Children’s healthcare was a bargaining chip in the latest showdown in Congress, but with the government shutdown over for now, Republicans are planning more healthcare cuts. Much of this will happen on the state level, as the Trump administration has given states the green light to impose restrictions on Medicaid that include work requirements–the same kind of work requirements that helped destroy the program formerly known to most people as “welfare.” Rebecca Vallas of the Center for American Progress joins me to talk about the unending attacks on healthcare, why calling things “welfare reform” is wrong, and how to challenge the attacks on these popular safety net programs.
I think the first thing that we need to do is learn from 2017, where we actually saw Medicaid’s overwhelming popularity across party lines be what stopped Republicans from being able to unilaterally repeal the Affordable Care Act and dismantle our healthcare system. It was Medicaid that saved the ACA. I think the lesson to learn from that is, for starters, Medicaid and nutrition assistance and affordable housing and more, all these programs that help families stay afloat when they fall on hard times or when wages aren’t enough, they are incredibly popular programs.
Rather than talking in the Republican talking point terms about these programs being for “the poor” or sort of following their lead that this is about some other, we need to be talking about and thinking about these programs as for all of us when we need them when our wages aren’t enough, when we lose a job through no fault of our own, when we end up needing to care for a sick loved one or when we get sick ourselves. The more that people think and talk in “us” terms as opposed in pity or charity terms as though it is about some group of other people that they are protecting these programs for, the more that we will get to a place where not just Republicans in Congress—I should say just policy makers, generally–understand this, but also that the media starts to understand that these programs are there for all of us and these fights are ones that matter to the American people across the board.
I think that is incredibly important to hear and to think about because so often and for many, many years progressive folks who have been well-intentioned in talking about these issues have really done it in terms of “protecting the least among us” or “the most vulnerable,” all of which really reinforces that myth that somehow the poor are “them” rather than us.
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