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Morning Briefing

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Thursday, Feb 15 2018

Full Issue

Parsing Policy: Pros And Cons Of Budget Priorities On Seniors; For The Poor, Food Boxes Could Harm Health

Editorial writers focus on the health policy topics of the day.

While most proposals in President Trump鈥檚 newly released 2019 budget are unlikely to become law, the fiscal framework does show the White House鈥檚 priorities for government over the coming year. And those apparently don鈥檛 include support for older adults, younger people with disabilities, or their families. For example, the Trump budget would: Restructure the Medicare drug benefit to reduce costs for some beneficiaries but raise them for others. Reduce overall Medicare spending by $236 billion over 10 years. Freeze most funding under the Older Americans Act. Eliminate key federal block grants that states use to fund programs for seniors. Create a new six-week family leave program, but exclude those caring for frail parents or other relatives with disabilities. (Howard Gleckman, 2/14)

If Mr. Trump and his aides actually cared about improving nutrition and the lives of low-income Americans, they would be trying to put more money into SNAP, not less. The program has done a heroic job of reducing poverty and improving the lives of millions of people. Studies have found that the program鈥檚 beneficiaries are less likely to report not having enough to eat. They are also less likely to take sick days and are shown to spend less on health care compared with similar people who do not benefit from the program. (2/14)

Trump鈥檚 massive tax cuts for the wealthy and corporations blew a hole in the budget, so 聽in his budget unveiled earlier this week,聽he proposes to make up the difference by slashing programs such as food stamps, Medicare and Medicaid that benefit struggling Americans. The hypocrisy behind the plan is so rank you need to wear a nose clip:聽Small government conservatives letting big government determine what people eat?聽In Michigan, the average Supplemental Nutritional Assistance Program (food stamp) recipient gets about $122 a month.聽 Small potatoes considering that Trump鈥檚 proposing a $4.4 trillion budget for the upcoming fiscal year. We've got bigger whales to fry. America, we鈥檙e better than this. (Mike Thompson, 2/14)

We are old enough to remember when Michelle Obama was pilloried for suggesting that school lunches should include less salt and some vegetables beyond the tomatoes in the pizza sauce. ...So how surprising that this same freedom-loving, choice-respecting administration wants to tell those receiving nutritional assistance exactly what their families should eat 鈥 and then deliver it to them in a carton they鈥檙e calling 鈥淎merica鈥檚 Harvest Box.鈥 (2/14)

The new budget deal known as the Bipartisan Budget Act of 2018 included a massive increase in military spending聽and a comparatively modest domestic spending increase.聽 Both parties claimed victory. ...The bipartisan jubilation ignored the fact that long-term care was used as a 鈥減ay-for鈥 to offset the military spending increase.聽According to the Congressional Budget Office (CBO), there is a $3.5 billion Medicare cut to home health services, and a $1.9 billion Medicare cut to nursing home care.聽While the cut will not begin until 2019 for home health, it starts Oct.1 for nursing homes with $140 million slashed from care. (Brendan Williams, 2/15)

When Iowans helped send Donald Trump to the White House in November 2016, they also gave Republicans control of the Iowa Legislature. Sen. Tom Courtney was among the long-serving Democrats who were unseated. He was replaced by Sen. Tom Greene, R-Burlington.聽Courtney was known for sponsoring criminal justice reform that became law and for leading the Senate鈥檚 Government Oversight Committee, among other accomplishments. Greene is making a name for himself in other ways. (2/14)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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