Medicaid Reality vs. Rhetoric
Medicaid "Cuts" Debate: Fiscal Reality vs. Political Rhetoric The 2025 budget reconciliation bill, H.R. 1, the "One Big Beautiful Bill Act" (OBBBA), has sparked intense debate over Medicaid funding. A July 4, 2025, Wall Street Journal (WSJ) opinion piece, "No One Is ‘Gutting’ the Safety Net", argues that Republican proposals are pragmatic reforms to ensure Medicaid’s sustainability, not destructive cuts. In my columns, "Monday Misleading Math" (June 30, 2025) and "The Myth of Medicaid Cuts: Explaining Baseline Budgeting" (March 2, 2025), I reinforce this, framing the changes as reductions in growth, akin to the 1990s Medicare reforms. This column synthesizes these…
