The Bitcoin Layer

Healthcare Is Eating 70% Of Federal Tax Revenue

September 18, 2026·45 min
Episode Description from the Publisher

In this episode, Nik welcomes Stu Lackey and Jon Gordon of SOUND HSA for a conversation on the fiscal side of American healthcare. Nik opens with the charts: almost $4 trillion of the just over $5 trillion the government collects in tax revenue now goes to Medicare, Social Security, and other health spending. Stu and Jon explain how the system got here, why the Medicare trust fund is projected to run out in 2032, and why commercial insurance pays far more than Medicare for identical care. They also cover the solutions they see emerging, from direct primary care and cash pricing to holding bitcoin in a health savings account. The Bitcoin Layer and its guests do not provide investment advice.

Podzilla Summary coming soon

Sign up to get notified when the full AI-powered summary is ready.

Get Free Summaries →

Free forever for up to 3 podcasts. No credit card required.

Listen to This Episode

Get summaries like this every morning.

Free AI-powered recaps of The Bitcoin Layer and your other favorite podcasts, delivered to your inbox.

Get Free Summaries →

Free forever for up to 3 podcasts. No credit card required.