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Questions about Medicaid that Are Never Asked

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One of the problems that Democrats had with the feeble (and now failed) Republican efforts to repeal and replace Obamacare was that the Republican plans “cut” Medicaid spending. This is almost a mirror image of what happened in 2010 when the Democratic-controlled Congress passed Obamacare in the first place. After the Patient Protection and Affordable Care Act “cut” Medicare spending (i.e., it slowed the rate at which spending was increased), some Republicans accused Democrats of cutting a vital health-care program for the elderly. Medicaid is government-funded health care for poor Americans of any age and people with certain disabilities. It is the third-largest federal domestic program (after Social Security and Medicare) and the primary source of health-insurance coverage for low-income populations and nursing-home long-term care. Medicaid is a means-tested welfare program jointly financed by the federal government and the states, but designed and administered by the states within federal guidelines. The federal government pays states a specified percentage of program expenditures ...

Why Planned Parenthood Should Be Defunded

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For years now Republicans in Congress have expressed their intention to repeal Obamacare and defund Planned Parenthood. Although they failed to accomplish either goal individually, they came up with the bright idea of introducing a bill that would jointly achieve their objectives. If it passes. Because the Republicans had nearly absolute control of the government once Donald Trump was sworn into office, they could have had a bill to repeal Obamacare waiting on his desk in the oval office for his signature on Inauguration Day. A simple one-sentence bill is all that was necessary: “The Patient Protection and Affordable Care Act (PL 111-148, 124 Stat. 119 through 124 Stat. 1025) is hereby repealed.” But because the Republicans were fixated on the need to “repeal and replace” Obamacare instead of just getting rid of Obama’s collection of tax increases masquerading as a health-care bill, back in March they introduced a replacement for Obamacare called the American Health Care Act of 2017 (AHCA). Their ...

How Not to Cut Welfare Spending

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The U.S. federal budget is now in the neighborhood of $4 trillion. Just ten years ago it wasn’t even $3 trillion. It was “only” $2 trillion in 2002, and didn’t reach the trillion dollar mark until 1987. The greatest component of the federal budget is spending on the welfare state. Welfare programs There are in the United States about 80 means-tested welfare programs. These are programs that limit benefits or payments on the basis of the beneficiary’s income or assets. The best-known of these programs are Medicaid; the State Children’s Health Insurance Program (SCHIP); the Supplemental Nutrition Assistance Program (SNAP ); Women, Infants, and Children (WIC); Section 8 housing vouchers, Temporary Assistance to Needy Families (TANF); Pell grants; farm subsidies; subsidized student loans; Head Start; Healthy Start; Supplemental Security Income (SSI); school breakfast and lunch programs; and the Low Income Home Energy Assistance Program (LIHEAP). The most egregious of these programs is the TANF program — formerly known ...