Where Does Our Federal Spending Go?

I’m pretty well done with sifting through Federal Spending, Tax Revenue, and all that fun stuff, but I do have one more thing I’d like to share. Trust me, it will be fun (it’s full of numbers) and I’m trying to delve into how the Federal Government spends money. This seems particularly relevant when we’ve heard so much talk of how we need to cut Federal Spending (and where it should be cut) ever since Elon Musk and his team of grifters at DOGE got involved. Even as the net result of the 2025 Congressional Budget Bill is to increase Federal Spending while cutting down on Federal Revenue. It’s like Ronald Reagan and Alan Greenspan never left us, or they’re still with us in Spirit.

Personally, I think that means we need an Exorcism post haste.

This additional deep dive into Federal Revenue and Spending came about, partially in response to someone on Threads who insisted (despite all evidence to the contrary) that Donor States were still a drain on the Economy because many of them received more in Federal Funds than less populated States that couldn’t hope to contribute as much.

He clearly didn’t comprehend that words have agreed-upon meanings. No matter how much he wished it, he couldn’t arbitrarily change those definitions (not without some sort of consensus involved). It’s disingenuous at best to accuse Donor States of being a drain, when they are contributing more than they are taking. It really doesn’t matter that these states might be receiving more than others (that take more than they contribute). I continued that discussion far longer than I should have, when I simply needed to point out that he was wrong from the beginning, and wasn’t getting any less wrong the more he tried to argue his point.

That’s the problem with the way many people look at things today. They think that their sense of what is correct holds the same value as the reality of the thing, whatever that thing might be. Just because something doesn’t feel right, because it doesn’t correspond with one’s worldview, is not the same as something not being right or accurate. Some people (mostly men, it seems) think everything is up for debate and interpretation, but that simply isn’t how reality works. We don’t get to negotiate with reality the way we do with one another. One’s level of confidence in their being correct does not influence whether they are (even if it makes them seem like they must be), but there’s no convincing some people of that.

This is why, not so long ago, when more than a thousand people were polled, 12% of Men responded that they believed they could score a single point on Serena Williams in Tennis. Of course: 17% of Men also believed they could beat a Chimpanzee in a fight, 8% were confident they could defeat a Gorilla, and 6% suggested they could successfully fight a Bear. Keep in mind that these men are unarmed and the animals are neither infants nor infirm. So, there’s clearly no accounting for human stupidity, or the confidence that goes with it.

But, back to the topic at hand.

In 2023, the Donor States (those that paid out more in Federal Revenue than they received back) produced a combined surplus of $619 Billion. That was such a great surplus in Total Revenue that it offset the total amount consumed by states that received more than they paid out, with more than $105.1 Billion left to spare.

Fully 88% of that Federal Revenue came from Income and Individual Taxes (this includes Social Security and Medicare), with the remaining 10% coming from Business Taxes, Estate Taxes, and so on.

The Federal Government spent a grand total of just below $6.2 Trillion that year (which is more than the total Federal Revenue), which means Donor States provided roughly 10% of the total amount of Federal Spending in just the surplus between what they paid out vs. what they received back from that $6.2 Trillion.

It’s worth referring back to my earlier discussion of Sanctuary States to point out that 11 of the states classified as Sanctuary States, when broken down by Per Capita Revenue, generated more than they received that year. When looking solely at total amount of outgoing versus incoming Revenue at the State Level, it was seven Sanctuary States operating in the black. When we adjust our focus, in terms of total population, we’re looking at 11 Sanctuary States that paid in more than they cost the Federal Government per person. I keep bringing that up because it’s imperative to hammer in the point that people should stop trying to use Sanctuary States as a budgetary talking point as if they’re a drain on the economy. After all, the reality is quite the opposite.

It’s a simple thing to ignore context and simply accept that the Federal Government distributed a grand total of $4.56 Billion back to the various states and their residents. That’s still less than was obtained in Federal Revenue, by a little over $100 Billion. This isn’t entirely painting an accurate portrait, suggesting that the money actually went to the states. Defense Spending is included in this, which was disproportionately redistributed to wherever the largest military bases, contractors, and manufacturing facilities were located. Strangely enough, unlike the U.S. Postal Service, no one seems to expect the U.S. Armed Forces to turn over a profit, even though the U.S. Postal Service doesn’t receive direct Taxpayer funding.

So, to really dig into where Federal Spending is directed, we’re going to have to spend a little more time breaking things down. It doesn’t sound like much fun, but at least I’ll save you the time and effort of doing the math.

Only $2.4 Trillion of the total $6.2 Trillion in Federal Spending returned to the States for purposes of Medicaid, SNAP (Food Stamps), Social Security, Veterans Benefits, Transportation, and Education. That leaves $3.8 Trillion in spending left unaddressed. It’s worth noting that a large portion of the money spent through Medicaid, as well as some of what was spent on Veterans Benefits, went directly to Insurance Companies. In fact, according to the Congressional Budget Office, Federal Subsidies for Insurance Companies in 2023 totaled an estimated $1.8 Trillion (which included Medicaid, Medicare, CHIP, Affordable Care Act Marketplace Subsidies, and more). Referring to that as money that went to residents of the states in question seems disingenuous to me, but we’ll let it stand.

$658.8 Billion went toward payment of Interest on the National Debt (which totaled $34.7 Trillion as of last June), which is 17% of the previously unaccounted for $3.8 Trillion…leaving us with roughly $3.2 Trillion to track down.

Excluding Active Duty Military salaries, the Federal Government spent roughly $336 Billion on payroll for Federal Workers, which translates into approximately 10.5% of the remaining $3.2 Trillion, leaving $2.9 Trillion that we’ve not accounted for.

Foreign Aid seems to be a sticking point for several people lately, as they complain about how the money could (or should) be spent here at home. The reality is that Foreign Aid is a drop in the bucket. In 2023, Foreign Aid added up to a total of $71.9 Billion (which is less than the $74 Billion spent in 2022). I should note that this amount does not factor in sales of arms or transfers of military equipment; mostly because we typically sell materials and equipment without taking a loss. Even this exceptionally small number, compared to our total Federal Spending, turns out to be a grand total of 1.2% of that amount. Data from the United Nations indicates the U.S. still contributes 40% of all International Humanitarian Aid. That’s something we should be proud of. $14.4 Billion of that went to Ukraine in the form of direct monetary support, which (as I’m sure you notice) is not much at all when compared to total Federal Spending. It’s even appreciably less than the $15.6 Billion that went toward Foreign Disaster Relief and other Humanitarian purposes. Even though the current war in Gaza didn’t begin until October 7th of that year, we spent $3.3 Billion on Foreign Aid to Israel.

But, we still have essentially $2.9 Trillion to account for, so let’s keep going.

Defense Spending totaled $820.3 Billion that year. This amount shouldn’t be surprising, since we spent more than twice as much as the other 30 NATO Nations combined between 2014 and 2022. More than a quarter of that Spending went to the Air Force, and only slightly less went towards the Navy. Army and Marine Corps Spending combined to make up roughly another quarter of that total. This is where Active Duty Military salaries factor into the spending.

We now have just a little bit less than $2.1 Trillion to account for.

The $52 Billion we spent on Small Business Loans hardly makes a dent.

Of the $970 Billion in Discretionary Spending that wasn’t Defense-Related, only a portion of it hasn’t already been accounted for in the previous Spending that went back to the individual States. $83 Billion of that was spent on International Affairs, $74 Billion went toward Administration of Justice, $48 Billion to Natural Resources and Environmental Spending, while $40 Billion was dedicated to Science, Space, and Technology. Adding those totals to what was spent on Small Business Loans, we’re only looking at $1.9 Trillion left to go.

Only $31 Billion went toward Pell Grants for the roughly 6.5 Million college students who received them that year, so that hardly registers.

And unfortunately, it only gets more challenging to trace the money at that point.

Tax Refunds for Earned Income Credits, the Federal portion of Unemployment Compensation, and other dispersals factor into the same Mandatory Spending category as SNAP funding, which totals $448 Billion. But some of that has already been accounted for in the money we discussed being distributed to the States. Unfortunately, it’s exceedingly difficult to sift through itemized spending to discern just how much we’ve already considered in our breakdown of Federal Spending.

There’s also $502 Billion that was distributed between Federal Civilian and Military Retirement Benefits, some additional Veterans’ Benefits, and offsetting costs for other previously discussed areas of Mandatory Spending such as Social Security and Medicaid. But, again, a significant portion of that Spending has already been mentioned.

Even if that was all above and beyond what had been previously accounted for, we would still have more than $900 Billion to account for, which is no small amount. And, if I’m being entirely honest, I don’t know how much more we’ve ticked away at the $1.9 Trillion we were looking at before those areas of Mandatory Spending entered the discussion. For the sake of moving this forward, we’ll go ahead and operate under the assumption that we’re looking at $900 Billion to account for.

Some of that was further distributed to States via Nonprofit Programs and Organizations that received grants. Of course, most of the funding for U.S. Nonprofits comes from sources other than the Federal Government. They received more than $550 Billion in Charitable Giving, with $101 Billion of that coming from Charitable Foundations and an estimated $412 Billion or so coming from Individual Donations or Estates. The rest more than likely came from Businesses and Corporations. Naturally, there are tax breaks involved for those entities.

I’d love to imagine our Federal Government shelling out $550 Billion or so toward Nonprofit Organizations and matching those numbers, but that’s a fantasy. The most liberal estimates indicate the Federal Government, in some capacity, spends an average of roughly $303 Billion on U.S. Nonprofits annually. But it’s difficult to find a breakdown of that Spending specifically for 2023. It probably varies significantly by year, so we’ll focus on the $303 Billion as a total, and assume none of it was already tallied in earlier categories.

This leaves us with (we’ll say) $600 Billion that I simply don’t have the Resources or the Time to track down. The best I can do from here is offer some speculation, and suggest aspects of the Federal Budget that weren’t entirely accounted for previously.

I’m sure that some of it falls through the cracks as Black Budget Items and Surveillance or Espionage Spending that doesn’t get mixed in with the usual Defense Spending, to keep it off the books. But I don’t imagine those Budgetary elements come anywhere close to $600 Billion, when the on-the-books Defense Spending is already more than $800 Billion.

We could assume some of it is Government Contract Spending that isn’t accounted for in the Defense Spending totals, Small Business Grants, and the other Funding already considered. Elon Musk’s various companies were recipients of $3 Billion of that Contract Spending, split between several different Federal Agencies, but most of that has already been accounted for.

Government Contracts devoured $759 Billion in Government Spending for 2023. $470 Billion of that was through the Department of Defense. Assuming the rest (which is surely not accurate) has not been part of the earlier Spending we’ve discussed, that would leave $289 Billion.

We would still be looking at more than $300 Billion left at the Table, which is clearly not the case, because our Deficit wouldn’t be as high as it is. The reality is that there’s definitely upwards of $300 Billion that I haven’t accounted for in my research, and that’s certainly no small amount.

Even with that ultimate failure in my capacity to dig through every Bill and piece of Legislation that slipped through Congress in 2023 (or before, because some of them include spending allotments for years to come, which is why we had the recent Recision Bill that took back funds that had previously been approved by Congress), I hope this has helped to explain where Federal Spending is directed. Sadly, I doubt the people who most need to get a firm grasp on what we’re spending (and where) are the least likely to take the time necessary to read this.

Sanctuary States Do NOT Cost Taxpayers Money. That’s Always Been a Lie

In an entirely predictable return to form, President Trump is again threatening to withhold Federal Funds from Sanctuary Cities and Sanctuary States, as well as cities that have not eradicated Diversity, Equity, and Inclusion policies. He attempted to do the same thing during his first term, until a Federal Appeals Court ruled in 2018 that the President does not have the authority to do so. Of course, Congress had previously decided the same thing all the way back in 1974, with the passage of the Impoundment Control Act, in response to President Richard Nixon.

It’s not wholly unusual for a President to withhold Federal Grant money as a bargaining tactic, but the Trump Administration has a habit of taking this to extremes. This includes threats to withhold emergency funds from states based on policy disputes. It’s particularly egregious concerning the wildfires in California and windstorms in Washington State. Those are two of the states that receive less in Federal Funding than they contribute to Federal Revenue.

The numbers for 2024 won’t be available until next year, but we do have the final numbers for 2023. Only three states contributed at least $70 Billion more to the Federal Government than they received from it: New Jersey, California, and New York. Texas wasn’t far behind with $67 Billion more paid in Federal Taxes than the state received in all Federal Funding. Washington (where I live) trails behind that, with $55 Billion more contributed to Federal Revenue than received. In 2023, only 19 states gave more than they received.

At the other end of that spectrum, there was only one state that took in more than $70 Billion more than was contributed. That was Virginia, with $79 Billion more Federal dollars going into the state than Federal Taxes collected. The next worst state was Alabama, at $41 Billion.

Four states were less than a billion dollars away from breaking even: Pennsylvania, New Hampshire, North Dakota, and Wyoming. Pennsylvania was $965 Million shy of what it contributed to Federal Revenue, and Wyoming was just $339 Million away. South Dakota (where I spent most of my life) and Arkansas weren’t far off, at a $1 Billion Federal Deficit each.

The five states with the greatest positive balance contributed enough in their combined positive difference to almost offset the deficit of the ten states at the opposite end of the spectrum. They were only about $2 Billion shy of erasing Michigan’s debt of $21 Billion.

One of the things I find funniest about the anti-immigration discourse is all the talk of Sanctuary States being a drain on our Tax Dollars, when the three states that carried the highest positive balance are all Sanctuary States: New Jersey, California, and New York.

In fact, of the States that have either declared themselves to be Sanctuary States–or have been designated as such by ICE–seven states (beyond the three I just mentioned) maintained a positive balance in Federal Funding for 2023: Rhode Island, Connecticut, Utah, Colorado, Illinois, Minnesota, and Massachusetts. Rhode Island was the least lucrative of these States, with only $3 Billion more paid in than it received.

The Sanctuary States that received more in Federal Funding than they paid into the Federal Government were Maryland, Oregon (where I work), Hawaii, Vermont, Nevada, and Pennsylvania. Maryland was the most costly to the Federal Government, sitting at a $35 Billion deficit, and Pennsylvania was the least so, at only $965 Million more going into the State than coming out.

And, as one might guess, just the three Sanctuary States with the largest ratio of Federal Revenue going out vs. coming in provided more than enough to offset the six Sanctuary States that received more than they paid in, with $165.04 Billion still to spare. That means the Sanctuary States of California, New Jersey, and New York not only covered every penny they received from the Federal Government, but also contributed an additional 3.8% to the overall Federal Revenue

So, it should be obvious that the talk of Sanctuary States costing taxpayers money is 100% Fiction. In fact, when we take all of the Sanctuary States and calculate the incoming Federal Spending vs. outgoing Federal Revenue, Sanctuary States were sitting at a positive balance of $367.04 Billion in 2023, more than 8% of the $4.4 Trillion in total Federal Revenue for the year.

So, maybe people should stop worrying so much about how much of a burden Sanctuary States are. They clearly aren’t the problem. And for a “successful businessman” like President Trump, it should be plainly obvious that the denial of Emergency Relief Funds to states like California and Washington is Bad for Business.

There’s one final thing that merits mentioning, while on the topic of Emergency Relief Funds. There was an uproar over an entirely imaginary scenario (and one repeated by Donald Trump) wherein President Joe Biden refused to supply funds for North Carolina in response to the devastating floods from Hurricane Helene, which he did not do. However, President Donald Trump cut partial Funding for a program President Biden had in place to cover the costs of debris removal, along with other protective measures. He also canceled a program designed to protect water, sewer, and other infrastructure services that had been devastated by the flooding, and was subsequently sued by the state’s Attorney General. Of course, there was nowhere near the kind of uproar compared to when it was only happening in the imaginations of people who wanted to demonize Joe Biden for something only Donald Trump would choose to do.

Immigrants Aren’t Stealing Your Social Security…But You Are Stealing From Them

It’s disturbing that, in the context of discussions regarding Immigration in the U.S., there’s clearly no point in trying to appeal to the humanity, empathy, and compassion of the people who are buying “Alligator Alcatraz” merchandise or cheering on ICE Agents who are breaking the car windows of fathers dropping their children off for school because they refuse to comply with an order to turn themselves in (I mention that because it specifically happened in Portland just a short while ago). It’s a bit of a stretch, but I can hope that breaking everything down to a purely financial consideration will resonate with a small number of those people, though I’m not sure it paints a flattering portrait of them that money speaks louder than morality.

It just so happens that I have an admittedly numbers-heavy argument in opposition to our increasingly draconian Immigration Policy. It happens to correspond with another topic that’s important to me, the failure of our Social Security Program. It dovetails nicely with the conversation surrounding Undocumented Immigrants. I’d like to say this is the last of my long, mind-numbingly tedious, math-intensive arguments, but I would be lying. All I can hope for is that people are learning something from the information I’m taking the time to share.

According to the Bipartisan Policy Center, as of last November, 77% of all Immigrants in America have Documented (Legal) Status of some kind. Naturally, that means only 23% of the Immigrants here would be what people commonly refer to as being “Illegal.”

A 2023 Congressional Report detailed that a total of 365,714 Noncitizens received Social Security in 2021. This constituted only 4.8% of the total recipients of SSI Payments. More than 76% of the Noncitizen recipients were 65 or older, and more than 60% of them were female.

Historically, the largest number of noncitizen recipients of SSI Payments was in 1995, the year before the Personal Responsibility and Work Opportunity Reconciliation Act was passed. That number was 785,000 people, just slightly more than twice as many as were receiving SSI Payments in 2021.

Exhaustive studies performed by the Social Security Administration have displayed that increased Immigration leads to a decrease in the Social Security Fund Deficit. The inverse, of course, is also true, that decreased Immigration further increases that Deficit. This means that more Immigrants coming to America means there is more money going into the Social Security Fund.

As Ron Popeil would say, “But wait, there’s more!”

According to an Institute on Taxation and Economic Policy analysis, Undocumented Immigrants (those commonly referred to as Illegal) paid an estimated $25.7 Billion into the Social Security Fund in 2022, despite the vast majority of those individuals never obtaining an Immigration Status that would allow them to receive SSI Benefits. To put that in numbers that are easier to digest, it means that more than $2,300 was paid into Social Security for each of the 11 Million Undocumented Immigrants living in America, while only a small percentage of those Immigrants will ever be able to collect on what’s been paid in. We’ll set aside discussions of the immorality and predatory nature of that disparity for now, because that’s a whole different conversation.

This one-way exchange is not new, as actuaries performed a study in 2013 that showed Undocumented Immigrants were responsible for $12 Billion paid into the Social Security Trust in 2010. Some of this, of course, arises from the use of false or stolen Social Security Numbers by Undocumented Workers to obtain employment, which is (as we know) a crime. But how many of us would commit a crime just to work and pay taxes? Most of them are not criminals, though, as it’s estimated that at least half of all Undocumented Immigrant households utilize an Individual Taxpayer Identification Number to file taxes.

Assuming a plateau with no further upward trend since the numbers for 2022 were assessed (as unrealistic as that might be), if we remove all Undocumented Immigrants from America, we will be losing $25.7 Billion every year that would otherwise be paid into the Social Security Trust. This means that it’s likely to lose solvency earlier than the updated 2032 estimate. And that is just from Undocumented Immigrants. Documented (Legal) Immigrants contribute substantially more, but some of them are also eligible to benefit from the program.

Thus, the Trump Administration’s plan to not only remove Undocumented Immigrants, but also strip Documented Immigrants of their legal status to Deport them, is going to cut down on the amount of money going into our Social Security Fund, while only marginally impacting what is paid out.

And, despite what certain people seem to believe, the administration won’t make up that lost revenue by discovering fraud. Despite the literal bullshitting done by Elon Musk, Donald Trump, and all the parrots who couldn’t stop themselves from repeating their claims, there has been no evidence of widespread fraud in the Social Security Administration. In fact, the program has a 99.7% Payment Accuracy Rate. The 0.3% consists not of fraud, but mostly of incorrect payment amounts due to errors or delays in payment. Also, despite the fraudulent nonsense I had to hear from Musk and the people who couldn’t think for themselves if their lives depended on it, only 0.1% of payments go to people 100 and older. This is–as you can probably tell–statistically accurate.

Of course, it’s not just Social Security that’s being financially stripped by these counterproductive policies.

Undocumented Immigrants have contributed close to $100 Billion in Federal, State, and Local Tax Revenue, often paying at higher rates than the Top 1%. Studies have shown that providing Work Authorization to all Undocumented Immigrants would add $40.2 Billion in Tax Revenue. If you care about the conditions for Immigrants living in America, this is what you should be endorsing. Otherwise, hundreds of thousands of people are paying in more than their fair share, while being ineligible to reap the benefits…much the same as it is with Social Security.

Unlike Elon Musk’s fictional claims of Social Security Fraud, none of this is about how I “feel” or some “vibe” I have. Contrary to the talking heads and pundits on Fox News, OAN, and Newsmax, I’m taking the time to read the reports and studies on the topic. What I’m sharing here are facts reinforced by studies, research, and years of data. These aren’t opinions. There aren’t two equal sides to this discussion, and it’s not ambiguous or open to debate.

In the simplest terms, and phrased in a way I trust the intended audience would understand, “The facts don’t give a fuck about your feelings.”

The Truth About Medicaid, Medicare, & Other Fraud: It’s Not What You Think

It has always seemed obvious to me that if people want to know where Medicare and Medicaid Fraud come from, they need to stop looking for illegal recipients. It isn’t as simple as some might think to defraud programs like SNAP, Social Security, Medicare, and Medicaid by filling out an application with false information.

I don’t know why it bears mentioning, but neither Medicaid nor Medicare provides Beneficiaries with cash. They operate as a substitute for Health Insurance. That might come as a surprise for those of you who have never needed to use one of these programs. So, even if someone successfully applies via Fraud, they aren’t lining their pockets at the expense of Taxpayers.

Even if someone manages to obtain Medicare or Medicaid coverage through fraudulent means, what happens then? In the worst-case scenario, they would obtain medical treatment that they otherwise could not have received. Let’s assume it’s the most expensive surgical procedure from 2024, which is a Heart Transplant. At the most expensive rate, that would cost Medicare or Medicaid $1.3 Million, assuming it would cover the surgery in the first place. It would require more than 38,000 people receiving fraudulently obtained Heart Transplants to equal the $50 Billion House Speaker Mike Johnson claimed was lost to Fraud, Waste, and Abuse of Medicaid each year. If that seems absurd to you, you’re absolutely correct.

Just last week, CVS Health’s Omnicare (pharmacy services for long-term care & senior living communities) was found guilty of fraudulently billing the U.S. Government for invalid Medicare, Medicaid, and Tricare Prescriptions and ordered to pay $948.8 Million in penalties & damages. A massive $406.8 Million of that was for Damages, which were tripled as per the False Claims Act.

All of this came about because a Whistleblower brought attention to more than three million false claims between 2010 and 2018.

In 2021, the average Medicare Spending per Beneficiary was only a little over $15,000. To put that in perspective, it means the Fraud committed by CVS translated into the equivalent of the total annual spending for just under 9,000 Beneficiaries, or just under 1,000 Beneficiaries each year for which CVS was found Guilty of the illegal billing.

And this is just the Fraud from one Corporation. I can assure you that they are not alone.

One thing that people need to understand is that Improper Medicaid payments are not the same as Fraud. It’s a challenge for some people to wrap their heads around that distinction because certain individuals have played fast and loose with conflating the two things…because it suits their agenda.

According to the Centers for Medicare & Medicaid Services, Improper Payments made up only 5.09% of the total payments made by Medicaid in 2024. Of that 5.09%, roughly 80% (or 4.07% of the Total) were caused by missing documentation that would determine whether a payment was correct or incorrect, and payments that went to the right Providers in the right amounts, but that may not have complied with some regulations or statutes. In all of those cases, if the paperwork had been correct, they wouldn’t even factor into these numbers, because the payments wouldn’t have been classified as Improper or because they wouldn’t have been issued in the first place.

It’s the remaining 20% of that 5.09% where we find people who weren’t eligible for Medicaid. But it is also where we locate the individuals who were eligible but received a service that wasn’t covered.

So, while all of these 5.09% of Improper Payments count as Monetary Loss, they do not constitute Fraud. All of the Fraud falls into the minuscule 1.02% of the Total Payments.

Yes, we should be combating Fraud, but it’s not the Beneficiaries of Medicaid and Medicare who are the criminals, guilty of committing the vast majority of Fraud; it’s Ambulance Services, Pharmacies, Nursing Homes, and other Providers who have utilized creative bookkeeping and manipulation of the system. The victims are the Beneficiaries, Legitimate Providers, and Taxpayers alike.

Fighting Fraud doesn’t involve cutting funding for Medicaid, and it won’t have any impact on the rate of Improper Payments, because the Beneficiaries were never the primary Source of them.

What I hate more than anything is that this is ultimately yet another dog whistle for anti-immigration proponents. I’m not going to use Undocumented as a descriptor here, because we’ve all heard the plan, shared far and wide wherever cameras are rolling, that the Trump Administration intends to strip Documented Status from Immigrants, including those who are Citizens. It was never about doing it the right way; it was about being the right ethnic makeup, which is why there was so much support from people who believe in “The Great Replacement” myth.

Across the years 2021, 2022, and 2023, Wyoming and South Carolina were the two states with the highest rates of Improper Medicaid Payments (at 20.7 and 20.5% respectively), with Delaware, Connecticut, and Idaho following close behind. As you might notice, none of these five states are among the most populated, and none of them are near the top of the list of states with the largest immigrant populations.

California, New York, New Jersey, Florida, and Nevada are the states with the largest immigrant populations, yet they all fell below a rate of 9% during those three years.

So, people need to stop pretending this is even remotely connected with our Border Policy or Immigration Statistics, because there isn’t even a Correlation to mistake for Causality.

House and Senate Republicans upheld their promise not to tamper with Medicare as far as work and age Eligibility Requirements were concerned when drafting the 2025 Congressional Budget Bill. However, Eligibility for certain Immigrant groups will be impacted, as some Non-Citizens who were previously Eligible as Permanent Residents of the U.S. for at least five consecutive years will lose coverage 18 months after the Legislation is passed.

Medicaid, however, was far from off-limits to Congressional Republicans…and where they have tampered with Medicaid and other health coverage through the ACA, it could have dramatic and widespread impacts on healthcare systems across the nation.

Medicaid is funded through a combination of Federal and State Taxes, with roughly 70% of that funding coming from the Federal Budget. States often derive a significant amount of their funding through Provider Taxes, which are taxes paid by Health Care Providers (hospitals, nursing homes, and the like). The House version of the Congressional Budget Bill would have prohibited States from creating new Provider Taxes or increasing the current percentages paid by Providers, which are capped at 6%. The Senate version, however, gradually decreases that percentage to 3.5% by 2031, but only for the 40 States (and the District of Columbia) that employed Medicaid Expansion under the Affordable Care Act, leaving exceptions in place for nursing homes and intermediate care facilities.

This will dramatically decrease the amount of matching funds paid by Federal Taxes, creating a bit of a double-whammy on States that are being penalized for adopting Medicaid Expansion.

The concern here is that States will almost certainly have to make dramatic cuts to Medicaid as a result of the lost revenue, further cutting the number of people covered or the amount paid to Providers.

Of course, there’s also the addition of out-of-pocket expenses for Medicaid enrollees, as a $35 co-pay will be required for some services (again, only in States with expanded Medicaid) for individuals with an annual income of more than $15,650 (Federal Poverty Level). The Senate did add allowances for States to charge an even greater co-pay for Emergency Room visits for Non-Emergencies. The silver lining is that the co-pay policy doesn’t apply to primary care, mental health, or substance abuse services.

Access to insurance coverage through the Affordable Care Act marketplace is about to become more challenging as well. It will also be more expensive as enhanced subsidies are scheduled to expire at the end of 2025, which could result in some costs for ACA insurance coverage increasing by an average of 75%. I don’t know how many people can afford to see their Insurance Premiums go up by 75%, but I would be irate if it were happening to me.

Hundreds of thousands of Lawfully Present Immigrants are likely to lose insurance coverage through the ACA, because additional subsidies that keep those costs down will also be expiring.

All of this is devastating at a time when hospitals and medical facilities across the country are already facing massive budget shortfalls. Part of that comes from Medicaid and Medicare payments not being sufficient to keep pace with rising operating costs. Those skyrocketing operating costs are partially derived from administrative expenses produced by Insurance Companies, due to prior authorizations and the appeals associated with denials.

According to a report from the American Hospital Association last September, administrative costs alone accounted for more than 40% of the average hospital’s total expenses. Not only does the Commercial Insurance Industry delay and often deny necessary care for patients, but it also dramatically increases the costs for Providers to operate in the first place, which leads to increased costs for the rest of us. Of course, the Industry is thriving as a whole, with many Insurance Companies seeing record profits year after year.

You may notice some disdain for Insurance Providers, and that’s something I’m entirely conscious of. I’ve experienced frustration regarding the predatory practices of the for-profit Insurance Industry while researching their standards, profit margins, and actions.

What we’re likely to see if the House and Senate Republicans have their way, in addition to fewer people being covered by Medicaid (and health insurance in general), is staffing cuts at Providers or (in the worst case) closures. This is most likely to happen in areas where the population is lowest, impacting rural Providers more than those in urban areas…though the impacts would still be massive there as well.

Because of this, Senators added a $50 Billion fund ($10 Billion annually) to the Congressional Budget Bill, insulating rural hospitals from some of the worst impacts. The House version of the bill would have allowed rural hospitals that closed between 2014 and 2021 to reopen under the Rural Emergency Hospital designation, which allows Medicare to provide them with a potential lifeline. This could have been good, since 146 hospitals in rural counties closed between 2005 and 2023. The Senate, unfortunately, included no provision to reopen those hospitals under the retroactive designation.

So, there are some small bits of good mixed in with the bad aspects of that portion of the new budget, but none of those “good” things would be quite as necessary if it weren’t for all of the “bad” aspects of the Congressional Budget Bill. And altogether too much of that “bad” is tied up in transparent bigotry directed toward Immigrants, and the false claims that they are responsible for Fraud in the Medicaid and Medicare systems, along with the other things people often refer to as “entitlements.” Of course, while focusing on Legislation to further disenfranchise already disenfranchised people, the same Lawmakers are providing additional handouts to Corporations, the actual sources of Fraud, Waste, and Corruption.

America Is a Democracy, and You Don’t Know What That Word Means

I hadn’t seen anyone attempt to make this fatuous argument in quite some time, but a politically illiterate individual on Threads pulled out the old, “America is not a Democracy, it is a Constitutional Republic,” nonsense just the other day.

If that dumbshit statement isn’t one of the surest pieces of evidence that education is important (and that our educational system is failing), I don’t know what is. Not to point fingers or anything, but I’ve only ever seen former Tea Party and current MAGA folks tossing this gem out there. You’re free to interpret that as you will. I know what I suspect is behind that particularly ignorant claim arising from one specific cross-section of the American Political Spectrum.

I know the people who say things like that like to believe it makes them sound intellectual in some capacity. I know they think it’s some sort of “Get Out of Argument Free” card that they can toss into a discussion when things aren’t going the way they want. Sadly (for them), all it does is clearly display that the person making the statement understands nothing about either a Republic or a Democracy…and probably shouldn’t be trusted as an authority on any matters of government.

This is why it sounds so stupid to anyone with a passing familiarity with political theory. It’s the equivalent of saying, “Brutus isn’t a dog, he’s a German Shepherd.”

A Republic is a subset of the Democratic form of Government, a Representative Democracy as opposed to a Direct Democracy (where everyone would be free and encouraged to weigh in on every matter and every piece of legislation), which would be tedious as Hell! Instead, a Democratic process determines Representatives who then act on behalf of the bloc that voted for them.

I’m tempted to ask if the person making that statement is stupid or simply ill-informed…but they’re not mutually exclusive…sort of like a Democracy and a Republic.

I suppose one might say, “He’s not ill-informed, he’s stupid,” because while not all ill-informed people are stupid, all stupid people are certainly ill-informed.

How the American Political Parties Shifted Platforms

It amazes me that so many people still love to trot out the old–and I believed, sufficiently dismantled–argument that Democrats started the KKK, so they are truly the party of Racists and Segregationists…while Republicans are the party of Lincoln, and therefore must be the good guys who believe in Equality and Liberty.

I never can tell whether these people are making intentionally bad faith arguments based on disingenuous, and manipulative cherry-picked snapshots of party standards from a century and a half earlier…or if they’re sincerely so historically illiterate that they just accept this argument at face value from other people who presented the bad faith argument for them. It’s sad either way, because they either aren’t capable of thinking for themselves or they aren’t capable of intellectual honesty…and neither of those traits should be praised or rewarded.

I want to get one big fucking fact out of the way before I address the falsehood there. This one is going to be hard for some people to hear, especially some of us White People…but it’s something that needs to be dealt with before I even begin digging into the process by which the Democratic and Republican Platforms became what they are today.

First of all, America as a nation is absolutely built on a foundation of White Supremacy, and that corrupt substrate still exists at the core of our society (regardless of party affiliation). It’s like a poison in the bedrock that finds its way into our spiritual and cultural soil and groundwater, tainting everything we do…and until we actively work together to leech that shit out of there, we’ll never be clean of it. The fact of the matter is that neither major party (nor the vast majority of smaller political parties) has been particularly interested in putting in that work, because the bulk of American politicians still benefit too much from their (conscious or unconscious) privileged status. That is a truth we need to remain aware of and vigilant to acknowledge and address whenever and wherever we see it manifesting.

Now, onto the claims made by people who insist on tossing 19th-Century Party Affiliations around as if they’re relevant to the platforms we see today. Those people are fixating on the titles while intentionally ignoring the most salient detail, which is to address which group was “Liberal” and which was “Conservative” at the time of Lincoln.

Just answering that single question turns the argument on its head. But I don’t mind going further into how the party demographics transitioned from what they were in the mid-to-late 19th Century to what they have been during my whole lifetime, and I’m currently 46 years old.

It started to take hold way back in the 1890s, in large part thanks to a Nebraska politician, William Jennings Bryan, who became the Democratic National Committee’s nominee for President, in response to backlash against President Grover Cleveland and the Conservative Democrats that dominated the party at the time. Unfortunately for Bryan, he lost to McKinley…twice.

After taking a brief hiatus from Presidential Campaigns, Bryan lost the Presidential Election for a third time, this time to Taft. But his influence didn’t fade, and he became Secretary of State under Woodrow Wilson (until he ultimately resigned from the position).

During his life, Bryan made huge tectonic shifts in the Democratic Party. He drew in people from the political left (progressives) while fighting against American Imperialism, the influence of men like J. P. Morgan and other members of the privileged class who sought to manipulate American Politics for their gain through Crony Capitalism, and many traditionally Conservative ideals. All of this, while also supporting Women’s Suffrage and the League of Nations, and being the first Presidential Candidate to receive endorsement of the American Federation of Labor for his unflinching support of Labor Unions.

He did oppose American involvement in WWI, supported Prohibition, and actively fought against the teaching of Evolution and Darwinism in the Scopes Trial. So, on several matters, he and I would not have been in agreement. He also refused to attack the KKK directly, though not because he supported it, but because he expected it to fall apart on its own. He had more faith in the spirit of the American People than he perhaps should have, in that regard…but that was who he was to the core. He was a man of faith, which largely influenced his decision to take on the role he played in the Scopes Trial.

He was far from perfect, but he was emblematic of what the Democratic Party was gradually becoming.

William Jennings Bryan was arguably the figure one can most easily point to as the origin of the shift in party alignments. But he was only the first set of symbolic supports in creating the bridge that spanned that gulf.

While the transition may have started a few decades earlier, it wasn’t until FDR and the “New Deal” era that we started to really see Liberals as the Democrats we see today and Conservatives as the Republicans we recognize. FDR was, in many ways, the apex of that shift in party dynamics and platform. I would love to see a single Republican today adopt a platform as progressive as FDR’s. Unlike William Jennings Bryan, we all know at least a little bit about FDR and the “New Deal.”

It started as mostly a series of Economic Reforms: offering relief for the poor and unemployed, reforming the financial systems to avoid future economic collapse, and building the economy back up from the dismal lows following the crash of 1929. Major changes to the Federal Reserve, combined with the establishment of the FDIC and the Securities Exchange Commission, along with other Financial Regulatory Bodies, were engineered under FDR’s guidance to restore consumer confidence and bring the U.S. back from the brink of full financial failure. And it worked.

Though ostensibly a response to the Great Depression, there was much of FDR’s “New Deal” that cemented the new bedrock for the Democratic Party, outside of the purely economic considerations.

While modern Libertarians like to pretend that Corporations should be free to act outside of Regulatory Space and that the Free Market will force them to behave ethically, there is no historical precedent for that being the case. It was, in fact, Federal Regulations (and the emergence of Regulatory Agencies) under FDR that brought an end to some of the most egregious examples of Corporate predation. The National Labor Relations, Social Security, and Fair Labor Standards Acts protected workers, ensured protection for the elderly, disabled, and unemployed, fought against Child Labor, supported the development of Labor Unions, provided the 40-Hour Work Week, established a Federal Minimum Wage, and otherwise made it safer and less oppressive to be a worker in the U.S.

It was Conservative control of Congress (including the presence of many Conservative Democrats) that kept FDR from going even further with his “New Deal” Policies. But, during that era, the Democratic Party was reshaped further into being the Party of workers, racial and ethnic minorities, intellectuals, and others who had previously been traditionally aligned with the Republican Party.

Then we come to the Civil Rights Era, where the party transition reaches the Third Act, and the Southern Strategy (that only those invested in a fictional version of history will claim is a lie).

While men like Bryan and FDR reshaped much of the Democratic Party, there was, unfortunately, still a great deal of the previous century’s delineation present in the American South. The Civil Rights Era brought this to a head, as was always going to happen. The Democratic Party and, to a lesser extent, the Republican Party suffered from a sort of Identity Crisis, wherein members of the respective parties were closer in alignment with their opposition depending on where they happened to be located geographically.

Unlike the previous two Acts of the Three-Act transition of party platforms and demographics, the Southern Strategy was the work of Republicans. It was their effort to obtain support from White Southerners who were still Democrats (though they had little in common with Democrats outside of the dozen or so states involved).

There’s a strange symmetry involved in seeing this from a remove, decades afterward. Where Bryan started the process of pushing the Democratic Party to the Left, it was the Southern Strategy implemented by Richard Nixon and Barry Goldwater that shifted the Republican Party to the Right.

One could argue (and I think, accurately so) that this started with the Republican Party taking on the banner of “States’ Rights,” which was previously a Democratic stance dating back to the time before the Civil War. This was in direct opposition to the platform of Abraham Lincoln, whom Republicans still want to claim, while defying virtually every aspect of Lincoln’s stated beliefs. This was part of Barry Goldwater’s “Southern Strategy” which focused on courting Southern Whites and dismissing further efforts to appeal to Black Voters, which included open opposition to the Civil Rights Movement as well as to Kennedy’s platform promoting expanded Unemployment Benefits, increased Social Security and Minimum Wage, sending aid to Economically Distressed regions of the country (including cities with larger minority populations), increasing Housing Availability, and so on. But it was the opposition to Kennedy’s Civil Rights policies that was most important here.

Kennedy fought for Voter Education and the removal of the Poll Tax (in addition to further increasing access to Voting Rights for Blacks). He used Executive Orders to promote Equal Opportunity and Anti-Discrimination for Employment, Housing, and Federal Contracts…becoming a champion of Affirmative Action within the Federal Workforce and beyond. Kennedy also struck a massive blow against Jim Crow by making it illegal, as it concerned Interstate Commerce.

These were all policies that Barry Goldwater and Conservative Republicans opposed. One need look no further than the conflict between Republican Governor Nelson Rockefeller and Barry Goldwater leading up to the 1964 Presidential Election to see the massive fissure growing in the Republican Party under Goldwater’s influence.

It’s no wonder he lost to Lyndon B. Johnson, with his Regressive, Pro-Segregationist, and Anti-Civil Rights stances even revolting significant portions of the Republican Party at the time (the remaining Liberal and Progressive elements at least).

It was around that time when Strom Thurmond left the Democratic Party and joined the GOP, where he helped to manage Nixon’s campaign in the South. He was far from the last to do so, followed by notable figures like Jesse Helms and countless numbers of formerly Democratic voters. Many Republicans remained with their Party, believing they could rehabilitate it or that this shift toward Racist and Conservative Values would be temporary…but it was no longer recognizable as the Party of Lincoln by that point.

I’d like to make note of one funny aside. As counterintuitive as it may seem, George Wallace famously refused to leave the Democratic Party like many of his like-minded peers (despite repeatedly being repudiated at the national level by the majority). He did gradually soften his perspectives regarding Segregation and White Supremacy. Whether that was sincere or a performative shift to better continue surviving as he had up to that point is anyone’s guess.

Richard Nixon took Goldwater’s playbook and ran with it far more successfully, and I don’t mean that solely in that he actually won a Presidential Election. He focused his platform on the Coded Language of “States’ Rights” and “Law and Order,” which might sound familiar to voters who have been paying attention since 2015 or so.

The Third Act really doesn’t conclude until Reagan’s campaign in 1980 (and the subsequent eight years he led the Nation down the toilet), where Lee Atwater’s assistance helped to shift the overt Racism to more Dogwhistle-Coded language, focused on Economic Policies that would transparently benefit Whites more than any other group.

And it’s not difficult to discern how I feel about Ronald Reagan and the absolute disaster he was for America and the U.S. Economy, creating devastation from which we’re still picking through the rubble today.

So yes, the Southern Strategy is a real thing, and one that was discussed openly by the Candidates and Political Advisers involved in both its development and implementation. It’s on record, and trying to pretend it’s some Conspiracy Theory is ludicrous, at best, and entirely reliant on people never fact-checking what they want to believe is true. This isn’t like PizzaGate or any of the subsequent QAnon nonsense paraded around by the least credible people on the Political Right in America. There’s actually clear, concise data and historical records that don’t need to be twisted and distorted into the most bizarre shapes, explaining the Southern Strategy and how it was done.

Finally, to the people who want to make these bad faith arguments, all I can say is that you should read a book or two, and take some time to learn about American History…because even our High School Textbooks would have provided sufficient evidence to counter most of these ignorant claims. It leads me to believe that you didn’t retain much during your education, and that’s all the proof we need that the Department of Education should be more involved (rather than less) in establishing nationwide standards that aren’t associated with Standardized Tests, but on different methods of teaching and diverse styles of learning, to ensure that our Natural Born Citizens know at least as much as Naturalized Citizens have to.

I know I could pass a Citizenship Exam, do you? When taking that test, there is no Participation Trophy (and no points awarded) for waving a flag and displaying performative (though ultimately false) patriotism based on revisionist understandings that you didn’t even come up with for yourself.

My Assurance To You

The current political climate in the United States has forced me to address far more political misinformation than I naively expected. I should have known better, having made it through not only the first Trump Administration, but also the year leading up to that and the interval of relative sanity that followed. The difference now is that I’m working as a journalist and don’t have the luxury of stepping away from the constant barrage of false claims, bad faith arguments, cherry-picked data, and data being tossed around without either context or nuance. On the positive side of things, I happen to enjoy doing research, and I’m good at it.

I’ve recently found myself sharing long, detailed posts on social media (Facebook, in particular, due to the lack of character limits being imposed), and someone suggested that they’d subscribe to it if I had a blog. I suddenly remembered that I do indeed have a website available where I can post these things. I’d been primarily focusing on using this space for reviews of books and audiobooks that I’ve completed, but I haven’t been doing that lately. Since I pay for the privilege of having this space, I might as well use it.

So, here we go.

I don’t expect you to take any of the things I post here at face value. You have no particular reason to trust me over any other entity sharing their political opinions online, and I don’t expect you to place that kind of faith in me. I want you to question what I say, especially if it doesn’t make sense to you. But I will make an assurance to you that I will not be posting something unless I’ve done my due diligence. I have dedicated time and energy to researching whatever the topic might be, using sources that are nonpartisan and unbiased. This is not to say that I am impartial, because (like everyone) I most certainly have my own set of biases in place. In my career as a News Producer, I have to exercise great caution to keep any of my opinions from influencing the news I’m assembling for the gradually diminishing audience for local television newscasts. But I do lean heavily on facts over feelings, even when they’re my own. If the facts and data don’t support something, it won’t be in my newscast unless I’m also supplying the facts and data that counter whatever that thing happens to be.

You’re always encouraged to research these things yourself; the resources are all readily available, and I’ll even happily provide links if they’re requested. I know not everyone has the time available to do so, and most people don’t enjoy research and collating data…at least not as much as I do.

I may mistype something here and there, double up or miss a word altogether, and even have an error in my math (though I typically double and triple check all the numbers). I apologize for any of those errors that may slip through. I’m not a fan of AI, but simple spelling and grammar checking algorithms are in play…however, they are occasionally more incorrect than I am.

As I said, I don’t expect you to trust me implicitly. What I do expect is that you know I care a great deal about being right, even when it doesn’t make me particularly nice. I don’t like being wrong, so I prefer to keep my mouth shut unless I know I’m not.

I’ll gladly admit when I’m wrong about a thing, but I go to great lengths to verify my sources and check my work before I share anything. Not only do I enjoy it, but I’m good at researching things, which is why I’m good at my job (and somewhat okay at my far less lucrative career as a writer).

Sure, I’ll tell someone an opinion is wrong, but that’s just me being an asshole, and we all know that. Of course, some opinions are informed by bad/false data, and I will try to address that…but opinions are subjective, whereas facts are not.

Five of a thing is always more than two of the same thing.

The sky appears mostly blue because molecules in the atmosphere scatter the light from our star in such a way (based on wavelength) that it looks that way.

The Earth is not flat.

We have been to the Moon, and astronauts left things behind on the surface even during the earliest missions.

And so on.

Some things are simply not a matter of opinion, and about which there are not equally valid arguments in opposition.

One thing I ask, beyond your belief that I care too much about being right to waste my time on the long posts without knowing I am, is that you do not use Google’s AI or ChatGPT as a resource. I can’t tell you how many times I happened to glance at what Google AI provided as a response to a search inquiry and felt like it either did not have the slightest capacity to recognize what was being searched for, or that it hallucinated a response that fell far out of line with any legitimate sources. That being said, I will acknowledge that it was closer to accurate more often than it wasn’t…but this is neither horseshoes nor hand grenades.