How Trump wants to whack Medicare and Medicaid spending

13 Mars, 2019, 15:59 | Auteur: Yves Courtet
  • Outcry over Trump's cuts to Medicare hospital payments

House Speaker Nancy Pelosi told The Associated Press on Tuesday that the budget embodies long-standing Republican ambitions "to make Medicare wither on the vine".

However, that eye-popping figure appears to involve some budgetary legerdemain.

But the head of a major hospital association was pushing back, saying in a blog that "arbitrary and blunt" Medicare cuts would have a "devastating" impact on care for seniors. "He said he wouldn't cut Medicare, he said he wouldn't cut Social Security, and his budget cuts both". "And we can't do that. And it's not fair to the people that have been paying in for years and now all of the sudden they want to. cut".

The envisioned downscaling of Pepfar in Kenya reflects the 22 percent cut that Mr Trump is proposing for the entire President's Emergency Programme for Aids Relief, which was launched in 2003. That would have left millions of people uninsured and shifted hard choices about benefit cuts to states.

The staffer noted that the proposed reductions to Medicare exactly mirror the same mechanism proposed by the Obama administration.

The reductions are baked-in expectations of Medicare-payment savings based on reduced payments to hospitals and in expected reductions for the price of prescription drugs.

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Even steeper reductions will be made in the HIV/Aids programme known as Pepfar that has saved hundreds of thousands of lives in Kenya.

"Providers are likely to say that the proposed cuts are likely to harm patient care, especially if they think there is some possibility that Congress will adopt them", said Neuman. Examples include reductions in federal payments to reimburse hospitals for uncompensated care, lower payments for services provided in outpatient departments, and cuts to federal financing for graduate medical education.

A statement from AARP reflected a mix of praise and concern.

"This is something the president said he would never do when he was running for office", Hassan said. "But we're also concerned about proposed cuts to programs important to seniors".

Republican strategist David Kochel, a 2016 adviser to Jeb Bush, said there was little evidence that Trump's voters would abandon him over the Medicare proposal.

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