Tag: welfare

Origins of Medical Harm

The level of compensation doctors receive from Medicare is currently under renewed scrutiny; these standards are mirrored by health insurers. The quantity of reimbursement weighted to specialists is likely to shift towards primary care physicians. Reconfiguration of doctors’ fees is overdue, although they are determined by a secretive American Medical Association committee. 

Analysis and debate about the ongoing healthcare crisis emphasize misdirected funding rather than considering how to revitalize the ethics of medicine. The Hippocratic Oath clarifies the priorities essential for the mindset of a physician. Despite its primary warning, first, do no harm, damage done to patients is rampant. Resolution of this tragic dynamic appears insoluble. 

When decisions are made by any medical organization with financial interests, the primary impetus of the Oath is lost; the AMA’s control over payment schedules reinforces and exemplifies a corrupt institutional flaw. The harm done by the business of medicine needs to be evaluated and controlled.

The seemingly intractable conflict of interest undermining medical care is directly tied to a profit-oriented model in mitigating human suffering. Dispensing treatments with earnings in mind is a form of profitable planned obsolescence and ultimately a methodology that degrades patient autonomy and vitality. 

Although there is often consensus among critics of the healthcare system about its numerous faults, approaching the central issue of profiting from illness is virtually avoided. 

In an attempt to broach the topic of money and medicine, the AMA’s Journal of Ethics presents a self-justifying analysis. The following excerpt exposes how this inherently conflicted view of healthcare depends on the illness of the nation. 

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Louisiana ‘Medicaid millionaire’ bought Lamborghini while claiming government benefits for years

A Louisiana woman who purchased a Lamborghini while fraudulently obtaining Medicaid benefits is facing a fraud charge, authorities said this week. 

Candace Taylor, 35, of Slidell, dubbed the “Medicaid millionaire” by the office of Louisiana Attorney General Liz Murrill, was arrested Monday. The state Bureau of Investigation began looking into Taylor after receiving a complaint from the Louisiana Health Department saying she underreported her income to qualify for Medicaid benefits.

“From 2021 through 2024, Ms. Taylor continued to transfer tens of thousands of dollars between her personal and business accounts, with personal inflows consistently exceeding the eligibility thresholds for Medicaid,” the affidavit directly states.

Medicaid provides health insurance for low-income adults and children. The program is partially funded and primarily managed by state governments. The federal government establishes parameters for states to follow. However, each state administers their Medicaid program differently.

Taylor initially applied for Medicaid in May 2019 under the alias Candace Sailor, listing a bi-weekly income of $1,900 and no dependents, authorities said. That application was denied.

Less than a year later, she re-applied under the same misspelled name, prosecutors said. She was allegedly inconsistent with the years she reported having a dependent. 

Investigators eventually discovered she owned six different businesses that generated more than $9.5 million between January 2020 and December 2024, according to court documents.

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Coalition Of Dem AGs Sue Trump Admin Over Effort To Weed Non-Citizens Off Of SNAP Program

A coalition of 20 attorneys general, led by New York AG Letitia James and California Attorney General Rob Bonta announced the lawsuit Monday, arguing that the U.S. Department of Agriculture’s demand that states turn over personal information about SNAP recipients dating back five years, violates privacy laws.

SNAP is a federally-funded, state-administered program that provides billions of dollars in food benefits to tens of millions of low-income individuals and families in the United States.

The new USDA demands, released last week, require states to provide a list of individuals who have applied or are currently receiving SNAP benefits, in addition to other information such as a list of their immigration statuses in the U.S., and information including their marital statuses, their residential and mailing addresses, and education and employment history, among other things.

The USDA has threatened to withhold administrative funding from states that don’t comply.

On April 24, Secretary of Agriculture Brooke L. Rollins issued a guidance to all State agencies directing them “to enhance identity and immigration verification practices when determining eligibility for the program.

Under Rollins’ direction, John Walk, acting deputy under secretary for Food, Nutrition, and Consumer Services, sent letters to state SNAP agencies, explaining that most noncitizens do not qualify for the benefits.

“By law, only United States citizens and certain lawfully present aliens may receive SNAP benefits. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193) established that ‘aliens within the Nation’s borders not depend on public resources to meet their needs.’ SNAP is not and has never been available to illegal aliens,” Walk wrote.

Specifically, the USDA asked states “to cross-check Social Security numbers with a death master file and to use the free Systematic Alien Verification for Entitlements (SAVE) system provided by the Department of Homeland Security” to verify immigration status.

An estimated 1.5 million noncitizens collected a total of $4.2 billion in Food Stamp benefit payments in fiscal year 2022, according to U.S. Department of Agriculture (USDA) data.

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Administration Finds Millions of Individuals Double Enrolled in Taxpayer-Funded Coverage

Earlier this year, The Federalist highlighted a Wall Street Journal investigation that found taxpayers had spent billions paying for individuals who had enrolled in Medicaid in multiple states simultaneously. The kicker is not surprising but still shocking: As bad as the Journal exposé seemed, the reality is worse.

A new investigation increased both the number of enrollees with duplicate forms of taxpayer-funded coverage and the amount taxpayers are paying for such unnecessary double-dipping. It provides an example — one of many — to rebut leftist claims that the recently passed budget reconciliation bill will somehow destroy the safety net.

Explosion of Wasteful Spending

The Journal analysis of Medicaid data from 2019 to 2021 found taxpayers spent $4.3 billion over three years, providing duplicate coverage to an average of 660,000 people per year. The Trump administration recently examined what happened after four years of Biden administration policies, designed to promote enrollment in taxpayer-funded coverage at all costs.

The analysis by the Centers for Medicare and Medicaid Services (CMS) of 2024 enrollment data concluded that, last year, “an average of 1.2 million Americans each month were enrolled” in Medicaid in multiple states — nearly double the level of duplicate enrollment cited by the Journal in the opening years of the Biden presidency. Moreover, CMS also noted that another “1.6 million Americans each month were enrolled in both Medicaid” and taxpayer-subsidized coverage on the insurance Exchange plans.

According to CMS, the total cost of all this unnecessary spending on a total of 2.8 million duplicate enrollments is $14 billion per year — more than three times the $4.3 billion figure the Journal reported earlier this year. CMS didn’t specify if that $14 billion figure represented total Medicaid costs (i.e., including the share of Medicaid costs that states pay themselves), or only the potential costs to the federal government.

Regardless, it represents a large amount. For purposes of comparison, the Congressional Budget Office (CBO) estimated that, during the last fiscal year, the federal government would spend $607 billion on Medicaid. Simply eliminating the duplicate payments would reduce federal Medicaid spending by roughly 2.3 percent — without doing anything to harm beneficiaries, who would still have taxpayer-funded coverage, just not in multiple places at once.

Phony Coverage Losses?

The CMS data highlights two important points regarding Medicaid and taxpayer-funded insurance programs. First, the discussion about the number of individuals who will “lose” coverage seems overstated.

CBO has yet to release detailed coverage estimates regarding the final version of the bill, enacted into law. But the case described above demonstrates the absurdity of this type of exercise. The left might scream about 2.8 million people “losing” coverage — even though they “lost” coverage only on paper and are still insured elsewhere (and at taxpayer expense) in the system.

Many of the other supposed “losses” from the legislation fall into similar buckets: individuals who choose not to comply with the new work requirements, undocumented migrants denied taxpayer-funded coverage for public policy reasons, and so forth.

A good percentage of Americans would have few qualms about lawmakers making these types of reasonable policy judgments. And yet the left hopes to overwhelm such rational behavior with screaming headlines talking about Trump taking away health care from 15 million Americans.

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‘Obama Phone’ Scam: Florida CEO Headed to Prison, Must Pay $128 Million Fine After Defrauding Government

The owner of a Florida telecommunications company will spend the next five years in prison and his firm must pay a hefty fine regarding an “Obama phone” scam.

Q Link Wireless LLC and its owner, identified as CEO Issa Asad, previously pleaded guilty to conspiring to commit wire fraud and steal federal funds from the Lifeline program that began in the 1980s, Fox News reported Sunday.

The program offers subsidized cellphone services to lower-income people. In 2012, a video emerged of a protester outside a Mitt Romney event who claimed her neighbors received an “Obama phone,” Breitbart News reported at the time.

When asked why she supported Obama, the woman said, “Everybody in Cleveland low minority got Obama Phone. Keep Obama in President, you know? He gave us a phone, he’s going to do more.”

The clip shows the woman standing with other protesters on the side of a roadway while holding signs. The Breitbart News article speculated that she may or may not have been a paid agitator.

In 2013, Breitbart News reported that opposition to the “Lifeline” program was growing as Tracfone Wireless, “the company that most benefits from the government subsidy, is now advertising on inside-the-beltway news websites in an effort to save it.”

The Fox article said Asad was sentenced to prison and he, along with his company, must pay $128 million in fines.

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The Empty Outrage Over Medicaid Cuts

Democrats bemoaning the loss of Medicaid coverage are glossing over a critical fact: States could fund the program themselves if they wanted to. The truth is, Medicaid is not nearly as popular as the taxes needed to keep it afloat.

There is a lot to complain about Trump’s One Big Beautiful Bill (BBB), signed into law last week. For example, it will add trillions to the deficit while allocating billions to be used for deporting hard-working immigrants and even American citizens. Yet Democrats are denouncing it not for its lack of fiscal responsibility, but rather for one of its only positive provisions: its reforms to Medicaid.

Original versions of the bill included various reforms to Medicaid, like work requirements for some able-bodied adults and provisions limiting funds for undocumented immigrants and gender transition procedures. To this, Democrats responded with instant outrage: “Medicaid is a lifeline for millions of kids, seniors, veterans, and people with disabilities in our states and nationwide. Republicans’ proposed cuts would be disastrous.”

The final version of the bill eliminated some of the more thorny cost-saving provisions while keeping the work requirements in place. Yet Democrats are still dissatisfied with the bill, with California Gov. Newsom claiming that “the President and his MAGA enablers are ripping care from cancer patients, meals from children, and money from working families.”

You can tell this is nothing more than political posturing because there are no cuts to Medicaid to begin with. The OBBB only reduces the rate of growth of Medicaid spending, but the overall cost of the program to taxpayers will continue to increase. Cutting means getting rid of something, not reducing the rate at which you add stuff.

Maybe we should not be too hard on the semantics. After all, Americans have very little experience with Medicaid cuts. Throughout its 60-year history, the only time Medicaid spending was truly cut was in 2006, by a mere 0.25%. This should come as no surprise since Medicaid promotes excessive spending by design.

Medicaid is structured in such a way that for every $1 that states spend on Medicaid, the Federal government matches it by up to $9. This design allows state politicians to grant their constituents $10 in political goodies (Medicaid) while only incurring $1 of political cost (higher taxes). Where does the rest of that money come from? Federal taxes and debt.

Now that Washington is cutting back its match rate, this windfall of benefits without costs to states will slow down. States must choose between filling the funding gap themselves (by raising taxes) or reducing coverage. State officials (many of whom will be facing reelection in the next few years) would rather do neither and keep this party going.

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Debunking the 100,000 Medicaid Deaths Myth

“More Americans will die—at least 100,000 more over the course of the next decade,” wrote Yale law professor Natasha Sarin in a June 9 Washington Post column about the Medicaid cuts in President Donald Trump’s One Big Beautiful Bill Act.

“That isn’t hyperbolic,” Sarin added. “It is fact.”

The average reader might be inclined to believe Sarin, who holds a Harvard Ph.D. in economics as well as a Harvard law degree, and served in the Treasury Department during the Biden administration. But contrary to her characterization, her claim is both hyperbole and not “fact.”

Sarin’s assertion reflects a fundamental misunderstanding of the concept of “statistical lives saved.” In particular, she and several other prominent journalists misinterpreted a recent working paper published by the National Bureau of Economic Research (NBER).

As a professional debunker of bad research, I can say with some authority that the authors of that study, Dartmouth economist Angela Wyse and University of Chicago economist Bruce D. Meyer, wrote an excellent paper—a rarity among academic studies these days. But the University of Chicago’s press office trumpeted the paper’s findings, declaring, “Medicaid expansion under the Affordable Care Act saved about 27,400 lives between 2010-22,” which is highly misleading. 

That take was echoed in coverage of the study by major news outlets. “The expansion of Medicaid has saved more than 27,000 lives since 2010, according to the most definitive study yet on the program’s health effects,” reported Sarah Kliff and Margot Sanger-Katz in The New York Times. Their May 16 article was headlined “As Congress Debates Cutting Medicaid, a Major Study Shows It Saves Lives.” 

The story was also picked up by Time (“Medicaid Expansions Saved Tens of Thousands of Lives, Study Finds”), NPR (“New Studies Show What’s at Stake if Medicaid Is Scaled Back”), NBC News (“Proposed Medicaid Cuts Could Lead to Thousands of Deaths, Study Finds”), and several other news outlets. These journalists either didn’t read the study, didn’t understand it, or willfully misrepresented its findings for partisan reasons. 

In the past, conservative opponents of Medicaid have been equally guilty of misconstruing academic research to support their policy views. That is what happened with the most famous study on the subject, The Oregon Experiment—Effects of Medicaid on Clinical Outcomes, which The New England Journal of Medicine (NEJM) published in 2013. The NBER and NEJM papers offer a similar account of Medicaid’s impact on health, but both have been misinterpreted.

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Trump’s Deputies Use Medicaid Data to Help ICE Find Migrants

President Donald Trump’s deputies have completed a data-sharing deal to let ICE agents use government Medicaid data while enforcing the nation’s popular immigration laws, according to a report by the Associated Press.

Under a new agreement, “ICE will use the CMS [Centers for Medicare & Medicaid Services] data to allow ICE to receive identity and location information on aliens identified by ICE,” the agreement says,” the AP reported Thursday, adding:

The department’s assistant secretary, Tricia McLaughlin, said in an emailed statement that the two agencies “are exploring an initiative to ensure that illegal aliens are not receiving Medicaid benefits that are meant for law-abiding Americans.”

Millions of illegal migrants have shared their identities and addresses to use the taxpayer-funded Medicaid system, often via emergency rooms and state-funded clinics.

The data is not being copied to ICE. Instead, ICE will be allowed to verify identities and addresses during regular work hours.

The information-sharing deal reflects the determination of Trump’s deputies to remove a myriad bureaucratic and regulatory barriers to the enforcement of the nation’s immigration laws.

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85 Minnesota Autism Clinics Under Investigation for Millions in Medicaid Fraud

About 85 autism clinics in Minnesota are under investigation for tens of millions in Medicaid billing fraud.

The state’s Department of Human Services (DHS) is under a microscope for paying out outrageous amounts for services supposedly delivered by the state’s burgeoning autism treatment sector, according to KSTP-TV.

The records show that DHS paid out claims totally about $700 million since the state’s autism program began in 2014. But millions of that seems to be paying for services that were never rendered. And investigators say that some $20 million has been fraud.

Now, DHS is reportedly visiting every one of the state’s locations after data shows that at least 85 of them fraudulently billed the program.

One expert says that the state ignored the warning signs.

Dr. Eric Larsson with the Lovaas Institute Midwest says that some of the bills were obviously suspicious. “No apparent email address, no website. Nobody is answering the phone,” he said. “They’re certainly not trying to deliver services.”

The problem first came to light last December when the FBI raided two Minnesota autism clinics under suspicions of fraudulent billing, KROC radio reported at the time.

State DHS officials are now scrambling to make sure that the hundreds of autism centers in the state are submitting legitimate bills.

Two of the clinics under investigation are Smart Therapy Center, LLC in Minneapolis and Star Autism Center LLC in St. Cloud, which also had ties to the Feeding Our Future child meal fraud case.

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Netflix And Chill: Farage’s DOGE Uncovers INSANE Government Funded Perks For Illegal Aliens

A British version of DOGE instituted in areas where Nigel Farage’s Reform won seats in the last round of elections has found that local government is spending hundreds of thousands in taxpayer money on unnecessary perks for illegal immigrants, including subscriptions to Netflix.

Not content with putting them up in luxury hotels and giving them loaded debit cards, at least ten local councils are providing illegal aliens with subscriptions to streaming services such as Netflix and Disney +, as well as spending close to £120,000 on fast food such as Dominoes Pizza and McDonalds.

The local governments have also handed out gift cards for electrical stores Currys and Argos, presumably so the illegals can get a TV to watch their Netflix, and even paid for outings, including trips to safari parks, the circus, and mini golf.

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