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"Trump's Project 2025 agenda will take us backward and leave more Americans sick, uninsured, and burdened with crushing medical debt."
Congressional Democrats marked Medicare's 59th anniversary on Tuesday by releasing a tool showing the potential district-by-district impact of Republican presidential nominee Donald Trump's proposal to roll back the Inflation Reduction Act, a law that
capped insulin costs for seniors at $35 a month.
The new tool, produced by Democrats on the House Budget Committee, allows users to plug in their address, ZIP code, or district to view how a repeal of the 2022 law would affect the costs of insulin and other medications.
In Pennsylvania, for instance, "830,000 seniors and people with disabilities in Pennsylvania" would have to "pay an average of $470 more every year for prescription drugs" if Trump and the right-wing groups behind Project 2025 get their way.
Project 2025's sprawling policy document—which at least 140 former Trump administration officials helped craft—calls for the "repeal of massive spending bills like the Infrastructure Investment and Jobs Act (IIJA) and Inflation Reduction Act (IRA)."
"These programs are lifelines for millions of Americans, but the Trump-Vance ticket and their extreme allies threaten to cut funding."
Nationwide, Democrats on the House budget panel estimate that a repeal of the IRA would raise drug costs for at least 18 million seniors.
Project 2025 would also "make Medicare Advantage the default enrollment option" for seniors—a step toward the
total privatization of Medicare.
"For 59 years, Medicare and Medicaid have served as a critical lifeline for seniors, families, children, Americans with disabilities, and so many others," Brendan Boyle (D-Pa.), ranking member of the House Budget Committee, said in a statement Tuesday. "Unfortunately, extreme MAGA Republicans have a different, darker vision for our healthcare system."
"Trump's Project 2025 agenda would repeal the lifesaving provisions of the Inflation Reduction Act, raise premiums on seniors, and risk their access to doctors and services under Medicare," Boyle continued. "House Republicans' budget plans show they are 100% on board with Trump's Project 2025 agenda, which will give Big Pharma a windfall while putting the tens of millions of Americans who get their health coverage through Medicare, Medicaid, and the [Affordable Care Act] on the chopping block."
"Make no mistake," he added, "Trump's Project 2025 agenda will take us backward and leave more Americans sick, uninsured, and burdened with crushing medical debt."
Since President Joe Biden signed it into law, Trump has repeatedly assailed the IRA, calling it a "mammoth socialist" law and signaling that he would work to dismantle it should he win another four years in the White House.
While Trump and Republican lawmakers have postured as defenders of Medicare and Social Security—the GOP's 2024 platform vows to "fight for and protect Social Security and Medicare with no cuts"—their actions while in positions of power belie their rhetoric.
Trump proposed major cuts to Social Security, Medicare, and Medicaid programs during each of his first four years in the White House, and a congressional panel comprised of three-quarters of the House Republican caucus released a budget blueprint last year that called for raising the retirement age—which would cut Social Security benefits across the board.
As recently as March, Trump declared in an interview that "there is a lot you can do... in terms of cutting" programs like Social Security and Medicare. The former president later tried to walk back the comments.
Sen. JD Vance (R-Ohio), Trump's running mate, once described Social Security and Medicare benefits as "the biggest roadblocks to any kind of real fiscal sanity."
"These programs are lifelines for millions of Americans, but the Trump-Vance ticket and their extreme allies threaten to cut funding—just like Trump proposed every year of his presidency—and undo the Biden-Harris administration's work to lower prescription drug costs for seniors," Alex Floyd, rapid response director for the Democratic National Committee, said Tuesday. "Trump and Vance's Project 2025 agenda to leave our seniors high and dry is destructive, extreme, and deeply unpopular—which the American people will make clear when they reject it in November."
Ammar Moussa, a spokesperson for Vice President Kamala Harris' presidential campaign, echoed that sentiment, calling Trump "the biggest threat to Medicare, Medicaid, and Social Security since their inception."
"He tried cutting Social Security and Medicare every single year he was in office," Moussa said Tuesday. "There is only one candidate in this race who will protect and expand earned benefits programs that millions of Americans rely on—Vice President Harris."
"This Republican budget is an attack on seniors, veterans, and the middle class," said the House Budget Committee's top Democrat.
U.S. House Budget Committee Democrats on Wednesday released a tool to help Americans understand how a newly unveiled Republican plan to cut Social Security "would hurt families across America."
The panel's Democrats targeted the Republican Study Committee (RSC), which includes around 80% of the chamber's GOP members and last month released a budget proposal for fiscal year 2025 that, according to Social Security Works president Nancy Altman, shows "the Republican Party is the party of cutting Social Security and Medicare, while giving tax handouts to billionaires."
Congressman Brendan Boyle, (D-Pa.), the House Budget Committee's ranking member, said at the time that Republicans had "now gone further than ever with their attacks" on the key programs, noting that their "extreme budget explicitly calls for cutting Social Security benefits for millions of Americans, ending Medicare as we know it, and making trillions in devastating cuts that would raise the cost of living for working families."
"Instead of saving Social Security and Medicare by making billionaires pay their fair share, House Republicans would rather break the sacred promise that every American should be able to retire with dignity. This Republican budget is an attack on seniors, veterans, and the middle class," he added.
Boyle also pledged that President Joe Biden and congressional Democrats "will fight to ensure it never becomes reality."
Nationally, the committee's Democrats warn on the webpage that hosts their new tool, the RSC plan would force "Americans to work longer for less" and "cut Social Security benefits for 257 million people, or 3 in 4 Americans."
The tool enables Americans to see how Republicans' proposal would impact each congressional district. For example, raising the retirement age for Americans 59 and younger would cut Social Security benefits for 620,000, or 80% of people in Pennsylvania's 2nd Congressional District, which Boyle represents. Statewide, it would affect 9.6 million—or 74% of residents.
RSC Chair Kevin Hern represents Oklahoma's 1st Congressional District. The plan would impact 630,000, or 79% of people there, according to the tool. Across the state, 3.1 million—77%—would face cuts.
The tool says that in Louisiana's 4th Congressional District, represented by Republican House Speaker Mike Johnson, 590,000, or 76% of people, would see cuts. The state total would be 3.6 million—also 77%.
The RSC plan for the next fiscal year—which begins in October—followed the release of budget proposals from Biden and House Budget Committee Chair Jodey Arrington (R-Texas), who is leading the fight for a fiscal commission that critics call a "death panel" designed to force through Social Security and Medicare cuts.
Biden, who is seeking reelection this year and expected to face former Republican President Donald Trump, has vowed to "protect and strengthen" the programs. Social Security Works' Altman has praised the president's proposal and warned that "Social Security is on the ballot this November."
"The term 'fiscal commission' is the ultimate Washington buzzword, and it translates to trading away Americans' earned benefits in a secretive, closed-door process," said Sen. Ron Wyden.
The chair of the Senate Finance Committee said legislation advanced Thursday by the GOP-controlled House Budget Committee is a "backroom scheme" to cut Social Security and Medicare outside of the regular political process, a warning that came as Republicans signaled their intention to attach the bill to a must-pass government funding measure.
"Republicans in Congress know their plans to gut Americans' Social Security and Medicare benefits are deeply unpopular, so they are resorting to schemes that short-circuit the legislative process, rushing through cuts to Americans' earned benefits," Sen. Ron Wyden (D-Ore.) said of the Fiscal Commission Act, which passed out of the House Budget Committee in a largely party-line vote.
Three Democrats—Reps. Earl Blumenauer (D-Ore.), Scott Peters (D-Calif.), and Jimmy Panetta (D-Calif.)—joined Republicans in supporting the bill, which now heads to the full House.
Wyden argued Thursday that "the term fiscal commission' is the ultimate Washington buzzword, and it translates to trading away Americans' earned benefits in a secretive, closed-door process."
"Instead of trying to cut Social Security, Medicare, and Medicaid," Wyden added, "Republicans should work with Democrats to ensure the wealthy pay their fair share, which would go a long way towards securing Social Security and Medicare long into the future."
If passed, the Fiscal Commission Act would establish a bipartisan, bicameral, 16-member panel consisting of both lawmakers and individuals from the private sector, all chosen by congressional leaders.
The commission would be tasked with crafting and voting on policy recommendations for Social Security, Medicare, and other trust fund programs. If approved by the commission, the recommendations would receive expedited consideration in both the House and Senate, with no amendments to the final document allowed.
Social Security defenders have long warned that the GOP-led push for a fiscal commission is a ploy to slash the New Deal program, which helps keep tens of millions of seniors and children above the poverty line every year.
During Thursday's budget committee hearing, Republican members did nothing to assuage concerns about their intentions, voting down a proposed amendment from Rep. Brendan Boyle (D-Pa.) that said the fiscal commission "shall propose recommendations to strengthen and secure Social Security" by "protecting Social Security benefits" and requiring the wealthy to contribute more to the program.
Republican committee members also rejected Rep. Sheila Jackson Lee's (D-Texas) amendment stating that the fiscal commission "shall propose recommendations to strengthen and secure Medicare" by "protecting the traditional Medicare program" and extending its solvency by "requiring taxpayers with incomes above $400,000 to contribute more" and closing a loophole that allows rich business owners to avoid Medicare taxes.
"This bill should be opposed by any member of Congress who cares about Social Security, Medicare, and their constituents who depend on them."
At a press conference following Thursday's hearing, House Budget Committee Chair Jodey Arrington (R-Texas) said that Speaker Mike Johnson (R-La.)—a longtime supporter of deep Social Security and Medicare cuts—is "100% committed to this commission" and hopes to tie it to government funding legislation.
"Probably that's its best chance of success, but I also think it's most germane to attach it to our final funding bill."
The Fiscal Commission Act has some support in the Senate. In a joint statement on Thursday, Sens. Joe Manchin (D-W.Va.) and Mitt Romney (R-Utah)—both of whom declined to run for reelection this year—applauded the budget committee for "advancing this commonsense legislation."
"We also appreciate Speaker Johnson's continued support for this effort," added the senators, who are leading a companion bill in the upper chamber. "Taking immediate, corrective action to reverse this catastrophic financial demise of our own making will help ensure that our children and grandchildren are not burdened by our poor fiscal choices."
But the National Committee to Preserve Social Security and Medicare (NCPSSM) stressed Thursday that "Social Security and Medicare Part A are fully self-funded and do not contribute to the debt."
"The biggest drivers of the debt are 'tax expenditures'—giveaways to the wealthy and large corporations like the Trump/GOP tax cuts of 2017 that Republicans insist be extended," the group noted. According to a recent analysis by the Center for American Progress, debt as a percentage of the U.S. economy would be on the decline if the Bush and Trump tax cuts were never passed.
Max Richtman, NCPSSM's president and CEO, said in a statement that the fiscal commission push is "designed to give individual members of Congress political cover for cutting Americans' earned benefits."
"Any changes to Social Security and Medicare should go through regular order and not be relegated to a commission unaccountable to the public and rushed through the Congress," he added. "This bill should be opposed by any member of Congress who cares about Social Security, Medicare, and their constituents who depend on them."