Trump proposes big cuts to health programs for poor, elderly and disabled
The Trump administration is proposing a sharp slowdown in Medicaid spending that would shift more than $1 trillion over 10 years by steering the entitlement program into a system of block grants that would give states far more freedom to set their own rules about how to cover the poor.
The budget released by the White House on Monday also calls for a sizeable reduction for Medicare, the federal insurance for older Americans that President Trump has consistently vowed to protect. Most of the trims relate to changing payments to doctors and hospitals, and renewed efforts to ferret out fraudulent and wasteful billing oft-cited targets by presidents of both parties.
-snip-
Efforts the president and HHS Secretary Alex Azar advocate to curb the rising price of prescription drugs are part of the budget, as well. But spending on the National Institutes of Health, a longtime favorite of lawmakers of both parties, would be reduced by $4.5 billion, with the National Cancer Institute proposed to absorb the largest chunk of that cut.
-snip-
The spending plan calls for a cut of nearly $1.5 trillion in Medicaid over 10 years and for $1.2 trillion to be added for a new Market Based Health Care Grant that is, the block grants that would start in 2021. It also would eliminate funding for Medicaid expansion under the Affordable Care Act has gone to about three dozen states over the past five years.
-snip-
The Trump budget also proposes cutting spending on Medicare, the federal program that gives health insurance to older Americans, by $845 billion over the next 10 years, in part by limiting fraud and abuse and payments to hospitals. During the 2016 presidential campaign, Trump said he would not cut Medicare or Social Security, the retirement program for the elderly, but his budget last year also included a proposed cut of more than $550 billion to the program.
https://www.msn.com/en-us/news/politics/trump-proposes-big-cuts-to-health-programs-for-poor-elderly-and-disabled/ar-BBUDO4m?li=BBnbcA1
Market based healthcare? Meaning instead of negotiated fees they can charge what ever the fuck they want.