Tag Archives: Medicaid

They Must Have Really Little Offices

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On Friday, The Conservative Treehouse reported:

Centers for Medicaid and Medicare Services (CMS) Director Dr. Mehmet Oz and Deputy Director for Health and Human Services, Jim O’Neill, just released a stunning video from Minnesota.  They discuss a former linen factory that was transformed into 400 Medicaid businesses that generated almost $380 million in billing to CMS.

It doesn’t make sense.  One industrial building housing almost 400 individual Medicaid businesses that cost taxpayers $380 million in payments for services that are now under investigation.  It is almost guaranteed these complex houses fraudulent fake businesses.  Director Oz dropped the video on his X account.

The video is interesting in that Director Oz notes that while they are walking around filming, they are being watched. I believe the fraud in Minnesota is very well protected by those in power who profit from it.

The article concludes:

“They generated about $380 million of billing that you, the taxpayer, were putting up. That means roughly each business had a million dollars of billing.”  … “It’s an industrial area. There’s no reason that you have a mother bring her child.”

“You can’t imagine getting extra business support. An autistic child probably wouldn’t want to come here. You hear the noise. It’s just not a hospitable place.”

“The question is, how is it possible 400 businesses billing almost $400 million were able to thrive here?!”

“I think it’s because they weren’t looking. They didn’t want to know that this problem was happening here.”

“We’re here to figure out why these folks are being defrauded. Why the people who live in Minnesota aren’t getting access to the care they deserve because it’s been stolen.”

This is a disgrace. It’s time to discontinue all federal funds to Minnesota until a complete audit of where those funds are going can be completed.

Holding The Line

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On January 12th, The Federalist posted an article about the reaction to President Trump’s statement about being flexible about using federal funds to fund abortion. This may be an issue where Republicans actually demonstrate having a spine.

The article reports:

Less than one week after President Donald Trump appeared to encourage congressional Republicans to put the annually passed congressional restriction on taxpayer-funded abortion on the chopping block, the White House is walking back his comments and members of the Senate GOP who looked like they might cave with Trump are committing to holding the line on the Hyde Amendment.

For nearly 50 years, the legislative provision barring taxpayer-funded elective abortions, including through federal healthcare programs such as Medicaid, was a nonnegotiable for Republicans who claim to belong to the pro-life party. Congress’ latest fight over whether to extend Obamacare, however, put the Hyde Amendment in the line of fire from both Democrats, who have had it out for Hyde for years, and the GOP alike.

The first call from inside the house came last week, when Trump urged GOP representatives to “be a little flexible on Hyde.”

The article concludes:

The Federalist also asked the White House early last week to clarify Trump’s comments and position on the Hyde Amendment, especially considering his historic support for making it permanent, but did not receive a response. On Friday, White House Press Secretary Karoline Leavitt appeared to walk back Trump’s declaration. She told The Daily Signal that “The president did not change the administration’s policy” on prohibiting taxpayer-funded abortion and pointed to his 2024 executive order demanding Hyde Amendment enforcement.

“What the president was saying yesterday was Republicans, and frankly Democrats, too, need to show a little bit more flexibility so we can actually get something done with respect to the issue of health care,” Leavitt added.

Using federal funds to fund abortion is a bad idea. First of all, it devalues life. We have enough scientific evidence now to know that a baby is a baby when it is conceived–it is not a blob of tissue, it is not any other animal–it is a baby. I don’t think we will ever reach a point where abortion is illegal in all fifty states, but we can stop the federal government from funding it.

Where The Money Is Going

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According to the National Debt Clock, the current national debt is about $38 trillion dollars (that’s a lot of zeroes). In addition to cutting spending, it might also be a good idea to see how we got here.

On Sunday, The Daily Signal reported the following:

Oregon state Rep. Dwayne Yunker began asking questions when he discovered the state was using tax dollars to bring developmentally disabled clients to a strip club this past summer. 

Yunker—a Republican lawmaker in a very blue state with a Democrat super majority in the legislature—has exposed this and other controversial Medicaid spending in the state that has little or nothing to do with medical or health issues. 

On Monday, he will be in Washington meeting with members of Congress and Trump administration officials about looking into how his state—and likely others—are spending Medicaid dollars. Medicaid is a joint federal-state program intended to cover health care coverage for the poor or disabled. 

The Oregon Department of Human Services informed the lawmaker in mid-August that denying the strip club outing could jeopardize federal Medicaid funding, Yunker told The Daily Signal. 

Specifically, the state agency referred to a federal law that requires state Medicaid programs to help disabled people integrate into the community. 

“The adult day care [program] has taken developmentally disabled clients to strip clubs and bars,” Yunker said. “They say they are integrating them with the community. But we are not talking about taking them to a park or the museum.”

Yunker supports the Trump administration’s reforms to Medicaid in the One Big Beautiful Bill Act that include work requirements to receive benefits. 

The article concludes:

The part of the funding paying for illegal immigrants comes from state Medicaid dollars, not federal Medicaid dollars. The state also notes online that Medicaid dollars can go for temporary rental assistance as well as nutrition assistance.  

In August, Oregon Gov. Tina Kotek, a Democrat, denounced Republicans’ federal Medicaid reforms, saying they will make Americans and Oregonians “sicker, hungrier, and less prosperous.” 

“I am going to work with Oregon lawmakers and community partners to do all that we can to stand up for Oregonians and get through this needless, callous hardship,” Kotek said.

In his letter to Oz, Yunker wrote, “The real hardship is what my constituents endure under Oregon’s broken Medicaid program.”

“We’ve barely scratched the surface of the broken Medicaid system,” he said.

Using taxpayer dollars to take people to strip clubs is not helping anyone (except the strip club owners).

Where The Money Went

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On Friday, The Federalist posted an article about how Medicaid money was spent.

The article reports:

Five states and Washington, D.C., funneled more than $1.35 billion in federal taxpayer Medicaid funding to illegals, according to a preliminary audit of the program completed by the Centers for Medicare and Medicaid Services (CMS).

CMS Administrator Dr. Mehemet Oz posted the results of the preliminary audit on social media showing California, D.C., Illinois, Washington, Colorado, and Oregon spent millions each on illegals, with California spending the bulk, topping over $1.3 billion alone.

That money, according to Oz, was spent “just in the last few months.”

The left constantly claims this does not, or even cannot, happen because it is against federal law to use programs like Medicaid — something meant for Americans — for illegals, but that small sample of states shows that states are defrauding the American people out of their own programs to the tune of billions of dollars.

That claim is even more spurious considering the Democrats are only days away from breaking the all-time longest government shutdown record because they care more about funding health care for illegals than citizens of their own country.

“Some want to deny that illegal immigrants are receiving Medicaid. Others insist it’s illegal for Medicaid to cover illegal immigrants. And others accurately point out that hospitals can provide emergency services to illegal immigrants under the program,” Oz said, noting CMS is intending to have the money returned to them.

The article concludes:

Immigrations and Customs Enforcement (ICE) operations seemed to have alleviated some of the pressure from certain emergency rooms notorious for being abused by illegal aliens, as The Federalist reported, but Dr. Jared Ross, an emergency room doctor, said that illegals being kicked off Medicaid from the OBBB could have the unintended consequence of turning them toward emergency rooms instead of going to general practitioners using insurance.

Reforms in the OBBB are necessary to stop American taxpayers and communities from having to deal with the burden illegal aliens put on their health programs and institutions, but another major avenue of reform will be altering EMTALA to limit illegal immigrants’ capacity to abuse the system.

American taxpayers cannot afford to continue to support people who are here illegally.

Misplaced Priorities

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On Monday, The Daily Caller posted an article about some of the spending priorities in the state of Oregon.

The article reports:

Oregon will spend more in its current budget period on free health care for immigrants regardless of legal status than on state police by $500 million or more, according to state officials and budget documents.

Oregon officials expect to spend $1.5 billion in combined state and federal taxpayer dollars on a program that offers health benefits to illegal aliens from 2025 to 2027. They expect to spend $717 million on Oregon State Police over the same period, the documents indicate.

The state’s health agency, the Oregon Health Authority, said in an email to the Daily Caller News Foundation that the state expects to allocate $1.2 billion to the program — originally named “Cover All People” and now called the “Healthier Oregon Program” (HOP). Oregon lays out budgets in two-year “bienniums.”

The federal government will supply 25% of the funding to provide health benefits to illegal aliens in Oregon, the OHA told the DCNF.

The data emblematizes some of the Democratic stronghold’s policy priorities — facilitating illegal immigrants’ access to health care and reducing criminal crackdowns. These very policies have touched off a government shutdown in Washington, D.C., and protests in Portland.

Medicaid — the joint federal-state program that traditionally provided health services to children, pregnant mothers and disabled adults — formally bars illegal immigrants from receiving benefits.

But some blue states have innovated creative accounting methods to extract federal dollars without the federal restrictions, according to the Paragon Health Institute, a non-partisan policy research group. Blue states will issue taxes on Medicaid insurers and providers, obtain a bundle of federal matching dollars for those funds, then return the taxed money to those institutions, the think tank points out.

The article concludes with some information on what is happening in Portland:

Meanwhile in Portland, nightly protests continue outside of an Immigration and Customs Enforcement (ICE) facility.

Attorneys for the state of Oregon and city of Portland have argued in court against the deployment of the National Guard, saying that violent crime in Portland is significantly down.

But on Wednesday, the Portland City Council heard testimony from several small business owners who argued in support of an initiative to revive Portland storefronts amid break-ins, fires, graffiti, shoplifting, public drug use and visible mental health crises.

“I’ve replaced a total of nine windows, three locks from attempted break-ins, I’ve been spit on, I’ve been punched twice, once resulting in a black eye. I had a man masturbating in my window. I’ve had a gun pulled on me twice — once was last week. I’ve had a knife pulled on me,” said Steve Cook, owner of Portland business Vinyl Resting Place. “When I’m found dead in my shop, I’m gonna be like ‘I told you so.’”

The voters in Oregon need to take a good look at where their money is going and whether or not they want to be safe in their homes.

The Real Purpose

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On Monday, Newsbusters posted an article about the Affordable Care Act (Obamacare) which has turned out to be anything but affordable.

The article reports:

Hold on to your britches because you’re not going to believe this one. The Washington Post Editorial Board just admitted that the so-called “Affordable Care Act,” one the most notorious pieces of Obama-era legislation foisted upon consumers by legislators and the liberal media as the saving grace of American health care, turned out to be an expensive mess.

The Post tried to play both sides of the fence in the ongoing government shutdown stand off with Republicans and Democrats, the latter of which demanded “Republicans agree to extend the Covid-era insurance subsidies without proposing any way to pay for it.” Then The Post ran one of the biggest plot twists ever to hit American politics in the last 15 years: “The real problem is that the Affordable Care Act [Obamacare] was never actually affordable.”

Nope, your eyes didn’t deceive you. The architects of former President Barack Obama’s 2010 “signature achievement,” wrote The Post, “assumed that risk pools would be bigger than they turned out to be. As a result, policies cost more than expected.”

Gee, that’s an awfully different tone than the liberal rag was striking in 2024 when the editorial board celebrated how “Obamacare is working brilliantly — for now.” That’s despite the fact that premiums for individual market plans doubled in costs and “the per enrollee cost of Medicaid expansion is nearly 60 percent greater than what experts projected,” as the Paragon Health Institute summarized in an October 2024 study.

The article concludes:

But now, the years of nonstop pro-Obamacare gaslighting and narrative-twisting that got spewed out of The Post’s printers seems to have been undone by, er, The Post itself:

This is how entitlement programs work. Once you habituate people to some generous government handout, they grow dependent on it. And it becomes politically perilous, if not impossible, to fully claw it back.”

That is how the Democrat Party works. Install entitlement, blame Republicans when anyone tries to limit it in any way.

Obamacare was never supposed to work–its purpose was to bring America closer to government-controlled (and allocated) healthcare. Why should Americans be able to get surgery quickly when needed when Britain and Canada wait months and sometimes years for necessary surgery. We knew someone in Britain that died during his second year of waiting for heart surgery. We don’t want that in America.

The Health Care Heist

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On Wednesday, PJ Media posted an article about the biggest health care heist in American history. The heist was discovered thanks to the efforts of the Department of Government Efficiency (DOGE), artificial intelligence (AI), and basic law enforcement techniques.

The article reports:

If you didn’t hear about the bust of 324 people; the U.S.-based cartel shell medical supply companies; the pill mills pushing opioids; the doctors on the take; or how law enforcement captured many of the bad guys at the U.S. border and airports as they rushed to escape, that’s understandable. The feds revealed this potential $14.6 billion “depth charge” planted inside the Medicaid, Medicare, and private insurance programs in June, while most people were away on summer vacation.

Why did transnational organizations go after these particular programs? “Criminals go where the money is,” Acting Health and Human Services Inspector General,Juliet Hodgkins said at a news conference about “the largest health care fraud takedown in American history.” There’s more than $1.4 trillion spent by these government programs per year, and the bad guys have tried, by hook or by crook, and even with the aid of AI, to set into motion plans to steal nearly $15 billion. They got away with just shy of $3 billion before they were caught, and their other frauds were frozen in their tracks.

If this bust looks to you like it had Elon Musk’s old Department of Government Efficiency fingerprints on it, you’d be right. Using AI and law enforcement tactics, the DOGE team worked with HHS, the Center for Medicare and Medicaid, and an all-hands-on-deck array of federal agents from the DEA, FBI, and health care agencies to track down all fraud leads, according to Dr. Mehmet Oz, head of the Centers for Medicare and Medicaid Services (CMS). As a result, the feds are setting up a healthcare data fusion center to detect where fraud spikes are occurring in near real time.

The article concludes:

Other scams used a network of Phoenix-based sober living houses to demand government payments for people who never got addiction treatment at the facilities. The facilities, run by ProMD, received $560 million before the feds caught on to the scam.

In Atlanta, medical professionals ordered skin grafts for dying patients who didn’t need them. By the time the grift was discovered, they’d scammed Medicare out of $760 million.

People from as far away as Estonia have been arrested. Seven people were found trying to scuttle over the southern U.S. border but were stopped before they got away. Another bunch were caught trying to leave the country from U.S. airports.

The bad actors from Russia, Pakistan, and Eastern Europe used the American health care system like their “personal piggy bank,” the Department of Justice’s Acting Criminal Division leader, Matthew Galeotti, said. He said that “this was a staggering breach of trust” and they “will prosecute these criminals as aggressively as we would any drug dealer because that’s exactly what they are.”

Musk, who stepped away from the White House after a rift with President Donald Trump, is the one who conceived and executed the DOGE project, and he’s a damned American hero. Let’s give that guy a medal for saving American taxpayers yet another tranche of billions.

All of this fraud was paid for by the American taxpayers.

Deflecting From The Actual Problem

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One of the Democrat talking points about ‘The Big Beautiful Bill’ is that the changes in healthcare policies present a threat to rural hospitals. The changes in the bill are actually not the problem, but there is something that does need to be fixed in order for rural hospitals to survive.

On Wednesday, Red State reported:

The Democrats have decided that they want to make the One Big Beautiful Bill their primary campaign talking point in 2026. They think that by focusing on Medicaid cuts, they can scare voters away from the Republican Party and back toward them for the midterms.

One of their focus points is how Medicaid cuts might impact rural hospitals. But the Democrats are also big proponents of doing away with the 340B drug program that those same hospitals rely on, and they aren’t lifting a finger to stop big pharmaceutical companies from trying to gut it however they can.

What’s Really Happening

Five major pharmaceutical companies—Bristol Myers Squibb, Eli Lilly, Johnson & Johnson, Novartis, and Sanofi—are pushing to fundamentally change how rural hospitals get discounted drugs. Instead of getting upfront discounts through the federal 340B program, these companies want to switch to a “rebate model” where hospitals pay full price first, then wait for pharmaceutical companies to maybe pay them back later.

Sound like a scam? That’s because it is.

The Numbers Don’t Lie

A new national survey by 340B Health shows just how devastating this change would be. The average critical access hospital—these are the small rural hospitals with 25 beds or fewer that serve communities across Louisiana and the rest of rural America—would have to float an extra $1.7 million per year to pharmaceutical companies.

Think about that for a minute. Rural hospitals that are already operating on razor-thin margins would suddenly have to come up with nearly $2 million in upfront cash, then wait for drug companies to process their rebate requests “using their own criteria and timelines.”

The article concludes:

But while Washington argues about Medicaid work requirements that might affect rural hospitals down the road, Big Pharma is actively working to destroy rural healthcare right now. And they’re counting on nobody paying attention.

The 340B program isn’t perfect—no federal program is. But it’s a lifeline for rural hospitals that serve the patients nobody else wants to treat. If we let pharmaceutical companies turn it into just another profit center, we’ll lose more than hospitals. We’ll lose entire communities.

It’s time to call this what it is: corporate greed masquerading as healthcare reform. And it’s time to stop it before it’s too late.

Please follow the link to read the entire article. This might be a really good time to examine the campaign contributions from pharmaceutical companies given to the Congressmen pushing this idea.

A Definite Step In The Right Direction

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On Thursday, Ed Morrissey at Hot Air posted an article about Health and Human Services using the rule-making process to prevent the federal government from directly funding sex-altering procedures on minors. Medicaid and the Children’s Health Insurance Program (CHIP), National Review currently fund these procedures.

The article quotes The National Review:

The Department of Health and Human Services will soon begin the rule-making process to prohibit the federal government from directly funding sex-trait modifications for minors through Medicaid and the Children’s Health Insurance Program (CHIP), National Review has learned.

The White House is in “the final stage of review for a new rule that would make it a condition of hospitals participating in Medicare or Medicaid that they not provide sex trait modifications to minors,” according to an administration official. The prohibition will apply to hospitals that provide puberty blockers, cross-sex hormones, and gender-transition surgeries to minors.

The groundbreaking decision by the White House to use the power of the executive to ban federally funded gender-transition services for minors follows an unsuccessful attempt by congressional Republicans to ban federal funding for such practices through the budget reconciliation process. The Senate parliamentarian ruled that the legislative language included in the “One Big Beautiful Bill Act” did not clear the Byrd rule, prompting GOP lawmakers to spike the language from the final bill that passed earlier this month.

The article explains the significance of using the rules process for this item:

How do we know this will happen? Using the rules process practically ensures it. Most administrations make the mistake of skipping over these steps in haste to make their point, but courts take the Administrative Procedure Act very seriously. An executive order does not overcome the APA in matters such as these. The use of the rulemaking process will slow this down, but it will also ensure that the changes will be legally bulletproof, or as bulletproof as activist district courts allow them to be. 

The article concludes:

…If providers are defrauding Medicare and Medicaid to get paid directly for pediatric sex-change therapies, their CMS funding can stop immediately. HHS has the authority to enforce its rules by suspending or excluding providers engaged in fraud from federal repayments, and the DoJ can and often does take up those cases on a criminal basis as well. 

The best part of this will be the rethinking it will require. The UK has already cut its support for pediatric sex-change therapies after the Cass Review determined that puberty blockers did nothing to address pediatric gender dysphoria while essentially sterilizing children. Another major study on the issue here in the US got suppressed last year for allegedly coming to the same conclusion. Both HHS and the DoJ are already investigating several cases of detransitioners who claim now to have gotten pressured into life-changing surgeries and therapies by providers who also receive CMS funding.

HHS sent a warning signal in May over the lack of sound scientific or medical evidence for pediatric sex-change therapies. This is just the next shoe dropping on radicalized providers pushing fad medicine and maiming children for virtue signaling. It won’t be the last. 

This is child abuse and needs to be stopped. Cutting off the federal funding is a good first step in that direction.

Exactly What Does The Big Beautiful Bill Do To Medicaid?

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On Wednesday, The Daily Caller posted an article about the impact of the Big Beautiful Bill on Medicaid.

The article reports:

Signed into law by President Donald Trump on July 4, the GOP’s sweeping tax and spending package projects over $1 trillion in savings from Medicaid reforms. While Democrats have portrayed the changes as an unprecedented assault on the health care system, they ignore the explosive surge in Medicaid spending over the past decade and mischaracterize reforms that mainly target a widely exploited funding loophole and nonworking, able-bodied enrollees.

“What we’re seeing from the left and special interest groups are blanket fear-based arguments against the proposal,” Nina Owcharenko Schaefer, director of the Center for Health and Welfare Policy at the Heritage Foundation, told the Daily Caller News Foundation. “These are just common-sense changes that tighten up the existing structure of the Medicaid program, weed out fraud, waste and abuse, and help the system function better.”

The article explain one way the Medicaid system is exploited:

Just a day before the bill’s passage, a rural hospital in Nebraska announced that it would be shutting down, citing “anticipated federal budget cuts to Medicaid.” Democrat Sen. Bernie Sanders of Vermont warned it would be the “first of many hospitals to close” because of the “horrific cuts.”

Yet, many of the key reforms — including the crackdown on “provider taxes,” which critics describe as a gimmick used by states to inflate Medicaid costs and extract more federal dollars — will not take effect until 2028.

The federal government matches a portion of each state’s Medicaid expenditures. To maximize this match, many states tax hospitals and other healthcare providers, then return that money to them as Medicaid payments, creating the appearance of higher state Medicaid spending.

“Provider taxes are basically funding gimmicks and legalized money laundering that allow states to scheme federal taxpayers into footing the bill for bailouts to hospitals,” said Dublois.

The article concludes:

Democrats such as New Jersey Rep. Frank Pallone, ranking member of the House Energy and Commerce Committee, have claimed that work requirements “will result in millions of Americans losing health care coverage and getting sicker due to bureaucratic paperwork requirements,” while some corporate media outlets have argued states would struggle to build systems to track compliance.

However, with implementation still years away, Dublois said states have a “lengthy runway to get this done,” adding that “[Centers for Medicare and Medicaid Services] provides guidance to those states well in advance of when those work requirements need to be implemented, and there will be CMS grant funds available to states to help implement them.”

State Medicaid agency data obtained by the FGA through Freedom of Information Act requests reveal that 62% of non-elderly, able-bodied individuals on Medicaid did not work. Additionally, the American Enterprise Institute found in May that Medicaid recipients who do not work spend 4.2 hours per day — or 125 hours a month — watching TV and playing video games, more than 50% above the 80-hour work requirement.

“It’s the common-sense parts of the bill that are hard for liberals to argue against, so they don’t want to look at what’s actually in the bill,” said Schaefer. “A lot of the fearmongering out there is saying, ‘We just want the status quo to run as is. Let’s keep our heads in the sand and let’s not worry that we’re spending a trillion dollars on a program that is supposed to be for very low-income people.’”

Maybe I’m just old fashioned, but I believe that people who are able to work and do not have small children should be required to work in order to receive government benefits. The rest of us are required to work to pay those benefits.

Changing The Funding Of Abortions

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On Thursday, The National Review posted an article about a Supreme Court decision that will impact the funding of abortion.

The article reports:

The Supreme Court is allowing South Carolina to cut off Medicaid funding to Planned Parenthood, a win for pro-lifers that will likely clear the way for red states across the country to stop taxpayer dollars from funding abortion.

The justices ruled 6-3 along ideological lines Thursday to permit South Carolina to cut off Medicaid funding for Planned Parenthood. Justice Neil Gorsuch wrote the majority opinion for the Court, siding with the state against a private challenge brought by the abortion provider and a patient.

The plaintiffs in Medina v. Planned Parenthood South Atlantic argued that Medicaid patients should be free to sue in order to choose their own health-care providers, while the state claimed they lacked the right to sue.

…South Carolina stopped allowing Planned Parenthood to participate in its Medicaid program in 2018 because of state law barring the public funding of abortion. The move was immediately blocked in court in response to a challenge brought by Julie Edwards, a South Carolina woman who claimed she preferred Planned Parenthood for gynecological care and needed Medicaid coverage.

The article concludes:

Planned Parenthood has claimed that cutting off taxpayer funds would lead to the closure of up to a third of its brick-and-mortar clinics, potentially making it more difficult for low income women to receive healthcare.

But for every Planned Parenthood clinic in the U.S., there are 15 federally funded clinics offering women’s healthcare, according to a report from the pro-life Charlotte Lozier Institute. If Medicaid does not reimburse Planned Parenthood clinics anymore, patients can go elsewhere to receive reimbursements for treatment.

Abortion is not healthcare–it is the killing of an unborn baby. Americans who do not believe in killing babies should not be forced to subsidize it with their tax dollars.

Unfortunately, Congressmen Don’t Face Consequences For Lying

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On Monday, Breitbart posted an article about House Minority Leader Hakeem Jeffries (D-NY) comments about President Donald Trump’s economy and the Republicans’ proposed changes to Medicaid and Obamacare spending. Unfortunately, those comments were not based on facts.

The article reports:

Speaking on the Mornings with Zerlina radio show last Thursday, Jeffries repeated the already-debunked lie that “about 13.7 million people will be flown off their health care” due to the reconciliation bill the House passed last month, which is now under the consideration of the Senate. 

…Jeffries went on to allege that “people are going to die” if the budget passes the Senate. As if that wasn’t enough for these extremists.”

Despite his outlandish claims about the bill — which found $880 billion in savings by making various changes and cuts to Medicaid — the New York Times had already admitted that the 13.7 million figure was exaggerated by millions. 

The outlet reported on May 13 that the “real number” of Americans set to lose their health insurance under the new proposed budget “is about 8.6 million,” though dozens of left-wing lawmakers — including Sens. Bernie Sanders (I-VT), Patty Murray (D-WA), and Dick Durbin (D-IL) — have all repeated the falsehood. 

Why are they losing their health insurance–because they were not entitled to it in the first place!

The article notes:

Proposed changes to the taxpayer-funded healthcare system include increased checks to verify eligibility for Medicaid, as the program suffers from massive waste, fraud, and abuse. 

According to House Speaker Mike Johnson (R-LA), over 1.4 million illegal aliens are on Medicaid. 

A recent study found that Medicaid doled out $1.1 trillion in improper payments over the last decade, Breitbart News reported.

Jeffries continued, “Of course, costs haven’t gone down. They’re going up. Inflation is on the way up, stock market is collapsing. They’re crashing the economy in real time, driving us toward a recession. Interest rates remain stubbornly high. They haven’t.”

Those claims are easily debunked by recent numbers from multiple outlets, including a Breitbart News report revealing that core inflation has fallen to the lowest rate in four years. 

According to USA Today, the Consumer Price Index (CPI) shows that inflation eased to a 4-year low in April as Trump’s tariffs took effect. 

Axios reported on May 15 that “hard data” suggests the fears of tariff-driven inflation and recession from the Democrats “may be overblown.”

As Yahoo Finance reported on May 13, the price of eggs “tanked” by 12.7 percent on a monthly basis in April — its largest month-over-month drop since March 1984.

If your news source is reporting the scare tactics used by the Democrat party as fact, you need to find a new news source!

The Center Of Fraud

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On Saturday, Legal Insurrection posted an article about the location of a large part of the fraud found in unemployment claims.

The article reports:

On Thursday, the Department of Government Efficiency revealed that three deep-blue states—California, New York, and Massachusetts—were responsible for $305 million, or 80%, of the $382 million in fraudulent unemployment payments issued since 2020.

DOGE also reported that 68% of unemployment benefits paid to parolees flagged by Customs and Border Protection as being on the terrorist watchlist or having criminal records were issued in California.

The DOGE team found that $59 million in unemployment benefits was paid to 24,500 people listed as over 115 years old. Another $254 million went to 28,000 people between the ages of 1 and 5, while $69 million was distributed to 9,700 people with birthdates more than 15 years in the future.

It is interesting that California, New York, and Massachusetts were responsible for 80 percent of the fraud. Slightly less than one-third of Americans live in California, Texas, Florida or New York. Having a large population makes it more difficult to track every case and makes fraud easier.

The article also notes:

DOGE also reported this week that since 2023, the U.S. Border Patrol (under the Biden administration) has paroled over 6,300 individuals flagged on the FBI’s terrorist watchlist or with criminal records into the country with “minimal screening.” Though their paroles have now been revoked, all received Social Security numbers and could access federal benefits. Among them:

    • 905 received Medicaid, including 4 on the terrorist watchlist ($276K paid out)
    • 41 collected Unemployment Insurance ($42K total)
    • 22 received federal student loans ($280K)
    • 409 got tax refunds in 2024 ($751K)
    • An undisclosed number received SNAP (food stamps)

I believe in helping people, but I also believe that charity begins at home and ideally does not involve the government. If I want to help my neighbor, good for me. However, for the government to take what I have earned and give it to someone who didn’t earn it is not a viable business plan for a nation. As Margaret Thatcher once stated, “The problem with socialism is that you eventually run out of other people’s money.”

One Problem With America’s Financial Situation

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On Friday, Breitbart posted an article about some of the abuses in Medicaid, food stamps and income tax returns.

The article reports:

A bombshell report from the Department of Government Efficiency (DOGE) revealed that migrants on the federal government’s “Terrorist Watch List” were able to secure Medicaid after being released into the United States by former President Joe Biden’s administration.

According to DOGE officials, about 6,300 of Biden’s migrants — paroled into the U.S. interior with no immigration status — were either on the Terrorist Watch List or had criminal records and yet were still rewarded work permits and Social Security numbers.

The DOGE report found that 905 of the migrants, including four on the Terrorist Watch List, had been collecting Medicaid benefits totaling $276,000 in American taxpayer dollars. Another 41 were collecting unemployment benefits totaling $42,000.

Similarly, 22 of the migrants received tax refunds in 2024 totaling $751,000 and several more received food stamp benefits.

That’s more than a million dollars that taxpayers should not have had to spend. Americans cannot afford to continue giving money to people who are not American citizens.

As Milton Friedman once stated (article here):

A decade ago, Nobel prize-winning economist Milton Friedman admonished the Wall Street Journal for its idée fixe on open-border immigration policy. “It’s just obvious you can’t have free immigration and a welfare state,” he warned. This remark adds insight to the current debate over immigration in the U.S. Senate.

The article concludes:

This week, DOGE official Antonio Gracias said not only were Biden’s parole migrants taking taxpayer-funded benefits like Medicaid, but thousands were found on a handful of states’ voter rolls.

“We looked at voter rolls and we found that thousands are registered to vote in friendly states. And we looked even further in those friendly states and found that many of those people had actually voted,” Gracias said. “It was shocking to us. If I hadn’t seen this with my own eyes, I wouldn’t believe it … it is shockingly bad.”

The people who voted illegally need to be deported. They have broken the law in coming here illegally, and they have broken the law by voting.

Pay Attention To The People Who Are Opposing The DOGE Cuts

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On Saturday, Stephen Moore posted an article at Hot Air about the opposition to the Department of Government Efficiency (DOGE) cuts.

The article reports:

If you haven’t watched the Bret Baier interviews on Fox News with Elon Musk and the other executives who have given their time and expertise to exposing the rampant fraud and inefficiency of our federal government, I urge you to do so.

It will infuriate you — and that’s what we need right now.

These Department of Government Efficiency volunteers are on a patriotic mission to repair our ship of state. They are hunting down the rats and scoundrels who have played us (we the taxpayers) for fools for so many years. It’s the greatest robbery — more than $1 trillion of fraud and corruption — in world history.

Yet too many Democrats are reacting as though Musk himself is the scoundrel.

The “Musk-ateers” have marked nearly 10 million Social Security recipients over the age of 120 as deceased. (How many monthly checks were sent out?) How about $10 billion in rent for empty office buildings? Hundreds of millions of dollars for foreign aid programs that went to “nongovernmental government organizations” and then disappeared down a rabbit hole? Billions of dollars in fraudulent Medicaid spending? A federal workforce that has been MIA for three years?

In the wake of this epic failure of governance, nearly every leading Democrat in Washington has protested: “Elon Musk is going too far.”

The article cites an example of why the Democrats oppose the budget cuts:

Or maybe the real answer is that THEY ARE IN ON THE SWINDLE. This could explain how so many politicians spent their careers in Congress and retired as multimillionaires.

In other words, what is most revealing about the Washington slime that we are waking up to in real time thanks to DOGE is that the waste and fraud is the currency of Washington. It pays the bills, and everyone in the swamp gets their cut. Remember: One third of $7 trillion is the stuff of fortunes.

How else does one explain the $2.7 million that Sen. Sheldon Whitehouse allegedly directed/laundered to his wife via a nonprofit environmental group she worked for? This would clearly be graft, but it has gone unpunished.

We are living through the harrowing last scene in a Hollywood murder mystery in which you discover that the chief of police was in on it all along.

The article concludes:

In reality, perhaps the greatest public service of the Musk-ateers is that they have taught voters that Washington should never get another penny of our tax dollars until the sewer is completely drained and the tens of thousands of fraudsters inside and outside of government are put out of business and hopefully behind bars.

I agree.

Working For Food Stamps

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On Thursday, The Daily Caller posted an article about some changes Republican leaders want to make to the Supplemental Nutrition Assistance Program (SNAP).

The article reports:

GOP lawmakers are proposing major reforms to the Supplemental Nutrition Assistance Program (SNAP), including work requirements for a vast swathe of eligible participants, the Daily Caller News Foundation (DCNF) has learned.

Republican Oklahoma Rep. Josh Brecheen and Utah Sen. Mike Lee will reintroduce the SNAP Reform and Upward Mobility Act (SRUMA) Thursday. The legislation would impose work requirements on food stamp recipients between the ages of 18 and 64, including individuals with children of six years of age or older

Able-bodied adults with no dependents between the ages of 18 and 54 are currently eligible for three months of SNAP benefits over three years before work requirements start to kick in, according to the U.S. Department of Agriculture (USDA), which oversees the program.

The article notes:

Nearly two-thirds of Americans support work requirements for individuals receiving SNAP benefits, according to a 2023 poll conducted by the Axios-Ipsos American Health Index.
Eight in ten registered Republican voters told the survey they back work requirements for SNAP or Medicaid recipients.

Brecheen and Lee’s proposal to rein in the cost of the entitlement program comes as GOP lawmakers are aiming to slash trillions in federal spending to help offset the cost of the president’s tax and spending priorities Congress is currently negotiating.

More than 42 million Americans received monthly SNAP benefits in fiscal year 2023, according to USDA data. Since the 1990s, federal SNAP spending has risen from less than $20 billion to more than $110 billion, according to information shared by Brecheen’s office.

Another suggested revision to the SNAP program is to prohibit the use of SNAP benefits to purchase soft drinks and most junk food. I may be cynical, but I suspect that if that rule is put into place, we will see a lot of food products suddenly renamed to avoid the restriction.

Change is needed. I don’t mind helping a person buy food in a time of need, but I also believe that people who are able to work should be required to work at least part time to get government benefits.

Scaring Up Voters–Literally!

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One of the signs held up by the Democrats at President Trump’s speech on Tuesday said “Save Medicaid.” Just for the record, Medicaid is not in danger. That is a scare tactic to try and persuade voters to vote Democrat.

On Wednesday, The New York Post reported:

Get ready to be bombarded with ghoulish ads warning about grandmothers dying and children denied needed cancer treatments “just to make billionaires like Elon Musk even richer.”

The ads, paid for by a Democratic PAC, started running Monday. And Monday night Democrats attending President Donald Trump’s speech to Congress held up paddles with the message “Save Medicaid.”

It’s demagoguery in full swing to combat Republican efforts to control federal spending on Medicaid and stabilize the nation’s debt.

Gov. Kathy Hochul is claiming, “House Republicans just voted to rip health care away from up to 1.8 million New Yorkers — all to bankroll giveaways for billionaires.”

The article notes:

These are lies. The needy are not going to lose their health care, and the demagogues know it. 

Truth is, congressional Republicans are finally sticking up for working people who resent covering the bills for healthy folks who refuse to work.

To control Medicaid spending, Republicans are calling for a “work requirement” for able-bodied adults without children or an elderly dependent.

“Work” overstates the toughness.  Anyone who is employed for 80 hours a month, or attends school, a training program or drug-recovery program and is low income will still be eligible for free care. Just not moochers.

Just a reminder–in 1996, President Clinton added a work requirement to welfare payments. President Obama removed it in July 2012. President Trump reinstated it in 2017. President Biden removed the work requirements for Medicaid and food stamps.

The article reminds us of the recent history of Argentina:

Take it from Javier Milei, Argentina’s president, elected one year ago.

He campaigned with a chainsaw, pledging deep cuts to his government’s out-of-control spending.

At that time, his country had one of the highest inflation rates in the world. A year later, inflation is coming down fast.

Republicans aren’t taking a chainsaw to Medicaid, but slowing its spending growth will help deter inflation and allow them to renew Trump’s 2017 tax cuts, which are about to expire.

Before 2017, the US was losing 10 multinational corporate headquarters a year to countries with lower corporate taxes.

After Trump’s 2017 cuts, the exodus stopped.

Renewing those corporate tax cuts is essential to save American jobs. Possibly yours.

When you hear the demagogues oppose Medicaid “cuts,” think of the guy sitting on the couch, while you go to work to pay his health-care tab.

Don’t fall for the phony sob stories.

Remember, there is no legal requirement for political ads to tell the truth.

A Necessary Step

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There were a lot of reasons for the number of people illegally crossing our southern border during the Biden administration. Among the illegals were people fleeing violence in their home countries, people simply looking for a better, more peaceful life, people looking to take advantage of America’s social safety net, and people simply looking for work to earn money to send home. America’s social safety net was a part of what drew people here, but it was not all of the reason. President Trump decided to do away with at least that reason.

On Wednesday, Chronicles Magazine reported the following:

The Trump White House has successfully flooded the zone in its first 30 days, flummoxing its opponents with a pace and scale even the most ardent anti-Trumper could not have expected. Among all the moves Trump has taken to combat illegal immigration, however, one executive order signed last week stands out and could be the game changer the country so desperately needs.

President Trump’s  order to end federal spending on those here illegally is one of the most meaningful steps taken to end America’s long-running problems with illegal immigration.

“The surge in illegal immigration, enabled by the previous Administration, is siphoning dollars and essential services from American citizens while state and local budgets grow increasingly strained,” the order states. “With this Executive Order, President Trump is ensuring taxpayer resources are used to protect the interests of American citizens, not illegal aliens.”

How many dollars are there in question? A report from the Congressional Budget Office (CBO) last year targeted federal expenditures on illegal aliens during the four years of the Biden administration. The CBO claimed that that the federal government spent $177 billion in benefits for adult illegal aliens and their children who were admitted under Biden. Add that to another $101 billion of other federal spending on illegals, and CBO’s figure comes to $277 billion.

The report further specified where that money goes. Among the biggest categories were Obamacare premium tax credits ($59 billion), Earned Income Tax Credit and Child Tax Credit ($43 billion), Medicaid and Children’s Health Insurance Program, also known as CHIP ($40 billion), and food stamps ($15 billion). This only includes federal spending. A study in 2023 found the annual net cost of illegal immigration to the United States at the federal, state, and local levels, is $150.7 billion.  

Is there any question that this needs to stop now?

Hiding The Increased Cost Of Medicare Premiums Caused By The Passage Of The Inflation Reduction Act

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The Inflation Reduction Act did a lot of things. One of the things it did not do was reduce inflation. We are now finding out that it will cause a significant increase in the cost of Medicare Insurance.

On Wednesday, Fox News posted an article about the use of taxpayer money to delay the increases until after the election.

The article explains:

In a move critics say is designed to shield the Biden-Harris administration from election fallout, the administration has leveraged taxpayer funds to mask upcoming increases in Medicare premiums.

Under the Inflation Reduction Act (IRA), which was intended to cap out-of-pocket drug costs for Medicare beneficiaries, insurers are poised to significantly hike monthly premiums, with average bids for Part D plans expected to triple by 2025.

In response to potential voter backlash, the Centers for Medicare and Medicaid Services (CMS) rolled out a three-year “demonstration project” to subsidize these premiums, aiming to keep them artificially low. However, despite the appearance of relief, some critics are saying that taxpayers will fund a dramatic increase in subsidies — from $30 per recipient per month in 2024 to $142.70 in 2025 — raising concerns about the long-term impact on government spending and debt. 

The article notes:

Research published by Fidelity, an investment research group, shows that a 65-year-old retiring today can expect to spend $165,000 on health care in retirement, a 5% increase from last year and more than double the estimate from 2002.

Yet, there appears to be a disconnect for many Americans between the actual projected cost of health care in retirement and how much they expect to spend on those expenses. The average American thinks they will spend about $75,000 on health care and other medical expenses, less than half of Fidelity’s calculation, according to the research.

The estimate assumes that an individual is enrolled in Medicare – including Part A and Part B, which cover most hospital care and doctor’s visits – and Part D, which covers prescription drugs. Other expenses such as Medicare premiums, over-the-counter medications, dental and vision care and other costs typically not covered by Medicare are “left to retirees to manage on their own,” the report said.

As of April 2024, about 67.3 million Americans were enrolled in Medicare, according to the Centers for Medicare and Medicaid Services. Of those, about half were enrolled in a Medicare Advantage plan, while about 80% were covered by Medicare Part D.

“They just want to get through the election,” Grogan (former President Trump advisor Joe Grogan) said. “They’re hoping after the election they can face it, but its gonna need to be dealt with in the next 12–18 months. They did not believe it would be this bad and its only gonna get worse.” 

Medicine was much more efficient and much cheaper before the government got involved. It is time to let medicine become a free-market part of the economy. More competition will provide more care at a more reasonable price for everyone.

 

 

Training the Sheep

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Author: R. Alan Harrop, Ph.D

Freedom is not a permanent state in any society. It is better visualized as something that has to be nurtured and defended constantly if it is to survive. The Founding Fathers recognized this truism. For example, Benjamin Franklin when asked what type of government had been created by the newly written Constitution, he replied: “A constitutional Republic if you can keep it.” Sadly, recent actions by the Biden regime raise the question of whether we are going to show the courage to fight for freedom or act like sheep.

The expansion of the welfare state and people’s willingness to be on the government dole, which would have been rejected by prior generations, shows that many Americans do not treasure their independence as much as we once did. All government handouts come with strings attached that limit our freedoms. Federal government funds provided for Medicaid expansion recently moved many states, including unfortunately North Carolina, to accept increased government control of our healthcare.

The use of fear by the Biden regime resulted in many people caving to the curtailment of their freedoms during the COVID outbreak. Similarly, they are using the fear of catastrophic climate change to get people to accept restricted freedom and a reduction in their standard of living. For example, recently proposed, impossible to achieve, restrictions on emissions from internal combustion engines will effectively result in only the production of electric vehicles by 2032. Freedom of choice is eliminated when the government allows only one option. That is also the case with gas stoves and other household appliances. The regulatory agencies are increasingly the way the Biden regime is controlling our lives and curtailing our freedoms.

Freedom of speech is the basis of all our freedoms. As the revelations made by the Republican controlled House have shown, the Biden regime, with the assistance of the FBI and the DOJ, colluded with platforms like Facebook and Twitter to interfere and block our freedom of speech. Questioning vaccines or man-made climate change were enough to get one blocked on these internet sites. Now, they have gone so far as to charge former president Trump with multiple criminal offenses because he dared to express his opinion that the 2020 election results were fraudulently obtained. Say something the Biden regime disagrees with and you are blocked on social media, or now, potentially indicted for a crime! If it can happen to an ex-president it can happen to all of us.

The youth of this country are being indoctrinated with the Marxist agenda. Make no mistake about it. This not only occurs at all grade levels in our public schools but also in our public libraries. Recently, I was in the public library in Boone, N.C., and observed a group of children on a scavenger hunt. The theme was the coming man-made climate catastrophe. The library staff conducted this program. No balanced information was given about the evidence that climate change is continuous and is caused by natural phenomena. Of course not!

Although the young people in our country seem oblivious to their loss of freedoms, we older people know better and must step up to fight against the Biden regime. Contact your elected officials and tell them you want the regulatory excesses stopped and the agencies that promote them de-funded. We must show them we are wolves not sheep!

Where Are The Fact-Checkers?

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On Friday, Just the News posted an article detailing some of the lies being told about raising the debt ceiling.

The article notes:

House Speaker Kevin McCarthy’s office is disputing reports on social media and websites that Republicans are demanding President Biden agree to work requirements on a litany of social services programs in exchange for raising the debt ceiling.

A headline on the website Raw Story declared, “McCarthy demands work requirements on ‘all the programs’ including Social Security, Medicare, Medicaid, and SNAP.”

The story was also retweeted by a former Obama campaign official Jon Cooper. 

“Kevin McCarthy is demanding that WORK REQUIREMENTS be added to receive not only Medicaid but also Medicare and Social Security. He doesn’t think Americans have earned their benefits – despite paying into all three programs over the course of their entire working lives,” Cooper wrote in another post Wednesday.

However, House Republicans’ push for work requirements as part of an agreement to raise the nation’s debt limit would apply only to Supplemental Nutrition Assistance Program (SNAP), Medicaid and Temporary Assistance for Needy Families (TANF).

The article notes:

The plan proposed by McCarthy and other GOP leaders to enforce work-related requirements in these federal benefit programs would not apply to Social Security and Medicare, contrary to information spreading on social media, the speaker’s office confirmed.

The article also notes that most Americans support work-requirements for some federal programs.

The article concludes:

Texas GOP Sen. Ted Cruz argued that most Americans support work requirements as opposed to issuing benefits without any strings attached.

“An overwhelming majority of Americans support a work requirement for welfare,” Cruz said.

He also suggested that Biden doesn’t support such a requirement but once did.

“You know someone [whom] President Joe Biden ought to listen to? That would be Senator Joe Biden who has previously voted for work requirements for welfare. But now he’s handed the Democrat Party over to the crazy socialist wing of the party that doesn’t want anyone to work,” he said.

Democrats point to analysis from liberal organizations such as The Center for American Progress, which have concluded that work requirements would not work under programs like Medicaid. 

Most Americans are generous people who support charity. However, the government bureaucracy has grown so bloated that it is very easy for people to scam the welfare system. When social programs were handled locally, it was easy to tell who was gaming the system and who was not. Now there is a thought in the back of the basic bureaucrat’s mind that says, “If I get everyone off welfare, I will lose my job.” This is not a good business model.

Some Basic Facts About The Debt Ceiling

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Issues & Insights is a blog that was started by the team that for decades had produced IBD Editorials at Investor’s Business Daily. They are one of the most reliable sites on the web for financial and political information.

On Monday, Issues & Insights posted an article about the debt ceiling ‘crisis.’ The article pointed out a lot of basic facts that are being overlooked in the debate.

The article notes:

At the heart of all fearmongering over the debt ceiling “crisis” is the claim that if the federal government can’t borrow more money it won’t be able to pay interest on its existing debt, leading to a default.

But that’s poppycock. The government will collect more than a trillion dollars over the next three months. (It collected $638 billion in taxes in April alone.) That will be more than enough to pay interest on the debt. And it will be enough to pay all Social Security benefits, Medicare and Medicaid bills, welfare checks, food stamps. There will even be enough money to pay for Joe Biden’s new electric car subsidies.

There just won’t be any money left for anything else. Nothing for the military, infrastructure, education, the environment, law enforcement, or any other program the federal government currently operates.

That’s because, as it stands today, every penny collected in taxes goes to pay interest on the debt and a category described as “payments for individuals.” Everything else is paid for with borrowed money.

…This year, the federal government will collect $4.8 trillion in taxes, according to the Office of Management and Budget.

It will spend $4.2 trillion on “payments for individuals,” and $661 billion in interest on the national debt.

Everyone knows about interest payments. But what are these “payments for individuals”?

As the budget document explains, payments for individuals:

Are federal government spending programs designed to transfer income (in cash or in-kind) to individuals or families. To the extent feasible, this category does not include reimbursements for current services rendered to the Government (e.g., salaries and interest).

In 1946, “payments for individuals” accounted for less than 11% of federal spending. By 1991, they reached 50%. In 2014, they topped 70% for the first time and have been bouncing around that level ever since.

The article also notes:

The vast bulk of these “payments for individuals” involve middle-class entitlements such as Social Security and Medicare, which are paid for in volume by … the middle class. Only a fraction of the money (26%) targets the poor and needy for programs such as Medicaid, welfare payments, food stamps, earned income tax credits.

Worse, some programs, Medicare, for instance, are regressive. A paper published by the National Bureau of Economic Research concluded that “Medicare has led to net transfers from the poor to the wealthy, as a result of relatively regressive financing mechanisms and the higher expenditures and longer survival times of wealthier beneficiaries.”

This is all by design. The left desperately wants to increase dependency on government, and there’s no better way to do that than through income redistribution. Take as much money away from people as possible, then give it back to them in the form of a “benefit.”

Please follow the link to read the entire article. We don’t just need to cut spending–we need to overhaul the entire federal budget and follow the lawful budget process.

Following The Money On Transgender Surgery

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Have you ever wondered where teenagers get the money for the drugs and surgery needed to be transgender? The procedures involved are not cheap. The drugs involved are regulated–you cannot pick up a prescription that contains a steroid without signing for the prescription. So who is paying for the sudden increase in transgender surgery–the American taxpayer.

On March 1, Don Surber posted an article at Substack about transgender surgery in America and who is paying for it.

The article reports:

Technavio reported in November, “The gender reassignment surgery market is estimated to grow at a compound annual growth rate of 10.73% between 2022 and 2027. The size of the market is forecast to increase by $321.48 million. The growth of the market depends on several factors, including the increase in the number of people opting for sex change surgeries globally, favorable government policies, and increasing insurance coverage for gender reassignment surgical procedures.”

Nothing medical, it’s just business.

You can see why “The AMA opposes policies preventing transgender individuals from accessing basic human services and public facilities consistent with gender identity, including the use of restrooms.”

The article explains the origin of taxpayer-funded transgender surgery:

The story said, “The authors of the aforementioned study point to Medicare’s decision in May 2014 to lift a coverage ban on transgender surgeries as the turning point in access to care, noting that the share of patients seeking gender-affirming procedures covered by Medicare or Medicaid increased from 25% in 2012-2013 to 70% in 2014. After Medicare and Medicaid started covering transgender surgeries, and after the implementation of the Affordable Care Act in 2010, private insurance companies followed suit.”

Taxpayers fund 70% of these surgeries thanks to Obama.

In 1981, Reagan banned billing taxpayers for this elective surgery. Between Obamacare and Medicare/Medicaid reimbursements, Obama and his administration produced a cottage industry that Technavio is really pushing.

Please follow the link to read the entire article. This is another example of a seemingly minor change in the law that has had huge ramifications. It is another example of the reason all Americans need to pay attention to any changes in government regulations.

Respecting The Tenth Amendment

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The Tenth Amendment states:

The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.

To say that we have wandered from this principle is the equivalent of saying that there is some sand in the Sahara Desert. President Trump is slowly trying to put in place policies that will allow the states to reclaim at least part of the authority they were originally given under the constitution. Yesterday One America News posted an article about plans being looked at to change the way Medicaid is funded.

The article reports:

According to a Wall Street Journal report, President Trump is expected to release guidance that would make it easier for states to apply for block grants in the coming weeks.

The way these block grants work is that each state that applies for the program would receive a capped chunk of federal money to spend on Medicaid, however they choose. If a state spends less than what is given, they are able to keep that money for themselves.

Thus, the measure motivates state governments to make cuts on Medicaid as well as relinquish the federal government’s requirement to match what states spend on the issue. Many local lawmakers have reportedly praised the new tactic as financially responsible.

“We don’t need to put welfare in the Constitution to meet the needs of the most vulnerable,” said Jonathan Small, member of the Oklahoma Council of Public Affairs. “It will cost $374 million in state taxpayer dollars, to cover 628,000 able bodied adults.”

Conservatives argue another perk is that Medicaid block grants are more efficient at the end of the day.

“Officials say it could improve the way Medicaid is administered since states can tailor their health care program to their citizens needs,” stated Tennessee Gov. Bill Lee. “Ultimately what that means is that the cost of healthcare will be lowered if states line up to be more efficient because they’ll be rewarded for such, then it will lower the cost of healthcare which is why it will be a win for the country.”

Hopefully bringing Medicaid back to state control would also cut down on the fraud that is so rampant in the program. Needless to say, Democrats oppose the move.

Shenanigans In North Carolina

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Governor Roy Cooper was elected in 2016 and began his term in 2017. Previously he served as North Carolina’s Attorney General. My sources tell me that he runs the Democrat party much the way a mafia don would, using threats to make sure no legislators break ranks in their voting. He also seems to have some problems controlling spending in some of the state agencies.

The Carolina Journal posted an article today citing some of Governor Cooper’s current challenges.

The article reports:

Consider, for example, the current cash crunch at North Carolina’s Department of Transportation. Secretary Jim Trogdon blames the problem on hundreds of millions of dollars of hurricane damage and payouts to property owners whose rights were violated by the state’s abusive Map Act.

While these costs are real, they don’t fully explain DOT’s overspending. An outside consultant’s report dinged the department for faulty forecasting and cash management. State Treasurer Dale Folwell cited the report’s findings as well as DOT’s transfer of $1.1 billion from the Highway Trust Fund to the Highway Fund without his legally required authorization as reasons why Cooper should replace Trogdon.

Rather than responding to these specific concerns, the governor’s press office put out a statement rejecting what it termed “a financial lecture from the nation’s least effective state Treasurer.” DOT’s money woes have complex origins and consequences, to be sure. But Trogdon’s defense neither required nor was advanced by such adolescent name-calling.

Much less money is at stake over at the Department of Military and Veterans Affairs, but its recent miscue inflicted more political damage.

The department handles a decades-old program called the N.C. State Scholarship for Children of War Veterans. The department sent out a letter informing colleges and universities that scholarship payments would be “delayed until further notice,” citing the budget impasse between Gov. Cooper and the General Assembly. But according to reporting by WBTV’s Nick Ochsner, there was neither a fiscal nor a legal reason to suspend payment. Whether this was simply an administrative screw-up or a purposeful attempt to pressure GOP lawmakers, it was incredibly foolish.

There are also some questions regarding Medicaid in the state:

Meanwhile, the Department of Health and Human Services is mired in its own controversy over awarding a Medicaid contract to a managed-care network led by Blue Cross Blue Shield of North Carolina instead of one led by Aetna. In its legal challenge to the decision, Aetna argues that one of the DHHS employees in charge of evaluating the bids was living with a key Blue Cross executive.

Furthermore, according to reporting by Carolina Journal’s Don Carrington, an internal document shows that Aetna’s bid originally ranked above the Blue Cross bid. A DHHS official then intervened to create a new criterion after the fact, which had the effect of displacing Aetna in favor of Blue Cross.

There are also charges that the Governor attempted to obstruct an investigation into some aspects of the Atlantic Coast Pipeline.

The article concludes:

Cooper and three of his aides have been asked to testify on the pipeline at a legislative hearing on November 8. Will the sober-minded former state senator and attorney general show up and provide a persuasive defense of his administration’s conduct? Or will North Carolinians be treated to another round of political hackery and juvenile tweets?

Lt. Governor Dan Forest will be running against Governor Cooper in 2020. Dan Forest definitely has my vote.