Navigating Political Pressures: A Look at House and Senate Dynamics

They won’t come right out and say it this time, the way they did in 2017. But Republicans are still hellbent on repealing the Affordable Care Act—or at least the half of the ACA that expanded Medicaid coverage to millions more poor and disabled Americans.

In this episode, Matt and Brian discuss:

* What do Republican pronouncements about their aspirational health care cuts actually mean?

* Will cuts to a program that benefits millions of Trump supporters, and that basically nobody in industry supports, create disarray among House and Senate Republicans?

* How should Democrats and industry stakeholders alike go about clarifying the stakes, so that Republicans might balk?

Then, behind the paywall, the ACA meant to expand Medicaid in every state. But the Supreme Court decided it was unconstitutional for the federal government to force states to adopt policy under threat of massive, peripheral spending cuts. Since that’s the law of the land, shouldn’t Democratic governors err on the side of fighting Trump, rather than capitulating to his extortionate threats? What counts as fair-game cooperation with the Trump administration, and what counts as caving? And do Democrats need to be mindful of the underlying issue, or should they fight everywhere the law’s on their side?

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Further reading:

* Matt on not letting the awfulness of the GOP tax-and-Medicaid agenda slip through the cracks.

* Brian on why Democratic governors like Gretchen Whitmer should stop Paul Weissing themselves.

* Resources to help citizens with Republican representatives effectively oppose Medicaid cuts.