Thomas Mann of the Brookings Institution participated in an online chat on The Washington Post website yesterday, where he answered questions about Tuesday’s election results–many of them on the minds, I would imagine, of those who visit this site. All Mann’s answers are lucid and perceptive; I strongly recommend you checkout the transcript of his chat as an aid to your reflections on the election.
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Editor’s Corner
By Ed Kilgore
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May 8: How Obamacare Undermined Republican Appetite for Medicaid Cuts
There’s a new and important problem facing Republicans as they seek to hammer Medicaid yet again, as I explained at New York:
In the long Paul Ryan era of Republican budget-cutting efforts (when Ryan was House Budget Committee chairman and then House Speaker), Medicaid was always on the chopping block. And when the program became a key element of Democratic efforts to expand health-care coverage in the Affordable Care Act sponsored by Republicans’ top enemy, Barack Obama, Medicaid’s status as the program tea-party Republicans wanted to kill most rose into the stratosphere. No wonder that the last time the GOP had a governing trifecta, in 2017, there was no single “big beautiful bill” to implement Trump’s entire agenda, but instead an initial drive to “repeal and replace Obamacare” along with measures to deeply and permanently cut Medicaid. Rolling back health coverage for those people was Job One.
So now that Trump has returned to office with another trifecta in Congress, an alleged mandate, and a big head of steam that has overcome every inhibition based on politics, the law, or the Constitution, you’d figure that among the massive federal cuts being pursued through every avenue imaginable, deep Medicaid cuts would be the ultimate no-brainer for Republicans. Indeed, the budgetary arithmetic of Trump’s agenda all but demands big Medicaid “savings,” which is why the House budget resolution being implemented right now calls for cuts in the neighborhood of $600–$800 billion. And it’s clear that the very powerful House Freedom Caucus, thought to be especially near and dear to the president’s heart, is rabid for big Medicaid cuts.
To be sure, the extremely narrow GOP margin in the House means that so-called “moderate” Republicans (really just Republicans in marginal districts) who are chary of big Medicaid cuts are one source of intraparty pushback on this subject. But the shocking and arguably more important dynamic is that some of Trump’s most intense MAGA backers are pushing back too. OG Trump adviser Stephen Bannon issued a warning in February, as The New Republic’s Edith Olmsted reported:
“Steve Bannon, former architect of the MAGA movement turned podcaster, warned that Republicans making cuts to Medicaid would affect members of Donald Trump’s fan club.
“On the Thursday episode of War Room, while gushing over massive government spending cuts, Bannon warned that cutting Medicaid specifically would prove unpopular among the working-class members of Trump’s base, who make up some of the 80 million people who get their health care through that program.
“’Medicaid, you got to be careful, because a lot of MAGA’s on Medicaid. I’m telling you, if you don’t think so, you are deeeeeead wrong,’ Bannon said. ‘Medicaid is going to be a complicated one. Just can’t take a meat ax to it, although I would love to.’”
Bannon didn’t comment on the irony that it was the hated Obamacare that extended Medicaid eligibility deep into the MAGA ranks (with voters in deep-red Idaho, Missouri, Nebraska, Oklahoma, and Utah insisting on taking advantage of it), making it a dangerous target for GOP cuts. But in any event, particularly given Trump’s occasional promises that he’d leave Medicaid alone (which didn’t keep him from supporting the deep 2017 cuts), there existed some MAGA sentiment for finding “savings” elsewhere.
The volume of this sentiment went up sharply when one of the flavor-of-the-year right-wing “influencers,” Trump buddy Laura Loomer (reportedly fresh from laying waste to the National Security Council staff) went after a conservative think-tanker who was advising HFC types on how to savage Medicaid, per Politico:
“In a social media post Monday, Loomer called Brian Blase, the president of Paragon Health Institute, a ‘RINO Saboteur’ for helping draft a letter circulated by 20 House conservatives that advocated for deep cuts to Medicaid in the GOP’s domestic policy megabill.
“’In a shocking betrayal of President Donald Trump’s unwavering commitment to America’s working-class families, and his promise to protect Medicaid, [Brian Blase] … is spearheading a dangerous campaign to undermine the Republican Party’s midterm prospects,’ Loomer said on X.”
Loomer’s blast at Blase was clearly a shot across the bow of the House Freedom Caucus and other Republicans who are lusting for Medicaid cuts and/or are focused on deficit reduction as a major goal. She called Medicaid “a program critical to the heartland voters who propelled Donald Trump to his election victories” and warned that Medicaid cuts could badly damage Republicans in the 2026 midterms.
The perpetually shrewd health-care analyst Jonathan Cohn thinks MAGA ambivalence about Medicaid cuts could be a game-changer. After citing data from Trump’s own pollster showing support for Medicaid among Trump supporters, Cohn noted this could have an impact in Congress:
“Trump himself has said he is going to protect Medicaid — although, as is always the case, it’s hard to know exactly what he means, how seriously he means it, or how much thought he has even given to the matter.
“But Trump’s own uncertainty here is telling, just like the pushback to Medicaid cuts from the likes of Loomer. Together they are a sign of just how much the politics around government health care programs has changed in the last few years — and why this piece of Trump’s big, beautiful bill is proving so tough to pass.”
It wouldn’t be that surprising if there’s a thunderbolt from the White House on this subject before the House budget reconciliation bill is finalized. If there isn’t, nervous House Republicans may be forced to read his ever-changing mind.
I agree with Cugel: payroll tax reform is an idea that is long overdue. Dems should play it up big!
Ruy,
Maybe by losing the election we really won. Given Mann’s dead-on assessment, could anyone come outta this smelling good?
Q: What do you see as Bush’s biggest challenge over the next four years?
Mann: Coping with the consequences of his first term: staggering budget deficits, federal revenues at their lowest level as a share of the economy in a half century, intense spending pressure for defense and homeland security, a mess in Iraq with no happy ending in sight, and serious security threats across the globe, from North Korea to Iran, from loose WMDs to terrorist organizations with little sympathy or affection from the rest of the world.
I think Mann’s parallel with the 1920’s was pretty accurate. I myself have been struck by the parallels between Al Smith and Kerry: Northeastern moderate Catholic attacked for religious reasons. Moderate position on social issues (prohibition or gays/abortion) characterized as totally off the board. And the ’28 election was followed by the Roosevelt and the New Deal. Unfortunately it took the stock market crash and the depression to make it happen. The sad part isn’t that the Repubs will fall flat; it’s that there will be a whole lot of suffering before that happens.
Everyone should read this article from the New Democrat (the DLC blog):
http://www.ndol.org/ndol_ci.cfm?kaid=131&subid=192&contentid=253002
They point out all the advantages Democrats had this time and
This summarizes their conclusions:
“The second obvious problem for Democrats was a “reform gap.” Having lost control of every nook and cranny of the federal government during the last two elections, Democrats were perfectly positioned to run as bold, outsider, insurgent reformers determined to change Washington, and the public was ready to embrace such a message and agenda. While Democrats did made a strong negative case against Bush, we never conveyed a positive agenda for reform. Indeed, Democrats often reinforced the idea that the GOP was the “reform” party by trying to scare voters about every bad or deceptive Republican idea for changing government programs, instead of offering our own alternatives for reform. In the end, we relied on mobilizing voters who were hostile to Bush instead of persuading voters who were ambivalent about both parties, and about government. Since Republicans did have a simple, understandable message, it was an uneven contest: message plus mobilization will beat mobilization alone every time.”
. . . .
“There will be a powerful temptation for Democrats to simply go to the mattresses, fight Republicans tooth and nail, and hope for a big midterm sweep in 2006. That would be a mistake, just as it was a mistake to believe that Bush’s weakness would be enough to produce a victory in 2004. It’s time for Democrats to clearly stand for values, principles, and ideas that will earn us the opportunity to become the majority party of the future.”
This argument is right on the money! The one thing Kerry and the Democrats failed to do is to make a serious reform agenda the centerpiece of their campaigns. We desparately need to coalesce on a central reform strategy and beat it like an army mule come rain or shine — just as Newt Gingrich did starting in 1992. Remember the Contract on America?
We need something similar that all Democrats can rally behind and really push. One thing that we never seem to talk about is PAYROLL TAX reform. When was the last time you heard either party talk about how much $ are taken from your weekly paycheck in the form of payroll taxes? We need to oppose Bush’s idea of ending all taxation on unearned income with our own tax proposals that will help workers, not millionares — payroll tax relief. This issue divides the Republicans from their base. Let them explain how they’re for every form of tax cuts, except payroll taxes. We need to be explicit about this and hammer away despite all the ranting and lies about it from conservatives. Ordinary people would be with us on this.
But it can’t be point 32 of a 62 point plan. We would have to hit it hard and repeat it endlessly to force a national debate on this issue.
i think that if any one person in america is responsible for the election defeat, it is the mayor of san francisco. the gay marriage issue was handed on a silver platter to the right wing religious zealots and rove. and when you give rove something to work with he always makes the best of it. the issue brought out millions of right wingers who may not have come out. if the issue would have been put on the back burner untill after the election, kerry would have had four years to figure out how to deal with it.