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It is impossible to cut hundreds of billions from Medicaid without hurting massive numbers of seniors. Unless we stop them, that is exactly what GOP lawmakers are about to do.
Republicans are preparing to give trillions in tax handouts to millionaires and billionaires. How do they plan to pay for these tax handouts? By stealing health care from 13.7 million Americans, including destroying Medicaid as a functioning system for millions of seniors, children, and people with disabilities.
Older Americans and their families are often shocked to learn that, under most circumstances, Medicare doesn’t cover long term care. Medicaid does. In fact, Medicaid pays for over 60 percent of nursing home care. It also covers other types of long-term care, such as in-home care. And, Medicaid covers premiums and out-of-pocket costs for millions of low-income people with Medicare.
To qualify for Medicaid long term care, many seniors have to “spend down” their assets and savings. This is morally wrong. We will never stop fighting for a Medicare for All system, where everyone in America gets high quality health care that is free at point of service. But as flawed as the current system is, it’s far better than the Republican alternative — ripping away Medicaid, so that seniors who need long term care (and other care not covered by Medicare) can’t get it at all.
The bottom line: People will die because they can’t get the care they need.
Make no mistake: Republican Medicaid cuts will devastate seniors, ripping away critical care. Republicans are planning to make $880 billion in spending cuts to pay for the tax handout to the wealthy, and the majority of those cuts will come from Medicaid. It is impossible to cut hundreds of billions from Medicaid without hurting massive numbers of seniors.
Several of the Medicaid cuts they are considering amount to different ways of giving states far fewer federal dollars to spend on Medicaid. That means states will have to scale back their Medicaid programs, which will inevitably hurt seniors.
These cuts will hit all hospitals, but will almost immediately devastate rural hospitals, which rely on federal Medicaid dollars to stay afloat. America’s Essential Hospitals, the group representing these hospitals, says that the Republican plan “would cause children, pregnant patients, and disabled people to lose access to their coverage. Older populations living in nursing homes would also risk losing their health care coverage.”
If Republicans pass their Medicaid cuts into law, hospitals around the country — disproportionately in red states, which are more rural — will close. That’s on top of 200 rural hospitals that have already closed in the last decade. These closures won’t just impact people on Medicaid. It will devastate entire communities that rely on these hospitals.
Seniors with medical emergencies are in no position to drive hundreds of miles to a different hospital. This will also increase the burden on family caregivers, who will now have to travel further to get their spouse or aging parents to the hospital. The bottom line: People will die because they can’t get the care they need.
Congressional Republicans want to ruin the lives of millions more seniors, by taking away their Medicaid.
At the same time Republicans are planning these enormous Medicaid cuts, the Trump-Musk regime is breaking Social Security. They’ve pushed out 7,000 of the public servants who help Americans claim their earned benefits, with more layoffs to come. Field offices around the country have lost half their staff, leading to much longer wait times — if you can get an appointment at all.
Like the planned Medicaid cuts, these Social Security cuts are disproportionately hurting people living in rural areas and people with disabilities. If they can’t navigate the increasingly glitchy website, they may have to travel hundreds of miles to a Social Security office for an appointment.
The Musk henchmen running Social Security are also wrongly declaring people dead, cutting them off from their earned benefits as well as their credit cards and bank accounts — financial murder. People are flooding overwhelmed field offices, desperate to fix the error. In one keystroke, the Trump-Musk regime is ruining their lives. And Congressional Republicans want to ruin the lives of millions more seniors, by taking away their Medicaid.
All of this suffering is completely preventable. America is the wealthiest country in the history of the world. Republicans want to rip health care away from tens of millions of people to give tax cuts to billionaires. Instead, let’s make those billionaires pay their fair share — and use the money to give everyone in America the health care they need.
Two words: voter suppression. The Republican Party's recent actions make it clear that they will make it harder for regular folks to cast a ballot, by any means necessary.
It was the great Kris Kristofferson, whom we just lost last fall, who wrote that “freedom’s just another word for nothing left to lose.” Is that what Trump meant by his “Liberation Day” of tariffs last week, which liberated America’s 401K investors of billions of dollars? At least millions of citizens felt the freedom to take to the streets over theweekend with their grievances, which should give all of us hope.
In an America that feels on edge right now, few things in the nation’s capital are more precarious than the GOP’s fragile hold on power in the U.S. House. The Republicans’ current 220-213 majority is one of the smallest in modern times. And with crucial votes just ahead on issues like President Donald Trump’s proposed tax cuts that favor billionaires and corporations, every vote counts.
Well, unless you’re one of 800,000 Texans who live in Houston or its adjacent Harris County suburbs.
Voters who live in the Lone Star State’s 18th Congressional District, which is nearly 76% Black and Latino, have received a series of gut punches, beginning last year when longtime incumbent and civil rights icon Rep. Sheila Jackson Lee died in office. The district then went strongly for another well-known local, Houston’s 70-year-old former mayor Sylvester Turner, giving him nearly 70% of the fall vote, even after his disclosure he was suffering from a rare form of bone cancer.
Sadly, Turner’s career as a U.S. congressman lasted less than 10 weeks. In late winter, the Houstonian fell ill and died on March 5. The intervening weeks — a momentous time back on Capitol Hill, including a budget vote carried by Republicans by a narrow margin — saw a large crowd come together for Turner’s funeral and candidates stepping forward to replace him.
What was missing for more than a month was any effort by Texas’ right-wing GOP Gov. Greg Abbott to call a special election to fill the vacant seat. Last week, as residents in the 18th grumbled and at least one Democratic hopeful — along with House Minority Leader Hakeem Jeffries — threatened to sue, Abbott finally spoke...
...not to call the election, but to say he was holding things up because of his ongoing complaints about how one of the few Democratic counties in a mostly red state conducts its elections. It is true that Harris County voters have experienced problems like long lines — often because of a lack of polling places and other restrictions imposed by the GOP-led statehouse. Meanwhile, Abbott cynically worked with state lawmakers to enact legislation that ousted one Democratic elections chief.
But Turner’s untimely death has given Abbott a MAGA two-fer: a chance to keep a safe Democratic seat vacant for as long as he can get away with it, and to stroke the Big Lie that any election that Republicans lose must involve voter fraud.
“Harris County is a repeat failure as it concerns operating elections,” Abbott insisted in a local interview. “Had I called that very quickly, it could have led to a failure in that election, just like Harris County has failed in other elections. They need to have adequate time to operate a fair and accurate election, not a crazy election like what they’ve conducted in the past.”
Monday night, as the impasse started getting more attention, Abbott did decide to declare a special election — not in June, when a statewide runoff is already scheduled, but during the Nov. 4 general election. That means citizens in and around Houston will go eight full months without a representative on Capitol Hill. It’s outrageous.
Abbott’s filibuster of giving Harris County a free, fair and prompt congressional election may offer an answer to the hottest burning question as spring 2025 dawns across the nation: How on earth do Republicans, who seem to be fueling a voter rebellion with Trump’s insane tariff scheme, consumer prices that are rising despite a campaign promise to bring them down, and the president’s popularity plunging, expect to win the 2026 midterms, let alone keep the White House in 2028?
The governor of America’s second-largest state just said the quiet part out loud: voter suppression.
If you spend too much time on social media, as I do, you frequently see liberals commenting on the next elections, only to add, “assuming we have an election.” It feels like extreme internet paranoia and in one sense it arguably is, because it’s impossible to imagine there won’t be balloting in 19 months.
Or, at least, something that resembles an election.
Although there may be few opportunities to as aggressively put a thumb on the scale of election fairness as Abbott is currently getting away with, it’s also becoming clear that Republicans — who’ve embraced anti-democratic tactics from closing polling places on college campuses to advocating for strict voter ID laws — are taking their war on voting to the next level.
Look no farther than North Carolina, where the Democratic candidate for the state’s Supreme Court, incumbent Associate Justice Allison Riggs, should have been sworn in for a full term months ago, after the 2024 results showed she’d defeated Republican Jefferson Griffin by a scant 734 votes.
The moral of the story should have been that every vote counts, but instead it has been that Republicans can’t accept defeat in a democratic election. After losing a recount, Team Griffin went into state court asking that a whopping 60,000 ballots get tossed out because of a complicated technicality in the way these voters had initially registered, even though they had presented valid IDs to vote as required by law.
A federal court had ruled against this challenge before the election, and the proposed massive disenfranchisement was rightfully called “ridiculous” by Charlotte Observer columnist Paige Masten, who added: “But it seems to be the Republican playbook these days: If at first you don’t succeed, just try to throw the votes out.”
The challenge has dragged out deep into 2025, until last week when Republican judges on the intermediate Court of Appeals powered a 2-1 ruling that stunned the Tarheel State by siding with Griffin’s argument, although most of the potentially disenfranchised voters were given three weeks to prove their identity and make their votes count. Still, the ruling — which Riggs is appealing to a Supreme Court where her colleagues are mostly Republican — could cancel out enough Democratic votes to change the outcome. It’s a grim reminder of what was expected from Team Trump if he’d lost last November, and a warning of what’s ahead.
These miscarriages of democracy in Texas and North Carolina come at the same time that Trump has signed an executive order — arguably not worth the piece of paper he scribbled his name across — with the goal of suppressing future votes.
The sweeping diktat signed by the president late last month demands that would-be voters produce proof of citizenship, seeks greater cooperation between the federal government and states on finding and removing ineligible voters, and also to leverage federal dollars to prevent mail-in ballots received after Election Day from being counted. The order has been panned by legal scholars, who note that such rules are typically set at the state level, and is already the subject of a lawsuit by 19 states.
Still, Trump and the GOP have laid down a marker for the 2026 election, and beyond. The party’s recent actions make it clear that they will make it harder for regular folks to cast a ballot, by any means necessary, including a new wave of voter ID laws, constant legal challenges, and maybe cancelling elections where they can. And any efforts to fight back, by Democrats or other aggrieved citizens, will trigger more Big Lies about election fraud.
The hole in the Republican strategy is that as Trump continues to set America on fire with his unhinged presidency, even extreme suppression can’t stop a tsunami at the ballot box.
"Republicans want to give away trillions of dollars to the richest people in our country," said Rep. Rashida Tlaib, "and they want to pay for it by taking food away from hungry children and letting people die from a lack of healthcare coverage."
In a party-line vote, House Republicans on Thursday approved a budget blueprint that sets the stage for the GOP to pass another round of tax cuts for the rich, paid for in part by slashing Medicaid, federal nutrition assistance, and other critical programs.
The final vote was 216 to 214, with two Republicans—Reps. Thomas Massie of Kentucky and Victoria Spartz of Indiana—and every Democrat opposing the measure, which now must be converted into legislation.
The budget reconciliation process that Republicans are using for their sweeping bill means it can pass with a simple majority in both chambers of Congress.
"Republicans are ramming through a budget that includes $880 billion in cuts to Medicaid and at least $230 billion in cuts to food assistance to pay for tax breaks for billionaires," Rep. Rashida Tlaib (D-Mich.) said in a statement Thursday. "These are the largest Medicaid and food assistance cuts in American history."
“Make no mistake: Republicans want to give away trillions of dollars to the richest people in our country like Elon Musk, and they want to pay for it by taking food away from hungry children and letting people die from a lack of healthcare coverage," Tlaib continued. "We must raise our voices and defeat this dangerous Republican budget."
"In unifying behind this budget resolution, congressional Republicans are telling us they are serious about their agenda to rob everyday Americans in order to deliver a big payout to the ultra-wealthy in tax cuts."
Passage of the blueprint came hours after Republican congressional leaders and President Donald Trump managed to win the support of GOP holdouts concerned that the forthcoming legislative package won't reduce spending enough to offset the massive cost of fresh tax cuts, which would largely benefit the rich.
During a press conference Thursday following the vote, House Speaker Mike Johnson (R-La.) and Senate Majority Leader John Thune (R-S.D.) signaled that they are unified behind the goal of cutting at least $1.5 trillion in federal spending over the next decade—an objective that Trump has endorsed.
"We have a lot of United States senators who believe that is a minimum," Thune said of the $1.5 trillion figure.
Sharon Parrott, president of the Center on Budget and Policy Priorities, said in a statement that "in this budget framework, there is no way to cut $1.5 trillion in spending while protecting health coverage through Medicaid and food assistance through [the Supplemental Nutrition Assistance Program]."
"This budget architecture was terrible a couple of months ago," Parrott added. "It is a far worse plan at a moment when the president's tariffs, chaotically crafted and applied, have caused business uncertainty to soar and raised the risk of a recession, higher unemployment, and surging prices."
In a post on his social media site, Trump congratulated House Republicans for approving the measure and claimed it would deliver "the Largest Tax and Regulation Cuts ever even contemplated."
An analysis released last week by the nonpartisan Joint Committee on Taxation estimated that renewing soon-to-expire provisions of the 2017 Trump-GOP tax law would cost $5.5 trillion over the next decade. Republican lawmakers have also called for an additional $1.5 trillion in tax cuts, which would push the overall cost of the tax package to $7 trillion.
David Kass, executive director of Americans for Tax Fairness, said in a statement Thursday that "the country is rapidly undergoing an intensifying economic crisis created by Trump and congressional Republicans, and the only legislative solution they've put forward is to double down on tax cuts for billionaires while eliminating healthcare access and food assistance for millions of Americans."
Lisa Gilbert, co-president of the consumer advocacy group Public Citizen, echoed that message, saying that "in unifying behind this budget resolution, congressional Republicans are telling us they are serious about their agenda to rob everyday Americans in order to deliver a big payout to the ultra-wealthy in tax cuts."
"As they now work to actually write the bill that they intend to push through via the reconciliation process, which will deplete funding for healthcare, nutrition, and other critical human needs in order to line the pockets of CEOs and billionaires, they should know we are also serious in our efforts to fight back," Gilbert added.