I conducted this interview as part of a series highlighting issues that arise with High Needs/High Costs patients (ie the 5% of the health care population who account for well over 50% of health care costs). I made these videos on location in patients' homes and because they deal with highly personal and emotional issues, I spent time speaking with them extensively about the material we would cover before starting the interview. After we developed rapport and built trust, I turned on the camera and the subjects were extremely forthcoming. This was extremely rewarding work.

I conducted this video about High Needs/High Costs patients with Faustino, who was born with a cognitive impairment that stopped his intellectual development approximately at the age of 8. There were many challenges, both because his apartment was tiny and because he had difficulty expressing himself clearly. We spent a lot of time building trust with family before starting the interview, and I was prepared to record extensively to ensure that all useful communication was captured. This was emotional work, as he was recovering from an amputation that resulted from his difficulty complying with his medical regimen.

Video 3/3 about High Needs/High Costs patients. Maurice is a caregiver working extensively with this patient population.