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This piece is part of MI x DW, a collaboration that brings Daily Wire readers exclusive commentary and research from the Manhattan Institute’s world-class team of scholars.
Today, Manhattan Institute Senior Fellow Chris Pope warns against unwieldy entitlement expansion, arguing that the tailored nature of Medicare, Medicaid, and Social Security has kept America more prosperous than Europe, without sacrificing care for the neediest among us.
The piece is adapted from Pope&#8217;s forthcoming book, <a href="https://manhattan.institute/book/the-american-way-of-welfare-providing-for-those-who-cant-provide-for-themselves">The American Way of Welfare: Providing For Those Who Can&#8217;t Provide For Themselves.</a> As the title suggests, this is not a book that denigrates welfare recipients or rambles on about the dangers of big government. This is serious policy analysis, the goal of which is to chart a better, healthier, and more affordable future for Americans. — Tim Rice
***
After 250 years, the United States remains a nation unlike any other — particularly when it comes to the role of government. Whereas Europeans turn first to the state to assure their welfare, Americans expect the government to step in only when they cannot provide for themselves.
This approach deserves some credit for America’s superior economic performance. But it has also proven to be more effective at aiding those in need.
Americans’ everyday political fights obscure an underlying ideological consensus. In his 2012 State of the Union address, Barack Obama told Congress: “I’m a Democrat. But I believe what Republican Abraham Lincoln believed: that government should do for people only what they cannot do better by themselves, and no more.”
Yet, America has drifted away from the principle set out by Lincoln. Entitlement expenditure is increasingly dominated by Social Security and Medicare, whose benefits go disproportionately to the middle class, despite greatly exceeding prior payroll tax contributions. Proposals for a Universal Basic Income, Medicare for All, and Universal Free Childcare would altogether abandon the targeted approach that has yielded success for America.
Socialists have rarely found favor at the ballot box in the United States. Their schemes are obviously inefficient, and even partially implementing them would disrupt a vast array of cherished freedoms. Making workers provide for others who could provide for themselves would be widely viewed as unjust and would require tax increases, which politicians understand would provoke a fierce voter revolt. The nation’s entitlements therefore tend to be limited to filling specific unmet needs.
Why is this not the case in Europe? Until the mid-20th century, it was. The continent’s publicly funded entitlements were largely reserved for the poor. But two world wars brought widespread destruction, foreign conquest, and hyperinflation. These devastated private savings and insurance arrangements — creating a need for public assistance which extended across social classes. With normal democratic politics suspended, universal, publicly funded health and retirement schemes were established, which prevented the reemergence of privately financed systems upon the return of peace.
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This left European countries with much broader welfare states than the United States. In 2023, public spending accounted for 49% of GDP in the European Union, compared with 39% in the United States. The difference is largely due to the scale of middle-class entitlements, rather than levels of assistance for the poor, which are similar. In 2023, EU countries spent 12% of GDP on public pensions, compared with 7% in the United States.
Europe’s larger entitlements serve less to improve standards of living than to crowd out private provision for healthcare and retirement. This leaves the continent’s healthcare systems underfinanced and without such broad access to cutting-edge medical treatment. It also deprives European countries of significant pre-funded retirement savings, which enable Americans&#8217; pensions to grow through investment rather than being threatened by demographic change.
The more entitlements are expanded beyond the poor, the more taxes must be increased beyond the rich. Whereas the richest American households pay a larger share of their income in tax than those with incomes below the median, in European countries the poor typically bear a higher average tax rate than the rich. Net of taxes, the United States redistributes more than any other developed country to households with incomes below the median.
The merits of America’s targeted welfare state are clear in comparison with Denmark — a wealthy nation often cited as the model for broad welfare eligibility. Although the poorest quintile of working age Danes obtain benefits worth twice as much as their American counterparts; this is largely offset by the much higher taxes they owe. As this aid also serves to deter employment, these poorest Danish households earn less than their American counterparts — and so have lower disposable incomes, after accounting for taxes and transfers.
Improving the focus of entitlement programs could allow more to be done to assist the needy, while reducing the tax burden on enterprise and employment. Congress should allow younger workers to forego future Social Security benefit increases in return for lower payroll taxes and permit them to borrow from past contributions when they are unable to work. To rein in the cost of healthcare, legislators should empower employees to switch to more cost-effective coverage by extending the tax-exempt purchase of insurance to plans that individuals buy for themselves.
Americans from both parties believe that the government should only provide for people who can’t provide for themselves. That principle has served America well, and the nation’s public policy would be greatly improved if it adhered more consistently to it.
***
Chris Pope is a senior fellow at the Manhattan Institute and author of <a href="https://manhattan.institute/book/the-american-way-of-welfare-providing-for-those-who-cant-provide-for-themselves">The American Way of Welfare.</a>
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Senior Caucus Rally in Minnesota. Seniors rally to stop the 100 Days of Destruction of president Trump.

Keep America Exceptional — Keep Welfare Small

Entitlement Reform

Europe

Medicaid

Medicare

Medicare for All

MI x DW

Herbert Leon Kimble, 60, was arrested in the Philippines after failing to appear for his sentencing hearing in August 2024, according to federal officials. His capture marks the second arrest from the FBI’s new “Most Wanted Fraudsters” list in just over two weeks.
FBI Director Kash Patel said Kimble had been on the run since 2024 after orchestrating a $1.2 billion scheme from 2014 to 2019.
“In just over two weeks, this is the second Most Wanted Fraudster arrested on the FBI’s list led by Vice President Vance and the White House Task Force to Eliminate Fraud,” Patel posted on X.
<blockquote class="twitter-tweet" data-media-max-width="560">
In just over two weeks, this is the second Most Wanted Fraudster arrested on the FBI’s list led by Vice President Vance and the White House Task Force to Eliminate Fraud.
Herbert Leon Kimbel was apprehended in the Philippines and is now back in the United States, on the run… <a href="https://t.co/9ju6cnEfFX">pic.twitter.com/9ju6cnEfFX</a>
— FBI Director Kash Patel (@FBIDirectorKash) <a href="https://x.com/FBIDirectorKash/status/2068051952525520968?ref_src=twsrc%5Etfw">June 19, 2026</a></blockquote>
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<a href="https://www.fbi.gov/wanted/most-wanted-fraudsters/herbert-leon-kimble">Kimble</a> had <a href="https://www.fbi.gov/wanted/most-wanted-fraudsters/herbert-leon-kimble/download.pdf">pleaded guilty</a> in 2019 to multiple federal offenses, including conspiracy to defraud the United States, health care fraud, wire fraud, mail fraud, making false claims, and offering kickbacks and bribes.
Prosecutors said Kimble <a href="https://www.foxnews.com/us/fbi-captures-12b-medicare-fraud-fugitive-philippines-second-arrest-wanted-fraudsters-list">operated</a> a health care fraud scheme that generated more than $1.2 billion in Medicare charges and affected thousands of beneficiaries, many of them elderly. Authorities said the operation used call centers to steer patients toward medically unnecessary orthopedic braces.
The case puts a face on the kinds of large-scale fraud federal officials say they are trying to root out. Authorities say elderly beneficiaries were pushed toward unnecessary medical equipment, taxpayers were left with more than a billion dollars in charges, and Kimble fled before he could be sentenced.
Patel said the FBI remains committed to carrying out President Donald Trump’s directive to crack down on fraud and protect taxpayer dollars.
Kimble’s arrest comes after federal officials announced the apprehension of <a href="https://www.fbi.gov/wanted/most-wanted-fraudsters/said-abdullahi-ereg/download.pdf">Said Abdullahi Ereg</a>, 47, who was wanted on charges of conspiracy to commit wire fraud, wire fraud, and money laundering. Ereg was the first person on the list to be taken into custody.
Vice President JD Vance said Kimble’s capture was tied directly to the creation of the Most Wanted Fraudsters list.
“Our message is simple,” Vance <a href="https://x.com/JDVance/status/2068059922294542472">wrote</a> on X. “If you defraud the American people, we will find you and we will bring you to justice.”
“Kimble preyed on the elderly for years, costing taxpayers over a billion dollars,” Vance continued. “The FBI catching Kimble is a direct result of the task force’s partnership with the FBI to create the Most Wanted Fraudsters list.”
Vance said authorities had been unable to capture Kimble for months, but that the Philippine government helped locate him after the Justice Department published its list.
The arrest comes months after the Justice Department announced the creation of a National Fraud Enforcement Division to support President Trump’s Task Force to Eliminate Fraud, led by Vance. The task force was launched to investigate and recover fraudulent spending in programs such as Medicare and Medicaid.
Acting Attorney General Todd Blanche said Kimble fled to the Philippines rather than face accountability in the United States.
“Fleeing the United States does not mean you can flee justice,” Blanche <a href="https://x.com/TheJusticeDept/status/2068069402109423726">wrote</a> on X.
“Instead of facing accountability for his $1.2 billion Medicare fraud crimes in the United States, Kimble fled to the Philippines hoping to escape justice,” Blanche continued. “That plan failed.”
Blanche said the FBI has now apprehended two fraudsters from its recently unveiled list in just two weeks, adding that there are “more to come.”

FBI Director Patel And Eastern District U.S. Attorney Nocella Holds News Conference On Major Illegal Sports Gambling Schemes

FBI Captures Fugitive Mastermind Behind $1.2 Billion Medicare Scam

One Of FBI’s ‘Most Wanted Fraudsters’ Caught Overseas After Alleged $1.2 Billion Medicare Scheme

kash patel

Medicare Fraud

Most Wanted

Entitlement reform is about to become a hot-button issue, again, due to imminent fiscal shortfalls.
And right now the politics don’t look great for Americans under 40. According to recent <a href="https://www.cato.org/blog/social-securitys-finances-are-getting-worse-americans-dont-know-how-hard-choices-will-be">polling</a> by the Cato Institute, 89% of senior citizens would support raising taxes on younger workers in order to maintain their Social Security benefits. Now consider that the <a href="https://voteathome.org/new-report-on-primary-voting-highlights-path-to-increase-voter-participation/">median</a> primary voter is 65 years old.
Gen Z <a href="https://www.census.gov/newsroom/press-releases/2025/2024-presidential-election-voting-registration-tables.html">votes</a> at much lower rates than older Americans, especially in <a href="https://theharvardpoliticalreview.com/gen-z-voter-barriers-2024-election/">midterms</a>. Worse, many Zoomers don’t even know how Social Security works. Half think their payroll taxes are either saved for them in a personal account or invested in a trust fund on their behalf.
In reality, Social Security is a <a href="https://www.cato.org/policy-analysis/social-security-trust-fund-myth">pay-as-you-go program</a>. That means today’s beneficiaries are funded through taxes paid by younger workers, today. While retirees say they “paid in,” those dollars were spent long ago. Social Security’s mythology has obscured the economic trade-offs it requires: between the incomes of younger workers and the retirement lifestyles of seniors.
For decades, Social Security spending has gone in one direction: up, up, and up, on <a href="https://epicforamerica.org/federal-budget/epic-explainer-discretionary-v-autopilot-spending/">autopilot</a>. As a result, it now accounts for <a href="https://usafacts.org/articles/how-much-does-the-us-spend-on-social-security-is-it-sustainable/">over</a> 22% of the federal budget, costing nearly $1.6 trillion per year. That makes it the single biggest item in America’s federal budget, and it’s <a href="https://www.pgpf.org/article/top-10-largest-budget-functions/">not close.</a> If you add up all spending on seniors in the federal budget, it’s about <a href="https://budgetmodel.wharton.upenn.edu/p/2026-04-01-how-federal-spending-is-distributed-by-age-group-in-fy2025/">$2.7 trillion</a> annually. We spend six times as much on senior citizens, the <a href="https://www.wsj.com/economy/over-65-congratulations-you-own-the-economy-5acea4c4">wealthiest demographic,</a> as we do on children and young adults.
Congress has made no major changes to Social Security since 1983, when President Ronald Reagan signed a bipartisan bill that saved it from imminent collapse. Contrary to today’s facile notion that entitlement reform is “a third rail,” Reagan signed bipartisan legislation that cut Social Security and Medicare spending in 1983, in addition to raising taxes. He won 49 states the very next year (when the economy jumps 7% in a single year, they let you do it).
Since Reagan, no president has been able to change the course of Social Security. Bush and Obama both talked about it. Neither got it done.
Something must change. The Social Security Trust Fund (technically it’s the Old-Age and Survivors Insurance Trust Fund) is projected to run out in late 2032. That’s just six years from now. It means senators elected or re-elected in the November 2026 midterms will confront this crisis within their upcoming terms.
And that’s not the only crisis on the horizon. Medicare Hospital Insurance is <a href="https://www.cms.gov/oact/tr/2026">projected</a> to run out in 2033. Chinese President Xi Jinping has directed the Chinese military to be able to strike Taiwan by 2027, though this does <a href="https://news.usni.org/2026/03/19/china-not-committed-to-2027-taiwan-invasion-u-s-intel-report-says">not</a> necessarily mean China will attack then. And the United States has been so occupied with <a href="https://americanmind.org/salvo/what-is-total-boomer-luxury-communism/">transferring</a> wealth to senior citizens that it forgot to match its defense production to its national security strategy. And that means significant production shortages of <a href="https://www.heritage.org/defense/commentary/chinas-naval-buildup-exposes-us-shipbuilding-gaps-and-fleet-weakness">ships</a>, <a href="https://www.csis.org/analysis/rebuilding-us-missile-inventory-multiyear-project">missiles</a>, and <a href="https://www.wsj.com/politics/national-security/the-u-s-wants-to-break-chinas-drone-dominance-heres-where-it-will-struggle-39e69e18">drones</a>. America faces a rapidly complicated geopolitical situation, yet is maintaining <a href="https://econofact.org/u-s-defense-spending-in-historical-and-international-context">historically</a> low defense spending.
Making this all more intractable is America’s demographic collapse. We have fewer and fewer younger Americans <a href="https://www.ssa.gov/history/ratios.html">supporting</a> more and more older Americans. And this will get worse, impacting America’s ability to fund its entitlement programs — the fertility rate is falling <a href="https://www.cato.org/blog/low-falling-fertility-means-social-securitys-funding-problems-are-worse-expected-0">faster</a> than the Social Security Trustees seem to think.
This will all come to a head, and soon. The U.S. must either significantly cut the growth trajectory of Social Security and Medicare spending or dramatically raise taxes. (Or some combination of benefit cuts and tax hikes).
There is no way to finesse our way out of this. It’s far too late to “privatize” Social Security, and any such plan would <a href="https://debtdispatch.substack.com/p/debt-digest-the-cassidy-kaine-social">dramatically</a> raise the national debt, making America’s fiscal problem worse, not better. And while AI promises to accelerate economic growth, excessive government regulation, grassroots backlash, and early demands for Universal Basic Income all cast doubt on the notion that AI will save us from the consequences of our own government spending.
By law, when the Social Security and Medicare trust funds run out, the programs’ spending will be cut significantly (by over 20% for Social Security and over 10% for Medicare Part A). But Congress is unlikely to allow these cuts to happen, given the political realities we have discussed.
American senior citizens know what they want: retirement benefits that keep going up forever, paid for by younger workers. Meanwhile, younger people don’t even know their own interests. Or what threatens them. Even among Americans under 30, 47% would protect current retirees’ benefits even if that means higher taxes on younger workers like them.
Expect more of the same. At least until America’s fundamental imbalance, between elderly power and youthful ignorance, changes.
America did not begin as a <a href="https://www.amazon.com/Gerontocracy-America-Hoarding-Power-Wealth_and/dp/0374607648">gerontocracy</a>. Thomas Jefferson was just 33 years old when he drafted the Declaration of Independence. Alexander Hamilton was around 20 in July 1776, but he was up north <a href="https://armyhistory.org/major-general-alexander-hamilton/">serving</a> as a captain in a New York artillery company.
With respect to America’s founders, however, if taxation without genuine political representation was a <a href="https://www.mountvernon.org/george-washington/colonial-life-today/early-american-economics-facts">problem</a> back in 1776, it is a much larger problem now.
***
Russ Greene is Executive Director of the Prime Mover Institute and the <a href="https://americanmind.org/salvo/what-is-total-boomer-luxury-communism/">coiner</a> of the term “Total Boomer Luxury Communism.”

Senior woman’s hands counting cash us dollars at home

The Boomer Ponzi Scheme Robbing Americans Of Future Prosperity

Boomers

DW Opinion

Gen Z

Social Security

After a bombshell Daily Wire investigation into waste, fraud, and abuse tied to the government-funded home health care industry, the Trump administration moved on Wednesday to freeze over a billion dollars’ worth of spending and is warning states to root out fraud or pay the price.
The White House fraud task force <a href="https://www.reuters.com/legal/litigation/us-halting-medicare-enrollments-new-home-healthcare-hospice-providers-2026-05-13/">announced</a> on Wednesday morning that not a single new home health care company would be enrolled in Medicare while the Trump administration probes the program. Around <a href="https://www.foxnews.com/politics/vance-led-task-force-cuts-home-health-hospice-providers-suspected-fraud.amp">$1.4 billion</a> in funding for home health care and hospice providers has been paused. 
“Widespread fraud has gone on for far too ​long. But under the Vice President&#8217;s task force we are finally putting a stop to the massive scale fraudsters ripping off the ​American people once and for all,” said a spokesman for Vice President JD Vance. 
 The announcement comes days after Daily Wire reporter Luke Rosiak <a href="https://www.dailywire.com/news/medicaid-millionaires-how-the-feds-pay-immigrants-billions-to-hang-out-with-their-families">published a series of stories</a> documenting how Ohio spent a billion dollars on home health care in 2024. Home health care services can include things like doing “homemaking” and “chores” for family members. 
Vance, who runs the fraud task force, is set to warn states to crack down on fraud or risk losing federal Medicaid funding, the Wall Street Journal <a href="https://www.wsj.com/politics/policy/trump-jd-vance-medicaid-fraud-40e9e78e">reported</a>. The federal government provides over 60% of Medicaid funding for most states, and the Trump administration is expected to start an audit on Wednesday of state Medicaid Fraud Control Units to ensure they are doing enough to combat fraud. 
<blockquote class="twitter-tweet">
These shocking allegations, if true, show why the Fraud Task Force’s work is so important. I’m directing the task force to look into it and take immediate action to prosecute any fraudsters involved and stop all further payments as appropriate. <a href="https://t.co/dg9prv9mYz">https://t.co/dg9prv9mYz</a>
— JD Vance (@JDVance) <a href="https://twitter.com/JDVance/status/2051391872623362379?ref_src=twsrc%5Etfw">May 4, 2026</a></blockquote>
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“Your failure to do your job,” Department of Health and Human Services Inspector General Thomas Bell wrote in a letter to the states, “has put all of your state’s Medicaid funds in jeopardy.”
The plan was developed by Vance and Federal Trade Commission Chair Andrew Ferguson, who is working with Vance on the task force.
&#8220;The American taxpayer is tired of states receiving billions of dollars to police fraud and elder abuse and instead using that money for no-show jobs,&#8221; FTC director of public affairs Joe Simonson <a href="https://x.com/SaysSimonson/status/2054564421951795308">said</a>. &#8220;We cannot have a country with entitlements built on fraud and theft. Our most vulnerable are suffering.&#8221;
Vance vowed to investigate home health care in response to The Daily Wire’s “Medicaid Millions” series on Ohio, which <a href="https://www.dailywire.com/news/inside-ohios-home-health-empire-7-buildings-288-medicaid-companies-250-million">showed</a> that just seven buildings in Columbus housed 288 home health care businesses that billed taxpayers more than $250 million. Columbus is home to one of the largest African immigrant populations in the country.
“These shocking allegations, if true, show why the Fraud Task Force’s work is so important. I’m directing the task force to look into it and take immediate action to prosecute any fraudsters involved and stop all further payments as appropriate,” he posted, sharing a thread from Rosiak detailing the uncovered fraud.
During the pause of new approvals of home health care and hospices funded by Medicare, the Centers for Medicare and Medicaid Services will audit the home health care system, which is fully funded and administered by the federal government. States with funding from both the federal government and the states administer the Medicaid home health program. 
On Tuesday, the House Oversight Committee <a href="https://www.foxnews.com/politics/house-gop-launches-new-task-force-probes-alleged-250b-medicaid-fraud-ohio">tasked</a> Rep. Brandon Gill (R-TX) with leading a new task force on Defending Constitutional Rights and Exposing Institutional Abuses. Gill will focus the task force’s efforts on investigating home health care and Medicaid in Ohio in the wake of The Daily Wire&#8217;s reporting. 
“The reports of Ohio’s Medicaid fraud scandal are appalling — and we’re just uncovering the tip of the iceberg of the fraud and swindling of millions of American dollars,&#8221; Gill told The Daily Wire. &#8220;My Task Force is demanding answers and transparency from the Director of the Ohio Department of Medicaid, as we will continue to press those who need to account for their abuse of American taxpayers.”
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Vice President JD Vance Speaks At A Manufacturing Facility In Des Moines, Iowa

Daily Wire Medicaid Investigation Triggers A $1.4 BILLION Spending Freeze

JD Vance

Medicaid Millionaires

Trump Administration

waste fraud abuse

62. Munich Security Conference

Gavin Newsom’s $30 Billion Fraud Magnet

California

Christopher Rufo

Democrats

Fraud

Gavin Newsom

Health Insurance

Hospice

Investigation

Labor Unions

Manhattan Institute

Artemis II

The Media Does Not Want To Talk About This Historic NASA Launch. Here’s Why.

Elon Musk

Legacy Media

Matt Walsh

Moon

NASA

Opinion

Space

If Democrats in the Senate continue to block a short-term government funding plan, a program that allows low-income and Medicare patients to be treated at home rather than in a hospital will expire, the White House warns. 
The Acute Hospital Care at Home Initiative enables hospitals to obtain approval to treat Medicare patients with conditions such as respiratory diseases or bacterial infections at home. The program, which was rolled out during the COVID-19 pandemic, is set to expire on September 30 unless reauthorized by Congress.
Around 1,200 Medicare patients per month currently benefit from the program, according to information provided to The Daily Wire by the Office of Management and Budget. The program has been well-received by both patients and healthcare providers, <a href="https://www.cms.gov/newsroom/fact-sheets/fact-sheet-report-study-acute-hospital-care-home-initiative">according</a> to evaluations from the Centers for Medicare and Medicaid Services. 
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“Democrats are trying to shut down the government to pacify their base, and they don’t care who they hurt in the process — including beneficiaries receiving hospital care at home,” a Trump administration official told The Daily Wire. “This program has been a success and is popular with patients and providers.” 
“While Republicans voted to extend it, Democrats are more than happy to harm these patients and force them out of their homes so that they can shut the government down,” the administration official added. 
The program was included in the short-term spending package passed by the House last week, which continues federal spending as is for seven weeks. However, Democrats are blocking the same bill from passing in the Senate. 
As of Friday, 48,955 patients have benefited from the program, and 419 hospitals across 39 states have approved participation in the program, according to the Office of Management and Budget. 
Commonly treated conditions under the program include heart failure, blood poisoning, respiratory disease, pneumonia, bacterial infection, urinary tract infection, and chronic obstructive pulmonary disease.
Early evaluation of the program indicates generally lower mortality and readmission rates for patients treated at home. 
If a shutdown occurs, the Office of Management and Budget has directed federal agencies to prepare for permanent reduction-in-force plans, indicating that widespread firings could be forthcoming across the federal government. President Donald Trump has said that the Democrats are holding the funding hostage by trying to force taxpayer funding for illegal alien healthcare and transgender surgeries on children.

Democrats Call On FCC Chair To Resign Over ABC’s Kimmel Decision

Popular Health Program Will Expire If Senate Dems Force Government Shutdown, White House Warns

Health Care

Hospitals

Office of Management and Budget (OMB)

The Justice Department subpoenaed Boston Children’s Hospital for alleged healthcare fraud related to sex-change surgeries for minors, <a href="https://www.nationalreview.com/news/exclusive-boston-childrens-hospital-subpoenaed-by-doj-over-gender-transition-procedures-for-minors/" target="_blank" rel="noopener">National Review</a> reported Monday.
The department <a href="https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical?utm_source=semafor" target="_blank" rel="noopener">announced</a> earlier this month that it was investigating hospitals “involved in performing transgender medical procedures on children” for “healthcare fraud, false statements, and more.”
“Medical professionals and organizations that mutilated children in the service of a warped ideology will be held accountable by this Department of Justice,” Attorney General Pam Bondi said in the memo.
In <a href="https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/" target="_blank" rel="noopener">January, Trump</a> signed an executive order banning federal funding for sex-change surgeries for minors. The Centers for Medicare and Medicaid Services (CMS) proposed a rule change this month to implement the order. In May, CMS sent a letter to hospitals requesting “financial data for all pediatric sex trait modifications” that are “paid, in whole or in part, by the federal government.”
Some hospitals have <a href="https://www.nationalreview.com/news/kaiser-permanente-to-pause-transgender-surgeries-for-teenagers-nationwide/" target="_blank" rel="noopener">paused</a> programs or even <a href="https://www.nationalreview.com/news/l-a-childrens-closes-trans-youth-center-under-pressure-from-trump-admin-joins-growing-list-of-closures/" target="_blank" rel="noopener">closed</a> their clinics offering gender transition interventions to minors following Trump’s executive orders.
However, according to whistleblowers — including adults who regret their sex-transition surgeries and surgeon Eithan Haim — others are finding ways of getting around the ban.
Whistleblower testimony claims that hospitals use deceptive billing codes to hide sex change surgeries for children while making insurance claims under federal programs like Medicaid and the Children’s Health Insurance Program.
The hospital didn’t address the specific allegations.
“Boston Children’s Hospital is committed to providing safe, evidence-based, and compassionate care to every patient and family we serve,” a Boston Children’s Hospital spokesman told National Review.
The hospital has a history of politically motivated healthcare.
While the hospital has <a href="https://www.nbcnews.com/tech/internet/boston-childrens-hospital-warns-employees-far-right-online-harassment-rcna43376" target="_blank" rel="noopener">denied</a> performing sex-change surgeries on minors, an <a href="https://www.mdpi.com/2077-0383/11/7/1943" target="_blank" rel="noopener">article</a> published in the Journal of Clinical Medicine by faculty members claims that its Center for Gender Surgery is “the first pediatric center in the United States to offer gender-affirming chest surgeries for individuals over 15 years old and genital surgeries for those over 17 years of age.”
Last year, Boston Children’s faced backlash after halving its assessment time for children requesting life-altering transgender medical interventions. Laura Edwards-Leeper, who was the founding psychologist for the hospital’s gender clinic, the first of its kind in the United States, called the decision “<a href="https://www.dailymail.co.uk/news/article-14035429/boston-children-hospital-doctor-fury-transgender-surgery.html" target="_blank" rel="noopener">crazy</a>.”
Boston Children’s is one of three hospitals currently being <a href="https://www.foxnews.com/politics/fbi-launches-probes-against-3-childrens-hospitals-genital-mutilation-minors" target="_blank" rel="noopener">investigated</a> by the FBI for potential violation of a federal statute that condemns female genital mutilation.
The Justice Department has issued subpoenas to 20 medical establishments in total. While it did not reveal the names of the establishments in its memo, the <a href="https://coloradosun.com/2025/07/18/childrens-hospital-colorado-subpoena-gender-affirming-care/" target="_blank" rel="noopener">Children’s Hospital Colorado</a> has stated that it is also under investigation.

Attorney General Pam Bondi Testifies In Senate Hearing

Trump DOJ Subpoenas Boston Children’s Hospital For Alleged Youth Sex Change Fraud

Boston Children's Hospital

Pam Bondi

Transgender

transgender surgery

The Department of Justice <a href="https://www.justice.gov/opa/pr/national-health-care-fraud-takedown-results-324-defendants-charged-connection-over-146" target="_blank" rel="noopener">announced</a> the results of its annual healthcare fraud “takedown” this week, in which they charged 324 defendants with $14.6 billion of medical fraud.
Defendants include 96 licensed medical professionals “in 50 federal districts and 12 State Attorneys General’s Offices across the United States.”
“With more than $13 billion in fraud uncovered, this is the largest takedown for this initiative to date,” said FBI director Kash Patel. The <a href="https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit" target="_blank" rel="noopener">initiative</a> identified $2.75 billion in fraud in 2024 and $2.5 billion in 2023.
“The government seized over $245 million in cash, luxury vehicles, cryptocurrency, and other assets,” the Justice Department stated.
In addition, the Centers for Medicare and Medicaid Services “prevented over $4 billion from being paid in response to false and fraudulent claims and that it suspended or revoked the billing privileges of 205 providers in the months leading up to the Takedown.” Civil charges and settlements amount to another $48.5 million.
The busted fraud schemes involve identity theft, fraudulent wound care, prescription opioid trafficking, and fake telemedicine claims.
One transnational criminal organization alone was responsible for $10.6 billion of the $14.6 billion in total fraud identified.
A network of foreign individuals “strategically bought dozens of medical supply companies located across the United States,” then used the stolen identities of over a million Americans to submit fraudulent Medicare claims for “urinary catheters and other durable medical equipment.”
In another case, foreign individuals relied on artificial intelligence to carry out identity theft.
“The defendants allegedly used artificial intelligence to create fake recordings of Medicare beneficiaries purportedly consenting to receive certain products,” the Justice Department says. The recordings were then “sold to laboratories and durable medical equipment companies, which used this unlawfully obtained and fraudulently generated data to submit false claims to Medicare.”
So far, the government has recovered $44.7 million of the $418 million paid on these claims.
Other defendants allegedly submitted fraudulent claims for unnecessary amniotic wound grafts, targeting elderly patients and receiving “millions in illegal kickbacks from the fraudulent billing scheme.”
Agency and department heads affirmed their commitment to rooting out health care fraud schemes, emphasizing how they harm patients and Americans.
The schemes “often result in physical patient harm through medically unnecessary treatments or failure to provide the correct treatments,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division, adding that medical fraudsters steal “ money hardworking Americans contribute to pay for the care of their elders and other vulnerable citizens.”
“This record-setting Health Care Fraud Takedown delivers justice to criminal actors who prey upon our most vulnerable citizens and steal from hardworking American taxpayers,” said Attorney General Pamela Bondi.
“Make no mistake — this administration will not tolerate criminals who line their pockets with taxpayer dollars while endangering the health and safety of our communities.”

President Trump Swears In Steve Witkoff As Special Envoy

Trump Justice Department Exposes $14 Billion In Medicare and Medicaid Fraud

Department of Justice

House Speaker Mike Johnson (R-LA) stated on Sunday that protecting Medicare, Social Security, and Medicaid is a &#8220;top priority&#8221; for the White House and congressional Republicans.
In an interview on Fox News&#8217; &#8220;Sunday Morning Futures&#8221; with host Maria Bartiromo, Johnson discussed the <a href="https://www.dailywire.com/news/hold-trump-scores-big-beautiful-victory-house-budget-vote" target="_blank" rel="noopener">recently-passed</a> budget reconciliation framework, which sets the stage for President Donald Trump&#8217;s proposed comprehensive bill to advance his domestic priorities.
&#8220;Well, here&#8217;s the key to all of it. The president has made absolutely clear many times, as we have as well, that we&#8217;re going to protect Medicare, Social Security, and Medicaid for people who are legally beneficiaries of those programs,&#8221; Johnson replied. &#8220;There are a lot of Americans who rely upon those programs, and we have got to ensure that they&#8217;re safeguarded. That&#8217;s a big priority of the White House and the Republicans in Congress.&#8221;
<blockquote class="twitter-tweet" data-width="500" data-dnt="true">
Today, exclusively on <a href="https://twitter.com/SundayFutures?ref_src=twsrc%5Etfw">@SundayFutures</a> with <a href="https://twitter.com/MariaBartiromo?ref_src=twsrc%5Etfw">@MariaBartiromo</a>, House Speaker Mike Johnson <a href="https://twitter.com/SpeakerJohnson?ref_src=twsrc%5Etfw">@SpeakerJohnson</a> spoke about Congress advancing a blueprint of President Trump&#39;s agenda.<a href="https://twitter.com/FoxNews?ref_src=twsrc%5Etfw">@FoxNews</a> <a href="https://t.co/WbvVwgZwnz">pic.twitter.com/WbvVwgZwnz</a>
&mdash; SundayMorningFutures (@SundayFutures) <a href="https://twitter.com/SundayFutures/status/1911442736827297914?ref_src=twsrc%5Etfw">April 13, 2025</a></blockquote>
<script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
He continued: &#8220;At the same time, we have to root out fraud, waste, and abuse. We have to eliminate people on — for example, on Medicaid, who are not actually eligible to be there, able-bodied workers, for example, young men who are — who should never be on the program at all.&#8221;
Johnson was responding to Bartiromo asking the question: &#8220;So knowing that 76% of the spending goes toward mandatory spending, Social Security, Medicare, Medicaid, where are the offsets?&#8221;
Democrats have <a href="https://www.democrats.senate.gov/news/press-releases/leader-schumer-floor-remarks-on-republican-attacks-on-social-security-and-elon-musks-call-to-eliminate-entitlement-programs" target="_blank" rel="noopener">warned</a> that Republicans, led by Trump and influenced by the Department of Government Efficiency (DOGE) effort overseen by Elon Musk, are working to dismantle the various programs in a move that would harm millions of seniors, people with disabilities, and other Americans who are reliant on the benefits they offer.
Johnson argued that preserving resources for those who truly need them — such as young single mothers, people with disabilities, and the elderly on Medicaid — requires preventing others from &#8220;draining&#8221; these programs.
&#8220;We have got to protect and preserve that program,&#8221; Johnson said. &#8220;So we&#8217;re going to preserve the integrity of it in this process. We have lots of categories of areas where the government is too large, it does too many things. And the DOGE efforts and others have highlighted that for the American people.&#8221;

Speaker of the House Mike Johnson

Speaker Johnson Outlines Plan To Secure Benefits, ‘Root Out’ Fraud And Waste

Congress

Mike Johnson

U.S.

U.S. House of Representatives

President Trump is keeping his promises, moving fast and making changes in historic and amazing ways.
On Tuesday, the President of the United States, via his Office of Management and Budget (OMB), put forward a proposal that would temporarily pause $3 trillion in spending from the federal government.
The pause is temporary; much of that spending will go forward.
But the idea is to review all non-mandatory federal government spending. There&#8217;s a lot of mandatory spending in the federal budget that includes Medicare, Social Security, and many aspects of Medicaid. That will all continue, as will various payments to law enforcement, bodies, and defense.
What the order is meant to do is allow a pause for the various branches of the federal government, which are under the control of President Trump, to review spending and ensure all expenses are in accordance with the president&#8217;s wishes and with the wishes of Congress.
So, of course, the Left freaked out, claiming that President Trump is doing something deeply unconstitutional and fascistic.
But here’s the point: You do not get to expand and centralize power of the executive branch for over a century and control every aspect of Americans’ lives, as the Left has done, and then, when your political opponent takes over and uses that power in order to cut back the amount of power the executive branch would be exerting in Americans lives, get to claim that he is a dictator.
You don&#8217;t get to do that. You break it; you bought it. You built this thing, so you can&#8217;t be shocked when the person who takes over decides he&#8217;s going to use the instruments that you created to downgrade the amount of impact that those instruments have on Americans’ everyday lives.
<h3><a href="https://www.dailywire.com/episode/bss-ep-2127-member-exclusive" target="_blank" rel="noopener">WATCH: The Ben Shapiro Show</a></h3>
On Tuesday, the executive office of the President, the Office of Management and Budget, put out a memo. It <a href="https://s3.documentcloud.org/documents/25506186/m-25-13-temporary-pause-to-review-agency-grant-loan-and-other-financial-assistance-programs.pdf" target="_blank" rel="noopener">stated</a>: 
<blockquote>The American people elected Donald J. Trump to be President of the United States and gave him a mandate to increase the impact of every federal taxpayer dollar. In Fiscal Year 2024, of the nearly $10 trillion that the Federal Government spent, more than $3 trillion was Federal financial assistance, such as grants and loans. Career and political appointees in the Executive Branch have a duty to align Federal spending and action with the will of the American people as expressed through Presidential priorities. Financial assistance should be dedicated to advancing Administration priorities, focusing taxpayer dollars to advance a stronger and safer America, eliminating the financial burden of inflation for citizens, unleashing American energy and Marxist equity, transgenderism, and green new deal social engineering policies is a waste of taxpayer dollars that does not improve the day-to-day lives of those we serve.</blockquote>
In other words, “We got elected, and now we&#8217;re going to implement the priorities of the American people.”
This memorandum, according to the OMB, requires federal agencies to identify and review all federal financial assistance programs and supporting activities consistent with the president&#8217;s policies and requirements. By the way, this does not include assistance provided directly for individuals. Nothing in the memo itself should be construed to impact Medicare or Social Security benefits.
So, of course, the media, en masse, lied, suggesting that individual benefits from these mandatory social spending programs were going to be impacted by the OMB order.
That&#8217;s false. It&#8217;s a lie. And it&#8217;s being promoted by people who are lying to you. According to the OMB: 
<blockquote>To implement these orders, each agency must complete a comprehensive analysis of all of their Federal financial assistance programs to identify programs, projects, and activities that may be implicated by any of the President&#8217;s executive orders. In the interim, to the extent permissible under applicable law, Federal agencies must temporarily pause all activities related to obligation or disbursement of all Federal financial assistance, and other relevant agency activities that may be implicated by the executive orders, including, but not limited to, financial assistance for foreign aid, nongovernmental organizations, DEI, woke gender ideology, and the green new deal.</blockquote>
One of the great boondoggles in American public life is non-governmental organizations being paid grants by the federal government that are going to Left-wing social organizations on a nonprofit basis.
According to the memo, “No later than February 10, 2025, agencies shall submit to OMB detailed information on any programs, projects or activities subject to this pause. Each agency must pause: (i) issuance of new awards; (ii) disbursement of Federal funds under all open awards; and (iii) other relevant agency actions that may be implicated by the executive orders, to the extent permissible by law, until OMB has reviewed and provided guidance to your agency with respect to the information submitted. OMB may grant exceptions allowing Federal agencies to issue new awards or take other actions on a case-by-case basis.”
It is a lie that this is a blanket nuking of all federal spending.
It is a way of taking a harder look at the federal spending that has grown wildly out of control — spending in which your taxpayer dollars are being used to subsidize groups that, for example, sponsor illegal immigrants or go toward social engineering of the Left, such as transgenderism.
The Department of Government Efficiency (DOGE) and OMB found that $37 billion was about to go out the door to the World Health Organization, which is an organization that President Trump no longer wants the United States to be a part of. So that wouldn&#8217;t be in line with the president&#8217;s agenda. DOGE and OMB also found that $50 million taxpayer dollars would have gone out the door to fund condoms in Gaza, where Hamas makes them into helium balloons carrying inflammatory devices.
What we are also seeing is malicious compliance here from various people inside the so-called “Deep State,” attempts to humiliate the Trump administration. The Medicaid portal story, which was the biggest story yesterday in the mainstream media, was just silly. The portal was up and running again within hours. What likely happened is that somebody in the Medicaid system pretended they were complying with Trump, but shut down the website to attempt to create a humiliating fiasco for President Trump.
A federal judge, according to CNBC, has put a hold on Trump’s administration order. This will likely end up at the Supreme Court level, and that will determine presumably exactly how far empowerments can go.
It’s a fight worth fighting.

TOPSHOT-US-POLITICS-TRUMP

Trump Takes A Wrecking Ball To The Federal Government

Ben Shapiro

Department of Government Efficiency (DOGE)

Donald Trump

Federal Government

Leftists

President Trump

spending

The Department of Government Efficiency (DOGE) has aims worthy of its mastermind, but plans for the government-slashing commission outlined so far have raised doubts about the project’s efficacy.
Elon Musk, the wealthiest man in the world, originally suggested <a href="https://www.dailywire.com/news/heres-how-elon-musks-department-of-government-efficiency-will-work" target="_blank" rel="noopener">DOGE</a> during a wide-ranging conversation with President-elect Donald Trump on an X space. With Trump to take office next month, he has tasked Musk alongside entrepreneur Vivek Ramaswamy with heading DOGE and crafting a report for ways to reduce government size and spending by July 4, 2026.
The DOGE will be set up as an outside adviser group working closely with the White House to identify inefficiency in the federal government and recommend fixes, primarily through cuts, repeals, and reorganization. Musk has set an ambitious goal: cutting federal spending by $2 trillion, roughly a quarter of the federal budget, in addition to major reductions in regulations.
The project has generated excitement among conservatives who have long called for drastic action on the expanding size of government. Some supporters of Musk and Ramaswamy’s goals for the project are nonetheless skeptical that their strategy will create meaningful and lasting savings or efficiency.
“I’ve spent two decades thinking and writing about the administrative state and how I think it presents an enormous constitutional problem,” Hillsdale College politics professor Joseph Postell told The Daily Wire. “The fact that Elon Musk and Vivek Ramaswamy are talking about the things that I&#8217;ve been talking to my students about for 10 or 20 years, I&#8217;m thrilled about this.”
“I&#8217;m coming from a perspective of somebody who&#8217;s highly sympathetic to what they want to do, but who doesn&#8217;t want to see them waste their opportunity,” he added.
Musk and Ramaswamy in an op-ed in <a href="https://federalnewsnetwork.com/commentary/2023/05/opening-up-federal-contracting-jobs-for-more-americans/" target="_blank" rel="noopener">The Wall Street Journal</a> in November outlined DOGE’s approach.
“The two of us will advise DOGE at every step to pursue three major kinds of reform: regulatory rescissions, administrative reductions and cost savings. We will focus particularly on driving change through executive action based on existing legislation rather than by passing new laws,” they wrote.
But for their recommendations to turn into lasting realities, Congress must be involved, according to Postell. And working with Congress, DOGE has the opportunity to rewrite the most expansive laws passed by Congress that have effectively given bureaucrats wide-ranging authority to regulate Americans&#8217; lives.
“I think you need laws passed by Congress that restructure the administrative state and sort of revise the authorities granted to it,” Postell said. “First and foremost, it would be great to have an enormous reform of the Administrative Procedure Act where we very clearly state what agencies can do, what they can&#8217;t do, and how they have to go about doing what it is that they do.”
Postell cited reforming laws such as the Clean Water Act and Clean Air Act, as well. Reforming major legislation would limit its scope while, in effect, repealing massive swaths of regulations crafted under the prior laws.
As the project stands, however, Musk and Ramaswamy seem to prefer executive action rather than working with allies in Congress to battle against an expansive bureaucratic regime. Here’s a breakdown of the DOGE plan to reform the federal government:
<h3>Spending</h3>
Musk has said he can cut the annual federal budget by $2 trillion. Asked about the odds of DOGE being able to accomplish that, Postell placed the likelihood at “less than a percent.”
Part of the problem lies in what DOGE can realistically recommend cuts to. Major entitlements such as Medicaid and Social Security, which Trump has campaigned against cutting, make up 46% of the <a href="https://www.cato.org/blog/where-did-tax-dollars-go-federal-budget-breakdown">budget</a>. National defense, unlikely to be cut under Trump, is another 12%. Interest on the national debt is another 8%.
As the options for cuts begin to narrow down, Musk’s $2 trillion target looks increasingly over-optimistic. Musk and Ramaswamy could recommend <a href="https://www.usaspending.gov/explorer/agency#:~:text=You%20are%20viewing%20FY%202024,below%20to%20start%20your%20exploration.&amp;text=Department%20of%20Health%20and%20Human,0...&amp;text=Unreported%20Data*:%20Unreported%20amounts,how%20you%20use%20the%20data!" target="_blank" rel="noopener">gutting</a> the departments of Agriculture, Education, and Transportation and not account for half of the goal.
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Outside of entitlements and the military, Trump’s administration could still make significant cuts, if not enough to meet Musk’s goal, according to Postell. But of the coalition that put Trump in the White House, only a small portion of that is dedicated to slashing spending, presenting DOGE with a problem of lack of political support for its mission.
“It actually kind of reflects a little bit more of the older Republican party, more of the Reagan side of the Republican party, which was really focused on shrinking government,” Postell said. “Part of what’s made Trump so successful is that he’s moved away from that concept – that kind of conservative, slashing government approach.”
<h3>Regulation</h3>
In its aim to cut regulation and free the American economy from onerous or duplicitous rules, Musk and Ramaswamy cited two Supreme Court rulings they say will provide the basis for their crusade against red tape: West Virginia v. Environmental Protection Agency decided in 2022 and Loper Bright v. Raimondo decided in 2024.
In the EPA case, the court decided the major questions doctrine, ruling that government bureaucrats cannot make regulations over “major” policy areas without explicit approval from Congress. In Raimondo, the court overturned the Chevron doctrine, meaning that courts no longer must defer to bureaucratic interpretations of Congressionally-approved laws and rules.
“Together, these cases suggest that a plethora of current federal regulations exceed the authority Congress has granted under the law,” Musk and Ramaswamy wrote in WSJ.
It’s doubtful whether those cases will work for DOGE the way Musk and Ramaswamy predict. As far as West Virginia may be concerned, it’s unclear how many regulations could be affected. 
“A lot of the existing rules really have already survived that kind of scrutiny,” Postell said. “So, I&#8217;m not sure how this authorizes a retroactive look back.”
Raimondo may actually cause more headaches for DOGE than Chevron would have. Under Chevron, the Trump administration could use the ruling to assert its own narrow interpretation of a law and roll back regulations. Under Raimondo, courts have authority to interpret laws anew.
“Now, there&#8217;s actually not going to be deference given to the Trump administration when, you know, Greenpeace or the NRDC inevitably sues the EPA over that,” Postell said. “In a strange way, the death of Chevron is going to be a problem for the Trump administration&#8217;s regulatory reform effort. It’s not a tool in their toolbox, it’s actually a tool that’s going to be used against them.”
<h3>Bureaucracy</h3>
Within the sprawling federal bureaucracy, there is undoubtedly much fat that can be cut while maintaining the government’s current level of function. Toward that end, Ramaswamy has suggested some policies that will likely provide substantial results, such as requiring all federal employees to work in office five days a week where appropriate. A recent survey <a href="https://federalnewsnetwork.com/commentary/2023/05/opening-up-federal-contracting-jobs-for-more-americans/" target="_blank" rel="noopener">found</a> that just 6% of bureaucrats currently hold that schedule.
That said, reductions in the federal workforce is arguably one of the least impactful of DOGE’s aims. Without the cuts to regulations and federal spending, reductions in the federal workforce would result in very little worthwhile change.
“A lot of people don&#8217;t really want governmental efficiency,” Postell said. “You know, tyranny is not easier to swallow simply because it’s efficient.”
While the extent of DOGE’s recommendations for cuts to the federal bureaucracy have yet to be seen, deep cuts could result in a different set of problems if government work is shifted from bureaucrats to private contractors.
Private contractors already make up the majority of the federal government’s workforce. According to one <a href="https://federalnewsnetwork.com/commentary/2023/05/opening-up-federal-contracting-jobs-for-more-americans/" target="_blank" rel="noopener">estimate</a>, the number of federal contractors nearly doubles the number of federal employees: 3.7 million contractors to 2 million employees. While a smaller federal footprint would generally be positive, if that reduction resulted in more duties turned over to private contractors, the benefits are more questionable, according to Postell.
“If it starts to move towards a more privatized government, you could have serious concerns that you&#8217;ve actually made a problem worse because that&#8217;s a less accountable government, maybe, even than one where you know which department and which employees are behind whatever is happening,” Postell said.

TOPSHOT-US-GOVERNMENT-POLITICS-MUSK

Breaking Down DOGE: What To Expect From Musk’s Grand Government Overhaul Project

Hillsdale College

National Debt

Vivek Ramaswamy

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