• The $1.5 Trillion Healthcare Coding Scam
    May 21 2025

    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.

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    51 mins
  • Salt, Taxes, and Tough Choices: Inside the Federal Budget Battle
    May 7 2025

    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.

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    57 mins
  • Debt, Despair, and Dialogue: Reimagining America's Fiscal Future with Lura Forcum of Independent Center
    Apr 23 2025

    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.

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    53 mins
  • Iceberg PR: Communicating a Slow-Motion Fiscal Disaster in the High-Speed World
    Mar 27 2025

    Key topics in today’s conversation include:

    • Background of Austin and Ryan (1:39)
    • Breaking Traditional Rules (4:13)
    • Innovative Engagement Strategies (6:14)
    • Product Market Fit in Politics (8:27)
    • Understanding Voter Attention (10:53)
    • Applying SCARF in Policy Context (12:31)
    • Influence Campaign Successes (15:31)
    • Leveraging Voter Sentiment (17:41)
    • Debt and Political Strategy (20:58)
    • Chicago's Debt Crisis (23:55)
    • DOGE and Government Accountability (25:23)
    • Connecting the Dots (29:01)
    • Publicizing Government Missteps (33:59)
    • The Importance of Individual Accountability (37:21)
    • Momentum Shift (38:44)
    • State-Level Focus (41:35)
    • Risk for Established Politicians (43:55)
    • Final Thoughts and Takeaways (44:32)

    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.

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    45 mins
  • Twinkies and Taxes: The Sweet Temptation of Fiscal Irresponsibility with Zach Moller of Third Way
    Mar 26 2025

    Key topics in today’s conversation include:

    • Zach’s Background and Journey to Third Way (0:48)
    • Misconceptions About Party Fiscal Responsibility (3:09)
    • Health Care Spending Reforms (6:30)
    • Understanding the Ten-Year Budget Window (8:17)
    • Defense Spending and Waste Concerns (10:35)
    • The Federal Budget Breakdown (13:21)
    • Program Integrity and Government Efficiency (16:05)
    • Avenues for Spending Reform (19:29)
    • Political Perspectives on Spending (22:11)
    • Tax Revenue and Political Landscape (24:05)
    • Current Law vs. Current Policy (26:00)
    • Complexities of Tax Revenue Solutions (28:10)
    • Future of Tax Policy Changes (30:27)
    • Challenges in Addressing National Debt (32:05)
    • Final Thoughts and Takeaways (34:22)

    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.

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    35 mins
  • Budgeting on Autopilot: How the National Debt Could Sink Us All with Kurt Couchman of Americans for Prosperity
    Mar 26 2025

    Key topics in today’s conversation include:

    • Kurt’s Background and Expertise (1:03)
    • The Budgeting Process (2:11)
    • Understanding Appropriations (5:15)
    • Mandatory vs. Discretionary Spending (7:32)
    • Impact of Automatic Spending (11:01)
    • Historical Context of Fiscal Policy (13:22)
    • No Do-Nothing Option (15:53)
    • Debt Crisis and Reconciliation Legislation (17:54)
    • Consequences of a Full-Blown Debt Crisis (20:30)
    • Congressional Dysfunction and Reform (24:56)
    • Opposition to Comprehensive Budget Act (27:17)
    • Improving the Federal Budget Process (29:15)
    • Fixing Congressional Shutdowns (31:19)
    • Committee Process and Budgeting (34:04)
    • Effective Communication with Legislators (36:55)
    • Optimism for Congressional Reform and Parting Thoughts (38:40)

    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.

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    40 mins