Steve Hilton

Most of the money spent on that in California is actually federal money.

And there's a massive scam that I don't even want to get into where it's classic California.

They've got this medical provider tax that they've brought in, which increases the cost of everything in order that they can attract matching funds from the federal government.

It's just unbelievable.

And of course, their donors are the medical, the healthcare industry who benefit from it.

Taxes go up, nothing gets better.

But one thing that's amazing about Medicaid and mental health is that when the system was set up in the 60s,

they put in place this thing called the IMD rule, institutions of mental disease.

And it's all based on that attitude of we can't have these big mental asylums, it's inhumane, one flew over the cuckoo's nest, all of that stuff.

So there's a limit that was put in.

To get Medicaid reimbursement from the federal government, you can't get it if your mental health institution has more than 16 beds.

It's a very specific limit, 16-bed limit, which is insane.

Imagine if hospitals had a 16-bed limit.

how inefficient that would be.

That's what we have for mental health, for reimbursement for Medicaid.

So the first Trump administration put in place a waiver so states could apply for a waiver so that they could ignore that limit.

Other states have taken it up, California hasn't.

So just, there's all these things you can do to make things work.

It's just, there's no, the people in charge are clueless idiots who are just,

machine politicians who don't understand how anything works.