Podcasts about Affordable Care Act

August 20, 2026Republicans are trying to hide the cuts they have made to health care in the US, Republicans are working to undo the progress made with the Affordable Care Act, The work requirement they have imposed on the ACA is really a paperwork requirement, Up to 15 million people are at risk of losing Medicaid coverage, In 1883 sociologist Wiliiam Graham Sumner published an influential book that concluded that citizens owe nothing to each other, Those succeeding in the industrializing economy agreed, The Trump administration appears to embrace the belief that the nation depends upon the survival of the fittest, Robert F Kennedy's beliefs about vaccines seem to align with that idea, The US is experiencing a wave of foodborne illnesses, The administration cut back mandatory tracking of eight pathogens that had been covered by FoodNet before the administration cut six of them, The leadership positions at the CDC and FDA are vacant and need to be filled, Keeping government out of society undermined public health and safety in the past, Middle class Americans demanded regulation of the food and drug industry, ushering in reforms. Watch today's recording here: https://www.youtube.com/live/g9TUa1Rwd6U?si=T8_KKcHQZElhpnZ-Get full, free access to Letters from an American here: https://heathercoxrichardson.substack.com/subscribeYou can also find me:Bluesky: https://bsky.app/profile/hcrichardson.bsky.socialInstagram: https://www.instagram.com/heathercoxrichardson/?hl=enFacebook: https://www.facebook.com/heathercoxrichardson/YouTube: https://www.youtube.com/@heathercoxrichardson Get full access to Letters from an American at heathercoxrichardson.substack.com/subscribe

State regulators announced rate hikes for Affordable Care Act health insurance plans, more Cyclosporiasis cases in the Grants State and Gov. Scott wants to make changes to primary elections. Plus, listen to track of local music about “adulting” on the Friday Song.

Health Affairs Publishing's Jeff Byers welcomes Erica Socker of Georgetown University to the pod to discuss her recent Forefront article that explores how the Medicare Advantage quality bonus program is working in the wake of a Clover Health-CMS lawsuit over star ratings. They discuss the court's ruling, CMS's policy response, and why the case could become a catalyst for broader reforms to a program that now distributes billions of dollars annually. Related Links:Medicare Advantage Quality Bonus Program: Court Decisions Spotlight Flaws (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

The Morning XTRA with Tug and Los delivers conservative talk on the biggest political, cultural, and news stories of the day. Smart analysis, unapologetic opinions, and real conversations every weekday morning. Every weekday from 6a to 10a! The 8 o'clock hour is brought to you by Central Heating & Air, your Atlanta Carrier Experts. 770-GET-HEAT, Centralheat.com Storytime Jr: You may know how we whooped the communists, but do you know how we destroyed the socialists Flashback: What Obama promised vs what was delivered Watch The Morning XTRA every weekday from 6 a.m. to 10 a.m. on the Xtra 106.3 YouTube or listen on the Xtra 106.3 App

The Morning XTRA with Tug and Los delivers conservative talk on the biggest political, cultural, and news stories of the day. Smart analysis, unapologetic opinions, and real conversations every weekday morning. Every weekday from 6a to 10a! With Tug out on vacation, Los takes the wheel as the show covers everything from the Braves, snakes, and cocaine to the latest developments in the Cal Berkeley story. He also digs into Medicare for all, hears from Tom Mitchell of The Honest Car Guy, revisits the history of defeating communism and socialism, and compares what Obama promised with what was actually delivered. Plus, Los takes a look at what actual New Yorkers think about Zohran Mamdani and asks, “When did this happen to Subaru, by the way?” Watch The Morning XTRA every weekday from 6 a.m. to 10 a.m. on the Xtra 106.3 YouTube or listen on the Xtra 106.3 App

Protect Our Care estimates that 8 million Americans have lost Medicaid, CHIP or Affordable Care Act coverage, while more than 1,100 health care providers have closed, cut services or are considered at risk. The Congressional Budget Office projects the number of uninsured Americans will rise from 30 million this year to 37 million by 2036. Subscribe to our newsletter to stay informed with the latest news from a leading Black-owned & controlled media company: https://aurn.com/newsletter Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Health care feels personal until you try to navigate it and realize how many parts are designed to be confusing. From the Mackinac Policy Conference, we sit down with former Michigan U.S. Senator Debbie Stabenow for a fast, candid conversation about what's working, what's breaking, and what Michigan communities need next.We start with the pressure points she's most concerned about right now: mental health access, Medicaid cuts, and affordability. Stabenow explains why community behavioral health clinics with 24-hour access matter, not just for patients in crisis, but for families, hospitals, and communities trying to keep people out of emergency rooms and jails. We also talk about rural health care in northern Michigan, where hospitals are often the biggest employer and the backbone of local access, yet many are being forced to cut beds, reduce services, or stop delivering babies.Then we zoom out to the national policy fights. Stabenow reflects on the Affordable Care Act, what she would keep, and what she would change, including her push for a public Medicare option to drive real competition. She shares a stark reminder of why “essential health benefits” matter by revisiting the days when pregnancy could be treated like a pre-existing condition and prenatal coverage was far from guaranteed. We close on prescription drug prices, Medicare Part D, and the long-running impact of blocking Medicare from negotiating prices, plus how PBMs add yet another layer of complexity.If you care about Michigan health care, rural hospitals, mental health policy, the Affordable Care Act, Medicaid, and prescription drug costs, this one's for you. Subscribe, share this conversation with a friend, and leave a review so more people can find The Common Bridge.Support the showEngage the conversation on Substack at The Common Bridge!

A new report shows homes are selling below asking price in 38 of the 50 biggest U.S. cities, a signal that the long-dominant seller's market may be finally turning. We examine what this shift means for real estate as an asset class, homebuilder stocks, and mortgage-sensitive portfolios.Today's Stocks & Topics: AeroVironment, Inc. (AVAV), Market Wrap, Regeneron Pharmaceuticals, Inc. (REGN), Affordable Care Act (ACA), Onto Innovation Inc. (ONTO), U.S. Housing Market Cracks: Homes Selling Below Asking Price in 38 Major Cities, Pulse Biosciences, Inc. (PLSE), Uber Technologies, Inc. (UBER), Robinhood Markets, Inc. (HOOD), Dillard's, Inc. (DDS), Margin Debt.Our Sponsors:* Check out Anthropic and use my code Claude.ai/invest for a great deal: https://www.anthropic.com* Check out Quince and use my code quince.com/INVEST for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

In this episode of Health Affairs This Week, David Betts, founder and board chair at StoryFlight Labs, shares how his ALS diagnosis inspired him to launch StoryFlight Labs and develop Talk To Me Goose, an AI-powered tool that helps people with speech-limiting conditions retain their voice and communicate with loved ones. He discusses how AI can empower patients, the need for faster healthcare innovation, and policy changes that could improve access to ALS treatments and support.Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

For millions of Americans, health care benefits come from their jobs and now small businesses are finding they can no longer afford to offer them. Bob Herman, STAT's business of health care reporter, joins host Krys Boyd to discuss how the end of subsidies to the Affordable Care Act means small businesses and those self-employed can no longer find an insurance option that fits their budget and how some employers are choosing between cutting insurance and cutting jobs. His series is “Out of Pocket, Out of Reach.” Learn about your ad choices: dovetail.prx.org/ad-choices

Childcare costs in Missouri and Kansas can now rival a mortgage for working families, but two Midwestern lawmakers are fighting to change that. Plus: After the Affordable Care Act tax credits lapsed, healthcare premiums spiked for millions of farmers and ranchers.

Send us Fan MailA cancer diagnosis used to be enough to qualify as medically frail and exempt from Medicaid work requirements. A new federal rule says it no longer is, and nobody has defined what will be enough instead.In this clip from our episode “The Hidden Cost of Medicaid Work Requirements”, hosts David E. Williams and John Driscoll break down the last-minute rule change narrowing the definition of medical frailty and why 25 states say the federal government has gone beyond what Congress ever authorized.Listen to the full episode here

Congress can't solve America's biggest challenges if it's stuck—and this conversation explored why, and what it will take to move forward.On August 5, Dr. Maya Kornberg, Senior Research Fellow at the Brennan Center ‪and author of "STUCK: How Money, Media, and Violence Prevent Change in Congress", and Congresswoman Lauren Underwood (IL-14), examined the forces that keep Congress from delivering results, including relentless fundraising demands, the growing threat of political violence, media incentives, and outdated institutional structures. Despite these barriers, both speakers emphasized that meaningful reform is possible through stronger ethics rules, campaign finance reform, better-resourced congressional staff, and a renewed commitment to making government work for the people it serves. They also challenged Americans to embrace a forward-looking vision of democracy that reflects the nation's growing diversity rather than clinging to the past.The discussion closed with a clear reminder that protecting democracy requires more than voting—it demands sustained civic engagement. With Election Day approaching, attendees were encouraged to take action every day by organizing, advocating, and helping build a government that truly represents the American people.Check out Dr. Maya Kornberg's book STUCK here:https://www.press.jhu.edu/books/title/54126/stuck?utmLearn more about the Brennan Center for Justice here:https://www.brennancenter.org/ABOUT THE SPEAKERS:Maya L. Kornberg, Ph.D., is a senior research fellow and manager at NYU Law's Brennan Center for Justice. She is the author of the book “Stuck: How Money, Media, and Violence Prevent Change in Congress” (Johns Hopkins University Press) and “Inside Congressional Committees: Function and Dysfunction in Lawmaking” (Columbia University Press). Her work has appeared in The Washington Post, NPR, BBC, The New York Times, Newsweek, The Hill, Slate, and other outlets.Congresswoman Lauren Underwood represents Illinois' 14th Congressional District and is the first woman, first person of color, and first millennial to serve her community in Congress. A registered nurse, she is the co-founder and co-chair of the Black Maternal Health Caucus, leading efforts to improve maternal health outcomes and eliminate disparities. She also serves as Co-Chair of the House Democratic Policy and Communications Committee and on the House Appropriations Committee. Before Congress, Rep. Underwood served as a Senior Advisor at the U.S. Department of Health and Human Services, where she helped implement the Affordable Care Act and strengthen the nation's public health. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit bigtentnews.substack.com

When you're moving into retirement, you're most likely to be starting to ask yourself which investment accounts you should start drawing from first. There's really no universal answer—retirement withdrawal strategies are deeply personal and situation-dependent. But understanding the implications of each account type and the factors that influence withdrawal order can have a massive impact on your tax burden and the longevity of your assets.    You will want to hear this episode if you are interested in... [00:00] Retirement withdrawal strategy options [06:37] Roth IRA and taxable accounts [07:47] Tax implications for investment gains [14:12] Roth IRA conversion strategy [16:17] Real-life retirement income strategies [19:36] Importance of a withdrawal strategy   Understanding the Account Types and Their Tax Impact   The foundation of your strategic withdrawal plan begins with understanding how each investment account is taxed:   1. Pre-tax Retirement Accounts These include traditional IRAs and 401(k)s, SEP IRAs, and similar plans. Contributions offer a tax deduction, and growth is tax-deferred, but withdrawals are taxed as ordinary income. These accounts are eventually subject to required minimum distributions (RMDs), currently beginning at age 73 or 75, depending on your birth year. Withdrawals here not only increase your reported income but can also impact Medicare premiums and Social Security taxation.   2. Roth Accounts Roth IRAs and Roth 401(k)s are funded with after-tax contributions. Qualified withdrawals are tax-free and—if the original contributor owns the account, not subject to RMDs in your lifetime. This makes Roth accounts especially valuable for flexible, later-stage withdrawals.   3. Taxable Brokerage Accounts These are standard investment accounts not designated for retirement. Withdrawals of principal do not create taxable events; only realized capital gains, dividends, and interest are reported for taxes. One major benefit: capital gains rates can be lower than ordinary income rates and may even reach 0% for some filers. Withdrawals can be easy to manage for opportunistic or requirement-driven needs.   Questions to Consider with Personalized Withdrawal Planning Several personal factors play into the best withdrawal order: Are you retiring before 65 and in need of Affordable Care Act (ACA) health insurance? Do you want to minimize future RMDs or leave assets to heirs? When will you begin Social Security or receive pension income? What is your preferred tax bracket and desired lifestyle flexibility?   These questions should be revisited regularly, as changes in tax law, health, or legacy wishes can affect your strategy.   Real-World Withdrawal Scenarios Coordinating Withdrawals for ACA Subsidies Jonathan retires at 57, pre-Medicare, and must carefully manage his modified adjusted gross income (MAGI) to retain ACA health insurance subsidies. My suggested plan is to combine modest 401(k) withdrawals, reportable dividends, and money market interest to stay below the MAGI threshold. Additional cash needs are met from accounts, like the money market, which don't affect taxable income. This keeps his subsidy and aligns with income limits, demonstrating the need for multi-account coordination.   Reducing Future RMDs and Leaving a Legacy Walter and Amy, 62, want to avoid burdening their heirs with high-tax inheritance on pre-tax accounts. Instead of focusing solely on paying the least tax today, they prioritize Roth conversions while Social Security is delayed, taking advantage of lower brackets now to transfer wealth into tax-free vehicles. Over several years, they could convert hundreds of thousands into Roth IRAs, significantly reducing future RMDs while maximizing wealth transfer.   Minimizing Tax on Social Security Christian, 68, blends Social Security with distributions from non-taxable sources like his money market to avoid triggering federal taxes on his Social Security. Careful planning allows him to either keep Social Security tax-free or, with limited IRA withdrawals, incur only minimal tax.   The Importance of Ongoing Review and Professional Advice Your withdrawal strategy is not a "set-and-forget" plan. Tax laws, account balances, and individual goals will change over time. I suggest annual reviews and, ideally, working with a specialized financial advisor to continually adjust the plan for optimal tax efficiency and income sustainability. A thoughtful approach, tailored to your personal circumstances and updated regularly, will help you balance tax efficiency, income needs, and legacy goals.    Resources Mentioned Retirement Readiness Review Subscribe to the Retire with Ryan YouTube Channel Download my entire book for FREE    Connect With Morrissey Wealth Management  www.MorrisseyWealthManagement.com/contact Subscribe to Retire With Ryan

Now that you've completed your FFM certification, what's next? Continue your learning with our list of resources! Launch into ACA sales by increasing your knowledge of the marketplace. In this episode, we'll teach you what you need to know about selling Affordable Care Act plans.   Read the text version   Get Connected:

The Food and Drug Administration approves the first mRNA influenza vaccine. More than 20 Democratic attorneys general sue the federal government over Affordable Care Act marketplace changes. And HCA Healthcare expands its Texas footprint with a major urgent care acquisition. Listen to the latest episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

On this episode, Health Affairs Publishing's Jeff Byers gets meta and invites Kent Anderson and Joy Moore, authors of the new book How The Internet Disrupted Science, onto the podcast to discuss how media trends have affected academic authors' research and get their work noticed and distributed in The Attention Economy.Both Kent and Joy are currently consultants. Kent was the co-founder of The Scholarly Kitchen and current author at The Geyser. Joy has worked at Silverchair and The American Medical Association.Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

Send us Fan MailMedicaid work requirements take effect in every expansion state by January 1, 2027. But half the states just sued to stop the rules that govern them. They're challenging a new federal rule that narrows who counts as “medically frail” and adds paperwork for people trying to prove they're exempt. We'll discuss what the fight means for coverage, providers, and for the states preparing to implement.In our latest episode, David E. Williams (President, Health Business Group) and John Driscoll (Chairman, UConn Health) dig into what these cuts will really cost. They break down the CBO's projections for coverage and dollars over the next decade, and why a last-minute federal rule narrowing the definition of "medical frailty" may be the most consequential, and least understood, piece of the whole debate.

Former state solicitors general Michael Mongan and Kevin Gallagher discuss the evolving role of state solicitors general and how states work together to shape legal battles before the Supreme Court. --- When states go to court, the battles are not always divided along party lines. State solicitors general often work across state lines to defend shared interests, coordinate legal strategy, and help shape cases before the U.S. Supreme Court. In this episode, former California Solicitor General Michael Mongan, JD '06 (BA '01), and former Virginia Solicitor General Kevin Gallagher, now partners at WilmerHale, join podcast host Professor Pam Karlan to discuss how the role of state solicitors general has evolved. They discuss multistate litigation, bipartisan coalitions, and how states can work together when their legal interests align. Mongan explains that bipartisan cooperation often happens when “they share sovereign interests as states and those interests are genuinely threatened.” Michael Mongan  >>> WilmerHale Page Kevin Gallagher  >>>  WilmerHale Page Connect: Episode Transcripts >>> Stanford Legal Podcast Website Stanford Legal Podcast >>> LinkedIn Page Rich Ford >>> Twitter/X Pam Karlan >>> Stanford Law School Page Stanford Law School >>> Twitter/X Stanford Lawyer Magazine >>> Twitter/X Chapters 00:00 Introduction 03:03 What does a State Solicitor General actually do?  04:24 Independence from the Governor  06:10 Who speaks for the state?  09:22 How Virginia united every state  12:44 Where red and blue states actually agree  15:12 The mechanics of building a multistate coalition  17:06 Avoiding duplicate briefs: who writes first?  19:53 From public service to a state AG private practice  20:55 Why firms are racing to build state AG expertise  24:57 Favorite cases 28:44 Closing  Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

P.M. Edition for Aug. 4. Millions of Americans are going without health insurance after the end of federal subsidies that kept their Affordable Care Act premiums down. WSJ reporter Anna Wilde Mathews discusses how that's weighing on hospital profits. Plus, strong earnings and hopes for an Iran deal send markets soaring. McDonald's aims to shake up its U.S. operations with a new boss after the U.S. division fell short in its most recent quarter. And SpaceX's revenue rose 92% in the first quarter since its IPO, while it reported a net loss of $541 million. Alex Ossola hosts. Sign up for the WSJ's free What's News newsletter. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Andy Schoonover is the founder and CEO of CrowdHealth, a community-powered alternative to traditional health insurance that is rethinking how Americans pay for and access healthcare. His journey began after his own family was hit with an $8,000 medical bill for his daughter's ear procedure… despite having health insurance. Frustrated by a system he believed was putting bureaucracy and financial incentives ahead of patients, Andy decided to build a better alternative. Through CrowdHealth, Andy is working to give individuals greater control over their healthcare, increase price transparency, reduce unnecessary costs, and put the patient, not the insurance company, back at the center of the system. If you are interested in the Exit Diabetes Pilot Program, see the links below to book a screening call! In this episode, Dr. Brian, Dr. Tro, and Andy talk about… (00:00) Intro (03:02) Issues with big health insurance companies in our post-Affordable Care Act world (17:00) Why the health insurance system is working against the patient (26:32) The slow shift away from massive healthcare companies and toward cheaper, patient-focused, sustainable options and how Crowd Health is leading the way (37:57) Perverse incentives and how to switch the incentive structure of the health insurance system to make patients healthy (42:47) Ignorance surrounding just how toxic so much of our food is (46:41) Crowd Health's new Exit Diabetes Pilot Program (01:05:05) Outro For more information, please see the links below. Thank you for listening! Links: Please consider supporting us on Patreon: https://www.lowcarbmd.com/ Resources Mentioned in this Episode: Andy Schoonover: CrowdHealth: https://www.joincrowdhealth.com Exit Diabetes Pilot Program: https://www.joincrowdhealth.com/exit-diabetes-pilot-program (Click to book a screening call!) X: https://x.com/andyjschoonover?lang=en Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author Dr. Tro Kalayjian:  Website: https://toward.health Twitter: https://twitter.com/DoctorTro IG: https://www.instagram.com/doctortro/ Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.  Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://toward.health/community/

Frank Schaeffer welcomes David Blumenthal and James Morone to discuss their book Whiplash: From the Battle for Obamacare to the War on Science.The conversation explores the Affordable Care Act, Operation Warp Speed, the COVID pandemic, political polarization, misinformation, and the role of presidential leadership during national crises.Together they examine why America's health care debates have become arguments about identity, community, science, and democracy itself._____LINKWhiplash: From the Battle for Obamacare to the War on Sciencehttps://www.commonwealthfund.org/person/david-blumenthalhttps://www.commonwealthfund.org/person/james-morone_____I have had the pleasure of talking to some of the leading authors, artists, activists, and change-makers of our time on this podcast, and I want to personally thank you for subscribing, listening, and sharing 100-plus episodes over 100,000 times.Please subscribe to this Podcast, In Conversation… with Frank Schaeffer, on your favorite platform, and to my Substack, It Has to Be Said. Thanks! Every subscription helps create, build, sustain and put voice to this movement for truth. Subscribe to It Has to Be Said. The Gospel of Zip will be released in print and on Amazon Kindle, and as a full video on YouTube and Substack that you can watch or listen to for free.Support the show_____In Conversation… with Frank Schaeffer is a production of the George Bailey Morality in Public Life Fellowship. It is hosted by Frank Schaeffer, author of The Gospel of Zip.Learn more at https://www.thegospelofzip.com/Follow Frank on Substack, Facebook, Twitter, Instagram, Threads, TikTok, and YouTube.https://frankschaeffer.substack.comhttps://www.facebook.com/frank.schaeffer.16https://twitter.com/Frank_Schaefferhttps://www.instagram.com/frank_schaeffer_arthttps://www.threads.net/@frank_schaeffer_arthttps://www.tiktok.com/@frank_schaefferhttps://www.youtube.com/c/FrankSchaefferYouTubeIn Conversation… with Frank Schaeffer Podcast

Americans are spending more time, money, and energy trying to change how they look. Many adults want to lose weight; millions are using GLP-1 drugs, and the anti-aging industry continues to grow. For teens, appearance concerns are increasingly shaped by social media, with girls reporting especially high levels of pressure to look good. At the same time, the rise of looksmaxxing shows how boys and young men are also being drawn into increasingly intense, and sometimes dangerous, efforts to improve their appearance. Next, we're talking about “job lock" -- that's what a growing number of workers are in by staying in jobs they would rather leave if not for the health insurance tied to employment. As healthcare costs rise, coverage is influencing whether Americans change careers, start businesses, or pursue work they find more fulfilling. With broad concern about affordability and continued debate over the Affordable Care Act, we ask whether health insurance should still be so closely connected to where someone works. Finally, we are whistling while we work...well, some of us are anyway!

Photo by Kristine Wook on Unsplash HR.1, the One Big Beautiful Bill Act that Donald Trump signed into law a year ago, cuts Medicaid and the Supplemental Nutrition Assistance Program (SNAP) funding substantially and makes changes in the Affordable Care Act's insurance coverage such that an estimated that over 10 million people will become uninsured and millions more becoming food insecure from cuts to or termination of their SNAP benefits. But these cuts affect all of us, as hospitals and other health care organizations will lose revenue that they need to support offering services that communities need. This is such an issue in rural communities that some of these hospitals may close. In response to this concern, Congress created the Rural Health Transformation Program (RHTP) to bring money to health care in rural communities. HealthCetera producer and host, Dr. Diana J. Mason, RN, talked about these cuts with Dr. Leighton Ku, Professor in the Deptment of Health Policy and Management and Director of the Center for Health Policy Research at the Milken Institute School of Public Health at George Washington University. He and his colleagues conducted an analysis of what the impact of HR 1 cuts would be on rural communities and whether the RHTP would offset the losses from Medicaid and insurance coverage through the Affordable Care Act. The paper is titled “H.R. 1 Funding Cuts Will Overshadow Gains from the New Rural Health Transformation Program” and it was published on June 9, 2026, by The Commonwealth Fund. This interview first aired on HealthCetera in the Catskills on WIOX Radio on July 8, 2026. The post The Rural Health Transformation Program in Response to Medicaid and SNAP Cuts appeared first on HealthCetera.

The Straight Dope Show hits the mic with a brand new Tapas double-feature, bringing you the most unfiltered cultural autopsies on the internet. In this concentrated dose of reality, El Uno and TraB the Wonder break down the comedic tragedy of the American electorate, starting with a hilariously brutal look at voters who didn't realize Obamacare and the Affordable Care Act were the exact same thing. The hosts pull no punches on the current political landscape, calling out the delusion of communities that vote against their own self-interests and then act shocked when the consequences arrive at their doorstep. The conversation then shifts to the world of sports, where the duo rips into the media's treatment of Heisman Trophy winner Travis Hunter, exposing how the press would rather hyper-focus on his girlfriend's sideline reactions than celebrate his historic, two-way dominance on the field. Finally, they take aim at the NBA, dissecting how analytics and stat-obsessed coaching have ruined the flow of the game, creating a league full of players taking terrible shots just to emulate the Golden State Warriors. Stop letting the algorithm dictate your perspective. Take back control of your media diet. Download the Rock Da Crowd TV app today on Roku, Apple, or Android to stream the latest uncut episodes of The Straight Dope Show!00:00:02 - The hosts discuss the absurdity of the post-election landscape and voters who didn't understand the policies they voted against. 00:01:15 - The "Obamacare vs Affordable Care Act" debacle: Laughing at the tragic reality of voters discovering they are the same thing. 00:04:00 - A brutal reality check on deportation policies and the delusion of voters who thought they were exempt from the rhetoric. 00:05:35 - The "Lex Luthor" parallel: How the public continues to ignore a leader's history of terrible business practices and disloyalty. 00:08:38 - Travis Hunter's Heisman win: Why the media focused on his girlfriend's reaction instead of his historic, dual-threat achievement. 00:14:48 - NBA critique: How front office analytics and stat guys are forcing players into terrible shooting systems. 00:18:09 - The "Steph Curry Effect": How the league ruined its watchability by trying (and failing) to emulate the Warriors' offensive scheme. 00:22:11 - A discussion on the media's treatment of Nikola Jokic and the historical disrespect toward Dirk Nowitzki. 00:27:33 - The hosts explore the concept of "Nostalgia" and how politicians use it to manipulate the public into ignoring reality. 00:31:04 - A hilarious street interview breakdown explaining how tariffs actually work and who really ends up paying for them.

We interrupt the summer break for this special "emergency pod" episode. Health Affairs Publishing's Jeff Byers welcomes Dr. Aaron Carroll, President and CEO of AcademyHealth, back to the pod to examine the sudden discontinuation of over $100 million in ongoing Agency for Healthcare Research and Quality (AHRQ) grant funding, raising questions about transparency, federal priorities, and the future of health services research.Related Links:AcademyHealth's Situation Report (Substack)HHS research agency ends funding for dozens of health studies (Roll Call)AHRQ Is Being Dismantled and the Consequences Will Reach Every Part of American Health Care (Academy Health Situation Report)U.S. judge rejects Trump's justification for terminating thousands of grants (Science)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

Send us Fan MailThe Kim B. Davis Show featuring Dr. Angela Celeste May, a behavioral expert with a background in clinical, organizational, and forensic psychology,  President and Co-founder of A.M. May and Associates, Inc., President and founder of Celeste Productions, Inc., Author, Editor, former columnist, Musician, and 2023 President's Distinction Award winner from the Michigan Psychological Association Foundation, discusses the cost of hatred toward Black people and why there is a resurgence of hate toward Black People in 2026. We chat about how federal safety programs have been cut, and how the loss of guardrails in education has reduced the number of Asian students accepted into college/university. Also, rural hospitals are closing because of cuts to the Affordable Care Act. The cost of hate is shooting the haters in the foot. Communities are being pitted against each other. We are more similar than we are different. Keep your mind and heart open and join the conversation.The Kim B. Davis Show is a conversational platform that engages issues around mental health, well-being, and political engagement. You can also email me at Kimberly@kimberlybatchelordavis.comSupport the showThank you for tuning in to the Kim B. Davis Show. You can visit KimBDavis.com to learn more about me as an author and you can find me on FaceBook, Instagram, Twitter, Snapchat, TikTok, and LinkedIn. You can see this show on YouTube.com/KimberlyBatchelorDavis. Thank you again for your support and always remember, Be Magnificent. 

Health care is among the affordability issues on Ohioans' minds.Last week came news that the state saw the largest decline in Affordable Care Act enrollment in the country.Campaign donations and endorsements are rolling in for Ohio's two candidates for governor: GOP hopeful Vivek Ramaswamy got a $5 million check from trillionaire Elon Musk.Challenger Amy Acton notches her own historic haul as a Democrat.While in Washington, one Ohio senator seeks to punish Canada for the wildfire smoke that blew our way.And there's a move to make daylight savings time permanent.We're talking about all of these topic during a special Tuesday edition of the Weekly Reporter Roundtable.Guests:Jessie Balmert, state government and politics reporter, Columbus Dispatch Andrew Tobias, state government and politics reporter, Signal OhioSabrina Eaton, Washington bureau, Cleveland.com(photo: Rebecca Blackwell / AP)

Health care is among the affordability issues on Ohioans' minds.Last week came news that the state saw the largest decline in Affordable Care Act enrollment in the country.Campaign donations and endorsements are rolling in for Ohio's two candidates for governor: GOP hopeful Vivek Ramaswamy got a $5 million check from trillionaire Elon Musk.Challenger Amy Acton notches her own historic haul as a Democrat.While in Washington, one Ohio senator seeks to punish Canada for the wildfire smoke that blew our way.And there's a move to make daylight savings time permanent.We're talking about all of these topic during a special Tuesday edition of the Weekly Reporter Roundtable.Guests:Jessie Balmert, state government and politics reporter, Columbus Dispatch Andrew Tobias, state government and politics reporter, Signal OhioSabrina Eaton, Washington bureau, Cleveland.com(photo: Rebecca Blackwell / AP)

You sign the clipboard forms, tap the signature pad, and hope for the best but what if you actually understood the laws sitting underneath that moment? I'm Heather Johnston, MD, and I went down the rabbit hole on patient rights so you don't have to. We start with HIPAA in plain English, including the part most people miss: it's not only about privacy, it's also about your right to get a copy of your own medical records. We also talk about the proposed HIPAA Security Rule updates and why cybersecurity upgrades could change how your electronic health information is protected and accessed.From there, we move to the rules that matter when life gets urgent. EMTALA requires most emergency rooms to screen and stabilize you regardless of your ability to pay, insurance status, or immigration status and we unpack why this has become more legally uncertain around pregnancy complications in states with abortion restrictions. We then connect the dots to Affordable Care Act protections that still shape coverage today: no pre-existing condition discrimination, no lifetime or annual caps on essential health benefits, preventive services with zero cost sharing, and the two-step process for appealing denied insurance claims, including external review.We also cover informed consent as the difference between real choice and a rushed signature, the 21st Century Cures Act and “information blocking” (why your labs now show up in the portal so fast), and the No Surprises Act protections that curb surprise medical bills and require good faith estimates for self-pay patients. Finally, we zoom in on Illinois-specific laws around visitation rights, record changes, prior authorization reform, mental health protections, and medical debt no longer appearing on credit reports plus a practical checklist for what to do when something feels off.If this helped you feel more confident navigating health care, subscribe, share the episode with a friend who's fighting a bill or a denial, and leave a review. What patient-rights question do you want answered next?LINKS:IL Attorney General Healthcare Consumer Protections 877-305-5145IL Public Act 103-0648 (medical debt can't affect credit report)ACA/Affordable Care Act EMTALA/ER protection lawHIPAA21st Century Cures Act 

Planning for retirement can feel overwhelming, especially as you approach the transition from earning a paycheck to relying on your savings. The early phase of retirement brings unique challenges, and it's no surprise that there are plenty of misconceptions that can lead you astray. In this episode, we break down five of the most prevalent retirement myths, share insights from working with clients, and offer practical guidance to help you make confident, personalized decisions for your future.   1. "I'll Spend Less In Retirement Than When I Was Working"   This is one of the most widespread assumptions—and financial media often reinforces it by suggesting you'll only need 70-80% of your pre-retirement income. However, the reality is often quite different. In early retirement, spending typically increases as retirees suddenly have more time for activities, hobbies, and travel that were perhaps squeezed out during their working years. Parental obligations can linger, with adult children sometimes relying on financial assistance well into their late twenties or thirties. Unexpected repairs, long-postponed home improvements, or even a burst of "retirement honeymoon" spending are common. Recognizing these patterns, and planning for them, can help set more realistic expectations for your retirement budget.   2. "I Don't Have Time to Recover from a Market Downturn Anymore"   It's natural to become risk-averse as retirement nears; no one wants to see years of savings diminished by a bear market. Today's retirees are living longer than previous generations—often enjoying 25, 30, or even 35 years in retirement. This expanded timeline means you still have the potential (and perhaps the need) to ride out stock market fluctuations and recover from downturns. Avoiding growth assets altogether in favor of perceived "safety" may actually represent a different kind of risk: the erosion of purchasing power due to inflation.   3. "I'll Only Spend Interest and Never Touch My Principal"   This "live-off-the-interest" approach may have worked in an era of higher interest rates, but it's limiting in today's environment. We advocate for a total-return strategy: you draw from a mix of interest, dividends, and capital gains as appropriate. This helps maximize your spending potential and accounts for variable needs and market fluctuations. Clinging to the old mindset of never spending principal may feel safer, but it can artificially constrain your quality of life and generosity toward loved ones or causes you care about.    4. "I Shouldn't Retire Before 65 Because of Health Insurance"   Many people believe they must keep working until Medicare eligibility at 65 due to concerns about the high cost and complexity of health insurance. While the Affordable Care Act and COBRA have shifted the landscape, these options are often misunderstood or overlooked. Model retirement scenarios and run cost estimators to see if pre-65 retirement is out of reach or if it might be achievable—perhaps with an added planned expense for private insurance or by using available subsidies. Make decisions based on personalized numbers, not generalizations or fear. Sometimes, paying for private health insurance can be a worthwhile trade-off for earlier retirement and the memories made with family and friends.   5. "I Don't Need to Worry About Long-Term Care—I'll Just Stay in My Home"   It's tempting to imagine that aging in place solves long-term care needs, but the reality is that nearly 80% of retirees require some form of long-term care eventually. Whether it's in-home assistance or moving to a residential community, the costs are significant—often $80,000 per year or more, and potentially much higher for round-the-clock or specialized care. Failing to plan for these expenses may burden loved ones and potentially result in less-than-desired care options. Medicaid is not a reliable fallback for most financially secure retirees.   Outline of This Episode   01:53 Why early retirement often brings increased spending  05:26 Rethinking life expectancy reality 06:44 Discussing financial planning strategies 09:25 Misconception about living off interest 13:22 Financial plan modeling: test scenarios to see if earlier retirement is feasible 17:13 Importance of clarifying care intentions before a crisis arises     Resources & People Mentioned   7 Common Misconceptions about Retirement Planning | CCRRBC Inheritocracy by Eliza Filby About the Affordable Care Act | HHS.gov Medicare Finances: A Perspective on the 2026 Trustees Report       

Ohio just landed at number one on CNBC's 2026 list of the best states for business, the first time it has ever finished first. In this Ohio Edition of the Purple Political Breakdown, Radell Lewis follows the money and the power lines behind that ranking, and breaks down who is actually on your 2026 ballot in Ohio's 11th and 12th Congressional Districts. We get into Elon Musk's five million dollar check to V PAC: Victors, Not Victims, the super PAC backing Vivek Ramaswamy, and the billionaire donors behind its nearly forty two million dollar haul (Jeff Yass, Ratmir Timashev, Bill Ackman, and Ross Stevens). Plus Ramaswamy's twenty five million dollar loan to his own campaign, the Secretary of State flag on more than five hundred thousand dollars in unitemized spending, Amy Acton's small-dollar contrast, and Sherrod Brown breaking with the building trades to hit Jon Husted over data centers in the Senate race. Statehouse Watch covers the three hundred fourteen million dollars Ohio has made leasing public land to fracking, the new college syllabus rules under Senate Bill 1, the Medicaid anti-fraud law Senate Bill 315, and the Rooster case, where blogger D.J. Byrnes faces an October jury trial over an image texted to State Senator Jerry Cirino. County of the Week is Allen County and Lima, where Google's five hundred million dollar data center has neighbors up in arms. District Watch, so you know who you are voting for: Ohio 11 (Cleveland): incumbent Democrat Shontel Brown versus Republican Mike Kirchner, with independent Cortney Peterson also on the ballot. Ohio 12 (central and eastern Ohio): incumbent Republican Troy Balderson versus Democrat Jerrad Christian, a 2024 rematch. Plus the latest AARP poll showing tight Governor and Senate races, and Ohio's nation-leading drop in Affordable Care Act enrollment after enhanced subsidies expired. Political solutions without political bias, building a better Ohio on the way to a better America. PODCAST NETWORK ALIVE Podcast Network. Link: https://alivepodcastnetwork.com/ CONVERSATION PLATFORMS HeadOn - A platform for contentious yet productive conversations. It's a place for hosted and unguided conversations where you can grow a following and enhance your conversations with AI features. Link: https://app.headon.ai/ Living Room Conversations - Building bridges through meaningful dialogue across political divides. Link: https://livingroomconversations.org/ UNITY MOVEMENTS Us United - A movement for unity that challenges Americans to step out of their bubbles and connect across differences. Take the Unity Pledge, join monthly '30 For US' conversation calls, wear purple (the color of unity), and participate in National Unity Day every second Saturday in December. Their programs include the Sheriff Unity Network and Unity Seats at sports events, proving that shared values are stronger than our differences. Link: https://www.us-united.org/ BALANCED NEWS & INFORMATION OtherWeb - An AI-based platform that filters news without paywalls, clickbait, or junk, helping you access diverse, unbiased content. Link: https://otherweb.com/ VOTING REFORM & DEMOCRACY Equal Vote Coalition & STAR Voting - Advocating for voting methods that ensure every vote counts equally, eliminating wasted votes and strategic voting. Link: https://www.equal.vote/star Future is Now Coalition (FiNC) - A grassroots movement working to restore democracy through transparency, accountability, and innovative technology while empowering citizens and transforming American political discourse. Link: https://futureis.org/ POLITICAL ENGAGEMENT Independent Center - Resources for independent political thinking and civic engagement. Link: https://www.independentcenter.org/ r/PolicySolutions - A subreddit where people can post and discuss political solutions. Link: https://www.reddit.com/r/policysolutions/ GET DAILY NEWS Text 844-406-INFO (844-406-4636) with code 'purple' to receive quick, unbiased, factual news delivered to your phone every morning via Informed (https://informed.now) Check Out the Unfuck America Tour & National Ground Game: https://www.nationalgroundgame.com/ Check Out the CIVICS App to Know More About Your Politicians: https://www.civicpolitics.com Subscribe to the Substack: https://open.substack.com/pub/purplepoliticalbreakdown/p/welcome-to-the-purple-political-breakdown?r=3z2cmw&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true ALL LINKS https://linktr.ee/purplepoliticalbreakdown The Purple Political Breakdown is committed to fostering productive political dialogue that transcends partisan divides. We believe in the power of conversation, balanced information, and democratic participation to build a stronger society. Our mission: 'Political solutions without political bias.' Subscribe, rate, and share if you believe in purple politics - where we find common ground in the middle! Also if you want to be apart of the community and the conversation make sure to Join the Discord: https://discord.gg/ptPAsZtHC9

Our analysts Andrew Sheets and Mark Schmidt unpack why U.S. healthcare feels so expensive and the potential impacts of rising hospital costs.Read more insights from Morgan Stanley.----- Transcript -----Andrew Sheets: Welcome to Thoughts on the Market. I'm Andrew Sheets, Global Head of Fixed Income Research at Morgan Stanley. Mark Schmidt: And I'm Mark Schmidt, Head of Municipal Strategy at Morgan Stanley. Andrew Sheets: And today on the program, a discussion into one of the biggest mysteries in one of the biggest sectors of the economy. We're talking about healthcare costs. It's Friday, July 17th at 2pm in London. Mark Schmidt: At 9am in New York. Andrew Sheets: So, we're talking today about healthcare, which represents roughly a fifth of the U.S. economy, the bulk of job creation over the last several years, and in my view, honestly, one of the biggest inflation paradoxes that we see in the market. On the one hand, the high cost of healthcare is taken as a given, and it's something that many Americans still struggle with financially. But if you look at the official inflation data in the U.S., healthcare costs have been lower than normal, and that's been true now for a number of years. So, what's going on? How do we tie this together? And Mark, you just wrote a report that tries to do exactly that. So, what did you hope to accomplish with this report? Mark Schmidt: You're absolutely right. It's hard to underline enough just how large healthcare is to the U.S. economy overall. Americans spend nearly $6 trillion on healthcare. That's more than the GDP of the entire country of Germany. And if we think about prices, Americans pay more. A knee replacement, for example, costs $25,000 in the United States. That same procedure costs just $6,000 in France. Common heart treatments that would cost $3,000 in Germany or $10,000 in Australia cost $34,000 in the U.S. It also matters for everyone's local community. Healthcare jobs have been growing twice as fast as the rate of job growth in the economy overall. And those are good jobs. They pay above average wages. For many Americans these days, the most secure path to the middle class is a career in healthcare. Now, this may seem a little bit arcane, but it probably hits close to your portfolio as well. Earlier in the year, when we took a look at how equity separately managed accounts invest, they typically have a core overweight to healthcare. And even though American prices may seem like an American issue, many of the largest and most profitable healthcare companies in the world are actually headquartered in Europe. So, whether you're sitting in New York or sitting in London, the price of American healthcare probably matters to you. But as you noted, Andrew, it does feel like a paradox because although Americans cite healthcare costs as one of their top concerns, and although healthcare spending is growing at 6 percent a year or more, the official inflation data says that healthcare prices are in check. And at one point earlier in the year, healthcare inflation, according to official data, even dipped below 3 percent. It just didn't make a lot of sense, and that's why we got together with our colleagues across equities, fixed income research, public policy, and economics to dig into what was actually going on. Andrew Sheets: So, Mark, let's dig right into that. I mean, it seems like a perfect encapsulation of the so-called Main Street versus Wall Street perception of the economy. So, what's going on? How does one kind of square those two numbers? Mark Schmidt: The easiest way to understand it is that you can't walk through a grocery store and figure out the price of a knee replacement. And that's true both for you and me. It's also true for the government. They have to survey hospitals and health insurance companies. The trouble is that the prices that health insurance companies pay hospitals, well, those are trade secrets. So, at any given point in time, even for the best government economists, it's not entirely clear what the price trends are. And that's why when you look at the official data, healthcare inflation typically has relatively lumpy jumps in the series. You could see several months of 0.1 or 0.2 percent official growth in healthcare inflation. Or as earlier this week, you could see certain categories jump to 0.4 or even 0.8. Andrew Sheets: Another element, Mark, that you talked about in the report is that people are also consuming more healthcare. So, talk a little bit about that. How that factors into this dynamic, and again, is that just going to be the new normal as the population ages and we tend to spend more on healthcare as we get older? Mark Schmidt: That's right. The good news is that we're living longer lives. The bad news is that means that we have more chronic healthcare conditions to deal with. The good news is that more procedures can be done in outpatient settings, and those, generally speaking, are cheaper. The bad news is that inpatient care, inpatient prices go up as the complexity of procedures that actually happen in a hospital setting increase significantly. When you balance it all out, it's a situation where, thankfully, the United States and most Americans have the means and the wealth to pay more for healthcare. The flip side of that is that they are paying more for healthcare, and that's why we think that the recent softness in healthcare inflation is actually too good to be true. Andrew Sheets: Something that jumped out at me from this report, Mark, was just how important hospitals are in this equation. And the experience of the patient and the experience of the hospital can be different economically. And that difference can also matter for how this shows up in official inflation and government statistics.So, you know, it would be helpful maybe just to walk the listener through. If I go into the hospital and I need knee surgery. You know, how does that look like from my perspective in terms of paying for it, assuming I have health insurance through my employer? How could that look like to the hospital? And how could that look like coming out the other end into the official government statistics? Mark Schmidt: Well, of course, Andrew, the first thing that you do when you break your leg is you call six hospitals and shop around for the cheapest price, right? Andrew Sheets: [Laughs] Of course. Mark Schmidt: So that's actually the problem because when you get care, you're not in a place to ask about the price. And frankly, even if you asked your doctor or nurse what the price is, they probably wouldn't know. Not only is it not their job to know the price, but all of those negotiations happen after the fact – with the prices that the insurance companies negotiate with the hospitals. After COVID, hospitals had a lot more costs to spread out among the people who were coming in the door, and so they raised prices across the board, not just for procedures that were related to respiratory illness. Naturally, insurance companies noticed that, and they started to push back. So long after you get a cast for your broken leg – and by the way, I wish you a speedy recovery – insurance companies end up going back and forth negotiating with your doctors for exactly how much they should pay you. And although these prices were loosely set well before you walked in the door, the exact way it gets billed and coded? Well, let's just say there's a lot of back and forth. For a well-run hospital, the cost of talking to and ultimately getting reimbursement from your insurance company, that alone could be 2 to 4 percent of revenue. And in especially complex cases, that whole negotiation can eat up 5 to 7 percent of the total bill. You're also right to flag that hospitals really are still the central point of the U.S. healthcare system. Americans spend $2 trillion in a hospital setting. And hospitals overwhelmingly coordinate care for both primary, specialty, and pharmacy services. Andrew Sheets: Mark, another issue I wanted to ask you about was the Affordable Care Act, Medicare, Medicaid, and how those programs fit into the story? Mark Schmidt: The One Big Beautiful Bill Act included a variety of measures to slow the overall growth rate of healthcare. Now, for all the reasons we just discussed, that's probably warranted. The Affordable Care Act is another wrinkle. Enhanced subsidies, which were already set to expire – did in fact expire at the end of last year. And as a result, more Americans are now uninsured. It remains to be seen how that impacts overall costs. In the United States, when you have a health emergency, a hospital is legally obligated to treat you because of a 1990s law called EMTALA. Even if you can't pay, the system eventually does. Historically, uncompensated care costs have been passed on to individuals and companies with insurance. For now, however, it remains to be seen whether these changes in law and in the overall number of people with insurance will cause healthcare prices to rise or fall. Andrew Sheets: And Mark, just for the broad-based implications of this, right? It's fair to say that in any health insurance system, there are some people who consume a lot more healthcare. They're unhealthy or they're unlucky. And there are some who consume a lot less. And, you know, this is something where that overall coverage question matters. Because if you have things that reduce the number of otherwise healthy people who are in those healthcare pools, it can raise the cost for everybody else. Those people who were in some ways subsidizing the higher consumers of healthcare are no longer there. Is that a fair way to frame it, do you think? And are there potential changes given some of these legislative actions that could lead to changes of what the pool looks like – and what overall costs could look like? Mark Schmidt: That's a great point. And healthcare is probably the only part of our economy where you would say, "Thank goodness I did not get my money's worth." As we think about it… Andrew Sheets: [Laughs] Very true. Very true. Mark Schmidt: As we think about it, most young and healthy people are going to be paying more for their health insurance than they receive in healthcare. Again, that's a good thing. Because American healthcare prices are so much higher than anywhere else in the world, paying in more than you get back? Well, that hits the wallet harder in America than it does in other countries. And that's why for many people – choice – choosing how much health insurance to have and how much to pay for it, really is central to keeping the American economy dynamic. The flip side, however, is that as Americans get older, more people have Medicare. Now, Medicare is pretty good if you have it. But the catch is that Medicare prices, according to most independent estimates, do not fully reimburse for the cost of care. So, as more seniors take up more beds in a hospital, that means that commercial prices, the prices for people who have private insurance through their employer, are likely to rise even faster. Andrew Sheets: So, Mark, I think a good place to close it out and kind of bring this all together is a really important conclusion of this report – is that hospitals have been absorbing a number of these rising costs of healthcare through lower margins for the hospital. And that has resulted in lower ultimate inflation because the inflation is measured out the other side, out ultimately what the hospital earns. And if you could just maybe talk a little bit more about that. To what extent have those margins been compressed? And what that might mean for things going forward? Mark Schmidt: That's right. We dug into the finances for hundreds of not-for-profit hospitals in the United States. They are facing higher costs and shrinking margins. Historically, hospitals have partially passed on expense increases of this magnitude. Now, in their conversations with insurance companies, the biggest benchmark setting of prices happens once every two to three years. So, we're not going to see hospital prices show up in the inflation data overnight. But when we look at hospitals across the country, their budget information and their guidance is consistent with firming prices. Andrew Sheets: Great. Thank you so much, Mark. I've really enjoyed the conversation. Mark Schmidt: Thanks for having me, Andrew. Andrew Sheets: And thank you for listening. If you enjoy Thoughts on the Market, please share it with a friend or colleague today. And rate and review us on wherever you listen. It helps more people find the show.

Keen on Retirement listener "Joe" is 51 and his wife is 60. They are thinking about an early retirement before either of them turns 65. Joe wrote in asking about the best strategy for coordinating Social Security benefits around that retirement goal. Should they take his wife's benefits now? Delay benefits to keep their income low and make Roth conversions? And since they're both too young to collect Medicare, how will their Social Security benefits affect their Affordable Care Act (ACA) subsidies? The good news is that Joe and his wife are already thinking about the main topic of today's episode: when you pull one lever on your retirement plan, another piece adjusts.  Working with a professional advisor can help you navigate these interconnected decisions with greater clarity and confidence.

Governor Josh Shapiro and President Donald Trump are both scheduled to speak at the Army War College in Carlisle today. They're attending the Pennsylvania defense and infrastructure summit put together by Senator Dave McCormick. Trump is expected to highlight his investments in military spending. McCormick is using his summit to announce billions in investments in Pennsylvania industries. On the American debate over how much to spend on defense, U.S. Representative Scott Perry says he supports a one-time investment to jumpstart military production, but he warns about a ballooning federal budget.Governor Josh Shapiro is praising advocates from Pittsburgh who he said helped secure the first state budget increase for Pennsylvania's rape crisis centers in five years. Thirty-one percent of Pennsylvanian woman are unaware of the preventive services available at no cost under the Affordable Care Act. The Governor's Advisory Commission on Women is launching a statewide informational tour to tell them about accessible services.Pennsylvania lawmakers want to make it easier for homeowners to build backyard cottages, garage apartments, and other accessory dwelling units, or ADUs.Rabbittransit is getting ready to implement a new fare collection system later this month.  Changes are coming to the Capital Region, Gettysburg, Shippensburg and York routes.U.S. Senator Dave McCormick of Pennsylvania is bringing power brokers to the Keystone State by hosting a two-day summit on national defense industries. It's taking place at the U.S. Army War College in Carlisle.Governor Josh Shapiro has secured a $20.3 million investment from Mitsubishi Chemical Advanced Materials to expand operations and create 42 new jobs in Berks County.The number of measles cases in Pennsylvania has grown to 105 this year. The latest outbreak, over the past few months, is within a 7-county area surrounding Lancaster County where there have been 55 confirmed cases.It's been one year since public media's federal funding was revoked. Thanks to our community, we're still here for you and looking toward the future. Join the thousands of members who are building a stronger WITF. Go to  www.witf.org/givenow. And thank you. 

US Representative Tom Suozzi (D NY3) talks about national politics and his call for Democrats to embrace patriotism and defend capitalism in the wake of DSA victories. Photo: WASHINGTON, DC - DECEMBER 17: Rep. Tom Suozzi (D-NY) speaks with members of the media outside the U.S. Capitol on December 17, 2025 in Washington, DC. Four Republicans Representatives join Democrats to sign a petition forcing a vote on legislation that will extend premium tax credits for the Affordable Care Act. (Photo by Heather Diehl/Getty Images)   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Learning Leader Show with Ryan Hawk www.LearningLeader.com New Book - The Price of Becoming - www.LearningLeader.com/Becoming This is brought to you by Insight Global. If you need to hire one person, hire a team of people, or transform your business through Talent or Technical Services, Insight Global's team of 30,000 people around the world has the hustle and grit to deliver. My guest: Ezekiel J. "Zeke" Emanuel, MD, PhD, is a prominent oncologist, bioethicist, and health policy expert. Currently Vice Provost for Global Initiatives at the University of Pennsylvania, he was instrumental in shaping the Affordable Care Act and served as the founding chair of the Department of Bioethics at the National Institutes of Health. Key Learnings Zeke's dad was called "Speedy." He was a Chicago pediatrician who worked 24-hour call, walked so fast the nurses had to run to keep up, and had a rule: the fourth child in any family was free. He recognized the financial strain on families and just wouldn't charge. Zeke's mom was the definition of the anti-helicopter parent. At the playground, she sat on the bench. At the beach, she dropped the boys off with a blanket and a snack. "You go play. Something goes wrong? Okay, that's how it goes." That's how three future powerhouse leaders learned to negotiate, create, and figure it out. The Emanuel brothers' group text is full of bragging. Zeke posted his 51.9 VO2 max score at 68 years old, asking, "Do I win in the family?" His kids replied that they don't even read the articles Zeke and Rahm forward anymore. Close doesn't mean uncompetitive. A dozen years ago, Zeke wrote his most famous article, "Why I Hope to Die at 75." He still stands by it. The point wasn't that he wants to die. The point is that after 75, he won't take medical treatments meant to prolong life.  By age 75, 30% of adults have Alzheimer's or cognitive impairment. By 80, it's 40%. Zeke doesn't want to be remembered as a doddering old man who can't recognize his own family. Living a long time is a means, not an end. It's not the goal of life. It's what allows you to be present, engaged, and useful for the years you have. Biohacking is a lie: It suggests you know better than millions of years of evolution and the entire medical profession. The body isn't about maxing. It's about balance. Too much immune response gives you autoimmunity. Too little makes you sick. The body finds health in the median. You're not going to be perfect over decades. Wellness isn't a four-minute figure skating routine graded on execution. It's a lifetime practice. So build habits you enjoy and can sustain without thinking about them. Zeke's six simple rules for a long and healthy life: Don't be a schmuck. Avoid activities riskier than driving. Smoking, vaping, base jumping, climbing Everest. Talk to people. The number one predictor of a long, happy life. Expand your mind. Travel. Talk to the chef. Learn something new. Eat your ice cream. Moderation over perfection. Fermented foods and fiber. Move. Aerobic, strength, and flexibility. All three. Sleep like a baby. You can't will it. But you can create the conditions. The Harvard Adult Development Study followed people for 85 years. John F. Kennedy was in it. Ben Bradlee was in it. The finding: close friends and being married correlated with the healthiest, longest, happiest lives. Not exercise. Not diet. Relationships. Having no close friends is equivalent to smoking 15 cigarettes a day. That's how bad loneliness is for you. It's not just psychological. It's physical. Introverts get the same happiness boost from social interaction as extroverts. A University of Chicago study by Nicholas Epley found that introverts assume they won't enjoy talking to strangers on their commute. They were wrong. When they did it, they were just as happy as extroverts. Take the headphones off. Zeke has been telling people this since the iPod era. Random encounters increase your surface area for luck, learning, and connection. You never know who you're going to meet or what they might tell you. To be interesting, you have to be interested. Zeke asks to meet the chef at every great restaurant. He asks his Ethiopian Uber driver which tribe he's from. He talks to the person on the plane. It's virtuous. Good for you AND good for them. Zeke's hero is Ben Franklin. Franklin came back to America at 80 after negotiating the end of the Revolutionary War. The first thing he did was build a library for his curiosity and a dining room for his social dinners. That's the way to live. The wellness trifecta: hosting a dinner party with curious people. You're eating good food. You're getting together with people. Your mind is being stretched by great conversation. Three benefits from one activity. Zeke is anti-wellness-industrial-complex. Peptides from your corner store: disaster, unregulated, no idea what's in them. Testosterone replacement therapy without a real deficiency: bad idea, accelerates prostate cancer. Growth hormone for aging: promotes cancers. That's being a schmuck. Sleep is the one wellness practice you can't will yourself into. You can only build the conditions for it. Dark room. Cool temperature. No caffeine or alcohol eight hours before bed. Phone in another room. Read a book. Everything else is up to your body. Ice cream actually decreases your risk of type 2 diabetes. The fat content softens the glycemic response. Plus, you usually eat it with other people. Social eating matters. Zeke's champagne moment a year from now: finishing his next book on how to fix the American healthcare system, and turning 70. Reflection Questions Are you optimizing for length of life, or for the quality of years you actually get?  When was the last time you turned your headphones off, introduced yourself to a stranger, or asked to meet the chef?  Who are the friends you rely on for social interaction? Not casual acquaintances, but the ones who lift your health, longevity, and happiness. When did you last make plans with them? More Learning #607 - Dr. Meg Meeker - Raising Resilient Kids (Strong Fathers, Strong Daughters) #690 - Austin Kleon - Why Activated Leaders Win #682 - Will Guidara - Adversity is a Terrible Thing to Waste

Sen. Mitch McConnell’s monthslong absence is complicating GOP efforts to pass a spending bill. The Washington Post’s Jarrell Dillard explains how the missing vote has stalled a key committee. Maine Democrats are racing to replace Graham Platner in the Senate race ahead of a convention deadline, after his campaign collapsed amid sexual-assault allegations. The Maine Morning Star’s Eesha Pendharkar breaks down who’s vying to replace him. Millions of Americans dropped their Affordable Care Act coverage after pandemic-era subsidies expired. The Associated Press’s Ali Swenson details how the trend varied among states. Plus, the roommate of Charlie Kirk’s alleged killer says the suspect regretted his actions, the Lincoln Memorial Reflecting Pool is being drained again, and the women’s Wimbledon final is set. Today’s episode was hosted by Gideon Resnick.

Brad Woodhouse joins The Great Battlefield podcast to talk about his career in politics and how Protect Our Care is working to protect the Affordable Care Act and Medicaid from repeal, cuts and sabotage.

A judge Thursday sentenced a former Homeland Security agent to seven years in federal prison for making child sex abuse videos. He's one of three Minnesota-based law enforcement officers who pleaded guilty last year to child sex abuse image crimes.17,000 Minnesotans left the Affordable Care Act marketplace over the past year, according to figures provided by MNsure. With a major midterm election just months away, political campaigns are in full fundraising mode.

Welcome back to a special encore presentation of Turn on the Lights! As we continue our transition series, our new host, Dr. Philip, has hand-selected one of our most-listened-to and impactful conversations from the archives to highlight once again. Dr. Philip brings back to attention this conversation with Dr. Ben Sommers on how Medicaid work requirements and reduced ACA subsidies are driving coverage losses through administrative barriers, with far-reaching consequences for patient health and the stability of safety-net hospitals and communities. Summary: Millions of Americans could lose health coverage in the coming years, and the consequences may be more profound than most people realize. In this episode, Dr. Ben Sommers, the Huntley Quelch Professor of Health Care Economics at the Harvard T.H. Chan School of Public Health, and professor of medicine at Harvard Medical School and Brigham & Women's Hospital, talks about how new federal policies, including Medicaid work requirements and the rollback of Affordable Care Act subsidies, are reshaping access to health insurance in the U.S. Drawing on extensive research, he explains why these changes are expected to increase uninsured rates without meaningfully boosting employment. Dr. Sommers also shares evidence from prior state experiments showing that administrative red tape, not a lack of willingness to work, drives coverage loss. He outlines the ripple effects on patient health, safety-net providers, and hospitals, especially in rural and underserved communities. Tune in to understand what these policy shifts mean for patients, providers, and the future of the U.S. health care system. Things You'll Learn: New federal policies could result in more than 15 million Americans losing health insurance over the next decade. Medicaid work requirements do not meaningfully increase employment but do lead to significant coverage losses due to administrative barriers. Evidence from Arkansas shows that most people who lost Medicaid coverage were eligible and already working or exempt, but were tripped up by reporting requirements. Losing health insurance is associated with worse health outcomes, delayed care, increased financial strain, and higher rates of preventable death. Expanding health coverage increases overall system spending, but it delivers substantial benefits in terms of health, stability, and longevity for individuals and families. Reduced Medicaid funding and rising uninsured rates will place a severe strain on safety-net hospitals and providers, especially in rural and underserved areas. Changes to ACA marketplace subsidies and Medicaid rules will affect patients, providers, and communities in phases, with political and health system consequences unfolding over several years. Resources: Follow the Harvard T.H. Chan School of Public Health on LinkedIn and explore their website! Learn more about the One, Big, Beautiful Bill here! Learn more about your ad choices. Visit megaphone.fm/adchoices

Wednesday, July 8, 2026   Today, the Maine Democratic Party is weighing its options for selecting a new candidate should Graham Platner drop out; a Trump-appointed judge blocks the government from getting the names of 2020 Georgia election workers; new data shows that Obamacare enrollment has dropped dramatically over the past year; a new lawsuit shows the United States shared asylum application details with Iran; an Afghan national who fought with US forces has died in ICE custody; the family of a man shot by the Tennessee National Guard is demanding answers; Belgium beats and then trolls the US Men's National Team on Monday night; plus Allison and Dana deliver your Good News. The Daily Beans is proud to partner with Miles Taylor and our friends at DEFIANCE.org For a limited time, members of the Daily Beans community can receive a FREE 3-month full membership to DEFIANCE.org and gain access to one of the fastest-growing pro-democracy movements in America. Join here: https://www.defiance.org/beans   Thank You, IQBAR Text DAILYBEANS to 64000 to get 20% off all IQBAR products, plus FREE shipping. Message and data rates may apply.  Join The Daily Beans and give a gift today to ensure The Trevor Project can continue its crucial work in the face of continued challenges. Donate to The Trevor Project - Daily Beans Podcast Guest: Miles TaylorDefiance.org The Latest Breakdown:The Breakdown | Todd Blanche Could Be in Contempt Days Ahead of His Confirmation Hearing Stories Bernie Sanders Calls on Graham Platner to Drop Senate Bid After Rape Allegation | The New York Times Federal judge rejects Trump administration effort to get names of 2020 election workers in Fulton County Obamacare rolls shrank dramatically in many states over the past year, new federal data shows | AP News New lawsuit alleges U.S. shared asylum application details with Iran | NPR The family of a man shot by the Tennessee National Guard demands release of video | AP NewsGood TroubleContacting U.S. Senators | Senate.gov →Show up for our Libraries - action.ala.org →goodtroubleliveson.org/ July 17-19 →How to help those impacted by the Venezuela earthquakes|AP →Oppose House Amendment to Defund the Peace Corps! →Regulation for Federal Financial Assistance -  Open For Comments →Stand With Minnesota →ICE List  →iceout.org Good NewsThe Bloggess | Jenny Lawson Sistrum - Lansing, Sister Singers Network dana-goldbergs-southwest-funnyfest Oct 9 -Email Dana@DanaGoldberg.com for sponsorship information Tour - DANA GOLDBERGTickets for Dana Goldberg: Outrageous - Sep 23 - Den Theater - Chicago  →Share your Good News & Good Trouble - The Daily Beans   →Beans Talk audio -beans-talk.simplecast.com →Email Dana LGBTQ Owned eating establishments in your area - hello@mswmedia.com Subject: “Dana's Project” Subscribe to the MSW YouTube Channel - MSW Media - YouTube Our Donation Links The Trevor Project - trevorproject.org/beans Blue Wave California - https://secure.actblue.com/donate/msw-bwc Donate to Public Citizen - https://citizen.org/beans/ The Daily Beans is donating $10,000 and invites you to give what you can to support their life-affirming work - Donate to It Gets Better / The Daily Beans Fundraiser Pathways to Citizenship link to MATCH Allison's Donationhttps://crm.bloomerang.co/HostedDonation?ApiKey=pub_86ff5236-dd26-11ec-b5ee-066e3d38bc77&WidgetId=6388736 Join Dana and The Daily Beans in support of Human Rights Campaign http://onecau.se/_ekes71 More Donation LinksNational Security Counselors - Donate, ActBlue.com/donate/msw-bwc, WhistleblowerAid.org/beans Dr. Allison Gill - The Breakdown | Allison Gill, Mueller, She Wrote @muellershewrote.com - Bluesky, MSW & The Daily Beans Podcast @muellershewrote - Instagram, MSW Media - YouTube →Federal workers - email AG at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen.  Dana Goldberg - Dana is on Patreon! At Dana's Dugout, @dgcomedy - Bluesky, @dgcomedy - IG, Dana Goldberg - Facebook,  DanaGoldberg.com More from MSW Media - Shows - MSW Media, Cleanup On Aisle 45 pod, The Breakdown | Allison Gill Reminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! patreon.com/muellershewrote Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:https://apple.co/3XNx7ckWant to support the show and get it ad-free and early?https://patreon.com/thedailybeanshttps://dailybeans.supercast.com/https://apple.co/3UKzKt0 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

About 3 million fewer people had Affordable Care Act insurance plans in February compared to last year. Much of the drop is likely due to the end of pandemic-era enhanced subsidies, which resulted in higher premiums. And ACA premiums are only likely to increase next year. Plus, starting tomorrow, Medicare will begin covering GLP-1 drugs for weight loss. And, as we prepare to mark the 250th anniversary of the United States, we'll look back at the economic moments that defined the first 50 years of our nation.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace Morning Report is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.Stories featured in this episode:Millions drop ACA insurance as premiums rise

About 3 million fewer people had Affordable Care Act insurance plans in February compared to last year. Much of the drop is likely due to the end of pandemic-era enhanced subsidies, which resulted in higher premiums. And ACA premiums are only likely to increase next year. Plus, starting tomorrow, Medicare will begin covering GLP-1 drugs for weight loss. And, as we prepare to mark the 250th anniversary of the United States, we'll look back at the economic moments that defined the first 50 years of our nation.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace Morning Report is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.Stories featured in this episode:Millions drop ACA insurance as premiums rise

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3446: Rynda Chappell-Wilk highlights a surprisingly flexible Health Savings Account strategy: qualified medical expenses can be reimbursed years or even decades after they were incurred, as long as proper records are kept. By allowing HSA funds to remain invested and grow tax-free while paying medical costs out of pocket, this approach can create a powerful pool of tax-advantaged money that may provide valuable flexibility in retirement and income-planning decisions. Read along with the original article(s) here: https://www.financialfinesse.com/2017/10/17/the-health-savings-account-strategy-that-not-enough-people-are-talking-about/ Quotes to ponder: "If you qualify for a subsidy for your health insurance through the Affordable Care Act, you should be aware that your subsidy is only good up to certain income limits." "You can also take the money out for non-medical expenses after you turn age 65 and pay income tax on the withdrawal but incur no penalty." "If you can fund part of your lifestyle with HSA money (which won't increase your AGI), you may be able to pay less tax on your social security income." Episode references: Health Savings Accounts (IRS): https://www.irs.gov/publications/p969 Learn more about your ad choices. Visit megaphone.fm/adchoices

This week Roger breaks down IRMAA Medicare surcharges and why retirees should understand them without letting them dominate retirement planning decisions. He explains how the income thresholds work, common planning mistakes to avoid, and what happens if you cross into a higher premium bracket. Listener questions cover gifting strategies with adult children, Social Security claiming options for spouses, health insurance before Medicare, long-term care planning, combining finances later in life, and the tax treatment of gifts. OUTLINE OF THIS EPISODE OF THE RETIREMENT ANSWER MAN(00:00) Roger introduces IRMAA Medicare surcharges and explains why understanding them can help avoid surprises and unforced planning mistakes.RETIREMENT TOOLKIT(01:28) Roger breaks down IRMAA Medicare surcharges, explaining when they apply, why they matter, and how retirees can avoid being caught off guard by higher Medicare premiums. LISTENER QUESTIONS(15:11) John asks whether purpose-driven gifts to adult children impose the giver's values and how to balance generosity with expectations.(26:50) Joe asks how Social Security spousal benefits work when one spouse delays claiming until age 70.(31:50) Paul asks whether it's possible to wait until getting sick before enrolling in Affordable Care Act coverage.(33:41) Paul asks about using a Roth IRA as a self-funded long-term care reserve instead of purchasing long-term care insurance.(38:53) Suzanne asks for advice on combining finances in a later-life marriage between two retired widows.(45:43) Dave asks whether recipients of financial gifts owe taxes on the money they receive.SMART SPRINT(47:21) Roger's challenge this week: take a break from planning and simply enjoy life.ON THE BOOKSHELF(47:46) Kevin Lyles reviews The Stimulated Mind: Future-Proof Your Brain from Dementia and Stay Sharp at Any Age by Dr. Tommy Wood.REFERENCESlivewithroger.com — Register for Noodle Live on June 18!Submit a Question for RogerSign up for The NoodleON THE BOOKSHELFThe Stimulated Mind: Future-Proof Your Brain from Dementia and Stay Sharp at Any Age by Tommy WoodNote: The opinions expressed are for informational purposes only and should not replace personalized advice from licensed professionals.  

Healthcare is one of the biggest unknowns in any FIRE plan. If you're considering early retirement, self-employment, or leaving a traditional job, understanding health insurance costs could save you thousands of dollars per year and prevent costly planning mistakes. In this episode, we break down the Affordable Care Act (ACA) health insurance, premium tax credits, MAGI planning, and how healthcare costs vary by state. We also walk through a healthcare cost estimator tool that can help you project future expenses and build a more resilient financial independence plan. Resources Featured in the Episode: Healthcare Cost Projection: https://biggerpocketsmoney.com/healthcarecosts/ 2026 Tax Projection: https://biggerpocketsmoney.com/income-tax-projection/ How Health Insurance Works in Early Retirement Blog Post: https://biggerpocketsmoney.com/how-health-insurance-works-in-early-retirement-and-self-employment-2026/ How to Plan for Healthcare Over Early Retirement Blog Post: https://biggerpocketsmoney.com/planning-for-healthcare-costs-over-a-decades-long-early-retirement/ To go beyond the podcast: Kick start your financial independence journey with our FREE financial resources - https://biggerpocketsmoney.com/ Subscribe on YouTube for even more content- www.youtube.com/biggerpocketsmoney  Connect with us on social media to join the other BiggerPockets Money listeners - https://www.facebook.com/groups/BPMoney We believe financial independence is attainable for anyone no matter when or where you're starting. Let's get your financial house in order! Learn more about your ad choices. Visit megaphone.fm/adchoices

No-nonsense advice on sleep, diet, exercise, social connection, keeping your brain sharp, and not being a schmuck. Ezekiel J. Emanuel, MD, PhD is a Vice Provost and Professor at the University of Pennsylvania. A bioethicist, health policy expert, and oncologist, he was one of the architects of the Affordable Care Act. He is a regular guest on CNN and MSNBC and frequently contributes to The New York Times, The Washington Post, The Wall Street Journal, and The Atlantic. His new book is Eat Your Ice Cream: Six Simple Rules for a Long and Healthy Life. In this episode we talk about: Why longevity shouldn't be the goal — and what to aim for instead The single most powerful intervention for a long, healthy life (hint: it's not exercise) The neuroscience of friendship: how social connection literally changes your brain and body Six practical, science-backed rules for living well — from an oncologist with nothing to sell Why ultra-processed food and sugary drinks are doing more damage than almost anything else The case for eating ice cream (yes, really) — and why moderation is the new discipline What retirement does to your brain, and how to protect your cognitive function as you age ChatGPT as a diagnostic tool — and what a doctor actually thinks about that Why the wellness industrial complex is making you worse, not better Get the 10% with Dan Harris app here Sign up for Dan's free newsletter here Follow Dan on social: Instagram, TikTok Subscribe to our YouTube Channel To advertise on the show, contact sales@advertisecast.com or visit https://advertising.libsyn.com/10HappierwithDanHarris This episode is sponsored by:  BiOptimizers: Magnesium Breakthrough delivers seven forms of magnesium to support your nervous system, stress response, and daily recovery. Try it risk-free with their 365-day guarantee — head to bioptimizers.com/happier and use code HAPPIER for 15% off plus free gifts at checkout. Eight Sleep: The Pod automatically heats and cools your bed, tracks your sleep without a wearable, and their testing shows users get up to 34% more deep sleep. Use code DanHarris at eightsleep.com/danharris for up to $350 off the Pod 5, with a 30-day trial if it's not for you.

Newt talks with Elle Minarik, from the Paragon Health Institute, about their new report, “The Persistent Obamacare Enrollment Fraud” which details the widespread fraud and improper enrollment in Affordable Care Act (ACA) exchange plans, driven by enhanced federal subsidies, weak verification systems, and misaligned incentives for insurers and intermediaries. Paragon Health Institute’s analysis compares Census data on people with incomes between 100–150% of the federal poverty level to the number of highly subsidized enrollees, estimating that 6.2 million people are enrolled in heavily subsidized plans despite not having incomes in that range. They project about $25 billion per year in improper Obamacare enrollment by 2026, with at least $75 billion over the last three years, and note that in one year alone $40 billion in federal payments went to insurers for “zero-claim” enrollees who never used their coverage. Improper enrollment is highly concentrated in non–Medicaid expansion states, especially Florida and Texas, which together account for 63% of projected improper enrollees in 2026; five states including Florida, Texas, Georgia, South Carolina, and North Carolina account for 78%.See omnystudio.com/listener for privacy information.

Growing health insurance premiums, particularly for plans on the Affordable Care Act marketplace, have been in the headlines as cuts to Medicaid roll out nationwide. But healthcare deductibles are also growing — and with them, the group of Americans who have insurance but can't afford to use it. Also in this episode: The hospitality industry adds jobs in May, a jeweler in California mines his own gold, and we recap the week's economic headlines.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.