584 Vetoes

Howdy folks. In this episode I’m joined by J ared Rhoads , executive director of the Center for Modern Health . We talk about the nature of health insurance, what happens to premiums when states and the federal government mandate all sorts of coverage, and how to help the medically needy without wrecking the whole healthcare system. I’ve always wanted to see estimates of how much health insurance...

“Whenever you have a single entity, one thing you get is that it’s very clear and it’s very simple. It’s easy to explain. That’s, I think, pretty much the only benefit.” — Eric Hargan Howdy folks. Eric Hargan, former acting HHS secretary and founder of the Hargan Group, joins Brian Miller and me to talk about who should decide what Medicare pays for health care, the government or private insurance...

Representative Lloyd Smucker, vice chair of the House Budget Committee and Republican from Pennsylvania, joins Brian Miller on the podcast today to talk debt, deficits, and a fiscal commission. The federal government now pays more than $1 trillion a year just in interest payments. That can’t last. Brian and Rep. Smucker discuss the various ways to get the nation’s fiscal house back in order. They...

“Comprehensive site neutral payment policy is the simple principle that whether the service is being rendered in an independent doctor’s office, or a hospital-owned doctor’s office, or in the outpatient department of a hospital campus, that service should be one price.” —Charlie Katebi Howdy folks. Charlie Katebi of the America First Policy Institute joins me today to talk about site neutral polic...

Howdy folks. Fee-for-service Medicare is roughly half a trillion dollars a year. Ever wondered where Medicare claims actually go? Ask a doctor or a policy person who pays Medicare claims and you’ll get some version of a giant mailroom at CMS headquarters. That’s not how it works. The claims are processed by a small handful of private companies called Medicare Administrative Contractors that have r...

Howdy folks. This is a good one. Think you have the solution for Medicare’s budget problems? Not so fast! There’s a gauntlet standing in your way ready to say no. My colleague Brian Miller walks us through every committee, every lettered agency, and every interest group that will weigh in on your idea before it can go into effect. What’s in the episode [2:05] Why talk Medicare: A trillion dollars...

“ The hospital industry didn’t like competition. Physicians were being competitive. So it got banned.” Howdy folks. Today I’m joined by Brian Miller , our new visiting fellow at the Hoover Institution, to talk about the Affordable Care Act’s effective ban on new physician-owned hospitals. Brian is an associate professor of medicine at Johns Hopkins, a MedPAC commissioner, and the vice chair of the...

Howdy folks. Congress is barreling toward a “one-big-beautiful” reconciliation bill, so Danny and I go through the good, the bad, and the missing from the House and Senate versions. President Trump swears no one is leaving D.C. until the bill is done by July 4. We just want to know how to plan our tax bills for the year. The House voted to keep nearly all of the 2017 Tax Cuts and Jobs Act in place...

Howdy folks. Yesterday President Trump announced “reciprocal” tariffs on almost every country in the world . Make no mistake, these tariffs are large . We’re using quotation marks around “reciprocal” because the tariff rates announced did not match up at all with any country’s actual tariffs imposed on American goods. Instead, the tariff calculations were based on trade imbalances rather than actu...

Howdy folks! With the second (non-consecutive) Trump administration taking office in a few days and Congress providing rumblings of one big reconciliation bill to rule them all, Danny and I sat down to talk about the health policies we’d like to see adopted. Ten health policies to adopt in 2025: 1) Allow the Temporary Expanded Premium Tax Credits to Expire at the End of 2025. 2) Make High-Deductib...

Howdy folks. Today we’re talking with Lawson Mansell of the Niskanen Center about why we don’t have more physicians in America and answering listener feedback about subsidizing drug innovation. Lawson is the author of Healthcare Abundance: An Agenda to Strengthen Healthcare Supply , a recent report detailing worthy changes to the often-neglected supply side of America’s healthcare system. Lawson w...

Howdy folks. Today we’re trying to figure out if Elon can identify $2 trillion to cut from the federal budget plus answering listener feedback about cutting foreign aid and fixing government bureaucracies. What’s in the Episode [0:52] - The goals of Elon Musk’s Department of Government Efficiency. Can it cut $2 trillion in the federal budget? Danny breaks down the $7.0 trillion FY2025 federal budg...

Howdy folks. In this episode Danny and I preview all of the big provisions of the Tax Cuts and Jobs Act (TCJA) that will either be extended or allowed to expire at the end of 2025. If you’d like a written summary plus all of our sources, I pulled them together here . Disagree with us? Send us your thoughts in the comments or by email at: feedback@584vetoes.com What’s in the Episode: [1:06] - The P...

Howdy folks, today Danny and I attempt to call out one positive aspect from each presidential candidate’s campaign promises. It was more difficult than we thought. What’s in the Episode: [0:02] Opening chit-chat Danny’s Dodgers make a run in the World Series Tom recounts his first experience working on a Lemons car [1:45] Are there any good policies in either of VP Harris or former president Trump...

Howdy folks - Welcome to the first episode of 584 Vetoes, a new podcast I’m doing with Danny Heil . This week we’re discussing why price controls and “using the government’s size to drive down prices” aren’t the simple solutions in health care that they appear to be. It’s our first episode, so we’d appreciate your feedback or questions for future shows. Email us at: feedback@584vetoes.com Why “584...