When a ‘too big to fail’ America meets a government too broke to bail it out



I’ve been titanically bearish on America for years. Sorry. I can do math.

The United States owes more than $38 trillion. That alone makes the balance sheet hopeless. The debt is insurmountable.

America’s GDP in 2024 was $29.2 trillion, meaning the debt exceeds 130% of what we produce in a year. If this were a business, every financial adviser would tell you to file Chapter 11 and salvage what you can.

Washington keeps adding another trillion to the tab roughly every 100 days. As the debt climbs, interest payments climb faster. The country now spins in a debt spiral that ends only one way. Game over.

The more the world moves away from the dollar, the more tens of trillions of unwanted dollars come flooding home. You haven’t seen anything like real devaluation yet.

Then comes the $210 trillion in future unfunded liabilities — mostly Social Security and Medicare. Those numbers don’t pencil out in any universe.

Underneath all of it sits a sinking currency. The dollar lost 87% of its value since we abandoned the gold standard in 1971. For decades, the petrodollar arrangement held the world in our system by forcing oil purchases through the U.S. currency. Saudi Arabia let that mandate expire last year. Global energy deals immediately began shifting to other currencies.

The more the world moves away from the dollar, the more tens of trillions of unwanted dollars come flooding home. You haven’t seen anything like real devaluation yet.

To fund our binge, Washington must keep selling treasuries. But foreign buyers are losing interest. Rates rise. The government buys its own debt just to keep markets from buckling. The Cayman Islands now holds $1.85 trillion — the largest single foreign share and rising fast. Treasury officials tried to obscure the numbers. None of it signals stability.

Meanwhile, our economy rests on an absurdly fragile foundation: 70% consumption. Seven out of 10 dollars depend on Americans buying things they can no longer afford. Household debt hit a record $18.6 trillion — nearly two-thirds of GDP. Families now pay down debt instead of fueling growth.

Shrinking consumption means a shrinking economy. Shrinking economy means shrinking tax revenue. Combine that with a weakening dollar and the picture becomes darker still.

Enter artificial intelligence, the accelerant. AI threatens tens of millions of jobs within years, wiping out income and collapsing the consumption model even faster. A government facing falling revenue and exploding obligations cannot pretend to stay solvent.

Some cling to fantasies like universal basic income. With what money? The same government already $210 trillion short on existing promises? Please.

This all points toward an economic crash far larger than 2008. Washington froze that crisis with $29 trillion in bailouts — money it didn’t have then either. We conjured it and shoved it onto the national debt.

That option is gone.

Today the government sits too deep in debt, with a weaker dollar and fewer global buyers. And the next crisis won’t hit one sector. It hits everything:

• Record mortgage debt: $13.1 trillion
• Record credit-card debt: $1.2 trillion
• Collapsing commercial real estate: $4.9 trillion
• Big Tech borrowing hundreds of billions to inflate an AI bubble

OpenAI’s Sam Altman already expects an eventual government bailout for AI’s collapse.

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Photo by Andrew Harnik/Getty Images

Total U.S. debt — public and private — hit $102.2 trillion in 2024. Washington cannot rescue a single major sector, let alone all of them. The national debt was $10 trillion during bailout 2008. It’s four times that now. The dollar buys less. Foreign creditors show less patience.

So who steps in next time? Who buys the treasuries? Who absorbs the losses?

No one. Not abroad. Not at home. Nowhere on this planet.

That leaves Washington with only one move: Print tens of trillions in new dollars and hand them to itself — more IOIs (as opposed to IOUs) stacked on a pile already ready to topple.

And that printing wave will obliterate whatever value the dollar still holds.

Think the dollar’s fallen far? You haven’t seen anything yet.

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Dr. Oz exposes the nonprofit lie at the heart of US health care



American health care is a paradox. We spend more than any nation in history — nearly 20% of our GDP — yet our outcomes remain stubbornly mediocre.

New hospitals rise like monuments to excess. Their parking lots fill with luxury cars. Tax dollars pour in from every level of government. Private spending remains sky-high. But while the profits flow, patient satisfaction and results don’t keep pace.

At a bare minimum, nonprofit hospitals should be required to deliver real value — quality care, satisfied patients, and meaningful charity work.

That’s because the system doesn’t reward quality. It rewards short-term financial performance.

Health care costs keep rising faster than inflation. Voters resist higher taxes, so deficits explode. The federal government now routinely runs annual shortfalls exceeding 6% of GDP — even during boom times. Something’s got to give.

Enter Dr. Mehmet Oz. Once a fixture on daytime TV, now head of Medicare and Medicaid Services under President Trump, Oz has zeroed in on the real source of bloat: hospital executives enriching themselves under the guise of nonprofit care.

Oz recently urged Americans to review tax filings and publicly “shame” hospital administrators pulling down massive salaries. He’s right to sound the alarm.

Most hospitals claim nonprofit status — but their leadership rakes in pay packages in the tens of millions, complete with bonuses, stock perks, and golden parachutes. Those compensation schemes only make sense because the IRS grants nonprofits huge tax breaks. And the standards for maintaining that status? Laughably weak.

As a result, the federal government forfeits tens of billions of dollars annually — revenue that could support real health care reform or reduce the deficit.

Consider Nazareth Hospital in Philadelphia. It belongs to Trinity Health Mid-Atlantic, a large nonprofit chain. Trinity’s CEO earns over $1.4 million a year. Yet, Nazareth carries a dismal one-star Medicare rating, charges high prices, and provides very little charity care. Despite funneling more than $160 million annually through its doors, it contributes almost nothing in taxes — while local, state, and federal governments foot the bill for many of its patients.

It’s a rigged system: Taxpayers pay, executives profit, and patients suffer.

RELATED: Medicaid for millions, misery for the middle class

Photo by Andrew Harnik/Getty Images

Dr. Oz is asking the right questions. Where does the money go? Who benefits most? Are we getting anything close to our money’s worth?

At a bare minimum, nonprofit hospitals should be required to deliver real value — quality care, satisfied patients, and meaningful charity work. When they fail, they should lose the privileges that come with tax-exempt status.

Congress must act. Update the laws. Close the loopholes. Scrutinize executive pay. Tie compensation to performance. And most importantly, re-center the system on patients — not the almighty dollar.

Thanks goes to Dr. Oz for breaking the silence. The American people deserve transparency, accountability, and a health care system that serves them — not the bureaucrats and fat cats feeding off the public trough.

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