The last month has brought renewed attention to crime lords allegedly stealing $3.5 billion from California’s hospice system. Congress and the Trump administration are investigating, and rightly so. The dying deserve dignity, not to have their safety net looted.

But hospice is not the only target — and not every thief wears a ski mask.

The federal government does not have to accept California’s bookkeeping tricks.

Across California, politicians and their allies exploit Medicaid — a federal program meant to help the poor — to paper over budget holes they created. They do it through a bureaucratic “shell game” that shifts billions while patients and taxpayers pick up the tab.

The mechanism is called an intergovernmental transfer. Local public providers or government agencies spend Medicaid funds. The state then counts that spending as its own and uses it to draw matching federal dollars. When that money arrives, the state sends it back to the same providers as higher reimbursements. Those providers end up receiving more than they originally spent, even though the state did not put up additional state funds.

This scheme has driven ambulance reimbursements into the stratosphere.

Between 2022 and 2024, the cost of publicly funded ambulances in California soared from $339 to $1,168 per trip. The state now asks for 2026 reimbursements to rise to more than $1,600. That increase means more than $1,200 per ambulance ride that does not go to patient care. It pads the state’s books and props up obligations like California’s failing pension system.

This is not a straightforward street scam. It is worse: legalized looting with official letterhead.

Families pay the price. Patients pay the price. Honest providers pay the price.

Imagine what that extra $1,200 per ride could do if it went where Medicaid dollars are supposed to go: patient care, staffing, equipment, response times. Now imagine what happens when ambulance companies that are not connected to the right politicians cannot compete and start shutting down. When that happens, the people harmed will not be the insiders who designed the system. It will be the sick, the poor, and the vulnerable.

I know what it means to depend on a functioning safety net.

My brother has level 3 autism spectrum disorder — the most severe diagnosis. He is nonverbal. He cannot feed himself, dress himself, or use the bathroom without help. My parents cannot leave him home alone because he can wander into danger. Keeping him safe requires 24-hour supervision.

My parents knew what that meant. They also knew they wanted him at home, not in an institution.

Medicaid and In-Home Supportive Services, which helps cover the cost of at-home care, made that possible. Those programs kept our family together. They gave my parents a way to provide love and stability that no facility can replicate.

It has still been hard. The work never ends.

RELATED: Dr. Oz exposes alleged fraud in Los Angeles — so Gavin Newsom calls for investigation into his ‘racially charged’ claims

Photo by Alex Wong/Getty Images

My brother’s diagnosis hit my parents like a crisis. They answered with courage. They had more lucrative opportunities elsewhere, but they stayed with the Army because it was the only employer that could guarantee my brother’s access to health care.

We are a military family. We understand service and sacrifice. We also understand the moral bargain behind safety-net programs: Taxpayers step up so that families in crisis do not collapse.

That bargain fails when politicians treat Medicaid as a slush fund.

These financial shell games cost taxpayers billions and create nightmares for families like mine who follow the rules. This is not robbing Peter to pay Paul. This is robbing Peter and leaving Paul on the street.

Americans should be sickened by the heartlessness of anyone who steals from programs designed to serve the vulnerable — whether the thieves are organized crime syndicates or the well-connected insiders who know how to work California’s bureaucracy. Hospice exists so that people can die with dignity. Ambulances exist to get patients to care quickly. Neither exists to generate money for the state and its chosen beneficiaries.

Here is the good news: Congress and the Trump administration have started digging into hospice abuse. The bad news is that those investigations and policy changes can take years.

Ending Medicaid ambulance intergovernmental transfer abuse could be done in a matter of days.

The federal government does not have to accept California’s bookkeeping tricks. President Trump can direct federal agencies to stop approving these inflated reimbursement schemes and demand reforms that put patients first. One signature could force California to stop gaming Medicaid and start serving the people the program was built to help.

​Opinion & analysis, California, Gavin newsom, Fraud, Medicaid, Ambulance, Reimbursements, Red tape, Shell game, Autism, In-home support services, Accounting, Hospice, Waste fraud and abuse 

British Prime Minister Keir Starmer announced Sunday that the U.K. will allow the U.S. to use British military bases for limited defensive strikes targeting Iranian missile sites, reversing an earlier refusal amid escalating U.S.-Israeli operations against Iran.

In a prerecorded video statement released through official channels, Starmer said the decision was made to prevent Iran from launching missiles across the region that could kill civilians, endanger British nationals, and strike uninvolved countries.

‘Over the last year alone, they have backed more than 20 potentially lethal attacks on UK soil.’

“The United States has requested permission to use British bases for that specific and limited defensive purpose,” Starmer said. “We have taken the decision to accept this request to prevent Iran firing missiles across the region, killing innocent civilians, putting British lives at risk, and hitting countries that have not been involved.”

RELATED: Israeli officials say Khamenei is dead. Update: Trump confirms.

Photo by Jonathan Brady-WPA Pool/Getty Images

Starmer emphasized in a previous announcement that the U.K. is not participating directly in offensive strikes, which began in late February targeting Iranian military facilities, nuclear sites, and senior leadership. Instead Britain has focused on defensive actions, including intercepting Iranian missiles aimed at allies in the Gulf.

Starmer also acknowledged the danger the Iranian regime poses: “Even in the United Kingdom, the Iranian regime poses a direct threat to dissidents and to the Jewish community.” He continued, “Over the last year alone, they have backed more than 20 potentially lethal attacks on U.K. soil.”

RELATED: ‘Painful days’: Iran kills US troops as Trump threatens decapitated Iranian regime

(Photo by Jonathan Brady-WPA Pool/Getty Images)

Starmer described Iran’s actions as increasingly reckless and dangerous and said the decision is consistent with international law under the doctrine of collective self-defense. The government published a summary of its legal advice supporting that position.

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​International politics, War, Iran, Uk, Starmer, Uk prime minister, Military, Politics 

I was living in Brooklyn at the time. I was 40-ish. I went home to Oregon for the Christmas holidays, and one of my siblings suggested we go skiing.

We were a skiing family when we were kids. In my teens, I skied nearly every weekend for several months of the year. I got pretty good at it and have fond memories of those days.

I remembered a doctor on TV saying something like: ‘Most injuries I see are older people trying to do things they did when they were young.’

But I had not skied or ridden a chairlift in 20 years. The idea of going again seemed really fun. Why hadn’t we thought of this before?

Toys in the attic

Most of my old ski stuff was still around my parents’ house. I found my slightly rusted skis in the attic. My old Nordica ski boots still fit. I dug up some musty ski gloves and a ski hat and some old goggles. I wasn’t going to look fashionable or current, but I had the necessary stuff to ski down the mountain.

I would be like the eccentric older guys I occasionally rode the chairlift with when I was a teenager. Guys with ancient-looking skis and out-of-date parkas and mittens. Skiing wasn’t a social activity for them. They didn’t mind looking out of place. They were just there for the skiing.

Runnin’ up that hill

My siblings and I drove up to Mt. Hood Meadows and bought our lift tickets. We rode up the chairlift, which all by itself was thrilling.

To actually ski felt weird at first. I did a couple of snow-plow turns, then a couple of real turns, and then I was more or less back to form.

The ski trails were mostly the same. I remembered them from high school. But other things had changed. The skis were shorter and oddly shaped. People wore helmets. There were snowboarders to contend with. And of course, everyone was younger and speedier than I remembered.

After a couple easy runs, I was feeling pretty confident. I decided to check out some of the more difficult trails. So I dragged my brother over to one of the black diamond runs.

Looking down into it, I was shocked by how steep and formidable it looked. I used to ski down this? And then some 12-year-old shot past me and went flying straight down the face of it.

I decided against following him, and instead we found a trail that went along the ridge. Here we encountered a “jump.”

This was not a jump like you see on TV, where you do two back flips and a triple twist. This was a little bump off to the side of the trail, where if you could build up enough speed, you might go two or three feet into the air and land six feet from where you started.

Still, I’d loved jumps when I was a kid. My body reacted to the sight of it so strongly, I immediately sped up and steered right at it.

Unfortunately, it turned out to have a badly shaped landing. You basically stopped dead when you hit. I nearly rolled forward out of my ski boots. It was so jarring, I felt queasy in my stomach.

And then I had to get out of the way, so someone else could have that same experience.

Slow your roll

So that’s how it went. I found that I got bored cruising the easy runs. But whenever I tried something hard, I was outmatched.

After lunch, I made the decision to stick to the intermediate runs. I would do like the other middle-aged people, carving wide, graceful turns, taking it easy, getting into that elder-skier groove.

But then my problem became speed. Each time I did a run, I went a little faster. Soon, I was going a little too fast. But I couldn’t resist that downhill racer sensation.

And then I fell. I don’t know how. I must have “caught an edge.” One moment, I was leaning into a turn, and the next, I was face-planted into the hard pack.

I came to my senses with a face full of snow and my skis, hat, and goggles scattered all around me.

My brother pulled up behind me. He was scared. He said my wipeout looked bad. I told him it felt bad. Though as far as I could tell, I wasn’t seriously injured.

I sat there for several minutes, making sure I was OK. Then I rose to my feet. Eventually, I put my skis back on. Very gingerly, we made our way down.

But by the time we reached the chairlift, I felt fine. I was OK. And there was still time for a couple more runs. I assured my brother I could continue. And we got back in line.

RELATED: I was a ‘problem student’ — until all-male Catholic school let me be a boy

Alex_Bond/Bettman/Getty Images

Dazed and confused

Riding the chairlift was when I realized something wasn’t right. My brain seemed slow. I couldn’t seem to focus. I would look at things and not really see them. Everything felt weird and slowed down and unreal.

I must have a concussion, I thought. So I gave myself a simple concussion test. What was my phone number? I thought about it. I thought about it more. I had no idea.

What about my address? What city did I live in? I couldn’t seem to hold any clear thought in my head.

I explained to my brother what was happening. He was concerned. We did one last easy-does-it run. Then we headed home.

Dark night of the soul

That night, back at my parents’ house, I did the concussion protocols. I stayed awake for 12 hours, took aspirin, drank water, lay on the living room couch, perfectly still, with a dark towel over my eyes. I now had a very sore neck and back. I could barely move. I probably had whiplash.

I was OK in the end. But that was a scary day. As I lay silent and still on the couch, I remembered a doctor on TV saying something like: “Most injuries I see are older people trying to do things they did when they were young.”

That was definitely me. I guess I learned my lesson. But I’d also learned the lesson that — for me at least — the desire to do those things, even when I KNEW I SHOULDN’T DO THEM, could be overwhelming.

In other words, it was best for me to stay off the ski slopes entirely. And maybe take up some new activities, things I’d never done before. Like softball. Or surfing. Or golf. Activities where memories of youthful glory wouldn’t get me into trouble.

​Lifestyle, Skiing, Sports, Men, Aging, Blake’s progress 

Columbia University — an institution whose radicalism frequently spills out into the streets of Manhattan — is trying to distance itself from Columbia University Apartheid Divest after the coalition of student extremists echoed Iranian dictator Ali Khamenei’s go-to motto following his assassination on Saturday.

CUAD, a coalition of anti-Israel student groups that purportedly operates “outside of the purview of a registered student organization,” didn’t take the news of Khamenei’s death particularly well, calling it “devastating news.”

‘Columbia has not, and will not, recognize or meet with the group.’

In another social media post, which has since been deleted, the student group wrote, “Marg bar Amrika.”

This Persian phrase, which means “Death to America,” was one of the dead ayatollah’s go-to slogans.

“The slogan and shout of ‘Death to the U.S.’ by the Iranian nation has strong logical and rational support and stems from the Constitution and fundamental thoughts that brooks no injustice and oppression,” Khamenei stated a decade ago. “This slogan means death to the policies of the U.S. and arrogant powers and this logic is accepted by every nation when explained in clear terms.”

CUAD noted in a subsequent tweet that was taken down by Elon Musk’s X for violating the platform’s rules, “X forced use[sic] to delete our ‘marg bar amrika’ tweet in order to gain back access to our account but the sentiment still stands.”

RELATED: ‘Painful days’: Iran kills US troops as Trump threatens decapitated Iranian regime

Photo by Fatemeh Bahrami/Anadolu via Getty Images

The university — which had its accreditation threatened last year over its alleged “indifference towards the harassment of Jewish students” and is paying the federal government over $220 million to settle investigations into alleged discrimination on campus — rushed to denounce CUAD’s “violent, abhorrent language.”

Columbia emphasized that “‘CUAD’ is not a recognized student group and is not affiliated, in any fashion, with the University”; “the matter has been referred to law enforcement for further investigation”; and “there is no evidence, at this point, that anyone currently in control of this social media account is a Columbia student, staff, or faculty member.”

While it is unclear who presently mans the radical group’s social media accounts, Mahmoud Khalil — a Syrian-born radical and former Columbia University graduate student who is presently fighting potential deportation by the Trump administration to Algeria — previously identified himself as a spokesman for CUAD.

The university, which has been home to anti-U.S. Immigration and Customs Enforcement protests in recent days, noted that it denounced the group last July, making clear “Columbia has not, and will not, recognize or meet with the group that calls itself ‘Columbia University Apartheid Divest’ (CUAD), its representatives, or any of its affiliated organizations.”

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​Iran, Khamenei, Columbia university, Divest, Apartheid divest, University, School, Radical, Radicalism, Islam, Iranian, Death to america, New york city, Politics 

Early Sunday morning, a foreign-born radical armed with a pistol and a rifle allegedly opened fire outside Buford’s Backyard Beer Garden in Austin, killing two individuals and wounding 14 others.

Authorities indicated that the now-dead suspect, identified as 53-year-old Ndiaga Diagne, drove around the area several times in an SUV before taking aim through a vehicle window at patrons outside the bar.

‘This act of violence will not define us.’

Austin Police Chief Lisa Davis noted during a press conference on Sunday that after the initial shooting, the suspect parked his SUV nearby, then opened fire with a rifle on unsuspecting pedestrians. Police intercepted the suspect as he made his way down East 6th Street and fatally shot him.

Once the dead suspect’s vehicle was identified, the APD’s bomb squad ensured that there were no explosives present.

Austin Mayor Kirk Watson lauded the work of the first responders and police officers who rushed into action on Sunday morning, noting that they “saved countless lives.”

While law enforcement is still investigating the shooter’s motives, Alex Doran, an active special agent with the FBI’s San Antonio field office, noted that “there were indicators … on the subject and in his vehicle that indicate potential nexus to terrorism.”

RELATED: Fetterman joins GOP lawmakers in praise of Iran strikes; Massie joins Democrats in condemnation

Photo by Stephanie Tacy/NurPhoto via Getty Images

Doran would not comment on the nature of those “indicators.” However, a law enforcement official told CNN that the dead suspect was wearing a shirt with an Iranian flag design on it as well as a hoodie emblazoned with the text, “Property of Allah.”

A law enforcement official told the New York Times that a Quran was recovered from the suspect’s vehicle.

The Department of Homeland Security reportedly indicated that Diagne entered the U.S. on a B-2 tourist visa in March 2000 and was naturalized in April 2013, seven years after his marriage to an American citizen.

A law enforcement official familiar with the investigation told CNN that the suspect, who was arrested in 2022 on a charge of collision with vehicle damage, is originally from the Sunni Muslim nation of Senegal.

On Sunday afternoon, federal and local authorities reportedly raided a house outside Pflugerville, roughly 30 miles north of the shooting, where the suspect apparently resided.

While officials did not immediately name the victims, University of Texas at Austin President Jim Davis said in a statement on Sunday that among those impacted by the shooting are “members of our Longhorn family.”

Ryder Harrington, a Texas Tech Red Raider, was ultimately identified by loved ones as one of the decedents.

A GoFundMe page raising funds for the Harrington family noted that “Ryder was a beloved son, brother, and friend whose kindness and presence touched countless lives. From the moment he joined our brotherhood, he brought a light that was impossible to ignore.”

Texas House Speaker Dustin Burrows (R) noted, “From all accounts, Ryder was exactly the kind of young man who made a difference without even trying — full of life, loyal to his friends, proud to be a Red Raider and a Texan, and someone who showed up for the people around him.”

“This act of violence will not define us, nor will it shake the resolve of Texans,” Texas Gov. Greg Abbott (R) said in response to the shooting.

“To anyone who thinks about using the current conflict in the Middle East to threaten Texans or our critical infrastructure, understand this clearly: Texas will respond with decisive and overwhelming force to protect our state,” added the governor.

Abbott indicated further that on Saturday, he directed the Texas Military Department to activate service members to work with federal and state partners to “safeguard our communities and critical infrastructure” and tasked the Texas Department of Public Safety and Texas National Guard with intensifying patrols and surveillance.

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​Crime, Islam, Senegal, Terrorism, Shooting, Austin, Texas, Abbott, Iran, Iran strikes, Radicalism, Extremism, Mass shooting, Ndiaga diagne, Politics 

Imagine someone walks into your town with a proposition: Rezone large swaths of residential and farmland. Hand out tax breaks. Let us build ugly, noisy facilities for chatbots — facilities that will devour nearly a quarter of the power supply.

Then, before you run him out of the room, he adds a final promise: Do not worry. We will pay our own way.

Argue about the projections if you want. Do not tell the public they will not pay more for data centers. They already do.

That is the rope-a-dope Americans are supposed to accept from the government-tech oligopoly, even as politicians insist that data centers will not cost the public a dime.

Sensing a growing backlash against the data-slop colonization of rural America, President Trump promised during the State of the Union that every data center company will pay its own way. Awareness of the problem helps. The president’s pledge does not.

Facts on the ground point in the opposite direction: consumers already pay for data centers, the economics make “paying their own way” implausible at scale, and the industry fights efforts to put that promise into law.

The scope of the problem

The hyperscale build-out being stacked on top of roughly 4,000 existing facilities is not a “burden” on the grid. It is an industrial-scale demand shock.

MIT Technology Review reports that AI alone could soon consume as much electricity as 22% of all U.S. households. Boston Consulting Group projects data center energy needs of up to 1,050 terawatt-hours annually by 2030 — about 120 gigawatts on average. That figure exceeds current U.S. nuclear capacity by roughly 23%.

To put it in plain terms, the United States has about 97 gigawatts of nuclear capacity across 94 reactors. If the high end of OpenAI’s hyperscale ambitions materializes, those facilities alone would require roughly 36% of total U.S. nuclear capacity.

Now scale it out. Clearview estimates that if the 680 planned data centers get built and become operational, they would require the energy equivalent of 186 large nuclear power plants.

That should end the fantasy that these companies can “pay their own way” while drowning in debt, burning cash, and chasing thin margins.

These are not last decade’s data centers, either. Bloomberg reports that only 10% of facilities today draw more than 50 megawatts. Over the next decade, the average new facility will draw well over 100 megawatts. Nearly a quarter will exceed 500 megawatts, and a few will top 1 gigawatt.

Electricity is only the first bill. This demand shock forces major grid upgrades: transmission lines, transformers, substations, and capacity expansions. Utilities do not eat those costs. They pass them on to taxpayers — that is, us.

Wood Mackenzie estimates that AI-driven build-outs will push transformer demand beyond supply by about 30% this year, driving costs up and delaying projects. Consumers will pay for that, too.

RELATED: How data centers could spark the next populist revolt

Photo by Jim West/UCG/Universal Images Group via Getty Images

We already pay for data centers

Consumers already pay. Any serious fix starts with admitting it.

Yet Interior Secretary Doug Burgum has the nerve to tell Americans that nobody has paid higher prices because of data centers.

Grid operators say otherwise.

Bloomberg reports that in areas within 50 miles of significant data center activity, wholesale prices have risen by as much as 267% over five years, with more than 70% of recorded price spikes occurring near that activity. Dominion, the largest utility in Virginia — home to “Data Center Alley” — cited data center demand as a factor in proposing a base-rate increase that would add $8.51 a month to typical residential bills in 2026 and another $2 a month in 2027. That comes after rates already surged 13%.

Then look at PJM, the nation’s largest grid. Monitoring Analytics, PJM’s independent market monitor, says consumers will pay $16.6 billion to secure future power supplies from 2025 through 2027, with about 90% of that bill tied to projected data center demand. Monitoring Analytics called it a “massive wealth transfer” from consumers to the data center industry.

Costs spread across state lines. Maryland transmission infrastructure helps serve Northern Virginia’s data centers. In Baltimore, some residents have seen steep bill increases over three years, with additional increases anticipated starting mid-2026. Across the PJM region, capacity charges spiked 833% for the 2025-2026 period as supply struggled to keep up with these behemoths.

Texas faces its own version. ERCOT expects data center demand to exceed 22,000 megawatts by 2030, which could push wholesale rates up 22% or more, even before population growth enters the equation.

Argue about the projections if you want. Do not tell the public they will not pay more for data centers. They already do.

That reality explains why the industry resists any effort to put teeth behind its “we will pay our own way” pledge. Oklahoma state Rep. Jim Shaw (R) introduced HB 3724, which would have required data centers to pay their own way. Every Republican on the committee voted it down.

So the next time the pitch arrives — that you will not pay a dime extra once the facilities go live — treat it as marketing, not math.

Do not trust. Only verify.

​Opinion & analysis, Artificial intelligence, Ai data centers, Power grid, Nuclear power, Water, Zoning, Farmland, Housing, Supply and demand, Big tech, Donald trump, Costs, Affordability, Electricity bills, Mit technology review, Nuclear capacity, Texas, Maryland, Baltimore, Oklahoma, Jim shaw