United States social health care program for families and individuals with limited resources
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Your Nebraska Update headlines for today, Aug. 3, include: rising costs are putting added pressure on families as Nebraska students and educators prepare to return to school, Nebraska becomes first state to remove Medicaid recipients under new work requirements as advocates warn thousands could lose coverage, former Nebraska Democratic Party organizer files lawsuit alleging sex discrimination and retaliation, health officials investigate cyclospora outbreak with experts pointing to contaminated irrigation water as likely source, opposition grows over proposed Cherry County livestock facility as dozens of public comments are submitted, UNL researchers receive Wild Kingdom grant to study Southern flying squirrels in Lincoln, cities across the Midwest are enforcing camping bans more aggressively.
Ep #119 — From Loss to Home Care Business with Que Maxwell of Two Caring HeartsPart of noseyAF's 31 Days of Black Business series
Let's talk about Trump booting people off Medicaid now....
Medicaid work requirements take effect: No money for healthcare, $1.5 trillion for war / UAW presidential debate reveals class divide between socialist autoworker Will Lehman and pro-apparatus candidates / German government in crisis
Send us Fan MailDiana and Joy catch up on a summer full of both medical logistics and hard moments. Diana walks through the challenge of scheduling Dinah's first blood draw around needle anxiety, and the added caution hospitals are showing around gender-affirming care even as federal pressure on Medicaid and Medicare funding appears to be easing. Joy shares a surprisingly smooth visit to Planned Parenthood for overdue care, followed by a birthday night out that turned painful when a headlining comedian's set leaned hard into transphobic jokes met with audience laughter. The two also talk through Samantha's recent breakup, her choice to stay closeted with friends, and the family's early research into international options for bottom surgery given current U.S. age restrictions on the procedure.If you're taking something away from our podcast, we'd appreciate it if you'd take a moment to provide us with a review; the more listeners and reviews, the more people we can reach and support.As always, feel free to reach out to us at transparentlyspeakingpodcast@gmail.com.
Caring for an aging partner alone takes a physical, emotional, and financial toll. Learn how to recognize early burnout and find local caregiving resources. https://bit.ly/4hIV9SgWhat happens when the person you love also becomes the person you provide 24/7 physical care for? In this episode of Everyone Dies, Marianne and Charlie examine the rapidly growing reality of elder spousal caregiving as lifespans lengthen and family sizes shrink. We discuss:The "Godzilla Principle" of Caregiving: Why addressing small burnout signals early prevents total breakdown.The Weight of Pre-Bereavement: Grieving a partner while they are still here, and navigating the emotional conflict of sadness, anger, and guilt.The Financial Sinkhole: Asset spend-downs, long-term care insurance limits, and Medicaid realities.Practical Guidance: Finding local Area Agencies on Aging, avoiding scams, and joining peer support communities.Timestamps:00:00 - Introduction and Ode to New Socks03:24 - Recipe of the Week: "Guaczilla" Guacamole 03:56 - The "Godzilla Principle" Applied to Caregiver Burnout 08:40 - "Bambi Meets Godzilla" & Healthcare Systems 10:31 - Spousal Caregiving: The Growing Reality & Demographics16:08 - Caregiving Resources & How to Avoid Scams 24:15 - In Memoriam: Juan Jose Valdez (Last Marine in Vietnam) 27:30 - Outro#caregiverlife #caregiving #agingparents #spousalcaregiver #caregiverburnout #griefsupport #dementiacare #eldercare #endoflife #everyoneDiesPodcast #longtermcare #caregiverstress #agingpopulationSupport the show
July 30, 2026Sixty years ago, Medicare and Medicaid went into effect, Congress had amended the Social Security Act of 1935 to establish the two national health insurance programs, for seniors and for people who qualified on the basis of income, In 1945 Harry Truman had proposed an Economic Bill of Rights tht guaranteed certain rights including the right to adequate medical care, Truman said that “the health of this nation is a national concern,” John F Kennedy made the expansion of health insurance a priority, but faced strong opposition, With LBJ's victory in 1964, he had the votes to pass Medicare and Medicaid, But in 2026 the Republicans are rejecting LBJ's vision of a government that works to support its people, The One Big Beautiful Bill Act partially offset its tax custs with cuts to Medicaid, and the administration now plans to cut a program capping the cost of drugs for Medicare recipients.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
Medicaid decisions made in a capitol building can land in a hospital waiting room fast and the ripple effects are bigger than most people realize. From the 2026 Mackinac Policy Conference, we sit down with Brian Peters, CEO of the Michigan Health and Hospital Association, to talk about what Michigan hospitals are facing right now and what actually helps patients keep access to care.We start with the MHA's “convener” role and why it still matters even as healthcare consolidation creates bigger systems and sharper competition. Brian explains how Michigan maintains something rare: 100% hospital and health system membership, which changes the stakes when we speak with lawmakers, regulators, and the media. When we can show a united front, we can focus on solutions like quality improvement, shared learning, and practical public policy that supports communities across rural and urban Michigan.Then we get into Medicaid funding, Medicaid eligibility, and the administrative hurdles that can quietly knock eligible people off coverage. Brian lays out the tension between a consistent national message in Washington and the reality of 50 different state Medicaid programs, including differences in Medicaid expansion and provider tax approaches. We also zoom out on healthcare affordability after COVID, why finger pointing will not reduce costs, and how technology and AI could improve care delivery if we build systems people can actually use. Brian closes with an urgent message about the rise of workplace violence in healthcare and why respect for caregivers is essential to recruiting and retaining a strong bedside workforce.Subscribe, share this conversation, and leave a review so more people can find The Common Bridge and join us in building practical understanding across divided lines.Support the showEngage the conversation on Substack at The Common Bridge!
Independent investigative journalism, broadcasting, trouble-making and muckraking with Brad Friedman of BradBlog.com
Tarabuster Thursday with Tara Devlin. July 30, 2026
American workers and youth are turning towards socialism / Tens of millions face Medicaid cutoff, as Trump's “Big Beautiful Bill” work requirements lock into place / US resumes strikes on Iran as global war escalates
Former Lt. Governor Mandela Barnes drops out of the primary race for governor and says it's time for Democrats to unite around beating Tom Tiffany. A new federal work requirement could force tens of thousands of Wisconsinites off Medicaid. And, people are lining up to try to help Menasha recover from this week's devastating tornado.
Chris Clare, a seasoned sales professional, shares his journey from Merrill Lynch to Greystone, tracing his transition from municipal bonds to healthcare finance. He discusses the importance of building lasting relationships rather than chasing one-off transactions, and how staying attuned to market trends, including the impact of the Big Beautiful Bill on Medicaid reimbursement rates, has shaped his approach to the business.Clare also speaks candidly about what it takes to succeed in a high-pressure field, from developing a high tolerance for setbacks to building a diverse team capable of competing in the fast-moving origination space.For young professionals looking to break into healthcare finance, Clare offers practical advice: seek out exposure to a wide range of deals early on, and consider specializing in state reimbursement systems as a path to long-term success in the industry.lenders, market, people, loan, client, equity, selling, deals, screen protectors, year, calls, rates, business, borrower, easy, long, sales, chase, interest rates, debt
Trump's State Department botches Africa with AI, sick Medicaid patients face brutal work rules, and America's profit-first economy blocks progress in energy, health, and life.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE
Arnie Arnesen's panel confronts Trump's assault on democracy, cruel Medicaid rules for seriously ill patients, Republican attacks on Medicare, and the case for Medicare for All.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE
Big Tech earnings are moving markets sharply as investors try to figure out whether the AI trade still has another leg higher or whether the volatility is warning of something more fragile.Chuck Zodda and Mike Armstrong break down the sharp swings in semiconductor stocks, why major tech names like Microsoft, Meta, Amazon, and Apple are seeing outsized moves after earnings, and why the broader market still looks uncertain despite several big rebounds. They also discuss Amazon's strong cloud growth and rising CapEx, Apple's disappointing guidance tied to supply constraints and memory chip costs, and why Apple's slower approach to AI resembles Toyota's patience during the EV boom. Plus, they look at the blowup of the AI-focused hedge fund Situational Awareness, Todd Lutsky's explanation of irrevocable Medicaid trusts, and why new reports about Anthropic's AI models hacking companies raise serious concerns about agentic AI risks.
It's Friday, July 31. Here are today's top stories around Central Indiana. Want to go deeper on the stories you hear on WFYI News Now? Visit wfyi.org and follow us on social media to get local news every day. WFYI News Now is hosted by Barb Anguiano and produced by Zach Bundy. Subscribe wherever you get your podcasts.
Send us Fan MailMore than 160 million Americans live in areas with a shortage of mental health providers. The clinicians who do show up are spending hours on documentation, compliance, and eligibility work that has nothing to do with patient care.Alon Joffe, Co-Founder and CEO of Eleos Health, joins host John Driscoll to discuss how AI is reducing administrative burden for behavioral health clinicians and why workflow efficiency is becoming critical for community health centers facing Medicaid funding challenges.
You’re listening to American Ground Radio with Stephen Parr and Louis R. Avallone. This is the full show for July 30, 2026. We open with the Texas Senate race — where Democratic nominee James Tallarico released a polished campaign ad called Waking Up, featuring him driving a full-sized Dodge Ram 1500 through Texas oil fields and farm country. There's one problem: it's not his truck. Tallarico drives a Chevrolet Colorado, but its tinted windows made the interior too dark for filming, so his campaign rented the Dodge from a local company. We make the distinction between normal campaign staging and renting a persona — because the entire ad was designed to sell Tallarico as a natural extension of working Texans, and the truck was the centerpiece of that message. We also note that Republicans handed Democrats an opening by nominating Ken Paxton — damaged goods with a messy personal and political record — instead of Wesley Hunt, who would have won this race by a landslide. Texas Republicans got this one wrong. In our Top 3 Things You Need to Know, President Trump's Attorney General nominee Todd Blanch is in limbo after John Cornyn and Thom Tillis signaled they would not support him in the Senate Judiciary Committee — concerned about a proposed fund to compensate victims of political prosecution under Biden, including January 6th defendants, even after Blanch testified under oath the deal was dead. Trump is reportedly considering withdrawing the nomination until both senators leave office in January. Then the federal government demanded Colorado repay $8 million in Medicaid funds after an audit found the state had billed for services totaling more than 24 hours in a single day for the same patients — a mathematical impossibility. Colorado disagrees with the findings. And thousands of military-age North African men breached the border between Morocco and Spain at Ceuta — overwhelming local law enforcement, with at least nine people killed in the chaos. Spain's Supreme Court recently ruled that sea arrivals cannot be deported without due process hearings. Most of Spain's borders are water. We also cover the WNBA's latest self-inflicted embarrassment — the league itself posted and then deleted a video from All-Star Weekend showing Dallas Wings guard Paige Bueckers and Atlanta Dream forward Angel Reese apparently agreeing to a $400 bet on the outcome of a game between their own teams. The WNBA's own rulebook explicitly prohibits players from wagering on league games, with penalties ranging from fines to lifetime bans. We ask the obvious question: what are the odds that Angel Reese faces the same consequences Caitlin Clark and Sophie Cunningham would face in the same situation? Our American Mamas Teri Netterville and Kimberly Burleson respond to a listener question about the growing number of rules new parents are imposing on grandparents before they can see a newborn — mandatory vaccinations, isolation periods, mask requirements, no kissing — and trace it directly to the damage Anthony Fauci did to medical credibility during COVID. A generation raised on social media sees the exception, not the rule, and draws sweeping conclusions from rare worst-case scenarios. Teri's advice: get the vaccines with 50-year safety records, do your research on the newer ones, and for the love of everything good — let grandparents kiss the babies. We dig into a J7 report — tracking antisemitic violence in the seven countries with the largest Jewish populations outside Israel — which found that 2025 was the deadliest year for antisemitic attacks in the Western world since 1994. There were 23,000 antisemitic attacks in those seven countries last year alone, including 20 murders of Jewish people motivated by hatred of Jews — three in the United States. We trace the rise to mainstream media coverage of Israel's response to October 7th that portrayed military action against a terrorist organization as genocide — providing ideological cover for people who were already antisemitic to act. We also connect it to the intersectionality framework that positions whoever appears most oppressed as the default sympathetic party — a framework that simultaneously claims to support women, gay people, and Palestinians, without reckoning with the fact that none of those three positions are compatible with each other under Hamas governance. For our first Bright Spot, President Trump announced that Middle East mediators — including Egypt, Qatar, and Turkey — have reached an agreement on the complete disarmament of Hamas and other armed groups in Gaza, with a phased plan to rebuild Gaza, establish a new Palestinian government, and guarantee Israel's security. We call it what it is: not a ceasefire, not a pause, but a structured plan — and potentially the most significant Middle East development in a generation. For our second Bright Spot, the island nation of Micronesia — 75,000 people spread across 607 islands in the South Pacific — used to charge $65 per megabit per second per month for internet access because the government ran the only internet provider. When the government ended its monopoly and allowed private companies in — including Starlink — the price dropped 99% to 78 cents per megabit and internet access jumped from nearly nothing to 88% of the population. All they did was end the government monopoly. We connect it directly to New York City's government grocery store plan — and suggest Mamdani study Micronesia before he opens his first store. We also cover New York City bodegas allegedly allowing customers to use EBT food stamp cards to purchase kratom — an herbal extract not approved as food, a drug, or a dietary supplement — and potentially THC products. We call it what it is: SNAP trafficking, a federal crime that diverts money intended for nutrition into products that have nothing to do with nutrition. We also note that families of 9/11 victims are asking organizers of the 25th anniversary Ground Zero memorial to bar Mayor Mamdani from attending — citing his political positions, his anti-Semitic endorsements, and his statement during his campaign that the worst thing about 9/11 was that his aunt feared people were looking at her suspiciously. We say that day belongs to the families and to the fallen — and that Mamdani would be a distraction from both. And we close with 73-year-old Dave Whitlow of Richmond, Virginia — who has spent eight years volunteering twice a week at the Children's Hospital of Richmond as a professional cuddler of premature babies. On busy days he holds eight different babies, some weighing less than two pounds, giving them the human contact their developing systems need. As he places each one back into their NICU bed, he tells them the same thing: grow strong, grow smart, grow kind. May your pursuit of happiness bring you joy. Listen now wherever you get your podcasts, visit AmericanGroundRadio.com, and join the conversation at 866-AGR-1776!See omnystudio.com/listener for privacy information.
Here's your local news for Thursday, July 30, 2026:We hear how Wisconsin health officials are preparing to carry out the new federal work requirement for Medicaid recipients,Examine the city of Madison's push to standardize zoning,Usher in a new era of "Transparency Talk,"Tell you the best spots to cast your fishing line,Check in with Forward Madison FC as their winning streak continues,And much more.
D-SNPs are offered by private insurance companies (such as UnitedHealthcare, Humana, Aetna, and Centene) that contract with both Medicare and your state's Medicaid program. According to CMS data, D-SNP enrollment has grown by more than 150% over the past five years, making it the fastest-growing segment within Medicare Advantage
Thursday, July 30, 2026 Today, Senator Cornyn cancelled a meeting with Todd Blanche Wednesday morning because Blanche didn't have the Slush Fund rescission in hand; Dr. Fauci hears Republican conspiracy theories in a hearing on Capitol Hill and refused to answer questions; Senate Republicans confirmed Jay Clayton as the Director of National Intelligence; a judge has ordered the release of a key witness in an ICE shooting; a judge kills a Republican ballot measure that would gut unions declaring it unconstitutional; former DOJ Pardon Attorney Liz Oyer says she's been getting death threats since her testimony about Todd Blanche; Comey files his motion to dismiss for vindictive and selective prosecution in the seashells case; videos show ICE agents using racial slurs to refer to Latinos; plus Allison delivers your Good News. Thank You, MINT MOBILE Make the switch! MINTMOBILE.com/DAILYBEANS The Trump Epstein Memorial Bookmobile 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 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 The Latest Breakdown→ DOJ Must Hand Over Internal Emails About NYT Subpoenas StoriesComey asks judge to ‘86' seashells case, alleges he was surveilled at Trump's direction | MS NOW Former DOJ lawyer spotlights death threats after Blanche testimony | MS NOW ICE agents used racial slurs to refer to Latinos, videos and texts appear to show | ABC News Judge orders immigration officials to release key witness in Texas ICE shooting | NBC News Judge: GOP ballot measure aimed at teachers union unconstitutionally guts police, fire unions too | AZ MirrorGood Trouble Comment on proposed Medicaid requirements: https://www.regulations.gov/commenton/CMS-2026-2047-0002Medicaid Work Requirements: Learn More and Take Action! - Autistic Self Advocacy Network Check your voter registration and deadlines → Voter Registration Deadlines - Vote.org →Blue Wave California- secure.actblue.com/donate/msw-bwc →Help save Texas from Ken Paxton! →Urge Democrats to Oppose and Stop Trump's Crypto Corruption | Indivisible Guide →Defiance.org/beans →Stand With Minnesota →iceout.org Good News Ohiopride.org dana-goldbergs-southwest-funnyfest Oct 9 -Email Dana@DanaGoldberg.com for sponsorship informationTickets 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/ Donate to It Gets Better / The Daily Beans Fundraiser Pathways to Citizenship - https://crm.bloomerang.co/HostedDonation Join Dana and The Daily Beans in support of Human Rights Campaign http://onecau.se/_ekes71National 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 - fedoath@pm.me 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.
Today on the show, Joe breaks down Dr. Anthony Fauci's explosive appearance on Capitol Hill, where visible nerves and shaking hands told the real story before he even uttered a word. From Senator Josh Hawley calling out systemic obstruction to Senator Rand Paul delivering a searing indictment on how arrogance, secrecy, and censorship destroyed public trust, we expose the deep state's crumbling defense. Plus, we dig into the bizarre paper trail surrounding Fauci's federal pardon—specifically why it traces back to 2014, the exact same year the NIH approved grant funding for bat coronavirus research at the Wuhan Institute of Virology. As questions mount, we ask the hard question: a federal pardon might shield him from Washington, but are state prosecutors ready to step up?Former FBI agent, whistleblower, and podcaster Kyle Seraphin joins Joe in the studio to pull back the curtain on bureaucratic warfare and institutional decay. Seraphin reacts to Fauci's testimony, dissects the lingering skepticism surrounding Senator Mitch McConnell's staged "proof of life" photo ops, and dives into shocking CIA whistleblower allegations revealing illegal surveillance against current leaders like Tulsi Gabbard. Furthermore, Kyle brings his tactical background to the table to analyze the Charlie Kirk assassination attempt, questioning official narratives and breaking down the physical real-world capabilities required for such an operation.Joe confronts the glaring double standards reshaping American life. While everyday families struggle to get basic life-saving medications approved by insurance, taxpayer dollars across dozens of states are quietly funding 100% free gender-affirming surgeries through Medicaid. Meanwhile in New York, socialist policy takes center stage as Mayor Zohran Mamdani pushes government-run grocery stores—threatening small business survival while imposing selective, government-controlled product restrictions. Finally, as TPS expires for Haitian migrants and ICE agents face daily hostility on the ground, Joe takes a hard look at the reality of federal deportations and where the country heads next.
This episode was originally released December 1st, 2025 for Death Panel patrons and is being re-aired today. We'll be back in the patron feed on Monday with a new episode on the fight over Medicaid and the Trump administration's new definition of "medical fragility." To support the show and help make episodes like this one possible, become a patron at www.patreon.com/deathpanelpod Beatrice speaks with Nate Holdren about why deportation is wrong, period, and about what we lose when we limit our demands to appeals about "legality." Find Nate's recent essays (mentioned at the top of the episode) here: Hands Off! (Spectre Journal) - https://spectrejournal.com/hands-off/ Deportation is Wrong, Period (Little Village) - https://littlevillagemag.com/letter-to-the-editor-deportation-is-wrong-period/ FInd Nate's book, Injury Impoverished, here: https://bookshop.org/a/118130/9781108448666 Show links: We're testing out a new Bookshop.org page (still under construction), where you can find books by past guests and book recommendations from the hosts. Find it here: bookshop.org/shop/deathpanel Get Health Communism here: bookshop.org/a/118130/9781839765179 Outro by Time Wharp: timewharp.bandcamp.com/track/tezeta
Dr. Oz's proposed 2027 CMS rules dropped, and I've been waiting all week to get into them. The push toward value-based care and Accountable Care Organizations continues, but the headline for anyone in private practice is the multiple procedure cut: if you bill an E&M code and a procedure on the same day, Medicare now pays 100% for the more expensive service and only 50% for the other, regardless of modifiers, regardless of whether they're for two totally separate problems. That is a direct assault on independent practices, and every commercial insurer will follow Medicare's lead. There's one small win. Mandating real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA marketplace plans One head-scratcher...Medicaid work requirements of 80 hours per month starting January 2027, which I suspect will land squarely on physicians' documentation burden. Also, everyone say it with me: physician compensation is 10% of U.S. healthcare expenditure. After the break, medical malpractice for ophthalmologists. A colleague just came out of a settlement, and it got me looking at the top drivers of ophthalmology lawsuits: cataract surgery complications, missed or delayed retinal detachments, glaucoma management failures, and post-op infections. The uncomfortable truth: the only way to avoid surgical complications is to not operate, and sometimes even perfect communication and documentation don't stop a lawsuit. But they help. Takeaways: The proposed 2027 CMS rules would pay only 50% for a second same-day service when an E&M visit is billed alongside a procedure, regardless of modifier, effectively a major reimbursement cut that will hit independent private practices hardest and be adopted by commercial insurers Physician compensation accounts for just 10% of total U.S. healthcare expenditure, yet Medicare physician reimbursement is cut nearly every year while hospital and insurer reimbursement continues to rise The 2027 rules push physicians further toward Accountable Care Organizations and value-based care, favoring large health systems and insurers over independent physician-owned practices, with one bright spot: mandatory real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA plans The top ophthalmology malpractice risks are cataract surgery complications (posterior capsule tears, retained lens fragments, unfulfilled patient expectations), missed or delayed retinal detachment diagnosis, glaucoma management failures (insufficient IOP monitoring), and post-op infections Per OMIC, the three biggest drivers of ophthalmology claims are documentation deficiencies, communication gaps, and technical performance, about 60% of claims involve surgical execution errors, and diligent documentation, brutally honest informed consent, and strong physician-patient rapport are the biggest mitigators To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Nebraska Medicaid Director Drew Gonshorowski says the state's data capabilities put it in a strong position to quickly implement the historic changes. Advocates and researchers warn that eligible people may still fall through the cracks.Guest(s):Drew Gonshorowski, Director of Medicaid and Long Term Care, Nebraska Department of Health and Human ServicesBenjamin Sommers, Huntley Quelch Professor of Health Care Economics, Harvard T.H. Chan School of Public Health Amy Behnke, CEO, Health Center Association of NebraskaLearn more: Read the full reporting and explore additional resources on our website.This episode was produced by Julie Wernau, edited by Dan Gorenstein and Ryan Levi, and mixed by Andrew Parrella.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Special thanks to Adrianna McIntyre, Rebecca Myerson, Kinda Serafi and Andrea Skolkin.Tradeoffs reporting for this story was supported, in part, by Arnold Ventures.Want more Tradeoffs? Join more than 5,500 readers who trust Tradeoffs for clear, deeply reported health policy insights. Sign up for our free weekly newsletter.Tradeoffs helps you cut through the noise with clear, deeply reported journalism on the forces driving health care's toughest choices — reporting you won't find anywhere else. If our work helps you stay informed, support it with a donation today. Hosted on Acast. See acast.com/privacy for more information.
Re-releasing a Dental A-Team podcast favorite! Tiff is on the pod to chat with Kiera about an office she just visited which needed some attention on its collections and accounts receivable. To give an idea of where this practice sits at, its collections are at 80% and case acceptance is at 56%. Tiff shares three points she touched on with this office: Three tactics to put into place to raise collections Establish tracking methods Spun complaints in a positive direction Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today we are bringing you something so special. I am so excited because this is one of our most popular episodes from the archives. Whether you're hearing this for the first time or catching it again, I am so excited because it's jam packed with a ton of takeaways that you can start using right now in your practice. We have released thousands, literally thousands of episodes. And I wanted to start bringing a few of these amazing episodes back for you. So I hope you enjoy. And as always, thanks for listening and I'll catch you next time. on the Dental A Team podcast. speaker-0 (00:32) and you guys don't worry. We say we travel in the Dental A Team, and this time you might actually hear proof of it because I have the one and only Tiffanie Trader back on the podcast. She is getting ready to fly home, just finish up with an office, and we definitely got her to podcast while she's at the airport. So Tiff, where are you at today? How is this podcasting going? speaker-1 (00:54) podcasting is gonna be fantastic because it is because I put it out there into the universe and I am I'm actually in DC, which is funny because it's funny because I thought I I thought I booked a different airport and I thought I booked an airport I had been to and then on the way here I was like, Yeah, I've surely never actually even been to DC and anyways it's been fun. This is how my life is. speaker-0 (01:18) So funny travel story about Tiffanie and airports. We always giggle about this. Tiff, do you want to tell about the one time like this is like real life consulting one one for you guys? Do you remember the time that you maybe missed your alarm? You set like twenty five of them, but that's fine. Like I've seen your phone and there are seriously like, Wake up, no, like really wake up. No, like you've got to get out of bed. Like that's all your alarms that you have. But like what happened that time? Because it was a really funny travel experience. speaker-1 (01:42) Here's the thing, Kiera. I just want to point out that I am in Virginia right now. It's speaker-0 (01:47) Yeah. speaker-1 (01:48) the only state that I have ever, ever, ever had any travel mishaps of any sort have been either coming to or leaving Virginia. I have Virginia stuck speaker-0 (01:59) Is your speaker-1 (02:00) here. I've gotten stuck here on a layover. Like Virginia just doesn't want me to leave, I think. So I slept through my alarm leaving New York, coming to Virginia. because my flight was at six thirty in the morning, which is if you know me at all is not speaker-0 (02:16) It's okay. It's all right. We all make decisions that we shouldn't have done. And I'll be honest, sometimes when we're like booking the travel, we're like, yeah, that seems like a really good idea until we actually have to live the travel we booked for ourselves and we're like, That was a really bad idea. So speaker-1 (02:30) It was a poor choice. speaker-0 (02:32) You're up late. I remember you were texting me late at night that night and I'm like, Tiff, your freaking flight leaves so early tomorrow and you're like, I'll be fine speaker-1 (02:40) Yes, but I was fine because I actually figured out that it was quicker to drive to where I needed to be than to fly anyway. So speaker-0 (02:49) Only after she missed her flight. So it was you know a win. speaker-1 (02:52) Because I had to pivot. I had to be at an office that afternoon and I was like, shoot, how do I do this? So pivot or die is like what we live and breathe by. so I mapped it and I went and I got a car and the car rental guy was like, my gosh, this is absurd. so I drove a car from New York to Virginia and it was by far my favorite road trip of working experience because it was beautiful. I got this in so many I went through It was like fall time, but I got snow, I got fall leaves changing. I have like every possible season. speaker-0 (03:27) It's one of favorite stories that I definitely feel like needed to be recorded for all of our posterity to hear and all of you listeners. So this might be mine and Tiff's like journal time over here. But this is liter speaker-1 (03:36) I think I've I think I've now flown out as of today. I will have flown in and out of every airport in Virginia. speaker-0 (03:45) Well, I'm glad that you're able to get the last one knocked off your list today. but you guys, that's literally the day in life of a consultant. I think it's it's fun to point out the fact that like in offices when things don't go as planned, like literally pivot. I know Tip and I have many times, I mean the time that I almost got deported out of Canada, hashtag I was literally a one hour drive across the border, but no, I flew back down to New Jersey and then back trying to get across the border. And it would have been way better had I just driven. So I think also it's like looking at it. I mean, had we mapped it, now when people are booking travel, we're always thinking like, Could you drive there faster than flying? 'Cause there's always alternatives. So I love it. Welcome to Virginia. I'm glad you're coming home. Glad your office was there. Let's kinda like speaker-1 (04:29) office was in New Orleans. It's fine. speaker-0 (04:34) Everything's fine, guys. Everything's fine. We are totally competent in dental offices and we're about like seventy-five, eighty percent competent traveling. We have that like twenty percent lack that we definitely are not great at. speaker-1 (04:44) It just needed to hit Virginia as a state this year, so I got it in. speaker-0 (04:48) Good job, Tiff. So actually let's like deep dive on your practice you just came from. this is not the topic we were going to go on, but I just realized like we're talking about you leaving an office. Kinda walk us through some of the things you just implemented in that practice that you were in, just so people can kind of get an experience of what it's like having a consultant in their practice. speaker-1 (05:05) Yeah, I think that's fun. Yep. So this was and I love a bit or die. speaker-0 (05:10) Don't worry, we had a totally different topic, but like why not why not just keep with this consulting travel theme? speaker-1 (05:16) I like it. So yes. this is my second time in the practice. This was Ashley actually saw this practice probably like a year ago, I suppose. so she saw them first and Ashley's no longer with us, wildfires, crying, lots of tears. speaker-0 (05:29) Decided to get married and move away and become a practice manager. It's fine. That office got real lucky. I shout out to them. speaker-1 (05:37) Yeah. So anyways, this is their third visit. So it's really cool to see the progression and the growth that they've experienced, but then also like the holdups that they've had. So it's like, yes, we've been consulting them for a little over a year now. but there's still so much to be done. So this week what we did yesterday and today was we focused really heavily on collections and AR because they're just struggling a little bit in that area and they're having a hard time dialing it into where it's coming from. So it was really fun because we saw the issue and then what I did was I kind of worked my way backwards, right? Because I think in any practice you can find something that's wrong and then I can tackle that person. Right. So I can go straight for the billing representative and the office manager and be like, why aren't you collecting? Where's your money? But it's not just them. that are the the only cause of that, right? So the only effect of the cause. So we backtracked, we looked at everything, we realized, hey, patients aren't always getting signed treatment plans. Like patients aren't even they're not always getting told what they're going to owe in the first place. So then when they're coming in, it's a little bit more difficult to collect because I noticed we have a crown you know, a crown was in last week and they paid a hundred dollars. And so if you know anything about Crowns in dental insurance, typically a hundred dollars is not going to be the copay required. So I thought, okay, why is this patient only paid a hundred dollars? Well, probably because this patient was not prepared to pay the six hundred dollars that he had owed when he came in. So we kind of backtracked. So we figured out, okay, our collections percentage is low. It's about 86% for last month, and overall for the year they're hovering in the mid 80s. I like to see ninety eight percent for my practices or higher. I usually tell my Medicaid practices, Medicaid slash PPO providers, ninety-three to ninety-five percent just because Medicaid takes so long. So ninety-eight percent is what we're looking for here in this practice. So eighty six percent was like, my gosh, how are how are we paying the bills? So we back chopped and we started implementing they did NDTR for us like a boss. We've done that twice to the guys don't know the N D T speaker-0 (08:00) And you're new, that's a perfect handoff. So next visit, date, time, recare. And I will say it's magic sauce when people do it. So good to know this office was which is great. It's good. Like Tip, I love that you're breaking this down. And I think offices should do this. Like when you find a gaping hole, don't go after it. Look at all the pieces that factor in to find out where is the true breakdown. So we already know that the handoff and the doctor exam is spot on. We are crushing that. Our handoffs are good. Our doctor exams are great. So that's not the cause of the collections being low. Like good job Tiff of checking that box to ensure and I hope people are able to see that that that's what you're doing in this. Like you're assessing to find out where the breakdown is at. speaker-1 (08:38) And I think that's right. And as you're saying that, it made me think of like treatment planning, right? So doctors, you go in the operatory and if you just looked at a tooth and you saw this this piece of decay, right? No x-ray, nothing else. You just look at the tooth, you're like, okay, there's decay there. We need to get it out. Let's do a filling. Okay. So you do a filling, you get in there, because you haven't looked at the x-ray yet, you get in there and you're like, holy cow, that's not the only problem. So I think of it as like You go in, you look at the tooth, but you also look at the x-rays and all the other evidence that you have. You look at you know, intra-oral photos, you look at structure, all of these items to assess what the patient needs on that tooth. So if you look at the x-ray, maybe the x-ray shows like all of this patient's pain is actually stemming from a huge abscess at the root of the tooth. Had we not looked at the x-ray, we might have just tried to fill it, right? So I kind of think of that of something like that when I go into practices. So I do see, okay, there's an issue so we're we're bleeding money right so there's an issue but what's the root cause of it so I think that's great what you said Kiera because it made me think of that like it's really we go in and we dig for the root cause so overhead is high collections are low so what's the root cause so handoffs are working great the diagnosis is there the treatments there the schedule's pretty full right they're producing 120 grand with two doctors and two hygienists that's not bad per month so we really diagnosed. So we ramped up treatment planning with the front office, ramped up treatment planning, which should ramp up over the counter collections, and then we tackled cancellations, which I think cancellations across the board, across the country, and all of my practices have been really high lately. I think it's just a product of the mentality that we're living in right now, and a product of what we've become. So that aside, we just set some new goals. So Over the counter collections and collections in general, they I set them another goal. So their goal now is 98% by the end of the year. Okay, and remember they're at about 86% now. Case acceptance, they're doing dollar for dollar. So case acceptance, dollar for dollar is set at 75% is their goal. They're hovering at about 56% right now. And then I want to see cancellations at less than 10% every day. So they'll do that by week and they're tracking all of those items. It is actually really fun to hammer in the collections because the front office ladies are like, I don't know what I don't know why she keeps saying collections, collections, why are you saying collections is an issue? We collect the money. We collect all the money over-the-counter. We we don't let patients leave without paying. And so I said, Okay, totally fine. So, what we did was we set, we created a new tracker, right? So I created a tracker for them for over-the-counter collections. If they do not collect in full from a patient, they've got to put it on the tracker. So it's just in their Google spreadsheets, something the office manager can check in on, but it's going to hold them accountable. So number one, I saw that you know we had a few patients we weren't collecting over-the-counter 100% from. So there should be some names on there. Number two, they're not going to want to fill out the tracker and they're not going to want anyone to see your name on there. So hopefully it will ramp up that over-the-counter collections. But then also they had a good point. If they feel like they're collecting over the counter correctly, maybe it's on the back end where it's like our claims, you know, our treatment plans are are not accounting for downgrades, and maybe our claims are coming in, EOVs are being paid, and we're left with balances, it will show. So I took the problem, diagnosed what needed to happen, implemented three items and three different goals that should help. And then allowed them the grace and the space to say, okay, fantastic. We're gonna push real hard on these items to ensure that your over the counter collections is happening exactly how you're saying that it is, just because I want you guys to kill it. And the proof will be in the end. Right. So if I see that over the counter collections is better and now our overhead is decreasing our collections is higher, then I know we tackle the problem. If it's not and it stays where it is, and we start saying, okay, it's actually left over after insurance, we actually tackled that problem as well because we've we have our insurance, the team who's doing the insurance verifications are gonna start they're putting down grades in now. so that should be resolved as well. But it was kind of fun to see where it's like sometimes we think we're doing something and we can say, like, I always do this thing, which always and never are never accurate, right? So like always well whenever I think like I always do it I'm like okay so I don't always do it so I need to like back off and take a look at the area where I probably could improve. So as soon as I hear something that I'm like okay I totally get it. It's like a it's a defensive space and we do feel like we're killing it in that area and it's great if we are you might be so we're gonna put this into place to see that to show it. So let's prove that you are doing the things and it's not you on the opposite side of the spectrum. We're putting attention on it and so no matter what, whether you were doing it before and you're doing it y now you're doing it even more or you're doing it the same as before or you weren't ever doing it, it's going to improve no matter what, because we're putting attention on it. speaker-0 (14:01) I love it. speaker-1 (14:03) That's what we did in this caucus. speaker-0 (14:05) So I think there's like a c quite a few pieces I wanna highlight from it is number one, I love that you talked about how you see an issue, but that issue is usually a symptom of a bigger problem. And so it was collections are low. And so you found three other areas to fix. I also love that you put tracking into place. And I also love that you took what people said of I'm always collecting and spun it into a really positive way. Cause some people be like, Okay, well, I get that you say you're always doing this, but the reality is we're not collecting. You didn't make them wrong. You said, Hey I hear you. Let's actually track this and prove that you guys are really doing it. So like I'm on your team versus I'm making you wrong. And so I hope a lot of people listened and heard that. And I think that that's one of the beauties of coming in person. Because over the phone, I can't we can't move and navigate as easily as we can in person. In person we're able to see, okay, here's this broken piece. Let's go fix, let's look at the whole way up the chain to see where is the broken link. Because down below we know something further up is broken. But then we can get the in entire team working on it. So you see quick, fast changes in a practice that are usually sustainable. So Tiff, I thought you did so many awesome things in it. And I know you tackled so many more pieces. Like that's just a quick, I mean, we're talking 15 minute synopsis right here where you're like, hey, I was there for a day and a half, but let me give you a quick 15 minutes. But I hope people took that. And so I'm like digesting this in for an office of how do you take this and make this applicable to you is number one, when you find a problem, look to see like what are all the pieces up ahead of that problem that got there. To get to collections, what has to happen before collections? Insurance verification, inputting information, sending claims, getting the checks back from insurance. Are they getting lost in the mail? Do we have EFTs set up? How are we posting it? What about downgrades? What about our write-offs? Then you also looked at like, okay, what creates that copay amount for the patient portion? That's treatment plans. Are we giving every patient a treatment plan and having it signed and putting that copay amount or the amount that they owe in the appointment box so that way everybody knows and we just collect that? Then let's go back even further and say, first and foremost, how's our case acceptance? Like, are we even having good handoffs to get the treatment that's diagnosed, to get the case acceptance, to get the schedule, to be able to then send it out. So that's why we love what we do. Like I just broke all that down. I'm like, that is what we freaking do, and we love it. We love it so much. But I hope you guys take it and diagnose that. And if you have a hard time seeing up that chain, Tiff and I are really good at seeing like, okay, here's the billing system, here's the case acceptance system, here is our new patient acceptance. system like here are all these systems that could be impacting your collections. Let's look to see where it's at. Let's come up with some tracking. Let's give your team goals and then let's see magic happen. So if you guys are needing help with that, always email us Hello@TheDentalATeam.com. But gosh Tip like way to way to kill it at that practice. I love I love hearing your recaps after a practice. speaker-1 (16:52) Thank you. Yeah. And you're right. We did a ton more, especially on the collection side. but yeah, I love it. And I love the diagnosis piece and really seeing like the light bulbs go off and doctors and teams too. So and I think you're right. I think it it can be done over the phone. It just takes a lot longer. And and I think we do miss pieces because it's a biased opinion. I'm I'm relying on the team or the doctor to provide me the information. I'm not seeing it firsthand. So It is much more effective when we're able to get in practice and probably I'd say the f first one in office is like, okay, this is a good starting point. Second and third in office are really where we really I mean, we dig deep on those suckers because we know we know the practice at that point. So totally. I love it. I love it. speaker-0 (17:38) So fun. Well, Tiff, as always, I love you headed to offices. I love you representing our company. And it's fun to see. So I hope you guys like take this into yourself. Put on the Tiffanie Kiera consultant hat. Look at your practice. See if you can uncover those spots and where it might be broken further up the chain. And if you can't see it or you also want to pick our brains, email us. Hello@TheDentalATeam.com. And as always, thank you all. Thank you, Tiffanie. Thank you all for listening. And we'll catch you next time Kiera Dent (18:04) I hope you all loved today's episode as much as I did. It is crazy to think that this many episodes have been released since we started the Dental A Team Podcast. And I started looking to say, my goodness, our listeners need to be reminded of some of the things they may have learned a year ago or two years ago or five years ago, because so many things in our practices weren't relevant back then when we heard them, but they are relevant today. And I would be doing you a huge disservice if I didn't re-release some of these episodes for you to remember, to refine. to optimize and really truly if you ever need a topic or you're like, my gosh, I wonder if the Dental A Team has anything like this, go onto our website, TheDentalATeam.com, click on our podcast tab and you can literally search any topic. So whether it's overhead or hiring or firing or team morale or engagement or case acceptance or hygiene or associate onboarding or whatever it is, we have so many episodes for you. And so I am going to intentionally be re-releasing some of the top best episodes for you, pulling back some of the ones that I needed to remember, some of the things that I feel for you to really, really relearn right now and to re-remember, or if it's the first time, welcome. I'm so happy you're listening to it, but I hope you truly enjoyed today's episode. I hope that you share this with somebody. I hope that you go and implement today because we only have one day. We only get today. And so making today the best that it possibly can be. If we can help you in any way, shape or form, reach out Hello@TheDentalATeam.com. And as always, thanks for listening and we'll catch you next time on the Dental A Team Podcast.
The latest U.S. Drought Monitor shows 76 percent of Minnesota is in drought. MPR meteorologist Sven Sundgaard says recent heat waves have dried out soils across the state. The Twin Cities metro area is in the abnormally dry to moderate drought category. Parts of north-central Minnesota are even drier, in the severe drought category.The Forest Service is reopening some entry points at the end of the Gunflint Trail to day trips Friday. Cook County and Forest Service officials say recent rainfall and increased staffing on the Little Knife fire are allowing authorities to lift more evacuation orders and reopen more entry points near the Gunflint Trail. Canoe outfitters and resort owners have been hit hard by recent Boundary Waters closures due to wildfires. More than 40 percent of the area is now reopened.St. Paul Mayor Kaohly Her says she is cooperating with an independent investigation into allegations that she sexually harassed city employees. In a statement Wednesday, Her said she takes her responsibility to treat every employee with professionalism and respect seriously. Police Chief Axel Henry filed a complaint in April over text messages Her sent to city employees. Her says the texts were “attempts at humor” that fell short of the standard she expects of herself.Temporary Minnesota Department of Human Services Commissioner John Connolly says the agency has not had adequate oversight to identify fraud in its social services programs. Federal prosecutors say Medicaid fraud in Minnesota has been happening at an industrial scale. Connolly told MPR News the agency did not have the right policies, infrastructure or capacity to prevent it. Last week, federal officials announced they are withholding an additional $200 million in Medicaid funding.A company working to open a copper mine on the Iron Range has submitted updated plans to Minnesota environmental regulators. NewRange Copper Nickel is proposing several changes to the controversial project, including changes to how it stores waste tailings. The company also says it will release much less wastewater into the environment. The project earned state permits eight years ago, but lawsuits filed by environmental groups have since stalled it.
The Trump administration last week put a new freeze on Medicaid funding for Minnesota, citing concerns over fraud. The nearly $200 million in frozen payments follows previous funding pauses, for a total of nearly $550 million. While federal authorities insist they are protecting taxpayer money, Minnesota state officials argue that the move is punitive and harms vulnerable people who rely on Medicaid programs. MPR News host Angela Davis talks with the head of the state's Medicaid programs about how the state department is responding to Medicaid fraud cases and the impact of funding freezes on providers and patients. If you suspect fraud in a program run by the Minnesota Department of Human Services, you can find information on how to report it on the DHS fraud reporting website. The Minnesota Department of Human services also has information on what people can do to find a new provider if their provider has been disenrolled from the Medicaid program. Guest: John Connolly is temporary commissioner and state Medicaid director for the Minnesota Department of Human Services. Before being appointed as interim head of the department in 2026, he was a deputy commissioner.
"We have an untapped army of 200,000 PAs that really could step up and drive some change in the healthcare system if we weren't restricted,” says Dr. Jennifer Kolb, capturing her motivation for pushing to update practice regulations for physician associates that date back more than 50 years. As Chief Medical Officer and Senior Vice President of Clinical Affairs at the American Academy of Physician Associates, Dr. Kolb has been in the middle of the fight at the state and federal level to grant PAs more independence from physicians, full billing rights, and the increased ability to practice across state lines, among other changes. In this pertinent conversation with Raise the Line host Lindsey Smith, Dr. Kolb explains how these updates could help close huge gaps in access to healthcare, better manage the fight against chronic diseases and improve patient outcomes. Dr. Kolb also addresses: Why the name shift from "assistant" to "associate" took her years to fully appreciate; How a 10-year gap in life expectancy across Chicago zip codes shapes her view of health equity; Why PA's shouldn't wait for permission to start making change in their communities. Mentioned in this episode:American Academy of Physician Associates If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
This week, because I was the primary caregiver for our very sick dog, I exhausted myself for 10 days (nothing compared to caring for a parent or grandparent for several years). We're replaying one of your most listened to episodes about hybrid life/LTC plans as a refresher. Learn current and projected costs of care where you live at https://www.carescout.com/cost-of-care Learn what each state let's you keep to qualify for Medicaid at https://gotltci.com/2026/01/what-your-state-lets-you-keep/ and please note that if you request to meet with a specialist from this website, you'll need to ask for me specifically as there are six specialists on this team. Schedule an introductory meeting with Diane at https://calendly.com/diane-p4t/30min Schedule a full initial consultation to learn how to protect your family at https://calendly.com/diane-p4t/60min And take care of your favorite furry family members!!!!
Thank you LadyHistorian, EG, Marg KJ, John A, Sherell, and many others for tuning into my live video!* Arnie Arnesen The Attitude Panel on Trump. founding fathers, and fighting for our Democracy:* Trump Admin Argues Even Terminally Ill Patients Shouldn't Be Exempt From Medicaid Work Requirements: Under a new policy the administration is defending in court, low-income … To hear more, visit egberto.substack.com
Host Jeffrey Bellomo and guest Tim Sechler of the Sechler Law Firm explain why traditional estate planning consultations often leave families confused and facing overwhelming legal fees. As an alternative, both of their law firms use free group workshops to make sophisticated estate planning easier to understand and more affordable for clients. Similarly, Jeff and Tim employ a game-changing "fully loaded toolbox" approach to estate planning so that their clients are sure to have the right plans in place to protect their families. This is a terrific behind-the-scenes look at how Jeff and Tim continue to pursue, develop, and share best practices that strengthen their businesses and serve the best interests of their clients. The Sechler Law Firm is headquartered in Warrendale (PA) with satellite offices in the Pittsburgh area. To sign up for Tim's workshops, visit https://sechlerlawfirm.com/ or call (724) 841-1393. WHAT YOU NEED TO KNOW (00:00) Introduction: Tim Sechler of the Sechler Law Firm (03:19) How Tim's personal experience shaped his career (06:10) The problem with traditional client decision making (08:49) Workshops improve decision making and reduce estate planning costs (11:26) Like-minded attorneys sharing best practices (13:56) How "good, better, best" options create confusion (15:42) The game-changing "fully loaded toolbox" approach to estate planning (18:50) Increasing efficiency and cutting costs by more than 50% (22:40) A win-win and renewed enthusiasm for helping people ABOUT BELLOMO & ASSOCIATES Jeffrey R. Bellomo, the founder of Bellomo & Associates, is a licensed and certified elder law attorney with a master's degree in taxation and a certificate in estate planning. He explains complex legal and financial topics in easy-to-understand language. Bellomo & Associates is committed to providing education so that what happened to the Bellomo family doesn't happen to your family. We conduct free workshops on estate planning, crisis planning, Medicaid planning, special needs planning, probate administration, and trust administration. Visit our website (https://bellomoassociates.com/) to learn more. LINKS AND RESOURCES MENTIONED Bellomo & Associates workshops:https://bellomoassociates.com/workshops/ Life Care Planning The Three Secrets of Estate Planning Nuts & Bolts of Medicaid For more information, call us at (717) 845-5390. Connect with Bellomo & Associates on Social Media Tune in Saturdays at 7:30 a.m. Eastern to WSBA radio: https://www.newstalkwsba.com/ X (formerlyTwitter):https://twitter.com/bellomoassoc YouTube: https://www.youtube.com/user/BellomoAssociates Facebook:https://www.facebook.com/bellomoassociates Instagram:https://www.instagram.com/bellomoassociates/ LinkedIn:https://www.linkedin.com/in/bellomoandassociates WAYS TO WORK WITH JEFFREY BELLOMO Contact Us:https://bellomoassociates.com/contact/ Practice areas:https://bellomoassociates.com/practice-areas/
Chuck Todd argues Republicans and the White House are frantically trying to manufacture headlines about the past precisely because the actual news of the present is terrible for the GOP, and because the very issues that got Trump elected are the ones he's now ignoring. Democrats are winning heading into the midterms, TChuck says; the only real question is by how much, which is exactly why Republicans are so desperate to feed their base culture-war red meat as a distraction. But the story Chuck argues is being dangerously underplayed is the Iran war, which is no longer a regional conflict at all: close to thirty countries have been directly involved, multiple nations have been hit, and the Iran and Ukraine wars have effectively merged through shared supply chains — Russia has launched thousands of Iranian-made drones at Ukraine, improved and manufactured them, and is now shipping them back to Iran, while Ukrainian air defense teams have been redeployed to the Middle East and the American stockpile of interceptor missiles has been so massively depleted that commanders are rationing them. He calls the war the dumbest mistake a president has made in decades, while rising oil prices help both Iran and Russia.. It's not World War III, he cautions, but it's genuinely hard to see how it ends, and Congress should be singularly focused on it and simply isn't. He then pivots to what he calls a politics of AI that hasn't been invented yet, where the public is way ahead of the politicians: 72% of Americans have used AI in the past three months and like it, but the vast majority don't trust big tech or the AI companies, and the fierce backlash against data centers is really the manifestation of a deeper anger ever since tech companies stopped trying to improve lives and started maximizing engagement. The public isn't rejecting AI, he argues, it's rejecting the technologists, and Trump has planted himself firmly on the side of the tech companies over the public. He closes by lamenting that political energy is being spent on Fauci rather than pandemic preparedness — before quick hits on Todd Achilles getting a one-on-one race in Idaho, Seth Bodnar leading in Montana if the Democrat can be coaxed into dropping out, and the question hanging over Michigan: if Abdul El-Sayed loses, will it have been because of Mamdani's Israel speech? Then, Kentucky Governor Andy Beshear — the popular two-term Democrat in a deep-red state and a name increasingly floated for 2028 — joins the Chuck Toddcast for a wide-ranging conversation that opens with Kentucky's famous Fancy Farm Picnic and the increasingly countercultural idea that political disagreement shouldn't make people enemies. Beshear turns pointed on Mitch McConnell, who he says has been absent for six weeks without speaking to him, arguing that McConnell has a fundamental duty to level with the people of Kentucky about his condition.. Beshear notes the governor has no authority to declare a vacancy, calls on John Thune to help put the concerns to rest, and observes pointedly that if the situation were reversed, McConnell would be ruthlessly tactical about it — and that the right should arguably be angrier, since it's one fewer vote for the GOP agenda. Beshear reflects at length and with real emotion on the COVID years, which he calls the war of our time with a higher casualty rate than most Americans appreciate, credits Kentucky's expanded Medicaid with keeping the state from running out of hospital beds, and warning that Trump's "Big Beautiful Bill" will close 35 hospitals in Kentucky alone. He's sharply critical of Rand Paul for dragging Fauci into character-assassination hearings while staying conspicuously silent on McConnell, and reminds listeners it was Trump who ordered governors to shut down the economy, not Fauci. The conversation turns to Beshear's political philosophy and the road ahead for Democrats. He rejects the "moderate" label in favor of "pragmatic," arguing that the constant battle to label everyone misses how much more complicated reality actually is. Beshear makes the case that Democrats don't win by becoming a Democratic version of McConnell or Trump, that the party needs to be the party of making the economy work again, and that it should champion structural reforms like campaign finance amendments, outlawing gerrymandering, and directly electing the president. He's visibly frustrated with Democrats who blame other Democrats when Republicans are the ones doing the damage — there's no time for "woulda-couldas," he argues, when Trump and the GOP are inflicting this much harm. As a leader in the Democratic Governors Association, Beshear lays out where he sees real opportunity: big resources heading into Georgia, the critical importance of Katie Hobbs winning in Arizona to ensure a fair 2028 election, and the DGA's willingness to spend anywhere it can win. He addresses the data center backlash as fundamentally rooted in anxiety about AI and big tech's failure to talk to the communities it moves into, and stays characteristically coy about his own 2028 ambitions. Finally, Chuck presents his ToddCast Top 5 Independents/Independent minded leaders who could reshape the U.S. Senate and answers listeners’ questions in the “Ask Chuck” segment. Play ball and swing for the fences on FanDuel, an official partner of the MLB at https://FANDUEL.COM. Protect your family with life insurance from Ethos. Get up to $3 million in coverage in as little as 10 minutes at https://ethos.com/chuck. Application times may vary. Rates may vary. For free and unbiased Medicare help, dial (980) 734-3985 to speak with my trusted partner, Chapter, or go to askchapter.org/chuck /*Paid Partnership Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan’s contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don’t directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Timeline: (Timestamps may vary based on advertisements) 00:00 Chuck Todd’s introduction 02:45 Republicans & WH are trying to manufacture the headlines 03:15 Attacking Fauci, going after Smithsonian, relitigating 2020 election 04:00 These stories are about yesterday, modern headlines are bad for GOP 04:30 The issues that got Trump elected are the issues he’s ignoring 05:30 Dems are winning heading into midterms, question is by how much 07:00 Republicans are desperate to distract their base 07:45 They believe the culture war red meat will turn out their base 08:45 The Iran war is being underplayed 09:45 There have been close to thirty countries directly involved in the war 10:45 Multiple countries have been hit directly during the war 11:30 This is not a regional war 12:00 Multiple countries have been directly involved in kinetic action 13:30 Multiple countries also involved in, or hosted peace talks 15:00 The Ukraine & Iran wars have merged through supply chains 15:45 Nervous that this conflict could go global 16:15 Russia has launched thousands of Iranian made drones at Ukraine 16:45 Russia improved & manufactured drones, now shipping them back to Iran 17:30 Ukraine air defence teams have been sent to the middle east 18:45 American stockpile of air defense missiles has been massively depleted 19:30 Military commanders are having to ration interceptor missiles 20:00 This war was the dumbest mistake a president has made in decades 21:15 Both conflicts are eating from the same plate 21:45 War caused a rise in oil prices, which helped both Iran and Russia 22:15 Beijing hasn’t been a bystander in these conflicts 23:15 Decapitation strikes have been proven not to work 24:00 Everyone is learning the same lessons, including America’s adversaries 24:45 This is not World War 3, but it’s hard to see how this war ends 25:45 Congress should be singularly focused on this war, and it isn’t 27:00 This started as an Iran/Israel dispute, now the world has been dragged in 28:15 The politics of AI hasn’t been invented yet, public is ahead of politicians 29:15 72% of Americans have used AI in the past three months & like using it 29:45 Vast majority of Americans don’t trust big tech or the AI companies 31:00 There’s a disconnect on AI between politicians the American public 31:45 Backlash against data centers is the manifestation of anger at big tech 32:45 Politicians want to manage backlash, not understand what’s behind it 35:00 Seeing political banners against data centers flying over Pensacola beach 37:15 The politicians are trying to play catch up on the politics of AI 37:45 Americans didn’t always distrust big tech 38:45 Tech companies stopped trying to improve lives, now maximize engagement 40:15 Americans feel we’re being optimized, not served by big tech 41:15 Protecting kids from tech is now an issue with massive bipartisan support 42:45 The public isn’t rejecting AI, they’re rejecting the technologists 44:30 Trump sides with the tech companies over the public 45:45 Politicians are captured by, or afraid of big tech cash in politics 48:00 Frustrating that political energy is spent on Fauci, not pandemic preparedness 48:30 Fauci became a vessel for every frustration about COVID 49:00 Fauci had one job, tell the public what the medical risks were 50:30 We had 2,000 Americans dying a day 51:30 We have to remember the conditions under which decisions were made 52:00 Rand Paul released thousands of pages of Fauci’s pandemic era journals 52:30 Pleading the 5th makes people look guiltier than they are 53:15 We learned Fauci loves media attention, but so does Rand Paul 54:15 Relitigating the origins of Covid doesn’t help prepare for the next pandemic 55:15 Rand Paul is undermining his own credibility by attacking Fauci 55:45 Todd Achilles will get a 1 on 1 race in Idaho 56:30 Seth Bodnar leading in Montana in 1 on 1, but Dem resisting dropping out 57:45 If El-Sayed loses in Michigan… was it because of Mamdani’s Israel speech? 1:04:15 Governor Andy Beshear joins the Chuck ToddCast 1:05:30 Kentucky’s Fancy Farm Picnic & its role in politics 1:06:45 Picnic brings politicians from both sides of the aisle together 1:07:15 Having different political beliefs shouldn’t make you an “enemy” 1:07:45 Not attending the picnic to attend his son's final travel baseball game 1:09:30 Haven’t spoken to Mitch McConnell, he’s been absent six week 1:10:00 McConnell has a duty to level with the people of Kentucky 1:10:45 The governor doesn’t have authority to declare a vacancy 1:11:15 John Thune should help put the concerns to rest 1:13:00 The harm is that the senator refuses to level with his constituents 1:13:30 If situation was reversed, McConnell would be ruthlessly tactical 1:14:00 There’s one less vote for GOP agenda, the right should be more mad 1:15:00 Social media helps create a misinformation vacuum about McConnell 1:16:30 Democrats don’t win by being a Democratic version of McConnell or Trump 1:17:15 If he had to miss a week as governor, he’d feel obligated to inform the public 1:18:00 Lack of video of McConnell makes the public think he can’t do it 1:18:45 McConnell tried to beat him three straight times and failed 1:19:15 McConnell may end up tarnishing his legacy due to unexplained absence 1:20:00 Rand Paul dragged Fauci into a hearing, but mum on McConnell 1:20:45 Fauci hearings are just an exercise in character assassination 1:22:00 This feels like a personal vendetta from Paul against Fauci 1:22:45 Mike Pence set up a competent experienced team during COVID 1:23:15 Trump ordered the governors to shut down the economy, not Fauci 1:23:45 Vaccine was the fastest remedy created in human history 1:25:30 Made pandemic decisions based on what would save the most lives 1:26:00 Remember the death toll in Kentucky vividly 1:27:00 COVID was ultimate test of the parable of the good samaritan 1:27:45 COVID was the war of our time, with an even higher casualty rate 1:28:15 Teachers & educators needed to be in the first batch of vaccinations 1:29:45 Kentucky didn’t run out of hospital beds due to expanded Medicaid 1:30:15 Trump’s Big Beautiful Bill will close 35 hospitals in Kentucky 1:31:15 Doesn’t consider himself a “moderate”, but instead he’s “pragmatic” 1:32:00 Can be both pro-business and pro-worker 1:32:30 There’s a battle to label everyone, but reality is more complicated 1:33:00 How big should the Democratic tent be? 1:34:00 There’s space to do things that both sides agree on 1:34:30 Why are Democratic activists so mad at the establishment? 1:35:15 Democrats need to be the party of making the economy work again 1:35:45 Need amendments for campaign finance & outlawing gerrymandering 1:36:30 The president should be directly elected 1:37:00 Dems blame others Dems when Republicans are doing something wrong 1:37:45 Can’t do “woulda couldas” when Trump & GOP are doing so much damage 1:39:15 What’s the pitch in Wisconsin gubernatorial if both candidates are outsiders? 1:40:00 Joe Biden won on the idea of him being the most electable 1:40:30 Trump’s policies are hitting everyday Americans harder 1:41:15 Governor’s association plan to put big resources into Georgia 1:41:45 Believe that Democrats will flip the governor’s mansion in GA 1:42:15 Katie Hobbs has to win to ensure a fair election in Arizona in ‘28 1:44:30 Trump inspired Canadian boycotts that have hit the economy hard 1:45:45 Winner of the Wisconsin primary will come out stronger 1:46:15 Jocelyn Benson is a great candidate for Michigan 1:47:00 Amy Acton can win regardless of the senate race 1:47:30 Correlation between governor and senate races 1:50:15 Can Dems pull off gubernatorial upsets in Texas or Florida? 1:50:45 DGA will spend resources wherever they can win 1:52:00 Focused on winning gubernatorial races, then will ponder run in ‘28 1:52:45 Important to declare presidential candidacy early? 1:53:30 Dems primary calendar will produce candidate that can win everywhere 1:54:30 Do you consider Kentucky a southern state? 1:55:15 Could Israel splinter the party and make elections unwinnable? 1:56:00 Will Doug Jones get DGA help? 1:57:30 Data center backlash comes from concern about AI 1:58:15 Big tech isn’t talking to the communities where they put data centers 1:58:45 Tech should be paying for their electricity & fair share of taxes 2:01:15 We need rational leaders, don’t know where AI/tech is going 2:02:30 Any effort to get an NBA franchise in Kentucky? 2:04:15 Favorite NBA team 2:05:45 Chuck’s thoughts on interview with Andy Beshear 2:07:00 ToddCast Top 5 Independents who could shape the senate 2:07:30 #5 Todd Achilles 2:10:00 #4 Dan Osborne 2:12:15 #3 Seth Bodnar 2:13:30 #2 Lisa Murkowski 2:14:30 #1 John Fetterman 2:17:15 Ask Chuck 2:18:15 Correction for answer on the last pod 2:20:30 Why haven’t we heard much about the people who tried to kill Trump? 2:27:45 Can Trump take the Qatari jet that’s had taxpayer $ spent on it? 2:31:00 What motivates those closest to Trump? Do they believe what they’re saying? 2:34:30 Can you explain the history of the term “lobbyist”? 2:39:45 Thoughts on the funding model of the BBC?See omnystudio.com/listener for privacy information.
Kentucky Governor Andy Beshear — the popular two-term Democrat in a deep-red state and a name increasingly floated for 2028 — joins the Chuck Toddcast for a wide-ranging conversation that opens with Kentucky's famous Fancy Farm Picnic and the increasingly countercultural idea that political disagreement shouldn't make people enemies. Beshear turns pointed on Mitch McConnell, who he says has been absent for six weeks without speaking to him, arguing that McConnell has a fundamental duty to level with the people of Kentucky about his condition.. Beshear notes the governor has no authority to declare a vacancy, calls on John Thune to help put the concerns to rest, and observes pointedly that if the situation were reversed, McConnell would be ruthlessly tactical about it — and that the right should arguably be angrier, since it's one fewer vote for the GOP agenda. Beshear reflects at length and with real emotion on the COVID years, which he calls the war of our time with a higher casualty rate than most Americans appreciate, credits Kentucky's expanded Medicaid with keeping the state from running out of hospital beds, and warning that Trump's "Big Beautiful Bill" will close 35 hospitals in Kentucky alone. He's sharply critical of Rand Paul for dragging Fauci into character-assassination hearings while staying conspicuously silent on McConnell, and reminds listeners it was Trump who ordered governors to shut down the economy, not Fauci. The conversation turns to Beshear's political philosophy and the road ahead for Democrats. He rejects the "moderate" label in favor of "pragmatic," arguing that the constant battle to label everyone misses how much more complicated reality actually is. Beshear makes the case that Democrats don't win by becoming a Democratic version of McConnell or Trump, that the party needs to be the party of making the economy work again, and that it should champion structural reforms like campaign finance amendments, outlawing gerrymandering, and directly electing the president. He's visibly frustrated with Democrats who blame other Democrats when Republicans are the ones doing the damage — there's no time for "woulda-couldas," he argues, when Trump and the GOP are inflicting this much harm. As a leader in the Democratic Governors Association, Beshear lays out where he sees real opportunity: big resources heading into Georgia, the critical importance of Katie Hobbs winning in Arizona to ensure a fair 2028 election, and the DGA's willingness to spend anywhere it can win. He addresses the data center backlash as fundamentally rooted in anxiety about AI and big tech's failure to talk to the communities it moves into, and stays characteristically coy about his own 2028 ambitions. Play ball and swing for the fences on FanDuel, an official partner of the MLB at https://FANDUEL.COM. Protect your family with life insurance from Ethos. Get up to $3 million in coverage in as little as 10 minutes at https://ethos.com/chuck. Application times may vary. Rates may vary. For free and unbiased Medicare help, dial (980) 734-3985 to speak with my trusted partner, Chapter, or go to askchapter.org/chuck /*Paid Partnership Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan’s contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don’t directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Timeline: (Timestamps may vary based on advertisements) 00:00 Governor Andy Beshear joins the Chuck ToddCast 01:15 Kentucky’s Fancy Farm Picnic & its role in politics 02:30 Picnic brings politicians from both sides of the aisle together 03:00 Having different political beliefs shouldn’t make you an “enemy” 03:30 Not attending the picnic to attend his son's final travel baseball game 05:15 Haven’t spoken to Mitch McConnell, he’s been absent six week 05:45 McConnell has a duty to level with the people of Kentucky 06:30 The governor doesn’t have authority to declare a vacancy 07:00 John Thune should help put the concerns to rest 08:45 The harm is that the senator refuses to level with his constituents 09:15 If situation was reversed, McConnell would be ruthlessly tactical 09:45 There’s one less vote for GOP agenda, the right should be more mad 10:45 Social media helps create a misinformation vacuum about McConnell 12:15 Democrats don’t win by being a Democratic version of McConnell or Trump 13:00 If he had to miss a week as governor, he’d feel obligated to inform the public 13:45 Lack of video of McConnell makes the public think he can’t do it 14:30 McConnell tried to beat him three straight times and failed 15:00 McConnell may end up tarnishing his legacy due to unexplained absence 15:45 Rand Paul dragged Fauci into a hearing, but mum on McConnell 16:30 Fauci hearings are just an exercise in character assassination 17:45 This feels like a personal vendetta from Paul against Fauci 18:30 Mike Pence set up a competent experienced team during COVID 19:00 Trump ordered the governors to shut down the economy, not Fauci 19:30 Vaccine was the fastest remedy created in human history 21:15 Made pandemic decisions based on what would save the most lives 21:45 Remember the death toll in Kentucky vividly 22:45 COVID was ultimate test of the parable of the good samaritan 23:30 COVID was the war of our time, with an even higher casualty rate 24:00 Teachers & educators needed to be in the first batch of vaccinations 25:30 Kentucky didn’t run out of hospital beds due to expanded Medicaid 26:00 Trump’s Big Beautiful Bill will close 35 hospitals in Kentucky 27:00 Doesn’t consider himself a “moderate”, but instead he’s “pragmatic” 27:45 Can be both pro-business and pro-worker 28:15 There’s a battle to label everyone, but reality is more complicated 28:45 How big should the Democratic tent be? 29:45 There’s space to do things that both sides agree on 30:15 Why are Democratic activists so mad at the establishment? 31:00 Democrats need to be the party of making the economy work again 31:30 Need amendments for campaign finance & outlawing gerrymandering 32:15 The president should be directly elected 32:45 Dems blame others Dems when Republicans are doing something wrong 33:30 Can’t do “woulda couldas” when Trump & GOP are doing so much damage 35:00 What’s the pitch in Wisconsin gubernatorial if both candidates are outsiders? 35:45 Joe Biden won on the idea of him being the most electable 36:15 Trump’s policies are hitting everyday Americans harder 37:00 Governor’s association plan to put big resources into Georgia 37:30 Believe that Democrats will flip the governor’s mansion in GA 38:00 Katie Hobbs has to win to ensure a fair election in Arizona in ‘28 40:15 Trump inspired Canadian boycotts that have hit the economy hard 41:30 Winner of the Wisconsin primary will come out stronger 42:00 Jocelyn Benson is a great candidate for Michigan 42:45 Amy Acton can win regardless of the senate race 43:15 Correlation between governor and senate races 46:00 Can Dems pull off gubernatorial upsets in Texas or Florida? 46:30 DGA will spend resources wherever they can win 47:45 Focused on winning gubernatorial races, then will ponder run in ‘28 48:30 Important to declare presidential candidacy early? 49:15 Dems primary calendar will produce candidate that can win everywhere 50:15 Do you consider Kentucky a southern state? 51:00 Could Israel splinter the party and make elections unwinnable? 51:45 Will Doug Jones get DGA help? 53:15 Data center backlash comes from concern about AI 54:00 Big tech isn’t talking to the communities where they put data centers 54:30 Tech should be paying for their electricity & fair share of taxes 57:00 We need rational leaders, don’t know where AI/tech is going 58:15 Any effort to get an NBA franchise in Kentucky? 1:00:00 Favorite NBA teamSee omnystudio.com/listener for privacy information.
How can Texas improve healthcare access, strengthen public education, and prepare its workforce while balancing competing budget priorities? On this episode of Texas Talks, host Brad Swail welcomes State Representative Donna Howard, who represents House District 48, for a wide-ranging conversation on healthcare, higher education, workforce development, public school funding, and the state's fiscal outlook. As Vice Chair of both the House Higher Education Committee and Article II Appropriations, Howard offers insight into some of the biggest policy debates facing Texas ahead of the next legislative session. The discussion explores the challenges of funding public education, improving rural healthcare access, expanding workforce training through community colleges, and addressing shortages of nurses and healthcare providers. Howard also discusses property tax relief, the Sunset Commission's ongoing review of health agencies, dementia research, and how lawmakers are preparing for the state's next budget cycle. The episode covers: Texas public education funding and property taxes Community colleges, workforce development, and credentials of value Rural healthcare access and provider shortages Expanding the role of nurse practitioners Sunset Commission priorities and state health agencies Texas budget outlook heading into the next legislative session Howard also discusses child healthcare, Medicaid enrollment challenges, maternal healthcare deserts, medical research, housing growth, local infrastructure, and the difficult balancing act legislators face when weighing competing policy priorities. 00:00 — Community college funding controversy 00:33 — Introducing Rep. Donna Howard 02:06 — Sunset Commission and health agency review 04:10 — Children's healthcare and Medicaid challenges 07:23 — Public education funding and state mandates 08:17 — Community colleges and workforce outcomes 10:34 — Higher education priorities 12:22 — Nursing shortages and workforce development 16:28 — Education funding and ESAs 17:45 — Property taxes and state revenue challenges 25:05 — Rural healthcare and maternal health access 27:16 — Nurse practitioners and healthcare shortages 32:58 — Dementia research and medical innovation 36:25 — Housing growth, infrastructure, and local planning 40:35 — Texas budget outlook and closing thoughts Watch Full-Length Interviews: https://www.youtube.com/@TexasTalks Follow us on social mediaX: @Texas_DispatchInstagram: thetexasdispatchLinkedIn: The Texas DispatchTikTok: texas_talks_podcast Find more at The Texas DispatchYour source for state news, policy, and investigative journalism.https://thetexasdispatch.com
Long-term care planning is not just about how much money you have. It's about protecting your choices, dignity, and family relationships before a crisis occurs. In this episode, Don walks through five common mistakes involving care communities, Medicaid, insurance, and family caregiving. Through real-world stories, he shows how early preparation can reduce stress, preserve options, and help loved ones avoid unnecessary financial and emotional burdens. What could your family prevent by planning before care is needed? Here's some of what we discuss in this episode:
In January of 2027, people on Medicaid will need to meet a slate of new requirements mandated by the One Big Beautiful Bill Act, or HR1. Some people on the Oregon Health Plan will need to confirm that they are working, volunteering or attending school every six months. And everyone will need to renew twice a year, rather than once every two years. All this paperwork will be handled by the Oregon Department of Human Services, in collaboration with the Oregon Health Authority. Both departments are working hard to make sure they are ready for the January deadline. Vivian Levy, Interim Medicaid Director for the Oregon Health Authority, and Nate Singer, Director of Eligibility Partnership at the Oregon Department of Human Services, join us to explain how Oregonians will be impacted.
Today's episode of the America's Work Force Union Podcast brings together two conversations that cut to the heart of what it means to be a worker in America right now — one focused on who keeps people safe and one on who makes the decisions that shape their lives. First, National Nurses United President Jamie Brown and NNU Assistant Director of Health and Safety Jane Thomason discuss a workplace safety crisis that most Americans never see. Healthcare workers account for approximately 73% of all nonfatal workplace violence injuries in the United States, nurses are five times more likely to be assaulted at work than people in any other industry and the actual rate is dramatically higher because most incidents never get reported. Brown and Thomason make the case for the Nurse and Health Care Worker Protection Act, which would mandate safe staffing ratios and workplace violence prevention programs at hospitals receiving Medicare and Medicaid funding, and address chemical and environmental hazards nurses face daily, including antineoplastic drug exposure, post-COVID disinfectants and wildfire smoke entering hospital facilities through filtration systems not designed to stop it. Then, IAM Union retired International President Tom Buffenbarger delivers his monthly independent labor voice segment covering three significant stories. Boeing's new CEO, Kelly Ortberg, is meeting directly with machinists, reinstating union advisory channels and committing to keep manufacturing in Puget Sound, representing what Buffenbarger calls the most meaningful cultural shift at the company in years. Tariff uncertainty, rather than tariff levels, is causing profitable companies to lay off manufacturing workers because the planning horizon has disappeared. And the One Big Beautiful Bill is structured to remove an estimated 11 to 12 million people from Medicaid through administrative burden and shift SNAP costs to states in ways that will reduce benefits for children, veterans and working families. Visit nationalnursesunited.org for more from National Nurses United and goiam.org for more from the IAM Union.
Kevin Warsh is facing one of the most uncertain Fed meetings in years as markets split over whether the central bank will hold rates steady or send a stronger inflation signal with a hike.Chuck Zodda and Paul Lane break down why today's Fed decision matters, how Warsh could build credibility with the bond market, and why even a small rate hike could carry major signaling power. They also discuss the renewed jump in oil prices, the unstable path of the conflict involving Iran, Iraq, Saudi Arabia, and the Strait of Hormuz, and why energy markets remain difficult to predict. Plus, Todd Lutsky joins for Ask Todd to explain when irrevocable trusts make sense, why a revocable trust may not be the right first step for Medicaid planning, and how long-term care insurance can fit into a broader estate plan.
Mark Ishaug has spent his career at the forefront of mission-driven advocacy and community healthcare. Before serving as the CEO of Thresholds--one of Illinois's largest and oldest providers of mental health and substance use recovery services--Mark spent two decades leading public policy and executive efforts at the AIDS Foundation of Chicago and AIDS United. Inspired early in life by his mother's civil rights activism and cemented by personal tragedy--losing his 29-year-old brother, Eric, to undiagnosed mental illness and substance use--Mark has dedicated his life to creating tangible social impact for society's most vulnerable.In this episode of If You've Come This Far, Mark joins Chris and Shaun to unpack how love and power must intersect to build sustainable, high-impact organizations. He shares how Thresholds provides "Home, Health, and Hope" to over 13,000 individuals annually through supportive housing, mobile crisis response, and comprehensive behavioral health clinics. Grounded in pragmatism and deep empathy, Mark discusses the critical need to protect healthcare access, eradicate systemic stigma, and foster genuine human connection in an increasingly disconnected world.HighlightsDefining Love as an Action and Business Foundation: How leading with love translates directly into organizational operations, listening to those on the margins, and driving systemic change.Personal Tragedy & The Mission Behind Thresholds: Mark opens up about losing his younger brother Eric at age 29, and how that personal loss fuels his commitment to mental healthcare reform."Home, Health, and Hope": The Scope of Thresholds: A look into how Thresholds operates 1,600+ housing units and Certified Community Behavioral Health Clinics (CCBHCs) to keep individuals supported in their communities.Navigating Policy Challenges & Systemic Threats: Examining the impact of Medicaid redeterminations and threats to the "Housing First" model on safety-net providers."We Show Up": Love in Action: How frontline caseworkers operationalized compassionate care through severe heatwaves, COVID-19, and daily community outreach.Resources MentionedThresholdsAIDS Foundation of ChicagoBowling Alone by Robert PutnamFestival! (Podcast) & Join or Die (Documentary) by Pete DavisSponsor: Mental App
Dr Monica Soni is the Chief Medical Officer for Covered California, a state run Health Insurance Market Place. In this podcast, she shares the satisfaction and the challenges of providing health insurance options for families who don't receive insurance benefits from their employers and who don't qualify for Medicaid. https://www.coveredca.com/https://www.instagram.com/coveredca/https://www.facebook.com/CoveredCA
Wildfires continue to burn in France and Spain, and an incoming heat wave is threatening to make things worse. Reuters’s Manuel Ausloos describes the devastation. The Federal Reserve kicks off a two-day meeting with unusual uncertainty, because new Chair Kevin Warsh has offered no forward guidance on rates. USA Today’s Rachel Barber breaks down the difficult situation the central bank is in. A new GAO report shows a sharp rise in Amazon and gig-economy workers relying on food stamps and Medicaid. The Washington Post’s Lauren Kaori Gurley explains why. Plus, police in Seattle are searching for a third suspect connected to the shooting at a food festival, Sen. Mitch McConnell gave an update on his health, and how signing LeBron James was a bargain for the Philadelphia 76ers. Today’s episode was hosted by Gideon Resnick.
Bill speaks with American Federation of Teachers President, Randi Weingarten about the political fallout from Republicans' “One Big, Beautiful Bill” ahead of the November midterms, noting a Politico poll showing most Americans haven't heard of it and many who have think it mainly helps the wealthy. Weingarten says July student-loan changes eliminated most prior income-driven repayment plans, raising payments by hundreds or thousands per year for many of the 44 million borrowers, with 3.6 million defaults since Trump returned to office. Now with higher interest, and more debt collection. She promotes the coalition-led One Big Bill Campaign (onebigbill.org) to collect borrowers' stories—such as a Philly school counselor whose payment rose from $90 to $440—and take them to Congress, linking the cuts to tax breaks for the rich alongside reductions to Medicaid and SNAP. They also discuss Trump's efforts to dismantle the Department of Education, voucher expansion, and pressure on universities over DEI and antisemitism claims.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Strong public health systems depend on collaboration like partnerships across agencies or coordinating responses to emerging health threats. In this episode, ASTHO Senior Analyst for State Health Policy, Beth Giambrone, discusses a recent ASTHO Health Policy Update that examines how states are approaching vector-borne disease policy through surveillance, reporting requirements, education, and cross-agency coordination. Then, ASTHO Senior Analyst for Medicaid and Health Systems Partnerships, Orobosa Idehen, introduces a new Medicaid Oversight Governance Map designed to help state health agencies better understand their governance structures, strengthen relationships with Medicaid partners, and identify opportunities to improve population health. Together, these conversations highlight how thoughtful governance, collaboration, and strategic policy making can help public health agencies make better use of limited resources while responding to evolving public health challenges.Medicaid Oversight Governance Map | ASTHOImproving Public Health Communication for Effective STI Programs | ASTHO
Hegseth announces annual testosterone screenings for service members ICE shared Medicaid data it wasn't supposed to have with Palantir How Republicans Turned Olive Garden Into a Voter ID Talking Point - The New York Times Andrew and Tristan Tate arrested in Florida on charges of rape and sex trafficking : NPR Pseudoscientific Cancer 'Treatment' Involves Gassing Naked People in Plastic Bags With Bleach | WIRED The Fake Influencers Selling Wellness on Your Feed - The New York Times
Changes to Medicaid from Congress’ “One Big Beautiful Bill” Act are continuing to trickle down to people in Washington. Local officials are working to notify certain non-citizens who will soon be ineligible for this health program and set them up with other supports. We’ll hear more from Public Health Seattle-King County’s Daphne Pie. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online or on the KUOW App.See omnystudio.com/listener for privacy information.
Tony and Fingers take the show outside to enjoy perfect deck weather, the A.J. Fernandez New World Decenio 10th Anniversary Toro, and a Four Roses Private Selection OESQ bourbon. They break down the Decenio's Mexican San Andrés wrapper, cocoa sweetness, oak, leather and steady medium-bodied profile before deciding whether the $14 cigar deserves a permanent spot in the humidor. Then they taste a nine-year, eight-month Four Roses single-barrel selection that clocks in at 111 proof but drinks far smoother than expected. Also this week: steakhouse dress-code violations, whether shorts should ever be allowed near a serious steak, a massive alleged Medicaid fraud scheme, why millions of prime-age men are leaving the workforce, a possible Eat Drink Smoke road-trip to Orlando, pumpkin spice arriving far too early, and the mysterious cyclospora outbreak causing nationwide lettuce panic. Plus, listener questions, road-trip stories, expensive nightclub receipts and the shocking revelation that Tony may never successfully retrohale a cigar. Find everything at EatDrinkSmokeShow.com.
In long, rambling remarks at the rescheduled White House Correspondent's Dinner, Donald Trump went after perceived enemies in the press. Plus, the latest on Trump's violent ICE crackdown and the fallout of two deadly shootings this month. Vaughn Hillyard, Eugene Daniels, Jason Stanley, Christina Greer, Hunter Walker, and Matt Stoller join The 11th Hour with Ali Velshi. To listen to this show and other MS podcasts without ads, sign up for MS NOW Premium on Apple Podcasts. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Van and Rachel react to both ESPN's decision to lay off Ryan Clark and LeBron's decision to drag out free agency. Then, New York City Mayor Zohran Mamdani says he can't arrest Benjamin Netanyahu, and the Trump administration freezes Medicaid funding for CA and MN. And finally, a debate about the placement of a controversially titled book on a former NBA head coach's desk. (0:00) Intro (27:42) Ryan Clark and the ESPN layoffs (1:00:07) Mamdani's message to Netanyahu (1:21:25) Medicaid funds frozen (1:46:21) House GOP advances plan to fund SAVE America Act (1:56:14) George Karl and displaying the book 'N-----' Hosts: Van Lathan and Rachel Lindsay Producers: Donnie Beacham Jr. and Jade Whaley Social Producer: Bernard Moore Video Supervision: Chris Thomas Learn more about your ad choices. Visit podcastchoices.com/adchoices
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