House Democrats think their most likely strategy to prevent major cuts to Medicaid or other popular federal programs in the current budget reconciliation process will be to win over a few House Republicans.
“We just need three Republicans, basically nationwide, to say no to something,” said U.S. Rep. Mark Pocan (D-Black Earth) at a Q-and-A session with reporters Wednesday in his Madison office.
The Republican majorities in both houses of Congress are using the complicated budget reconciliation process to pass a spending plan that will allow them to extend tax cuts enacted in 2017 during President Donald Trump’s first term.
As part of that, House Republicans passed a blueprint calling for $880 billion in cuts to programs overseen by the House Energy and Commerce Committee. Medicaid represents the largest expense item in the committee’s purview, and analysts have said Congress could only hit that target by making Medicaid cuts.
Pocan said estimates of the cost of preserving the tax cuts have risen in Washington, from $4.5 trillion in the original House proposal to “more like $7 trillion in tax cuts” in the current proposal combined from House and Senate alternatives.
The objective for House Democrats currently is to make cuts to Medicaid harder for GOP members to go along with, Pocan said. In Wisconsin, about 1.3 million residents are enrolled in Medicaid, including one third of the children in the state and 55% of seniors in nursing homes.
“You know, the more they hear that, at some point they may listen,” Pocan said of Republican members who won swing districts by narrow margins — and, he argues, they could push back against those sorts of cuts.
“I don’t expect them to maybe say it publicly and maybe to hold a town hall and say it, but if they say it privately in their caucus, that’s good enough, as long as three people won’t support something,” Pocan said. “That’s enough to kill something, right? So that’s kind of my goal is to keep facilitating that.”
The focus, though, is not on stopping the tax cuts, but stopping the cuts to Medicaid, SNAP and other federal programs.
“If we could stop that, and we could stop, maybe, some of the education cuts that might otherwise come … funds for low-income [districts], funds for special ed, I think they’re still going to move forward with their tax cut bill,” Pocan said.
He speculated that under those circumstances, the GOP majority would pay for the tax cut with a deficit increase.
“Is that a good answer? No,” Pocan said. “But is it better than seeing people lose their health care right now or their food assistance through Supplemental Nutrition Assistance Program? Yeah. So you know my job is to wake up in the morning and get excited about bad choices rather than the worst choices.”