The hottest Government programs Substack posts right now

And their main takeaways
Category
Top U.S. Politics Topics

Sorry, I Still Think MR Is Wrong About USAID

Astral Codex Ten • 36891 implied HN points • 29 May 25
🇺🇸 U.S. Politics Foreign Aid NGOs Government programs Public Policy Political Debate
  1. There's a big debate about how much money from USAID goes to charities and how much is wasted. Some people think a lot is wasted, while others argue it’s not as bad as it seems.
  2. The overhead costs of big charities like Catholic Relief Services can look high, but they actually spend most of their money on important stuff like food and health services, not just admin costs.
  3. It's important to figure out if local charities are actually better at helping people than American ones. Finding the right balance between efficiency and trust in aid distribution is crucial.

Money Saved By Canceling Programs Does Not Immediately Flow To The Best Possible Alternative

Astral Codex Ten • 41364 implied HN points • 06 Feb 25
🇺🇸 U.S. Politics Foreign Aid Government programs Philosophy Public Policy Health Policy
  1. Canceling effective programs like PEPFAR doesn't guarantee that the money will be spent on better programs. It may just sit unspent or be used for less effective initiatives.
  2. People often argue about valuing American lives more than foreign ones, but this doesn't lead to better outcomes for those in need. Many don't consider the long-term effects of cutting foreign aid.
  3. There's a need for balance in helping others. Spending a small percentage of the budget on foreign aid is reasonable, and it shouldn't diminish support for domestic needs.

How Medicaid Work Requirements Betray Work and Waste Money

Can We Still Govern? • 172 implied HN points • 26 Jun 25
🇺🇸 U.S. Politics Health Policy Welfare Government programs Legislation Social Issues
  1. Work requirements for Medicaid and SNAP can create a lot of unnecessary rules that actually hurt people trying to find work. Instead of helping them, these rules can cut off health insurance and make things worse.
  2. Most people on Medicaid are working or in school, so the idea that they're not doing anything is not true. The new work requirements will lead to many losing coverage, which could be life-threatening.
  3. The way this law is set up seems to help government contractors more than it helps those in need. It's expensive to manage, and it could actually cost low-income people thousands of dollars each year.

Những tượng đài đổi mới sáng tạo

Thái | Hacker | Kỹ sư tin tặc • 2296 implied HN points • 04 Dec 23
💼 Business Innovation Entrepreneurship Startup Government programs Creativity
  1. Success in business comes from creating something people want and need, not just what looks good or follows trends.
  2. Focusing on serving customers and generating revenue is more important initially than fancy offices or elaborate company structures.
  3. Innovation thrives when failure is embraced, and simplicity is prioritized over elaborate ventures.

Investigating the Investigators: A Chemical Imbalance

ᴋʟᴀᵾs • 569 implied HN points • 30 Jan 24
📰 News Investigative Journalism Media Manipulation Whistleblowers Conspiracy Theories Government programs
  1. Real skeptics should establish credibility and motives in debates for educated decisions.
  2. Watch out for biased information and covert manipulation in online platforms and communities.
  3. Question the motivations and connections of individuals involved in discrediting movements like UFO disclosure.
Get a weekly roundup of the best Substack posts, by hacker news affinity:

$335 million take-home: here are the 7 health insurance CEOs who made it big in 2022

HEALTH CARE un-covered • 559 implied HN points • 01 Jun 23
🏥 Health Politics Healthcare Insurance Medical Debt Government programs
  1. Seven health insurance CEOs made a whopping $335 million in 2022, which is 18% more than the previous record. Most of their earnings came from big stock buybacks by their companies.
  2. Molina's CEO earned more than half of the total amount, making $181 million, while the smallest companies made most of their money from taxpayer-funded programs like Medicaid.
  3. The increase in CEO pay is concerning, especially since it has happened while many Americans struggle with high medical costs and debts, indicating a focus on profits over patient care.

Q1 2023: UnitedHealth Group made $27.8 billion from the drug supply chain; spent $3.5 billion buying back their own stock

HEALTH CARE un-covered • 539 implied HN points • 19 Apr 23
🏥 Health Politics Healthcare policy Pharmaceuticals Insurance Industry Government programs Patient Advocacy
  1. UnitedHealth made a huge profit of $27.8 billion from the drug supply chain in just the first quarter of 2023. They also spent $3.5 billion buying back their own stock to increase value for shareholders.
  2. The company has dramatically increased its revenues and profits over the past decade, primarily from government programs like Medicare and Medicaid. Their pharmacy benefit manager, Optum Rx, has seen massive growth, capturing more money from patients.
  3. Despite their growth, the company's enrollment in commercial health plans has barely changed. Instead, more people are signing up for their Medicare Advantage plans, which suggests they are shifting focus to government-supported programs.

Rationing Rights

Can We Still Govern? • 127 implied HN points • 28 Oct 24
🇺🇸 U.S. Politics Healthcare Disability Rights Policy Reform Social justice Government programs
  1. Many people with disabilities and older adults face long waitlists for Medicaid home care services. These waitlists can last from a few years to over a hundred years, making it hard for them to get the help they need.
  2. The eligibility process for these services is often very confusing. Many families feel overwhelmed and may not even apply because they think it’s unlikely they will receive assistance.
  3. There are calls to make home and community-based services an entitlement. This means that anyone eligible should have the guaranteed right to get these services, making it easier for people with disabilities to live independently.

The State of Student Loan Forgiveness

QTR’s Fringe Finance • 18 implied HN points • 06 Dec 24
🇺🇸 U.S. Politics Education & Policy Government programs Legal Challenges
  1. The Biden administration has canceled around $180 billion in student loans, shifting the financial burden to taxpayers. This means taxpayers might end up paying for loans that borrowers took on.
  2. Multiple student loan forgiveness plans are being implemented, even after some were blocked by the Supreme Court. The government is finding other ways to forgive loans through existing and new programs.
  3. Some plans, like the Public Service Loan Forgiveness, are still active and help many borrowers have their debt wiped out, raising questions about fairness and the future cost to taxpayers.

BIG INSURANCE 2022: Revenues reached $1.25 trillion thanks to sucking billions out of the pharmacy supply chain – and taxpayers' pockets

HEALTH CARE un-covered • 539 implied HN points • 27 Feb 23
🏥 Health Politics Insurance Medicare Pharmaceuticals Government programs Healthcare Costs Regulation
  1. Big insurance companies made a lot of money in 2022, reaching $1.25 trillion in revenue. They mainly got this money from managing drug benefits and government health programs.
  2. Pharmacy Benefit Managers (PBMs) are becoming really important for these insurers, as they now make up a huge portion of their profits. They control a lot of the drug pricing and decide which pharmacies patients can use.
  3. Most growth for these companies is coming from government programs like Medicare, while their commercial insurance business is struggling. Many people are now finding it harder to afford their healthcare costs.

Free money: Milton Friedman, unconditional income, and the neoliberal inheritance

Hypertext • 179 implied HN points • 15 Nov 23
🇺🇸 U.S. Politics Social Policy Welfare state Government programs
  1. Milton Friedman advocated for an unconditional negative income tax to create an income floor for all Americans.
  2. Friedrich Hayek and other intellectuals support the concept of a negative income tax or Universal Basic Income.
  3. The idea of a negative income tax failed in the past due to societal views of 'deserving' and 'undeserving' poor, but there is potential for revisiting and implementing it now.

One Big Way to Boost Housing Supply and Reduce Investor-Owned Housing

The New Urban Order • 119 implied HN points • 12 Jun 23
💰 Finance Housing Investing Taxation Government programs Real Estate
  1. The housing market is facing challenges with low supply and high demand, keeping housing prices inflated despite high mortgage rates.
  2. Creating a time-sensitive incentive program can push real estate investors to sell to homeowners, potentially boosting housing supply and lowering prices.
  3. Offering a one-year tax amnesty on capital gains taxes for investors who sell to homeowners could help unlock housing stock, shift ownership, and improve market dynamics.

Elevance Health's 2022 earnings are in, outperforms Wall Street expectations

HEALTH CARE un-covered • 199 implied HN points • 25 Jan 23
💰 Finance Earnings Investments Health Insurance Stock Market Government programs
  1. Elevance Health did really well in 2022, exceeding what Wall Street expected for their earnings. Their stock prices went up, even when many other companies were struggling.
  2. Most of Elevance's profit came from government programs like Medicaid and Medicare Advantage, not from selling insurance to individuals or businesses. These programs are where they made the most money.
  3. The company's pharmacy business, CarelonRX, also saw significant profit growth. This shows that owning a pharmacy service is becoming very important for insurance companies.

Sen. Blackburn (R-TN) used the "socialism" trope. It proves she doesn't know her history about Tennessee.

HEALTH CARE un-covered • 239 implied HN points • 31 Aug 22
🇺🇸 U.S. Politics Political History Government programs Political criticism Public Policy
  1. Senator Blackburn claims Tennesseans don't want socialism, but many benefit from government programs like the Tennessee Valley Authority. This program has provided jobs and improved living standards in Tennessee.
  2. The Tennessee Valley Authority (TVA), created during the New Deal, was seen as 'socialism' but has had a positive impact on the community for many years. It helped people get jobs and electricity.
  3. The history of programs like the TVA shows that what some label as 'socialism' can actually lead to progress and improve lives. It's important to consider the benefits of such programs.

Biden is continuing Trump's privatization of Medicare. Here's what you need to know.

HEALTH CARE un-covered • 259 implied HN points • 29 Jun 22
🇺🇸 U.S. Politics Health care Health Policy Medicare Privatization Government programs
  1. Biden is following Trump's lead by continuing a program that privatizes Medicare. This shift is concerning because it can affect seniors' healthcare options.
  2. Many seniors might be moved into profit-driven Medicare plans without realizing it. This could limit their access to care and services.
  3. Critics argue that allowing private equity and insurance companies into Medicare will make them more focused on profits than on providing quality healthcare to seniors.

In 2021, 72% of UnitedHealth’s $222.9 billion revenue came from taxpayers.

HEALTH CARE un-covered • 259 implied HN points • 27 Jan 22
🏥 Health Politics Healthcare system Insurance Industry Government programs Public funding Health economics
  1. In 2021, most of UnitedHealth's revenue, about 72%, came from taxpayer money, highlighting their dependence on government programs.
  2. The majority of UnitedHealth's growth in the last decade came from government programs like Medicare and Medicaid, not from private insurance.
  3. Healthcare costs for families are rising, with premiums and deductibles taking a larger slice of their income compared to a decade ago.

The Case For A National Sales Tax

Stark Realities with Brian McGlinchey • 166 implied HN points • 01 Mar 23
🇺🇸 U.S. Politics Taxation Government programs Economic Impact Tax reform Political resistance
  1. A national sales tax could replace multiple taxes like income and payroll, simplifying the tax system.
  2. A federal sales tax would make the cost of the government more transparent to citizens.
  3. Replacing income tax with a sales tax could change how Americans view programs like Social Security and Medicare.

American Childcare Is In A Death Spiral. Here's How We Fix It.

JoeWrote • 26 implied HN points • 05 Mar 24
🇺🇸 U.S. Politics Childcare Government programs Financial impact Legislation
  1. American childcare costs are significantly higher than what is considered affordable by the U.S. government, causing financial strain on families.
  2. The Childcare Cliff refers to the crisis in childcare due to lack of funding, leading to closures of childcare centers and job losses.
  3. Solutions to the childcare crisis include reinstating the Refundable Child Tax Credit and restarting public childcare centers like those used during WWII.

80% of UnitedHealthcare’s growth is coming from Uncle Sam.

HEALTH CARE un-covered • 159 implied HN points • 02 Jul 21
🇺🇸 U.S. Politics Healthcare policy Government programs Medicare Advantage Insurance Industry
  1. Most of UnitedHealthcare's growth, about 80%, comes from government programs like Medicare and Medicaid. This shows how much the company relies on taxpayer money.
  2. Since the Affordable Care Act, UnitedHealthcare has shifted from individual customers to mainly serving Medicare and Medicaid patients. This change has helped them grow significantly in the last decade.
  3. Private insurance revenue has only seen modest growth, while government revenue has tripled. This trend raises concerns about the privatization of Medicare and how it affects overall healthcare.

Postcards from a Train, Part Two

Outspoken with Dr Naomi Wolf • 3 implied HN points • 28 Jan 25
🇺🇸 U.S. Politics Policy Analysis Social Issues Government programs Cultural observations
  1. Homelessness is visibly growing in places like Eugene, Oregon. Many people are struggling with addiction, making the urban areas feel unsafe.
  2. The Section Eight housing program provides help but also limits people's ability to improve their income. This setup keeps many people in a cycle of poverty.
  3. During the train journey, the landscape reflected the struggles of many towns, showing a lack of hope and job opportunities. There's a sense of despair that impacts people's lives across the country.

The National Parks Service is a Successful Program that Proves Government Works Well

JoeWrote • 29 implied HN points • 26 Sep 23
🇺🇸 U.S. Politics Government programs Public Services Government funding Government Efficiency
  1. The National Parks Service is a successful government program that shows government can work well.
  2. National Parks Service has a clear mission and funding that leads to exceeding expectations and building a better society.
  3. The NPS is effective, with high visitation rates, economic benefits, and professional services that showcase the value of government programs.

The One Weird Trick To Save Social Security!

JoeWrote • 1 implied HN point • 19 Mar 24
🇺🇸 U.S. Politics Social Security Conservatism Taxation Retirement Government programs
  1. Conservatives argue for cutting Social Security due to changing worker-to-retiree ratios and financial strain.
  2. The simple solution to save Social Security is eliminating the taxable maximum income, ensuring long-term sustainability.
  3. Eliminating the taxable maximum could generate a surplus, benefitting the program and securing it for future generations.

1200 Hours (working draft)

Logos and Liberty • 0 implied HN points • 17 Jul 23
🇺🇸 U.S. Politics Economic Policy Labor relations Income Inequality Government programs
  1. Consider reducing work hours per year to 1200 from the standard 2000 to balance the needs of families and improve work-life balance for employees.
  2. Implementing a 1200-hour work year would lead to increased bargaining power for workers, better worker productivity, and a potential shift in how the fruits of productivity gains are shared.
  3. Employers could adapt to a 1200-hour work year by paying more, offering flexibility, hiring more workers, adjusting operations, and supporting policies to facilitate the transition.

Platinum Government

Joshua Gans' Newsletter • 0 implied HN points • 07 May 14
🇺🇸 U.S. Politics Taxation Government programs
  1. There is a growing wealth gap globally and a call to have the rich contribute more in taxes.
  2. The government could adopt a strategy similar to the private sector to encourage the wealthy to pay more taxes voluntarily.
  3. Creating a 'US Platinum' status for individuals who have paid substantial taxes could offer recognition and privileges, potentially changing attitudes towards tax payments.