In this discussion, Matt Stoller, an antitrust analyst and author of the newsletter "Big," delves into Biden's antitrust policy and contrasts it with the neoliberal past. James Li, host of "5149," highlights the significant grip of Big Pharma on public health, focusing on its lobbying power and the undermining of trust in vaccine distribution. The conversation also touches on the aftermath of the Ohio Rail Disaster, exploring the critical safety issues and corporate negligence that led to this environmental crisis.