Now, the truth is that the safety net does need repair. It provides a lot of help to the poor, but not enough. Medicaid, for example, provides essential health care to millions of unlucky citizens, children especially, but many people still fall through the cracks: among Americans with annual incomes under $25,000, more than a quarter — 28.7 percent — don’t have any kind of health insurance. And, no, they can’t make up for that lack of coverage by going to emergency rooms.
Similarly, food aid programs help a lot, but one in six Americans living below the poverty line suffers from “low food security.” This is officially defined as involving situations in which “food intake was reduced at times during the year because [households] had insufficient money or other resources for food” — in other words, hunger.
So we do need to strengthen our safety net. Mr. Romney, however, wants to make the safety net weaker instead.
Specifically, the candidate has endorsed Representative Paul Ryan’s plan for drastic cuts in federal spending — with almost two-thirds of the proposed spending cuts coming at the expense of low-income Americans. To the extent that Mr. Romney has differentiated his position from the Ryan plan, it is in the direction of even harsher cuts for the poor; his Medicaid proposal appears to involve a 40 percent reduction in financing compared with current law.