For 61 Years, We Protected Medicare—Now, Trumpublicans Are Trying to Destroy It

On the eve of Medicare/Medicaid’s 61st birthday, the Trumpublican administration took its next swipe at those millions of American seniors who rely on their Medicare benefits to survive. The announcement of cuts to the Biden administration’s Medicare drug subsidies was made on Tuesday, July 27th, 2026, allegedly because the insurance companies don’t need the subsidies anymore. But guess what? The health insurance companies that market, sell, and profit from the Medicare-Part D drug plans won’t be the ones paying the difference. Patients, their families, and all those cool GoFundMes will pay the higher Part D premiums, any at the pharmacy counter differences, or they will ration doses or go without. You doubt that? I sure don’t.

Just a few days ago, I chatted with some younger folks I know who are employed and getting their health benefits from their employers. Both are with major employers; both have major health insurance carriers. And both have health issues that need to be checked out and treated appropriately before those issues become worse and even more costly. Why don’t these working professionals with insurance go to the doctor—or even have a primary care doctor? They fear the out-of-pocket costs. Deductibles. Co-pays. Co-insurance. Then to the lab, the radiologist, and maybe the pharmacy. All the same costs might be in play again for more cash out-of-pocket. Why pay premiums at all? Why stay at a job they cannot stand for years on end to keep the benefits they rarely if ever use?

The answer to my questions is the basis for the incredible profit margins enjoyed—dearly and completely enjoyed—by the private health insurance industry. Selling a product everyone buys through work or earns through decades of loyal service yet never uses is really a sweet business arrangement. Medicare may seem like a completely different kind of coverage because it has been and could be again—but as the Trumpublicans work to make Medicare even more privatized via Medicare Advantage plans, supplemental plans, and outright cuts to coverage like these drug subsidies, Medicare beneficiaries will make the same ill-advised and often risky decisions as those clinging to their employer-based coverage before they reach the Medicare age of eligibility (or two years after they are determined disabled at younger ages). It was never the insurance companies that needed subsidies or expansion of benefits. It was always all of us who needed less private insurance and more coverage—all of us.

The Trumpublicans already had help from their congressional minions in cutting Medicaid access for millions of families—children, babies, mothers, dads. Medicaid work requirements cost more to follow through admin efforts than the coverage did, but Trumpublican minions want those lazy, poor people milking the system on Medicaid to be punished. This was never about program integrity or catching the minimal fraud with Medicaid or Medicare that is done (fraud is mostly done by providers, not patients or beneficiaries). The cuts to Medicaid came with the “Big, beautiful bill,” H.R.1, last year, and the Medicare cuts are rolling along in the background. When open enrollment is looming large in late fall and early winter, the Trumpublicans must announce changes with enough time for the insurance companies to adjust or raise premiums, of course. How do the rest of us adjust? The patients and families? Take another job to pay? Keep working until we are 80 or more?

The only reason not to move confidently to full health coverage for us all is that the profits are so dear with the status quo. We are better than this.

Social Security Works, Progressive Democrats of America, Healthcare-NOW!, and many other groups have great ways to get involved for all of us too. Do it today before the fight grows even more dire—we can secure our health access, but it will take all of us.

So, get over to your elected officials offices on July 30, 2026. Celebrate with nurses, doctors, friends, and neighbors. In Colorado, we’re going to tell Republican Rep. Gabe Evans to reverse the damage and protect his constituents or we plan to “Give Gabe the Boot” in November. Add yourself to the growing chorus of Americans calling for a celebration of Medicare and Medicaid programs and expansions of that gorgeous insurance pool to include all of us. Because if all of us cover all of us then all of us spend less and our employers do too. Another amazing chance to secure healthcare justice rests with electing Sam Forstag in Montana’s 1st Congressional District.

The only reason not to move confidently to full health coverage for us all is that the profits are so dear with the status quo. We are better than this. We proved it 61 years ago, and we will prove ourselves ready to advance when we stop allowing so much greed to control Trumpublicans in DC and demand our own self-preservation to be honored.