The people who will be hurt the most by Trump’s Medicaid plan

By Rejane Frederick and Katherine Gallagher Robbins

Throughout his campaign, President Donald Trump promised not to touch Medicaid, Medicare or Social Security. And just last week, Trump assured Americans that he would provide “insurance for everyone.”

But he’s breaking his promise. In recent days, the new administration has announced plans to slash Medicaid by turning it into a block grant.

An Urban Institute analysis of a previous Republican plan to block grant Medicaid concluded that the proposal would have caused between 14 and 20 million people to lose coverage over a 10-year period. And that’s on top of the nearly 11 million who would lose Medicaid coverage if the Affordable Care Act were repealed. That means a similar Trump health plan could take away Medicaid coverage from up to 31 million people over the next decade.

Like Congressional leadership’s efforts to repeal the ACA and cut Medicare, Trump’s plan for Medicaid is not a solution to improve the program. Instead, these plans put our health care and economic security on the chopping block and will harm people and families across the board. Here are five groups that would bear the brunt of Trump’s proposed Medicaid cuts:


Medicaid is often the last resort for families struggling to pay for long-term care for parents and other loved ones. It provides essential financial support to help people age in place as well as for people who need to turn to nursing facilities. In fact, nearly two-thirds of people in nursing homes rely primarily on Medicaid. Trump’s plan to slash Medicaid would leave families and their loved ones facing huge bills and impossible choices.


Nearly 35 million children get their health care through Medicaid or the associated Children’s Health Insurance Program (CHIP). Without this coverage, these children would be unable to afford basic care like going to a doctor when they’re sick or getting their teeth and eyes regularly checked.

The benefits of Medicaid to family and child wellbeing are undeniable. With stable access to Medicaid coverage, children have a greater chance of growing up healthy, resulting in more productive days free from illness or injury. Children with Medicaid coverage tend to do better in school and have higher high school and college graduation rates, compared to children who’ve been left uninsured. This early investment leads to better paying jobs in adulthood, allowing them to provide for their own families — which means that Trump’s plan to cut Medicaid would hurt children not only now, but also in the future.

People with disabilities

In 2011, Medicaid provided essential services to more than 10 million people with disabilities to help them stay healthy and thrive. More than half of Medicaid funding for people with disabilities goes to home- or community-based services, providing critical support not only for people with disabilities but their caregivers as well. As disability rights advocate Ari Ne’eman wrote the day after the election, the kinds of cuts to Medicaid that Trump is proposing would “enable state officials to kick disabled adults and children out of life-preserving services,” which may mean that Americans with disabilities “effectively lack any rights to support services under federal law.”


Families who have health coverage through Medicaid are less likely to experience financial hardships like increased debt because of an unexpected medical crisis. Having affordable, quality coverage through Medicaid helps reduces the stress that too many struggling families — particularly families of color — deal with at dangerous levels. Stress is a leading silent killer in American society that triggers diabetes, heart disease, stroke, accelerated aging, and even early death. By ensuring that coverage is and will be there when they need it, Medicaid provides families with crucial supports that allow them to focus more on making their family thrive. Trump’s planned cuts to Medicaid pose a dangerous threat to the families who can least afford to experience such a setback.


Nearly 17 million women between the ages of 19 and 64 rely on Medicaid for essential health services, including reproductive care. In addition to providing this critical health care, Medicaid also enhances economic security and mobility for women and their children by reducing the likelihood that a medical crisis will lead to debt or bankruptcy and by allowing women to more easily enter the labor market or change jobs without fear that they or their families will lose health insurance. The Trump plan to slash Medicaid would endanger women’s access to this vital health program, worsening their economic security and mobility.


This was reposted from Think Progress.

Posted In: Allied Approaches

Union Matters

Get to Know AFL-CIO's Affiliates: National Association of Letter Carriers

From the AFL-CIO

Next up in our series that takes a deeper look at each of our affiliates is the National Association of Letter Carriers.

Name of Union: National Association of Letter Carriers (NALC)

Mission: To unite fraternally all city letter carriers employed by the U.S. Postal Service for their mutual benefit; to obtain and secure rights as employees of the USPS and to strive at all times to promote the safety and the welfare of every member; to strive for the constant improvement of the Postal Service; and for other purposes. NALC is a single-craft union and is the sole collective-bargaining agent for city letter carriers.

Current Leadership of Union: Fredric V. Rolando serves as president of NALC, after being sworn in as the union's 18th president in 2009. Rolando began his career as a letter carrier in 1978 in South Miami before moving to Sarasota in 1984. He was elected president of Branch 2148 in 1988 and served in that role until 1999. In the ensuing years, he worked in various roles for NALC before winning his election as a national officer in 2002, when he was elected director of city delivery. In 2006, he won election as executive vice president. Rolando was re-elected as NALC president in 2010, 2014 and 2018.

Brian Renfroe serves as executive vice president, Lew Drass as vice president, Nicole Rhine as secretary-treasurer, Paul Barner as assistant secretary-treasurer, Christopher Jackson as director of city delivery, Manuel L. Peralta Jr. as director of safety and health, Dan Toth as director of retired members, Stephanie Stewart as director of the Health Benefit Plan and James W. “Jim” Yates as director of life insurance.

Number of Members: 291,000 active and retired letter carriers.

Members Work As: City letter carriers.

Industries Represented: The United States Postal Service.

History: In 1794, the first letter carriers were appointed by Congress as the implementation of the new U.S. Constitution was being put into effect. By the time of the Civil War, free delivery of city mail was established and letter carriers successfully concluded a campaign for the eight-hour workday in 1888. The next year, letter carriers came together in Milwaukee and the National Association of Letter Carriers was formed.

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There is Dignity in All Work

There is Dignity in All Work