Sarah Kliff of Vox offers an excellent explanation of Republican plans to transform Medicaid into a block grant. Instead of guaranteeing to cover a fixed percentage of all enrollees’ medical expenses, the federal government would give each state a specific amount of money to spend on Medicaid coverage. Republicans claim that this would give states more flexibility to tailor coverage to meet the needs of their residents. But by placing a specific dollar limit on Medicaid spending, millions of people would likely lose coverage. In other words, “block grant” is a euphemism for deep cuts.
Republicans are deeply hostile to any Medicaid spending that benefits low-income adults because they see it as a disincentive to work. These are the people who are most likely to suffer under Medicaid block grants. And many of them work low-paying jobs that don’t provide affordable health insurance. It would remove an already frayed safety net from those who dwell on the economic margins of society. The elderly and people with disabilities are also likely to see substantial cuts in services, so everyone will feel some pain if block grants are implemented.
Republicans will do their best to disguise the true human cost of their policy proposals, which is why explanatory posts like Kliff’s are so important. We can’t allow conservatives to put innocuous labels on their terrible ideas.