Aug 14, 2026 · 22 min
HHS report alleges improper billing in pediatric gender care
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The episode connects disputed healthcare billing claims with criminal-case developments and an early test of the 2026 midterm political landscape.
- 1An HHS report alleges providers used endocrine-disorder codes to bill tens of millions of dollars connected to pediatric gender-transition care.
- 2The hosts examine a possible federal guilty plea in the Luigi Mangione case alongside other high-profile criminal proceedings.
- 3Polling discussion weighs democratic socialism, generic-ballot trends, and Alexandria Ocasio-Cortez’s potential 2028 presidential ambitions.
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The episode’s sharpest turn comes when the HHS billing allegations move from policy criticism to specific claims about endocrine-disorder codes and tens of millions of dollars in claims.
The brief
Mary Margaret Olohan discusses an HHS report alleging hospitals and providers improperly billed insurers for pediatric gender-transition procedures using endocrine-disorder codes.
The report’s claims of tens of millions of dollars in billing, and its criticism of Biden-era policies, put healthcare administration at the center of the episode.
Tim Pierce reviews a possible federal guilty plea in the Luigi Mangione case, its effect on a state trial, and delayed proceedings involving the Tate brothers.
Brent Buchanan turns to 2026 polling, arguing democratic socialism could shape Democratic campaigns while generic-ballot trends and voter expectations remain unsettled.
The political discussion closes on Alexandria Ocasio-Cortez’s potential as a 2028 presidential contender, extending the midterm analysis into the next national cycle.
Mary Margaret Olohan
Alexandria Ocasio-Cortez
KalshiBooks & mentions
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