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Charles Sauer

Charles Sauer

Economic policy expert, syndicated columnist, and Founder/President of the Market Institute; author of "Profit Motive: What Drives the Things We Do."

Oct 13, 2026

99:40
And do you feel these are ideas which could help save health care in the United States?
99:48
Well, there are several ideas on the on the table that I think are good and would really help.
99:54
But I would also say before I even get into those, that if all of the Democrats went home today, Republicans couldn't get behind a health care plan to support it across the finish line.
100:05
So we are in a bad place.
100:07
But with that said, President Trump has actually been working on some stuff behind the scenes.
100:12
And there is an idea moving in Congress.
100:14
It's called site neutrality.
104:33
What do you say?
20:27
Look, when they close down a hospital because it's making money but not enough, and just say, "Well, people will drive another 30 or 45 minutes," we see this happen a lot, don't we?
20:36
We see it happen all over the country.
20:38
We see it happen in our neighborhoods.
20:40
Uh, if you look around where I'm at in northern Virginia, it's Nova, but it, from, uh, in Charlottesville it's a different system.
20:49
And all across the country we see this.
20:51
And in large part, your documentary was great.
20:54
My, my conclusion is that it's government policy that's driving all of this.
25:10
Am I wrong?
4:44
Yeah, you're sicker on paper, basically, is what you're saying.
4:48
Yeah, you're sicker on paper.
4:49
And so what they do, and people have gotten these phone calls.
4:51
The insurance company will call you up.
4:53
They will send the nurse out to your house because they want to have you out there.
4:58
And the nurse will come out.
5:01
They will see how many boxes they can check, how sick they can make you.
7:38
Can UHC and other companies explain that away or no?
21:21
What do you mean by that?
21:23
Yeah, so right now they're trying to consider Reconciliation 3.0, and I'll tell you what, there is a, uh, a fight about what's gonna be in it.
21:31
But I agree with you, they need to do something about the economy, and currently they're not doing anything.
21:37
But what they can do is, to actually fund some of this, is reform healthcare, and they can do that by doing two simple things.
21:46
They can pay hospitals the same as they pay independent doctors, and they can rein insurance companies in on Medicare Advantage, where insurance companies are just bilking the government for billions of dollars.
22:02
And it's what we should expect.
22:04
It's what any economist should expect.
24:55
How can an MRI not have a standard price? Whether you have insurance, don't have insurance, it should not matter, but it does, doesn't it?
45:17
Can UHC and other companies explain that away or no?
45:22
They can't.
45:23
And the fact is, is that that is the smoking gun that we hope that Dr. Oz can go after.
45:28
But again, I don't even blame United Healthcare on this.
45:30
This is they're sending these nurses out to these homes and they're giving them, you know, they have a sheet of what can they put on these sheets where it's hard for somebody to come in and say that that's not happening.
45:42
Realistically, what we need is to change the incentives.
45:45
And CMS has started looking at this.
48:32
Has his CMS, which I forget what that stands for, but has that agency actually done anything meaningful on this, or is this still talk in the formative stages?
16:22
So, right? Your opinion on this bill, and is there any light at the end of the tunnel if this thing gets approved?
16:30
So look, I think that it might not be a big, beautiful bill.
16:33
It is a big bill, but this is Washington, D.C.
16:37
I think that Elon Musk has done a great job in D.C. actually starting, at least in Doge generation 1.0, starting to cut the waste that is in the federal government and starting to move hopefully in that 2.0 towards the fraud.
16:51
But as you pointed out, they just don't have that many votes in the Senate or the House to pass something that is much stronger than this.
16:59
Look, we all know that Medicaid went from 600 billion pre-COVID to 900 billion now.
17:04
They're only cutting out 70 billion in this big, beautiful bill.
19:17
It's everywhere.

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