Advanced ➔ Results Brett Arends's ROIOpinion: Why Republicans are defending this lucrative Medicaid scamGuess who’s paying for the costs of hospitals and nursing s in red states.
Last d: June 28, 2025 at 11:31 a. ETFirst Published: June 27, 2025 at 3:56 p. ETResizeListen(5 min)Sen. Thom Tillis of North Carolina urged his fellow Republicans to tect the Medicaid “vider tax.
” Photo: Getty ImagesThom Tillis, the Republican senator from North Carolina, let the cat out of the bag this week.
He urged his fellow Republicans to tect the Medicaid “vider tax” boondoggle from posed cuts in the GOP’s “big, beautiful” tax bill — because their own constituents were making so much money out of it.
Tillis revealed that supposedly “conservative,” Republican-voting red states were using the Medicaid loophole to dump the costs of their hospitals and nursing s on federal taxpayers — meaning the rest of us.
The take totals billions of dollars a year, his analysis showed.
The Author Brett ArendsBrett Arends is an award-winning financial writer with many years experience writing, economics and personal finance.
He has received an individual award from the Society of American Editors and Writers for his financial writing, and was part of the Boston Herald team that won two others.
He has worked as an analyst at McKinsey Co. , and is a Chartered Financial Consultant. His book, "Storm of Your Money", was published by John Wiley Co.
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