#medicade

So with the horrendous bill getting passed today aimed squarely at Medicade, I want to take a moment to list out all of the states that have an alternate name for it, cause I have this feeling that a lot of people who for some odd reason hate Medicade don't realize that their state provided healthcare is in fact just Medicade in a themed costume.

So here we go:

Alaska DenaliCare Arizona Arizona Health Care Cost Containment System (AHCCCS) Arkansas Health Care California Medi-Cal Colorado Health First Colorado ConnecticutHuskyHealth, Husky C (for aged, blind or disabled persons) Delaware Diamond State Health Plan (Plus) FloridaStatewide Medicaid Managed Care Program (SMMC), Managed Medical Assistance (MMA) Program, Long-term Care (LTC) Program Hawaii MedQuest Illinois Medical Assistance Program Indiana Hoosier Healthwise, Hoosier Care Connect, M.E.D. Works, Health Indiana Plan (HIP), Traditional Medicaid Iowa IA Health Link Kansas KanCare Medical Assistance Program

Louisiana Bayou Health, Healthy Louisiana Maine MaineCare Maryland Medical Assistance Massachusetts MassHealth Michigan Medical Assistance or MA Minnesota Medical Assistance (MA), MinnesotaCare Mississippi Mississippi Coordinated Access Network (MississippiCAN) Missouri MO HealthNet Nebraska ACCESSNebraska, Nebraska Medical Assistance Program (NMAP) New Hampshire NH Medicaid, Medical Assistance New Jersey NJ FamilyCare New Mexico Centennial Care, Medical Assistance North Carolina Division of Health Benefits (DHB) Oklahoma SoonerCare Oregon Oregon Health Plan (OHP) Pennsylvania Medical Assistance (MA) Rhode Island RI Medical Assistance Program South Carolina Healthy Connections

Tennessee TennCare Texas STAR+PLUS

Vermont Green Mountain Care Virginia Cardinal Care Washington Apple Health Washington D.C. Healthy Families

Wisconsin Forward Health, BadgerCare Wyoming Equality Care

So, yeah. If you live in any of these states and are on one of these programs, the bill that was signed today (July 3rd, 2025) is going to be pulling BILLIONS with a B out of your health insurance providers pocket; you may in fact find that they drop you entirely because they are going to be forced to triage their subscribers.

If you live in any of these states and are on one of these programs I would strongly recommend getting any surgeries, medical procedures, exams, or preventative care while you can.

For now at least ER's will still be forced to provide care in any emergent situation, but if you were for some reason holding off on getting a surgery for the time being you're going to soon not be able to do so till potentially it's too late.

Sen. Elissa Slotkin of Michigan is delivering the Democratic response to President Trump’s speech before the joint session of Congress. Slotkin’s response began after Mr. Trump wrapped his speech, which was the longest speech of his kind. Slotkin was elected in November after representing Michigan in the House since 2019, and replaced long-serving Sen. Debbie Stabenow in the Senate. The…

Horsey

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LETTERS FROM AN AMERICAN

December 4, 2024

Heather Cox Richardson

Dec 05, 2024

In 1883, as the Republican Party moved into full-throated support for the industrialists who were concentrating the nation’s wealth into their own hands while factory workers stayed above the poverty line only by working 12 hours a day, seven days a week, Yale sociologist William Graham Sumner responded to those worried about the extremes of wealth and poverty in the country with his book What Social Classes Owe to Each Other.

Sumner concluded it was unfair that “worthy, industrious, independent, and self-supporting” men should be taxed to support those he claimed were lazy. Worse, he said, such a redistribution of wealth would destroy America by destroying individual enterprise. Sumner called for a “laissez-faire” world in which those who failed should be permitted to sink into poverty, and even to die, to keep America from becoming a land where lazy folks waited for a handout. Such people should be weeded out of society for the good of the nation.

Republicans echoed Sumner’s What Social Classes Owe to Each Other, concluding, as he did, that the wealthy owed the lower classes nothing. Even though “his views are singularly hard and uncompromising,” wrote the New York Times, “it is difficult to quarrel with their deductions, however one may feel one’s finer instincts hurt by their apparent cruelty.”

In contrast to those who believed government should stay out of economic affairs so individuals can amass as much wealth as they can, others looked at the growing extremes of wealth, with so-called robber barons like Cornelius Vanderbilt II building a 70-room summer “cottage” while children went to work in mines and factories, and concluded that the government must try to hold the economic playing field level to give everyone equal chance to rise to prosperity.

Prevailing opinion in the U.S. has seesawed between these two ideologies ever since.

In the Progressive Era, members of both major parties and other upstart parties turned against Sumner’s argument, working to clean up cities, establish better working conditions, provide education, and regulate food and drugs to protect consumers. After World War I, Republicans led a backlash against those regulations and the taxes necessary to pay for their enforcement. In October 1929 the unregulated stock market crashed, ushering in the Great Depression.

From 1933 to 1981, Americans of both parties came to agree that the government must regulate the economy and provide a basic social safety net, promote infrastructure, and protect civil rights. They believed such intervention would stabilize society and prevent future economic disasters by protecting the rights of all individuals to have equal access to economic prosperity.

Then in 1981, the country began to back away from that idea. Incoming president Ronald Reagan echoed William Graham Sumner when he insisted that this system took tax dollars from hardworking white men and redistributed them to the undeserving. In a time of sluggish economic growth, he assured Americans that “government is not the solution to our problem; government is the problem,” and that tax cuts and deregulation were the way to make the economy boom.

For the next forty years, lawmakers pushed deregulation and tax cuts, privatization of infrastructure, and cuts to the bureaucracy that protected civil rights. Those forty years, from 1981 to 2021, hollowed out the middle class as about $50 trillion moved from the bottom 90% of Americans to the top 1%.

When he took office in January 2021, President Joe Biden set out to reverse that trend and once again use the government to level the economic playing field, returning the nation to the proven system of the years before 1981, under which the middle class had thrived. His director of the Federal Trade Commission, Lina Khan, began to break up the monopolies that had come to control the economy, while new rules at the Department of Labor expanded workers’ rights to overtime pay, and the government worked to expand access to healthcare.

Under Biden and the Democrats, Congress passed a series of laws to bring manufacturing jobs back to the United States. Those laws used federal money to start industries that then attracted private capital—more than $1 trillion of it. According to policy researcher Jack Conness, the CHIPS and Science Act and the Inflation Reduction Act are already responsible for more than 135,000 of the 1.6 million construction and manufacturing jobs created during the Biden administration.

As Jennifer Rubin noted in the Washington Post today, “It is stunning, frankly, that the most successful and far-flung private-public collaboration in history—one that is transforming cities, states and regions—has gotten so little coverage from legacy media. It may be the most critical government-driven initiative since the GI Bill following World War II.”

“[T]he widespread benefits derived from this massive undertaking—for individuals, communities, national security and government itself (through increased tax revenue)—demonstrate how far superior this approach is to trickle-down economics, which slashes taxes for the rich and big corporations,” Rubin continued. “With the latter, the tax savings for corporations go to everything from stock buybacks to increased compensation for CEOs to foreign investment,” while “the cost of the tax cuts runs up the national debt at a much greater rate than a public-private approach…. Republicans deliver temporary stimulus and wind up with more debt and more income inequality.”

But in 2024, voters elected Donald Trump, who promised to reject Biden’s economic vision and resurrect the system of the years before 2021 in which a few individuals could amass as much wealth as possible. Just ten days after the election, a Texas judge overturned the Biden administration’s overtime pay rule, permitting employers to cancel the raises they gave their employees to comply with that rule.

The change in ideology is clear from Trump’s cabinet picks. While the total net worth of the officials in Biden’s Cabinet was about $118 million, Laura Mannweiler of U.S. News and World Report noted, a week ago she estimated the worth of Trump’s roster of appointees to be at least $344.4 billion, more than the gross domestic product of 169 countries. That number did not include his pick for treasury secretary, Scott Bessent, whose net worth is hard to find.

Today, Trump added another billionaire to his roster, picking entrepreneur and private astronaut Jared Isaacman as the next administrator of the National Aeronautics and Space Administration (NASA). Isaacman is a close ally of billionaire Elon Musk, who aspires to colonize Mars. In a post on X after the announcement, Isaacman vowed to “usher in an era where humanity becomes a true spacefaring civilization.”

To free up capital for such ventures, Trump’s team has promised more business deregulation and tax cuts for the wealthy and corporations. Today, Trump tapped Paul Atkins, who has called for looser regulation of cryptocurrency, to chair the Securities and Exchange Commission. Atkins is expected to roll back the financial regulations initiated by his predecessor.

Trump has also vowed to cut the post–World War II government far more than anyone before him has done. He has put Musk and billionaire Vivek Ramaswamy in charge of a “Department of Government Efficiency” (DOGE); Musk proposes to cut $2 trillion out of the $6.75 trillion U.S. budget. How he would accomplish this is hard to imagine, since most of the budget is “mandatory” spending already baked into the budget, and much of that is Medicare, Medicaid, and Social Security. During the campaign, Trump promised he would not cut these very popular programs.

One of the things that constitute “discretionary” spending—which must be renewed every year—is veterans’ benefits, and yesterday Jeff Schogol of Task and Purpose noted “a growing chorus” calling for cuts to Veterans Affairs disability benefits after The Economist on November 28 called disability benefits “absurdly generous.” Disabled American Veterans spokesperson Dan Clare pointed out that the U.S. was at war for twenty years—in Afghanistan for twenty and in Iraq for eight—increasing the VA budget. Since Congress passed the PACT Act, formally known as the Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act, in 2022, more than 1.2 million veterans exposed to burn pits and other toxics have been treated for resulting health conditions.

Today, Phil Galewitz of KFF Health News noted that nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia—have trigger laws to end their expansion of Medicaid if federal funding is reduced. As many as 3.7 million people in these states would lose healthcare coverage if these laws go into effect. Other states might then follow suit as lost federal money would have to be made up by the states.

On X this week, Musk commented that a thread by Senator Mike Lee (R-UT) attacking Social Security was “interesting.” Yesterday on the Fox News Channel, Representative Richard McCormick (R-GA) suggested: "We're gonna have to have some hard decisions. We're gonna have to bring in the Democrats to talk about Social Security, Medicaid, Medicare. There's hundreds of billions of dollars to be saved, and we know how to do it; we just have to have the stomach to take those challenges on."

LETTERS FROM AN AMERICAN

Conservative Republicans — including Chip Roy, Ralph Norman, Lloyd Smucker, Josh Brecheen, and Andrew Clyde — just halted Trump’s “big, beautiful bill.” Tensions are boiling over Medicaid work rules, tax deduction caps, and government spending.

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