The Wheels Come Off Trump’s Attempt To Pass A 'Big, Beautiful' Bill

Unlike other Republicans Trump has consistently promised not to cut Social Security, Medicare and (not as consistently) Medicaid. And not by trying to be clever and redefine what constitutes a “cut,” like Romney always did.

Trump was of course LYING, but it got people to vote for him who didn’t support other GOP candidates.

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The straight forward and fair solution to the repubs tangle is to not create more tax cuts for the grossly rich folk. A modest tax cut reduction on them will solve the Medicaid manufactured crisis. The rich won’t starve and poor folk get medical coverage. No tariffs either donald.
And everybody gets reelected out of goober stupidity

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Also, even more. consistently than other Republicans, Donald Trump has lied.

Shocking it could even be so, but it is most definitely is.

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Well, why can’t the Republicans just behave like their Gilded Idol? Slash or eliminate Medicaid, then keep insisting it’s “stronger than ever! no cuts!” Their base has shown it prefers to believe the maga-rep line rather than their own lying eyes.

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It’s hard to believe, but Loomer and Bannon may have done us a solid.

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Will someone please remind me when Laura Lunatic was elected to office? She seems to have an oversized influence on Dumb Hitler. This is all working out pretty much as I expected…poorly.

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It’s a Republican tradition. Remember the influence on President Ronald Reagan that his wife’s astrologer exerted? Oh, and apparently nobody has seen Melania in weeks. Funny…

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Said Putin’s Cock-holster: “She’s a very private person.”

Noted (Colbert, Kimmel, Meyer?): “That’s why she has a crew following her around filming her $40 million Amazon ‘documentary.’”

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I don’t know a lot about what sort of care Medicaid covers. But I have to wonder how many thousands of Medicaid recipients rely on this care for mental health issues and anti-psychotic medications. Talk about pulling the pin on a claymore. Just make sure it’s facing the right way.

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From the Guardian…

Trump abruptly fires librarian of Congress in latest purge of government

… … …
Too bad trump cannot be abruptly fired

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Aside from congressional Republicans and members of the Trump regime, was anybody ever dense enough to think that these wheels were not gonna come off? I mean, seriously…

However, if they come up with good enough lies, they can probably still go on to gut our healthcare system and, for a time at least, get away with it. A lot of people seem to like to believe Republicans.

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She and Elon were elected on the same ballot.

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The answer about Medicaid mental-health coverage is as you suspect, I suspect. In every way, Medicaid covers a huge percentage of our people most in need of health care.

From Medicaid.gov (a website that most congressional Republicans and members of the Trump regime have never read and will never read, even though Congress has put all this coverage in place. La la la, they can’t hear you.) – Medicaid is the single largest payer for mental health services in the United States and is increasingly playing a larger role in the reimbursement of substance use disorder services. Individuals with a behavioral health disorder also utilize significant health care services—nearly 12 million visits made to U.S. hospital emergency departments in 2007 involved individuals with a mental disorder, substance abuse problem, or both. Congress enacted several laws designed to improve access to mental health and substance use disorder services under health insurance or benefit plans that provide medical/surgical benefits. The most recent law, the Mental Health Parity and Addiction Equity Act (MHPAEA), impacts the millions of Medicaid beneficiaries participating in Managed Care Organizations, State alternative benefit plans (as described in Section 1937 of the Social Security Act) and the Children’s Health Insurance Program.

https://www.medicaid.gov/medicaid/benefits/behavioral-health-services

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imposing work requirements and stricter, more frequent eligibility checks and tightening rules to ensure that undocumented immigrants, who are already not eligible for the program, cannot receive any of its services.

How likely is this set of requirements to cost more than it ‘saves’?

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The GOP will blame ‘the Feds’ not their own cuts.

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Loomer on X:

Brian Blase doesn’t want you to know this, but he is propped up by millions of dollars from the Koch Network’s anti-Trump war chest. He is currently pressuring congressional Republicans to defy the President’s ironclad pledge to protect Medicaid—a program critical to the heartland voters who propelled Donald Trump to his election victories.
Blase’s insidious push to eliminate provider taxes would gut Medicaid funding, hitting Americans the hardest in rural red states like Texas, Florida, and Louisiana, where Trump’s base depends on the Medicaid program for survival.

So, Laura Loonatic attacking the Koch network is a good thing. But the MAGAts need the kind of slap up the side of their heads that losing their health care would bring. Then they can make good on their death threats to (R) congress critters.

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Of course, states facing higher costs will often respond by just limiting Medicaid eligibility as much as possible. But for a lot of Republicans, that’s not a bug. It’s a highly desirable feature. Because they are mean, short-sighted and stupid.

### 4. Evidence shows Medicaid work and reporting requirements are confusing to enrollees and complex and costly for states to implement.

In Arkansas, lack of awareness and confusion about the requirements were common. Despite robust outreach efforts, many enrollees were not successfully contacted. Lack of computer literacy and internet access were also barriers, as individuals were required to report on their work or exemption status monthly using an online portal. Providers reported the most vulnerable enrollees (e.g., people with disabilities, people experiencing homelessness) were the most likely to face barriers in complying with the requirements. (While proponents of Medicaid work requirements often describe these policies as applying to “able-bodied” adults, people with disabilities may be subject to the requirements—as many people with disabilities do not meet criteria to receive Supplemental Security Income (SSI) and therefore qualify for Medicaid based on income (vs. disability status).) Although Arkansas’s program included safeguards intended to protect coverage for people with disabilities and others who should not have been subject to the requirements from losing coverage, few people used these safeguard measures relative to the number who lost coverage.

For states, implementing work requirements involves complex systems changes (e.g., developing or adapting eligibility and enrollment systems), enrollee outreach and education, and staff training. GAO examined selected states’ estimates of the administrative costs to implement work requirements and found costs varied from under $10 million to over $270 million. States estimated that federal funds would cover most of these costs, largely due to higher matching rates of 75% and 90% percent of applicable IT costs. GAO found CMS did not consider administrative costs when approving Medicaid work requirement demonstrations. According to data obtained by KFF Health News, Georgia’s “Pathways” program cost the state and federal government more than $40 million (through June 2024), with nearly 80% of costs spent on program administration and consulting fees (vs. paying for health care).

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I don’t think the solution for Republicans is truly very hard. Trump (via Loomer or whoever) publicly states opposition to cutting medicare, then the house cuts medicare. Simple. Trump says he didn’t want to do it, blames the democrats and lies for the Republicans who actually did it on the stump. And GOP voters believe it. All you need is no conscience, shame, or sense of responsibility to people who trust you… and it’s easy.

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But Republican handwringing over how to discreetly slash Medicaid remained the main hurdle.

There’s no way to do something discreetly that’s going to affect nearly 70 million Americans. That’s about 20% of the US population. Everyone that isn’t directly affected is likely to know someone close that will be affected.

They want to be sneaky about it and make it look like it’s no big deal, but in the words of our former President, it’s a BFD and they should be made to understand that the hard way.

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Republicans are just so juvenile. It’s hard to even believe that they are a political party, they act like 5 year olds lead by a 3 year old… One Big Beautiful Bill my ass.

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