“I work in one of the poorest counties in Michigan, and my patients depend on expanded Medicaid. So how is that going to affect my patients?” Rob Davidson asked in an exchange that was videotaped and posted to his Twitter account.
In the video, which quickly went viral, Pence said he hadn’t heard of any cuts or new changes to Medicaid. So Davidson laid out what he knew.
Earlier Thursday, the administrator of the Centers for Medicare and Medicaid Services, Seema Verma, announced the Trump administration would roll out a new, optional program for states participating in the health care program, which currently aids more than 71 million people. The new measure would allow states to limit Medicaid spending on some of their adult beneficiaries, pick and choose which medications are paid for, and cut coverage of services not seen as essential.
“Adult Medicaid beneficiaries can hope for better health, and all beneficiaries can expect a stronger, more sustainable program for years to come,” Verma said of the plan Thursday.
The type of Medicaid spending plan proposed Thursday is often called a “block grant,” because it provides a fixed sum of money to states participating in Medicaid, rather than a flexible amount. (The current Medicaid spending model allows states to spend what they need to care for their Medicaid populations; the federal government matches that dollar amount depending on how poor the state is, so low-income states like Mississippi benefit the most.) Critics of block grants — and there are many, especially among Democrats — charge that when states are given more flexibility in capping Medicaid spending, conservative politicians just slash benefits that help the poor.
“Is that a good idea, or…?” Davidson asked Pence, who was in town for a Trump campaign rally.
Pence didn’t answer the question, and instead started talking about how he designed Medicaid in Indiana when he was governor. He was one of several Republican governors who voted to expand Medicaid to cover more people through the Obama-era Affordable Care Act, he said. Pence also won a waiver from the federal government that allowed his state to make poor people chip in money for their care.
“Right, but I’m just talking about the president and your administration right now, and what they’re doing,” Davidson responded. “Right now, they’re cutting Medicaid.”
“I think you’re oversimplifying it,” Pence said.
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