'Big downsizing': GOP plans to snatch health coverage from 'millions of low-income' people
Source: Raw Story
April 20, 2025 8:55PM ET
When Democrats recaptured the U.S. House of Representatives in the 2018 midterms and enjoyed a net gain of 41 seats, President Donald Trump's unpopular efforts to overturn the Affordable Care Act of 2010, a.k.a. Obamacare, were cited as a major factor. Obamacare, many Democratic strategists argued, had become a toxic issue for Republicans.
But during his 2024 campaign, Trump once again called for the ACA to be repealed. In an article published by the conservative website The Bulwark on April 19, journalist Jonathan Cohn warns that millions of Americans could lose their health insurance if Trump and House Speaker Mike Johnson (R-Louisiana) succeed in undermining Obamacare and Medicaid.
"The likelihood of Donald Trump and his allies in Congress taking Medicaid away from millions of low-income Americans and, in the process, rolling back a huge piece of the Affordable Care Act has increased significantly in the last two weeks," Cohn explains. "The change has been easy to miss, because so many other stories are dominating the news and because the main evidence is a subtle shift in Republican rhetoric. But that shift has been crystal clear if you follow the ins and outs of health care policy and if you were listening closely to House Speaker Mike Johnson a week ago, when he appeared on Fox News."
On Fox News, Johnson said, "We have to root out fraud, waste, and abuse. We have to eliminate people on, for example, on Medicaid who are not actually eligible to be there able-bodied workers, for example, young men who are who should never be on the program at all." Johnson's remarks, Cohn notes, "may sound like a defense of Medicaid" but included "the language Medicaid critics have been using to describe a big, controversial downsizing of the program."
Read more: https://www.rawstory.com/big-downsizing-obamacare-mike-johnson/

Blues Heron
(6,804 posts)bucolic_frolic
(49,925 posts)I know, what does that mean. 2 PC visits a year, specialists as needed, nutrition advice? Most all could survive and many improve on such. Doctors tailor advice to those they think will accept it. So they manage symptoms instead of causes. Those dynamics are expensive.
That will step on some toes, so critique as needed.
yardwork
(66,311 posts)Medicaid saves the lives of people who have serious chronic illnesses and cancer.
Healthy "able bodied" young people are not the cause of high health care costs. They rarely use health care.
Are you going to tell a young man with cancer that he's on his own? He will die.
Are you going to tell a young woman with diabetes that she can't get lifesaving care? She'll die.
Don't believe the Republican lies.
bucolic_frolic
(49,925 posts)I said as needed. Some people use PC or ER serially for minor things. And doctors are under guidelines on what they're paid for, and know how to get paid.
yardwork
(66,311 posts)They rarely go at all. The people who overuse Emergency Departments are sick and can't find doctors to provide care for their multiple illnesses.
Don't believe the Republican lies. If you're interested in how to help, volunteer at a hospital. I'll bet you will be very surprised by what you see.
IbogaProject
(4,284 posts)That is a GOP talking point and is a symptom of our health care dysfunction. Single payer is projected to start saving money immediately, even during the initial transition year. The money is already there it just need to be consolidated into a single plan with out so much administrative overhead. We only failed to implement it in the 1940s because of the Dixiecrats not wanting to cover minorities. This B$ with health insurance is a drag on our whole economy and society. And lowering barriers to preventative health should reduce the incidence of more serious cases. The other factor hindering adoption is Big Pharma and Big Medicine don't want all the health care data in one usable database. That would allow for proper evaluation of effectiveness.
Hekate
(97,318 posts)Female needs are different from puberty onwards and dont even get me started
travelingthrulife
(2,099 posts)OrlandoDem2
(2,750 posts)Social Security is at risk as well. We need to shut this country down NOW. Protesting as theyre voting later is way too late!
bucolic_frolic
(49,925 posts)But a lot depends on if the stock market crashes from the tariffs because that reaches people with health care that is not dependent on Medicare or Medicaid, and it hurts their finances.
Historic NY
(38,867 posts)Ron Pauls let them die supporters.
Hotler
(13,007 posts)exboyfil
(18,207 posts)and supporting mothers having babies (nearly half are born on Medicaid).
Almost half of Medicaid expenditures is for LTC with a significant portion going to traditionally middle class families (usually the assets have either been used up or tactically passed to the next generation).
moonscape
(5,510 posts)friend who has dementia from open brain surgery to clip an aneurysm. I have been her volunteer caregiver for 10 years, and am all she has in that role since her son died.
I found someone to rent the 2nd bedroom in her home for reduced rent in exchange for taking on some of the caregiving Ive been doing and which has exhausted me. Were both 74 and I have cancer and other issues.
She owns her home so the fallback was always to sell it, go into assisted living (then memory care), spend the equity which would carry her a few years, then transition to Medicaid.
If its not there, then what? She will undoubtedly out live either me or my ability to care for her.
Its terrifying.
electric_blue68
(20,971 posts)One of my dearest friend's favorite sibling relatively reccenrly had a brain aneurism, made it through, then clipped off a second one in time a few months later. She's been making progress in rehab. I keep a texting "eye" on them.
Yes, terrifying. {gentle hug}
moonscape
(5,510 posts)endured is uncommon, at least through all our research it never came up and Ive not run across it since.
Hers was discovered by accident really. I went with her to UCSF (3rd best neurology dept in the country or so it was listed in 2010.). We did lots of research and chose clipping over coil for a number of reasons. Her surgeon was well-known (Sharon Stones) and we liked him. Afterwards, when she emerged with dementia, we were told she either had a stroke on the table (no MRI evidence so they said the titanium clip could have been blocking the evidence) or she had a dementia in progress which the surgery accelerated (she was laser sharp before and I dismissed this theory). Both explanations were suspect but hey, they were the best so
Several years later at a neuro evaluation at Stanford, they said the reason was undoubtedly mechanical due to the complication of accessing the location of her particular aneurysm. Now this was a duh moment. UCSF viewed her surgery a success so it would not show up on undesirable outcomes. Success = patient did not die. I like UCSF a lot, believe her surgeon was skilled, and that outcomes are not guaranteed with any surgery particularly such a complex one. But Im bitter about being lied to and them not even holding something that obvious out as a reason.
Sorry for the tangent. My friend was managing director of a non-profit, lost her job of course, her life turned upside down, friends drifted away due to her dementia. Ive known her since we were 13, shes like a sister, and of couse I couldnt step over a friend in need.
We both rely on Social Security and Medicare. The cruelty of this administration is beyond words.
electric_blue68
(20,971 posts)No problemo for a tangent.
The cruelty truly is beyond words, and for so many groups of people!
I hope you can continue to research extra help as needed, and it comes about.
Ty for the kind words for my friend's sister.
Bayard
(24,777 posts)Not how, "able-bodied," you are. Johnson is either a complete idiot, or lying. Both, I think.
Vinca
(51,930 posts)to absorb the costs that can pile up astronomically. If a person formerly on Medicaid is in a car accident they could end up in ICU for weeks with no way to pay for the care.
patphil
(7,705 posts)That's never been the point. They don't do the hard work to find people who are engaged in fraud, and abusing the system.
All they want to do is just broad brush, across the board cuts, with no concern about who it hurts.
It's far more likely that the Republican approach will result in significant harm, and, in many cases, deaths of people who rely on Medicaid to survive. It will also result in closing hospital, clinics, and nursing homes in poor and/or rural areas of the country.
Right now there are a lot of "medical deserts" out there, where health care is minimal to non-existent. Wrecking Medicaid will just make those areas bigger, and more prevalent.
It's plain to see that Republicans don't care about the poor and elderly in the United States. If some of them die, that will just release more money for the tax cuts for the rich.
It's no wonder the Republicans are waging a "War on Empathy". If you don't care who you hurt, it's easier to do it.
Funny how the teachings of Jesus get thrown under the bus when money is on the line.
FakeNoose
(37,192 posts)
Arger68
(719 posts)substantially more as people flock to the ER for basic healthcare, and the hospitals will pass the costs on to anyone left who has insurance.
blm
(114,061 posts)Health Insurance for Millions Is Now on the Chopping Block
Republicans very quiet, very serious effort to go after Obamacares Medicaid expansion.
https://www.thebulwark.com/p/health-insurance-for-millions-on-chopping-block-obamacare-medicaid-expansion-republicans-mike-johnson
OldBaldy1701E
(7,695 posts)Well, awesome! Where should we start?
From Google:
Hmm... why are you only looking at two of the three biggest expenses? Why not the one that has already been exposed for overcharging and being gouged by private contactors?
(One might think that conquering and killing others is more important than saving ourselves, huh Mikey?)