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Trump's Assault On Health Care


Tiberius

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 Trump’s New War On Wasteful Spending — An Advance Draft Of The President’s Budget To Congress (FY2021).

 

 
 
 

Trump budget: Latest spending plan reflects campaign priorities

 

 

 

 

Trump budget touches off new battle over spending cuts 

 

 

 

 

Trump told the nation's governors at a White House event that he would preserve entitlement programs.
"We're not touching Medicare. We want to keep Medicare. We're not touching Social Security," he said. "We're not decreasing Medicaid. But we're doing a lot of things that are very good, including waste and fraud."
 
 
Here's what he is proposing:

Medicare changes

The budget does call for changes to the Medicare program, but they would largely affect doctors and hospitals.
 
The decrease in federal spending on Medicare would total about $750 billion over 10 years, but that includes shifting two programs out of the budget. After accounting for those changes, the reduction is just over $500 billion, said Marc Goldwein, senior policy director for the Committee for a Responsible Federal Budget, a watchdog group.
 
Much of that cut comes from reducing payments to providers, which would not directly affect beneficiaries' costs. The budget notes that it supports legislative efforts to establish an out-of-pocket maximum for seniors in Medicare's Part D drug coverage.
 
Trump, who has repeatedly promised to protect Social Security and Medicare, caused a stir last month when he told CNBC that entitlement cuts will be on his plate "at some point."
 
Asked by CNBC whether he was willing "to do some of the things that you said you wouldn't do in the past, though, in terms of Medicare," Trump said: "We're going look."

Medicaid and other assistance

The President, however, is proposing big cuts in Medicaid, health care and other assistance programs.
 
The budget calls for $844 billion in savings over 10 years from the "President's health reform vision." However, the only detail provided is eliminating the enhanced federal match for Medicaid expansion enrollees, said Aviva Aron-Dine, vice president for health policy at the left-leaning Center on Budget and Policy Priorities. That alone would not account for the estimated savings.
 
Under the Affordable Care Act, states have the option of expanding Medicaid coverage to low-income adults, with the federal government picking up 90% of the tab. That's more than states receive to cover traditional Medicaid enrollees, who are largely children, senior citizens, the disabled and certain low-income adults.
 
The administration estimates it would save more than $152 billion over a decade from implementing work requirements in Medicaid. The Centers for Medicare & Medicaid Services has given permission to 10 states to require certain beneficiaries to work, but the effort has been largely put on hold while multiple lawsuits work their way through the courts. Other states are seeking approval, but their applications are still pending.
 

Other safety net programs

Trump's budget also takes a whack at many safety net programs.
 
Reforming food stamps -- formally known as the Supplemental Nutrition Assistance Program, or SNAP -- would save nearly $182 billion over a decade. The administration rolled out a new rule in December that makes it harder for states to waive existing work requirements for certain able-bodied, working-age adults without dependents. It has also proposed tightening the rules governing who qualifies for aid. These, along with a more minor proposal, could decrease the number of people on food stamps by 3.7 million, according to an Urban Institute report.
 
The budget also calls for sending food stamp recipients "Harvest Boxes" of food directly to households. This idea sparked immediate concern and questions among consumer advocates and food retailers when the administration included it in the past.
 
Also, the administration would reduce the Temporary Assistance for Needy Families block grant and eliminate the program's contingency fund, which states use during economic downturns -- saving a total of more than $21 billion over a decade. TANF replaced what was known as welfare during the 1996 reform effort.
The administration wants to require that those claiming the Child Tax Credit, Earned Income Tax Credit and credit for other dependents provide a Social Security number, which would target immigrants. This would save nearly $73 billion over 10 years, according to the budget's summary table.

Disability programs

And the President wants to promote greater labor force participation in federal disability programs, which is estimated to save $43 billion over a decade. Also, reforming federal disability programs -- including reducing retroactive benefits to six months instead of a year -- would save another $20 billion over 10 years.
 
The budget notes that the participation rate for working age Americans with disabilities is less than half that of their peers who don't have disabilities.
 
"We have unprecedented job growth and demand for workers outpaces supply, and we have the responsibility to bring workers off the sidelines," the budget notes
One area Trump would boost funding: Addressing opioid abuse and mental health in Medicaid. He calls for adding $7 billion over a decade to those programs.
 
"The budget makes difficult, prudent choices about what to do with taxpayer dollars, targeting investments in programs that have proven effective and cutting back on programs that have not," said Health & Human Services Secretary Alex Azar.
 
 

 

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3 hours ago, Gary Busey said:

Will a Trump supporter comment on the fact that his budget is a 180 from his state of the union address?

 

No? - Carry on!

 

Also we know you blocked Tibs - you don't need to reply to his thread to let everyone know. 

I agree. That was the best State of the Union address in my 49 years on this earth!

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3 hours ago, Tiberius said:

Trump will lose in court over killing Obamacare? 

 

Or or it doesn't matter he wants to cut healthcare for the poor? 

 

Honestly, I thought you guys would be cheering people would get hurt 

This is funny. Ignorance of his beloved clown! 

No, we don't do that. We don't laugh uncontrollably over the deaths of fellow citizens either, Gleeful Gator. 

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5 hours ago, Tiberius said:

WHITE HOUSE

Trump hits Medicaid, food stamps in push to slash domestic spending

He will also ask Congress for a slight spending increase for the Pentagon as he releases his $4.8 trillion budget blueprint for the upcoming fiscal year.

BY CAITLIN EMMA AND JENNIFER SCHOLTES

 

 

Tax cuts for the wealthy, health care cuts for the poor 


I really respect your ability to display how much of an uneducated moron you are on a day to day, hour by hour basis. It’s impressive. 

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16 minutes ago, Koko78 said:

 

Absolutely unacceptable. I DEMAND at least living wage, plus free everything, for being unwilling to work.

 

 

And the whole idea of a one gig limit on Obama phones cries out for investigation.  If only a  whistleblower would come forward...well, not exactly come forward...maybe write a message in chalk on the side of a bank in Arlington.  You can't hardly download two NBA games a day to watch later anymore.

Edited by Keukasmallies
Just being snarky....
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2 hours ago, Tiberius said:

This should be the message. Why won't Trump go there? 

This is a good point. He'd lose a ton of support if he campaigned on these issues, so they're trying to sweep it under the rug. Did you see Mike Pence's reaction when someone asked him about the law that made it easier for states to opt out of Medicaid expansion? Totally shell shocked.

 

People with disabilities need to work? Uhhh. Ok. 

 

This is where the rubber meets the road politically. It's not about Trump. It's about socioeconomic policies.

 

I don't have a problem with poor people getting some scraps to eat. The savings there are so miniscule that we may be talking about percentage points in the hundreth's as it pertains to the deficit. 

 

I always hear that people become more conservative with wisdom. I've always felt like people are conservative until some awful () happens to THEM.

 

While we're at it, why do none of the FEDERAL criminal justice reforms address cash bail, the biggest fraud ever perpetrated against those at the low end of the wealth spectrum. You're telling me it's cool that a person is released from jail because they have some "collateral?" Freedom is the last thing you wanna be treating like a pawn shop.

 

But again, let's see if Trump actually campaigns on these issues. Alabama, the state with THE highest rate of folks receiving such benefits, may not be so happy. 

 

I always respected Paul Ryan because he had the stones to articulate his conservative economic vision.

Edited by LSHMEAB
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