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The Government Accountability Office released an interim report alleging widespread fraud within Obamacare, linked to actions from the previous administration during the pandemic that weakened safeguards. The speaker asserts that income verifications were eliminated, undermining the process for determining real eligibility, and that the expansion of $0 premium plans increased the risk of people not realizing they are enrolled or being enrolled by unscrupulous brokers. He cites complaints from hundreds of thousands of Americans who didn’t know they were enrolled until they received IRS paperwork related to tax credits. The speaker argues that these problems arose because the prior administration prioritized high enrollment numbers over program integrity, with taxpayers funding the fraud through tax subsidies. Under President Trump and Secretary Kennedy, the speaker claims steps were not taken to address the issues. Key statistics are presented: 4,400,000 improper enrollments identified, including roughly 1,600,000 individuals enrolled in both Medicaid and an Obamacare plan in 2024, with taxpayers covering the costs in both programs and resulting in double insurance. The administration has begun cleaning up the system by removing about a million people who are or should be covered somewhere else, which, according to the speaker, will save taxpayers billions in waste. The speaker notes that the very first rule announced by his administration was the marketplace integrity and affordability rule. This rule would have enforced common sense income verification checks, ensured people enrolled knew they were enrolled, and blocked illegal immigrants from accessing taxpayer-funded care. Additionally, the rule was projected to lower premiums across the board for Americans by an average of 5%. However, the speaker claims this rule faced obstruction from blue-city governments, which brought a politically motivated lawsuit that tied up the rule in litigation. He credits Congress for providing additional tools through the working families tax cut legislation to bolster verification in future years. Despite ongoing efforts, the speaker acknowledges that there is still a lot of work to be done, and emphasizes that the administration continues to fight daily to clean up Obamacare problems, with the GAO report highlighting remaining issues.

Health officials are concerned as mass vaccinations are seen as the only way to return to normalcy. However, after almost 4 months of the vaccination campaign, providers are running out of people who are willing to be vaccinated.

The group visits several local daycares and notes security and accessibility observations. At First Choice Child Care LLC, they spot a Kasim Brothers semi truck in the parking lot, which they suggest is notable when dropping a child off for childcare. They observe that doors appear to be locked, and they see security cameras: “Camera up there. Camera over there.” They ring the doorbell but don’t hear anyone, and they note there are no cars in the parking lot at that moment. They mention the facility is open seven days a week, but there is “no signage to say” if it is closed, creating ambiguity about hours. They compare this to the nearby neighborhood and point out a second daycare, Bright Futures, next door. Bright Futures also has cameras, and the overall impression is that “Tons of daycares” either have or lack visibility in different ways, with some locations showing a nice lobby entry and others offering limited visibility into the interior. During their visit, they attempt to engage staff. Mehak asks, “Hi. I was wondering, are you open today? Do you have any paperwork? I just wanted to look up your enrollment for a three year old. My name is Mehak.” The staff response is reported as, “I’m sorry? Am I what? You’re going to send somebody? No. Okay.” The interaction is interrupted by a request to stop recording, and the staff confirm, “Okay. They want us to stop recording for for okay. That’s fine.” The group continues to seek pricing information, repeatedly asking, “how much does it cost?” and “how much does it cost to go to daycare here.” They express confusion about the cost and the application process, with a brief exchange: “Price after we fill the application? So how much does it cost?” and “Is it? Come here. You know, how much does it cost? Woah.” Overall, the footage emphasizes security features (locked doors, cameras), ambiguous operating hours (open seven days a week with no clear closure signage), and direct inquiries about enrollment and pricing, including interactions with staff and a request to cease recording.

ActBlue changed its donation process in September to require CVV numbers to prevent foreign donations. However, there hasn't been a noticeable drop-off in donations since this change. The information provided by ActBlue was misleading; they only require CVV numbers for new accounts opened after the change. This means that hundreds of thousands of existing donors are still not subject to this requirement, which was not clearly communicated.

In the last 15 years, the number of clinics serving pediatric patients on gender issues in the United States has grown from zero to over 100. This growth can be attributed to various factors, with the main catalyst being the implementation of Obamacare in 2010. The law mandated insurance companies to cover medically necessary gender-affirming care, leading to a 50% increase in sex reassignment surgeries and a 25% increase in insurance coverage for transgender individuals between 2010 and 2016. In 2016, an amendment to the Affordable Care Act further prohibited private insurance companies from denying coverage based on gender identity. This resulted in a 150% increase in sex reassignment surgeries from 2016 to 2017. The provision was revoked by the Trump administration but reinstated by the Biden administration.

Fifteen years ago, the Affordable Care Act (ACA) was signed into law with the goal of establishing healthcare as a right for every American. Almost 50 million people have obtained quality, affordable healthcare through the ACA, nearly halving the percentage of uninsured individuals. The Obama Presidential Center will feature stories of those who made the ACA a reality, including Jim Hauser, an auto repair shop owner who received help covering his employees. Visitors will learn how lives have been changed and hear from leaders who worked to make it happen. The ACA demonstrates that progress is possible with presidential leadership, elected representatives, and people around the country. Despite predictions of political repercussions, healthcare reform was prioritized. The ACA is considered a first step, and there is a call to continue building upon it until everyone has access to quality, affordable health coverage.

The government tracked vaccine side effects using VAERS and v safe systems. V safe required all Americans to report any adverse events after vaccination. 10 million Americans signed up, with 7.7% seeking medical care within the first 6 months post-vaccination. Most visits were for emergency care or hospitalization.

In the exchange, concerns are raised about mail-in ballots in Allegheny and Philadelphia counties and how they were counted. Speaker 0 notes that ballots were counted without observers, citing 682,770 ballots observed and asking about the 1,823,148 mailed-out ballots, contrasted with a final count showing 2,589,242 mail-in ballots. The core question is: what explains the roughly 700,000 mail-in ballots that “appeared from nowhere”? Speaker 1 responds that their cyber team uses white-hat hacking techniques to gather publicly available information from the secretary of state’s website, which has been updated as late as 11:16 this morning with provisional and mail-in ballots, though those numbers continue to change. He adds that the 2,500,000 figure is no longer on the website, and it has “just been taken off.” There is no annotation explaining why. Speaker 2 then describes an on-the-ground observation: a deputy sheriff, a senior law enforcement officer, was seen not being observed and walking in with baggies, with USBs being inserted into machines. The witness claims to have personally witnessed this 24 times, with additional witnesses including Democrat poll watchers. They were told by an attorney that every election leaves a couple of USB cards in the voting machines to be brought back by the warehouse manager, but this account is contradicted by law enforcement and other officials. The witness states that 47 USB cards are missing and “they’re nowhere to be found,” and that 32 to 30 cards uploaded were not present in the live vote update. The witness demanded timely live upload of vote results, which showed 50,000 votes; they assert those votes were for Vice President Biden, though they note that identifying who those votes were for should not matter to a computer scientist. Speaker 1 emphasizes that forensic evidence from the computers was not obtained: the procedure would involve turning off the computer, imaging the drive with BitLocker, under law enforcement observation, which would take about an hour for five machines. This forensic imaging was never performed, despite objections three weeks earlier. They later learned that virtually all chain-of-custody logs, yellow sheets, and forensic records in Delaware County were gone; a signing party attempted to recreate the logs with poll workers but was unsuccessful in recovering them all. The discussion concludes with a claim that there are 100,000 to 120,000 ballots, both mail-in and USB, in question, and that there is no remedy or “cure” within the local charter for certifying a presidential vote, leaving the speaker asserting that nobody could certify the vote in good conscience.

Speaker 0 states that more than 3,000,000 pages, including more than 2,000 videos and 180,000 images, were produced, totaling approximately three and a half million pages in compliance with the act. The 2,000 videos and 180,000 images are not all videos and images taken by Mr. Epstein or someone around him; they include large quantities of commercial pornography and images seized from Epstein's devices, but which he did not take or that someone around him did not take. Some of the videos and some of the images do appear to be taken by Mr. Epstein or by others around him. The department’s document identification and review protocols consisted of multiple layers of review and quality control designed to ensure compliance under the act and protect victims. In addition to the department’s review protocols, the United States Attorney’s Office for the Southern District of New York employed an additional review protocol to ensure compliance with a court order requiring United States Attorney Jay Clayton to certify that with respect to certain materials, a large quantity of the materials, a rigorous process was undertaken to protect victims against any clearly unwarranted invasion of their personal privacy. The department’s collection effort resulted in more than 6,000,000 pages being identified as potentially responsive, including department and FBI emails, interview summaries, images, videos, and various other materials collected and generated during the investigations and prosecutions that the act covered. They erred on the side of overcollecting materials from various sources to best ensure maximum transparency and compliance, which necessarily means that the number of responsive pages is significantly smaller than the total number of pages initially collected. That is why they mentioned releasing more than 3,000,000 pages today and not the 6,000,000 pages that were collected. They address what they didn’t produce. The categories of documents withheld include those permitted under the act to be withheld: files that contain personally identifiable information of victims or victims’ personal and medical files, and similar files, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Any depiction of CSAM or child pornography was obviously excluded. Anything that would jeopardize an active federal investigation. And finally, anything that depicts or contains images of death, physical abuse, or injury, also not produced. Although the act allows for withholding for items necessary to keep secrets in the interest of national security or foreign policy,

Barack Obama, with Joe Biden as Vice President, used ideas from the Heritage Foundation in Obamacare. The Heritage Foundation also developed Project 2025, which Democrats are said to be looking at. The bill itself integrates Republican ideas. Obamacare is similar to the bill that Mitt Romney passed in Massachusetts. Ideas like the exchange, being able to pull, and improve the purchasing power of individuals, in the insurance market originated from the Heritage Foundation.

Gizmet aims to improve healthcare accessibility by reducing administrative burdens. The primary goal is to build capacity for participants who spend most of their time on administrative tasks. A significant portion of this administration involves locating available and suitable healthcare providers who can meet the specific care needs of each participant.

The speaker discusses the challenges and concerns surrounding the rollout of a new dental care program in Canada. Patients are confused about potential costs and finding participating dentists, while dentists are hesitant due to administrative burdens and unclear terms. The government's plan lacks crucial details, such as preauthorizations, causing delays in patient care. Only a small percentage of dentists have registered so far, raising doubts about the program's success.

Speaker 0 questions Gruber’s identity and role in crafting Obamacare, asking, “Who is Gruber? What was his role in crafting Obamacare?” Speaker 1 replies that Gruber didn’t help write their bill and questions if viewers have seen Jonathan Gruber of MIT’s analysis; they describe Gruber as “one of the most respected economists in the world.” Speaker 2 notes Gruber attended five of the 12 meetings at the Obama White House in 2009, including a meeting with the president. Speaker 1 says they were a paid consultant to the Obama administration to help develop the technical details of the bill, stating “$6,000,000 in consulting fees on Obamacare,” and remarks that one could soon make a lot of money working for the government. They describe Gruber as “an adviser,” and discuss the idea that the adviser never worked on their staff. Speaker 2 adds that someone who never worked on their staff has “stolen ideas from liberally, John Gruber.” Speaker 1 comments on Obama being more relaxed and mentions a cigarette break taken halfway through. Speaker 2 expresses disagreement with Obama’s opinion about voters, saying it’s a belief that voters are too stupid to understand it, calling it “the stupidity the American voter” and describing it as a clever exploitation of Americans’ lack of economic understanding. Speaker 2 asserts there is “no reflection on the actual process that was run.” Speaker 1 notes that the only way they could take on the measure was first by mislabeling it, and that John Kerry said, “No. No. No. We’re gonna tax your health insurance. We’re gonna tax those evil insurance companies.” Speaker 0 states, “Gruber, has been our guide on a lot of this.” Speaker 1 clarifies that Gruber is “really” guiding toward understanding that the bill is “a tax on people who hold those insurance plans.” Speaker 3 comments, “I think it’ll it’s fair,” in response to a point about the bill. Speaker 2 adds that there was not a provision in the health care law that was not extensively debated. Speaker 1 contends that the bill was written in a “tortured way to make sure CBO did not score the mandate as taxes,” explaining, “If CBO scored the mandate as taxes, the bill dies.” Speaker 0 reiterates Gruber’s prominence, saying, “Mister Gruber of MIT, he’s got big computer models. He takes the CBO data, and frankly, in some respect, he’s helped CBO by helping give some information at CBO that otherwise does not have.” Speaker 1 states there was a law that said healthy people are gonna pay in, making explicit that healthy will pay in and sick people get money, and argues it would not have passed otherwise. Speaker 2 adds that the process was fully transparent, but Speaker 1 counters that lack of transparency is a huge political advantage, and questions how that will apply to more health insurance claims over time.

Fifteen years after signing the Affordable Care Act (ACA) into law, the goal was to establish that health care in America is a right for every American. Today, almost 50,000,000 people have received quality, affordable health care through the ACA, which is one in seven Americans. The percentage of people without insurance has been nearly cut in half. This means more sick kids get medicine, more cancer patients have life-saving surgery, and more people with preexisting conditions enjoy peace of mind. The ACA happened not because of one person, but because Americans of all ages from across the country spoke up about why health care reform mattered to them—when they want health care. When the Obama Presidential Center opens on the South Side of Chicago next year, visitors will have a chance to hear from some of the people who helped make the ACA a reality and see objects that symbolized the fight for health care reform and helped convince Congress to do the right thing. They will learn about Jim Hauser, who ran an auto repair shop with nine full-time employees; thanks to the ACA, Jim got help covering those workers and proudly wore his master automobile technician pin to the State of the Union in February 2011. Jim also brought his daughter, Helen-law, a 22-year-old freelancer who also got covered under the ACA. In addition to hearing these stories, visitors will see how people’s lives have been changed forever by the work that was done, and they will hear from leaders in the administration who worked and sacrificed for four years to make it happen. An aide says that when they see people going into the Obama Presidential Center, they hope visitors come away with the sense that, against all odds, progress can be made, and that progress counts on presidential leadership, elected representatives, and people all around the country. Another staffer recalls that some told the president he’d pay a political price if health care reform was a priority, and some predicted it would cost him reelection. But the president said he didn’t run for president to put his approval rating up on a shelf and admire it; he did it to make a difference, so the choice was clear. A staffer recalls a moment in the Oval Office when the president said this is shaping up to be a one-term presidency and that’s okay if he can get done the things he wants to get done, with health care reform being one of those things. The president emphasizes that, with everything going on, the ACA is bigger than politics and protecting livelihoods when a family member gets sick is essential. The ACA is described as a starter house—a big step forward but only the first step. The plan is to keep building on and improving the ACA until everyone has access to quality, affordable health coverage. When visiting the Obama Center in 2026, the goal is for visitors to leave ready to keep making a difference, and the organizers look forward to seeing them next year.

Speaker 0 and Speaker 1 discuss CBO estimates of people losing health insurance under Medicaid and Obamacare. - Medicaid: According to CBO estimates, those on Medicaid losing health insurance include four point eight million able-bodied adults without dependence who choose to not meet modest work or community engagement requirements. An additional 1,400,000 are illegal immigrants. 1,600,000 will have access to other forms of subsidized health insurance, including the option to stay on Medicaid. And 1.3 million are already ineligible for the Medicaid program period; they shouldn’t be on the program, but they're doing it. - Obamacare (ACA): When looking at those on Obamacare losing health insurance, 1.8 million are illegal immigrants, and 1,100,000 are fraudsters who don't submit common sense verification requirements. Speaker 1 notes, “And this is from CBL.”

I am the benefits administrator at my small business. I have, less than 20 employees. I have 11 enrolled in UnitedHealthcare. Now for my family of four to have access to their health plan is $1,900 a month. That's $23,000 a year. We experienced for this year's renewal, so in one year we had a 46.53% increase. Currently we pay $1,268 a month in premiums. But riddle me where the average family is getting $23,000 to pay for their premium. Once they actually have a health event, they have to reach their $5,000 deductible before the plan pays anything. Anything. It does pay for my wellness visits where they'll inject my kids with a, b, and c. Individual rate went from $441 to $645.

Modernizing American medicine will address waste, fraud, and abuse. Last year, 230,000 Americans on Obamacare plans were unaware of their enrollment; brokers profited by enrolling them without their knowledge. California has taken millions of dollars from the federal government to provide free health insurance for illegal immigrants. The government intends to recoup this money. Medicaid patients are also being enrolled in multiple states, resulting in the federal government paying multiple states for the same individual without ensuring they receive adequate healthcare.

PPL has an office on the building's second floor that is not yet open. While appointments are supposedly possible, the speaker has been unable to contact anyone by phone. The speaker's wife will lose her home care in two weeks if they are not registered. The speaker was denied access to the second floor and threatened with police action for entering the building. The reason given was that the building is considered private property and not yet operational as a PPL office, despite being operational as another company. The speaker believes the situation is a failure, citing the Department of Health's decision to hire PPL for the transition without ensuring functional offices, accessible phone lines, or a working online system.

PPL has an office on the building's second floor, but it is not yet open. While appointments are supposedly possible, the speaker has been unable to contact anyone by phone. The speaker's wife will lose her home care in two weeks if they are not registered. The speaker was barred from entering the building and the police were called. Access to the second floor is restricted by a swipe-access door. The speaker claims he only wants to register but was told he is not allowed on the property because PPL is not yet operational there, and the building's current operating company prohibits his presence. The speaker believes the Department of Health hiring PPL to transition people over was a failure due to non-operational offices, unanswered phones, and a malfunctioning online system.

The speaker asserts that the insurance industry has previously broken commitments regarding prior authorization. However, the speaker believes the current situation is different due to the unprecedented number of patients covered, with 257 million patients already involved and another company joining during the meeting. The speaker anticipates further enrollment. The key difference this time is the presence of standards, deliverables, specific details on those deliverables, metrics, deadlines, and oversight.

Fifteen years ago, the Affordable Care Act was signed into law with the goal of establishing healthcare as a right for every American. Almost 50 million people have since obtained quality, affordable healthcare through the ACA, nearly halving the percentage of uninsured individuals. The Obama Presidential Center will feature stories of those impacted by the ACA, including Jim Hauser, an auto repair shop owner who received assistance covering his employees, and his daughter, Helen-law, a freelancer covered under the ACA. Visitors will learn how the ACA changed lives and hear from administration leaders involved in its creation. Despite political predictions of a "one-term presidency," healthcare reform was prioritized. The ACA demonstrates that progress is possible and that some issues transcend politics. The ACA is viewed as a "starter house," requiring further building and improvement to ensure universal access to quality, affordable health coverage. The hope is that visitors to the Obama Center will be inspired to continue making a difference.

Eighty-five percent of Americans report negative experiences with pre-authorization. In 2023, the Medicare Advantage Program, covering 32 million people, denied 3.2 million initial prior authorization requests. Physicians handle about 40 pre-authorization requests weekly, spending around twelve hours on related paperwork. This frustrates doctors, delays care, and erodes trust in the healthcare system. Health and Human Services and CMS are pursuing private solutions to address prior authorization issues. A recent roundtable with CEOs representing 75% of all covered lives in America, approximately 260 million people across Medicare Advantage, Medicaid, and commercial insurance, addressed this problem. There is significant industry interest in resolving these issues.

Medical bills can be confusing, as seen in the case of an emergency appendectomy that cost $90,000, which insurance initially refused to cover, questioning its necessity. This situation highlights the issues with health insurance regulations in the U.S., where insurance companies have significant control over what is deemed necessary medical care. To manage costs, insurers implement measures like utilization management and prior authorization, which can lead to denials of coverage. These practices are longstanding and often criticized by physicians, who advocate for policy changes. While Medicare is making some adjustments, progress is slow.

Speaker 0 states that based on numbers from PPL, 22,000 people had started or were in the process as of January 31. Speaker 1 clarifies that 40,000 have started or completed, with 22,000 having completed the process. Speaker 0 calculates that with 49 days until April 1, and PPL operating seven days a week, 240,000 people would remain. This would require PPL to process approximately 5,000 people per day. Speaker 0 asks if this is possible. Speaker 1 claims they have a plan and are meeting targets, with enrollment increasing exponentially. They are monitoring closely, but there's a potential of not meeting targets. Speaker 0 states they have not heard anything about a plan.

Delay is often used as a tactic by companies, which can have serious consequences. This practice serves to prioritize shareholder profits over the well-being of individuals enrolled in health plans. For instance, during a significant investor event, the focus was on rewarding shareholders, often at the expense of patients. Medical debt is another significant issue, exacerbated by high deductibles that force individuals to pay substantial amounts out of pocket before receiving any coverage. This has led to a staggering $220 billion in medical debt, affecting over 100 million people, many of whom have health insurance that fails to provide adequate support.