Scott
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So it's going to be a lot of work, but I know the president's committed to this. So hopefully we'll get down to less than a trillion dollar this year deficit and with a balanced budget within three years.
Well, what you ought to be doing, Charlie, is doing exactly what you do with your family budget.
Well, what you ought to be doing, Charlie, is doing exactly what you do with your family budget.
you review everything so we should be going through line by line through the defense budget like we do every other budget and say is that a must-have or is that a nice to have we also need to see how can we get things done less expensively so i was just over in denmark finland and estonia two weeks ago and one thing i did was i met with shipbuilders over there to say okay so
you review everything so we should be going through line by line through the defense budget like we do every other budget and say is that a must-have or is that a nice to have we also need to see how can we get things done less expensively so i was just over in denmark finland and estonia two weeks ago and one thing i did was i met with shipbuilders over there to say okay so
Can you do it less expensively than what we do it here? We need icebreakers. Can you build them cheaper than we can? You have technology on shipbuilding that you can bring to the United States so we can get things done quicker. So what we have to do is we have to stop saying we're going to do everything and say, okay, so let's prepare for our problems. Our biggest problem right now is China.
Can you do it less expensively than what we do it here? We need icebreakers. Can you build them cheaper than we can? You have technology on shipbuilding that you can bring to the United States so we can get things done quicker. So what we have to do is we have to stop saying we're going to do everything and say, okay, so let's prepare for our problems. Our biggest problem right now is China.
So what do we need to do to prepare for China and spend our money that way, build our budget up that way? I think there's lots of โ Charlie, I agree with you. There's lots of savings.
So what do we need to do to prepare for China and spend our money that way, build our budget up that way? I think there's lots of โ Charlie, I agree with you. There's lots of savings.
OK, so I used to run the largest hospital company in the country. All right. There are so many ways to deliver medicine. healthcare less expensive than we do it. So here's some of the things we're doing wrong, in my opinion. Number one, we shouldn't be covering people that don't want to even look for a job.
OK, so I used to run the largest hospital company in the country. All right. There are so many ways to deliver medicine. healthcare less expensive than we do it. So here's some of the things we're doing wrong, in my opinion. Number one, we shouldn't be covering people that don't want to even look for a job.
If you don't want to even look for a job, then why are we giving you free public housing, food stamps, healthcare, any of that? So that's number one. Number two, it's supposed to be a match program, but what's actually happened
If you don't want to even look for a job, then why are we giving you free public housing, food stamps, healthcare, any of that? So that's number one. Number two, it's supposed to be a match program, but what's actually happened
is states have taken advantage of the program and now it's become, most of it is, all the growth is in federal spending because they've used provider taxes to dramatically increase the federal spending, but not the state spending. It's supposed to be a match. Next, the match between the states is tied to the income levels of the state.
is states have taken advantage of the program and now it's become, most of it is, all the growth is in federal spending because they've used provider taxes to dramatically increase the federal spending, but not the state spending. It's supposed to be a match. Next, the match between the states is tied to the income levels of the state.
Well, places like California and New York, they're guaranteed 50% match when their average income is way higher than a state like Mississippi or Alabama or things like that. So we should do it based on real income levels. Then the other thing you have to do is you have to fix the delivery system.
Well, places like California and New York, they're guaranteed 50% match when their average income is way higher than a state like Mississippi or Alabama or things like that. So we should do it based on real income levels. Then the other thing you have to do is you have to fix the delivery system.
You shouldn't say, oh, for the exact same procedure, I'll pay you more in an inpatient setting than an outpatient setting. So there are so many ways to reduce the cost. Now, we clearly shouldn't be covering people here illegally, all right? And then, so you gotta have a work requirement. You gotta have skin in the game. We've gotta make this a program that you have to work to get this.
You shouldn't say, oh, for the exact same procedure, I'll pay you more in an inpatient setting than an outpatient setting. So there are so many ways to reduce the cost. Now, we clearly shouldn't be covering people here illegally, all right? And then, so you gotta have a work requirement. You gotta have skin in the game. We've gotta make this a program that you have to work to get this.
You don't get it just because you don't feel like going to work. So there's a lot of money. There's a lot of money to be saved in the Medicaid program. And actually, when I was governor, I told, Trump was president the last few years of his government. I said, if you give us, if you give us and allow us to spend the money the way we want to spend the money, you don't have to give us as much money.