On the recordJanuary 24, 2017
more than 50 years ago, when Medicaid was created, Congress made a smart decision. Lawmakers designed a program so that if health care costs rise, if the economy starts to struggle, Medicaid would be there for the American people, no matter what. A couple of days ago, the counselor to the President said that, as part of the replacement plan for the Affordable Care Act, Medicaid will be converted to block grants. Let's be clear about what this means. People like grants, and they like Medicaid. Maybe they are not sure about whether they like block grants. Whether intentional or not, this kind of technocratic, bureaucratic language can trick people. It sounds fine. Maybe it is even the smart thing to do. Let me be totally explicit about what block granting Medicaid actually means. It means cutting Medicaid. It means less money for Medicaid. It means less health care for people. It is a euphemism. It is not quite a lie, but it is a way of describing something so that you don't know exactly what it is. They are calling it a block grant because they don't want to say that they are cutting Medicaid. These cuts are going to hurt millions of people. They will hurt working families who rely on Medicaid to pay for nursing home care for their families. We have to be pretty out of touch to not know anyone who at some point in their life will rely on nursing home subsidies from Medicaid. It is happening in my extended family right now.…
Source
govinfo.gov




