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You are here: Home / Anderson On Health Insurance / Medicaid Expansion is the target

Medicaid Expansion is the target

by David Anderson|  April 22, 202510:04 am| 32 Comments

This post is in: Anderson On Health Insurance

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The GOP wants to roll back Medicaid Expansion to pay for part of its tax cut agenda.

Austin Scott previews how House Rs plan to cut Medicaid: "The federal govt is paying 90% of the Medicaid expansion. What we've talked about is moving that 90% level of the expansion back… nobody would be kicked off Medicaid as long as governors decided they wanted to continue to fund the program"

[image or embed]

— Aaron Rupar (@atrupar.com) April 22, 2025 at 9:43 AM

This is a stop hitting yourself talking point.

States have balanced budget constraints and have far less fiscal capacity than the federal government. Very few, if any states can credibly fund a full expansion to 138% FPL if they are paying 30%, 40% or 50% of the costs instead of 10% as they pay now.

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    32Comments

    1. 1.

      Chief Oshkosh

      April 22, 2025 at 10:10 am

      Well, once we’re no longer the world’s reserve currency, the feds won’t be able to borrow cheaply, so de facto will be in the same boat as the states.

      Checkmate, ‘tards!

      /s

      Reply
    2. 2.

      Anonymous At Work

      April 22, 2025 at 10:13 am

      Where does that leave states like Kansas and Missouri, which required state Constitutional Amendments to enact Medicaid expansion?  Also, where does that leave those states’ Congress-critters?

      Reply
    3. 3.

      tobie

      April 22, 2025 at 10:14 am

      Gulp…I’ve got my issue for my weekly calls and letters to my heartless Congressional Rep. I’ll try to get the people in my mother’s senior home to make calls as well. Funding for assisted living is likely also in jeopardy.

      Reply
    4. 4.

      oldster

      April 22, 2025 at 10:15 am

      “…nobody would be kicked off Medicaid as long as governors decided they wanted to continue to fund the program”

      Which will never happen, so you’re a lying p.o.s..

      So many lies, just in order to get Elon his tax cut….

      Reply
    5. 5.

      Basilisc

      April 22, 2025 at 10:17 am

      It’s essentially a transfer from rich states, which tend to vote for Democrats, to poor states, which tend to vote for Republicans. And cutting back the federal portion hurts the poor states. But I guess that’s too complicated a concept for MagaMind.

      Reply
    6. 6.

      Old Man Shadow

      April 22, 2025 at 10:18 am

      “So, what we’re gonna do is gut Medicaid. No, no, I won’t be taking health care away from people. That’s up to their state governments. I’m just gonna get rid of all the Federal funding. If governors want poor people and the disabled to have health care, they can increase funding of it themselves! Will I cut taxes on everyone so states can raise taxes to pay for it without increasing the tax burden? Phppt. Fuck no. This isn’t a charity case, it’s a business, Senators. The only people we’re obligated to cut taxes for are the ones that paid us to do it.”

      But never forget what a Christian nation we are.

      Reply
    7. 7.

      TONYG

      April 22, 2025 at 10:19 am

      … and, of course, the states that are most likely to fund Medicaid Expansion will be “blue states” like California and New Jersey.  Once again, idiot Trump voters in “red states” will be rewarded with suffering and death.

      Reply
    8. 8.

      Old Man Shadow

      April 22, 2025 at 10:20 am

      Also… yet another example of murder by pen stroke. They’re going to murder thousands of people a year sitting comfortably in their offices, enjoying their fine dining, drinking expensive booze respected by all.

      America is quite a country, ain’t it?

      Reply
    9. 9.

      Bupalos

      April 22, 2025 at 10:28 am

      @TONYG: actually that will be the reward for all voters in “red states” and you might want to note that the shadenfreude/sacrifice zone grew to include MI, WI, PA etc.

      Reply
    10. 10.

      Matt McIrvin

      April 22, 2025 at 10:33 am

      @Basilisc: Yeah, but it hurts poor people in poor states the most, and they’re often Black or brown and don’t vote Republican (particularly true in the South).

      Reply
    11. 11.

      Ohio Mom

      April 22, 2025 at 10:33 am

      Meanwhile, there are Ohio Republicans talking about cutting property taxes and replacing the lost money with what, I don’t know. They expect government to run on air apparently.

      I feel guilty every time I heave a sigh of relief when it’s confirmed the target is mostly the ACA expansion and not Ohio Son’s Medicaid Waiver (though I expect that to be reduced too). Operation Divide and Conquer Everyday People is well underway.

      Reply
    12. 12.

      Chief Oshkosh

      April 22, 2025 at 10:51 am

      @TONYG:

      Once again, idiot Trump voters in “red states” will be rewarded with suffering and death.

      I just wish they’d get on with it, then. The Trumpers seem to linger, breathing up the good air and spending their gubmint checks.

      Edited for clarity.

      Reply
    13. 13.

      Steve in the ATL

      April 22, 2025 at 10:57 am

      @Chief Oshkosh: reminds me of an incident about ten years ago.  Four hour flight from Portland to Atlanta. Guy next time was watching Fox News and bitching about the government.  He did K-12 at public schools, then joined the Air Force, then retired from that and was working at GSA.  But he hated the government—what has it ever done for anyone , right?

      Reply
    14. 14.

      Librettist

      April 22, 2025 at 10:58 am

      It’s that stump-fucker Charlie Koch that keeps funding then leaning on these legislative morons at the state and federal level.

      Reply
    15. 15.

      Matt McIrvin

      April 22, 2025 at 11:00 am

      Note, a lot of the red states resisted Medicaid expansion because they didn’t believe those treacherous Feds with their blue-state ways would keep funding it. Well, guess what.

      Reply
    16. 16.

      Librettist

      April 22, 2025 at 11:09 am

      In Wyoming Koch pieced off the state senate leader to block Medicaid expansion, in Mississippi it was the potato headed governor.

      Reply
    17. 17.

      Steve LaBonne

      April 22, 2025 at 11:20 am

      @Basilisc: I have to roast sparrows on a curtain rod, but that’s fine because those people don’t even have a curtain rod.

      Reply
    18. 18.

      JML

      April 22, 2025 at 11:47 am

      The constant stream of lies is so exhausting.

      they’re cutting medicaid with the intention of gutting medicaid. Medicare will be next, they’re coming for social security too. This is what they’ve always wanted: gut all social services from the federal government, ensure the rich don’t have to pay taxes, and only fund the DoD (which they can grift off of) and DHS (which they will use to lock up people who complain). And they will lie about it all the time.

      these people are the worst.

      Reply
    19. 19.

      gene108

      April 22, 2025 at 11:55 am

      I think the broader target is gutting Obamacare.

      Kill Medicaid expansion, then move on to other parts of Obamacare.

      Reply
    20. 20.

      Ohio Mom

      April 22, 2025 at 12:10 pm

      @gene108: Yes, everything good and decent Obama and Biden accomplished must be destroyed.

      Reply
    21. 21.

      Goku (aka Amerikan Baka)

      April 22, 2025 at 12:15 pm

      @gene108:

      It’s thanks to the ACA (and my union) that I have insurance through my job due to the Full-Time ACA employee rule. If they screw with that I and lot of other people are fucked

      But hey, at least trans people are being hurt, so that makes it all OK! /s

      Reply
    22. 22.

      TONYG

      April 22, 2025 at 12:30 pm

      @Bupalos: Yes; it’s of course not only the Trump voters who will suffer.

      Reply
    23. 23.

      Ruckus

      April 22, 2025 at 1:06 pm

      @oldster:

      Always capitalize POS when discussing shitforbrains. Or any of his buddies.

      Because he is a capital sized POS.

      Reply
    24. 24.

      Ruckus

      April 22, 2025 at 1:13 pm

      I don’t get all this conservative bullshit.

      They don’t seem to want a country they want a dictatorship – with the shittiest dictator possible. They don’t want anyone else to get ahead – is this them trying to prove their selfishness and stupidity are admirable qualities?

      Reply
    25. 25.

      Soprano2

      April 22, 2025 at 1:48 pm

      @Goku (aka Amerikan Baka): That trader can say “re***d” and “p***y” without fear of being cancelled, so that makes cancelling the Medicaid expansion OK. *rolleyes

      Reply
    26. 26.

      Soprano2

      April 22, 2025 at 1:50 pm

      @Ruckus: They think they’re all in a line, and the evil liberals keep letting the lazy and undeserving cut in line in front of them. They think R’s will stop all the line cutting so then they can get what they’ve earned. They’re going to be sad when they discover there isn’t actually anything there because the R’s gave it all to millionaires and billionaires.

      Reply
    27. 27.

      Lobo

      April 22, 2025 at 2:20 pm

      By this logic, nobody would be kicked off Medicaid as long as governors decided they wanted to continue to fund the program, this could relieve the federal government of its responsibilities for any program and put the resulting misery on the state.  All of the responsibility but no power to make it happen, i.e., $$.   It begs the question of then the function of the federal government.​​
      ​
      ​

      Reply
    28. 28.

      Citizen Alan

      April 22, 2025 at 2:44 pm

      @Ruckus: They’re bitter, miserable people. And they want everyone to be bitter and miserable like them so that they can feel better in comparison.

      Reply
    29. 29.

      sab

      April 22, 2025 at 3:13 pm

      @Goku (aka Amerikan Baka): I went five years without health insurance in the aughts because I had a tiny mole removed (incipient melanoma) and the insurance companies I applied to for coverage dawdled when I changed jobs (their standard operating procedure) so that I missed the Clinton era transferability window.

      Went to a new dermatologist today for my annual skin scan. She asked when my melanoma was and I said it was a few years pre-ACA because it caused me to lose my health insurance. Her jaw dropped.

      ACA is almost fifteen years old now? I would have died from my heart thing years ago if I had still been uninsured. An uninsured trip to the ER was just not worth the financial risk. Husband could have lost the house and they wouldn’t have gone beyond the basics to help me anyway.

      Reply
    30. 30.

      Steve LaBonne

      April 22, 2025 at 3:22 pm

      @Ruckus: The billionaires want three social classes- themselves, their hired servants, and serfs (everyone else).

      Reply
    31. 31.

      cain

      April 22, 2025 at 4:16 pm

      I think blue states will likely unite and try to make a pan govt where they share everything together.

      Reply
    32. 32.

      rikyrah

      April 22, 2025 at 8:13 pm

      @oldster:

      Definitely lying azz piece of shyt 😡😡

      Reply

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