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Ensuring equity and sustainability: Government's role in health care

Stethoscope on American national flag, close up
FabrikaCr/Getty Images

Health care stands at the crossroads of innovation and necessity. To function productively, our nation requires health care that is compassionate, equitable and accessible to all. As challenges such as rising costs, disparities in access and sustainability strain the U.S. health care system, government involvement emerges as a critical pillar in ensuring its viability.


In this episode of “Humanizing Healthcare,” we explore how public policies, funding mechanisms and regulatory oversight are not just components of health care but essential drivers of systemic progress. Our conversation highlights the government's role in balancing competing interests: fostering innovation while protecting vulnerable populations, managing costs without compromising quality and ensuring health care equity in the face of widening social divides.

Join me and Dr. Robert Pearl, bestselling author of “ ChatGPT, MD ” as we discuss how government collaboration with health care providers, insurers and communities can create a sustainable future. Together, we address pressing questions: How can public funding enhance the infrastructure and workforce to meet growing demands? What policies can better ensure equitable access across diverse communities? And how can we align incentives to prioritize outcomes over profit?

This episode is a must-listen for policymakers, health care professionals, and anyone invested in a fairer, more effective health care system.

Malone is founder of Fidelum Health


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An ICE agent monitors hundreds of asylum seekers being processed upon entering the Jacob K. Javits Federal Building on June 6, 2023 in New York City. New York City has provided sanctuary to over 46,000 asylum seekers since 2013, when the city passed a law prohibiting city agencies from cooperating with federal immigration enforcement agencies unless there is a warrant for the person's arrest.(Photo by David Dee Delgado/Getty Images)
An ICE agent monitors hundreds of asylum seekers being processed.
(Photo by David Dee Delgado/Getty Images)

The Power of the Purse and Executive Discretion: ICE Expansion Under the Trump Administration

This nonpartisan policy brief, written by an ACE fellow, is republished by The Fulcrum as part of our partnership with the Alliance for Civic Engagement and our NextGen initiative — elevating student voices, strengthening civic education, and helping readers better understand democracy and public policy.

Key Takeaways

  • Core Constitutional Debate: Expanded ICE enforcement under the Trump Administration raises a core constitutional question: Does Article II executive power override Article I’s congressional power of the purse?
  • Executive Justification: The primary constitutional justification for expanded ICE enforcement is The Unitary Executive Theory.
  • Separation of Powers: Critics argue that the Unitary Executive Theory undermines Congress’s power of the purse.
  • Moral Conflict: Expanded ICE enforcement has sparked a moral debate, as concerns over due process and civil liberties clash with claims of increased public safety and national security.

Where is ICE Funding Coming From?

Since the beginning of the current Trump Administration, immigration enforcement has undergone transformative change and become one of the most contested issues in the federal government. On his first day in office, President Trump issued Executive Order 14159, which directs executive agencies to implement stricter immigration enforcement practices. In order to implement these practices, Congress passed and President Trump signed into law the One Big Beautiful Bill Act (OBBBA), a budget reconciliation package that paired state and local tax cuts with immigration funding. This allocated $170.7 billion in immigration-related funding for the Department of Homeland Security (DHS) to spend by 2029.

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Towards a Reformed Capitalism
oval brown wooden conference table and chairs inside conference room

Towards a Reformed Capitalism

Despite all the laws and regulations that apply to corporations, which for the most part are designed to make corporations more responsive to the greater good, corporations have wreaked great harm on our environment, their workers, their customers, and the general public. Despite all the rules, capitalism can still pretty much do what it wants.

The problem is not that the laws and regulations are not enforced, although that is partly true. The problem is more that the laws and regulations are weak because of the strong influence corporations have on both Congress (this is true of Democrats as well as Republicans) and those responsible for regulating.

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Families of Americans Overseas Wrongfully Detained Bring Advocacy to Capitol Hill

The Bring Our Families Home campaign brought together loved ones of Americans wrongly detained overseas to display portraits in the Senate Russell Rotunda on Wednesday, May 6.

(Jacques Abou-Rizk, MNS)

Families of Americans Overseas Wrongfully Detained Bring Advocacy to Capitol Hill

WASHINGTON – American journalist Reza Valizadeh visited his elderly Iranian parents in March 2024 for the first time in 15 years. Valizadeh’s stories for Voice of America and other U.S. government-funded outlets often criticized the Iranian regime. So before traveling, he sought and received confirmation that he would be safe from a high-ranking commander in the Islamic Revolutionary Guard Corps, a branch of Iran’s armed forces. However, in September that same year, the Islamic Revolutionary Guard Corps arrested Valizadeh, and Tehran’s Revolutionary Court sentenced him to ten years in prison for “collaboration with a hostile government.”

In the Rotunda of the Senate Russell Building last week, the Bring Our Families Home campaign set up portraits of Valizadeh and 12 other Americans currently wrongfully detained overseas. The group, family members of illegitimately detained Americans, appealed to Congress to push for their safe return. Each foam poster board included the name, home state, and country of detainment. The display also included portraits of the 33 people released after advocacy by the James W. Foley Foundation.

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DHS Funding During the Shutdown
Getty Images, Charles-McClintock Wilson

DHS Funding During the Shutdown

When Congress failed to approve funding for the Department of Homeland Security for the remainder of this fiscal year in February, almost all of its employees began to work without pay. That situation changed, however, on April 3, when President Donald Trump issued a memorandum ordering the DHS secretary and director of the Office of Management and Budget to “use funds that have a reasonable and logical nexus to the functions of DHS” to pay its employees and issue back pay.

Trump shifted money to avoid the political embarrassment that would be caused by the collapse of airport security screening through the actions of disgruntled agents and the disruption to air travel that would ensue. But it’s legally dubious.

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