|Protesters in 2017 (Photo by Drew Angerer, Getty Images)|
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, and is “the largest payer of nursing-home care in the U.S, and it’s a lifeline for disabled kids and their families, both very politically sympathetic populations,” Kenen reports, citing Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation. “More than half of U.S. kids are covered by Medicaid and its sister program the Children’s Health Insurance Program, or CHIP. In some states, more than half of births are covered, and it provides postpartum care, including to minority populations that have disproportionately high rates of maternal death. And it covers long-term care for the poor elderly — or people who became poor after spending most of their savings on long-term care. . . . It’s also a huge payer for mental health and for addiction treatment for opioids, including for kids.”
“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.”