PODCAST · news
584 Vetoes
by Tom Church and Danny Heil
A public policy podcast about taxes, spending, and regulation hosted by Tom Church and Danny HeilSend us questions at [email protected] church.substack.com
Episodes
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The Lessons from Part D and Public-Private Partnerships for the Rest of Medicare with Eric Hargan
“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…
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It’s Time for a Fiscal Commission to Fix the Debt w/Congressman Lloyd Smucker
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…
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Why Does Medicare Pay Different Prices for the Same Procedures? Site Neutral Payments w/Charlie Katebi
“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…
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MAC Attack: The Regional Monopolies That Pay Your Medicare Claims with Karen Jackson
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...
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Who Says No When You Try to Reform Medicare?
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...
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Why Aren’t Doctors Competing With Hospitals?
“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…
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The Good, The Bad, and The Missing from the One Big Beautiful Budget Bill
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…
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Not So Reciprocal Tariffs
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…
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10 Health Policy Options for the Incoming Trump Administration
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…
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What Explains the Doctor Shortage in America?
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…
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Can Trump Cut $2 Trillion From the Federal Budget?
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…
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What Parts of Trump’s Tax Cuts Are Expiring?
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...
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What Are The Least Terrible Policies From Each Presidential Campaign?
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...
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Is It Time to Regulate Prices in Health Care?
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…
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ABOUT THIS SHOW
A public policy podcast about taxes, spending, and regulation hosted by Tom Church and Danny HeilSend us questions at [email protected]
church.substack.com
HOSTED BY
Tom Church and Danny Heil
CATEGORIES
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