There’s been plenty of unhappiness about GOP Medicare proposals, but a much less flashy but equally disastrous change has been proposed for Medicaid.
Unspoken in much of the coverage, notably NPR’s story this morning, is that this plan to give more “flexibility” to state governors is less about flexibility and more about placing restrictions on Medicaid. The best way to gut Medicaid coverage is to change requirements and claim that costs are prohibitive, which you can’t do as long as Medicaid is an entitlement. Turn Medicaid into a block grant and suddenly state governments will be pinching pennies any way they can.
Broadly, though, people think this program won’t be likely to pass the Democratic-controlled Senate. But if it comes down to a budget deal, Democrats would probably sell out poor people to keep Medicare intact.
Middle class voters and the elderly show up at the ballot box enough to keep their issues in the conversation. Upper class voters contribute to campaigns to keep their issues in the conversation. Industry can pay for armies of lobbyists.
Poor people have no lobby and no money, and they participate the least in voting. I predict that whatever the final budget looks like, poor people will bear the worst of it.