DLC | New Dem Dispatch | February 11, 2005
The release of the
presidents budget earlier this week drew a lot of derisive attention to the administration's admission that the Medicare prescription drug benefit it championed in 2003 would cost nearly double the amount it originally claimed in selling the proposal to Congress. But less attention has been paid to the administration's proposal to cut funding for Medicaid -- the federal-state safety net that provides health care coverage to low-income families -- by some $45 billion through an ill-defined attack on waste, fraud, and abuse in the program.
A couple of years ago the administration proposed to simply "cap" federal Medicaid spending and force the states to either come up with more money (at a time when most were going through budget crises) or cut back on services and eligibility.
The new Health and Human Services Secretary, former Utah Governor Mike Leavitt, has made it clear the administration doesn't plan to bring back that non-starter. But he has also hinted that he wants to make it easier for states to restrict services and eligibility, something he has considerable power to do through administrative waivers. And the future direction of the GOP on Medicaid may well be reflected by Florida Governor Jeb Bush's
radical proposal to give private health plans unprecedented control over the level of services offered to particular beneficiaries -- or worse yet, Mississippi Governor Haley Barbour's
proposal to eliminate eligibility altogether for tens of thousands of disabled adults whom he basically described as freeloaders.
Fortunately, a bipartisan group of U.S. Senators, led by Jeff Bingaman (D-NM) and Gordon Smith (R-OR), is stepping forward with an effort to make sure Medicaid's future is not determined in the context of federal budget-cutting. Bingaman and Smith introduced
legislation this week to set up a bipartisan commission to carefully and comprehensively evaluate Medicaid before any significant steps are taken to cut the program's funding. They have been joined in these efforts by independent Jim Jeffords (VT); Democrats John Kerry (MA), Dick Durbin (IL), Blanche Lincoln (AR), and Ben Nelson (NE); and Republicans Olympia Snow (ME), Lincoln Chafee (RI), Mike DeWine (OH), and Rick Santorum (PA).
The Senators
made it clear that the budget process is the wrong way to deal with a safety net program that so often provides the last recourse for health care for the nation's most vulnerable families.
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The full article can be found
here.
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