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Trump Weighs Ultimate Gift to For-Profit Insurance Industry: Medicare Privatization
"They want to remove the guarantee of Medicare," one advocate said of the Trump administration's floated plan to automatically enroll seniors in Medicare Advantage.
Apr 10, 2026
The Trump administration is considering enacting a policy that would automatically funnel seniors into for-profit Medicare Advantage plans—which critics say would set Medicare on the path to full-scale privatization.
Chris Klomp, the Trump administration's director of Medicare and deputy administrator of the Centers for Medicare and Medicaid Services (CMS), told STAT last month that enrolling seniors in Medicare Advantage (MA) plans by default "is something that we're thinking through." MA plans are funded by the federal government and run by private insurance companies such as UnitedHealthcare and Humana, both of which have been accused of improperly denying necessary care to patients and overcharging taxpayers.
The default enrollment scheme was floated in the far-right Project 2025 agenda that President Donald Trump has repeatedly tried to disavow. Currently, older Americans who have received Social Security benefits for at least four months before they turn 65 are automatically enrolled in traditional Medicare, and they can choose to enroll in an MA plan as an alternative.
"Another bad idea straight from Project 2025," Rep. Mark Pocan (D-Wis.) said in response to Klomp's comments on the proposed default enrollment change. "Medicare Advantage is private, for-profit insurance that overcharges American taxpayers by billions every year and regularly denies seniors the care they need."
"Making Medicare Advantage the default option hurts patients and taxpayers," Pocan added, "but it will make insurance execs a lot of money."
"With Mehmet Oz running the agency, they can move incredibly quickly to make that happen, and they are."
Klomp said no plans have been finalized, but defenders of traditional Medicare warned that CMS—headed by Mehmet Oz, who during his 2022 US Senate run backed a plan entitled "Medicare Advantage for All"—could try to swiftly ram the change through without public input.
"With Mehmet Oz running the agency, they can move incredibly quickly to make that happen, and they are," Alex Lawson, executive director of the progressive advocacy group Social Security Works, told Common Dreams on Friday. "They will not explain it to the people, because the people hate the idea. Instead, they say 'change the default option' and other policy jargon to try and hide the fact of what they are doing, privatizing Medicare."
"They want to remove the guarantee of Medicare," warned Lawson, "and replace it with the same private insurance giants that make billions denying healthcare, especially to those who need it the most."
Experts say making Medicare Advantage plans the default enrollment option for seniors would likely decrease traditional Medicare enrollment dramatically.
Given massive overpayments to Medicare Advantage plans—potentially $1.2 trillion over the next decade, according to one independent estimate—a large increase in MA enrollment would be sure to drive up costs and monthly premiums across the board. A report released last month by the congressional Joint Economic Committee estimated that MA overpayments led to premium hikes of $212 per Medicare Part B enrollee last year.
"Since 2016, MA overpayments have added an estimated $82 billion to Part B premiums," the congressional report found. "[Traditional Medicare] beneficiaries, who are not enrolled in MA, bore roughly $6 billion of that burden."
Under one scheme floated last year by Rep. David Schweikert (R-Ariz.), eligible Medicare recipients would be automatically enrolled in the "MA plan with the lowest premium available," unless they actively decide to opt out. Once enrolled in an MA plan, individuals would be unable to switch plans for three years.
Wendell Potter, a former health insurance executive who now champions Medicare for All, warned Friday that under Schweikert's plan, "seniors would be locked in a plan that the government chose for them, that has a limited network of doctors and hospitals, that makes them pay the entire bill for services they might receive outside of that network, and that denies coverage for medically necessary care far more than traditional Medicare—for three years."
In addition to weighing the default enrollment change, the Trump administration has recently delivered smaller-scale but significant victories to MA insurers, including by boosting federal payment rates—bowing to a massive industry lobbying blitz—and easing rules around the marketing of MA plans.
David Lipschutz, co-director of law and policy at the Center for Medicare Advocacy, said Thursday that the latter move represents "a rollback of consumer protections, which gives in to pressures from the insurance industry and those who sell their products."
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‘Disgusting’: Trump’s Top Economic Adviser Brags About Killing 300,000 Americans' ‘High-Paying’ Jobs
"Everybody is hurt by what he's celebrating," one public employee union official told Common Dreams. "I guess it's just par for the course from this administration, but it's still a disgusting thing to hear."
Apr 10, 2026
President Donald Trump's top economic adviser boasted on Fox Business Thursday that the government had slashed more than 300,000 "high-paying" jobs from the federal payroll during the president's first year back in office.
Asked by anchor Maria Bartiromo about the administration's efforts to cut government spending, National Economic Council Director Kevin Hassett said it had made "a huge amount of progress."
"I think the biggest thing that we can point to is that we've cut government employment by 300,000 workers," he said. "Those are jobs that are very high-paying that are gone forever."
He claimed the cuts reduced government spending by "an unthinkable amount of money," perhaps $1 trillion over the next ten years.
He also said that the administration "reduced the deficit last year by $600 billion" through a combination of higher-than-expected economic growth, tariff revenues, and "supply side effects" of Trump's massive tax cut, which mostly benefited the wealthiest Americans while gutting the social safety net.
Dean Baker, a longtime collaborator of Hassett’s despite their opposing political beliefs, wrote on social media that Trump’s economic adviser was dramatically exaggerating the deficit reduction that occurred during the administration's first year.
According to the Congressional Budget Office (CBO), the deficit was about $1.8 trillion for fiscal year 2025, just $41 billion less than the previous year and $56 billion lower than the $1.9 trillion deficit CBO projected in its most recent baseline.
"In the real world, the deficit fell... less than one-tenth of what Kevin claims," Baker said.
Trump has touted the layoffs of hundreds of thousands of government employees from their "boring federal jobs" as one of his crowning achievements.
Among the agencies hit by mass layoffs were the Department of Veterans Affairs, where more than 12,700 employees got the axe; the Department of Health and Human Services, which lost more than 14,400 workers; the Social Security Administration, whose staff shrank by more than 6,600; and the Environmental Protection Agency, which lost more than 4,000 employees.
Jacqueline Simon, policy director at the American Federation of Government Employees (AFGE), the largest labor union representing federal workers, told Common Dreams that even if slashing jobs did reduce the deficit as Hassett claimed, the harm far outweighs any such benefit—not only for the fired employees, but for the millions of Americans who depend on services they provide.
"When you say 300,000 jobs, it is a nice round number, and you link it to deficit reduction, which he was lying about," Simon said. "The fact of the matter is, the disappearance of those 300,000 jobs means degraded healthcare for our veterans; slower or nonexistent service at the Social Security Administration for the elderly and disabled who rely on Social Security for their income; and the elimination of huge swaths of the Environmental Protection Agency (EPA) that help ensure we have clean air to breathe and clean water to drink."
"You have federal prisons absolutely overwhelmed by too many inmates and too few corrections officers, endangering public safety," she continued. "Consumer product safety has been eviscerated. There are also serious public health concerns involving substance abuse, childhood nutrition, and vaccinations."
She decried Hassett's comments as "ignorant" in light of his false claims about deficit reduction, but also "just demonstrably pretty cruel and disdainful" given the impact these job losses have on individuals, families, communities, and society as a whole.
"It's cruel," Simon said, "not only on the people who held those jobs—about a 100,000 of whom are military veterans—but the impact of the disappearance of those jobs also falls on children, the elderly, anybody who consumes agricultural products, breathes air, or relies on clean water."
"Everybody is hurt by what he's celebrating," she added. "I guess it's just par for the course from this administration, but it's still a disgusting thing to hear."
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‘America’s Not OK’: Surveys Show US Wellbeing in Steep Decline Under Trump
"Americans are drowning under rising costs, flat wages, high unemployment, and historic layoffs—it’s no wonder they’re concerned about how they’re going to make ends meet."
Apr 10, 2026
Two recently released surveys revealed a significant drop in Americans' self-reported wellbeing as the Trump administration launches illegal and deadly military conflicts and plunges the global economy into chaos.
On Friday, the University of Michigan issued its monthly Survey of Consumers, which showed that consumer sentiment in the US hit an all-time low after dropping by 11% since March, amid President Donald Trump's war of choice in Iran.
The drop in consumer sentiment was almost universal, the survey found, as "demographic groups across age, income, and political party all posted setbacks in sentiment, as did every component of the index, reflecting the widespread nature of this month’s fall."
As for the reasons for the decline, the survey found "many consumers blame the Iran conflict for unfavorable changes to the economy," such as a major spike in gas prices, which the US Bureau of Labor Statistics reported on Friday increased by more than 20% in the month since the war began.
Heather Long, chief economist at Navy Federal Credit Union, noted that the latest consumer sentiment data showed Americans are even more sour on the economy now than they were in the summer of 2022, when the economy was dealing with the highest inflation it had seen in decades.
Kendall Witmer, rapid response director of the Democratic National Committee, seized on the consumer sentiment report and accused Trump of having "tanked the economy for working families."
"Americans are drowning under rising costs, flat wages, high unemployment, and historic layoffs," Witmer added. "It's no wonder they're concerned about how they’re going to make ends meet and Trump and [Vice President] JD Vance can’t be bothered to make life more affordable for them."
The record low in consumer sentiment comes just weeks after Gallup released its annual World Happiness Report, which showed that the US had fallen out of its rankings of the 20 happiest countries in the world.
The report says the decrease in US happiness largely came from "lower life evaluations among young adults," and points the finger at high social media use as a key factor in making young people miserable.
Specifically, the report finds "there is now overwhelming evidence of severe and widespread direct harms (such as sextortion and cyberbullying), and compelling evidence of troubling indirect harms (such as depression and anxiety)" from social media use, adding that "the harms and risks to individual users are so diverse and vast in scope that they justify the view that social media is causing harm at a population level."
Social media's impact on mental health has come into focus in recent weeks with juries in multiple states finding Big Tech companies liable for creating products that harm children.
In March, a New Mexico jury found social media giant Meta liable for harming children's mental health and safety, ordering the company to pay $375 million. A day later, a Los Angeles jury ordered Meta and Google to each pay $3 million in civil damages to a now-20-year-old woman who alleged harm and suffering caused by their products when she was an adolescent.
Journalist Derek Thompson took stock of the Gallup survey and the University of Michigan survey, as well as last year's General Social Survey that also documented a decline in US happiness, and declared, "America is not OK."
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Human Rights Organizations Call on Congress: Do Not Send Cubans Fleeing Impacts of the U.S. Fuel Blockade to Guantánamo
Apr 10, 2026
Eighty-six organizations that work on migrant rights, human rights, and humanitarian aid sent a letter to Congress today as the U.S. military threatens to detain Cubans in Guantánamo should they begin fleeing deteriorating conditions in their country — conditions caused by the United States’ sanctions and fuel blockade. The authors call on Congress to bring an end to the sanctions, the fuel embargo, and the funding of Guantánamo so that it is never again used for mass detentions and ultimately closes forever. “Guantánamo should be a relic of the past,” they write.
Signers include the Center for Constitutional Rights, the Center for Victims of Torture, the International Refugee Assistance Project, Refugees International, American Friends Service Committee, Defending Rights and Dissent, the Center for Gender and Refugee Studies, the Latin American Working Group, the Center for Economic and Policy Research, and Church World Service, among others in response to remarks on March 19 by SOUTHCOM Commander General Francis L. Donovan that, in the event of mass migration from Cuba, SOUTHCOM would “set up a camp to deal with migrants” at the US Naval Station at Guantánamo Bay.
With the current de facto US oil blockade against Cuba, and the worsening humanitarian crisis on the island, such a mass migration appears increasingly likely. The organizations signing the letter express concern that “Given the well-documented history of abusive and unlawful detention at Guantánamo, any proposal to use the base for additional detention is deeply troubling and unacceptable.”
The groups addressed their letter to Congress because “Congress has the power to stop use of the Naval base for any form of detention–and must take steps to prevent funding for detention operations and close Guantánamo for good.”
The letter goes on to describe the history of abuse and mistreatment at Guantánamo’s Migrant Operations Center, particularly during the 1990s when many Haitian refugees were held there following the 1991 CIA-backed coup d’etat against Haiti’s democratically elected government. The letter cites inadequate medical care and poor health and safety conditions as other reasons for concern.
Experts comment:
“Time and again, we have seen the U.S. government try to use Guantánamo as a legal black hole to mistreat migrants, subjecting them to inhumane conditions and interfering with both their right to seek protection in the United States and their right to counsel. IRAP opposes any effort to continue detention at Guantánamo.” — Pedro Sepulveda, International Refugee Assistance Project Litigation Fellow
“The continued use of Guantánamo Bay, which has an extensive history of abuse and torture, is horrific and unconscionable. By disappearing people at Guantánamo, the administration puts people’s lives at risk, obscures transparency, denies people due process, and subjects them to brutal conditions, at times indefinitely. We demand the permanent closure of Guantánamo and denounce any continued expansion of the facility and the deadly immigration detention system that is already operating at an unprecedented scope and scale at a cost to American taxpayers.” — Setareh Ghandehari, Advocacy Director of Detention Watch Network
“The ongoing threat of using the U.S. military prison at Guantánamo Bay to detain migrants would extend one of the most troubling chapters in our nation’s history, in which legal gray zones deny people their basic rights. Guantánamo still illegally houses detainees. Expanding its use to hold migrants would further entrench a system designed to evade due process and accountability. Proposals to establish a migrant camp at GITMO in response to potential migration from Cuba reflect a dangerous willingness to sidestep the rule of law. Congress must act to block funding for such detention, shut down Guantánamo once and for all, and address the root causes of migration, including harmful sanctions policies that destabilize entire populations.” — Robert S. McCaw, Council on American-Islamic Relations Government Affairs Department Director
“If the Trump administration is worried about Cuban migration, the solution is simple: stop intentionally impoverishing the Cuban people through an embargo and fuel blockade.” — Michael Galant, Senior Research and Outreach Associate, Center for Economic and Policy Research
“The president has held Guantánamo detention as a threat over the heads of migrants in the United States and now threatens the same over Cubans who may be forced to flee their homes as a result of his own actions. The United States cannot continue to leverage Guantánamo’s legacy of torture and inhumane treatment to intimidate people seeking safety.” — Yumna Rizvi, Center for Victims of Torture Senior Policy Analyst
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