Fox & Friends smears Justice Department settlement practice that funded groups working on behalf of low-income communities
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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.
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.
"Mean-spirited" and "cartoonish" depictions of Social Security Disability Insurance are a disservice to millions of Americans
Disability advocates hammered The Washington Post for its second misleading portrayal of Social Security Disability Insurance (SSDI) recipients, saying it was a “mean-spirited” and “cartoonish” illustration of the struggles of those living with poverty in rural America. The second feature-length profile published by the Post has drawn consternation for its poverty-shaming, while also generating fears that these misleading depictions from mainstream news outlets could set the pretext for draconian budget cuts to programs that provide basic economic security to millions of Americans.
The Post’s previous foray into coverage of SSDI recipients did not end well; Media Matters joined disability advocates in criticizing the paper’s “dystopian portrait” of the program and its enrollees and was later found to be replete with critical data errors. The piece promoted the same misleading talking points about the program that are commonly touted by right-wing media. Despite these concerns, the Post’s editorial board used the deeply flawed article as its proof for justifying unnecessary cuts to the SSDI program.
The paper’s June 2 article in its series on disability coverage is just as misleading and problematic as the first. The article, titled “Generations, disabled,” attempts to chronicle the trials of a low-income Missouri family that relies on meager SSDI benefits. The article relied almost exclusively on anecdotal evidence drawn from the Tidwell family to buttress characterizations of SSDI and its recipients as succumbing to multi-generational dependence on federal assistance.
The article earnestly focused on the fact that one or more members of four generations of Tidwells have received federal assistance and detailed their daily routines in a way that political scientist Katherine Gallagher Robbins of the Center for American Progress (CAP) likened to the depictions of poverty and disability in Of Mice and Men. As CAP’s Rebecca Vallas pointed out in her damning review, “the article’s text makes no mention” of the fact “that disability often runs in families” and neglects to mention that disability benefits are “incredibly hard to get.”
The Post seemed to depict generational disability as a cultural problem, but as Annie Lowrey of The Atlantic pointed out, the article never provided any data to prove this or demonstrate that multiple generations of a family receiving SSDI is evidence of them being undeserving. Vox correspondent Matthew Yglesias voiced even stronger criticism, labeling the article as “incredibly mean-spirited” and “smack[ing] of the worst kind of moral panic.”
Issues with the Post’s story didn’t end there. In a June 5 column published by The Poynter Institute, journalist S.I. Rosenbaum added that the article misled readers by claiming to describe a family “on disability” without ever verifying that the Tidwell family are indeed all receiving benefits from SSDI, rather than other anti-poverty programs.
The generally exploitative tone of the piece was not the primary problem with the Post’s return to the topic of disability. The biggest problem created by the piece is how it could be used by political interests seeking to implement deep cuts to the American social safety net.
As Vallas pointed out in her response, by “pushing the nastiest of myths about Social Security disability benefits and the people who rely on them,” the Post set the pretext for budget cuts that will restrict access to the program. The Consortium for Citizens with Disabilities voiced the same concern, arguing that “reporting by anecdote runs the risk of fostering harmful policy changes” such as those already proposed by the Trump administration. Economist Dean Baker of the Center for Economic and Policy Research (CEPR) came to a similar conclusion, mocking the Post’s “poetic description” of farming jobs available in rural Missouri, which suggested that disability recipients simply refuse to work those jobs. Baker added that the United States actually has one of the least generous disability programs in the world, but countries with more generous programs are not suffering labor shortages:
The obvious next segment in this series would have a Post reporter going to Germany or the Netherlands or some of the other countries that manages to have a larger percentage of their population working even though they have considerably more generous disability systems. The article can tell readers how they manage to structure their programs so that everyone doesn't quit their jobs and fake disability so that they can live off the government. For some reason, I don't think this is where the Post series is going.
We have already seen a Post report on SSDI result in the paper’s editorial board calling for unnecessary cuts to the program in a way eerily reminiscent to Fox News’ campaign against the Supplemental Nutrition Assistance Program (SNAP), which immediately resulted in Republican-authored legislation in Congress slashing the program and eventually trickled down to GOP-led state houses. The Trump administration is already targeting Social Security’s disability program for budget cuts next year and media outlets have largely failed to hold the president accountable for an obviously broken campaign promise to safeguard Social Security. The American people would be well-served if, rather than publishing more dehumanizing portrayals of disability recipients, the Post and other news outlets contextualize the hardship millions of Americans would face if SSDI and other vital programs are subjected to new cuts and restrictions.
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While many conservative media voices have been cheering President Donald Trump’s proposed budget that would cut billions in vital programs for the impoverished and disadvantaged, experts and reporters who focus on one of the most far-reaching programs -- Community Development Block Grants (CDBG) -- say its proposed elimination would impact more citizens than most.
The 42-year-old program, enacted by the Ford administration as a program of the U.S. Department of Housing and Urban Development (HUD), provides some $3 billion for local communities to use for everything from senior centers to housing and road construction to drug treatment, say experts.
And when the cuts were first proposed in March, reporters who cover such programs contended that claims of waste and corruption in the funding are misleading.
“They just think it's government waste, that these are slush funds of local officials and particularly that they were funneled to special projects,” Liz Farmer, public finance writer for Governing magazine in Washington, D.C., said of critics. “But the block grants hit everybody, particularly needy populations because that is what local governments tend to want to spend the money on.”
Since Trump’s budget blueprint was revealed on March 16, many conservative commentators have cheered the spending plan for its efforts to cut programs from climate research to public broadcasting.
Several have also taken on the CDBG program specifically. Among them is Reason magazine’s Scott Shackford, who wrote, “The CDBG program is chock full of cronyism and corruption and should be eliminated. Much like the corrupt city redevelopment agencies, what actually ends up happening is that this money gets funneled by politicians to friends with connections for various projects that aren't really about helping the poor at all.”
But those who rely on the funding, and others who report on it, say such claims are unfounded and the program actually helps more people in more places than many other federal funding sources do.
“In Philly, they help residents who are facing foreclosure to keep their houses, foreclosure assistance, and for homeowners who are low-income and own their houses, they help with repairs of those houses,” Aubrey Whelan, a local government and community services reporter at The Philadelphia Inquirer, said when the cuts were initially revealed. “It is a lot for commercial development, aid to small businesses.”
She said Philadelphia alone receives about $39 million in CDBG funds, with much of it going to affordable housing and providing assistance to small businesses in hard-hit low-income neighborhoods.
“City officials said it would wholesale eliminate programs, not just have them operating at a limited capacity,” said Whelan. “It’s something that people are pretty concerned about here. It affects a lot of different people.”
Whelan, Farmer, and other journalists we spoke with when the CDBG elimination was first proposed said they find little to no problems in CDBG management, contrary to claims found in conservative media.
Most said the real story is how the cutbacks would hurt the most needy in many of their communities.
“Palm Beach County has been using this funding to address underserved areas, to tackle homelessness and for vulnerable groups,” said Skyler Swisher of the Sun Sentinel in Fort Lauderdale, FL. “If those funds are going to be cut, you are going to have some local officials who are not going to be very happy.”
Swisher, who covers the county that is home to Trump’s Mar-A-Lago club, said the county receives about $5.8 million in CDBG funds each year, which has helped with abandoned building demolition, code enforcement, water and sewer improvements, and a homeless shelter's operation. It has also supported transitional housing for those impacted by domestic violence.
He also pointed out that the proposed cuts would come while Trump costs the county $60,000 per day in overtime for police officers every time he visits, according to the county sheriff’s office.
“The biggest beneficiaries are some of the most low-income communities of Palm Beach County,” Swisher said of the grants.
Another place that would feel the pain is El Paso, TX, which receives about $6 million in CDBG funds, according to Veronica Soto, the city’s director of community and human development.
“We use the bulk of the money to do investments, reinvestments into low-income neighborhoods,” Soto said earlier this year. “We have funded improvements to parks in lower and moderate income areas, we have senior centers, we have done curb cuts, sidewalk gaps. It would mean those projects would not move forward. Because a lot of our money goes to parks, the kids would be impacted.”
She said the Trump budget cuts would also mean cutting 33 city jobs, nine in her department.
“I would have to lay myself off,” Soto said. “Seventy-five percent of my salary is from grants.”
Kevin Howard, manager of the community development division for Little Rock, AR, said the cuts would affect about 10,000 people in his community.
“The citizens benefit from this in different ways,” he said. “We do a lot of homeowner-occupied rehabs and public service grants for health services, meals on wheels, and private wheelchair ramps for senior citizens.”
Asked about claims by some in the media that these programs are wasteful or mismanaged, he replied: “These are not handouts; these are people who cannot do it themselves. I have never seen any corruption or mismanagement.”
Roland Garton, president of The Grant Helpers of Champagne, IL, a grant writing consulting firm that aids local communities in filing for such grants, said CDBG cuts would hurt the neediest.
“Since they tend to target low-income groups, those would be the hardest hit,” Garton said. “This is money that big cities and small cities both have access to. There are a lot of programs that focus on one or the other. But these have broad applications to all cities. The hits would be broad. States that are weak economically would be hardest hit.”
The proposed cuts have also been criticized by the president of the U.S. Conference of Mayors, Republican Oklahoma City Mayor Mick Cornett. He issued a statement in March condemning the proposed cuts:
“Community Development Block Grants are the only federal funding source that gives city leaders some discretion in how the money is spent, and mayors have used them to leverage private investment, create affordable housing, spur economic development, rebuild infrastructure and provide services that strengthen metro areas. America’s mayors will continue to work with our many champions in both the House and Senate to ensure that critically-needed tools like CDBG funds and the HOME Investment Partnership are fully funded.”
The number of food stamp recipients is roughly equal to the number of people living in poverty, far below number who qualify for assistance
Fox News contributors and hosts defended President Donald Trump’s draconian budget request for fiscal year 2018 by coalescing around a talking point also voiced by the White House that spending cuts for nutrition assistance programs are justified because of their gut feeling that too many people are using them. In the real world, the number of food stamp recipients is roughly equal to the number of Americans living in poverty, which has remained elevated since the last recession ended.
During a May 23 press conference discussing Trump’s budget request, NBC News correspondent Peter Alexander asked Mick Mulvaney, the director of the Office of Management and Budget (OMB), to defend the president’s decision to cut programs like Social Security and Medicaid that he had promised to protect during the campaign. Mulvaney falsely claimed that no person who “really needs” assistance will be removed from the programs, and turned to Trump’s proposed new restrictions to the Supplemental Nutrition Assistance Program (SNAP), commonly known as “food stamps,” as an example. Mulvaney noted that the number of SNAP recipients “spiked during the recession” to over 42 million and complained that it remains high today “eight years removed from the end of the recession.” Mulvaney ended his remark by wondering “why is the number still that high?”:
Mulvaney’s unfounded gut feeling that the number of people receiving SNAP benefits is too high was endlessly reiterated by Fox News and Fox Business personalities who have a long track record of attacking the program. On the May 22 edition of America’s News Headquarters, contributor Mercedes Schlapp bemoaned the so-called “entitlement mentality” of Americans who might oppose unnecessary cuts to food assistance. Later that day, on Your World with Neil Cavuto, host Cavuto complained the number of SNAP recipients has “ballooned to over 44 million today” (it’s actually 42 million), baselessly suggesting it was “not sustainable,” while conservative columnist Carrie Sheffield falsely claimed that federal food assistance has “crowded out the private sector.”
Fox returned to the complaint on May 23, dedicating time on Fox Business’ Cavuto: Coast to Coast and Risk & Reward to the same talking point that 44 million SNAP recipients seemed like too many and therefore the program must be cut. On Making Money with Charles Payne, host Payne and guest Liz Peek falsely argued that food assistance programs are meant only to be “emergency programs” while lamenting the number of users. During that day’s edition of Your World, Cavuto returned again to his complaint about the number of people enrolled in SNAP, remarking that if 44 million Americans are really in need of food assistance “we’re Mozambique, we’re not America.” Moments later, Cavuto was joined by Rep. Jim Jordan (R-OH), who defended adding new restrictions to food assistance programs and agreed with Cavuto’s characterization that there is no way so many people truly qualify for assistance.
Contrary to this misleading characterization, the number of SNAP recipients is actually lower than the number of people who qualify for the program and is roughly equal to the number of people living in poverty (see graph below). One would expect the number of SNAP beneficiaries to largely mirror the number of Americans living in poverty because the program is available, with some restrictions, for individuals earning up to 130 percent of the federal poverty level.
For much of the program’s history, the number of people who actually participated in the federal food assistance program was far less than the number who struggled with poverty and the number who potentially qualified for assistance. That began to change during the Bush and Obama administrations, when technological improvements and a bipartisan effort to tackle stigma helped get more deserving families and individuals enrolled in the program. Rates of waste, fraud, and abuse in the system have actually fallen as participation increased and, according to a November 2016 report from the Department of Agriculture, which administers the program, the gap between the number of Americans who qualify for assistance and the number who receive it has been narrowing for years:
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Trump promised not to touch Social Security during the campaign, but some reporters reframed that broken promise for him
A number of usually reliable reporters were duped by White House spin that President Donald Trump’s draconian budget proposal for fiscal year 2018 to slash spending for Social Security Disability Insurance (SSDI) was not a violation of his major campaign pledge to protect Social Security from cuts.
During his June 16, 2015, announcement to run for president, Trump clearly and unequivocally promised that if he was elected, he would “save Medicare, Medicaid, and Social Security without cuts.” Trump’s campaign declaration fit previous statements he made in the run-up to his announcement, wherein he claimed he was “the only [Republican] who won’t cut Social Security” and stated “I am going to save Social Security without any cuts.” Trump even hit then-presidential candidate Mike Huckabee for copying his call to safeguard Social Security with “no cuts” and later reiterated his promise to “save” the program while attacking former presidential candidate and current member of Trump’s cabinet Ben Carson:
Ben Carson wants to abolish Medicare - I want to save it and Social Security.
— Donald J. Trump (@realDonaldTrump) October 26, 2015
After Trump’s repeated statements that he would not cut Social Security, the White House’s decision to include significant cuts to SSDI in its 2018 budget request represents a broken campaign promise. Some journalists -- including Washington Post reporter Philip Bump, Los Angeles Times columnist Michael Hiltzik, and NBC News reporter Benjy Sarlin -- caught on to what was actually being proposed, and Vox’s Dylan Matthews stated that these cuts clearly break “a crucial campaign promise.” Yet, despite this, several other journalists fell for the White House’s misleading spin.
In the midst of an otherwise brutal recap of Trump’s budget, HuffPost reporter Arthur Delaney claimed “the document mostly honors Trump’s unorthodox campaign promise not to cut Social Security or Medicare” before actually quoting Mick Mulvaney, the director of the Office of Management and Budget, as he expounded on proposed cuts to “disability insurance.”* In her write-up of the budget that detailed the profound impact it will have on low-income communities, New York Times reporter Yamiche Alcindor noted that Trump “would cut access to disability payments through Social Security” but casually added “the main function of Social Security — retirement income — would flow unimpeded.” New York Times reporter Julie Hirschfeld Davis included similar misleading language in her report on the budget, arguing, “The blueprint also steers clear of changing Social Security’s retirement program or Medicare” and promoting the administration’s claim that Trump’s promise to protect “retirement” was intact.
Washington Post reporters Damian Paletta and Robert Costa also fell for the White House’s misdirection gambit, writing of the president’s campaign rhetoric: “Trump insisted that they could not cut retirement benefits for Social Security.” NPR reporter Scott Horsley also detailed the “significant cuts to social safety net programs” while promoting the Trump administration’s spin that the campaign promise was merely to “preserve” the “Social Security retirement program.” Axios reporter Jonathan Swan managed to write a review of Trump’s budget that committed both sins; first claiming that the Trump budget fulfilled “his campaign promise” not to touch Social Security and later claiming that it merely would not affect retirees**:
ORIGINAL: President Trump's 2018 budget proposal on Tuesday won't reform Social Security or Medicare — in line with his campaign promise — but it will make serious cuts to other entitlement programs. A source with direct knowledge tells me the Trump budget will save $1.7 trillion on the mandatory side over the next ten years.
CURRENT: President Trump's 2018 budget proposal on Tuesday won't cut Social Security payments to retirees or Medicare, but it will make serious cuts to other entitlement programs. A source with direct knowledge tells me the Trump budget will save $1.7 trillion on the mandatory side over the next ten years.
*The HuffPost report was corrected after pressure from readers and disability advocates to include the word “mostly.” The original post did not include that conditional language and incorrectly stated “the document honors Trump’s unorthodox campaign promise not to cut Social Security or Medicare.”
**The Axios report was changed after its initial publication but no editor’s note or correction was added to indicate the revision. Media Matters had criticized the original language of the article in a May 22 blog.
Budget proposal will include deep cuts to Medicaid and Social Security, programs Trump promised to protect during campaign
Multiple news outlets have reported on the harsh human toll of President Donald Trump’s budget proposal, which is expected to gut programs that guarantee basic living standards, including parts of Medicaid and Social Security. These cuts directly contradict Trump’s promise to save the programs “without cuts.”
The White House first hinted at slashing programs that help working- and middle-class Americans on February 26 when, according to Bloomberg, Trump floated proposals to increase defense spending by 10 percent while cutting programs including assistance for low-income Americans while still promising not to touch Medicare, Medicaid, and Social Security. The White House claimed these drastic cuts would help spur economic growth, an absurd claim that was resoundingly ridiculed by economists as “deep voodoo” and “wholly unrealistic.” The administration’s initial budgetary proposals were so drastic and poorly thought out that they stunned many observers and experts. The White House even advocated cutting assistance to the Corporation for Public Broadcasting, which would be particularly harmful to “small-town America,” and Meals on Wheels, which “doesn’t make economic sense” and would cruelly deny millions of elderly Americans basic companionship and a hot meal.
On May 21, The Washington Post reported that the White House will unveil a formal federal budget proposal that goes even further than the administration’s earlier indications by proposing “massive cuts to Medicaid” and other anti-poverty public assistance programs. On May 22, Axios reported that the president plans to cut $1.7 trillion over 10 years from federal assistance programs including the Supplemental Nutrition Assistance Program (SNAP), the Children’s Health Insurance Program (CHIP), and Social Security Disability Insurance (SSDI), which collectively serve tens of millions of people. (Axios incorrectly stated that Trump’s budget plan “won’t reform Social Security or Medicare,” before outlining Trump’s plan to cut SSDI and incorporate massive Medicaid restrictions that would become law if his Obamacare repeal plan is ever enacted.)
As details of Trump’s budget plan continued to leak, some media outlets explained the devastating consequences for millions of Americans if the White House gets its way and these drastic cuts take effect. They also explained that Trump’s embrace of deep cuts to components of Medicaid and Social Security represent a betrayal of his promises from the campaign.
CNN chief business correspondent Christine Romans explained on the May 22 edition of CNN Newsroom that much of the money being cut from mandatory spending would come from Medicaid, which could see up to a 25 percent reduction in federal funding, pushing the financial burden onto the states and kicking 14 million people off their health insurance programs. Romans mentioned that protecting Medicaid is one of many campaign promises from Trump “that are turning out not to be true.”
On the May 22 edition of MSNBC Live, host Chris Jansing went even further in breaking down the human toll of Trump’s budget cuts with NBC News senior editor Beth Fouhy and New York Times national reporter Yamiche Alcindor. The show aired part of an interview with a mother of two young children, who told Fouhy that if these cuts are enacted, the costs of care for her child with cerebral palsy will bankrupt her. Then they showed a clip of Trump on the campaign trail proclaiming that he would “save Medicare, Medicaid, and Social Security without cuts.” Alcindor discussed a report she wrote for the Times earlier this month about the human costs of budget cuts that would lead eliminate programs that help provide small communities with access to clean drinking water, drug rehabilitation centers, and jobs programs:
Right-Wing Media Push Absurd Idea That The Uninsured Can Just Go To The E.R.
Right-wing media attempted to pacify the millions of Americans who would lose their health insurance coverage if the American Health Care Act (AHCA) becomes law with the absurd notion that people do not need insurance to receive access to health care via the emergency room. In reality, laws requiring hospitals to treat patients regardless of their ability to pay apply only to emergency care to stabilize a patient; they do not constitute a mandate to provide all of a patient’s routine health care needs.
Right-wing media have attempted to defend Republicans in the House of Representatives who voted for the AHCA -- a previous version of which was expected to strip health insurance coverage from up to 24 million Americans -- by pushing the misleading idea that those without medical coverage can just go to the emergency room. On the May 7 edition of Fox Broadcasting’s Fox News Sunday, former Republican Speaker of the House Newt Gingrich dismissed late-night comedian Jimmy Kimmel’s heartfelt plea that no child should go without health care on account of their family’s finances, denouncing what he called the “mythology of the left” and claiming hospitals will treat a sick person regardless of their ability to pay. On the May 8 edition of Fox News’ Happening Now, The Blaze’s Lawrence Jones pushed the same narrative that those without health insurance can access care at emergency rooms when he attempted to defend Rep. Raul Labrador’s (R-ID) comments at a town hall that “nobody dies because they don’t have access to health care.” This narrative even made it’s way onto the May 9 edition of MSNBC’s Morning Joe, where host Joe Scarborough claimed that “we already have universal health care coverage; the problem is that so much of it is driven by emergency room visits.”
Hospital emergency rooms have been required to provide care for the uninsured since the Emergency Medical Treatment and Labor Act (EMTALA) was enacted in 1986, but the provider is required only to “stabilize a patient within its capacity.” EMTALA does not mandate that a hospital provide full medical treatments to an uninsured patient, only that “patients receive appropriate emergency care.” Aaron Carroll, a professor of pediatrics at the Indiana University School of Medicine, explained in a blog post that EMTALA requires only treatment of an emergency situation, not provision of the regular life-saving treatment necessary for many illnesses, such as diabetes:
Over 25 million people in the United States have diabetes, requiring regular access to medication to stay alive. They can’t get insulin in an emergency room. They can’t get needed eye exams or kidney function tests in the emergency room. They can’t get a checkup in the emergency room. But once they go into hypoglycemic shock or once their feet become gangrenous, then they can get examined and treated. Does that sound like access to health care?
Emergency rooms are designed to treat emergencies, not provide care for all health conditions, and they are a costly alternative to seeking treatment at a doctor’s office for a minor illness or injury. Since the passage of Affordable Care Act (ACA), more low-income Americans have had access to health insurance and, with it, regular preventative services. In fact, states that accepted the ACA’s expansion of Medicaid found new enrollees took advantage of this new access and were 62.9 percent more likely to visit a general care physician. Low-income Americans are now less likely to face crushing medical debt thanks in part to not having to bear the uninsured cost of emergency room visits and catastrophic care, which was the case for millions of Americans before the ACA became law. Dismantling the ACA, as columnist Michael Hiltzik explained in the Los Angeles Times, would put millions at risk of losing access to care and possibly facing medical bankruptcy once again.
During the May 8 edition of ABC's Jimmy Kimmel Live, Kimmel responded directly to Gingrich’s absurd emergency room claims by explaining that emergency care is often just one part of a patient’s treatment. Kimmel noted that his son has had “a dozen doctors appointments” since his initial emergency, along with numerous ancillary costs associated with his treatments, which “Newt forgot to mention.” The back-and-forth between Gingrich and Kimmel became a story unto itself, and it was the subject of a panel segment on the May 9 edition of CNN’s New Day, in which co-host Chris Cuomo reiterated that an emergency room is not the appropriate place to treat all of a person’s health care needs:
Moore: Medicaid Cuts Were “Central To Our Plan All Along,” Contrary To Trump’s Public Statements
Discredited right-wing economic pundit and former Trump campaign economic adviser Stephen Moore accidentally let slip that gutting the Medicaid program “was central” to President Donald Trump’s plan to repeal Obamacare, despite the president’s repeated assertions that he would not touch the program. The statement corroborates admissions Moore made at a private event last July, when he claimed that Trump would fund massive tax cuts and reckless spending by dismantling programs that provide basic living standards for millions of Americans.
During the May 8 edition of CNN Newsroom, Moore -- CNN’s “senior economics analyst” -- was joined by University of Chicago economist Austan Goolsbee to discuss the merits of billionaire businessman and philanthropist Warren Buffett’s argument that the Trump health care agenda amounts to little more than a tax cut for the rich funded by cuts to health care subsidies for low-income Americans. Goolsbee pointed out that Trump’s health care legislation “cuts taxes for high-income people by hundreds of billions of dollars” at the expense of Medicare and Medicaid, which Trump promised “he would never cut.” Moore interjected falsely: “He never said that we weren’t going to reform Medicaid,” arguing, “That was central to our plan all along”:
Moore’s claim was debunked on air by co-hosts John Berman and Poppy Harlow, as well as Goolsbee, who cited Trump’s tweets and public statements as proof that he had broken his promise to protect Medicaid. Reporters who tuned in for the performance also noted Moore’s false statement. Moore accepted Berman’s correction before quickly pivoting to talking points extolling the virtues of converting Medicaid to block grants, which would also amount to a massive benefit cut for recipients.
Moore’s secondary claim that gutting Medicaid was “central to our plan all along” drew little notice from the fact-checkers, but it sheds light on Trump’s real agenda. According to a September 7 article from HuffPost political reporter Christina Wilkie, Moore had outlined Trump’s often contradictory economic plans during a “question-and-answer session” at a private July 14 meeting of the conservative Council for National Policy (CNP) in Cleveland, OH. During the event, Moore suggested that Trump planned to pay for his costly economic agenda by removing supposedly onerous public protections imposed by the federal government and enacting “draconian public assistance reforms and cuts in social services.” Since taking office, Trump has proposed a budget and health care agenda that would fulfill those promises. As the article noted, Moore’s zeal for tearing down anti-poverty programs, including Medicaid, seems to undermine Trump’s claim that he would focus on “looking out for the downtrodden.” It also confirms that imposing this harsh agenda -- and lying about it -- was indeed “central to” the Trump team’s economic plan “all along.”