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The 2025 Government Shutdown Thread

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essentialsaltes

essentialsaltes

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mark46 said:
An undocumented immigrant that doesn't qualify for Medicaid because of his undocumented status comes into a hospital emergency room. By federal law, the hospital must treat him.

Republicans recently changed the old law and the federal government no longer has to reimburse the hospitals for providing the are required by federal law.
Click to expand...
No, the new law reimburses hospitals at a lower level, but not zero.

The final bill that was signed into law will limit federal matching payments for Emergency Medicaid for individuals who would otherwise be eligible for expansion coverage except for their immigration status to the state’s regular federal Medicaid match rate as opposed to the expansion match rate.
mark46 said:
Democrats want the feds to be required to reimburse the hospitals.
Click to expand...
Republicans want the feds to be required to reimburse the hospitals. But at a lower level.

mark46 said:
So, YES, the Democrats want the federal government to pay for some of the cost of emergency care of undocumented immigrants.
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So do Republicans. Either that, or this phony baloney framing is phony baloney.
 
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essentialsaltes

essentialsaltes

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essentialsaltes said:
Taking care of constituents (and future AOC 2036 voters).
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Meanwhile, back at the White House...

Trump uses shutdown to troll Democrats with deepfake memes about layoffs​

Speaker Mike Johnson defended the president's use of AI-generated videos.

In one post late Thursday, the president posted an AI-generated video depicting Office of Management and Budget Director Russ Vought as the "Grim Reaper" while the administration threatens mass layoffs of federal workers and cuts to what Trump calls "Democratic Agencies."

In another post, Trump highlighted another AI-generated video of himself trolling House Minority Leader Hakeem Jeffries with a “TRUMP 2028” hat while they appeared to negotiate in the White House on Monday.

"The effects [of the shutdown] are really serious on real people, real Americans" [said Speaker Johnson] "Is he trolling the Democrats? Yes. Because that is what President Trump does and people are having fun with this."
 
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mark46

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essentialsaltes said:
No, the new law reimburses hospitals at a lower level, but not zero.

The final bill that was signed into law will limit federal matching payments for Emergency Medicaid for individuals who would otherwise be eligible for expansion coverage except for their immigration status to the state’s regular federal Medicaid match rate as opposed to the expansion match rate.

Republicans want the feds to be required to reimburse the hospitals. But at a lower level.


So do Republicans. Either that, or this phony baloney framing is phony baloney.
Click to expand...
ty for the corrections.

Much of the debate this entire year has been how much of the cost of the safety net should be borne by the federal government, rather than leaving more of the choices (and costs) to the states. Center stage is Medicaid and Obama care subsidies.

The Obamacare subsidies are reduced starting at the end of the year. Democrats have chosen today to fight the fight to have more federal subsidies. The very OPEN question is how much of these costs should be federal costs and how much should be state and local. Some think that this was an important issue in the election. In any case, elections do have consequences. The Republicans are following through on what they want to do: reduce the size of federal government and have the states bear more of the costs of programs.
=============
 
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mark46

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There are bills before the Senate, one that restores $1.5T of spending and the other than continues costs as the current levels (those approved in Trump's big bill).

Perhaps, jest PERHAPS, the Democrats might have had a very short bill that was clean with ONE change, the permanent extension of the Obamacare subsidies; or two changes, the other reducing the cuts on federal payments for Medicaid.

The Democrats LOST in the House, the Senate and the White House. They cannot simply role back hundreds of provisions of law. The answer to that goal is to elect more Democrats. SHAME on the Republicans for doing exactly what Obama did in a similar circumstance, show the willing to negotiate AFTER the other side voted for the continuing resolution.
==========
BOTTOM LINE
Voters greatly support Obamacare and Medicaid. They will NOT throw out the Republicans because the Republicans want the states to pay a higher share of the costs.
 
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GoldenBoy89

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Oompa Loompa said:
Does anyone want to talk about how Hakeem Jeffries lied when he said that no illegal immigrants are receiving tax payer funded medical care?
Click to expand...
Are they?
 
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camille70

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GoldenBoy89 said:
Are they?
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This is a matter of semantics.

Illegal immigrants MUST be served by the hospital if they show up at the emergency room.

Let us say that they have no money and would qualify for Medicaid if they were a citizen.

Then the hospital submits this to the feds and is reimbursed by REPUBLICANS at a rate less than when DEMOCRATS were in charge,
=========
So, yes, they are now and continue to be under either the Democratic or Republican legislation.
 
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