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Posts Tagged 'donald trump'

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Tom Price's "Alternate Reality"

In the Orwellian world that Trump’s Washington has become, we are used to hearing language abused and misused to forward a right-wing agenda.  This week was no different.  As Kaiser Health News reported, HHS Secretary Tom Price was on Capitol Hill Thursday reciting a blatantly false Tea Party mantra:  government programs for our society’s most vulnerable members deserve to be cut because they “don’t work.”  This falsehood flies in the face of evidence - of history, really.  But in an attempt to dismantle the New Deal and Great Society programs that boost up the neediest – which includes millions of older Americans – the administration will literally say anything even if the opposite is true.

Price appeared before two congressional committees yesterday to defend President Trump’s 2018 budget, which calls for drastic cuts to programs benefitting seniors - including Medicaid, Meals on Wheels, and medical research by the National Institutes of Health (NIH).  His testimony included the following whopper:

“The problem with many of our federal programs is not that they are too expensive or too underfunded. The real problem is that they do not work—they fail the very people they are meant to help.”  HHS Secretary Tom Price before the Senate Finance Committee, 6/8/17

In spreading these myths, Price is singing from the same hymnal as other administration officials, most notably Budget Director Mick Mulvaney who defended funding cuts for Meals on Wheels thusly:

“Meals on Wheels sounds great… [but] we're not going to spend [money] on programs that cannot show that they actually deliver the promises that we’ve made to people.” – OMB Director Mick Mulvaney, 3/15/17

With an extra-Orwellian touch, Mulvaney added that draconian cuts in safety net programs are “one of the most compassionate things we can do.”

All of this begs the question:  by what imaginary standard do these programs “not work” or “fail the people they are meant to help?”   How does Medicaid – which allows millions of needy seniors to afford long-term care at home or in skilled nursing care facilities – not work?  Or Meals on Wheels, which provides hot, nutritious meals for 2 million hungry and isolated seniors – not work?  These are programs that undeniably do work.

National Committee President Max Richtman takes Secretary Price to task for telling untruths about these vital federal programs:  

“As a former member of Congress and a physician, Secretary Price should know better.  By maligning programs that have been a lifeline for millions of Americans for decades, Secretary Price is denying history and facts.  He is attempting to create an alternative reality that is patently false and misleading.”  - Max Richtman, NCPSSM President & CEO

Price also resorted to the spurious claim that rising costs in programs like Medicaid demand cuts.  He insisted that cutting $610 billion from Medicaid would lead to “innovations and efficiencies.”  No, cutting billions from Medicaid will result in a shortfall for states facing rising costs, forcing them to cut benefits or kick people off the rolls altogether. 

The truth is that these federal safety net programs are incredibly efficient already. Medicaid’s per capita costs are significantly lower than private insurers’.  Meals on Wheels can feed a senior for an entire year at the same cost as a single day in the hospital.  And those are only two of the safety net programs which fall under the Trump budget axe.

Democrats on the Hill pushed back against Price’s pronouncements and Trump’s budget cuts, too:

It’s mean-spirited. It’s not good for America. We can do much better." - Rep. John Lewis (D-GA)

If Republican budget hawks like Price truly cared about seniors, children, the disabled, and other vulnerable segments of society, they would not be slashing safety net programs.  But they cannot pay for trillions in tax cuts for the wealthy and big corporations without cutting domestic spending, so programs that benefit our neediest citizens go on the chopping block.  The rationale that the Trump budget cutters are simply seeking “efficiencies” is a thin veil for denying needy seniors long term care or hot meals. 

President Franklin D. Roosevelt, father of the New Deal and grandfather of the Great Society (which today’s GOP is fighting to undo) put it best when he said:

"The test of our progress is not whether we add more to the abundance of those who have much, it is whether we provide enough for those who have little."  - President Franklin D. Roosevelt

Unlike Trump’s budget hawks, FDR understood the importance of authentic language that shines a light on fundamental truths.  He would never confuse “compassion” for cruelty, “helping people” for hurting them, or success for failure.  Neither should we.

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Oh, yes: the Trump Budget Definitely Does Cut Meals on Wheels

 

Would the Trump administration and its acolytes please stop saying that the President's budget does not cut funding for Meals on Wheels?

Just today, Budget Director Mick Mulvaney made that very claim at a House hearing on the new budget: 

"Let's talk about Meals on Wheels, because we don't reduce it.” – Mick Mulvaney, Trump Budget Director, 5/24/17

Meals on Wheels is a program that delivers hot meals to more than 2.4 million needy seniors across the country every year. Volunteers not only deliver sustenance; they check in on isolated seniors and provided a much needed human connection.


Anyone looking at the actual numbers can plainly see that the Trump budget does, in fact, slash funding for Meals on Wheels. In addition to cutting Older Americans Act home-delivered meals by $1.5 million, the President’s budget eliminates the Community Services, Community Development and Social Services Block Grants, upon which some Meals on Wheels programs rely for funding.

Because of previous budget cuts, Older Americans Act nutrition programs are already serving 23 million fewer meals than in 2005.  The loss of Community Services Block Grants ($715 million), Community Development Block Grants ($3 billion) and Social Service Block Grants ($1.7 billion) funding for home delivered meals would increase the number of seniors threatened by hunger.

According to Feeding America, 5.7 million Americans over the age of 60 were food insecure as of 2014. That means 9% of all seniors in the wealthiest nation in the world are at risk of going hungry.  Worse yet, the number of food insecure seniors is projected to increase by 50% when the youngest of the Baby Boom Generation reaches age 60 in 2025. There are waiting lists in every state for seniors who need food assistance. Cutting Meals on Wheels funding at a time of growing need is outrageous and dangerous.

In a letter to the editor of the Washington Post on March 20th, National Committee President Max Richtman recounted his days as staff director for the Senate Select Committee on Aging.  He tells the story of a Republican Senator who changed his mind about the program after riding along with a Meals on Wheels van:

“He (the GOP Senator) was impressed by not only the sustenance of the food, but also the seniors’ human connection to the volunteers, and became an enthusiastic advocate for the program.” – Max Richtman, Letter to the Editor of the Washington Post

At the end of the letter to the editor, Max suggested that a certain occupant of the White House follow the Senator’s lead. 

Perhaps Mr. Trump should ride with a Meals on Wheels van and witness the profound benefits to our nation’s most vulnerable seniors.

That suggestion seems even more appropriate today, given that the President obviously has no problem defunding Meals on Wheels in his new budget.  Perhaps Mick Mulvaney should ride along with him.

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Trump Budget Shatters President's Promise on Social Security, Medicaid

The President’s promise not to touch Social Security was officially revealed to be a sham today.  Trump’s proposed 2018 budget slashes $64 billion from Social Security Disability Insurance (SSDI).  Some media outlets have let the President off the hook by saying the budget does not cut Social Security benefits.  This headline from Fox Business News is typical, even in the mainstream media:

Trump’s Budget Slashes Spending, Leaves Social Security & Medicare Untouched – Fox Business News, 5/22/17


A CNN Money correspondent just perpetuated the administration’s misleading spin, telling Wolf Blitzer this afternoon that Trump’s budget “doesn’t touch Social Security.”   

Other media outlets are hedging by saying the Trump budget doesn’t cut “core” Social Security benefits – whatever that means.  Social Security Disability Insurance is a crucial and inseparable part of Social Security. Period.  No amount of parsing can cleave the two.  When you cut a program, you hurt people – whether the cuts affect “core” benefits or not.

In this case, the millions of Americans with disabilities who rely on SSDI for basic income security are the ones who stand to be hurt.  Though SSDI helps younger Americans, too, most of its beneficiaries are 55 or over – meaning any cuts to the program will hit older Americans particularly hard.   The human consequences do not seem to disturb the President’s Budget Director Mick Mulvaney, as is obvious from this exchange with a reporter in the White House press room:


Reporter:  Will any of those individuals who receive SSDI receive less from this budget?

Mulvaney:  I hope so.

Mulvaney clarified that he thought the program has been enrolling too many people and called for cuts in the number of enrollees, even though that number has been shrinking.  Earlier this year, the Budget Director wondered aloud on television why SSDI is considered part of Social Security, despite the fact that it unequivocally is – and has been – since 1956.  SSDI is funded by workers’ Social Security payroll tax contributions – just like retirement benefits.   Qualifying disability beneficiaries must meet certain work history requirements, same as they do for retirement benefits.  When SSDI recipients reach retirement age, they transition seamlessly into the Social Security retirement program.  In no way is SSDI separable from Social Security.

The Center for Budget and Policy Priorities (CBPP) reports that the Trump budget contains $72 billion in cuts to federal disability programs — primarily Social Security Disability Insurance and Supplemental Security Income, which provides income assistance to poor seniors and people with disabilities.  The budget does not contain hard details of exactly how SSDI will be cut, but CBPP offers this insight:

$48 billion would come from a vague proposal to “test new approaches to increase labor force participation.”  But the Social Security Administration has undertaken many demonstration projects over the years to test new ways to encourage beneficiaries to return to work, and they have consistently shown limited results or proved not cost-effective. The budget also contains other proposals that would cut Social Security benefits for disabled workers and SSI benefits for households with more than one disabled family member.  – Center for Budget and Policy Priorities

Cutting benefits for Americans with disabilities fits right in with the cruel theme running through the President’s entire budget, which decimates programs for society’s most vulnerable citizens in order to give the rich and big corporations a massive tax cut.  In addition to SSDI, the Trump budget guts Medicaid, and cuts funding for other programs benefitting seniors including Meals on Wheels, home heating assistance, and community service employment.  

Candidate Donald Trump repeatedly vowed not to touch Social Security, Medicare, and Medicaid.  The drastic cuts to SSDI and Medicaid – along with the weakening of Medicare’s solvency in the Republicans’ healthcare legislation – makes the President zero for three on these promises.   Knowing that he cannot be trusted to protect seniors, advocates and everyday Americans must work to defeat the Trump budget in Congress – and make sure it never reaches his desk.

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The GOP's "Really, Really Good" Healthcare Reset is Really, Really Worse



 "The [GOP healthcare bill] is getting better and better"

 “A lot of people like it.”

 “Things are going very well.”

These are President Trump’s most recent pronouncements about the GOP’s American Health Care Act (AHCA).  Let’s hope for the sake of our nation’s seniors (and all Americans) that the President’s statements are wildly optimistic.  The White House is pressuring Congress to vote on the AHCA this week – lest the first 100 days of Trump’s presidency expire without a single major legislative victory.  Never mind that the healthcare of 24 million Americans hangs in the balance.

The National Committee and other seniors’ advocates rightly breathed a sigh of relief when the bill was pulled from the House floor last month for lack of GOP votes.  The Republican healthcare bill would have gutted Medicaid, weakened Medicare, and allowed insurers to charge older Americans up to five times as much as young adults, among other travesties.  But just when everyone thought the AHCA was dead, some House Republicans have revived it, zombie-like, to stalk Capitol Hill again.  This week, representatives from the right-wing Freedom Caucus and the moderate Tuesday Group let it be known that they were hovering around a deal to get the AHCA passed

The supposed “deal” would amend the bill to allow states to seek waivers from requiring insurers to provide “essential benefits.”  If a state (say a Red one, for instance), didn’t want insurers to be forced to cover hospitalization in all health plans, they could ask the Department of Health & Human Services (led by Obamacare nemesis Tom Price) for permission to waive that requirement.  States could also request waivers so that insurance companies could force sicker patients into “high risk pools” where the premiums would be sky high.  Meanwhile, all of the really harmful parts of the original bill for seniors would remain intact.  President Trump says the GOP healthcare bill has “gotten really, really good.”  But in truth, the latest changes make a really bad bill even worse.

Here’s the good news, though:  all of this talk about a deal and bringing the AHCA to a vote within President Trump’s first 100 days may be magical thinking.  Just because the head of the Freedom Caucus, Rep. Mark Meadows (R-NC), and Tuesday Group co-chair, Rep. Tom MacArthur (R-NJ), seem to be close to agreement does not guarantee that their members will fall in line, especially House moderates who probably know that the new amendment endangers essential benefits coverage and that high risk pools could cost their constituents dearly (which could cost these moderates dearly in the 2018 congressional elections).  Congress-watchers have noted that there is no legislative language for the proposed amendment yet, and wonder how it could be produced so soon. Also, the plan to bring healthcare to a vote next week may be overly ambitious, considering the House must also craft an appropriations bill before April 28th to avoid a government shutdown.  This is why Democratic sources on the Hill say “no way” is healthcare going to come up for a vote next week.

Here's how National Politics Reporter M.J. Lee summed up the prospects for a quick vote on CNN this afternoon:

"If the White House wants a vote, they will have to win over many members of Congress who are skeptical about tackling this again." - M.J. Lee, CNN
 

President Trump insists (to no one’s surprise) he wants it all:  funding for his border wall AND passage of the American Health Care Act – a demand that, like his pronouncements that “a lot of people like” the GOP healthcare bill and “things are going very well,” are likely only loosely based on reality. 

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Note to Paul Ryan: Let Sleeping Healthcare Bills Lie

Speaker Paul Ryan made some extraordinary statements on today's CBS This Morning – even for him.  First, he chastised President Trump for offering to work with Democrats on health care reform, saying it was “hardly a conservative thing” to do.  The reason:  “Democrats are not for repealing Obamacare. We are.”  Clinging to ideology over reality, Ryan declared, “I don’t want government running healthcare.”  Oh really?  Has he heard of a program called Medicare? Oh, that’s right - he wants to privatize it.   Ryan hasn’t gotten around to turning Medicare into a voucher program just yet, but at least seniors can rest easier knowing that the GOP health plan went down in flames.

Less than a week later, a rift seems to be opening between the President and the Speaker on this issue.  President Trump may have finally realized that the only way to get a real healthcare fix through Congress is to work with Democrats and stop coddling right-wingers in the House.  He even fired off a tweet this morning aimed squarely at the ultraconservative House Freedom Caucus, which helped defeat the Republican plan:

"The Freedom Caucus will hurt the entire Republican agenda if they don't get on the team, & fast. We must fight them... in 2018!” – Trump Tweet, 3/30/17

Of course, Democrats won’t work with Trump unless he gives up on repealing Obamacare and pivots toward fixing its flaws.  That’s something Ryan and the House Republicans have refused to do during the entire seven years that Obamacare has been “the law of the land.”  In fact, Republicans have taken measures both on the Hill (and in the new Trump White House) to actively undermine the law.  Trump’s offers to work with Democrats won’t mean much unless his HHS Secretary and his administration refrain from manipulating regulations to stifle Obamacare.

This afternoon, Congressman Luis Gutierrez (D-IL) told CNN, “[Obamacare] needs to be modified to give more people coverage. If Trump wants to do that, I’m all for working with him.”

It’s hard to believe, but in this case Trump – not Ryan – may be taking the more politically savvy approach.  Here’s why:  the American people by and large loathe the defeated GOP healthcare bill.  A new Associated Press poll indicates 62% of Americans dislike the dead GOP legislation.  Here’s an even more eye-opening number:  8 in 10 Republicans oppose the provision that would have allowed insurers to charge seniors 5 times as much as younger people.  President Trump’s spider sense has told him to move toward the middle on health care. Meanwhile, Paul Ryan threatens to bring the moribund GOP healthcare bill back to life.  He would be wise to study those poll numbers and let sleeping bills lie. 

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If you missed our Facebook Live discussion with Social Security champion, Rep. Jan Schakowsky (D-IL), you can watch it here. 

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