Senate Plans to Slash Medicaid Even More Than Paul Ryan

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Just this morning I was wondering how it is that there have been so few leaks from the Senate’s health care team. They’ve really got things buttoned up tight over there. But today The Hill revealed this little tidbit:

The proposal would start out the growth rate for a new cap on Medicaid spending at the same levels as the House bill, but then drop to a lower growth rate that would cut spending more, known as CPI-U, starting in 2025, the sources said. That proposal has been sent to the Congressional Budget Office (CBO) for analysis, a Senate GOP aide said.

Let’s translate this into English. Between 2000 and 2016, the ordinary inflation rate, CPI-U, has averaged 2.1 percent. However, medical inflation has risen more rapidly, at a rate of 3.7 percent. Using these rates as estimates for the future, it means the House bill stays even with inflation by increasing its spending cap 3.7 percent per year. The Senate does the same until 2025 but then switches to 2.1 percent. In other words, after 2025, when you adjust for medical inflation, spending declines about 1.6 percent per year. Here’s how that adds up over the years:

Look: Those tax cuts for the rich aren’t going to pay for themselves. Somebody has to pay for them. Why not the elderly, disabled, and poor who are on Medicaid?

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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