{"articles":[{"reaction_config":[{"text":"Yes","color":"#624960","stance":"yes"},{"text":"Maybe","color":"#edb723","stance":"maybe"},{"text":"No","color":"#4ac6ec","stance":"no"}],"id":42161,"title":"Trump's Budget Proposal: Do You Support Cuts to Medicare, Medicaid, and Social Security?","html_content":"

by Axios | 2.11.20

President Trump's 2021 budget proposes massive reductions in Medicare and Medicaid spending, which would be felt most acutely by hospitals and Medicaid beneficiaries.

Why it matters: Budget proposals are more about messaging than policies that have any chance of becoming law, but it's still a good indication of the direction the administration would like to head in if Trump wins re-election.

Yes, but: The budget isn't entirely theoretical; the administration is moving full steam ahead on some of its Medicaid proposals — like work requirements and block grants — and is still hoping to notch a victory on prescription drug prices before the election.

Details: The budget would reduce Medicare and Medicaid spending by hundreds of billions of dollars each over the next decade.

The budget doesn't include new policy ideas to replace the Affordable Care Act or protect pre-existing conditions, but does include $844 billion in spending reductions from the \"President's Health Reform Vision,\" which accounts for a large portion of its Medicaid savings.

Between the lines: These huge Medicare savings come at the expense of hospitals, including through site-neutral payment policies and reduced uncompensated care payments.

Although the Medicaid reforms are largely unspecified, if the Trump administration's past actions indicate future behavior, they'd likely include cuts to the ACA's expansion population and capping federal payments to states.
\"The level of spending reductions called for would inevitably mean fewer people covered and more uninsured,\" the Kaiser Family Foundation's Larry Levitt said.

My thought bubble: It's extremely hard to see Congress legislating these kind of cuts to hospitals, no matter who's in charge. But if Republicans are in control after the election, it's pretty easy to see them at least trying to pass these large-scale Medicaid reforms again.

Go deeper: Trump vs. Medicaid

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Won’t listen to slogans, chanted mantras or generally any kind of marketing spin or “rebranding” crap. I firmly believe that everyone else is entitled to their erroneous opinions. Citizen vigilance and due diligence is price we must pay to live in a thriving, functional democracy.\nI fear that our citizens are too easily swayed by politician’s pablum about “babies”, “jobs” and now, in particular, perceived “enemies”. I fear that a citizenry focused on the “here-and-now” is easily tricked by short term benefits that have negative long-term consequences. I fear that our legislators are more concerned about buffing their constituents than looking out for the long-term welfare of our country- and are way too eager to provide those short-term benefits to the “here-and-now” crowd.\nI fear that honor is generally being sacrificed/replaced by expediency. I hear politicians eloquently argue for one side of an issue and later, when it’s to their benefit, just as eloquently argue for the opposite side. OK, so they are good at arguing- but what is that they actually believe? What is it that they actually stand for? An honorable person has values that persist even when it is not convenient or expedient. An honorable person has a moral compass that stops them from doing something wrong even if it is not illegal. A foul is a foul- even if the referee doesn’t catch you.\nI fear that each of our federal governmental branches have devised or discovered shortcuts which tend to protect them from the checks and balances our founders intended.","twitter_id":null,"facebook_id":null,"youtube_id":null,"google_plus_id":null,"website":null,"slug":"jimk","issue_count":4,"is_following":null,"influence_score":48270,"influence_level":40,"follower_count":1633,"following_count":88,"position_count":566,"id":"9odrQBnb","partner_id":null}],"article_comment":{"flagged":false,"id":1193788,"body":"Absolutely not!\nCut the bloated military budget.\nRepeal the 45/Repugnacant Tax Scam.\nEnd tax exempt status for religious institutions.\nClaw back ALL the money 45 and his Spawn and his Cabinet Stooges have scammed.","parent_type":"Article","parent_id":42161,"created_at":"2020-02-11T18:54:50.434Z","liked":false,"like_count":2,"links":{"self":"https://www.causes.com/comments/1193788","likers":"https://www.causes.com/api/v1/likers?likeable_id=1193788&likeable_type=Comment"},"article_id":42161,"shareable_image_url":"https://n.causes.com/share-images/comments/1193788.png","note":{"text":"No","color":"#4ac6ec","stance":"no"},"note_text":"No","note_color":"#4ac6ec","user_id":"QZOx3zdm","liker_ids":["Bmyny8a9","9odrQBnb"]}}

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