Jonathan Cohn, Senior National Correspondent at HuffPost, writes about politics and policy with a focus on social welfare. He is also the author of SICK (2007, HarperCollins) and THE TEN YEAR WAR (2021, St. Martin's).
’s best-known promises ― and quite possibly one of his most important, politically ― is his vow to preserve two of America’s most beloved government programs.at the Republican National Convention, repeating a line he’d said many times before and would say many times afterwards.When HuffPost asked the Trump campaign last month whether the Republican nominee would extend his no-cuts pledge to Medicaid , the campaign offered a vague, bland response.
Republicans in Congress pushed hard for Medicaid cuts throughout the 1990s and then again in the 2010s. Former House Speaker Paul Ryan has been consistent: Change Medicaid from an open-ended entitlement that expands to meet the demand for it, no matter how many people qualify, into a program with some kind of predetermined spending formula that would likely not keep up with rising health care costs, increases in financial need or both.
Former President Donald Trump and former U.S. House Speaker Paul Ryan gather with House Republicans at the White House in May, 2017, to celebrate passage of legislation to repeal the Affordable Care Act. That legislation, which failed to get through the Senate, would have cut Medicaid spending by more than $800 million and reduced enrollment by 14 million, according to official projections.
Over the years, Medicaid has proven politically resilient. The specter of so many people losing coverage loomed large in the defeat of the Obamacare repeal push in 2017. It came up at congressional town halls and drove protests on Capitol Hill. The possible impact of Medicaid cuts also figured prominently in the defeat of House Republican budgets during their 1990s showdowns with then-President Bill Clinton.Thank you for your past contribution to HuffPost.
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