Episodes

  • Pills, Profits, and Promises: How Hospital and Pharma Subsidies Save Lives—and Get Hijacked

    Pills, Profits, and Promises: How Hospital and Pharma Subsidies Save Lives—and Get Hijacked
    Dec 13 2025
    Most subsidies in America started with good intentions: to help people through hard times and get them back on their feet. They were built for the couple who just found out they’re having a baby and are terrified of the hospital bill. They were built for the parent who just lost a job and is scrambling to keep health coverage. They were built for the grandparent whose body can’t do it anymore after forty years of work. They were built for the person who just heard the word “cancer” and now needs help paying for food, childcare, and gas to get to chemo. They were not built so hospital CEOs and their minions could turn compassion into a business model. In this fiery World of Payne deep dive, Tanner pulls the curtain back on how hospitals and pharmaceutical companies use government subsidies like 340B drug discounts, Disproportionate Share Hospital (DSH) payments, NIH research funding, rural hospital support programs, and nonprofit tax breaks. On paper, these subsidies are supposed to keep safety-net hospitals alive, expand access for low-income patients, fund breakthrough research, and keep rural ERs from going dark. In reality, many have been quietly hijacked and turned into profit engines that inflate costs, drive consolidation, and enrich executive teams while families drown in medical debt. Tanner breaks down how 340B really works in the wild—hospitals buying drugs at steep discounts, billing full price, and pocketing the spread with almost zero transparency about how much actually reaches poor patients. He exposes how nonprofit hospitals collect tax exemptions and DSH dollars in the name of charity while still suing low-income families, garnishing wages, and slapping liens on homes. He walks through NIH funding and overhead, showing how universities and health systems can treat taxpayer-funded research as a revenue stream while labs fight for scraps. He takes you into rural America, where nearly 200 rural hospitals have closed in two decades, almost half of those left are losing money, and one closure can turn a 10-minute ambulance ride into a 45-minute gamble. This isn’t just a rant—it’s a conservative blueprint for reform. Tanner lays out how to force radical transparency on subsidies, tie nonprofit and 340B privileges to real charity care and clear patient benefits, cap and expose NIH overhead bloat, and make rural support money follow actual access instead of political connections. He argues for a “subsidy-light” future where we attack the root price disease—insane hospital facility fees, opaque drug pricing, rigged contracts, and monopoly power—so we can shrink and sharpen subsidies instead of endlessly throwing more money at a broken system. If you’re tired of being told “healthcare is complicated, just trust us,” this episode gives you the receipts and the language to start asking the questions no one in power wants to answer. It’s unapologetically conservative, fiercely compassionate toward patients and families, and absolutely ruthless toward the hospital systems, pharma giants, and academic empires that have turned safety-net programs into cash machines. “Pills, Profits, and Promises” will leave you informed, fired up, and ready to demand a healthcare system where compassion isn’t a marketing slogan—it’s the standard.

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    1 hr and 31 mins
  • Subsidies, Fraud, and the Healthcare Trap: Medicare, Medicaid, ACA & the Battle to Fix It | World of Payne

    Subsidies, Fraud, and the Healthcare Trap: Medicare, Medicaid, ACA & the Battle to Fix It | World of Payne
    Dec 5 2025
    America spends over $4.5 trillion a year on healthcare—more than any nation in history—yet families still feel crushed by premiums, deductibles, and confusing bills. In this explosive episode of the World of Payne podcast, we dive deep into the subsidy-driven healthcare system that touches every American: Medicare, Medicaid, and ACA subsidies. Subsidies were created to help people—seniors, low-income families, disabled Americans, and the working poor. But when you peel back the layers, you find hidden costs, administrative waste, and massive fraud that drive prices higher, fuel dependence, and drain taxpayers. In this 1.5–2 hour teleprompter-style, conservative but constructive deep dive, we break down:
    • How Medicare really works (Part A, B, C, and D) and how Medicare Advantage risk-score gaming is costing taxpayers tens of billions while driving corporate profits.
    • Why Medicaid has become both a lifeline and a loophole, with states gaming federal matching funds (FMAP), hospitals recycling money, and managed care plans inflating costs.
    • How ACA subsidies (Obamacare) impact premiums and dependence, from income-based tax credits to the "cliff removal" that quietly expanded government responsibility for healthcare costs.
    • The administrative hydra: coding chaos, prior authorizations, bloated billing departments, and a paperwork machine that consumes 25–30% of all U.S. healthcare spending while doctors and nurses drown in documentation instead of caring for patients.
    • A hard-hitting exposé on healthcare fraud and abuse:
      • Durable Medical Equipment (DME) scams and fake suppliers
      • Home health and hospice fraud
      • Upcoding, ghost patients, and falsified diagnoses
      • Medicaid managed care manipulation and state-level loopholes
      • ACA marketplace gaming, income manipulation, and hospital steering
      • Organized crime and international fraud rings targeting Medicare and Medicaid
    But this episode isn't just about outrage—it's about solutions. We lay out realistic, conservative-leaning reforms that aim to heal the system without abandoning vulnerable people:
    • Administrative simplification: fewer codes, a national claims standard, real interoperability, and a serious overhaul of prior authorizations.
    • Severe crackdowns on fraud: real-time AI auditing, criminal charges for large-scale fraud, stronger whistleblower protections, and public transparency dashboards so taxpayers can finally see where the money goes.
    • Redirecting subsidies toward people rather than institutions through personalized health accounts, direct primary care, and price transparency that empower patients to make informed choices.
    • Medicaid reform that protects children, people with disabilities, and low-income seniors while closing FMAP loopholes, tightening eligibility appropriately, and linking non-disabled adults to work and training where it makes sense.
    • Medicare reform focused on reining in Medicare Advantage risk-score gaming, enforcing site-neutral payments, and making benefits more straightforward, more transparent, and less exploitable.
    In the final segment, we tackle the big question: Can America ever move toward a reduced-subsidy healthcare model without harming patients? We discuss why we can't just cut and run, why we also can't keep spending unthinkingly, and what a "soft landing" strategy might look like—cleaning up corruption first, empowering patients and communities, then gradually rebalancing subsidies over time. If you're tired of being told, "That’s just the way it is,"
    If you believe we can have compassion without corruption,
    If you want a brutally honest but hopeful conversation about Medicare, Medicaid, the ACA, healthcare fraud, and real reform— this World of Payne episode is for you. 🔊 Listen in, share it with a friend, and be part of the push for a healthcare system that serves people—not bureaucracy, not fraudsters, and not political talking points.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.

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    2 hrs and 16 mins
  • The True Cost of Healthcare: How Subsidies Broke the System and What Comes Next

    The True Cost of Healthcare: How Subsidies Broke the System and What Comes Next
    Nov 13 2025
    Government subsidies were meant to make healthcare affordable—but instead they’ve driven costs through the roof. In this powerful episode, Tanner Payne exposes how insurance companies profit from bureaucracy, why premiums keep rising, and what America must do to reclaim compassion, accountability, and fiscal sanity.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.

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    1 hr and 49 mins
  • Elections That Moved the Ground: What 2025’s Results Reveal About America’s Future

    Elections That Moved the Ground: What 2025’s Results Reveal About America’s Future
    Nov 6 2025
    America just shifted again. From Virginia to New York City, from California’s redistricting battles to Maine’s fight for ballot integrity — the 2025 elections redrew more than maps; they redrew momentum.
    In this powerful 2-hour World of Payne special, host Tanner Payne unpacks the meaning behind the results, explores the growing divide between message and delivery, and calls for a conservative revival rooted in principle, not outrage.
    This is the election post-mortem the mainstream won’t give you — fiery, factual, and focused on unity through accountability. Plus, an exclusive ValorBuilt Apparel message reminding us what integrity and community still mean in America.

    Become a supporter of this podcast: https://www.spreaker.com/podcast/world-of-payne--4732235/support.

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    1 hr and 28 mins
  • Elections, Accountability, and the Erosion of Trust | World of Payne Podcast

    Elections, Accountability, and the Erosion of Trust | World of Payne Podcast
    Nov 3 2025
    In this powerful episode of The World of Payne, Tanner Payne dives deep into the state of American democracy — where faith in elections, leadership, and accountability collide. From changing state election laws to the 2025 gubernatorial races and debates over federal oversight, Tanner exposes the deeper issue threatening the republic: the erosion of trust. But beyond politics, this episode calls for compassion, courage, and community. As Thanksgiving approaches and SNAP delays leave millions uncertain, Tanner opens with a heartfelt message urging Americans to donate, help, and look out for one another. No matter who wins, we must remember — we are still Americans. And when government fails, we must protect and uplift each other.


    Keywords: World of Payne Podcast, Election Integrity 2025, Accountability in Government, Federal Oversight, Gubernatorial Races 2025, American Unity, Conservative Podcast, ValorBuilt Apparel

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    1 hr and 16 mins
  • The Silent Crisis: America’s Debt Spiral and the Vanishing Middle Class | World of Payne Podcast

    The Silent Crisis: America’s Debt Spiral and the Vanishing Middle Class | World of Payne Podcast
    Oct 30 2025
    America’s debt has shattered the $38 trillion mark — and Washington keeps spending. Inflation remains stubborn near 3 percent, gas prices are climbing again, and the middle class is paying the price. In this powerful episode of The World of Payne Podcast, Tanner Payne breaks down how reckless policies and partisan gridlock created a silent crisis threatening America’s backbone. From the One Big Beautiful Budget Act cuts to new Democratic spending bills that erase them, this episode exposes the debt spiral, rising inflation, and political dysfunction crushing working families. Listen for hard truths, real data, and a patriotic call to stewardship, responsibility, and unity. Sponsored by ValorBuilt Apparel and Sequence.io.

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    59 mins
  • When the Foundations Tremble | World of Payne Podcast

    When the Foundations Tremble | World of Payne Podcast
    Oct 26 2025
    In this episode of The World of Payne Podcast, Tanner Payne dives deep into a week of global and national tremors — from the U.S.–Australia rare earths alliance and the Amazon Web Services outage to political scandals, China’s economic slowdown, and America’s ongoing government shutdown.
    Through a conservative-leaning lens built on responsibility, integrity, and faith, Tanner examines what happens when the systems we depend on begin to shake — and how Americans can rebuild with strength and accountability.
    This episode isn’t about outrage — it’s about awareness. Because when the foundations tremble, you can either run… or rebuild.

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    1 hr and 11 mins
  • Power, Policy, and Pushback: A Conservative Look at the Battle for America’s Balance

    Power, Policy, and Pushback: A Conservative Look at the Battle for America’s Balance
    Oct 21 2025
    In this powerful 1.5-hour episode of The World of Payne Podcast, Tanner Payne takes listeners through five defining events shaping the American moment — from the “No Kings” protests to the Medal of Freedom for Charlie Kirk, from the World Bank and IMF meetings to the rise of AI at GITEX Global, and the federal intervention in Portland. Told through a conservative lens of faith, accountability, and structure, Tanner examines what these events reveal about leadership, liberty, and the future of American sovereignty. Each segment offers a balanced look — how the Left frames it, how Conservatives see it — and ends with a call for unity through conversation, not chaos. This is The World of Payne — where conviction meets clarity, and courage builds community. 🎙️ Topics: Politics | Business | Faith | Technology | Sovereignty | Conservative Commentary
    🛠 Sponsored by ValorBuilt Apparel and GetSequence.io

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    1 hr and 26 mins