Health maintenance organization

Quite high, yeah.

It's based on the swap rates and a margin above that, which is, I guess, the incentive for you to, to try and uh or to to remortgage again right um so the cost between standard variable rate and a bridging loan now not all that not not totally dissimilar really um bridging gives you flexibility if there's an opportunity you can turn around in 12 months um be it an acquisition of an asset where you can get permitted development rights to extend it without full planning a full planning application and you want to retain it and it's an HMO, maybe not an HMO because you would need planning for that, generally speaking.

But if it was just a nice residential home, not too expensive, but in the right market for a first-time buyer or downsizer, you see it at auction, it's on the street that you live on, you know it well, um you want to buy a property you want to split it into two uh to create two units to create two homes or it's got a large side plot with a garage and you think well i could get another property on the end of that and then you want to sell one and keep one this is what bridging is used for and bridging has become far more flexible now so um they don't require full valuations anymore they can do desktops which is essentially either being on a computer and looking online or driving past the property and having a bit of a look an automatic valuation method otherwise known as AVMs can really speed up transaction realistically if you've got a good lawyer the lender's lawyer is on the ball and you're all pushing hard there's no reason why you can't do a bridge in a week because the automatic valuation is done on the day of the request And then if that passes and it's confidence score, which is usually driven by right move plus and home track, which is what the lenders use that as a barometer.

Out of seven, if it's a five or above confidence score, they say, yeah, it's coming relatively close to what you said.

Mm

... and within that, there will be a small, small amount, percentage, because there's a small percentage of any men all over the world, doesn't matter where you are, doesn't matter whether you're in the Houses of Parliament or a posh members club or a bloody HMO full of migrants, there's gonna be a couple of people in there who might pose a threat.

That's just fact.

That's just stats.

Cardiologists, there's a thriving practice making money hand over fist.

HMOs change the reimbursement schedule.

Malpractice insurance shoots through the roof.

He has to sell his practice.

And I am delighted that the government is taking this seriously.

Why are they so quick, then, when the white working class en masse to share their concerns about things like uncontrolled immigration, about having all of these men, these illegal migrants, plonked in HMOs at the end of their road? When those people kind of come together, why are your government so quick, then, to call them either far-right or jumping on far-right bandwagons or thuggish and all those kind of things, and if you value them so highly?

I think it's really important that we tackle illegal immigration.

This is why the Labour government has been really bearing down on small boats this year.

So in the 1990s, 1990s is like that is the managed care era.

Like it goes from being sort of like a sideshow that was like working in certain contexts to being like HMO enrollment was like going up really high.

So when you when you go from having this HMO thing being kind of niche to being like a huge part of our health care system, then you're looking at a different problem because now you've got to control costs at a bigger scale because you have like much more adoption.

So prior auth, which had previously been like sort of this more select like special case thing, prior auth suddenly start being applied to much more common things.

So instead of it just being like, you know, the super, super sick people, it started to be like, oh, we're going to do it for imaging.

You know, that is that is not what's happening anymore.

Now it goes from that to just it being this incredibly insane bureaucratic machine because prior auths are now just becoming a normal part of the workflow and the work stream of how health care is getting done.

So there's a lot of backlash to the whole HMO concept.

And then you have redetermination performance.

What redetermination means is that you check every year and make sure that the people who are receiving these checks and in fact, whose HMOs, Medicaid HMOs basically, MCOs are receiving the checks because that's who gets the checks now.

so you have uh industrialized the uh the incentives for fraud there but so every so at least every year i mean i've said that it should be every month every week every day that they should be redetermined let's get a big computer and and and as soon as somebody moves out of the state you know and you kick them off your medicaid People get Medicaid in multiple states.

That's absurd.

I mean, I asked you a simple question.

You're going on about HMOs.

I hate America.

Trump hates America.