It's A Numbers Game with Ryan Girdusky It's a Numbers Game: Medicaid Fraud, Falling Birthrates & the Future of America’s Cities
May 11, 2026
Luke Rosiak, investigative reporter at The Daily Wire known for exposing government spending abuses, joins to discuss alarming Medicaid home-care fraud. He walks through how waiver expansion opened doors to middlemen and coordinated networks. They also examine collapsing Catholic and public school enrollments, shrinking city populations, and what that means for urban budgets and union power.
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Unions Will Fight Closures As Enrollment Falls
- Declining enrollment will intensify budget fights with teachers unions that resist school closures and consolidation.
- Ryan warns cities like NYC could sell underused school buildings to ease deficits, but unions block closures.
New Data Pointed To Medicaid Hotspots In Columbus
- New federal HHS Medicaid spending data exposed suspicious clusters of home-care spending in Northeast Columbus, Ohio.
- Luke Rosiak ran queries that highlighted codes prone to abuse and led him to a Somali community epicenter.
Waivers Expanded Medicaid Into Personal Services
- Medicaid home-care waivers expanded from nursing-level care to pay for nonmedical in-home personal services, creating abuse risk.
- Luke explains waivers now pay family members or unskilled aides to do chores, massively increasing demand and costs.