Trump's cuts to Medicare hospital payments trigger an outcry

U.S. Rep. Richard Neal D-Mass. the incoming chairman of the House Ways and Means Committee speaks with reporters after addressing an audience during a gathering of business leaders at a meeting of the New England Council Tuesday Nov. 27 2018 in Bos

Former Vice President and possible 2020 hopeful Joe Biden criticized President Donald Trump's proposed 2020 budget for doing what his own administration asked for in their time at the White House.

Vought told the committee that the president's budget plan would save $517 billion in spending over 10 years in Medicare, a program that many Democrats want to expand.

But the head of a major hospital association was pushing back, saying in a blog that "arbitrary and blunt" Medicare cuts would have a "devastating" impact on care for seniors.

As a candidate early in the 2016 presidential campaign, Trump held himself out as a different kind of Republican.

Senate Budget Committee Chairman Mike Enzi opened a hearing on the Republican president's proposal with a broad attack on what he said was the growing, misguided view that USA debt and deficits do not matter. The official, Alex M. Azar II, the secretary of health and human services, endured more than four hours of bipartisan criticism over the president's budget for 2020, which would substantially reduce projected spending on Medicaid, Medicare and biomedical research.

However, the budget is unlikely to affect public spending levels, which are controlled by Congress.

One of the cuts proposed in the upcoming budget may fly under the radar, but the severe cut of funding for the Great Lakes will not escape the attention of inhabitants there.

Under the new budget, $1.5 trillion would be cut from Medicaid over the next decade and $1.2 trillion would be added for a new "Market Based Health Care Grant" to start in 2021. "And it's not fair to the people that have been paying in for years and now all of the sudden they want to. cut". President Trump's federal budget proposal has made it crystal clear that he does not prioritize education or the future of our children. It would have capped federal spending on the entire program and left millions of people uninsured.

The vast majority of the Medicare changes are reductions in payments to providers, which already has several hospital groups up in arms.

The proposed Medicare package also would require lawmakers to sign off. Because the program is so big, even a small reduction in percent terms can add up to hundreds of billions of dollars over time. "The truth is, it is hard to predict what the impact would really be". Exempt from cuts: private Medicare Advantage plans favored by Republicans.

A statement from AARP reflected a mix of praise and concern.

Also, as expected, the president intends to cut $220 billion in the Supplemental Nutrition Assistance Program (known as SNAP or, more commonly, as food stamps), $21 billion in Temporary Assistance for Needy Families, $207 billion in the student loan program and seeks up to a 31-percent reduction in the Environmental Protection Agency.

At the moment the budget will be debated - probably in mid-October - presidential campaigns will be intensifying and Trump's interests may be closer to the primaries than to actually getting something out of Congress.



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