Better Care for Billions Less: Fixing Medicaid’s Long-Term Care Incentives

Cato's Michael Cannon and the Center for Long-Term Care Reform's Stephen Moses examine how Medicaid’s long-term-care eligibility rules let middle- and upper-middle-class households shelter assets and shift costs onto taxpayers, driving up spending and lowering quality for the poor. Drawing on Moses’s new Cato paper Better Long-Term Care for Billions Less, they explain how perverse incentives, generous exemptions, and weak estate recovery undermine private planning and inflate a program already consuming one-third of Medicaid’s budget. Hosted on Acast. See acast.com/privacy for more information.

The Cato Institute's Katherine Thompson and Josh Shifrinson join Justin Logan to dissect the most contentious passages of the National Security Strategy, including its warnings about European “civilizational erasure,” its revived Monroe Doctrine instincts, and the absence of military escalation language on China. The discussion weighs whether this NSS truly reflects restraint and realism or simply refines old habits under a new rhetorical wrapping. Hosted on Acast. See acast.com/privacy for more information.

The Cato Institute's Jeff Singer and Michael Fox mark Repeal Day by examining how alcohol prohibition and the modern drug war share the same destructive logic: criminalizing peaceful people, fueling black markets, corrupting law enforcement incentives, and empowering violent traffickers. Drawing on real-world examples of overdose deaths, civil forfeiture, and policing excesses, they argue for a consistent, liberty-based framework that treats drug users with the same legal respect afforded to alcohol consumers. Hosted on Acast. See acast.com/privacy for more information.

Cato adjunct scholars Terence Kealey and John Early join Ryan Bourne to discuss the pair's new Cato working paper Mission Lost: How NIH Leaders Stole Its Promise to America. Kealey and Early detail how the National Institutes of Health's shift from financing mission-led research to funding basic science has reduced its effectiveness in improving Americans' health, all the while crowding out cutting-edge commercial science, and funnelling taxpayer dollars to a range of questionable projects. Hosted on Acast. See acast.com/privacy for more information.

Is your Thanksgiving dinner more or less affordable this year? Human Progress's Marian Tupy joins the Cato Institute's Ryan Bourne to discuss the political battle over affordability, the long-term costs of high inflation, and how time-prices show most goods becoming more abundant over time. Plus, the pair discuss human progress developments and why they are both thankful for the USA. Hosted on Acast. See acast.com/privacy for more information.

Cato's Chad Davis and Travis Fisher examine the gulf between symbolic climate pledges and the real-world complexities of energy use — from EV carbon costs to fossil-fueled resilience against natural disasters. They argue that the “climate homicide” narrative misreads the data, and that abundant, affordable energy remains humanity’s greatest defense against climate risk. Hosted on Acast. See acast.com/privacy for more information.

FEMA was meant to help only when disasters exceeded state capacity. Yet today it functions primarily as a national subsidy machine, encouraging development in floodplains, bailing out wealthy coastal states, and shifting costs onto taxpayers far from the danger zones. The Cato Institute's Dominik Lett and Chris Edwards discuss how well-intentioned federal aid has created perverse incentives, bureaucratic delays, and a long tail of spending that continues decades after storms like Katrina. Hosted on Acast. See acast.com/privacy for more information.

Romina Boccia, Michael F. Cannon, and Adam Michel break down the 43-day government shutdown driven by demands to extend temporary Obamacare subsidies for upper-income households earning well into six figures. The trio examines how the stalemate exposed deeper structural problems: runaway entitlement growth, perverse state incentives, a fragile food stamp and air-traffic control system, and a federal budget process unable to handle partisan deadlock. Hosted on Acast. See acast.com/privacy for more information.

The Cato Institute's Justin Logan and Brandan P. Buck unpack the Trump administration’s shifting justifications for military action in Venezuela, from fentanyl and cocaine interdiction to Monroe Doctrine revivalism. They explore the legal and strategic risks of invoking war powers under dubious pretenses, warning that the push for regime change could repeat the mistakes of Libya and Iraq while doing little to solve the hemisphere’s drug or governance problems.Show Notes:https://www.theamericanconservative.com/dont-do-it-mr-president/https://www.theamericanconservative.com/when-peace-through-strength-means-war-is-peace/https://www.cato.org/commentary/us-military-cant-solve-fentanyl-crisis Hosted on Acast. See acast.com/privacy for more information.

Can a president tax Americans at will under the guise of a national emergency? The Cato Institute's Scott Lincicome and Brent Skorup dissect the high-stakes Supreme Court battle over Trump’s “fentanyl tariffs,” the broadest assertion of trade power in modern U.S. history. They explore how the case could reshape executive authority, revive dormant constitutional doctrines, and determine whether Congress or the White House truly controls U.S. trade policy.Show Notes:https://www.cato.org/blog/emergency-tariff-refunds-theres-easy-way-very-hard-wayhttps://www.cato.org/blog/why-three-cato-trade-scholars-filed-amicus-brief-us-supreme-courthttps://www.cato.org/commentary/striking-down-tariffs-wont-hurt-anybodyhttps://www.cato.org/legal-briefs/trump-v-vos-selections-learning-resources-v-trump Hosted on Acast. See acast.com/privacy for more information.