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.
There’s no way in hell Obama’s going to pick Nunn for VP. There’s no reason to say why; anyone with half a brain knows why and it doesn’t need to be explained. Nunn’s just another old man in a country that’s had enough of old men.
Well, Steve Kornacki at the New York Observer offers one explanation — Nunn is Sistah Souljah:
“That Mr. Nunn is from a Southern state doesn’t hurt, and that some on the left have begun carping about his conservative record on social issues like gay rights is actually a political plus, too – a chance for Mr. Obama to reach out to center-right swing voters who roll their eyes at the liberal interest-group establishment.”
http://www.observer.com/2008/obama-and-cheney-option
Yeah, all of those soldiers who got early discharges for being part of the “liberal interest-group establishment” (for which read: queer) WILL just carp carp carp. They didn’t just start doing it, though. Where’s Karnacki been since the mid 1990’s? Apparently the choice of Nunn will reassure anybody troubled by the fear that Obama might have actually meant it about gays and lesbians being citizens too.
I actually agree with Karnacki on that point. It’s just what I’ve said before — if Obama picks Nunn, I won’t believe him on gay issues either. I’m already a skeptic.
“Lieberman’s position on military ballots in FL was dictated to him by the Gore campaign. It was only a “surprise” to those hard-line lawyers who were out of the Gore political loop. Moreover, Gore probably wouldn’t have even been in the position to win FL without Lieberman’s presence on the ticket (look at the 2000-2004 numbers in South Florida).”
I suppose I could have intuited the latter, but I’m happy to know the former. Lieberman’s statement at the time infuriated me. I honor our servicemen, but I don’t happen to think that the vote of a peacetime soldier in Germany is more important than that of a WWII veteran in Florida — and the latter were expected to follow the rules, sign their absentee ballots, and get them postmarked before Election Day.
Ducdebrabant:
I don’t think there’s any real chance of Nunn going on the ticket unless he offers something like the “repentence” you are suggesting.
Have to quibble with one of your analogies, though: Lieberman’s position on military ballots in FL was dictated to him by the Gore campaign. It was only a “surprise” to those hard-line lawyers who were out of the Gore political loop. Moreover, Gore probably wouldn’t have even been in the position to win FL without Lieberman’s presence on the ticket (look at the 2000-2004 numbers in South Florida).
Look, I hold zero brief for Lieberman these days; I seem to be “to the left” of a lot of Democrats who think he should be stripped of his committee assignment if he keeps attacking Obama; I think the mere act of endorsing McCain is enough grounds for booting him out of the Caucus as soon as is practicable.
But that doesn’t mean we have to accept a lot of revisionist history about Lieberman’s responsibility for Bush. If anything, Gore lost FL when he failed to push for a statewide recount from the get-go, as a lot of us felt at the time.
Thanks for the comments.
Ed Kilgore
It’s been pointed out to me on another site that a repentant Sam Nunn would be a very dramatic development and a real boost to gay people. So it would. The repentance is missing, though. He makes no apologies, offers no regrets, makes no promises, refuses to state a present position, and then he does something really surprising. He has the gall to claim credit for the fact that gay men and women, thanks to DADT, no longer have to lie on enlistment forms as they did pre-DADT. Thanks to DADT, perhaps, but very little thanks to Sam Nunn, who wanted to keep things exactly as they were. Neither DADT nor anything resembling it was his original position. If he’d had his way completely, they’d still be lying on enlistment forms and, I suppose, still be getting dishonorable discharges. You know, instead of just discharges. He’s a long way from admitting he was wrong, and that is a bottom line prerequisite in my view.
Sam Nunn could be a mistake if the Obama campaign is serious about winning Colorado, New Mexico or possibly Nevada. 2004 exit polls in Colorado indicated that 4% of voters were gay/lesbian. Many gay men (less so lesbians) hold a surprising positive view of McCain, particularly in these Western states. Placing someone like Nunn with such a distinguished pedigree of heterosexism/homophobia could prove a mistake. Why risk Colorado, New Mexico or Nevada (all will be very close) on the off chance you might pull in Georgia. At the very least, Nunn will need to do some explaining to these voters as to why he now thinks “Don’t Ask, Don’t Tell” should be revisited, and what are his current views.
More importantly, elevating a conservative, Southern white male into the future leadership of the Democratic Party is a mistake for 2016 and beyond. The Democrats need to look West, Northwest, and Southwest as they consider their future, not to the remnants of the old Democratic base in Dixie.
Perhaps Bowers is easier to differ with than Jonathan Capehart, whose article “Don’t Ask Nunn” was in the Washington Post last Wednesday:
http://www.washingtonpost.com/wp-dyn/content/article/2008/06/10/AR2008061002527.html
It may have been just a matter of time, but not quite as much time as it took Bowers. The comparison of Nunn to Lieberman may fail in one way, but unless Nunn enthusiastically embraces Obama’s program, I’d be very much worried about his independence turning into obstruction. He turned on a President of his own party already, when he was in the Senate, and what is the Vice President but President of the Senate? Another surprise like Lieberman’s jumping to the Republican position on putative military ballots in Florida without signatures or dates is not something I would care to see.
Nunn of course deserves credit for his work on non-proliferation.