#297 Nick Shirley - Inside California’s $222 Billion Medi-Cal Crisis
Get the full intelligence
Search transcripts, export clips, track mentions, and explore all topics from “#297 Nick Shirley - Inside California’s $222 Billion Medi-Cal Crisis” inside PodZeus.
In this gripping episode of The Shawn Ryan Show, host Shawn Ryan sits down with 23-year-old investigative journalist Nick Shirley, whose fearless exposés have uncovered massive fraud across the United States. Shirley dives deep into California’s $222 billion Medi-Cal crisis, revealing how the state’s Medicaid program has ballooned from $108 billion in 2022 to a proposed $222 billion in 2026, despite a stagnant population. He details how fraudsters—linked to Armenian and Russian mafias—exploit the system by enrolling deceased or unaware individuals into hospice care using stolen Medicare numbers, often operating out of storefronts in Van Nuys with as many as 89 fake hospices in a single building. Shirley also exposes rampant voter fraud in California, where no ID is required and even dogs have been registered to vote. He recounts death threats, including a chilling phone call to his mother from the Russian mafia, and shares how his work has prompted a new federal fraud task force. Beyond fraud, he reveals the rise of a 'homeless industrial complex' where NGOs profit from unaccounted billions, buying luxury properties while homeless people live in tents. Despite backlash from a vocal minority, Shirley reports overwhelming public support, especially in California, where people see through the corruption. The episode closes with Shirley recounting his surreal 72-hour whirlwind of meeting Elon Musk, the Vice President, and being featured in a cabinet meeting—all while continuing to expose systemic failures across America.
California’s Medi-Cal program has more than doubled in cost—from $108B to $222B—despite a stable population, signaling massive systemic fraud.
Fraudsters use stolen Medicare numbers to enroll people in hospice care without consent, often operating from storefronts with dozens of fake hospices in one building.
California’s lack of voter ID requirements enables widespread voter fraud, including a dog being registered and voting in two elections.
A growing 'homeless industrial complex' incentivizes NGOs to maintain homelessness, as they profit from government funding while failing to provide real solutions.
Shirley’s investigations have prompted a new federal fraud task force and sparked national attention, despite death threats and online harassment.
…and 3 more takeaways available in PodZeus
Introduction and the Rise of a Young Investigator
Shawn Ryan welcomes Nick Shirley back to the show, highlighting his rapid rise as a fearless independent journalist who has exposed fraud in Minnesota and now California. The episode begins with a brief ad for Shopify and Harry's Plus razors.
From Minnesota to California: The Fraud Trail
Shirley explains how he shifted focus from Minnesota’s fraud to California’s election and hospice fraud, driven by death threats and a desire to expose systemic corruption. He discusses the challenges of investigating fraud in a high-risk environment.
The $222 Billion Medi-Cal Crisis
“They've over doubled it... for 100,000 people. Holy shit, dude.”
Hospice Fraud: Identity Theft on a Massive Scale
“If you're having a fucking heart attack. You're on hospice. Or an aneurysm or... Holy shit.”
The 89 Fake Hospices in One Building
“89 in 1 building. What does that look like? They're literally these plazas... that just have literally 10 to 89 hospices in one building.”
“The Russian mafia wants to make sure to let you know to have Nick not come snooping around our businesses.”
“If you're having a fucking heart attack. You're on hospice. Or an aneurysm or... Holy shit.”
“A dog was able to vote in our elections. Like we are our first world country... yet a dog is able to vote.”
Host
Guest
Nick Shirley
person
California
place
Shawn Ryan
person
Medi-Cal
other
X (formerly Twitter)
other
Gavin Newsom
person
Elon Musk
person
Homeless Industrial Complex
other
Russian Mafia
organization
Armenian Mafia
organization
#293 Jeremiah Johnston - Codex Vaticanus, Book of Enoch and the Resurrection of Jesus
The Shawn Ryan Show • 2h 53m • 4/2/2026
#295 Samuel Reineberg - First-Hand Account of the Old Dominion Terrorist Attack
The Shawn Ryan Show • 1h 51m • 4/13/2026
#296 Meg Appelgate - Why Parents Are Being Lied To About Teen “Treatment”
The Shawn Ryan Show • 2h 23m • 4/16/2026
#298 Jason Magnavice - SEAL Team 6 Red Squadron Operator
The Shawn Ryan Show • 1h 58m • 4/23/2026
#299 Andy Lowery - Inside the World’s Most Advanced Drone Killing Machine
The Shawn Ryan Show • 1h 58m • 4/27/2026
Get the full intelligence
Search transcripts, export clips, track mentions, and explore all topics from “#297 Nick Shirley - Inside California’s $222 Billion Medi-Cal Crisis” inside PodZeus.
Start discovering podcast insights today
Start with a 7-day trial and explore a growing catalog of popular podcasts. No credit card required.
No credit card required • 7-day trial • Cancel anytime
