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Letters to the Editor: Increasingly expensive elder care ‘almost sounds like a conspiracy'

Letters to the Editor: Increasingly expensive elder care ‘almost sounds like a conspiracy'

To the editor: Thank you, columnist Steve Lopez, for putting the elder cards on the table ('The monthly tab for her in-home elder care: $18,000. She can cover it, but how many others can?,' June 21).
It almost sounds like a conspiracy: Elder care becoming unaffordable for all but the 1% as Medicaid (which pays for more than half of the money spent on long-term care for the disabled and elderly each year) faces drastic cuts. Not to mention that cases of Alzheimer's disease in the United States currently number about 7.2 million. Simultaneously, people must work longer and longer for full Social Security benefits.
But conspiracies are typically shrouded in secrecy. This situation is no secret. It's been building for decades. The billionaires and their lackeys are betting that no one cares, that old and disabled lives are expendable.
What wonderful things they will do with the tax money saved from cutting Medicaid!
Susan Calhoun, Lynwood
..
To the editor: Most people can't afford to have someone care for themselves alone 24 hours a day. In their final years, my parents lived in an assisted living facility for about half of what Reiko Kobata pays per person for in-home care. Sure, there are adjustments for an older person to move to assisted living. But I think the benefits of assisted living, including social opportunities and arranged medical appointments, make the move worthwhile. And if Kobata were to move, she could make economic use of her house, such as by renting it.
Michael Pollak, Los Angeles

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Senate bill's Medicaid cuts draw some GOP angst
Senate bill's Medicaid cuts draw some GOP angst

Yahoo

time4 hours ago

  • Yahoo

Senate bill's Medicaid cuts draw some GOP angst

The Senate's deep cuts to Medicaid in the tax and spending megabill are setting off alarm bells among some Republicans, complicating leadership's effort to get the legislation passed by July 4. It seeks to clamp down on two tactics states use to boost Medicaid funding to hospitals: state-directed payments and Medicaid provider taxes. The restrictions are a major concern for rural hospitals, a key constituency for senators. Republicans have set an ambitious July 4 deadline to pass the bill and send it to President Trump to be signed into law. Sen. Josh Hawley (R-Mo.), who has been warning his colleagues about making cuts to Medicaid for weeks, said the changes took him by surprise. 'I had no idea that they were going to completely scrap the House framework with this. I mean, this totally caught me by surprise. And I've talked to other senators, and that's what I've heard consistently from everybody I've talked to, that no one was expecting this entirely new framework,' Hawley told reporters Tuesday. States impose taxes on providers to boost their federal Medicaid contributions, which they then direct back to hospitals in the form of higher reimbursements. Critics argue it's a scheme for states to get more federal funding without spending any of their own money. But provider taxes have become ingrained into states' Medicaid financing systems. States and provider groups say the taxes provide a steady source of financing for hospitals that operate on thin margins and would otherwise face closure. 'The draconian Medicaid cuts contained in the Senate bill would devastate health care access for millions of Americans and hollow out the vital role essential hospitals play in their communities,' said Bruce Siegel, president and CEO of America's Essential Hospitals, an organization that represents hospitals that serve low-income patients. The legislation would effectively cap provider taxes at 3.5 percent by 2031, down from the current 6 percent, but only for the states that expanded Medicaid under the Affordable Care Act. The cap would be phased in by lowering it 0.5 percent annually, starting in 2027. Nonexpansion states would be prohibited from imposing new taxes, but as was true in the House-passed version, their rates would be frozen at current levels. The lower cap would not apply to nursing homes or intermediate care facilities. All states except for Alaska finance part of their share of Medicaid funding through health care provider taxes, and 38 states have at least one provider tax that exceeds 5.5 percent. When asked if his concerns were enough to make him vote against the bill if it were brought to the floor as written, Hawley hedged. 'It needs a lot of work, so I would say maybe we could, I guess, try to fix it on the floor, but it'd be better to do it beforehand,' he told reporters. Republicans can afford to lose only three votes in the Senate and still pass their bill if Democrats remain united in opposition. Sen. Jim Justice ( said he was also surprised by the Senate's change. If provider tax changes are on the table, he said he wants leadership to keep the House version. Justice wouldn't say how he would vote if the provision was left unchanged but expressed some unease about the July 4 deadline. 'I promise you, I won't rubber-stamp anything,' Justice said. 'I want this thing to come out and come out quickly, but when it really boils right down to it, you may have to hold your nose on some things that you just absolutely don't like because we can't like everything.' Similarly, Sen. Bill Cassidy (R-La.) indicated he would also prefer the House-passed freeze on provider taxes but was still analyzing the impact on his state. Louisiana expanded Medicaid in 2016. Senate Republican leaders huddled with members Tuesday during a closed-door caucus lunch to talk through the details of the bill. Speaking to reporters afterward, Majority Leader John Thune (R-S.D.) said leadership was listening to members' concerns, especially about provider taxes. 'We think [the changes] rebalance the program in a way that provides the right incentives to cover the people who are supposed to be covered,' Thune said. 'We continue to hear from members specifically on components or pieces of the bill they want to see modified or changed, and we are working through that.' Members were also briefed by Centers for Medicare and Medicaid Services Administrator Mehmet Oz, who downplayed the impact of a lower provider tax cap. 'We do not believe that addressing the provider tax effort is going to influence the ability of hospitals to stay viable,' Oz told reporters. Without weighing in on the exact details, Oz said some changes to provider taxes and state-directed payments should be included. 'The framework of addressing the legalized money laundering with state-directed payments and provider taxes must be in this bill, it should be in this bill,' Oz said. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

‘Hands Off Medicaid' rally held in Lansing as U.S. Senate prepares to vote on GOP budget bill
‘Hands Off Medicaid' rally held in Lansing as U.S. Senate prepares to vote on GOP budget bill

Yahoo

time9 hours ago

  • Yahoo

‘Hands Off Medicaid' rally held in Lansing as U.S. Senate prepares to vote on GOP budget bill

Protestors participate in Hands Off Medicaid rally in Lansing. June 28, 2025 | Photo by Leah Craig/Michigan Advance As the U.S. Senate prepares to vote on its version of the One Big Beautiful Bill Act, Sen. Chris Murphy, a Democrat from Connecticut and member of the Senate Appropriations Committee, joined Michiganders virtually for a Hands Off Medicaid rally in Lansing. While Murphy had originally planned to attend Saturday's rally in person, the U.S. Senate vote scheduled for Saturday required that Murphy remain in Washington D.C. In addressing the crowd, Senator Murphy reiterated how devastating the GOP bill would be to most Americans. 'We're talking about 60 million people losing their health care,' Murphy explained, 'most of those working Americans, a lot of them really, really vulnerable, very, very sick and disabled Americans. Many of those children. All in order to transfer that money to the very, very wealthy.' Moreover, Murphy said, the plan has not been well-received by the public. 'As people find out about this, they hate it,' Murphy noted. 'With long-term distractions, in the first five months, we had a hard time breaking through. Well, now we're breaking through because of what you're doing today, because of similar protests all around the country like this, and this thing isn't over until it's over.' The bill would extend the 2017 tax cuts approved by a GOP-led Congress during President Donald Trump's first term, while also pushing through major spending cuts that would drastically downsize the federal government. Even if the Senate approves the measure, changes to the bill's language will require it to return to the House for another vote. At least six congressional Republicans have since walked back their initial support, making it unclear whether the bill could garner enough votes a second time. While Murphy headlined Saturday's event in Lansing, Michigan leaders and healthcare advocates also spoke to the dozens who attended Saturday's rally. Dr. Rob Davidson, executive director of the Committee to Protect Healthcare, explained that this is not a partisan issue: as a doctor from West Michigan, many of his patients voted for Donald Trump and congressional Republicans. Now, many of those same patients stand to lose access to their healthcare. As the only physician in the Michigan Legislature, Rep. Matt Longjohn (D-Portage) outlined how the proposed cuts to Medicaid would affect Michigan. 'What it'll mean is that there is uncompensated care, that there's low value care, and that will break the bank for healthcare systems and hospitals and rural health centers alike,' Longjohn said. 'It's not good for patients, it's not good for providers, it's not good for systems, [and] it's not good for communities.' Longjohn also pointed out that 40% of Michigan's budget comes from federal funds that are distributed to the state specifically to run programs like Medicaid. As such, he says the impacts of the proposed cuts would be disastrous to the state's economy. 'When you throw a boulder as big as this into a pond, you know the ripple effect will affect millions, and for a long time,' Longjohn said. Beyond policy concerns, Longjohn expressed frustration with those advocating for the bill's passage. 'One of the things that frustrates me most is that the people pushing this are cowards,' Longjohn noted. 'They will not answer voicemail, they will not answer letters, they will not show up to meetings with constituents.' While Longjohn declined to name these legislators, others at the rally directly identified two by name: Reps. Tom Barrett (R-Charlotte) and John James (R-Shelby Township). Nearly six months into their two-year terms, Barrett and James have largely avoided town halls. Since taking office in January, Barrett has held only two town halls– both of which were conducted virtually. James has yet to hold any constituent events and has not given any indication that he intends to do so. The Senate Budget Committee revealed the finalized language of the bill late Friday night. The first round of votes was anticipated to begin Saturday afternoon, but ongoing negotiations postponed the start of formal discussion. Murphy told the crowd that each day that final passage is delayed, the bill becomes less likely to pass. 'Because right now, this country is waking up to the cataclysm that will occur if this thing passes,' Murphy said. SUBSCRIBE: GET THE MORNING HEADLINES DELIVERED TO YOUR INBOX

Louisiana hospitals press Johnson over megabill Medicaid cut proposals
Louisiana hospitals press Johnson over megabill Medicaid cut proposals

The Hill

time9 hours ago

  • The Hill

Louisiana hospitals press Johnson over megabill Medicaid cut proposals

As the 'big, beautiful bill' teeters towards passage in the Senate, every major health system in Louisiana sent a letter Saturday to the state's entire congressional delegation, including Speaker Mike Johnson (R), warning that planned cuts to Medicaid would be 'historic in their devastation.' The letter said that the Senate's version of the bill would cut more than $4 billion in Medicaid funding, with a loss of more than 16,000 jobs. Even the House's version of cuts, the letter stated, would be a more palatable solution. However, the 'economic consequences pale in comparison to the harm that will be caused to residents across the state, regardless of insurance status, who will no longer be able to get the care that they need,' the letter reads. 'Steep cuts will force consolidation of services, staffing reductions and closures, reducing healthcare access to everyone in our communities. Our rural communities will especially feel the impact as many of these hospitals are already in difficult financial situations and are likely to experience a significant reduction of services.' The letter was also sent to Sen. Bill Cassidy (R-La.), who expressed concerns about the cuts to Medicaid in the Senate version of the bill Thursday and said that the House version would be preferable. However, Cassidy has not since spoken out against the bill, a vote for which kicked off in the Senate Saturday night.

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