Gross Domestic Problem

The $1.5 Trillion Healthcare Coding Scam

Gross Domestic Problem

Show Notes

In this episode of Gross Domestic Problem, William is joined by Marc Goldwein, Senior Vice President and Senior Policy Director at the Committee for a Responsible Federal Budget. William and Marc explore the massive inefficiencies in U.S. healthcare spending, particularly within Medicare Advantage. They reveal how "upcoding" by private insurers could cost taxpayers up to $1.5 trillion, highlighting systemic problems like inflated risk scores and unnecessary payments. Marc argues that significant fiscal savings are possible by addressing healthcare spending inefficiencies without cutting benefits, but this requires bipartisan cooperation and public understanding. One key takeaway is that solving healthcare spending is crucial to managing the national debt and represents a moral obligation to future generations. Don’t miss this engaging conversation.

More from Gross Domestic Problem

Oct 23, 2026

In this episode of Gross Domestic Problem, William Glass examines the unrest in France as a warning about the economic pressures beneath the headlines: high public debt, rising borrowing costs, and government spending he argues is tilted toward older generations at the expense of younger people. He compares France’s challenges with similar U.S. fiscal pressures, while noting America’s advantages in economic growth and reserve-currency status. The key takeaway: these imbalances may become harder to address over time, so William calls for transparent leadership, informed voters, and greater accountability for government spending.

Oct 7, 2026

In this episode of Gross Domestic Problem, William Glass explores why more Americans are searching for information about the national debt, even as few cite it as a top concern. He connects rising Treasury yields and government borrowing to mortgage rates, business costs, inflation, and everyday affordability, and considers how AI search tools may help people see those connections. The key takeaway: market pressures could be raising awareness of the debt before Washington acts, but Treasury measures that soften the signals may delay the fiscal choices needed to address it.

Sep 21, 2026

In this episode of Gross Domestic Problem, William Glass breaks down popular claims that the federal minimum wage should be $24 an hour by arguing that such comparisons misuse history, productivity data, and demographics. He explains that while today’s $7.25 minimum wage has clearly lost purchasing power, very few workers actually earn it now compared to 1968. Many low-wage roles are held by young, untrained workers whose labor markets and productivity look very different from high-tech sectors. William also emphasizes the trade-offs of blanket federal wage floors, suggesting that issues like housing policy, inflation, and national debt are bigger drivers of affordability problems than simple “greedy rich vs poor workers” narratives. He calls for more nuanced, evidence-based debate, stronger but well-designed safety nets, and a recognition that complex economic challenges cannot be solved with simplistic, emotionally charged rhetoric.

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In this episode of Gross Domestic Problem, William Glass and Mark Mills explore how the seemingly “weightless” world of AI is colliding with hard physical limits: data centers, power plants, steel, concrete, and permitting. They trace the history of computing and data centers, explain why AI drastically raises energy and infrastructure demand, and argue that the U.S. remains far ahead in both AI models and data center buildout—but risks “Sovietizing” its economy through bad policy, overregulation, and anti-industrial politics. They debunk the idea of a truly post-industrial society, show how private investment in AI infrastructure can drive productivity and help manage America’s massive debt, and emphasize that growth in energy capacity and industrial capability is both technically feasible and essential if the U.S. wants to reap the benefits of the AI boom rather than just invent it for others.

Aug 20, 2026

In this episode of Gross Domestic Problem, William Glass explains the implications of the U.S. national debt surpassing $40 trillion, breaking down the difference between gross and public debt and why both matter. He highlights how the debt has grown much faster than expected, driven by structural budget issues such as mandatory spending on Social Security, Medicare, and Medicaid, as well as rising interest costs on continuously rolled-over government debt. Glass connects the national debt to everyday life through its impact on mortgage rates, business investment, jobs, and long-term economic opportunity, warning that growing debt can crowd out future prosperity. He stresses that the problem is bipartisan and cannot be solved by targeting waste alone, calling instead for serious, proactive reforms to reduce deficits relative to GDP, address entitlement programs before crisis hits, and restore fiscal credibility. Finally, he urges listeners to protect themselves by becoming more financially aware, planning for a potentially tighter economic future, and engaging politically to demand responsible fiscal policy.

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