The Tenpenny Files with Twila Brase Part 1

Medicare is no longer just an insurance program. It is becoming a control system, and most Americans do not understand what is already happening inside it. Twila Brase joins Dr. Sherri Tenpenny for Part 1 of a special two-part investigation into Medicare Advantage, AI-driven denials, prior authorization, and the quiet restructuring of healthcare access in America.

Twila Brase, president and co-founder of Citizens’ Council for Health Freedom and author of Big Brother in the Exam Room, explains how prior authorization has now entered Original Medicare in six states. She explains why that matters far beyond seniors currently enrolled in the system. What starts inside Medicare eventually spreads across the entire healthcare system.

This conversation exposes how Medicare Advantage can appear affordable while functioning as a rationing structure once serious illness enters the picture. Twila breaks down how denial systems work, why appeals almost never happen, how delays themselves become a form of healthcare denial, and why health plans financially benefit when patients stop fighting.

Dr. Tenpenny and Twila also unpack the deeper shift happening behind the scenes. Physicians are leaving medicine early. Independent medical judgment is being replaced with protocols, administrative controls, non-physician gatekeepers, and AI-generated approval systems. Families are entering a future where the doctor may no longer control access to care.

This is not policy theory. This is already happening.

Twila’s book, Big Brother in the Exam Room, documented the rise of electronic medical records, healthcare surveillance, and centralized control years ago. This interview expands beyond the book into the current collision between Medicare insolvency, corporate health plans, AI systems, and government dependency.

Part 1 lays out the structure most Americans never see until someone they love becomes trapped inside it.

Meet the Guest

Twila Brase is the president and co-founder of Citizens’ Council for Health Freedom, a national patient-centered policy organization founded more than 20 years ago to defend patient privacy, medical choice, and doctor-patient freedom.

Her work focuses on government healthcare overreach, centralized medical control, electronic health record surveillance, Medicare policy, informed consent, and the growing replacement of independent medicine with corporate-managed systems.

Twila is also the author of the award-winning book Big Brother in the Exam Room: The Dangerous Truth About Electronic Medical Records. The book examines how electronic records, data sharing, centralized tracking, and healthcare bureaucracy are transforming the relationship between patients, physicians, corporations, and government agencies.

Website

Citizens’ Council for Health Freedom