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House Speaker Paul Ryan has made a key Republican motive for pushing ahead with the House GOP health plan explicit in recent interviews:[1] passing the health package first facilitates deeper tax cuts for the wealthy and corporations in subsequent tax legislation.
Because these tax cuts are in the health bill, Republicans can, in their tax bill later this year, make much deeper cuts in tax rates.That's because the House GOP health plan reduces revenues by nearly $900 billion over the decade, according to the Congressional Budget Office (CBO), including $592 billion in tax cuts largely for the wealthy. Passing these tax cuts now as part of a health package allows the GOP to offset their cost through cuts to health care spending -- particularly in Medicaid, which CBO estimates the House health care bill cuts by $880 billion over ten years. If these tax cuts were part of tax reform legislation rather than being in the health bill, Republican leaders would have to offset their cost on the tax side to maintain revenue neutrality, as they have said they would do, limiting how sharply they can cut tax rates.

Instead, because these tax cuts are in the health bill, Republicans can, in writing their tax bill later this year, make much deeper cuts in tax rates -- particularly for corporations -- than they otherwise could do. As Ryan explained in a recent interview with Maria Bartiromo:[2]
RYAN: [...] And so yes, it is important that we get this [the health plan] done so that we can do tax reform. Because this bill also takes out about $900 billion in tax increases, the Obamacare tax increases are taken out which makes it $900 billion easier to reform the tax code afterwards... That's why this is really important.
BARTIROMO: Look, some people see this as a bigger tax cut than anything obviously. Because you're taking out certain taxes--
RYAN: It's about a trillion dollar tax cut. This is about a trillion dollar tax cut.
BARTIROMO: And I get that. But wouldn't it have been easier to tax reform first [....]
RYAN: Because it's one of the highest priorities we have. Our committees, frankly, weren't ready to be able to write tax reform in this space of time. They're getting ready now. They're still working on it. And more importantly, it would have been a trillion dollars more difficult to do tax reform had we done that first. That's a big deal.
A trillion dollars, just to give you, in your mind a perspective, that's 10 percentage points on rates for businesses. So our blueprint, the House blueprint,[3] it takes the corporate rate from 35 to 20; a trillion dollars is the 20 to 30 difference. This is how big that is. And so taking tax reform with a bigger trillion dollar number in it makes it really hard to do. That's why doing this first makes tax reform that much easier to accomplish.
House Republicans intend to enact both their health and tax packages using a special budget process called "reconciliation."[4] The key advantage is that reconciliation bills cannot be filibustered in the Senate and so can pass with a simple majority vote, allowing Republicans to pass their health and tax packages without needing the support of a single Democrat. But reconciliation bills must meet certain criteria, including that they not increase the deficit after the ten-year budget "window." The House GOP health plan meets this standard because it pays for its revenue losses with deep cuts to health coverage for low- and moderate-income families, especially Medicaid. (See Figure 1.) This would have devastating consequences: 24 million more Americans would be uninsured in 2026, CBO estimates.[5]
If Republicans propose tax reform through reconciliation, that bill, too, will have to meet the test of not increasing the deficit after ten years. Passing health legislation first makes this "easier," because if the tax cuts for the wealthy in the House GOP's health package were instead in tax reform, they would need to be paid for with other provisions -- such as cuts to tax deductions and other tax breaks that heavily benefit the well-off -- to avoid increasing the deficit in the long run.[6] But if lawmakers enact and pay for these large tax cuts before tax reform -- with Medicaid cuts, in the case of the House plan -- they won't have to pay for their long-run cost in tax reform. And as Ryan notes, by cutting taxes sharply through health legislation and not having to pay for those tax cuts in tax reform, Republicans could cut corporate tax rates by something like an additional 10 percentage points.
This sleight of hand matters not only for budget rules. It also avoids the appearance that Republicans are cutting Medicaid to finance corporate tax rate cuts. Yet the maneuvering does not change the consequences of these policies: House Republican leaders' cuts to Medicaid and other health coverage provisions will leave 24 million more people uninsured, and most of the proceeds from these cutbacks will be used to finance billions of dollars in tax cuts for the wealthy in the health legislation and, ultimately, to make possible deeper tax cuts for large, profitable corporations.
This country and this world are at a monumental crossroads. US voters have an opportunity to beat back the forces of fascism and confront the billionaires who are rigging the economy, our media system, and our democracy, making it increasingly impossible for ordinary people to get by. We’re not just talking about the election. We’re talking about what must be done once these fascist elements are vanquished from power. We need a bolder set of solutions than what either major party has so far been willing to offer and a working-class movement ready to fight like hell for it. Trump didn't emerge from nowhere. The conditions that fueled MAGA authoritarianism were created by decades of radical neoliberal economic policies and a corrupt political system dominated by corporate interests. They slashed taxes on the super-rich, promising that the benefits would trickle down. They said giveaways to the corporate titans would make life more affordable for the rest of us. It was all bullshit. And when a bitter, betrayed populace searches for someone to blame, right-wing demagogues have little trouble finding scapegoats. People know when they're being lied to, but you won't hear any of this from the corporate media. Only independent journalism—powered and funded by people who believe in building a better world—can deliver truly trustworthy daily news. If you share our vision, please contribute whatever you can to sustain our work. |
House Speaker Paul Ryan has made a key Republican motive for pushing ahead with the House GOP health plan explicit in recent interviews:[1] passing the health package first facilitates deeper tax cuts for the wealthy and corporations in subsequent tax legislation.
Because these tax cuts are in the health bill, Republicans can, in their tax bill later this year, make much deeper cuts in tax rates.That's because the House GOP health plan reduces revenues by nearly $900 billion over the decade, according to the Congressional Budget Office (CBO), including $592 billion in tax cuts largely for the wealthy. Passing these tax cuts now as part of a health package allows the GOP to offset their cost through cuts to health care spending -- particularly in Medicaid, which CBO estimates the House health care bill cuts by $880 billion over ten years. If these tax cuts were part of tax reform legislation rather than being in the health bill, Republican leaders would have to offset their cost on the tax side to maintain revenue neutrality, as they have said they would do, limiting how sharply they can cut tax rates.

Instead, because these tax cuts are in the health bill, Republicans can, in writing their tax bill later this year, make much deeper cuts in tax rates -- particularly for corporations -- than they otherwise could do. As Ryan explained in a recent interview with Maria Bartiromo:[2]
RYAN: [...] And so yes, it is important that we get this [the health plan] done so that we can do tax reform. Because this bill also takes out about $900 billion in tax increases, the Obamacare tax increases are taken out which makes it $900 billion easier to reform the tax code afterwards... That's why this is really important.
BARTIROMO: Look, some people see this as a bigger tax cut than anything obviously. Because you're taking out certain taxes--
RYAN: It's about a trillion dollar tax cut. This is about a trillion dollar tax cut.
BARTIROMO: And I get that. But wouldn't it have been easier to tax reform first [....]
RYAN: Because it's one of the highest priorities we have. Our committees, frankly, weren't ready to be able to write tax reform in this space of time. They're getting ready now. They're still working on it. And more importantly, it would have been a trillion dollars more difficult to do tax reform had we done that first. That's a big deal.
A trillion dollars, just to give you, in your mind a perspective, that's 10 percentage points on rates for businesses. So our blueprint, the House blueprint,[3] it takes the corporate rate from 35 to 20; a trillion dollars is the 20 to 30 difference. This is how big that is. And so taking tax reform with a bigger trillion dollar number in it makes it really hard to do. That's why doing this first makes tax reform that much easier to accomplish.
House Republicans intend to enact both their health and tax packages using a special budget process called "reconciliation."[4] The key advantage is that reconciliation bills cannot be filibustered in the Senate and so can pass with a simple majority vote, allowing Republicans to pass their health and tax packages without needing the support of a single Democrat. But reconciliation bills must meet certain criteria, including that they not increase the deficit after the ten-year budget "window." The House GOP health plan meets this standard because it pays for its revenue losses with deep cuts to health coverage for low- and moderate-income families, especially Medicaid. (See Figure 1.) This would have devastating consequences: 24 million more Americans would be uninsured in 2026, CBO estimates.[5]
If Republicans propose tax reform through reconciliation, that bill, too, will have to meet the test of not increasing the deficit after ten years. Passing health legislation first makes this "easier," because if the tax cuts for the wealthy in the House GOP's health package were instead in tax reform, they would need to be paid for with other provisions -- such as cuts to tax deductions and other tax breaks that heavily benefit the well-off -- to avoid increasing the deficit in the long run.[6] But if lawmakers enact and pay for these large tax cuts before tax reform -- with Medicaid cuts, in the case of the House plan -- they won't have to pay for their long-run cost in tax reform. And as Ryan notes, by cutting taxes sharply through health legislation and not having to pay for those tax cuts in tax reform, Republicans could cut corporate tax rates by something like an additional 10 percentage points.
This sleight of hand matters not only for budget rules. It also avoids the appearance that Republicans are cutting Medicaid to finance corporate tax rate cuts. Yet the maneuvering does not change the consequences of these policies: House Republican leaders' cuts to Medicaid and other health coverage provisions will leave 24 million more people uninsured, and most of the proceeds from these cutbacks will be used to finance billions of dollars in tax cuts for the wealthy in the health legislation and, ultimately, to make possible deeper tax cuts for large, profitable corporations.
House Speaker Paul Ryan has made a key Republican motive for pushing ahead with the House GOP health plan explicit in recent interviews:[1] passing the health package first facilitates deeper tax cuts for the wealthy and corporations in subsequent tax legislation.
Because these tax cuts are in the health bill, Republicans can, in their tax bill later this year, make much deeper cuts in tax rates.That's because the House GOP health plan reduces revenues by nearly $900 billion over the decade, according to the Congressional Budget Office (CBO), including $592 billion in tax cuts largely for the wealthy. Passing these tax cuts now as part of a health package allows the GOP to offset their cost through cuts to health care spending -- particularly in Medicaid, which CBO estimates the House health care bill cuts by $880 billion over ten years. If these tax cuts were part of tax reform legislation rather than being in the health bill, Republican leaders would have to offset their cost on the tax side to maintain revenue neutrality, as they have said they would do, limiting how sharply they can cut tax rates.

Instead, because these tax cuts are in the health bill, Republicans can, in writing their tax bill later this year, make much deeper cuts in tax rates -- particularly for corporations -- than they otherwise could do. As Ryan explained in a recent interview with Maria Bartiromo:[2]
RYAN: [...] And so yes, it is important that we get this [the health plan] done so that we can do tax reform. Because this bill also takes out about $900 billion in tax increases, the Obamacare tax increases are taken out which makes it $900 billion easier to reform the tax code afterwards... That's why this is really important.
BARTIROMO: Look, some people see this as a bigger tax cut than anything obviously. Because you're taking out certain taxes--
RYAN: It's about a trillion dollar tax cut. This is about a trillion dollar tax cut.
BARTIROMO: And I get that. But wouldn't it have been easier to tax reform first [....]
RYAN: Because it's one of the highest priorities we have. Our committees, frankly, weren't ready to be able to write tax reform in this space of time. They're getting ready now. They're still working on it. And more importantly, it would have been a trillion dollars more difficult to do tax reform had we done that first. That's a big deal.
A trillion dollars, just to give you, in your mind a perspective, that's 10 percentage points on rates for businesses. So our blueprint, the House blueprint,[3] it takes the corporate rate from 35 to 20; a trillion dollars is the 20 to 30 difference. This is how big that is. And so taking tax reform with a bigger trillion dollar number in it makes it really hard to do. That's why doing this first makes tax reform that much easier to accomplish.
House Republicans intend to enact both their health and tax packages using a special budget process called "reconciliation."[4] The key advantage is that reconciliation bills cannot be filibustered in the Senate and so can pass with a simple majority vote, allowing Republicans to pass their health and tax packages without needing the support of a single Democrat. But reconciliation bills must meet certain criteria, including that they not increase the deficit after the ten-year budget "window." The House GOP health plan meets this standard because it pays for its revenue losses with deep cuts to health coverage for low- and moderate-income families, especially Medicaid. (See Figure 1.) This would have devastating consequences: 24 million more Americans would be uninsured in 2026, CBO estimates.[5]
If Republicans propose tax reform through reconciliation, that bill, too, will have to meet the test of not increasing the deficit after ten years. Passing health legislation first makes this "easier," because if the tax cuts for the wealthy in the House GOP's health package were instead in tax reform, they would need to be paid for with other provisions -- such as cuts to tax deductions and other tax breaks that heavily benefit the well-off -- to avoid increasing the deficit in the long run.[6] But if lawmakers enact and pay for these large tax cuts before tax reform -- with Medicaid cuts, in the case of the House plan -- they won't have to pay for their long-run cost in tax reform. And as Ryan notes, by cutting taxes sharply through health legislation and not having to pay for those tax cuts in tax reform, Republicans could cut corporate tax rates by something like an additional 10 percentage points.
This sleight of hand matters not only for budget rules. It also avoids the appearance that Republicans are cutting Medicaid to finance corporate tax rate cuts. Yet the maneuvering does not change the consequences of these policies: House Republican leaders' cuts to Medicaid and other health coverage provisions will leave 24 million more people uninsured, and most of the proceeds from these cutbacks will be used to finance billions of dollars in tax cuts for the wealthy in the health legislation and, ultimately, to make possible deeper tax cuts for large, profitable corporations.