Friday, May 30, 2025

Useless Government Spending 5-31-25

Climate Change 

The U.S. government has spent over $154 billion on climate change activities since 1993, according to data from the Office of Management and Budget (OMB). This includes funding for understanding and addressing climate change, and it has increased over time. Specifically, federal climate change funding increased from about $2.4 billion across 10 agencies in fiscal year 1993 to about $13.2 billion across 19 agencies in proposed budget authority for fiscal year 2017. 

https://www.google.com/search?q=how+much+has+the+us+government+spent+on+climate+change+from+1990+to+present

Foreign Aid

The United States has allocated substantial resources to foreign aid, with spending fluctuating over time. Between 2000 and 2023, U.S. foreign aid spending ranged from approximately $52.9 billion to $77.3 billion annually, adjusted for inflation. This translates to about 1% of the federal budget, according to the Brookings Institution

Key Points:

Historical Trends: Prior to the 2000s, foreign aid was a smaller portion of the federal budget, ranging from 0.7% to 1.4% between 1950 and 2001, according to the Pew Research Center

Current Spending: Since 2001, the US has provided an average of about $23 billion annually in foreign aid. In 2023, the US provided $63 billion in foreign assistance, according to USAFacts

Purpose of Aid: A significant portion of US foreign aid is allocated for economic development and humanitarian assistance. 

Major Agencies: The United States Agency for International Development (USAID) and the Department of State are the primary agencies responsible for administering US foreign aid. 

Impact and Discussion: The effectiveness and impact of foreign aid are subjects of ongoing debate and research, with various perspectives on whether it truly helps developing countries and if it is an effective use of taxpayer money. 

UN Membership

The annual cost of UN membership varies significantly, but a general overview is available. The UN regular budget, assessed contributions, and the United States' share contribute to the overall financial burden. In 2023, the US contributed $13.0 billion out of a total of $46.4 billion in member government funding. 

Here's a more detailed breakdown:

UN Regular Budget: The UN's regular budget, which covers administrative costs and programs, is typically around $3.5 to $3.7 billion annually.

Member states pay assessed contributions, which are determined by a formula considering gross national income and population.

The US contributes a significant portion of the regular budget, typically around 22%. 

US Contributions: In 2023, the US contributed 28% of the UN member government funding, totaling $13.0 billion. 

This included assessed funding, voluntary funding, and other funding. 

The US is the largest donor to the UN system, both through assessed and voluntary contributions. 

Key Points:

UN membership costs are not static and can change based on budget adjustments and the UN's overall priorities. 

The US, as a major player, contributes a large share of the UN's finances, which is influenced by its assessed contributions and voluntary funding. 

The UN's budget also includes peacekeeping operations, which can be a significant expense depending on the ongoing needs of different missions. 

https://www.google.com/search?q=cost+of+un+membership+2000+to+present

Comments

Climate Change is a hoax introduced by UN Agenda 21 in 1989.  US Foreign Aid has been excessive since 1945 and the US needs to reduce its Debt. The US needs to expand its Private Sector Economy and cost reduce its Public Sector spending.

Norb Leahy, Dunwoody GA Tea Party Leader

IRS Reorganization Plan 5-31-25

The IRS is undergoing a major transformation and modernization effort, guided by the Taxpayer First Act and the Strategic Operating Plan. 

Here's a breakdown of key aspects of the IRS reorganization and modernization: 

1. Goals & Objectives:

  • Improve Taxpayer Service: The IRS aims to make it easier for taxpayers to understand and meet their tax obligations, receive eligible tax benefits, and resolve issues efficiently.
  • Modernize Technology: A significant focus is on upgrading outdated IT systems and adopting new technologies to enhance efficiency and security.
  • Enhance Enforcement: The IRS plans to use data and analytics to improve its ability to address noncompliance, particularly among high-income earners and complex partnerships.
  • Improve Employee Experience: Attracting, retaining, and empowering a skilled workforce is a key objective, including providing employees with the necessary tools and training. 

2. Key Initiatives and Changes:

  • New Leadership Structure: The IRS has implemented a new leadership structure to align with transformation goals, featuring a single Deputy Commissioner and four new Chief positions overseeing taxpayer service, tax compliance, information technology, and operations.
  • Expanded Online Services: The IRS is expanding features available in online accounts, such as digital notices, status updates, secure messaging, and payment options.
  • Digitalization Efforts: The IRS is working to digitize forms and notices, aiming to make up to 150 non-tax forms available in digital formats and scanning virtually all paper-filed returns.
  • Simplified Notices: The IRS is redesigning tax notices to be clearer and easier to understand, reducing the burden on taxpayers.
  • Modernizing Technology: This includes replacing outdated systems and adopting new technologies to improve efficiency and security. 

3. Impact of the Inflation Reduction Act (IRA):

  • The IRA provided significant funding to the IRS, including $4.8 billion for Business Systems Modernization (BSM) projects.
  • This funding is intended to support the IRS's technology modernization efforts and other initiatives outlined in the Strategic Operating Plan.
  • However, some IRA funding has been rescinded, and there are concerns about whether the remaining funds will be sufficient to complete all planned projects. 

4. Challenges and Concerns:

  • Budget Cuts: Proposed budget cuts could hinder the IRS's modernization efforts and impact its ability to provide adequate taxpayer service.
  • Workforce Uncertainty: There's uncertainty and concern among IRS employees regarding potential workforce reductions and changes to the agency's structure.
  • Technology Implementation: Successfully implementing large-scale IT modernization projects can be complex and challenging. 

In conclusion, the IRS is undergoing a significant transformation aimed at improving taxpayer service, modernizing technology, and enhancing enforcement. The success of these efforts will depend on factors such as continued funding, effective implementation of new technologies, and a positive employee experience. 

https://www.google.com/search?q=irs+reorganization+plan+2025

Norb Leahy, Dunwoody GA Tea Party Leader

 

Federal Reserve Reorganization Plan 5-31-25

In 2025, the Federal Reserve (the Fed) is implementing several key policy changes, including adjusting its monetary policy and balance sheet reduction efforts. The Fed's Federal Open Market Committee (FOMC) is directing the Desk to maintain the federal funds rate within a target range, conduct standing repo and reverse repo operations, and manage the runoff of the Fed's securities holdings. Additionally, the Fed is exploring potential reforms, such as shifting from a dual mandate to a focus on price stability, returning to the gold standard, and reducing its lender-of-last-resort function.  

https://www.google.com/search?q=federal+reserve+reorganization+plan+2025

Norb Leahy, Dunwoody GA Tea Party Leader

New Thinking Needed on National Defense 5-30-25

Imprimis  March/April 2025 | Volume 54, Issue 3/4

Stephen Bryen, Senior Correspondent, Asia Times 

The following is adapted from a lecture prepared for delivery at a Hillsdale College National Leadership Seminar in Kansas City, Missouri.

Defending America and America’s friends and allies is expensive. If you add up the price tag—not even including secret programs or the cost of U.S. intelligence—our current defense expenses stand at $875 billion per year.

When you add the cost of intelligence, which is vast, the total cost of defense rises to about $1 trillion annually.

Despite these expenditures, the Ukraine War has exposed some dramatic inadequacies. We have learned that America’s arsenal as it stands today would be quickly depleted in any future sustained conflict. And we’ve learned that our allies are in far worse shape.

This raises the question of how we can spend so much on our national security but still have a military that seems so woefully underprepared for a major conflict. Consider, for instance, the remarkable fact that, unlike Israel, we have no national air defense system.

Historically speaking, the heyday of American defense production was during World War II. Vast civilian industries were converted to produce guns, artillery, tanks, and jeeps—and new plants were commissioned to build airplanes and ships.

In World War I, the U.S. sent 4.8 million soldiers directly or indirectly into the war, mainly in Europe. We also sent 1.325 million horses and mules to the battlefield, depleting America’s equine stock. The U.S. came into the fight with no tanks, and at war’s end we had no tanks. We had 45 commissioned transport ships and another 80 former Merchant Marine vessels.

By contrast, in World War II, we sent 16.8 million soldiers to fight in Europe, North Africa, and Asia—around four times more than in World War I. And we manufactured 2,751 Liberty ships in 18 shipyards, turning out three ships every two days.

Such a feat of production is inconceivable today. Building a cargo ship takes years, and most of the production takes place outside of the U.S. The availability of shipbuilding slots has been reduced, particularly in the most prolific shipbuilding nations. China’s delivery time now averages around three years, with tankers at 2.8 years and liquid natural gas vessels even longer. Dry bulk carriers ordered in 2024 are currently expected to be delivered in 3.6 years on average.

In World War II, the U.S. manufactured around 300,000 aircraft, including 63,715 fighters and fighter-bombers for the U.S. Army Air Force, Navy, and Marines. Today, the total number of fighter aircraft in the Air Force, Navy, and Marines is 2,531, about 25 times fewer.

Of course, we have new generations of weapons today that never existed before. These can be summarized under the name “precision guided munitions” or PGMs. Some PGMs are relatively inexpensive, but most of them require sophisticated electronics and multiple sensors. Many require support when in flight and guidance from satellites, most notably the Global Positioning System (GPS), which is run by the U.S. Air Force and costs over $2 billion per year to operate. All of these PGMs are time consuming to build, test, operate, and maintain.

A key lesson of the Ukraine War is that when we deploy certain types of PGMs, such as anti-tank missiles or man-portable air-defense systems like Stinger missiles, it takes years to manufacture new ones. We have also learned that the tooling needed to produce various types of PGMs no longer exists—indeed, in some cases entire factories have been dismantled. This means that if we want more PGMs, we will have to start from scratch.

Another weakness of our defense manufacturing capability is that we depend heavily on global supply chains. Specialized parts may be produced in the U.S., but sometimes they come from other countries, including China. When supply chains are disrupted or certain parts are no longer manufactured, defense production grinds to a halt. The U.S. must reverse this trend quickly if we are to remain dominant.

Consider the fact that most of the first person view (FPV) drones—drones controlled by a remote pilot using video cameras—that are being used on the battlefield in Ukraine and elsewhere are built with parts made primarily in China. This supply chain dependence is a direct result of the globalization of industry and the offshoring of America’s manufacturing—mostly to Asia and especially to China.

While U.S. law requires that more than 50 percent of each piece of defense hardware consist of American-made parts, that standard—already inadequate—runs up against the reality of the outsourcing of goods that are no longer made in America. The defense industry can only control the supplier network tangentially by trying to ensure that components meet military specifications (MILSPEC). Even then, there is a significant number of cheaters who produce substandard parts for expensive military platforms. In some cases, MILSPEC cannot be applied and only commercial parts can be purchased.

A further problem is presented by the fact that our defense industry largely depends on global companies whose priorities do not necessarily include producing parts for defense manufacturers. Both for economic and ideological reasons, the relationship between defense companies and their leading suppliers (usually high-tech companies) is often fraught. Some of these companies won’t even bid on government contracts, which they say are burdensome, impose onerous workforce and electronic security requirements, and are ultimately not profitable. In addition, many workers in high-tech industries will not participate in defense research for political reasons. As artificial intelligence, robotics, quantum computing, and other cutting-edge technologies are becoming increasingly important to the ability of the U.S. to maintain its warfighting edge, this problem grows ever more acute.

Then there is the problem of time. The lifespan of a fighter jet—from the design stage to retirement—can last as long as 50 years. Modern high-tech industries are designing, fielding, and retiring products in a much shorter time frame, and they have no interest in manufacturing products that they deem obsolete. Forty years ago, I asked Bob Noyes, a cofounder of Intel, to look at one of our strategic missile systems where we were encountering supply problems. He recommended that the government itself needed to produce the older (or “sunset”) technologies, because no one else would be willing to do it for us. The same problem persists today.

American defense companies essentially consist of three types: (1) the big four—Lockheed Martin, RTX (formerly Raytheon), Boeing, and General Dynamics—who dominate in terms of contract awards; (2) second-tier companies, some of which are innovative while others are just looking for a contract; and (3) the suppliers. The big four often buy up innovative companies, which sometimes leads to good results, at least for a while.

A complicating factor is that the competition to acquire new technology, such as artificial intelligence, is dominated by non-defense companies with deep pockets. While defense companies are sometimes chasing the same innovations, there are no assurances they will succeed when outbid by Google, Microsoft, Nvidia, or even offshore corporations. While the U.S. government helps defense companies by underwriting critical research and development, the Defense Department does not assist them with acquisitions of high-tech companies.

Almost all modern defense systems need complex software. For example, the F-35 stealth jet runs on more than eight million lines of code. As artificial intelligence capabilities increase in aerospace and defense, the amount of code will expand and new types of processors will be added to the F-35 and many other platforms, such as missiles, tracking systems, fire control systems, and intelligence gathering devices. New AI systems will make the kinds of decisions that are currently made by soldiers, pilots, and command centers and will have the ability to process information at astonishing speeds. This is an excellent opportunity to make the old equipment much better and more effective. One important question is whether our major defense companies will be able to recruit enough high-tech talent to do the job.

We are living in a time when autonomous systems are taking over parts of the battlefield, including in the Ukraine War. But we are not alone in fielding these autonomous AI-driven systems. China and Russia are making tremendous progress in this area. Consequently, our challenge is to upgrade our AI fighting systems rapidly.

American defense companies are lagging behind their foreign competitors, and the help they need is unlikely to materialize internally. It is urgent that they team up with commercial AI developers, who should be encouraged to assist with national security priorities.

I worked in a multinational defense company, then the eighth largest in the world, with annual revenues of over $20 billion. But like almost all such companies in the U.S. and Europe, it was built through the acquisition of smaller firms that were combined to make one big corporation. The same is true of today’s big defense companies.

Typically, if a defense company is contracted by the government to produce a PGM, such as the Stinger missile, it will build a facility to do that. When the contract runs out, or there are no more significant exports, the special facility is shut down. This poses a serious problem if the U.S. urgently needs to surge production of that PGM.

One solution to this problem would be the construction of a single flexible facility that could produce a range of PGM products using the same labor force. In that case, restarting a production line could be done much more quickly and easily. This would require suppliers to agree to a consolidation plan to build their products in a common facility. In other words, we need a national security version of Elon Musk’s Gigafactory.

One of the key vulnerabilities of our defense and high-tech infrastructure is that the technology on which it relies is routinely stolen by foreign countries, especially China. In effect, we have two defense budgets: one for us and the other for our enemies. Despite various efforts to hinder or put a stop to this, cyber theft has become a huge business and is tremendously damaging to America’s national security. Until very recently, we have done virtually nothing about this cyber espionage. The thieves are almost never punished. All we do is complain while our enemies bleed us dry.

But cyber is only one area where our adversaries are actively working to damage us. They are using all the tools of espionage at their disposal in an effort to replicate our most advanced defense and commercial technologies. This relieves them of huge costs and speeds up their development schedule for new weapons such as ICBMs, submarines, advanced radars, and satellites.

We must take the steps necessary to protect our defense investments. If we don’t, we may one day find ourselves engaged in a conflict with an enemy who is much better prepared for the fight than we are.

An important thing we learned very early on in the Ukraine War was that the incredibly expensive tanks we gave to the Ukrainians were defenseless against very inexpensive FPV drones. A thoughtful national defense establishment would have drawn the conclusion from this that we should launch a crash project to develop an effective and inexpensive answer to drones. But no such project was launched. So when the Iranian-backed Houthis started firing drones at ships in the Red Sea, what was the U.S. response? For each $30,000 Iranian drone we shot down, we employed two $2 million missiles. A grade-schooler could do the math. That is not a sustainable defense policy.

Recently, by the way, forces on the ground in Ukraine have found that relatively inexpensive shotgun technology is proving more effective against drones than previously tried methods.

We need new thinking—something that doesn’t come naturally to large bureaucracies like the one in the Pentagon—about national defense. A guiding principle of that new thinking must be that the defense budget is not inexhaustible. We should remain hopeful that the new leadership in the Pentagon will shake things up.

https://imprimis.hillsdale.edu/new-thinking-needed-on-national-defense/

Comments

The US is in several technology races including AI, System Upgrading and National Defense. All of these take time, but should be completed by 2028. Ending War is the goal. This can be accomplished by growing the US economy, replacing War with Total Economic Isolation of “bad acting countries” and continuing DOGE to divert revenue to support priorities. We should be able to eliminate the National Debt by 2032.

Expanding the US Private Sector Economy is the first priority and is expected to be improving by 2026. The Tax Rate reduction bill should be complete in May 2025.  Energy costs are declining in May 2025 and will continue to decline as US production increases. Deportation of Unvetted Criminal Illegal Aliens is underway in May 2025. Cuts in grant funding in Universities who support anti-American protests is underway in May 2025.

Norb Leahy, Dunwoody GA Tea Party Leader

Military Spending 5-30-25

My experience working with Defense Contractors allowed me to get an insight to understand the overspending cited by our current DOD. Generals in the Pentagon were divided by immediate service needs and focused on improving existing defense equipment. The Airforce wanted planes designed for their next enhancement. The Navy wanted these planes improved to take off and land on carriers. The Army wanted more accurate ground weapons, but ended up needing better ways to detect land mines and suicide bombs remotely.  

The History of US Military Spending for World War I (1914-1918) and World War II (1939-1945) were marked with periods of excessive spending during the war years. Spending dropped after each war, but the Military leaders who remained in the service after World War I continued to attempt to improve their weapons for future land wars.

The development of missile technology in the 1950s resulted in adding missiles with atomic warheads to deter aggression and it worked. The use of missiles on helicopters reduced the need for tanks and fighter jets.  

In the Korean War (1951-1953) it ended in a stalemate and we used fighter planes, helicopters, and ground troops. In the Vietnam War (1965-1975) we used fighter planes, helicopters and ground troops and lost.

In the Gulf War (1991), President George HW Bush established a coalition of countries to free Kuwait from their Iraq invasion. The war took 4 days and was a great success.

In the 1990s, the DOD called on all Defense Contractors to merge. The contracts for non-nuclear missiles went from Rockwell to Boeing and Lockheed Martin.

Rockwell International sold its aerospace and defense operations, including missile systems, to Boeing in December 1996. The deal included Rockwell's space systems, defense electronics, and aircraft businesses, among others. This was part of Rockwell's strategy to refocus on commercial markets, particularly in industrial automation, avionics, and communications. According to a CNN article, the sale was finalized in December 1996. 

https://www.google.com/search?q=when+did+rockwell+sell+missile+systems+to+boeing

The Afghan War began on 10/7/2001 following the attack on the Twin Towers on 9/11/2001. It ended on August 30, 2021. President George W Bush pursued “nation building”, set up a Democratic Government to continue the War on the Taliban

The Afghan War was a 20-year armed conflict that began in 2001 as a response to the September 11th attacks and ended in 2021 with the withdrawal of U.S. and allied troops. It was a U.S.-led coalition effort against the Taliban regime and al-Qaeda, who were providing safe haven for the September 11th attackers. 

Key Aspects of the War:

Timeline: The war spanned from 2001 to 2021. 

Combatants: The U.S. and its allies (including the United KingdomCanada, etc.) fought against the Taliban and al-Qaeda. 

Goals: The initial goal was to dismantle al-Qaeda and overthrow the Taliban, who had been providing sanctuary for al-Qaeda. 

Phases: The war can be divided into three phases: the initial toppling of the Taliban, a period of rebuilding Afghan institutions, and a later phase focused on counterinsurgency. 

Withdrawal: The war concluded with the withdrawal of U.S. and allied forces in 2021 and led to the Taliban's re-establishment of control over Afghanistan. 

Longest War: The War in Afghanistan was the longest war in U.S. military history, exceeding the Vietnam War by six months. 

Aftermath: The withdrawal led to significant changes in Afghanistan, including the Taliban's return to power. 

https://www.google.com/search?q=afghan+war

The Iraq War, also known as the Second Gulf War, was a prolonged conflict in Iraq from 2003 to 2011, initially involving a U.S.-led invasion that overthrew the Ba'athist government of Saddam Hussein. Following the invasion, an insurgency arose against coalition forces and the newly established Iraqi government, leading to a protracted occupation and armed conflict. The US officially withdrew in 2011, but later re-engaged in 2014, leading a new coalition against the Islamic State insurgency. 

https://www.google.com/search?q=iraq+war

The US national debt in the year 2000 was approximately $5.674 trillion. This was a time of budget surplus for the federal government, meaning they collected more in taxes than they spent. 

https://www.google.com/search?q=us+national+debt+in+2000

In 2024, the U.S. national debt reached $36 trillion. Specifically, $29 trillion of this was held by the public, representing debt borrowed from domestic and foreign investors, while the remaining $7 trillion was intragovernmental debt. 

https://www.google.com/search?q=us+national+debt+in+2024

The US war in Afghanistan, from 2001 to 2022, cost an estimated $2.313 trillion. This figure includes military spending, reconstruction efforts, and costs related to the war, but it does not include future obligations for American veterans' care or future interest on war-related debt. Additionally, the war led to significant human costs, with an estimated 4.5-4.7 million deaths attributed to the post-9/11 wars in the region, including both direct and indirect deaths. 

https://www.google.com/search?q=cost+of+the+afghan+war

The estimated financial cost of the Iraq War for the United States is around $2.9 trillion, including both direct and indirect costs like veterans' care and interest on debt incurred to finance the war. This figure includes the direct cost of military operations, the cost of caring for wounded veterans, and the broader economic impact of the war. 

https://www.google.com/search?q=cost+of+the+iraq+war

Comments

George W Bush failed in his quest to “westernize” Afghanistan and Iraq and spend $5.2 trillion. Barak Obama continued the Afghan and Iraq debacles and Joe Biden botched the Afghan withdrawal. The US lost both wars.

Norb Leahy, Dunwoody GA Tea Party Leader

Thursday, May 29, 2025

Health Insurance Costs 5-29-25

The average annual cost of private health insurance in the U.S. in 2023 was approximately $8,435 for single coverage and $23,968 for family coverage. These premiums have increased in recent years, with family premiums rising 22% since 2018 and 47% since 2013. In 2021, the average costs were $7,380 for single coverage, $14,634 for employee-plus-one coverage, and $21,381 for family coverage.  

The average annual cost of employer-sponsored private health insurance in the U.S. in 2024 is $8,951 for single coverage and $25,572 for family coverage. These premiums have increased over the years, with single coverage increasing by 6% and family coverage by 7% compared to the previous year. 

The average annual cost to employees for employer-sponsored health insurance in the US has steadily increased. In 2023, the average employee contribution was $1,401 for single coverage and $6,575 for family coverage, according to KFF. In 2024, the average employee contribution for family coverage was $6,296, says KFF. The average total premium for employer-sponsored health insurance in 2023 was $23,938. 

In 2025, employees in the US can expect to pay an average of $2,900 to $3,000 annually towards their employer-sponsored private health insurance. This represents approximately 15% to 20% of the total premium cost, as employers typically cover the remaining portion. 

In 2023, 53.7% of the U.S. population had employment-based health insurance. This means that approximately 46.3% of the U.S. population did not have coverage through their employer in 2023. While it's difficult to predict the exact number for 2025, this provides a reasonable estimate based on current data. 

https://www.google.com/search?q=us+history+of+cost+shifting+in+healthcare

U.S. healthcare spending has risen dramatically since 1960, driven by factors like technological advancements, increased access to care, and changes in demographics. Specifically, per capita health spending increased from $147 in 1960 to $9,255 in 2013, according to the Centers for Medicare & Medicaid Services (CMS). By 2023, it had reached $14,570 per capita. 

1960: Total health spending was $147 per person. 

1970: Health spending totaled $74.1 billion, and per capita spending was $353. 

2000: Health expenditures reached about $1.4 trillion. 

2022: Health spending tripled to $4.5 trillion. 

2023: Health spending grew to $4.9 trillion, reaching $14,570 per person. 

Comments

Prior to 1965, employers funded medical plans for their retirees. In 1965, the US Congress passed the Medicare Bill that exempted employers from funding their retiree medical plans.

Norb Leahy, Dunwoody GA Tea Party Leader

 

  

Medicaid Cost Shifting 5-29-25

Medicaid was founded on July 30, 1965, when President Lyndon B. Johnson signed the Social Security Amendments of 1965 into law. This legislation established both Medicare and Medicaid as federal health insurance programs for eligible individuals. 

https://www.google.com/search?q=when+was+medicaid+established 

In US healthcare, cost shifting refers to the practice where hospitals and other healthcare providers raise their prices for patients with private insurance to offset losses incurred from providing services to patients covered by public programs like Medicare and Medicaid. This practice has been a topic of debate and analysis for decades, with concerns about its impact on both patients and the overall health system. 

Early Concerns and the Rise of Insurance:

Pre-1960s: Before the establishment of Medicare and Medicaid, the healthcare system was largely privately funded, with a mix of self-pay and private insurance. 

1960s: The creation of Medicare and Medicaid in the mid-1960s significantly altered the landscape, introducing government-sponsored healthcare for the elderly and low-income individuals. This shift led to concerns about hospitals potentially shifting costs to private payers to cover underpayments from public programs. 

1970s: During this decade, commercial insurers began expressing worries about hospitals potentially increasing their prices to patients who paid charges to compensate for tighter cost-based reimbursement from the government. 

The Debate and Evidence:

Proponents of cost shifting argue that it's a necessary mechanism for hospitals to ensure financial viability, as public programs often pay less than the actual cost of services. 

Critics of cost shifting argue that it leads to inflated prices for all patients, including those with private insurance, ultimately increasing overall healthcare costs and potentially hindering affordability. 

Research on cost shifting has been mixed. Some studies suggest that hospitals do indeed engage in cost shifting, while others find limited evidence of this phenomenon. 

Factors influencing cost shifting: The extent to which hospitals can shift costs is influenced by the availability of alternative healthcare providers, the bargaining power of insurers, and the overall market structure. 

Contemporary Concerns and Ongoing Debate: Continued debate about cost shifting: Despite various studies and analyses, the issue of cost shifting remains a contentious topic in healthcare policy discussions. 

Impact of the ACA: The Affordable Care Act (ACA) has also been debated in the context of cost shifting, with some arguing that the ACA's expansion of coverage could exacerbate the issue. 

Moving towards value-based care: Recent trends in healthcare, such as the shift towards value-based care, may help address some of the concerns associated with cost shifting by focusing on quality and efficiency. 

Public payment policies: Ongoing policy debates about public payment policies, such as Medicare and Medicaid reimbursement rates, continue to influence the issue of cost shifting. 

Contemporary Concerns and Ongoing Debate:

Continued debate about cost shifting: Despite various studies and analyses, the issue of cost shifting remains a contentious topic in healthcare policy discussions. 

Impact of the ACA: The Affordable Care Act (ACA) has also been debated in the context of cost shifting, with some arguing that the ACA's expansion of coverage could exacerbate the issue. 

Moving towards value-based care: Recent trends in healthcare, such as the shift towards value-based care, may help address some of the concerns associated with cost shifting by focusing on quality and efficiency. 

Public payment policies: Ongoing policy debates about public payment policies, such as Medicare and Medicaid reimbursement rates, continue to influence the issue of cost shifting. 

Norb Leahy, Dunwoody GA Tea Party Leader

Medical Research Costs 5-29-25

The NIH invests most of its nearly $48 billion budget in medical research seeking to enhance life and to reduce illness and disability.

https://www.google.com/search?q=nih+funding+for+medical+research& 

Here Are The Top Universities For NIH Funding In 2024 Per BRIMR Rankings

  • University of Pennsylvania $691,186,108.
  • University of Pittsburgh $661,207,841.
  • Massachusetts General Hospital $655,235,087.
  • Yale University $645,860,184.
  • Columbia University Health Science $640,305,636.
  • Stanford University $613,087,148.

https://www.forbes.com/sites/michaeltnietzel/2025/02/27/here-are-the-top-universities-for-nih-funding-in-2024-

Harvard University has experienced significant losses in federal funding in 2025, with the Trump administration freezing over $2.2 billion in grants. This has led to the cancellation of numerous research projects, including some at the Harvard Medical School, and has forced Harvard to take measures like dedicating $250 million to sustain research. The university has also seen stop work orders on federally funded projects, impacting various departments like physics. These cuts are part of a larger issue where multiple universities have faced similar funding freezes, with the Trump administration citing issues like discrimination and ideology as reasons for the cuts. Harvard has expressed concern that these cuts will jeopardize critical research in areas like cancer and diabetes. 

https://www.google.com/search?q=has+harvard+lost+federal+funding+in+2025

The number of universities and other research institutions that receive medical research grants is quite large. Specifically, the National Institutes of Health (NIH) awards grants to over 2,500 universities, medical schools, and other research institutions. The NIH is the world's largest public funder of biomedical research, issuing roughly 60,000 grants per year. These grants represent a significant portion of the NIH's budget, accounting for nearly 83% of the agency's funding, which is around $48 billion annually. 

https://www.google.com/search?q=how+many+universities+have+medical+research+grants

Several universities faced the cancellation or freezing of medical research grants, including Columbia, Harvard, Brown, Northwestern, Cornell, and Weill Cornell Medical College. The Trump administration's actions led to these cuts, citing policy changes and program overhauls as reasons. The National Institutes of Health (NIH) halted new grant awards to these institutions, affecting a significant amount of funding. 

https://www.google.com/search?q=list+universities+who+have+had+their+medical+research+grants+cancelled

Comments

With 2500 Universities and Medical Research Labs to choose from the loss of 6 leaves.  NIH with more than enough “law abiding” Medical Research facilities to choose from.

Norb Leahy, Dunwoody GA Tea Party Leader

Wednesday, May 28, 2025

Supreme Court Ruling on Womens Sports 5-28-25

The U.S. Supreme Court rejected a Biden administration rule that would have allowed men to compete in women's sports and access women's facilities, effectively upholding Title IX protections for women. This decision came after multiple states filed lawsuits arguing the rule violated laws prohibiting men from competing in women's sports, according to America First Policy Institute

Here's a more detailed breakdown: 

The Biden administration proposed a new Title IX rule that would have broadly defined "sex" to include gender identity, allowing transgender women to compete in women's sports and access women's facilities. 

Multiple states filed lawsuits challenging the rule, arguing that it would undermine the fairness of women's sports and violate privacy and security concerns. 

The Supreme Court sided with the states, rejecting the Biden administration's rule and upholding the existing Title IX regulations that permit separation of the sexes in sports. 

While the ruling doesn't immediately force sports governing bodies to change their rules, it establishes a legal benchmark for future eligibility rules and may lead to more sports banning transgender women from competing in women's categories, according to Brabners

The ruling raises questions about the interpretation of Title IX and the Equal Protection Clause, as well as the balance between inclusion, non-discrimination, fair play, and safety in sports, according to the Supreme Court of the United States (.gov)

https://www.google.com/search?q=supreme+court+ruling+on+men+in+women%27s+sports

Norb Leahy, Dunwoody GA Tea Party Leader

Keeping Men Out of Womens Sports 5-28-25

The White House February 5, 2025 

By the authority vested in me as President by the Constitution and the laws of the United States of America, and to protect opportunities for women and girls to compete in safe and fair sports, it is hereby ordered:

Section 1.  Policy and Purpose.  In recent years, many educational institutions and athletic associations have allowed men to compete in women’s sports.  This is demeaning, unfair, and dangerous to women and girls, and denies women and girls the equal opportunity to participate and excel in competitive sports.

Moreover, under Title IX of the Education Amendments Act of 1972 (Title IX), educational institutions receiving Federal funds cannot deny women an equal opportunity to participate in sports.  As some Federal courts have recognized, “ignoring fundamental biological truths between the two sexes deprives women and girls of meaningful access to educational facilities.”  Tennessee v. Cardona, 24-cv-00072 at 73 (E.D. Ky. 2024). See also Kansas v. U.S. Dept. of Education, 24-cv-04041 at 23 (D. Kan. 2024) (highlighting “Congress’ goals of protecting biological women in education”). 

Therefore, it is the policy of the United States to rescind all funds from educational programs that deprive women and girls of fair athletic opportunities, which results in the endangerment, humiliation, and silencing of women and girls and deprives them of privacy.  It shall also be the policy of the United States to oppose male competitive participation in women’s sports more broadly, as a matter of safety, fairness, dignity, and truth.

Sec. 2.  Definitions.  The definitions in Executive Order 14168 of January 20, 2025 (Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government), shall apply to this order.

Sec.3.  Preserving Women’s Sports in Education.  (a)  In furtherance of the purposes of Title IX, the Secretary of Education shall promptly:

(i)    in coordination with the Attorney General, continue to comply with the vacatur of the rule entitled “Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance” of April 29, 2024, 89 FR 33474, see Tennessee v. Cardona, 24-cv-00072 at 13-15 (E.D. Ky. 2025), and take other appropriate action to ensure this regulation does not have effect;

(ii)   take all appropriate action to affirmatively protect all-female athletic opportunities and all-female locker rooms and thereby provide the equal opportunity guaranteed by Title IX of the Education Amendments Act of 1972, including enforcement actions described in subsection (iii); to bring regulations and policy guidance into line with the Congress’ existing demand for “equal athletic opportunity for members of both sexes” by clearly specifying and clarifying that women’s sports are reserved for women; and the resolution of pending litigation consistent with this policy; and

(iii)  prioritize Title IX enforcement actions against educational institutions (including athletic associations composed of or governed by such institutions) that deny female students an equal opportunity to participate in sports and athletic events by requiring them, in the women’s category, to compete with or against or to appear unclothed before males.

(b)  All executive departments and agencies (agencies) shall review grants to educational programs and, where appropriate, rescind funding to programs that fail to comply with the policy established in this order.

(c)  The Department of Justice shall provide all necessary resources, in accordance with law, to relevant agencies to ensure expeditious enforcement of the policy established in this order. 

Sec. 4.  Preserving Fairness and Safety in Women’s Sports.  Many sport-specific governing bodies have no official position or requirements regarding trans-identifying athletes.  Others allow men to compete in women’s categories if these men reduce the testosterone in their bodies below certain levels or provide documentation of “sincerely held” gender identity.  These policies are unfair to female athletes and do not protect female safety.  To address these concerns, it is hereby ordered:

(a)  The Assistant to the President for Domestic Policy shall, within 60 days of the date of this order:

(i)   convene representatives of major athletic organizations and governing bodies, and female athletes harmed by such policies, to promote policies that are fair and safe, in the best interests of female athletes, and consistent with the requirements of Title IX, as applicable; and

(ii)  convene State Attorneys General to identify best practices in defining and enforcing equal opportunities for women to participate in sports and educate them about stories of women and girls who have been harmed by male participation in women’s sports.

(b)  The Secretary of State, including through the Bureau of Educational and Cultural Affairs’ Sports Diplomacy Division and the Representative of the United States of America to the United Nations, shall:

(i)   rescind support for and participation in people-to-people sports exchanges or other sports programs within which the relevant female sports category is based on identity and not sex; and

(ii)  promote, including at the United Nations, international rules and norms governing sports competition to protect a sex-based female sports category, and, at the discretion of the Secretary of State, convene international athletic organizations and governing bodies, and female athletes harmed by policies that allow male participation in women’s sports, to promote sporting policies that are fair, safe, and in furtherance of the best interests of female athletes.

(c)  The Secretary of State and the Secretary of Homeland Security shall review and adjust, as needed, policies permitting admission to the United States of males seeking to participate in women’s sports, and shall issue guidance with an objective of preventing such entry to the extent permitted by law, including pursuant to section 212(a)(6)(C)(i) of the Immigration and Nationality Act (8 U.S.C. 1182(a)(6)(C)(i)).

(d)  The Secretary of State shall use all appropriate and available measures to see that the International Olympic Committee amends the standards governing Olympic sporting events to promote fairness, safety, and the best interests of female athletes by ensuring that eligibility for participation in women’s sporting events is determined according to sex and not gender identity or testosterone reduction.

Sec. 5.  General Provisions.  (a)  Nothing in this order shall be construed to impair or otherwise affect:

(i)   the authority granted by law to an executive department or agency, or the head thereof; or

(ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

(d)  If any provision of this order, or the application of any provision to any person or circumstance, is held to be invalid, the remainder of this order and the application of its provisions to any other persons or circumstances shall not be affected thereby.

THE WHITE HOUSE,  February 5, 2025.

https://www.whitehouse.gov/presidential-actions/2025/02/keeping-men-out-of-womens-sports

Norb Leahy, Dunwoody GA Tea Party Leader

Womens Sports Enforcement 5-28-25

U.S. Department of Education and U.S. Department of Justice Announce Title IX Special Investigations Team Friday, April 4, 2025 

Today, amid a staggering volume of Title IX complaints, the U.S Department of Education (ED) and the U.S. Department of Justice (DOJ) announce the Title IX Special Investigations Team (SIT) to ensure timely, consistent resolutions to protect students, and especially female athletes, from the pernicious effects of gender ideology in school programs and activities.

The Title IX SIT will streamline Title IX investigations by creating a specialized team of investigators from across ED and Department of Justice offices. The establishment of the Title IX SIT will allow personnel to apply a rapid resolution investigation process to the increasing volume of Title IX cases and also enable ED and the Justice Department to work together to conduct investigations that are fully prepared for ultimate Justice Department enforcement.

“Protecting women and women’s sports is a key priority for this Department of Justice,” said Attorney General Pamela Bondi. “This collaborative effort with the Department of Education will enable our attorneys to take comprehensive action when women’s sports or spaces are threatened and use the full power of the law to remedy any violation of women’s civil rights.”

“Today’s establishment of the Title IX SIT will benefit women and girls across this nation who have been subjected to discrimination and indignity in their educational activities,” said Secretary of Education Linda McMahon. “From day one, the Trump Administration has prioritized enforcing Title IX to protect female students and athletes.

Traditionally, our Office for Civil Rights (OCR) takes months, even years, to complete Title IX investigations. OCR under this Administration has moved faster than it ever has, and the Title IX SIT will ensure even more rapid and consistent investigations. To all the entities that continue to allow men to compete in women’s sports and use women’s intimate facilities: there’s a new sheriff in town. We will not allow you to get away with denying women's civil rights any longer.”

The Title IX SIT includes:

  • ED Office for Civil Rights investigators and attorneys
  • DOJ Civil Rights Division attorneys
  • ED Office of General Counsel attorneys
  • ED Student Privacy and Protection Office case workers and an FSA Enforcement investigator

Background: President Trump’s Executive Order Keeping Men out of Women’s Sports articulates United States policy, consistent with Title IX, to protect female student athletes from having “to compete with or against or having to appear unclothed before males.” President Trump’s Executive Order Defending Women From Gender Ideology Extremism states the truth that “The erasure of sex in language and policy has a corrosive impact not just on women but on the validity of the entire American system.” 

Updated April 4, 2025

https://www.justice.gov/opa/pr/us-department-education-and-us-department-justice-announce-title-ix-special-investigations

Norb Leahy, Dunwoody GA Tea Party Leader