The spotlight turns into medicaid, the issue of making or breaking Trump

The adoption of the Republican Budget Bill has shed light on the issue of the hot button that could make or break the local President Trump’s agenda: Medicine.

The huge government health care program is at the heart of the Republican Party’s plan to reduce federal spending in order to trim the deficit and make the budget space for the new tax discounts of Trump. But the issue is the division of Republicans into the rooms of Congress and between them, where conservatives prefer very slope discounts on Medicaid, the centers say they will oppose any erosion of the health benefits of their components, and the Republican party leaders hang the gap in search of a compromise that can accommodate the two camps.

They have their work.

The 70 -page budget plan that Republicans in both rooms have agreed to have little policy details, and MEDICAID only once. But he guides the Energy and Trade Committee in the House of Representatives, which has a specialty on Medicaid, to determine the location of 880 billion dollars in spending discounts during the next decade. The Congress Budget Office says it is impossible mathematically, without lowering medicaid, which provides health coverage for more than 70 million people.

The spokesman Mike Johnson (R-La) and other Republican leaders can reach this number by getting rid of waste, fraud and abuse of the program. But Democrats and many healthcare defenders differ. Now that the budget of the Republican Party has been adopted, they pledge to fight Medicaid directly to voters – especially in the Goop areas in the battlefield with the high number of Medicaid patients.

“The Republicans can run for their proposal, which is the largest reduction in American history, but we will never allow them to hide,” said the leader of the minority in the House of Representatives, Hakim Jeffrez (DN.Y.).

He continued: “Now that the committee has become under implementation,” they will have to clarify the discounts in the field of Medicaid and other programs that we have explained for weeks, and they are determined to visit the American people. “

As part of this effort, the Democrats hope to exploit the sharp departments of the Republican Party about the value of medical aid and the extent of the depth of the Republicans to reduce its funding. This dispute extends beyond the Senate to the Senate, where a handful of Republicans-including Sens. Lisa Morkovsky (Alaska), Susan Collins (Min) and Josh Holie (M.) that they will not accept any discounts in the field of Medicaid as part of the Trump tax package.

The thorny nature of the discussion of the Republicans was clear in the House of Representatives Hall in the midst of a vote on Thursday on the budget plan made from the Senate that was designed to direct Trump’s local priorities-not only tax cuts, but also in expanding energy production and the repressive campaign-through Congress and the President’s office later this year.

While most of the attention throughout this debate was on the hawks in conservative spending, which publicly threatened to kill the decision on fears that it did not reduce spending deeply, the moderates were quieter than the warnings from the center, and party leaders warned that they were ready to oppose any last package that reduces the benefits of medical in their areas.

In the House of Representatives Hall during this vote, Johnson gathered in a lengthy discussion with some of these moderates in an attempt to ensure that the benefits of Medicaid were not on the cutting bloc as the leaders of the Republican party advanced with a “major and beautiful bill” for Trump.

These sounds want the final package to approach the amount of $ 4 billion in budget mandate for the Senate, and not 1.5 trillion dollars that require the same plan from the House of Representatives.

After voting, some of these medium said they encouraged through the comments given by the majority leader John Thun (RS.D.) a few hours ago, when he refused to commit the upper room to the number of $ 1.5 trillion. However, the moderates also emphasized that their vote for the final bill will depend on Johnson’s ability to preserve his speech on leaving the advantages of medical aid without touching.

“We have made it clear, we will not vote for something that takes away from the benefits of the elderly, the disabled and the weak we represent who depend on Medicaid,” said Representative Nicole Malekacles (RN.Y).

“We want to cut fraud, waste, and abuse, [and] I think there are great savings that we can achieve in this final law [through] Work requirements and removing illegal immigrants from the lists and the decline in the actual abuse we see, ” [erode] benefits. The spokesman explained very clearly, and the president has made it clear that they agreed with us. “

Representative Jeff van Drew (RN.J.), another specific to the Republican Party, has warned a similar warning, saying that he would not support any legislation that reduces benefits under Medicaid, Medicare or Social Security.

He said after a vote on Thursday: “I was in constant contact with the driving of the house and the speaker, which made it clear that any draft law threatens these important programs will not get my support,” he said after a vote on Thursday.

However, on the other side of the ideological spectrum, the conservatives interpreted the comments of Thun in a completely different way, saying they were newly convinced that the House of Representatives and the Senate were, for the first time, on the same page in requesting the $ 1.5 trillion discounts. The structure of this number deeply depends on $ 880 billion, which is important to the Energy and Trade Committee, which means that medicaid will necessarily be affected.

Conservatives have gone for decades, after Medicare, Medicaid and Social Security, and they rid the services provided by the main merits programs as enlarged and ineffective – and it is better to leave the private sector.

These feelings are leaking to the current debate about medicaid, as some conservatives are not excused regarding the follow -up of the program – although leadership claims on the contrary – and urged their colleagues to expand the effort until after searching for waste, fraud and abuse.

“Some Republicans are afraid of something that has 80 percent support, which is [a] Work requirements for the two body individuals who have no children. Why do not these people go to work? Representative Thomas Massi said

“The liberals invite this:” Oh, you are cutting medical aid. “But we have [Republican] Colleagues really don’t do it. And they must be. “

Mychael Schnell contributed to the reports.