Key topics in today’s conversation include:

• Current State of U.S. Healthcare (1:01)
• Introduction of Guest Marc Goldwein (3:15)
• Government's Role in Healthcare Spending (5:57)
• Medicare Advantage Overview (9:43)
• Cost Control in Traditional Medicare (12:07)
• Incentives and Risks in Medicare Advantage (15:12)
• Upcoding in Medicare Advantage (18:24)
• Risk Adjustment in Medicare Advantage (21:17)
• Estimates of Medicare Advantage Overpayment (25:17)
• Deficit Reduction Strategies (29:20)
• Waste in the Healthcare System (33:55)
• The Need for Comprehensive Budget Reforms (36:24)
• Understanding Medicare Cuts (38:24)
• Bipartisan Solutions for Healthcare (42:13)
• The Importance of Shared Pain (46:04)
• Final Thoughts and Takeaways (48:11)

Gross Domestic Problem is a podcast from Millennial Debt Foundation focusing on America’s biggest financial crisis. Each episode, we break down how we got here, what happens if we don’t act, and the least painful way forward. There’s no do-nothing solution. Subscribe now at grossdomesticproblem.com and join the conversation.

Key topics in today’s conversation include:

• Andrew's Background and Expertise (1:39)
• Understanding Tax Policy (4:15)
• Purpose of Taxation (6:36)
• Political Challenges of Taxation (9:25)
• Consumption as Economic Driver (16:12)
• Taxing Paper Gains (20:07)
• Impact of Market Fluctuations (23:24)
• Understanding National Debt (28:14)
• Tax Code Improvements (31:11)
• Employer Benefits vs. Salaries (34:05)
• Horizontal Equity in Taxation (38:37)
• Trade-Offs in Tax Reform (40:45)
• Current SALT Cap Debate (42:04)
• Impact of SALT Cap on Taxpayers (46:16)
• Philosophical Tax Questions (53:57)
• Final Thoughts and Resources (56:19)

Gross Domestic Problem is a podcast from Millennial Debt Foundation focusing on America's biggest financial crisis. Each episode, we break down how we got here, what happens if we don’t act, and the least painful way forward. There’s no do-nothing solution. Subscribe now at grossdomesticproblem.com and join the conversation.

Key topics in today’s conversation include:

• Welcoming Lura to the Show (1:00)
• Fiscal Health and Individual Well-Being (2:26)
• Connecting Government Spending to Personal Impact (4:44)
• Visualizing the Fiscal Problem (8:21)
• Understanding the Scale of Spending (10:08)
• Millennials' Views on Entitlement Reform (13:53)
• The Political Challenge of Fiscal Reform (16:01)
• Generational Misunderstanding in Fiscal Conversations (19:42)
• Research on Voter Segmentation (23:57)
• Polarization vs. Shared Values (26:31)
• Demographic Shifts in Voting (31:15)
• Non-Ideological Voting Trends (34:34)
• Party Leadership and Direction (41:05)
• Engagement in Local Government (46:34)
• Understanding Political Dynamics (48:06)
• Bridging Political Divides (51:47)
• Final Thoughts and Takeaways (52:16)

Gross Domestic Problem is a podcast from the Millennial Debt Foundation focusing on America's biggest financial crisis. Each episode, we break down how we got here, what happens if we don’t act, and the least painful way forward. There’s no do-nothing solution. Subscribe now at grossdomesticproblem.com and join the conversation.