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Sheldon Weisgrau

@acaresource.bsky.social
205 followers 321 following 85 posts

Health policy wonk, advocate, and reformer. Working to make Missouri healthier. Still not from around here.

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Reposted by Sheldon Weisgrau
Joan Alker @joanalker1.bsky.social · 01/10/2026
The state of Nebraska has released data on the 1st few months of Medicaid work reporting requirements Over 1,000 people have lost/been denied coverage Vast majority are losing not bcuz they aren't working but bcuz they can't get thru the red tape My new blog: ccf.georgetown.edu/2026/09/30/n...
ccf.georgetown.edu
Nebraska Releases First Data on Medicaid Work Reporting Requirement: As Expected, Coverage Losses Start to Mount Due to Red Tape
At a recent Medicaid Advisory Committee meeting, the state of Nebraska, the first in the nation to implement what will soon be a mandatory Medicaid work reporting requirement (WRR), shared the first d...
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Reposted by Sheldon Weisgrau
Allison Gill @muellershewrote.com · 11/09/2026
Okay everyone. Here’s the YouTube interview with @jimmykimmel.com and @jamestalarico.bsky.social You know what to do. Watch it. Share it. Donate. Bury them. youtu.be/WLDE9LrGpNk?...
youtu.be
Jimmy Kimmel’s Interview with James Talarico That the FCC Doesn’t Want You To See
YouTube video by Jimmy Kimmel Live
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Reposted by Sheldon Weisgrau
Larry Levitt @larrylevitt.bsky.social · 23/07/2026
New: With enhanced ACA premium subsidies expired and Medicaid cuts phasing in, the Congressional Budget Office expects the share of the population uninsured to rise above 10% for the first time since the ACA was implemented. www.cbo.gov/publication/...
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Sheldon Weisgrau @acaresource.bsky.social · 28/05/2026
I just took action with @theactionnetwork.bsky.social: No Everything Tax: Add Your Name. Take action here: actionnetwork.org/forms/no-eve...
actionnetwork.org
No Everything Tax: Add Your Name
The politicians behind Amendment 5 just put the Everything Tax on Missouri's August 4 ballot. Higher taxes on groceries, medicine, and doctor visits, so the wealthy can pay less. Add your name as a pu...
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Reposted by Sheldon Weisgrau
KFF @kff.org · 29/01/2026
Across a range of measures, KFF’s latest poll finds significant concern about health care costs. Dig into the findings: on.kff.org/49XZyLG
Infographic titled “KFF Tracking Poll Finds Significant Concerns About Health Care Costs.” It shows: A third (32%) say that they are “very worried” about their ability to afford health care for them and their families – more than say the same about affording food and groceries (24%), rent or mortgage (23%), monthly utility bills (22%), or gasoline and other transportation costs (17%). A majority (56%) of the public expect health care costs for their family to become less affordable in the coming year. About 1 in 5 say that their health care costs have increased more quickly than other necessities, like utilities and groceries.
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Reposted by Sheldon Weisgrau
KFF @kff.org · 04/12/2025
9 in 10 Marketplace enrollees (90%) expect that the expiration of the enhanced premium tax credits will have an impact on the amount they pay monthly for their health insurance, including 7 in 10 (69%) who say it will have a “major impact.” More from our latest poll: on.kff.org/4ptXoK8
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Reposted by Sheldon Weisgrau
Drew Altman @drewaltman.bsky.social · 17/11/2025
With all the talk about ACA costs being out of control, they are actually quite similar to and slightly less than employer (group) health costs. The problem is health care costs, not the ACA.
healthsystemtracker.org
How ACA Marketplace costs compare to employer-sponsored health insurance - Peterson-KFF Health System Tracker
Prior to the Affordable Care Act (ACA), insurers selling coverage to individuals would deny people with serious pre-existing conditions and high-risk occupations, exclude coverage for certain services...
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Reposted by Sheldon Weisgrau
Larry Levitt @larrylevitt.bsky.social · 06/11/2025
Something I think gets lost in the debate over ACA enhanced premium tax credits: 65% of ACA marketplace enrollees have incomes under 200% of the poverty level ($31,300 for a single person). These are folks who make too much for Medicaid but don't have access to employer coverage.
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Sheldon Weisgrau @acaresource.bsky.social · 09/10/2025
Grantmakers in Health has opened nominations for the 2026 Terrance Keenan Leadership Award in Health Philanthropy and the Andy Hyman Award for Advocacy. More information and a link to submit nominations can be found here: www.gih.org/gih-news/gra...
gih.org
Grantmakers In Health Seeks Nominations for 2026 Leadership and Advocacy Awards - Grantmakers In Health
Grantmakers In Health is pleased to announce a call for nominations for both its Andy Hyman Award for Advocacy and Terrance Keenan Leadership Award in Health Philanthropy.
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Sheldon Weisgrau @acaresource.bsky.social · 03/10/2025
Translating support for the ACA into support at the ballot box is the challenge...
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Reposted by Sheldon Weisgrau
Larry Levitt @larrylevitt.bsky.social · 30/09/2025
New, and a big deal: Based on updated data and changes made by the Trump administration, we now estimate that ACA enrollees would see their out-of-pocket premiums increase by 114% if enhanced premium tax credits are allowed to expire. www.kff.org/affordable-c...
kff.org
ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire | KFF
KFF estimates that, if Congress allows the enhanced premium tax credits to expire at the end of this year, ACA Marketplace enrollees on average would see their premium payments more than double next y...
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Sheldon Weisgrau @acaresource.bsky.social · 23/09/2025
Unless Congress acts, health insurance premiums are going up. Way up. missouriindependent.com/2025/09/22/r... @urbaninstitute.bsky.social @missouriindependent.com.web.brid.gy
missouriindependent.com
Close to 5M could become uninsured if Congress doesn’t extend subsidies, report says • Missouri Independent
Without congressional action, close to 5 million who buy their health insurance on Affordable Care Act marketplaces wouldn't be able to absorb the price hike.
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Sheldon Weisgrau @acaresource.bsky.social · 19/09/2025
Georgia's Medicaid work requirement program spends more on administrative costs than on providing care and has enrolled less than 3% of the eligible population. Thanks to HR 1, we'll be rolling it out to the whole country. Senseless. @apnews.com apnews.com/article/geor...
apnews.com
Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs
A government watchdog has raised concerns about high administrative costs in Georgia's Medicaid program. The U.S.
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Reposted by Sheldon Weisgrau
Larry Levitt @larrylevitt.bsky.social · 21/08/2025
The Republican tax and spending law cuts federal Medicaid spending in rural areas by $137 billion over a decade, much more than the temporary $50 billion rural health relief fund.
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Sheldon Weisgrau @acaresource.bsky.social · 20/08/2025
As many as 200,000 Missourians will lose their health insurance as a result of federal policies.
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Sheldon Weisgrau @acaresource.bsky.social · 30/07/2025
As Medicaid Turns 60, Its Future Hangs in the Balance: mffh.org/news/as-medi...
mffh.org
As Medicaid Turns 60, Its Future Hangs in the Balance - Missouri Foundation for Health
Missouri holds a central role in the history of health care in the United States. Sixty years ago, on July 30, 1965, President Lyndon B. Johnson traveled to Independence, Missouri, to stand side-by-si...
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Sheldon Weisgrau @acaresource.bsky.social · 27/06/2025
Medicaid cuts affect all: "The cuts to federal funding would likely damage state economies, lowering revenue for providers and then impacting other businesses in their supply chains — as well as the jobs and incomes of their workers..." @commonwealthfund.org www.healthcaredive.com/news/medicai...
healthcaredive.com
Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs: report
A large portion of the 1.2 million jobs that could be lost nationwide in 2029 would come from the healthcare sector, like roles at hospitals, physician offices, pharmacies and long-term care providers...
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Sheldon Weisgrau @acaresource.bsky.social · 25/06/2025
Not to diminish the other harmful provisions in OBBB, but the coverage losses are what will cause the most damage to providers and (obviously) patients.
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Reposted by Sheldon Weisgrau
Bridgette Dunlap @bridgettedunlap.bsky.social · 23/06/2025
I wrote about the cruel farce that is Josh Hawley pretending to defend Medicaid & SNAP. Missouri’s failure to administer SNAP under *current* law is the subject of a 3 year lawsuit. Medicaid is also a mess. Hawley knows we can’t handle more red tape w/o dropping many more eligible people:
missouriindependent.com
No one knows better than Josh Hawley that ‘work requirements’ are Medicaid cuts • Missouri Independent
No one knows better than Missouri U.S. Sen. Josh Hawley that "work requirements" are actually Medicaid cuts.
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Reposted by Sheldon Weisgrau
Natasha Murphy @nzmurphy.bsky.social · 12/06/2025
Americans can expect higher premiums, deductibles, & out-of-pocket costs across Medicaid, Medicare, ACA, and employer coverage if House Republicans' recon bill is enacted. The latest from @andreaducas.bsky.social & @groundwork.bsky.social Andrés Arguello: www.americanprogress.org/article/hous...
americanprogress.org
House Republicans’ Big, ‘Beautiful’ Bill Would Make Health Care More Expensive for Americans With Medicare and Other Insurance
A new Center for American Progress analysis shows how House Republican health care cuts would cost many families with Medicaid, Medicare, ACA marketplace plans, and job-based coverage up to thousands ...
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Sheldon Weisgrau @acaresource.bsky.social · 09/06/2025
"It is hard to articulate a comprehensible justification for ballooning the federal debt in service of saving fewer lives." www.washingtonpost.com/opinions/202...
washingtonpost.com
Opinion | This senator’s comment on Medicaid cuts was brutal but accurate
It is hard to articulate a justification for ballooning the federal debt in service of saving fewer lives.
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Sheldon Weisgrau @acaresource.bsky.social · 04/06/2025
Bottom line...
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Reposted by Sheldon Weisgrau
Larry Levitt @larrylevitt.bsky.social · 22/05/2025
The original House bill would have led to about 10 million more uninsured people, according to CBO. The amended version that passed would lead to more people losing health insurance. If this bill gets enacted, it would represent the biggest rollback in federal support for health care ever.
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Sheldon Weisgrau @acaresource.bsky.social · 14/05/2025
More red tape and bureaucratic hassles. People who qualify for coverage falling through the cracks. Now Congress wants to expand failed programs like Georgia Pathways to all 50 states. We already know this doesn't work. Why is it even on the table? www.propublica.org/article/geor... @propublica.org
propublica.org
He Became the Face of Georgia’s Medicaid Work Requirement. Now He’s Fed Up With It.
A 54-year-old mechanic called Pathways to Coverage a “great program” at the governor’s press conference. But after getting kicked off the health insurance program for low-income Georgians twice, burea...
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Sheldon Weisgrau @acaresource.bsky.social · 09/05/2025
Medicaid plays a vital role in rural Missouri, covering nearly a quarter of residents. Cuts will disproportionally harm rural communities, resulting in higher uninsurance and larger disparities with urban areas. #equity sites.wustl.edu/cahsper/item... @cahsperiph.bsky.social @mcbridetd.bsky.social
sites.wustl.edu
Health Insurance Coverage in Rural and Urban Missouri
by Xiaoyu Huang, MSW Candidate; Sarah A. Eisenstein, PhD; and Timothy D. McBride, PhD, MS | May 2025 This brief explores comparisons of insurance coverage for persons living in rural and urban…
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Sheldon Weisgrau @acaresource.bsky.social · 08/05/2025
Medicaid cuts won't make America healthy again. They will make millions of Americans uninsured again.
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Sheldon Weisgrau @acaresource.bsky.social · 05/05/2025
Medicaid cuts = loss of these benefits.
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Sheldon Weisgrau @acaresource.bsky.social · 01/05/2025
New research shows that many choose coverage through Medicaid expansion rather than disability, offsetting more than half of Missouri's expansion costs. Cuts would increase the state's cost of covering these enrollees. sites.wustl.edu/cahsper/item... @mcbridetd.bsky.social @cahsperiph.bsky.social
sites.wustl.edu
Changes in Missouri Medicaid Enrollment: Adult Expansion Group and Disability Over the 2021-2024 Period
by Timothy D. McBride, PhD, MS; Sarah A. Eisenstein, PhD; and Claire Ami Pavlides, MPH Candidate | April 2025 The expansion of Medicaid in Missouri was approved by voters in Missouri through the pa…
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Sheldon Weisgrau @acaresource.bsky.social · 01/05/2025
The cost and burden to state eligibility and enrollment systems is a huge barrier. Some states can't effectively carry out their current work, much less adding more frequent reviews and (perhaps) work requirements to the mix.
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Sheldon Weisgrau @acaresource.bsky.social · 01/05/2025
Legislators who vote for Medicaid cuts are shooting their states in the foot. Coverage and job losses, hospital closures, loss of tax dollars, and budget crises are the result. In Missouri, billions of dollars and coverage for hundreds of thousands of people are at stake. mffh.org/news/cuts-to...
mffh.org
Cuts to Medicaid Affect All Missourians - Missouri Foundation for Health
The U.S. Congress is currently at work on a budget to set future tax and spending policy.  As the House and Senate quickly work through the process (leaders have targeted Memorial Day to complete the ...
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Sheldon Weisgrau @acaresource.bsky.social · 01/05/2025
Majorities of Americans oppose cuts to Medicare, the Affordable Care Act, public health, and other programs. So why is Congress moving forward anyway with these cuts? www.kff.org/health-costs... @kff.org
kff.org
KFF Health Tracking Poll April 2025: Public’s View on Major Cuts to Federal Health Agencies | KFF
Amid sweeping cuts to federal government health agencies by the Trump Administration, much of the public opposes cuts to funding and staffing, including some Republicans. Support of many of these cuts...
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Sheldon Weisgrau @acaresource.bsky.social · 22/04/2025
Federal cuts could reduce Missouri's #Medicaid budget by nearly $4 billion per year and leave 350,000 uninsured. This will destabilize the health care system and reduce access for everybody. mffh.org/news/cuts-to... #MOHealthNet
mffh.org
Cuts to Medicaid Affect All Missourians - Missouri Foundation for Health
The U.S. Congress is currently at work on a budget to set future tax and spending policy.  As the House and Senate quickly work through the process (leaders have targeted Memorial Day to complete the ...
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Reposted by Sheldon Weisgrau
Alliance for a Healthy Kansas @healthykansasorg.bsky.social · 18/04/2025
"This is not the time for party-line votes or political calculation. This is the time to stand up and lead -- for families, for workers, for the values we claim to represent. Senators: You have the power to stop this. You can protect Medicaid." More: tinyurl.com/3mc9ndas #Medicaid #ProtectMedicaid
Side by side image of Kansas Senator Roger Marshall on the left and Kansas Senator Jerry Moran on the right.
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Sheldon Weisgrau @acaresource.bsky.social · 18/04/2025
Cuts to Medicaid Affect All Missourians. Our analysis of the impact of potential Medicaid cuts in Missouri: mffh.org/news/cuts-to...
mffh.org
Cuts to Medicaid Affect All Missourians - Missouri Foundation for Health
The U.S. Congress is currently at work on a budget to set future tax and spending policy.  As the House and Senate quickly work through the process (leaders have targeted Memorial Day to complete the ...
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Sheldon Weisgrau @acaresource.bsky.social · 16/04/2025
Medicaid cuts will deeply impact rural communities and turn this progress around.
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Sheldon Weisgrau @acaresource.bsky.social · 14/04/2025
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Sheldon Weisgrau @acaresource.bsky.social · 04/04/2025
Reduced federal support from program cuts, but especially from Medicaid, which is the largest source of federal funds for most states, will make a recession deeper and last longer.
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Sheldon Weisgrau @acaresource.bsky.social · 04/04/2025
Loss of coverage leads to more uncompensated care and lower revenue for providers leads to rural hospital closures leads to loss of jobs and economic development leads to the end of many rural communities. It's not just about health care, it's about the damage caused by the economic ripple effects.
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Sheldon Weisgrau @acaresource.bsky.social · 02/04/2025
“It puts further pressure on a system that already has a financial toxicity that is pervasive." Health care is already unaffordable for many. Medicaid cuts will make it much worse. www.nytimes.com/2025/04/02/h... @reedabelson.bsky.social @nytimes.com
nytimes.com
More Americans Cannot Afford Medical Care: Gallup Poll
A new survey found that 11 percent of Americans said they could not pay for medication and medical treatments.
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Sheldon Weisgrau @acaresource.bsky.social · 01/04/2025
Medicaid work requirements ration care by creating unnecessary administrative complexity. They are a lose-lose proposition: they don't lead to jobs, but they do result in loss of coverage. missouriindependent.com/2025/04/01/m... @missouriindependent.com.web.brid.gy
missouriindependent.com
More than 5 million could lose Medicaid coverage if feds impose work requirements • Missouri Independent
Under an emerging Republican plan to require some Medicaid recipients to work, between 4.6 million and 5.2 million adults ages 19 to 55 could lose their health care coverage, according to a new analys...
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Sheldon Weisgrau @acaresource.bsky.social · 27/03/2025
This is how you cut Medicare without "cutting" Medicare.
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Sheldon Weisgrau @acaresource.bsky.social · 21/03/2025
Medicaid pays for the majority of nursing home and other long-term care. Big Medicaid cuts will make this problem worse. Much worse.
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Sheldon Weisgrau @acaresource.bsky.social · 21/03/2025
Some states, like Missouri, have so restricted the raising of new revenues (e.g., taxes) that huge cuts in Medicaid and other state programs will be the only options.
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Sheldon Weisgrau @acaresource.bsky.social · 21/03/2025
Work requirements don't work. "People would not lose healthcare coverage because they are ineligible. They would lose coverage because of the bureaucratic burden the program would put on people." www.healthcaredive.com/news/medicai... @khemp.bsky.social @urbaninstitute.bsky.social @rwjf.bsky.social
healthcaredive.com
Medicaid work requirements could cut coverage for 5.2M
A new report found that millions could lose access to care, even though most Medicaid beneficiaries are working or should be eligible for exemptions from work requirements.
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Sheldon Weisgrau @acaresource.bsky.social · 18/03/2025
This is how you cut Social Security without "cutting" Social Security.
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Sheldon Weisgrau @acaresource.bsky.social · 17/03/2025
Missouri nursing homes are understaffed. Billions in Medicaid cuts won't help. www.stltoday.com/news/local/g... @stltoday.com
stltoday.com
Missouri advocates decry nursing home staffing shortages, which rank among worst in nation
Bills sponsored by Sen. Stephen Webber and Rep. Kimberly-Ann Collins are designed to provide more oversight to state nursing homes and require certain staffing levels. They’ve made little progress.
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Sheldon Weisgrau @acaresource.bsky.social · 14/03/2025
Cuts in Medicaid spending will crater state budgets, increase uninsurance and unemployment, and close rural hospitals. Reform should be done carefully, not with an axe. www.healthcaredive.com/news/medicai... @urbaninstitute.bsky.social @rwjf.bsky.social @khemp.bsky.social
healthcaredive.com
Medicaid expansion cuts could hit provider revenue, spike uncompensated care: report
If states end their expansion programs in response to funding cuts, spending on healthcare services would fall by nearly $80 billion and uncompensated care costs would rise by $19 billion in 2026, acc...
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Reposted by Sheldon Weisgrau
Elisabeth Wright Burak @ewburak.bsky.social · 12/03/2025
A5: Medicaid cuts would make access to needed health care even more difficult for pregnant women and new moms in rural areas. Rural pregnant women already experience higher risk of maternal morbidity and mortality compared to their urban peers. #WellnessWed ccf.georgetown.edu/2025/01/14/m...
ccf.georgetown.edu
Medicaid Coverage in Metro and Small Town/Rural Counties, 2023
Click on a state below to view rates of Medicaid coverage in Metro and Small Town/Rural counties. AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgia…
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Reposted by Sheldon Weisgrau
Amber Christ @amberchrist.bsky.social · 06/03/2025
The Congressional Budget Office confirms that the only way to cut $880B is by cutting Medicaid. And the only way to cut that much from Medicaid is by stripping coverage & access from millions of older adults & other low-income Americans. www.washingtonpost.com/business/202...
washingtonpost.com
GOP must cut Medicaid or Medicare to achieve budget goals, CBO finds
The nonpartisan bookkeeper said there’s no other way to cut $1.5 trillion from the budget over the next decade.
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Reposted by Sheldon Weisgrau
Carl Quintanilla @carlquintanilla.bsky.social · 06/03/2025
NYT fronts potential cuts to #Medicaid — and the areas of the US with “the most to lose.” @nytimes.com
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