Senator Josh Hawley, who publicly denounced Medicaid cuts as “morally wrong,” voted in favor of a budget reconciliation bill containing an estimated $930 billion in cuts to the program. The bill’s tax cuts, disproportionately benefiting high-income households, were predicated on the false promise of expiration, with Republicans now admitting their prior deception. Furthermore, the reinstatement of state and local tax deductions, though temporary, is another example of misleading budgeting practices. Ultimately, under real scoring, the Senate bill is projected to significantly increase the budget deficit, yet the Republican’s preferred scoring method attempts to hide this fact.
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Despite Republican claims to the contrary, their reconciliation bill will likely remove 15 million Americans from health coverage by 2034, primarily through Medicaid cuts totaling at least $600 billion over ten years. This is achieved through increased Medicaid requirements and ACA changes, contradicting statements by administration officials who deny coverage losses or attribute them to “waste, fraud, and abuse.” While some Republicans argue the bill protects Medicaid and targets “gaming the system,” many recipients already work, and the proposed changes will significantly impact vulnerable populations. The bill’s unpopularity has even led to internal dissent within the GOP, with some senators openly criticizing the Medicaid cuts as politically damaging and fiscally irresponsible.
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