In this episode, a rare piece of good news in prescription drug pricing. Matt and David speak with Antonio Ciaccia, president of 3 Axis Advisors and architect of Ohio’s Medicaid pharmacy overhaul, and Benjamin Jolly, pharmacist and advocate with the American Economic Liberties Project. Together, they unpack how Ohio kicked pharmacy benefit managers (PBMs) out of its Medicaid program, saving $140 million in just two years, paying pharmacists fairly, and making it easier for patients to get their medicine.

Antonio shares how he uncovered hidden costs and sparked a legislative revolution, while Benjamin explains why this model is spreading to states across the country and the political divide.

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At the height of Trump’s tariff spree, when he kept ratcheting up taxes on Chinese imports, China struck back by withholding an under-discussed but essential resource: rare earth minerals. These elements are crucial to nearly all modern electronics, vehicles, and weaponry, and play a vital role in high-tech manufacturing. The business world quickly sounded the alarm. Some companies, like General Motors, even slowed or stopped production on certain vehicle models due to the supply bottleneck.

Today on the show, Matt and David talk with Alex Jacquez, former Special Assistant to the President for Economic Development and Industrial Strategy under President Biden, now Chief of Policy and Advocacy at Groundwork Collaborative, about how China gained such a powerful advantage, and why something so important was largely overlooked for so long.

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After file-sharing decimated the music industry in the late 1990's, tech platforms, and music publishers spent years finding a profitable solution to the problem of free music. Spotify was the result.

For investors and major labels, Spotify was a triumph: it revitalized the business of recorded music, and accommodated a public that had grown used to having instant, on-demand access. But for artists and smaller labels, it has only exacerbated the problem of making a living.

Today on the show, Matt and David talk to Liz Pelly, author of the new book Mood Machine: The Rise Of Spotify And The Cost Of The Perfect Playlist, to find out how the dominant platform in music streaming was founded, how its algorithmically driven recommendation system flattens musical taste, and how its "payola-like" activities skirt the regulations that governed terrestrial radio for decades.

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