July 17, 2026 • 32 mins
Why are nonprofit hospitals paying CEOs tens of millions of dollars while healthcare costs continue to soar? And why are activists pushing ranked choice voting across the country?
On this episode of The Tudor Dixon Podcast, Tudor is joined by Trent England, Executive Director of Save Our States and co-chair of the Stop Ranked Choice Voting Coalition, for a deep dive into two of the most important—and overlooked—issues facing Americans today. Together, they expose how taxpayer dollars flow into nonprofit hospital systems, why independent doctors are disappearing, how government regulations drive up healthcare costs, and what can be done to restore competition in medicine. They also break down the growing push for ranked choice voting, who is funding it, and why critics argue it threatens election transparency and voter confidence.
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Episode Transcript
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Speaker 1 (00:01):
This is the Tutor Dixon Podcast, and today we are
talking about mostly fraud and abuse and things that are
happening in our hospital systems that you don't actually know,
and how oftentimes your taxpayer dollars are going to something
that you don't actually know they're going to. And then
ultimately you look at that and you go, how in
(00:21):
this nonprofit hospital did this ceo walk away with what
twenty three million dollars a year? I mean, it is crazy.
There's a lot of stuff I want to get into.
I also want to talk about rank choice voting. It's
something that you might not know. You probably go, oh,
I don't know they do that in Alaska or something,
but they're trying to bring it to you. So we
(00:41):
brought an expert on all of these things. His name
is Trent England. He is the executive director of Save
our States and they're on a mission to reveal and
stop this rampant abuse. You've seen all of us talking
about waste and abuse. Well, these guys are actually working
on it. They've got a brand new study out it's
called the Non Nonprofit Hospital Accountability Report, and that's revealing
(01:04):
some of the stuff that I just talked about. So, Trent,
thank you so much for joining me.
Speaker 2 (01:08):
Yeah, I'm really glad to be here and talk about
all these really important topics.
Speaker 1 (01:13):
Yeah. Yes, because you not only are working on the
hospital stuff, but you're also the co chairman of the
stopped Rank Choice Voting coalition, which is interesting to me
because here in Michigan at the beginning of I guess
I would say like kind of the beginning of the cycle,
sort of the fall last summer, we started hearing that
(01:34):
rank choice voting would be on the ballot. Now, ultimately
it didn't get enough signatures for a ballot initiative. You
have to have a certain amount of signatures in the
state of Michigan. But this is happening across the country
where they're trying to get rank choice voting in. There's
a lot of reasons why rank choice voting is a
bad idea, but can you explain a little bit to
(01:55):
us about what it is and who's behind it. Yeah. Sure.
Speaker 2 (01:59):
Things. So this is a system that fundamentally changes elections
because instead of voting for a candidate, and oftentimes instead
of having regular partisan primaries where Republicans get to nominate
a candidate, Democrats nominate a candidate. You know, Libertarians, whoever
else is out there and organized, can nominate their candidates
(02:20):
to put them forward. Usually, rank choice voting replaces that.
Not every version does, but it asks voters to rank
a whole bunch of candidates, and then it uses this
algorithm to pick a winner that supposedly but not really
has majority support. Because they take the least popular candidate,
(02:41):
they eliminate that candidate. They take the number one votes
for that candidate and wipe them out, and then count
the number two votes on those ballots, and they do
this over and over and over again until you get to,
you know, basically the last candidate standing in this process.
I got concerned about it at first because of election integrity.
(03:01):
It's really hard to verify an election like that. It's
hard to explain an election like that to people who
don't do this all the time. And I think it's
also concerning because, as I mentioned, it oftentimes takes away
the ability of Republicans, Democrats, people to put forward candidates
they really believe in. That can become a big problem,
(03:23):
as we've seen in states like Alaska. You mentioned Alaska,
they've used it for a while. They're trying to repeal it.
It was on the ballot in the last cycle that
fell short by about six hundred or so votes, and
a lot of voters were confused about that election, So
nobody really knows what the sentiment in Alaska is. It's
going to be on the ballot to repeal it again
(03:43):
this cycle, so hopefully they'll get rid of it. Their
main has it in certain elections, not all of their elections,
and it's been controversial there as well. But it's pushed
by basically a couple of liberal billionaires. George Soros kicks
in some money, but it's really a few others. Catherine
(04:04):
Murdoch is one sort of the liberal branch of the
Rupert Murdoch family. She's put in supposedly over one hundred
million dollars to push rank choice voting around the country.
So we were very glad to see it fail in Michigan,
but I'm sure they'll be back.
Speaker 1 (04:19):
Yeah, that's the problem. And also when you say you're
concerned about election integrity, I mean it also takes a
long time to calculate all of this, because what you're
doing is you're asking someone correct me if I'm wrong,
If you have five candidates. You're supposed to rank them
all correctly. Correct You can't. You're not supposed to leave
someone out.
Speaker 2 (04:40):
Yeah, you don't have to. I mean, they can't force
you to. But there are sort of advantages in that
system if you do rank all the candidates. If you don't,
your ballot could be thrown out. If the candidates you
do rank wind up being eliminated somewhere along the way,
they won't even count your votes in the final round
in that instance. So yeah, it does. It takes voters
(05:02):
longer to vote their ballots, It takes administrators longer to
run the tabulations and come up with an answer, so
you have the whole process becomes slower.
Speaker 1 (05:12):
It sounds like a complete nightmare because suddenly, I mean,
you could ultimately have somebody that would have won a primary,
but because people have ranked all the way down the ballot.
I mean, maybe it's better not to rank all the
way down the ballot if you have that situation, because
then you potentially are having your vote that you don't
really like number five, but you're going to put them
(05:33):
five because you don't like them. Then your vote would
go to them. If your top person drops out, I mean,
it is a very confusing process.
Speaker 2 (05:43):
Yeah, it is, and it makes it impossible to know
how your vote will count in the final tally because
all of that process happens once you fill out your ballot, right,
and once everybody fills out their ballot, then they run
the algorithm. So I think that's another reason to really
dislike this system. I mean, I think we should know
(06:07):
how are ballots going to count, who are ballots going
to count for when we cast it and with rank
choice voting, I mean, that's simple. You know, that simple
understanding of elections gets thrown out the.
Speaker 1 (06:17):
Window, right right right. While speaking of elections, we obviously
have midterms around the corner. A lot of this concern
about government waste and abuse of tax dollars is I mean,
that's a big topic obviously, after what we saw in Minnesota,
what we've seen in some of these other states where
we've seen some of these government programs that have gone wild,
(06:41):
and you have to be aware that when you have
big government grants, when you have big government programs like this,
that's where there is susceptibility to fraud, which is why
you do have to have watchdogs. And I think that's
why the American people felt so good about the idea
of Elon Musk going in and rooting the out and saying, Okay,
we're going to make sure that we get rid of
(07:03):
this stuff. Ultimately, I feel like the media went after
him so hard that we're in this situation now where
we still don't have that Office of Accountability that is
going to go through and make sure that what's actually
going to some of these places, whether it's a daycare
or a hospital or whatever it is, that it's being
(07:24):
used appropriately. But you guys did a report on hospitals.
I find this fascinating because in the state of Michigan,
we have some people running who are running on Medicare
for All, and they're telling us that the government should
pay for everything. And they're also telling us that if
the government pays for all of our healthcare needs, that
(07:45):
you'll have multiple rural hospitals that will suddenly open or thrive,
which is the opposite of what would actually happen. Now,
you have a situation where the government is giving these
big hospital systems money that to me is kind of
like the beginnings of Medicare for All because they're getting
(08:07):
a bunch of money in there. It's like a social program, right,
we're going to hand you a grant. Because they claim
they don't have enough money, they become a massive hospital system.
They actually put the little guys out of business, and
then their CEOs go home with big, big take home pay.
How is it explain what is happening?
Speaker 2 (08:27):
Yeah, we did this report because while while we are
really concerned about the kind of fraud that we've seen
in places like Minnesota and Seattle, which is just outright
theft in most cases, right, a lot of that is
just outright theft, we're also concerned that there's a lot
of cultures of waste and abuse in these big healthcare
(08:53):
institutions that you know, frankly, it's not fraud in most cases,
it's it's perfectly legal, but it's also very abusive to
tax payers. It compromises the healthcare system, and we need
to rein it in if we want to get control
of our health costs, our health insurance costs. Right, these
things all drive up the price of our health insurance,
(09:16):
which is one of the things that people see oftentimes,
you know, taken out of every paycheck or sometimes paying themselves. So, yeah,
these hospitals, I mean, the first, the first thing that
we really should think about and think about whether it's
even fair, is that these big hospitals are treated as nonprofits.
(09:38):
They're tax exempt, they're exempt from federal income taxes. They're
oftentimes exempt from many state taxes as well. And you
mentioned them putting their competitors out of business. If you're
just an ordinary doctor, you know, somebody graduates medical school,
they want to go hang out as shingles, serve their community.
They're a business, right, I mean it's you know, they
(09:58):
may be doing a lot of charity care. They may
be providing a really important service, but you know, my
plumber provides an important service, right. I mean, you know,
everybody in business is providing a services to some degree, right,
and they are taxed. Right. They're not a nonprofit. They're
not treated as if they're a charity. And this is why,
this is one of the reasons why so many of
those little guys in healthcare, so many of our local
(10:21):
doctors have sold out to big hospitals because they can
they can suddenly become tax exempt. Right. The hospital has
this huge advantage to start with, And then you mentioned
all of the government grants, all of the direct subsidies,
all of these there's all these indirect subsidies, like the
three P forty B drug program that allows most of
these big hospitals to buy drugs really really cheap, and
(10:44):
then they turn around and sell it at full price.
Nobody even knows most of the time that they're making
this windfall profit on prescription drugs at these big hospitals.
It's incredible the advantages that we've given them. And you know,
I think a lot of us would say, okay, but
they're really important. Right if we need a hospital, we
want to we want a really well functioning, well funded
(11:06):
hospital to go to. And that's certainly true right when
you know, when when we get injured.
Speaker 1 (11:13):
So I agree with that that, yes, I love that
we have these hospitals that are well funded. I want
to go back to something you were just saying, because
I live in a smaller community, I will say, when
COVID hit, it was like the perfect storm because a
lot of these doctors had been you know, they'd been
shut down. We couldn't go to doctors. So this is
your private business, you have a private practice. Now. Before COVID,
(11:37):
I had watched for years where big hospital systems were
trying to put these doctors out of business or force
them to join. And they did that by saying, look,
you can't have your own facility, you can't go to
an operating room, you can't have your own you know lab,
you can't have any of this stuff because you can't
(11:59):
get us certaintificate of need. So they're working with the
government to essentially shut the private healthcare facilities down. And
it was working. You know, they couldn't get their own
surgery center, and then if they were oftentimes our doctors
who were forced to use the operating center at the
(12:20):
big hospital, at the big hospital system, they would have
surgery scheduled and then you would have an accident come
into the er and they would just cancel their whole day, like, oh,
you can do these hip replacements another time. So over time,
our doctors are getting more and more frustrated. Then COVID hits.
(12:41):
The government keeps those private doctors closed for a significant
amount of time, the private hospitals, the independent hospitals closed.
We start seeing hospitals in rural Michigan go out of business.
Our doctors were leaving and I had three doctors who
left the state. They were like, we're done, we don't
(13:02):
want to join the big system. We don't want to
be forced into this, and we like our private about
our ability to care for our patients, and we're able
to give our patients more time because we're not part
of the system where it's kind of a manufacturing mill
of patients, you know, like you have ten minutes you
have to get to the next one, you have a
quota to hit. It hurt us so badly as soon
(13:26):
as these these hospital systems got bigger and bigger that
you can't find a doctor in this town. Now, nobody's
taking extra patients. There are no private practices, nobody's building
a new practice because they have to be a part
of the system. How does this help rural communities.
Speaker 2 (13:44):
Yeah, no, is It is a big, tangled web, and
as things have consolidated and gotten bigger, it has really
compromised care for people in rural areas and small towns.
We've seen this to some degree in Oklahoma as well,
where you know, the attitude oftentimes is, well, you just
(14:05):
you just have to go to a big city, right
and if you're sick, maybe we'll fly you there on
a helicopter or something, which costs somebody a lot of money.
When they do that. They do that around Oklahoma all
the time. And we've got to get back to a
level playing field in healthcare where small practices, independent doctors
(14:25):
can practice on a level playing field with these big hospitals,
rather than these big hospitals basically controlling health care policy,
controlling most of the dollars, getting all of the benefits,
and then using a lot of that either to go
out and you know, do these leverage buyouts basically, or
use it to lobby on things like certificate of need
(14:47):
where they I mean, you know, it's almost like the mafia,
where they can go out and for some reason tell
their competitors what to do. I mean, that's that's crazy.
That's not how we do it in the rest of
the marketplace. It's like healthcare. You know, somewhere along the way,
the politicians decided that healthcare was so important that we
shouldn't allow the market forces to operate that have made
(15:09):
the American economy the greatest, most dynamic, most innovative in
the world and push prices down in quality up. For
some reason, we don't do that in healthcare, right It's
like we want higher prices and lower quality for some reason.
I mean, it's really we just let the politicians drive
the bus, which is never the best way to operate
these things. And then, as you say, you wind up
(15:30):
with absurdities like hospital executives at these nonprofits opposed to
the charitable hospitals making twenty thirty million dollars in some cases,
and you know a lot of them making six seven
eight million dollars while they're also cutting frontline staff, cutting nurses,
cutting nurses hours, cutting nurses pay, all these things that
hurt their patients. You know, they turn around and tell
(15:53):
at taxpayers, well, we're doing this because we don't have
enough money. And we finally went and said, we're going
to actually look at your documents. We're going to look
at your tax filings, We're going to look at what
you're spending and what your priorities are. And we discover
that these same places are paying executives millions as dollars.
They're paying for all these social club memberships for their executives.
They are spending millions and tens of millions at some
(16:15):
hospitals on rebranding and all these fancy marketing campaigns, working
with sports, sports teams and things like that that are
you know, I mean, that's that's cool. If you're doing
it on your own dime, that's cool, if you're doing
it without compromising your safety and treatment of patients. But
when you're cutting back on caring for patients and then
you're going out and spending on these lavish luxuries, I
(16:38):
think that hospitals need to be called out on that.
And I think we've got to put pressure on politicians
not to just be let around by the nose by
these hospital executives, but to actually ask them hard questions.
Speaker 1 (16:50):
How do you How do these hospitals justify a nonprofit status?
I mean, because if you are essentially you're not paying
taxes if you're a nonprofit, right, they're not. Are they
paying property taxes? How does that work?
Speaker 2 (17:05):
That depends on state law. In a lot of states,
they're not.
Speaker 1 (17:09):
They're not paying raise a massive piece of land in
the community. Yeah, and how oddly that hurts the community?
Speaker 2 (17:15):
That's right, I mean, people, I mean, that's and that's
exactly right. Right when you have a community where a hospital,
this has been an issue in the past. Most of
these hospitals now have been nonprofit for a while. But
if you have some big hospital that's been paying property
taxes in a community and all of a sudden it
becomes exempt from those property taxes. Yeah, that that can
(17:36):
be devastating for local government services, and it shifts the
cost to everybody else. When they don't pay federal income taxes,
it just shifts the cost to other tax payers. So
you know, somebody is going to pay that tax bill,
and it winds up being you and I and all
the listeners and viewers out there. We pay a little
bit more because these people pay nothing. And they get
that because they provide some charity care. But we also
(18:00):
looked at this and in many cases, less than one
percent of their functional expenses are charity care. Right, So
we're talking about I mean, these places are less charitable
than your average church attendee who's tithing, right. I mean,
you know we're not tax exempt if we tie it
to our church, right. But somehow these hospitals are tax
exempt if they give you know, zero point eight percent
(18:23):
or point nine percent of their functional expenses to charity.
I mean, that doesn't make any sense to me.
Speaker 1 (18:31):
What is the revenue at a hospital the size like
one of these mega systems, they have to be bringing
in billions.
Speaker 2 (18:37):
It's billions yeah, it's it's usually in the single billions. Right,
So these places will have two, three, four billion dollars
in revenue, you know, the biggest ones, or even bigger
than that. I mean, these are these are mega businesses
in our communities. And yeah, they have lavish facilities. A
(18:59):
lot of them have spand it overseas. We identified a
couple that have opened new facilities in Abu Dhabi. Some
of them have fancy facilities in London. I mean, how
does that help any Americans?
Speaker 1 (19:12):
Right?
Speaker 2 (19:12):
I mean obviously it doesn't. It's just you know, they
they have such steady revenues, plus all the government subsidies
they wind up it seems to me looking around for
ways to spend it. Some of them. We made a
little brochure sort of poking fun at this a while ago.
Some of them have these fancy art collections, right, And
(19:34):
I mean, I mean, again, how does that help patients?
Speaker 1 (19:38):
Right?
Speaker 2 (19:39):
I like art. I love going to art museums, but
I don't you know, that's not my priority if I'm
in the hospital, right, if I'm visiting somebody in the hospital,
I'm not wandering around looking at it as if it's
an art museum. I mean, it's it's so silly. It's
another one of these things. It's clearly done for the
benefit of the executives, you know, whether it's because they
just want really fancy digs, they just want to brag
(20:01):
about having a fancy art collection. It's so strange and frankly,
you go overseas, you go to hospitals in other parts
of the world, and it's just you just don't get
that right, the attitude that some of these executives have,
The culture of just casual waste in some of these
hospitals has gotten so extreme, and we've got to rent
(20:22):
it in. I mean, for the sake of just making
sure that our kids can afford healthcare and health insurance
in the future. We have got to get these hospitals
back to basics and just taking care of their patients.
Speaker 1 (20:32):
So I think you're hitting on something that we don't
get to talk about very often. People complain so much
about the cost of insurance. They want Medicare for all.
They for some reason they think the government's going to
handle your health care better than a private company. But
these private companies are also forced to fund this lifestyle
(20:52):
at our hospitals, and these CEOs I mean, if a
CEO is taking home more than twenty million dollars a
year and they are buying it. When you say they're
buying these club memberships, I mean we're talking about there's
a fancy I don't know what i'd call it, like
a rich person club in Detroit where you just go
(21:13):
and you just talk to people. You just go there
and have lunch and drink and go to the gym.
And that's what it is. It's just like a place
to lobby. Really, it's a place for lobbyists and people
get a membership. And that's what these executives at hospitals
have memberships to places like that, to golf courses, to
(21:34):
and it's a lifestyle that they are provided. And I believe,
and you can correct me if I'm wrong, but I
believe that lifestyle is provided to them because that gives
you that connection to government to get more, to get more,
to get more. Well.
Speaker 2 (21:49):
It certainly is a part of that, right, it's a
part of why they're so powerful, and they do, you know,
they do wind up with all this political cloud coupled
with the fact that they then you know, they turn
around and they claim to speak for all the patients
who go to their hospital, which doesn't make sense to me.
I mean, their interests are are not the same as
(22:10):
the interests of those of us go to the hospital. Right,
we want we want lower cost care. Right, they benefit
from higher cost care. So right there you have you
have the fundamental problem. And you know it's it's uh
when when you look at hospitals to go back tutor
to something you said earlier. You know, I had I
(22:32):
had a little medical issue here in Oklahoma a couple
of years ago, and you go to the hospital and
you think, okay, this this is going to be simple.
When you go to your doctor and your doctor says, well,
you should go to the hospital, get this outpatient surgery
in the hospital. And and you know outpatient surgery, you're
going to walk in, you're going to walk out. This
doesn't seem like a big deal. The hospital says, this
(22:52):
is going to be ten three hundred dollars, right, And
I'm like, I don't I don't need this, right, So
but I I went to our free standing surgery surgery
center here because Oklahoma has been has been very good
about allowing free standing standing surgery centers to open up. Right,
So these are places where for outpatient surgeries, they just
they just do it and they don't have all this
(23:15):
all this hospital you know, apparatus and they and they
are for profit, right, they're not they're not tax exempt.
And they said, oh yeah, yeah, we could do that,
and it's like twenty five hundred dollars, right and uh,
and so you think that the non tax exempt place
that operates like a business, it has to compete for patients.
(23:35):
They're about a quarter of the cost. And they actually
publish all their They basically published like a menu of things.
You need a hip replacement, Here's what it costs, a
new replacement, Here's what it costs all these all these
different things that they do there, and in every case
it's cheaper than the hospital. And in some cases, the
same doctors are working at both places, and so the uh,
(23:55):
you'd have the same doctor doing your doing your surgery.
But if they do it at the hospital, they have
all of these fees they go to pay for all
of those executives and all of that other stuff that
happens at the hospital that they don't do it surgery
center because they have to compete in the marketplace. And
one of the ways that they compete is on price.
They also compete on quality, and their quality is very good.
(24:16):
So I mean, we know how to fix this. The
way to fix it is to make sure that there's
competition in healthcare and to make sure that people have
price information before they choose their healthcare. To make sure
that these hospitals can't use certificate of need laws to
protect their turf.
Speaker 1 (24:33):
And that just tells you that is something that I
don't think people understand because people go, well, why isn't
there more private competition, And that is because to open
a surgery center like that, you have to have this
certificate of need from the government, so your state government,
or at least in Michigan, you have to have a
certificate of need, which would say, in my community, there's
(24:55):
a greater need for this surgery center than the hospital
can provide, and you have to be able to prove
that that is needed. Yeah, and the hospital is on
the deciding board. That's the crazy.
Speaker 2 (25:06):
Thing, that's right. Yeah, your competition literally has a say
and whether you get to open up and compete with them.
It is just I mean, that's a system right there
that guarantees higher prices. So you know, all these other
things are problematic too, but that right there, certificate of
need guarantees higher prices, and frankly, it makes it less
(25:29):
likely that you're going to get the best quality care
because why zone.
Speaker 1 (25:32):
Why do you even have to have that? I mean,
why wouldn't it be that it's a the market dictates
if we open a surgery center and there's not enough
surgery to go in there, then you close.
Speaker 2 (25:43):
That's right. These hospitals have gone out there and said, well,
wouldn't it be terrible if I mean, essentially it's wouldn't
be terrible if we had to compete because we might close, right,
And this is what we face with public schools, right,
It's like, we don't want to compete because if we compete,
people might discover that they don't like our product, right,
and they actually want to get their education somewhere else
because it's better. That's that's basically what these hospitals are saying.
(26:07):
They're saying, you know, look, we you know, we're worried
that we're going to go out of business because other
people can do what we do better and and frankly,
we know the competition tends to just make everybody better. Right,
So the hospitals will have to find a way to
maybe pay their executives lest maybe have fewer these club memberships. Right,
They'll have to find a way to be competitive with
(26:29):
these surgery centers. But you know, that's that's how everything
else has worked in America. And look what we've got, right,
We've got massive innovation here, the most innovative economy in
the world. People get, you know, better products for lower
prices every single year, except in these little areas like healthcare,
(26:49):
like higher education. It's another one right where the government
has a lot of Yeah, that's right, and the area
is where the governments involved.
Speaker 1 (26:58):
That's what is blowing my mind because you have such
a manipulation with these especially these far left candidates that
are out there running for office. And I think this year,
I would say this year we have more of these
radical I mean they're openly socialist and they say they
want medicare for all. They want I mean, the guy
(27:19):
in Michigan is talking about the government taking over AI
and the government taking over all the hospitals, and the
government being in control of everything. I mean, this is communism.
But the manipulation and it's effective because there is nobody
I mean you are one of the few people that
is going out there and explaining this in detail, and
(27:41):
you don't get this on the news. Really, this guy Abdul,
he comes out and he says, Oh, we just had
a rural hospital clothes in Michigan, and if we had
medicare for all, this would never happen. There would be
more hospitals. But we know from the UK, we know
from Germany, we know from trees that have already implemented
(28:02):
national health care that instead you just don't have the
money to open more hospitals. And they are actually preventing
people from becoming doctors because they're like, the government can't
pay more doctors. So it's actually detrimental to your health
and everybody's health, like the fact that some of us
pay into insurance. Other people get the same healthcare essentially
(28:25):
that we do. But they don't want that. They want
it to be that we're all going to have government
paid health care, which means we're all going to have
crap healthcare.
Speaker 2 (28:33):
Yeah yeah, I mean the UK, all those countries that
have socialized medicine, they freeload on the United States because
we generate most of the innovation, most of the invention
in healthcare and then you know, and then of course
they get to use it, right, so they're not innovative.
I mean, they have simple problems over there. Like the
(28:55):
BBC had a story a few years back about doctors
and nurses washing their hands in British hospitals. Right, they
wind up with all these simple problems because it's just
it's all politics. There's no competition for anything there, and
they have huge lines, huge lines in the UK, huge
lines in Canada. You know, if you need a knee replacement,
you need a hip replacement, you can go over there. Actually,
(29:18):
And when I've traveled in Europe a little bit and
my kids have noticed, like Dad, there's seems like there's
a lot more people over here, a lot more older
people who are walking around on crutches, right, not like
crutches like they just hurt themselves, but they sort of
permanent or semi permanent kind of crutches. And you know,
it's it's most likely because if you need a knee replacement,
(29:41):
you're going to have to wait you know, maybe six months,
maybe a year, or maybe two years, three years, you know,
depending on whether they have you know, where the DMV
line is essentially in your area. It's a it's a terrible,
dreary system, and it's expensive. They're running out of money
to fund it in the UK and looking for ways
(30:02):
to make cuts. You know, it's a tragedy what's gone
on in these other countries. And yeah, if we brought
it to the US, not only would we suffer, but
everybody would suffer because all of a sudden, the innovation
engine in healthcare would sputter out if we put government
in charge.
Speaker 1 (30:22):
It's just I feel like we are closer than we've
ever been as I see these socialists who knocked out
longtime Democrat, more moderate Democrats, and not even moderate Democrats,
but like more moderate than them, knocking them out of
their primaries. And we're going to end up with a
pretty radical Congress on the Democrat side this year, no
(30:44):
matter what we do. And I think people don't understand,
it's not it's not that Republicans aren't competing. These are
Democrat seats that are going to be Democrat seats and
those socialists are going to win and we're going to
be battling this. And so I appreciate what you're doing
because I think this kind of education is critical, especially
for our young people to sit down and go, well,
(31:07):
what exactly does this mean and how does this affect
my life. Oftentimes, the people who are voting for the socialists,
they're not the people that are the older people walking
around on crutches because they haven't gotten to that It's
amazing when you get older and you go, oh wow,
your body really does have aches and pains and change
and you do need to go to the doctor. It's
(31:29):
always the people who haven't gotten to that point yet
that are voting for it because they don't realize what's ahead.
But I appreciate you, Trent England, thank you so much
for being here today.
Speaker 2 (31:38):
My pleasure.
Speaker 1 (31:39):
Thanks to here. Then thank you all for joining us
on the Tutor Dixon podcast. Share this, make sure other
people know I mean this to me is so critical.
Whether we're talking about the rank choice voting or we're
talking about our hospital systems and the abuse that can happen.
You can get involved and you can change this. You
know where it is. It's the iHeartRadio app, Apple podcasts,
Rumble or YouTube. Share it, tell your friends about it
(32:02):
and have a blessed eag
This is the Tutor Dixon Podcast, and today we are
talking about mostly fraud and abuse and things that are
happening in our hospital systems that you don't actually know,
and how oftentimes your taxpayer dollars are going to something
that you don't actually know they're going to. And then
ultimately you look at that and you go, how in
(00:21):
this nonprofit hospital did this ceo walk away with what
twenty three million dollars a year? I mean, it is crazy.
There's a lot of stuff I want to get into.
I also want to talk about rank choice voting. It's
something that you might not know. You probably go, oh,
I don't know they do that in Alaska or something,
but they're trying to bring it to you. So we
(00:41):
brought an expert on all of these things. His name
is Trent England. He is the executive director of Save
our States and they're on a mission to reveal and
stop this rampant abuse. You've seen all of us talking
about waste and abuse. Well, these guys are actually working
on it. They've got a brand new study out it's
called the Non Nonprofit Hospital Accountability Report, and that's revealing
(01:04):
some of the stuff that I just talked about. So, Trent,
thank you so much for joining me.
Speaker 2 (01:08):
Yeah, I'm really glad to be here and talk about
all these really important topics.
Speaker 1 (01:13):
Yeah. Yes, because you not only are working on the
hospital stuff, but you're also the co chairman of the
stopped Rank Choice Voting coalition, which is interesting to me
because here in Michigan at the beginning of I guess
I would say like kind of the beginning of the cycle,
sort of the fall last summer, we started hearing that
(01:34):
rank choice voting would be on the ballot. Now, ultimately
it didn't get enough signatures for a ballot initiative. You
have to have a certain amount of signatures in the
state of Michigan. But this is happening across the country
where they're trying to get rank choice voting in. There's
a lot of reasons why rank choice voting is a
bad idea, but can you explain a little bit to
(01:55):
us about what it is and who's behind it. Yeah. Sure.
Speaker 2 (01:59):
Things. So this is a system that fundamentally changes elections
because instead of voting for a candidate, and oftentimes instead
of having regular partisan primaries where Republicans get to nominate
a candidate, Democrats nominate a candidate. You know, Libertarians, whoever
else is out there and organized, can nominate their candidates
(02:20):
to put them forward. Usually, rank choice voting replaces that.
Not every version does, but it asks voters to rank
a whole bunch of candidates, and then it uses this
algorithm to pick a winner that supposedly but not really
has majority support. Because they take the least popular candidate,
(02:41):
they eliminate that candidate. They take the number one votes
for that candidate and wipe them out, and then count
the number two votes on those ballots, and they do
this over and over and over again until you get to,
you know, basically the last candidate standing in this process.
I got concerned about it at first because of election integrity.
(03:01):
It's really hard to verify an election like that. It's
hard to explain an election like that to people who
don't do this all the time. And I think it's
also concerning because, as I mentioned, it oftentimes takes away
the ability of Republicans, Democrats, people to put forward candidates
they really believe in. That can become a big problem,
(03:23):
as we've seen in states like Alaska. You mentioned Alaska,
they've used it for a while. They're trying to repeal it.
It was on the ballot in the last cycle that
fell short by about six hundred or so votes, and
a lot of voters were confused about that election, So
nobody really knows what the sentiment in Alaska is. It's
going to be on the ballot to repeal it again
(03:43):
this cycle, so hopefully they'll get rid of it. Their
main has it in certain elections, not all of their elections,
and it's been controversial there as well. But it's pushed
by basically a couple of liberal billionaires. George Soros kicks
in some money, but it's really a few others. Catherine
(04:04):
Murdoch is one sort of the liberal branch of the
Rupert Murdoch family. She's put in supposedly over one hundred
million dollars to push rank choice voting around the country.
So we were very glad to see it fail in Michigan,
but I'm sure they'll be back.
Speaker 1 (04:19):
Yeah, that's the problem. And also when you say you're
concerned about election integrity, I mean it also takes a
long time to calculate all of this, because what you're
doing is you're asking someone correct me if I'm wrong,
If you have five candidates. You're supposed to rank them
all correctly. Correct You can't. You're not supposed to leave
someone out.
Speaker 2 (04:40):
Yeah, you don't have to. I mean, they can't force
you to. But there are sort of advantages in that
system if you do rank all the candidates. If you don't,
your ballot could be thrown out. If the candidates you
do rank wind up being eliminated somewhere along the way,
they won't even count your votes in the final round
in that instance. So yeah, it does. It takes voters
(05:02):
longer to vote their ballots, It takes administrators longer to
run the tabulations and come up with an answer, so
you have the whole process becomes slower.
Speaker 1 (05:12):
It sounds like a complete nightmare because suddenly, I mean,
you could ultimately have somebody that would have won a primary,
but because people have ranked all the way down the ballot.
I mean, maybe it's better not to rank all the
way down the ballot if you have that situation, because
then you potentially are having your vote that you don't
really like number five, but you're going to put them
(05:33):
five because you don't like them. Then your vote would
go to them. If your top person drops out, I mean,
it is a very confusing process.
Speaker 2 (05:43):
Yeah, it is, and it makes it impossible to know
how your vote will count in the final tally because
all of that process happens once you fill out your ballot, right,
and once everybody fills out their ballot, then they run
the algorithm. So I think that's another reason to really
dislike this system. I mean, I think we should know
(06:07):
how are ballots going to count, who are ballots going
to count for when we cast it and with rank
choice voting, I mean, that's simple. You know, that simple
understanding of elections gets thrown out the.
Speaker 1 (06:17):
Window, right right right. While speaking of elections, we obviously
have midterms around the corner. A lot of this concern
about government waste and abuse of tax dollars is I mean,
that's a big topic obviously, after what we saw in Minnesota,
what we've seen in some of these other states where
we've seen some of these government programs that have gone wild,
(06:41):
and you have to be aware that when you have
big government grants, when you have big government programs like this,
that's where there is susceptibility to fraud, which is why
you do have to have watchdogs. And I think that's
why the American people felt so good about the idea
of Elon Musk going in and rooting the out and saying, Okay,
we're going to make sure that we get rid of
(07:03):
this stuff. Ultimately, I feel like the media went after
him so hard that we're in this situation now where
we still don't have that Office of Accountability that is
going to go through and make sure that what's actually
going to some of these places, whether it's a daycare
or a hospital or whatever it is, that it's being
(07:24):
used appropriately. But you guys did a report on hospitals.
I find this fascinating because in the state of Michigan,
we have some people running who are running on Medicare
for All, and they're telling us that the government should
pay for everything. And they're also telling us that if
the government pays for all of our healthcare needs, that
(07:45):
you'll have multiple rural hospitals that will suddenly open or thrive,
which is the opposite of what would actually happen. Now,
you have a situation where the government is giving these
big hospital systems money that to me is kind of
like the beginnings of Medicare for All because they're getting
(08:07):
a bunch of money in there. It's like a social program, right,
we're going to hand you a grant. Because they claim
they don't have enough money, they become a massive hospital system.
They actually put the little guys out of business, and
then their CEOs go home with big, big take home pay.
How is it explain what is happening?
Speaker 2 (08:27):
Yeah, we did this report because while while we are
really concerned about the kind of fraud that we've seen
in places like Minnesota and Seattle, which is just outright
theft in most cases, right, a lot of that is
just outright theft, we're also concerned that there's a lot
of cultures of waste and abuse in these big healthcare
(08:53):
institutions that you know, frankly, it's not fraud in most cases,
it's it's perfectly legal, but it's also very abusive to
tax payers. It compromises the healthcare system, and we need
to rein it in if we want to get control
of our health costs, our health insurance costs. Right, these
things all drive up the price of our health insurance,
(09:16):
which is one of the things that people see oftentimes,
you know, taken out of every paycheck or sometimes paying themselves. So, yeah,
these hospitals, I mean, the first, the first thing that
we really should think about and think about whether it's
even fair, is that these big hospitals are treated as nonprofits.
(09:38):
They're tax exempt, they're exempt from federal income taxes. They're
oftentimes exempt from many state taxes as well. And you
mentioned them putting their competitors out of business. If you're
just an ordinary doctor, you know, somebody graduates medical school,
they want to go hang out as shingles, serve their community.
They're a business, right, I mean it's you know, they
(09:58):
may be doing a lot of charity care. They may
be providing a really important service, but you know, my
plumber provides an important service, right. I mean, you know,
everybody in business is providing a services to some degree, right,
and they are taxed. Right. They're not a nonprofit. They're
not treated as if they're a charity. And this is why,
this is one of the reasons why so many of
those little guys in healthcare, so many of our local
(10:21):
doctors have sold out to big hospitals because they can
they can suddenly become tax exempt. Right. The hospital has
this huge advantage to start with, And then you mentioned
all of the government grants, all of the direct subsidies,
all of these there's all these indirect subsidies, like the
three P forty B drug program that allows most of
these big hospitals to buy drugs really really cheap, and
(10:44):
then they turn around and sell it at full price.
Nobody even knows most of the time that they're making
this windfall profit on prescription drugs at these big hospitals.
It's incredible the advantages that we've given them. And you know,
I think a lot of us would say, okay, but
they're really important. Right if we need a hospital, we
want to we want a really well functioning, well funded
(11:06):
hospital to go to. And that's certainly true right when
you know, when when we get injured.
Speaker 1 (11:13):
So I agree with that that, yes, I love that
we have these hospitals that are well funded. I want
to go back to something you were just saying, because
I live in a smaller community, I will say, when
COVID hit, it was like the perfect storm because a
lot of these doctors had been you know, they'd been
shut down. We couldn't go to doctors. So this is
your private business, you have a private practice. Now. Before COVID,
(11:37):
I had watched for years where big hospital systems were
trying to put these doctors out of business or force
them to join. And they did that by saying, look,
you can't have your own facility, you can't go to
an operating room, you can't have your own you know lab,
you can't have any of this stuff because you can't
(11:59):
get us certaintificate of need. So they're working with the
government to essentially shut the private healthcare facilities down. And
it was working. You know, they couldn't get their own
surgery center, and then if they were oftentimes our doctors
who were forced to use the operating center at the
(12:20):
big hospital, at the big hospital system, they would have
surgery scheduled and then you would have an accident come
into the er and they would just cancel their whole day, like, oh,
you can do these hip replacements another time. So over time,
our doctors are getting more and more frustrated. Then COVID hits.
(12:41):
The government keeps those private doctors closed for a significant
amount of time, the private hospitals, the independent hospitals closed.
We start seeing hospitals in rural Michigan go out of business.
Our doctors were leaving and I had three doctors who
left the state. They were like, we're done, we don't
(13:02):
want to join the big system. We don't want to
be forced into this, and we like our private about
our ability to care for our patients, and we're able
to give our patients more time because we're not part
of the system where it's kind of a manufacturing mill
of patients, you know, like you have ten minutes you
have to get to the next one, you have a
quota to hit. It hurt us so badly as soon
(13:26):
as these these hospital systems got bigger and bigger that
you can't find a doctor in this town. Now, nobody's
taking extra patients. There are no private practices, nobody's building
a new practice because they have to be a part
of the system. How does this help rural communities.
Speaker 2 (13:44):
Yeah, no, is It is a big, tangled web, and
as things have consolidated and gotten bigger, it has really
compromised care for people in rural areas and small towns.
We've seen this to some degree in Oklahoma as well,
where you know, the attitude oftentimes is, well, you just
(14:05):
you just have to go to a big city, right
and if you're sick, maybe we'll fly you there on
a helicopter or something, which costs somebody a lot of money.
When they do that. They do that around Oklahoma all
the time. And we've got to get back to a
level playing field in healthcare where small practices, independent doctors
(14:25):
can practice on a level playing field with these big hospitals,
rather than these big hospitals basically controlling health care policy,
controlling most of the dollars, getting all of the benefits,
and then using a lot of that either to go
out and you know, do these leverage buyouts basically, or
use it to lobby on things like certificate of need
(14:47):
where they I mean, you know, it's almost like the mafia,
where they can go out and for some reason tell
their competitors what to do. I mean, that's that's crazy.
That's not how we do it in the rest of
the marketplace. It's like healthcare. You know, somewhere along the way,
the politicians decided that healthcare was so important that we
shouldn't allow the market forces to operate that have made
(15:09):
the American economy the greatest, most dynamic, most innovative in
the world and push prices down in quality up. For
some reason, we don't do that in healthcare, right It's
like we want higher prices and lower quality for some reason.
I mean, it's really we just let the politicians drive
the bus, which is never the best way to operate
these things. And then, as you say, you wind up
(15:30):
with absurdities like hospital executives at these nonprofits opposed to
the charitable hospitals making twenty thirty million dollars in some cases,
and you know a lot of them making six seven
eight million dollars while they're also cutting frontline staff, cutting nurses,
cutting nurses hours, cutting nurses pay, all these things that
hurt their patients. You know, they turn around and tell
(15:53):
at taxpayers, well, we're doing this because we don't have
enough money. And we finally went and said, we're going
to actually look at your documents. We're going to look
at your tax filings, We're going to look at what
you're spending and what your priorities are. And we discover
that these same places are paying executives millions as dollars.
They're paying for all these social club memberships for their executives.
They are spending millions and tens of millions at some
(16:15):
hospitals on rebranding and all these fancy marketing campaigns, working
with sports, sports teams and things like that that are
you know, I mean, that's that's cool. If you're doing
it on your own dime, that's cool, if you're doing
it without compromising your safety and treatment of patients. But
when you're cutting back on caring for patients and then
you're going out and spending on these lavish luxuries, I
(16:38):
think that hospitals need to be called out on that.
And I think we've got to put pressure on politicians
not to just be let around by the nose by
these hospital executives, but to actually ask them hard questions.
Speaker 1 (16:50):
How do you How do these hospitals justify a nonprofit status?
I mean, because if you are essentially you're not paying
taxes if you're a nonprofit, right, they're not. Are they
paying property taxes? How does that work?
Speaker 2 (17:05):
That depends on state law. In a lot of states,
they're not.
Speaker 1 (17:09):
They're not paying raise a massive piece of land in
the community. Yeah, and how oddly that hurts the community?
Speaker 2 (17:15):
That's right, I mean, people, I mean, that's and that's
exactly right. Right when you have a community where a hospital,
this has been an issue in the past. Most of
these hospitals now have been nonprofit for a while. But
if you have some big hospital that's been paying property
taxes in a community and all of a sudden it
becomes exempt from those property taxes. Yeah, that that can
(17:36):
be devastating for local government services, and it shifts the
cost to everybody else. When they don't pay federal income taxes,
it just shifts the cost to other tax payers. So
you know, somebody is going to pay that tax bill,
and it winds up being you and I and all
the listeners and viewers out there. We pay a little
bit more because these people pay nothing. And they get
that because they provide some charity care. But we also
(18:00):
looked at this and in many cases, less than one
percent of their functional expenses are charity care. Right, So
we're talking about I mean, these places are less charitable
than your average church attendee who's tithing, right. I mean,
you know we're not tax exempt if we tie it
to our church, right. But somehow these hospitals are tax
exempt if they give you know, zero point eight percent
(18:23):
or point nine percent of their functional expenses to charity.
I mean, that doesn't make any sense to me.
Speaker 1 (18:31):
What is the revenue at a hospital the size like
one of these mega systems, they have to be bringing
in billions.
Speaker 2 (18:37):
It's billions yeah, it's it's usually in the single billions. Right,
So these places will have two, three, four billion dollars
in revenue, you know, the biggest ones, or even bigger
than that. I mean, these are these are mega businesses
in our communities. And yeah, they have lavish facilities. A
(18:59):
lot of them have spand it overseas. We identified a
couple that have opened new facilities in Abu Dhabi. Some
of them have fancy facilities in London. I mean, how
does that help any Americans?
Speaker 1 (19:12):
Right?
Speaker 2 (19:12):
I mean obviously it doesn't. It's just you know, they
they have such steady revenues, plus all the government subsidies
they wind up it seems to me looking around for
ways to spend it. Some of them. We made a
little brochure sort of poking fun at this a while ago.
Some of them have these fancy art collections, right, And
(19:34):
I mean, I mean, again, how does that help patients?
Speaker 1 (19:38):
Right?
Speaker 2 (19:39):
I like art. I love going to art museums, but
I don't you know, that's not my priority if I'm
in the hospital, right, if I'm visiting somebody in the hospital,
I'm not wandering around looking at it as if it's
an art museum. I mean, it's it's so silly. It's
another one of these things. It's clearly done for the
benefit of the executives, you know, whether it's because they
just want really fancy digs, they just want to brag
(20:01):
about having a fancy art collection. It's so strange and frankly,
you go overseas, you go to hospitals in other parts
of the world, and it's just you just don't get
that right, the attitude that some of these executives have,
The culture of just casual waste in some of these
hospitals has gotten so extreme, and we've got to rent
(20:22):
it in. I mean, for the sake of just making
sure that our kids can afford healthcare and health insurance
in the future. We have got to get these hospitals
back to basics and just taking care of their patients.
Speaker 1 (20:32):
So I think you're hitting on something that we don't
get to talk about very often. People complain so much
about the cost of insurance. They want Medicare for all.
They for some reason they think the government's going to
handle your health care better than a private company. But
these private companies are also forced to fund this lifestyle
(20:52):
at our hospitals, and these CEOs I mean, if a
CEO is taking home more than twenty million dollars a
year and they are buying it. When you say they're
buying these club memberships, I mean we're talking about there's
a fancy I don't know what i'd call it, like
a rich person club in Detroit where you just go
(21:13):
and you just talk to people. You just go there
and have lunch and drink and go to the gym.
And that's what it is. It's just like a place
to lobby. Really, it's a place for lobbyists and people
get a membership. And that's what these executives at hospitals
have memberships to places like that, to golf courses, to
(21:34):
and it's a lifestyle that they are provided. And I believe,
and you can correct me if I'm wrong, but I
believe that lifestyle is provided to them because that gives
you that connection to government to get more, to get more,
to get more. Well.
Speaker 2 (21:49):
It certainly is a part of that, right, it's a
part of why they're so powerful, and they do, you know,
they do wind up with all this political cloud coupled
with the fact that they then you know, they turn
around and they claim to speak for all the patients
who go to their hospital, which doesn't make sense to me.
I mean, their interests are are not the same as
(22:10):
the interests of those of us go to the hospital. Right,
we want we want lower cost care. Right, they benefit
from higher cost care. So right there you have you
have the fundamental problem. And you know it's it's uh
when when you look at hospitals to go back tutor
to something you said earlier. You know, I had I
(22:32):
had a little medical issue here in Oklahoma a couple
of years ago, and you go to the hospital and
you think, okay, this this is going to be simple.
When you go to your doctor and your doctor says, well,
you should go to the hospital, get this outpatient surgery
in the hospital. And and you know outpatient surgery, you're
going to walk in, you're going to walk out. This
doesn't seem like a big deal. The hospital says, this
(22:52):
is going to be ten three hundred dollars, right, And
I'm like, I don't I don't need this, right, So
but I I went to our free standing surgery surgery
center here because Oklahoma has been has been very good
about allowing free standing standing surgery centers to open up. Right,
So these are places where for outpatient surgeries, they just
they just do it and they don't have all this
(23:15):
all this hospital you know, apparatus and they and they
are for profit, right, they're not they're not tax exempt.
And they said, oh yeah, yeah, we could do that,
and it's like twenty five hundred dollars, right and uh,
and so you think that the non tax exempt place
that operates like a business, it has to compete for patients.
(23:35):
They're about a quarter of the cost. And they actually
publish all their They basically published like a menu of things.
You need a hip replacement, Here's what it costs, a
new replacement, Here's what it costs all these all these
different things that they do there, and in every case
it's cheaper than the hospital. And in some cases, the
same doctors are working at both places, and so the uh,
(23:55):
you'd have the same doctor doing your doing your surgery.
But if they do it at the hospital, they have
all of these fees they go to pay for all
of those executives and all of that other stuff that
happens at the hospital that they don't do it surgery
center because they have to compete in the marketplace. And
one of the ways that they compete is on price.
They also compete on quality, and their quality is very good.
(24:16):
So I mean, we know how to fix this. The
way to fix it is to make sure that there's
competition in healthcare and to make sure that people have
price information before they choose their healthcare. To make sure
that these hospitals can't use certificate of need laws to
protect their turf.
Speaker 1 (24:33):
And that just tells you that is something that I
don't think people understand because people go, well, why isn't
there more private competition, And that is because to open
a surgery center like that, you have to have this
certificate of need from the government, so your state government,
or at least in Michigan, you have to have a
certificate of need, which would say, in my community, there's
(24:55):
a greater need for this surgery center than the hospital
can provide, and you have to be able to prove
that that is needed. Yeah, and the hospital is on
the deciding board. That's the crazy.
Speaker 2 (25:06):
Thing, that's right. Yeah, your competition literally has a say
and whether you get to open up and compete with them.
It is just I mean, that's a system right there
that guarantees higher prices. So you know, all these other
things are problematic too, but that right there, certificate of
need guarantees higher prices, and frankly, it makes it less
(25:29):
likely that you're going to get the best quality care
because why zone.
Speaker 1 (25:32):
Why do you even have to have that? I mean,
why wouldn't it be that it's a the market dictates
if we open a surgery center and there's not enough
surgery to go in there, then you close.
Speaker 2 (25:43):
That's right. These hospitals have gone out there and said, well,
wouldn't it be terrible if I mean, essentially it's wouldn't
be terrible if we had to compete because we might close, right,
And this is what we face with public schools, right,
It's like, we don't want to compete because if we compete,
people might discover that they don't like our product, right,
and they actually want to get their education somewhere else
because it's better. That's that's basically what these hospitals are saying.
(26:07):
They're saying, you know, look, we you know, we're worried
that we're going to go out of business because other
people can do what we do better and and frankly,
we know the competition tends to just make everybody better. Right,
So the hospitals will have to find a way to
maybe pay their executives lest maybe have fewer these club memberships. Right,
They'll have to find a way to be competitive with
(26:29):
these surgery centers. But you know, that's that's how everything
else has worked in America. And look what we've got, right,
We've got massive innovation here, the most innovative economy in
the world. People get, you know, better products for lower
prices every single year, except in these little areas like healthcare,
(26:49):
like higher education. It's another one right where the government
has a lot of Yeah, that's right, and the area
is where the governments involved.
Speaker 1 (26:58):
That's what is blowing my mind because you have such
a manipulation with these especially these far left candidates that
are out there running for office. And I think this year,
I would say this year we have more of these
radical I mean they're openly socialist and they say they
want medicare for all. They want I mean, the guy
(27:19):
in Michigan is talking about the government taking over AI
and the government taking over all the hospitals, and the
government being in control of everything. I mean, this is communism.
But the manipulation and it's effective because there is nobody
I mean you are one of the few people that
is going out there and explaining this in detail, and
(27:41):
you don't get this on the news. Really, this guy Abdul,
he comes out and he says, Oh, we just had
a rural hospital clothes in Michigan, and if we had
medicare for all, this would never happen. There would be
more hospitals. But we know from the UK, we know
from Germany, we know from trees that have already implemented
(28:02):
national health care that instead you just don't have the
money to open more hospitals. And they are actually preventing
people from becoming doctors because they're like, the government can't
pay more doctors. So it's actually detrimental to your health
and everybody's health, like the fact that some of us
pay into insurance. Other people get the same healthcare essentially
(28:25):
that we do. But they don't want that. They want
it to be that we're all going to have government
paid health care, which means we're all going to have
crap healthcare.
Speaker 2 (28:33):
Yeah yeah, I mean the UK, all those countries that
have socialized medicine, they freeload on the United States because
we generate most of the innovation, most of the invention
in healthcare and then you know, and then of course
they get to use it, right, so they're not innovative.
I mean, they have simple problems over there. Like the
(28:55):
BBC had a story a few years back about doctors
and nurses washing their hands in British hospitals. Right, they
wind up with all these simple problems because it's just
it's all politics. There's no competition for anything there, and
they have huge lines, huge lines in the UK, huge
lines in Canada. You know, if you need a knee replacement,
you need a hip replacement, you can go over there. Actually,
(29:18):
And when I've traveled in Europe a little bit and
my kids have noticed, like Dad, there's seems like there's
a lot more people over here, a lot more older
people who are walking around on crutches, right, not like
crutches like they just hurt themselves, but they sort of
permanent or semi permanent kind of crutches. And you know,
it's it's most likely because if you need a knee replacement,
(29:41):
you're going to have to wait you know, maybe six months,
maybe a year, or maybe two years, three years, you know,
depending on whether they have you know, where the DMV
line is essentially in your area. It's a it's a terrible,
dreary system, and it's expensive. They're running out of money
to fund it in the UK and looking for ways
(30:02):
to make cuts. You know, it's a tragedy what's gone
on in these other countries. And yeah, if we brought
it to the US, not only would we suffer, but
everybody would suffer because all of a sudden, the innovation
engine in healthcare would sputter out if we put government
in charge.
Speaker 1 (30:22):
It's just I feel like we are closer than we've
ever been as I see these socialists who knocked out
longtime Democrat, more moderate Democrats, and not even moderate Democrats,
but like more moderate than them, knocking them out of
their primaries. And we're going to end up with a
pretty radical Congress on the Democrat side this year, no
(30:44):
matter what we do. And I think people don't understand,
it's not it's not that Republicans aren't competing. These are
Democrat seats that are going to be Democrat seats and
those socialists are going to win and we're going to
be battling this. And so I appreciate what you're doing
because I think this kind of education is critical, especially
for our young people to sit down and go, well,
(31:07):
what exactly does this mean and how does this affect
my life. Oftentimes, the people who are voting for the socialists,
they're not the people that are the older people walking
around on crutches because they haven't gotten to that It's
amazing when you get older and you go, oh wow,
your body really does have aches and pains and change
and you do need to go to the doctor. It's
(31:29):
always the people who haven't gotten to that point yet
that are voting for it because they don't realize what's ahead.
But I appreciate you, Trent England, thank you so much
for being here today.
Speaker 2 (31:38):
My pleasure.
Speaker 1 (31:39):
Thanks to here. Then thank you all for joining us
on the Tutor Dixon podcast. Share this, make sure other
people know I mean this to me is so critical.
Whether we're talking about the rank choice voting or we're
talking about our hospital systems and the abuse that can happen.
You can get involved and you can change this. You
know where it is. It's the iHeartRadio app, Apple podcasts,
Rumble or YouTube. Share it, tell your friends about it
(32:02):
and have a blessed eag
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Buck Sexton
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