“Paygo” is not a term crossing many lips in everyday discourse. However, it can soon be used more broadly as its effect resonates after one great beautiful action. Although a huge and harmful reduction of Medicaid has been adopted from the bill – in discussions – assembly, which will deprive millions of Americans from health insurance, forced to close many rural hospitals and nursing homes and are likely to make great pressure across the country throughout the country. And this is the main reduction of her sisters’ program Medicare.
This reality is not mentioned in most media debate about changes that soon shocked the American health care system. But in reality, Medicare reduction will begin even before Medicaid – Congress Republicans conveniently delayed by 2026. Mid -elections. How is this possible because Medicare is relieved of the reduction of the budget reconciling process used to pass on the OBBB? The answer is a long -term practice originally adopted in 1990. And integrated into the laws and congress rules that require a budget to pay, budget-so.
Paygo is activated when budgets over five and 10 years increase the deficit. And this “beautiful” bill does so much – in 10 years – 3.4 trillion USD. This means automatic reductions known in the market as a sequest, taking into account most of the federal budget. Ironically, Medicaid, along with social security, supplementary security (SSI) and Snap (food stamps) do not apply to seques. But Medicare is not. And over the next decade, he faces $ 533 billion. Of course, reductions are limited to 4 percent of the program budget each year. But this is not a nominal amount and it will cause devastating problems, not just seniors. Along with the huge reductions and reductions of Medicaid in associated with the Law on Affordable Supervision, we follow the triple to have triple What in America before health care.
What can happen in Medicare if and when are these incisions happen? First, there will be fees for hospitals, doctors and health care providers. Hospitals, not just in rural areas, are already stretched. More cuts mean closing or reduction in services – when any hospital is closed, every other hospital in the district feels it; Already overloaded, the emergency departments in hospitals will be even more overloaded. When the payments are already low, the further reduction of Medicare compensation may mean that more providers refuse to accept Medicare completely, which will reduce access to maintenance. Seniors may notice higher costs associated with drug and medical device pocket. Those who use Medicare Advantage plans may notice teeth, vision and hearing coverage.
Then there is Medicare Savings (JEP), which provides assistance to the poorest – known as twice as suitable items that can receive both Medicaid and Medicare, including many with disabilities. The program serves over 10 million Americans. For many of them, Medicare is the main insurer with Medicaid High School and they receive help to cover more of their Medicare contributions and pocket costs. The Congress and the Biden Administration tried to simplify the MSP to reduce bureaucracy and make the program more efficient and easier to use the double-suitable resident-and save both recipients and states through efficiency. However, at the expense of reconciliation, most of those improvements were delayed by 2034, raising more pain and more expenses.
Many people think that Medicare is a seniors program, Medicaid as the poor, both separated from the other population. Of course, this is not true, as many other parts of the population are actually served by that federal program. And while we have a mixed health care system with many different and different parts of the components, they are all interrelated because our organs are related to our body. Changes in one part through all others. And these reductions will eventually have a huge impact on all Americans, from the community of providers to those who trust them to protect and heal.
Of course, Congress can block Medicare reductions what it has done in the past. However, the Caucus Republicans, who have been trying to deal with Medicare for many years, can assess it as the only possibility of their only possibility and may have enough influence to ensure a sequester.
Republicans tried to privatize and reduce Medicare and social security again and again and eliminate Medicaid to the bone. They usually failed. This time is different. Doge has already made its impact on the reduction of social security guards and has made it difficult for seniors to call on questions or problems, including missed monthly benefits, which are the only source of their income for many. Now the combination of the One Big Beautiful Bill and Payero reduction in Medicare will increase the pain that those who benefit from these popular and fundamental programs will increase. It is not about waste, fraud and coercion. For many Americans whose lives are shaken by mind and brutal cuts, the main security network is talked about.
As always, there is a chance that voters will not remember the connection between the Republican responsibility for the pain that will cause the right wing wind machine operated by Fox, Talk Radio and Social Media, blame the biden and democrats, or just be more angry at government, insurers and medical service providers. Democrats must abandon the usual belief that the actions will speak for themselves and work mercilessly to find out why it is happening and what is responsible.
Congress Democrats need to organize hearing in non -hospital red areas and states, talking to doctors and seniors about the pain they face while doubling the successful practice of keeping the town halls in those red areas. They have to take every opportunity in every media publication, home and Senate floor and committees to talk about what is happening and why. They must go to the nursing home, help live elsewhere to emphasize the damage. And they have to educate voters why it is important to all of us, not just seniors. It is equally important that they have to connect between these mindless and brutal reductions and the true Trump and Republican priority Congress – to give more and more tax reduction to the richest among us.