Springfield officials, Ohio activists brace for end to Haiti's Temporary Protected Status designation



Springfield, Ohio, featured prominently in 2024 election-time debates as a case study in the fallout of the Biden-Harris administration's disastrous immigration policies — a place where President Donald Trump suggested migrants were "eating the pets of the people that live there."

The blue-collar city, which had a population of just over 58,000 in 2020, was flooded in subsequent years by tens of thousands of Haitian migrants — migrants whom Springfield Mayor Rob Rue admitted "taxed" the "infrastructure of the city, our safety forces, our hospitals, our schools." According to the city, there are upwards of 15,000 migrants presently residing in Clark County alone.

'Temporary means temporary.'

Many of the Haitians who overwhelmed Springfield and other American cities initially entered the U.S. illegally but were spared deportation on account of Haiti's Temporary Protected Status. That status, which Haitian migrants have enjoyed since January 2010 and roughly 350,000 Haitian migrants enjoy today, is set to expire on Tuesday.

In anticipation of a potential immigration crackdown following the designation's expiration date, Mayor Rue and members of the Springfield City Commission approved a resolution on Tuesday urging federal law enforcement to "comply with city policies on masks and officer identification to preserve the public peace within the community."

Blaze News has reached out to Mayor Rue for comment.

Former DHS Secretary Alejandro Mayorkas reinstated Haiti's TPS in 2021, then doubled down in subsequent years, expanding eligibility for protection along the way.

The Trump Department of Homeland Security announced in July, however, that Haiti's temporary status was coming to an end.

"After reviewing country conditions and consulting with appropriate U.S. Government agencies, the Secretary determined that Haiti no longer continues to meet the conditions for designation for TPS," said the announcement in the Federal Register. "The Secretary, therefore, is terminating the TPS designation of Haiti as required by statute."

RELATED: Trump administration halts visas for 75 nations whose people gobble up American welfare

Photo by Luke Sharrett/Getty Images

While DHS initially sought to terminate the TPS designation for Haiti on Sept. 2, 2025, the termination was blocked and the status preserved until Feb. 3 by the New York-based U.S. district court judge overseeing the case Haitian Evangelical Clergy Association v. Trump.

In November, the DHS noted that "in compliance with the U.S. District Court for the Eastern District of New York's final judgment, the current Temporary Protected Status designation period for Haiti ends February 3, 2026."

The loss of status would not only mean that previously covered Haitians will lose their work authorization but that they could be given the boot.

Emily Brown, Ohio State University Moritz College of Law's Immigration Clinic Director, told the Ohio Capital Journal, "At that point, they could potentially be arrested, detained, or put in removal proceedings unless they have already applied for some other form of relief they have in addition to TPS, or that they are applying for in addition to TPS."

The ACLU of Ohio is among the liberal activist groups panicking over the prospect of U.S. Immigration and Customs Enforcement targeting Haitian migrants in Springfield starting on Feb. 4.

"This despicable surge in lawless ICE officers descending upon Springfield will ignite swells of fear within the Haitian community, terrorize our black and brown neighbors, and cause considerable damage to citizens and non-citizens alike," stated J. Bennett Guess, executive director of the ACLU of Ohio.

"The ACLU of Ohio urges state and local elected officials to do everything in their power to protect the 30,000 Haitians living in Central Ohio," he continued.

Prior to Tuesday, U.S. District Judge Ana Reyes — a Biden-appointed lesbian judge who previously worked as a lawyer to fight the first Trump administration's immigration policy — could decide to suspend the expiration of Haiti's TPS.

Reyes may be emboldened, after all, by a ruling on Wednesday from a three-judge panel of the 9th U.S. Circuit Court of Appeals.

The panel — comprising three Democrat-nominated judges — suggested Homeland Security Secretary Kristi Noem exceeded her authority when ending the TPS for Venezuela and Haiti.

The appellate court's ruling won't have an immediate effect, as the U.S. Supreme Court cleared Noem in October to revoke temporary legal statuses while litigation proceeds.

DHS Assistant Secretary Tricia McLaughlin said in response to the appellate court's ruling, "Temporary means temporary, and this is yet another lawless and activist order from the federal judiciary who continues to undermine our immigration laws."

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'I am going to kill Donald Trump': Smug Democrat candidate threatens death penalty in latest campaign trick



While the Trump administration continues trying to put out real and proverbial fires started by Democrats, more are igniting across the country.

Now a Democratic candidate appears to be promising to kill the president as part of his campaign platform.

'That kind of vile comment makes it clear that Elliot Forhan is not qualified to be attorney general.'

On Tuesday, a video went viral of Ohio attorney general candidate Elliot Forhan (D) promising to "kill Donald Trump" if elected.

"I want to tell you what I mean when I say that I am going to kill Donald Trump," Forhan, a former Ohio state representative, said in a video posted to Facebook.

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Current Ohio Attorney General Dave Yost (R); Bill Clark/CQ-Roll Call, Inc via Getty Images

"I mean I'm going to obtain a conviction rendered by a jury of his peers at a standard of proof beyond a reasonable doubt, based on evidence, presented at a trial, conducted in accordance with the requirements of due process, resulting in a sentence, duly executed, of capital punishment," Forhan said in the video.

In the clip, he did not indicate which crimes worthy of the death penalty he thought President Donald Trump has committed.

The Republican attorney general candidate for Ohio, Keith Faber, promptly posted a response to Forhan's unhinged rant.

"That kind of vile comment makes it clear that Elliot Forhan is not qualified to be attorney general," Faber said. "Look, it is important that [gubernatorial candidate] Amy Acton and the other Democrats on the ticket call him out for such conduct."

This isn't the first time Forhan has faced public scrutiny for his rhetoric. Just days after Charlie Kirk was assassinated, Forhan made a Facebook post that said, "Violence is wrong. F**k Charlie Kirk."

Faber didn't miss his chance to remind people of that vile comment from Forhan: "Add to that his recent celebration of the assassination of Charlie Kirk, and you see just what kind of individuals the Democrats are running for attorney general."

Forhan has also faced backlash and professional consequences for what some have alleged to be "erratic and abusive" behavior involving a female constituent and others, according to a 2023 article by Fox News.

Forhan was never charged with a crime, though he was stripped of his legislative privileges and committee assignments as an Ohio legislator in the last General Assembly amid allegations and an investigation into his conduct, according to Statehouse News Bureau last February.

The primary election in Ohio will be held on May 5.

Ohio Attorney General Dave Yost (R) did not respond to a request for comment from Blaze News.

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ICE leader goes for Congress: Sheahan dumps desk for battle against 43-year Democrat incumbent



The Trump administration's deputy director of Immigration and Customs Enforcement has stepped away from her role to run for Congress.

Madison Sheahan announced Thursday that she was resigning from ICE to challenge Ohio Democratic Rep. Marcy Kaptur, who has held onto her seat since 1982.

'Real change means real leadership.'

Sheahan posted her first campaign video on Thursday morning and shared it on X.

"I'm Madison Sheahan. I'm a Trump conservative running for Congress to protect American jobs, American paychecks, and American values," she wrote. "No excuses. Let's get it done."

In the campaign video, Sheahan touted her success at ICE, stating that, in less than one year, she has "stopped more illegal immigration than Marcy Kaptur has in her 43 years in Washington."

"In Congress, hypocrisy, excuses, and failure can earn you a lifetime job, but on my family farm, that would put us out of business," she said.

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Madison Sheahan. Photo by Joe Raedle/Getty Images

Sheahan highlighted how, during her time at ICE, the agency recruited 12,000 new agents and officers and deported over 2.5 million illegal aliens.

She slammed Kaptur for voting against funding the border wall while sending taxpayer handouts to illegal aliens. Kaptur also supported higher taxes on American citizens, including voting to keep taxes on Social Security, tips, and overtime, Sheahan stated.

"I'm tired of watching my hardworking family, friends, and neighbors pay more and get ignored," Sheahan continued. "Real change means real leadership. And I've done it before."

RELATED: Trump admin expands ICE detention space into notorious state prison

Marcy Kaptur. Photo by Kent Nishimura/Getty Images

Kaptur's campaign responded to Sheahan's announcement, telling WTOL, "While Republicans from near and far will fight through a messy primary in this district they gerrymandered again just this fall, Congresswoman Kaptur is focused on delivering real results for her constituents."

"She's working to lower costs for working families, protect access to affordable health care, and bring transformative investments to Northwest Ohio," the statement continued. "Voters are tired of the self-dealing corruption and culture of lawlessness they've seen over the last year. They want a leader focused on affordability and real results, and Marcy Kaptur consistently works across the aisle to deliver both."

Several Republican candidates are running for Ohio’s 9th congressional district.

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Critical detail leads police 400 miles to surgeon accused of killing ex-wife and her new husband



A Chicago surgeon is accused of shooting and killing his ex-wife and her new husband at the couple's home in Ohio, according to police. The murder suspect was caught 400 miles away from the crime scene, after the alleged killer revealed damning evidence to authorities.

Nearly nine years after his divorce, 39-year-old Michael David McKee now stands accused of executing his ex-wife and her husband of nearly five years.

'We will continue to honor their lives and the light they brought into this world.'

Spencer and Monique Tepe were found dead on Dec. 30 at their home in the Weinland Park neighborhood of Columbus.

Citing court documents, WCMH-TV reported that the grisly discovery came after Columbus police received a 911 call at 9:03 a.m. Dec. 30 from a co-worker of Spencer Tepe, who was concerned that he had not shown up for work that morning.

"He's been reliable, and we cannot get in touch with him, his wife, his family, anybody that lives in that house," the co-worker stated. "He is always on time, and he would contact us if there's any issues. ... We're very, very concerned, and this is very out of character, and we can't get in touch with his wife, which is probably the more concerning thing."

During a wellness check, police reportedly discovered the couple's bodies.

Citing police records, WSYX-TV reported that Spencer Tepe was shot multiple times, and Monique Tepe had at least one gunshot wound to the chest.

The affidavit said the couple's two children, ages 1 and 4, and the family dog were found in the house unharmed.

Police records said there were no obvious signs of forced entry into the Tepes' home, and no firearm was found at the crime scene.

McKee was arrested Saturday morning in Rockford, Illinois, according to jail records from the Winnebago County Sheriff's Office.

Investigators zeroed in on a critical detail to locate the suspected killer.

Surveillance video recorded near the crime scene showed a person of interest walking in an alley, WBNS-TV reported, adding that detectives believed the video linked McKee to a car that arrived shortly before the shooting and left moments afterward.

Police later tracked the vehicle nearly 400 miles away in Rockford where Illinois officers confirmed the vehicle was registered to McKee, according to court documents.

Citing the affidavit, the New York Times reported that police said evidence indicated McKee had been "in possession" of the vehicle before and after the deadly shootings.

Records show McKee, a vascular surgeon, holds active medical licenses in Illinois and California, the Times added.

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McKee initially was charged with two counts of murder in the couple's deaths.

But on Monday, the charges against McKee were upgraded to premeditated, aggravated murder, records show.

The Columbus Division of Police told CNN that "detectives believe they met the elements" for McKee to face the more serious offense but did not specify what those elements are.

Premeditated, aggravated murder is a more serious offense and carries a possible life sentence without parole or the death penalty. That’s compared to 15 years to life in prison for murder.

Murder charges require prosecutors to prove beyond a reasonable doubt that the defendant "purposely cause[d] the death of another," according to the Ohio Revised Code.

For aggravated murder, the state must prove the defendant committed the killing with "prior calculation and design," according to the Ohio Revised Code.

Aggravated murder also can apply if the death occurred during the course of committing a separate serious crime, such as rape or burglary.

McKee waived his right to an extradition hearing, according to CNN, which noted: "A public defender representing McKee requested a speedy return to Ohio to plead not guilty in the case."

RELATED: Pregnant woman found dead; now sordid family-affair accusations and mystery of her baby's grisly fate emerge: Court docs

The Tepe family said McKee's arrest represents an important step toward justice for Monique and Spencer.

The family said in a statement to WLS-TV, "Monique and Spencer remain at the center of our hearts, and we carry forward their love as we surround and protect the two children they leave behind. We will continue to honor their lives and the light they brought into this world."

The family also stressed, "Nothing can undo the devastating loss of two lives taken far too soon, but we are grateful to the city of Columbus Police Department, its investigators, and assisting law enforcement community whose tireless efforts helped to capture the person involved."

McKee married Monique Tepe — who was using her maiden name of Sabaturski at the time — on Aug. 22, 2015, according to court documents reviewed by USA Today. The couple divorced in May 2017, the documents note.

The pair had no children together, records show.

Monique and Spencer Tepe married in December 2020, according to their obituary, which reads, "Spencer and Monique met online and quickly grew their relationship into a solid foundation of love and respect with a side of goofiness."

The Winnebago County Sheriff's Office did not immediately respond to Blaze News' request for comment.

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Horror in Ohio home: Male accused of raping, beating pregnant woman over course of 2 days. But that isn't the half of it.



A Toledo, Ohio, male is accused of a long list of violent acts against a pregnant woman he held in his home against her will over the course of two days last week, WTOL-TV reported, citing court documents.

Jamere Jones, 25, barricaded a door to hold the woman — who was 21 weeks pregnant at the time — inside his home on Dec. 30 and 31 while he "assaulted her, strangled her, threatened to shoot her with a rifle, and to set her on fire." He also raped her multiple times, the station said, citing court documents.

A judge set Jones' total bond at $590,000 and ordered him to have no contact with the victim and to have no weapons, WTOL said.

In addition, Jones allegedly poured rubbing alcohol on the woman's head and used a lighter to threaten to set her on fire, WTOL reported, adding that he also allegedly pointed a loaded rifle at her chest and threatened to kill her and then himself.

Jones also beat the woman with his hands, a belt, a chain, and a hammer, the Blade reported, citing an affidavit. He also strangled her multiple times — at least once to the point that she lost consciousness, after which he's accused of raping her, the Blade said.

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The victim was hospitalized, WTOL said.

Warrants for Jones’ arrest were issued Thursday, and he was arrested Monday, the Blade reported.

Jones is charged with three counts of kidnapping, three counts of rape, three counts of felonious assault, one count of strangulation, two counts of causing a risk of physical harm via strangulation, and one count of domestic violence, WTOL reported.

A judge set Jones' total bond at $590,000 and ordered him to have no contact with the victim and to have no weapons, WTOL said, adding that the judge also set a preliminary hearing for him next Wednesday.

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3 males — ages 8, 11, 12 — steal car, crash into house; driver, 11, says he learned how to steal cars from YouTube: Cops



Three males — ages 8, 11, 12 — were arrested Saturday after stealing a car, leading cops on a chase, and crashing into a home, police in Newburgh Heights, Ohio, told Blaze News. Newburgh Heights is about 12 minutes southeast of Cleveland.

Police said officers received an alert just before 3 p.m. from its Flock Safety license plate readers about a stolen car driving westbound on Harvard Avenue around East 54th Street.

The 11-year-old stated that 'something just came over his body, and he could not control it, he needed to take the car,' police said.

A Newburgh Heights officer spotted the vehicle and attempted a traffic stop, but the driver fled from officers, police said.

The vehicle crashed into a home where three juveniles fled on foot, police said.

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Image source: Newburgh Heights (Ohio) Police

Officers quickly apprehended the occupants of the car and discovered that they were ages 8, 11, and 12, police said, adding that officers later determined the 11-year-old was the driver.

Police bodycam video shows the arresting officer drawing his gun on the 8-year-old and the 11-year-old males, who were cowering against a fence, and ordering them on their stomachs. One can be heard whimpering.

RELATED: 11-year-old arrested for alleged 'kill list' at Florida school — just 2 weeks after similar incident in same school

Image source: Newburgh Heights (Ohio) Police bodycam video screenshot

Soon the 12-year-old is seen approaching the officer, who orders him on the ground as well.

RELATED: Males — ages 11, 13, and 15 — took video of themselves in car purposely hitting 63-year-old bike rider who was killed: Cops

Image source: Newburgh Heights (Ohio) Police bodycam video screenshot

One of the males can be heard moaning that "I'm going to jail!" and "I'm sorry!"

As other officers arrive, one can be heard saying, "You should've thought about that before you got in the car." He added, "And you suck at driving." All three were placed in handcuffs.

The 12-year-old — who was wearing a gray hoodie adorned ironically with the words "Essentials: Fear of God" on the back — appeared to giggle and tell another male that "you gotta laugh."

RELATED: Cops arrest 6 children — ages just 11 to 14 — after 3 armed robberies, 2 crashes on interstate highway

Image source: Newburgh Heights (Ohio) Police bodycam video screenshot

An officer yanked him away from the fence and said, "Real funny, ain't it." He replied, "No, ma'am."

Police said they were seeking the following charges against the 11-year-old driver: failure to comply with order or signal of police officer and receiving stolen property. Police said they were seeking the following charges against the 8-year-old and 12-year-old: obstructing official business and receiving stolen property.

RELATED: 4 more girls — just 11 to 14 years old — arrested for beating woman in DC; all 6 suspects now charged with hate crimes: Cops

According to police, the juveniles stated they went to a store and saw "this car sitting there." The 11-year-old stated that "something just came over his body, and he could not control it, he needed to take the car," police said.

The 11-year-old said he and the 12-year-old "knew how to steal a car" from YouTube, police said.

RELATED: Gut-wrenching video shows thugs beating up crying boy, 12, even pulling off his pants; 5 charged — all age 13 or younger

Image source: Newburgh Heights (Ohio) Police

"All three boys stated that they know right from wrong and admitted what they did was wrong," police said. "While in our custody, they were concerned about how this would affect Santa coming to bring them presents."

Police added that at one point, one of the juveniles said "he knew because of what they did he was going to get coal for Christmas."

The juveniles were released to their parents pending the filing of criminal charges in juvenile court, police said.

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All I want for Christmas is for Vivek Ramaswamy to stop embarrassing the GOP



Vivek Ramaswamy is a DEI candidate — and an unqualified one. Republicans do not vote for unqualified DEI candidates. Historically, they never have.

For the good of Ohio, the Republican Party, and MAGA voters nationwide, Vivek Ramaswamy should withdraw from the Ohio gubernatorial race. His candidacy is not merely ill-advised; it is corrosive. At a moment when unity and discipline matter, he threatens to fracture the coalition President Trump assembled and to waste political capital ahead of the 2026 midterms and the 2028 presidential cycle, when Ohio native JD Vance is widely expected to lead the ticket.

All Ramaswamy had to do was remain silent and act like a normal Republican for 18 months. He couldn’t.

Ramaswamy’s problem is not policy disagreement. It is temperament, judgment, and an inability to restrain himself. His habit of attacking critics as racists, trolls, or bad actors poisons the well. Democrats, corporate media, and professional activists already do that job. Republicans do not need a gubernatorial candidate doing it from inside the party.

In 2024, 3,189,116 Ohioans voted for Donald Trump. It strains credulity to claim that Ramaswamy is more qualified to govern Ohio than virtually any one of them.

Yet this charade continues. For decades, GOP leadership has tried to impose an identity-driven strategy on a party whose voters reject it. The results are consistent. From Alan Keyes to Winsome Earle-Sears, the establishment clings to a failed premise: that Republican voters will embrace DEI candidates if scolded long enough. They won’t. Nor do minority voters reliably cross over for such candidates. The strategy fails on both ends.

That makes the present moment especially baffling. At a time when Trump and Vance are openly criticizing decades of discriminatory policies against white Americans, backing a candidate whose appeal rests on the same identity logic is not just tone-deaf — it is hostile to the base.

Ohio is a solid red state. Any competent Republican with discipline wins statewide office comfortably.

Vivek Ramaswamy is neither.

His background underscores why. In 2011, at age 24, Ramaswamy accepted a $90,000 “scholarship” from the brother of George Soros. That alone raises eyebrows. It becomes more troubling when you consider that Ramaswamy had already earned more than $1.2 million in the prior three years and reported $2.25 million in income the year he accepted the award.

This occurred during the Great Recession, when many white Millennial men faced systematic exclusion across elite institutions. Ramaswamy did not.

Later, much of his wealth flowed from Axovant Sciences, which aggressively promoted an Alzheimer’s breakthrough to retail investors after early trials had failed. The result was a textbook pump-and-dump that left ordinary Americans holding the bag. These facts go directly to trust and judgment.

Despite this record, Ramaswamy launched a quixotic presidential campaign, which he parlayed into a brief role in the Trump administration and a partnership with Elon Musk under the DOGE initiative. That arrangement ended almost as quickly as it began.

Then came the Christmas crashout of 2024.

During the holidays — entirely unprovoked — Ramaswamy took to X to berate American workers as lazy and culturally deficient while praising foreign H-1B visa holders. He mocked American childhood culture, disparaged “jocks and prom queens,” and lamented that Americans watched “Boy Meets World” instead of competing in math olympiads. The episode revealed far more about Ramaswamy’s resentments than about American culture.

MAGA voters were celebrating a landslide victory when the lecture arrived. The response was swift and overwhelming. Rather than admit error, Ramaswamy doubled down, dismissing critics as bots, trolls, and racists while casting himself as a victim.

Shortly thereafter, the Trump administration quietly removed him from his DOGE role before he was even formally installed.

Voters noticed. The internet does not forget.

When Ramaswamy announced his run for governor, the reaction was not enthusiasm but disbelief. The Ohio GOP’s apparent decision to anoint him is indefensible. It would take an estimated $100 million to drag this candidacy across the finish line, and even then he would be lucky to crack 48%.

We’ve seen this movie before. At least one-third of Ohio Republicans would rather spoil their ballot, vote third-party, or stay home than support him. Accusing them of racism will not change that reality.

Most recently, Ramaswamy took to the New York Times to reprise his grievances, portraying MAGA voters and heritage Americans as racists, extremists, and “groypers.” He made similar remarks at Turning Point USA’s AmFest over the weekend.

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Photo by Michael Swensen/Getty Images

In his Times op-ed, he argued that America is an abstract idea detached from ancestry, history, or continuity — and that descendants of those who built the nation have no greater claim to it than recent arrivals or anchor babies.

That view is not widely held, nor is it reflected in the American tradition. From America’s founders to Alexis de Tocqueville and Theodore Roosevelt, continuity, inheritance, and culture have always mattered.

No one expects Ramaswamy to be a heritage American. But Americans reasonably expect someone seeking to govern them to respect the people whose nation it is. Ramaswamy has shown repeated contempt instead.

He did not have to attack white Americans over Christmas. He did not have to insult the Republican base in the New York Times. He did not have to liken MAGA voters to extremists.

He chose to.

All Ramaswamy had to do was remain silent and act like a normal Republican for 18 months. He couldn’t.

MAGA does not need this distraction. Ohio does not need this fight. The Republican Party cannot afford to spend finite resources defending a candidate who consistently antagonizes his own voters.

That alone makes him unsuitable for office.

Ohio Enacts ‘Commonsense’ Law Requiring All Mail Ballots Be Returned By Election Day

In a major win for the integrity of Ohio’s elections, Gov. Mike DeWine signed legislation on Friday that requires all mail-in ballots to be received by the end of Election Day. As described by local media, SB 293 officially “eliminates the current four-day buffer for boards of elections to receive absentee ballots, now requiring all […]

For once, Medicare is trying something that actually saves money



Medicare is the second-largest program in the federal budget, topping $1 trillion last year. In 2023, it accounted for 14% of federal spending — a share projected to reach 18% by 2032. After years of ballooning costs, something is finally being done to slow the growth. A new Medicare pilot program, the Wasteful and Inappropriate Service Reduction model, borrows a successful private-sector tool: prior authorization. And that’s good news.

Medicare Part B premiums now sit at $185 per month — up 28% from five years ago and a staggering 76% since 2015. Last year, 12% of the 61 million Americans enrolled in Part B spent more than a tenth of their annual income on premiums. That burden is unsustainable.

In a system as expensive and fragmented as ours, no one can afford to keep writing blank checks for low-value care.

WISeR, set to launch in Ohio, Texas, Washington, New Jersey, Arizona, and Oklahoma, will require prior approval for a short list of “low-value” services — procedures that research shows are frequently overused, costly, and sometimes harmful.

To some, the idea of Medicare reviewing certain treatments before covering them may sound like red tape. But when done correctly, prior authorization is not a barrier. It is a guardrail — one that protects patients, improves quality, and helps ensure that both tax dollars and premiums are spent appropriately.

The goal of WISeR is simple: Cut unnecessary treatments and shift resources toward more effective, evidence-based care. Critics warn about the possibility of delays or extra paperwork, and those concerns are worth monitoring. But they don’t negate prior authorization’s potential to make U.S. health care safer, more efficient, and more financially stable.

Prior authorization directly targets some of the most persistent problems in health care. Medicare spends billions each year on low-value services. A 2023 study identified just 47 such services that together cost Medicare more than $4 billion annually. Those are taxpayer dollars that could be put to better use.

The private insurance market shows the same pattern: unnecessary imaging, avoidable specialist referrals, and brand-name drugs chosen over generics all contribute to rising premiums. Prior authorization, when used properly, reins in this waste by ensuring coverage lines up with medical necessity and evidence-based best practices. Research from the University of Chicago shows that Medicare’s prior authorization rules for prescription drugs generate net savings even after administrative costs.

Consider one striking example. Medicare Part B covers wound-care products known as skin substitutes. But an Office of Inspector General report found that expenditures on these products skyrocketed over the past two years to more than $10 billion annually. Meanwhile, Medicare Advantage plans — which rely heavily on prior authorization — spent only a fraction of that amount for the same treatments.

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

DNY59 via iStock/Getty Images

More importantly, prior authorization helps promote evidence-based medicine. It curbs outdated clinical habits and reduces financial incentives to overtreat. Health plans consistently say that prior authorization aligns care with gold-standard clinical guidelines, particularly in areas prone to misuse.

Of course, the system must be designed responsibly. A well-functioning PA process should be transparent, fast, and grounded in strong clinical evidence. Decisions should be made in close coordination with the patient’s treating provider. The appeals process must be straightforward. And both public and private payers should be held accountable for improper denials or harmful delays.

When structured this way, prior authorization is far more efficient than the current “pay-and-chase” model, where Medicare pays first and tries to recover improper payments later.

Prior authorization already works in the private sector. It can work in Medicare.

Public and private payers have an obligation to steward the dollars they spend — whether those dollars come from taxpayers or premium-payers. In a system as expensive and fragmented as ours, no one can afford to keep writing blank checks for low-value care. When implemented wisely, prior authorization keeps coverage aligned with medical necessity, elevates the value of care, and helps deliver better outcomes at a sustainable cost.