programs and schools to identify at-risk

00:56:33.922 --> 00:56:34.182
youth.

00:56:34.762 --> 00:56:35.664
And do what with them?

00:56:36.684 --> 00:56:37.264
Because again,

00:56:37.304 --> 00:56:39.585
it talks about Department of Workforce

00:56:39.606 --> 00:56:42.086
Development and Vocational Rehabilitation.

00:56:42.726 --> 00:56:46.048
Like, get them to participate in society?

00:56:46.949 --> 00:56:48.449
Make them better capitalists?

00:56:49.010 --> 00:56:49.471
Like, no!

00:56:51.081 --> 00:56:55.784
Offer them something that isn't a broken

00:56:55.824 --> 00:56:57.606
civilization, right?

00:56:57.646 --> 00:56:59.327
Like that's where it's just like, oh,

00:56:59.507 --> 00:57:01.208
we identified an actual problem and our

00:57:01.268 --> 00:57:03.931
solution is more of the thing that caused

00:57:03.972 --> 00:57:05.293
the problem.

00:57:05.313 --> 00:57:07.653
That's not going to work.

00:57:07.735 --> 00:57:09.815
I feel like I'm shouting a lot this

00:57:09.856 --> 00:57:12.639
episode because I care about my state as

00:57:12.679 --> 00:57:13.900
much as I'm like borders are made up

00:57:13.940 --> 00:57:14.380
and stupid.

00:57:15.891 --> 00:57:16.132
in-group,

00:57:16.192 --> 00:57:17.673
out-group dynamics work on all of us,

00:57:17.735 --> 00:57:19.378
even when we're somebody who calls

00:57:19.478 --> 00:57:19.717
in-group,

00:57:19.757 --> 00:57:21.280
out-group dynamics out all the time.

00:57:23.311 --> 00:57:24.751
Explore coverage for peer specialists,

00:57:24.771 --> 00:57:25.693
community health workers,

00:57:25.713 --> 00:57:27.353
and other workforce care extenders within

00:57:27.393 --> 00:57:28.295
the state's health plan,

00:57:28.894 --> 00:57:30.376
state employee assistance program.

00:57:30.597 --> 00:57:31.237
Wanky motion.

00:57:31.277 --> 00:57:32.338
Get rid of the state EAP.

00:57:32.378 --> 00:57:32.938
It doesn't matter.

00:57:32.998 --> 00:57:33.478
It doesn't help.

00:57:33.759 --> 00:57:35.579
And again, I will say for mental health.

00:57:35.659 --> 00:57:37.641
It might help for going to PT or

00:57:38.141 --> 00:57:41.204
perinatal mental health or PT or whatever.

00:57:42.204 --> 00:57:44.427
If that is great for other things,

00:57:44.606 --> 00:57:46.789
then expand it to be better for mental

00:57:46.809 --> 00:57:48.250
health because it's not good right now.

00:57:49.978 --> 00:57:51.398
But yeah, we need more community partners.

00:57:51.458 --> 00:57:53.318
We need doulas.

00:57:53.398 --> 00:57:56.641
We need death doulas and birth doulas.

00:57:57.860 --> 00:58:00.282
We need a lot more people who can

00:58:00.322 --> 00:58:00.742
do this.

00:58:00.802 --> 00:58:02.702
We need mental health first aid

00:58:02.742 --> 00:58:03.242
responders.

00:58:03.282 --> 00:58:05.403
We need mental health crisis responders.

00:58:05.423 --> 00:58:06.583
We need people who don't need to be

00:58:07.425 --> 00:58:09.925
fully licensed credentialed therapists or

00:58:09.985 --> 00:58:11.766
psychologists or psychiatrists or

00:58:11.806 --> 00:58:14.166
prescribers to be able to respond to

00:58:14.186 --> 00:58:14.407
stuff.

00:58:14.447 --> 00:58:16.547
But that requires community engagement and

00:58:16.568 --> 00:58:19.088
that requires space to commune

00:58:19.655 --> 00:58:21.175
and free time to commune,

00:58:21.456 --> 00:58:23.197
which requires capitalism to be

00:58:23.237 --> 00:58:23.896
dismantled.

00:58:24.856 --> 00:58:26.077
Engage with insurance carriers and

00:58:26.097 --> 00:58:27.137
encourage them to build networks,

00:58:27.177 --> 00:58:29.717
which include providers with expertise in

00:58:29.757 --> 00:58:30.918
serving specific populations,

00:58:30.958 --> 00:58:32.458
such as farmers, veterans, refugees.

00:58:33.858 --> 00:58:34.358
Cool,

00:58:35.239 --> 00:58:37.840
or like sue the insurance agencies and

00:58:37.880 --> 00:58:39.599
redistribute that wealth for their shitty

00:58:39.639 --> 00:58:41.481
practices to decline coverage to people.

00:58:41.880 --> 00:58:42.300
Because again,

00:58:42.320 --> 00:58:44.641
a lot of the stigma is because insurance

00:58:44.661 --> 00:58:46.442
companies will deny coverage for

00:58:46.481 --> 00:58:47.561
preexisting conditions.

00:58:48.922 --> 00:58:51.143
Make insurance providers illegal.

00:58:51.884 --> 00:58:53.164
Continue support for the nine eight eight

00:58:53.184 --> 00:58:54.324
crisis and suicide lifeline.

00:58:54.445 --> 00:58:54.664
Yeah.

00:58:54.784 --> 00:58:55.306
A hundred percent.

00:58:55.425 --> 00:58:57.106
Again, that isn't accessible everywhere.

00:58:57.186 --> 00:58:57.847
Trump cut that.

00:58:57.927 --> 00:59:01.009
He wants people to die because he's not

00:59:01.028 --> 00:59:01.528
a good person.

00:59:02.570 --> 00:59:03.650
He hates poor people.

00:59:03.670 --> 00:59:06.371
So, you know,

00:59:06.391 --> 00:59:07.913
good for Wisconsin for keeping that stuff

00:59:07.952 --> 00:59:08.172
going.

00:59:08.193 --> 00:59:09.012
That stuff really matters.

00:59:09.032 --> 00:59:12.655
It truly saves lives.

00:59:12.695 --> 00:59:14.175
What we can do moving forward.

00:59:14.715 --> 00:59:15.476
Action plan.

00:59:16.434 --> 00:59:17.534
Increase access to care,

00:59:17.635 --> 00:59:19.056
preserve quality and reduce barriers,

00:59:19.195 --> 00:59:20.217
licensing and telehealth.

00:59:20.597 --> 00:59:22.639
Telehealth isn't the fucking solution to

00:59:22.719 --> 00:59:22.838
it.

00:59:24.601 --> 00:59:25.280
Pardon my French.

00:59:25.300 --> 00:59:26.822
It's like the eighteenth time I've sworn

00:59:26.842 --> 00:59:27.402
this episode.

00:59:28.324 --> 00:59:28.543
Right?

00:59:29.063 --> 00:59:34.389
Telehealth is a nice addendum to a robust

00:59:34.489 --> 00:59:35.769
community response.

00:59:37.061 --> 00:59:37.262
Right.

00:59:37.342 --> 00:59:39.722
I have clients who can't always get into

00:59:39.762 --> 00:59:41.344
my office and, Hey,

00:59:41.384 --> 00:59:42.784
my kid's homesick with the flu.

00:59:42.824 --> 00:59:43.766
Can we do telehealth today?

00:59:43.786 --> 00:59:44.505
Yeah, absolutely.

00:59:45.065 --> 00:59:45.246
Right.

00:59:45.266 --> 00:59:46.487
I have some clients who see me for

00:59:46.527 --> 00:59:47.668
religious trauma and their telehealth

00:59:47.708 --> 00:59:49.128
exclusively because there are no religious

00:59:49.148 --> 00:59:51.349
trauma providers where they are.

00:59:51.809 --> 00:59:51.929
Right.

00:59:51.949 --> 00:59:53.291
There's nobody with that expertise or that

00:59:53.351 --> 00:59:53.811
specialty.

00:59:54.251 --> 00:59:54.751
I get that.

00:59:54.951 --> 00:59:55.130
Right.

00:59:55.331 --> 00:59:56.972
Uh, but by and large,

00:59:56.992 --> 00:59:59.574
like having time to not be at work,

00:59:59.693 --> 01:00:03.635
having time to go down the road across

01:00:03.695 --> 01:00:05.297
town, whatever.

01:00:06.027 --> 01:00:07.246
and see somebody in person,

01:00:07.527 --> 01:00:08.427
go to a support group.

01:00:08.527 --> 01:00:10.688
If you want to build a peer-to-peer model,

01:00:11.148 --> 01:00:12.329
there needs to be time and space for

01:00:12.349 --> 01:00:12.608
that.

01:00:12.628 --> 01:00:14.148
It's not telehealth.

01:00:15.610 --> 01:00:16.329
Not telehealth.

01:00:17.469 --> 01:00:19.610
Focus on social connection.

01:00:19.630 --> 01:00:21.070
Not telehealth.

01:00:21.431 --> 01:00:21.630
Right?

01:00:21.731 --> 01:00:22.291
Like, again,

01:00:22.490 --> 01:00:25.632
their own goals and processes are not

01:00:25.871 --> 01:00:26.713
playing well together.

01:00:27.413 --> 01:00:28.512
Help those in transition.

01:00:29.393 --> 01:00:30.193
Offer incentives.

01:00:30.434 --> 01:00:31.094
Sure, sure, sure.

01:00:32.168 --> 01:00:33.371
Continue our work, state funding,

01:00:33.391 --> 01:00:34.592
and sustain programs and services,

01:00:34.632 --> 01:00:35.594
support funding opportunities,

01:00:35.635 --> 01:00:36.597
create payment parity.

01:00:37.418 --> 01:00:40.425
Yes, all that stuff is needed.

01:00:40.485 --> 01:00:41.085
Again, I think...

01:00:45.382 --> 01:00:47.483
Increasing awareness of specialized

01:00:47.523 --> 01:00:49.945
populations and assist agencies in

01:00:50.005 --> 01:00:52.108
understanding the value of those things is

01:00:52.168 --> 01:00:52.507
great.

01:00:52.947 --> 01:00:54.168
Revise administrative rules,

01:00:54.188 --> 01:00:55.449
state policies and other published

01:00:55.469 --> 01:00:56.791
materials to encourage access.

01:00:57.291 --> 01:00:57.672
Yes.

01:00:57.791 --> 01:00:59.173
Coordinate among agencies.

01:00:59.353 --> 01:00:59.733
Yes.

01:00:59.833 --> 01:01:00.074
Again,

01:01:00.094 --> 01:01:01.856
a lot of times when bureaucracy is like

01:01:02.235 --> 01:01:03.157
we need to streamline,

01:01:03.436 --> 01:01:05.599
they end up adding more bureaucracy on the

01:01:05.619 --> 01:01:08.481
back end or like the client facing part

01:01:08.561 --> 01:01:09.862
instead of on the state's part.

01:01:10.103 --> 01:01:10.262
So.

01:01:11.556 --> 01:01:13.697
revamp that whole fucking process because

01:01:13.898 --> 01:01:14.157
right.

01:01:14.197 --> 01:01:15.278
Like something like applying for

01:01:15.318 --> 01:01:17.099
disability is a nightmare.

01:01:17.159 --> 01:01:18.541
And I tell everybody who does it,

01:01:18.561 --> 01:01:19.822
you're going to get declined to the first

01:01:19.842 --> 01:01:22.083
time, no matter what, like the system.

01:01:22.242 --> 01:01:24.284
So, so, so, so, so broken.

01:01:24.885 --> 01:01:27.146
It's a nine to eight month wait list

01:01:27.186 --> 01:01:29.829
for most psychiatrists systems broken

01:01:31.188 --> 01:01:32.429
partner with licensing entities and

01:01:32.469 --> 01:01:33.371
telehealth platforms.

01:01:33.530 --> 01:01:34.411
No fuck.

01:01:34.472 --> 01:01:37.092
No tele platforms are already selling

01:01:37.112 --> 01:01:37.853
people's data.

01:01:38.193 --> 01:01:39.135
They're tracking data.

01:01:39.195 --> 01:01:40.715
It's being used to train AI and,

01:01:41.155 --> 01:01:42.496
It's not kept confidential.

01:01:42.856 --> 01:01:44.717
It's being given up in court cases when

01:01:44.777 --> 01:01:46.059
it should be confidential.

01:01:46.418 --> 01:01:47.159
Like, no.

01:01:48.280 --> 01:01:49.322
That's not the solution.

01:01:50.222 --> 01:01:52.563
To broaden access to services in rural

01:01:52.664 --> 01:01:54.264
areas for specialized populations,

01:01:54.346 --> 01:01:55.246
even culturally competent.

01:01:56.067 --> 01:01:57.688
I'd love to live up north.

01:01:58.489 --> 01:01:58.929
That's a lie.

01:01:58.949 --> 01:02:00.409
I'm a city slicker through and through.

01:02:01.931 --> 01:02:03.452
There's a part of me that would be

01:02:03.492 --> 01:02:04.373
very comfortable...

01:02:05.744 --> 01:02:06.385
Being up north,

01:02:06.764 --> 01:02:10.586
I know providers in rural areas, right?

01:02:10.666 --> 01:02:12.206
It's not that they're not there.

01:02:12.327 --> 01:02:17.789
It's that people don't have money, right?

01:02:17.929 --> 01:02:20.670
And can't take off time from work to

01:02:20.730 --> 01:02:21.871
go see the providers.

01:02:22.351 --> 01:02:23.490
Yes, we need more providers.

01:02:23.590 --> 01:02:25.672
Again, I said every county is a shortage.

01:02:25.751 --> 01:02:27.672
Like, yes, we need more providers,

01:02:27.713 --> 01:02:30.092
but we need less red tape for people

01:02:30.132 --> 01:02:32.414
getting licensed and less red tape and

01:02:32.434 --> 01:02:34.074
less expense for people to live where they

01:02:34.114 --> 01:02:34.375
want.

01:02:35.208 --> 01:02:37.771
it's expensive it's expensive to have to

01:02:37.811 --> 01:02:40.492
drive into town it's expensive to have to

01:02:40.592 --> 01:02:43.496
use shitty spectrum or if you're further

01:02:43.516 --> 01:02:45.197
up north charter internet services that

01:02:45.217 --> 01:02:46.739
may or may not work when you're trying

01:02:46.760 --> 01:02:50.784
to provide telehealth like state that's

01:02:50.804 --> 01:02:52.965
stuff the government should do right

01:02:57.903 --> 01:03:00.246
expand peer-to-peer services such as for

01:03:00.266 --> 01:03:02.347
veterans and tribal nation members yes i

01:03:02.387 --> 01:03:08.353
agree time and space time and space uh

01:03:08.373 --> 01:03:10.074
medicaid reimbursements again like if

01:03:10.094 --> 01:03:11.556
we're going single-payer medicaid's going

01:03:11.576 --> 01:03:13.356
to be part of that or we'll read

01:03:13.436 --> 01:03:15.119
name it something else but like the system

01:03:15.179 --> 01:03:16.940
as is needs to be like deeply deeply

01:03:16.980 --> 01:03:18.320
deeply reformed if not outright

01:03:18.380 --> 01:03:22.184
revolutionized um but increasing uh

01:03:22.284 --> 01:03:23.565
coverage for peer specialists

01:03:24.938 --> 01:03:26.179
Again, within reason.

01:03:26.460 --> 01:03:27.780
I have some qualms about that.

01:03:27.860 --> 01:03:29.342
But, like, yeah, there's a huge shortage.

01:03:29.382 --> 01:03:30.963
I would rather have somebody see a peer

01:03:31.003 --> 01:03:32.164
specialist than, like,

01:03:32.666 --> 01:03:34.467
suffer needlessly or, at worst,

01:03:34.547 --> 01:03:37.030
die from something that was preventable.

01:03:37.110 --> 01:03:39.391
So, like, yes,

01:03:39.431 --> 01:03:41.875
that's not going to solve the gap, though.

01:03:42.534 --> 01:03:42.896
Yeah.

01:03:44.434 --> 01:03:46.155
Don't coordinate with telehealth partners.

01:03:46.175 --> 01:03:47.675
That's not the fucking solution.

01:03:47.835 --> 01:03:50.237
Those are for-profit institutions that are

01:03:50.536 --> 01:03:52.177
all owned by venture capital on the back

01:03:52.257 --> 01:03:54.378
ends and do not care about health

01:03:54.438 --> 01:03:57.460
outcomes.

01:03:57.501 --> 01:03:59.101
Pursue interstate compacts so that

01:03:59.121 --> 01:04:00.461
providers can work across state borders.

01:04:01.141 --> 01:04:03.423
Again, that's better than not, right?

01:04:03.463 --> 01:04:04.463
Like that's been good.

01:04:04.503 --> 01:04:06.704
That's been good for a side pact already

01:04:06.744 --> 01:04:07.144
exists.

01:04:07.164 --> 01:04:08.146
That's a lot of providers.

01:04:09.246 --> 01:04:09.666
It's not...

01:04:10.347 --> 01:04:11.027
It's unwieldy,

01:04:11.047 --> 01:04:12.809
but not impossible for providers like me

01:04:12.829 --> 01:04:14.090
who are LMFT too.

01:04:14.750 --> 01:04:15.951
We can't get it a side pact yet,

01:04:16.411 --> 01:04:17.771
again, for no good reason.

01:04:19.733 --> 01:04:21.454
Bureaucrats being bureaucratic.

01:04:22.835 --> 01:04:24.416
But I can get licensed in other places

01:04:24.456 --> 01:04:26.538
and just choose not to because my caseload

01:04:26.597 --> 01:04:28.898
is busy and I don't need more people

01:04:28.940 --> 01:04:29.639
from other states.

01:04:30.199 --> 01:04:32.342
If I were to try and focus down

01:04:32.402 --> 01:04:34.842
on just one of my specialties, then maybe.

01:04:36.324 --> 01:04:36.585
But

01:04:37.545 --> 01:04:37.746
Again,

01:04:37.786 --> 01:04:39.047
I like meeting with people in person.

01:04:39.086 --> 01:04:41.108
It has a huge benefit to not just

01:04:41.128 --> 01:04:42.590
the work that I do with people,

01:04:42.630 --> 01:04:44.050
but also to their mental health.

01:04:44.650 --> 01:04:46.333
Setting aside time for therapy,

01:04:47.893 --> 01:04:49.295
setting aside time for yourself,

01:04:49.894 --> 01:04:52.056
whether it's a spa or therapy or a

01:04:52.097 --> 01:04:54.378
workout or a nice meal,

01:04:54.878 --> 01:04:56.039
is good for your mental health.

01:04:59.570 --> 01:05:01.351
um enact policies that address social

01:05:01.630 --> 01:05:04.211
disconnection like sort of that's not

01:05:04.231 --> 01:05:05.632
really what i want the state to provide

01:05:05.791 --> 01:05:11.974
i want the state to provide space basic

01:05:12.233 --> 01:05:15.775
basic uh necessities being covered and

01:05:16.135 --> 01:05:18.675
space right like when you look at other

01:05:18.715 --> 01:05:20.076
countries they have community centers

01:05:21.356 --> 01:05:22.938
that are funded by the state.

01:05:23.898 --> 01:05:26.242
They have transportation that's funded by

01:05:26.282 --> 01:05:26.742
the state.

01:05:26.842 --> 01:05:30.244
They have maternal leave and sick days and

01:05:30.264 --> 01:05:32.487
vacation days funded by the state.

01:05:32.967 --> 01:05:33.989
That's what we need.

01:05:34.228 --> 01:05:36.130
The social disconnection will drop when we

01:05:36.170 --> 01:05:37.211
have all that other stuff.

01:05:43.054 --> 01:05:43.355
Yeah,

01:05:43.514 --> 01:05:45.297
proactively offer and continue mental

01:05:45.317 --> 01:05:46.737
health services for those in transition,

01:05:46.757 --> 01:05:48.018
such as military to civilian,

01:05:48.059 --> 01:05:49.119
corrections to community,

01:05:49.559 --> 01:05:51.581
new Medicaid members, new parents,

01:05:51.762 --> 01:05:53.202
new state employees, etc.

01:05:53.822 --> 01:05:54.844
Again, yes,

01:05:56.184 --> 01:05:58.547
Milwaukee has really good perinatal mental

01:05:58.606 --> 01:05:59.827
health coverage, actually.

01:06:00.068 --> 01:06:01.128
We're deeply resourced.

01:06:02.309 --> 01:06:04.891
Probably not at the state provider level,

01:06:05.413 --> 01:06:06.293
but there's a lot of people in the

01:06:06.333 --> 01:06:06.554
area.

01:06:06.634 --> 01:06:08.135
Moms Mental Health Initiative is here.

01:06:08.856 --> 01:06:10.858
Milwaukee Diaper Mission is here.

01:06:11.639 --> 01:06:13.440
Tons of individual providers that I know

01:06:13.840 --> 01:06:15.202
specialize in perinatal mental health.

01:06:15.362 --> 01:06:15.862
It's great.

01:06:16.443 --> 01:06:18.144
Medicaid members is going to be a huge

01:06:18.164 --> 01:06:19.246
thing because, again,

01:06:19.306 --> 01:06:21.188
the old population is getting older.

01:06:21.706 --> 01:06:22.748
and the people who are gonna be converting

01:06:22.788 --> 01:06:24.909
on Medicaid and then like the Republicans

01:06:24.969 --> 01:06:25.929
keep trying to defund it.

01:06:26.190 --> 01:06:28.411
So it's gonna be a problem when the

01:06:28.452 --> 01:06:30.273
homelessness problem increases with a

01:06:30.293 --> 01:06:32.273
bunch of old people who are not getting

01:06:32.313 --> 01:06:33.275
the services they need.

01:06:34.056 --> 01:06:35.235
So that's a problem.

01:06:36.016 --> 01:06:37.838
Incentivize managed care organizations and

01:06:37.878 --> 01:06:39.159
providers to improve services and mental

01:06:39.179 --> 01:06:39.719
health outcomes.

01:06:40.380 --> 01:06:42.501
Yeah, take their money.

01:06:48.327 --> 01:06:51.009
Yeah, every insurance agency,

01:06:51.208 --> 01:06:52.248
I don't work with insurance anymore

01:06:52.268 --> 01:06:53.610
because there's such a fucking pain and

01:06:53.650 --> 01:06:55.010
get in the way of providing good care.

01:06:57.130 --> 01:06:58.010
But even still,

01:06:58.050 --> 01:06:59.632
like even just giving people super bills

01:06:59.751 --> 01:07:02.213
and having people pay their out of network

01:07:02.253 --> 01:07:02.753
benefits,

01:07:02.793 --> 01:07:04.393
like insurance companies try and fight

01:07:04.414 --> 01:07:07.755
that constantly.

01:07:07.954 --> 01:07:12.096
It's just a scam.

01:07:12.135 --> 01:07:15.277
So working on, and again,

01:07:15.297 --> 01:07:16.458
there's some good stuff like

01:07:17.903 --> 01:07:19.746
not just continue to fund but increase

01:07:19.786 --> 01:07:22.590
funding for the suicide hotline and crisis

01:07:22.630 --> 01:07:25.293
lifeline children's mental health and

01:07:25.313 --> 01:07:27.336
mental health services including in school

01:07:27.476 --> 01:07:29.800
peer recovery centers again like

01:07:31.398 --> 01:07:33.059
we should legalize weed and a bunch of

01:07:33.119 --> 01:07:36.940
other drugs because alcohol is legal and

01:07:36.960 --> 01:07:39.081
we already have designated safe use

01:07:39.101 --> 01:07:39.561
spaces.

01:07:39.581 --> 01:07:40.380
They're called bars,

01:07:40.400 --> 01:07:41.300
they're on every corner.

01:07:42.141 --> 01:07:43.481
We should have that for other stuff too.

01:07:44.161 --> 01:07:45.722
The idea that like we talk about veteran

01:07:45.902 --> 01:07:47.943
coverage, but like Wisconsin,

01:07:47.963 --> 01:07:49.583
Madison is UWM,

01:07:50.103 --> 01:07:52.045
UW Madison is like one of the largest

01:07:52.945 --> 01:07:54.605
researchers on psychedelics and we're not

01:07:54.664 --> 01:07:56.786
like legalizing weed,

01:07:56.846 --> 01:07:58.927
let alone psychedelics here is madness.

01:07:59.907 --> 01:08:01.586
Wisconsin Department of Health Services

01:08:01.987 --> 01:08:03.168
care and treatment facilities.

01:08:03.347 --> 01:08:03.708
Yes.

01:08:04.588 --> 01:08:05.809
Clinician wellness program.

01:08:06.289 --> 01:08:06.688
Yeah.

01:08:07.289 --> 01:08:08.889
Implementation would be slow and low on

01:08:08.909 --> 01:08:09.150
that.

01:08:09.210 --> 01:08:12.070
We don't necessarily need more wellness

01:08:12.110 --> 01:08:12.610
programs.

01:08:12.650 --> 01:08:14.550
We need more time off and to not

01:08:14.590 --> 01:08:15.431
feel like we have to work all the

01:08:15.471 --> 01:08:15.690
time.

01:08:17.271 --> 01:08:18.712
Medicaid reimbursements for mental health.

01:08:18.811 --> 01:08:19.011
Yes.

01:08:19.072 --> 01:08:20.533
Medicaid is notoriously bad at

01:08:20.592 --> 01:08:21.132
reimbursing.

01:08:21.332 --> 01:08:22.092
So it's a problem.

01:08:24.511 --> 01:08:26.212
farmer mental health assistance program

01:08:26.252 --> 01:08:27.854
veteran recovery programs like again i'm

01:08:27.914 --> 01:08:29.475
not like opposed to people who live out

01:08:29.536 --> 01:08:31.578
in the sticks i'm not anti-rural i'm not

01:08:31.698 --> 01:08:34.961
anti-farmer just like i i hate how little

01:08:35.001 --> 01:08:37.863
about this is like the inherent system of

01:08:38.023 --> 01:08:39.984
capitalism institution that has been

01:08:40.085 --> 01:08:42.527
ruining this stuff for decades that we've

01:08:42.567 --> 01:08:44.729
been tracking and noting and now being

01:08:44.748 --> 01:08:46.631
like oh no it's a crisis where did

01:08:46.650 --> 01:08:48.653
this come from and then not addressing

01:08:48.693 --> 01:08:50.895
where it came from it seems disingenuous

01:08:52.421 --> 01:08:53.801
Because we're not trying to change that.

01:08:53.902 --> 01:08:56.064
So how much better outcomes do we really

01:08:56.104 --> 01:08:58.445
actually want?

01:09:01.729 --> 01:09:02.649
We should, yeah,

01:09:02.970 --> 01:09:04.970
provide grant funding to county sheriff

01:09:04.990 --> 01:09:06.391
department and local police departments to

01:09:06.412 --> 01:09:08.194
develop and support co-sponsor,

01:09:08.654 --> 01:09:11.216
co-responder models, or like, you know,

01:09:11.697 --> 01:09:12.917
take a bunch of the money from the

01:09:12.938 --> 01:09:14.859
cops that they use on military grade

01:09:14.878 --> 01:09:17.240
equipment to kill people with and like put

01:09:17.261 --> 01:09:18.261
that towards mental health.

01:09:19.929 --> 01:09:21.911
pay for social workers pay for people to

01:09:21.951 --> 01:09:24.253
be trained to become social workers yeah

01:09:24.333 --> 01:09:27.578
we could demon militarize our uh police

01:09:27.597 --> 01:09:30.039
force and have mental health care be paid

01:09:30.079 --> 01:09:35.046
for that way that'd be cool that'd

01:09:35.065 --> 01:09:36.627
probably cover a lot you probably do like

01:09:37.087 --> 01:09:39.650
maternal leave and stuff too uh maternity

01:09:39.690 --> 01:09:41.393
leave and paternity right both

01:09:43.231 --> 01:09:45.313
Do increase access to state, federal,

01:09:45.353 --> 01:09:46.154
and other funds.

01:09:46.394 --> 01:09:47.774
Federal funding is getting cut for mental

01:09:47.795 --> 01:09:48.435
health everywhere.

01:09:48.875 --> 01:09:49.136
Again,

01:09:49.636 --> 01:09:50.957
sort of state going to have to do

01:09:50.997 --> 01:09:51.117
this.

01:09:51.136 --> 01:09:52.478
It's going to be blue state versus red

01:09:52.497 --> 01:09:54.037
state at some point.

01:09:54.679 --> 01:09:55.819
Create parity in payment.

01:09:56.039 --> 01:09:56.880
Yeah, again,

01:09:57.020 --> 01:09:58.180
I get paid a lot less than a

01:09:58.220 --> 01:09:59.521
PhD or a PsyD,

01:10:00.782 --> 01:10:01.903
even though the amount of schooling I've

01:10:01.922 --> 01:10:04.444
been in is the same, sometimes more,

01:10:04.505 --> 01:10:04.765
because I've

01:10:05.605 --> 01:10:06.626
done my post-grad too.

01:10:06.865 --> 01:10:08.186
So I don't know.

01:10:08.367 --> 01:10:08.947
That's stupid.

01:10:09.487 --> 01:10:10.488
A lot of people I know who have

01:10:10.507 --> 01:10:13.149
their PhDs are not good providers.

01:10:13.469 --> 01:10:15.390
So I don't have a solution to that.

01:10:15.609 --> 01:10:16.890
I don't necessarily require you to stay to

01:10:16.909 --> 01:10:17.229
do that.

01:10:17.270 --> 01:10:17.729
Like, again,

01:10:17.750 --> 01:10:19.650
that's an education problem probably.

01:10:23.332 --> 01:10:25.613
Yeah.

01:10:25.653 --> 01:10:27.394
So, and like,

01:10:27.734 --> 01:10:28.895
then they have like building on our

01:10:28.935 --> 01:10:29.335
success.

01:10:30.215 --> 01:10:30.555
Again,

01:10:30.614 --> 01:10:32.015
I think Evers has done a good job

01:10:32.055 --> 01:10:32.615
in a bad way.

01:10:33.536 --> 01:10:35.997
instance um nine and eight and crisis

01:10:36.018 --> 01:10:38.078
lifeline it says receive over ten thousand

01:10:38.139 --> 01:10:40.400
calls text chats per month like yeah

01:10:40.421 --> 01:10:42.381
that's a good thing to fund then right

01:10:43.122 --> 01:10:45.744
um fifty million thirty million secured

01:10:45.765 --> 01:10:48.185
that could continue providing school-based

01:10:48.407 --> 01:10:51.068
uh mental health services love that that

01:10:51.108 --> 01:10:53.409
number should be higher uh we should pay

01:10:53.430 --> 01:10:54.930
teachers more but like evers has been

01:10:54.951 --> 01:10:56.993
pretty good about that too again pretty

01:10:57.033 --> 01:10:59.774
good in the like broken america system not

01:10:59.835 --> 01:11:00.055
like

01:11:01.095 --> 01:11:03.115
what data and other countries could do.

01:11:03.956 --> 01:11:06.858
Um, so yeah, there,

01:11:06.877 --> 01:11:09.078
there's some stuff that is good.

01:11:09.779 --> 01:11:12.720
Um, Evers is a former educator.

01:11:12.740 --> 01:11:13.201
He's a teacher.

01:11:13.220 --> 01:11:14.362
He worked in schools for a long time,

01:11:14.421 --> 01:11:16.203
so he's, he's got a good, uh,

01:11:16.222 --> 01:11:17.603
he's had a good approach on that.

01:11:17.703 --> 01:11:20.744
We need to do better job for, um,

01:11:20.765 --> 01:11:21.664
indigenous folks.

01:11:21.805 --> 01:11:23.206
We need to do a better job for,

01:11:23.765 --> 01:11:24.627
uh, BIPOC people.

01:11:24.667 --> 01:11:26.106
We need to do a better job for

01:11:26.427 --> 01:11:27.967
mothers for sure.

01:11:28.889 --> 01:11:29.009
Um,

01:11:31.809 --> 01:11:33.550
We don't need innovation, right?

01:11:33.630 --> 01:11:33.829
Like,

01:11:33.869 --> 01:11:35.149
state agencies have also been working on

01:11:35.189 --> 01:11:36.810
innovative solutions and cross-agency

01:11:36.831 --> 01:11:37.371
partnerships.

01:11:38.350 --> 01:11:43.152
Just divest from capitalist structures and

01:11:43.212 --> 01:11:44.733
tax the wealthy.

01:11:44.752 --> 01:11:46.974
You pay for it.

01:11:47.234 --> 01:11:49.354
We don't need to reinvent the wheel.

01:11:49.774 --> 01:11:52.175
Thirty-two out of thirty-three other

01:11:52.234 --> 01:11:54.855
countries that are ranked above us who

01:11:54.895 --> 01:11:56.676
have similar amount of wealth as we do

01:11:56.997 --> 01:11:58.337
have figured this shit out.

01:11:59.505 --> 01:12:01.206
Other countries don't struggle with the

01:12:01.286 --> 01:12:02.546
unhoused population.

01:12:03.827 --> 01:12:04.688
Everyone's housed.

01:12:05.207 --> 01:12:06.047
And people who aren't housed,

01:12:06.087 --> 01:12:07.488
who have active mental health crises,

01:12:07.689 --> 01:12:08.750
have access to services.

01:12:09.449 --> 01:12:12.851
So I don't know.

01:12:12.872 --> 01:12:14.792
Jerking ourselves off when we've just said

01:12:14.853 --> 01:12:16.793
there's a huge crisis doesn't necessarily

01:12:16.833 --> 01:12:18.095
feel particularly relevant.

01:12:20.095 --> 01:12:21.496
But conclusion,

01:12:21.515 --> 01:12:23.577
Wisconsin mental health crisis is complex

01:12:23.917 --> 01:12:25.158
because to solve it,

01:12:25.198 --> 01:12:26.519
we would need to divest from capitalism.

01:12:26.538 --> 01:12:27.840
And we're unwilling to do that is the

01:12:27.859 --> 01:12:28.500
complexity there.

01:12:30.247 --> 01:12:32.328
This is why I wasn't invited to speak,

01:12:32.448 --> 01:12:32.668
right?

01:12:33.649 --> 01:12:37.292
I'm not unaware.

01:12:37.432 --> 01:12:39.895
A thirty-page document that's taking me an

01:12:39.935 --> 01:12:41.655
hour and ten minutes to dissect.

01:12:42.676 --> 01:12:43.978
There's no single all-encompassing

01:12:43.997 --> 01:12:45.259
approach to solve the challenges

01:12:45.319 --> 01:12:46.180
Wisconsinites are facing.

01:12:46.760 --> 01:12:47.720
That's true,

01:12:47.761 --> 01:12:50.002
but there's one really good one that they

01:12:50.042 --> 01:12:51.384
chose not to talk about.

01:12:52.841 --> 01:12:55.421
while state government is in a role to

01:12:55.462 --> 01:12:56.983
facilitate programs and services to help

01:12:57.002 --> 01:12:58.603
people to truly address Wisconsin's mental

01:12:58.622 --> 01:12:59.122
health crisis,

01:12:59.143 --> 01:13:00.823
it will take everyone's collective.

01:13:01.844 --> 01:13:03.145
Yeah, we should be more collectivist,

01:13:03.425 --> 01:13:05.786
like making rich people pay taxes and

01:13:05.805 --> 01:13:06.805
redistributing wealth.

01:13:07.707 --> 01:13:10.967
Step up to the challenge.

01:13:11.007 --> 01:13:12.127
So I don't know.

01:13:13.229 --> 01:13:14.069
It's not bad.

01:13:14.988 --> 01:13:15.309
Again,

01:13:15.349 --> 01:13:16.930
for as much as I'm complaining about it,

01:13:18.650 --> 01:13:19.171
I will say

01:13:22.492 --> 01:13:23.212
it could be worse.

01:13:23.273 --> 01:13:25.014
It could be something like RFK Jr.

01:13:25.033 --> 01:13:27.336
and Maha put out, but it's not good.

01:13:29.118 --> 01:13:33.002
It's, it's stemming the tide.

01:13:33.082 --> 01:13:35.764
It's, it's, um, oh man,

01:13:35.783 --> 01:13:37.225
I just pulled my own screen up and

01:13:37.826 --> 01:13:38.686
I got some lag.

01:13:39.386 --> 01:13:40.729
Hopefully that's not coming through on the

01:13:40.809 --> 01:13:41.208
audio.

01:13:41.890 --> 01:13:42.090
Um,

01:13:45.649 --> 01:13:46.128
it's fine.

01:13:47.229 --> 01:13:48.131
Again, I think it's sort of a,

01:13:48.190 --> 01:13:49.532
like it is what it is while the

01:13:49.591 --> 01:13:50.552
empire collapses,

01:13:50.613 --> 01:13:52.774
like making the best of a bad situation

01:13:53.015 --> 01:13:55.756
in the American institution that has a

01:13:55.877 --> 01:13:57.578
for-profit model for healthcare.

01:13:57.618 --> 01:14:00.060
Like, yeah, that's never going to work.

01:14:00.100 --> 01:14:03.582
So it'd be worse to say we're cutting

01:14:03.643 --> 01:14:05.444
all of these things to pay for,

01:14:07.426 --> 01:14:09.307
I don't know, a governor's ballroom,

01:14:09.347 --> 01:14:09.967
for example.

01:14:10.809 --> 01:14:10.948
Um,

01:14:13.140 --> 01:14:14.260
So it's good that we're trying to fund

01:14:14.300 --> 01:14:15.581
things that are good and helpful,

01:14:15.661 --> 01:14:17.702
but this isn't revolutionary.

01:14:22.162 --> 01:14:23.563
We're going to bail out the water in

01:14:23.582 --> 01:14:24.463
the sinking ship,

01:14:24.543 --> 01:14:26.503
but we're not going to stop the ship

01:14:26.524 --> 01:14:27.125
from sinking.

01:14:27.904 --> 01:14:29.364
We're just going to slow the sink and

01:14:29.826 --> 01:14:31.565
hope a future generation figures it out.

01:14:31.586 --> 01:14:34.226
I don't know.

01:14:34.346 --> 01:14:36.087
I knew this wouldn't be a hopeful episode,

01:14:36.148 --> 01:14:39.889
but again, there's things that are good.

01:14:42.591 --> 01:14:44.292
We could be an actual red state and

01:14:44.351 --> 01:14:46.934
not have a democratic governor who's done

01:14:46.953 --> 01:14:47.934
a lot of good stuff.

01:14:52.176 --> 01:14:53.698
It's just hard when you're like

01:14:53.898 --> 01:14:55.578
evidence-based and have a research

01:14:55.599 --> 01:14:57.699
background to not use your brain and say

01:14:57.739 --> 01:14:57.939
like,

01:14:58.239 --> 01:15:00.862
there's actually like a really well

01:15:02.222 --> 01:15:06.085
researched and proven way to solve a lot

01:15:06.125 --> 01:15:06.444
of this.

01:15:06.664 --> 01:15:07.626
And we're just not going to do it.

01:15:14.092 --> 01:15:17.336
Support your progressive leftist who's

01:15:17.376 --> 01:15:22.220
running for office and bother people who

01:15:22.261 --> 01:15:23.381
are in office who are not doing

01:15:23.442 --> 01:15:27.286
progressive shit.

01:15:27.305 --> 01:15:31.270
Ta-da!

01:15:31.289 --> 01:15:31.970
Did we solve it?

01:15:33.492 --> 01:15:34.472
I think we solved it, gang.

01:15:35.493 --> 01:15:36.796
Pat yourself on the back for listening to

01:15:36.815 --> 01:15:37.997
a podcast that solved it.

01:15:41.493 --> 01:15:42.295
Pat yourself on the back.

01:15:43.034 --> 01:15:44.354
And thanks for sticking with me for an

01:15:44.395 --> 01:15:45.315
hour and fifteen here.

01:15:46.176 --> 01:15:48.756
But do take action that will matter more

01:15:48.997 --> 01:15:50.097
than listening to a podcast.

01:15:50.358 --> 01:15:51.297
I will also do that.

01:15:53.259 --> 01:15:59.122
Because we are all in this together in

01:15:59.181 --> 01:16:02.182
the sense that we have to continue to

01:16:02.222 --> 01:16:04.203
tear down the crumbling empire and

01:16:05.819 --> 01:16:07.340
Have something better that's community

01:16:07.359 --> 01:16:07.680
based.

01:16:07.780 --> 01:16:09.362
So that's us.

01:16:10.462 --> 01:16:11.002
Take care of yourself.

01:16:11.023 --> 01:16:11.944
Take care of somebody else.

01:16:12.064 --> 01:16:14.246
I'll be back next week with another new

01:16:14.326 --> 01:16:14.966
episode.

01:16:15.627 --> 01:16:16.707
Take care, y'all.