Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Friday, August 8, 2025

The hard truth in a nutshell: tax cuts to the rich costs $4T; health care for poor gets cut $1T; consumers get the tariff bills.

The hard truth in a nutshell: tax cuts to the rich cost $4T over 10 years; health care for the poor gets cut $1T (over 10 years); consumers get stuck with much of the tariff costs.The only winners in Trump's economic policies: the rich and the appearance of more income to the federal balance sheet. The losers: the poor and near-poor, and all American families who will pay more for what they buy. 
Please do not call Trump a populist: this budget only takes away from people some popular programs relied upon by so many who are barely making it.  In addition to financial deprivation, the Trump regime also subverts or destroys consumer protections from products, as well as protections from fraud, all to the benefit of business interests.MUFTIC FORUM BLOG: Donald Trump, unsafe at any speed updated 8/4/2025
 Please do not cite current conditions of "how great his economy is". .These are forecasts; the stuff is just beginning to hit the fan.  When Trump blows his horn, his economy is great now, the impact of his policies has not yet been felt, but will.  Most cuts hurting the middle class will not take place until after 2026 midterms.  MUFTIC FORUM BLOG: MAGA supporters cheer Trump's economy, but the stuff has not hit the fan yet
 When Trump says his policies will be good for the economy, it will be great for him and his friends, but not for everyday Americans, who will get screwed, and so will the federal balance sheet: $3.4 trillion will be added to the deficit. Trump Tax Law to Add $3.4 Trillion to US Deficits, CBO Says (2)
Per  a check with  Google AI and their sources based on Congressional Budget Office figures (not the White House's)  over the next 10 years, the amount cut from the federal programs serving the poor and near poor is $1 trillion dollars.   Tax cuts to the rich will decrease income to the US treasury by $3 to $4 trillion dollars.   
Trump tariffs could bring in about 2 trillion plus in ten years to the treasury, but it would cost a family in the US in higher prices $2400 per year since some of those costs are just passed on to consumers.  It is a shift that is deceptive...consumers pay for the tariffs, but the federal balance sheet looks impressive.State of U.S. Tariffs: August 7, 2025 | The Budget Lab at Yale    The bottom 60% of Americans will see $400 tax cut, however, but not enough to offset the tariff screw.  Trump   suggests a rebate to consumers to help offset the cost of tariffs on consumer goods, but Congress must approve, and the impact on the deficit will only make that balance sheet worse, making Congress approval unlikely. Nice BS, Trump; more empty promises about family affordability. So what about your health care insurance?
Per Google AI:
Permanently extending the expiring provisions of the 2017 Tax Cuts and Jobs Act (TCJA) that largely favored high-income individuals and large corporations, often referred to as "Trump tax cuts," could cost the U.S. Treasury an estimated $4 trillion over the next decade, according to the Congressional Budget Office (CBO). 
This potential revenue loss includes $3.4 trillion from extending expiring individual and estate tax provisions and $551 billion from extending business provisions. 
It's important to note that extending these tax cuts would disproportionately benefit the wealthy. For example, households in the top 1% (making more than roughly $743,000 a year) would receive average tax cuts of $61,000 a year, while households in the bottom 60% (making roughly $96,000 or less) would only see about $400 a year. 
Some estimates suggest the cost could be even higher. The Center on Budget and Policy Priorities states that extending the expiring tax cuts could cost $4.2 trillion over the decade 2026-2035, with approximately half of the benefits going to the top 5% of earners (making over roughly $320,000). 
These figures highlight the significant financial implications and distributional effects of making permanent the tax cuts enacted in 2017.

Wednesday, July 30, 2025

Memories shaping my life, as I celebrate Medicare's 60th birthday, health care

 In my very senior years, if I had to name one thing in my young years that shaped the rest of my life, it was the cost of health care.  It was not my health care, but my very handicapped brother's.  My parents were only able to breathe a sigh of financial relief and think about retirement when LBJ signed the seminal piece of legislation for Medicare. Medicaid for low-income people came into being in the same legislation in 1965.. My young brother Phil was a 6-month premature baby born in the latter years of World War II.  He had so many medical challenges, he spent periods of months at a time at the children's hospital in St. Louis over most of his pre-school and elementary school years, undergoing treatment for his physical disabilities and any number of surgeries and rehab.  My father was a telephone company district manager at the time in poverty-stricken eastern Oklahoma, and we were better off than most of my classmates, but nonetheless, we had to count our pennies because of the medical expenses. A local forward-looking school board, college scholarships, and family connections permitted me to still get a great education, but the reality was that even back in the 1940s and 50s, the cost of health care for others hit with such extraordinary needs made their ability to get the care they needed out of reach. That shaped my political views for the rest of \my life. I was Phil's caregiver after my parents' death, and I learned to navigate the health care system that gave him a semblance of a normal life until he passed away at age 65, spending his latter ten years in assisted living and a nursing home. His care could not have been adequate without Medicare and Medicaid.   I raise my coffee cup this morning in gratitude to LBJ and the breakthrough act of signing the Medicare legislation.  Yes, Sen. Joni Ernst, we all will die, but at least care about the degree of suffering many will have getting to that date without access to adequate health care, as you voted to cut Medicaid.   'We all are going to die': Sen. Ernst response to grilling on Medicaid : NPR

Per Google AI: The Medicare bill, officially known as the Social Security Amendments of 1965, was signed into law on July 30, 1965. This act established the Medicare program, a health insurance program for the elderly, and also created Medicaid, a program for people with limited income. The bill was signed by President Lyndon B. Johnson at the Harry S. Truman Library and Museum in Independence, Missouri...

Sunday, July 13, 2025

A reality check for those who think cutting Medicaid will strengthen their own health care affordability

Update: 7/25/2025  Rural health sickened by the Big Beautiful Bill.  We in Grand County, Colorado, will know who to blame.  28 to 38 percent hike. That one will be felt before the November 2026 midterms when you can thank your Congressperson who voted for this....

.https://www.skyhinews.com/news/colorado-health-insurance-rates-jump-high-in-the-next-year-western-slope-increase/

In response to those who think cutting out waste and abuse of Medicaid will reduce their own 7;25;2025health care costs:,  There is no free lunch here...we will all be paying the price in some way...in heartbreak or in money. When a rural hospital closes, it affects far more than those on Medicaid. How do we know this? Because that is what happened before Medicaid and Obamacare.  It is why both came into being.  Cutting Medicaid in the name of what little there is of waste, fraud, and abuse is throwing the baby out with the bathwater.  It also affects the self-paying patients, depriving them of timely and easy access to hospital care. It affects the families who have to take over the care at home of those who can no longer afford in nursing homes, because the nursing homes serving rural communities close. It affects all those employed in the closed hospitals and nursing homes who become unemployed. It can be a matter of life and death, with long and deadly ambulance or budget-busting helicopter rides for those in a medical crisis.

What about those hospitals and nursing homes in both rural and urban America that survive, and the patients who use them, both who lose Medicaid and Obamacare, and those who do not and are still self-paying?. If non-paying patients reach the nearest hospital, they become a charity-funded case, covered by a shift of higher bills for paying patients to make up the difference. It means greater use of hospital emergency rooms, the most expensive form of primary care available, as sicker patients who delayed attention have to depend on them. If surgery, diagnosis, specialists are needed, and there is no money to pay for follow-up care, either the patient dies or they go bankrupt, and no one gets paid....the provider, the hospital, the doctors, or other creditors..

 Expect MAGA-dominated states to do what Alaska did: demand supplemental federal aid or special carve-outs. In the federal budget. Expect the blue states to raise state and local taxes to cover the loss, partially..

The Truth about Waste and Abuse in Medicaid – Center For Children and Families   A study and comment by Georgetown University

Why I am concerned about rural health: A personal note. I have lived in a rural health area for the past 35 years, and we have just this year gained an ER 5 minutes away, instead of 30. The nearest nursing home is 45 minutes away. The nearest full-service hospital is an hour and a half by car, over a mountain pass. My husband was a part time doc here ..ob gyn. but. no anesthesiologist  so all deliveries were done in Denver 60 miles away, where he also had an office. Women mostly stayed in Denver close to term.


Saturday, July 5, 2025

The new GOP mantra: caring for those who cannot help themselves is waste and civilization weakness

The GOP mantra: caring for those who cannot help themselves is waste and abuse. The true believers in Trump have twisted themselves into pretzels to rationalize the immoral cuts to US food and vaccination programs in Africa that will lead to 14 million deaths in 5 years and yanking health care from over 12 million in the US and food assistance from the elderly, disabled, and too poor to pay their medical bills or afford nutritious food. It has been replaced by cheering for the cruelty of family separation and sending those whose only crime was no documentation to offshore torture prisons and alligator-infested onshore gulags, beating those they snatch from the streets without warrants in full view of public videos.  What the hell have they embraced?   Are empathy and sympathy for those who are suffering no longer American values? Sharing our surplus of food and our vaccines is a waste of resources and a form of fraud? Is cruelty now the standard for treating those who do not merit it or are deprived of the process to which they are due to protest their treatment as illegal or inhumane?

 Was it moral and OK that Elon Musk cut US Aid in his chainsaw attack in search of ways to cut government funding so Trump could cut taxes to the ultra-rich?  Not only is USAID dead this month, which is now, but also millions who will die without that aid in the next few years.  No problem in Musk's value system, and he was famously quoted that 'The fundamental weakness of Western civilization is empathy.'"I believe in empathy, like I think you should care about other people," Musk said as part of the same discussion on Joe Rogan's podcast, "but you need to have empathy for, for civilization as a whole, and not commit to a civilizational suicide." ( fact checked on Snopes). So he must mean sharing our abundance as the richest country in the world with the poorest, and funding the methods of distribution is the US committing suicide? 

Christianity should be outraged. In some twisted religious minds, it is not.. In Trump's world of Christianity, empathy and charity are now to be reviled by some preachers. Empathy  is now a dirty word, "walking in others' shoes", is a sign of feminizing churches because women are so vulnerable to appeals for charity,  so it is no longer a Christian value to some professed Christians,  per a report on NPR

  https://www.npr.org/2025/03/22/nx-s1-5321299/how-empathy-came-to-be-seen-as-a-weakness-in-conservative-circles 

USAID cuts may lead to more than 14 million deaths globally, including 4.5 million children under 5 by 2030, researchers say. https://newsroom.ucla.edu/stories/USAID-cuts-global-impact-14-million-deaths

Sunday, June 1, 2025

Democrats: keep it, simple, and to the point on Medicaid cuts: messaging again

 Medicaid cuts: Republicans are losing on this one, and Democrats can score even more points by making comments simple and sharp.   Some ideas for better messaging.  Don't get lost in weeds or much data or belabor  morality issues. Go to the point and repeat, repeat, repeat.

Inform: GOP will take away health care for  10 million     people by cutting Medicaid,\  Another 15 million  will lose Obamacare and other health care coverage per the Congressional Budget Office 

Fix:

1) Simple: don't give tax breaks for the rich.  Keep Medicaid coverage for the needy   

     rebuttal points if needed

2)Don't take health care from innocent, needy people with chainsaws in the name of waste fraud abuse.. Throwing the baby out with the bathwater kills people (Thanks, Sen. Joni Ernst for the MAGA answer: people are going to die anyway:https://www.npr.org/2025/05/31/nx-s1-5418932/we-all-are-going-to-die-ernst-joni-town-hall-iowa-senator)

3) Fraud and abuse. Improve, empower, and fund inspectors general. Let them find waste, fraud, and abuse. Trump fired the inspector general the day after he was elected. 

4) Work requirements will not save money.  .They cost  millions to administer. States already can implement work requirements for Medicaid. Work requirements tried by states never increased employment.States can already apply for work requirements already; a few have and that is why we know costs and effects.. 

In the weeds, if necessary: 

Only  a few have. They do not work. (why? One reason: Over 60% of those on Medicaid are already working.  Those who are able, not disabled or elderly, are already working.)  5 Key Facts About Medicaid Work Requirements | KFF

Six Reasons Work Requirements Are a Bad Idea for Medicaid - Families USA "Nearly eight in ten non-disabled, non-elderly adults live in families where at least one member works, and sixty percent work themselves. In some states, closer to three-quarters of Medicaid enrollees are working themselves. Of those who are not working, more than one-third reported illness or disability as the primary reason for not working. Another thirty percent cited caretaking obligations as an impediment to work"

Wednesday, May 21, 2025

The best word to describe Trump's big beautiful bill: irresponsible

 As Trump fights for his big beautiful bill, there is one word that describes it: irresponsible ...irresponsible for the national debt and for those who need health care they cannot afford. It should be renamed as A big irresponsible bill. The main culprit, tax breaks for the rich. The word, irresponsible, should be tied to any criticism of this legislation and those who support it. From my dear friend Google AI, summing up the Congressional Budget Office of their findings. The CBO is a nonpartisan service to Congress members. Here's a summary of the CBO analysis of the "Big Beautiful Bill," also known as the "One Big Beautiful Bill Act," which is the subject of discussion and analysis in the provided search results:

One big part of the bill is the Golden Dome development, which is geared to the same defense against missile attacks like that Israel has with their Iron Dome. I am no expert on such technology, but I do have a question. If this takes years to develop, will the technology or the goal be obsolete when it is done, and will this be able to handle the real threat that hovers over us in near outer space, not just from missiles lobbed from China or Iran ? Is anyone looking at this, or is this just being glossed over as sounding good?

Overall Impact per Google AI:
Increased Deficit: The CBO estimates the bill would increase the federal deficit by $3.8 trillion over a decade, driven primarily by tax breaks, according to Fortune.
Income Inequality: The bill's distributional effects favor higher-income households. The CBO estimates household resources would decrease by 2-4% for the lowest-income decile (mainly due to cuts to Medicaid and SNAP), while increasing by 4-2% for the highest-income decile, according to the Congressional Budget Office.
Key Provisions and Effects:
Tax Cuts: The bill includes significant tax cuts, particularly benefiting wealthy Americans, that are the main driver of the deficit increase, according to Fortune.
Medicaid and SNAP Cuts: The bill proposes cuts to Medicaid and the Supplemental Nutrition Assistance Program (SNAP), aimed at reducing spending by $1 trillion over a decade, according to Fortune.
The CBO estimates these cuts could lead to more than 7 million people losing Medicaid coverage.
Extending 2017 Tax Cuts: The bill would extend the Trump administration's 2017 tax cuts, contributing to the projected increase in the national debt.
Other Provisions: The bill also includes provisions related to border security, such as funding for the border wall and hiring more enforcement officers, and new tax deductions for tips, Social Security benefits, and overtime pay.
Note: This is a preliminary CBO analysis, and the bill's legislative text and potential impacts are subject to change as negotiations continue in Congress.

https://www.cbsnews.com/news/trump-golden-dome-missile-defense-china-russia-reaction/

Golden Dome AI google summary:
The "Golden Dome" refers to a new, ambitious space-based missile defense system planned for the United States. It's designed to protect the country from long-range and hypersonic missile threats, and is inspired by Israel's Iron Dome. 
Here's a more detailed look:
  • Purpose:
    The Golden Dome aims to create a layered defense shield that can detect and intercept missiles at all stages of flight, from before launch to their final descent. 
  • Features:
    The system is envisioned to include ground and space-based capabilities, potentially involving a large number of satellites for tracking and attack satellites armed with missiles or lasers. 
  • Inspiration:
    While inspired by Israel's Iron Dome, the Golden Dome is significantly broader in scope, aiming to protect the entire U.S. territory from advanced missile threats. 
  • Implementation:
    The project is expected to be completed within three years and cost approximately $175 billion. The U.S. Space Force is expected to play a central role, according to SpaceNews, and defense contractors like SpaceX are reportedly vying for involvement. 
  • Political Context:
    The Golden Dome initiative is a major part of President Trump's vision for deterring adversaries from attacking the U.S. homeland. 
  • Criticism:
    Some experts have expressed concerns about the project's timeline, feasibility, and cost, according to Wikipedia. 


  • A comprehensive opinion piece that ties the big beautiful bill to corruption, Medicaid, feeding the kids, dictatorship, and much more:
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    This is a terrific summary and analysis by former Colorado Supreme Couirt Justice Mike Bender of many things that the Trump administration has been doing and the "Great Big Beautiful Bill" passed by the House of Representatives this week.
    May 22, 2025 (Thursday)
    Just before 7:00 this morning, the House of Representatives passed the Republicans’ megabill by a vote of 215 to 214. All Democrats voted no. Two Republicans, Thomas Massie of Kentucky and Warren Davidson of Ohio, joined the Democrats in voting no. Chair of the far-right House Freedom Caucus Andy Harris of Maryland voted “present.” The measure now advances to the Senate.
    The nonpartisan Congressional Budget Office says the bill cuts at least $715 billion in healthcare spending, mostly from Medicaid, and $300 billion from the Supplemental Nutrition Assistance Program, causing more than 2.7 million American households to lose benefits. Because the massive debt increase in the measure triggers a 2010 law requiring offsets, it will cut Medicare, as well, by an estimated $500 billion.
    Economist Robert Reich points out that Americans making between about $17,000 and $51,000 will lose about $700 a year. On average, Americans with incomes of less than $17,000 will lose more than $1,000 a year. But if you are among the top 0.1% of earners, you’re in luck: you’ll gain nearly $390,000 a year.
    The measure roughly doubles the current annual budgets of Customs and Border Protection and Immigration and Customs Enforcement (ICE) in what Aaron Reichlin-Melnick of the American Immigration Council notes is “the single biggest increase in funding to immigration enforcement in the history of the United States.” It increases ICE’s detention budget from $3.4 billion a year to $45 billion through September 2029, a staggering 365% increase on an annual basis that would permit ICE to detain at least 100,000 people at a time.
    It increases ICE’s budget for transportation and removal operations by 500%, from the current $721 million to $14.4 billion. It also calls for $46.5 billion for construction of barriers at the border, including completing 701 miles of wall, 900 miles of river barriers, and 629 miles of secondary barriers, and replacement of 141 miles of vehicle and pedestrian barriers.”
    This bill highlights a truism: In the United States, racism has always gone hand in hand with the concentration of wealth among the very richest people.
    By driving white fear of a darker-skinned other, elite southern enslavers convinced the poor white farmers who lost their land in the cotton boom of the 1850s to vote for politicians who insisted that the primary responsibility of the federal government was to protect human enslavement.
    In an extraordinary meeting with South African president Cyril Ramaphosa at the Oval Office yesterday, President Donald J. Trump echoed the language of enslavers in 1859 almost explicitly when he insisted—falsely—that white South Africans are facing white genocide. As Tim Cocks and Nellie Peyton of Reuters explain, the conspiracy theory of white genocide in South Africa has circulated among fringe groups of white South Africans since the end of apartheid in 1994. It claims white deaths in a country with a high murder rate are deliberate ethnic cleansing, although data collected by white farmers themselves shows that since 1990, murders of white people make up only 1% of the total number of murders.
    But Trump sidekick Elon Musk has embraced the theory, and Trump is pushing it, offering a fast track for asylum to white South African “refugees.” Yesterday, with Musk in the Oval Office, Trump showed to the cameras a picture of people moving body bags, and said “[t]hese are all white farmers that are being buried.” In fact, it was a picture from Goma in the Democratic Republic of Congo, showing humanitarian workers burying bodies in a war zone.
    The administration's immigration policies exacerbate racism, using it to undermine the rule of law on which the Constitution rests. Notably, the administration has ignored the concept of due process guaranteed by the Constitution, with rendition of migrants to prison in El Salvador based not on a review of their cases but simply on the claim—without evidence—that individuals are gang members.
    Stories of immigrants arrested by ICE without any criminal history continue to surface, even as administration officials insist those individuals are dangerous criminals. Fewer than half of those swept up outside of Nashville last week had criminal records, although U.S. Department of Homeland Security Assistant Secretary for Public Affairs Tricia McLaughlin called them “violent criminal illegal aliens” and attacked Nashville’s Democratic mayor Freddie O’Connell as being “pro-open borders.”
    Yesterday Judge Brian Murphy of the U.S. District Court for the District of Massachusetts ruled that the administration “unquestionably” violated a court order when it rendered eight men convicted of violent crimes to South Sudan. The court had ordered the administration to give the men due process before taking them to a country other than their own. McLaughlin called the judge’s ruling “deranged.”
    Taking down the rule of law would permit MAGA officials to persecute their political opponents, indicting congressional representatives, for example, as it has recently done to Representative LaMonica McIver (D-NJ). It would also permit the concentration of wealth and power without fear of breaking the law.
    There is the open corruption, as when the Trump administration officially accepted a 747 as a gift from the Qatari government yesterday, despite the constitutional prohibition against taking gifts from foreign governments. Trump currently says he will not use it after he leaves office, but since Air Force officials say it will take years and up to a billion in taxpayer money to secure it for use by a president, it seems unlikely that he accepted the plane simply to become an exhibit in an as-yet-unstarted Trump presidential library.
    And then there is the more hidden corruption.
    Last week, David Yaffe-Bellany and Eric Lipton of the New York Times called attention to the announcement by a struggling technology company with ties to China that it had secured funding to buy $300 million of Trump’s cryptocurrency $TRUMP. It appears the company is hoping to curry favor with the president.
    Zach Everson of Forbes noted that the Trump family controls about 60% of World Liberty Financial, a decentralized financial platform that produces the USD1 stablecoin, a kind of cryptocurrency that fluctuates less than most cryptocurrencies because it’s pegged to the dollar. World Liberty Financial’s USD1 stablecoin began trading yesterday on KuCoin, an exchange headquartered in the Seychelles and banned in the United States after it admitted to violating laws against money laundering and agreed to pay a $300 million fine. A spokesperson for KuCoin told Everson that it had reached out about carrying USD1 after the coin “demonstrated strong demand in certain regions.”
    The racism and the corruption are coming together tonight as the top 220 holders of the $TRUMP coin join the president at a private dinner. A Bloomberg analysis of the top 25 wallets shows that 19 are owned by individuals from outside the United States, and many of the winners are companies looking for access to the president. Many of them dumped their $TRUMP coins as soon as they made the cut for the dinner.
    Citizens for Responsibility and Ethics in Washington reported today that 50 of the people attending Trump's dinner tonight hold crypto assets with names from the alt-right, including Pepe the Frog and swastikas, or that have names that are racist or antisemitic, including the n-word and “F*CK THE JEWS.”
    Their language echoes that of the elite enslavers of the 1850s—and for that matter, the Ku Klux Klan members of the late nineteenth and early twentieth centuries, the American Nazis of the 1920s and 1930s, and the segregationists of the years after World War II. And just like the elite enslavers in the 1850s, MAGA leaders want to get rid of laws that make it harder for them to monopolize the nation’s wealth and power and are using racism to get voters to support them.
    Also like their predecessors, MAGA leaders are getting a significant boost from the United States Supreme Court. In a decision made today on the so-called “shadow docket”—the emergency docket in which the court makes decisions without arguments or briefs and which previously wasn’t used for major rulings—the court made it clear it is willing to abandon the idea of independent agencies. Since 1935, the court has upheld Congress’s right to appoint the heads of independent agencies and has said that the president cannot fire them without cause. Today, in an unsigned two-page order, the court paused orders by federal judges allowing board members at two independent agencies to stay even after Trump tried to fire them.
    This is an extraordinary step toward the idea of the “unitary executive,” a theory Republicans began to embrace in the 1980s that because the president is the head of one of the three unique branches of government, any oversight of that office by Congress or the courts is unconstitutional, although in fact presidents since George Washington have accepted congressional oversight. It gives Trump control over the independent agencies that currently run much of the government, agencies like the National Labor Relations Board, the Merit Systems Protection Board—both part of this case—and also the Federal Communications Commission, the Federal Trade Commission, and so on.
    The six justices who handed down today’s order tried to say that the Federal Reserve Board is different from other agencies because it has a “distinct historical tradition,” so Trump can’t just fire its head, Jerome Powell. Trump has made it clear he wants to fire Powell, but that removal would make financial markets even more precarious than they already are.
    The dissent, written by Justice Elena Kagan and joined by Justices Ketanji Brown Jackson and Sonia Sotomayor, notes that “the majority’s order…is nothing short of extraordinary” and “favors the President over our precedent.” The court has abandoned 90 years of precedent under the emergency docket, and misrepresents the case as one about the interests of two employees in keeping their job.
    In fact, the liberal justices say, “the interest at stake is in maintaining Congress’s idea of independent agencies: bodies of specialists balanced along partisan lines, which will make sound judgments precisely because not fully controlled by the White House.”