Medicaid isn’t off the budget-cutting table, but seems resilient because it covers so many and is vital for rural hospitals
Now that President Biden and Republicans agree they won’t cut Medicare and Social Security, the federal-state Medicaid program will be on the table as Republicans try to get concessions for raising the national debt ceiling. But “Medicaid is politically better positioned to weather the storm than ever,” Politico‘s Joanne Kenen reports.
Medicaid has “a much stronger constituency” these days because it covers many more people, 90 million, including 1.7 million in Kentucky, more than a third of the state’s population.
“As if all that wasn’t enough, Medicaid keeps safety net hospitals afloat,” Kenen notes.” And those hospitals, which treat a large share of poor people in both rural and urban settings, are in an even more precarious financial position than usual after the pandemic. . . . Tom Miller, a health expert at the center-right American Enterprise Institute who has written extensively on what he sees as more realistic conservative approaches to improving Medicaid, including broader use of federally-approved waivers for states, expects conservative Republicans to try again this year — and again overreach and fail.”