>> GOOD MORNING. WELCOME TO A VERY SPECIAL GATHERING OF THE NIH FAMILY TO EXPERIENCE THAT -- AND HOW SOMETIMES THOSE THINGS GO WELL AND HOW SOMETIMES OTHERS GET IN THE WAY. WE ARE VERY FORTUNATE TO HAVE, AS A SPECIAL PRESENTER THIS MORNING, THE PLAYWRIGHT AND PERFORMER ANNA DEAVERE SMITH. I FIRST HEARD ANNA DEAVERE SMITH'S NAME FROM MY MOTHER. MY MOTHER'S A PLAYWRIGHT. MY MOTHER WAS ASKED TO GO TO NEW YORK, THE BIG CITY IN 1980 AND BE ON A PANEL OF PLAYWRIGHTS WHO WERE WRITING NEW WORKS. SHE WAS A LITTLE SKEPTICAL BECAUSE MY MOTHER WAS ONE WHO THOUGHT COMMUNITY THEATRE IN SMALL TOWNS WAS WHAT THEATRE WAS IN NEW YORK. WELL NOBODY AS NEW YORK AND SHE ARRIVED THERE WITH A BIT OF A CHIP ON HER SHOULDER ABOUT THIS WHOLE EVENT. AND I THOUGHT OH BOY, SHE'S GOING TO COME BACK AND SAY THERE'S NOTHING ABOUT NEW YORK WORTH TALKING ABOUT. BUT INSTEAD SHE CAME HOME TOTALLY CARRIED AWAY BY THE WOMAN SHE HAD MET ON HER PANEL WHO ALSO UNDERSTOOD WHAT THEATRE WAS ALL ABOUT, THAT IT WAS ABOUT IDEALS AND IT WAS ABOUT LANGUAGE. AND IT WASN'T ABOUT THE BIG SHOW AND THE FIREWORKS AND THE EXPLOSIONS AND THE FANCY DANCE NUMBER. IT WAS ABOUT CONCEPTS. ST NOT THEIR SENSE OF EXCITEMENT, AS YOU WILL SEE BUT IN A DIFFERENT WAY. BECAUSE AS THE NEW YORK SOMETIMES WROTE, SHE IS THE ULTIMATE IMPRESSIONIST, SHE DOES PEOPLE. SHE INTERVIEWS INDIVIDUALS, LOTS OF THEM AS PART OF CARRYING OUT A CREATION OF ONE OF HER WORKS AND THEN SHE INHABIT IT'S THEM AS YOU WILL SEE IN A MOMENT. SHE RECOGNIZED THE MCARTHUR FELLOWSHIP, TWO TONY NOMINATIONS, SHE WAS A RUNNER UP FOR THE PULITZER PRIZE IN THIS PLAY YOU'RE ABOUT TO SEE EXCERPTS FROM. ANNA DEAVERE SMITH GRACIOUSLY AGREED TO COME HERE EVEN THOUGH SHE IS IN THE MIDDLE OF ONE VERSION OF THIS PLAY LET ME DOWN EASY AT THE ARENA STAGE. THERE ARE FOUR MORE PERFORMANCES OF THE PLAY BEFORE IT MOVES ON TOUR. TONIGHT AND THREE NIGHTS NEXT WEEK, TUESDAY, WEDNESDAY AND THURSDAY, AND I'VE JUST HEARD IF YOU'RE INTERESTED IN GOING AND TAKING SOMEONE WITH YOU, THERE'S BEEN AN ARRANGEMENT FOR A HALF PRICE TICKET FOR THAT SECOND PERSON. YOU CAN FIND OUT MORE ABOUT THAT AT THE DOOR AS YOU GO OUT, IF YOU WOULD LIKE TO TAKE ADVANTAGE OF THAT OPPORTUNITY. EVERY GENERATION PRODUCES A FEW ARTISTS WHO BOTH CONVEY AND TOUCH US IN TERM OF OUR CONSCIOUS. ANNA DEAVERE SMITH IS ONE OF THOSE TREASURES OF THIS GENERATION. WITHOUT FURTHER ADIEU, LET ME ASK YOU TO WELCOME THE ARTIST, THE PERFORMER, THE STAR OF THE WEST WING WHERE SHE PLAYED NANCY MCNALLY, THE NATIONAL SECURITY ADVISERS. AND NOW THE PERSON WHO HAS PUT TOGETHER A REMARKABLE SHOW, LET ME DOWN EASY. PLEASE WELCOME ANNA DEAVERE SMITH. [APPLAUSE] >> IT'S REALLY A HONOR TO BE HERE WITH YOU AND I'M ALREADY INFUSED WITH TRULY -- OUR COUNTRY AND THE WORLD. AND THE MISSION THAT YOU HAVE AND THE FAITH THAT YOU HAVE IN MAKING PEOPLE BETTER SO I'D LIKE YOU TO APPLAUD YOURSELVES. [APPLAUSE] AND DR. COLLINS, I WOULD STAND UP HERE AND GO ON AND ON ABOUT HOW I DON'T DESERVE ANY OF THE THINGS ESPECIALLY WHAT YOU SAID ABOUT ME BECAUSE YOU ARE THE TRUE RENAISSANCE MAN. EVERYTHING FROM FAITH TO MUSIC TO SCIENCE. I WON'T GO ON AND ON ABOUT HOW WORTHY I AM BECAUSE I'M REMINDED OF GOLDA'S LINE DON'T BE HUMBLE, YOU'RE NOT THAT GREAT. I'M HAPPY I CAME HERE TODAY BECAUSE WE GOT IN WITHOUT ANY TRAFFIC JAMS HERE AT THE GUARD'S GATE. I THINK WHEN THE WORD GETS OUT THAT YOU'RE STUDYING OBESITY, YOU'RE GOING TO HAVE A LONG LINE OF BLACK ESCALADES TRYING TO GET FROM A SIZE 2 TO A SIZE 0. I'M JUST GOING TO DO SOME EXCERPTS NOW FROM LET ME DOWN EASY AND WHEN I WAS A GIRL MY GRANDFATHER TOLD ME -- I GREW UP IN BALTIMORE MARYLAND IN A SEGREGATED ENVIRONMENT AND I THINK THE WORK I WAS DOING FOR THE LAST 35 YEARS WAS REALLY TO DEFY THE IDEA THAT WE BELONG IN BOXES AND CATEGORIES. I'VE BEEN GOING ACROSS THE COUNTRY FOR A LONG TIME NOW WITH A TAPE RECORDER INTERVIEWING PEOPLE WITH THE WHOLE GOAL OF PUTTING MYSELF IN PEOPLE'S WORDS THE SAME WAY YOU PUT YOURSELF IN PEOPLE'S SHOES. I'M TRYING TO ABSORB AMERICA BY ABSORBING THE WORDS THAT PEOPLE SAY TO ME. DR. COLLINS AND I WILL TALK A LITTLE LATER ABOUT WHY I TOOK THIS PROCESS OVER A 30 YEAR PROCESS INTO MEDICINE AND HEALTH. SO EVERYTHING THAT YOU'RE GOING TO HEAR ME DO FROM NOW ON IS GOING TO BE WORD FOR WORD OR AN ATTEMPT AT BEING VERBATIM WITH SOMEBODY THAT I INTERVIEWED WITH THE TAPE RECORDER. THE FIRST PERSON I REALLY WANT TO DEDICATE THIS, DR. COLLINS, TO FLETCHER COLLINS, ALSO KNOWN AS FLECH, IS THAT RIGHT, KNOWN AS A MUSICOLOGIST. THERE'S A MUSICOLOGIST I ADMIRED BEFORE YOUR FATHER, ALAN LOW MAC AND HIS FATHER JOHN LOMACK USED TO STUDY COWBOYS. HE DID THIS SO LONG AGO HE USED TO HAVE SPECIAL PICK UP TRUCK JUST TO CARRY THE EQUIPMENT IN ORDER TO RECORD THEM. BUT THEY WOULDN'T PUBLISH A LOT OF THE WORK HE DID WITH COWBOYS BECAUSE IT WAS CONSIDERED SO VULGAR THEY WOULDN'T PUT IT IN BOOKS. I JUST WASH YOU THIS COWBOY IS THE TRADITION OF A FOUL MOUTH. BUT WE'VE GOTTEN PERMISSION TO USE THIS HERE. BUT I THINK HE HAS A LOT TO TELL US ABOUT THE THINGS THAT CONCERN ALL OF US IN THIS COUNTRY RIGHT NOW. I GIVE EVERYTHING A TITLE BECAUSE PEOPLE ARE SPEAKING KIND OF ORGANIC POEMS. SO THIS IS TOUGHNESS. I GOT HUNG UP BY A BULL, BULL STEPPED ON MY BACK IN THE RODEO, PROBABLY WEIGHED OVER 2200 POUNDS. A MEAN BULL BUT WHEN I HIT THE GROUND, HE STEPPED ON THE LEFT SIDE TWO BACK FEET, BROKE FOUR RIBS, L2, L3 AND THERE'S A NEUROLOGIST IN THE FRONT ROW -- HE TOLD ME KID YOU BETTER GO TO THE HOSPITAL I'LL BET YOUR KIDNEY OR SPLEEN RUPTURED. NO I'M ALL RIGHT, I JUST BROKE SOME RIBS. NO YOU NEED TO GO GET CHECKED OUT, THIS IS A NEUROLOGIST, MILITARY HOSPITAL. HE GOT ON THE PHONE BECAUSE CIVILIANS CAN GO TO A MILITARY HOSPITAL IF IT'S A LIFE AND DEATH SITUATION. AND HE TOLD THAT IT IS LIFE AND DEATH. I WAS KIND OF LAUGHING, HE DIDN'T BELIEVE HIM YOU KNOW. BUT THEY TOOK ME TO THE HOSPITAL AND I HAD TO PISS IN A CUP. IT WAS JUST STRAIGHT BLOOD. BROOK ARMY MEDICAL CENTER IN SAN ANTONIO TEXAS I'M WONDERING HOW LONG I GOT TO SIT OUT. A HOUR LATER THEY TOLD ME THEY WERE GOING TO HAVE TO REMOVE MY LEFT KIDNEY. I BEGGED THEM FOR HALF HOUR AND TOLD THEM I ONLY RILE BULL IF I GOT ONE KIDNEY LEFT BUT JUST AS SOON TRY TO HAVE TWO. THEY TRIED A NEW DEAL, THEY PUT A STINT IN THERE AND THAT SAVED HALF MY KIDNEY SO I GOT ONE HALF KIDNEY. AND THEM GUYS, THEY GET PAID A FLAT RATE. IT'S NOT LIKE THEY'RE TRYING TO BE RAPE ME TO MAKE MORE MONEY TO PAY THEIR MERCEDES BENZ BILLS OR WHATEVER THEY GOT. I BET YOU THEM GUYS DON'T EVEN DRIVE THEM FANCY SPORTS CARS LIKE THE DOCTORS DO. COST ME A FLAT RATE. 1200 BUCKS, YEAH. 1200 BUCKS, FLAT RATE. IT DIDN'T MATTER IF I GOT CAT SCANS, WHATEVER THEY DID TO ME. DIDN'T CHANGE WHEN I WAS IN THE ICU FOR SIX DAYS, DIDN'T CHANGE. I DIDN'T GET NO DOCTORS BILLS OR NOTHING. I WAS IN THERE 11 DAYS, COST ME 1200 BUCKS, FLAT RATE. EVERYONE, EVERYONE PAYS A FLAT RATE, DOESN'T MATTER WHAT IT IS AND PERSONALLY I FEEL LIKE WE NEED TO GO TO A DEAL LIKE THAT. [APPLAUSE] AND I THINK, I THINK I HAD BETTER DOCTORS THERE THAT WANTED TO BE DOCTORS TO THESE PRICKS THESE DAY GO TO COLLEGE MAKE A KILLING, DON'T REALLY GIVE A SHIT. YOU TELL ME A POOR DOCTOR, I'LL KISS HIS ASS. WE'LL SEE, WE'LL SEE WHAT DOCTORS WANT TO BE DOCTORS WHERE THERE AIN'T AS MUCH MONEY IN IT THEN YOU GET YOUR GOOD DOCTORS. THEM GUYS, THEY TOLD ME. IF I DONE ANY OTHER HOSPITAL IN SAN ANTONIO THEY WOULD HAVE TAKEN MY KIDNEY OUT SO I'M VERY GRATEFUL FOR THEM DOCTORS. I GOT INSURANCE, FAMILY POLICY, BLUE CROSS OF IDAHO, TURNING 60 BUCKS A MONTH TO COVER ALL OF US. THEN WE GOT A 7500 DOLLAR DEDUCTIBLE WHICH IS STUPID. WE DON'T EVER MAKE THAT. ALWAYS PAYING MONEY, WE GOT TO PAY A $7500 DEDUCTIBLE FOR THEM TO MEET IT. THEY'RE JUST TRYING TO RAPE US, LIKE ALL THE PEOPLE THAT GOT THE MONEY, THEY RAPED THE POOR. PRETTY SOON THE MIDDLE CLASS ARE, AND THEN THEY'RE GOING TO START RAPING THE RICH. AND THEY'RE GOING TO BREAK THE WHOLE COUNTRY, I THINK. BUT BASICALLY I'M AN OPTIMIST. [LAUGHTER] THAT'S WHAT I LIKE TO SAY, I'M AN OPTIMIST. BECAUSE YOU KNOW WHEN YOU RIDE BULL AND DO GOOD FEEL LIKE THERE'S NOTHING IN THIS WORLD THAT COULD PROBABLY BEAT YOU UP OR ANYTHING LIKE THAT, YOU KNOW, BECAUSE JUST, YOU KNOW, YOU JUST FEEL LIKE LIFE COULDN'T BE BETTER, LIKE THAT'S WHAT LIFE'S SUPPOSED TO BE. LIKE YOU KNOW THERE'S SO MUCH POWER IN IT BECAUSE IF YOU THINK ABOUT IT WE SHOULDN'T BE ABLE TO STAND IN THE BACK OF A BULL BECAUSE WE WAY 150 POUNDS AND THEY WAY OVER 2000 POUNDS. FEEL JUST LIKE A KING AT THAT MOMENT, DAMN. AND I THINK IT'S TERMINATION. I THINK IT COMES INSIDE YOU WHAT KEEPS YOU ON THAT BULL. I DON'T WANT TO THINK ABOUT THAT, NO. I DON'T WANT TO THINK ABOUT THAT DAY, YOU KNOW. I DON'T WANT TO THINK ABOUT WHEN I'M NOT RODEOING ANYMORE. MAYBE EVEN BIGGER IN SPACE WHEN MY BROTHER DIED. I DON'T KNOW WHAT IT'S GOING TO BE LIKE FOR SURE. THAT WAS PRETTY BIG SPACE BUT I LIKE IT. YES, BUT I FEEL LIKE WHEN I'M DONE RODEOING, THE DAY MY BROTHER DIED, YOU KNOW. TOUGHNESS. WELL WE'VE BEEN IN UTAH AND THE BULL WENT THROUGH THE METAL SHOOT AND TORE MY FACE ALL UP. MY BUDDY TOOK ME TO THE HOSPITAL, SPENT FIVE HOURS FIXING UP MY FACE. I HE HAD TO BE THAT ROW OH THAT NIGHT AND I DIDN'T WANT THEM TO PUT ME UNDER ANESTHESIA OR HOWEVER YOU SAY THAT WORD. THEN HE WAS GOING TO STRAIGHTEN OUT MY NOSE AND WHEN THEY STRAIGHTEN OUT YOUR NOSE HAD THEY TAKE THESE RODS AND SHOOT THEM UP YOUR NOSE AND WORK YOUR WAY UP AND THAT STRAIGHTENS YOUR NOSE ALL UP. FELT LIKE IT WAS GOING CLEAR THROUGH MY BRAINS OFF THE TOP OF MY HEAD AND EVERYBODY SAID IT, EVERYBODY SAID IT SHOULD HAVE KILLED ME AND THEY DIDN'TN'T KNOCK ME OUT. BUT I DON'T HAVE MUCH PAIN SO I GUESS THAT WOULD BE TOUGHNESS I GUESS. BUT GOOD THING ABOUT IT WAS ONCE YOU STRAIGHTEN OUT THE NOSE, I CAN BREATHE AND I COULDN'T BREATHE SINCE I BROKE MY NOSE IN A HIGH SCHOOL RODEO. THAT'S BRENT WILLIAMS. [APPLAUSE] SO THIS NEXT PERSON, RUTH CATS IS GOING TO GIVE YOU HER CD IN THE MIDST OF THIS, I WON'T TELL YOU THAT, THAT'S THE DRAMA. THIS IS CALLED THAT BED ROCK OF CARE. THAT BED ROCK OF CARE WAS THERE FOR ME. I'M NOT SAYING IT'S THERE FOR EVERY PATIENT AS WE TALKED ABOUT. I'M IN A PRETTY UNIQUE POSITION BUT DESPITE THAT UNIQUE POSITION I CERTAINLY -- AND MAKE SURE THAT THINGS WERE DONE IN A WAY THAT I THOUGHT THEY SHOULD BE DONE. I HAVE A SURGEON, AN ONCOLOGIST, A GROUP OF NURSES AND DOCTORS DOWN IN THE ONCOLOGY CLINIC, A THERAPEUTIC RADIOLOGIST IN THE RADIATION THERAPY UNIT TOOK THROUGH WHAT I NEEDED AND AS MANY QUESTIONS AND OTHERWISE BE SUPPORTIVE AS I FELT I NEEDED AT THE TIME. THEY GAVE ME HOME NUMBERS WHICH I NEVER HAVE ABUSED AND DIDN'T ONLY CALL WHEN I WAS RUNNING A CERTAIN FEVER I WANTED YOU TO KNOW ABOUT. WHENEVER I TALKED TO THEM I FELT NO QUESTION WAS STUPID. BUT I HAVE COME TO LEARN ENOUGH ABOUT THE HEALTHCARE SYSTEM THAT WHILE I THINK THAT DOCTORS AND NURSES AND INSTITUTIONS, EVEN AS WONDERFUL AS YALE IS, MAKES MISTAKES, HAVE THEIR ATTENTION DIVERTED AND CAN'T BE THERE FOR YOU IN EVERY WAY YOU WANT THEM TO BE THERE. AS MUCH FAITH AS YOU HAVE IN THIS PLACE, EVERY TIME THEY GIVE YOU CHEMOTHERAPY, I HAD A FRIEND THERE WITH ME TO MAKE SURE THAT THAT BAG WITH THAT STUFF IN THERE THAT THEY WERE ABOUT TO PUMP INTO ME WAS EXACTLY WHAT I WAS SUPPOSED TO GET, NO MORE IN THE RIGHT STUFF. I WILL ALSO TELL YOU THAT ON THE LAST DRUG, WELL THROUGHOUT THE PROTOCOL, IF YOUR TEMPERATURE WENT ABOVE 102, NO, I'M SORRY, 101.2, THEY WANT YOU TO CALL. IF IT WENT HIGH ENOUGH THEY WANT YOU TO COME INTO THE HOSPITAL YOU KNOW TO MAKE SURE THAT NOTHING WAS WRONG. AND MINE AT ONE POINT HAD GONE UP TO 102. AND THEY ADMIT YOU IMMEDIATELY TO THE ONCOLOGY CLINIC. AND AN ONCOLOGY FELLOW WHICH IS NOT ONE OF OUR FULL TIME FACULTY BUT SOMEONE WHO IS IN TRAINING HERE SPECIALIZING IN ONTOLOGY CAME INTO MY ROOM. I WANT TO APOLOGIZE BUT WE CAN'T FIND HER RECORDS. COULD YOU TELL ME WHAT KIND OF CANCER YOU HAVE? I SAID THIS IS APPALLING. HE SAID NO, HEY, IT'S NOT JUST YOU. [LAUGHTER] THAT HAPPENS HERE QUITE A BIT. I SAID I AM APPALLED FOR EVERY PATIENT WHO COMES ON THIS UNIT. AND I HAD TO GO THROUGH FROM LIKE THE BEGINNING, MY WHOLE STORY. WELL EVENTUALLY I TELL YOU, I TELL YOU, I KNEW I COULD TELL BY HIS QUESTIONS, HIS QUESTION WAS GOING TO BE DO YOU WORK. YOU DON'T UNDERSTAND MY POSITION HERE, I SHOULD BE TREATED HERE LIKE EVERYBODY ELSE. HE SAYS LIKE DO YOU WORK MIDWAY THROUGH HIS QUESTIONS. I SAID I DO. HE SAID ARE YOU WORKING FULL TIME? I SAID I AM. HE SAID, WHERE ARE YOU WORKING? I SAID, I'M ASSOCIATE DEAN AT THE MEDICAL SCHOOL. [LAUGHTER] NOW HE LOOKED UP. NOW HE LOOKS UP. HE SAID AT THIS MEDICAL SCHOOL? I SAID AT THE YALE SCHOOL OF MEDICINE. HE FOUND MY FILES WITHIN HALF AN HOUR. THAT'S RUTH CATS. [APPLAUSE] SO I TOLD YOU THAT I'VE BEEN SEARCHING FOR AMERICAN CHARACTERS SINCE LATE 1970'S BUT FOR THIS PROJECT ON HEALTH AND GIVEN WHAT YOU DO, YOU CAN UNDERSTAND WHY I DECIDED TO CAST MY NET WIDER AND I DID 320 INTERVIEWS ON THREE CONTINENTS, I DID A LOT OF INTERVIEWING IN AFRICA. WHILE I WAS THERE IN AFRICA, IN SOUTH AFRICA HAVING LOOKED AT A LOT ABOUT HIV/AIDS, WE CAME HOME ONE DAY AFTER A LONG DAY OF INTERVIEWING AND I HAD -- AND THERE WERE THESE IMAGES OF A DISASTER THAT WAS A LOT LIKE AFRICA. WHEN I TURNED THE SOUND UP I LEARNED IT WAS HAPPENING IN THE UNITED STATES OF AMERICA WITH HURRICANE KATRINA. I COULDN'T BELIEVE IT. I COULDN'T BELIEVE THAT THOSE IMAGES WERE IN RELATIONSHIP TO OUR COUNTRY. AND I WENT HOME AND OF COURSE I WENT RIGHT AWAY DOWN THERE AND I DID INTERVIEWS AND THIS PARTICULAR WOMAN I THINK SHE WORKS HERE IN YOUR ENVIRONMENT BECAUSE SHE HAS GOT SUCH AN INSTINCT FOR THE BETTERMENT OF ALL. AND SUCH A MISSION IN HER HEART. SHE'S AN ADVANTAGED WHITE WOMAN, VERY PRIVILEGED AND A DOCTOR AT CHARITY HOSPITAL IN NEW ORLEANS. I HEAR BETWEEN BELLEVUE OR CHARITY IS THE FIRST HOSPITAL FOR POOR PEOPLE AND THIS IS HER ACCOUNT OF WHAT HAPPENED TO HER PATIENTS. THIS IS CALLED A HEAVY SENSE OF RESIGNATION. YOU HAVE PEOPLE THAT START OUT ASSHOLES AND THEY END UP ASSHOLES. AND THEY MAY EVEN WIND UP BIGGER ASSHOLES. THE BIGGEST ASSHOLE I EVER MET IN MY TRAINING EXPERIENCE, GOD THERE'S SO MANY. [LAUGHTER] MM-MM. GOD, IT'S SO TOUGH. OH, I KNOW, I REMEMBER HIM. I CAN'T REMEMBER HIS NAME BUT HE WAS SUCH AN ASSHOLE. HE WAS A RESIDENT WHEN I WAS A MEDICAL STUDENT AND HE WAS IN OB GYN AND I THINK A LOT OF THAT OB GYN STUFF KIND OF REALLY HIT A NERVE WITH ME AND HE WAS ONE OF THESE LIKE I CAN'T WAIT TO GET OUT OF CHARITY HOSPITAL, THIS IS A HELL HOLE, THESE PEOPLE BLAH BLAH BLAH BECAUSE ONE OF THE PLEASANT PARTS OF MY JOB AT CHARITY HOSPITAL A PUBLIC HOSPITAL IN NEW ORLEANS IS, I SEE PEOPLE WHO COME IN TO TRAIN AT CHARITY WHO HAVE IN MY MIND A TREMENDOUS OPPORTUNITY TO SEE IN SOME SENSE WITHOUT LIVING IT, HOW IT IS TO BE POOR AND TO OPEN YOUR HEART AND OPEN YOUR MIND TO THESE FANTASTIC PEOPLE WE HAVE COMING INTO THE HOSPITAL AS PATIENTS. I SEE PRIVILEGED STUDENTS WHO COME IN TO TRAIN FROM ALL OVER AT CHARITY BUT THEY COME WITH THEIR OWN BAGGAGE ABOUT WHAT CHARITY IS OR ABOUT THE CHARITY POPULATION, OUR POPULATION. THAT'S KIND OF A COMMON PHRASE, LIKE OUR POPULATION MEANING THE PEOPLE THAT WE TAKE CARE OF AND OUR DISTANCING OURSELVES FROM BECAUSE PEOPLE COME IN FROM THEIR OWN RACISM AND THEIR OWN CLASSES. AND THEN, THIS GUY WAS FULLY INTENDING TO, YOU KNOW, I'M SURE SET UP A, YOU KNOW, BECAUSE HE WAS CONSTANTLY TALKING ABOUT OH WHEN I GET OUT, I'M NOT GOING TO HAVE THESE KIND OF PATIENTS TRANSLATION POOR BLACK, YOU KNOW. NO PRENATAL CARE, BLAH BLAH BLAH. ONE NIGHT WE WERE ON CALL AND ONE PERSON CAME INTO THE HOSPITAL WITH PELVIC INFLAMMATORY DISEASE. SO HE AND I WENT TO THE EMERGENCY ROOM. IT'S TREMENDOUSLY PAINFUL TO BE EXAMINED WHEN YOU HAVE PELVIC INFLAMMATORY DISEASE. AND SHE WAS 13. SHE WAS THERE WITH AN AUNT, BUT HER AUNT WAS NOT IN THE ROOM. IF I REMEMBER RIGHT, THIS GUY MADE HER AUNT LEAVE THE ROOM. AND HE DID A PELVIC EXAM ON HER AND SHE WAS SO SCREAMING OUT AND IN SO MUCH PAIN AND HE SAID TO HER, I WANT TO GET IT RIGHT. OH, WHAT'S YOUR PROBLEM. DON'T TELL ME YOU HAVEN'T HAD SOMETHING BIGGER THAN THESE TWO FINGERS UP THERE OR YOU WOULDN'T HAVE GOTTEN THIS TO BEGIN WITH. I MEAN, HE WAS MY RESIDENT. SO HERE I WAS, I WAS A THIRD YEAR MEDICAL STUDENT AND HE WAS A SECOND YEAR RESIDENT. HE WAS SEVERAL LEVELS ABOVE ME. I WAS SO SHOCKED AND SO CREST FALLEN AND SO REALLY BET MYSELF AFTERWARDS THAT I DIDN'T DO, I DON'T KNOW WHAT, PUNCH HIM BUT I DID SAY TO HIM WHEN WE WERE OUT OF HER EAR SHOT I SAID I CANNOT BELIEVE YOU WOULD TREAT SOMEBODY LIKE THAT AND I CANNOT BELIEVE THIS IS DISGUSTING TO ME. AND HE SAID, AND I REMEMBER THIS BECAUSE IT'S SUCH THE TYPICAL LINE, YOUR OH WAIT UNTIL YOU'RE IN MY SPOT. WHICH IS THE FAUX JADED LIKE WAIT UNTIL YOU SEE SO MANY 12 YEAR OLDS WITH PELVIC INFLAMMATORY DISEASE. WHAT? YOU BECOME AN ASSHOLE? [LAUGHTER] ONE OF THE THINGS I LOVE SO MUCH ABOUT WORKING AT CHARITY HOSPITAL, A PUBLIC HOSPITAL IN NEW ORLEANS, EVERY SINGLE PATIENT WHO COMES THROUGH THAT DOOR HAS GOTTEN THE SHIT END OF LIFE OF THE SHIT END OF THE STICK IN LIFE, PERIOD. BUT THROUGH MY INTERACTIONS WITH THEM, I COULD TREAT THEM LIKE THEY WERE THE SAUDI ARABIAIAN PRINCESS COMING TO THE MAYO CLINIC. THERE'S ABSOLUTELY NO REASON WHY I CAN'T GIVE EVERYBODY TOP OF THE LINE BEST MEDICAL CARE. BUT THAT'S DIFFICULT WHEN THINGS STARTED TO DETERIORATE HERE AROUND KATRINA AND THE VENEER, THAT JUST FELL. ON THURSDAY, THE STORM WAS ON SUNDAYMENT ONE OF MY PATIENTS SAID TO ME. HE HAD LOST, HE HAD FAMILY MEMBERS HE LOST, HIS GRANDMOTHER AND HIS AUNT BUT HE HEARD THE FAMILY MEMBERS LOST HIS GRANDMOTHER AND HIS AUNT. SO HE WAS JUST REALLY GRIEVING. AND YOU KNOW, PRETTY YOUNG GUY LIKE IN HIS 40'S. HE HAD A SPINAL CORD INJURY SO HE WAS PRETTY IMMOBILE, VERY IMMOBILE LIKE MOST OF MY PATIENTS VERY IMMOBILE. I JUST WENT IN AND I WAS JUST SITTING BY HIS BEDSIDE AND BY NOW IT'S LIKE 106 DEGREES, THERE ARE NO LIGHTS. WE ARE REDUCED TO FEEDING PEOPLE VERY SMALL PORTIONS. AND I TRIED TO KEEP A STIFF UPPER LIP IN THE BEGINNING. HEY, WE'RE GOING TO GET OUT OF HERE, DON'T WORRY ABOUT IT, BLAH BLAH BLAH. I GREW JUST EXHAUSTED AND I WAS SITTING BY THE BEDSIDE. SUDDENLY SAID TO ME DR. KAY, THE PATIENTS IN THE PRIVATE HOSPITAL GOTTEN OUT? DID YOU KNOW WHAT THEY HAVE? HE SAID DO YOU THINK WE'RE GOING TO GET OUT TODAY? STARTED GOING ON FIVE DAYS. I SAID WELL, I LOOK OUTSIDE, I SEE THE SUN IS SETTING. NOW THEY MADE A LOT OF PROMISES ABOUT COMING BUT I SEE THE SUN IS SETTING AND I DON'T KNOW WE MAY BE HERE ANOTHER NIGHT. BECAUSE I THINK WE'VE GOT TO BE PREPARED FOR THAT. I SAID I DON'T KNOW, WE MAY BE HERE MORE THAN ONE NIGHT. DO YOU THINK THEY'RE EVENTUALLY GOING TO COME AND GET US? I SAID I DON'T KNOW. I SAID I JUST DON'T REALLY KNOW. AND SHAME, NOT TO BE ABLE TO DO FOR PEOPLE WHAT I WANTED TO DO WHICH WAS TO GET THEM THE HELL OUT OF HERE INTO A SAFE PLACE. MY PATIENT AT CHARITY ARE NOT GONE, THE NURSES AT CHARITY ARE NOT GONE. THEY KNEW WE WERE GOING TO BE THE LAST ONES OUT. THEY KNEW THAT THE HOSPITALS DIDN'T HAVE PRIVATE HELICOPTERS. YOU CAN SEE THE DESPERATION OF BEING POOR IN THIS COUNTRY AND IN SOME WAYS IT STRUCK DEEP DOWN, THAT THIS IS NOT THE FIRST TIME THAT THIS HAS HAPPENED TO PEOPLE. UNPRIVILEGED. THIS IS THE FIRST TIME I HAVE EVER BEEN TOTALLY ABANDONED BY MY GOVERNMENT. BUT IT'S NOT THE FIRST TIME FOR MY PATIENTS OR THE NURSES OR THE PEOPLE WHO WORKED AT CHARITY HOSPITAL. AND I HAVE A LOT OF HISTORY WITH THE PEOPLE FROM THE FLOOR. WE ALL, YOU KNOW, A LOT OF THEM KNOW ME SINCE I'M A MEDICAL STUDENT AND 100% OF THE NURSES ON THE FLOOR ARE AFRICAN AMERICANS. AND THE AFRICAN AMERICAN NURSES AND THE PEOPLE WHO WORK AT CHARITY SAID TWO THINGS TO ME EARLY ON. THEY SAID ONE, THEY OPENED THE LEVEES ON US, MEANING THEY HAD FLOODED THE POOR AREAS OF NEW ORLEANS PARISH TO SPARE THE OTHER PARTS. AND TWO, THEY SAID TO ME EARLY ON, THEY'RE NOT GOING TO COME AND GET US. WE'RE GOING TO BE STUCK HERE. AND HERE I AM COMING FROM MY POSITION OF PRIVILEGE IN THE WORLD. WHAT DO YOU KNOW. WELL OF COURSE THEY'RE GOING TO COME AND GET US. OF COURSE, WHAT DO YOU MEAN. THEY KNEW WE WERE HERE, WE WERE IN CONSTANT FACT WITH FEMA BUT MY PATIENTS REALLY DIDN'T AND THAT PART MADE ME ASHAMED. I THOUGHT WHAT? IT MUST FEEL LIKE THIS YOUR WHOLE LIFE, JUST THAT FEELING THAT WE HAVE TO DO FOR OURSELVES BECAUSE NOBODY'S GOING TO COME AND GET US. JUST THAT FEELING OF BEING ABANDONED. THAT WAS ALL NEW FOR ME. HA HA HA. BEING ABANDONED? THAT WAS ONLY FOR MY PATIENT BUT FOR SO MANY OTHER PEOPLE, IT WAS JUST ONE MORE THING. AND THEY JUST WENT ABOUT THEIR BUSINESS. EVERYONE ON THAT FLOOR FOR SIX DAYS IN THAT HEAT WITH NO POWER. THEY NEVER MISSED A YEAR IN OUTPUT, THEY NEVER MISSED A TRICK. AND WITH A HEAVY SENSE OF RESIGNATION. AND SO THAT HOLE THAT I HAD ALWAYS TRIED, YOU KNOW, HEY YOU'RE HERE AT CHARITY BUT DON'T WORRY ABOUT IT, WE'RE GOING TO GIVE YOU THE BEST POSSIBLE CARE. WELL, YOU KNOW WHAT? WE ARE GOING TO GIVE YOU THE BEST POSSIBLE CARE BUT WE CAN'T MAKE FEMA OR THE GOVERNMENT COME AND GET US. [APPLAUSE] THIS ONE IS USUALLY FANCY WITH A VIDEO TAPE AND EVERYTHING ELSE. WITH A SPECIAL QUESTION BY DR. COLLINS I'M MODIFYING IT A LITTLE BIT. I'M BLOWING MY NOSE. I DON'T HAVE A COLD. I GET NERVOUS WHEN I'M AROUND IMPORTANT PEOPLE LIKE YOU AND MY NOSE RUNS. YOU THINK I'M KIDDING BUT I ACTUALLY SAID THIS AT STANFORD WHEN I WAS OUT THERE TO DO MEDICAL GRAND ROUNDS AND THIS YOUNG DOCTOR CAME UP TO ME AND SAID YOU HAVE ANTICIPATORY RHINOSITIS. SO MAYBE I CAN BE ADMITTED TO HAVE SOME STUDIES DONE OF MY NOSE. JUST AROUND IMPORTANT PEOPLE. SO THIS IS JOEL SEAGULL AND YOU CAN IMAGINE HIM OVER A HOSPITAL BED MAYBE SITTING IN HIS ROOM WAITING FOR CHEMOTHERAPY. I MEAN MY GOD, ABC NEWS HAS REALLY BEEN GOING THROUGH IT WITH THIS STUFF. EVERYBODY FOR DAVID WESTON ON DOWN KNOWS WHERE I AM, KNOWS WHAT I'M DOING, KNOWS WHAT'S GOING ON. I SCHEDULED THIS SO THAT I COULD BE WELL ENOUGH ON FRIDAY TO BE ABLE TO DO THE MOVIES. THEY ARE HOPING I DON'T GET MUCH SICKER, HOPING I CAN MAKE IT THROUGH THE SUMMER DOING THE MOVIES. AND I'M DOING MY BEST. CANCER WINS. CANCER IS A TOUGH DISEASE. CANCER MIGHT BE TOUGHER THAN TYRANSAURES RISK. TUBERCULOSIS, CANCER SUFFERS, THE PLAGUE, BUBONIC PLAGUE. EVERY CANCER IS DIFFERENT LIKE SNOW FLAKES. AND THE WHOLE THEORY WITH CHEMO IS THEY KILL EVERYTHING. IT'S LIKE BEATING YOUR DOG WITH A STICK, THEY KILL THE FLEAS. NEVER IN MY LIFE DID I THINK OF MYSELF AS STUFF. I WAS ALWAYS THE LAST KID CHOSEN IN FOOTBALL, BASEBALL. I'M PRETTY TOUGH, REALLY SHOCKED THE SHIT OUT OF ME TO DISCOVER THAT. I DON'T HAVE ANY IDEA WHERE IT COMES FROM. I LIKE TO SAY IT COMES FROM 3,000 YEARS OF BEING KICKED AROUND EUROPE. OH, I HAVE A JOKE. THERE IS A CATEGORY OF JOKE, THIS IS THE ULTIMATE. OLD MAN DON'T HAVE LONG TO LIFE JOKE. THE MOST FAMOUS IS GEORGE BURNS. HE'S IN VEGAS. HE'S IN HIS 90'S. THERE'S A KNOCK AT THE DOOR. IT'S THIS GORGEOUS CHORUS GIRL WHO SAYS I'VE COME TO OFFER YOU SUPER SEX. AND GEORGE BURNS SAYS I'LL TAKE THE SOUP. [LAUGHTER] MILTON BERYL'S JOKE WAS I'M SO OLD I'M AFRAID TO ORDER A THREE MINUTE EGG. [LAUGHTER] MY JOKE, MY JOKE IS I'M SO NEAR THE END I WANT THE PILL THAT CAUSES PREMATURE EJACULATION. [LAUGHTER] I'M ALWAYS ACTING. IT'S A CHARACTER I PLAY. THE GUY ON TELEVISION, THE REAL JOEL SEAGULL IS A LITTLE BIT SAD AND LONELY. THEY HAD BEEN DEPRESSED. I'M NOT A DEPRESSED PERSON. THE WAY I FEEL, THE WAY I DESCRIBE THE ANXIETY I'M FEELING IS LIKE WHEN YOU'RE A LITTLE KID AND YOU'RE GOING TO SCHOOL AND THERE'S SOMEBODY WAITING IN THE BATHROOM TO BEAT YOU UP. YOU GOT TO GO TO THE BATHROOM. THAT'S HOW I FEEL EVERY TIME I GET TESTED. DO I PRAY? NO, I DON'T PRAY. WELL, SEE I'M JEWISH AND IT'S DIFFERENT. BOOK LEARNING. YOU LEARN THAT YOU DON'T ASK GOD FOR THINGS BECAUSE HE'S NOT GOING TO GIVE THEM TO YOU. PRAYER TO ME IS WHOOPING A LOT. I DO NOT BELIEVE IN A GOD WHO WOULD IN ANY WAY INTERACT BETWEEN ME AND MY DISEASE. I'M VERY JEWISH. LET ME DOWN EASY. I LIKE HIM A LOT. I LOVE IT. I FEEL A HAND PUTTING ME INTO THE GROUND AND VERY GENTLY MOVING AWAY. AND I'M LIKE THAT. JOEL SEAGULL. [APPLAUSE] THIS IS THE LAST ONE. I THINK THIS MIC IS A LITTLE BIT HOT. MENT SO THIS IS A WOMAN I MET IN JOHANNESBURG, SOUTH AFRICA AND SHE AS AN ORPHANAGE FOR PARENTS WHO DIED OF AGE AND HER PARENTS OF DIED AND IT'S CALLED DON'T LEAVE THEM IN THE DARK. AND I LOVE LOVE LOVE PRESENTING THIS PLACE, I LOVE PRESENTING THIS PIECE IN AN ENVIRONMENT LIKE THIS. BECAUSE YOU SHARE THIS WORLD VIEW. DON'T LEAVE THEM IN THE DARK. WHEN I SAY THAT AT THE END, I SAY THAT TO YOU NOT AS A REQUEST BUT AS AN AFFIRMATION FOR THE VALUE OF WHAT EACH AND EVERY ONE OF YOU IS DOING EVERY SINGLE DAY. SO TRUDEY HOWELL IS ONE OF YOUR SISTERS, ALL THE WAY IN JOHANNESBURG, SOUTH AFRICA. LAST YEAR WE HAD FOUR OR FIVE CHILDREN, BABIES THAT PASSED AWAY AND THIS YEAR WE'VE HAD ONE SO FAR. WHAT HAPPENS IS THAT THEY FOUND ME ANY TIME OF THE NIGHT AND SAY THIS LITTLE KID IS VERY VERY SICK AND I'LL GO AND I'LL SIT WITH THE CHILD UNTIL THE CHILD PASSES AWAY. SO I MAKE SURE THAT I'M THERE FOR EVERY CHILD. THAT'S HOW I SEE IT, THEY DON'T KNOW THAT THEY'RE DYING. THEY JUST KNOW THAT THEY'RE VERY SICK. BUT THE ELDER CHILDREN THAT WE'VE GOT HEAR, THE 12 YEAR OLD AND THE 14 YEAR OLD WE'VE GOT HERE I TALK WITH THEM THE WHOLE TIME ABOUT THIS. AND WE HAD ONE CHILD -- AND UPSET FOR DAYS AND HOURS AND TELLING HER ABOUT THE VIRUS AND TELLING HER ABOUT THIS. AND SHE KNEW SHE WAS NOT GOING TO MAKE THE WEEKEND. SO SHE CAME TO SEE ME ON THE FRIDAY AFTERNOON AND SHE SAID HER MOTHER HAD VISITED HER THE NIGHT BEFORE. NOW I KNEW THAT HER MOTHER HAS MASSED AWAY SIX YEARS PRIOR TO THAT. SO I SAT HER DOWN AND I SAID WELL KNOW WHAT TIME DID YOUR MOTHER VISIT YOU. SHE SAID NOW. IT WAS LATE AT NIGHT. I SAID WELL IF YOU SEE YOUR MOTHER TONIGHT AGAIN, IF YOUR MOTHER VISITS YOU TONIGHT AGAIN, YOU MUST TELL HER THAT I SAID THANK YOU VERY VERY MUCH THAT I LOOKED AFTER YOU FOR SO LONG. SHE SAID NO SHE WON'T. THE NEXT MORNING I CAME IN HERE AND SHE WAS SITTING ON THE STAIRS AND SHE SAID MOTHER HAD VISITED HER THE NIGHT AGAIN. AND THAT HER MOTHER SAID SHE MUST PACK ALL HER CLOTHES, THAT SHE'S COMING TO FETCH HER, THAT SHE'S GOING HOME. I PROMISE YOU IT WAS, I WALKED UP TO HER AND I SAID DID YOU TELL YOUR MOTHER THAT I SAID THANK YOU VERY MUCH, AND SHE SAID YES. AND MY MOM SAID THANK YOU VERY MUCH. AND I HAD GONE INTO HER ROOM, ALL HER CLOTHES WERE PACKED, PUT IN PLASTIC BAGS AND IT WAS WAITING FOR HER. THAT'S IN THE MORNING AT 3:00 IN THE MORNING SHE PASSED AWAY. AND I MADE SURE THAT I BURIED HER NEXT TO HER MOMMY. SO HER MOTHER CAME AND FETCHED HER AND SHE KNEW SHE WAS GOING TO DIE AND IT'S NOT A BAD THING. SHE WAS PREPARED. SHE WAS PREPARED TO GO. ALL HER STUFF WAS PACKED, ALL HER TEDDY BEARS WERE PACKED AND WE TOOK EVERYTHING, HER CLOTHES AND TEDDY BEARS AND WE PUT IT WITH HER IN HER COFFIN. SHE WENT VERY HAPPILY. SHE WAS 12 YEARS OLD. WELL I JUST TELL THEM THAT THERE ARE DIFFERENT STAGES OF LIFE. I SAY YOU GET BORN AND SOMETIMES WHEN YOU'RE BORN YOU'RE SICK. I SAID YOU GOT THIS GERM IN YOUR BODY AND WE TALK ABOUT THE GERM AND WE SIT AND PLAY WITH THE DOGS, WE PLAY. I SAY LOOK AT THIS UGLY GERM THAT'S GOT INTO THE BODIES MAKING THIS LITTLE CHILD VERY SICK. AND SOMETIMES THIS CHILD HAS HAD ENOUGH AND YOU KNOW THEY'RE GETTING SICKER. YOU KNOW IT'S GETTING TO THE NEXT STAGE AND THEY ASK QUESTIONS LIKE WHAT HAPPENS IF I'M DEAD. I SAID NOBODY CAN ANSWER THAT. AND THEY ASK ABOUT GOD AND THEY ASK ABOUT CAN WE COME BACK AND VISIT YOU. YOU KNOW THAT TYPE OF THING. THEY ALWAYS WANT TO SAY, THEY ALWAYS JUST WANT TO SAY CAN WE COME BACK TO THE ORPHANAGE, YOU KNOW THAT TYPE OF THING. I TELL THEM, I JUST SAY YOU ARE ALWAYS IN MY HEART EVEN IF YOU PASSED AWAY, YOU ALWAYS IN MY HEART. YOU ALWAYS WITH ME. YOU KNOW, SO IN ANY CASE, DON'T LEAVE THEM IN THE DARK. DON'T LEAVE THEM IN THE DARK. THAT'S WHAT I HAVE TO OFFER YOU. THANK YOU. [APPLAUSE] >> HAVING SEEN THE FULL SHOW, THERE ARE SO MANY OTHERS THAT YOU DIDN'T GET TO SEE THAT TELL SO SO FASCINATING, SOME SIGNIFICANT POINTS THAT YOU'RE MAKING IN A SUBTLE WAY, NOT HITTING US OVER THE HEAD. I WOULD LIKE TO HAVE A LOOSE CONVERSATION ABOUT THIS. BECAUSE I THINK WHAT YOU'VE DONE CREATES A SENSE OF WONDER BUT ALSO A SENSE OVER CURIOSITY ABOUT HOW YOU CAME TO THIS PARTICULAR ONE OUT OF A HUNDRED. HEY WE'RE GOING TO BE FORMALLY SITUATED HERE I SEE. SO ANNA, MAYBE FIRST TO START THAT OFF, CAN I ASK, WHY DID YOU PICK THIS TOPIC? YOU HAVE DONE OTHER SHOWS THAT INVOLVED POLITICS, THAT INVOLVES CERTAINLY ALL OF THE TENSION OF A PROGRAM. WHAT LED YOU TO THAT? >> WELL I WAS INVITED BY ONE OF YOUR COLLEAGUES, RALPH, WHEN HE WAS HEAD OF INTERNAL MEDICINE AT YALE. BACK IN THE DAYS WHEN YOU STILL GOT LETTERS AND FANCY STATIONARY. I DON'T THINK I EVER GOTTEN A LETTER ON STATIONARY AS FANCY AS YALE MEDICAL SCHOOL STATIONARY. [LAUGHTER] AND INVITING ME TO COME TO YALE AND TO INTERVIEW PATIENTS AND TO PERFORM AT MEDICAL GRAND ROUNDS. I EVEN HAD TO LOOK UP LIKE WHAT IS MEDICAL GRAND ROUNDS. I THOUGHT WELL, I'M GOING TO MAKE A FOOL OF MYSELF IN MEDICAL GRAND ROUNDS. IT TOOK ME A COUPLE YEARS TO DECIDE TO DO IT. AND IN LARGE PART I THINK AS THE SON OF A MUSICOLOGIST YOU WILL UNDERSTAND AND APPRECIATE THIS. I HAD DONE A PROJECT HERE IN WASHINGTON TRYING TO STUDY THE RELATIONSHIP WITH THE PRESS AND THE PRESIDENT. I WENT ON TWO PRESIDENTIAL CAMPAIGNS, INTERVIEWED THREE PRESIDENTS, READ EVERYBODY'S BOOK, ALL THIS STUFF AND A JEFFERSON SCHOLAR SAID SOMETHING THAT HELPED ME UNDERSTAND WHAT WAS GOING ON IN MY INTERVIEWS IN WASHINGTON. HE SAID THAT THOMAS JEFFERSON COULD NEVER BE FOUND IN VERBAL UNREST. AND SO WASHINGTON IS A PLACE WHERE LANGUAGE IS VERY VERY CONSIDERED. SO I JUST FINISHED THAT PROJECT. WE'RE WEARY FROM IT. WENT TO YALE. THEY JUST SENT IN PATIENTS ONE RIGHT AFTER THE OTHER, TURNED ON MY TAPE RECORDER. THIS IS PREDIGITTAL AND I ONLY HAD TO ASK ONE QUESTION. I DIDN'T HAVE TO READ ANY BOOK AND I CONSIDER MYSELF AS A STUDENT OF EXPRESSION. WHAT I'M TRYING TO GET PEOPLE TO DO BEST -- SHE WANTS TO GET PEOPLE TO START SINGING SONGS WITHOUT ASKING FOR IT. SO I'M TRYING TO GET PEOPLE TO SING, I'M TRYING TO GET THEM TO DO INTERESTING VERBAL THINGS WITHOUT ME HAVING TO DO ANYTHING BECAUSE THEN I KNOW IT'S REAL. I KNOW IT'S ORGANIC. I WANT THEM TO REVEAL THEMSELVES TO ME THROUGH LANGUAGE AND THROUGH THE SOUNDS THEY MAKE REALLY. HOW THEY DESIGN THEIR LANGUAGE. THAT ONE QUESTION WAS, WHAT HAPPENED TO YOU. PEOPLE WERE TAKING OFF THIS CLOTHES, SHOWING ME, THEIR REAL CLOTHES, SHOWING ME THEIR SCARS. ONE MAN JUST HAD A HEART TRANSPLANT GRANDDAUGHTER CAME IN, READ FROM HER JOURNAL, PEOPLE SANG. THE WOMAN TALKED ABOUT HER FAITH, I SAID DO YOU PRAY. SHE SAID YES. I SAID WOULD YOU PRAY FOR ME. FATHER, HERE I AM AGAIN. JUST BOOM, RIGHT INTO THE WHOLE THING. CHURCH. SO HOW CAN I TURN MY BACK ON THAT PROJECT. THAT'S WHERE IT STARTED FIVE YEARS LATER AFTER DOING GRAND ROUNDS I CAME, I DECIDED TO TRY AND MAKE IT IN THEATRE. >> SO SOME THAT YOU SHOWED US, PARTICULARLY THE DOCTOR IN A VERY POWERFUL WAY THAT SOMETIMES WE TRY NOT TO LOOK AT AND YOU'VE DONE THESE INTERVIEWS. WITH THAT INTENTION THAT YOU WERE TRYING TO CONVEY THAT YOU CAN LOOK AT THOSE THINGS -- WAS THAT PART OF WHAT YOU WERE TRYING TO CONVEY TO AN AUDIENCE IS YOU CAN LOOK AT THOUGH THINGS, YOU MUST. IT WILL BE SURVIVABLE BUT IT SHOULD AFFECT YOU, IT SHOULD CHANGE YOU, IT SHOULD CAUSE YOU TO THINK DIFFERENCELY ABOUT YOUR FELLOW HUMAN BEINGS. >> WELL, I MEAN LOOK. BEFORE I HEADED FOR AFRICA, I HAD THIS BIG TRIP ALL PLANNED UP. SAMANTHA POWER GOT ME HOOKED UP FROM THE PRESIDENT OF RWANDA TO EVERYBODY, YOU KNOW, JUST BOOM BOOM BOOM, I WAS GOING TO GO RIGHT THROUGH THAT COUNTRY, TEN YEARS AFTER THE GENOCIDE, UGANDA, WENT TO A PLACE WHERE TRADITIONAL HEALERS WERE SOUTH AFRICA, YOU KNOW. I MEAN, YOU KNOW, DURBIN WAS JUST A GHOST TOWN. RIGHT BEFORE THAT TRIP I SAW TO MYSELF WHAT ARE YOU DOING. THIS IS GOING TO BE SO UPSETTING, IT'S GOING TO BE SO DEPRESSING. AND I TALKED TO EVERYBODY ABOUT IT FROM LIKE YOU KNOW ACUPUNCTURE PEOPLE TO HEALERS. I WAS LIKE WHAT AM I GETTING MYSELF INTO, I'VE MADE A MISTAKE. IT WAS THE RICHEST TRIP. THE ONLY THING I WAS GRATEFUL FOR IS I GOT MY WHOLE TEAM OUT OF THERE WITHOUT GOING TO THE HOSPITAL. THAT WOULD HAVE BEEN PRETTY HORRIBLE IN UGANDA, RIGHT, THE PUBLIC HOSPITAL. WE VISITED THERE. BUT WHEN PEOPLE, YOU KNOW THIS BETTER THAN I. WHEN PEOPLE ARE VULNERABLE IS WHEN THEY'RE THE MOST GIN RUSS. HAVEN'T YOU LEARNED THIS? THAT SOME OF THE PEOPLE WHO HAVE THE MOST, THE RICHEST PEOPLE ARE SOMETIMES THE LEAST GENEROUS AND THE PEOPLE WHO SEEM TO HAVE THE LEAST ARE SO MUCH WANTING TO GIVE. AND PEOPLE WANTED TO GIVE ME THE STORY OF THEIR TRAGEDIES AND THEY WERE SO INVESTED IN MAKING THEMSELVES AND EVERYTHING ELSE BETTER. THAT IT WAS A ENORMOUSLY, ENORMOUSLY HOPEFUL INVESTIGATION EVEN AT ANDERSON, SAME THING. >> SO PEOPLE WHO ARE FACING THE GREATEST CHALLENGES THAT SEEM IN MANY WAYS LIKE THEY'RE IN THE DARKEST HOUR ARE THE ONE THAT HAVE THE GREATEST COURAGE. WE SEE THAT CERTAINLY IN A MEDICAL ENVIRONMENT HERE AT THE NIH MEDICAL CENTER. IT'S AMAZING WHERE THAT STRENGTH WELLS UP FROM PEOPLE WHO ARE FACING SOMETHING THAT MOST OF US CAN'T IMAGINE HOW WE WOULD HANDLE IT. JOEL SEAGULL'S PIECE WHICH I LOVE WHERE HE TALKS ABOUT I DIDN'T KNOW I WAS TOUGH UNTIL I HAD TO BE FOR THIS. HIS COURAGE CAME THROUGH IN WAYS THAT HE DIDN'T EVEN REALIZE WAS THERE. >> AND THIS THEME OF TOUGHNESS GOES THROUGH THE WHOLE PLAY. LANCE ARMSTRONG IS ONE OF THE CHARACTERS, ONE WOMAN CATCHES HERSELF ON FIRE TRYING TO MAKE A FIRE DANCE FOR HER GIRLFRIEND. AND I THINK REALLY THE COWBOY SAYS IT BEST WHEN HE SAYS, WHEN YOU THINK ABOUT IT, I MEAN THAT'S WHY I FEEL HE'S CARRYING THE REAL GOOD NEWS AND THE MESSAGE ALTHOUGH HE'S THE MOST RIGHT WING OF ANYBODY I EVER INTERVIEWED. [LAUGHTER] WHEN HE SAYS, WHEN YOU THINK ABOUT IT, WE SHOULDN'T BE ABLE TO STAY ON TOP OF A BULL THAT'S TRYING TO BUCK YOU OFF BECAUSE WE WEIGH 150 POUNDS, THEY WAY OVER 2000 POUNDS. BUT I THINK IT'S DETERMINATION. I THINK IT'S SOMETHING THAT COMES FROM INSIDE YOU THAT CASE YOU ON THAT BULL. AND SO I THINK HE'S REALLY CARRYING THAT IDEA. SO WHEN PEOPLE ARE STRUGGLING WHETHER IT'S TO WIN THE TOUR DE FRANCE OR GETTING OVER GENOCIDE IT'S SO FASCINATING AND SO CREATIVE WHAT THEY'RE DOING AND I MARVEL AT IT. >> TELL US ABOUT YOUR CRAFT OF INHABITING PEOPLE, DOING IMPRESSIONS OF THEIR SOULS AS "THE NEW YORK TIMES" SAYS. TELL US ABOUT QUEEN MARGARET AND RICHARD THE THIRD. >> SOMEBODY'S DOING THEIR HOMEWORK. [LAUGHTER] >> NO SURPRISE. [LAUGHTER] >> SO WHEN I WENT TO COLLEGE, I THOUGHT I WAS GOING TO BE A LINGUIST AND THE WORLD FELL APART AT THAT TIME I WENT CROSS COUNTRY WITH NO SENSE THINKING WHEN I GOT TO CALIFORNIA, I WAS A BALTIMORE GIRL, I WOULD DO SOMETHING A SOCIAL MOVEMENT. BY THE TIME I ARRIVED IN CALIFORNIA ALL THE SOCIAL MOVEMENTS WERE OVER. [LAUGHTER] AND SO I BY A FLUKE, I HAD NO INTENTION OF BEING AN ACTOR, I WAS JUST TRYING TO VOLUNTEER AS A STAGE MANAGER IN A VERY VERY HIGH POWERED THEATRE. AND THE SWITCHBOARD OPERATOR BACK IN THOSE DAYS KIND OF LAUGHED AT ME AND SAID OH MY DEAR, EVERYONE'S IN THE UNION. AND SHE TOLD ME ABOUT THIS ACTING THING I COULD DO, PAY FOR TO COME TO AND I DECIDED I'D GO. AND THE FIRST DAY I MET MY SHAKESPEARE TEACHER, I WAS VERY VERY INTIMIDATED BY THIS. AND SHE HAD A THEORY. THE WHOLE IDEA WAS TO TRY TO GET US TO JUST SAY THE WORDS, JUST SAY THEM, DON'T BE THINKING ALL THE DEEP THOUGHTS. AND SO SHE SAID IN SHAKESPEARE, THE LANGUAGE THAT SHAKESPEARE'S WRITTEN USUALLY GOES LIKE THIS. DOT DOT DOT DOT DOT. INTERESTINGLY ENOUGH SHAKESPEARE LIVED IN A TIME WHEN THE FASTEST MOVING THING WAS A HORSE. DA DA DA DA DA. BUT IN THE SECOND BEAT IN IT GOES DA DA DOT DOT THIS MEANS THAT THE PERSON IS IN PSYCHOLOGICAL TROUBLE AND THE EXAMPLE SHE GAVE IN KING LEAR AT A CERTAIN POINT SHE SAYS NEVER NEVER NEVADA NEVER NEVER EVERYTHING'S UP SIDE DOWN. SO SHE SAID GO HOME, TAKE 14 LINES OF SHAKESPEARE, SAY THEM OVER AND OVER AGAIN UNTIL SOMETHING HAPPENS. MOST OF MY CLASSMATES WERE LIKE WHAT THE HECK IS SHE ON, YOU KNOW. SO I'D GO TO THE TENDERLOIN TO A USED BOOKSTORE WHERE ALL THE SORT OF DOWN AND OUT CHALLENGED PEOPLE DRUG ADDICTS AND SO FORTH, I CAN GET A REALLY CHEAP COPY OF SHAKESPEARE THERE, WENT HOME AND LOOKED THROUGH FOR ANY 14 LINES A WOMAN SPEAKING. I KNEW NOTHING ABOUT SHAKESPEARE'S PLAYS REALLY OTHER THAN WHAT I SORT OF PUSHED MYSELF TO IN COLLEGE. AND BOOM, HERE WAS QUEEN MARGARET. 14 LINES IN RICHARD THE THIRD. SPEAKING TO RICHARD'S MOTHER, VERY UPSET BECAUSE RICHARD HAS KILLED HER SOB. - KILLED HER SON. THAT DOG THAT HAD ITS TEETH BEFORE ITS EYES, TO WORRY LENS AND LAP THEIR GENTLE BLOOD, THY WOMB LET LOOSE TO CHASE US TO OUR GRAVES. HERE I AM IN MY BASEMENT APARTMENT IN SAN FRANCISCO SAYING THIS OVER AND OVER UNTIL LIKE THE WE HE E HOURS IN THE MORNING AND I SAW QUEEN MARK. THERE SHE WAS IN ALL OF HER JEWELRY STANDING IN MY APARTMENT. AND THERE WERE NO BELIEVE ME, THERE WERE NO CHEMICAL SUBSTANCES. AND I THOUGHT WOW THAT'S LIKE WHAT I IMAGINATION WAS LIKE WHEN I WAS A KID. AND I THOUGHT I SAW SANTA CLAUS OR I THOUGHT I SAW JESUS OR I THOUGHT I SAW THE TOOTH FAIRY. I WANT MORE OF THAT. HOW CAN I GOODATE THAT TO HAPPEN AGAIN. AND SO FOR THE THREE YEARS THAT I WAS IN THIS VERY INTENSE CONSERVATORY ENVIRONMENT ACTUALLY HAVING A CLASSICAL TRAINING, I READ EVERYTHING I COULD ABOUT HOW LANGUAGE WORKED. EVERYTHING. EVEN WENT AND GOT RECONFIRMED IN THE EPISCOPAL CHURCH. I JUST WANTED TO LEARN HOW WORDS WERE CONNECTED TO SOMETHING SPIRITUAL. AND THEN ULTIMATELY I THOUGHT MM-MM, I WONDER IF I COULD STUDY THIS ON REAL PEOPLE BECAUSE I WAS LOOKING AT POEMS AND PSALM AND SONGS. AND I THOUGHT WHAT IF I COULD GET PEOPLE TO DO THOSE. SO I STARTED INTERVIEWING PEOPLE AND THE FIRST ONE OF MY PLAYS I MADE IN 1981 WITH 20 ACTORS. I JUST WENT UP TO PEOPLE ON THE STREET AND SAID I KNOW AN ACTOR WHO LOOKS LIKE YOU, WOULD YOU GIVE ME AN HOUR OF YOUR TIME AND I'LL INVITE TO SEE YOURSELF PERFORM. I MET A LINGUIST AT A COCKTAIL PARTY AND TOLD HER WHAT I WAS TRYING TO DO IS GET PEOPLE TO SING. SHE SAID I'M GOING TO GIVE YOU THREE QUESTIONS THAT WILL ENSURE THAT THAT WILL HAPPEN. I SUPPOSE YOU'D LIKE TO KNOW WHAT THEY ARE. >> YES, YES. [LAUGHTER] >> DO YOU KNOW THE CIRCUMSTANCES OF YOUR BIRTH. HAVE YOU EVER BEEN ACCUSED OF SOMETHING THAT YOU DIDN'T DO. AND HAVE YOU EVER COME CLOSE TO DEATH. SO MY FIRST SLEW OF INTERVIEWS, MY STUDY I WOULD TALK ABOUT ANYTHING, BEING A LIVE GUARD AT THE POOL, AT THE Y, HAVING A CLOTHING STORE, BEING A HAIRDRESSER AND SOMEWHERE IN IT I WOULD SAY HAVE YOU EVER COME CLOSE TO DEATH AND I WOULD LOOK CLOSE AND SEE WHAT HAPPENS AND INDEED THE LANGUAGE BECAME VERY VERY INTERESTING. AND THIS SORT OF TAUGHT ME HOW TO LISTEN AND TOOK ME DOWN THIS ROAD AND I DON'T ASK THOSE QUESTIONS ANYMORE. BUT IF YOU THINK ABOUT THE HEALTHCARE PLAY, WHAT HAPPENED AT YALE, IT'S THE HAVE YOU EVER COME CLOSE TO DEATH WITHOUT ME ASKING THAT WHEN I SAID WHAT HAPPENED TO YOU. THAT'S WHAT'S GOING ON. >> SO ANNA, YOU BROUGHT THIS POWERFUL SHOW TO WASHINGTON AT THIS INTERESTING TIME WHERE OUR HEALTHCARE SYSTEM IS UNDER GOING WHAT WE HOPE IS GOING TO BE DRAMATIC CHANGE FOR THE BETTER BUT OBVIOUSLY WITH MANY UNCERTAINTIES POLITICALLY PRACTICALLY AND SO ON, WHAT'S BEEN THE REACTION AND WHAT WAS YOUR HOPE THE REACTION WOULD BE? DO YOU THINK THIS IS HAVING AN IMPACT OF SOME SORT ON YOUR AUDIENCES HERE IN THIS SORT OF CENTER OF THE NATIONAL POLITICAL DISCOURSE? >> WELL, I JUST DON'T KNOW, YOU KNOW. IT PLEASES ME TO BE INVITED HERE. IT PLEASES ME THAT SECRETARY SEBELIUS ASKED ME TO PERFORM AT HSS. I'M PLEASED AT THE MEMBERS OF CONGRESS AND THE THREE JUSTICES OF THE SUPREME COURT WHO CAME AND FOUND MEANING IN THE PLAY. AND THE PEOPLE WHO COME BACK STAGE AND SAY THAT IT MEANT SOMETHING TO THEM. THAT'S WHAT I HOPE FOR IS THAT THE PLAY DOES SUCCESSFULLY REVEAL THE HUMAN SIDE OF THE STORY WHICH CAN OTHERWISE BE TIED UP AND MADE BLOODLESS BY THE NECESSARY LANGUAGE OF WASHINGTON. IT'S NECESSARY, RIGHT, THAT IT HAVE ITS FORMALITY. BUT OF COURSE I DON'T NEED TO TELL YOU THAT WE MUST CAUTION OURSELVES AGAINST REALLY TRUSTING THAT THIS RHETORICAL ARENA WILL SAVE LIVES. IT CAN HELP PRODUCE THAT BUT WHAT I WOULD LIKE TO SEE THIS IS A VERY IMPORTANT DEBATE FOR US TO HAVE. WE SHOULD BE TALKING ABOUT WHAT WE'RE GOING TO DO WITH LIMITED RESOURCES. WE SHOULD BE TALKING ABOUT THE THINGS THAT DISTURB US. THE ETHICAL QUESTIONS THAT WE HAVE ABOUT LIFE, ABOUT DEATH, ABOUT HOW IT BEGINS, ABOUT HOW IT ENDS AND WHAT WE AS CITIZENS OR WHAT THE GOVERNMENT HAS TO DO WITH THAT REALLY IMPORTANT CONVERSATION FOR THE PEOPLE TO HAVE. I JUST HOPE, I GET TO TAKE THIS PLAY ACROSS THE COUNTRY, I HOPE IT CAN INSPIRE COMMUNITY LEADERS TO BRING PEOPLE TOGETHER ON BOTH SIDES OF THE AISLES AND OF COURSE THE MEDIA WHICH IS THE FOURTH ESTATE FOR THEM TO DO IT EITHER. >> SO ANNA, YOU'VE BEEN VERY GIN RUSS -- GENEROUS TO COME HERE THIS MORNING AND SHARE YOUR CREATIVE WORK WITH US ESPECIALLY GIVEN THAT YOU HAVE A SHOW TONIGHT AND THREE MORE NEXT WEEK. AND THIS IS A PRETTY INTENSE SCHEDULE THAT YOU'RE KEEPING UP. WE ARE THE NATIONAL INSTITUTES OF HEALTH, THE PEOPLE IN THIS ROOM AND MANY OTHERS WHO AREN'T HERE THAT ARE PART OF THIS AMAZING INSTITUTION ARE DEDICATED TO TRY TO MAKE THOSE DISCOVERIES AND THOSE APPLICATIONS THAT ARE GOING TO IMPROVE HUMAN HEALTH BOTH HERE IN THIS COUNTRY AND ACROSS THE WORLD. AND YET AT TIMES WE TOIL AWAY WITH EFFORTS THAT DON'T PAN OUT. AT TIMES WE GET FRUSTRATED BECAUSEN'T WHEN WE DO COME UP WITH THINGS THAT LOOKS AS IF THEY WOULD BE BENEFICIAL TO PEOPLE, IT'S HARD TO GET THAT IMPLEMENTED BECAUSE OUR HEALTHCARE SYSTEM IS OFTEN TIMES SO BROKEN AND SO WE HAVE OPTIMISTIC HOPES FOR A BETTER TIME IN THE FUTURE WHERE OUR LABORS WILL BE EVEN MORE SUCCESSFUL IN REACHING THE PEOPLE THAT YOU HAVE SHOWN US IN THIS WONDERFUL COLLECTION OF VIGNETTES. YOU HAD A CHANCE THIS MORNING TO WALK THROUGH THE CLINICAL CENTER, I GATHER AND TO SEE SOME OF THE FACILITIES AND TO TALK TO A FEW OF THE PATIENTS. I THINK PEOPLE HERE IN THIS ROOM ARE CAPTIVATED BY WHAT YOU HAVE SHOWN US IN YOUR MIRROR. IS THERE SOMETHING YOU WOULD WANT TO BASICALLY LEAVE US WITH IN TERMS OF WORDS OF EXHORTATION OR WHATEVER, TO REFLECT UPON WHAT IS GOING ON HERE AS YOU HAVE SEEN IT THIS MORNING. >> I GOT A TOUR OF THE PLACE. WHAT IS MORE PRECIOUS TO ME THAT I GOT, YOUR GIFT TO ME IS AN UNDERSTANDING THAT YOU HAVE A MISSION. YOU USED THE WORD WONDER. I HAVE AN ENORMOUS AMOUNT OF WONDER WHENEVER I SEE MISSION IN ACTION IN A VERY MATERIALISTIC TIME OF HISTORY. AND I LEAVE HERE, I HOPE YOU DON'T MIND, A LOT OF TIMES I GO PLACES AND PEOPLE WANT TO KNOW WHAT I HOPE PEOPLE TAKE AWAY. I'M THE ONE WITH THE TAKE AWAY. I HOPE YOU DON'T FEEL ROBBED, BECAUSE I'M TAKING AWAY A CHARGE TO FIND MISSION IN MY WORK AS AN ARTIST. AND I CAN'T THANK YOU ENOUGH FOR HAVING GIVEN ME THAT TODAY. [APPLAUSE] >> ANNA DEAVERE SMITH, EVERYBODY.