Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

BumRushDaShow

(151,125 posts)
Mon Apr 21, 2025, 08:12 AM Monday

'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But during his 2024 campaign, Trump once again called for the ACA to be repealed.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/

24 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
'Big downsizing': GOP plans to snatch health coverage from 'millions of low-income' people (Original Post) BumRushDaShow Monday OP
they are mean bullies who want us sick and suffering. The pukes really are a pox on humanity Blues Heron Monday #1
Morally and politically they'd be better off to shrink care than eliminate it bucolic_frolic Monday #2
Healthy young people rarely visit the doctor. yardwork Monday #4
well i didn't say that bucolic_frolic Monday #7
"Able bodied" young adults aren't visiting a PC or ER for minor things. yardwork Monday #8
The ER is the only place in the USA required to treat people IbogaProject Monday #15
Healthy young MEN people Hekate Monday #16
Steroids and anti-worm medicine will save you! travelingthrulife Tuesday #24
The protests have been great so far but we will need 24/7 protests in the streets to save Medicare and Medicaid OrlandoDem2 Monday #3
I believe it will come to that bucolic_frolic Monday #5
Downsizing for Republicans is to kill off prospective Democratic voters. Historic NY Monday #6
Conservatism is selfishness. nt Hotler Monday #9
The big money is in Medicaid Long Term Care exboyfil Monday #10
I'm terrified for my childhood moonscape Monday #13
You are an incredible friend.... electric_blue68 Monday #18
All the best to her. The result my friend has moonscape Monday #19
Oh, how terrible. 😔 electric_blue68 Monday #22
Medicaid is based on your income, Bayard Monday #11
Sounds like they're encouraging hospitals to close. They depend on Medicaid for funding and won't be able Vinca Monday #12
We have to root out fraud, waste, and abuse? patphil Monday #14
A lot of those people voted for Chump too FakeNoose Monday #17
And it will cost all of us Arger68 Monday #20
Going after Medicaid expansion blm Monday #21
""We have to root out fraud, waste, and abuse." OldBaldy1701E Tuesday #23

bucolic_frolic

(49,925 posts)
2. Morally and politically they'd be better off to shrink care than eliminate it
Mon Apr 21, 2025, 08:27 AM
Monday

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)
4. Healthy young people rarely visit the doctor.
Mon Apr 21, 2025, 08:36 AM
Monday

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)
7. well i didn't say that
Mon Apr 21, 2025, 08:40 AM
Monday

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)
8. "Able bodied" young adults aren't visiting a PC or ER for minor things.
Mon Apr 21, 2025, 08:47 AM
Monday

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)
15. The ER is the only place in the USA required to treat people
Mon Apr 21, 2025, 04:13 PM
Monday

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)
16. Healthy young MEN people
Mon Apr 21, 2025, 05:47 PM
Monday

Female needs are different from puberty onwards and don’t even get me started

OrlandoDem2

(2,750 posts)
3. The protests have been great so far but we will need 24/7 protests in the streets to save Medicare and Medicaid
Mon Apr 21, 2025, 08:29 AM
Monday

Social Security is at risk as well. We need to shut this country down NOW. Protesting as they’re voting later is way too late!

bucolic_frolic

(49,925 posts)
5. I believe it will come to that
Mon Apr 21, 2025, 08:36 AM
Monday

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)
6. Downsizing for Republicans is to kill off prospective Democratic voters.
Mon Apr 21, 2025, 08:37 AM
Monday

Ron Pauls let them die supporters.

exboyfil

(18,207 posts)
10. The big money is in Medicaid Long Term Care
Mon Apr 21, 2025, 10:00 AM
Monday

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)
13. I'm terrified for my childhood
Mon Apr 21, 2025, 12:32 PM
Monday

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 I’ve been doing and which has exhausted me. We’re 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 it’s not there, then what? She will undoubtedly out live either me or my ability to care for her.

It’s terrifying.

electric_blue68

(20,971 posts)
18. You are an incredible friend....
Mon Apr 21, 2025, 06:48 PM
Monday

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)
19. All the best to her. The result my friend has
Mon Apr 21, 2025, 08:14 PM
Monday

endured is uncommon, at least through all our research it never came up and I’ve 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 Stone’s) 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 I’m 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. I’ve known her since we were 13, she’s like a sister, and of couse I couldn’t 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)
22. Oh, how terrible. 😔
Mon Apr 21, 2025, 08:39 PM
Monday

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)
11. Medicaid is based on your income,
Mon Apr 21, 2025, 11:03 AM
Monday

Not how, "able-bodied," you are. Johnson is either a complete idiot, or lying. Both, I think.

Vinca

(51,930 posts)
12. Sounds like they're encouraging hospitals to close. They depend on Medicaid for funding and won't be able
Mon Apr 21, 2025, 11:18 AM
Monday

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)
14. We have to root out fraud, waste, and abuse?
Mon Apr 21, 2025, 12:40 PM
Monday

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.

Arger68

(719 posts)
20. And it will cost all of us
Mon Apr 21, 2025, 08:25 PM
Monday

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)
21. Going after Medicaid expansion
Mon Apr 21, 2025, 08:38 PM
Monday

Health Insurance for Millions Is Now on the Chopping Block
Republicans’ very quiet, very serious effort to go after Obamacare’s Medicaid expansion.

https://www.thebulwark.com/p/health-insurance-for-millions-on-chopping-block-obamacare-medicaid-expansion-republicans-mike-johnson

OldBaldy1701E

(7,695 posts)
23. ""We have to root out fraud, waste, and abuse."
Tue Apr 22, 2025, 06:45 AM
Tuesday

Well, awesome! Where should we start?

From Google:

The three largest expenses in the U.S. federal budget are Social Security, defense, and health (including Medicare and Medicaid). These categories account for a significant portion of total federal spending.


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?)
Latest Discussions»Latest Breaking News»'Big downsizing': GOP pla...