Luke Rosiak

He can't even do subpoenas because there's basically a turf dispute between bureaucrats and the local prosecutors want to reserve that power for themselves.

But local prosecutors don't have the technical knowledge about these obscure programs.

I think that there's an inherent problem in the Medicaid program, which is you're playing with other people's money, meaning the program is run primarily by the state, but the money comes mostly from the federal government.

So some of these states kind of look at it like free money coming into their economy.

Even if it's mostly wasted, it's not their state money, it's federal money, which is, I think, a reason to look at getting rid of waivers entirely.

The Trump administration has changed some things recently.

The Doge data set was a huge win, as I mentioned, for transparency.

And we also have this fraud task force that's ramping up.

I think, again, though, what I found is strong indications of fraud, but then also indications that they're moving money around and popping things up under new names or new proxies.

And so I think what you see is a game of whack-a-mole that's somewhat futile.

So I think at the end of the day, there is very much a solution here that the Trump administration, I believe, has the power to do, which is rescind the waivers for home health care.

And that would restore fairness, I think, because we're all paying for Medicaid as federal taxpayers, that some states don't get extra services than others.

We return it to...

just doing real normal medical care like it was intended to, and just end this home healthcare business because it's not even worth the time.

It's just too much money going out the door with too little in return.

It's just the whole thing's gotta be killed.

So I call it free butlers for Somalis.

The Medicaid program is sending people to the houses of elderly people who tend to be Somali and saying, you know, you can have somebody come and clean your house, cook for you, even just do companionship and conversation, which sounds crazy.

But the reason that part is key is because what they've done is the people providing these services are their own family members.

So they figured out a way to get the government to pay you by the hour to hang out in your own house with your own family.