Letters from an American – Heather Cox Richardson – June 2, 2025

June 2, 2025 by Heather Cox Richardson

The Republicans’ giant budget reconciliation bill has focused attention on the drastic cuts the Trump administration is making to the American government. On Friday, when a constituent at a town hall shouted that the Republicans’ proposed cuts to Medicaid, the federal healthcare program for low-income Americans, meant that “people will die,” Senator Joni Ernst (R-IA) replied, “Well, we are all going to die.”

The next day, Ernst released a video purporting to be an apology. It made things worse. “I made an incorrect assumption that everyone in the auditorium understood that, yes, we are all going to perish from this Earth. So, I apologize. And I’m really, really glad that I did not have to bring up the subject of the tooth fairy as well. But for those that would like to see eternal and everlasting life, I encourage you to embrace my lord and savior, Jesus Christ,” she said.

Ernst blamed the “hysteria that’s out there coming from the left” for the outcry over her comments. Like other Republicans, she claims that the proposed cuts of more than $700 billion in Medicaid funding over the next ten years is designed only to get rid of the waste and fraud in the program. Thus, they say, they are actually strengthening Medicaid for those who need it.

But, as Linda Qiu noted in the New York Times today, most of the bill’s provisions have little to do with the “waste, fraud, and abuse” Republicans talk about. They target Medicaid expansion, cut the ability of states to finance Medicaid, force states to drop coverage, and limit access to care. And the nonpartisan Congressional Budget Office (CBO) says the cuts mean more than 10.3 million Americans will lose health care coverage.

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