Podcasts about Medicaid

In this episode of John Solomon Reports, hosts John Solomon and Amanda Head presents a powerful discussion on the troubling rise of nonprofit organizations engaging in questionable activities that undermine American values. Kicking off the episode is an exclusive interview with U.S. Treasury Secretary Scott Bessant, who sheds light on the government's efforts to investigate nonprofits that have strayed from their charitable missions and are now involved in funding extremism and obstructing law enforcement.Solomon also welcomes Congressman Brandon Gill, chairman of the House Task Force on Nonprofit Abuses, who outlines the committee's focus on tackling Medicaid fraud and the misuse of taxpayer dollars by NGOs. Gill discusses the alarming trend of nonprofits transferring funds to political organizations, raising concerns about potential corruption and the integrity of tax-exempt status.The episode further explores the implications of foreign influence in American nonprofits, featuring insights from James Fitzpatrick of the Center for Advanced Security in America. Fitzpatrick reveals troubling connections between certain NGOs and foreign entities, emphasizing the need for stricter regulations to protect American taxpayers.Finally, Scott Walter, president of the Capital Research Center, joins the conversation to discuss the broader implications of foreign funding in U.S. politics and the urgent need for reform in the nonprofit sector. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Ralph speaks to economist Dean Baker about the hypocrisies behind the supposed Social Security shortfall and Republicans' "waste, fraud, and abuse" panic. Then, Ralph talks to journalist and ocean activist David Helvarg about his new book: Forest of the Sea: The Remarkable Life and Imperiled Future of Kelp.Dean Baker is a Senior Economist at the Center for Economic and Policy Research, where he authors “Beat the Press,” his regular commentary on economic reporting. He has written several books, including Getting Back to Full Employment: A Better Bargain for Working People, The End of Loser Liberalism: Making Markets Progressive, False Profits: Recovering from the Bubble Economy, and The Conservative Nanny State: How the Wealthy Use the Government to Stay Rich and Get Richer.People will hear big numbers. They'll hear “$300 billion” and they'll go “Oh my God, that's a lot of money. That's money out of my pocket. It's causing the government deficit,” whatever. That's because they haven't given it any context…If we could, in any conceivable world, afford to pay $500 billion to increase the military budget, surely we can afford to pay $300 billion to ensure that everyone gets their Social Security benefits. It's just a case of: put it in context. I'm not going to say it's a small number. It isn't. But it's smaller— $300 billion is smaller than $500 billion, and that's really not a disputable point.Dean BakerWhere [DOGE] had the biggest consequences is with foreign aid. [Musk] just got a big kick out of that— USAID, he just shut it down. He boasted about that. He goes, “Last weekend I fed USAID into the wood chipper.” That's almost verbatim what he said. Now, what this meant was that you have people— and you could find waste in that program just like any other program, but this is a program that provided millions of people with medicine, with nutrition, with healthcare. And suddenly they couldn't get it…And Elon Musk was boasting that he killed that program. That's great. But millions of people, I mean, thankfully, I don't think it's millions yet, but if that program doesn't get restarted or funded somewhere else, you're going to see millions of people lose their lives.Dean BakerSo we're saying we have people on Medicaid that are committing fraud? No one gets a check from Medicaid. What would that even mean? Like, you signed up for Medicaid and you weren't eligible, so that would mean that they might be making a payment to a doctor or hospital that they don't actually have to make because you didn't qualify? I'm sure that happens sometimes but it's not like someone's living high on the hog because they were able to get Medicaid to pay for their doctor's visit when it actually shouldn't have.Dean BakerDavid Helvarg is a journalist and ocean activist. He is the founder and executive director of Blue Frontier, an ocean policy and media group, and producer of Rising Tide: The Ocean Podcast. He has produced more than 40 documentaries for media outlets, including PBS and the Discovery Channel. And he has written several books, including Blue Frontier, The War Against the Greens, and Forest of the Sea: The Remarkable Life and Imperiled Future of Kelp.I've been pushing with my colleagues in journalism the idea of the “blue beat.” The only resource in the ocean not fully exploited at this point is good investigative reporting and narrative storytelling. Because people don't connect with it, a lot of people think the environment ends at the shoreline. And that's really where 95% of the living space on the planet begins.David HelvargPeople at least know that corals are in trouble and they have some sense of what a coral reef is. People don't know that the planet has this other forest crisis—that kelp forests cover an area larger than the Amazon basin, and they're also being impacted by these marine heat waves that are growing every year. And as you add more heat to the system, it gets more energetic, which is why we have more and more extreme storms. I covered Katrina in 2005. I thought that would be a turning point (we had 1,800 people killed and a million environmental refugees). But the propaganda by the oil and gas industry is such that we keep having these disasters from a warming ocean planet, we see the melting of the Arctic ice, and instead of an alarm bell, it became a dinner bell for all the shipping industries and people who want to exploit the oil and gas in the increasingly open Arctic waters. So we're in this crisis point. I'm more frustrated than despairing because we know what the solutions are. It's creating the political will to enact them.David HelvargWhen I started Blue Frontier 20 years ago, the main threats were overfishing and pollution—oil, chemical, plastic, nutrient pollution. Today, that's being overwhelmed by these marine heat waves.David HelvargNews 6/26/26* Our top story this week comes to us from New York City, where democratic socialist mayor Zohran Mamdani has pulled off a stunning hat trick, with all three candidates for Congress endorsed by the Mayor winning their primaries on Tuesday. The most surprising victory is that of Darializa Avila Chevalier, who ousted the powerful incumbent Congressman Adriano Espaillat, head of the Congressional Hispanic Caucus, in New York's 13th congressional district. This primary had turned ugly, with Espaillat's campaign seeking to weaponize anti-Haitian racism in the Dominican community against Avila Chevalier, per the Haitian Times, despite the fact that she is not in fact Haitian. Impressive in another way is the victory of UAW organizer and New York State Assemblywoman Claire Valdez in New York's 7th district. Much has been made of this race being a proxy battle between Mamdani and his onetime supporter, retiring Congresswoman Nydia Velazquez, who backed her protégé, Brooklyn Borough President Antonio Reynoso to succeed her in this seat. Reynoso enjoyed the support of a broad range of New York elected officials – including Velazquez along with New York Attorney General Letitia James, Congressman Jerrold Nadler, Public Advocate Jumaane Williams, and a broad range of unions and civil society groups, most notably the Working Families Party – but was absolutely trounced by Valdez, who won by over 20 points with the support of Mamdani and NYC-DSA. Meanwhile, in the 10th district, Brad Lander won by an even greater margin, outrunning incumbent Congressman Dan Goldman by over 30 points while running on a pro-Palestine platform in the most Jewish congressional district in America. These victories send a clear signal to the sclerotic, ossified leadership of the Democratic Party. The only question now is will they listen.* Beyond the congressional races, DSA won a remarkable number of races at the state level. According to Democratic Left, DSA will send as many as seven new legislators to Albany this cycle, for a total of “four state senators and 11 or 12 members of the state assembly.” As the magazine notes, this means that the “2027-2028 socialist bloc in Albany will be the second largest in a state legislature in U.S. history…behind 20 members in Wisconsin in 1919 and ahead of 14 members in Wisconsin in 1911.” Within New York City, DSA endorsed candidates won seven out of eight races for seats in the state legislature, per NYC-DSA. All told, it was a thunderous victory for the left in New York and raises the clout of Zohran and his compatriots to dizzying heights.* Meanwhile, in Washington DC, NOTUS reports the local DSA has exploded in membership, adding nearly 1,000 new members since this time last year. This growing bloc flexed its political muscle in the recent Democratic primaries, electing DSA members Janeese Lewis George for Mayor and Aparna Raj for the Ward 1 seat on the DC Council, as well as Oye Owolewa for an at-large seat. Axios notes that they are already eying, “two more openings — to fill Lewis George's Ward 4 seat and the at-large seat of Congress-bound Robert White.” If these votes go in DSA's favor, Lewis George could assume the mayoralty with a progressive majority of seven out of 13 members on the Council. Since her victory last Tuesday, Lewis George has emphasized her plan to lower utility costs through “expanding government solar,” and “balcony solar” for apartment tenants, optimizing efficiency at local government agencies and maximizing federal housing grants.* In Maryland, the results for DSA and progressives more generally were not quite so decisive but the left notched key victories nonetheless. DSA endorsed candidate McKayla Wilkes won her primary for the Charles County Commission and incumbent State Delegate Gabriel Acevero won reelection to his seat. Senators Dalya Attar and Nancy King, both centrist incumbents, lost to progressive challengers, per Maryland Matters. Will Jawando in Montgomery County won the County Executive position with broad support from the Maryland political establishment and progressives, while Maryland Senate Majority Leader Bill Ferguson fended off his first real challenge in years only after a last minute pledge to reverse his position on Maryland congressional redistricting. However, in the 5th congressional district, Steny Hoyer protégé and “AIPAC-backed” Adrian Boafo won the primary to succeed his mentor in Congress. According to the Jerusalem Post, “AIPAC poured $5.7 million into his campaign through its super PAC.” Former Capitol Police Officer Harry Dunn came in a distant third place, despite scoring the endorsement of Nancy Pelosi. In short, the left has more work to do in order to build a political machine in Maryland as they have in New York and DC.* The next major contest between the factions of the party will occur next week in Colorado, where Melat Kiros, a DSA-backed progressive challenger born in 1997, is taking on Congresswoman Diana DeGette, who first took office that same year, per Zeteo. According to a poll conducted on behalf of the Kiros-aligned Justice Democrats, she leads DeGette by five points and she has now won the endorsement of Senator Bernie Sanders. Senator and former Governor John Hickenlooper is also facing a progressive primary challenge from State Senator Julie Gonzales and, according to the polls, he holds but a single digit lead, the Coloradan reports. We will be watching both of these races closely.* Meanwhile in Congress, the Senate has passed a new resolution on Iran, this time directing Trump to “remove U.S. armed forces from hostilities against Iran unless explicitly authorized by Congress, other than to defend America, an ally or partner from ‘imminent attack,'” according to the Wall Street Journal. The Journal notes that while the resolution is nonbinding, it was previously passed by the House, marking “the first time both chambers of Congress have passed the same measure to curb” presidential power to wage war on the Islamic Republic. The resolution passed 50-48, with the support of Republican Senators Bill Cassidy, Susan Collins, Lisa Murkowski and Rand Paul. Senators Mitch McConnell and Dave McCormick were absent, and Senator John Fetterman again broke ranks with the Democrats to vote no.* Turning from the Senate floor to the shop floor, the United Auto Workers (UAW) concluded their 39th Constitutional Convention last week, with a momentous vote to divest the union's investments from Israel bonds. UAW's divestment decision is the latest victory in the campaign to disentangle the finances of American organized labor from the state of Israel, following the United Electrical Workers (UE) in 2015 and the American Federation of Teachers (AFT) in 2023. UAW members also heard from Abdul El-Sayed, the candidate the union has endorsed in the Michigan Senate race. This contentious campaign will not be over until August, but El-Sayed, occupying the progressive lane, has moved into the lead and appears to be consolidating his lead, winning the endorsement of Maryland Senator Chris Van Hollen just this week, per the Traverse City Record-Eagle. Van Hollen himself has recently begun hinting that he may seek higher office, recently telling NOTUS that he is “kicking the tires” on a 2028 presidential bid.* Turning to foreign affairs, this week saw the fall of British Prime Minister Keir Starmer. Starmer, a centrist who was elected Labour Party leader in 2020 following the ouster of leftist Jeremy Corbyn, has held the post of Prime Minister since 2024 when Labour won an historic landslide. Since then however, his personal approval rating and that of the party has cratered, creating space for the rise of the far-right Reform UK party. The BBC reports Starmer will remain in his post until a new leader is chosen from within the party, with the presumptive successor being MP Andy Burnham who recently beat back a challenge in his own seat by a Reform candidate by a large margin. Starmer is now set to be the shortest serving Labour PM in British history, while Burnham is set to become the UK's seventh Prime Minister in the last ten years, both indications of the precariousness of the post-Brexit British political order.* Our final two stories come to us from Latin America. First, in Bolivia, the country's union confederation has maintained a general strike against the right-wing government of Rodrigo Paz for nearly two months over his administration's initiatives to privatize government services and rescind the land reform program instituted over the last several decades of rule by the Movimiento al Socialismo (MAS). On June 19th, journalist Ollie Vargas reported that the government had blinked and signed an agreement to withdraw these plans in exchange for the unions ending the general strike. However, Vargas notes that “most affiliated unions state that they want to maintain strike until [the Paz government] resigns.”* Finally, in Colombia, the right-wing candidate Abelardo de la Espriella emerged victorious from Sunday's runoff presidential election, defeating leftist Ivan Cepeda, the handpicked successor of sitting President Gustavo Petro, by less than one percentage point. In the immediate wake of the election, President Petro “alleged that Israel interfered” in the election, citing “irregularities in the country's vote counting process and calling for a full audit and recount,” per Drop Site News. However, by Wednesday, Cepeda himself formally conceded, framing his decision to do so as “an act of democratic responsibility, to contribute to harmony, peace and dialogue among Colombians,” Al Jazeera reports. As one of his first acts, Abelardo de la Espriella has committed to reestablishing diplomatic relations with Israel, which had been severed under President Petro.This has been Francesco DeSantis, with In Case You Haven't Heard. Get full access to Ralph Nader Radio Hour at www.ralphnaderradiohour.com/subscribe

Nobody wants to think about the possibility of losing their spouse to Alzheimer's. But what if planning ahead meant considering something as unexpected as divorce? That's exactly the question Susan is grappling with today. Susan is 62, still working, and earning around $100K a year. Her husband is 65 and already retired. Together they've built a solid financial foundation — over $778K in investments, $181K in savings, and more than $762K in assets, all with no debt. By most measures, they're in great shape. But the potential cost of memory care and assisted living has them worried that everything they've worked for could be wiped out. In this episode, Jean and Susan cover: What a "Medicaid divorce" actually is, and whether it's a legitimate financial strategy How Medicaid spend-down rules work and what they mean for married couples What asset protection strategies exist beyond divorce How to think through the emotional and financial costs of planning for a spouse's cognitive decline If today's conversation made you think about how to protect your retirement, Jean's new book, The Forever Paycheck, is the perfect next step. Learn more about your ad choices. Visit megaphone.fm/adchoices

As millions of Americans are expected to lose health insurance coverage following federal cuts to Medicaid and the Affordable Care Act, states are searching for new ways to prevent medical debt before it starts. In this episode of Tradeoffs, economist Neale Mahoney explains the research into strategies for relief from high healthcare costs and evaluates policy fixes to protect consumers. Guest(s):Neale Mahoney, professor of economics, Trione Director of Stanford Institute for Economic Policy Research, Stanford University.Learn more: Read the full reporting and explore additional resources on our website.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.This episode was produced by Melanie Evans, edited by Ryan Levi and Dan Gorenstein, 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.Tradeoffs reporting for this story was supported, in part, by Arnold Ventures. Hosted on Acast. See acast.com/privacy for more information.

While Elsevier's most recent Clinician of the Future Report shows increasing adoption of artificial intelligence tools among physicians and nurses, and optimism that they will improve quality of care in the future, a majority raised concerns about trust and reliability. To increase the level of trust, 60% said transparent citations of evidence-based and peer-reviewed research will be key. How to provide that transparency is our focus today as Raise the Line host Lindsey Smith welcomes Elsevier colleagues Rhett Alden and Raman Kaur to guide us through the complexities involved, including the concept of traceability and what role it plays in how AI tools such as Elsevier's ClinicalKey AI are built and deployed.  “Traceability changes the confidence that a clinician has in an AI tool so that they aren't trusting the AI, they're trusting the underlying evidence they're consuming from the AI-assisted platform,” says Raman, who brings years of experience as a primary care practitioner to her work.  It's also important, Rhett adds, to provide additional information, pulled from both the clinician's query and the patient's medical record, to inform clinical thinking. “ClinicalKey AI can be more than a response engine by establishing a larger context to provide a more precise answer for that individual patient.” In this thought-provoking discussion, these experts also provide insights on: Mitigating bias in AI results; Using AI responsibly with sustainability in mind; What type of clinician will benefit most from AI Mentioned in this episode: ClinicalKey AI Clinician of the Future Report 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

On Tuesday's Mark Levin Show, Ben Ferguson fills in for Mark. Democratic Texas Senate candidate James Talarico presents himself as a moderate, faith-based Christian pastor who rejects Christian nationalism. Talarico is actually a radical progressive activist who weaponizes Christianity for left-wing politics.  Talarico's radical positions - God is non-binary, there are more than two biological sexes, the Bible affirms abortion access, and poverty/pollution/prison equal violence. This man is not fit for the Senate. Later, President Trump selected Kash Patel to combat waste, fraud, and abuse, is proving to be an excellent choice as evidenced by a record-setting $6.5 billion healthcare fraud crackdown charging around 450 defendants, primarily in Medicaid and hospice schemes. Officials emphasized unprecedented state-federal cooperation across 45 states and attorneys general, building complete case files for swift law enforcement action—the first such unified effort in modern history. Afterward ,a Biden-appointed federal judge issued a 75-page opinion shutting down the Trump administration's modified SAVE system database, created via executive order to verify citizenship or immigration status of registered voters through DHS and SSA records. This activist decision promotes lawlessness and voter fraud by blocking checks on non-citizens, dead people, and illegal immigrants, especially ahead of midterms. The same judge also blocked an FTC antitrust probe into Media Matters and barred deportation of unaccompanied migrant minors for family reunification abroad. Meanwhile, Senator Mike Lee advances the SAVE America Act, requiring government-issued ID to vote—supported by over 80% of Americans across parties to make voting easy but cheating hard—though four anti-Trump Republicans hinder it in the Senate, where Trump is pushing for passage. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Rise of Democratic Socialism in America This episode is a wake-up call for all Americans, as the speaker delves into the alarming trend of Democratic socialism taking over the country. With the largest Medicaid fraud bust in US history, the speaker breaks down the numbers and exposes the shocking truth behind the Democratic Party's policies. From the rise of the Democratic Socialists of America to the devastating effects of their policies on blue cities, this episode is a must-listen for anyone concerned about the future of America. The speaker discusses the recent Medicaid fraud bust, where over $6.5 billion in alleged fraud was charged, and the alarming increase in Medicaid revocations and payment suspensions. The discussion also touches on the rise of the Democratic Socialists of America, including their plans to abolish ICE and create a socialist society. The speaker also highlights the devastating effects of their policies on blue cities, including the increasing spending and decreasing quality of life metrics. The episode also explores the rise of radical candidates in New York City, including those who want to abolish ICE, expand the Supreme Court, and give citizenship to illegal aliens. The speaker discusses the alarming trend of these candidates getting elected and the implications for the future of America. With the Democratic Party seemingly embracing a hardcore left-wing base, the speaker warns that this is a wake-up call for all Americans to take action. Don't miss this eye-opening episode as the speaker exposes the truth behind the Democratic Party's policies and the devastating effects on America. Listen to this episode to learn more about the rise of Democratic socialism and what it means for the future of our country. Follow Carl Jackson:Facebook: https://www.facebook.com/carljacksonradioX/Twitter: https://twitter.com/carljacksonshowInstagram: https://www.instagram.com/thecarljacksonshowWebsite: http://www.TheCarlJacksonShow.comStore: https://CarlJacksonStore.comSee omnystudio.com/listener for privacy information.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Whitney Knox Lee.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Whitney Knox Lee.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Whitney Knox Lee.

The Rise of Democratic Socialism in America This episode is a wake-up call for all Americans, as the speaker delves into the alarming trend of Democratic socialism taking over the country. With the largest Medicaid fraud bust in US history, the speaker breaks down the numbers and exposes the shocking truth behind the Democratic Party's policies. From the rise of the Democratic Socialists of America to the devastating effects of their policies on blue cities, this episode is a must-listen for anyone concerned about the future of America. The speaker discusses the recent Medicaid fraud bust, where over $6.5 billion in alleged fraud was charged, and the alarming increase in Medicaid revocations and payment suspensions. The discussion also touches on the rise of the Democratic Socialists of America, including their plans to abolish ICE and create a socialist society. The speaker also highlights the devastating effects of their policies on blue cities, including the increasing spending and decreasing quality of life metrics. The episode also explores the rise of radical candidates in New York City, including those who want to abolish ICE, expand the Supreme Court, and give citizenship to illegal aliens. The speaker discusses the alarming trend of these candidates getting elected and the implications for the future of America. With the Democratic Party seemingly embracing a hardcore left-wing base, the speaker warns that this is a wake-up call for all Americans to take action. Don't miss this eye-opening episode as the speaker exposes the truth behind the Democratic Party's policies and the devastating effects on America. Listen to this episode to learn more about the rise of Democratic socialism and what it means for the future of our country. Follow Carl Jackson:Facebook: https://www.facebook.com/carljacksonradioX/Twitter: https://twitter.com/carljacksonshowInstagram: https://www.instagram.com/thecarljacksonshowWebsite: http://www.TheCarlJacksonShow.comStore: https://CarlJacksonStore.comSee omnystudio.com/listener for privacy information.

In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker's Healthcare, shares key themes emerging from conversations with healthcare CEOs and CFOs, including access to care, financial sustainability, workforce resilience, and policy advocacy. She also discusses how leaders are balancing uncertainty around reimbursement and Medicaid changes with growing optimism about AI, innovation, and the future of healthcare transformation.

Join Cam Edwards as he sits in for Larry O'Connor and dives into the world of politics with a range of fascinating guests. Cam Edwards is joined by Dan Schneider from the Media Research Center to discuss the fight over whether The View qualifies as a legitimate news program. They also talk to Laura Reese, a former Department of Homeland Security official and director of the Heritage Foundation's Border Security and Immigration Center, about the major Supreme Court cases involving immigration, including the birthright citizenship case. Additionally, Cam Edwards speaks with Reagan Reese, a Daily Caller White House correspondent, about the latest on JD Vance's growing role in the 2026 midterms and the administration's efforts to protect the GOP majority. The conversation also touches on the economy, with a discussion on the national right to carry effort in Congress and the importance of protecting our Second Amendment rights. Cam Edwards also talks to Mark Vargas, editor-in-chief of Illinois Review, about the ongoing crime crisis in Chicago and the failed leadership that's contributing to the city's problems.Become a Townhall VIP member with promo code "LARRY": https://townhall.com/subscribeSee omnystudio.com/listener for privacy information.

The Trump DOJ takes down more healthcare fraudsters, the President gets a big win from SCOTUS on green cards, and multiple people are arrested for vandalizing the Lincoln Reflecting Pool. Get the facts first with Evening Wire. - - - Ep. 2856 - - -Wake up with new Morning Wire merch: https://bit.ly/4lIubt3  - - - Today's Sponsor: Quince - Elevate your summer wardrobe. Go to https://Quince.com/wire for free shipping on your order and 365-day returns. Now available in Canada too. - - - Privacy Policy: ⁠https://www.dailywire.com/privacy⁠ morning wire,morning wire podcast,the morning wire podcast,Georgia Howe,John Bickley,daily wire podcast,podcast,news podcast Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Justice Department just announced that 455 defendants have been charged in the largest healthcare fraud sting in U.S. history, totaling $6.5 billion stolen from American taxpayers. Federal officials say that the fraud spans Medicaid, Medicare, and healthcare and hospice businesses across the United States. The Sekulow team discusses the White House press briefing to announce the Trump DOJ's efforts to expose fraud, AG Todd Blanche's comments, the FBI's fraud investigation, the ACLJ's legal work – and much more.

In part one of Red Eye Radio with Gary McNamara and Eric Harley, the election of Zohran Mamdani was just the beginning, Democratic socialists are back in the spotlight after notching two high-profile mayoral primary victories in major cities this month. While some see the results as a sign that DSA candidates and ideas are gaining traction in the Democratic Party, others caution against drawing broader ideological conclusions, saying the races reflect voters' desire for change as the 2026 midterms and 2028 presidential election loom. Also audio from CNN anylist Harry Entin on the lack of patriotism from Democrats / a discussion on MediCare and MedicAid / and the Memorandum of "Misunderstanding". For more talk on the issues that matter to you, listen on radio stations across America Monday-Friday 12am-5am CT (1am-6am ET and 10pm-3am PT), download the RED EYE RADIO SHOW app, asking your smart speaker, or listening at RedEyeRadioShow.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Todd Gray is a pediatric dentist and the Chief Dental Officer at Dentaquest. Dentaquest is the largest Medicaid managed care provider in the country, and is responsible for delivering Medicaid dental services to millions of children in the United States. Dr. Gray spent 15 years in private practice as a pediatric dentist in the state of Nevada before making a career shift and working his way up in the world of dental insurance and Medicaid. We met at AAPD in Las Vegas and immediately decided that we had to do a podcast together. I was so excited to have Dr. Gray on since he has the unique perspective of being both a practicing pediatric dentist, but also knows the inner-workings of how Medicaid is administered. We have a great discussion where he busts common Medicaid misconceptions, along with sharing what he's learned about how Medicaid plans work.The goal of our conversation was to change the narrative of Medicaid being a big faceless monster, and to give providers tips on how to make Medicaid work in their office. Dr. Gray is also the co-founder of Smiyl, a dental supply company that gives crazy good deals on prophy supplies to pediatric dentists. I want listeners to support our fellow pediatric dentists, so please check them out at www.smiyl.com. You can use code Smiyl20 to get 20% of your next order of prophy supplies.

2 - Pennsylvania Attorney General Dave Sunday joins us this afternoon. Does he go down the shore? How big is it that the Supreme Court tore Larry Krasner to shreds? What is his role in this ruling? How many SEPTA quality of life cases is his office prosecuting right now? Why did the office rule in favor of approving millions of dollars worth of upgrades to Josh Shapiro's personal residence, when Stacy Garrity maintains he did not do it legally? If Stacy is correct, then why overrule her? How have state Medicaid fraud convictions been going? 215 - Dom's Money Melody! 230 - Revisiting Josh Shapiro's new stance on vaccines and Dom juxtaposes with his other backwards policies. 235 - Where does Linda Kerns stand on Jenny from Forrest Gump? 240 - Guy Ciarrocchi opposes Linda Kerns and Henry's view on Jenny as he joins us again today. Yesterday we talked about the possibility of school choice being heavily damaged in PA due to a State House vote. Now that the tally is in and school choice has been dinged, why did some Republicans cross the aisle and join Democrats in eradicating the program? Why are Democrats and more opposed to these school tax credits? What's next in the Guy Ciarrocchi pipeline? 250 - The Lightning Round!

12 - Josh Shapiro continues to be a slimy chameleon as he has changed his tune and stance on vaccine choice! 1205 - What to do on a rainy beach day… 1215 - Side - something you're nostalgic for 1220 - Spout Off! Your calls! 1235 - Republican candidate for PA House of Representatives District 173, Bill Griffin, makes his debut on The Dom Show today. Where would he represent? How does he stack up with his opponent? What does Bill think of the House shooting down a program that would help poor students with school choice? What other issues does he want to highlight in his campaign? Can we hold the city's public schools accountable? 1250 - What is Dom's review of Toy Story 5? 1 - It's balmy! What is this new Hilary Clinton documentary going to be about? Why does Graham Platner support Planned Parenthood? 110 - Do Democrats for Socialism understand Socialism? 120 - Your calls. 135 - From one room at the Convention Center to another, Executive Director of Wildwoods Convention Center, joins us from down the hall. How was last summer's country music festival? Why is The Wildwoods able to have big, national events like that? What else is happening this summer? 150 - Will Wildwood capsize due to overpopulation? 2 - Pennsylvania Attorney General Dave Sunday joins us this afternoon. Does he go down the shore? How big is it that the Supreme Court tore Larry Krasner to shreds? What is his role in this ruling? How many SEPTA quality of life cases is his office prosecuting right now? Why did the office rule in favor of approving millions of dollars worth of upgrades to Josh Shapiro's personal residence, when Stacy Garrity maintains he did not do it legally? If Stacy is correct, then why overrule her? How have state Medicaid fraud convictions been going? 215 - Dom's Money Melody! 230 - Revisiting Josh Shapiro's new stance on vaccines and Dom juxtaposes with his other backwards policies. 235 - Where does Linda Kerns stand on Jenny from Forrest Gump? 240 - Guy Ciarrocchi opposes Linda Kerns and Henry's view on Jenny as he joins us again today. Yesterday we talked about the possibility of school choice being heavily damaged in PA due to a State House vote. Now that the tally is in and school choice has been dinged, why did some Republicans cross the aisle and join Democrats in eradicating the program? Why are Democrats and more opposed to these school tax credits? What's next in the Guy Ciarrocchi pipeline? 250 - The Lightning Round!

Safiya felt a lump at 36, had no insurance, and almost didn't know where to turn. Thankfully, a referral brought her to The Rose, where our patient navigation team helped her qualify for breast cancer treatment and got her first appointment at MD Anderson scheduled in just 15 days. Through all of it, our navigators walked alongside her, and her faith, anchored by a prayer her father read her the day she was diagnosed, carried her the rest of the way. Support The Rose HERE. Subscribe to Let’s Talk About Your Breasts on Apple Podcasts, Spotify, iHeart, and wherever you get your podcasts. Key Questions Answered 1. How does The Rose help uninsured women qualify for breast cancer Medicaid and access treatment quickly? 2. What does the path from diagnosis to treatment look like for a woman with no insurance? 3. How did Safiyah get from diagnosis on January 12 to her first MD Anderson appointment on January 27? 4. What does the full course of breast cancer treatment, chemo, surgery, radiation, and reconstruction, look like for a young mother? 5. How do you talk to young children about a parent's breast cancer diagnosis? 6. What role did faith play in Safiyah's ability to get through treatment and stay present for her kids? 7. How did Safiyah take some control during a time when her body was changing in painful and visible ways? 8. Why do women need to know their family history of breast cancer, and why has that knowledge often been kept quiet? 9. What does it mean to be your own medical advocate, and how do you find that voice when you are scared? 10. How does Safiyah now support other patients through MD Anderson's peer program and in her own community? 11. What does The Rose's patient navigation mean in practical terms for someone going through treatment alone? 12. How does humor, specifically Safiyah's custom T-shirts, function as a tool for connection and encouragement in treatment settings? Timestamped Overview 00:00 Dorothy introduces the episode: Safiyah found a lump at 36 with no insurance, was referred to The Rose 10 days after her daughter turned 13, and qualified for Medicaid within weeks. 00:32 Dorothy describes Safiyah's treatment journey: chemo, surgery, radiation, hair loss, and hard conversations with two young children. She previews Safiyah's identity as a survivor who refuses to whisper. 01:51 Dorothy asks about the Phenomenal Women's event where Safiyah met Shannon McNair. Safiyah explains how a church event connected her to Nicole, who was donating proceeds to The Rose, and Safiyah shared her story. 02:38 Safiyah begins her story: January 2015, no insurance, a lump she felt and knew was not right. 03:10 Safiyah describes arriving at The Rose on January 5th, just three days after her daughter's 13th birthday, coming alone. 03:36 Safiyah explains a scheduling conflict: a court date for her daughter fell on the day scheduled for her biopsy. The Rose fit her in on a Wednesday, a day they do not normally do biopsies. 04:06 January 12, 2015: Safiyah receives her diagnosis. Invasive ductal carcinoma. 04:45 Dorothy asks how Safiyah knew to go in rather than wait. Safiyah describes several small moments, a missed earlier visit, a coworker's reaction to feeling the lump, that told her to take it seriously. 06:37 Dorothy notes Safiyah is nearly 10 to 11 years out. Safiyah confirms cancer free since July. 06:50 Safiyah talks about telling her daughter, then 13, about the diagnosis. Her daughter became an immediate and steady support, getting up at night to help without being asked. 08:09 Safiyah describes her treatment sequence: chemo first, then surgery, then radiation, then reconstruction. 08:30 Safiyah talks about hair loss. She cut her hair short before chemo started, went wig shopping with her sister as a fun outing, and found a way to own each phase of the look. 09:46 Dorothy asks how The Rose helped her get into treatment. Safiyah explains that a navigator told her not to pay for the insurance she was about to activate, and helped her qualify for breast cancer Medicaid instead. 10:41 Safiyah describes her determination to go to MD Anderson specifically, and the speed of the navigator's work. Diagnosed January 12, first MD Anderson appointment January 27. 11:33 Safiyah outlines the full treatment arc: one year of chemo including Herceptin, surgery, radiation, then reconstruction with one revision the following year. 12:23 Safiyah shares the lighter side of reconstruction. Her surgeon mentioned a tummy tuck was possible. She says that became her personal motivating bright spot. 12:55 Safiyah stopped working after her first round of chemo landed her in the hospital. Being home allowed her to be even more present for her kids. She now works from home. 13:40 Dorothy asks Safiyah to explain what she means by "a survivor who refuses to whisper." 13:55 Safiyah explains: refusing to whisper means being a voice so others know they do not have to walk alone. She describes cancer as something people mistake for a death sentence and calls herself a walking, talking testimony. 15:24 Dorothy asks whether Safiyah's optimism is inherited or developed. Safiyah says she has always been naturally optimistic and has always found purpose in speaking hope into others. 16:15 Safiyah talks about knowing family history. She was 36 at diagnosis, which means her daughter should start screening at 26. Her son also knows the full family history. 18:18 Safiyah shares that her mother had found a lump at 40 and never told anyone. Had she known, Safiyah would have started screening earlier. 19:08 Dorothy asks about Safiyah's faith. Safiyah describes the moment her father read her a prayer called "Let Go and Let God" the day she was diagnosed. That prayer became the anchor for her entire journey. 20:52 Safiyah traces several small moments she read as God's direction: the insurance paperwork timing, the court date resolving so she could focus on treatment, the Wednesday biopsy slot that should not have existed. 22:46 Dorothy reflects on how naturally encouragement flows from Safiyah. Safiyah describes stopping to talk to strangers, connecting with anyone she meets, and doing it with her kids watching, slightly impatiently. 23:44 Safiyah describes her signature T-shirt: letters rearranged to spell both "cancer" and "you too can survive." She explains it applies beyond cancer to anything hard. 25:11 Safiyah shares how her reach has expanded through family and friends passing along her name. She gets shirts custom made for people in treatment, including one that says "Cancer Chose the Wrong Diva." 26:14 Safiyah describes her radiation cohort. A woman she met daily during treatment was there the day Safiyah rang the bell. She still has photos. 26:42 Dorothy reveals this episode is recording on Safiyah's birthday. Safiyah explains why March 4th felt destined, and shows Dorothy a tattoo that reads "faith," marking January 12, 2015, her diagnosis date, as her "New Life Day." 27:41 Dorothy closes the conversation and confirms The Rose will keep Safiyah's name for patient peer support. Safiyah reiterates that The Rose gives people life and that she pours back into what was poured into her.See omnystudio.com/listener for privacy information.

Primary Day in Maryland. The federal government has issued new rules for work requirements for Medicaid enrollees and thrown states in another tizzy. Maryland's Office of People's Counsel is asking the state's public service commission to reject all but $15 million out of Pepco's $120 million rate increase proposal. And as we begin summer, we have a reminder about Maryland's lists of noxious weeds and invasive plants. And more. Music from Seth Kibel's brand new album, Clarinet Without A Net.

Photo by Dose Juice on Unsplash HR1, the One Big Beautiful Bill Act, was enacted on July 4th of 2025. The law includes cuts to the Supplemental Nutrition Assistance Program, or SNAP, that have already resulted in over 3 million people losing this important benefit. On June 1st, the federal government issued the regulations that operationalize the law’s requirement that people between the ages of 18 and 64 who do not live with a child under the age of 14 and who receive SNAP benefits–and/or Medicaid–either work 80 hours a month, do that time in community service or volunteer work, or be enrolled at least half time in an educational program. The law also limits eligibility for certain lawfully present immigrants. This is at a time when the cost of food is rising and is expected to continue to rise until the conflict in the Middle East has ended and the Strait of Hormuz is reopened. Approximately one in 10 households in Delaware County participates in the SNAP program. To discuss what has already unfolded with the SNAP program in the Catskill region, HealthCetera host Diana Mason, PhD, RN, talked with Commissioner of Social Services for Delaware County, Keith Weaver and local farmer and operator of Kimchi Harvest Madalyn Warren. This interview first aired on HealthCetera in the Catskills on WIOX Radio on June 3, 2026. The post SNAP appeared first on HealthCetera.

As cutbacks in programs and funding for health care and social services escalate at the federal level under the Trump Administration and Congress, the need for local action to support the most vulnerable among us in the Catskills is escalating, whether it be advising people on how to maintain their enrollment in Medicaid and the Supplemental Nutrition Assistance Program (SNAP) or helping with housing assistance. Delaware Opportunities is a lifeline organization that provides such assistance to people in Delaware County. Dr. Shelly Bartow is the Executive Director of Delaware Opportunities and talked with HealthCetera host, Diana Mason, PhD, RN, about what she is seeing in terms of the need for services and the ability to meet these needs. This interview first aired on HealthCetera in the Catskills on WIOX Radio on June 10, 2026. The post Delaware Opportunities appeared first on HealthCetera.

Listen to the full episode RFK Jr has been one of the loudest champions of the Trump's work requirements for Medicaid and SNAP recipients. While he frames it in the language of health, he's really just reviving a generations-old argument first made by Ronald Reagan. Derek digs into the archival tapes to deliver the goods. Learn more about your ad choices. Visit megaphone.fm/adchoices

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Forvis Mazars, “CMS Rule Signals Shift in Medicaid State-Directed Payments,” June 11, 2026, https://www.forvismazars.us/forsights/2026/06/cms-rule-signals-shift-in-medicaid-state-directed-payments. Medicaid.gov, “State Directed Payments,” https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments. Sturgis Hospital, “Sturgis Hospital Closure,” https://sturgishospital.com/sturgis-hospital-closure/. The Association of American Medical Colleges, “AAMC Statement on Proposed Rule on Medicaid Supplemental Payments,” May 21, 2026, https://www.aamc.org/news/press-releases/aamc-statement-proposed-rule-medicaid-supplemental-payments. U.S. Department of Health & Human Services, “Proposed Rule: Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments (CMS-2449-P),” May 20, 2026, https://www.hhs.gov/guidance/document/proposed-rule-medicaid-managed-care-state-directed-payments-and-medicaid-fee-service. Michigan Health & Hospital Association, “CMS Releases FY 2027 Hospital Inpatient Prospective Payment System Proposed Rule,” April 17, 2026, https://www.mha.org/newsroom/cms-releases-fy-2027-hospital-inpatient-prospective-payment-system-proposed-rule/. Federal Register, “Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments,” May 22, 2026, https://www.federalregister.gov/documents/2026/05/22/2026-10292/medicaid-program-medicaid-managed-care-state-directed-payments-and-medicaid-fee-for-service-targeted. Centers for Medicare & Medicaid Services, “Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P,” May 20, 2026, https://www.cms.gov/newsroom/fact-sheets/medicaid-managed-care-state-directed-payments-medicaid-fee-service-targeted-medicaid-practitioner. Andrea Hooten, “New Rural Health Hub Connects Arkansans to Healthcare Resources, Opportunities,” June 15, 2026, https://news.uams.edu/2026/06/15/new-rural-health-hub-connects-arkansans-to-healthcare-resources-opportunities/, University of Arkansas for Medical Sciences News. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

In this week's Healthcare Preview, Rodney Whitlock and Debbie Curtis join Erin Fuller to discuss what to watch for during and after this week's Energy and Commerce Committee's Oversight Subcommittee hearing on Medicaid fraud, waste, and abuse featuring state Medicaid directors as witnesses.

Dr. Paca Lipovac, a longtime leader in the developmental disabilities field, shares how a personal connection—her niece's disability—drew her into a 26‑year career dedicated to improving care for people with intellectual and developmental disabilities (IDD). She describes her work overseeing highly complex, medically fragile populations at Richmond Community Services, emphasizing the importance of creating "enviable lives" that mirror the dignity and opportunities anyone would want. Lipovac highlights major systemic challenges, including an expensive and fragmented U.S. healthcare system, inadequate Medicaid reimbursement, and a lack of provider training in IDD care, all of which limit access to necessary services. To address staffing shortages and improve care quality, she outlines innovative solutions such as partnering with colleges to train her own nurses and recruiting international direct support professionals, achieving strong retention and better continuity of care. She concludes with core principles for improving the field: treat people with disabilities first and foremost as people, act with deep respect, and build supportive "village-like" communities that foster meaningful relationships and better lives.

This episode delves into the critical and urgent maternal health crisis faced by Black women in the United States, who experience pregnancy-related mortality at a rate three times higher than their white counterparts. We explore the systemic issues that contribute to this disparity, including racial biases within the healthcare system that lead to inadequate treatment and dismissal of pain reported by Black pregnant women. Our discussion also highlights the recent expansions in postpartum Medicaid coverage and the growing acceptance of midwifery for Black women, signaling a potential shift in how maternal healthcare is approached. However, we question whether these changes are sufficient to combat the deeply entrenched systemic racism that pervades medical care. Through this conversation, we aim to illuminate the urgent need for reform and advocate for equitable healthcare practices that honor the lives and experiences of all women, particularly those from marginalized communities.Takeaways:This episode discusses the alarming maternal health crisis faced by Black women in the United States, highlighting disparities in treatment and mortality rates compared to their white counterparts.The hosts emphasize the systemic issues that contribute to inadequate healthcare for Black women during pregnancy, including racism and insufficient medical support.Various solutions to improve postpartum care for Black mothers are examined, including Medicaid expansions and access to midwives, but significant gaps remain.The conversation delves into broader societal implications of these healthcare disparities, questioning whether there is a systematic effort to undermine Black families and communities.The hosts also share personal experiences and observations regarding the treatment of Black women in healthcare settings, emphasizing the need for advocacy and better practices.The podcast ultimately calls for greater awareness and action to address the urgent healthcare needs of Black women, urging listeners to become advocates for change.

In this episode, Kelly Munson, President and CEO of Independence Health Group, discusses the evolving Medicaid and ACA landscape, the impact of policy changes on coverage and affordability, and the role of managed care in improving health outcomes. She also shares insights on food as medicine, healthcare innovation, and leadership lessons from becoming the organization's first female CEO.

Gov. Greg Gianforte and state health officials have agreed to withhold a pay bump for Medicaid providers. The move will resolve a budget shortfall for the public health insurance program.

Former U.S. Senator and Governor of Tennessee Lamar Alexander says the reason he went into politics was to help the most people he could. He believed he could do more and help more in the public sector than in the private sector. In his new book, "The Education of a Senator: From JFK to Trump", Alexander gives detailed stories and insight from working with 10 presidents during some of the most important moments in US History. A traditional Republican, Alexander doesn't agree with the extreme right point of view, but he doesn't like being called a moderate. Alexander says, "Conservatism properly understood includes flexibility and patience... If you're elected, there will likely be people who disagree with you, so if you want a result, you have to adjust your position to deal with them. One of my principles is flexibility... How are you ever going to do anything unless you compromise? How did we get Medicaid? How did we get Medicare? How did we get the National Park System? How did we get this country?... The whole political process is to take principles we mostly agree with and try to fit them together in a way most people can live with the result. That's what you do in public life." As governor, Alexander worked to build a strong two-party system when Tennessee was a Democratic supermajority, but today he thinks the Democrats need to learn how to get elected. Other topics include President Obama, January 6 and rebuking the Far-Right, Education and Policy Reform, and the loss of a strong two party system in Tennessee. Watch full shows Fridays 7pm on NewsChannel 5.2, Comcast 250, Spectrum/Charter 182 or stream it live on newschannel5.com/live3, or through NewsChannel 5 Now app through Roku, AppleTV, AndroidTV, etc.Available Fridays at 7:30pm Central Time at:https://www.newschannel5.com/plus/inside-politics See omnystudio.com/listener for privacy information.

This episode recorded live at the Becker's 16th Annual Meeting features Eduardo Conrado, President, Ascension. Here, he discusses Ascension's ambulatory growth strategy, investments in serving Medicaid and uninsured populations, and how the organization is redesigning care delivery to improve access, patient experience, and long-term community health.

This week on Breaking Battlegrounds, Sam Stone hosts while Chuck Warren is out of studio for a packed episode covering artificial intelligence, personal autonomy, NATO's eastern flank, government fraud, gun rights, true crime, and the economy. First, Dr. Keith Ablow joins the show to discuss the psychological impact of AI technologies like ChatGPT and what happens when people outsource creativity, critical thinking, and even their sense of reality to machines. Dr. Ablow is a New York Times bestselling author, mental health expert, and co-founder of Help22. He has appeared across national media to discuss psychology, culture, and personal growth. He also runs Pain-2-Power, a counseling and life coaching platform focused on personal and organizational empowerment. Dr. Ablow warns that technological dependence can weaken individual autonomy, increase groupthink, and make it harder for people to stay grounded in truth. Follow Dr. Keith Ablow on X @keithablow Check out his counseling and life coaching platform dedicated to personal and organizational empowerment Pain-2-Power: www.pain-2-power.com Then, Alex Welz of the Washington Free Beacon joins Sam to share what he learned from his recent trip to NATO's eastern flank, including Finland, the Baltics, and Poland. Welz explains how Ukraine's resilience has shifted the center of gravity inside NATO, why Eastern Europe is taking security more seriously, and how Russia, China, and Iran are all influencing the region's future. Follow Alex Welz on X @WelzAlex Later, Montana Attorney General Austin Knudsen joins the show to discuss his participation in the Trump administration's Anti-Fraud Roundtable, the fight against Medicaid and federal program fraud, Biden-era gun policies, cooperation with ICE, and Montana's new citizenship marker program for driver's licenses and ID cards. You can follow Attorney General Austin Knudsen on X @MTAGKnudsen In B's Crime Corner, B breaks down the 1997 Heaven's Gate cult suicide, where 39 members died in a California mansion after leaving behind exit interviews, detailed instructions, and one of the most disturbing chapters in modern true crime history. Finally, Gary Gygi of Gygi Capital joins Sam to talk about inflation, work-from-home policies, productivity, and the future of SpaceX and Starlink. You can follow Gary Gygi on X @GaryGygi Website: gygicapital.com Listen now to Breaking Battlegrounds for conversations on Arizona politics, campus unrest, election integrity, national campaigns, and the true crime cases everyone is talking about. Tune in to Breaking Battlegrounds, the radio show covering the latest news, politics, culture, crime, and the stories shaping America. Catch Breaking Battlegrounds live on 960 AM in Phoenix every Saturday at 9:00 AM, with full episodes and exclusive podcast-only segments dropping every Friday wherever you get your podcasts or watch on Youtube. Stay connected with Breaking Battlegrounds: • Substack: https://substack.com/@breakingbattlegrounds • Website: https://breakingbattlegrounds.vote • News: https://breakingbattlegrounds.news • X: https://x.com/breaking_battle • Instagram: @breakingbattlegrounds • Facebook: Breaking Battlegrounds If you enjoy the show, please leave us a 5-star review and share it with a friend. Your support helps keep the podcast growing. Breaking Battlegrounds is one of the top 2.5% most popular shows out of 3,779,399 podcasts globally. We interview policymakers, elected officials, and nationally and world-recognized reporters about the opportunities and hurdles the United States faces

This week on The Narrative, Aaron, David, and Mike get into the details of both the Cleveland Clinic’s settlement over fraudulent billing for gender procedures, which established a $2 million detransitioner fund, and the Major League Baseball players who resisted forced corporate speech during Pride Month by rejecting pride caps or writing scripture on their gear. After the news, Representative Mike Dovilla joins the hosts to discuss Ohio's widespread Medicaid and insurance fraud, calling it a symptom of an unaccountable administrative state. He argues that medical systems exploit loopholes to bypass state laws. Listen to The Narrative today! More About Representative Mike Dovilla Mike Dovilla represents the 17th District in the Ohio House of Representatives. From 2011 to 2016, he served most of the same southwestern Cuyahoga County communities in one of Ohio’s most competitive legislative districts. A principled yet pragmatic legislator, Mike returned to the Legislature in 2025 with the well-earned reputation of a thoughtful policymaker trusted by constituents and colleagues alike. In the 136th General Assembly, Representative Dovilla serves as Vice Chairman of the House Finance Committee and a member of the Energy, Veterans and Military Development, and Workforce and Higher Education Committees. During his previous service in the House, his peers elected him Majority Whip and he chaired two standing committees. As a freshman in 2011, he was appointed Chairman of the House Republican Policy Committee. Representative Dovilla is the author of 15 state laws designed to spur economic development, strengthen education, protect senior citizens, support veterans, and improve government accountability. Mike is deeply committed to our community, state, and nation, volunteering in numerous civic, veterans, and educational organizations. He is a scripture reader at his church and devoted mentor to college students, serving in advisory roles for more than 25 years. A lifelong baseball fan and voracious reader, Mike also enjoys cooking for family and friends, traveling to historical sites around the country, and spending time outdoors with his yellow Labrador retriever, Perry, named in honor of the “Hero of Lake Erie.” Do You Have Your Tickets for the Essential Summit? At the 2026 Essential Summit, you'll find five targeted breakout session tracks. Whether you lead in ministry, education, business, or the home, these Essential Summit breakout sessions are designed to speak directly to your calling. Choose the track that aligns with your influence:✝️ Faith in Action – For believers eager to boldly engage cultural issues with biblical clarity. This track addresses today’s greatest moral and political challenges and equips attendees to respond with truth and love.

Darrell Castle talks about Father’s Day, what it means, and why it is important to honor fathers. Transcription / Notes: FATHER'S DAY Hello, this is Darrell Castle with today's Castle Report. This is Friday the 19th day of June in the year of our Lord 2026. I previously did a Report on Mother's Day and what it means so today I will be talking about Father's Day, what it means and why it is important to honor fathers. Yes, we are two days away from Father's Day which falls on the 21st of June this year. It is dedicated as a Federal Holiday falling on the third Sunday of June each year. The holiday was started in Spokane, Washington in 1910 by a woman named Snora Smart Dodd who was inspired by a Mother's Day sermon and she wanted to honor her father in the same way. Her father was a Civil War veteran named William Jackson Smart who was the father of 6 children. His wife died in childbirth and he raised his 6 kids alone. His daughter thought that he had lived his life with honor so she persuaded local authorities to set aside a day to honor her father and all the others. In1972 President Nixon made it a federal occasion and now we celebrate it each year by honoring or remembering our fathers. The National Retail Federation (NRF) tells us that the average gift per person given to each father in terms of dollars is $196.23. Interestingly for this year June 21st is the summer solstice or the longest day of the year in the Northern Hemisphere which means it is the day of maximum daylight. So, I guess we can spend more daytime at all those cookouts with our fathers. In this Report I will endeavor to make recognition of fathers something you can easily see as vitally important. Social scientists tell us that data overwhelmingly confirms that children born to their married parents have much better outcomes than children born to single mothers. The data indicates that children born to married parents are “significantly more likely to be on track” at every life stage than children who are born to unmarried parents. Children who are “on track” are those who achieve age-appropriate benchmarks for every stage in life. At the end of elementary school an on-track child has mastered basic math and reading skills, has behavioral competencies that predict later success, has a strong relationship with parents and is in good health.  From elementary school to adulthood the child born to married parents is more likely to be on-track and significantly so than the child born to single or unmarried parents. The report from which I am quoting said that even babies benefit greatly from married parents. A baby born to an unmarried mother is three times more likely to need Medicaid or other government assistance to pay for the delivery of the child and is twice as likely to have received late or no prenatal care. That child is twice as likely to be born prematurely and much more likely to be born at a low birth weight. That child is 14 times more likely to have been fathered by a man not identified on the birth certificate (29% versus 2%). This all serves to illustrate the importance of fathers involved in the upbringing and in the lives of their children but there's a lot more. The data also shows many other problems which present themselves when a father is not involved in the raising of a child. The study shows that the absence of a father leads to children who report feeling abandoned, struggling with their emotions, and experiencing self-loathing, increased behavioral problems, poor academic performance, much higher rates of delinquency, youth crime, promiscuity, teen pregnancy, drug and alcohol abuse, and homelessness. If that were not all fatherless children are at greater risk of suffering physical, emotional, and sexual abuse and many times more likely to experience physical and emotional maltreatment with the risk of fatal abuse 100 times greater. The report from the Institute for Family Studies concludes that there is a growing list of disadvantages for children in households without fathers but the report concludes that current U.S. welfare policies tend to encourage fatherlessness. The current policies subsidize unmarried parenting by paying for prenatal care, delivery and postnatal care while allowing the men who fathered the children to escape accountability. The authors of the article conclude that as a society, and especially our churches we have to start recognizing the value of fatherhood again. Our education system in general seems to be failing right now and the belief is that our moral standards have fallen first and a large part of that failing is how we view fathers. The poverty rate in the black and Hispanic communities lowers by 80% when the parents are married. So, why wouldn't fathers want to remain with the children they fathered. Why wouldn't people want to get married and remain married if the statistics I just recited are true. That's a good question but it seems that our society now sets up marriage to fail from the outset. There are many exceptions to that such as mine for example. I'm in the 49th year of my marriage and many people ask me how I do it because they recognize that lifetime commitment is unusual enough to deserve explanation. To continue the point of absent fathers and no marriage I reviewed a recent report done by The American Enterprise Institute in which the authors looked at the issue from a purely economic standpoint. The report was entitled; “Land of Opportunity: Advancing the American Dream.” From their report I learned that one of the chief things causing failure or at least lack of success is the gap between married and non-married Americans. In the middle of the last century and I mean the 1900's, one in 20 children were born out of wedlock. Now it's two in five. America has the world's highest rate of children living in single parent homes: 23% in the U.S. against 7% internationally. Forty percent of millennials from intact, two-parent families graduated from college and 77 % achieved middle class incomes or higher. For those who didn't grow up in intact families, only 17% graduated from college and 57% achieved middle class income. They are twice as likely to be incarcerated, even after other socioeconomic factors are considered. Quoting from the article for a moment. “Research using tax-return data suggests that neighborhoods with high rates of single parenthood cultivate lower social mobility, including among kids who themselves are not raised by single parents.”  The conclusion from the research is that absence of fathers on their offspring has very long-term negative effects on the well-being of children. This study concludes that among all races marriage protects against poverty. From a personal perspective I can say that for 46 years I counseled thousands of people in my law office and my conclusion has been that divorce especially for women and their children leads to a life of poverty. Married parents regardless of race and education suffer significantly less poverty than unmarried mothers. Another interesting thing about these reports is that the phenomenon is not happening evenly but it seems to have a self-perpetuating pattern. For example, from 1970 to 2018 marital births dropped by 29 points overall but they dropped 47 points for the bottom education group and just 6 points for the top. From the early 1960's to the late 2010's marriage rates fell by roughly 46 percentage points for the least educated young women compared with 17 points for the most educated which leaves those least able to bear the cost of single parenthood the most likely to experience it. Government, for whatever reason seems to be putting its thumb on the scale to tilt the outcome against marriage. The institution of marriage is obviously the most important factor in raising children and for income mobility, but that is not how the government views it apparently. For example, a couple with two kids, with each parent earning $30,000 receives around $5000 in earned income tax credits benefits if they remain unmarried. They lose all the benefits if they marry which is in effect a tax on marriage. Medicaid, housing vouchers and SNAP benefits all phase out and punish couples who get married whereas they do not if the couples live together without marriage. It seems that careful research keeps finding the same conclusion regarding economic success and opportunities for children despite efforts to debunk it. In conclusion, I would like to thank the occasion that is Father's Day for the opportunity to be honored by my wife and our daughter. In addition, it gives me the opportunity to talk about something besides war and the opportunity to put into words something that I have observed over a very long legal career. Speaking of families, I have a family obligation next week so there is no Castle Report next week. Finally, folks, may God bless you and your families. If you can't visit your father on Sunday, at least give him a call because he will be so glad you did. At least that's the way I see it, Until next time folks, This is Darrell Castle, Thanks for listening.

I just watched The Backrooms and now I can't stop thinking about hospital liminal spaces. The basement. The pathology lab. The OR at 2 AM when you're going in for an open globe. We start there. Then a great Spotify question pulls me into ophthalmology boards, what the written test is like, the oral exam I took inside an examiner's actual hotel room (with their luggage in the corner) during a hotel workers' strike in San Francisco, the $2,000 fee, and why the whole recertification industry feels like a money grab. Also a quick rant about why physicians start their careers $400K in the hole and a decade behind everyone else. The main event is a tale of two health systems. You already know PeaceHealth in Eugene, where the emergency physicians fought back, used Oregon's corporate practice of medicine law, and took it to court. Now meet Valley Health in Virginia's Shenandoah Valley, where CEO Mark Nance just cancelled the contract for EMBER (Emergency Medicine of Blue Ridge) and handed it to SCP Healthm a private equity outfit backed by Canada's Onex Corporation. Same Apollo MD playbook. Same damage. But Virginia has no corporate practice of medicine law, no physician union, and no nurses' union, and Valley Health is flush with cash while blaming Medicaid cuts. I'm fed up, and I'm going to keep making this content as long as people keep sending it to me. Takeaways: Valley Health in Virginia's Shenandoah Valley cancelled its 20-plus-year contract with EMBER (Emergency Medicine of Blue Ridge) and handed it to SCP Health, a private equity-backed corporation owned by Canada's Onex Corporation, mirroring the Apollo MD/PeaceHealth situation in Eugene Despite blaming Medicaid cuts from the "Big Beautiful Bill," Valley Health holds over $1 billion in assets, $700 million in cash reserves, and reported $100 million in net profit in 2024 and continues to build new facilities Valley Health has also forced out Front Royal Family Practice under CEO Mark Nance, revealing a broader pattern of consolidating independent groups and eliminating physician autonomy Virginia has no corporate practice of medicine law, no physician union, and no nurses' union, leaving healthcare workers without the legal and organizational protections that allowed the Eugene physicians to fight back successfully Ophthalmology board recertification, board exam fees, and roughly $400K in training debt mean most physicians don't start meaningful earnings until age 31 or later, a financial reality often missing from broader debates about physician pay 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

California voters are poised to vote on a one-time billionaire tax that would fund schools, food assistance, and Medicaid. Silicon Valley is spending big to keep the precedent-setting initiative off the November ballot, but the campaign's most powerful opponent isn't a tech oligarch — it's California Gov. Gavin Newsom, the Democratic power broker and potential presidential candidate.  Today on Lever Time, David Sirota sits down with Dave Regan, the union leader who engineered the billionaire tax, to find out why Newsom and his allies are racing to kill the measure — and what this fight reveals about oligarchs' control of the Democratic Party. Get ad-free episodes, bonus content and extended interviews by becoming a member at ⁠levernews.com/join⁠. To leave a tip for The Lever, ⁠click here⁠. It helps us do this kind of independent journalism. Learn more about your ad choices. Visit megaphone.fm/adchoices

Washington is one of 19 states that have received federal approval to enroll people in Medicaid before they leave jail or prison — a radical change in Medicaid policy that health care and law enforcement leaders believe will save lives. But this experiment in bringing Medicaid behind bars is now colliding with H.R. 1, the sweeping federal law that is forcing states to make major changes to Medicaid.Guest(s):Autumn Boylan, Deputy director, California Department of Health Care ServicesLauren Brinkley-Rubinstein, Professor, Population Health Sciences, Duke University School of MedicineCody CoughenourPete Croughan, Deputy secretary, Louisiana Department of HealthBruce Greenstein, Secretary, Louisiana Department of Health Tyron Nixon, Medicaid Reentry Transformation Implementation Manager, Washington State Health Care AuthorityEmma Sandoe, Medicaid director, OregonPenelope Sapp, Chief of corrections, Kitsap County Sheriff's OfficeMarc Stern, Former assistant secretary for health care at the Washington Department of CorrectionsTamara Vanover, Mental health specialist, Clallam County Sheriff's OfficeLearn more: Read the full reporting and explore additional resources on our website.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.This episode was reported by Julie Wernau, edited by Dan Gorenstein and Ryan Levi, and mixed by Andrew Parrella and Cedric Wilson.The Tradeoffs theme song was composed by Ty Citerman. Additional music this episode from Blue Dot Sessions and Epidemic Sound.Special thanks to Gabrielle de la Gueronniere, Jody Rich and Kinda Serafi. Tradeoffs reporting for this story was supported, in part, by Arnold Ventures. Hosted on Acast. See acast.com/privacy for more information.

On Wednesday, the United States releases the 14-point memorandum of understanding between the United States and Iran. On the final day of the G7 summit, President Donald Trump predicts that the plummeting price of oil will boost the economy and that the United States will "end up having the lowest energy anywhere in the world.""Now that the oil is coming down, you're going to see everything follow, everything follows the cost of energy," Trump told NTD's Mari Otsu.The Labor Department is putting all 50 states on notice, warning that they must comply with measures to stop fraud schemes related to unemployment insurance, or risk losing federal funding. This warning comes after the DOJ sued New York state on June 16 over alleged fraud tied to New York's $10 billion home-care program provided to Medicaid patients as part of the Trump administration's efforts to combat fraud across the country.Steve Hilton, Republican gubernatorial candidate for California, announces plan to introduce a flat state income tax that would remove state income taxes for families earning up to $150,000.

It's been one year since the U.S. Centers for Disease Control and Prevention, in an unprecedented move, dismissed all the members of its Advisory Committee on Immunization Practices (ACIP), kicking off what would turn out to be a very concerning and busy year for infectious disease specialists.  We're going to recap this turbulent period – which includes a resurgence of measles, an unusually rough flu season, the emergence of a new COVID strain and outbreaks of hantavirus and Ebola – with Dr. William Schaffner, one of the country's most frequently quoted medical experts on infectious disease, vaccination, and public health. As a member of ACIP for decades, Dr. Schaffner brings unique insight into the dismantling of the committee and the distrust of vaccines that lies at the root of the changes. As he explains to Raise the Line host Lindsey Smith, while many vaccine critics are beyond reach, there are those he describes as vaccine hesitant that may be persuadable if the right approach is taken. “Beyond providing facts, we have to listen to them and respond to their concerns and make them feel comfortable. Information is fundamental, but behavior change only comes with a change in attitude.” Tune in for a wealth of wisdom and context that includes observations on: What's complicating containment of the Ebola outbreak; Challenges in public health communication in the current social media environment; What grade health authorities should get on their response to the hantavirus outbreak. Mentioned in this episode:Vanderbilt University School of Medicine 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

Last 4 days before regular tickets sell out at AI Engineer World's Fair - this is the single biggest gathering of AI Engineers, Founders, Leaders, and Researchers in the world. Attendees get >$5000 worth of sponsor credits and talk tracks are looking FANTASTIC. Join us!The AI scaling debate always focuses on the question of “how do we get more GPUs?” but the better question may be: how do we make the most of ones we already have.The fact that a frontier lab like xAI could be running at sub-10% MFU (Model FLOPs Utilization) is just a hint at what the real problem may be.For context, older frontier-scale training runs were already much higher than 10%. GPT-3 was around 21% MFU. Gopher was around 32%. Megatron-Turing NLG was around 30%. PaLM reached around 46%. And our guest Anjney says best-in-class MFU today is closer to 60–70%.It's not necessarily that xAI is uniquely incompetent (it's clear they have talented folks) but rather the priorities may be flipped in the GPU arms race.While GPU access is a bottleneck, simply increasing CapEx won't automatically translate to better models as frontier AI is increasingly a systems problem: scheduling, utilization, networking, kernels, frameworks, data pipelines, parallelism, cluster reliability, and the thousand small decisions that determine whether your theoretical FLOPs become real training progress.From building Discord's developer platform and backing frontier AI companies like Anthropic, Mistral, Black Forest Labs, and Periodic Labs to now building AMP's independent compute grid, Anjney Midha has spent years close to the real bottlenecks of AI scaling. In this episode, Anjney joins swyx at Periodic Labs to unpack why the AI race is not just about buying more GPUs, why 95% utilization would have been considered an outage at Google, and why the next era of AI infrastructure has to be more aligned, more efficient, and more responsible.We go deep on AMP's vision for a compute grid that makes FLOPs flow like megawatts, the difference between full-stack AI labs and horizontal pooling, why AI data centers need community buy-in, and how compute markets could evolve into something closer to an independent system operator. Anjney also explains why DeepMind's unpublished research points to a market failure, why end-of-life prediction remains one of the most important AI applications he has thought about for fourteen years, and why “output maxing” may become a new discipline for frontier systems.We also discuss Anthropic's culture, why “luck favors the prepared mind” in coding models, how Claude cracked coding, why too much capital too early can make AI labs fragile, what Periodic Labs is trying to do with science and superconductors, why great researchers can become great CEOs, and why Silicon Valley is both deeply missionary and deeply mercenary.We discuss:* Why 95% utilization was considered an outage at Google* Why AI infrastructure waste compounds at frontier-lab scale* Why “move fast and break things” does not work for AI data centers* How data center backlash, power grids, and community incentives shape AI scaling* AMP's vision for making FLOPs flow like megawatts* Why compute needs an independent system operator* How interruptible demand and dynamic prioritization worked inside Google* Why DeepMind research hoarding creates negative externalities* AMP's 1.2GW base-load ambition and the need for 6GW of spike capacity* Why end-of-life prediction could become one of AI's most important healthcare applications* Frontier Systems, output maxing, and full-stack alignment* Why APIs and abstraction layers become lossy as organizations scale* Superconductors, standards, and the dream of lossless systems* SF Compute, open protocols, and the future of compute marketplaces* Why non-NVIDIA chips can still benefit from NVIDIA's reference architecture* Trust boundaries and why chip startups need visibility into future model architectures* Why VCs often underestimate researchers as CEOs* Scientists as star athletes of the mind* Why great CEOs need to be confrontational up and down the stack* Why leading the frontier matters more than “winning”* How Anthropic cracked coding* Why culture is fragile, not a permanent moat* Why hardship was a feature, not a bug, for Anthropic* Why Anthropic's P0 was coding from day one* Periodic Labs, physics as the constraint, and technical reality* Silicon Valley mercenaries, missionary teams, and what happens after a breakthroughAnjney Midha* LinkedIn: https://www.linkedin.com/in/anjney* X: https://x.com/AnjneyMidhaAMP PBC* Website: https://amppublic.com/* X: https://x.com/amppublicTimestamps00:00:00 Introduction00:00:09 Why AI Compute Is Being Wasted00:03:17 Responsible Infrastructure and Data Center Backlash00:06:07 AMP Grid: Making FLOPs Flow Like Megawatts00:12:41 Foundry, Frontier Labs, and Research Hoarding00:14:42 Gigawatt-Scale Compute and End-of-Life Prediction00:24:08 Frontier Systems, Output Maxing, and Alignment00:27:38 Compute Markets, SF Compute, and Non-NVIDIA Chips00:32:57 Trust Boundaries, Co-Design, and Researcher CEOs00:38:17 AI Coachella and First-Principles Thinking00:42:43 Leading vs Winning in Frontier AI00:45:54 How Anthropic Cracked Coding00:48:25 Culture, Hardship, and Anthropic's P000:54:03 Periodic Labs, Physics, and Silicon Valley Mercenaries00:56:26 Rishi Valley, Singapore, and Money as a Measure00:58:47 Closing ThoughtsTranscriptIntroduction: Anjney Midha, AMP, and Compute WasteSwyx [00:00:00]: We're in Periodic Labs with Anjney Midha, CEO, founder of AMP. Welcome.Compute Utilization: Node Allocation, MFU, and AlignmentAnjney [00:00:09]: Thanks for having me. At Google, there are two types of utilization usually, right? That you're measuring in these clusters. One is node allocation, and then the other's MFU. Node utilization is usually like what percentage of cards in the data center are just, used, and that, if it's not at, 95%-Swyx [00:00:29]: There is no excuseAnjney [00:00:29]: There's no excuse, right? I think 95% at Google, which is where my co-founder, Seb, came from, he built the Borg, PBorg/GQM scheduler at Google, and there I think 95% was considered an outage, so 96% node utilization is, should be standard. And most single-tenant clusters are not running at that. So that's one. And then MFU should be, I would say the best in class today is somewhere between 60 and 70%. I think this is a leadership question, right? Fundamentally it's an alignment question, which is are the people who are funding the cluster and then deploying the cluster actually aligned? And sometimes theoretically they are, but in practice the number of people in the chain, the supply chain between, the capital and all the way to whoever's managing the cluster and then whoever's measuring what the output is, are just so many, degrees of separation away that, the, The Have you ever heard the radian metaphor, which is at the beginning of an arc, if you have two arcs that are two lines that are just off by a few degrees, that-Swyx [00:01:33]: It spreads outAnjney [00:01:34]: It spreads out, right? Or at scale. And I think what's happening is a lot of cluster implementations and infrastructure, a lot of frontier labs and other teams, that's what's happening, is they're, they initialize the plan, which is kind of like North Star with a team that wants to do good, but then they're, required to scale so fast instead of iteratively that the wastage just compounds really fast at scale. And so I think we know the answer, which is just do iterative bring ups. If you spend time with people who've been in the semiconductor industry or the DSN industry for a long time, this is not new, and I don't think AI should be an excuse. Sure. Something What is new? Okay. We have a lot of new capabilities, but that doesn't mean just abandon common sense. Common sense should always be in fashion. ? AI scaling doesn't change the in fact, if anything, AI scaling should be putting a premium on the value of common sense and infrastructure because the margin of error now is so much lower and the costs of wastage are so much higher. And the cost of wastage, by the way, is not just economic. I'm, obviously I'm, I'm an investor, or I'm an investor by background. Over the last few years now we're running an AI infrastructure business called, AMP. And I think that it's okay to say this time is different on the capabilities front. We are genuinely getting capabilities at, of the, of a kind we haven't had before. That doesn't give you an excuse to say this time is different for everything, especially infrastructure. So look, I love the hacker mindset and the hustler mindset. Now, that's great for the startup mindset, but you remember this moment where Zuck went from saying, “Move fast, break things” to, move-Responsible Infrastructure and Data Center BacklashSwyx [00:03:10]: Fast and stable infrastructureAnjney [00:03:11]: Move fast with stable infrastructure. I think now we need to move fast with, responsible infrastructure. People are going to ask where the impact is. There was a really In our class yesterday, Scott Nolan, who's the founder of General Matter, came by at Stanford to speak about energy bottlenecks. And he had a phenomenal idea. He said, “if you look at the marginal unit economics of compute per hour,” he goes, “let's call it, $4 an hour. If you're having to bring up a new data center in a new community, why not just say we're going to charge 4.50 an hour, and that marginal impact or that marginal increase, we just literally take that and give it to the local community as cash?” I can tell you as a customer of that compute, I would love that. I'd be happy to pay an additional 50 cents per hour at scale.Swyx [00:03:57]: Wow. Yeah.Anjney [00:03:58]: Because if that means the public benefit is so clear to the communities that the data centers are coming up in, I'm going to feel like that compute is much more reliable. Up to 20% of all data centers this year in the US, my understanding is are at risk.Swyx [00:04:13]: Of community backlash?Anjney [00:04:14]: Correct. Of not getting the community support they need to get brought up.Swyx [00:04:19]: Wow. That's a huge number.Anjney [00:04:20]: Yeah. Now, we, I think we should dig into what that number is. I think it's a little bit of overstated. These things can get over-reported, but it-Swyx [00:04:27]: They don't just care about jobs. They care about all the other stuff around it, right? They care about power grid, they care about environments-Anjney [00:04:33]: Power grid, permitting, and so on. And imagine I think if you said there's a new AI deal. If we're bringing up a data center in your community, we're actually going to reduce the cost of your electricity bill. Okay, now we're talking. Right? The community's going, “Okay. Now this is a deal. I feel like a partner in this.” Right now that's not happening. There will be audits, there will be investigations, and when the, when the regulators come, I don't know when it's going to be, the folks who are moving fast and breaking things in the name of AI progress better be prepared. That's certainly not how we're procuring compute. Or we're, we're trying as much as we can to work with partners who have long-term track records. Many of whom, by the way, are not, AI providers. I think this whole idea of neoclouds being somehow this new category is a lot of marketing speak. There are really good, reliable, trusted data center providers in America who've been around 20 plus years. I love those folks. They know how to Sure. Are they sponsoring happy hours at NeurIPS? No. Are they legibly listed in Build? No. Are they hanging out in my, in, situational awareness parties? No. But they're adults. I trust them.Swyx [00:05:44]: They can run LAN. They can run power.Anjney [00:05:45]: They can run LAN, power, and shell. They have credit histories. We sit down, we have a conversations. Many of them live in Silicon Valley. They've, they've had to deal with the boom and bust cycles of the internet, and I love those folks. They are stable infrastructure partners and thinkers. And I think there's a lot of short-term thinking going on in the compute layer, and it's going to catch up to us. It's not going to be good.AMP Grid: Making FLOPs Flow Like MegawattsSwyx [00:06:07]: You talk about aligning incentives, and, I would think that aligning incentives means you have the full stack in one company, which is xAI and OpenAI, right? So you as a standalone infrastructure layer, why are you somehow more aligned to your portfolio companies than people who just own the whole thing?Anjney [00:06:28]: In systems design, right, there's, there's two regimes of, architecture, right? You have integration, and then you have pooling and utilization, right? So the Or rather, the way to increase utilization often is you can do systems integration where you collapse a lot of process into one node, or you can pull out a process from a node and share that amongst various That resource amongst several different nodes. And so we see the AMP grid, which is, the, what, the system we're building here, which is basically a compute grid. We're trying to do for compute what the electric grid-Swyx [00:07:02]: PowerAnjney [00:07:02]: Yeah, what the power grid did for electricity. It-- this is a pooling and utilization layer across clouds, And so we're actually the opposite of a full stack integration like approach.Swyx [00:07:12]: Super horizontal.Anjney [00:07:13]: Where it's much more horizontal and it's, it's multi-cloud, it's multi-silicon. The goal is to try to make FLOPs flow like megawatts, and that is very hard to do today for many reasons. There's stranded pools of compute all over the place and there's no fungibility. And so right now we do it at the level of scheduling, and we often do it at the economic layer. But as we start to announce what we're working on, it's extraordinary like how many folks are coming out of the woodworks and saying, “Hey, I'm actually working on a way to make compute fungible at this part of the stack and that part of the stack.” And as a grid, we'd like all of these folks to participate on the grid. There's, people often ask me, “Andra, are you a new cloud?” And I go, “No, actually neoclouds are suppliers.” sometimes they'll ask, “Are you a venture capital firm?” I go, “No, actually they are, they are demand like sort of off-takers of the grid.” We see ourselves as what's called an independent system operator. So if you study the history of the electric grid, once it became legible to a lot of factories and industrial sort of participants that, hey, actually it turns out pooling is a good idea. We should pool our generators instead of all having a generator running at half capacity in our backyard. There was a need for an independent entity who could coordinate all these parties. Transmission line, power generation, facilities, transmission lines, factories, and that neutral coordination mechanism is very critical. In order-- If you study like the history of grids, the most enduring ones were those that never owned their own assets. They were ones that had, or often started with long-term anchors who are uncorrelated sources of demand, a steel factory, a shoe mill or whatever in a particular town who weren't competitive, where the steel factory want to spike up at night, the shoe mill wanted to spike up during the day. So then you pool and you share, right? So each of you is guaranteed some base load, but then you kind of schedule your spikes to drive a peak utilization across the town. The gold standard, so to speak, historically, has been these utility companies like PJM Interconnect in the northeast of America, where they, over many years became this what's called an ISO, an independent system operator of the grid. So that's how we see ourselves. Economically, that's what we are. From a technical perspective, we started at the scheduling layer because Seb and Mihai, who, run engineering here, built that at-Swyx [00:09:28]: Did your schedulingAnjney [00:09:28]: They did that at Google. And, -Swyx [00:09:32]: And you have infra shops from Discord as well.Anjney [00:09:35]: I have some.Swyx [00:09:35]: I don't know, I don't know if Discord is like the primary identity, but what-whatever, I'm just kind of-Anjney [00:09:39]: No, D-Discord was-Swyx [00:09:40]: Choosing a well-known name.Anjney [00:09:42]: Well, I So I was running the developer platform there. The internal infrastructure I was not responsible for. That was actually a guy by the name of Mark Smith, who was extraordinary. And yes, Discord did pool So Discord is actually a counter example. I had the chance to learn a lot about fully, full stack infra there because-Swyx [00:09:56]: It's the same thing, yeahAnjney [00:09:57]: It's the, it's the other architecture which is, Discord built its own WebRTC vo-voice and video infra. So like Discord did not use-Swyx [00:10:08]: For the calls, yeah.Anjney [00:10:09]: Yeah, did not For communication, Discord did not use third party infra. It was all built in-house. And then the way you maximize utilization was you pool demand from the world's 200 million plus monthly active gamers, right? And so that's, that's how those stacks were constructed. Again, in systems design, the two concepts that keep coming up over and over again are abstraction and composition, right? And-Swyx [00:10:31]: Bundling and unbundlingAnjney [00:10:33]: Bundling and unbundling, abstraction, composition, like verticalization and-Swyx [00:10:36]: HorizontalAnjney [00:10:36]: Horizontalization. So in that sense, AMP is an independent system operator of the grid. We pool demand, we pool supply from a number of partners we trust At about 1.3 gigawatt scale over four years. And then we pool demand from some of the world's best, research labs and so on. We're sitting at one, periodic labs who need extraordinary long-term demand. And the idea is that, each of them is guaranteed base load on the grid, but they can spike up and down flexibly on, for compute, with much shorter timelines as needed. That was roughly the design of the program I came up with at a16z called Oxygen. The same-- That was the same design of the GQM, BorgX, Borg GQM implementation at Google that Mihai and Seb had built. Which was that how do you allow, teams inside of Google, on the internal infrastructure to be guaranteed capacity, for their base workloads? But when they need to spike up on research, how could they ensure that was sufficiently there? And of course, the big innovation that was not discovered, but kind of implemented in the space, this infra space maybe three, four years ago at Google was the idea of interruptible demand, right? Where you just queue up a bunch of jobs and through this like sort of credit system, there can be a bidding mechanism.Swyx [00:11:53]: Like priorities.Anjney [00:11:54]: It's a dynamic prioritization Basically. And jobs can get interrupted based on somebody else who's saying, “what? I have 10 tokens, 10 credits I want to spend on this job.” Another like team lead, research lead is “Genie 3 or whatever is only worth five, credits, and NanoBanana2 is worth 10 credits,” and so the NanoBanana job gets priority. That's a, that's a made up example.Swyx [00:12:15]: It's very real. Brain Marketplace was real. And, we've, we've covered this on the pod with David Luan, who was-Anjney [00:12:20]: Oh, great. OkaySwyx [00:12:20]: Was there. And the criticism is that, well, actually sometimes you need central command to go all in on a thing. And actually sometimes capitalism via credits doesn't work. Not, this is not a criticism of AMP. I'm just saying, this is a thing that has been tried, internally within Google, and it led to Google missing GPT.Foundry, Frontier Labs, and Research HoardingAnjney [00:12:41]: Like, we structured ourself essentially very similarly to Google. We are structured as a holdings company. So, Alphabet holdings is Alphabet holdings, and then they've got these subsidiaries called Google and-Swyx [00:12:51]: Other betsAnjney [00:12:52]: Other bets and so on. We've got, AMP holdings, and we've got our infrastructure business, and then we've got a capital business called Foundry that incubates new frontier AI labs or invests in them as venture capital, like Periodic. We put a few hundred million dollars into Anthropic from our fund earlier this year. So wherever we feel like teams are making progress, especially researchers and so on who've pushed the frontier inside of existing labs like DeepMind, I find, there comes a point where they feel misaligned with the dictatorship of Alphabet holdings. And at that point, sometimes the dictatorship doesn't want them anymore. And they're “Thank you. You've done your job here. You've kind of helped us through the zero to one phase, and for whatever reason, we're going to deprioritize your amazing, omni model or whatever it is, and instead we're going to prioritize coding.” And, I think that's a tragedy, but I get it. They're Sergey and team are running their own business there. But that doesn't mean we the rest of us should sit around waiting for that progress to get unlocked for the rest of the world and humanity. If you think about how much extraordinary research has happened inside of DeepMind over the last 10 years, I, Demis and Sergey and those guys did such a great job. But at the end of the day, so much of that has never seen the light of day?Swyx [00:14:00]: Or they're like papers only, but they never actually shipped it to production or-Anjney [00:14:03]: What's worse is the paper is actually not even being published anymore ‘cause there's a six-month embargo inside of DeepMind, right? We've heard about this where a paper comes out, and then I think there's a six-month embargo window where if anybody on the business team says, “This could be interesting” It's embargoed for life.Swyx [00:14:18]: Exactly. So the stuff that gets published is the stuff that's not good enough.Anjney [00:14:21]: There's an adverse selection problem, basically. Yeah. At this point-Swyx [00:14:25]: It's, it's a common complaint at NeurIPS, by the way, that's “Well, why would I look at the papers that are the trash of GDM?”Anjney [00:14:31]: Again, I think it's a tragedy. I get it. They're running their business, but the rest of the I think there's negative externalities of research being hoarded, and so that'there's a market failure. And somebody needs to unlock that research, and we can't do it on our own. We only have 1.2 gigawatts of compute. That's nothing. That's about $40 billion of cloud spend. We're going to need a lot-Gigawatt-Scale Compute and End-of-Life PredictionSwyx [00:14:51]: By the way, is that's a new number. I haven't, haven't come across that gigawatt number. That's huge.Anjney [00:14:56]: Yeah. And to be clear, we haven't secured all of it. That's how much demand we have started to secure. I think publicly we haven't actually confirmed how much we have for this year. In order-Swyx [00:15:04]: Where do you want to get to?Anjney [00:15:06]: I think the steady state would be that we have a base load pool Of 1.2 gigawatts at all times Of base load capacity. For spike capacity, right now my estimate is we need roughly six gigawatts over the next four years for all our teams to feel like they were able to keep moving the frontier, whatever they're working on, whether it's, like superconductor discovery over here. There's a new investment we're working on right now, which is in the end of life prediction space in healthcare. It's extraordinary how much you can, you can give this was actually my graduate school work. I went to grad school for bioinformatics at Stanford Med. And I know we-Swyx [00:15:40]: Econ, MCS, bio.Anjney [00:15:41]: So my-- I was this really weird cat where, I was never satisfied with my major options. So at one point I was an econ major, then I was a CS major, then I was a MCS major called mathematical computational science, and they decided they were going to end that major. So I took all that coursework, and I applied it to grad school, my graduate degree in bioinformatics, which was the master's program, and then I thought I was going to do a PhD. I never ended up doing it. I dropped out and went to work at Kleiner. But I was lucky enough to apprentice with this professor at, Stanford Med. His name is Nigam Shah, and he was working on end of life prediction. Stanford is one of the only research facilities in America that has a longitudinal patient data set that's larger at scale. I think it's at least 12 million patient lives. The only larger data set is at the VA, the Veterans Affairs, of America. And to do research, like do any deep learning and so on that data set, it was called the STRIDE data set at that time, you had to be a Stanford Med School affiliate, which is why I went and enrolled in the bioinformatics department. End of deep learning was early. Nigam Shah had the visibility-- the vision to see that, you could do end of life prediction to help palliative care. In America, the, over 30% of all Medicare, Medicaid spend, at least at that time, was spent on end of life care. And what's we grew up in Asia, so we all-- Yeah, at least I won't speak for you, but I have A very different relationship with death than I find folks who grew up in America do. In America, spiritually and culturally, especially in Western societies where Christianity, the Christian tradition sort of frames death as this terminal point, there's often a judgment day and so on. The way we view death is with a finality. In Indian culture, in Hindu culture, death is one-Swyx [00:17:35]: Also, he's Buddhist as well.Anjney [00:17:36]: You're Buddhist, yeah. So it's one, it's one step in a journey of many lives, right? And so, I grew up in this city called Chennai in the south of India, and when people die, you dance on the street. There's like a procession where your body is carried to be cremated and your family, like celebrates and there's drums and so on. It's this huge thing. And, It's because the idea is that you're going to be reincarnated. You've been liberated from the responsibilities of this life, and now you're onto your next. It's a new It's like going off to a new college or whatever, right? And so it was so alien to me when I got here as an undergrad- That the medical system works backwards from that assumption that we have to view death as this terminal thing and delay it, postpone it's a bad thing. And so at the time, clinical decision support in the United States was this very primitive field. Even to this day, physicians in the United States often will tell you when you have a terminal disease, this is your, we've diagnosed you, which is great. Our ability to diagnose you is extraordinary. You have somewhere between six months to six years to live. What do you do with that information? The error bars are so high that then you In times of uncertainty, we default to culture, and when the culture is let's-- this is a bad thing, I've got to prolong my life, then you start doing things like And just to, just sort of from a systems perspective, what's going on there is Physicians often feel like they need to provide such high error bars because there's always some uncertainty in end of life diagnosis, and if you provide the wrong Diagnosis or recommendation to your patient, you can be sued for medical malpractice. And then your license can be taken away. It can be catastrophic for your career. In contrast, if in countries where that's not the case, what you often observe is that patients, physicians are quite prescriptive with their recommendation. They say, “Hey, this is your condition. The literature says that you probably have this much time on Earth left. My expert opinion is that you are an outlier or whatever.” And they try to be more prescriptive, and that empowers a patient, right? ‘Cause then a patient can say, “I trust my doctor. They said on average, I have six months to live, but if I do these things, I may have a shot because of my particular predispositions or my genetic history or whatever.” And that empowers you to go about your life in a actually more scientific way than leaning on religion, culture, spirituality, and so on. In contrast, here, because of that medical malpractice sort of thing looming over your head, a physician never gives you a clear recommendation. So instead you say, “Okay, Doc, well, let's try it all.” And then you start a whole regime of drugs and therapies, and then you often spend weeks and weeks in the hospital, and that deteriorates your quality of life. And when that deteriorates your quality of life, you instead of spending your last few days doing the things you love with your family, you're spending it on a hospital bed. And that ends up being thirty percent of Medicare and Medicaid. So it's worse for the patients. The doctors feel terrible. The American taxpayer is paying a huge amount of money. And so this is why Nigam Shah, who was this professor at Stanford, said, “Anjney, if there's “ I kind of sat down with him. I was this young, I'd, I was twenty-one, and I was “I want to work on a big problem.” He's “The big problem is end of life care.” And so we tried to do deep learning to say, to-- So we started trying to run deep learning on these tried patient data sets to say, “Could you have an AI system make a recommendation that is orders of magnitude more precise about how much time you have left once you've been diagnosed with a terminal condition than a human?” And then if we can get that precision to be high enough, then you can empower the patient. And it turns out the tech works. Like it's-- Once you get the data set, like RL works. Honestly, even regression models work. You don't need to get that fancy. At the time, we were just trying, doing like very simple neural nets.Swyx [00:21:54]: Simple solutions, yeah.Anjney [00:21:54]: Today, what we can do with RL is extraordinary. The problem remains then and now is regulatory, because you actually can't shift the burden of the wrong clinical diagnoses from the physician to the AI system. And so at that time, I got quite disillusioned ten years ago for, twelve years ago where, ‘cause I felt I just didn't have the resources to influence regulation. Today, I'm very lucky. I'm in a different place. I've, I'm a lot older, and so I've been spending a lot of time on my next incubation, which is how can we unlock the, patient empowerment by training AI models to do end of life prediction much, with much more precision and ac-Swyx [00:22:37]: Oh, wow. You're still focused on this the whole time.Anjney [00:22:40]: The-- I haven't been able to get, this out of my mind a single day for the last fourteen years. This is the hill I want, I would like to die on. There's two, I would say. What? I actually, I'd prefer not to die.Swyx [00:22:51]: Yeah, exactly.Anjney [00:22:52]: But I think two bipartisan issues, I think two issues that should be bipartisan in America are how do we empower patients to make the right clinical decisions at the end of their life, such that we're reducing the taxpayer burden with science? It's just good old science, and AI can help here. And the second is, net positive data centers, ‘cause I think that's the biggest critical bottleneck on training and good enough AI models to help people at the end of their life. So there's sort of two sides of the, of the same scaling bottleneck curve, but those two, we formed AMP as a public benefit corporation. My wife and I, who you've met, you've met Viv. Her passion is education. Her family is a long line of educators and so on, and, of physicists. And so this class is my attempt to stop being the black sheep of the family and be a, an educator. But if I'm not educating, the thing I would be doing is working, on these two problems, whether on the political spectrum or as a researcher back at, in some lab. And my hope is if anyone's listening to this podcast, if they're passionate about either of those two topics, I'd love to hear from them. We'll, we'll we can share the contact in the show notes, but, we're looking for people to join both of those missions on the, on the political side as well as on the medical side, on the research side.Frontier Systems, Output Maxing, and AlignmentSwyx [00:24:08]: You said, this is a discipline that you want to form. You call it's called variously called Frontier System. It's variously called One Person Frontier Lab. What is the ideal name or shape of this? Like the, what is the mission?Anjney [00:24:24]: Of the class?Swyx [00:24:26]: Of the discipline that you're, exploring, right? I The class is called Frontier Systems. But like for me, maybe one phrase is you're, you're just anti-waste, right? Which is wasting GPUs, wasting in human and Medicare. But is there, is there a broader theme that I'm, that maybe you can encapsulate more succinctly?Anjney [00:24:45]: Yeah. The, from an engineering perspective, it's very simple. It's output maxing. It's the, it's the department of output maxing.Swyx [00:24:51]: Making the most of what we have.Anjney [00:24:52]: Exactly. I'm a huge believer in optimal outcomes. I think both in America and other countries, we are losing our appreciation for nuance, and this is the thing of And AI is the same case, right? Oh, the bitter lesson holds. Okay, fine. But that doesn't mean you just like throw 500 GB300, 500,000 GB300s at your suboptimal model scaling and you waste a bunch of compute. It also doesn't mean that, the most optimal is to have like 50 different architectures where there isn't enough standardization. One of the reasons Anthropic has had extraordinary sort of velocity is ‘cause they picked the transform architecture and said, “This is simple. Let's double down on it,” right? And now luckily there's enough investment going to the space that we can afford other architectures, but at the time, investment was just too fragmented into other architectures, so that arguably unlocked scaling. So I think there's a philosophy. I think we all owe it to ourselves to do output maxing with a new capability called AI on a global level. I think if I was starting a new department at Stanford, depending on how fuzzy or technical I wanted to be, I'd probably call it the Department of Alignment. Like-Swyx [00:25:59]: It's an overloaded termAnjney [00:26:01]: But it is, But alignment really Is a hard problem. And I think when you unlock it, full stack alignment is super hard in any organization and in any system. Like in a, in a venture capital firm, if you can have full stack alignment between your limited partners and your, the founders who are creating the value and ultimately the public that owns the IPO stock, that is a gift that keeps giving. And when you study the history of these systems, when they start off, they usually start out small scale where the feedback loop is actually so tight that there's alignment. And then the more you try to scale, the more division of labor happens, the more specialization happens, and at each step you add abstractions. And wherever there's an API interface, there's like loss. There's communication loss. And so I think a really cool thing would be for us to figure out is there a way for us to have our cake and eat it too as an engineering discipline? Is there a way to actually scale up and scale out Without losing any alignment, without lossy transmission?Swyx [00:27:01]: You mean standards?Anjney [00:27:02]: So standards is one way. The other way is you just have net new capabilities. So like what we're trying to do here is discover new superconductors. A room temperature superconductor would be a lossless transmission mechanism for energy. We would have flying cars. We are right within a few years of having a new room temperature superconductor. So I think those are the two. You either have to standardize On protocols or API specs that allow lossless communication, or you can come up with a whole new capability that unlocks so much abundance, the standardization doesn't matter ‘cause you just unlock net new capacity. This, the, so this is what I spend my days thinking about these days.Compute Markets, SF Compute, and Non-NVIDIA ChipsSwyx [00:27:38]: No, I think every infra person at, who wants scale and wants to output max does eventually end up thinking about this. We don't have time to go into it, but we have done an episode with SF Compute-Anjney [00:27:50]: Oh, coolSwyx [00:27:50]: That is trying to standardize The futures contract for compute. I don't, I don't know how that's going by the way, but like at some point this will be public.Anjney [00:27:57]: Oh, I think Evan is awesome and SF Compute is the kind of effort that I hope we can accelerate because what often happens is these exchanges are very hard to get, they, it's hard to bootstrap them, right? Because they often require-- There's many inefficiencies between parties. There's trust boundary inefficiencies in infrastructure because you don't trust, one part of the stack doesn't trust another part of the stack to give them visibility. There's capital markets inefficiencies, there's operational efficiencies. So if you can inject like a single shock to the system of a ton of compute demand or supply, then you can accelerate, these new flywheels. And so my hope is one day, or soon, if SF Compute needs extra like has excess capacity, they just hook it up to the grid and they get flooded with demand from us. And on the other side, if they have a ton of demand but they don't have supply, they just again hook up to the grid and it's a two-way protocol where they can just hook up to our capacity. And I don't think we're too far from that. Today our working implementation of it is mostly through a group of labs, universities, and a few sort of trusted parties who are, who all feel like they're in alignment to borrow an over sort of used word. But our hope is to just have it be an open protocol that anyone can hook up to on-Swyx [00:29:20]: Hook up for demand or hook up for supply? In primarily demand, it sounds like. Like you-Anjney [00:29:25]: No, bothSwyx [00:29:26]: You would want to offer demand.Anjney [00:29:27]: Both. Yeah. Unfortunately, what's happened in the last six weeks is, we thought we'd have a bunch of excess capacity by the end of this year. It's all gone.Swyx [00:29:37]: It's exploding.Anjney [00:29:38]: It, yeah. It's all gone. And so I have, my text messages are full of friends, we know many of these people, these are founders who've raised billions of dollars in San Francisco going, “Oh, any chance you have like 50 nodes in the next few weeks?”Swyx [00:29:51]: What is the scope for, non-Nvidia, right? You have Lisa Su coming and, Rainer Pope as well. And so There is a lot of demand for, more performance Alternative architectures and all that. At the same time, this hurts your standardization.Anjney [00:30:11]: I don't think so. So actually Rainer's a great example, right? Rainer is a CEO and founder of, MatX. I actually had him by for office hours in the class earlier today, and there was an insight he brought up that I hadn't considered before, which is when they decided to pick the standard For their data center, they picked the NVIDIA reference architecture. So the MatX chips Just plug in to any site that has an NVIDIA bring up planned. And, the-Swyx [00:30:42]: It's just software then. It's, it's not the-Anjney [00:30:44]: A-Swyx [00:30:44]: Hardware.Anjney [00:30:46]: Well, from an input and IO perspective It's the same footprint as an NVIDIA rack.Swyx [00:30:52]: That makes sense.Anjney [00:30:53]: Where they have done, innovated a bunch from what I can tell is on systems co-design. Which is where a lot of the gains are to be had. And so he picked He was “Anjney, we, there's just so much work to do when you're building a new chip company.”Swyx [00:31:08]: Can't fight every front.Anjney [00:31:08]: You just can't fight on every front. So my question to him was, “Well, you're working on this new chip. Their tape-out is next year. What, who are you going to partner with to host the chips?” And he said, “Whoever will host them. That's just not, that's not my focus.” And I said, “But how did you “ you decided back to our earlier systems design question, he decided that, he didn't want to be a full, fully integrated chip provider. The bottleneck they're focused on is the logic die, and they, he feels they can crank out a ton of performance gains through co-design there. But then that means you delegate, to our question earlier, it, you he's the data center provider is a different part of the stack, and so then he's dependent on that part of the ecosystem to host his chips to get the performance gains to the customer. So now you have another abstraction, and you might have loss. So I asked him, “How do you prevent loss?” And back to your point, he said, “I just picked the NVIDIA standard ‘cause I didn't want to Like I wanted to piggyback off of an existing protocol.” And that, what's great about NVIDIA is that reference architecture is known.Swyx [00:32:15]: Open.Anjney [00:32:15]: It's open. They've published it. So Jensen's actually enabled someone like Rainer to build a chip company like MatX, and I don't see them as competitive. The compute demand is so high. Like, I don't I think NVIDIA's not able to meet the demands of production, so we just need more chips. And I think it's very smart what MatX has done, which is say, “We're just going to we're not going to innovate on the data center design ‘cause actually, thank you, Jensen, you've done all the hard work. Where we can innovate is somewhere else.” And I think that's, that's very healthy. I think that's how we unblock new bottlenecks. And my view is these, the, chip teams like MatX, who have arrived at the insight that co-design is the way, The primary bottleneck for them is trust boundary. To do co-design well, you need visibility into the next model generation as soon as possible ‘cause it takes two years to tape out. So if by the time I bring my chip to market, your model architecture's changed, I'm host. Now, when he was inside Google, he was sitting next to the Gemini team. He was on Palm or whatever.Trust Boundaries, Co-Design, and Researcher CEOsSwyx [00:33:19]: His co-founder was the, was one, was one of the Palm guys, I think.Anjney [00:33:23]: Yes. Yes, exactly. So when you're inside the trust boundary of Google, then your systems co-design loop is super tight. When you leave as a founder, one of the biggest risks you take is now you're outside the trust boundary. And so what I love doing is helping chip teams who can help us unlock more capacity for the independent ecosystem access to trust. Because when I If I've been, involved with a lab from day one, and I was lucky enough to work with Anthropic, and then I'm on the board of Mistral and helped Black Forest Labs get started. I think at this point I'm on six or seven different teams.Swyx [00:33:57]: Only six? I feel like my mental number was going to be 13, but yeah, it's-Anjney [00:34:02]: No, I go deep with one at a time.Swyx [00:34:04]: You're founding CEO of Arena.Anjney [00:34:07]: Nah, that was an, that was an-Swyx [00:34:08]: Administrative CEOAnjney [00:34:09]: It was an administrative five-month gig where Whalen and Anastasios were graduating from their PhDs, and they didn't need a product team. So I helped recruit the head of engineering product and design. But Anastasios has always been the CEO of that company. I played a pinch-hitting I'm an intern. I was CEO intern For five months. -Swyx [00:34:33]: I interviewed him, and he's he's very well-spoken. I think he's a debate, former debate, champion. But also very quantitative and mathematical, which is-Anjney [00:34:41]: He-Swyx [00:34:41]: Such a unicorn.Anjney [00:34:43]: See, what's amazing about him? If you look at his output, he's an output maxer. By the time he was graduating from his PhD, which he only graduated last year, he had published more work with a citation count than, people twice his age. But at the same time, he'd already started a project called LLM Arena that was being used by millions of people As a side project. And time and time again, what I've realized is venture capitalists suck at seeing human beings as, dynamic agents where-Swyx [00:35:14]: They want to put you in a boxAnjney [00:35:15]: They want to put you in a box.Swyx [00:35:15]: This is your thing.Anjney [00:35:16]: So the first time I got introduced to Anastasios, somebody had told me “Oh, he's amazing, but he's a researcher.” I was “what? What do you mean he's a researcher?” That's what-Swyx [00:35:28]: Like he's not a CEO, not a founder.Anjney [00:35:29]: Not a CEO, exactly. I was “Are you crazy? Do you Have you met Dario?” Dario's a scientist. He's gone from zero to, what will soon be a trillion-dollar company in four years. Being a CEO, nominally speaking, is not that hard. Being a good CEO is hard. Being a great CEO actually requires a level of performance that scientists who have already published at the top of their field have accomplished. It is super hard to be a competitive scientist. To publish in academia over the last 20, 30 years, to make it to the top of your discipline at a place like Berkeley, you are a star athlete. Like, you are an athlete of the mind, and you perform at the highest levels. And to get there, whether you're, Anastasios or Whalen at Berkeley, or you are Robin, who-Swyx [00:36:23]: BFL, yeahAnjney [00:36:24]: With Black Forest, who created Stable Diffusion, or if you're, like Guillaume at Meta, who created Llama before he started Mistral. The amount of human leadership you have to demonstrate to get the resources, like get the trust of the organization, publish it, put it up. I would just fund researchers all day Right? If who have contributed already to the field. If they've, if they've put SOTA out there, they're, they're star athletes already. If they haven't done SOTA Look, they can still be good CEOs, but then I find the failure mode is that they just don't want to be CEOs, they primarily want to publish, and that's okay, too. One of the things we do with the AMP Grid is we donate excess compute. We have two nonprofits, like university labs. We carved out like a couple thousand H100s. But I do think there's extraordinary research being done on university campuses. My father-in-law's a physicist. He's a professor. Extraordinary work in physics, and we need that. But if you want to be a CEO, what you need to be willing To do is be super confrontational, outside of science. Like within the scientific community, some of the best researchers are very confrontational about their convictions, right? This architecture is right. To be a great CEO, you basically have to be willing to be confrontational up and down the stack.Swyx [00:37:41]: To your own team.Anjney [00:37:42]: To your own team-Swyx [00:37:43]: To customersAnjney [00:37:43]: Hiring, recruiting customers. Well, I would say, Yeah, pretty much to everyone Everybody. Of course-Swyx [00:37:50]: I see, I feel a little bit of that in my own work, but yeah, I can't imagine the stakes that Dario has had to go through. It's, it's pretty insane.Anjney [00:37:56]: No, I don't think the stakes are that different From how you're feeling it, right? Stakes are personal scaling vectors, right? The stakes that seem so low to you, like having this podcast where you can talk to somebody and just have a you're an extraordinary communicator, right? Like already in this conversation, you've pulled more out of me than most people, and I've been on 12 podcasts in the last two weeks.AI Coachella and First-Principles ThinkingSwyx [00:38:17]: I think I, we've just seen each other enough that there's some base trust.Anjney [00:38:20]: There's base trust.Swyx [00:38:20]: And I think, and I know that you, that I've done my homework and like I know that trust is a big deal for you, so.Anjney [00:38:27]: I think trust is about consistency, and you and I have seen each other In the community for years, right? Like, I remember the first time we met was at NeurIPS in New Orleans. I don't know if you remember that, luncheon.Swyx [00:38:38]: Oh my God.Anjney [00:38:39]: Reiko had set up this Reiko's amazing, and he set up this luncheon and-Swyx [00:38:43]: Yeah, I was “Who's this Discord guy?” I'm “Okay.” But-Anjney [00:38:45]: No, you weren't-Swyx [00:38:46]: You were just “You made some investments.”Anjney [00:38:47]: You were much less polite. You were “Who's this VC?” You're like-Swyx [00:38:51]: No, I Was I? Oh my God.Anjney [00:38:53]: It was-Swyx [00:38:53]: I'm so sorryAnjney [00:38:53]: It was visible on your face.Swyx [00:38:54]: I'm so sorry. But you weren't, you weren't The introduction was bad. I was I didn't know who you were.Anjney [00:39:00]: The, see, this is the thing about context, right? Like, but then I think I heard your accent. And I was “Are you-”Swyx [00:39:06]: Singapore, yeahAnjney [00:39:06]: “Are you Singaporean?” And you're “Yeah.” And I said, “I went to high school, JC, in Singapore.” And then the ice broke. But This is the there are in the scientific community, sometimes the stakes are very high for people who haven't had the emotional, what is called EQ Coaching and mentorship, right? Which is like to have scientific impact, you often need to be a extraordinary emotional, like emotionally in tune person with the folks you're trying to influence. And so what comes so naturally to you is actually a super high stakes thing to other people. And so I wouldn't assume that Dario's more stressed out than you. These things are you'd be surprised how similar and small sometimes the problems are to you That some of the world's biggest, leaders are facing. And that's what I've learned from this class. The guest speakers are Sam, Satya, Jensen.Swyx [00:40:01]: AI Coachella.Anjney [00:40:02]: Yeah. It's AI Coachella, right? So we got to get all the headliners, and they're I'm very lucky that some of these people have either mentored me over the years or I've done business with them. And when you, take the performative stuff out and any assumptions you may have about these people that you read in the press or on Twitter, We're all just humans. We're all trying to get along. And what's so special about this moment is AI is forcing, like scaling, the bitter lesson is forcing a lot of people to revise their assumptions for how the world works and go back to first principles or go and educate themselves. So the kind of people I was, I won't name who this person is, but I was at an event last week in Texas and, ran to somebody who said, “Anjney, I came across the class. What do you think about real time action prediction models?” And I was, don't know how happy it made me feel when they asked me that question. I know they've done the work. They've challenged themselves. I'm, they didn't ask me, “What do you think of world models?” They said, “What do you think of n-”Swyx [00:41:04]: Real time action predictionAnjney [00:41:05]: “action, real time action prediction models?” World models, don't get me wrong, are cool and everything, but you and I both know that is a layer of abstraction that is sometimes not usefully precise enough. Right? Ours-Swyx [00:41:16]: There's like four different kinds of world models.Anjney [00:41:17]: Yes, exactly.Swyx [00:41:18]: We've done the part with general intuition, by the way, which is very focused on, -Anjney [00:41:22]: Oh, cool. Yes. I love Pim. Pim is great. And this is what I love about people who've done that level of work. They realize they're not in competition with people who the rest of the world thinks they're in competition with.Swyx [00:41:34]: Because they're not in the category, they're in the specific thing they're trying to do.Anjney [00:41:37]: They're focused on their mission, and they have a systems understanding of the bottleneck they're trying to solve. And when somebody else says, “I'm working on real time, action prediction models too,” Pim goes, “Oh, I love that person. I want, I can learn from them.” But the minute they're “Oh, that person's a world model person,” it's “like which type of world model person?” But mostly they're just trying to figure out if it's a waste of their time, because we don't have enough time. So, Pim, for example, is super, loves this other company I work with we've talked about called Black Forest Labs. And he's mentioned to me multiple times that he's so, He thinks what Flux is doing is really cool. Andy Blattman came by and spoke in the class. And what I find over and over again is for people who do the work, who can be usefully precise enough about like what is actually going on in the world of frontier research, The sense of camaraderie is still well and alive, but it gets lost sometimes when you have to like abstract The technical complexities in, business terms And then the VCs are “How are you different from that world model?” I'm going to say Where do I even start to explain this stuff? And then the misalignment creeps in.Leading vs. Winning in Frontier AISwyx [00:42:43]: This is good. Yeah, I think, people listening get a sense of, what it is like to operate at a real level, like yourself, rather than at, the journalist level, where you have to sort of put everyone in, a rough category and create a narrative of competition, and who's winning today, who's behind.Anjney [00:42:58]: It-- this idea of winning is so Weird to me.Swyx [00:43:03]: You do want to win. You want you want competitiveness.Anjney [00:43:06]: No, I think you want to lead.Swyx [00:43:07]: You want SOTA.Anjney [00:43:07]: No, I think you want to lead. Yes, so you want to push the frontier. You want to push the SOTA. You want to do something that hasn't been done before. You want to capture value, but you don't want to capture so much value that, people think you're unaligned with your mission or trying to do what's best for the world. You want to capture enough value that you can keep innovating, right? And I think that people want to lead, they don't really This idea of winning and losing, again, I love Jensen. He's a, he's a leader. The mindset that he talked about on Dwarkesh's podcast, right? He's “I didn't wake up with a loser mindset.” I think that was awesome, right? Because he's, he's an engineer. Dwarkesh has done the work. So there's at least-- even though the, to me, it was very obvious they're talking about the same thing, they just passed each other. They just had to basically, Jensen has this, five-layer cake abstraction of how the industry works. And Dwarkesh had, I think from that podcast, had more of, a pre-training, mid-training, post-training systems loop concept.Swyx [00:44:04]: It's just a factor of who he talks to, right? Again, it's very clear.Anjney [00:44:06]: It's the systems It's the abstraction, the mental models, the It's the whole-- Dude, so much of the problem in the world is reasoning by analogy. And then the assumptions that are held invisibly.Swyx [00:44:19]: Yeah, I've, I've said, this is actually the best time in human history for first principles thinkers. Because everything you think will happen is actually now coming true.Anjney [00:44:28]: Correct. And the venture capital community is, notorious for this, where people look-- In times of uncertainty, they, cling to axioms that ended up being true from the previous era, and they kind of like proclaim them with confidence as if they're truths, but they're not. And it's very important to see the distinction between a heuristic and an axiom. An axiom can be proven-Swyx [00:44:55]: Like from internal consistency point of viewAnjney [00:44:56]: With internal consistency. A heuristic is a way you kind of a shortcut. And my God, the number of people I have had to put up with over the last few years who proclaim-- use heuristics As axioms to judge people, to judge which companies are going to succeed or the number of people who are “Oh, yeah, Anthropic, they're just training models right now,” but this one continue.Swyx [00:45:22]: Because that's a B2B SaaS?Anjney [00:45:23]: Yeah, the, like Which over the fullness of time, if you squint at it, maybe. But the way you arrive there is so important that you can-- you just, you can dismiss people. Here's what happened, right? What happened is Anthropic basically achieved takeoff in October of last year. That training run-Swyx [00:45:41]: Whatever, three seven?Anjney [00:45:42]: I forget the numbers now, but whatever that checkpoint was-Swyx [00:45:45]: We saw the cognition.Anjney [00:45:46]: Yeah. Right? You probably-- The, to those of us in the community, especially once post-training was done and it was released in December-Swyx [00:45:52]: Yeah. Can I sneak a sneaky question in there? I don't know if you have a perspective, maybe you don't, I just The number one question is how did Anthropic crack coding, right? Because Claude One, Claude Two, okay, like it was part of it, but it wasn't a big deal. And the leading hypothesis, it's a lucky dice roll that was then compounded, right? Like it was like Mildly better, but then they saw it and they were “Okay, let's really invest.”How Anthropic Cracked CodingAnjney [00:46:17]: I had this very annoying teacher. I went to this boarding school called Rishi Valley in India, which is like this, bird preserve. It's like three hundred and fifty acres of bird preserve in rural India, and there was no technology for seven years. There was this teacher, I won't name them, but they would have this-- I hated it every time he said this to me. He was “Luck fa-favors the prepared mind,” which is like a common saying, but the way he delivered it, always grated me, ‘cause he was always I was always one of those kids who got, a good grade without trying very hard. ‘Cause like high middle school is not that hard if you, if you're generally, paying attention and so on. And there was this one time where I-- But then I would get an eighty percent grade, and he would keep pushing me to say “The reason you didn't get the ninety-five plus percent is because you're not that lucky.” And I would say, “What do you mean?” ‘Cause I would think that I deserved that grade, and I would sometimes argue with him. And he'd say, “You didn't have a prepared mind. If you want to get lucky again “ There was basically one time where I got like ninety-five or ninety-six on this, on this subject, and I, now that I felt entitled. I was “Okay, I'm going to keep doing this,” and I didn't. And then he was “Luck favors a prepared mind. You got lucky last time, but you got to stay prepared.” And I didn't understand what he meant. Now, as I'm older, I'm okay, these adults actually knew a thing or two. Anthropic has been the most prepared company for four years. And so then when the right, context data comes in, the right developers start sending in, the right context diffs, Sure, you could say you got lucky, but if you ask me, they're pr-pretty damn prepared with paranoia for like four years. And you have to remember, it was so hard for them to get going early on that they had to do so much more with so much less that you just have to be prepared to be so efficient.Swyx [00:48:06]: Yes. There's numbers on their burn compared to OpenAI. I've, I've written about it, but they are so much more efficient in their, in their tech stack.Anjney [00:48:14]: It's not even It's not funny.Swyx [00:48:14]: Not even close.Anjney [00:48:15]: Yeah. But it's so clear, right? Like how to output max for the world. They have been prepared, and you could call that luck, but Luck favors the prepared mind.Culture, Hardship, and Anthropic's P0Swyx [00:48:25]: This is one of those things that I was going over some of your old lectures and, you were data, people think it's a moat and actually it's culture and actually it's team Actually. And I, it's-- there's different levels of moats, and this is the ultimate one that determines everything else. Which you can then compoundAnjney [00:48:43]: You're saying culture is the ultimate moat? Yeah. But the thing about culture is it's very fragile. So moats, I don't think they're-- there's very few moats I found that are actually moats. They're-- It's, it's a nice concept, but in reality, you have to replenish your culture. Ben Horowitz was, the speaker in CS153 on Tuesday, and I asked him this question about the culture bottleneck in teams because, there are several AI teams-Swyx [00:49:09]: His book, Hard Things About Hard ThingsAnjney [00:49:11]: Hard Thing About Hard Things. But more concretely, there are so many AI labs today that have all the cash they need, they have all the compute they need, and they're still not able to ship anything SOTA. And then you start seeing people leave and so on, and my diagnosis, it's, is it's the culture. And so I asked him, Ben, they're-- He's been one of the most aggressive investors in AI labs. He goes back to this thing which resonates in my mind a lot. It-- When I used to work at a16z, I would, book a conference room, and right outside the conference room, which is closest to the toilet ‘cause it was the fastest way for me to go use the bathroom between Zoom meetings-Swyx [00:49:45]: Oh my God, I'll put maxing my toilet optimization. Okay, never mind.Anjney [00:49:48]: It was not healthy in hindsight, but maybe this is TMI. But anyway, outside that conference on the wall was this quote that was printed that said, “Culture is not a set of beliefs, it's a set of actions.” And it's by Bushido, is this, Japanese philosopher. And if you stop taking the actions that demonstrate the mission alignment to what you've said to your team and to your-- the world matters to you, then your culture starts to fray. So it's not actually a moat, I would say. It's a very brittle, fragile thing that requires daily tending to like a garden. But if you figure out the system to keep that garden tended, which I think ultimately comes down to knowing yourself ‘cause you most naturally, if you're authentic and so on, you'll naturally make trade-offs that seem effortless to you, but that reinforce your culture. And then That becomes this very hard thing for other people to catch up to. And at Anthropic, from day one, there was this mission like-- missionary like zeal and belief that, hey, these capabilities will scale. These systems are stochastic, not deterministic. There will be error bars, and until we crack interpretability, there's risk. And at some point, people will go-- stop using Claude just for coding. They'll use it in some mission-critical context where there's-- it'll throw off a bug, and then people are going to come blame them, and they want to be on the right side of history where they said, “Yes, this is a powerful technology. We think it's going to change the world, And we want to be very measured and scientific about the fact that, ‘Hey, guys, these are stats models, statistical models.' That's how statistics works.” ultimately, when you're training neural nets, it is just a statistical system. And I think that Belief that safety is important and that it might seem toy-like in the early days, and sometimes, you could say, “Anjney, they totally over-exaggerated the risk,” like two years ago when they said, “Let's not launch Claude One,” or whatever. Well, okay, maybe in hindsight, but hindsight is twenty/twenty. And at the time, they didn't know how that model would be used, and to them it felt existential if somebody came and said, “You weren't responsible. It-- This wrote a bug.” The liability associated with that is massive. So how do you prevent against that? Well, day in, day out, you say safety. And when you start deviating from that, you have the team hold you accountable, you have the world hold you accountable, and I think that becomes a moat over time. At some point, that moat will get challenged and so on, and then it become fragile. I hope it endures because that's the beauty of having founders run the show, ‘cause they can make really hard trade-offs to do mission alignment. The hardest part is in the earliest days when you don't have a group of people who are going through difficulty, stress, crisis together, then your culture doesn't get defined sharply enough, and that's what I'm worried about right now, is there's so much money going to these labs. There's no hardship. There's no-Swyx [00:52:50]: To anyone who knowsAnjney [00:52:51]: There's no to anyone who knows. And that, in hindsight, was a feature, not a bug for Anthropic. The number of people who said no, the number of people who said, “Sorry, we're all doing investors in OpenAI,” that is competitive difference. It forces you to really understand, what is the hill you want to die on at the expense of everything else. What's the P zero? And there, P zero from day one was coding. The reason, the mechanism system there was if we crack coding, Then we will crack AGI. Our mission is AGI. We want to get there safely. If we focus on codin

A new law is restricting gender-affirming care for Oklahoma adults if those services were covered by Medicaid and public funds, or provided on state property. Transgender Oklahomans and the already-limited providers offering gender-affirming care in the state are now being forced to adapt to the new policy with little time to prepare. Mentioned in this episode:Social Media tags

Send us Fan MailGoogle is starting to answer home care questions for families before they ever click a website, and that shift changes everything about how we market, write, and respond. We walk through what “practical AI” really looks like for a home care agency that still wants to lead with empathy, trust, and real human guidance, not a cold automated experience.We share how we're using AI for website development and content writing as a first draft, then tightening it with human review so it doesn't sound generic, miss local details, or overpromise. We dig into the questions families ask most often like home care cost, payment options, and whether Medicare or Medicaid pays for home care and explain why your site needs clear, easy-to-quote answers. You'll also hear why TLDR summaries, structured FAQ pages, and better long-tail keyword content can improve visibility in Google AI Overviews and other AI search tools, helping your agency get referenced first.Then we get hands-on with AI chat for home care websites: how it can respond instantly after hours, capture inquiry details, and forward full chat transcripts to the right person on your team. We lay out the guardrails that matter most including no medical advice, no pricing quotes, no caregiver availability promises, and clear emergency messaging. Finally, we talk about AI phone answering and where it may fit best as overflow support and call routing, plus why you should start small, test carefully, and keep humans in the loop.Subscribe for more practical home care marketing and sales training, share this with an agency owner who's curious about AI, and leave a review with the biggest question you want AI to help you handle.Continuum Mastery Circle IntroVisit our website at https://asnhomecaremarketing.comGet Your 11 Free Home Care Marketing Guides: https://bit.ly/homecarerev

The federal government has issued new work requirement rules for some people on Medicaid, which will go into effect in January, 2027. Ginny Shubert, co-founder of Housing Works, talks about how the new rules will affect New Yorkers living with HIV and AIDS. Photo: US Medicare and Medicaid Administrator Mehmet Oz takes questions from reporters during a press briefing in the James S. Brady Press Briefing Room in the White House, in Washington, DC, on June 2, 2026. (Photo by Mandel NGAN / AFP via Getty Images) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Send us Fan MailAre you tired of typical lying politicians who offer nothing but empty campaign promises? Meet Phillip Parrish—a farmer, successful businessman, former U.S. Navy Intelligence officer, and devoted Christian who is running for Lieutenant Governor of Minnesota alongside Mike Lindell. This is an unfiltered, deeply honest look at the man who intends to help clean up the state's infrastructure and restore integrity to the Midwest. In the first half of this special interview, Phillip shares his encouraging personal journey of faith, processing life tragedies through writing, and surviving intense moral and ethical pressure while serving under the Obama administration. In the second half, the conversation transitions completely into the operational future of Minnesota. Phillip pulls back the curtain on "The 30-Year Heist," exposing the systemic grifting networks and massive institutional fraud occurring under Tim Walz, Amy Klobuchar, Keith Ellison, and Ilhan Omar. Listen to this vital message of hope to discover how you can step up, secure your family's future, and actively participate in saving Minnesota. Key Timestamps & Moments of GoldWho is Phillip Parrish?00:00:00 - Introduction to special guest Phillip Parrish 00:00:54 - Growing up on a Minnesota farm and early teaching career 00:01:20 - Joining the U.S. Navy Reserve and sudden post-9/11 deployment 00:02:44 - Baling old-school square hay in the middle of a campaign trail 00:03:35 - The Slogan of the Pod: Listen, Do, Repeat for Life 00:04:09 - Taking on the Spirit of Adoption: Finding a foundation in Romans 8 00:05:51 - Growing up poor and the daily grind of unusual persistence 00:09:29 - Overcoming personal abuse and the vital realization of codependency 00:10:09 - The critical importance of establishing rigid, healthy boundaries 00:13:01 - Countering unbiblical church teachings on blind forgiveness 00:14:58 - Reclaiming personal value and emotional independence 00:18:29 - Navigating free will: The ultimate difference in true biblical faith 00:21:14 - Defying the odds: From a reading-challenged student to an Intelligence Officer 00:23:34 - Standing firm on American exceptionalism and our Christian foundations 00:24:19 - Surviving the intense moral and ethical shifts of the Obama administration 00:26:59 - The watch floor reality: Witnessing the truth of Benghazi and Crimea 00:29:58 - Uncovering gain-of-function semantics and illegal bioweapons funneling 00:35:19 - Behavior Substitution: How writing, journaling, and repetitive prayer keeps you centered What does Phillip Parrish plan to do as Lieutenant Governor of Minnesota?00:40:23 - The Lindell-Parrish parallel mission: Merging election integrity with anti-fraud infrastructure 00:42:43 - Exposing The 30-Year Heist: How legislators built a multi-trillion dollar grifting pipeline 00:43:58 - The hidden truth about Minnesota's 400 weaponized NGOs 00:45:03 - Pulling apart the systemic autism, daycare, housing, and Medicaid fraud networks under Tim Walz 00:46:01 - The calculated destruction of Midwestern culture and weaponized immigration 00:48:22 - Exposing human trafficking agendas cloaked in false humanitarian narratives 00:50:17 - Dismantling administrative corruption: Tearing down fake companies and clawing back taxpayer cash 00:51:35 - Restoring the Minnesota state flag and the pushback against cultural erasure 00:52:30 - The ultimate administrative policy: Standing firm that two plus two equals four 00:54:02 - The economic fallout: Why liberal corporations like Target are fleeing the state 00:55:54 - How to get involved: The County Ambassador program and the crucial August 11th Primary For the full interview, and all links and content please visit: https://davidpasqualone.com/content-type-media/podcasts/the-remarkable-people-podcast/phillip-parrish/Support the showTHE NOT-SO-FINE-PRINT DISCLAIMER: While we are very thankful for all of our guests, please understand that we do not necessarily share or endorse the same beliefs, worldviews, or positions that they may hold. We respectfully agree to disagree in some areas, and thank God for the blessing and privilege of free will.For more Remarkable Episodes, Inspiration, and Motivation, please visit https://davidpasqualone.com/remarkable-people-podcast/ now!

And you'll never guess from WHAT. Medicaid. I know. Super shocker alert. How stealing a little from a lot of people can be a very lucrative government business. The FBI unraveled a terror plot to attack the UFC 250 Celebration. What we know about the alleged goons who tried to kill their fellow Americans - and why. The MLB finds itself in a hot rainbow mess after San Francisco Giants pitchers write bible verses on their pride caps. Tim Tebow shares a powerful message about God's love.    

Americans are living longer, but the financial cost of aging may be higher than most people realize. In this episode, Kathy Fettke sits down with Jessica Forden of The New School to discuss the rising cost of long-term care, the role of Medicaid, the impact on home equity and inheritances, and the retirement risks that could affect millions of families in the decades ahead.   Want to learn more about the housing market? Visit www.RealWealthShow.com    DISCLAIMER The views and opinions expressed in this podcast are provided for informational purposes only, and should not be construed as an offer to buy or sell any securities or to make or consider any investment or course of action. For more information, go to www.RealWealthShow.com.  

Futuristic Researcher Sadiki Bakari transforms our classroom into a hub of empowerment and innovation. Brother Sadiki will expertly reveal how cycles of trauma and fear can limit our potential, especially when it comes to navigating the rapidly evolving world of AI. He will share his revolutionary Empowerment Technology—a proven method to break free from fear and trauma and unlock your true capabilities. Before Sadiki inspires us, prepare to be moved by the wisdom of the dean of Black Journalists, Rev. Dr. Barbara Reynolds, and the powerful insights of author and researcher Angela Greene, who will unveil her eye-opening book, Legalized Extortion. This essential work exposes how the government targeted Black doctors who courageously served poor and elderly Medicaid recipients, shining a light on injustice and resilience. Chicago activist pastor Anthony Williams will ignite the morning, giving a passionate account of his relentless fight to ensure the NFL opens its doors to more Black-owned businesses.See omnystudio.com/listener for privacy information.

The guest host for today's show is Brad Bannon. Brad runs Bannon Communications Research, a polling, message development and media firm which helps labor unions, progressive issue groups and Democratic candidates win public affairs and political campaigns. His show, 'Deadline D.C. with Brad Bannon,' airs every Monday from 3-4pm ET.  Brad is first joined by Alex Lawson, Executive Director of 'Social Security Works.'  The pair discusses GOP House Speaker Mike Johnson's comments that Republicans will cut Social Security, Medicare and Medicaid in 2027. Alex also shares how Minority Leader Hakeem Jeffries, and Democratic members of the House, plan to schedule a vote to expand Social Security, if they win back the House in the November midterms. Finally, he also recaps his exciting visit to Netroots Nation 2026 that just took place in Philadelphia, and he previews '7 Days in DC: A Week of Democracy in Action.' (Find out more here: 7daysindc.com/#about) Then, Brad is joined by Sarah Jones, Editor-in-Chief for PoliticusUSA.   The two discuss what details are known thus far of Trump's Iran peace deal, including reporting that the deal has no agreements about Iran's nuclear program, which is why the President told the country he started this war. Next, they explain why Trump's UFC cage fight on the White House Lawn for his 80th birthday wasn't just a fantastic waste of taxpayer money, it was yet another stain he's left on the image of the White House, and the country. Lastly, Sarah shares how Trump's name being removed from the Kennedy Center, following his loss in court on the matter, symbolizes the end of his power in a very important and motivating way. Alex Lawson's handle on Blue Sky is @alaw202.bsky.social.  The website for Social Security Works is www.socialsecurityworks.org. You can read Sarah's work at www.thedailypoliticususa.com. Follow her on BlueSky, where her handle is @politicussarah.bsky.social. The handle for PoliticusUSA is @politicususa.com.

Decades before Covid-19, the AIDS epidemic tore through communities in the US and around the world. It has killed some 40 million people and continues to take lives today. But early on, research and public policy focused on AIDS as a gay men's disease, overlooking other vulnerable groups—including communities of color and women. This month marks 45 years since the Centers for Disease Control and Prevention published its first report about a mysterious illness that would eventually be called AIDS. So we're bringing back Blindspot: The Plague in the Shadows, from reporters Kai Wright and Lizzy Ratner, which chronicles the first years of the HIV epidemic in New York City. One of the most influential activists for women with AIDS was Katrina Haslip, a prisoner at a maximum-security prison in upstate New York. In the 1980s, Haslip and other incarcerated women started a support group to educate each other about HIV and AIDS.Haslip took her activism beyond prison walls after her release in 1990, even meeting with CDC leaders. One of the main goals was to change the definition of AIDS, which at the time excluded many symptoms that appeared in HIV-positive women. This meant that women with AIDS often did not qualify for government benefits such as Medicaid and disability insurance. The podcast series Blindspot: The Plague in the Shadows is a co-production of The History Channel and WNYC Studios. This is an update of an episode that originally aired in February 2024. Support Reveal's journalism at Revealnews.org/donatenow Subscribe to our weekly newsletter to get the scoop on new episodes at Revealnews.org/newsletter Connect with us on Bluesky, Facebook and Instagram Learn about your ad choices: dovetail.prx.org/ad-choices