Podcasts about Medicaid

Medicare and Medicaid fraud. California healthcare corruption. Constitutional crisis. California is now being called the epicenter of Medicare and Medicaid fraud, with billions of taxpayer dollars allegedly lost to fake patients, phantom billing, and sham hospice operations. In this full podcast episode, Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services explains why Los Angeles has become ground zero for healthcare fraud and how these schemes drain public healthcare programs meant to serve real patients. Dr. Oz alleges that organized fraud networks are exploiting Medicare and Medicaid at massive scale. Gavin Newsom denies the claims, accusing Oz of exaggeration and discrimination — escalating the conflict into a political and legal firestorm. This episode then turns to a second crisis: federal law vs state and city governments. Across blue cities, police departments are ordered to monitor and film ICE agents, federal officers are barred from city property, and taxpayer funds are used to oppose federal immigration enforcement. Is this lawful protest — or obstruction of federal authority? Constitutional attorney Josh Hammer breaks down:     •    The Supremacy Clause of the U.S. Constitution     •    When state resistance becomes unconstitutional     •    The legal implications of **Don Lemon arrest     •    What legal remedies exist to restore order without destabilizing the country This episode covers Medicare fraud, Medicaid abuse, California corruption, federal vs state power, ICE enforcement, constitutional law, and government overreach — with facts, legal analysis, and real consequences. Learn more about your ad choices. Visit megaphone.fm/adchoices

States like Texas requiring proof of legal status to register vehicles aren't making a philosophical statement. They're applying friction. And friction exposes reality. When benefits stop flowing freely, migration patterns change. When rules are enforced, sanctuaries suddenly look less hospitable.That's why Democrats scream. Not because it's cruel, but because it's effective.Scam Artists Don't Like SpotlightsFrom Maine to Michigan, the pattern repeats. Medicaid agencies multiplying like gremlins after midnight. Daycare scams run by politically connected figures. Fake invoices. Fake businesses. Real money. Lots of it.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Dr. Ria Paul, Clinical Associate Professor, Stanford University School of Medicine; Chief Medical Officer, Santa Clara Family Health Plan discusses how the organization has strengthened Medicaid and Medicare Advantage quality scores through closer collaboration with providers, targeted incentives, and better data flow. She also shares priorities for 2026, including regulatory readiness, member retention, and using AI to enhance engagement and care coordination.

In this episode, Rob Hitchcock, President and Chief Executive Officer of Select Health, discusses how payer provider collaboration, cultural change, and proactive care models are reshaping health plan strategy amid rising cost pressures. He shares perspectives on regulatory headwinds, Medicaid and Medicare reform, and more.

Friday on the News Hour, protests continue against the Trump administration's immigration crackdown in Minneapolis as federal authorities arrest reporters who covered a church demonstration. The president nominates inflation hawk Kevin Warsh to lead the Federal Reserve. Plus, people with disabilities bear a disproportionate burden after funding cuts to Medicaid and children's health services. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

Desperation doesn't whisper. It bangs pots together at 10 a.m. on a weekday and calls it moral clarity.Democrats are not mobilizing kids because they believe in youth leadership. They're mobilizing kids because kids are useful shields. You can't criticize a policy if there's a 16-year-old in front of it. That's the theory, anyway. The reality is less noble and far more slapstick.These protests aren't designed to persuade adults. They're designed to distract them. Look over here. No, not there. Over here. See the signs? Feel the feelings? Don't ask about the money.Especially don't ask about Minnesota.Minnesota has become a masterclass in how quickly “compassion” turns into a cash piñata once oversight leaves the room. Fraud so widespread it makes Las Vegas look restrained. Medicaid scams. Feeding programs that feed bank accounts. Daycare operations that exist only in theory and billing statements.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I sit down with New Jersey Senator, Andy Kim, to talk about the realities of caregiving for his father while also raising his young kids. Andy shares the personal story of his father's Alzheimer's diagnosis, how fast his family's life changed, and the emotional and financial challenges of finding the right care. We dive into the gaps within Medicare and Medicaid, what needs to change systemically for caregivers, and the legislation he's working on to support families. Andy shares his biggest worries for our kids' future - from mental health to social media - and why he believes universal healthcare is a must in our country. Plus, we talk about his favorite part about Jersey!Key Takeaway / Points:Andy's personal experience as a caregiver for his father with Alzheimer'sThe realities of being part of the “sandwich generation,” and caring for aging parents while raising childrenThe financial burden that many caregivers face in our country and the truth behind the limitations of MedicareAndy's work on current legislation to help provide support for caregivers and familiesHis biggest worries for the next generation - from the mental health crisis to the use of technologyAndy's mission for universal healthcare and affordability for caregiversThe challenges of his job as a Senator and his goal to shape the kind of America he wants his kids to grow up inAndy's love of New JerseySign up for his newsletter at kim.senate.govFollow Andy:Instagram: @senatorandykimFollow me:Instagram: @cameronoaksrogersSubstack: Fill Your CupWebsite: cameronoaksrogers.comTikTok: @cameronoaksrogersYoutube: Cameron Rogers

According to the nonpartisan Congressional Budget Office, President Trump's One Big Beautiful Bill Act will slash more than a trillion dollars in federal spending from Medicaid and the Children's Health Insurance Program by 2034. Judy Woodruff examines what those cuts could mean for home and community care providers who serve adults with special needs. It's part of her series, Disability Reframed. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

From explosive church invasions to dual justice debates, CCP-backed protests, fraud investigations, and the Russia collusion hoax, we cover all the stories shaping America today. Plus, get your weekend winter forecast with meteorologist Kara Foster!

Headlines like Trump's Davos speech and the recent ICE-related shooting reveal more than political tension. They point to a cultural shift Scripture warned about long ago. Skepticism toward faith, increasing mockery of biblical truth, and growing doubt about Christ's return echo the apostle Peter's description of the last days, where scoffers question the promise of His coming and society drifts further from spiritual accountability.A closer look at 2 Peter 3:3–9, supported by Greek insights and Rick Renner's teaching on the rapture and end times, highlights both the certainty of Christ's return and God's mercy in delaying judgment. Scripture makes it clear that what some interpret as delay is actually divine patience, giving more people the opportunity to repent. With multiple biblical precedents for supernatural “catching away” events, the foundation for the Church's future rapture is stronger than ever. This serves as a reminder to stay spiritually awake, grounded in truth, and ready for what lies ahead.--------------------------------------------------------------------------------------------------------------

Photo: The Wind River Family and Community Health Care clinic in Riverton, Wyo. would have been impacted by the proposed cuts in tribal Medicaid funding. (Hannah Habermann / Wyoming Public Media) State lawmakers in Wyoming backtracked this week on what many – including some lawmakers – believed was a big proposed cut to tribal Medicaid funding. Wyoming Public Radio's Hannah Habermann reports. Earlier this month, the Joint Appropriations Committee voted to deny a $58 million request from the Wyoming Department of Health for federal funding for tribal Medicaid reimbursements. The move was met with pushback and protest, but this week, State Rep. John Bear (R-WY) told the Tribal Relations Committee those funds will come through. “ I just wanna make it really clear that the funding was never, ever in jeopardy. These are accounting issues that we’re trying to work through.” Bear is the co-chair of the Joint Appropriations Committee. He originally voted for the cut, but this week said there was a workaround with what's called a B-11, which he hadn't mentioned in the original meeting. “Then they get the reimbursement after the activity is taken care of for the tribal member.” Now, Bear says the committee will authorize the funding for the Department of Health before the session starts, but at current reimbursement rates, that will be more like $41 million, rather than $58 million. Nick Tilsen. (Photo: Brooke Anderson @movementphotographer) The trial of Native advocate Nick Tilsen ended in a hung jury this week in Rapid City, S.D. Tilsen is still indicted and the state has the option to drop the charges or press forward, as South Dakota Public Broadcasting's C.J. Keene reports. Tilsen is the president and CEO of NDN Collective, a Rapid City-based Indigenous advocacy nonprofit. It is known for projects which advance Native living conditions and its protests of President Donald Trump's attendance at Mount Rushmore. For this case, he is charged with alternative charges of aggravated assault or simple assault against law enforcement. The jury was unable to reach a unanimous verdict, leading to a mistrial. Both charges are felonies and Tilsen also faced a misdemeanor obstruction charge. The next steps are in the hands of the state. The Pennington County State's Attorneys office could drop the charges or push for a new trial. The incident in question dates to June 11, 2022. On that day, footage shows Tilsen pulling into a parking space where an officer was standing. In the video, the truck pulls into the parking space, stops short, and moves forward again. The officer was interacting with an unhoused community member. According to reporting by the Rapid City Journal, he was stopped for jaywalking. Nobody was struck by the vehicle, but the state contends this was an effort to intimidate the officer and put him in fear of bodily harm. Tilsen's defense hinged on his organization’s effort to do “community care.” In other words, watching police – ensuring officers are operating in line with laws and community members know their rights during police interactions. For this, Tilsen faced over 25 years in prison for what he contends was a human mistake. In a press release following the mistrial, Tilsen writes, “I'm grateful for everyone who stood with me through the latest iteration of this lengthy legal battle – the support of my family, lawyers, spiritual leaders, medicine people, and community means everything to me. The fight is not over.” At this time, it is unclear if the state will seek another trial against Tilsen. Screenshot Oglala Sioux Tribal President Frank Star Comes Out has issued a proclamation banning U.S. Immigration and Customs Enforcement (ICE) and associated border patrol agents from entering the Pine Ridge Indian Reservation in South Dakota. It is in response to ICE activities and recent shootings in Minneapolis, Minn. The proclamation states U.S. Border Patrol is assisting ICE in “unlawful conduct” against Native people in Minneapolis. Meanwhile, Minnesota tribes, including the Red Lake Nation and Mille Lacs Band, are closing tribal government operations Friday, as part of a nationwide strike. “ICE Out – no work, no school, no shopping” is in protest of the ICE presence in Minneapolis. C.J. Keene contributed to this story. Get National Native News delivered to your inbox daily. Sign up for our daily newsletter today. Download our NV1 Android or iOs App for breaking news alerts. Check out the latest episode of Native America Calling

A Conversation About Community, Connection, and Caring for Kids in Need When Heather Frost joins Janet Michael on The Valley Today, she brings a message that hits close to home: hundreds of children across the Shenandoah Valley desperately need stable, caring families. As Foster Parent Coordinator for Embrace Treatment Foster Care, Heather sees firsthand how the shortage of local foster homes affects vulnerable kids throughout our region. The Scope of the Problem The statistics paint a sobering picture. At any given time, Virginia has approximately 5,000 children in foster care. Remarkably, 40% of these children are teenagers—the age group that proves hardest to place. Breaking this down to our local communities reveals the true scale of the need. Frederick County and Winchester together care for 120-150 children at any time, while Shenandoah County serves 40-60 kids. Even smaller Clarke County has 15-25 children in the system annually. Meanwhile, larger counties like Loudoun regularly have 250-300 children awaiting placement. Furthermore, the consequences of inadequate foster care resources extend far beyond childhood. More than 1,000 young people age out of Virginia's foster care system each year without finding a permanent family. This failure dramatically increases their risk for homelessness, unemployment, and involvement in the justice system—outcomes that could be prevented with stable family support. Why Location Matters Heather emphasizes a crucial point that many people overlook: where a foster child lives makes an enormous difference in their recovery and development. When children must be placed far from their home communities due to a lack of local foster families, they lose vital connections. They leave behind their schools, their therapists, their neighborhoods, and often their extended family members who still play important roles in their lives. "The research shows these things really matter in terms of getting over the trauma that the kids have gone through," Heather explains. Maintaining these connections helps children recover faster and build resilience. Consequently, Embrace actively seeks foster families throughout the region—from Winchester and surrounding counties to Harrisonburg and even Loudoun County—to keep kids rooted in familiar territory. What Treatment Foster Care Really Means Unlike traditional foster care through the Department of Social Services, Embrace provides treatment-level care for children with more complex needs. These kids often face challenges like ADHD, developmental disabilities, autism spectrum disorders, or post-traumatic stress. However, Heather quickly dispels any notion that foster parents must navigate these challenges alone. Instead, Embrace treats foster parents as integral members of a treatment team. The agency provides extensive initial certification training, then continues with monthly sessions covering new strategies, specific situations, and emerging best practices. Additionally, foster parents receive 24/7 support—whether they need a phone consultation or an in-person visit. This comprehensive approach transforms foster parents from isolated caregivers into supported professionals working alongside schools, social services, and community partners. Breaking Down Barriers and Misconceptions Throughout the conversation, Heather addresses common concerns that prevent people from considering foster care. First, she tackles the financial question head-on. All foster children receive Medicaid coverage, eliminating worries about medical expenses. Moreover, foster parents receive stipends to cover clothing and other necessities, though Heather acknowledges these don't cover every expense. Community support, like the Front Royal Chamber's annual fundraiser for foster families, helps fill remaining gaps. Second, Heather confronts the fear that potential foster parents lack the necessary skills or experience. "We're not looking for perfect people," she emphasizes. "We're just looking for people who will show up, who will be there, who want to help children." The certification process takes approximately 90 days and includes about six weeks of training classes, which can be completed virtually or in person based on family preferences. The Power of Stability and Connection Perhaps the most compelling part of the conversation centers on how dramatically children can transform when given stability and structure. Heather acknowledges that many foster children arrive labeled as "difficult" or "hard to manage." Nevertheless, she's witnessed countless times how these same children soften and thrive once they realize someone will consistently show up for them. "Just having someone who cared about them" makes all the difference, Heather notes, recalling stories from community members who approach her at events like Apple Blossom to share their own foster care experiences. Janet reinforces this point, observing that labels hurt children and that removing those labels allows kids to flourish in ways that might seem impossible at first. Importantly, Heather doesn't sugarcoat the experience. "I'm not gonna say it's all butterflies and rainbows a hundred percent of the time," she admits. Yet she describes the profound reward of watching relationships develop between foster children and their families. "When a child and a foster parent have that relationship and you get to watch it grow, it's just very beautiful." From Foster Care to Forever Families The conversation also explores how foster placements can evolve into permanent adoptions. Embrace dual-certifies foster parents for both fostering and adoption, creating flexibility as situations develop. Sometimes a child initially expected to reunify with their biological family cannot do so. In these cases, foster parents who've built strong relationships over months or years often choose to adopt, providing the permanent stability these children desperately need. This possibility becomes especially meaningful for teenagers. As Janet points out, raising any teenager presents challenges—foster or biological. However, the opportunity to guide a young person from a traumatic past toward a stable future offers rewards that transcend typical parenting experiences. The Urgent Call to Action As the conversation concludes, Heather issues a straightforward invitation: if you're even slightly curious about foster care, reach out for a conversation. There's no obligation, no cost, and no pressure. Visit embracetfc.com to learn more and indicate your preferred method of contact. The agency will respond according to your comfort level, whether you're just exploring the idea or ready to begin classes. Ultimately, the message resonates clearly throughout the conversation: the Shenandoah Valley's foster children need local families who represent their communities and cultures. They need people who will maintain their connections to schools, therapists, and extended family. Most importantly, they need adults who will simply show up—consistently, reliably, and with genuine care. The need is great, but so is the potential for impact. As Heather reminds listeners, foster parents don't need to be perfect. They just need to be present.

In the 2025 budget bill, Congress created the $50 billion Rural Health Transformation Program to help struggling hospitals, doctors, and patients in rural America. But rural hospitals are expected to lose three times that through Medicaid cuts in that same budget bill. So, what will it take to keep rural healthcare afloat? *** Thank you for listening. Help power On Point by making a donation here: www.wbur.org/giveonpoint

Last year, President Donald Trump issued an executive order aimed at ending gender-affirming care for transgender children and teenagers under 19. Since then, the Department of Health and Human Services proposed a new rule that would ban hospitals offering that care from receiving Medicaid and Medicare funding. The attacks on transition-related care are having a profound effect on transgender kids and their families, but they're also having an impact on health care providers. Today, we'll hear more. But first: progress on a deal to avoid a partial government shutdown.

Last year, President Donald Trump issued an executive order aimed at ending gender-affirming care for transgender children and teenagers under 19. Since then, the Department of Health and Human Services proposed a new rule that would ban hospitals offering that care from receiving Medicaid and Medicare funding. The attacks on transition-related care are having a profound effect on transgender kids and their families, but they're also having an impact on health care providers. Today, we'll hear more. But first: progress on a deal to avoid a partial government shutdown.

About this episode: The U.S. takes a unique approach to health care by tying coverage to employment. This has led to high rates of uninsured Americans, the creation of the Affordable Care Act, and ongoing fights about health care spending culminating in a government shutdown late last year. In this episode: Jonathan Cohn details the health care debate happening in Washington right now, the nuances of universal coverage in other countries, and what might come next for health insurance in the U.S. Guests: Jonathan Cohn is a writer for The Bulwark and the author of "The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage". Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content: Lawmakers reached a surprise bipartisan health deal. Now they have to keep it.—POLITICO Oregon Health Insurance Experiment—National Bureau of Economic Research Defenders of Medicaid cuts are misunderstanding a study I worked on—STAT Inside Rising Health Insurance Costs—Public Health On Call (November 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

On Monday, Oregon state lawmakers will convene in Salem to start the 2026 short legislative session. They’ll have just 35 days to tackle their legislative priorities, including the future of transportation funding, housing and rebalancing the state budget, which is facing a nearly $900 million shortfall due to projected federal spending cuts on programs like Medicaid and the Supplemental Nutrition Assistance Program. Both Republican and Democratic lawmakers have also seized on growing concerns around affordability and the cost of living, although with different views on what’s to blame. Also expected on the agenda is legislation Gov. Tina Kotek is sponsoring to accelerate job growth and ease business permitting as part of a multi-pronged effort that Kotek recently unveiled and appointed former state Senate Republican leader Tim Knopp to lead.  House Minority Leader Lucetta Elmer, R-McMinnville, and House Speaker Julie Fahey, D-Eugene, join us to share their perspectives and priorities for the legislative session.

What if the violence you're seeing isn't random — but perfectly timed? In this episode, the host breaks down a staggering pattern: whenever massive fraud is uncovered, chaos follows. From food stamps and Medicaid to DEI-based federal contracting, the transcript lays out how loosened regulations allegedly enabled billions in fraudulent spending, and why street unrest reliably shifts attention away from it. As federal investigators begin closing in — from Minnesota to California — the narrative suddenly changes. Fraud disappears from headlines. The focus pivots to riots, ICE, and outrage politics. The question isn't whether fraud is happening. It's who benefits when no one is allowed to talk about it.

Tara breaks down how street violence isn't spontaneous — it's strategic. When chaos erupts, fraud investigations disappear from the headlines. And the money? It keeps moving. From state-level benefit fraud and voter roll manipulation, to billions siphoned through healthcare programs, DEI contracting schemes, and immigration loopholes, Tara connects the dots between policy decisions, organized unrest, and who profits. This episode exposes why Minneapolis became ground zero, how fraud money fuels activist networks, why enforcement triggers violence, and how weak Republican leadership enables the very outcome voters think they're fighting against. This isn't about left vs. right. It's about who plays by the rules — and who never has to.

The stakes feel real this week: a single bill could upend New Mexico's budget, another could collide with the Constitution, and chaotic protest optics are reshaping national narratives. We start with SB 18, a sweeping net‑zero mandate that a rare, blunt fiscal report says could slash state revenues, inflate energy costs, and massively expand bureaucracy. In a state where oil and gas fund education, Medicaid, and capital projects, that warning lands hard. If climate progress is the aim, we argue for nuclear at scale rather than policies that bankrupt the very services families rely on.Then we shift to SB 17, a gun bill that targets commonly owned firearms and standard magazines. Beyond the headlines, the legal map is clear: higher courts have repeatedly rejected bans on arms in common lawful use. We focus on what actually lowers violence—detaining repeat offenders, sentencing enhancements for gun crimes, and closing the gap between rhetoric and results—so public safety improves without trampling rights.From there, the lens widens to Minnesota's protests and new video showing the man later shot by ICE spitting on an officer and carrying a gun at a protest, a violation of state law. Enforcement earlier might have prevented tragedy later, but the visuals still hurt. That's why transparent ICE messaging about targets—violent offenders, not families—matters for public trust. We also push back on a Hollywood call for a “general strike,” which ignores paycheck‑to‑paycheck realities, and we address the odd assault on Rep. Ilhan Omar with apple cider vinegar: prosecute it fully to stop escalation. Closing on the economy, we look at tax season, refunds, and whether real wages can finally outrun prices, plus a parent-tested ask—extend the child tax credit through age 18.If you value policy over posturing and want clear takeaways on energy, rights, crime, and affordability, this one's for you. Subscribe, share with a friend who loves straight talk, and leave a quick review to help more people find the show.Website: https://www.nodoubtaboutitpodcast.com/Twitter: @nodoubtpodcastFacebook: https://www.facebook.com/NoDoubtAboutItPod/Instagram: https://www.instagram.com/markronchettinm/?igshid=NTc4MTIwNjQ2YQ%3D%3D

This episode, recorded live at the Becker's 13th Annual CEO + CFO Roundtable, features Dr. Shondra Williams, President & Chief Executive Officer at InclusivCare, as she shares how her organization is navigating Medicaid uncertainty, financial pressure, and patient access challenges. Dr. Williams also discusses leadership, culture, and the role of technology and AI in strengthening community health centers heading into 2026.In collaboration with R1.

In this episode, Anna Flattau, Alumni Professor and Chair of Family and Community Medicine and Enterprise Chief of Primary Care Services at Jefferson Health, joins the podcast to discuss the evolution of virtual primary care, expanding telehealth to better connect people to care, and how changes to Medicaid are shaping access and delivery across primary care services.

In this episode, Erin Henderson Moore, President and CEO of Fidelis Care of New Jersey, shares how the plan is navigating Medicaid uncertainty through integration, member engagement, and upstream investment in behavioral health, housing, and LTSS. She discusses why data sharing, outcome based accountability, and enabling people to age at home will shape the next decade of government sponsored care.

What does it take for states to expand access to substance use disorder treatment and build stronger, more sustainable partnerships between Medicaid and public health?  In Massachusetts, leaders changed policies around provider models to increase access to care for opioid use disorder: Frances McGaffey, Manager of Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, explains how pairing providers with dedicated nursing support has helped remove barriers to prescribing buprenorphine, expand the addiction workforce, and dramatically increase access to care. She also shares why the state's decision to extend this model to alcohol and stimulant use disorders is a critical response to a changing overdose crisis, and what other states can do to replicate this success.  Then, Corey Caldwell, Senior Policy Analyst at the National Association of Medicaid Directors discusses the new Medicaid Leaders Playbook for Building Public Health Partnerships, developed in collaboration with ASTHO. Corey outlines practical, real-world steps Medicaid and public health agencies can take to align priorities, address funding and workforce challenges, launch small but impactful pilot projects, and build trust across systems.Understanding Current U.S. Measles Outbreaks and Elimination Status | ASTHO

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“Climate change is the biggest health threat of our century, so we need to train clinicians for a future where it will alter disease patterns, the demand on health systems, and how care is delivered,” says Dr. Sandro Demaio, director of the WHO Asia-Pacific Centre for Environment and Health, underscoring the stakes behind the organization's first regionally-focused climate and health strategy. The five-year plan Dr. Demaio is leading aims to help governments in 38 countries with 2.2 billion people manage rising heat, extreme weather, sea-level change, air pollution and food insecurity by adapting health systems, protecting vulnerable populations, and reducing emissions from the healthcare sector itself. In this timely interview with Raise the Line host Michael Carrese, Dr. Demaio draws on his experiences in emergency medicine, global public health, pandemic response and climate policy to argue for an interconnected approach to strengthening systems and preparing a healthcare workforce to meet the heath impacts of growing environmental challenges. This is a great opportunity to learn how climate change is reshaping medicine, public health and the future of care delivery.  Mentioned in this episode: WHO Asia-Pacific Centre for Environment and Health 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

Psychogenic nonepileptic seizures (PNES) are common, often misunderstood, and increasingly encountered in pediatric emergency care. These events closely resemble epileptic seizures but arise from abnormal brain network functioning rather than epileptiform activity. In this episode of PEM Currents, we review the epidemiology, pathophysiology, and clinical features of PNES in children and adolescents, with a practical focus on Emergency Department recognition, diagnostic strategy, and management. Particular emphasis is placed on seizure semiology, avoiding iatrogenic harm, communicating the diagnosis compassionately, and understanding how early identification and referral to cognitive behavioral therapy can dramatically improve long-term outcomes. Learning Objectives Identify key epidemiologic trends, risk factors, and semiological features that help differentiate psychogenic nonepileptic seizures from epileptic seizures in pediatric patients presenting to the Emergency Department. Apply an evidence-based Emergency Department approach to the evaluation and initial management of suspected PNES, including strategies to avoid unnecessary escalation of care and medication exposure. Demonstrate effective, patient- and family-centered communication techniques for explaining the diagnosis of PNES and facilitating timely referral to appropriate outpatient therapy. References Sawchuk T, Buchhalter J, Senft B. Psychogenic Nonepileptic Seizures in Children-Prospective Validation of a Clinical Care Pathway & Risk Factors for Treatment Outcome. Epilepsy & Behavior. 2020;105:106971. (PMID: 32126506) Fredwall M, Terry D, Enciso L, et al. Outcomes of Children and Adolescents 1 Year After Being Seen in a Multidisciplinary Psychogenic Nonepileptic Seizures Clinic. Epilepsia. 2021;62(10):2528-2538. (PMID: 34339046) Sawchuk T, Buchhalter J. Psychogenic Nonepileptic Seizures in Children - Psychological Presentation, Treatment, and Short-Term Outcomes. Epilepsy & Behavior. 2015;52(Pt A):49-56. (PMID: 26409129) Labudda K, Frauenheim M, Miller I, et al. Outcome of CBT-based Multimodal Psychotherapy in Patients With Psychogenic Nonepileptic Seizures: A Prospective Naturalistic Study. Epilepsy & Behavior. 2020;106:107029. (PMID: 32213454) Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we are talking about psychogenic non-epileptic seizures, or PNES. Now, this is a diagnosis that often creates a lot of uncertainty in the Emergency Department. These episodes can be very scary for families and caregivers and schools. And if we mishandle the diagnosis, it can lead to unnecessary testing, medication exposure, ICU admissions, and long-term harm. This episode's gonna focus on how to recognize PNES in pediatric patients, how we make the diagnosis, what the evidence says about management and outcomes, and how what we do and what we say in the Emergency Department directly affects patients, families, and prognosis. Psychogenic non-epileptic seizures are paroxysmal events that resemble epileptic seizures but occur without epileptiform EEG activity. They're now best understood as a subtype of functional neurological symptom disorder, specifically functional or dissociative seizures. Historically, these events were commonly referred to as pseudo-seizures, and that term still comes up frequently in the ED, in documentation, and sometimes from families themselves. The problem is that pseudo implies false, fake, or voluntary, and that implication is incorrect and harmful. These episodes are real, involuntary, and distressing, even though they're not epileptic. Preferred terminology includes psychogenic non-epileptic seizures, or PNES, functional seizures, or dissociative seizures. And PNES is not a diagnosis of exclusion, and it does not require identification of psychological trauma or psychiatric disease. The diagnosis is based on positive clinical features, ideally supported by video-EEG, and management begins with clear, compassionate communication. The overall incidence of PNES shows a clear increase over time, particularly from the late 1990s through the mid-2010s. This probably reflects improved recognition and access to diagnostic services, though a true increase in occurrence can't be excluded. Comorbidity with epilepsy is really common and clinically important. Fourteen to forty-six percent of pediatric patients with PNES also have epilepsy, which frequently complicates diagnosis and contributes to diagnostic delay. Teenagers account for the highest proportion of patients with PNES, especially 15- to 19-year-olds. Surprisingly, kids under six are about one fourth of all cases, so it's not just teenagers. We often make the diagnosis of PNES in epilepsy monitoring units. So among children undergoing video-EEG, about 15 to 19 percent may ultimately be diagnosed with PNES. And paroxysmal non-epileptic events in tertiary epilepsy monitoring units account for about 15 percent of all monitored patients. Okay, but what is PNES? Well, it's best understood as a disorder of abnormal brain network functioning. It's not structural disease. The core mechanisms at play include altered attention and expectation, impaired integration of motor control and awareness, and dissociation during events. So the patients are not necessarily aware that this is happening. Psychological and psychosocial features are common but not required for diagnosis and may be less prevalent in pediatric populations as compared with adults. So PNES is a brain-based disorder. It's not conscious behavior, it's not malingering, and it's not under voluntary control. Children and adolescents with PNES have much higher rates of psychiatric comorbidities and psychosocial stressors compared to both healthy controls and children with epilepsy alone. Psychiatric disorders are present in about 40 percent of pediatric PNES patients, both before and after the diagnosis. Anxiety is seen in 58 percent, depression in 31 percent, and ADHD in 35 percent. Compared to kids with epilepsy, the risk of psychiatric disorders in PNES is nearly double. Compared to healthy controls, it is up to eight times higher. And there's a distinct somatopsychiatric profile that strongly predicts diagnosis of PNES. This includes multiple medical complaints, psychiatric symptoms, high anxiety sensitivity, and solitary emotional coping. This profile, if you've got all four of them, carries an odds ratio of 15 for PNES. Comorbid epilepsy occurs in 14 to 23 percent of pediatric PNES cases, and it's associated with intellectual disability and prolonged diagnostic delay. And finally, across all demographic strata, anxiety is the most consistent predictor of PNES. Making the diagnosis is really hard. It really depends on a careful history and detailed analysis of the events. There's no single feature that helps us make the diagnosis. So some of the features of the spells or events that have high specificity for PNES include long duration, so typically greater than three minutes, fluctuating or asynchronous limb movements, pelvic thrusting or side-to-side head movements, ictal eye closure, often with resisted eyelid opening, ictal crying or vocalization, recall of ictal events, and rare association with injury. Younger children often present with unresponsiveness. Adolescents more commonly demonstrate prominent motor symptoms. In pediatric cohorts, we most frequently see rhythmic motor activity in about 27 percent, and complex motor movements and dialeptic events in approximately 18 percent each. Features that argue against PNES include sustained cyanosis with hypoxia, true lateral tongue biting, stereotyped events that are identical each time, clear postictal confusion or lethargy, and obviously epileptic EEG changes during the events themselves. Now there are some additional historical and contextual clues that can help us make the diagnosis as well. If the events occur in the presence of others, if they occur during stressful situations, if there are psychosocial stressors or trauma history, a lack of response to antiepileptic drugs, or the absence of postictal confusion, this may suggest PNES. Lower socioeconomic status, Medicaid insurance, homelessness, and substance use are also associated with PNES risk. While some of these features increase suspicion, again, video-EEG remains the diagnostic gold standard. We do not have video-EEG in the ED. But during monitoring, typical events are ideally captured and epileptiform activity is not seen on the EEG recording. Video-EEG is not feasible for every single diagnosis. You can make a probable PNES diagnosis with a very accurate clinical history, a vivid description of the signs and appearance of the events, and reassuring interictal EEG findings. Normal labs and normal imaging do not make the diagnosis. Psychiatric comorbidities are not required. The diagnosis, again, rests on positive clinical features. If the patient can't be placed on video-EEG in a monitoring unit, and if they have an EEG in between events and it's normal, that can be supportive as well. So what if you have a patient with PNES in the Emergency Department? Step one, stabilize airway, breathing, circulation. Take care of the patient in front of you and keep them safe. Use seizure pads and precautions and keep them from falling off the bed or accidentally injuring themselves. A family member or another team member can help with this. Avoid reflexively escalating. If you are witnessing a PNES event in front of you, and if they're protecting their airway, oxygenating, and hemodynamically stable, avoid repeated benzodiazepines. Avoid intubating them unless clearly indicated, and avoid reflexively loading them with antiseizure medications such as levetiracetam or valproic acid. Take a focused history. You've gotta find out if they have a prior epilepsy diagnosis. Have they had EEGs before? What triggered today's event? Do they have a psychiatric history? Does the patient have school stressors or family conflict? And then is there any recent illness or injury? Only order labs and imaging when clinically indicated. EEG is not widely available in the Emergency Department. We definitely shouldn't say things like, “this isn't a real seizure,” or use outdated terms like pseudo-seizure. Don't say it's all psychological, and please do not imply that the patient is faking. If you see a patient and you think it's PNES, you're smart, you're probably right, but don't promise diagnostic certainty at first presentation. Remember, a sizable proportion of these patients actually do have epilepsy, and referring them to neurology and getting definitive testing can really help clarify the diagnosis. Communication errors, especially early on, worsen outcomes. One of the most difficult things is actually explaining what's going on to families and caregivers. So here's a suggestion. You could say something like: “What your child is experiencing looks like a seizure, but it's not caused by abnormal electrical activity in the brain. Instead, it's what we call a functional seizure, where the brain temporarily loses control of movement and awareness. These episodes are real and involuntary. The good news is that this condition is treatable, especially when we address it early.” The core treatment of PNES is CBT-based psychotherapy, or cognitive behavioral therapy. That's the standard of care. Typical treatment involves 12 to 14 sessions focused on identifying triggers, modifying maladaptive cognitions, and building coping strategies. Almost two thirds of patients achieve full remission with treatment. About a quarter achieve partial remission. Combined improvement rates reach up to 90 percent at 12 months. Additional issues that neurologists, psychologists, and psychiatrists often face include safe tapering of antiseizure medications when epilepsy has been excluded, treatment of comorbid anxiety or depression, coordinating care between neurology and mental health professionals, and providing education for schools on event management. Schools often witness these events and call prehospital professionals who want to keep patients safe. Benzodiazepines are sometimes given, exposing patients to additional risk. This requires health system-level and outpatient collaboration. Overall, early diagnosis and treatment of PNES is critical. Connection to counseling within one month of diagnosis is the strongest predictor of remission. PNES duration longer than 12 months before treatment significantly reduces the likelihood of remission. Video-EEG confirmation alone does not predict positive outcomes. Not every patient needs admission to a video-EEG unit. Quality of communication and speed of treatment, especially CBT-based therapy, matter the most. Overall, the prognosis for most patients with PNES is actually quite favorable. There are sustained reductions in events along with improvements in mental health comorbidities. Quality of life and psychosocial functioning improve, and patients use healthcare services less frequently. So here are some take-home points about psychogenic non-epileptic seizures, or PNES. Pseudo-seizure and similar terms are outdated and misleading. Do not use them. PNES are real, involuntary, brain-based events. Diagnosis relies on positive clinical features, what the events look like and when they happen, not normal lab tests or CT scans. Early recognition and diagnosis, and rapid referral to cognitive behavioral therapy, change patients' lives. If you suspect PNES, get neurology and mental health professionals involved as soon as possible. Alright, that's all I've got for this episode. I hope you found it educational. Having seen these events many times over the years, I recognize how scary they can be for families, schools, and our prehospital colleagues. It's up to us to think in advance about how we're going to talk to patients and families and develop strategies to help children who are suffering from PNES events. If you've got feedback about this episode, send it my way. Likewise, like, rate, and review, as my teenagers would say, and share this episode with a colleague if you think it would be beneficial. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

Today from SDPB - one Republican's efforts to give voters the chance to opt out of Medicaid expansion again, a bill that would give people the opportunity to challenge voter eligibility based on U.S. citizenship and dollars for Rural Healthcare approved by the state Senate.

In this episode, Scott Becker breaks down UnitedHealthcare's sharp stock drop, strong recent earnings, and troubling signals including projected revenue decline, rising medical loss ratios, and shrinking Medicare and Medicaid enrollment.

Marty sits down with Steve Robinson to discuss his year-long investigation into massive Medicaid fraud in Maine, exposing how politically connected migrant NGOs have been exploiting taxpayer-funded programs with virtually no oversight or consequences. Steve on Twitter: https://x.com/SteveRob The Maine Wire: https://www.themainewire.com/ STACK SATS hat: https://tftcmerch.io/ Our newsletter: https://www.tftc.io/bitcoin-brief/ TFTC Elite (Ad-free & Discord): https://www.tftc.io/#/portal/signup/ Discord: https://discord.gg/VJ2dABShBz Opportunity Cost Extension: https://www.opportunitycost.app/ Shoutout to our sponsors: Bitkey https://bit.ly/4pOv2L4 Unchained https://unchained.com/tftc/ SLNT https://slnt.com/tftc CrowdHealth https://joincrowdhealth.com.tftc Salt of the Earth: https://drinksote.com/tftc Join the TFTC Movement: Main YT Channel https://www.youtube.com/c/TFTC21/videos Clips YT Channel https://www.youtube.com/channel/UCUQcW3jxfQfEUS8kqR5pJtQ Website https://tftc.io/ Newsletter tftc.io/bitcoin-brief/ Twitter https://twitter.com/tftc21 Instagram https://www.instagram.com/tftc.io/ Nostr https://primal.net/tftc Follow Marty Bent: Twitter https://twitter.com/martybent Nostr https://primal.net/martybent Newsletter https://tftc.io/martys-bent/ Podcast https://www.tftc.io/tag/podcasts/

From Minneapolis to Mar-a-Lago, this episode uncovers what the hosts call a nation under internal attack. Through shocking census revelations, immigration enforcement struggles, and alleged liberal privilege, the discussion examines the scale of what they describe as systemic oppression and the fight for control of American society. With millions fleeing blue states, FOIA lawsuits exposing census manipulation, and escalating street protests, the stakes are higher than ever. The hosts break down how many congressional seats are allegedly “stolen,” the potential impact of Supreme Court cases, and the consequences of illegal immigration and federal policy failures. It's a high-octane, controversial dive into power, politics, and the claim that the next five years will determine the fate of freedom in America

In this episode, Scott Becker breaks down UnitedHealthcare's sharp stock drop, strong recent earnings, and troubling signals including projected revenue decline, rising medical loss ratios, and shrinking Medicare and Medicaid enrollment.

In this episode, Linda Hines, Virginia's Medicaid Market President at Humana, shares how school based partnerships are improving access to youth behavioral health services, especially in rural communities. She discusses workforce development, measurable outcomes, and why listening to families, providers, and youth is critical to long term success.

In the interview, host Clay Edwards speaks with Mississippi State Auditor Shad White, who is en route to deliver supplies to weather-affected areas in North Mississippi. They discuss widespread flaws in federal welfare programs, including TANF funds for childcare and after-school centers. White's recent report highlights issues like lack of attendance tracking, data errors (duplicates, misspellings), and no evidence of required learning gains, affecting nonprofits such as the Jackson Medical Mall and Boys & Girls Clubs. The conversation extends to Medicaid fraud, such as payments to deceased individuals, and calls for stronger accountability, prosecutions, and congressional reforms. White expresses optimism for bipartisan change driven by taxpayer frustration, independent journalism, and potential political reckonings in upcoming elections.

Welcome to today's episode of Wisdom Talk Radio! This is where we explore the depths of conscious living and how to live an expanded life. Join us to be inspired, encouraged, transformed and to tap into a deeper sense of joy and possibility.   How do we change the current face of health care in the US, which is built on a foundation of unequal access and standards of care? That's not an easy question to address. It takes courage of a magnitude that is rarely brought to bear. It's what my guest today tackles on a grand scale. This might be a little different of a topic, but it is one that is essential to embrace.I'm Laurie Seymour, host of Wisdom Talk Radio and CEO and founder of The Baca Institute, home of the Quantum Connection Process. You can go there to discover your unique connection with the essence of who you are by taking the Quantum Connection quiz. Why quantum connection? We are each designed to directly connect with Source differently. Knowing your own style opens a deeper connection with the Universe. It's the secret to creating what you truly want in your life. Because who you are is exactly who is needed.Jamye Chapman is a senior health policy and strategic planning expert at a leading national health care nonprofit, where he leads initiatives to improve health outcomes for Medicaid enrollees and advance optimization health care systems. As the founder of the Inner Peace Foundation, Jayme facilitates seminars emphasizing emotional intelligence and organizational psychology. He has a deep commitment to fostering human-centered systems that serve all segments of the population. He is the author of Evolve Your We, from Courage to Connection in a Divided World.Find Jayme Chapman at https://www.theinnerpeacefoundation.org/ https://www.linkedin.com/in/jamyechapman/Find Laurie Seymour at https://thebacainstitute.com/ .Follow Wisdom Talk Radio on Facebook: https://www.facebook.com/wisdomtalkradio Subscribe on Apple.Want to reach out to me? You can email me directly at laurie@thebacainstitute.com If you are enjoying our show and you'd like to spread the love, please subscribe, download, comment, and tell your friends and family about us. We want to thank you for your continued support. We really appreciate it! Find more episodes of Wisdom Talk Radio HERE Discover your Quantum Connection Style! (QUIZ)The first step to mastering your Quantum Connection is to know your natural style of being in the world.We are each designed to connect with Source differently. Knowing your style, with both your superpowers and your learning edge, is the first step of aligning with your inner guidance at a deeper level than you ever thought you could. It's the doorway to creating what you truly want in your life.Click here to take the quiz now: Quantum Connection QuizFind Laurie's new book, Unconditional Remembrance: Your Connection to Source HEREGet Laurie's New Book, Unconditional Remembrance: Your Connection to Source: https://mybook.to/UnconditionalRememSupport this podcast at — https://redcircle.com/wisdom-talk-radio/donationsAdvertising Inquiries: https://redcircle.com/brands

About the Guest(s):Annalee Kruger: Annalee Kruger is the president of CareRight Inc., an organization she founded to provide comprehensive planning and concierge consulting services for families with aging loved ones. With a career spanning over three decades, Annalee is a seasoned social worker with experience in working in Continuing Care Retirement Communities (CCRCs). She has authored "The Invisible Patient," a book focusing on the emotional, financial, and physical toll on family caregivers. Annalee's extensive expertise helps families develop proactive aging plans to avoid crises and maintain healthy relationships.Episode Summary:In this insightful episode of Money Roots, host Amy Irvine welcomes Annalee Kruger to delve into the crucial topic of planning and caring for aging loved ones. The discussion centers on the complex challenges faced by families and caregivers in navigating the often confusing landscape of senior care. Annalee shares her expertise developed over decades in social work and aged care management, which she has now channeled into her role at CareRight Inc. Listeners will gain invaluable insight into the often misunderstood needs of elderly parents and the pressures faced by members of the "sandwich generation" caught between raising their children and caring for aging parents.Annalee emphasizes the importance of proactive aging plans, detailing how her company uses comprehensive care matrices to aid families in making well-informed decisions. From understanding the implications of Medicare and Medicaid to choosing the right care community, Annalee underscores the significance of planning to avoid detrimental mistakes. She also touches on the emotional strain caregivers endure and provides strategies for balancing responsibilities while maintaining their well-being. Throughout the discussion, the need for effective family meetings facilitated by a neutral party is highlighted as a critical component in achieving harmonious care planning.Key Takeaways:Having a proactive aging plan can prevent crises and improve outcomes for families and their senior members.A comprehensive care matrix can save families time and money by identifying suitable care communities and necessary medical resources in advance.The role of the family caregiver often introduces emotional, physical, and financial burdens that necessitate external support and recognition.Effective family meetings led by a neutral third party, like Annalee, can help in bridging the gap between aging parents and their adult children, fostering better aging decisions.The Guide Program introduced by Medicare offers additional support, though limited, for families with loved ones diagnosed with Alzheimer's or dementia.Notable Quotes:"If I could catch these families in the infancy stages [of crises], it's so much better for them.""They don't know what they don't know, and that's why they make incredibly outrageously expensive mistakes.""No parent at the end of their life is like, 'Wow, I'm so glad I put my kids through the ringer.'""If this is interesting to those listening, reach out... Is it important for you to have a say in what happens to you as you age?"

This week, Todd Lutsky explains why so many people try to get on Medicaid, what to do if you waited till the last minute, why long term care insurance makes the process easier, and what separates the good insurers.

In this episode of Greater Perimeter Business Radio, Erik Boemanns interviews Marcus Azeh, founder of Lavni—a startup improving mental health care access for Medicaid clients. Marcus discusses Lavni's mission to connect underserved patients with therapists, overcoming compliance and payment barriers. He shares insights on building a scalable platform, the company's growth, and the importance of […]

In this episode, Scott Becker breaks down UnitedHealthcare's sharp stock drop, strong recent earnings, and troubling signals including projected revenue decline, rising medical loss ratios, and shrinking Medicare and Medicaid enrollment.

Dr. Heavenly Kimes from Married to Medicine joins Angela Yee and the Lip Service crew to talk about her historic run for Congress in Georgia, her reality-TV fame turning into political power, and the personal moments that shaped her journey. She opens up about the arrest of her son, discovering her half-brother years later, and why she refuses to exploit her marriage for reality TV — even when everyone else does. Heavenly also breaks down how healthcare cuts, Medicaid changes, and mental-health crises are hurting her district, and why she believes she was called to serve. From Bravo drama to Capitol Hill, this is one of the most unfiltered and revealing conversations Heavenly has ever had. Topics include:• Why she’s running for Congress• How reality TV prepared her for politics• Her son’s arrest and how it changed her• Why she won’t put her marriage on TV• Mental health, Medicaid, and Georgia voters• Drama with the Married to Medicine castSee omnystudio.com/listener for privacy information.

President Trump reveals the details of his call with Tim Walz and Jacob Frey. Greg Bovino was removed from his role as Border Patrol “Commander at Large” as state police are arresting violent protesters. The cross-dressing Antifa general of Minneapolis, Kyle Wagner, who called for guns to be used against ICE, is now on the run from law enforcement and is begging for donations. VCU Nurse Malinda Cook posted a series of videos encouraging people to inject ICE agents with succinylcholine, a temporary paralysis drug and spray poison on them. The left continues to use the Kyle Rittenhouse commentary comparison to go after the guns. CNN suggests Alex Pretti has a history of impeding law enforcement operations. Dana breaks down Minnesota's political history of ignoring removal orders for illegal immigrants. Minnesota has experienced a STAGGERING increase in the amount of Medicaid without Social Security Numbers. 2 Million Gazans will request asylum in Spain. New polls show the majority of Americans are in support of ICE's mission.Thank you for supporting our sponsors that make The Dana Show possible…Bank on Yourselfhttps://BankOnYourself.com/Dana Bank on Yourself offers tax-free retirement income, guaranteed growth, and full control of your money. Receive your free report.Relief Factorhttps://ReliefFactor.com OR CALL 1-800-4-RELIEFTry Relief Factor's 3-week Quickstart for just $19.95—tell them Dana sent you and see if you can be next to control your pain!Patriot Mobilehttps://PatriotMobile.com/DANA or call 972-PATRIOTSwitch to Patriot Mobile in minutes—keep your number and phone or upgrade, then take a stand today with promo code DANA for a free month of service!Humannhttps://HumanN.comKick off the New Year with simple, delicious wellness support—pick up Humann's Turmeric Chews at Sam's Club next time you're there and see why they're such a fan favorite!Byrnahttps://Byrna.com/DanaMake 2026 the year you protect your family with solid options—Get the Byrna today.WebRootTake your cybersecurity seriously! Get 60% off Webroot Total Protection at https://Webroot.com/Dana  Noble Goldhttps://NobleGoldInvestments.com/DanaThis is the year to create a more stable financial future.  Open a qualified account with Noble Gold and receive a 3 oz Silver Virtue coin free. Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite

Reminder: Join us live this Thursday at 6pm CT for Happy Hour with Hightower!If you're ever asked to define the word oxymoron, just say, “Congressional ethics.” People instinctively burst out guffawing at the absurdity of linking Congress to upright behavior.But, surprisingly, Republican congressional leaders say they're now taking a bold stand for a little less corruption among their own members, targeting lawmakers who've been secretly enriching themselves through “insider stock trading.” Actually, the leaders were forced to support this bit of reform because of public outrage over the dirty dealing of Rep. Rob Bresnahan. This multimillionaire Republican was caught using his insider position last year to profit from the GOP's gutting of Medicaid benefits for poor people.So, last month, the party's designated ethics watchdog, Bryan Steil, rose on his hind legs to introduce the Stop Insider Trading Act. “If you want to trade stocks,” Steil howled in operatic outrage, “go to Wall Street.”Bravissimo! Except it was a fraud. Far from stopping the self-enriching stock scams of lawmakers like Bresnahan, Steil's bill basically legalizes their corrupt transactions. For example, members could keep trading stocks in corporations they supposedly oversee. And, in the loopiest of loopholes, sneaky lawmakers are authorized to have their spouses buy and sell stocks on the member's behalf.Then, showing his party's true colors, Steil exclaimed that we outsiders should not even push Congress to pass an honest, outright ban on insider trading – because that would discourage wealthy business executives from choosing to enter “public service.”Hello, that gives us two reason to demand a ban – (first) to impose a minimal ethical standard on lawmakers, and (second) to shoo off self-serving monopolists and plutocrats from controlling the public's agenda.Do something!If you're fed up with rigged congressional systems of corruption, check out Citizens For Responsibility and Ethics in Washington (CREW), who call Steil's act a “joke,” and are working to pass the Restore Trust in Congress Act.Jim Hightower's Lowdown is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit jimhightower.substack.com/subscribe

Tara breaks down what she calls the real story the media skipped — not church protests, but a massive fraud investigation tied to hundreds of fake health-care businesses operating out of a single rundown Minneapolis warehouse

The cost of living crisis is getting worse and worse, and it's not by accident.#WeNeedToTalk about why everything feels more expensive right now. Utility bills are rising year over year, healthcare costs are spiraling, and recent policy choices — including the “Big Beautiful Bill” — are making things worse by cutting over $1 trillion from Medicaid and stripping away renewable energy incentives that would lower costs for families. Renewables remain the most affordable and fastest-to-deploy energy solution, but incentives are being blocked while fossil fuels receive massive handouts.In this live conversation, I break down what's happening through the lens of faith, justice, and shared humanity, because these aren't just policy issues, they're dignity issues. And if we care about our neighbors, our communities, and the people most impacted by these rising costs, we have a responsibility to stay informed and hold our elected representatives accountable.What We Can Do* Stay informed about how rising utility and healthcare costs are connected to policy decisions.* Contact your elected representatives and tell them affordability, renewable energy, and healthcare access must be prioritized.* Support renewable energy expansion, since it is the cheapest and fastest solution to lowering bills long-term.* Share accurate information with friends, family, and community members to push back against misinformation.* Advocate for Medicaid protections, especially for children, seniors, disabled individuals, pregnant people, and rural communities.* Have compassionate conversations in your circles, using data and personal stories, to help others understand the human impact.* Strengthen community care networks, checking in on neighbors, elders, and vulnerable families who might be struggling.* Use your faith and values as a guide, grounding your advocacy in love, dignity, and collective responsibility.* Support local mutual aid or community organizations that help families bridge the gaps created by policy failures.* Raise awareness online, amplifying justice-centered voices and keeping attention on the communities most impacted.#WeNeedToTalk is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit malyndahale.substack.com/subscribe

Health Affairs' Rob Lott interviews Sayeh Nikpay of the University of Minnesota about her recent paper exploring how The Medicaid Drug Rebate Program and the 340B Program interact in ways that can unintentionally increase costs, the adoption of cost-saving strategies to mitigate these interactions, and how policymakers can act to balance Medicaid savings with revenue impacts on 340B-participating safety-net providers.Order the January 2026 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast

Marc talks with Senator Rick Brattin about the Missouri Supreme Court's pattern of favoring left-leaning interests while restricting Republican-led legislative actions. They dissect the Missouri Plan's opaque judicial selection process, examples of ballot language manipulation, and controversial rulings like amendment three and Medicaid expansion. Brattin advocates for a federal-style system with open scrutiny of judicial nominees, stronger legislative oversight, and potential financial accountability for judges. The discussion emphasizes restoring checks and balances and ensuring judicial decisions align with the public's elected representatives. Hashtags: #MissouriPolitics #RickBrattin #MissouriSupremeCourt #JudicialReform #BallotInitiatives #ChecksAndBalances #MarcCoxMorningShow

John Schoen, Senior Clinical Manager of Evidence-Based Medicine and Drug Information in Vizient's Center for Pharmacy Practice Excellence and Vizient's vaccine subject matter expert, joins host Stacy Lauderdale to discuss key updates to the CDC's childhood Immunization schedule and what they mean for practice.   Guest speaker:     John Schoen, PharmD, BCPS   Senior Clinical Manager of Evidence-Based Medicine and Drug Information    Vizient Center for Pharmacy Practice Excellence     Host:   Stacy Lauderdale, PharmD, BCPS   Associate Vice President  Vizient Center for Pharmacy Practice Excellence   Verified Rx Host    00:00 — Introduction Announcer welcomes listeners to Verified Rx, produced by the Vizient Center for Pharmacy Practice Excellence. 00:14 — Episode Overview Host Stacy Lauderdale introduces the topic: updates to the CDC's U.S. Childhood Immunization Schedule, revised January 20, 2026. Goal of the episode: explain what changed, what didn't, and what it means in practice for providers, pharmacists, and families. Guest: John Schoen, Senior Clinical Manager of Evidence-Based Medicine and Drug Information at Vizient and vaccine subject matter expert. 01:16 — What Changed in the CDC Immunization Schedule CDC reorganized the schedule into three recommendation categories. Vaccines were reclassified, not removed. Number of diseases covered under “routine” recommendations decreased from 17 to 11 due to recategorization. 01:50 — Stated Rationale Behind the Changes Rationale provided in executive summary of scientific assessment. The supporting scientific assessment is available online and referenced for transparency (link in resources below). 03:19 — Were Any Vaccines Removed? No vaccines were removed from the CDC schedule. Some vaccines were shifted into different recommendation categories. 03:40 — Category 1: Routine Childhood Vaccinations Vaccines still routinely recommended for all children include: MMR (measles, mumps, rubella) Polio Tdap / DTaP Hib (Haemophilus influenzae type B) Pneumococcal HPV Varicella (chickenpox) 04:27 — Category 2: Vaccines for High-Risk Populations Vaccines recommended for children who meet specific high-risk criteria: RSV monoclonal antibodies (mAb) Hepatitis A Hepatitis B Quadrivalent meningococcal Meningococcal group B Dengue 05:19 — What Changed vs. Stayed the Same Hepatitis A, Hepatitis B, and quadrivalent meningococcal moved from routine to high-risk RSV mAb recommendations are effectively unchanged, as high-risk infants are defined as those born to mothers who did not receive the maternal RSV vaccine. Dengue remains risk-based. Meningococcal group B remains a mix of risk-based and shared clinical decision-making. 06:31 — Category 3: Shared Clinical Decision Making (SCDM) Defined by ACIP as an individualized decision made jointly by provider and parent/guardian. Allows vaccination when risk-based criteria are not met but benefit is still considered. 06:52 — Vaccines Under SCDM Vaccines now include: Influenza COVID-19 Rotavirus Hepatitis A Hepatitis B Quadrivalent meningococcal Meningococcal group B 08:05 — What's New in SCDM Influenza and rotavirus moved from routine to SCDM. Hepatitis A, hepatitis B, and quadrivalent meningococcal also shifted. COVID-19 moved to SCDM in September 2025 for individuals ≥6 months. 08:28 — Insurance Coverage Implications No expected changes in coverage. Vaccines recommended by CDC as of December 31, 2025 remain: Covered without cost-sharing under Affordable Care Act (ACA) plans. Covered by Medicaid, Children's Health Insurance Program (CHIP), and Vaccines for Children (VFC) program. 09:14 — Impact on Pharmacy Vaccine Access Pharmacists are considered healthcare providers under CDC SCDM definitions. Authority to administer vaccines primarily determined by state laws. Standing orders, protocols, and collaborative practice agreements may need to be updated, as applicable, to address language related to ‘routine' immunizations for children. 10:27 — Recommendations for Providers & Organizations For providers: Become familiar with schedule changes. Be prepared for patient and parent education. Recognize differences between CDC and other professional guidelines. For organizations: Review EHR documentation and order sets. Consult local state regulations to ensure compliance with vaccine administration practices. Review standing orders/protocols and collaborative practice agreements to determine if revisions are needed. Monitor vaccine utilization and adjust inventory accordingly. 11:24 — Resources & Closing Additional CDC and Vizient resources will be linked in the show notes. Announcer closes with subscription and feedback reminder. Links | Resources:    Additional resources HHS press release on changes to childhood immunizations schedule Assessment of US childhood and adolescent immunization schedule HHS fact sheet: CDC childhood immunization schedule Revised CDC child and adolescent immunization schedule ACIP shared clinical decision-making recommendations   Vizient resource Minute Market Insight   VerifiedRx Listener Feedback Survey: We would love to hear from you - Please click here   Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed  

Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comFind out how the future of AI could impact your retirement during Zach Abraham's free “New Year Reset” live webinar This Thursday January 29th 3:30pm Pacific. Register at KnowYourRiskPodcast.com.Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddThe new GOLDEN AGE is here!  Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeLet's talk about the way Democrats and Republicans seek to control you, especially after events like the shooting of Alex Pretti, and the chaos in Minnesota.Episode Links:The Mayor of Frisco, Texas is questioned on why all his largest political donors are Indians not living in the United States. This is what selling out America looks likeFormer prime minister of Somalia Abdiweli Gaas mocks America and Trump, says the focus on Somalis in Minnesota will pass and Somalis should just lay low till a Democrat wins office"Being Somali is more than bananas & rice, it's a lot, it's uh.. it's kind of like bananas & rice"HOLY SMOKES. Trump officials Dr. Oz and Jim O'Neill just dropped a Minnesota BOMBSHELL: They found a former linen factory transformed into 400 Medicaid businesses to generate nearly half a BILLION DOLLARS

Today's Headlines: Things escalated fast in Minnesota this weekend after ICE officers fatally shot 37-year-old Alex Pretti, an ICU nurse and veterans' affairs worker, during a chaotic confrontation caught on multiple videos. Witnesses say Pretti was directing traffic and filming on his phone while trying to help someone else, and that his legally owned firearm had already been taken by agents before he was tackled. Federal officials initially labeled him a “domestic terrorist,” a claim sharply contradicted by video evidence and eyewitness affidavits. The shooting has triggered a major political and legal backlash. Minnesota officials say DHS and DOJ blocked state investigators from accessing the scene, even with a warrant, and the state has filed suit to prevent the destruction of evidence. Governor Tim Walz has ordered an independent investigation into both the killing and the federal government's public statements about it. The controversy deepened after Attorney General Pam Bondi sent a letter threatening not to end federal operations in Minnesota unless the state hands over Medicaid, SNAP, and voter data and rolls back sanctuary policies—moves critics call political extortion. Meanwhile, tensions are rising nationally. Protesters braved extreme cold across Minnesota, businesses staged a general strike, and more than 60 major Minnesota-based companies urged de-escalation. Additionally, the detention of a U.S. Army veteran observing ICE activity, the assault of Rep. Maxwell Frost, a massive sewage spill in Washington, DC, and renewed debate over vaccine mandates round out a very chaotic weekend. President Trump has largely praised federal agents' actions, even as his administration faces lawsuits, congressional infighting over ICE funding, and growing international criticism ahead of the World Cup. Resources/Articles mentioned in this episode: WSJ: Border Patrol Agent Fatally Shoots Man in Minneapolis, Escalating State-Federal Standoff Axios: Trump officials stick "terrorist" label on Americans killed by DHS Politico: Bovino claims Border Patrol agents are ‘the victims' in deadly Minneapolis shooting NYT: Pam Bondi letter to Tim Walz NBC News: White House shares an altered photo of arrested Minnesota protester Nekima Levy Armstrong ABC News: Army vet detained by ICE for 8 hours says he wasn't allowed to call an attorney Axios Local: Minnesota Gov. Tim Walz vows state investigation into shooting amid "lies" from DHS NYT: CEO's of Target and Minnesota's biggest companies call for 'De-escalation'  Axios: Democrats threaten government shutdown over ICE funding Axios: Court docs reveal new details of alleged assault on Maxwell Frost AP News: Massive sewage spill flowing into Potomac River upstream from Washington AP News: German soccer federation official wants World Cup boycott considered because of Trump FOX News: Trump says it 'is too late' to stop the White House ballroom construction amid lawsuit WaPo: Trump hosts ‘Melania' screening as Minnesota shooting fallout roils nation AP News: Massive winter storm dumps sleet, freezing rain and snow around much of US WSJ: Trump Says Administration Is ‘Reviewing Everything' About Minneapolis Shooting WSJ: TikTok Finalizes Deal to Keep Operating in the U.S. NYT: Rejecting Decades of Science, Vaccine Panel Chair Says Polio and Other Shots Should Be Optional Morning Announcements is produced by Sami Sage and edited by Grace Hernandez-Johnson Learn more about your ad choices. Visit megaphone.fm/adchoices

Watch The X22 Report On Video No videos found (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:17532056201798502,size:[0, 0],id:"ld-9437-3289"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");pt> Click On Picture To See Larger Picture Trump trolls the climate people, temps are going down and there incredible amount of snow. China pushes forward with Silk road. Canada/China try to go around Trump’s tariff system and he warns Carney to stop. The people have been dependent on the government and its because of the [CB]. The [CB]/China are trying to stop Trump’s tariffs. Countries want their gold back. The [DS] is taking the information war and now moving to a physical war. The war is between the American people and the criminal syndicate. The [DS] want Trump to use the insurrection act during the midterms, this way they can use the narrative that he is going to stop the elections. Hold the line, the people are waking up. Trump’s counterinsurgency is getting bigger. Trump will not act until he has the leverage, buckle up its going to get bumpy.   Economy https://twitter.com/disclosetv/status/2015283109235732576?s=20 (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:18510697282300316,size:[0, 0],id:"ld-8599-9832"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");   https://twitter.com/WallStreetApes/status/2014838127677030845?s=20  work, I lose my food stamps, I lose my health insurance and we’re only getting $100 back on taxes. Huh? This is why people don’t want to work because why am I working my butt off and losing all that stuff and still living paycheck to paycheck when I was living paycheck to paycheck before, but I at least had food stamps and health insurance and got $7,000 back. Yeah, how’s that math mathing?”  Repatriate The Gold’: German Economists Urge Withdrawal From US Vaults Shift in relations and unpredictability of Donald Trump make it ‘risky to store so much gold in the US', say experts  Germany is facing calls to withdraw its billions of euros' worth of gold from US vaults, spurred on by the shift in transatlantic relations and the unpredictability of Donald Trump. Germany holds the world's second biggest national gold reserves after the US, of which approximately €164bn (£122bn) worth – 1,236 tonnes – is stored in New York. Emanuel Mönch, a leading economist and former head of research at Germany's federal bank, the Bundesbank, called for the gold to be brought home, saying it was too “risky” for it to be kept in the US under the current administration.  “In the interest of greater strategic independence from the US, the Bundesbank would therefore be well advised to consider repatriating the gold.” Source: zerohedge.com Trump Suggests He Can Send $2,000 Tariff Rebate Checks Without Congress  Bessent has also suggested the $2,000 benefit might not take the form of direct cash disbursements.  the Treasury secretary said while he had not yet finalized details with Trump, the “dividend could come in lots of forms,” such as through tax reductions already under consideration—including exemptions for tips, overtime pay, and Social Security benefits, among other deductions. Source: zerohedge.com Political/Rights Anti-ICE Singer Bad Bunny Reportedly Planning to Wear a Dress at Super Bowl Halftime Show to ‘Honor Queer Icons'  Bad Bunny, the anti-Trump, anti-ICE, Puerto Rican rapper, whose real name is Benito Antonio Martínez Ocasio, is reportedly planning to wear a dress to “honor queer icons” during his Super Bowl halftime performance. The artist has a history of wearing skirts, dresses, and other bizarre costumes. According to a Radar Online report, Ocasio will wear the dress at the NFL's biggest game of the year to “honor Puerto Rican queer icons and generations of drag, resistance and cultural rebellion.” The report states: Source: thegatewaypundit.com https://twitter.com/mrddmia/status/2014745821682483678?s=20 https://twitter.com/disclosetv/status/2014735703490334753?s=20 DOGE  dramatic, final, and beautiful conclusion. I would also like to thank President Xi, of China, for working with us and, ultimately, approving the Deal. He could have gone the other way, but didn't, and is appreciated for his decision. PRESIDENT DONALD J. TRUMP Geopolitical https://twitter.com/KurtSchlichter/status/2015086947782525422?s=20    War/Peace   DONALD J. TRUMP PRESIDENT OF THE UNITED STATES OF AMERICA Medical/False Flags https://twitter.com/TheChiefNerd/status/2014517087830491440?s=20 [DS] Agenda https://twitter.com/gatewaypundit/status/2015410989953433956?s=20    BREAKING: Magistrate Judge Orders Release of Minnesota Church Protestor William Kelly All three Minnesota church protestors have now been released from federal custody. Nekima Levy-Armstrong, Chauntyll Allen, and William Kelly, A federal magistrate judge on Friday ordered the release of William Kelly, the far-left agitator who stormed a St. Paul church and harassed parishioners on Sunday. William Kelly was arrested and charged with conspiracy to deprive rights, a federal crime, and violating the FACE Act 18 USC 248 for his involvement in the St. Paul church riots. Kelly was wearing his signature “F*ck Trump” beanie when he was taken into custody. On Friday, Magistrate Shannon Elkins said there was no basis for pretrial detention.   Source: thegatewaypundit.com https://twitter.com/AAGDhillon/status/2015140496344314364?s=20  https://twitter.com/StephenM/status/2014479574847967639?s=20    https://twitter.com/AGPamBondi/status/2015219042441699797?s=20 https://twitter.com/MrAndyNgo/status/2015263298669707666?s=20   to protect people of color. Renee Good was shot dead two weeks earlier after accelerating her SUV toward a federal agent. https://twitter.com/amuse/status/2015259764800770348?s=20   were merely carrying for self-protection he wouldn’t have had that many rounds on him – it is clear he was prepared to kill as many officers as possible. He didn’t bring his permit or ID (it is illegal to carry in MN without both).   https://twitter.com/redsteeze/status/2015275183591010331?s=20 https://twitter.com/joeybeastmarket/status/2015154134849028324?s=20  his gun. Leftists cannot comprehend agency and therefore believe instead that he literally spawned on the sidewalk and through a series of fascist coincidences he was executed for exercising his constitutional right to do whatever he wants without consequences   1. Pretti engaged in obstructive behavior. 2. Pretti committed a felony assault against a federal officer while armed. 3. Pretti resisted arrest while armed. 4. The fact that Pretti had a gun was revealed to all Officers there. So a person for whom there was PC he had committed a violent felony, was resisting arrest, and was armed with a firearm were among the totality of circumstances known to the Officer at the time he used deadly force. Use of deadly force policy does not require the Officers to wait until they are attacked. https://twitter.com/prayingmedic/status/2015144823909728529?s=20 and assumes the suspect is going to begin shooting, so the cop kills him.   Great State of Minnesota? We are there because of massive Monetary Fraud, with Billions of Dollars missing, and Illegal Criminals that were allowed to infiltrate the State through the Democrats' Open Border Policy. We want the money back, and we want it back, NOW. Those Fraudsters who stole the money are going to jail, where they belong! This is no different than a really big Bank Robbery. Much of what you're witnessing is a COVER UP for this Theft and Fraud. The Mayor and the Governor are inciting Insurrection, with their pompous, dangerous, and arrogant rhetoric! Instead, these sanctimonious political fools should be looking for the Billions of Dollars that has been stolen from the people of Minnesota, and the United States of America. LET OUR ICE PATRIOTS DO THEIR JOB! 12,000 Illegal Alien Criminals, many of them violent, have been arrested and taken out of Minnesota. If they were still there, you would see something far worse than you are witnessing today https://twitter.com/MrAndyNgo/status/2015288336189952066?s=20     https://twitter.com/DHSgov/status/2015273624174023098?s=20   was found in possession of a bag containing several similar devices. The subject was arrested. https://twitter.com/amuse/status/2015293685336846546?s=20   https://twitter.com/MrAndyNgo/status/2015217649442013493?s=20   , which has become popular for the far-left in organizing violence due to its reach with mainstream liberals. Wagner has branded himself on the neck with the gang tattoo of the Antifa “Iron Front” logo, similar to how neo-Nazis brand themselves with fascist symbols. https://twitter.com/JackPosobiec/status/2015223657593716965?s=20 https://twitter.com/GoldenAgeTimes2/status/2015181318053581196?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E2015181318053581196%7Ctwgr%5Ec578672a0fd7f78278c6fea2c4ab03241a2a7051%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fwww.thegatewaypundit.com%2F2026%2F01%2Ftexas-democrat-senate-frontrunner-jasmine-crockett-says-ice%2F   blanche ability to do so.”  or several signals. Let's start with a screen recording of all members of the south side group to start.  to distract the public. Same Deep State playbook. https://twitter.com/MrAndyNgo/status/2015365238862786572?s=20   https://twitter.com/ElectionWiz/status/2015245963648962850?s=20     https://twitter.com/amuse/status/2015259080470802833?s=20 Neon vests for all feds immediately.