You shouldn't have to choose between filling your prescriptions and paying bills | Kiah Williams

39,679 views

2020-10-06 ・ TED


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You shouldn't have to choose between filling your prescriptions and paying bills | Kiah Williams

39,679 views ・ 2020-10-06

TED


Tafadhali bofya mara mbili manukuu ya Kiingereza hapa chini ili kucheza video.

Translator: Hanningtone Omollo
00:13
Every day in this country,
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Kila uchao hapa nchini,
00:15
families are forced to make impossible choices
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familia wanalazimika kufanya maamuzi magumu sana
00:18
when it comes to their health care.
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yanayohusu huduma yao ya afya
00:20
Like Kimberly, who said,
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Kama Kimberly, aliyesema,
00:23
"There was times I had to choose between my food and my pills.
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"Kuna wakati nafanya maamuzi kati ya chakula changu na vidonge"
00:27
It wasn't luxury stuff, because I didn't make that much.
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Haikuwa raha sababu kipato changu ni duni.
00:31
It was like, 'Can I get shampoo or conditioner?'
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Mfano,"Naweza nunua shampu ama kiyoyozi ?"
00:34
Things you take for granted."
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Vitu tunachukulia kua ya kawaida"
00:36
And Debbie, who said,
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Na Debbie,aliyesema,
00:38
"You put your medicine in one hand,
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"Unaweka dawa kwa mkono mmoja,
00:41
your living costs in the other.
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na mahitaji ya maisha kwa mwingine.
00:44
OK. Well, what am I going to do?
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Sawa, ntafanya nini ?
00:47
Am I going to get my medicine
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Nitanunua dawa
00:49
or am I going to pay my bills?
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ama kulipa bili zangu?
00:51
Well, I can't live without my medicine,
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Na siwezi ishi bila dawa zangu,
00:53
but I can't live if I don't pay my bills."
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na sitaishi bila kulipa bili zangu."
00:57
Ten thousand people die every month in this country,
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Watu elfu kumi wanafariki kila mwezi hapa nchini,
01:01
because they don't take the medicine that they need.
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kwa sababu hawatumii dawa inavyostahili,
01:04
More people die from not taking medications
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Watu wengi hufa kwa kutomeza dawa
01:07
than opioid overdoses and car accidents combined.
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kuzidi utumizi wa afyuni kupita kiwango na ajali za barabara zikijumuishwa
01:13
But you can't take medicine if you can't afford it.
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Lakini huwezi meza tembe kama hutamudu gharama yake.
01:17
Today, the average household spends 3,000 dollars a year
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Leo hii,familia ya kawaida inatumia dola 3000 kila mwaka
01:22
on medications.
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kwa matibabu.
01:24
About a third of folks who are uninsured
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Takriban thuluthi moja ya wasio na bima
01:26
said that they stopped taking medicine as prescribed
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walisema waliacha kutumia dawa walivyoagizwa
01:30
because of cost.
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kwa ajili ya gharama ya juu
01:32
Even folks with insurance,
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Hata wenye bima,
01:34
if they make under 35,000 dollars a year,
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na kipato chini ya dola 35,000 kwa mwaka
01:37
half of them report skipping the medications
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nusu yao walisema walirukisha kumeza dawa
01:41
if their insurance doesn't cover it.
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kama bima haitagharamia
01:43
So there are 10 million adults like Kimberly and like Debbie
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Kunao watu wazima milioni kuni kama Kimberly na Debbie
01:48
who are forced to make impossible choices every day.
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amabao wanalazimika kufanya maamuzi magumu kilasiku,
01:53
We all know that prescription drug prices are too high.
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Sote tunafahamu madawa ya kuagizwa ni bei ghali mno.
01:58
And our health care system,
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Na mfumo wetu wa huduma za afya,
02:00
that makes some folks uninsured and other folks underinsured,
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inayobagua wengine kutopata bima na wengineo kupata bima ya chini,
02:04
doesn't prioritize people who need access now
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haipi kipaombele watu wanaohitaji usaidizi kwa sasa
02:08
and need medications now.
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na matibabu sasa.
02:11
Ten million -- it's a big number,
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Milioni kumi---- hiyo ni idadi kubwa,
02:13
but it's also a solvable number,
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lakini ni nambari lina suluhu,
02:15
because there's also 10 billion dollars
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kwa sababu pia kuna dola bilioni 10
02:19
of perfectly good, unused medication
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ya madawa mazuri haijatumika
02:23
that goes to waste.
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yanayoharibika.
02:24
So this is an injustice on two sides:
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Hii ni udhalimu kwa pande mbili:
02:27
people not getting the medicine that they need to survive and to thrive,
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watu kutopata madawa wanayohitaji kua hai na kustawi,
02:32
and that very same medication being sent to a medical waste incinerator
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na ni dawa hivi vinatumwa kasha moto la madawa
02:37
to be destroyed.
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kuharibiwa.
02:39
This waste is unconscionable, but it also offers an opportunity.
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Huu uharibifu unapumbaza, lakini pia unatoa fursa.
02:44
I started SIRUM,
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Nilianzisha SIRUM,
02:46
a not-for-profit technology company, with my cofounders Adam and George,
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Kiwanda cha teknolojia isio ya faida, na wanzilishi wenza Adam na George,
02:51
to turn discarded medications into a lifeline,
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kuibadili madawa yanayotupwa kua na manufaa
02:55
just like the medications in this warehouse.
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kama vile madawa yaliyo kwa hili ghala
02:58
We may not be able to fix
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Labda hatutaweza rekebisha
03:00
all the ways in which our health care system is failing us,
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yote yanayotufeli katika mfumu wetu ya huduma za afya
03:03
but we can fix this one.
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lakini hili tunaweza tengeneza.
03:06
Medications come from manufacturers and wholesalers who have safety stock,
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Madawa hutoka viwandani na wauzi jumla wanao hifadhi salama
03:11
and when it's short-dated, they destroy it.
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na wakati wa kuraribika ikiwadia wanatofua
03:14
It also comes from health care facilities
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Wakati mwingine, hutoka vituo vya afya
03:16
like hospitals, pharmacies and nursing homes,
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kama hospitali, famasia,na uguzia
03:19
who end up with surplus when a patient stops taking medication
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wanaobaki na ziada, zisizomezwa
03:23
or when they pass away.
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au wakati wagonjwa wanapofariki.
03:25
We can use this untapped source of medications
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Tweza nufuika na haya madawa ziada
03:29
to supply all 10 million people who need medications.
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kusambazia watu milioni kumi wanaohitaji haya madawa.
03:34
And we can do this today.
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Na tunaweza fanya hivyo leo.
03:36
SIRUM gets surplus medications
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SIRUM inapata madawa ziada
03:39
by putting recycling bins into these hundreds of facilities
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kwa kuweka chombo cha matumizi tena kwa haya majumba
03:43
that have surplus.
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yenye ziada
03:44
They fill the bin, and when the box is full,
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Chombo linapojaa
03:47
SIRUM initiates a courier pickup to pick up that medication,
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SIRUM inatuma gari kuchukua hayo madawa,
03:51
and we handle the shipping, the tracking, the manifests and the tax receipt.
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tunashughulikia usafirishaji,ufuatiliaji, dhihirisho, na risiti ya kodi.
03:58
Medicine donors want to donate because it's actually cheaper and easier
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Wafadhili wa madawa wanataka kutoa kwa sababu ni nafuu na rahisi
04:03
than the highly regulated medicine destruction process.
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kuliko kutofoa madawa yenye kanuni mingi
04:06
And there are strong tax incentives to actually donate.
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Na pia kunayo motisha kikodi kutoa
04:11
We then deliver those donated medications to people who need it.
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Baadaye tunafikisha haya madawa kwa watu wazozihitaji.
04:15
A new prescription comes in,
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Pendekezo mpya inapokuja,
04:17
and our platform matches that patient need with the inventory that's available.
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jukwaa letu inaambatanisha matakwa ya mgonjwa na dawa ilioko
04:22
Our platform then generates a warehouse pick list,
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Jukwaa letu basi inatoa orodha ya kuchukua dawa bohari
04:26
the medications are picked and the prescriptions filled.
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madawa yanachukuliwa na mapendekezo kuandikwa
04:29
We are building the 21st-century pharmacy experience
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Tunajega duka ya kisasa wenye uzoefu ya karne 21
04:33
that low-income families deserve.
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Wanayostahili familia wenye mapato madogo
04:37
Patients can register in under five minutes
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Wagonjwa wanaweza jiandikisha chini ya dakika tano
04:39
and have access to over 500 different medications,
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na kufikia zaidi ya madawa 500,
04:44
a stable list of medications for everything from heart disease
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yenye orodha toka afkani
04:49
to mental health conditions,
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mpaka kichaa
04:51
actually representing over 75 percent of all prescriptions prescribed
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Kiukweli imewakilisha asilimia 75 ya madawa yanayoagizwa
04:57
in the United States today.
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Amerika leo.
04:59
We also partner with a network of doctors, nurses and case managers
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Pia tunashirikiana na mtandao wa madaktari wauguzi na wasimamizi wa kesi
05:04
at community health centers and free clinics
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katika hospitali na kliniki huru
05:07
that refer patients to the service.
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wanaopendekeza wagonjwa kwetu
05:09
We make it as easy for these health care providers
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Tunarahisishia wadumu wa afya kazi
05:12
to have a prescription filled with donated medications
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kwa kutoa madawa yaliyoagizwa
05:15
as it is to send a prescription to a local pharmacy.
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kwa vile kuituma kwa famasia ya mtaa
05:19
And patients can pick up medications on-site at one of our partners
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Na wagojwa kuchukulia kwa moja wa washirika wetu
05:24
or have medications delivered directly to their home.
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ama kupelekewa madawa nyumbani
05:28
By circumventing the traditional supply chain,
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Kwa kutofualitia njia ya kawaida
05:31
we're able to offer flat, transparent pricing --
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tunaweza dai bei sawa na ilio wazi -
05:35
about two dollars for a month's supply of most medications.
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kama dola mbili kila mwezi kununua takriban madawa zote
05:41
And that allows a predictable, affordable price
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Hii inadhihirisha bei inayotabirika na nafuu
05:45
that folks can actually budget for.
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ambayo watu wanaweza bajetia.
05:48
We've already supplied enough medication for 150,000 people.
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Tumegawa dawa za kutosha kwa takriban watu 150,000
05:53
But we can do more.
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Lakini tunaweza fanya zaidi.
05:55
Our goal is to reach one million people
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Lengo letu ni kufikia watu milioni
05:58
with approaching a billion dollars of unused medicine
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na madawa ya dola takriban bilioni
06:02
in the next five years,
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kwa miaka tano ijayo,
06:04
scaling our program to 12 states.
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kupanua miradi yetu hadi majimbo 12
06:07
At this scale, we can actually cover communities that are home
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Kwa kiwango hii,kufikia jamii ambao ni
06:11
to 40 percent of the 10 million people
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asilimia 40 kwa hao milioni 10
06:15
who lack consistent, affordable access.
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waliokosa ufikavu thabiti na nafuu
06:19
Our direct service to one million people
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Huduma yetu moja kwa moja kwa watu milioni
06:23
will drive price competition for so many more.
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itashusha bei chini kwa watu wengi
06:26
Walmart launched one of the only price innovations in pharmacy
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Ni Walmart pekee wamezindua bei ya dawa
06:30
in 2006,
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mnamo mwaka 2016,
06:32
by offering a limited list of medications
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kwa kutoa orodha finyu wa madawa
06:35
for a flat fee of four dollars.
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kwa bei iliyosimama ya dola nne
06:37
This sparked incredible change.
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Huu ulizindua mabadiliko makubwa,
06:39
It sparked competitors to offer other lists
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Kupelekea washindani wake kutoa orodha zao
06:43
and price match guarantees.
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na bei wangeshusha,
06:45
By targeting transparent, affordable medications
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Kwa malengo ya madawa yenye uwazi na nafuu
06:49
into these new states,
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kwenye majimbo haya mapya,
06:51
we can actually drive regional price competition
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tunaweza shawishi bei kwenye maeneo haya
06:55
that drives down the prices for entire low-income communities.
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kushuka kwa jamii wenye mapato ya chini
07:00
Our health care system is complex.
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Mfumo wetu wa hali ya afya ni changamani
07:04
It is daunting.
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Inachosha,
07:06
It feels impossible to make headway.
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Ni kama hayamkini kupiga hatua.
07:09
But we can completely reimagine medicine access.
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Tweza badili kufikia dawa.
07:15
By using surplus medications as a beachhead to force change
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Kwa kutunia madawa ya ziada kama kigezo cha kushinikiza mabadiliko
07:20
into this multibillion dollar industry,
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katika hii sekta wenye bilioni kadha
07:23
we can create radical access to medications
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tunaweza pindua ufikaji kwa madwa
07:27
based on a fundamental belief
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kwa kuegemea msingi thabiti
07:30
that people who live in one of the wealthiest nations in the world
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kwamba watu waoishi moja ya nchi tajiri duniani
07:34
can and should have access to medicine that they need
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wanaweza na wanafaa wafikie kila aina ya dawa wanahitaji
07:39
to survive and to thrive.
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kuishi wa kunawiri
07:42
I do not pretend to have all of the answers
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Sitadanganya nina suluhu zote
07:46
to fix all of the problems in our health care system.
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kurekebisha shida ilioko katika mfumo wetu wa afya
07:50
But getting medications to the millions of people
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Lakini kufikishia mamilioni ya watu dawa
07:53
who need it to live a healthy life,
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wanayohitaji kuishi kwa afya,
07:56
saving medicine to save lives --
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kuokoa madawa ili kuokoa maisha -
07:59
that is something we can do today.
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hio tunaweza fanya leo.
08:04
Thank you.
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Ahsanteni
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