Trump admin proposes massive cuts to Medicaid, Medicare

Trump admin proposes massive cuts to Medicaid, Medicare

It does not include spending for the military or for mandatory services like Medicare and Social Security, which have steadily become a bigger and bigger part of the budget.

U.S. Rep. Bill Foster, D-Naperville, pointed to the budget's call for cuts to scientific research as risky to the nation's reputation as a leader in scientific research and innovation. President Trump's federal budget proposal has made it crystal clear that he does not prioritize education or the future of our children.

President Donald Trump's newest budget forecasts the US fiscal deficit surpassing $1 trillion this year and staying above that level until 2022.

The budget is not going to have any effect on the real spending levels, given that Congress controls them.

Former Vice President Joe Biden, who is considering a run for the 2020 Democratic nomination, told a crowd Tuesday that Trump is curtailing spending to pay for the tax cut he gave the super wealthy, a reference to the 2017 GOP tax law.

Tricia Neuman of the nonpartisan Kaiser Family Foundation said the Medicare reductions in this year's budget are larger than what Trump proposed last year.

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Trump's budget "proposes that USDA responsibly and efficiently use taxpayer resources by making targeted reforms to duplicative programs and overly generous subsidy programs", according to the document.

Defending the plan, he said: "This budget contains almost $2.7 trillion in savings, more spending reductions proposed than any administration in history". The Trump administration wants to eliminate that differential. The plan that drew the most heat was the president's desire to replace the current open-ended federal commitment to Medicaid with a lump sum of federal money for each state in the form of a block grant, a measure that would essentially cap payments and would not keep pace with rising health care costs.

"Hospitals are less and less able to cover the cost of care for Medicare patients; it is no time to gut Medicare", said Chip Kahn of the Federation of American Hospitals.

"President Trump has somehow managed to produce a budget request even more untethered from reality than his past two", said Democratic US representative Nita Lowey, chairwoman of the House Appropriations Committee. "But we must also think about how we can help families to access financial programs, educational opportunities, and higher paying jobs".

But some of the Medicare cuts have received bipartisan support in the past, including halting hospitals from bumping up their Medicare payments by acquiring doctors' practices (a method CMS has tried to crack down in the past with its site-neutral payment proposals) and lowering spend on prescription drugs. Nevertheless, the budget also includes an additional $8.6 billion to construct walls right along the Mexican border.

The budget blueprint, which forecasts annual deficits extending beyond the next decade and rising national debt, represents a wish list for the president's priorities that is certain to be ignored by Congress.

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