← The Clay Travis and Buck Sexton Show
The Clay Travis and Buck Sexton Show
Wellness Unmasked: The Future of U.S. Healthcare: Fixing Home Care, Fraud, and Broken Policies
00:31:56
Loading summary
Transcript73 lines
- [00:00]
Amazon Pharmacy Narrator
Amazon Pharmacy presents painful thoughts 20 more minutes to kill in the pharmacy before my prescription is ready. Maybe I'll grab some deeply discounted out of season Halloween candy. I never had a chocolate pumpkin with raisins before. Those were raisins, right? Next time use Amazon Pharmacy. We deliver. And no, those were not raisins. Amazon Pharmacy Healthcare just got less painful.
- [00:30]
Odoo Advertiser
Running a business is hard enough. Don't make it harder. With a dozen apps that don't talk to each other. One for sales, another for inventory, a separate one for accounting. That's software overload. Odoo is the all in one platform that replaces them all. CRM, accounting, inventory, E Commerce, hr. Fully integrated, easy to use, and built to grow. With your business, thousands have already made the switch. Why not you try Odoo for free@odoo.com that's odoo.com at TJ Maxx feel more.
- [01:04]
Culligan Water / TJ Maxx Advertiser
You than ever without compromise. Because we never make you choose the quality you want, the styles you crave and the prices you love. It's all at TJ Maxx so you can focus on just being you. With so many finds arriving daily, that means so many ways to show your unique style. Shop in store and online at tjmax. Com and Max, what makes you you? You lather, rinse, moisturize, repeat and repeat. But it never feels like enough. It's not your products, it's your water. Hard water leaves a mineral residue that clogs, pores and dries out hair. Culligan water softeners remove damaging minerals, revitalizing brittle hair and dry skin. Upgrade your shower and skincare routine with Culligan water you love.
- [02:04]
Dr. Nicole Safire
Welcome to wellness unmass. I'm Dr. Nicole Safire and today's conversation is about something every American feels Whether you're healthy, sick, young or old, it's essentially the cost of care and who actually gets left behind. When the system breaks healthcare, it's obviously getting more expensive. Insurance is becoming much more expensive, more confusing, and millions of families are staring down at the expiration of the ACA subsidies that have been propping up coverage for years. And at the same time, we're seeing headlines about fraud in government funded programs, including Minnesota, that raise uncomfortable but necessary questions about oversight, accountability and trust, especially when it comes to some of these small businesses and home health care. Home health care is one of the most important things when it comes to caring for our patients and also our elderly. But I wanted to bring in someone today to talk about what's available for people, why we should consider home Health care, but also how can we prevent some of the fraud like we saw in Minnesota? Joining us today is Julian Hagman, CEO of Caring Professionals, which is an organization working directly with some of our most vulnerable populations. Julian, I am so glad to have you today because you let me tell you, healthcare is a mess. And heading into 2026, you know, I would have liked to seen us get a little bit more of a handle on healthcare in the United States, but we haven't yet, so let's just dive right in. I want to kind of talk to you about, paint us a picture for us, what does the healthcare system look like right now for patients and families that you're serving every day?
- [03:41]
Julian Hagman
So the healthcare system currently in New York state, that's primarily my patient base, is becoming more segregated through legislature tearing the program apart and really not offering continuity of services by one individual provider to the end recipients, whether they're an elderly individual who needs care or whether they're disabled individual who needs assistance with daily living. They're really stripping apart the home and community based models to create fractured care across the spectrum.
- [04:14]
Dr. Nicole Safire
So what is actually doing that? You're saying health policy does that. So what are you seeing? Like why is care being fractured?
- [04:21]
Julian Hagman
So for one instance is one home care model. It's called the consumer directed Personal assistance program, in which the legislature opted to remove the existing providers throughout the state and consolidate it to one provider statewide. In essence creating monopoly, a state sanctioned monopoly of that program, eliminating choice for the consumers and creating more of a risk for those individuals to be hospitalized or be institutionalized down the road because they don't have other supports that would help them service their needs well.
- [05:00]
Dr. Nicole Safire
So you just made a buzzword that I have said a lot. You talked about consolidating care and monopolizing healthcare industries. I mean, my opinion is a lot of this happened under the Affordable Care. What do you make of it?
- [05:12]
Julian Hagman
I think a lot of that, that's where it all started. I think that's where, you know, the seeds were initially planted and the states then took those seeds and grew them how they see fit through whatever model or whatever care model that state wanted to opt to use. That. In New York we see it through home and community based care. In Minnesota, we see it through social adult daycares, our children's daycares. It's, you know, all the same funding source originally and it all stems from that initial aca.
- [05:43]
Dr. Nicole Safire
I'm going to get to Minnesota in a second because obviously the fraud that has occurred there is a hot topic right now. But one thing I do want to touch on is the fact that the ACA Affordable Care act subsidies were set to expire end of 2025. Now, a lot of people don't realize, especially with all the media headlines, that these enhanced ACA subsidies that came out during COVID under the inflation Reduction act by President Biden, these were always meant to be temporary. It's not like Republicans or President Trump put an end to them. They were always meant to be temporary. But because they expired at the end of 2025 and there wasn't really a replacement plan or there wasn't an extension through 2026, now they're expiring. And so millions of people could actually have a rise in their premiums. How do you think that this is going to affect people?
- [06:34]
Julian Hagman
Oh, it's. It's the other that I have. A lot of people that, you know, were receiving the benefits of this program have a very shocking surprise when they see the sticker. Sticker price of their health insurance premium skyrocket. Right. So I'm, I'm not included in that mix. Right. So I, and I pay, you know, health insurance through my employer, and it is very expensive. You know, I hear that from my employees also that it is very expensive. And, you know, it just sort of is the world that we live in today. And then when you see these other individuals who are paying, you know, whether it be 70 to $140 a month for their insurance, like, wow, that's a steal. How are you on that? And then you peel back that onion and you find out, okay, well, you're subsidized through here. Or, you know, and you really, you know, get to the root of the issue. Well, you know, you seem to have a good job. You probably could be able to afford it. You know, seems like these subsidies should be going away. That's my opinion on it.
- [07:34]
Dr. Nicole Safire
Yeah. Well, you're right that these premiums are going to increase. Probably far too many people are receiving these premiums. As you said, they probably could be affording less expensive plans. The issue is, under the Affordable Care act, these plans were mandated to be comprehensive. They have to cover everything from preventative care to treatments. And, you know, one of the issues with that is that's just not really how insurance works. I mean, if you think about car insurance, that's like saying, well, well, your car insurance has to cover, I don't know, your oil changes or even your car washes. Anything that's preventative maintenance for a car needs to be covered. By insurance. Well, what's going to happen? Your insurance cost is going to go up if all of a sudden they're paying for all these things. But this is not a conversation about Affordable Care Act. I could talk about it for hours, days, years. I wrote a book on it. I'm not a fan, if you can't tell. So one thing that I obviously worry about is, you know, we're now going to see delayed care, maybe people not taking medications because the premiums went up, so they don't want to afford them. People are going to use the ER and urgent cares more than their primary care doctors. But you have actually created a niche in the healthcare movement in the sense that, you know, you want to give the support and funding to the people who are actually doing a lot of the care. Like, I mean, future families, friends actually provide a lot of care and in home care is one of the best things for patients. Tell us a little bit about that.
- [09:01]
Julian Hagman
Yeah, absolutely. So my whole philosophy is keep people in the home, keep people in community where they want to be. I've seen my own family, friends go through with their elderly parents, putting them in nursing homes and the disastrous, you know, response from that from the parents being put into these institutionalized settings.
- [09:22]
Culligan Water / TJ Maxx Advertiser
Right.
- [09:22]
Julian Hagman
Everyone would prefer to stay home. I think we can all agree it's, it's universal, it's bipartisan. People want to stay home in communities with the neighbor they know, with the people they know in the street and ensure that they get the care that is given to them. That's what I have built. I have built a all encompassing home care service agency. We have many different services that many different lines of business, all that are structured to keep the individual in the home and, and work with the individual to prevent those hospitalizations, prevent those times when they miss medications that lead to another hospitalization. Right. We're the first line of defense that really comes to try and prevent the state from expending more money into these programs. Right. We're in the home, we see what's going on. We're finding these fall hazards and these trip hazards. That is a line item on the budget. It shows how much we are spending as a state for these preventable hospitalizations and it's in the billions. And so if we're able to prevent, you know, even 10% of that, that's a job well done and we've prevented that hospital expense to go down. That's our goal is, you know, we want to increase and provide more supportive services in the home to reduce unneeded hospitalization admissions as well as nursing home admissions as well, as.
- [10:47]
Dr. Nicole Safire
Well. Well, from where you sit, does it feel like the health care policy conversations are that they're talking about being designed like the catastrophic plans with increased funding for hsa? You know, is this designed to focus on patient needs and would this be beneficial in your opinion?
- [11:05]
Julian Hagman
I think it is. And I, and I know the Trump administration, through cms, have been coming out with different pilot programs that would be launching this year and the following year that is really aimed to look at these preventable measures to that people are getting the care that they deserve in the home rather than moving to more expensive institutionalized settings or moving into the ER visits that are extremely expensive as well.
- [11:32]
Dr. Nicole Safire
Now, you know, we're talking about these home programs, but one of the, you know, the big barriers for people being able to be caregivers for their friends or family is that, I mean, they have to work, they have to go out and they have to work, which is why, you know, it's dangerous to leave sick or elderly people at home alone. And, um, and so that's kind of the conundrum that people find themselves in. So, you know, what you guys do is you work with the state to get funding for people to care for their family and friends, is that right?
- [12:03]
Julian Hagman
That's correct. That's exactly how the program was started. And that has been the core values of the consumer directed program, right? As we enable the consumer, the individual receiving care, to be able to go out and find their own caregiver, it really helps. In rural areas of the state where, you know, the labor force is extremely low and it could be absolutely no labor force in that area. Right? We empower the consumer and their family, say, hey, well, do you know anybody? Do you go to the library? Do you go to a college? You know, buddy, that has extra time that would be able to get compensated, that you trust to be able to come into your home. And that's in the rural areas. And then you look in the cities, right? You have people that can have other friends, neighbors, relatives come by and take care of them. And it's better than sending a stranger into the home. So, you know, half of a big portion of my business, roughly half, is the traditional home care model where I am sending workers that have been vetted, trained, educated by RNs into the home to care for you, right? With that model, we're unable to provide medication, administer insulin, you know, even hand pills to the recipient. The CDPAT program, they're able to do all that. They're able to provide the insulin shots, they're able to hand them the medication. They're able to do more interactive and thoughtful things rather than the license side. And this is just because, you know, on the license side, the traditional home care side. Right. These aren't LPNs, these aren't RNs. They're home home carriers. Right. So they, they do go through basic schooling. They go through, you know, basic courses on this. They are trained annually by nurse instructors. But yeah, they, we're, we're held by the skilled level. Right. Because they're not a high acuity skill like an RN or an lpn. We can't allow them to be very.
- [13:59]
Dr. Nicole Safire
Expensive by the way and wouldn't fit the model.
- [14:02]
Julian Hagman
Yeah, it would be very expensive and it'll blow the model way out of proportion. But they are unable to do that stuff. Rather than the consumer side, the consumer directed side. Right. They've already dealt with these. They've. We have families that deal with trach tubes and feeding through a trach tubes and cleaning of those things. Right. And that's very, that's very higher skilled care that is able to be offered rather than going into, like I said, a nursing home setting where that especially that high acuity skill is going to be exasperated in cost.
- [14:33]
Dr. Nicole Safire
You're listening to Wellness en Masse. We'll be right back with more.
- [14:38]
Odoo Advertiser
Running a business is hard enough, so why make it harder With a dozen different apps that don't talk to each other. One for sales, another for inventory, a separate one for accounting. Before you know it, you are drowning in software Instead of growing your business. This is where Odoo comes in. Odoo is the only business software you'll ever need. It's an all in one fully integrated platform that handles everything. CRM, accounting, inventory, E commerce, HR and more. No more app overload, no more juggling logins. Just one seamless system that makes work easier. And the best part, Odoo replaces multiple expensive platforms for a fraction of the cost. It's built to grow with your business whether you are just starting out or already scaling up. Plus it's easy to use, customizable and designed to streamline every process so you can focus on what really matters running your business. Thousands of businesses have made the switch, so why not you try Odoo for free@odoo.com that's o d o o dot com.
- [15:40]
Cindy Crawford
Hi, I'm Cindy Crawford and I'm the founder of Meaningful Beauty. Well, I don't know about you but like I never liked being told oh, wow. You look so good for your age. Like, why even bother saying that? Why don't you just say you look great at any age, Every age. That's what Meaningful Beauty is all about. We create products that make you feel confident in your skin at the age you are now. Meaningful beauty, beautiful skin at every age. Learn more@meaningfulbeauty.com.
- [16:16]
Culligan Water / TJ Maxx Advertiser
You lather, rinse, moisturize, repeat, and repeat. But it never feels like enough. It's not your products, it's your water. Hard water leaves a mineral residue that clogs pores and dries out hair. Culligan water softeners remove damaging minerals, revitalizing brittle hair and dry skin. Upgrade your shower and skincare routine with Culligan water you love.
- [16:44]
Amazon Pharmacy Narrator
Amazon One Medical presents Painful Thoughts.
- [16:49]
Culligan Water / TJ Maxx Advertiser
I've been on hold to make a doctor's appointment for 23 minutes now. The automated voice has told me 47 times that my call is very important to them. Hmm, I'm starting to think that they don't think my call is important at all.
- [17:04]
Amazon Pharmacy Narrator
With Amazon One Medical 24. 7 Virtual Care, you'll get help fast without having to remain on the line to make an appointment. Amazon One Medical Healthcare just got less painful.
- [17:16]
Dr. Nicole Safire
Who determines? Obviously, as a physician myself, I quickly question who's determining what level of skill level, the care, what level of care that these patients need? Like you're talking about cleaning out trachs or administering like insulin, maybe like an injectable blood thinner. We tend to want healthcare professionals to do this. So like who determines that it's okay for maybe like a wife or a family member to do the trick?
- [17:46]
Julian Hagman
So it's their primary care physician. That's where, that's where it would start. And then after from that primary care physician, basically referral or script, right. Then the state would come out and do another assessment. The managed care that your insurance is provided through would come out and do an additional assessment. And then as the fourth level, I would come in as a service provider and do an assessment as well to ensure that nobody missed anything, that we're all on the same page with the care model. The plan of care matches what the patient seems to need with our nursing going in there and taking a look. And so there are checks and balances in place to ensure that nobody coming off the street can get into this program and, you know, be put at risk. We're ensuring by going out there and actually physically seeing the patient that they are in need of these services and the services can be rendered safely.
- [18:40]
Dr. Nicole Safire
Well, and home based care, it's obviously usually less expensive, more humane, and truly a better quality for life for a lot of these people. I mean, you've seen some of the stories about the home health aides that either verbally abusive, physically abusive, mainly because they're overworked, underpaid, they just. Resentment can breed. So I love the home health model. But shifting to Minnesota, which has been taking over the headlines and there essentially you saw a whole bunch of fraud, whether it was from kind of fake childcare facilities, but also on top of that you also saw a lot of fraudulent medical claims for services that weren't really being rendered. Like, how do you strike that balance between, you know, strong oversight of the program to prevent fraud and making sure legitimate, legitimate care is actually being given.
- [19:30]
Julian Hagman
So I love that question and you know, I'm going to answer that in a sort of long winded way and what my experiences is in New York and how I can really tie those two together. You know, so in addition to my role at Caring Professionals, I also sit on a few different boards. So I'm the president of the alliance to Protect Home Care. I'm the executive secretary for the Consumer Directed Personal Assistance association of New York State. And I was also the Long island chapter president for the Home Care Providers association up until about six months ago. But I held that, that role for three also. All in all, I've, I've, I've held these roles for close to six years. And so I've been very entrenched in the politics and the policy and the advocacy efforts that go into these programs. And just to rewind the clock in New York to 2018, 2019, my advocacy really switched to going up to Albany and begging the legislature and begging the executive office that this program is growing at a extreme amount of pace. We need to put guardrails on to ensure that the program stays true to the values in which it was created and ensure that the only individuals coming onto the program are individuals that are warranted to receive the benefit. For five years, I went up there every single year, multiple times. I mean, multiple times, we're talking 12 trips to Albany.
- [20:55]
Dr. Nicole Safire
It feels like you're banging your head against the wall sometimes, right when you.
- [20:58]
Julian Hagman
Go to the legislative, it, it doesn't make it. They, they want to tell you how a program works. Even though they've never worked a day in an operation of, of the program. They're like, this is how it works. And they're telling me and I'm like, what, what are you. This the furthest from the truth that's not how anything works. It might be how you, you write it down in legislation. But let me show you the real world on, on what your, you know, pen stroke really does. Right, but so for years I've been, I've been advocating that there needs to be guardrails, there needs to be, you know, somebody that is looking on the program. We've asked omig and all these things. Then Fast forward to 2023 and you know, now that everyone had the data right, we have the Department of Labor and bureau statistics coming out saying that home and community based care is the fastest growing labor segment in New York. It was like, well, I've been telling you past four years that it's the fastest growing segment. And you were just sitting there and then, you know, we see the state come in and say, okay, well there's so much fraud in this program, we need a complete change. And we kept saying, well, show me the instances of fraud, show me the instances of fraud. I believe there's fraud in the program. There's fraud in any Medicaid program under the sun. So that's not an argument you're not going to argue, but show me the instances of fraud so I can help you root those out. Right. And they could never show me anything. They would always point to a case which the Department of Justice prosecuted. And I, my response to them was, well, it seems like our justice system is working. They were caught, they were prosecuted, they faced fines, they were either arrested, you know, so that's good, I'm happy that, that that's public and that's out there. Where are these other cases of fraud? And they could never, you know, show me the receipts for any of this stuff. But so in 2023 became the idea, let's move, let's consolidate 600 providers throughout the state to one provider, giving a state sanctioned monopoly to this provider. That path in the 2023, 2024 budget.
- [23:06]
Dr. Nicole Safire
So you're saying there's a single private entity who received all of the state funding for home care, for the, for.
- [23:13]
Julian Hagman
This one program, for consumer directed program, and it's $12 billion a year. Just as one program, that, that's it. So they became the sole provider for that program, eliminating choice, which is a federal requirement. And especially in Medicaid programs, the consumers need to have choice of providers. Now there's only one provider. So they ignored all the federal law there.
- [23:36]
Dr. Nicole Safire
What's the name of that provider?
- [23:38]
Julian Hagman
Public Partnerships llc. Additionally, in the budget language, they were moving to a request for proposal in that language. The governor bypassed comptroller review, so the comptroller had no chance to review this 12 billion 5 year contract. So it's really a $60 billion contract. So the comptroller was excluded from reviewing this contract. They banned myself as well as the other experienced contractors from, from applying to this rfp. Instead, they chose the state, this, this company, Public Partnerships, who has never worked in New York State before. It's kind of just crazy there. I still can't get over that. And you know, like I said, it's. It goes against all of the federal Medicare and Medicaid regulations that govern home and community based programs about offering choice.
- [24:33]
Dr. Nicole Safire
I mean, honestly, that sounds like there has to be something going on behind the scenes. Like immediately I want to start looking up like campaign donations.
- [24:43]
Julian Hagman
It gets a tricky web and I can take you through that, you know, to, to, to bring it to, you know, something that you'll be very familiar with. Now that this whole workforce is monopolized under one company, guess who's coming to knock at the door trying to get a piece of their pie? The 1199 SEIU. Right. Because now there's not 600 providers that they would have to go out to.
- [25:10]
Dr. Nicole Safire
And create the listeners just explain that just briefly.
- [25:16]
Julian Hagman
Yeah, yeah, yeah, sure. So 1199 FCIU is, you know, probably the largest labor union in the country in New York. I call them the fourth branch of government because that's what they are. They don't have opinions. They just get whatever they want in writing into legislation right away without questions. And it is beyond frustrating. And yeah, they stand to benefit on this. Over $200 million a year in dues.
- [25:43]
Dr. Nicole Safire
It sounds like it's a bit of a mess. Do you see a lot of these programs? I mean, does every state have similar programs to what you have?
- [25:50]
Julian Hagman
Yeah, every state across the union has a type of consumer direction as an abbreviation so that every state would have a consumer direction kind of program.
- [26:00]
Dr. Nicole Safire
But so now if the ACA subsidies expire, which they have, and the replacement plans do not have expanded subsidies and the Medicaid budgets tighten, which we know that they're going to, what happens to some of these programs?
- [26:15]
Julian Hagman
They start going away, they start disappearing. I mean, I would love them to look elsewhere. Right. I mean, when you look at a New York State budget, I mean, without, you know, the sticker shock of throwing up in your mouth the first time when you see the total bill of it, but when you actually start going through it, you look at all these hundreds of millions of dollars being thrown away in Consulting, Right. And then so you want to peel that one back more, right? And we're paying hundreds of millions of dollars a year for people to consult with our Department of Health on Medicaid programs. And it's ridiculous the providers would be able to help you more than a consultant. Right. Because we know what's happening on the ground and no one ever comes and asks providers what's the best way to do this. Right. It's all from an office building somewhere or a zoom meeting somewhere. So that's one portion, Right. Then you can look at hospitals. Hospitals eat up majority of the state's budget on the Medicaid, the non pay readmissions and all these items. But let's work on decreasing those and actually putting a value based plan together. I'm sure you've heard a lot in the past five years about value based care and you know, that's the way everything's moving and the realization of it.
- [27:27]
Dr. Nicole Safire
Bundled payments were tied to the Affordable Care act and all they did was drive up costs. And they haven't actually shown any improvement.
- [27:35]
Julian Hagman
In outcomes because they haven't done anything. They had the contract, they took the money, but they haven't done anything. You know, they, they came to us with the whole big plan. This is our, what we want to do. We want to prevent these hospitalizations, improve patient outcomes. Me, my nursing staff and the community were very excited, right? Because we actually get to do more, right? We get to go into the patient's house once more a month and do more surveys and see what's going on and ask more questions on offer, offer more support. And instead we were met with confusion with, okay, well what are we supposed to do? This is my plan. This is, you know, how I plan to reduce hospitalizations. This is how I plan to get people who are a living alone, lonely and distressed alternate care to come in, to talk to, to try and alleviate that some of that depression. We wrote out all the plans, but there was nowhere to actually implement them because I wasn't really allowed to. Right. And on the flip side of that, I wasn't going to be compensated to be able to go out and do these kinds of additional outreach and work to ensure that these people are receiving the care. And so there's just been a disconnect all up and down regarding that stuff that it never reached the end provider myself to actually the person on the grounds who's doing the work.
- [28:58]
Dr. Nicole Safire
So here's my question for you. Say any of these policymakers, Congressional, House, Senate or even President Trump were Listening right now. What do they need to do to ensure that there's adequate funding and access to some of these programs? Because as we have said, keeping people at home, instead of going into the nursing home or nursing homes or some of these other facilities, or even bringing strangers in the home, they do have better outcomes and it's less expensive. So what from a policy level needs to be done.
- [29:27]
Julian Hagman
I think, I think it needs to be stopped from the start, from the top down. And I think a lot of these programs need to be inspected and reviewed and graded and I think all these contracts need to be gone through and torn through because you want to talk, you know, you always hear about the waste, fraud, waste and abuse and it's always the, the provider or the consumer or the worker. But what about the state officials that are making these contracts and to the tunes of hundreds of millions of dollars that don't provide any actual benefit? That's the real fraud, that's the real miscarriage of justice here. And it's not the, the, the mom who, you know, got twelve hundred dollars fraudulently, it's the company that, you know, is paying some PAC somewhere, you know, a million dollars to get a hundred million dollar contracts. That's what needs to be rooted out. And if we can root that out, there'll be plenty of money for all these programs left over.
- [30:22]
Dr. Nicole Safire
That's interesting. I mean, the president is putting together a task force to start looking at fraud when it comes to specifically Medicaid. But so putting it to the state legislative levels is actually a pretty brilliant piece, as we know in New Jersey. So I practice in New York and New Jersey. The consolidation of hospital systems and the monopolization there. We know that these hospitalizations, these hospitalizations and these insurance goliaths absolutely contribute and have open door policy with these politicians in the state. So it's pretty interesting and upsetting, very upsetting to see.
- [31:02]
Julian Hagman
It's, it's, it's been upsetting. And I, you know, I've, I get a lot of support phone calls from my colleagues saying, you know, are you coming up to Albany this year? And it's like, I really don't want to, I really don't want to. You know, I've seen how the sausage is made and there's no changing it. Right. Everybody is stuck and the way that things are done and nobody wants to change to improve on systems, to make things better, to move things into the future. Right. I have the same argument for when people say, okay, well, nonprofit's better than for profit. And I say okay, well hold that thought there. Without for profit companies, there would never be efficiencies, there never be innovations, there never be improvement on a current product or a current service. Not for profits. You know, they chug along at the same pace for profits are looking for better ways to do things consistently.
- [31:55]
Dr. Nicole Safire
Well. Also, let's mind that nonprofit is really just a tax standing. I mean they still function in a profitable way. Oftentimes just look at some of the salaries of the executives.
- [32:09]
Julian Hagman
That's correct. That's correct. But if you, if you don't even want to go down that road, right. And you just want to talk about the benefit of it, then that, that's my argument to it More Coming up.
- [32:18]
Dr. Nicole Safire
On Wellness unmasked with Dr. Nicole Safire.
- [32:22]
Odoo Advertiser
Running a business is hard enough, so why make it harder? With a dozen different apps that don't talk to each other. One for sales, another for inventory, a separate one for accounting. Before you know it, you are drowning in software. Instead of growing your business, this is where Odoo comes in. Odoo is the only business software you'll ever need. It's an all in one, fully integrated platform that handles everything, CRM, accounting, inventory, E commerce, HR and more. No more app overload, no more juggling logins. Just one seamless system that makes work easier. And the best part, Odoo replaces multiple expensive platforms for a fraction of the cost. It's built to grow with your business whether you are just starting out or already scaling up. Plus, it's easy to use, customizable and designed to streamline every process so you can focus on what really matters running your business. Thousands of businesses have made the switch, so why not you try Odoo for free@odoo.com that's o d o o.com hi.
- [33:24]
Cindy Crawford
I'm Cindy Crawford and I'm the founder of Meaningful Beauty. Well, I don't know about you, but like I never liked being told oh wow, you look so good for your age. Like, why even bother saying that? Why don't you just say you look great at any age? Every age. That's what Meaningful Beauty is all about. We create products that make you feel confident in your skin at the age you are now. Meaningful Beauty. Beautiful skin at every age. Learn more@meaningfulbeauty.com.
- [33:59]
Culligan Water / TJ Maxx Advertiser
You lather, rinse, moisturize, repeat and repeat. But it never feels like enough. It's not your products, it's your water. Hard water leaves a mineral residue that clogs, pores and dries out hair. Culligan water Softeners remove damaging minerals, revitalizing brittle hair and dry skin. Upgrade your shower and skincare routine with Culligan water you love.
- [34:28]
Amazon Pharmacy Narrator
Amazon Pharmacy presents painful thoughts. 20 more minutes to kill in the pharmacy before my prescription is ready. Maybe I'll grab some deeply discounted out of season Halloween candy.
- [34:42]
Odoo Advertiser
Hmm.
- [34:43]
Amazon Pharmacy Narrator
I never had a chocolate pumpkin with raisins before. Those were raisins, right? Next time use Amazon Pharmacy. We deliver. And no, those were not raisins. Amazon Pharmacy healthcare just got less painful.
- [35:00]
Dr. Nicole Safire
So I mean, taking this down to the human level, I mean, obviously this has been a policy heavy conversation, but at the end of the day, why is it important for people, people to consider home care? Some of the stuff that we've been talking about and if they want to do it, you know, what are some resources they can look into?
- [35:17]
Julian Hagman
Yeah. So like I said, every state has home care, right? Every state has a version of consumer directed care. Yeah. It's up to every individual. I can't speak for everybody. Some people may want to move into a nursing home. From the people that I've spoken with, the people that we service, the employees that we employ. Right. We've been around for 32 years. We have employees that we are now servicing that were once a home healthy. You know, it is a much better quality of life. The results, you know, in terms from the patient aspect of things, in terms staying engaged in the community, you know, keeping their mental awareness about all those things that, you know, are extremely important to a person's well being, are best treated in the home, you know, to find out more about any kind of these programs, you know, check your state's website. All the states have access and have offerings. What the requirements are very state by state. But you know, it's, it should be on everybody's radar, especially you know, for the people that are aging in place and disabled individuals across the, across the country.
- [36:24]
Dr. Nicole Safire
And all you have to do, if you're really questioning whether or not home care is a good option, is look at the blue zones all across the world. The blue zones are where you have, people are living the longest and the healthiest. Shocking. We don't have many of them in the United States, but if you look, there are various places across the world that you know based on diet activity. But one of the big pillars to people living longer and healthier lives is that they are maintained as part of a community. So you know, here in the United States, when you reach a certain age, sometimes you're, you almost turn into the infant again. Everyone's just surrounding you and caring for you and kind of putting grandpa in the corner and not keeping them actively engaged. Whereas in some of these blue zones, grandpa still is the patriarch of the family and he's treated that way. And so by just having that sense of place in the family, in the community, being at home, socialization, all of these things contribute to better outcomes in terms of physical but also mental health. So huge. I'm a huge supporter of home healthcare. I also think that we as family members already do a lot of work. Wouldn't it be great to be compensated for some of the work and maybe you don't have to go and get that third or fourth part time job just to help care for someone to pay for a home health aide. You can actually just be paid for the work you're already doing.
- [37:48]
Julian Hagman
Absolutely. I mean, you hit the nail on the head, right, with the blue zones. It's really about staying engaged. You know, when people sit in a nursing home or even at their own home and they don't have anybody to talk to and they don't have anybody to engage with and they don't, you know, you start deteriorating, your mind deteriorates, your body deteriorates, everything just starts sliding downhill real fast. And so the goal should be to keep everybody engaged and active.
- [38:15]
Dr. Nicole Safire
That's right. All right, well, Julian Hagman, CEO of Caring Professionals and also an advocate for patients and providers. I appreciate you. Thank you so much for coming on Wellness Unmasked.
- [38:26]
Julian Hagman
Thank you very much. I appreciate it. Have a great day.
- [38:29]
Dr. Nicole Safire
This has been such an important conversation because healthcare debates too often happen far away from the people actually affected by them. Rising costs, the expiring, subsidies, fraud, scandals. They're not just headlines, they're stressors that determine whether someone actually gets care or. Or goes without it. Thank you so much for listening to wellness unmasked. I'm Dr. Nicole Safire. Until next time, make sure you're staying informed. We'll continue asking hard questions and never forget that behind every policy decision is an actual person. Make sure to tune in to Wellness unmasked with Dr. Nicole Safire on iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. And we'll see you next time.
- [39:10]
Amazon Pharmacy Narrator
Owning a home is full of surprises. Some wonderful, some not so much. And when something breaks, it can feel like the whole day unravels. That's why Homeserve exists. For as little as $4.99 a month, you'll always have someone to call, a trusted professional ready to help, bringing peace of mind to four and a half million homeowners nationwide. For plans starting at just $4.99 a month, go to HomeServe.com that's HomeServe.com not available everywhere. Most plans range between $4.99 to $11.99 a month. Your first year terms apply on covered repairs.
- [39:40]
Greenlight Advertiser
This message comes from Greenlight. Ready to start talking to your kids about financial literacy? Meet Greenlight, the debit card and money app that teaches kids and teens how to earn, save, spend wisely and invest. With your guardrails in place with Greenlight, you can send money to kids quickly, set up chores, automate allowance, and keep an eye on what your kids are spending with real time notifications. Join millions of parents and kids building healthy financial habits together on Greenlight. Get started risk free@greenlight.com iHeart Premier Protein it's for getting after life, not just Fitness. With 30 grams of protein, 160 calories and no sugar added, helping people fuel their joyful lives with Premier Protein, you can say yes to more. Whether it's crushing a big presentation at work, building an epic fort with the kids, or hitting the hiking trail with friends, Premier Protein offers delicious flavors like cafe latte, chocolate, caramel, vanilla, strawberry and cake batter, to name a few. Find your favorite flavor@premierprotein.com youm see it instantly.
- [40:41]
Culligan Water / TJ Maxx Advertiser
It's Coldwater Creek, the mark of exceptional workmanship and signature touches inspired by a Mountain west heritage. Distinctive styles created from quality fabrics, silhouettes perfected with just the right drape feel.
- [40:54]
Cindy Crawford
Good fits offering ease of movement and.
- [40:56]
Culligan Water / TJ Maxx Advertiser
Thoughtful details to elevate your look. For a wardrobe you can count on season after season, visit coldwatercreek.com shop the new spring collection at 20% off $75 or more with code iheart20.