Cnn
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President Donald Trump and Congress Republicans are no longer pushing to completely cancel Obama Care, but a major decline in the country’s health system is still on the table.
Since the GOP leaders in the House and the Senate are entering the widespread legislative package with Trump’s valuable priorities, they are looking for ways to cover costs. One of their major goals is medicated, which provides health coverage to Americans with over 72 million income.
The Senate Budget Committee started the process on Friday, and it issued a map of its budget, demanding the Senate’s Finance Committee and the House Energy and Commerce Committee, of which both had a jurisdiction over Mediced. And find at least $ 1 billion savings, other than other provisions.
“The way it has been written means only one thing: Republicans removed their knives out for Americans’ health care,” said Democrat Oregon Sen. ” “From the beginning, it has become clear that Republican working families plan to take health care to fund their ideological priorities.”
The House is working on its own version of what could be a bigger compromise package, which can be approved with a simple majority in the Senate.
The Republicans have long tried to restrain medical, which they see as malicious and abusive. Their reform efforts in the first Trump administration have failed to a great extent, but they have now renewed energy that they again control both the White House and the Capital Hill, though there is a very slow margin at home.
Nevertheless, it may be difficult for GOP legislators to approve many of their medical desire list, in which House Republicans saved the 2017 Trump tax deduction as a potential savings. It is to increase border security and enforce other measures. Some of their circles – both individuals and powerful hospitals – rely on the program, and the GOP already knows the result that comes from threatening to snatch the health coverage of millions. At the beginning of the first Trump administration, his efforts to cancel Obama Care, as well as faced the majority of his House in the 2018 midterm elections at the beginning of the Trump administration.
“Medicidated cutting hurts those whom the Republican intends,” said Allison and Rais, director of the Medicidal Policy at the left -tilt center on budget and policy priorities. “It is difficult to see how any population will be hidden.”
According to a January APNORC survey, more than half of Americans (55 %) think that the US government spends very little on Medicide, while 29 % think it spends the right amount. Only 15 % said the government spends a lot of.
Another potentially complicated factor: In recent weeks, Trump has added medicid to the list of programs, including social security and medical, which he says he wants to protect. However, when he promised to “love and like” Medicide, the president also said that if he was abused or waste, he would do something in the program.
“Don’t apply social security, don’t touch Medicare, Medicide.
Nevertheless, this house has not stopped Republicans from floating tips for cutting several trillion dollars from Medicide over the next decade.
A change that can be easier to achieve through both houses is to establish work requirements, especially in capable physiological adults that have been expanded by expanding the cheap care act without relying children. It was.
In the first Trump administration, several states received approval to include the mandate of work, but federal judges changed their efforts, which found that the job was not one of the main objectives of the program. If the Congress includes the work requirements in the law, this commitment will be abolished.
“Conservatives see it as welfare reforms,” said Brian Billis, president of the Paragon Health Institute and former Trump Administration Health Policy Advisor. If you are physical, you should work to get official benefits. You should not just get a handout.
Last month, such a move could save $ 100 billion in a decade, according to a menu of the House Budget Committee Republicans, according to a menu of the potential spending deductions.
But it could also endanger the health care coverage of 36 million Americans, which, according to the Budget and Policy Preference Center, may have difficulty meeting employment verification needs, noting About two -thirds of two -thirds work work. Complete or part -time.
Another important option in the GOP menu will change the formula that determines how many federal matching funds are flowing to cover their traditional medical entries in the states, including children, old, disabled and parents Includes This will reduce the formula floor, which will primarily affect high -income states, such as New York and California, and will save up to $ 387 billion over a decade.
The Republican Medicated Extension is also considering reducing the federal match for the population, which is currently 90 %, for the same match that the state has received for its traditional entries. This will lead to at least nine states to withdraw from the expansion program as their participation is linked to a 90 % match rate, which was set in the affordable care act, but other states are also a big hit of their budget. Can stop the coverage of films. The move will save $ 561 billion in a decade.
The most fruitful idea that will establish a per capita cap in Medicide, which can save up to $ 900 billion in 10 years. Instead of receiving the open amount of federal funding based on the health care costs of entries, the states will get a fixed amount on the basis of registration and that the medical inflation rate will increase funding. The hat will be different on the type of enrollment, such as the baby or the elderly.
Although the Republican First Trump failed to implement these measures during the administration, today’s Congress is different, Leslie Dutch, a health policy advocacy group supporting the affordable care act, said. He said that GOP legislators are more ideological, less likely to sell Trump and are desperate to seek savings for widespread tax deductions.
The organization launched two television and digital ads last week as part of its 10 million “Hands of Medicated” campaign, located in Arizona, California, New York, Pennsylvania, Arizona, Pennsylvania, Pennsylvania, Pennsylvania, The 10 House will run on Fox News and digital platforms almost especially in Republican districts. Washington state.
Dutch said, “Threats are very real.
