REPUBLICAN BUDGET HARMS SENIORS (AMONG MANY OTHERS)

The recently enacted Republican budget bill will harm seniors by reducing Medicaid spending, weakening Social Security, and cutting Medicare. These (and other) budget cuts are being made to help pay for large tax cuts for wealthy individuals and corporations.

(Note: If you find a post too long to read, please just skim the bolded portions. Thanks for reading my blog!)

The Republican budget just passed by Congress and signed by President Trump will harm seniors by reducing Medicaid spending, cutting Medicare, and weakening Social Security. Before I get into some of these details, a couple of notes on other provisions of the bill, of which there are many in the nearly 1,000-page bill’s language. As you probably know, 12 million people are projected to lose their health care due to Medicaid cuts of roughly $1 trillion (yes, trillion) over the next ten years. Medicaid provides health insurance for low-income families and seniors including long-term care for millions of seniors (see more below). Cuts to food assistance programs, primarily the Supplemental Nutrition Assistance Program (SNAP), will increase hunger for millions of families, including many new mothers and babies where malnutrition may have long-term effects on the babies’ development.

All the cuts in the budget are being made to help pay for large tax cuts for wealthy individuals and corporations. Note that the big tax cuts take effect right away, while many of the program cuts don’t go into effect until after the 2026 election. The Republicans hope that because people won’t be experiencing the program cuts before the election that it will be easier to con voters into voting for Republicans.

Most people know that the budget will increase the federal budget’s annual deficits by over $300 billion for a total of $3 trillion (yes, trillion) over the next ten years. However, few people are aware that the bill increases the federal government’s overall amount of allowable, accumulated debt, i.e., the debt ceiling, by $5 trillion. (I’ll document the Republicans’ hypocrisy on raising the debt ceiling in a future post.)

The Trump administration and Republicans are pumping out lots of disinformation about the budget bill in an attempt to keep the public from understanding the harm it will do.

For example, within hours of the passage of the bill, all of you who are seniors, tens of millions of Americans overall, received an email from the Social Security Administration stating that “The bill ensures that nearly 90% of Social Security beneficiaries will no longer pay federal income taxes on their benefits” and that “The new law includes a provision that eliminates federal income taxes on Social Security benefits for most beneficiaries.” [1]

These statements are misleading at best. Only about a quarter (25%) of seniors will see any tax benefit from the bill’s provisions – quite different from the figures used in the Social Security Administration’s email.The bill does not directly eliminate or even reduce taxes on Social Security benefits. What the bill does is temporarily increase the standard income tax deduction by $6,000 for seniors 65 and over. [2] Sixty-four percent of seniors receiving Social Security benefits ALREADY pay no tax on their Social Security payments. This percentage will increase to 88% due to the bill’s provisions. Furthermore, the people who will benefit will be those Social Security recipients who are better off and the richest will benefit the most. By the way, the increase in the income tax deduction will expire in 2028 when Trump’s term in office is ending. [3] [4]

Furthermore, the message from the Social Security Administration didn’t mention that, overall, the budget bill will weaken Social Security by reducing the revenue that flows into the Social Security system. Currently, the Social Security trust fund, built up over many years to help pay Social Security benefits, is projected to run out of money in 2033. After that, Social Security revenue would only be able to pay 77% of promised benefits. Under the Republican budget bill, the Social Security trust fund will run out of money one year earlier, in 2032, and its reduction of future Social Security revenue means that benefits after 2032 would be even lower than the currently projected 77% of the promised level. [5]

The Republican budget’s cuts to Medicaid will harm low-income seniors who qualify for Medicaid (and that they receive in addition to Medicare – which covers all seniors). In particular, it will harm the roughly eight million seniors and people with disabilities whose long-term home and community-based care services are paid for by Medicaid and the 1.5 million seniors in nursing homes. About two-thirds of all nursing home residents are covered by Medicaid. The budget’s Medicaid cuts will significantly reduce revenue for long-term care services and facilities. As a result, 25% of nursing homes are projected to close and over half are likely to have to reduce staff to remain financially viable. Therefore, finding nursing home care, let alone good quality care, will become even more difficult than it is now. [6] [7]

In addition to the direct cuts to Medicaid (government health care coverage for low-income families and seniors), the Republican budget will also force cuts to Medicare (government health care coverage for all seniors). Because of the budget’s large increases in the federal government’s annual budget deficits, the Pay-As-You-Go (PAYGO) Act of 2010 requires across-the-board budget cuts. A mandatory cut of about $50 billion a year to Medicare for each of the next ten years will be required. This cut will take place immediately (while many of the explicit program cuts in the budget are delayed until after the 2026 elections). [8]

Please contact your members of Congress and tell them you are opposed to (or even horrified by) budget cuts that will harm seniors. Tell them you are particularly upset that these cuts are being used to give wealthy individuals and corporations tax cuts. Urge them to speak out against these cuts and to explain to their constituents the toll the Republican budget is taking on seniors and others.

You can find contact information for your US Representative at http://www.house.gov/representatives/find/ and for your US Senators at http://www.senate.gov/general/contact_information/senators_cfm.cfm.

[1] Social Security Administration, 7/3/25, “Social Security applauds passage of legislation providing historic tax relief for seniors,” Press Release (https://www.ssa.gov/news/press/releases/2025/?utm_source=substack&utm_medium=email#2025-07-03)

[2] Hubbell, R., 7/7/25, “Stay on task: Overwhelm the opposition,” Today’s Edition Newsletter (https://roberthubbell.substack.com/p/stay-on-task-overwhelm-the-opposition)

[3] Edelman, L., 7/15/25, “Seniors score, gamblers get rolled in Trump’s ‘big beautiful bill’,” The Boston Globe

[4] Siegel Bernard, T., 7/8/25, “Social Security email misleading,” The Boston Globe from the New York Times

[5] Johnson, J., 7/4/25, “Trump Social Security chief applauds budget bill that will harm Social Security’s finances,” Common Dreams (https://www.commondreams.org/news/trump-social-security-budget-bill)

[6] Lawson, A., 6/30/25, “The Republican nursing home apocalypse,” Common Dreams (https://www.commondreams.org/opinion/gop-nursing-homes)

[7] National Association of Councils on Developmental Disabilities, Feb. 2025, “Medicaid facts with links to state data,” (https://nacdd.org/wp-content/uploads/2025/02/250204_NACDD-Medicaid-Fact-Sheet.pdf)

[8] Dayen, D., 7/3/25, “Republicans are cutting Medicare. Not only Medicaid, Medicare.” The American Prospect (https://prospect.org/politics/2025-07-03-republicans-cutting-medicare-not-only-medicaid/)

EXAMPLES OF THE HUMAN TOLL OF TRUMP ADMINISTRATION ACTIONS

The Trump administration is making us less safe from disease, violence, and death. Cuts to Medicaid and Medicare will increase deaths. So will weakening gun violence prevention efforts. Finally, the Trump administration’s war on children is harming children and will increase deaths for them too.

The Trump administration is making us all less safe in many ways, including less safe from disease, violence, and death. Cuts to the Medicaid and Medicare health care programs will increase deaths. So will the weakening of gun violence prevention efforts. Finally, the Trump administration is engaged in a war on children that is harming the well-being of children and will increase deaths for them as well.

(Note: If you find a post too long to read, please just skim the bolded portions. Thanks for reading my blog!)

STORY #1: The expansion of Medicaid by the Affordable Care Act (ACA, aka Obama Care) has saved 27,400 lives. The National Bureau of Economic Research recently published an analysis of 37 million Americans since the passage of the ACA in 2010. The low-income adults who got Medicaid coverage under the ACA expansion were 21% less likely to die each year than those who did not have Medicaid coverage. Deaths also fell for 20 and 30-year-olds. Overall, the analysis estimated that 27,400 lives were saved by the Medicaid expansion. This is one of several studies that have found that having Medicaid coverage saves lives. These findings are particularly relevant now, given that the Republican budget just passed by the U.S. House would end Medicaid coverage for roughly eight million people who now have it. [1]

STORY #2: The Republican budget just passed by the U.S. House would increase the deficit so much that it would trigger mandatory spending cuts, according to the Congressional Budget Office (CBO). The cuts would include a roughly $50 billion a year reduction in Medicare spending. Explicit cuts to Medicaid (health coverage for low-income Americans including many seniors in nursing homes) are specified in the Republican budget. The cuts to Medicare (health coverage for all seniors) are not explicit in the budget but are forced by the budget’s sizable increase in the annual federal budget deficit. The CBO’s non-partisan analysis estimated that the Republican budget would increase the deficit by about $230 billion a year. Therefore, under the 2010 Pay-As-You-Go Act (PAYGO), the White House Office of Management and Budget would have to reduce spending (i.e., sequester authorized spending) by $230 billion a year. About $50 billion of this would come from cuts to Medicare, according to the CBO. [2]

STORY #3: The Trump administration is weakening multiple facets of gun violence prevention efforts. This makes us all less safe. On day two as President in 2025, Trump closed the White House Office of Gun Violence Prevention. Despite Trump’s promises to keep Americans safe and reduce crime, this and other actions that weaken gun violence prevention will do the opposite. The White House Office of Gun Violence Prevention, created by President Biden, brought a coordinated, government-wide approach to gun violence prevention for the first time. It coordinated the federal response to mass shootings and community violence. Its cross-agency, public health approach to the uniquely American epidemic of gun violence contributed to a 13.5% decline in the homicide rate in 2023, the largest annual decrease ever. It also contributed to a significant drop in the number of untraceable “ghost” guns, i.e., guns without serial numbers. It worked with the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) to close down 644 gun dealers who had engaged in illegal sales. [3]

The Trump administration has also:

Legalized the sale of devices that convert ordinary guns into automatic weapons, i.e., machine guns,
Advocated for a nationwide right to carry a concealed weapon,
Cut Centers for Disease Control funding for studying and analyzing gun violence,
Promoted policies that would make it easier and more profitable to sell gun silencers, and
Facilitated re-licensing of gun dealers who had their licenses revoked for illegal activity.

Three hundred Americans are shot every day on average. Weakening gun violence protection efforts puts the interests and profits of the gun industry above the safety of children and all the rest of us.

STORY #4: The Trump administration is putting children at risk and making them less safe in multiple ways. The risks start at birth and continue through adolescence. The lack of federal regulations and enforcement for the health care of pregnant and post-partem women has led to significant increases in maternal and infant mortality.

The Trump administration has laid off thousands of workers who run programs that help children and their families. They have also cut funding or plan to cut funding for many of these programs. For example, the staffs of programs that help families keep the electricity and heat on have been fired en masse. The staff that provides enforcement for child support payments has been decimated. Funding has been terminated for investigating child sexual abuse, responding to internet crimes against children, preventing youth violence, and following up on reports of missing children. Billions of dollars for school meals and school safety have been suspended or delayed. [4]

Trump wants to eliminate funding for Head Start, which provides hundreds of thousands of low-income children annually with high quality early education along with meals and family support. The federal staff that oversees Head Start programs and processes their federal funding has been decimated, which may force some programs to shut down.

The Trump administration’s cutting of funding for food assistance, gun violence prevention efforts, and the suicide hotline will all disproportionately harm children. It’s ignoring the harm that social media does to children. And last, but by no means least, its targeting of immigrants, who frequently are parents of children (who may well be U.S. citizens) is doing untold and immeasurable harm to children.

[1] Kliff, S., & Sanger-Katz, M., 5/17/25, “Medicaid expansion saved 27,000 lives, study finds,” The Boston Globe from The New York Times

[2] Johnson, J., 5/21/25, “‘They’re not just cutting Medicaid’: GOP bill would trigger over $500 billion in Medicare cuts,” Common Dreams (https://www.commondreams.org/news/cuts-to-medicare)

[3] Brady Campaign to Prevent Gun Violence, retrieved from the Internet 5/27/25, “Press releases,” (https://www.bradyunited.org/press)

[4] Hager, E., 4/23/25, “The Trump administration’s war on children,” ProPublica (https://www.propublica.org/article/how-trump-budget-cuts-harm-kids-child-care-education-abuse)

WHAT DEMOCRATS NEED TO DO Part 2

Democrats need to be more dramatic, effective, and consistent in opposing Trump, his nominees, and the congressional Republicans’ agenda. They need to step up their resistance while promoting and committing to enact policies that would support everyday Americans.

(Note: If you find this post too long to read, please just skim the bolded portions. Thanks for reading my blog!)

(Note: Correction. In my previous post asking you to contact your U.S. Representative and ask them to oppose elements of the proposed Republican budget, I wrote that the proposed cuts to Medicaid were “$700 – $800 million.” As many of you know, that should have been $700 – $800 BILLION.)

This previous post made the case that Democrats need to be more dramatic, effective, and consistent in opposing Trump, his nominees, and the congressional Republicans’ agenda. It identified policies that Democrats should be promoting for our economy and the economic well-being of all Americans. This current post focuses on policies in the social services arena, including health care reforms, drug price reductions, enhancements to Medicare, and ensuring long-term funding for Social Security.

Here are some specific policies Democrats ought to be promoting and committing to enact in the social services arena when they are back in power:

Ending wasteful and dangerous privatization of health care. Here are two examples;
- Private equity firms should be banned from the health care industry. The example of Steward Health alone should be enough to seal this case, but there are plenty of other examples as well. (See this previous post for more information.)
- End the Medicare Advantage program, which privatizes Medicare and results in huge, often fraudulent, wasteful costs to the Medicare program. For example, in 2024, illegal overbilling by Medicare Advantage providers (i.e., big insurance corporations) was estimated to be $83 billion. Medicare Advantage is estimated to cost Medicare $140 billion more per year than if all individuals were on traditional Medicare. [1] (See this previous post for more details.)
Strong regulation of drug prices. President Biden took some initial steps to regulate and reduce drug prices, but President Trump is undoing them. In 2022, U.S. drug prices were two and three-quarters times (178% more than) prices in 33 other industrialized countries. This means that our federal, state, and local governments (i.e., taxpayers) and all of us pay over $200 billion a year extra, which fuels exceptionally high profits for drug makers (when compared to other sectors of our economy). [2] (See this previous post for more details.)
Enhance Medicare. If the Medicare Advantage program was eliminated and Medicare was allowed to negotiate prices for all drugs (see the above two bullet points), the savings would be sufficient to pay for the addition of dental, hearing, and vision benefits to Medicare, as well as to cap out-of-pocket spending by Medicare enrollees.
Ensure Social Security funding for the rest of this century. Currently, workers pay taxes into Social Security only on the first $176,100 they earn in a year. This means that someone making a million dollars stops paying into Social Security after February 15 and someone making ten million dollars stops paying into Social Security after the first week of January. Simply eliminating this cap would increase Social Security’s revenue by roughly $100 billion per year. This would provide about 75% of the funding needed to allow Social Security to pay out its full planned benefits for the rest of the century. The rest could be raised by taxing investment income, estates, and gifts or a variety of other strategies. [3]
- NOTE: The Medicare and Social Security Fair Share Act in Congress would require taxpayers with over $400,000 in income in a year to pay a bit more into Medicare and Social Security. This would fully fund planned Medicare and Social Security benefits for at least the next 75 years. [4]

There are plenty of other policies that Democrats should be advancing to demonstrate that they would better serve and support workers and everyday Americans than Trump and the Republicans. Examples include housing; early education and child care; supporting workers and their unions; effective regulation of businesses for worker, consumer, and public safety; and strong enforcement of antitrust laws including the breaking up of monopolistic companies.

If any of your members of Congress are Democrats, I urge you to contact them and ask them to step up their resistance while promoting and committing to enact policies that would support everyday Americans. You can find contact information for your US Representative at http://www.house.gov/representatives/find/ and for your US Senators at http://www.senate.gov/general/contact_information/senators_cfm.cfm.

[1] Dayen, D., 1/27/25, “We found the $2 trillion,” The American Prospect (https://prospect.org/economy/2025-01-27-we-found-the-2-trillion-elon-musk-doge/)

[2] Dayen, D., 1/27/25, see above.

[3] Dayen, D., 1/27/25, see above.

[4] Conley, J., 5/9/25, “Democrats’ bill would extend Social Security and Medicare solvency ‘as far as the eye can see’,” Common Dreams (https://www.commondreams.org/news/social-security-medicare-2671925476)

STOP TRUMP NOMINEES FOR EDUCATION AND MEDICARE / MEDICAID NOW!

I strongly urge you to contact your US Senators NOW and demand that they block the confirmation of Trump nominees Linda McMahon for Secretary of Education and Dr. Mehmet Oz for Administrator of the Centers for Medicare and Medicaid Services (CMS). CMS oversees health care for more than 150 million Americans. Call if you can or email your Senators. Here’s a sample message:

Please speak out loudly and clearly, and do everything in your power, to stop Linda McMahon from being confirmed as Secretary of Education and Dr. Oz from being confirmed as Administrator of CMS. Both nominees are extremely unqualified for these jobs. Maintaining our public education and health care systems is critical to the future of our country. Neither of these nominees has the experience or expertise to oversee these critical systems.

Please stop these nominees NOW! If you have to stage a sit-in in the Senate chamber to get the attention of your colleagues, the mainstream media, and the public, please do so. Dramatic action is required to stop these dramatically unqualified nominees.

You can find contact information for your US Senators at http://www.senate.gov/general/contact_information/senators_cfm.cfm.