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Play ‘GOP Health Care Slaughterhouse’ with Your Own Rep

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April 30, 2025 5:31 p.m.
(TPM Illustration: Getty Images/Josh Marshall)
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Here’s my latest hobby: looking at just how many constituents House Republicans, especially the so called “moderates,” want to strip of their health care coverage. Congressional Republicans are currently in hard negotiations and a game of chicken for how to pay for their big tax cut, which seems to be getting bigger by the day. They want to pay for it by taking away people’s health care coverage. But just how that gets done is the key. As Nicole Lafond pointed out this week, moderate House Republicans are saying they may not be willing to support $880 billion of cuts to Medicaid. But they might be willing to cut one of the major provisions of Obamacare, the so-called Medicaid expansion system, which pays 90% of the cost for states to substantially expand their Medicaid coverage to more people. This is a big part of how Obamacare dramatically reduced the number of people without coverage. It’s not just about the exchanges and the subsidies.

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