The SEANC View

Why Health Care Costs So Much: Dr. Brian Miller on Hospital Mergers and State Health Plan Solutions

In this episode, Dr. Brian Miller — hospitalist, policy advisor, and vice chair of the North Carolina State Health Plan Board — explores why health care is so expensive and what can be done about it.
We discuss hospital consolidation and the Atrium–WakeMed merger, steering and preferred provider strategies, income‑adjusted premiums, price transparency, drug costs, and practical steps the state health plan is taking to lower costs and protect members.

$148.3B and Counting: Treasurer Briner on AI, Timber Troubles, and the Hurricanes

State Treasurer Brad Briner joins the SEANC View podcast to explain how the pension reached a record $148.3 billion, discuss recent investment moves, including AI stakes like Anthropic, and explain why the office passed on buying part of the Carolina Hurricanes. He also covers portfolio changes, timber holdings, and efforts to improve returns for retirees and taxpayers. 
The conversation addresses health plan challenges, recent Medicare Advantage cost adjustments for retirees, transparency around fees and holdings, and broader initiatives—from power affordability to America 250 outreach—that affect state employees and retirees. 

Stanley Cup Frenzy, Budget Blues, and the Atrium–WakeMed Showdown

This week, we start with Raleigh's Stanley Cup fever before diving into state politics and budget delays that are stalling lawmakers.
The episode examines rising healthcare costs for retirees, the controversial Atrium–WakeMed merger and its impact on competition and patient bills.
Also covered: disputes over early voting sites at Western Carolina University, community vs. campus tensions, plus lighter culture segments on Taylor Swift, Toy Story 5, concert ticket prices, and mental health concerns.

Staffing challenges, budget talks and 'Pension Fight Club'

Hosts Jonathan Owens, Ardis Watkins, Suzanne Beasley, and Sammy Cline discuss the latest on the state budget, workforce reforms, and staffing challenges across North Carolina government.
Also, we discussed 'Pension Fight Club,' a first-of-its-kind investigative documentary about the threat to public pensions across the country, which features Watkins among dozens of pension leaders, board members, and advocates demanding greater transparency and accountability.
We also cover a tragic child welfare case prompting oversight, the state auditor’s planned review of the Opportunity Scholarship program, pension gains and COLA prospects, and a debate over social media and AI protections for minors.

Correctional Pay Crisis & Budget Gridlock: Who’s Left Holding the Tab?

Hosts dive into North Carolina’s budget stalemate, including the controversy over large raises for correctional officers and the resulting wage compression and staffing problems, stalled projects like the zoo’s Asia expansion and major hiring delays, and the ongoing debate over hospital consolidations and pension concerns.
Then, in an interview, SECU outlines changes to payroll deduction and previews a new mobile app with budgeting and money-transfer tools — members are urged to know their login before the upgrade.
The episode also covers GLP-1 drug funding, public pension issues, a light Gen Z segment on influencers, and the popular theme-park ticket program.

Budget Raises, Tax Amendment, and the Craggy Closure

Hosts Jonathan Owens and Suzanne Beasley break down the latest at the legislature, including proposed budget raises, a looming income tax constitutional amendment, retiree COLA concerns, and SEANC’s new vacant-jobs dashboard. They discuss the staffing crisis across state agencies and how pay compression is driving vacancies.
Guest Tammera Hill, Chief Operating Officer of the Department of Adult Correction, details the planned closure of Craggy Correctional Institution, employee transfers, recruitment challenges, and the need for meaningful pay solutions. Visit SEANC.org to contact your legislators.

Raises, Bonuses, and the Fight for Jobs

Hosts Jonathan Owens, Suzanne Beasley, Artis Watkins, and Samantha Cline and special guest Wendell Powell break down the legislature's new budget framework — including raises and one-time bonuses for state employees, teachers, law enforcement, and retirees — and debate who benefits and who is left behind.
The episode also covers pension concerns and the Pension Fight Club documentary, hiring and turnover costs, health care and insurance changes, the WakeMed–Atrium consolidation, and how listeners can contact legislators and get involved.

Health Care Shakeup: Atrium-WakeMed Merger Sparks Statewide Outcry

This episode examines the controversial Atrium-WakeMed merger, the Wake County commissioners' 90-day pause, and concerns from state leaders that hospital consolidation will drive up health care costs.
Hosts discuss reactions from the state treasurer and auditor, corporate pay and nonprofit tax exemptions, and the potential impact on the state health plan.
Also covered: SEANC lobby day, Public Service Recognition Week, the budget debate, and calls for raises and COLAs for state employees and retirees.