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World of Payne

World of Payne

Di: Tanner Payne
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 Stay informed. Stay grounded. Think for yourself.
World of Payne delves into the stories shaping America — from breaking political headlines to business shifts and global events — all with clear facts, genuine perspective, and authentic conversation. Each episode explores both conservative and liberal viewpoints, offering balanced insight and straight talk that cuts through media noise. Whether it's about the economy, government policy, or cultural change, World of Payne delivers context, not clickbait. 🔗 Connect With Us
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Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.Copyright Tanner Payne Politica e governo Scienze politiche
Episodi
  • Pills, Profits, and Promises: How Hospital and Pharma Subsidies Save Lives—and Get Hijacked

    Pills, Profits, and Promises: How Hospital and Pharma Subsidies Save Lives—and Get Hijacked
    Dec 13 2025
    Most subsidies in America started with good intentions: to help people through hard times and get them back on their feet. They were built for the couple who just found out they’re having a baby and are terrified of the hospital bill. They were built for the parent who just lost a job and is scrambling to keep health coverage. They were built for the grandparent whose body can’t do it anymore after forty years of work. They were built for the person who just heard the word “cancer” and now needs help paying for food, childcare, and gas to get to chemo. They were not built so hospital CEOs and their minions could turn compassion into a business model. In this fiery World of Payne deep dive, Tanner pulls the curtain back on how hospitals and pharmaceutical companies use government subsidies like 340B drug discounts, Disproportionate Share Hospital (DSH) payments, NIH research funding, rural hospital support programs, and nonprofit tax breaks. On paper, these subsidies are supposed to keep safety-net hospitals alive, expand access for low-income patients, fund breakthrough research, and keep rural ERs from going dark. In reality, many have been quietly hijacked and turned into profit engines that inflate costs, drive consolidation, and enrich executive teams while families drown in medical debt. Tanner breaks down how 340B really works in the wild—hospitals buying drugs at steep discounts, billing full price, and pocketing the spread with almost zero transparency about how much actually reaches poor patients. He exposes how nonprofit hospitals collect tax exemptions and DSH dollars in the name of charity while still suing low-income families, garnishing wages, and slapping liens on homes. He walks through NIH funding and overhead, showing how universities and health systems can treat taxpayer-funded research as a revenue stream while labs fight for scraps. He takes you into rural America, where nearly 200 rural hospitals have closed in two decades, almost half of those left are losing money, and one closure can turn a 10-minute ambulance ride into a 45-minute gamble. This isn’t just a rant—it’s a conservative blueprint for reform. Tanner lays out how to force radical transparency on subsidies, tie nonprofit and 340B privileges to real charity care and clear patient benefits, cap and expose NIH overhead bloat, and make rural support money follow actual access instead of political connections. He argues for a “subsidy-light” future where we attack the root price disease—insane hospital facility fees, opaque drug pricing, rigged contracts, and monopoly power—so we can shrink and sharpen subsidies instead of endlessly throwing more money at a broken system. If you’re tired of being told “healthcare is complicated, just trust us,” this episode gives you the receipts and the language to start asking the questions no one in power wants to answer. It’s unapologetically conservative, fiercely compassionate toward patients and families, and absolutely ruthless toward the hospital systems, pharma giants, and academic empires that have turned safety-net programs into cash machines. “Pills, Profits, and Promises” will leave you informed, fired up, and ready to demand a healthcare system where compassion isn’t a marketing slogan—it’s the standard.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.

    🔗 Connect With Us
    • X (Twitter): World of Payne
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    💼 Sponsored By
    • ValorBuilt Apparel – http://valorbuilt.us/P2S
    • GetSequence.io- https://sequence.pxf.io/WoP
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    1 ora e 31 min
  • Subsidies, Fraud, and the Healthcare Trap: Medicare, Medicaid, ACA & the Battle to Fix It | World of Payne

    Subsidies, Fraud, and the Healthcare Trap: Medicare, Medicaid, ACA & the Battle to Fix It | World of Payne
    Dec 5 2025
    America spends over $4.5 trillion a year on healthcare—more than any nation in history—yet families still feel crushed by premiums, deductibles, and confusing bills. In this explosive episode of the World of Payne podcast, we dive deep into the subsidy-driven healthcare system that touches every American: Medicare, Medicaid, and ACA subsidies. Subsidies were created to help people—seniors, low-income families, disabled Americans, and the working poor. But when you peel back the layers, you find hidden costs, administrative waste, and massive fraud that drive prices higher, fuel dependence, and drain taxpayers. In this 1.5–2 hour teleprompter-style, conservative but constructive deep dive, we break down:
    • How Medicare really works (Part A, B, C, and D) and how Medicare Advantage risk-score gaming is costing taxpayers tens of billions while driving corporate profits.
    • Why Medicaid has become both a lifeline and a loophole, with states gaming federal matching funds (FMAP), hospitals recycling money, and managed care plans inflating costs.
    • How ACA subsidies (Obamacare) impact premiums and dependence, from income-based tax credits to the "cliff removal" that quietly expanded government responsibility for healthcare costs.
    • The administrative hydra: coding chaos, prior authorizations, bloated billing departments, and a paperwork machine that consumes 25–30% of all U.S. healthcare spending while doctors and nurses drown in documentation instead of caring for patients.
    • A hard-hitting exposé on healthcare fraud and abuse:
      • Durable Medical Equipment (DME) scams and fake suppliers
      • Home health and hospice fraud
      • Upcoding, ghost patients, and falsified diagnoses
      • Medicaid managed care manipulation and state-level loopholes
      • ACA marketplace gaming, income manipulation, and hospital steering
      • Organized crime and international fraud rings targeting Medicare and Medicaid
    But this episode isn't just about outrage—it's about solutions. We lay out realistic, conservative-leaning reforms that aim to heal the system without abandoning vulnerable people:
    • Administrative simplification: fewer codes, a national claims standard, real interoperability, and a serious overhaul of prior authorizations.
    • Severe crackdowns on fraud: real-time AI auditing, criminal charges for large-scale fraud, stronger whistleblower protections, and public transparency dashboards so taxpayers can finally see where the money goes.
    • Redirecting subsidies toward people rather than institutions through personalized health accounts, direct primary care, and price transparency that empower patients to make informed choices.
    • Medicaid reform that protects children, people with disabilities, and low-income seniors while closing FMAP loopholes, tightening eligibility appropriately, and linking non-disabled adults to work and training where it makes sense.
    • Medicare reform focused on reining in Medicare Advantage risk-score gaming, enforcing site-neutral payments, and making benefits more straightforward, more transparent, and less exploitable.
    In the final segment, we tackle the big question: Can America ever move toward a reduced-subsidy healthcare model without harming patients? We discuss why we can't just cut and run, why we also can't keep spending unthinkingly, and what a "soft landing" strategy might look like—cleaning up corruption first, empowering patients and communities, then gradually rebalancing subsidies over time. If you're tired of being told, "That’s just the way it is,"
    If you believe we can have compassion without corruption,
    If you want a brutally honest but hopeful conversation about Medicare, Medicaid, the ACA, healthcare fraud, and real reform— this World of Payne episode is for you. 🔊 Listen in, share it with a friend, and be part of the push for a healthcare system that serves people—not bureaucracy, not fraudsters, and not political talking points.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.

    🔗 Connect With Us
    • X (Twitter): World of Payne
    • Facebook: Facebook
    💼 Sponsored By
    • ValorBuilt Apparel – http://valorbuilt.us/P2S
    • GetSequence.io- https://sequence.pxf.io/WoP
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    2 ore e 16 min
  • The True Cost of Healthcare: How Subsidies Broke the System and What Comes Next

    The True Cost of Healthcare: How Subsidies Broke the System and What Comes Next
    Nov 13 2025
    Government subsidies were meant to make healthcare affordable—but instead they’ve driven costs through the roof. In this powerful episode, Tanner Payne exposes how insurance companies profit from bureaucracy, why premiums keep rising, and what America must do to reclaim compassion, accountability, and fiscal sanity.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.

    🔗 Connect With Us
    • X (Twitter): World of Payne
    • Facebook: Facebook
    💼 Sponsored By
    • ValorBuilt Apparel – http://valorbuilt.us/P2S
    • GetSequence.io- https://sequence.pxf.io/WoP
    Mostra di più Mostra meno
    1 ora e 49 min
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