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Hugh Hewitt: “Medicaid is paper insurance that isn’t actually health care”
MSNBC’s Hugh Hewitt, a right-wing radio host and Trump apologist who was bizarrely rewarded by the network last month with his own weekend show, used an appearance on the July 24 edition of MSNBC Live to push the absurd claim that Medicaid is just “paper insurance” for many recipients and “isn't actually health care.” Hewitt’s disparagement of the Medicaid program came just moments after President Donald Trump concluded an anti-Obamacare tirade at the White House, in which Trump pressured undecided Republican senators to support the GOP’s plan to repeal the Affordable Care Act (ACA). Right-wing media figures routinely criticise the Medicaid program and its recipients while promoting Republican plans to gut the program. Hewitt’s critique of the supposedly low quality of Medicaid coverage has become more prevalent among Trump-aligned pundits in recent weeks despite it having been discredited years ago. From the July 24 segment:
ALI VELSHI (HOST): Frankly, the stuff that Donald Trump said, you and I have discussed this many times, he does say a lot of things that just aren’t true about Obamacare. He is focused on the Obamacare exchanges and the difficulties that they have had, which we have outlined on this show. They are absolutely very real, many Americans have seen their premiums go up. But carrying on about how it’s broken, and it’s all a mess, and it’s-- everything is a lie, and it’s all a failure, and the whole thing is destroyed. It’s disingenuous, and it’s not going to work for [Sen. Shelley Moore] Capito [(R-WV)], and [Sen. Lisa] Murkowski [(R-AK)], and [Sen. Susan] Collins [(R-ME)], and [Sen. Dean] Heller [(R-NV)].
VELSHI: More Americans benefitted from the Medicaid expansion than the Obamacare markets, that’s the part that the president never talks about.
HUGH HEWITT: It depends on what you define as “benefitted” from Medicaid. There are a lot of people -- and I was a local health administration for a number of years -- who believe that Medicaid is paper insurance that isn’t actually health care. It does work for a lot of people, it doesn’t do anything for many people.
If you're going to give Moore air time, at least fact-check him
Discredited economic pundit and former Trump campaign adviser Stephen Moore continues embarrassing CNN during news segments with his supposed policy expertise. Media Matters compared two of Moore’s recent appearances -- one in which he appeared alongside a credentialed policy expert, and one in which he faced only an ill-prepared network host -- and found distinct differences in the tone of each discussion. These differences demonstrate the dangers of news outlets continuing to rely on unscrupulous hangers-on from the Trump administration to comment on policy issues.
Over the years, Media Matters has chronicled Moore’s shoddy predictions, intentional misinformation, and misleading claims. Despite ample evidence of Moore’s gross incompetence as an economic analyst, CNN still hired him in January under the guise of “senior economics analyst” to serve as a sort of in-house surrogate for the Trump administration. Moore has spent his time at CNN undermining his colleagues and embarrassing his network while ceaselessly parroting the Republican Party’s agenda. His shameless defense of the president’s unfounded reasoning for withdrawing from the Paris climate accord even led Columbia University economist Jeffrey Sachs to blast CNN on its own program for maintaining a relationship with the pundit.
Moore’s two appearances late last week underscore how problematic he is as an employee of a news network and reveal how CNN ought to handle his future appearances.
During the July 13 edition of CNN’s Anderson Cooper 360, Moore was interviewed alongside University of Chicago economist Austan Goolsbee about the Republican-led Senate’s floundering proposal to repeal and replace the Affordable Care Act (ACA). Moore opened the segment by endorsing an amendment authored by Sen. Ted Cruz (R-TX), which experts believe would restrict coverage options and increase costs for Americans living with pre-existing conditions. He misleadingly blamed the ACA for increasing health care costs -- prices are actually "rising at historically low levels" since the law went into effect -- and encouraged the use of so-called “catastrophic” insurance policies, which provide limited packages to young individuals at low cost and are considered inadequate by health care experts. Luckily for CNN viewers, Goolsbee -- a former chairperson of the Council of Economic Advisers and college debate champion -- was there to provide pushback to these false and misleading claims:
Compare Goolsbee’s repeated fact-check of Moore’s misstatements to another Moore appearance in which CNN did not host an economic policy expert to counter the conservative pundit.
On the July 14 edition of CNN’s Wolf, Moore sat for an interview with guest host Jim Sciutto, the network’s chief national security correspondent, to discuss the same topics and was allowed to promote his right-wing agenda virtually unchallenged. Moore falsely claimed that catastrophic health insurance plans could save middle-class families thousands of dollars and got away with an unsubstantiated guess that politically, the GOP bill’s reduction of insurance premiums outweighs the fact that it would strip coverage from 22 million people. When Sciutto questioned him about the fact that repealing ACA would harm millions of Americans who receive Medicaid, Moore promoted the right-wing lie that “Medicaid is one of the worst insurance systems” and low-income Americans would be better off without it. Sciutto did not challenge Moore when he falsely claimed that the ACA repeal process in 2017 is “déjà vu all over again” compared to how the law was passed in 2010 when, according to Moore, then-President Barack Obama “had to buy those last couple of votes in Senate to get there.” In reality, the ACA passed 60-39 with the support of every Democrat in the chamber, whereas the current Senate bill has yet to get 50 supporters among 52 Republican senators:
Moore’s partisan talking points can be easily unraveled by competent analysts and experts; his attempt to promote the same right-wing fallacies about health care was rebutted by health care expert Andy Slavitt during the July 10 edition of New Day. In fact, his dissembling can be easily countered if the interviewer is adequately prepared. But since Moore is a professional misinformer who has spent years honing his craft, if an interviewer is ill-prepared, the segment can quickly devolve into Moore amplifying his routine talking points, which serve only his conservative political agenda.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) Americans will face greater hardship if Republicans in Congress succeed in reversing the Affordable Care Act’s (ACA) patient protections and expansion of Medicaid -- and this is especially true for people living with HIV -- yet, print and television news have almost completely ignored their stories.
LGBTQ Americans deal with higher rates of poverty, greater need for Medicaid, and higher rates of HIV infection than the general population. Republican plans to decimate Medicaid and roll back patient protections will create disproportionate impacts for LGBTQ Americans. Yet, according to new research from Media Matters, major print and television news outlets have been virtually silent on how GOP health care proposals may harm members of the LGBTQ community.
Media Matters reviewed major broadcast and cable news providers (ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC) available via Nexis from May 4 through July 13 and found only two significant segments discussing how the Republican health care rollback would affect LGBTQ people and only two other unrelated segments discussing how the rollback would affect Americans living with HIV. A Media Matters review during the same period of time of print newspapers available via Nexis and Factiva (Los Angeles Times, The New York Times, USA Today, The Washington Post, and The Wall Street Journal) found only three print articles that discussed how the GOP health care plan may affect the LGBTQ community and/or people living with HIV.
A July 12 analysis from Media Matters found a similar lack of reporting by major television and print news outlets on how communities of color may be affected by Republican health care proposals. Additional Media Matters research has found that television news missed an opportunity to report on the unprecedented nature of the Senate’s health care secrecy and that television coverage had drowned out reports on how the legislation would impact tens of millions of Americans in favor of airing stories focused on the bill’s political machinations. Previous Media Matters research revealed that newspapers kept reports on health care off the front page during crucial periods of debate and that broadcast and cable news coverage neglected to consider diversity when booking guests to discuss health care-related topics.
LGBTQ news outlets including The Advocate, NBC Out, and The Washington Blade have all covered how Republicans plans to roll back Medicaid would affect LGBTQ Americans as well as the more than 1 million people living with HIV. According to the Center for American Progress (CAP), Medicaid is of significant importance for many LGBTQ Americans who face higher rates of poverty than the general population, and these higher rates of poverty correlate with fewer LGBTQ Americans having health insurance. On July 6, CAP reported that the ACA repeal legislation being considered by the Republican-led Senate -- the so-called Better Care Reconciliation Act (BCRA) -- may result in up to 560,000 LGBTQ Americans losing Medicaid coverage while restricting health care access for transgender Americans. From the report:
The BCRA slashes Medicaid by $772 billion over 10 years and would end Medicaid expansion over time:
- Medicaid covers at least 1.8 million LGBTQ adults, including 31 percent of LGBTQ adults living with a disability and 40 percent of LGBTQ adults with incomes under 250 percent of the federal poverty level.
- An estimated 560,000 LGBTQ adults will lose coverage if Medicaid expansion is ended.
- The BCRA prohibits federal Medicaid reimbursements for Planned Parenthood for one year; Planned Parenthood is one of the country’s largest providers of transgender-inclusive health care.
On February 14, the Kaiser Family Foundation reported that the ACA’s Medicaid expansion has lowered the uninsurance rates for people living with HIV from 22 percent to 15 percent from 2012 to 2014. The California HIV/AIDS Policy Research Centers found that in California alone, the Medicaid expansion covered an additional 11,500 people living with HIV. Coverage and care for those living with HIV is of significant concern for many in the LGBTQ community, as the Kaiser Foundation points out, because gay and bisexual men make up 56 percent of Americans living with HIV and 55 percent of all HIV-related deaths in the U.S. despite comprising just 2 percent of the American population.
If congressional Republicans are successful enacting their health care agenda, it could cause real harm to the nearly 69 million Americans enrolled in Medicaid, making it crucially important that news outlets tell their stories.
Media Matters conducted a Nexis and Factiva search of print editions of the Los Angeles Times, USA Today, The New York Times, The Washington Post, and The Wall Street Journal from May 4 through July 13, 2017. Media Matters also conducted a Nexis search of available transcripts of broadcast and cable news programs on ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC over the same time period.
We identified and reviewed all broadcast and cable news segments and noneditorial articles that included any of the following keywords: gay or lesbian or transgender or bisexual or LGBT or LGBTQ or queer or same-sex within 10 words of health care or healthcare or health reform or AHCA or Trumpcare or American Health Care Act or ACA or Obamacare or Affordable Care Act or CBO or BHCA or Medicaid.
People of color have been ignored during the health care debate
The Republican Party’s plan to gut the Affordable Care Act (ACA) will disproportionately hurt people of color -- a fact television and print news outlets have almost completely ignored in their coverage of ongoing health care debates.
On May 4, President Donald Trump held a White House celebration with a predominantly white group of Republican members of Congress after the House of Representatives voted to fund tax cuts for high-income earners by cutting health care subsidies and loosening patient protections benefitting low- and middle-income Americans. On May 8, The New York Times reported that 13 white Republican men would draft the Senate’s version of a health care reform bill, which remained shrouded in secrecy until it was released on June 22. Almost as if taking their que from the GOP, broadcast and cable news outlets made little effort over the same time period to invite diverse guests to discuss the health care bill despite dedicating significant coverage to the issue.
In fact, according to new research from Media Matters, news outlets have almost completely ignored how GOP health care plans would disproportionately impact people of color. A Media Matters review of the major broadcast and cable news providers available via Nexis (ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC) found only three significant stories from May 4 through July 9 on the health care bill’s disproportionate impact on communities of color. All three stories appeared on MSNBC's weekend program Politics Nation. Media Matters conducted the same analysis of five major print newspapers via Nexis and Factiva (Los Angeles Times, The New York Times, USA Today, The Washington Post, and The Wall Street Journal) and found only four print articles -- three in the Times and one in the Post -- highlighting that the GOP plans to repeal and replace the ACA would harm these already disadvantaged communities.
One of the few pieces discussing communities of color was an in-depth June 6 report (published in-print on June 11) in The New York Times on an overlooked HIV epidemic in African-American communities in southern states. Phill Wilson, president of the Black AIDS Institute, told the Times that ACA repeal would halt momentum for treating HIV and that he feared people would die if coverage was taken away. From the article:
“The key to ending the AIDS epidemic requires people to have either therapeutic or preventive treatments, so repealing the A.C.A. means that any momentum we have is dead on arrival,” said Phill Wilson, chief executive and president of the Black AIDS Institute, a Los Angeles-based nonprofit. “For the most vulnerable, do we end up back in a time when people had only emergency care or no care and were literally dying on the streets? We don’t know yet, but we have to think about it.”
The nonpartisan Congressional Budget Office (CBO) projected the Senate’s health care overhaul would result in 22 million fewer people with health insurance by 2026, including 15 million fewer low-income Americans being enrolled in the Medicaid program. Communities of color are disproportionately likely to receive Medicaid and restrictions could leave millions of people in disadvantaged communities at a loss. The Commonwealth Fund reported in August 2016 that communities of color benefitted greatly from the ACA’s provisions aimed at reducing health care inequality, and those communities could be hammered by GOP proposals to roll back successful reforms:
According to HuffPost contributor Richard Eskow, a senior fellow with the progressive group Campaign for America’s Future, Republican plans to gut the ACA “will disproportionately harm people of color” while the 400 wealthiest families in the United States would receive an average tax cut of $7 million. It is because GOP plans so directly harm people of color that journalist Vann Newkirk wrote in The Atlantic that health care is a civil rights issue for millions of Americans. On the July 10 edition of MSNBC’s Politics Nation, Newkirk discussed the importance for expanding access to health care as a means of reducing economic and health disparities that have existed along racial lines for generations:
Republican plans to repeal the ACA will exact an extraordinary toll on millions of Americans, and will have a disproportionate impact on people of color, women, and the LGBTQ community. That is why it is more important than ever for news outlets to contextualize this human cost.
Media Matters conducted a Nexis and Factiva search of print editions of the Los Angeles Times, USA Today, The New York Times, The Washington Post, and The Wall Street Journal from May 4 through July 9, 2017. Media Matters also conducted a Nexis search of transcripts of broadcast and cable news programs on ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC over the same time period.
We identified and reviewed all broadcast and cable news segments and non-editorial articles that included any of the following keywords: black or African-American or African American or hispanic or latina or latino or Asian or racism or racial or native american or people of color or indian or pacific islander within 10 words of health care or healthcare or health reform or AHCA or Trumpcare or American Health Care Act or ACA or Obamacare or Affordable Care Act or CBO or BHCA or Medicaid.
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Fox has a history of shaming low-income Americans
In defense of the Senate Republican health care bill to repeal the Affordable Care Act, Fox News is shaming the bill’s beneficiaries, claiming it helps “people who didn’t need it,” people who Fox claims get “handouts” and “goodies.” Fox News has a history of shaming recipients of public assistance, such as subsidized health insurance and nutritional assistance programs.
Right-wing media figures are trying to curry favor for the Better Care Reconciliation Act (BCRA) by attacking the Affordable Care Act (ACA), pushing lies about the BCRA, disparaging the nonpartisan Congressional Budget Office (CBO) or distorting its analysis of the legislation, and muddying the truth about the health care system in general. Here is a guide to the myths right-wing media are employing to sell the Senate Republican health care bill.
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After a report on the Senate health care legislation by the nonpartisan Congressional Budget Office (CBO) showed that the Republican plan would lead to 22 million more uninsured Americans than under the Affordable Care Act, right-wing media figures either tried to spin the CBO report by saying it was “extremely positive,” or attacked and undermined the CBO’s integrity. From an East Germany analogy to the suggestion that senators simply “forget” the millions that will be uninsured, here are 13 of the worst right-wing CBO takes.
Then helped her lie again
On the June 26 edition of Fox News’ Fox & Friends, co-hosts Steve Doocy, Brian Kilmeade, and Ainsley Earhardt flip-flopped twice on Medicaid cuts, supporting, then debunking, then returning to supporting the White House’s false claim that the Republican health care bill doesn’t cut Medicaid funding.
During the first hour of the program, the hosts repeated a debunked claim from Kellyanne Conway, counselor to President Donald Trump, that the Republican Senate’s health care bill does not cut Medicaid funding. Doocy claimed that those covered by Medicaid under the Obamacare expansion “will continue [being covered] in the future,” and Kilmeade added later that “we don’t even have that money” to fund the Obamacare Medicaid expansion “to begin with,” but the Republicans’ bill is “still increasing it” to guarantee coverage for the needy.
In the second hour of the program, Doocy asked Fox News contributor Dr. Nicole Saphier if “the Senate health care bill, as it stands this morning,” cuts Medicaid or not. Saphier claimed that it “depends on who you ask, [but] I’m going to say there will be cuts to Medicaid” because “you’re not taking away real-time dollars, however what you’re gonna see is a slowing of spending in the future.” Doocy attempted to diminish her claim by noting that it will be up to states to decide how to handle Medicaid, but Saphier said that “we’re not quite sure” how states will respond to the cut in federal funding.
Saphier’s analysis resembles that of several panelists on CNN’s New Day, who highlighted that the Senate is “handing a gigantic -- by one estimate $43 billion check -- I should say bill -- to the governors and asking them to figure out how to pay for this,” and that several states, “if they don't have the money to do that federal match, then they can just jump out of this altogether.” The Congressional Budget Office (CBO) score of the House version of the bill clearly states that “several major provisions affecting Medicaid would decrease direct spending by $880 billion over the 2017-2026 period, … culminating in 14 million fewer Medicaid enrollees by 2026, a reduction of about 17 percent relative to the number under current law.”
Shortly after Saphier debunked the White House’s false talking point, the hosts had Kellyanne Conway on the program to “set the record straight” because “if you watch the mainstream media this morning, they’re saying that you were caught in a lie.” Conway maintained that “it’s not a lie” because “it is slowing the growth of Medicaid” although it “continues to be funded.” She noted that “Medicaid over time would be unsustainable and unaffordable because Obamacare failed to bring costs down for health care, so these states are having a very difficult time meeting the bills.” Conway attacked “detractors and Trump haters” for “call[ing] me a liar because they don’t want to do the homework and look at what’s actually happening to Medicaid,” as Saphier did minutes earlier.
Republican senators produced a version of health care reform behind closed doors that would repeal and replace key aspects of the Affordable Care Act (ACA) and would put potentially millions of people at risk of losing access to vital medical care. Americans deserve to hear from those who would be most directly impacted by the proposed legislation.
On June 22, Senate Republicans released their proposed health care reform bill, titled the Better Care Reconciliation Act of 2017 (BCRA). The bill was drafted in secret by a small group of white Republican men without input from women, minorities, Senate Democrats, or even the majority of Senate Republicans. Overall, the Senate bill is largely similar to the House’s earlier health care plan, the American Health Care Act (AHCA), in that it guts Medicaid spending, denies federal funding for Planned Parenthood for one year, reduces subsidies for health care coverage, and offers a windfall in tax breaks for the wealthiest Americans.
As if taking cue from the Senate Republicans, cable and broadcast news media have largely shut out women and minorities in their coverage of the Senate’s health care bill, focusing instead on white men to provide analysis and opinion. As Media Matters has documented, men comprised two-thirds of all appearances on prime-time cable news, broadcast morning and nightly news shows, and Sunday morning political shows during discussions of the Republican health care bill. The study also found that 87 percent of all appearances were made by white guests. Media Matters found this trend with guests continued on cable news into the first full day of coverage of the Senate bill’s release.
However, reports indicate that women and minorities would be disproportionately affected by the Republican Party’s legislation. The LGBTQ community, people of color, and women would be disproportionately hit by cuts to Medicaid. For low-income Americans, losing health insurance could mean they would not receive regular care needed to keep them alive, even if they were to go to the emergency room. The GOP plan may also force those with disabilities into institutions. Women would find that some realities of being a woman -- having heavy periods or getting pregnant -- are now pre-existing conditions.
Medicaid cuts have a real impact on people’s lives -- impacts evident in rare examples of television news telling these stories. One such story was presented during the June 23 edition of CBS’ CBS Evening News, when reporter Mark Strassmann interviewed Jodi Maness, a 22-year-old mother and Medicaid recipient. He said she is worried about losing Medicaid and having to pay more for health care, saying that her biggest fear is the possible impact on her small children:
But highlighting the personal impact of the Republican health care plans has been rare, as television news channels largely have not emphasized the impact these proposals would have on women and minorities. Last Febuary, Media Matters reported that cable news outlets featured only three prime-time interviews of individuals who had participated in congressional town halls during the February 18-26 week -- informally called “Resistance Recess” -- instead relying primarily on talking heads to discuss the week of action. It’s still true that audiences would be better served by hearing directly from the women and minorities who would be directly impacted by this legislation rather than just pundits endlessly debating it.
If the congressional Republicans’ health care agenda is successful, it would cause real harm to wide swaths of Americans. With nearly 75 million Americans enrolled in Medicaid or the Children’s Health Insurance Program, there are plenty of individuals who would be affected by the Senate’s health care bill for the media to interview, if only the press would be willing to sit down with them.
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News outlets, experts, and health care advocates blasted President Donald Trump’s federal budget proposal that would rip health care away from millions while eliminating key HIV prevention and research programs. If enacted, these cuts would have a disproportionately devastating impact on members of the LGBTQ community, who rely more heavily on Medicaid than the general public does and face higher rates of HIV infection.
Outcries continue to grow in response to Trump’s federal budget proposal for the 2018 fiscal year. The proposal faced immediate criticism for its unrealistic revenue projections and was branded by critics as a “repugnant grab bag” of cuts to vital anti-poverty and public health programs to pay for part of a massive tax cut for top earners. The latest criticism of Trump’s budget comes from public health experts and LGBTQ media, which are pointing out that its cuts to Medicaid, coupled with harsh reductions in funding of HIV treatment, prevention, and research add up to a reprehensible swipe at the LGBTQ community.
Cuts to Medicaid would disproportionately affect the LGBTQ community, which faces higher levels of poverty than the public at large. On May 28, NBC Out reported that Trump’s budget would hit the LGBTQ community in several ways. Stephen Forssell, director of George Washington University’s graduate program in LGBTQ health policy, explained that Medicaid is “hugely important” for LGBTQ Americans, who are more likely than others to rely on the program:
Medicaid is "hugely important" for the LGBTQ community," (sic) Gruberg told NBC Out, noting that 18 percent of lesbian, gay, bisexual and transgender people have Medicaid compared to 8 percent of non-LGBTQ people.
Gruberg also noted that Medicaid is the "largest source of coverage for people with HIV in the U.S.," adding that "a $1.4 trillion cut to Medicaid over 10 years will be detrimental to the ability of people living with HIV to get the health care they need to survive."
HIV funding is of great concern for the LGBTQ community and faces steep cuts in the White House’s budget. The Health Resources and Services Administration (HRSA) outlined that the fiscal year 2018 budget would include a $59 million reduction to the Ryan White HIV/AIDS program, including eliminating all its funding for LGBTQ and minority education and HIV prevention. The Ryan White HIV/AIDS program funds health care services for individuals living with HIV as well as public service education programs about the virus. The program is named after an HIV activist who fought for the program’s enactment before tragically passing away just months before it was authorized after battling the virus.
On May 31, the Washington Blade highlighted the funding cuts to the Ryan White HIV/AIDS program and an additional $186 million in proposed cuts to the Center for Disease Control and Prevention’s (CDC) work on HIV and other sexually transmitted infections (STIs). Doug Wirth, CEO of the nonprofit Amida Care, called Trump’s budget proposal a “cruel and callous attack” on those living with HIV. Advocacy groups argued that the funding cuts would lead to “more suffering” for those living with HIV, and the AIDS Institute criticized the White House’s “severe cuts” while noting that the 19 percent cut to the CDC’s HIV prevention program would set back efforts to eliminate the virus.
According to the Kaiser Family Foundation, gay and bisexual men represent 2 percent of the American population but make up 56 percent of all Americans living with HIV and 55 percent of all HIV-related deaths in the U.S. The CDC reported that while HIV diagnoses have declined overall in recent years, diagnoses have increased among gay and bisexual men. The CDC found that much of the increase was among men of color and even projected that one out of every two black gay and bisexual men would become infected with the virus during their lives. Currently, gay and bisexual men make up 67 percent of all new HIV infections:
Trump’s cuts to HIV programs are eerily reminiscent of cuts Vice President Mike Pence imposed on Indiana during his tenure as governor. Pence followed through on right-wing media’s obsession with defunding Planned Parenthood and cut funding to the health care provider ostensibly to reduce abortions, but in doing so actually shut down access to the only HIV testing centers available to many Indiana residents and may have inadvertently caused an HIV epidemic in rural parts of the state. Pence has a long history of supporting right-wing media causes against the LGBTQ community and during the 2016 presidential campaign was called out by MSNBC host Rachel Maddow for statements he made while serving in Congress.
Trump campaigned as an alleged ally of the LGBTQ community, but community leaders recently slammed his “shameful” refusal to sign a proclamation declaring June LGBTQ Pride month, ending an eight-year tradition. The Trump administration also faced pushback after it announced it would not allow Americans to self-identify as LGBTQ in the 2020 national census.