Democrats Want Republicans To Bail Them Out Of Their Bad Political Gamble

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Fearmongering over Medicare hides the real fix seniors need



Democrats are casting the shutdown showdown as a battle over health care costs, tapping into widespread anxiety over the cost of health care, especially among those enrolled in Medicare. For them, it’s politics. But for millions of American seniors, the worry is real — not just a convenient talking point.

Recent polling shows 58% of Medicare recipients 65 and over are concerned about future health care costs, and half are worried a major health situation could result in either debt or bankruptcy.

If left unchanged, Medicare will be unable to pay full benefits by 2036.

While medical debt is a growing concern among Medicare recipients, the staggering size of the federal debt — largely driven by Medicare spending — is a ticking time bomb Congress can no longer ignore. As one of the largest federal spending programs, Medicare consisted of a jarring $874 billion out of the $6.75 trillion federal budget (about 13 cents of every dollar spent in FY2024).

While Medicare receives some funding from premiums paid by enrollees, the single largest source of revenue comes from the federal government's general fund. If left unchanged, Medicare will be unable to pay full benefits by 2036.

Medicare Advantage toes the line

Fortunately, policy solutions exist that can help both seniors and taxpayers.

Medicare Advantage merges public financing with private delivery under accountability. The government pays a fixed amount per enrollee to private plans, calibrated by benchmarks and quality measures. Plans that achieve higher star ratings — which were just released for 2026 by the Centers for Medicare and Medicaid Services earlier this month — receive bonus payments. Meanwhile, poor performers lose ground.

This structure introduces incentives for efficiency and quality that are lacking in traditional Medicare. Yet, successive years of cuts to how Medicare Advantage plans are reimbursed have forced several major insurers to announce they’re withdrawing from certain Medicare Advantage markets next year.

Companies like UnitedHealth, Humana, Aetna, as well as regional plans such as UCare (serving Minnesota and parts of Wisconsin) and Blue Cross Blue Shield of Vermont, are withdrawing from select Medicare Advantage counties across the country, citing rising costs. Seniors are using more medical services than expected, driving up claims, while federal reimbursement rates are being cut. Added regulatory and administrative burdens (such as expanded reporting requirements and prior authorization rules) further limit insurers. Together, these pressures make participation unsustainable in some markets.

If unchanged, more insurers will leave Medicare Advantage, and options for seniors will continue to shrink. Meanwhile, Medicare costs are growing much faster than private health care spending.

In 2023, traditional Medicare spent $15,689 per enrollee, more than double the private sector amount. This is a result of the traditional fee-for-service model, which pays providers per treatment instead of per patient, rewarding volume over outcomes, encouraging unnecessary care, and driving up costs.

Conversely, Medicare Advantage’s structure encourages prevention and coordination. To attract enrollees, Medicare Advantage offers supplemental benefits such as vision, dental, hearing, wellness programs, transportation, and over‑the‑counter benefits. Many Medicare Advantage plans now include these extras at little or no additional cost. That flexibility helps tailor benefits to beneficiary needs.

Better treatment, lower costs

When allowed to work, Medicare Advantage delivers higher satisfaction, lower costs, and greater access to coverage than traditional Medicare. One Harvard study found that seniors enrolled in Medicare Advantage had better health outcomes than seniors on traditional Medicare. A National Institutes of Health review of hundreds of studies found that Medicare Advantage provided significantly better quality of care and health outcomes than traditional Medicare by a factor of four to one. Another NIH study found that across 48 studies, Medicare Advantage enrollees received more preventative care and had fewer hospitalizations and emergency visits, shorter stays, and lower total spending.

The financial and quality advantages are clear. One study comparing expected out‑of‑pocket costs in Medicare Advantage versus traditional Medicare found that from 2014 to 2019, projected costs were 18% to 24% lower under Medicare Advantage. For seniors on fixed incomes — that is significant.

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Seniors get it. This year, the majority of Medicare beneficiaries are enrolled in Medicare Advantage plans. Over the last two decades, enrollment in Medicare Advantage has skyrocketed. Unsurprisingly, polling shows 93% of Medicare Advantage enrollees were satisfied or very satisfied with their coverage, and 94% would recommend it to their family and friends. The Congressional Budget Office now projects that by 2034, Medicare Advantage could account for nearly two-thirds of all Medicare beneficiaries.

The model for the future

Medicare Advantage provides the model for quality, affordable health care for seniors that aligns with what they prefer. Reducing regulatory burdens and barriers within the insurance market will provide Medicare Advantage plans greater flexibility and even entice those insurers leaving the Medicare Advantage market to reconsider.

Medicare cannot continue as purely fee‑for‑service without reform — neither for the medical and financial health of Americans, nor for the sake of the federal budget. The current fiscal challenges plaguing the federal budget demand models that can bend the cost curve while improving quality. Medicare Advantage is not a cure-all, but it is among the most promising tools in the toolbox.

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While the lights are off, let’s rewire the government



The United States faces an existential threat from the accelerating military power of communist China — a buildup fueled by decades of massive economic expansion. If America intends to counter Beijing’s ambitions, it must grow faster, leaner, and more efficient. Economic strength is national security.

The ongoing government shutdown may not be popular, but it gives President Trump a rare opportunity to make good on his campaign pledge to drain — and redesign — “the swamp.” Streamlining the federal government isn’t just good politics. It’s a matter of survival.

A government that builds wealth rather than expands debt can out-produce China, sustain deterrence, and restore the American ideal of self-government.

George Washington ran the nation with four Cabinet departments: war, treasury, state, and the attorney general. The Department of the Interior came later, followed by the Department of Agriculture, added by Abraham Lincoln in 1862 when America was an agrarian power.

The modern Cabinet, by contrast, is a bureaucratic junkyard built more in reaction to political problems than by design. The Labor Department was carved from the Commerce Department to appease the unions. Lyndon Johnson invented the Department of Transportation. Jimmy Carter established the Department of Energy in response to the Arab oil embargo. The Department of Homeland Security and the Office of the Director of National Intelligence emerged after 9/11.

The result is a patchwork of agencies wired together with duct tape, overlap, and patronage. A government designed for crisis management has become a permanent crisis unto itself.

Enter the Department of National Economy

A return to first principles starts with a single question: How can we accelerate American productivity?

The answer: consolidate. Merge the Departments of Commerce, Labor, Agriculture, Transportation, and Energy into a Department of National Economy. One Cabinet secretary, five undersecretaries, one mission: to expand the flow of goods and services that generate national wealth.

The new department’s motto should be a straightforward question: What did your enterprise do today to increase the wealth of the United States?

Fewer bureaucracies mean fewer fiefdoms, less redundancy, and enormous cost savings. Synergy replaces stovepipes. The government’s economic engine becomes a single machine instead of six competing engines running on taxpayer fuel.

Fold Homeland Security into the Coast Guard

Homeland Security should be absorbed by the U.S. Coast Guard, which already functions as a paramilitary force with both military and police authority, much like Italy’s Carabinieri. Under the Uniform Code of Military Justice, DHS personnel would share discipline, training, and accountability.

FEMA would cease to be a dumping ground for political hacks. Any discrimination in disaster aid — such as punishing Trump voters — would trigger a court-martial.

The Secret Service would focus solely on protective duties, handing its financial-crime work to the FBI. The secretary of the Coast Guard would gain a seat in the Cabinet.

Restoring intelligence to the OSS model

The Office of Director of National Intelligence should be re-established as the Office of Strategic Services, commanded by a figure in the tradition of Major General “Wild Bill” Donovan. Elements of U.S. Special Operations Command would be seconded to the new OSS, reviving its World War II lineage.

All intelligence agencies — CIA, DIA, FBI, the State Department, DEA, and the service branches — should share common foundational training. The current decline in discipline and capability at the National Intelligence University, worsened by the DEI policies of its leadership, demands urgent correction. Diversity cannot come at the expense of competence.

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Photo by Isaiah Vazquez/Getty Images

Law enforcement and the flat tax

At the Department of Justice, dissolve the Bureau of Alcohol, Tobacco, Firearms and Explosives. Shift alcohol and tobacco oversight to the DEA, firearms and explosives to the U.S. Marshals.

Let the DEA also absorb the Food and Drug Administration, which would become its research and standards division.

Return the FBI to pure investigation — armed but without arrest powers. Enforcement should rest with the U.S. Marshals. Counterintelligence would move to the Defense Counterintelligence and Security Agency, reinforced by the Naval Criminal Investigative Service.

The IRS should be dismantled and replaced with a small agency built around a flat-tax model such as the Hall-Rabushka plan.

Move the Department of Health and Human Services’ Administration for Strategic Preparedness and Response to Homeland Security. Send its Office of Climate Change and Health Equity to NOAA — or eliminate it entirely.

At the Department of Housing and Urban Development, expand the inspector general’s office tenfold and pay bonuses for rooting out fraud.

Restoring deterrence

The Pentagon needs its own overhaul. Because of China’s rapid military buildup, the Air Force’s Global Strike Command should be separated from U.S. Strategic Command and report directly to the secretary of war and the president under its historic name — Strategic Air Command.

Submarines and silos are invisible; bombers are not. Deterrence depends on visibility. A line of B-1s, B-2s, B-52s, and 100 new B-21 Raider stealth bombers, all bearing the mailed-fist insignia of the old SAC, would send an unmistakable message to Beijing.

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Photo by Jakub Porzycki/NurPhoto via Getty Images

Toward a leaner republic

With Trump back in the White House, this moment is ripe for radical efficiency. A government that builds wealth rather than expands debt can out-produce China, sustain deterrence, and restore the American ideal of self-government.

George Washington’s government fit inside a single carriage. We won’t return to that scale — but we can rediscover that spirit. A lean, unified, strategically organized government would make wealth creation easier, limit bureaucratic overreach, and preserve the republic for the long fight ahead.

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Time to pump the brakes on Big Tech’s AI boondoggle



America already learned a lesson from the Green New Deal: If an industry survives only on special favors, it isn’t ready to stand on its own.

Yet the same game is playing out again — this time for artificial intelligence. The wealthiest companies in history now demand tax breaks, zoning carve-outs, and energy favors on a scale far greater than green energy firms ever did.

Instead of slamming on the accelerator, Washington should be hitting the brakes.

If AI is truly the juggernaut its backers claim, it should thrive on its merits. Technology designed to enhance human life shouldn’t need human subsidies to survive — or to enrich its corporate patrons.

An unnatural investment

Big Tech boosters insist that we stand on the brink of artificial general intelligence, a force that could outthink and even replace humans. No one denies AI’s influence or its future promise, but does that justify the avalanche of artificial investment now driving half of all U.S. economic growth?

The Trump administration continues to hand out favors to Big Tech to fuel a bubble that may never deliver. As the Wall Street Journal’s Greg Ip pointed out earlier this month, the largest companies once dominated because their profits came from low-cost, intangible assets such as software, platforms, and network effects. Users flocked to Facebook, Google, the iPhone, and Windows, and revenue followed — with little up-front infrastructure risk.

The AI model looks nothing like that. Instead of software that scales cheaply, Big Tech is sinking hundreds of billions into land, hardware, power, and water. These hyperscale data centers devour resources with little clarity about demand.

According to Ip’s data: Between 2016 and 2023, the free cash flow and net earnings of Alphabet, Amazon, Meta, and Microsoft rose in tandem. Since 2023, however, net income is up 73% while free cash flow has dropped 30%.

“For all of AI’s obvious economic potential, the financial return remains a question mark,” Ip wrote. “OpenAI and Anthropic, the two leading stand-alone developers of large language models, though growing fast, are losing money.”

Andy Lawrence of the Uptime Institute explained the risk: “To suddenly start building data centers so much denser in power use, with chips 10 times more expensive, for unproven demand — all that is an extraordinary challenge and a gamble.”

The cracks are already beginning to show. GPT-5 has been a bust for the most part. Meta froze hiring in its AI division, with Mark Zuckerberg admitting that “improvement is slow for now.” Even TechCrunch conceded: Throwing more data and computing power at large language models won’t create a “digital god.”

Government on overdrive

Yet government keeps stepping on the gas, even as the industry stalls. The “Mag 7” companies spent $560 billion on AI-related capital expenditures in the past 18 months, while generating only $35 billion in revenue. IT consultancy Gartner projects $475 billion will be spent on data centers this year alone — a 42% jump from 2024. Those numbers make no sense without government intervention.

Consider the favors.

Rezoning laws. Data centers require sprawling land footprints. To make that possible, states and counties are bending rules never waived for power plants, roads, or bridges. Northern Virginia alone now hosts or plans more than 85 million square feet of data centers — equal to nearly 1,500 football fields. West Virginia and Mississippi have even passed laws banning local restrictions outright. Trump’s AI action plan ties federal block grants to removing zoning limits. Nothing about that is natural, balanced, fair, or free-market.

Tax exemptions. Nearly every state competing for data centers — including Virginia, Tennessee, Texas, Arizona, Georgia, Indiana, Illinois, North Carolina, Oklahoma, and Nebraska — offers sweeping tax breaks. Alabama exempts data centers from sales, property, and income taxes for up to 30 years — for as few as 20 jobs. Oregon and Indiana also give property tax exemptions.

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Photo by the Washington Post via Getty Images

Regulatory carve-outs. Trump’s executive order calls for easing rules under the National Environmental Policy Act, Clean Air Act, Clean Water Act, and other environmental statutes. Conservatives rightly want fewer burdens across the board — but why should Big Tech’s server farms get faster relief than the power plants needed to supply them?

Federal land giveaways. The AI action plan also makes federal land available for private data centers, handing prime real estate to trillion-dollar corporations at taxpayer expense. No other industry gets this benefit.

Stop the scam

Florida Gov. Ron DeSantis (R) put it bluntly: “It’s one thing to use technology to enhance the human experience, but it’s another to have technology supplant the human experience.” Right now, AI resembles wind and solar in their early years — a speculative bubble kept alive only through taxpayer largesse.

If AI is truly the innovation its backers claim, it will thrive without zoning exemptions, tax shelters, and federal handouts. If it cannot survive without special favors, then it isn’t ready. Instead of slamming on the accelerator, Washington should be hitting the brakes.

If red states can’t deliver DOGE promises, what can they deliver?



The DOGE revolution has identified federal waste, forced Washington politicians to rethink their spending habits, and exposed the decades-long crusade by Democrats to funnel taxpayer money into activism. In a state like North Dakota — a deep-red stronghold — you’d expect Republicans to seize November’s America First mandate and gut bloated budgets.

Think again. Too many unprincipled legislators are choking on the swamp’s fumes, betraying the voters who rejected the status quo. It’s time to call them out.

Politicians care more about re-election and climbing the ladder than they do about your wallet. They’ll dodge tough cuts to keep their seats, leaving taxpayers to foot the bill.

North Dakota’s Legislative Task Force on Government Efficiency — a state-level DOGE — was established by House Bill 1442 to tackle the state’s $20.3 billion 2025-27 budget. The mission: Slash waste, end duplication, and put taxpayers first.

For fiscal conservatives, it looked like a dream come true. But after its first meeting July 30, conservatives are sounding the alarm. This committee is packed with spendaholics who will keep the gravy train rolling for as long as they can.

If we want real cuts, we need to stop coddling politicians and start fighting in Republican primaries.

Some get it; some don’t

Credit where it’s due: the leadership is solid. Chairman Rep. Nathan Toman (R-Mandan) is a budget hawk. Vice Chairman Sen. Chuck Walen (R-New Town) has a good record with his conservative base. Both men understand that North Dakota’s budget bloat calls for a chainsaw, not a Band-Aid.

But their grit is drowned out by a committee built to fail — thanks to GOP leaders afraid of losing votes by cutting unnecessary funds. Legislative Management appointed Senate Minority Leader Kathy Hogan (D-Fargo), a Democrat who has never met a spending bill she didn’t love, especially in human services and health care. Her role is to protect the status quo, not shrink it.

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Then there are Republican Reps. Glenn Bosch and Robin Weisz — appropriations loyalists who rubber-stamped 99% of the state budget. They are not reformers. Expecting them to cut waste is like asking a fox to guard the henhouse.

State problem, national roots

This isn’t just North Dakota’s mess — it’s politics everywhere. Red-state Republicans talk tough about fiscal discipline but crumble when the time comes to act. Why? Cutting spending risks votes, dries up PAC money for re-election, and alienates lobbyists.

It’s why North Dakota GOP leaders play nice with Hogan. It’s why Bosch and Weisz keep the spending spigot open. And it’s why our $36.2 trillion national debt keeps climbing.

Politicians care more about re-election and climbing the ladder than they do about your wallet. They’ll dodge tough cuts to keep their seats, leaving taxpayers to foot the bill.

The only fix: Primaries

The DOGE is a great idea. But across red states, task forces like North Dakota's stall when Republicans fear backlash more than they fear waste. Without legislators willing to fight, this will become another powerless committee generating reports nobody reads.

The fix? Get serious in Republican primaries.

In North Dakota, Citizens Alliance is backing challengers to big spenders like Bosch, Weisz, and their allies. In Pennsylvania, the group has added more than 55,000 GOP voters — 250 per day — because primaries are the contact sport that scares RINOs straight. In Idaho, Citizens Alliance helped oust Senate President Pro Tempore Chuck Winder in 2024 and backs more than 40 lawmakers with proven conservative records.

North Dakota needs that same fire if it wants the state task force on government efficiency to roar instead of roll over. Republicans who dodge the DOGE mandate aren’t just failing — they’re betraying voters who demanded lasting reform. If they can’t bring a bulldozer to budget bloat, they don’t belong in leadership.