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What the Government Shutdown Was Really About with Elias Tsapelas

What the Government Shutdown Was Really About with Elias Tsapelas

Nov 20, 2025

Susan Pendergrass is joined by Elias Tsapelas, director of state budget and fiscal policy at the Show-Me Institute, to explain...

Checking Medicaid’s Pulse

Checking Medicaid’s Pulse

Nov 12, 2025

Are dead people on Missouri’s Medicaid program? Shockingly, the answer appears to be yes. Last month, the Missouri State Auditor’s...

Reform First, Dollars Second

Reform First, Dollars Second

Oct 16, 2025

If policymakers were worried about the One Big Beautiful Bill’s impact on healthcare in Missouri, they may soon find it’s...

Medicaid in Trouble?

Medicaid in Trouble?

Oct 1, 2025

Missouri’s Medicaid enrollment numbers are telling a story, but it may not be one that the federal government wants to...

SNAP Back to Reality

SNAP Back to Reality

Sep 5, 2025

Medicaid wasn’t the only welfare program that received significant reforms in the One Big Beautiful Bill (OBBB). The Supplemental Nutrition...

More Big Beautiful Medicaid Changes

More Big Beautiful Medicaid Changes

Aug 11, 2025

Missouri’s Medicaid enrollment is up by almost 400,000 recipients since 2019, but how many of those newly on the rolls...

Medicaid Reform Incoming

Medicaid Reform Incoming

Jul 21, 2025

Ready or not, big changes are coming to Missouri’s Medicaid program. Earlier this month, President Trump signed the “One Big...

A Freeze in July?

A Freeze in July?

Jul 18, 2025

As a former tutor at a Tennessee Boys & Girls Club, a recent headline caught my eye: the Boys &...

Understanding the One Big Beautiful Bill with Elias Tsapelas

Understanding the One Big Beautiful Bill with Elias Tsapelas

Jul 8, 2025

Susan Pendergrass is joined by Elias Tsapelas, director of state budget and fiscal policy at the Show-Me Institute, to break...

The One Big Beautiful Bill’s Impact on Medicaid with Brian Blase and Elias Tsapelas

The One Big Beautiful Bill’s Impact on Medicaid with Brian Blase and Elias Tsapelas

Jun 12, 2025

In this episode, Susan Pendergrass is joined by Brian Blase, president of Paragon Health Institute, and Elias Tsapelas, director of...

Medicaid’s Check-Up: Part 5

Medicaid’s Check-Up: Part 5

May 8, 2025

At this point in my Medicaid blog series, it should be abundantly clear that the program is in dire need...

The Final Weeks of the 2025 Session

The Final Weeks of the 2025 Session

May 7, 2025

David Stokes, Elias Tsapelas, and Avery Frank join Zach Lawhorn to discuss: the final stretch of Missouri’s legislative session, including...

Medicaid’s Checkup: Part 4

Medicaid’s Checkup: Part 4

Mar 11, 2025

“Show me the incentive and I’ll show you the outcome.” This insightful quote from the late investor Charlie Munger is...

Medicaid’s Checkup: Part 3

Medicaid’s Checkup: Part 3

Feb 3, 2025

Now that I’ve covered how expensive Medicaid expansion has proven to be, it’s time to explain why things may be...

Pruning Missouri’s Bureaucracy: Lessons from FGA’s Report

Pruning Missouri’s Bureaucracy: Lessons from FGA’s Report

Jan 28, 2025

A new report from the Foundation for Government Accountability (FGA), Reducing Government Headcount: Proven Strategies for Reducing Bureaucracy While Improving...

Missouri Must Do Better at Controlling Spending

Missouri Must Do Better at Controlling Spending

Jan 27, 2025

A version of the following commentary appeared in the Springfield News-Leader. Elections and inaugurations are a time for reflection and...

Public Dollars for Public School Students: Discrimination of Choice

Public Dollars for Public School Students: Discrimination of Choice

Jan 9, 2025

Critics of school choice programs like to claim that these programs create new expenses for the government. They argue that...

Medicaid’s Checkup: Part 2

Medicaid’s Checkup: Part 2

Dec 30, 2024

In this post on my series about Medicaid in Missouri, I want to dive deeper into the effects of Medicaid...

Medicaid’s Checkup: Part 1

Medicaid’s Checkup: Part 1

Dec 19, 2024

One of the few things healthcare providers almost unanimously agree on is the importance of annual checkups. Among other benefits,...

Think Twice before Supporting a New Tax

Think Twice before Supporting a New Tax

May 27, 2024

A version of the following commentary appeared in the Platte County Landmark. Everyone wants to help kids thrive, right? Who...

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