Yesterday I excoriated Politico for a deeply ingenuous report on GOP Medicaid cuts, now presenting the matter as something congressional Republicans are trying to foist on a skeptical Trump. I also said that they were making up the idea that Trump has repeatedly pledged never to touch Medicaid as he has repeatedly promised not to tamper with Social Security and Medicare.
Read MoreA new episode of The Josh Marshall Podcast is live! This week, Kate and Josh check in on the polling, economy and judge arrests (!) after Trump’s first few months in office.
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There’s been an emerging scandal in Florida for a few weeks now that directly affects not only Ron DeSantis but also his wife, Casey DeSantis, who is weighing a run to succeed Ron as governor. The gist of the scandal is the state of Florida settled an over-billing case against a major Medicaid contractor and then laundered a portion of the funds from the settlement through a series of foundations until … well, until somehow over $10 million ended up in the bank account of the Florida GOP and another $1.1 million ended up in Ron’s personal political committee. It’s good to be the king, right?
This story has been percolating for a few weeks. It got new life when a Republican state lawmaker, Rep. Alex Andrade (R), who has been leading a state House investigation into the issue, accused two top DeSantis associates of money laundering and wire fraud. What got my attention this morning is that the Miami Herald talked to four former federal prosecutors, of both political parties, who told the Herald that by normal standards there’s more than enough evidence to start a federal criminal investigation at least into the associates who directly made the relevant transfers if not the DeSantises themselves. (One of the associates who directly arranged things is then-DeSantis chief of staff and current Florida AG James Uthmeier.) The former prosecutors the Herald spoke to say that the question of whether this meets the bar for a federal investigation is not remotely a close call.
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I found this new piece in Politico about Medicaid politics genuinely jarring. Reporters Rachel Bade et al. concoct this alternative reality in which House Republicans are pressuring Trump to cut Medicaid while he’s deeply “wary” of doing so. As you’d expect, this story comes from “six White House officials and top allies of the president.”
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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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