What healthcare will look like in 2020 | Stephen Klasko | TEDxPhiladelphia

[@anthonyseabrook7549]

Dr. K is amazing! I'm so glad I got the chance to meet him and shake his hand. Three years later, now as a PhD student, I find myself looking for him to be refreshed on a few of his new day ideas. The comments I had vaguely remembered were captured in this Ted talk...a m a z i n g!

[@jaechambers7214]

Dr. Klasko touched on multiple issues that we are going through right now, but also some that were problems back when he was a medical student that are still not completely fixed now. One thing that Dr. Klasko pointed out was that we still chose our doctors based on their scores and their grades from school instead of the morals and personal beliefs that they held, and then complained that the doctor was empathic enough or the right fit for that patient. But by recognizing now that we should choose physicians based on their social awareness, teamwork skills, and relationship management along with other qualities; we are allowing doctors to realize that they cannot be the “captain of the ship” and that they need to come down to the level with their coworkers and be a part of the team. Ethically, there needs to be some middle ground and balance between a doctor’s empathetic side and where they would step in and let their education take the wheel to deal with a patient. Although being more in touch with your patient and letting them know some of the views that are held can build a stronger doctor/patient relationship; there is a such thing as sharing too much and putting the doctors at risk for discipline taken against them for things that could revolve around their personal life. The futuristic fully virtual healthcare system that Dr. Klasko mentioned sounds like an amazing plan to start working on, but also would not completely work unless you had the cooperation of the doctors, the correct EHR and internet connection equipment, and a trust in your patients to not fake illnesses and add on to the current opioid problem. In short, the healthcare in 2020 can start to make a turn for a better futuristic start, but it is not a realistic goal to be reached in the next three years.

[@austinchriste4179]

The future of healthcare discussed by Mr. Klasko I found to be very inspiring. He is part of the leaders of the optimistic future and healthcare revolution (2015-2024). He addressed three questions which are; what can we do about spiraling costs, can we change fee for service systems to reward value not volume, and can we measure the outcomes? The Jefferson University and Hospital systems he works with is addressing these questions and molding the future of healthcare. Some say that changing healthcare is impossible, but Mr. Klasko takes impossible as a challenge and realizes that impossible is a temporary opinion. With this optimistic view he along with other Jefferson staff have embraces the future technologies, intrapersonal relationships, new occupations, and methods. They in my opinion are changing the way we think about our current healthcare system. One of the first methods of change he suggested was to change the doctors of the future. The doctors of tomorrow need to have emotional awareness, and embrace change. Jefferson University is taking steps toward this goal in one example having the medical students look at art and explain the story. To enhance observation and empathy. The results of this outreach changed the doctors from a captain to part of a team. Next he addressed entrepreneurship to increase efficiency and make a better experience for the patient. This was answered by making doctor’s appointments face to face over devices from the patient’s home. Also there are probability mathematical models for prescriptions and problems which give the doctor the best choice of prescription due to the best probability of success. Furthermore the doctor can be in contact and “follow” the patient for ninety days to ensure the patient won’t return for the same problem. The last subject Mr. Klasko discussed was the advancements in the future. He started with the epicenter that Jefferson has already started. This epicenter has a DNA vending machine per say. The patient can get a drug to fit his or her genome. Another advancement mentioned was rewarding the doctors that come up with new and innovative ways to treat patients, as well as checking academic performance and happiness after graduation in the field. The patient will also receive understandable bill to know exactly what they are paying for. Quality parameters are to be made so doctors will say what they mean and mean what they say. Patients will also wear google goggles during their visits so those of that business can see if they are providing a positive experience in their own entity. Now there is no doubt that all these innovations will have positive aspects within healthcare, but what is not addressed is the fiscal effects of implementing these techniques into an already broken healthcare system. Now these innovations are needed to improve the overall health of the population and we must find a way to afford these improvement without government dollar. The reason I even bring this up is that our current healthcare can’t support the medical bills of today. So I suggest we come up with that answer first before implementing more. I wished that Mr. Klesko addressed that issue a bit more by ways of making money for these advancements at a lower cost to the consumer. In my opinion the possible damage that could happen if we jump the gun on these futuristic techniques would be catastrophic to the USA especially. The money has to come from somewhere to get these services, and more and more people are not provided good insurance. Therefore more and more go into the realm of the Affordable Healthcare Act. This government intervention into the healthcare system has caused our national debt to become larger than our worth (gross domestic product). If this trend continues the country in my opinion will implode like Greece did when they were on the same path. Now why do you think that I am bringing this case up? Don’t I care about people getting the best healthcare possible? Of course I do, but at what cost. This may be construed as Kantian moral theory choice, but in reality it would be an injustice to frame it that way. A Kantian would decline due to the fact of higher taxes on others, but my reason is a lot bigger. It would be like telling a toddler to stay away from a hot iron, because you know the result of the action is a lot worse than the value of the curiosity. The possibility of the implosion of the country due to increased government healthcare is there. So there is a chance that if that does happen there will be more death caused by the healthcare system than ever, because the healthcare bills could never be paid by those that were on that system and the competition of healthcare individuals will shift focus to those that have more money. This event should not be acceptable to anyone in my opinion. To avoid this possibility, and not come up with ways to create capital enough to sustain the advancement without raising the patient’s bill would be reckless in my opinion. I’m sure if they put their minds to figuring out this problem the advancement would have the greatest impact overall on all parties involved, and I believe they can do that. Like Mr. Klasko stated impossible is only a temporary opinion, and I can’t wait to see the advancements in 2020.

[@nataliegarcia73]

Summary without the fluff- Thomas Jefferson University Health Systems are trying to select and educate doctors that provide compassionate, human-based care instead of someone who just looks at a list of symptoms and gives you pills. They are moving forward with Telemedicine to make healthcare more accessible. They are also implementing statistical methods to determine the treatments that will keep people from coming back to the hospital. Also talks about holistic healthcare and stepping away from a solely pharmaceutical system. So more about what they are doing to achieve a changed healthcare system

[@LakshmiPrasad_Vizag]

Natalie Garcia Thanks. Now I understand what he was saying

[@rhemingthon]

thanks for saving me an hour

[@Eradifyerao]

Maybe one day doctors will be required to take cardio weight-lifting classes to properly represent the model of health to their patients.

[@cleovanritter9820]

I got accepted to Thomas Jefferson Medical School but chose UCSF instead, I should have taken the chance, i guess.

[@vblacka4117]

Thanks for giving me the short version of this.

[@joyceschones4746]

I am a medical coding student wading through all the basics in healthcare in general before I actually get into the coding. Boring to read so I've resorted to KZbins on the various aspects of healthcare. Thank you Dr. Klasko for enlightening me about the trends for physicians' and the integration of care in an entertaining, humorous way!

[@eternalmyst3898]

"This KZbin recommendation has humor"

[@AsianIslamic]

sure

[@charlitoadams777]

Sure does. KZbin recommended a 7 year old video last week of a person saying to buy bitcoin 🤷‍♂️

[@elliea595]

It’s the giggle at a funeral

[@RobertMGordonPhD]

Very clever, funny and intellectually brilliant TED talk about where we need to go in health care. I loved the part of screening for Emotional Intelligence in medical school applicants.

[@RaquelSantos-hj1mq]

If only he could really have warned us exactly what was going to happen in our medical system in 2020. 😥

[@Avishag_lili]

my thoughts exactly (:

[@anavalenzuela6689]

My son started this year to study medicine in Uruguay, and believe it or not, my son is learning the same subjects described in the talk. They study communications, but not business communications, but the tools to pay attention to what is really the patient saying, they study the territory where they will mostly have their practices, ethics, and well, some medicine related subjects too. The career has changed some years ago, and this new program aims to form a different kind of doctors.

[@jackfever405]

I think this is the first time I have ever heard someone talk intelligently about healthcare.

[@LindaRodgers1952]

I love learning and Stephen Klasko makes it fun and interesting as well as challenging me to rethink. Congratulations Stephen on your evolution of the doctor patient and community relationship....and your hover GTO....I am from the 60s and 70s.

[@MarkBehl1]

A very thought-provoking perspective. Will be mulling this one over.

[@jamaruscrutchfield3147]

The notion of the future cannibalism of eachother. Great mesaage tha involves a team. Everyone is better at something than someone else. Accepting feedback and respecting eachothers ideas will grow the healthcare industry. Diversify and unify!! Great speech!!

[@divyamarkande35]

I wish to be able to execute some of the revolutionary ideas which you've spoken of here! 🙌🙌

[@grantwhite4201]

By taking an approach to viewing how the healthcare system can improve, I congratulate Dr. Klasko for taking one I had never thought of before. Now, there were some odd comments that he made that did not pertain to the topic of healthcare, but when he referred to the topic at hand, there were some interesting suggestions. When he stated that in the future, there would be a machine that matches a patient's DNA with the appropriate drugs, that is an intriguing idea. Just to know that someone in the healthcare field is thinking of that, I am delighted to know that even with current technological advancements, new and helpful ideas are being made. To show the beneficence of this idea, suppose that instead of having someone make a mistake in your prescription, a machine could prescribe you the exact medication you need. The action that Dr. Kraft proposes this machine could perform, would definitely benefit anyone that is looking for their appropriate prescription.

[@gaurav63105]

I have seen you on other similar videos too, i am working on some ideas of my own which works in my country and i want to get in touch with you on US perspective of its implementation.mail me at [e-mail]

[@samchuck007]

I travelled forward in time to 2020 and retrieved my bill for a $25,000 hospital tylenol.

[@frenchjd01]

Steven Weissman I’m interested in your thoughts on how to make things better, from your perspective as an anesthesiologist and given your background in informatics.

[@bruhbruhUAV]

HAHA

[@theguywhoasked5591]

Haaaaa

[@jonathanpineda5968]

Better question for the CEO of the hospital and his staff/accountants.

[@caesarprice3252]

You lied

[@LetsTalkMoneyChannel]

wow! just realized (after watching for 9 minutes) this is from 2014! great talk!

[@linalofberg7665]

youre not the only one! (it took me the 20.22 lol ) :) And yea great talk! ...better five years later than never! ;)

[@maze2two]

He hit on some major issues in healthcare. From the educational institutions to the over complex billing system.

[@jakwire]

Fun talk AND reinforces the fact that Dr. Klasko (like other physicians) doesn't have an eye on "the ball": treating and preventing chronic conditions. No improvements in drug selection, physician collaboration, or allopathic oriented analytics will fix that.

[@squamish4244]

Yep. Prevent and treat chronic conditions. That's where medicine needs to go now. It is - although generally private clinics are leading the way.

[@tomridey8768]

The healthcare industry is poised to witness a massive technological revolution in the coming days. Starting from AI, Big Data, Machine Learning to Virtual Reality, these technological innovations will undoubtedly improve the quality of healthcare for good in the coming days.

[@jacobginderske2544]

Considering the topic that Stephen Klasko has given us on the way healthcare could possibly evolve into. We must think of the things that could possibly go wrong. Doctors and other physicians may not even want to have this happen because they might prefer face to face conversations. Doctors and other health care professionals might run along problems of people giving false information, faking illnesses, doctors would not have a way to physically see what is wrong with you, insurance issues, liability factors, and even waiting for a doctor to be available. The American well app obviously seems like a fantastic time saving invention. But not all health care providers are going to want to sit at their computer talking to someone to give a diagnoses. Especially if that person has a speech impairment or even a strong accent that they cannot understand over a communication device. The healthcare provider might actually need to see the person and look at their lips in order to understand them if there is a connection issue during the conversation such as a lag. Along with this not all healthcare providers are up to speed just yet on technology since it is still relatively new. For instance, I know my family doctor refuses to get a smartphone because he thinks that it is killing the communication of our new generation. Along with communication would be people giving the wrong information. The patients might lie about a past condition when they fill out their medical profile. If one of the patients is excelled in technology they might even be able to change what the doctor is seeing on their screen just to be able to get a certain medication. Although they could also change the info on the screen to get a free interview with the healthcare provider. This would be a problem because people would start to abuse the insurance policies and even try to find loopholes to not pay anything to the doctor who helped them. The patients could even do things along the lines of faking an illness for someone else. They would do this for close family or friends who do not have the money to pay for a regular visit. Many girls or even guys in today’s time are very good make up artists and even scammers who try to stretch every penny so they have to pay little to no money. This could create a loophole for people who do not have insurance. These people would end up getting free healthcare anyway via help from a close friend or family member who faked an illness to get a prescription for someone else. This brings up the topic of liability for the doctor who might be in contact with the patient. What would happen if a patient happened to use this app as a way to talk to a doctor if they were suicidal? What if that doctor does not have the specific training to get the person to the right help. Since the doctor isn’t there physically to prevent them from killing themselves, what happens if the patient ends their life because the doctor didn’t know what to say at that very moment? Would that doctor end up being liable for what happened in that instance? Now what would happen if there was connection issues and the patient and doctor happened to disconnect. Would that person have to pay for “two” visits to the office? Would they be able to connect and continue right where they left off or have to restart the whole process. What if the patient is driving and just wants some quick tips on how to get rid of the flu but gets in a accident? Is the doctor liable for that?

[@alyssawilke4961]

This video was very interesting and he made some really great points. He explained everything very well and had so much detail in his speech. He hit on some key points with healthcare and what it will look like in 2020.

[@uveSh88]

Well

[@pollyrockstar8652]

I like how he presented his talk, talking like it’s 2020 already.

[@youssefmikhael3044]

KZbin has a lovely sense of humor

[@heidrek]

18.05 is the single best line of this amazing presentation.

[@wellbodisalone]

A good perspective on how healthcare will look like.

[@luciacarey4370]

By choosing a doctor based on scores and grades, we do not get a doctor with the morals we desire. The selection process should include these things, but also incorporate a simulation where the applicants are tested on their values, morals, decision making abilities, and how they handle themselves in high stressful situations. By watching the future doctors during the simulations, we would be able to weed out those in the business for the benefits, not the job, and get the best doctors possible working in our health care system.

[@Playitalready]

+Lucia Gardey That sounds wiser. And schools require many classes to become a medical Dr. that aren't needed (and many people in the school system make much $ off of it). thus there are less supply of medical doctors and the one's that do graduate are more able/willing to charge more. plus, medical industry is full of price jacking from big pharma to for profit hospitals who, by the way, have a master charge at the max price because all insurances pay them secret negotiated prices and if you have no insurance you just pay the master charge. the reason this stuff happened and won't get fixed is greed, and the greedy people involved will throw money at politicians to ensure no votes to fix stuff gets passed. less religious, or any, charity and more greed and more "survival of the fittest" mentality results in this. I could go on but yea. sorry.

[@katik7206]

The future is something always considered in medicine, as it is ever changing. I thought Stephen had some very realistic visions of the future health care industry. Three topics that he talked about that stood out to me include the physician personally (including aspects of patient satisfaction), personal and professional happiness of physicians prior to graduating college, and virtual doctors appointments. I liked that he considered the physicians themselves; pointing out that the students with the best GPA or highest MCAT score won’t always necessarily be the best people for the job. Doctors that are working directly with patients should be “people people” and make them feel comfortable. He considers patient satisfaction with treatment and the way the doctor interacts with them, not only grades are considered, but the person as a whole when cogitating who would make the best physician. He also mentioned students rating their experience and personal and professional happiness after graduation, and if the college did not do really well they get some of their money back; this aspect challenges the college to be the best that it can be. Lastly, he showed a video of a virtual doctors appointment, almost like face timing the doctor. Obviously, there will be times people will have to physically go to the doctor’s office, however, for a common cold (like was shown on the video) I could see this working very well. The doctor will be able to pull up your charts while you describe what your symptoms are, and then you will get a summary of what he said and your prescription after the discussion. Overall, I think these will all be future aspirations and goals to strive for in medicine.

[@pamelabennett393]

Playitalready you are not talking about the summarys on the machine

[@emilyfauser6738]

I totally agree that intellectual ability should not be the only thing taken into consideration when selecting doctors. Being able to choose a doctor that you know shares the same morals as you is something that would be great. Also being able to see how they are in high pressure situations would make it easier to trust that if something goes wrong your doctor will be able to handle it. Having a test like this would also be a way to weed out the people who are becoming a doctor for the wrong reasons. If a doctor is in it for the money, the benefits, or the status, people should know that and have the chance to choose a doctor who is there for different reasons. A good point that was made in the video is the fact that the people who did the best in medical school might not be the best people to work with patients. If a person is only concerned with the outcome, or grade, they may have a hard time connecting to the patient and making them feel comfortable and confident in the care they are receiving.

[@daintywolves320]

Lucia Gardey Amen!

[@rebbecachunn]

These are nice dreams but as a person with chronic illnesses it is actually quite depressing.

[@TheBigbat57]

Functional medicine is the future of medicine!

[@scottapple438]

a better alternative is LibertyHealthIndiana dotcom. It is a member sharing organization...and is approved by the ACA...and there is no penalty. Over 500 households are signing up each month...it's an amazingly great alternative.

[@kashmirstefani7531]

Best talk ever!!!! More please!

[@myopinion3908]

🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️ I have had universal healthcare for over 52 years and it works. Is it perfect no but big pharma has no say, doctors don’t have to get ok for tests, I don’t have to worry about going into massive debt or worry about losing my home. Maybe this is why on average Canadians live longer than the US. Don’t believe all the people in the pockets of big pharma or the insurance companies. Yes we have wait times on non emergencies but know one dies 🙄. Emergencies are seen right away. I would never give up my healthcare.

[@gibbyvogel7975]

Stephen has a unique way to speak about how health care will change over the years, he begins with making some jokes about time travel. This was a great way to get people interested in the topic. Once he begins talking about the topic he explains that health care needs to become electronic, like other things people find it easier to use phones and get online to talk to someone. People prefer to go shopping online, and use one click to buy something. But you cannot get online and talk to someone about any medical problems you are experiencing. I think that being able to communicate with a physician online would be very beneficial for everyone. It would lessen the chance of becoming sick from contamination at the doctor’s office and it will save time for both the patient and the doctor. Stephen also talks about a DNA vending machine, it will put your genome on a chip and if you need a new organ later on, they can make one specifically for you. Although this idea sounds great, I think it is very unrealistic because doctors will not be able to put everyone’s genomes on different chips to use later. To put this in Immanuel Kant’s Deontological view, if putting every individual’s human genome was a universal law, it would not be a good universal law. I think it would fail as a universal law because there would be problems with the law and some individual’s beliefs. The health care will change from now until 2020, I just don’t believe it will change as much as this video believes.

[@jeromejaspher4642]

Due to outcomes like this, a higher number of facilities will probably start using EHR platforms to increase patient engagement. For more information 75health

[@smartdust6211]

After paying for healthcare for 30 years, I got bit by an insect and declined from a healthy, productive, beautiful individual to very ill person. My insurance enabled me to go to dozens of doctors, who did nothing but decline my requests for tests. They all preferred to refer me to other doctors, who then referred me to more doctors. After a few mos, my employer let me go. The symptoms progressed to the point where I could no longer drive, hair fell out, stools were white, and nails turned yellow. Vomiting, numb hands/feet, bloated stomach, dizziness, headaches, vision issues. Sold my house and spent over $100K and yet not a single Lyme, Chagas, or Zika Test. Request for a blood smear declined, GI workup declined, etc. No amount of money will fix the level of stupidity that our so-called medical professionals exhibit. These folks only want to dispense psych drugs in lieu of medical treatment. Our system is beyond broken.

[@Dr-Shlomo-Cohen]

smart dust go to a different country for care and come back. I recommend Israel.

[@Captain.J.Dreadful]

You should have gone to Mexico.

[@Hardspace1979]

Why didn’t you get a blood test done yourself?

[@RogerBarraud]

+Captain J. Dreadful ...and come back with Chiagas? :-/

[@susankinder6708]

smart dust its called designer drugs. Ive had the same problems. After two years of fillwing what they want I've decide to go holistic. The blood pressure medication I was on caused the same numbness in my hands and feet. They say its all blood flow problems. I say the drugs produce the symptoms they want to diagnose something else. More sergery. More money. Keeps the hospital going.

[@shareelewis867]

Kind of crazy how some of this stuff is occurring in 2023😳

[@What-go8ng]

I can't wait to be a CEO and watch 25 hours of patient footage a day.

[@Eradifyerao]

I'm one that has "transported from other decades" ;-)

[@matthewschaible409]

Would anyone please give me a small synopsis of this? I cannot watch the whole video

[@charlitoadams777]

Telehealth is the future. He was on the money, especially in 2020.

[@myacademyofhealthexcellenc6888]

Personal Responsibility - Medical Cost Sharing could this be a solution

[@BehrendtChase]

great video! Love the ideas of the impact technology will have in healthcare.

[@mariascott6309]

I look in this video how to care our life to using the healthcare tips.

[@kckc4258]

I thought advertisement was not allowed on ted?

[@sheilas9405]

I’ve been a nurse for 25 yrs and a phone call for a diagnosis could have a bad outcome without being able to examine the patient. I false sense of security and is not patient centered healthcare.

[@Frails]

Excellent Ted Talks!

[@tynishad7601]

Wait, who are they offering this care to? My sister just had surgery at TJU hospital and her surgeon Dr. Patel basically stated after her surgery if she’s still in pain she needs to see her PCP. She went to her PCP and declined to continue her pain management, until she could get into pain management. His vision is not what his health system is practicing.

[@prismsofthought6740]

Considering he’s now the proud owner of a microchip implementation company, I’m sure he’s now going to say anything and everything about ID2020, yet leave out anything nefarious about it’s implications.

[@Captain.J.Dreadful]

He looks great for 70!!!

[@Univercius]

Should we tell him?

[@josephzillmer2023]

Very well done! Thank you...🌟💯

[@chan.sorman]

State health care guarantees a fair and low price for all. It works for us in Blighty; Canada; France; Germany etc.

[@520cuban]

Eric Topol,"The Patient will see you now" book in video form.

[@richardterry7094]

so true... this is and should be the future..must move forward NOW and dailyClass of 1970 MD

[@frankblangeard8865]

The Rolling Stones didn't look much (or any) better in 1977 than they did in 2014.

[@squamish4244]

So true. They have looked 70 years old for the last 40 years XD

[@edwconr]

Brilliant!

[@c.3263]

It's Physician-Assistant. PA is also correct.

[@StefanOsfit]

Great video as!

[@MayurPanghaal]

Now they have a gene sequencer for mobile phones.Its made by Oxford nanopore tech.Look it up.Just a matter of time before Google offers to sequence and store your sequenced genome...and make available all sorts of data for you.

[@tynishad7601]

He’s super funny. In all seriousness why has the healthcare in this health system decline dramatically? Maybe it’s the 2024 goal.

[@dil2700]

Nice talk! Iwonder why it got just over 19k views!

[@xaviernj]

This talk was useless, more self celebratory than anything else.

[@melissawyer9220]

Very interesting and innovative. Medicine needs more of this.

[@МаяТонева]

The health system promotes unhealthy lifestyles by introducing equal health insurance fоr all. This is unfair because some people invest in their health and others do not. The former do not weigh society with their illnesses, and the second ones swallow a lot of money to treat them. People need to get used to the idea that their health is above all their concern, not the state. The state must create a healthy environment and promote healthy lifestyles through an adequate policy, but also bring justice by punishing vices and rewarding efforts to maintain and improve health. Love from Bulgaria.

[@OmarAbdulMalikDHEdMPASPACPAPro]

I found this really interesting.

[@AceofDlamonds]

Its 2019 and healthcare in the US still sucks

[@cardielsrealtor]

2020 is here

[@hussainabde9761]

who is can help me in English language. please

[@Ms3queen]

If they knew then what we know now...

[@skateboardingchick1]

I gave up after 8 minutes of fluff.

[@RyanSylwester]

go to minute 10-12 he starts talking about using technology - and then he keeps throwing in an ad about getting a chip of some store in Philly :(

[@Muffinga]

skateboardingchick1 thought I was the only one 😂

[@janepark227]

he's clearly a businessman with a medical degree, not the other way around

[@jferrell003]

Agree, somewhat useless if we are already exposed to the use of telemedicine. Other than that, EI is what nurses have been taught for over 100 years. Way to catch up, fellas.

[@enricod.9372]

Dr. Klasko you forgot one HUGE detail in your prediction... Pres. Donald Drumpf and Paul Ryan's American Health Care Act - from 2016

[@talldog7632]

Never ignore the law of unintended consequences. You can tell this man is not a clinician. The touchy feely stuff sounds nice, but that tele medicine doc better have some good malpractice coverage. And patients are not immortal. You can't keep them out of the hospital forever. By the way, how is pay for performance going to solve the physician shortage? What happens when docs unionize or go on strike? These sorts of ideas are quaint pleasantries, but the underlying fundamentals are much bigger economic hurdles to long term healthcare.

[@pitoyomarbun9592]

Hi I'm from 2020 and our healthcare near collapsed because coronavirus anda covidiot out there

[@AsianIslamic]

oh really i must inform the govt its just 2019 now

[@jiarbb]

anyone here in 2020

[@thomascolbert2687]

Well, he certainly called the 2018 eagles.

[@jessicaroberts2282]

think it's interesting but definitely check out Aubrey de Grey's Ted talks..

[@BryanDaslo]

We need more people like him. He's amazing.

[@maj1395]

where are we nwo?

[@JOYFIRDAUS2025]

TEDx talks good knowladge learn

[@moribundmurdochauldlangsyn741]

Time Traveling YAY!

[@FatherGorgony]

Dreams, dreams, dreams.

[@tumbox9204]

Eagles 2018. interesting!

[@davidsturt1945]

This from the guy who wrecked Hinchingbrooke Hospital.

[@rosecityremona]

2020? What health care? Oh, you mean that shit you buy if you're rich?

[@Jonedcc]

Skip the first six min...

[@cleovanritter9820]

Who knew of Corona in 2020?

[@hariramnarayanan5157]

i'm from 2021...i know i do not belong but hey i'm here

[@freevpnproxy1669]

amazing thanks a lot 1111111111111111111

[@javierruiz1710]

private finance is the future no insurance is the only way !

[@techdailyafrica]

Sorry KZbin, You recommended this too late.

[@LadyTee751]

Peter Principle

[@jenniferbryn]

im from the future. it looks like aetna. record your calls, friends... there may be no hope

[@kyleochwat8212]

So this was a lie

[@Goldedguy]

YEEZUS2020

[@FnVir]

yee

[@1.4142]

jenna bush and chelsea clinton

[@karanmagdani]

You really should have warned us about Trump... not cool man

[@chinosantrax9906]

if only he knew the TB bucs won the superbowl

[@aftina.hn.4369]

hi i am from the future in 2020, to be precise 01/2020

[@bokchoyboi]

bummer - you're in for a bad time.

[@aftina.hn.4369]

@@bokchoyboi Indeed I am, its like progressively getting worse.

[@kristam701]

Star Trek has finally arrived!!!!

[@vin.handle]

If all medical information will be available on devices, why, apart from surgeons, would we need doctors? Would you pay a doctor just for emotional support?

[@ExistNNature]

Engineers will replace Dr's.

[@niunka1]

THIS IS FUCKING SCARY.....!!!!!

[@troymayes6996]

Will you make me a emoji boat for me 😻😻