President Donald Trump mentioned repeatedly on the marketing campaign path that, if elected, he wouldn’t lower Medicare, Medicaid or Social Safety. As just lately as final week, accompanied by his surrogate Elon Musk, he told Fox News’ Sean Hannity the identical factor.
But, U.S. Home Republicans acquired a special message that was tucked into Project 2025. They handed a funds decision that requires tax cuts of $4.5 trillion and a $2 trillion lower in federal spending by 2035.
In that proposal, Medicaid, which helps well being take care of low-income individuals, individuals in nursing properties and people with disabilities, can be slashed by $880 billion. That will pave the best way for Trump to increase his 2017 tax lower for America’s wealthiest individuals, which is about to run out this yr. And it threatens the medical security web created by America’s Inexpensive Care Act.
Now it’s as much as the Republican-led Senate and Home to reconcile the variations between an earlier Senate plan and the current Home model.
The $880 billion in Medicaid funding helps simply as many individuals in pink states because it does individuals in blue states, and certain much more, since poverty charges are increased in states resembling Kentucky, Tennessee, Mississippi, Arkansas and Louisiana.
Greater than 1.8 million Washingtonians are enrolled in Medicaid. Such a lower would hit Washington onerous, and would damage Republican areas extra closely than Democratic ones.
Democratic U.S. Sen. Maria Cantwell’s workplace mentioned Medicaid funded 23% of inpatient care in Washington and 19% of outpatient care in 2023, citing figures from the Washington State Hospital Affiliation.
Eight rural hospitals in Washington obtain over 25% of their complete reimbursements from Medicaid, Cantwell’s workplace mentioned.
But, the state’s two Republican Congress members, District 4 Rep. Dan Newhouse, and District 5 Rep. Michael Baumgartner, voted in favor of the cuts to Medicaid, regardless of their districts having the very best proportion of recipients of Medicaid advantages of all of Washington districts, 38% in District 4 — 70% of that are youngsters — and 30% in District 5.
“The passage of this decision unlocks the method to rein in out-of-control spending, safe our border, and obtain vitality dominance,” Newhouse, who as soon as voted to question Trump, mentioned in a ready assertion. “I stay up for working with my colleagues in each chambers to determine financial savings, and efficiencies, in our federal spending as we transfer ahead.”
A grain of hope now lies with just a few Republicans like Kentucky’s Sen. Mitch McConnell who don’t have anything to lose or worry as their time in Washington sunsets. It’s as much as them to muster up the braveness to vote within the curiosity of their constituents and the nation — not Trump, Musk and the Challenge 2025 agenda.