Posted on 01/01/2026 7:37:53 AM PST by Twotone
You’ve seen the video.
Nick Shirley, a citizen journalist (aka a journalist), traveled around Minnesota looking for fraud at state-funded daycare centers largely run by Somali immigrants. He found obvious evidence of malfeasance — and a worldwide audience on X.
Shirley’s 42-minute video has now been viewed 115 million times, even forcing a huffy response from Governor Tim Walz (last seen exaggerating his military service).
Shirley deserves the attention. But when it comes to waste, fraud, and abuse in government programs, nothing holds a candle to health-care spending. Especially in blue states. And especially since the Affordable Care Act and then Covid-era federal subsidies allowed expanded Medicaid coverage with an endless federal backstop.
And most especially in New York. A few weeks ago I received an email with the subject line, “Healthcare and the $2,100 Taxi Ride.” The email began:
I have a friend who drives a taxi in XXX NY. He estimates that 80% of the cab fares are paid for by Medicaid…
Yesterday, he made a round tripper from XXX to Boston where a child had a 2 hour appointment at Boston’s Shriners [Children’s] Hospital. The fare? $1,058.37 - EACH way. $2,116.74 in total.
It appears this was not a direct pay/bill to Medicaid, but a hospital pay from a fund they have for such “needs”. I think we can safely assume these funds are either backed by state of federal dollars at the end of the day. His take? 37% - $783.
Attached to the email was a photo of the fare. The unusual name on it matches the unusual name of a child from a refugee family who was publicly reported injured in an odd accident.
The city where the child lives has several hospitals.
What exactly is this hospital in a different state providing — especially when getting to an appointment and back requires a full day in the back of a taxi?
How much is all of this care costing, if a single appointment costs $2,100 — the cost of a round-trip business-class cross-country plane ticket — for transportation alone (before whatever markup the hospital is adding)?
And who is paying for all this care for a penniless refugee family from one of the poorest countries in the world?
The first two questions have no answer.
The third does, however. Local (in New York, counties and the City of New York contribute to Medicaid), state, and most of all federal taxpayers. And the spending is skyrocketing unstoppably.
Year after year, conservative think-tanks and sometimes even non-partisan good government groups write papers about how out-of-control New York’s Medicaid program has become. Year after year, Republican lawmakers at the state and federal level complain. Sometimes state and federal prosecutors even attack particularly egregious fraud.
But nothing ever changes, except the numbers get larger.
In 1988, New York had about 18 million people and spent about $10 billion on Medicaid. Today, the state has about 20 million people — and spends about $120 billion. Even with inflation adjustments, New York is spending about four times as much per-person.
In fact, after a period of somewhat slower growth in the 2000s, spending has recently accelerated again — mainly because the state’s Democratic politicians have realized that the federal government will backstop more and more spending.
I expect to have more to say about New York’s Medicaid program in future articles, because it is impossible to unravel the crisis in American medicine from the crisis in American medical spending, and the honeypot New York has created captures the essence of the problem.
If every state spent at the same level as New York, the United States would spend about $2 trillion on Medicaid alone - yet there is no evidence that patients in New York are healthier or receive better care than those in states that spend far less.
I am more convinced than ever that the system’s out-of-control financial incentives aren’t just putting the entire federal government on a fast track to financial ruin, they are leading to worse care for many, many Americans.
The road to hell is paved with $2,100 cab rides.
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Walz and his Minnietampons have decided to set up a Sammie colony in their dump.
The Republican Party receives funding from US citizens who agree with the political policies of the Republican party and who want to use part of their paychecks to support these ideas.
The Democrat Party receives funding from US taxpayers who have no idea that their taxes go to fund a political party with anti-American ideas and disdain for all things American.
And it’s not just democrats benefitting from the fraud.
All government handouts are scams.
“Provide for the general welfare” is probably the most abused words every recorded.
Promote the general welfare. Sorry
There is a rip off everywhere you turn theses days.
I googled “cab fares are paid for by Medicaid…” to check it out. Went right to Wisconsin information (my state). True enough.
No doubt began as a poor child lay dying while disable mother can’t get child to ER. Then blossomed into lucrative transport enterprises. We will never learn.
“”Local (in New York, counties and the City of New York contribute to Medicaid), state, and most of all federal taxpayers.””
I still say the feds should have no part in sending funds to the states for their Medicaid programs. Social Security is handled from Washington but recipients make contributions to SS along with THEIR employer so federal funds aren’t being used in that case. Not the case with Medicaid. Let the states fund Medicaid themselves. Without federal help, wouldn’t the states do more to clean up their act than they do now? Anyone with a working brain could do a better job than whole states are doing!!! We see that from the work the young man in MN has done..uncovering their dark secrets.
Who knew before this boondoggle that Medicaid had anything to do with childcare or assisted living - MN? I didn’t and I’ve been around a long time - TOO LONG!!
“Provide for the general welfare” is probably the most abused words every recorded.
************
Yep, a wide open door. James Madison wanted a more limited interpretation of the clause BTW.
Interesting. Our “village” used to have a man that ran a private cab company. About a decade back his autos suddenly had a medical transport placard on the doors and then there were zero local cabs listed. I often wondered why, but he has since passed on and I cain’t ask him now. This makes sense. Pick up medicaid people to take them to and fro to their medicaid paid appointments. Less dealing with late night vomiting drunks I suppose.
.
RICO the politicians responsible for this like they did the mob, another big nationwide criminal conspiracy.
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