In this discussion, Michael Geruso, an economics professor specializing in healthcare policy, and Tim Layton, a healthcare economics expert from UVA, delve into the chaos of recent federal government changes, highlighting Musk's controversial tactics. They unpack the inefficiencies in healthcare spending, particularly within Medicare Advantage, and the staggering amounts lost to waste and fraud. The guests emphasize the dire need for a reconstruction of federal aid programs, particularly in health care, while critically assessing the ethical implications of current practices.