Senate Republicans Are Arguing About How Badly to Screw the Poor

Kevin Drum

Kevin Drum Political Blogger, Mother Jones

Medicaid doesn't get a lot of attention in the debate over Trumpcare, but it's likely that more people would be affected by Medicaid cuts than by any other single part of the bill. However, the Wall Street Journal reports that Senate conservatives still aren't satisfied:

Some conservative Senate Republicans, such as [Mike] Lee, want to immediately start phasing back federal money for expansion enrollees, a process that would take 10 years....Conservatives also hope to use a different formula to calculate federal Medicaid funding that would mean less money for states. The House bill would slash an estimated $839 billion from Medicaid over the next 10 years, according to the CBO. Senate conservatives want to change federal funding of Medicaid in part by pegging it to a different inflation measure, which long term would mean less generous payments to the states than under the House GOP bill.

....Centrist GOP senators are on board with some Medicaid cuts but disagree over how best to implement them. Some say the House plan to halt federal funding for new expansion enrollees in 2020 is too harsh and want a longer sunset of the program.

Nearly a quarter of all Americans depend on Medicaid as their primary (or only) source of health coverage. That's the American health care system for you. Nonetheless, of course Republican centrists are on board with "some" Medicaid cuts. They only want to quibble over whether 10 million poor people should be tossed out of the program by 2026 or if it would be more humane to toss out 9 million poor people by 2028. Decisions, decisions.

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Reposted from Mother Jones.

Posted In: Allied Approaches

Union Matters

Freight can’t wait

From the USW

From tumbledown bridges to decrepit roads and failing water systems, crumbling infrastructure undermines America’s safety and prosperity. In coming weeks, Union Matters will delve into this neglect and the urgent need for a rebuilding campaign that creates jobs, fuels economic growth and revitalizes communities.

A freight train hauling lumber and nylon manufacturing chemicals derailed, caught fire and caused a 108-year-old bridge to collapse in Tempe, Ariz., this week, in the second accident on the same bridge within a month.

The bridge was damaged after the first incident, according to Union Pacific railroad that owns the rail bridge, and re-opened two days later. 

The official cause of the derailments is still under investigation, but it remains clear that the failure to modernize and maintain America’s railroad infrastructure is dangerous. 

In 2019, 499 trains that derailed were found to have defective or broken track, roadbed or structures, according to the Federal Railroad Administration’s database of safety analysis.

While railroad workers’ unions have called for increased safety improvements, rail companies have also used technology and automation as an excuse to downsize their work forces.

For example, rail companies have implemented a cost-saving measure known as Precision Scheduled Railroading (PSR), which has resulted in mass layoffs and shoddy safety protocols. 

Though privately-owned railroads have spent significantly to upgrade large, Class I trains, regional Class II trains and local, short-line Class III trains that carry important goods for farmers and businesses still rely on state and local funds for improvements. 

But cash-strapped states struggle to adequately inspect new technologies and fund safety improvements, and repairing or replacing the aging track and rail bridges will require significant public investment.

A true infrastructure commitment will not only strengthen the country’s railroad networks and increase U.S. global economic competitiveness. It will also create millions of family-sustaining jobs needed to inspect, repair and manufacture new parts for mass transit systems, all while helping to prevent future disasters.

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There is Dignity in All Work

There is Dignity in All Work