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Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back

time40 minutes ago

  • Business

Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back

WASHINGTON -- On this day in 1965, President Lyndon B. Johnson signed legislation into law that launched Medicaid, creating a U.S. health care safety net for millions of low-income Americans in what would become one of the crowning achievements of his domestic legacy. A year earlier, he did the same for food stamps, drawing on President John F. Kennedy's first executive order for the development of 'a positive food and nutrition program for all Americans.' This summer, with the stroke of a pen, President Donald Trump began to chisel them back. The Republican Party's big tax and spending bill delivered not just $4.5 trillion in tax breaks for Americans but some of the most substantial changes to the landmark safety net programs in their history. The trade-off will cut more than $1 trillion over a decade from federal health care and food assistance, largely by imposing work requirements on those receiving aid and by shifting certain federal costs onto the states. While Republicans in Congress argue the trims are needed to rightsize the federal programs that have grown over the decades and to prevent rising federal deficits, they are also moving toward a long-sought GOP goal of shrinking the federal government and the services it provides. 'We're making the first changes to the welfare state in generations,' House Speaker Mike Johnson said in a recent podcast interview. As the tax breaks and spending cuts law begins to take shape, it is unleashing a new era of uncertainty for the safety net programs that millions of people in communities across the nation have grown to depend on, with political ramifications to come. Polling shows most U.S. adults don't think the government is overspending on the programs. Americans broadly support increasing or maintaining existing levels of funding for popular safety net programs, including Social Security and Medicare, according to the poll from The Associated Press-NORC Center for Public Affairs Research. Local governments are scrambling to figure out how they will comply with the new landscape, calculating whether they will need to raise their own taxes to cover costs, trim budgets elsewhere or cut back the aid provided to Americans. 'The cuts are really big, they are really broad and they are deeply damaging,' said Sharon Parrott, president of the Center for Budget and Policy Priorities, a research institute in Washington. 'The consequences are millions of people losing health care coverage,' she said. 'Millions of people losing food assistance. And the net result of that is higher poverty, more hardship.' At the same time, certain people who receive aid, including parents of teenagers and older Americans up to age 64, will have to prepare to work, engage in classes or do community service for 80 hours a month to meet new requirements. All told, the nonpartisan Congressional Budget Office estimates 10 million more people will end up without health insurance. Some 3 million fewer people will participate in the Supplemental Nutritional Assistance Program, known as SNAP. 'People are really concerned what this means for their fiscal health,' said Mark Ritacco, chief governmental affairs officer at the National Association of Counties, which held its annual conference the week after Trump signed the bill into law. The organization had pushed senators to delay the start dates for some Medicaid changes, and it hopes that further conversations with lawmakers in Congress can prevent some of them from ever taking hold. At its conference, questions swirled. 'We're talking about Medicaid and SNAP — these are people's lives and livelihoods,' Ritacco said. Republicans insist the law is adhering to Trump's vow not to touch Medicaid as the changes root out waste, fraud and abuse. A memo from the House GOP's campaign arm encourages lawmakers to focus on the popularity of its new work requirements and restrictions on benefits for certain immigrants. 'Those safety nets are meant for a small population of people — the elderly, disabled, young pregnant women who are single,' the House speaker said on 'The Benny Show.' He said the years since the Affordable Care Act, or Obamacare, came into law, 'everybody got on the wagon.' 'All these young, able-bodied, young men who don't have dependents, riding the wagon,' the speaker said. When President Johnson established Medicaid alongside Medicare — the health care program for seniors — as part of the Social Security Amendments of 1965, it was meant for low-income families as well as the disabled. And it quickly took off. Almost every state signed on to participate in Medicaid by 1970, according to the KFF, an organization focused on health policy. It soon went beyond covering its core population to include pregnant women, school-age children and not just the very poor but also those with incomes just over the federal poverty limit, which is now about $15,650 annually for a single person and $26,650 for a family of three. In the 15 years since the Affordable Care Act became law under President Barack Obama, Medicaid has grown substantially as most states opted to join the federal expansion. Some 80 million adults and children are covered. While the uninsured population has tumbled, the federal costs of providing Medicaid have also grown, to more than $880 billion a year. 'There are a lot of effects Medicaid has on health, but the most stark thing that it does is that it saves lives,' said Bruce D. Meyer, an economist and public policy professor at the University of Chicago who co-authored a pivotal study assessing the program. The law's changes will certainly save the federal government 'a substantial amount of money,' he said, but that will come at 'substantial increases in mortality. And you have to decide what you value more.' Food stamps, which had been offered toward the end of the Great Depression but were halted during World War II amid rationed supplies, launched as a federal program when Johnson signed the Food Stamp Act of 1964 into law. Today, SNAP provides almost $200 in monthly benefits per person to some 40 million recipients nationwide. Democratic Leader Hakeem Jeffries, who delivered the longest speech in House history while trying to stall the bill, said the changes will hurt households and communities nationwide. 'Who are these people?' Jeffries said. 'Ripping health care away from the American people. The largest cuts in Medicaid in American history. Ripping food out of the mouths of children, seniors and veterans who are going to go hungry as a result of this one big, ugly bill.'

Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back
Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back

The Hill

time2 hours ago

  • Business
  • The Hill

Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back

WASHINGTON (AP) — On this day in 1965, President Lyndon B. Johnson signed legislation into law that launched Medicaid, creating a U.S. health care safety net for millions of low-income Americans in what would become one of the crowning achievements of his domestic legacy. A year earlier, he did the same for food stamps, drawing on President John F. Kennedy's first executive order for the development of 'a positive food and nutrition program for all Americans.' This summer, with the stroke of a pen, President Donald Trump began to chisel them back. The Republican Party's big tax and spending bill delivered not just $4.5 trillion in tax breaks for Americans but some of the most substantial changes to the landmark safety net programs in their history. The trade-off will cut more than $1 trillion over a decade from federal health care and food assistance, largely by imposing work requirements on those receiving aid and by shifting certain federal costs onto the states. While Republicans in Congress argue the trims are needed to rightsize the federal programs that have grown over the decades and to prevent rising federal deficits, they are also moving toward a long-sought GOP goal of shrinking the federal government and the services it provides. 'We're making the first changes to the welfare state in generations,' House Speaker Mike Johnson said in a recent podcast interview. As the tax breaks and spending cuts law begins to take shape, it is unleashing a new era of uncertainty for the safety net programs that millions of people in communities across the nation have grown to depend on, with political ramifications to come. Big safety net changes ahead Polling shows most U.S. adults don't think the government is overspending on the programs. Americans broadly support increasing or maintaining existing levels of funding for popular safety net programs, including Social Security and Medicare, according to the poll from The Associated Press-NORC Center for Public Affairs Research. Local governments are scrambling to figure out how they will comply with the new landscape, calculating whether they will need to raise their own taxes to cover costs, trim budgets elsewhere or cut back the aid provided to Americans. 'The cuts are really big, they are really broad and they are deeply damaging,' said Sharon Parrott, president of the Center for Budget and Policy Priorities, a research institute in Washington. 'The consequences are millions of people losing health care coverage,' she said. 'Millions of people losing food assistance. And the net result of that is higher poverty, more hardship.' At the same time, certain people who receive aid, including parents of teenagers and older Americans up to age 64, will have to prepare to work, engage in classes or do community service for 80 hours a month to meet new requirements. All told, the nonpartisan Congressional Budget Office estimates 10 million more people will end up without health insurance. Some 3 million fewer people will participate in the Supplemental Nutritional Assistance Program, known as SNAP. 'People are really concerned what this means for their fiscal health,' said Mark Ritacco, chief governmental affairs officer at the National Association of Counties, which held its annual conference the week after Trump signed the bill into law. The organization had pushed senators to delay the start dates for some Medicaid changes, and it hopes that further conversations with lawmakers in Congress can prevent some of them from ever taking hold. At its conference, questions swirled. 'We're talking about Medicaid and SNAP — these are people's lives and livelihoods,' Ritacco said. GOP bill trims back health care and food aid Republicans insist the law is adhering to Trump's vow not to touch Medicaid as the changes root out waste, fraud and abuse. A memo from the House GOP's campaign arm encourages lawmakers to focus on the popularity of its new work requirements and restrictions on benefits for certain immigrants. 'Those safety nets are meant for a small population of people — the elderly, disabled, young pregnant women who are single,' the House speaker said on 'The Benny Show.' He said the years since the Affordable Care Act, or Obamacare, came into law, 'everybody got on the wagon.' 'All these young, able-bodied, young men who don't have dependents, riding the wagon,' the speaker said. Medicaid then and now When President Johnson established Medicaid alongside Medicare — the health care program for seniors — as part of the Social Security Amendments of 1965, it was meant for low-income families as well as the disabled. And it quickly took off. Almost every state signed on to participate in Medicaid by 1970, according to the KFF, an organization focused on health policy. It soon went beyond covering its core population to include pregnant women, school-age children and not just the very poor but also those with incomes just over the federal poverty limit, which is now about $15,650 annually for a single person and $26,650 for a family of three. In the 15 years since the Affordable Care Act became law under President Barack Obama, Medicaid has grown substantially as most states opted to join the federal expansion. Some 80 million adults and children are covered. While the uninsured population has tumbled, the federal costs of providing Medicaid have also grown, to more than $880 billion a year. 'There are a lot of effects Medicaid has on health, but the most stark thing that it does is that it saves lives,' said Bruce D. Meyer, an economist and public policy professor at the University of Chicago who co-authored a pivotal study assessing the program. The law's changes will certainly save the federal government 'a substantial amount of money,' he said, but that will come at 'substantial increases in mortality. And you have to decide what you value more.' Food stamps, which had been offered toward the end of the Great Depression but were halted during World War II amid rationed supplies, launched as a federal program when Johnson signed the Food Stamp Act of 1964 into law. Today, SNAP provides almost $200 in monthly benefits per person to some 40 million recipients nationwide. Democratic Leader Hakeem Jeffries, who delivered the longest speech in House history while trying to stall the bill, said the changes will hurt households and communities nationwide. 'Who are these people?' Jeffries said. 'Ripping health care away from the American people. The largest cuts in Medicaid in American history. Ripping food out of the mouths of children, seniors and veterans who are going to go hungry as a result of this one big, ugly bill.'

Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back
Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back

Winnipeg Free Press

time3 hours ago

  • Business
  • Winnipeg Free Press

Medicaid was signed into law 60 years ago. Trump's big bill is chiseling it back

WASHINGTON (AP) — On this day in 1965, President Lyndon B. Johnson signed legislation into law that launched Medicaid, creating a U.S. health care safety net for millions of low-income Americans in what would become one of the crowning achievements of his domestic legacy. A year earlier, he did the same for food stamps, drawing on President John F. Kennedy's first executive order for the development of 'a positive food and nutrition program for all Americans.' This summer, with the stroke of a pen, President Donald Trump began to chisel them back. The Republican Party's big tax and spending bill delivered not just $4.5 trillion in tax breaks for Americans but some of the most substantial changes to the landmark safety net programs in their history. The trade-off will cut more than $1 trillion over a decade from federal health care and food assistance, largely by imposing work requirements on those receiving aid and by shifting certain federal costs onto the states. While Republicans in Congress argue the trims are needed to rightsize the federal programs that have grown over the decades and to prevent rising federal deficits, they are also moving toward a long-sought GOP goal of shrinking the federal government and the services it provides. 'We're making the first changes to the welfare state in generations,' House Speaker Mike Johnson said in a recent podcast interview. As the tax breaks and spending cuts law begins to take shape, it is unleashing a new era of uncertainty for the safety net programs that millions of people in communities across the nation have grown to depend on, with political ramifications to come. Big safety net changes ahead Polling shows most U.S. adults don't think the government is overspending on the programs. Americans broadly support increasing or maintaining existing levels of funding for popular safety net programs, including Social Security and Medicare, according to the poll from The Associated Press-NORC Center for Public Affairs Research. Local governments are scrambling to figure out how they will comply with the new landscape, calculating whether they will need to raise their own taxes to cover costs, trim budgets elsewhere or cut back the aid provided to Americans. 'The cuts are really big, they are really broad and they are deeply damaging,' said Sharon Parrott, president of the Center for Budget and Policy Priorities, a research institute in Washington. 'The consequences are millions of people losing health care coverage,' she said. 'Millions of people losing food assistance. And the net result of that is higher poverty, more hardship.' At the same time, certain people who receive aid, including parents of teenagers and older Americans up to age 64, will have to prepare to work, engage in classes or do community service for 80 hours a month to meet new requirements. All told, the nonpartisan Congressional Budget Office estimates 10 million more people will end up without health insurance. Some 3 million fewer people will participate in the Supplemental Nutritional Assistance Program, known as SNAP. 'People are really concerned what this means for their fiscal health,' said Mark Ritacco, chief governmental affairs officer at the National Association of Counties, which held its annual conference the week after Trump signed the bill into law. The organization had pushed senators to delay the start dates for some Medicaid changes, and it hopes that further conversations with lawmakers in Congress can prevent some of them from ever taking hold. At its conference, questions swirled. 'We're talking about Medicaid and SNAP — these are people's lives and livelihoods,' Ritacco said. GOP bill trims back health care and food aid Republicans insist the law is adhering to Trump's vow not to touch Medicaid as the changes root out waste, fraud and abuse. A memo from the House GOP's campaign arm encourages lawmakers to focus on the popularity of its new work requirements and restrictions on benefits for certain immigrants. 'Those safety nets are meant for a small population of people — the elderly, disabled, young pregnant women who are single,' the House speaker said on 'The Benny Show.' He said the years since the Affordable Care Act, or Obamacare, came into law, 'everybody got on the wagon.' 'All these young, able-bodied, young men who don't have dependents, riding the wagon,' the speaker said. Medicaid then and now When President Johnson established Medicaid alongside Medicare — the health care program for seniors — as part of the Social Security Amendments of 1965, it was meant for low-income families as well as the disabled. And it quickly took off. Almost every state signed on to participate in Medicaid by 1970, according to the KFF, an organization focused on health policy. It soon went beyond covering its core population to include pregnant women, school-age children and not just the very poor but also those with incomes just over the federal poverty limit, which is now about $15,650 annually for a single person and $26,650 for a family of three. In the 15 years since the Affordable Care Act became law under President Barack Obama, Medicaid has grown substantially as most states opted to join the federal expansion. Some 80 million adults and children are covered. While the uninsured population has tumbled, the federal costs of providing Medicaid have also grown, to more than $880 billion a year. 'There are a lot of effects Medicaid has on health, but the most stark thing that it does is that it saves lives,' said Bruce D. Meyer, an economist and public policy professor at the University of Chicago who co-authored a pivotal study assessing the program. Monday Mornings The latest local business news and a lookahead to the coming week. The law's changes will certainly save the federal government 'a substantial amount of money,' he said, but that will come at 'substantial increases in mortality. And you have to decide what you value more.' Food stamps, which had been offered toward the end of the Great Depression but were halted during World War II amid rationed supplies, launched as a federal program when Johnson signed the Food Stamp Act of 1964 into law. Today, SNAP provides almost $200 in monthly benefits per person to some 40 million recipients nationwide. Democratic Leader Hakeem Jeffries, who delivered the longest speech in House history while trying to stall the bill, said the changes will hurt households and communities nationwide. 'Who are these people?' Jeffries said. 'Ripping health care away from the American people. The largest cuts in Medicaid in American history. Ripping food out of the mouths of children, seniors and veterans who are going to go hungry as a result of this one big, ugly bill.'

Medicaid Turns 60 Today. America Needs It Now More Than Ever
Medicaid Turns 60 Today. America Needs It Now More Than Ever

Newsweek

time5 hours ago

  • Health
  • Newsweek

Medicaid Turns 60 Today. America Needs It Now More Than Ever

Advocates for ideas and draws conclusions based on the interpretation of facts and data. Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content. Today, on the 60th anniversary of Medicaid, America faces a health care crisis of its own making. Medicaid isn't just a lifeline for the poor. It's the backbone of our entire health care system and economic stability. Just in time for the 60th anniversary of Medicaid, however, Republicans made extraordinary cuts to the program in the "big beautiful bill," despite scientific and expert warnings. These cuts to Medicaid could translate to more than 42,000 preventable deaths each year. That's almost half a million lives lost over a decade simply because of bad policy choices. Slashing Medicaid isn't fiscal responsibility. It's a ticking time bomb for families, hospitals, and the economy. President Lyndon B. Johnson established Medicaid, alongside Medicare, on July 30, 1965. In the past 60 years, Medicaid has significantly expanded access to health care, including basic doctor's appointments and check ups, prescription drugs, and long-term care. The proposed cuts threaten to rip coverage away from millions. Studies show that when Medicaid shrinks, more people delay care, more hospitals go bankrupt, and preventable deaths rise. The Affordable Care Act, passed in 2010, built on the existing Medicaid system. That expansion has saved nearly 30,000 lives. In states that expanded Medicaid, premature deaths fell. In states that didn't, they rose. Instead of building on that success, Republicans have taken a chainsaw to the program, and millions will lose their coverage. Today, one in five Americans rely on Medicaid. Republicans paint a false picture of young men sitting on their couches, too lazy to get jobs, playing video games all day as the ones eating up Medicaid tax dollars. In reality, more than half of Medicaid spending goes toward the elderly and people with disabilities. The majority of adults on Medicaid are employed either full- or part-time. Nearly half of all U.S. births are covered by Medicaid. About two-thirds of nursing home residents depend on it. Medicaid serves people in every corner of this country, from inner cities to small rural towns, Democrats to Republicans. In fact, about 20 million Medicaid beneficiaries lean Republican. According to the Congressional Budget Office, nearly 17 million more Americans will become uninsured by 2034 due to the bill's changes. Republicans insist they didn't change Medicaid eligibility rules. While that's true, it ignores the fact that the bureaucratic barriers of extra forms, tighter deadlines, and poor communication will ultimately cause mass disenrollment. Here's what that means in practice: People won't know they've lost coverage until they show up in the ER. Parents will skip pediatric checkups. Cancer patients will delay follow-up care. Preventable conditions will become fatal. WASHINGTON, DC - JUNE 23: Care workers with the Service Employees International Union (SEIU) participate in a living cemetery protest at the US Capitol June 23, 2025 in Washington, DC. WASHINGTON, DC - JUNE 23: Care workers with the Service Employees International Union (SEIU) participate in a living cemetery protest at the US Capitol June 23, 2025 in Washington, economic health relies heavily on a community's physical health. Republicans are supposedly the party of small businesses, but the proposed cuts will end up hurting small businesses in the long run. Once the cuts go through, more small businesses will have to pay and offer health care plans to their employees. Ironically, Medicaid cuts will end up hurting Republicans' own constituents the most. In rural areas, where politics often skew to the right, hospitals will have to enforce layoffs and potentially shut down due to patients being unable to pay for their care. This isn't about partisan politics, though. Ultimately, people will die and American lives will be lost. Republican or Democrat, we will all feel the crippling effects of slashing Medicaid. Conservatives value strong families and thriving small towns—Medicaid cuts will devastate both. Liberals champion social safety nets—this would shred one of the biggest. Both sides claim to protect working Americans. Medicaid covers millions of Americans who are employed but earn too little to afford private insurance. When one in five Americans loses their safety net from Medicaid, we all feel the consequences. So what can people do if they're at risk of losing Medicaid? First, make sure your contact information is current with your local Medicaid office. If you've moved recently, the system likely doesn't know. The government won't track you down to keep you covered. Second, if you lose coverage, act quickly: you'll have a limited window to enroll through the ACA marketplace, your employer, or another public option. Visit or contact a Medicaid navigator for help. Many hospitals and local officials also have staff who can walk you through next steps. Cutting Medicaid will not make America healthier. It will do the opposite: create health care deserts, saddle hospitals with unpaid bills, and force taxpayers to absorb higher costs elsewhere. Sixty years ago today, Medicaid was born. Today, we see the entire system at risk. If we truly want to make America a healthier, more resilient nation, we must protect Medicaid—not as charity, but as infrastructure. Dr. Anahita Dua is a vascular surgeon, Associate Professor of Surgery at Harvard Medical School, and the Founder and Chair of Healthcare for Action. The views expressed in this article are the writer's own.

Today in History: 'In God We Trust' made the national motto
Today in History: 'In God We Trust' made the national motto

Chicago Tribune

time5 hours ago

  • Politics
  • Chicago Tribune

Today in History: 'In God We Trust' made the national motto

Today is Wednesday, July 30, the 211th day of 2025. There are 154 days left in the year. Today in history: On July 30, 1956, President Dwight D. Eisenhower signed a measure making 'In God We Trust' the national motto, replacing 'E Pluribus Unum.' Also on this date: In 1619, the first representative assembly in Colonial America convened in Jamestown in the Virginia Colony. In 1864, during the Civil War, Union forces tried to take Petersburg, Virginia, by exploding a gunpowder-laden mine shaft beneath Confederate defense lines; the attack failed. In 1916, German saboteurs blew up a munitions plant on Black Tom, an island near Jersey City, New Jersey, killing about a dozen people. In 1930, Uruguay won the first FIFA World Cup, defeating Argentina 4-2. In 1945, the Portland class heavy cruiser USS Indianapolis, having just delivered components of the atomic bomb to Tinian in the Mariana Islands during World War II, was torpedoed by a Japanese submarine; only 316 out of nearly 1,200 service members survived. In 1965, President Lyndon B. Johnson signed the Social Security Amendments of 1965, which led to the creation of Medicare and Medicaid. In 1976, Bruce Jenner, now known as Caitlyn Jenner, set a world record of 8,618 points and won the gold medal in the Olympic decathlon at the Montreal Summer Games. In 2008, ex-Bosnian Serb leader Radovan Karadzic was extradited to The Hague to face genocide charges after nearly 13 years on the run. (He was sentenced by a U.N. court in 2019 to life imprisonment after being convicted of genocide, crimes against humanity and war crimes.) In 2012, three electric grids in India collapsed in a cascade, cutting power to 620 million people in the world's biggest blackout. In 2013, U.S. Army Pfc. Chelsea Manning was acquitted of aiding the enemy — the most serious charge she faced — but was convicted of espionage, theft and other charges at Fort Meade, Maryland, more than three years after she'd spilled secrets to WikiLeaks. (The former intelligence analyst was later sentenced to up to 35 years in prison, but the sentence was commuted by President Barack Obama in his final days in office.) In 2016, 16 people died when a hot air balloon caught fire and exploded after hitting high-tension power lines before crashing into a pasture near Lockhart, Texas, about 70 miles northeast of San Antonio. Today's Birthdays: Former Major League Baseball Commissioner Bud Selig is 91. Blues musician Buddy Guy is 89. Singer Paul Anka is 84. Actor and former California Gov. Arnold Schwarzenegger is 78. Actor Jean Reno is 77. Actor Ken Olin is 71. Actor Delta Burke is 69. Law professor Anita Hill is 69. Singer-songwriter Kate Bush is 67. Film director Richard Linklater is 65. Actor Laurence Fishburne is 64. TV personality Alton Brown is 63. Actor Lisa Kudrow is 62. Basketball Hall of Famer Chris Mullin is 62. Actor Vivica A. Fox is 61. Actor Terry Crews is 57. Actor Simon Baker is 56. Film director Christopher Nolan is 55. Actor Tom Green is 54. Actor Christine Taylor is 54. Actor Hilary Swank is 51. Olympic gold medal beach volleyball player Misty May-Treanor is 48. Actor Jaime Pressly is 48. Alt-country singer-musician Seth Avett (AY'-veht) is 45. Former soccer player Hope Solo is 44. Actor Yvonne Strahovski is 43. Actor Martin Starr is 43. Actor Gina Rodriguez is 41. Actor Nico Tortorella is 36. Actor Joey King is 26.

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