Trump and his allies in Congress apply "Death of a Thousand Cuts"
There is reason to celebrate Medicare and Medicaid turning 61 years old. Both highly successful programs were signed into law by President Lyndon B. Johnson on July 30, 1965 as a cornerstone of his Great Society agenda. But this year, our celebration is tempered by grave concern over the future of both programs under the Trump regime.
Let’s compare the words of the two presidents:
LBJ:
No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime. No longer will young families see their own incomes, and their own hopes, eaten away simply because they are carrying out their deep moral obligations to their parents.
It’s not possible for us to take care of… Medicaid, Medicare, all these individual things. They can do it on a state basis. You can’t do it on a federal. We have to take care of one thing: military protection. We have to guard the country.
The comparison speaks volumes. One is a leader who
understood that the federal government has a crucial role in the protecting the
health and well-being of our most vulnerable citizens—including the poor,
disabled, and the elderly. The other is a president who claims to support
Medicare and then says that the federal government can’t afford it because
of his illegal war in Iran. So much for supporting Medicare.
But this goes deeper than Trump’s rhetoric. The Medicare
program, like Social
Security, is at a pivotal point in its history. The Part A hospital) trust fund must be fortified so that
it doesn’t run dry in the 2030s. (There are reasonable solutions that Congress
could enact without hurting seniors.) So far, though, we have heard no
constructive ideas from Trump.
More urgently, though, the Trump
administration is actively undermining the “traditional Medicare”
program that LBJ signed into law. The administration has begun a pilot program
to use AI bots to determine whether traditional Medicare
patients will be covered for procedures their doctors have ordered. This
appears to be an attempt to cut costs by erecting obstacles to medically
necessary care—with decisions made by bots instead of human beings.





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