Disinformation Democrats are loudly bemoaning Medicaid provisions in Trump’s One Big Beautiful Bill Act (OBBBA): “Millions [will lose]...health insurance,” it “could strip health care from 10 million,” and it will be “devastating.”
In fact, President Trump is taking small steps toward righting the Medicaid ship, which is foundering badly.
To “right” a ship, one must first know the ship’s function. Submarines cannot launch aircraft, and aircraft carriers aren’t designed for stealth. The Medicaid “ship” was never intended to provide universal health care or insurance. The 1965 Act was written “to provide a hospital insurance program...an expanded program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System.” It was designed as 50 state-run medical safety nets for medically vulnerable American citizens and legal visitors.
It is worth noting that, according to Section 1801 of the Medicaid Act, there was a strict “Prohibition against any federal interference” with the structure and operation of state Medicaid programs. Washington’s involvement was limited to joint state-federal funding.
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