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Podcast: KHN’s ‘What The Health?’ The Karma Of Cutting Medicare

Like these of his latest predecessors, President Donald Trump’s proposed finances for the fiscal 12 months that begins in October won’t be adopted by Congress. Nonetheless, a presidential finances plan is a vital indicator of the administration’s priorities.

The Trump administration’s precedence for well being is for the federal authorities to spend much less. In some instances a lot much less, as evidenced by its proposed funding for the Nationwide Institutes of Well being and Facilities for Illness Management and Prevention.

Additionally this week, a federal district choose in Washington, D.C., heard arguments in a case difficult work necessities for some Medicaid enrollees in Arkansas and Kentucky. This is identical choose who struck down an earlier model of Kentucky’s proposal.

In the meantime, Meals and Drug Administration chief Scott Gottlieb is stepping down, however this week he issued extra guidelines meant to forestall minors from buying flavored e-cigarette merchandise.

This week’s panelists are Julie Rovner of Kaiser Well being Information, Stephanie Armour of The Wall Avenue Journal, Alice Ollstein of Politico and Rebecca Adams of CQ Roll Name.

Among the many takeaways from this week’s podcast:

Trump’s finances could flip the tables on the Republican Get together. It requires greater than $500 billion in reductions to Medicare, a lot of that in funds to suppliers. That’s much like what Democrats proposed to assist fund the Inexpensive Care Act — a tactic that Republicans used to whip up widespread opposition to the legislation and acquire management of the Home of Representatives. Depend on Democrats to return the favor in coming campaigns.
Some Republicans, together with Rep. Tom Cole of Oklahoma, a key Republican on the Home Appropriations Committee, signaled considerations about finances cuts beneficial by the administration, particularly for NIH.
On Medicaid, the finances means that states be allowed to manage many elements of this system as they see match. However opponents are prone to ask courts to cease any efforts to weaken federal necessities for protection.
Home Democrats have begun an investigation of the advertising and marketing and advantages of short-term insurance policy to see if they’re denying promised protection to customers. The lawmakers are involved that what they name “junk plans” are complicated customers who could be higher off with insurance policies from the ACA’s market. However any efforts to rein within the plans — which have the blessing of the Trump administration — may run into opposition from Republicans.
A federal appeals court docket this week dominated that Ohio could exclude Deliberate Parenthood from collaborating in a number of small federal well being packages that present cash to the state to distribute. The case doesn’t contain both Medicaid or the federal household planning program, however the participation of 4 judges appointed by Trump may sign a judicial development.

Plus, for further credit score, the panelists suggest their favourite well being coverage tales of the week they assume you must learn too:

Julie Rovner: Buzz Feed Information’ “Navy Medical doctors Instructed Them It Was Simply ‘Feminine Issues.’ Weeks Later, They Have been In The Hospital,” by Ema O’Connor and Vera Bergengruen.

AND

The New York Occasions’ “Handled Like a ‘Piece of Meat’: Feminine Veterans Endure Harassment on the V.A.,” by Jennifer Steinhauer.

Rebecca Adams: Kaiser Well being Information’ “’Medicare-For-All Will get Buzzy In Sudden Locales,” by Shefali Luthra.

Stephanie Armour: Kaiser Well being Information’ “Understanding Loneliness In Older Adults – And Tailoring A Answer,” by Judith Graham.

Alice Ollstein: HuffPost’s “These Citizen Activists Fought Onerous to Increase Well being Care. Then Their Lawmakers Rebuked Them,” by Jeffrey Younger.

To listen to all our podcasts, click on right here.

And subscribe to What the Well being? on iTunes, Stitcher or Google Play.

Kaiser Well being Information (KHN) is a nationwide well being coverage information service. It’s an editorially unbiased program of the Henry J. Kaiser Household Basis which isn’t affiliated with Kaiser Permanente.

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