Health Care News Podcast

How did Minnesota’s Medicaid program balloon from $2.5 million to $104 million today?Join AnneMarie Schieber, managing editor of Health Care News, and Devon Herrick of the Goodman Institute Health Blog as they discuss how fraud in two programs—both aimed at addressing non-medical “social determinants” of health care—has contributed to this explosive growth.Also in the show: the troubling connection between untreated mental illness and the recent wave of violence and murder-suicides across the country, including incidents in Michigan, New York City, Atlanta, and Austin, Texas, between July 28 and August 11.Why weren’t these individuals in institutional care?Should privacy laws be loosened so extended families can better monitor and help their loved ones?Can Medicaid be revised to provide more flexibility for substance abuse and mental health treatment?Should we investigate the link between marijuana use and psychosis?Helpful resources include the Treatment Advocacy Center and the discussion of outpatient civil

HHS Secretary Robert Kennedy, Jr. is clamping down on removing organs from patients declared “brain dead.” Join AnneMarie Schieber, managing editor of Health Care News and Devon Herrick, of the Goodman Institute Health Blog  to find out starting new facts on, as well as the latest headlines in health care from a free market perspective. Also on tap, Minnesota is encouraging moms on Medicaid to deliver babies at home, what happened to hormone replacement therapy for women? Will FDA Commissioner Martin Makary take steps to make it more available? Sen. Josh Hawley wants to repeal limits on Medicaid provider taxes to keep rural hospitals afloat, states are suing to stop ICE from using Medicaid data to enforce immigration laws, and is being a doctor today a job or a calling? Devon explains what has changed over the years.

What is next in the fight to manage waste, fraud, and abuse in Medicaid now that the One Big Beautiful Bill (OBBB) is law?  Join AnneMarie Schieber, managing editor of Health Care News and Devon Herrick, of the Goodman Institute Health Blog as they discuss the latest headlines in health care from a free market perspective. Will there be an effort to make states more financially responsible for their Medicaid programs outside the OBBB?  How will states manage Medicaid work requirements and will work requirements ultimately eliminate Medicaid waste? Also, it appears Congress is ready to tackle  “site neutral payments” under Medicare, the latest Supreme Court decisions impacting “Medicaid Provider of Choice” and required preventative screenings under the Affordable Care Act. And, did the 2020 No Surprises Act make an impact in surprise medical bills and balance billing? Plus, health savings account expansion and what this means to patients.

Welcome to another episode of the Heartland Daily Podcast, where Ann Marie Sheber and healthcare economist Devon Herrick unpack this week’s biggest developments in health policy:

In this episode of the Heartland Daily Podcast, AnneMarie Schieber and economist Devon Herrick break down the latest health care debates in Washington. They discuss how promised reforms like Medicaid work requirements and health savings account expansions are being stripped from President Trump’s health care package, and what that means for patients and taxpayers. The conversation covers efforts to close costly Medicare Advantage loopholes, the push for site-neutral payments, and Minnesota’s controversial plan to incentivize Medicaid-funded home births. They also examine Robert F. Kennedy Jr.’s overhaul of the federal vaccine advisory committee and the growing concern about political bias in mental health counseling. Finally, Devon explains why age — more than lifestyle choices — is the biggest risk factor for cancer.Get a clear, free-market perspective on these vital health care issues. Visit Health Care News and the Goodman Institute Health Blog for more insights.

The "Big Beautiful Act" turned into a big disappointment for Medicaid reform. Instead of adding ways to improve Medicaid benefits, like cutting non-medical spending, Republicans caved. Work requirements and eliminating provider taxes will help, but the failure to fix Medicaid spending now creates major debt headaches just a few years down the road.AnneMarie Schieber, managing editor of Health Care News, and Devon Herrick of the Goodman Institute Health Blog discuss how this golden opportunity was lost in the U.S. House.Also on tap: tips beyond the obvious to bring down your prescription drug bill. Plus, what happened to baby powder? Why does it now feel like chalk? Trial lawyers. Even the American Cancer Society isn't convinced talc is dangerous. And what's a realistic way to understand risk? Vox had a good read on how to consider risk. Devon and AnneMarie agree it’s time to "take a deep breath, relax, and educate yourself." We all die; the only difference is when and how.

Will AI replace your doctor? Bill Gates seems to think so. In today’s podcast, AnneMarie Schieber, managing editor of Health Care News, and Devon Herrick of the Goodman Institute Health Blog discuss where AI can be a benefit—such as reducing medical error. But when it comes to replacing highly trained medical doctors to reduce the doctor shortage and save money for insurance companies, Herrick and Schieber say "nada."Also in the podcast: how tariff policy could impact the low cost of generic drugs in the U.S., and how far Trump should go in getting foreign countries to pay their fair share of drug R&D. Herrick and Schieber also discuss states now authorizing ivermectin to be sold over the counter, and why it’s so difficult for Medicare patients to get good post-acute hospital care. Lots of gaps—and reasons why facilities are closing.

How can you consent to paying for something if you don’t know the price? In today’s podcast, AnneMarie Schieber of Health Care News and Devon Herrick of the Goodman Institute Health Care Blog talk about New York State’s decision to ban “consent to pay” forms at medical practices. Also on tap: reforming health care without a political fight, the RESULT Act being reintroduced, which fast-tracks successful treatments in trusted countries but comes too late for one Alzheimer’s patient, “Name it to tame it,” is over-diagnosing symptoms driving up health care utilization?—and has private equity ruined the doctor-patient relationship? Be sure to check out Health Care News at the Heartland.org website and the Goodman Institute Health Blog for the free-market perspective on the very latest in health care news. 

Can you beat a medical bill you feel is unfair?  AnneMarie Schieber and Devon Herrick discuss their personal experience.  Can Congress rein in Medicaid?  Many ideas being consider:  block grants to states, changing funding rates for expanded Medicaid, work requirements.  Do enrollees value Medicaid or waste it?  Schieber and Herrick also discuss “gutting the FDA.” Herrick discusses why DOGE and the Trump administration might want to proceed cautiously. New parody book out critical of MI Gov. Gretchen Whitmer and her pandemic lockdowns.  True Gretchen is a hilarious parody of the governor’s own tome, True Gretch. Be sure to check out Health Care News at the Heartland.org website and the health care blog and the Goodman Institute Health Blog for the free market perspective on the very latest in health care news.

Hours before his confirmation hearing, former Rep. Dave Weldon’s nomination to head the CDC was withdrawn.   Weldon has been a vaccine critic. How much of a role did Big Pharma play? AnneMarie Schieber and Devon Herrick also talk about the growing focus on vaccines, and the history of vaccine policy. Most recently the Trump’s administration to nix vaccines on chickens for bird flu.  Also in the podcast, state AGs take the first step in going after Anthony Fauci for violating state laws when handing the COVID-19 pandemic. A company offers indemnity style health insurance for direct primary care members, and how “meritocracy” is bad for your health. Also, how spouses age differently and how this can complicate health care decisions. 

In this episode of Health Care News, hosts AnneMarie Schieber and Devon Herrick dive into the critical debates shaping health care today. They discuss the potential expansion of Health Savings Accounts (HSAs), exploring proposals from Rep. Chip Roy and policy experts who argue HSAs could significantly improve coverage, especially for gig workers and those seeking direct care options.AnneMarie and Devon also highlight Ohio’s groundbreaking step to enforce price transparency at hospitals—holding institutions accountable by barring debt collection if hospitals fail to disclose clear pricing. Additionally, they examine troubling conflicts of interest within medical boards, spotlighting cases from Texas and beyond, raising crucial questions about whether medical boards protect patients or physicians' profits.Tune in for these insights and more in this timely discussion on the evolving landscape of health care policy.

In this episode of The Heartland Daily Podcast, host AnneMarie Schieber is joined by health economist Devon Herrick for an in-depth discussion on the pressing issues in the U.S. healthcare system. Together, they explore the real-life implications of policies like Obamacare, the growing challenges of Medicare, and the evolving landscape of health insurance options. From short-term plans to the potential of direct primary care, they highlight innovative, free-market solutions that empower individuals and reduce costs.Discover why health insurance remains prohibitively expensive for many Americans, how government mandates distort the market, and what steps can be taken to promote transparency, competition, and patient-centered care. This episode also delves into topics like the unintended consequences of employer-provided insurance, the future of telemedicine, and creative alternatives for long-term care.With insights backed by decades of research and expertise, AnneMarie and Devon shed light on how we can move

Olympian Mary Lou Retton made a stunning revelation when asked why she didn’t have health insurance while she was in intensive care fighting for her life.  “I couldn’t afford it,” Retton told the Today Show on January 8 when she was faced with a life threating pneumonia recently.  Retton’s daughter started a “Go Fund Me” page to help her mother pay for what was likely to be tens of thousands of dollars in hospital bills.  Health Care News managing editor AnneMarie Schieber talked to Kansas State Senator Beverly Gossage as to why Retton may have gone without health insurance. The likely answer is Obamacare, the only option for people without an employer health plan. Gossage discusses what Retton might have paid for an Obamacare plan without subsidies and why there are almost no other options today for middle income people.  She also discusses what Congress needs to do about it.Read more: https://heartlanddailynews.com/2024/02/i-couldnt-afford-it-olympic-champion-mary-lou-retton-on-health-insurance/PHOTO: ROBIN

You see the reports in the news all the time, a patient on life support has given the “gift of life” by donating organs. Few people realize but organ donors needs to be alive to do this.  Hospitals can legally declare people with a brain death diagnosis allowing them to take their vital organs for transplant.  Dr. Heidi Klessig is author of The Brain Death Fallacy.  She discusses whether brain death is irreversible and how the organ transplant business has grown since the decision in 1968 to include brain function in the legal definition of death. Klessig: “People defined to be brain dead or dead by neurological criteria have beating hearts, digest food, excrete urine, and even gestate pregnancies and deliver healthy babies. These people are not biologically dead, and their spirits have not departed. Brain death is not death. Many people who were diagnosed as being brain dead have recovered. If brain death was real death, people should not recover even once.” Klessig also discusses the Uniform Declaration of

In this episode of Health Care News, we delve into the recent revelation by the Food and Drug Administration (FDA) that certain over-the-counter decongestants, specifically those labeled with "PE" (phenylephrine), are no more effective than a placebo. Our guest, Dr. Jeffrey Singer, a practicing surgeon from Phoenix, Arizona, and a senior fellow at the Cato Institute, sheds light on how these medications found their way onto store shelves.Dr. Singer traces the issue back to the Combat Methamphetamine Epidemic Act (CMEA), enacted 18 years ago in response to the methamphetamine crisis. This legislation pushed pseudoephedrine, an effective decongestant, behind the counter, leading drug companies to modify their formulas to include PE for over-the-counter sales.Throughout the episode, Dr. Singer discusses several key points:The factors that led the FDA to reconsider its stance on over-the-counter decongestants.An overview of different decongestant drugs and tips for consumers to differentiate them.The process for

For years, Medicare has paid hospitals and their affiliates more for services than it has to others. The reasons are complex, but this policy significantly incentivizes hospitals to absorb independent practices, creating “monopolies” that reduce competition and increase prices for everyone. Dr. Richard Kube, M.D., founder and CEO of the Prairie Spine and Pain Institute—an independent practice in Illinois—experiences first-hand how this policy and other top-down government regulations work against patients. Kube, an advocate for “site-neutral” payment, recently discussed this topic in Newsweek. “Site-neutral payment would end the unfair policies promoting consolidation and encouraging higher prices,” Kube writes. “Such proposals have bipartisan support in Congress. Several congressional committees are currently debating a health reform package, including provisions to establish site neutrality under limited circumstances. This would be an essential first step, one that physicians nationwide hope will soon exte

For almost 4 weeks, four-year-old Autumn Schall has been virtually trapped at Lucile Packard Children’s Hospital, in Palo Alto, CA against the will of her parents. Today, mother Hope Schacter joins the program to discuss Autumn’s situation. Autumn was admitted to the teaching hospital for an e-coli infection but within days, she became critically ill, receiving care in the ICU, being given intravenously a cocktail of risky drugs, and eventually put on a ventilator. When the parents questioned the treatment, the hospital reported them to Child Protective Services.  They are working with advocates and a lawyer to have her moved to another hospital where their daughter won’t be viewed as a “case study,” and the family is treated like an ally not an adversary. Autumn was referred to Lucile Packard Children’s Hospital for a diagnostic work to examine her bowel after a week-long case of diarrhea. Her bowel was normal, but the hospital diagnosed an e-coli condition and wanted to admit her. After the parents agreed,

Stephen Moses, one of the leading experts on long-term care in the U.S., says the nation can dramatically improve the quality of our health care system if we could get rid of the  loopholes that allow nearly everyone to qualify for Medicaid coverage. The current system encourages few people save for long-term care because it is widely accepted that the government will pick up the tab. While this may be true, government control limits innovation and leads to worsening health outcomes. Moses, and the Paragon Institute released their latest report on the problems with long term care in the U.S., called Long-Term Care: The Solution. In October 2022, Moses and Paragon outlined the problems in Long-Term Care: The Problem.    People prefer to live out their final years in the comfort of their own home but surprisingly, many of the elderly end up in institutional care. That is no accident. Medicaid is the largest payer of long-term care, and one reason is because you don’t have to be impoverished to qualify. This has

Join us as Hal Frampton, senior counsel at Alliance Defending Freedom, delves into a pivotal legal case in Michigan's Sixth Circuit U.S. Court of Appeals. He's representing Christian Healthcare Centers (CHC) and Sacred Heart Academy as they navigate the expanded civil rights protections in Michigan, which now encompass "gender" and "sexual preference." Both institutions could potentially be compelled to hire individuals who don't align with their religious principles. Established in 2018, the Grand Rapids-based Christian Healthcare Centers offers a unique, direct-pay primary care model that also caters to patients' spiritual well-being. While they serve all patients irrespective of sexual preference and identity, their hiring process requires employees to resonate with their religious beliefs and confirm this with a signed statement. Potentially, CHC could be sued for not hiring someone who does align with its mission. In this episode, Frampton addresses: 1. If there has been no fine or penalty yet against CH