Outcry over Trump's cuts to Medicare hospital payments

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It cuts $845 billion, nearly a trillion dollar cut in Medicare, and nearly a quarter trillion, $240 billion cut in Medicaid. Why?

"The president's budget proposal should be discarded immediately".

"The president doesn't believe he is breaking his commitments to the American people at all", Vought replied, saying the budget proposed not cuts, but reforms that would help lower drug prices, leading to Medicare savings. Instead, it wants to reduce existing farm subsidies by 15 percent, thereby reducing the safety net our agricultural families have. Bernie Sanders, I-Vt said. 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. His budget, by contrast, calls for scaling back all three programs.

"Nearly a trillion dollar cut in Medicare".

Trump probably needs to win Florida, Arizona, Pennsylvania and other states with large numbers of seniors if he is to secure re-election in 2020. The U.S. deficit is expected to run to $900 billion in 2019 and the national debt has ballooned to $22 trillion.

"Over the next 10 years, we are confident that the economic policies of this administration ... will more than pay for the costs of the tax cuts", said Vought.

Once in the White House, Trump reneged on his Medicaid promise, and now he's being criticized for proposing steep Medicare payment cuts in his new budget.

"Medicare spending will go up every single year by healthy margins, and there are no structural changes for Medicare beneficiaries", Vaught added.

The analysis from the Committee for a Responsible Federal Budget (CRFB) finds that the vast majority of the Medicare cuts in Trump's budget, released on Monday, are to payments to hospitals and doctors, not cuts to benefits for seniors on the program.

"Hospitals are less and less able to cover the cost of care for Medicare patients; it is no time to gut Medicare", says Chip Kahn of the Federation of American Hospitals. It adds work requirements - hard to administer and sometimes counterproductive - to key safety-net programs such as Medicaid, housing assistance and food stamps.

As a candidate early in the 2016 presidential campaign, Trump held himself out as a different kind of Republican. Independent economists don't put USA growth anywhere near what the White House is projecting, but it's convenient for the admin to argue otherwise so it can claim it's addressing the federal deficit with a plan that doesn't actually do that.

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Enzi blamed both Republicans and Democrats for the trend towards trillion-dollar deficits. Debbie Stabenow, D-Mich., said. "They have no shred of intellectual underpinning or integrity to their attack on Democrats if they make this kind of proposal". It would have capped federal spending on the entire program and left millions of people uninsured.

Meanwhile the changes proposed at the FDA in the document entitled 'A Budget for a Better America' tighten up regulations on generics manufacturers in order to improve competition for off-patent drugs and lower prices.

Even in his budget, Trump is acting as if "nobody cares". The dynamic marked a shift from the two previous midterm elections, during which the GOP was the party mainly going on offense on health care, slamming Democrats over the creation of the ACA, also known as Obamacare.

If at this point you are still surprised by the budgetary ideas of President Donald Trump, then you haven't been paying attention. But Wilson argued that the plan probably would not reverberate as the ACA repeal push did.

The budget makes no progress on reducing the federal deficit, which ran to $900bn in 2019, or national debt, now at $22trn.

The latest discussions about Medicare mark a new chapter in the partisan debate.

"And that means rejecting this harmful proposal", he said. The budget forecasts the economy will grow about 3 percent annually over the next decade, relying on the assumption that the deregulation and tax cuts will have a long-lasting impact on the economy. Trump is requesting 8.6 billion dollars in new funding for a border wall between the United States and Mexico - a signal that the president is not backing down from his demand to build the wall that he has insisted is necessary to stem the massive tide of illegal immigration.

But his proposals serve to keep his electoral base solidified, considering that he continues to follow the schemes of his original campaign and seeks to fulfill his electoral promise of a border wall.

"It's a political fumble on the Republican part in the sense that this budget is going nowhere", he said. Exempt from cuts: private Medicare Advantage plans favored by Republicans.

This article was written by Toluse "Tolu" Olorunnipa and Sean Sullivan, reporters for The Washington Post. "That's the end of my tweet".

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