Eyeing Medicaid, Republicans Sharpen Their Knives

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While Congress is still mired in a debate about funding the government for the rest of the year, Republicans are planning to raise the stakes even higher. Having rolled out their spending plan for the rest of 2011—their controversial budget that guts $61 billion in spending—the GOP also has drastic plans for their 2012 budget. Politico’s Mike Allen reports that they’re planning to go after entitlement spending.

House Republicans plan to introduce their budget — the new majority’s biggest counter yet to President Obama — in the first week of April, possibly slipping to the following week. Aides tell us the budget will include, in order of specificity, plans to rein in the cost of Medicaid (quite specific), Medicare (also detailed, and branded as “Medicare 2.0,” a modernization of the program), and Social Security (more vague).

Despite deep rifts that have opened up in the party over the budget, it still looks like the GOP is itching to continue the fight. Half of Senate Republicans have vowed not to raise the debt ceiling for the government unless there are cuts to Social Security as well—a prospect that liberal Senate Democrats say is a non-starter. 

Knowing that any real cuts to Social Security will result in immediate deadlock, Republicans are looking elsewhere. Based on Allen’s account, it seems clear that the party’s plans to slash Medicaid are going to be the most concrete—and most drastic. As I’ve reported earlier, they’ll probably propose converting the health care entitlement for the poor into a “block-grant” system that will allow states to slash benefits and beneficiaries from the rolls. 

When it comes to Medicare, there are signs that they’ll push privatized solutions—perhaps reviving Medicare Advantage, which allows private insurers to peddle plans to seniors, as former McCain campaign advisor Doug Holtz-Eakin’s American Action Forum is discussing with members of Congress this week. But when it comes to courting senior voters, drastic cuts to entitlements is still political kryptonite, making the GOP unlikely to push a full voucherization of Medicare as Rep. Paul Ryan (R-Wisc.) has proposed, and it’s not surprising that reforms to Social Security will remain “vague.” But when it comes to cutting benefits to lower-income families—well, that’s another story.

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

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