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  <channel>
    <title>GiveCare Pulse</title>
    <link>https://pulse.givecareapp.com</link>
    <description>A concise daily briefing on what changed in caregiving policy, research, workforce, and the care economy.</description>
    <language>en-us</language>
    <lastBuildDate>Fri, 17 Jul 2026 13:31:30 GMT</lastBuildDate>
    <atom:link href="https://pulse.givecareapp.com/rss.xml" rel="self" type="application/rss+xml"/>
    <itunes:author>GiveCare</itunes:author>
    <itunes:image href="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/podcast-cover.jpg"/>
    <itunes:owner><itunes:name>GiveCare</itunes:name><itunes:email>hello@givecareapp.com</itunes:email></itunes:owner>
    <itunes:summary>A concise audio briefing on what changed in caregiving today, grounded in the published GiveCare Pulse edition.</itunes:summary>
    <itunes:type>episodic</itunes:type>
    <itunes:explicit>false</itunes:explicit>
    <item>
      <title>THC-CBD formulation cut agitation in late-stage dementia trial</title>
      <itunes:title>THC-CBD formulation cut agitation in late-stage dementia trial</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-17</link>
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      <description>The LiBBY trial, presented July 14 in London, found a purified THC and CBD oil suspension significantly reduced agitation in 120 hospice-eligible dementia patients.</description>
      <itunes:summary>The LiBBY trial, presented July 14 in London, found a purified THC and CBD oil suspension significantly reduced agitation in 120 hospice-eligible dementia patients.</itunes:summary>
      <content:encoded><![CDATA[<p>The LiBBY trial, presented July 14 in London, found a purified THC and CBD oil suspension significantly reduced agitation in 120 hospice-eligible dementia patients.</p><ul><li>THC-CBD formulation cut agitation in late-stage dementia trial</li><li>Springfield Hospital will close Vermont adult day program Sept. 30</li><li>Nurse threatens court fight over Cattaraugus County home care closure</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-17">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Fri, 17 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-17.mp3" length="5170605" type="audio/mpeg"/>
      <itunes:duration>5:23</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Oklahoma autism provider says seven centers close this month without Medicaid</title>
      <itunes:title>Oklahoma autism provider says seven centers close this month without Medicaid</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-16</link>
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      <description>Mirabelle Care is preparing to file for injunctive relief after the state froze its SoonerCare payments over a fraud investigation into the company&apos;s former owner.</description>
      <itunes:summary>Mirabelle Care is preparing to file for injunctive relief after the state froze its SoonerCare payments over a fraud investigation into the company&apos;s former owner.</itunes:summary>
      <content:encoded><![CDATA[<p>Mirabelle Care is preparing to file for injunctive relief after the state froze its SoonerCare payments over a fraud investigation into the company&apos;s former owner.</p><ul><li>Oklahoma autism provider says seven centers close this month without Medicaid</li><li>California moves to name large employers whose workers rely on Medi-Cal</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-16">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Thu, 16 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-16-20260716144432500.mp3" length="5017773" type="audio/mpeg"/>
      <itunes:duration>5:14</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Maryland delays $126 million in disability cuts; families brace anyway</title>
      <itunes:title>Maryland delays $126 million in disability cuts; families brace anyway</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-15</link>
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      <description>Gov. Wes Moore&apos;s budget cut $126 million from the Developmental Disabilities Administration. Because state funds are matched by Medicaid, the agency&apos;s shortfall tops $250 million.</description>
      <itunes:summary>Gov. Wes Moore&apos;s budget cut $126 million from the Developmental Disabilities Administration. Because state funds are matched by Medicaid, the agency&apos;s shortfall tops $250 million.</itunes:summary>
      <content:encoded><![CDATA[<p>Gov. Wes Moore&apos;s budget cut $126 million from the Developmental Disabilities Administration. Because state funds are matched by Medicaid, the agency&apos;s shortfall tops $250 million.</p><ul><li>Maryland delays $126 million in disability cuts; families brace anyway</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-15">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Wed, 15 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-15-20260715182608981.mp3" length="3089133" type="audio/mpeg"/>
      <itunes:duration>2:09</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Washington court ends wage carve-out for live-in care workers</title>
      <itunes:title>Washington court ends wage carve-out for live-in care workers</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-14</link>
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      <description>The state Supreme Court called the decades-old carve-out unconstitutional, extending wage, overtime, and sick-leave protections to adult family home staff.</description>
      <itunes:summary>The state Supreme Court called the decades-old carve-out unconstitutional, extending wage, overtime, and sick-leave protections to adult family home staff.</itunes:summary>
      <content:encoded><![CDATA[<p>The state Supreme Court called the decades-old carve-out unconstitutional, extending wage, overtime, and sick-leave protections to adult family home staff.</p><ul><li>Washington court ends wage carve-out for live-in care workers</li><li>Autism provider may close seven Oklahoma sites after payment freeze</li><li>CMS approves Kansas waiver with projected enrollment of 500</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-14">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Tue, 14 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-14-20260714032732915.mp3" length="4638765" type="audio/mpeg"/>
      <itunes:duration>4:50</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Newsom defends paying for housing and food with Medicaid as GOP calls it fraud</title>
      <itunes:title>Newsom defends paying for housing and food with Medicaid as GOP calls it fraud</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-13</link>
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      <description>California&apos;s whole-person Medi-Cal spending is now the center of a Washington fight over what Medicaid should cover.</description>
      <itunes:summary>California&apos;s whole-person Medi-Cal spending is now the center of a Washington fight over what Medicaid should cover.</itunes:summary>
      <content:encoded><![CDATA[<p>California&apos;s whole-person Medi-Cal spending is now the center of a Washington fight over what Medicaid should cover.</p><ul><li>Newsom defends paying for housing and food with Medicaid as GOP calls it fraud</li><li>Trial finds online therapy lowers anxiety and depression in dementia carers</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-13">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Mon, 13 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-13-20260713205938406.mp3" length="3990573" type="audio/mpeg"/>
      <itunes:duration>4:09</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Federal policy changes converge on the direct care workforce</title>
      <itunes:title>Federal policy changes converge on the direct care workforce</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-10</link>
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      <description>A KFF analysis, a proposed wage rollback, and a Supreme Court TPS ruling all press on the workers who provide U.S. long-term care.</description>
      <itunes:summary>A KFF analysis, a proposed wage rollback, and a Supreme Court TPS ruling all press on the workers who provide U.S. long-term care.</itunes:summary>
      <content:encoded><![CDATA[<p>A KFF analysis, a proposed wage rollback, and a Supreme Court TPS ruling all press on the workers who provide U.S. long-term care.</p><ul><li>Federal policy changes converge on the direct care workforce</li><li>Minnesota&apos;s high-risk Medicaid revalidation lands in federal court</li><li>Michigan sets Medicaid work rules, with a carve-out for family caregivers</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-10">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Fri, 10 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-10-20260710183731809.mp3" length="2918445" type="audio/mpeg"/>
      <itunes:duration>3:02</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Home-Care Workforce Walks Out as Its Wage Floor Is Cut</title>
      <itunes:title>The Home-Care Workforce Walks Out as Its Wage Floor Is Cut</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-08</link>
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      <description>The week priced care labor three ways, from a Massachusetts picket line to a July 10 deadline for immigrant caregivers.</description>
      <itunes:summary>The week priced care labor three ways, from a Massachusetts picket line to a July 10 deadline for immigrant caregivers.</itunes:summary>
      <content:encoded><![CDATA[<p>The week priced care labor three ways, from a Massachusetts picket line to a July 10 deadline for immigrant caregivers.</p><ul><li>The Home-Care Workforce Walks Out as Its Wage Floor Is Cut</li><li>CMS Pays Home Health More, and Moves to Revoke Faster</li><li>The Rule Decides Who Counts as Too Sick to Work</li><li>England Asks the Public Who Should Pay for Elder Care</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-08">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Wed, 08 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-08.mp3" length="5621229" type="audio/mpeg"/>
      <itunes:duration>5:51</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Coverage That Lapsed With the Mail</title>
      <itunes:title>The Coverage That Lapsed With the Mail</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-07</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-07.mp3</guid>
      <description>How coverage ends a year after the cuts, in a notice you never opened rather than a denial you can appeal, plus the nursing-home jobs milestone that solves nothing and the caregivers the shortage overlooks.</description>
      <itunes:summary>How coverage ends a year after the cuts, in a notice you never opened rather than a denial you can appeal, plus the nursing-home jobs milestone that solves nothing and the caregivers the shortage overlooks.</itunes:summary>
      <content:encoded><![CDATA[<p>How coverage ends a year after the cuts, in a notice you never opened rather than a denial you can appeal, plus the nursing-home jobs milestone that solves nothing and the caregivers the shortage overlooks.</p><ul><li>The Coverage That Lapsed With the Mail</li><li>1.56 Million Workers, and Colorado Still Short</li><li>Home Care&apos;s Missing Workers Are Already in the House</li><li>Mapping the Slide From Worry to Overwhelm</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-07">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Tue, 07 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-07.mp3" length="5751405" type="audio/mpeg"/>
      <itunes:duration>5:59</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Diagnosis a Nursing Home Writes to Avoid Being Watched</title>
      <itunes:title>The Diagnosis a Nursing Home Writes to Avoid Being Watched</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-06</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-06.mp3</guid>
      <description>Today: why nursing homes are failing four ways at once, and the one state now paying for long-term care as the federal budget cuts it.</description>
      <itunes:summary>Today: why nursing homes are failing four ways at once, and the one state now paying for long-term care as the federal budget cuts it.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: why nursing homes are failing four ways at once, and the one state now paying for long-term care as the federal budget cuts it.</p><ul><li>The Diagnosis a Nursing Home Writes to Avoid Being Watched</li><li>One State Begins Paying for Long-Term Care as the Cuts Turn One</li><li>Ohio Writes a Home-Care Fraud Crackdown Into Law</li><li>Two Welfare States, Two Directions on Care Reform</li><li>Naming the Emotional Weight of the Sandwich Generation</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-06">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Mon, 06 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-06.mp3" length="5710701" type="audio/mpeg"/>
      <itunes:duration>5:57</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Care Shortage Gets a Number, and a July 10 Deadline</title>
      <itunes:title>The Care Shortage Gets a Number, and a July 10 Deadline</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-05</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-05.mp3</guid>
      <description>The day two research teams measured America&apos;s care shortage from both sides, and the family caught in the middle.</description>
      <itunes:summary>The day two research teams measured America&apos;s care shortage from both sides, and the family caught in the middle.</itunes:summary>
      <content:encoded><![CDATA[<p>The day two research teams measured America&apos;s care shortage from both sides, and the family caught in the middle.</p><ul><li>The Care Shortage Gets a Number, and a July 10 Deadline</li><li>As Boomers Turn 80, the Beds Are Disappearing</li><li>One State Pays Out as the Federal Ledger Comes Due</li><li>You Cannot Outsave the Care Bill</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-05">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Sun, 05 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-05.mp3" length="5024877" type="audio/mpeg"/>
      <itunes:duration>5:14</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>One year of H.R. 1, and the coverage math comes due</title>
      <itunes:title>One year of H.R. 1, and the coverage math comes due</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-04</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-04.mp3</guid>
      <description>H.R. 1&apos;s first anniversary, the CBO&apos;s 12.9 million, the TPS ruling reaching the care shift, and WA Cares paying its first long-term-care claims.</description>
      <itunes:summary>H.R. 1&apos;s first anniversary, the CBO&apos;s 12.9 million, the TPS ruling reaching the care shift, and WA Cares paying its first long-term-care claims.</itunes:summary>
      <content:encoded><![CDATA[<p>H.R. 1&apos;s first anniversary, the CBO&apos;s 12.9 million, the TPS ruling reaching the care shift, and WA Cares paying its first long-term-care claims.</p><ul><li>One year of H.R. 1, and the coverage math comes due</li><li>The TPS ruling reaches the care shift</li><li>RFK Jr. calls family caregiving fraud, and families answer</li><li>Home health gets a raise, and a warning</li><li>A caregiver&apos;s &apos;double duties&apos; in Taiwan</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-04">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Sat, 04 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-04.mp3" length="6495981" type="audio/mpeg"/>
      <itunes:duration>6:46</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Court Cleared the Deportations. The Care System Braced.</title>
      <itunes:title>The Court Cleared the Deportations. The Care System Braced.</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-03</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-03.mp3</guid>
      <description>Today: how one week&apos;s immigration news landed on care at both ends of life, plus a Flushing daycare cluster, a $906 million hospice indictment, and the childcare subsidy rollback.</description>
      <itunes:summary>Today: how one week&apos;s immigration news landed on care at both ends of life, plus a Flushing daycare cluster, a $906 million hospice indictment, and the childcare subsidy rollback.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: how one week&apos;s immigration news landed on care at both ends of life, plus a Flushing daycare cluster, a $906 million hospice indictment, and the childcare subsidy rollback.</p><ul><li>The Court Cleared the Deportations. The Care System Braced.</li><li>Sixty-Four Daycares, One Square Mile, One Federal Probe</li><li>Social Security&apos;s Own Trustees Now Score a 22% Cut for 2032</li><li>States Left Holding Childcare After Washington Pulls the Floor</li><li>A Newborn, a Wife, a Mother: One Caregiver Does the Math</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-03">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Fri, 03 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-03.mp3" length="5921517" type="audio/mpeg"/>
      <itunes:duration>6:10</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Fraud Sweep Finds Its Cost: A Month Without Therapy</title>
      <itunes:title>The Fraud Sweep Finds Its Cost: A Month Without Therapy</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-02</link>
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      <description>The week Medicaid&apos;s fraud war started costing families their care: a boy without therapy in Minnesota, a rushed rewrite in Ohio, a $162 million wage theft settlement, and Washington state writing the first public long-term care checks.</description>
      <itunes:summary>The week Medicaid&apos;s fraud war started costing families their care: a boy without therapy in Minnesota, a rushed rewrite in Ohio, a $162 million wage theft settlement, and Washington state writing the first public long-term care checks.</itunes:summary>
      <content:encoded><![CDATA[<p>The week Medicaid&apos;s fraud war started costing families their care: a boy without therapy in Minnesota, a rushed rewrite in Ohio, a $162 million wage theft settlement, and Washington state writing the first public long-term care checks.</p><ul><li>The Fraud Sweep Finds Its Cost: A Month Without Therapy</li><li>Washington Starts Paying for Care as 25 States Sue Over Medicaid</li><li>Indiana Quits Managed Medicaid for Nursing Homes After $91 Million</li><li>He Sold His Belongings to Care for His Mother. Then He Built SOLO.</li><li>Brookings Makes the Case for Care in Climate Adaptation Budgets</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-02">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Thu, 02 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-02.mp3" length="7225197" type="audio/mpeg"/>
      <itunes:duration>7:32</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The First State Check for Long-Term Care Arrives</title>
      <itunes:title>The First State Check for Long-Term Care Arrives</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-07-01</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-01.mp3</guid>
      <description>Washington sends the first public long-term-care check while the federal government loosens the duty to fund community care and stretches the word fraud to cover caregivers themselves.</description>
      <itunes:summary>Washington sends the first public long-term-care check while the federal government loosens the duty to fund community care and stretches the word fraud to cover caregivers themselves.</itunes:summary>
      <content:encoded><![CDATA[<p>Washington sends the first public long-term-care check while the federal government loosens the duty to fund community care and stretches the word fraud to cover caregivers themselves.</p><ul><li>The First State Check for Long-Term Care Arrives</li><li>The Fraud Crackdown Defunds Its Own Fraud Police</li><li>Ninety Percent Report Burnout, and Gen Z Carries the Most</li><li>The Uncounted Care Bill Gets Priced, One Border at a Time</li><li>In the Care Workforce, the Fear Is Now Inside the Job</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-07-01">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Wed, 01 Jul 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-07-01.mp3" length="8015469" type="audio/mpeg"/>
      <itunes:duration>8:21</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>More Home Care, Lower Pay, and a Harder Path to Stay</title>
      <itunes:title>More Home Care, Lower Pay, and a Harder Path to Stay</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-30</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-30.mp3</guid>
      <description>The week the care workforce got paid less and watched more, a state pushed against the federal retreat, and an $818 billion dementia bill landed where it usually does, on families.</description>
      <itunes:summary>The week the care workforce got paid less and watched more, a state pushed against the federal retreat, and an $818 billion dementia bill landed where it usually does, on families.</itunes:summary>
      <content:encoded><![CDATA[<p>The week the care workforce got paid less and watched more, a state pushed against the federal retreat, and an $818 billion dementia bill landed where it usually does, on families.</p><ul><li>More Home Care, Lower Pay, and a Harder Path to Stay</li><li>Massachusetts Moves Disabled Residents Home as Washington Retreats</li><li>Dementia&apos;s 2026 Bill: $818 Billion, Mostly Unpaid</li><li>Twelve Years, $10,000 a Month, One Daughter&apos;s Math</li><li>The Fraud Takedown&apos;s Real Message: Watch the Fast-Growing Lines</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-30">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Tue, 30 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-30.mp3" length="5830125" type="audio/mpeg"/>
      <itunes:duration>6:04</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The $6,000 Cut Already Built Into Social Security&apos;s Math</title>
      <itunes:title>The $6,000 Cut Already Built Into Social Security&apos;s Math</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-29</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-29.mp3</guid>
      <description>Today: why a Social Security projection, a retirement-savings gap, and a caregiver-cost survey all point to the same thing, the money for old age thinning while families absorb the difference.</description>
      <itunes:summary>Today: why a Social Security projection, a retirement-savings gap, and a caregiver-cost survey all point to the same thing, the money for old age thinning while families absorb the difference.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: why a Social Security projection, a retirement-savings gap, and a caregiver-cost survey all point to the same thing, the money for old age thinning while families absorb the difference.</p><ul><li>The $6,000 Cut Already Built Into Social Security&apos;s Math</li><li>After the TPS Ruling, the Care Shortage Meets the Population Math</li><li>Seniors in 41 States May Outlive Their Money, and Family Is the Backstop</li><li>The Caregiver Cash Drain Now Has a Clinical Cost</li><li>A $906M Hospice Scheme, 39 Houses, and the Workers Caught in the Sweep</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-29">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Mon, 29 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-29.mp3" length="4643181" type="audio/mpeg"/>
      <itunes:duration>4:50</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Deportations Hitting Care Are Also Shrinking the Country</title>
      <itunes:title>The Deportations Hitting Care Are Also Shrinking the Country</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-28</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-28.mp3</guid>
      <description>Today: why the Supreme Court&apos;s deportation ruling reaches into the country&apos;s population math and its care workforce, the fraud crackdown&apos;s newest faces, and the report putting a number on what caregiving costs a woman&apos;s retirement.</description>
      <itunes:summary>Today: why the Supreme Court&apos;s deportation ruling reaches into the country&apos;s population math and its care workforce, the fraud crackdown&apos;s newest faces, and the report putting a number on what caregiving costs a woman&apos;s retirement.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: why the Supreme Court&apos;s deportation ruling reaches into the country&apos;s population math and its care workforce, the fraud crackdown&apos;s newest faces, and the report putting a number on what caregiving costs a woman&apos;s retirement.</p><ul><li>The Deportations Hitting Care Are Also Shrinking the Country</li><li>Inside the Fraud Crackdown: a Ferrari and an Unlicensed Home</li><li>The Five-Year Break That Erases 41% of a Retirement</li><li>The 80-Hour Rule That Could Drop 5.2 Million From Medicaid</li><li>What Americans Fear More Than the Cost of Old Age</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-28">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Sun, 28 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-28.mp3" length="5448813" type="audio/mpeg"/>
      <itunes:duration>5:41</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Two Governments Build the Care Floor America Hands Back</title>
      <itunes:title>Two Governments Build the Care Floor America Hands Back</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-27</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-27.mp3</guid>
      <description>This week other countries built a floor under elder care while American families carried the load themselves, from a burnout survey to a staffing number that doesn&apos;t hold.</description>
      <itunes:summary>This week other countries built a floor under elder care while American families carried the load themselves, from a burnout survey to a staffing number that doesn&apos;t hold.</itunes:summary>
      <content:encoded><![CDATA[<p>This week other countries built a floor under elder care while American families carried the load themselves, from a burnout survey to a staffing number that doesn&apos;t hold.</p><ul><li>Two Governments Build the Care Floor America Hands Back</li><li>Caregiving&apos;s Toll Now Has a Household Price Tag</li><li>The Nursing-Home Staffing Number Is Wrong</li><li>Most Seniors Know Where to Grow Old and Told No One the Rest</li><li>Thirty-Nine Houses, $209 Million, Six Years</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-27">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Sat, 27 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-27.mp3" length="5019501" type="audio/mpeg"/>
      <itunes:duration>5:14</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>A 6-3 Ruling Lands on the People Who Staff the Nursing Homes</title>
      <itunes:title>A 6-3 Ruling Lands on the People Who Staff the Nursing Homes</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-26</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-26.mp3</guid>
      <description>The Supreme Court cleared the removal of 350,000 immigrant workers from care jobs this week, as a fraud crackdown caught honest agencies and a DOJ memo reopened the institutions, leaving families to pick up what the system put down.</description>
      <itunes:summary>The Supreme Court cleared the removal of 350,000 immigrant workers from care jobs this week, as a fraud crackdown caught honest agencies and a DOJ memo reopened the institutions, leaving families to pick up what the system put down.</itunes:summary>
      <content:encoded><![CDATA[<p>The Supreme Court cleared the removal of 350,000 immigrant workers from care jobs this week, as a fraud crackdown caught honest agencies and a DOJ memo reopened the institutions, leaving families to pick up what the system put down.</p><ul><li>A 6-3 Ruling Lands on the People Who Staff the Nursing Homes</li><li>Eight Padlocked Homes, and a Crackdown That Snags the Honest Too</li><li>A Memo to Reopen the Institutions, a Bill to Fund the Alternative</li><li>Drowning at $600 a Month: The Caregiving Bill Comes Due</li><li>The $10,000 Question a Daughter Answered With Herself</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-26">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Fri, 26 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-26.mp3" length="6942573" type="audio/mpeg"/>
      <itunes:duration>7:14</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Housing Bill That Reached Trump&apos;s Desk, Then Stalled There</title>
      <itunes:title>The Housing Bill That Reached Trump&apos;s Desk, Then Stalled There</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-25</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-25.mp3</guid>
      <description>The week the federal government moved three levers on the cost of aging, and each one moved the wrong way.</description>
      <itunes:summary>The week the federal government moved three levers on the cost of aging, and each one moved the wrong way.</itunes:summary>
      <content:encoded><![CDATA[<p>The week the federal government moved three levers on the cost of aging, and each one moved the wrong way.</p><ul><li>The Housing Bill That Reached Trump&apos;s Desk, Then Stalled There</li><li>The Fraud Takedown&apos;s Anatomy, From Fake Diplomas to a Fugitive&apos;s Return</li><li>A Tax Law Quietly Moved Social Security&apos;s Cliff to 2032</li><li>The $50 Billion Rural Health Fund Is Making Hospitals Shrink</li><li>A New Survey Prices Caregiver Burnout at 77% Drowning</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-25">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Thu, 25 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-25.mp3" length="4835565" type="audio/mpeg"/>
      <itunes:duration>5:02</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The fraud takedown rolls a month of cases into one number</title>
      <itunes:title>The fraud takedown rolls a month of cases into one number</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-24</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-24.mp3</guid>
      <description>Federal enforcement scaled up against care fraud the same week Pennsylvania&apos;s shortage came due, and the load kept rolling downhill onto families.</description>
      <itunes:summary>Federal enforcement scaled up against care fraud the same week Pennsylvania&apos;s shortage came due, and the load kept rolling downhill onto families.</itunes:summary>
      <content:encoded><![CDATA[<p>Federal enforcement scaled up against care fraud the same week Pennsylvania&apos;s shortage came due, and the load kept rolling downhill onto families.</p><ul><li>The fraud takedown rolls a month of cases into one number</li><li>The Medicaid work rules get their fine print, and the carve-out gets thinner</li><li>What people fear about aging is being alone in it</li><li>Pennsylvania&apos;s care shortage has a June 30 deadline</li><li>A name for why care rolls downhill onto women</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-24">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Wed, 24 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-24.mp3" length="4779501" type="audio/mpeg"/>
      <itunes:duration>4:59</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Justice Department Tells States Home Care Is Optional</title>
      <itunes:title>Justice Department Tells States Home Care Is Optional</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-23</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-23.mp3</guid>
      <description>We open with the Justice Department memo that says states need not provide home care to disabled people, and why it matters that it landed the same week the money ran short.</description>
      <itunes:summary>We open with the Justice Department memo that says states need not provide home care to disabled people, and why it matters that it landed the same week the money ran short.</itunes:summary>
      <content:encoded><![CDATA[<p>We open with the Justice Department memo that says states need not provide home care to disabled people, and why it matters that it landed the same week the money ran short.</p><ul><li>Justice Department Tells States Home Care Is Optional</li><li>Medicaid Ends for Legal Immigrants as Caregiver Visas Stall</li><li>Full Social Security Benefits Only Through 2034</li><li>Washington Moves on Housing as the Aging Math Hardens</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-23">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Tue, 23 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-23.mp3" length="5650797" type="audio/mpeg"/>
      <itunes:duration>5:53</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Dignity in Aging, Rationed by Who Can Pay</title>
      <itunes:title>Dignity in Aging, Rationed by Who Can Pay</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-22</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-22.mp3</guid>
      <description>Why dignity in aging is reaching the families who can pay or coordinate it, and what that leaves for everyone else.</description>
      <itunes:summary>Why dignity in aging is reaching the families who can pay or coordinate it, and what that leaves for everyone else.</itunes:summary>
      <content:encoded><![CDATA[<p>Why dignity in aging is reaching the families who can pay or coordinate it, and what that leaves for everyone else.</p><ul><li>Dignity in Aging, Rationed by Who Can Pay</li><li>A $906 Million Charge, and the Aides Caught in the Crackdown</li><li>One Week After the Fall, Told in Order</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-22">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Mon, 22 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-22.mp3" length="4837485" type="audio/mpeg"/>
      <itunes:duration>5:02</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Washington Sues a State Over the $11B It Pays Caregivers</title>
      <itunes:title>Washington Sues a State Over the $11B It Pays Caregivers</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-19</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-19.mp3</guid>
      <description>We open on the DOJ suing New York over its $11 billion home-care program, then follow the same enforcement logic into a coverage cut and a deportation that left a 15-year-old without his only caregiver.</description>
      <itunes:summary>We open on the DOJ suing New York over its $11 billion home-care program, then follow the same enforcement logic into a coverage cut and a deportation that left a 15-year-old without his only caregiver.</itunes:summary>
      <content:encoded><![CDATA[<p>We open on the DOJ suing New York over its $11 billion home-care program, then follow the same enforcement logic into a coverage cut and a deportation that left a 15-year-old without his only caregiver.</p><ul><li>Washington Sues a State Over the $11B It Pays Caregivers</li><li>The Cuts Get Names: 450,000 New Yorkers and a Rural Band-Aid</li><li>One in Four Americans Is Now Somebody&apos;s Caregiver</li><li>An ICE Check-In Took a Boy&apos;s Only Caregiver</li><li>Calling Yourself a Caregiver Is How the Help Starts</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-19">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Fri, 19 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-19.mp3" length="6010221" type="audio/mpeg"/>
      <itunes:duration>6:16</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>A Watchdog Puts Social Security Six Years From a 22% Cut</title>
      <itunes:title>A Watchdog Puts Social Security Six Years From a 22% Cut</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-18</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-18.mp3</guid>
      <description>Today: a watchdog&apos;s 22 percent warning on Social Security, Oregon&apos;s $37 million stopgap against an $11 billion Medicaid cut, and a care-worker visa bill colliding with $70 billion in enforcement.</description>
      <itunes:summary>Today: a watchdog&apos;s 22 percent warning on Social Security, Oregon&apos;s $37 million stopgap against an $11 billion Medicaid cut, and a care-worker visa bill colliding with $70 billion in enforcement.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: a watchdog&apos;s 22 percent warning on Social Security, Oregon&apos;s $37 million stopgap against an $11 billion Medicaid cut, and a care-worker visa bill colliding with $70 billion in enforcement.</p><ul><li>A Watchdog Puts Social Security Six Years From a 22% Cut</li><li>The Medicaid Cuts Reach a Rural Maternity Ward and a Frailty Exemption</li><li>A Caregiver Visa Bill Meets $70 Billion in Enforcement</li><li>Even CDPAP&apos;s Critics Question the DOJ&apos;s Suit Over It</li><li>One in Four Adults Now Cares for a Relative With Complex Needs</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-18">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Thu, 18 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-18.mp3" length="4926957" type="audio/mpeg"/>
      <itunes:duration>5:08</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>The Medicaid crackdown now sues the state, not the provider</title>
      <itunes:title>The Medicaid crackdown now sues the state, not the provider</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-17</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-17.mp3</guid>
      <description>Today: the fraud crackdown sues a state and reports sick kids to ICE, employer benefits skip the parents half the workforce is caring for, and the hidden toll of caring for someone with no finish line.</description>
      <itunes:summary>Today: the fraud crackdown sues a state and reports sick kids to ICE, employer benefits skip the parents half the workforce is caring for, and the hidden toll of caring for someone with no finish line.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: the fraud crackdown sues a state and reports sick kids to ICE, employer benefits skip the parents half the workforce is caring for, and the hidden toll of caring for someone with no finish line.</p><ul><li>The Medicaid crackdown now sues the state, not the provider</li><li>Tennessee turns a children&apos;s health benefit into an ICE tripwire</li><li>Half the mid-career workforce is managing a parent&apos;s care on the clock</li><li>The same load that exhausts a caregiver can also repair a bond</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-17">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Wed, 17 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-17.mp3" length="6909933" type="audio/mpeg"/>
      <itunes:duration>7:12</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Half the Office Is Managing a Parent&apos;s Care, and Benefits Don&apos;t Cover It</title>
      <itunes:title>Half the Office Is Managing a Parent&apos;s Care, and Benefits Don&apos;t Cover It</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-16</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-16.mp3</guid>
      <description>Today: the workplace toll on the sandwich generation, what the Medicaid fraud crackdown costs the people it reaches, a border run for dental care, and Ontario naming its care economy in crisis.</description>
      <itunes:summary>Today: the workplace toll on the sandwich generation, what the Medicaid fraud crackdown costs the people it reaches, a border run for dental care, and Ontario naming its care economy in crisis.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: the workplace toll on the sandwich generation, what the Medicaid fraud crackdown costs the people it reaches, a border run for dental care, and Ontario naming its care economy in crisis.</p><ul><li>Half the Office Is Managing a Parent&apos;s Care, and Benefits Don&apos;t Cover It</li><li>States Copy the Federal Fraud Playbook. Disabled Patients Lose Care.</li><li>Medicaid Cuts Send Patients to &apos;Molar City&apos; for Dental Care</li><li>Ontario Calls Its Care Economy &apos;At a Breaking Point&apos;</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-16">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Tue, 16 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-16.mp3" length="5802861" type="audio/mpeg"/>
      <itunes:duration>6:03</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Pennsylvania&apos;s Frozen Rate Becomes the Caregiver Pay Fight</title>
      <itunes:title>Pennsylvania&apos;s Frozen Rate Becomes the Caregiver Pay Fight</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-15</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-15.mp3</guid>
      <description>Today: why Pennsylvania&apos;s decision to freeze home-care reimbursement is really a pay cut for aides, and how federal Medicaid rules and a tightening care market squeeze the same workers.</description>
      <itunes:summary>Today: why Pennsylvania&apos;s decision to freeze home-care reimbursement is really a pay cut for aides, and how federal Medicaid rules and a tightening care market squeeze the same workers.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: why Pennsylvania&apos;s decision to freeze home-care reimbursement is really a pay cut for aides, and how federal Medicaid rules and a tightening care market squeeze the same workers.</p><ul><li>Pennsylvania&apos;s Frozen Rate Becomes the Caregiver Pay Fight</li><li>The Federal Work Rule Squeezing the Same Workforce</li><li>The Care Bill the Economy Cannot Yet Pay</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-15">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Mon, 15 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-15.mp3" length="3842541" type="audio/mpeg"/>
      <itunes:duration>4:00</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>Ohio Stops Paying 49 Home-Care Providers It Calls Suspicious</title>
      <itunes:title>Ohio Stops Paying 49 Home-Care Providers It Calls Suspicious</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-14</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-14.mp3</guid>
      <description>Today: Ohio starts suspending the home-care providers it flagged, family caregivers there keep their Medicaid pay after a second round of testimony, and CMS holds firm on the work-rule deadline that home-care groups warn will cost coverage.</description>
      <itunes:summary>Today: Ohio starts suspending the home-care providers it flagged, family caregivers there keep their Medicaid pay after a second round of testimony, and CMS holds firm on the work-rule deadline that home-care groups warn will cost coverage.</itunes:summary>
      <content:encoded><![CDATA[<p>Today: Ohio starts suspending the home-care providers it flagged, family caregivers there keep their Medicaid pay after a second round of testimony, and CMS holds firm on the work-rule deadline that home-care groups warn will cost coverage.</p><ul><li>Ohio Stops Paying 49 Home-Care Providers It Calls Suspicious</li><li>CMS Won&apos;t Move the Medicaid Work-Rule Deadline</li><li>Ohio Caregivers Testified Twice to Keep Their Medicaid Pay</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-14">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Sun, 14 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-14.mp3" length="3932397" type="audio/mpeg"/>
      <itunes:duration>4:06</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
    </item>
    <item>
      <title>One Carer a Month: Britain Counts the Cost of Burnout</title>
      <itunes:title>One Carer a Month: Britain Counts the Cost of Burnout</itunes:title>
      <link>https://pulse.givecareapp.com/issue/2026-06-13</link>
      <guid isPermaLink="false">https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-13.mp3</guid>
      <description>We start in Britain, where research found one unpaid carer a month kills the person they care for, then trace how the cost of care in the U.S. keeps falling on caregivers: Medicaid&apos;s work rule, a care-worker visa bill, an Iowa nursing home on the federal watchlist, and a Social Security deadline.</description>
      <itunes:summary>We start in Britain, where research found one unpaid carer a month kills the person they care for, then trace how the cost of care in the U.S. keeps falling on caregivers: Medicaid&apos;s work rule, a care-worker visa bill, an Iowa nursing home on the federal watchlist, and a Social Security deadline.</itunes:summary>
      <content:encoded><![CDATA[<p>We start in Britain, where research found one unpaid carer a month kills the person they care for, then trace how the cost of care in the U.S. keeps falling on caregivers: Medicaid&apos;s work rule, a care-worker visa bill, an Iowa nursing home on the federal watchlist, and a Social Security deadline.</p><ul><li>One Carer a Month: Britain Counts the Cost of Burnout</li><li>Medicaid&apos;s Work Rule Gets Its Full Reading, and Its Critics</li><li>A Visa Bill, an Ohio Probe, and 15,000 Kids Without Care</li><li>Iowa Home Joins Federal Watchlist as States Eye Private Equity</li><li>Social Security&apos;s Math Meets the Immigration Crackdown</li></ul><p><a href="https://pulse.givecareapp.com/issue/2026-06-13">Read the sourced edition</a>.</p>]]></content:encoded>
      <pubDate>Sat, 13 Jun 2026 12:00:00 GMT</pubDate>
      <enclosure url="https://pub-98e271d00db34700acc6138f0cca33d6.r2.dev/pulse-daily-2026-06-13.mp3" length="7088493" type="audio/mpeg"/>
      <itunes:duration>7:23</itunes:duration>
      <itunes:episodeType>full</itunes:episodeType>
      <itunes:explicit>false</itunes:explicit>
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