Shock and awe describes the budgets issued last week by Republicans in the House and Senate. The shock is that the GOP never stops trying to destroy beloved programs like Medicare. Awe inspiring is their audacity in describing their killing plans as moral.
When the House released its budget last Tuesday, Georgia Republican Rep. Rob Woodall said, “A budget is a moral document; it talks about where your values are.” His chamber’s spending plan shows that Republicans highly value war and place no value on health care for America’s elderly, working poor and young adults.
The opposite of win-win, the GOP budgets are kill-kill. Despite the GOP’s successful demand in 2011 for spending caps, Republicans now want more money for the military. War kills, as too many families of troops deployed to Iraq and Afghanistan know. By contrast, Republicans gouge domestic spending, condemning Americans to die unnecessarily from untreated disease. The GOP intends to revoke the health insurance of tens of millions by repealing the Affordable Care Act, voucherizing Medicare and slashing Medicaid. The Republican plans mandate overtime for the Grim Reaper.
Shock and awe was the euphemism the military used as it launched war in Iraq. The focus on fireworks obscured death and dismemberment on the ground. Republicans try the same gimmick with their 10-year budgets. They employ perky language to conceal the casualties they would cause.
The House GOP called its document “A Balanced Budget for a Stronger America.” Republicans see strength only in a fat military, not in healthy Americans. The House and Senate Republicans evade the sequester spending caps by giving an additional $38 billion to the military through a war account not subject to limits.
The euphemism House Republicans use to distract attention from the $150 billion they cut from Medicare is “premium care.” It’s a scheme to give less to seniors newly qualifying for Medicare. They’d voucherize Medicare for new qualifiers and call it “premium,” even though Americans have loudly protested and Congress has soundly rejected the scam every time Republican Rep. Paul Ryan of Wisconsin proposed it in the past.
What “premium care” really means is underfunded vouchers. Republicans cut money from Medicare then give seniors “vouchers” to buy their own health insurance on the open market. Americans know those cheap vouchers won’t cover the full cost, forcing seniors to pay thousands they don’t have each year for their doctors’ visits, arthritis medications and flu shots. It’s really “premium uncare,” and Senate Republicans know that, so they didn’t propose it. They simply cut $430 billion from Medicare.
Enacted into law, the “premium uncare” scam would cost lives. As seniors delayed seeing doctors and scrimped on their diabetes and high blood pressure medication to save money, some would die. Sending grandma to an early grave is a price House Republicans are willing to pay.
Both the House and Senate Republican budgets would repeal the Affordable Care Act (ACA). That would cancel the health insurance of millions who got coverage through the ACA Medicaid expansion adopted by 29 states and the District of Columbia. It would cancel the health insurance of more than 16.4 million Americans who got covered through the exchanges and other ACA measures. Altogether, the Obama administration estimates that the ACA repeal and broader Medicaid cuts proposed in the Republican budgets will deny health insurance to 37 million.
The ACA decreased the percentage of Americans without health insurance to 13.2. Republicans, who offer no plan at all to replace the insurance they intend to seize, would increase the percentage of Americans without coverage back up to 20, where it was before the ACA.
Everyone would be affected. Without the ACA, insurers would once again be able to deny coverage to people with pre-existing conditions like asthma and diabetes. They’d once again be able to cap benefits so that sickly newborns and victims of recurring cancers would lose coverage. Insurers would dump the young adults that the ACA now covers under their parents’ plans to age 26.
More than 9,800 Americans would die unnecessarily each year if they could not get insurance through the Affordable Care Act. That’s the estimate that multiple public health scholars and the American Public Health Association provided to the U.S. Supreme Court as it considers overturning part of the law. Other estimates of needless deaths are much higher.
The House and Senate GOP budgets also brutalize Medicaid funding, then turn the program over to the states to administer. After slashing $913 billion, the House GOP describes dumping the program on the states like this: “Our budget realigns the relationship the federal government has with states and local communities by respecting and restoring the principle of federalism.”
House Republicans “respect” the right of impoverished old and disabled people to try to survive without Medicaid insurance by eliminating funding for it. The Senate GOP was less “respectful,” slashing funding for Medicaid by only $400 billion and retaining coverage for low-income elderly and disabled people.
While asserting their budgeting morality, Republicans fail to mention that their “balanced” spending plans are propped up by $2 trillion in revenue from ACA taxes that the GOP intends to repeal along with the ACA. The GOP would use the money that it will magically receive from repealed health care taxes to pay for an additional $38 billion in military weapons in their magically balanced budgets.
The Republican budgets embody their values: they want tax dollars to kill, not heal.