Chapo Trap House - 921 - Health Scare feat. Tim Faust (3/31/25)

Episode Date: March 31, 2025

Tim “T-Bone” Faust makes a long overdue return to the program to brief us on the series of guerilla town halls on Medicaid he’s been doing in Wisconsin. But first, we start with a brief roundup ...on one of the most important health issues facing the nation today: Soda, and the role it plays in keeping Americans healthy. Tim then takes us through the current administration’s assault on Medicaid & Medicare, how the failure to push for healthcare reform in the face of COVID paved the way for hucksters like RFK Jr, and how health justice remains a bedrock principle for a left political program going forward. Tim is happy to book a town hall in YOUR neck of the woods if you reach out to him: https://x.com/crulge And here’s a quick flier he put together for Hands Off Medicaid if you want more info: https://www.dropbox.com/scl/fi/jusscubmipf5fsd5hob24/national-flyer.pdf?rlkey=b1327wky6zte79m00g8peo8iq&e=2&st=d3dngrl3&dl=0 On Will’s rec, go see “The Encampments” if you have the chance: https://www.watermelonpictures.com/films/the-encampments

Transcript
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Starting point is 00:00:00 All I wanna be is a choco All I wanna be is a choco By the way, Felix, speaking of people who have been vindicated, I've really been enjoying the Cartman post that you've been retweeting? Holy shit. People are every time I think that we've like reached our like lowest level of republic fat intelligence, we go lower. They're like viral posts of people being like Cartman was right. I just want to make clear to our audience here, though Cartman may hold up a twisted mirror to the values of society, he's not your role model, okay? He's not the hero of the show. Well, I mean, like, are we going to condemn Johnny Cash for killing a man in Reno? I mean, come on now.
Starting point is 00:01:16 He's also not a villain. You know what I mean? I think I think there's a little bit of Cartman in all of us. And, you know, sometimes he speaks truths that are uncomfortable. And I think we just need them to hold space for Cartman and for everyone in South Park. Most people see this because it was on a podcast in Spain. But Anna Darmus talked about how when she first came to Hollywood, when she was like 19, Eric Cartman helped her out a
Starting point is 00:01:39 lot. And she expected him to like take advantage of her because that's what she was used to and like older more established actors And he was like come on, honey. I'm like twice her age Like and he would never talk about it. He goes to hospitals. He doesn't let people take pictures unless it's the families That's just the kind of guy he is No, he's been getting a lot of he's been even gonna be being unfairly demonized for quite some time here But you know, like I said, please consider please consider Cartman. You know, he may not be a hero, but he's not a villain either Okay, let's not demonize him. Remember
Starting point is 00:02:13 The airport protests during the the Trump Muslim ban during Trump. Yeah, you know who texted me to come to LaGuardia that night Mr. Eric Cartman. I mean, I know it wasn't I know it wasn't Kyle. Yeah, no. Yeah. Kyle has really been making a disgrace out of himself if you've been seeing his Instagram stories. OK, we should probably start the show. It's Monday, March 31st, and we've got some chopper coming at you. Joining us for today's program is our old pal Tim Faust,
Starting point is 00:02:44 who's here to talk to us about Medicaid and sort of the horizons of American health care. Tim, welcome back to the show. Hi, everybody. It's been like six or seven years and I'm glad to be back on the trip. Yeah, back back in the shop. I want to get into some of the sort of the the whistle stop tour of Wisconsin you're doing right now. But I wanted to start the show with some like health related news. And that is soda, soda news. I have two stories here about soda and how it's leading to sort of perhaps a rift in the second Trump administration. Real quick, the first one is from the New York Times headline. States can bar food benefit recipients from buying soda, Kennedy says.
Starting point is 00:03:28 Health Secretary Robert F. Kennedy Jr. announced on Friday that the Trump administration would begin allowing states to bar recipients of federal food assistance from using money to pay for soda, a core component of his Make America Healthy Again agenda. Whether Mr. Kennedy has the legal authority to enact such a change, however, is unclear. Mr. Kennedy does not have authority over SNAP, commonly known as food stamps, which falls under the Agriculture Department. Governors would have to ask for a waiver from the requirements of the program, which are set forth under federal law.
Starting point is 00:03:57 I mean, you know, any long time or even casual listeners of this show will know where we stand on this issue. We are a pro soda podcast and I think... A fucking heroin addict who eats bugs is going to tell you that soda is too bad for you? Why don't you fuck off, pal? Well, here's the interesting thing though, because the next article is from the Daily Beast. Maga influencers caught red-handed shilling for big soda. Well, I mean, I think
Starting point is 00:04:24 that they were probably just sharing relevant public health information. I don't know if that's shilling or not, to say soda is good and delicious to drink. Yeah, I mean, like, are you shilling for toothbrushes if you say that you should do that twice a day? Even though they take more lives than they save? A string of Magga influencers appear to have been caught taking money from Big Soda to undermine the government's attempts to ban people from buying soda with food stamps. Last week, a host of influential pro-Trump personalities such as Ian Miles Chung, comedian
Starting point is 00:04:55 Chad Brantler, and MAGA meme account Clown World raised eyebrows on X when they all appeared to abruptly change their views on Robert F. Kennedy Jr.'s push to pass legislation which would ban food stamp recipients from spending their money on soft drinks and junk food. A new war on soda has begun, targeting purchases made through SNAP. I don't believe it's the government's role to decide what people should or shouldn't eat, Miles Chong wrote on March 20th. Promoting better health for Americans is a reasonable idea, but not when it involves curbing diet coke purchases.
Starting point is 00:05:25 This is a real rogues gallery. So Clown World, for people who've been following Brace's incredible run on Twitter, they will know that Clown World is a man in his mid-40s who just announced to his adoring audience of people who love watching videos of like a gay nine-year-old being hit by a car and then commenting like, this is the Darwin Awards under it. He's a mid-40s man who's like, I'm enough with the hangovers, I'm quitting drinking.
Starting point is 00:05:58 So you can imagine a very depressing conversation between this sort of mid-40s wasteoid who, by the way, I agree with everything he posts. I think that's all clown world stuff, whatever. There's like a single mom fail where she like dies in a house fire and it's her fault. I'm posting a clown emoji. But he was probably doing this to distract from his horrible alcoholic deeds, so I unfollowed him. But you can imagine the horrifying conversation, the horrifyingly depressing conversation between this middle-aged wasteoid and his slightly older version of himself, loser sponsor, where he's like, everything's been turning up great ever since I put down the bottle. I got a sponsorship from you know Mondes International or PepsiCo. Thirty dollars
Starting point is 00:06:50 for every ten billion impressions on my soda tweet. And then Ing-Miles Chong who like I mean what sodas are even available to him? They've got a lot of coolies over here. I mean, yeah, I would imagine there's like a durian fruit soda that you can throw to attackers because of the infamous spell of the durian. It will kick poison damage on them. Perhaps Ian drinks an exotic soda made from the scales of a Komodo dragon or a monitor lizard. I don't know But I don't say he's not drinking normal Baja blast This is one of the few areas where I am in complete agreement with the far right on this one I think the last ember of the American century that we're living in is that they're doing really amazing things with diet soda these days
Starting point is 00:07:43 Right. I wake up. I have to fucking look at Elon Musk. I live in Wisconsin. He put $20 million into one of our state elections. I can't escape having to think about the dumbest shit happening at all times. The worst people having a great time. But I can get a Shirley Temple Diet 7 Up whenever I want. That one is so fucking good, Tim. I've been ordering that online and like, here's a little treat for you. If you're you're working out that day and you need a little like a,
Starting point is 00:08:11 some sugar for your recovery, which I think is good. Buy grenadine and pump like a pump or two, pump and a half into it when you're, when you know, days you do cardio or whatever. Are you a fan of the monster Rehab Lemonade, Tim? I certainly am, yes. My wife got me on it. That is, oh my God.
Starting point is 00:08:29 It tastes better than real, it's healthy. It says rehab on it. It's what's healthier than rehabilitation. It's basically medicine. It's plant medicine. Yeah. If you're trying to put all the poor people in the mines, you know, because with the tariffs now,
Starting point is 00:08:43 we're going to be rebuilding American industry. You want all these six-year-olds who will adopt to earn their own lunch at the missile factory. Why wouldn't you want them drinking Monster rehab? I would like to go into whatever hospital they give birth to orphans in, where they give birth and neither parent is there. They're just materialized. I would like to go in there and just put a little can of monster rehab in a baby's hand so they grow up to be strong and work up. Put a little droplet of monster rehab on their tongue as they're sleeping in the NICU and that gets them out faster. That's just good health policy. That's how you save money by
Starting point is 00:09:22 making the baby stronger through the power of plant medicine. Well, I mean, Robert F. Kennedy is, you know, trying to make our cures illegal. I mean, he says he wants to make America healthy again, but he is preventing people from accessing one of the most powerful natural medicines that exist, which is a delicious carbonated beverage. I mean, just instantly improves your day.
Starting point is 00:09:46 Sometimes just one sip of a soda is all it takes to just lighten my mood. And so it's not an accident that they're taking this away from people. Isn't it a coincidence for Mr. Robert Kennedy, the only doctors that don't lie are dentists, for some reason? Yeah.
Starting point is 00:10:03 The worst doctors? It says, the Clown World account, which posts right-wing memes and talking points to over 3 million followers, soon posted its own pro-soda message with nearly identical talking points. The government wants to block soda purchases for Americans on Snap, they wrote. Remember when NYC tried this and it completely backfired? Conservative commentator Eric Dautry also posted a message which cop-copied clown world's rhetoric almost word for word. Furthermore, nearly every account involved in the tweeting spree invoked Donald Trump and his infamous diet coke button as
Starting point is 00:10:33 a manipulation tactic, posting pictures of said button at the Oval Office and images of the President drinking coke on a golf course. It says, things came to a head on March 22nd when conservative journalist Nick Sorter posted an expose of the offending post side by side on X alongside claims that they had been paid to adopt a pro-soda stance by social media PR company named Influensible. That's a great name for it. I mean, I like that they all, I saw these posts popping up and I did have the instinct that they were being paid off because the soda and junk food industry in general loves that and it's a real sign of the times because the last big scandal about this, it was a body positivity influencer.
Starting point is 00:11:16 One of those people, there's a real infographic stratification problem where the top 1% of Instagram influencers are producing 99% of infographics that get problem where the top 1% of Instagram influencers are producing 99% of infographics that get shared by Julia Fox on her stories. One of those ladies, she was getting paid by Mondes, which is one of the big junk food conglomerates, to say that concepts like food deserts and junk food were classist and racist in origin. But now it's actually like, it's the opposite. It's based to be into soda and junk food.
Starting point is 00:11:50 So you got all your bases covered. I like that they all, like, you can tell that, like the email said, you know, bring up the New York soda thing that Bloomberg did talking about how Donald Trump loves soda. And they just took that as, they didn't try any of their own original thoughts. Like influencers are usually fucking stupid, but these guys, all of these guys are just
Starting point is 00:12:13 known for posting videos of like police shootings and being like, I like this. So they like, they don't like creative input at any point, you know? Just one last thing I want to read here. It says here, following the expose, a number of the accounts deleted their posts and issued statements after getting caught red-handed. Daughtry deleted his post and said, that was dumb of me. Massive egg on my face. In all seriousness, it won't happen again.
Starting point is 00:12:36 Clown World, meanwhile, was more bullish saying, I made a post and deleted it within the first hour. I withdrew from the campaign entirely and removed my post. I haven't received a single painting from Big Soda or anyone else for this. So then why is he deleting it? I thought you'd have the courage to like stand on business and supporting Soda when it's under attack. But no, these cowards are fleeing with the slightest amount of scrutiny or pressure. They're abandoning their sugar based principles. I will step in where he's fallen. I mean, I'll say it right now on the podcast.
Starting point is 00:13:07 I talked to hundreds of Wisconsinites a week. I'm traveling around the US. I'm happy to convert the entire speech into pro-soda propaganda. I have no problem. I will hit the road on the Diet Coke Presents, the Festival of Aspartame Delight road show right now. I'll get in my fucking car.
Starting point is 00:13:24 And all I ask for is one of those diet coke buckets. That's all I need. I just, I love, I love how he's like, I don't know why you're yelling at me. I deleted it in shame and pretended it never happened after only an hour of being yelled at. How long, I mean, can you, I know like sports betting and online gambling in general is so pervasive.
Starting point is 00:13:46 Can I bet on when this guy relapses if it hasn't happened already? If that's all it takes? I hope you're enjoying another cool carbonated beverage in no time. And the clown memes will keep coming. In a carbonated dream where fun never ends. All the bubbles in the world. keep coming. Tim, I want to get to your bailiwick, which is a health care policy. But like I brought up R.F.K.
Starting point is 00:14:25 Jr. and you know, he wants he wants to make America healthy again by getting rid of soda. And I'm just wondering, like, do you see like surely it cannot be an accident that we're seeing, like a huge resurgence of like medical quackery at a time when like health care or just any or even the Democratic canard access to health care is getting more and more impossible like like is the way what do you make of the make America healthy again plan look public health face planted I think and not unintentionally in the years since us since the lockdown right there was offered no vision of what public health could be or
Starting point is 00:15:01 should be it was reduced to absurd squabbles over whether you should individually mask at whatever event or whatever, which, you know, masking is important, but there's a broader public health structure which needs to exist. And the Democrats, when they were in power, totally abandoned it, right? We never got like air ventilation requirements.
Starting point is 00:15:19 We never got OSHA mandates. The Democrats totally walked out on any idea of there being any concept of public health. And so of course, a bunch of fucking dumbasses are going to fill the void with magnets and bullshit. Like they've always been there. And naturally, as people get suspicious of the world around them, when there was nobody providing a vision, a message of structure in which health can exist, of course, they're going to turn to the dumbest shit on earth. That's always what happens. So no, I'm not surprised. And this is, you know, I don't want to blame everything on the Democrats,
Starting point is 00:15:47 but this is one I think it's pretty much an own goal. Yeah, it's, we've talked a lot about how like the generalized make America healthy again and the whole like Kennedy raw milk, seed oil, whatever the fuck thing has been popping up since about 2021. Uh, how, how it's an unfortunate, uh, it's unfortunate that it is such, um, a consumer signifier movement and just pure quackery because you know, American food is a huge fucking problem, but they found a way to talk about that issue
Starting point is 00:16:20 without, uh, you know, any talk of nationalization or upping standards of production or quality or anything. But yeah, no, even further, it is a response to the absence of health care as an issue in American politics. When COVID was first starting, I remember saying that this has the danger of being like what Sandy Hook was for the gun control people, right? Where perhaps at the start they think silver lining, maybe this will make people talk about this incredibly important issue. But in reality, the fact that it happened and did not spur on any type of permanent change of any type means that, well, you know, what fucking will and we're living in the consequence of it. We had the chance, like every, all the pieces were there and the Biden administration actively
Starting point is 00:17:15 walked away from it to get back to business as usual. This is the, and this is the consequence of that, right? Like people, I think very reasonably are suspicious about you know big pharma, big healthcare companies, insurance and that's all correct and in the total void of alternative offered these guys pop up. There was a bill in Wisconsin the other day anti-trans legislation and one of the argue one of the legislators speaking in favor of it talked about how big pharma makes billions of dollars off of hormones, which obviously is fake. But it feeds into that whole like big pharma
Starting point is 00:17:49 conspiracy that we've been given no alternative to. And so of course, it's been unfolded and spindled mutilated into some really horrible anti human policies. And we they seeded the ball. Yeah. And like, I think like, Tim, you make a good point, like, in the absence of any kind of infrastructure or even just public consciousness about Public health and that like, you know a measure of a society is like one of the things that I would you know gauge
Starting point is 00:18:16 Civilization on is like how easy is it for you to obtain medical care if you're in dire need of it or just see a doctor? Like, you know, is it to bankrupt you to get cancer? Is it going to cost you 40 grand to have a kid in a hospital? So like in the absence of that where like people are victimized by the insurance industry, pharmaceutical companies, even you know like the medical establishment, I think like the Make America Healthy Again agenda is about like placing the onus on the individual and just being about like it's about individual health and it's about individual consumer choices that you can like stave off the horrible spectrum of cancer, which is something that affects all human beings. And there's really
Starting point is 00:18:53 not much you can do to prevent it. But like putting all placing all the onus on individual responsibility and behavior about like, well, just cut these cooking oils out of your diet, only eat beef tallow, you know, like just like all these like increasingly boutique diet regimens that are popping up in lieu of like a public health care program in this country. Absolutely It's it's you know alienation as a term gets thrown around a lot. But here it is again, this is atomized This is alienated health policy by aggregate individualism and that's not how you do We've got me measles is back. Children are dying of measles again and it's like I think it was Roald Dahl when his daughter died of measles wrote this very beautiful letter about how now we have this vaccine so it won't happen
Starting point is 00:19:37 to children like mine in the future. Sorry dog, like it's happening again where we made it 30 years. And then not only that but but R.F.K. Junior's response to this is like, well, measles outbreaks happen every year. No, they don't. It's like quite concerning when they when it does happen. And then, oh, man, did you see that like that one couple whose kids died, whose kid died of measles? And they were like, well, the other four were OK.
Starting point is 00:19:59 It's not that big a deal. Yeah. I just like I don't even know what to I just we're we're we are now retreating, not just from like a notion of like a public good or that like one of the things your taxes should pay for is so that everyone can see a doctor and not go bankrupted by a medical emergency. We've gotten forget that idea. We are fleeing now entirely from like the germ theory of disease. from like the germ theory of disease. Isn't like the big thing that these people say that like, they're the only people that actually care about their families. That's like their main thing. That's the reason why we're doing any of this.
Starting point is 00:20:33 That's the reason why planes are falling out of the sky. That's the reason everything is so fucked up and why you're, you know, we're coming to your school board meeting and screaming about how one of the kids in this book looks gay. It's because we care about our families and you don't. But also, like if our kid dies from English sweating sickness or a form of Manto virus that has not existed since the time of Richard the lion hearted. Well, shit happens. Well, yeah. I mean, I think like it's catering to this idea that like only you can protect yourself and like if you find like if calamity finds you and you're unprotected, it's your own fault. What do you want anyone else to do about it?
Starting point is 00:21:17 It's the great smoky the verification of American health care. Only you can prevent disaster. Well, only you can prevent cancer. And like when I think about like cancer, because it's just like, it's one of the most common things people die of. And like other than lung cancer. And I remember being like when I was growing up, like there was like the height of public awareness about smoking and big tobacco. And lung cancers are the only cancer that you can blame on the person who gets it. And I think it's just like it gives people a monocle of control because they're like,
Starting point is 00:21:47 well, smokers gave themselves cancer, so it's their fault. Whereas basically every other form of cancer just happens. And it's like largely due to circumstances, whether it's in your DNA or you're exposed to some environmental hazard. And I think it like really scrambles because it's so frightening to think about. But like it's the complete lack of control you have over it. It's so disturbing to people. And I think we're all in the middle of an experiment to just kind of try to habituate people to this idea that like, yeah, people die. It's fine. There's nothing we can do about it.
Starting point is 00:22:17 That's why I like Medicaid so much, which I know we're going to talk about, right? In disability activism, there's the phrase temporarily temporarily-bodied, which I like a lot. Because we are just all temporarily healthy. We're all just temporarily able-bodied. I get in a car accident on the way to the bar in a couple hours, all of a sudden, bam, my life changes. Or if you have a weird cough, or if you get hit by some sort of strange microwave wave or whatever, we're all this close.
Starting point is 00:22:41 We're all so much closer than we expect from being in some sort of like medical calamity, financial precariousness, homelessness, and like part of staying sane is blocking out that possibility at all times. But it's programs like Medicaid that serve as the bulwark against that, right? Medicaid is the only thing that might keep any of us from having our lives completely dismantled if we get into a car accident on the highway. And they're coming to hack away at it. And it's, it's, it's, we can, we can talk about why, but that's why I really like
Starting point is 00:23:11 programs like Medicaid because they are the one thing keeping us all like close, but not exactly on the brink. I mean, to get into that, like Tim, you've been, you've been traveling around, your, your, your home state of Wisconsin and you've been like doing town halls. I mean, like, honestly, like you're, you're, you're filling the void that and your home state of Wisconsin. And you've been doing town halls. I mean, honestly, you're filling the void that politicians should. But you're talking to people about health care policy,
Starting point is 00:23:32 and you're talking to them about Medicaid. And you reported to me that people are angry, confused, and they don't know what to do. So what is going on right now with Medicaid, the new CR, the new budget? Because you talk about how that bill will cut Medicaid and what the effects of a Medicaid cut is likely to be on this country. Sure.
Starting point is 00:23:52 Let me get you from the top. So first off, the House passed a budget resolution which called for up to $2 trillion in government spending cuts to supplement a $4.5 trillion tax break, which of course, all of which goes to the 1%. And to do that, they got a hack away at a bunch of government programs, the largest of which they asked the Energy and Commerce Committee, which oversees Medicaid, to cut its spending by $880 billion over the next 10 years. And they didn't literally write write down and say cut Medicaid. However,
Starting point is 00:24:26 it's literally impossible to hit that $880 billion target without taking a massive chunk of it out of Medicaid. The Congressional Budget Office, which is all the nerds in DC who do accounting, concluded that if you cut literally every other program other than CHIP and Medicaid, to get to that goal, you'd need to have $600 billion still come out of Medicaid. So these cuts, I mean, it comes out to 10% of Medicaid's 10-year budget. Medicaid right now spends about $900 billion a year. It's the second biggest government health care program. Medicare is a little bit bigger. And the Senate is passing its own budget resolution maybe this week.
Starting point is 00:25:05 And, you know, there's a lot of deliberation of what kind of cuts they're going to go for. Some theories are that they're going to go for a much, much smaller number of cuts just to get something out there and then like hash it out in the process. The thing is, like, part of the reason all the reps are getting screamed at in their poorly conceived town halls is because people are aware that, to some extent, that Medicaid threats, Medicaid cuts, farm cuts, like social security cuts, are directly threatening their lives and threatening their ability to live. And nobody wants to go on the record of saying,
Starting point is 00:25:37 I'm voting to cut Medicaid. So they're using this like totally snake language of, oh no, the budget doesn't say to cut Medicaid as a way to get out of having to cop up or admit to the things that they're going to be voting for. So we'll see what this what the Senate passes in the next couple of days. The parliamentarian might rear her head once again. She's in the mix about how they like whether current spending counts as spending, whatever.
Starting point is 00:26:02 We'll see if you know, she gets the deference that she's deserved as the most powerful person in Washington. But that's the stage that's set. They want to cut Medicaid by up to $880 billion over 10 years, $88 billion a year, or just like a 10% cut. And that fucks up a lot of shit. So Medicare, by contrast, Medicare is a health insurance program for seniors, people above age 65. And it's run entirely out of Washington, D.C. It's a completely federal program, federally administered. Sorry, and Medicaid is jointly administered by states and the federal government, right?
Starting point is 00:26:37 Absolutely, yep. So Medicaid is a hybrid program where the federal government puts in some money, in Wisconsin it's 60%, and the state government puts in the remaining amount 40 percent and that ratio is different from state to state I think overall it's like 68 to 70 percent is of Medicaid spending is federal money and the rest comes from the states and then the states administered that program originally you know Medicaid was kind of slipped under the radar in the 60s Medicare got all the got all the attention got all the hot air.
Starting point is 00:27:05 Medicaid kind of snuck in there as an extension of the Aid for Families with Dependent Children program, which is why it kind of has the structure and regulations and criteria of other benefit programs. So states run their own Medicaid programs. Medicaid programs can look fairly different from place to place. It's like a big umbrella program with a lot of separate programs inside of it. Often they have different
Starting point is 00:27:28 names from place to place. California, where I was on Medicaid, it's called Medi-Cal. In New York, I think it's Empire State of Health, which is... Yeah. And... It's like the end of the song. Yeah. In Wisconsin, it's called Badger Care, is Arabic Medicaid. That's cute. So people don't always know that they're on Medicaid even when Medicaid is like one in five
Starting point is 00:27:48 People use Medicaid. It covers one-fifth of the population half of the births in America are covered I had 41% of the births in America are covered by Medicaid. It is a Insanely wide everybody is one degree away from somebody who uses Medicaid, unless you're like a pervert. And it but people don't always understand the breadth by which these things kind of bind us together. Well, I want to get to drill down into what you said about how Medicaid is provisioned out like a benefits program kind of similar to snap or food stamps in that there's like a lot of
Starting point is 00:28:24 criteria that you have to meet to qualify for it. And it basically is like, how are you poor enough to qualify for some basic level of public health care? So like, Tim, in 2025 in America, like for like an individual, how low does your income have to be to qualify for Medicaid? It depends on your family size and whether you have kids or whether you're disabled. I think 138% of the federal poverty line is, sorry, please hold.
Starting point is 00:28:53 If you're a single person, you need to make less than $21,600 to qualify for Medicaid in most states that expanded Medicaid under the ACA. If you're a family of two with no kids, it goes up to $29,000. So Medicaid is one of those things that I have a very deep and very sincere love-hate relationship with. Medicaid contains some of the worst parts of liberalism, right? It's got this fixation with means testing. It's really rooted in this idea, there are some deserving poor and there's some undeserving poor. So we got to shunt all these disabled and sick and poor people into this labyrinth of paperwork
Starting point is 00:29:32 just so they can live like a normal dignified life, which ultimately is a way to kind of wash your hands of their destruction over time. But at the same time, it is like the, in my opinion, load-bearing pillar of the entire American social infrastructure, right? Even through all the bullshit, Medicaid is predicated on a belief that people deserve the freedom to live safely in their own bodies and it's the mode by which we help people around us lead lives with dignity and autonomy and that this allocation of people and resources I think is
Starting point is 00:30:04 fundamentally like what makes society worth living. So you know, Medicaid is that and Medicaid is also a ton of fucking Byzantine paperwork you got to fill out and sometimes update every month. It's it's it's got so much good and so much bullshit in at the same time. Well, it's basically like it's like it's an additional job to just maintain your Medicaid coverage. Like, yes, although the hoops they make you run through. And I guess the perversity of it to me is to say that, well, obviously, we as a society, we're not heartless.
Starting point is 00:30:32 If you're destitute, you should be able to see a doctor. But if you make $22,000 a year in income, yeah, you're on your own. Right. Or let's say you make 30 grand a year. Yeah, it's time to pay for health care out of pocket. We're not subsidizing you loser But like this creates this I mean like like all sort of social welfare programs in this country It creates this sense of competition and resentment among people who are like still poor but not technically poor enough
Starting point is 00:30:59 Do you meet the absolutely like? bare bottom of like what being destitute and well and it's like it's like shameful if if you're at that level because then your other other someone else is quote unquote paying for your health care and then on the opposite end you have Medicare which is like the good government like public health care program that everyone loves but for some reason you have to be old to get it yes like yeah and but like at the same time like no one no one gets mad at people, senior citizens for using Medicare, right? Because they're like, Oh, because they will they paid into it. Well, I mean, also, wouldn't like a better system be like, we all just pay taxes and we have one health care plan that we can all use.
Starting point is 00:31:37 Yeah, I mean, I'm extremely on record as saying that like a common sense and also much more equitable health care models Medicare for all. We all pay into it as we are doing now and that money is allocated to take care of all of our healthcare needs for all people. It's simpler, it's more efficient. I mean, ultimately, you know, it can be used to save money if you care about that. I think spending money in healthcare is totally fine. But that's like a simple model that is found across the world. It's our very dumb and patchwork system or non-system of healthcare that's been built over the past 70 years.
Starting point is 00:32:13 We have this insistence that only the private sector can administer these healthcare programs to people. And I mean, people like Medicare because often, you know, the Facebook comment section constituency are the ones benefiting from Medicare in the first place. And so, you know, it's hard to criticize the thing that keeps you alive, you know, when you've got emphysema or when you're sick. But something you were saying does speak to me.
Starting point is 00:32:41 You know, a lot of people are afraid, everybody knows somewhere deep inside of them that they're so close to the chopping block. And, you know, the pendulum could swing for any of us at any given moment, we try really hard not to think about it, but you know, that knowledge is there. And so that fear gets kind of twisted around and pushed outward. When you see somebody, quote unquote, enjoying a benefit that you don't have yourself or whatever, right? It's the opposite of fuck you got mine. It's a benefit that you don't have yourself or whatever right um it's the opposite of fuck you got mine it's fuck you i don't have mine and i think that's like the source of a lot of this political tension and political discord which gets reflected onto like a tendency to oppose benefit programs or to oppose medicaid but medicaid you know is an insanely popular program. I think it's 70 percent of Americans like favor have a favorable opinion of Medicaid, including two thirds of conservatives.
Starting point is 00:33:38 Like it is a program that people like when Medicaid when Medicaid's on the ballot box. It pulls Democrats considerably when you look at like. Well, I mean, like and to that point, like that's what they're trying so hard to pretend like they're not going to be cutting Medicaid, right? Even though it is a program for, you know, supposedly poor people or, you know, the takers in society is Mitt Romney. Yes. Like to qualify them as. But yeah, like, even when like, I remember, like the Medicaid expansion, like, even like when red states like turned down federal funding for federal money for Medicaid. But at the same time, whether it's Medicaid or even the Department of Education, is a huge source of not just employment, but money for these states that otherwise, so it's this weird thing where they know
Starting point is 00:34:16 that it's something you can run against and government waste and spending and social welfare programs. But what would it look like if Medicaid was cut by $800 billion or whatever they're talking about? Well, we're kind of entering the biolimous universe where nothing is forbidden anymore. So it's hard to like imagine exactly like
Starting point is 00:34:36 what this looks like, but I'll tell you this much, half of rural hospitals in America are more or less underwater and Medicaid is the only thing propping them up. Yeah. And so when you cut like in states that didn't expand Medicaid, hospitals close at four times the rate as they do in states that did expand Medicaid. Medicaid is like the like little like a shiv that's keeping the entire
Starting point is 00:34:58 rural hospital system together. Well, because without it, no one would be paying these hospitals. They just wouldn't have patients. These are low volume areas. Collect from, yeah. Exactly. They're low volume areas where there's not enough people getting care to justify keeping a hospital open on its own terms if that hospital intends
Starting point is 00:35:14 to make a profit, which is, of course, the point of providing medicine in America. Same with clinics in low income neighborhoods where everybody doesn't have insurance, or is on Medicaid, doesn't pay enough. You see clinic closures. I live in Milwaukee, North side of Milwaukee, some of the worst health care outcomes of it anywhere in the US and health care clinics, children's clinics pull out of there. It's not profitable to keep a clinic open that
Starting point is 00:35:36 takes care of poor people or people in rural areas. And Medicaid's the one thing like holding this little thing together. But yeah, like you said before, like you said, like this $880 billion, it isn't like thrown into the lake or set on fire. This is salaries, this is county health programs. This is a major economic driver. Like in Wisconsin, we spend $11 billion on Medicaid, 6.6 billion of which comes from the federal government and 3.4 from the state. And that's six point six billion dollars shapes the way that our entire state economy works you take that away i mean the projections are that i would have ten percent cut wisconsin would need to make up one billion dollars to cover it.
Starting point is 00:36:17 We can afford that so our choices either. Increase taxes spend money we can afford from our small surplus, or cut payments to hospitals and providers. Those are the only three options. Those are the breaks. And that devastates a lot of different people. I was in a small town, Wild Rose, Wisconsin, the other day, population like 685, and I was giving a little speech. And I talked to this older gentleman in the back who said, you know, listen, you know, I'm on Medicare. And a couple of years ago, I had a heart attack. And I went to the hospital in town was a Theta care hospital. And they
Starting point is 00:36:55 saved my life and I'm alive. But this is a town of 685. If they cut Medicaid, will that hospital stay open? You know, if I have a heart attack in two years, will I stay alive? Where do you go? You know, if you live in a rural area, If I have a heart attack in two years, will I stay alive? Where do you go? If you live in a rural area and you have a heart attack, where are you gonna go? You just fucking die on the highway, man. There is no alternative. There is no infrastructure in place.
Starting point is 00:37:20 This is the thing keeping it together. And I don't know, I host these town my host, these town hall events, both, um, through work and with the socialist legislators in Wisconsin on the side, who have been tremendous about this going out into the state and talking to folks. And the point of it, you know, there's the edutainment section, you know, I talk about what's going on and why it matters, give them some razzle dazzle. But what are the most important parts? And this kind of ties into, you know, what I, what I think people can do about this. What one of the most important parts
Starting point is 00:37:48 is getting to hear from people about how Medicaid shapes their lives. You know, I've heard so many really moving stories. Can I tell you guys a couple of stories? Please. Yeah. So I've got, I can think of three. One is mine, one's a close friends. And one is this one that I heard in a small town that like, I'm going to hang on until the day I die. My Medicaid story is that I'm one of the guys that got swine flu. Or that's what I think. Back in 2009, I had something that was like what COVID felt like that knocked me out for two and a half weeks. And I was making $12,500 that year, right? I was fucking broke and I didn't have insurance. California had an expanded Medicaid yet
Starting point is 00:38:30 that wasn't an option under the ACA. So I just sat in bed and shit a lot and fucking like, I like put all my, everything I had on credit cards, took out a loan from a family member to pay rent, totally financially ruined me for years, right? I couldn't pay my student loans, couldn't pay my credit card. I couldn't get an apartment under my own name until like 2017 because of the consequences of not being able to afford getting care and just having to stay at home and just fucking suffer. I did go to a clinic
Starting point is 00:38:57 and they gave me like a $400 bills. That didn't do anything. So from then on, I learned that when you feel sick, just don't do anything, right? You can't afford to get healthcare, just suck it up. And so a couple of years later, you know, I had like this weird chest thing and I just ignored it for like a week. And then one day, my roommate wakes me up and I'm delirious. I have a fever of like 103.4, I think, like some insanely high number, which, you know, for- Like Arizona in the summer numbers. Yes. Yes.
Starting point is 00:39:28 And all of our doctors in the chat know that that's a fever number you generally don't want to have. So my friend rushes me to the hospital and they wheel me into the ER and I stay overnight. I had double pneumonia. It turns out you can have two pneumonias at the same time. I was maxing out my, uh, my pneumonia levels. And when I leave, you know, I go to the receptionist desk and they gave me a bill for like about $4,000. And I broke down crying right there in the hospital. And, uh, I was lucky.
Starting point is 00:39:57 California had just expended, extended Medicaid, the Medi-Cal program, and this really nice lady at the hospital, like helped me get the paperwork together to like go home and go on the computer and apply for Medicaid. And it wiped away that entire bill. Like I would not have the life I have now if I didn't have Medicaid. Like it literally like shaped the way that I live my life, made my life richer. And that's like, that's the case for millions of people across the country who are, you know, we're just that close to disaster and for whom Medicaid provided like an essential lifeline. Tim, I was going to say like, based on your story and what we've been talking about,
Starting point is 00:40:32 I was thinking about something you posted earlier today from the CEO of Uline, which is a big Republican contributor, and like it was in some materials they were distributing and they talked about how like the ACA allowing people to stay on their parents' healthcare until 26. The example that they used was like, this is bad because it allows people to leave jobs they would otherwise, like it allows people to leave jobs
Starting point is 00:40:55 and go look for greener pastures because they wouldn't be reliant on employer-backed healthcare. And I'm thinking about like, you know, the crisis that you're talking about, or what getting hit with a $4,000 bill when you have double pneumonia and no money does to you does to your psyche, just your mental health as well as your physical health. And I can't help but think that like, a main component of the way our health care system in this country is structured, is with the intention of like relying on that fear of
Starting point is 00:41:24 the thing out there that's going to happen to you, the doom that could happen to you that we, the sordidamicles that's hanging over all our heads. I think that fear is a really strong lever of social control and discipline. And I can't help but feel that like our healthcare system is like a major major way in which that fear is leveraged against people to keep them in jobs the otherwise wouldn't want to be or just keep them in a box basically, or just like the keep the horizons of their future just permanently diminished. Look, whether or not your shitty, abusive boss likes you is the determining factor and whether
Starting point is 00:42:00 your kid gets chemotherapy. You don't unionize, you don't organize, you know, you play it is a like, it's not it wasn't the original intent. But American health care, America's health care model is a tool of domestic domesticization. It's got a dampening factor, right? It keeps employees pliable and moldable. It is a it is a tool of employer domination. It prevents organizing. And one of the things I like about Medicare for All, and one of the reasons that, you know, when we fight for it, and I don't think that fights over, but they'll come like hell against it, because employers
Starting point is 00:42:37 really like the ability to control their employees' lives. It makes them subservient. And freeing up your ability to live freely in your body from whether or not your boss likes you is like a basic principle of like equity. But it's one that they really take advantage of in the current employer based healthcare model. And I want to get to the the people you spoke to in these town halls. But Tim, you know, I am I have now thanks to my better half become somewhat Wisconsin adjacent and I will occasionally go out to God's country to get out of my New York City, Northeast bubble, and you know, be among God's people, go to the
Starting point is 00:43:15 lake, you know, have a brandy old fashioned but like, I just in Tim, in these town halls, you're doing I want to hear what the Medicaid story but like, could you just talk a little bit about like, who are the people who you talk to you? Who are the people that you're speaking to? And like, what is just the mood and energy of like, of people in Wisconsin and I would assume all over the country right now? People are scared and they don't know 100% why they're scared. And that makes them angry and they want to know what they can do.
Starting point is 00:43:42 And my job is to attempt to bridge those things together. And I've really been enjoying it. Like it's a scary situation, but I feel like people I talk to leave more confident in their ability to do something about this. One thing I like about the, what are the contradictions inherent in Medicaid that is being blown up right now? And I think in a really interesting way is that this is going somewhere. Because Medicaid is so fractured across the states, we don't see it for what it is, which is like, this is a like unifying like health struggle, health care justice
Starting point is 00:44:14 struggle. But when they attack it, blanket like this on the federal level, we are kind of forced to see the way these the ways these programs bind us together, not just within your city, but like state to state across the country. They've created I think a radicalizing model which is the thing we need if we want to build any form of mass politics in this country ever again. And I think the Medicaid struggle is activating a lot of people who otherwise would be sitting at home scared. So a lot of the folks that come out are elderly, not all of them. I talked to a lot of younger scared. So a lot of the folks that come out are elderly. Not all of them. I talked to a lot of younger folks too, a lot of single parents.
Starting point is 00:44:49 Like to bridge the gap between you and elderly Wisconsinites. Because Tim, I don't know if you're aware, Tim, you look sort of like a heavy metal guy. Like you look like you could be involved in some sort of satanic panic or something like that. But like, what is it like to have these people come up and tell you their stories or connect with you? I mean, I love it. And you know, admittedly, I do hide the nose ring
Starting point is 00:45:10 and wear a button down. You just push it back up. I gotta play a little bit to the crowd. But if you extend a hand to somebody and say, I understand why you feel the way that you do, and it's reasonable, and we'll get through this together 85 percent of the time they'll reach their hand back and It's slow and it's tedious and on an individual level. It doesn't feel like it does anything
Starting point is 00:45:35 but it's the Continual aggregate doing this over and over again and having people do it to people that they know that makes a difference And like, you know, um, know, I'm always really flattered when people tell me they're, not flattered, I've always felt very honored when people tell me, you know, the worst thing that's ever happened to them. Happened on the Medicare for All tours, it's happening now, right? People tell me, listen, here's a way
Starting point is 00:45:57 that my life fell apart, and here is this program, or here are these people that helped put it back together. And I'm afraid I'm gonna lose it again. I'm afraid I'm going to lose it again. I'm afraid I'm going to go back to a world where I just go die in the street where I get warehoused in a nursing home or my kid or my sister or my mom just has to go and roll over and die. And when people share that it is like a powerful experience when your neighbor shares the shares that, you know, when, when somebody in your small
Starting point is 00:46:23 town who you see it, like the big Israel flag gas station shares that, when somebody in your small town who you see at like the big Israel flag gas station shares that, it can't help but change the way that you see like the infrastructure that kind of like the invisible infrastructure that shapes all of our lives. And it does make a difference. You can't always persuade people, right? That's something I've learned the hard way
Starting point is 00:46:41 over the past 10 years. Some people you just can't reach. but there's a lot more folks out there who are just scared and need someone to help them visualize how these things tie into their lives and tie them together. And I want to getting people to talk about their healthcare stories, their Medicare stories to me and to their neighbors is like the beginning of weaving these things together. Yeah.
Starting point is 00:47:01 I think that, I think it's true in a lot of things. these things together. Yeah, I think that it's true in a lot of things. It's true in entertainment with an audience. It's true socially. And I think it's true to a large extent politically that the average person you meet, whether they are a fucking genius or on the opposite end, And usually they're not. Whether they are or not, people more often than not, if they don't fully understand the broader implications of something,
Starting point is 00:47:33 if they don't fully understand what you are trying to bring before them or convince them of, more often than not, they are going to appreciate that you are giving them the opportunity to rise to the occasion, whether that is morally, socially, or with a policy that maybe they haven't thought about in these terms before. When you get down on your knees and go, Here's a way to do your life can be like, it resounds with a thud. I think that with a lot of the people you're talking to, maybe not all of them have thought
Starting point is 00:48:11 about like, you know, the idea of nationalizing everything or the concept of, you know, a maximalized rent seeking healthcare system. But they appreciate that someone is giving them the opportunity to speak about their life in their own terms and not deliberately trying to dumb themselves down for them. And also just like a confirmation from another human being that like their physical, their financial or like mental difficulties are not entirely their fault and that like someone is to blame for it and their right to be angry.
Starting point is 00:48:45 And also there's maybe something to be done about it. Right. And it's important to help direct that blame, right? A big part of what I talk about at the end is that this is all in the service of a tax break at the end of the day, right? This is all in service of giving Elon Musk another fucking $20 million or whatever a year. Your right to be safe in your
Starting point is 00:49:06 body, your right to have the dignity that you deserve by virtue of birth is being taken from you so some fucking asshole can buy another fucking yacht. That is what's at risk here. It's not the person next to you who makes $11,000 a year who was your enemy. It's very clearly the guys, this is like, this is as naked an act of class warfare as I can imagine short of getting out the guns. And people, you know, that's the beginning of a longer conversation about things like Medicare for All. But people are getting it, man.
Starting point is 00:49:37 Like, you know, a lot of it's wrapped in the whole, like, you know, it's the billionaires that fund their campaigns, which is a little bit rudimentary, but still true. But people are responding to that. People get mad about that. Um, that's not a partisan take, you know, I'm hearing that from conservative people and like, you know, the aggressively non-partisan
Starting point is 00:49:54 people as well, this is an act of class warfare that they can visualize and respond to, and that's how you begin to build kind of the, the, the, the, bringing in more people to the long-term fight. I know this big tent I keep hearing about. about. Yes, a big tent on my terms. I think that is important and I like having that kind of conversation. Tim, what was the Medicaid story that you said that was shared with you at one of these town halls that you'll take to your grave? Sure.
Starting point is 00:50:23 So I'm going to anonymize it as thoroughly as I can. I was in a part of Wisconsin talking to an audience and this guy got up and he's a single father and he has two kids. And one of the kids was in some way, it doesn't really matter how, like horrifically abused a few years previous. And that kind of shit ruins a kid's life.
Starting point is 00:50:47 The kid got arrested at like age six, got kicked out of school. The father had to drop out of the workforce to take care of his kid. And Wisconsin has a pretty good kids Medicaid program. It's called the Katie Beckett program. And that Medicaid program paid for the kid's therapy, paid for the kid's rehab. Medicaid covered the dad's health insurance while he was at home
Starting point is 00:51:07 taking care of the kid like Medicaid literally kept this family from totally dissolving into violence and confusion and chaos. And the kids doing good now. I met the kid. He's running around. He knocked over a table and broke something good for him. But like that is a manifestation of like, what's I'm talking about? This is this is the social safety net This is what's keeping people from like total disaster
Starting point is 00:51:28 and so I think about this kid and I think about this dad and you know, I've heard a lot of health care stories and That's one that I mean that never even had occurred to me that like that act of violence upon a child is You know not made whole but like addressed and made better because of a program like Medicaid. And that really blew me away. I mean, I think about this in the context of like, how much money is too much money to spend to like save millions of people from absolute despair and ruin? Because like, even if you think like, well, I'm, you know, I'm responsible, I don't need that money or whatever. Like, why are they taking money? Like what? Like what is the knock on effect of like living in a society that is now continuing to accelerate down this path
Starting point is 00:52:12 of just being like, none of my business doesn't affect me. Who cares? They're lazy or they're stupid or they're bad people. And they don't they don't deserve my money. Like and then like you said, Tim, in service of no, it's much better to give all of that money to people who if they spend, if they spent a billion dollars every day for the rest of their life, they would never be poor. Like, there's so much money that like, they could not get rid of it if they tried to.
Starting point is 00:52:35 They will never not they will never not be obscenely wealthy. And it's just like, what what is the knock on effects, like you said, of like, just getting rid of basic medical care for people at the level of destitution? I, you know, last, actually I have the shirt on right now. Last December, Luigi Mangione elevated the conversation about violence in American healthcare. And you know, I thought about that for a long time. And my opinion, and I think one that people generally share, is that Luigi Mangione shooting
Starting point is 00:53:09 a healthcare CEO is just an inversion of the violence that already exists in the American healthcare structure, right? They're enacting violence against us. You know, it's, Engels will call it social murder. It's murder by a million cuts in policy choices. But there is fundamentally a violent model. And this is an extension and acceleration of that. And I think when you impose these models of murder upon people,
Starting point is 00:53:33 they too will turn violent. You know, you're you're blocking a dog in a crate and beating him. And I, like we were saying before, like the one good thing that's happening right now is that you're making good kinds of soda. And that's against the contrast of like being beaten down in ways big and small, in ways they see and don't see right now. And I don't know, man, I do have a genuine fear that this ends in a lot of random violence. People losing their shit and freaking out and lashing out at each other. You know, it might not happen tomorrow, but that's that's where we're going. We're just creating, we're injecting more violence into American health
Starting point is 00:54:10 care, all in the service of giving some fucking asshole, you know, another million dollars. And that has an effect on people. Yeah, and even if it's not as anything as like, you know, drastic as murder. I just think about like, what the aggregate level of stress and misery that's caused by like the fear, like the financial and like physical fear of what health insurance represents in this country, just what that does to like the air you breathe walking around in any community, city or town, the people you interact with on a day to day basis, your friends, strangers, just the aggregate level of fucking anchor and fear that exists out there that like, is either going to be turned inward and into like, an
Starting point is 00:54:52 individual's own self destruction, or like cast outward in another form of self destruction, which is like, you know, violence against others. And Medicaid has been associated with it's been shown to be associated with like, reducing recidivism. You know, when you get when you get out of jail, you're given nothing and you've got nobody and it's very easy to go back to jail again because there's no support. In states that expand Medicaid, recidivism decreases significantly, right?
Starting point is 00:55:16 These programs do decrease violence. They are violence prevention tools. And absolutely, in their absence, you know, what's going to happen? Tim, before we get to the end of the show, I want to talk like you've been in the stump for Medicare for all for a long time. But like you also talk about like this concept of health justice and like in the better world, we would be like, I think like the idea is that like that's what we'd already have. But like I've long said that like something like Medicare for all would like do the most
Starting point is 00:55:45 amount of good for this country in the shortest amount of time. And it would like it's like the easiest lift to do because it's like a bill exists. It's broadly popular. And I think it would do the most amount of good in the shortest amount of time in terms of like increasing people's just quality of life, dignity, health, happiness across the board. And it would be overwhelmingly popular. But like what's the next horizon after that in terms of like what a just healthcare system
Starting point is 00:56:09 in the wealthiest country in human existence would look like? Look, healthcare doesn't come out of a box and it doesn't just happen in the hospital. If you care about the conditions of pregnant people, waiting until birth is way too late. Like sickness and illness and health happen earlier in your life. Is there lead in your water? You know, do you live near a nuclear waste disposal site? Do you live in a place where you have access to food
Starting point is 00:56:34 that's healthy that you can eat? You know, are you allowed to buy hot food with your SNAP benefits? You know, do you live in a place where you can live safely or are you at risk of being assaulted for your gender or your identity or your race at all times? These are the fundamentals of where healthcare comes from. And I think Medicare for all,
Starting point is 00:56:55 and this is one of my pitches for it, and it's a little simplistic, but I really believe it, is that once you force a single actor, a single payer, to bear all the costs of providing care and all the costs of what happens when care is not provided, you finally have a thing you can wield as a tool for realizing a broader movement towards health justice, to realizing housing is healthcare,
Starting point is 00:57:19 to realizing environment is healthcare. You know, healthcare is a portion by lines of race. It's no coincidence that the neighborhoods in the US that are the sickest are also, you know, the most, the blackest of the most people of color. Like these are, these things are apportioned along these lines. And I think you need to have the power
Starting point is 00:57:42 and the leverage in a place with unlimited money to really tackle these issues. And it is a movement that takes a long time. But that's the vision of health justice beyond a relatively simple payer mechanism, right? Medicare for all is easy, health justice is hard, but one is necessary to achieve the other. Yeah. And it would be, I mean, to me, it's just like, it's like the basic measuring stick of like, whether you live in a civilized society or not. And it's one that we're not just failing, but like, we're getting worse at this with every week.
Starting point is 00:58:14 And I think it's just contributing, as I said, overall, to like an ambient sense of just anger and rage and just like paranoia that just, I think is getting, I think people are sicker physically and mentally than maybe they've ever been. And I think the exponentially increasing forces of just shredding this idea that we owe anything to anyone other than ourselves or our immediate family is going to have unless it's dealt with strongly and soon is going to have I think almost apocalyptic connotations for what living in this country
Starting point is 00:58:45 is going to be like in another 10 or 20 years. I think about that, you know, there are multiple iterations on this quote or this idea that how many great minds are trapped in prisons or more commonly maybe trapped in lives of pure subsistence, looking for the next thing that will get them through the day. How many great minds, how many people, how many of the next great researchers or artists or whoever, whoever can solve any problem in whatever community, whatever family
Starting point is 00:59:23 are dedicating 80%, 90%, 100% of the time that they're not already at work to navigating the Byzantine phone banks of the system that is set up for maximized rent seeking and profit. No one can look you in the face and tell you, this is the most efficient way we could possibly do this, which is the argument for every other fucking immiserating awful system in America. For nothing else, this is the most efficient way that capital and time can flow. No one thinks that with this. No one even fucking tries that one. It's to the point that all of these companies, United Health, whatever, all of them, all of their ads are basically the same
Starting point is 01:00:09 thing. Hey, we know this is really shitty, but we're trying to make it at least somewhat acceptable if you're a real person, meaning that you make above $80,000 a year. If you want to talk about unlocking human potential, you could take this massive weight off of people's necks. Yeah. Which is why I don't want to hear a single lick from the abundance agenda on anything until they can get, until they can solve the problem of just giving people health care in this country.
Starting point is 01:00:36 Yeah. There's going to be nothing abundant in the future going forward if we allow private health insurance companies to maximize profit off of our lives and death. It just makes everything else seem so fucking ridiculous. We're going to have a perfect economy with no waste where there's no poverty. There's going to be a 150% literacy rate. Kids are going to come out of the womb knowing how to code. Or on the other side of things, we're going to have nuclear powered fucking airliners.
Starting point is 01:01:01 We're going to go to Mars and we're going to Seastead and we're going to go to the center of the Milky Way. You can't even take a four year old to get there, a cast set without paying more than like a car costs. How are we gonna fucking do any of that? I did read parts of the abundance healthcare platform and we're not gonna go into it, but I might not shock you to learn
Starting point is 01:01:22 that they fundamentally do not understand how healthcare works. Like as an economic course. No way. Literally at all. But I might not shock you to learn that they fundamentally do not understand how healthcare works. No way. Literally at all. Adam Gaffney, former president of the National Health Program, wrote a really great paper for some magazine about the supply side economics of abundance. It's worth reading if recommended.
Starting point is 01:01:39 But Felix, I have something on what you just talked about, if you can give me a second, which is about like work and how many people are like trapped in this maze of paperwork I've got another Medicaid story I can do pretty quick. I got a close friend named Steve He's I think he listens to the show. So shout out Steve Steve has muscular dystrophy He weighs 90 pounds sopping wet. His body is attacking itself. You know, he's like about my age He's like 34, which means he's like living 15 years longer than he was given So every day every day is pretty cool And Steve is the kind of person who not too long ago would be shoved into a nursing home and just kept their
Starting point is 01:02:12 Warehoused in his own terms So somebody can make up so somebody could make money off of his like sustenance being kept alive, but literally nothing else He's just a he's a matrix pod Sitting in a room waiting to die. So somebody can make money off of off of him sitting there. Medicaid gets him lets him get home health. For a long time, his mom couldn't work because she had to stay home and take care of Steve. They got home health financing for Medicaid, Medicaid pays somebody a friend to come over and help
Starting point is 01:02:41 Steve clean himself help Steve eat help Steve like take care of like the basic things of being a person. And his mom can go off and like have a life that she wants to live. She can go off and she can she can work. She can do things that she thinks are interesting. Steve also can now work. Steve is a substitute teacher. Steve is an actor. He was in a Hulu's Rami. If you saw that Steve can have like a rich and robust personal life. I mean, frankly, Medicaid is a problem that it doesn't let them have enough money to do that. But like Steve can live a dignified life
Starting point is 01:03:09 of being able to do things that are interesting to him, follow his passions. Like Medicaid unlocks his ability to do that kind of work. It's exactly what you're saying, Felix. Like how many people are trapped in the cage of a body that we all have? Who could be doing more interesting things to make their world and therefore our world so much richer,
Starting point is 01:03:30 who are prohibited from doing so because of the fucking stupid way our healthcare system is arranged. This gets to the broadest possible point. Felix, you said the word profit. And I think that's what it comes down to, is that if markets are like the most efficient way for human beings to like to distribute resources and to get people the goods and services that they need to live. Like that, I mean, like the logic of that
Starting point is 01:03:55 runs into a fucking wall when it comes to things like healthcare and housing and education. Because like, if profit is still the like defining motive of like how we structure our health care system, then like if you can make money off people not getting health care or or bankrupting them, then obviously that's what they're going to continue to do. And like, it's not that the Democrats don't understand this, they understand it very well. They just exist to make sure that that profit seeking, that profit taking from people's sickness and death and pain continues unabated. Because the answer is, the question, how much money would you pay to keep yourself alive
Starting point is 01:04:34 or your loved one alive? The answer is any money you have, for as long as you have it. And they know this. And like, that's why health insurance is such a fucking huge industry is because they know that like because we're all trapped in these bodies and we're all going to die one day and we very much like to keep living. There's nothing that they can't charge us to keep to keep our lives going. And as long as they're allowed to, as long as profit is allowed to be
Starting point is 01:05:00 a consideration in how we distribute the limited resources of doctors, health care, and medicine in this country, then you're seeing the result right now. That is the fundamental thing that I think needs to change, is that there needs to be a movement based around the idea that there are certain aspects of human life that we all need to just have a bare minimum existence that may not be existing, not just our lives possible but all of our lives possible and that is things like a roof over your head food
Starting point is 01:05:28 education and Crucially health care being able to see a doctor being able to have your illness treated or being able to like deal with calamity And as long as like prop as long as you can make money like there's there's no logical reason that people should be allowed to make money Distributing these very basic goods and service these these very basic material goods that every human being needs. Yes, I mean, I think you nailed it. I mean, this is the kind of thing that gets me up in the morning. This is the kind of thing a lot of us know somewhere. Everybody knows they're being fucked over. That's the thing I find at these town halls. Every single person knows somebody is fucking them over and making money off of it.
Starting point is 01:06:06 And healthcare is the biggest venue that I know of in which that relationship is expressed and experienced. And, you know, being able to paint a picture of how that fucking over is happening and what one can do about it, you know, I will do that until the day I die if they let me. I think this is really important for a lot of people to be able to understand. Because like, you know, the logic of the market is like you're you have a fiduciary responsibility to like, charge as much money as possible for something to make as much profit as possible on every given interaction on everything you
Starting point is 01:06:35 charge on everything you bill for. It's to make it's not to like save people's lives or to make this country healthier is to make the money for people. And like I have no problem, like if you're like taking that into consideration, selling fucking, I don't know, sneakers or video games or something like that. But like when it comes to things that people need to keep continue to be alive, it seems like a civilized society would not allow for that level of just
Starting point is 01:07:01 greed and just like just fleecing of people, because like it's not a real negotiation. It's not like everyone's, it's like the myth of free exchange where it's just like, Oh, it's a contract that two individuals freely enter into and, you know, decide on a rational price for the exchange of a good and service. No, because like, no, it's like, if your kid was kidnapped, would you start negotiating with the hostage takers about like, uh, could you drop them off at my place around nine and like, okay, can we knock 20, 20,000 off your asking price? I mean, like, I'm not,
Starting point is 01:07:30 I'm not made of money here, but like, come on, there's got to be some wiggle room here. No, you just pay the money because you want your kid to be alive. The things that people use to try to justify or perpetuate the system. And it is, it's sort of, it's akin to the commercials that we talked about from the actual providers and insurance networks, which is,
Starting point is 01:07:53 hey, I know it's really shitty, but this is more the Vox writer point of view. It employs X millions of people, some three million odd people or something like that, if you are just taking all administrative positions into account. Which A, for the people that are making subsistence level income paycheck to paycheck or barely enough to cover 60% of their rent? Well, in a nationalized healthcare system, we would need a gigantic fucking bureaucracy,
Starting point is 01:08:31 and I'm sure there would be positions for those people who have experience. For the people, though, that have made very nice lives for themselves, not even reducing people to little economic units, That'd be one thing. But maximizing the amount of cruelty and capriciousness of the system so as to beat down the will of every individual health consumer to challenge a denied claim or anything like that? I could give a shit. I mean, when the Supreme Court finally decided the child porn was illegal, did we have this conversation? What about the guys that import it from the Netherlands? I don't know. Let's give them retraining, I guess.
Starting point is 01:09:16 The group of people you're talking about in a justice society, they would be lucky just to lose their jobs. Exactly. And I'll leave it there. I'll leave it there. Exactly. Yeah. Be happy if it's ending there. Yeah. I don't think I'm going to get to the the Daily Wire Children's Entertainment Division today. Yeah, we know we have rest assured there's more bad news on the horizon. Yeah, we don't want to know season two of Mr. Birchum, unfortunately. I mean, like this probably way worse than when the author of Berserk died, right? It's close. It's a real downer.
Starting point is 01:09:55 Yeah. Well, so it's not to leave things on a downer tune. Let me just ask you, like, so you're out there, like, this is resonating. But like, when people people listen to this, they think about it. They are overcome with both fear and the sense of hopelessness because they're just like, well, what can I do? So like, what do you find is a way to like, to not just be like passive in the face of like, you know, these calamitous social and economic problems? Like, I mean, what do you what do you counsel people when they ask you what do I do? Great question.
Starting point is 01:10:26 So we can't win tonight. You know, we can't win tomorrow. This is a long-term fight. And the infrastructure which can win it has been emaciated intentionally and unintentionally for decades. But here's like a discrete tangible thing you can do. Like, here's a thing you can put in a box. Get five friends.
Starting point is 01:10:46 One of you probably has a Medicaid story. Get into the offices of every legislator that represents you on the state level and on the federal level. Tell, make an appointment to talk to the legislator or if you have to, their staff. Tell that person the story of how cutting Medicaid will ruin their life or whatever
Starting point is 01:11:05 on their life and get it on film. And it's this aggregate representation of here are the lives that you are affecting. Here's the documentation of it. That is the foundation of and doing it with other people. That's the most important part. That is the beginning of a foundation of building a bigger movement, a mass movement. Those five people who you go with who tell their stories are not going to go home and say great we did our job, we are all done. That is how you begin to build a bigger organization. And whether you find one that already exists in your town or in your state, great, you can up with them.
Starting point is 01:11:38 Or whether you want to build something yourself. I spoke in a town hall a couple weeks ago in, I think it was Rippon, Wisconsin. And in Wisconsin, we have these big budget town halls that the state runs that are bullshit. And the conversation went directly from, I wanted to go to representative Derek Van Orden's or at Derek Van Orden's office and tell him how Medicaid is ruining my, would ruin my neighbor's life to let's go like do a physical demonstration on the floor of the budget meeting.
Starting point is 01:12:08 The transition took literally 45 seconds and they got their information together, they shared numbers and they're carpooling to do it I think tomorrow. Like that is, we live on the computer and computer is bad. It's all computers. Everything's computer. And it's shoving us all fucking psycho. Get
Starting point is 01:12:25 with people that you know, take those stories, put them at the front of the line, shove them down the fucking throats of the people who are harming you and build something off of that. Tim Faust, I want to thank you so much for your time and for your work in just all the good work that you do in terms of, you know, raising awareness and just advocating on behalf of people's lives, Tim. You're truly an angel. I will say, I put this offer on Twitter and it stands, if you put together a town hall with a couple of guidelines, you can email me. I will come speak at it. If I can make it out there, if I can drive there, or if it's reasonable to fly. This is really important
Starting point is 01:13:02 to me. These town halls are productive. So yeah, if you're staying at home and you're with an organization and you want to throw a town hall, DM me on Twitter, email me and I will show up at your doorstep in all my sweaty glory. Make Tim come to you. That's a call to action out there, folks. All right, we're gonna leave it there for today. Yeah, no, actually, I have one plug to make. I know I already plugged it on last week's show. But it's just been announced that there's going to be like a wider national distribution of
Starting point is 01:13:32 the documentary I saw the other week, the encampments about the protests that happened at universities. The other year last year, I want to I want to I want to just like make a picture that it was a really strong piece of work. And like, you know, per this entire conversation, watching this movie, like, almost made me grind my teeth to nubs in anger. But by the end of it, it left me feeling like invigorated, even in the face of like the truly horrific repression of speech and activism that's going on in this country right now. I think if you see this movie, if you make an opportunity to see this movie or see it with a couple of friends, you will leave the theater feeling invigorated by the courage and dignity that these students displayed.
Starting point is 01:14:14 And I would really like to just like make another strong pitch that if it's playing in your area or you can get a chance to see this movie, I would definitely recommend seeing it. It is a much needed antidote to basically like all mainstream coverage of Palestinian solidarity in this country. And it's much needed. And like I said, I was surprised by how good the movie made me feel despite the undiluted evil that it portrays. And by that, I mean the Columbia administration, not the students themselves. I hope I made that clear. Spoilers, there are a few evil students.
Starting point is 01:14:49 Yeah, the kids at Omega House, those bastards. Yes, that's my pitch for the encampments. I see it if you get a chance. All right. Once again, thanks to Tim Faust. We'll talk to you soon, everybody. Signing off. Bye-bye. Bye.

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