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"Social Security has survived wars, pandemics, and recessions," said one advocate. "But unless there is a rapid course correction, it may not survive Donald Trump and Elon Musk."
After boasting about gutting climate initiatives, terminating thousands of federal workers, and withdrawing the U.S. from the World Health Organization at the start of his address to a joint session of Congress Tuesday night, President Donald Trump rattled off a series of now-familiar falsehoods about Social Security that advocates say are aimed at justifying deep cuts to the program.
"Believe it or not, government databases list 4.7 million Social Security members from people aged 100 to 109 years old. It lists 3.6 million people from ages 110 to 119. I don't know any of them," Trump said, regurgitating the lie—also peddled by Elon Musk—that Social Security benefits are being paid out on a large scale to people who have been dead for years.
"I know some people who are rather elderly but not quite that elderly," said Trump as he continued to list numbers, at one point declaring that a person in Social Security Administration (SSA) databases is "listed at 360 years of age."
SSA, which Trump and Musk are in the process of eviscerating and possibly privatizing, automatically halts payments by age 115. Even Trump's handpicked acting SSA commissioner has refuted the claim that Social Security benefits are being paid out to tens of millions of dead people.
The president's remarks were seen as part of a broader effort, spearheaded by Musk, to create the appearance of rampant waste and fraud to make the case for cutting Social Security, which lifts more people above the poverty line in the U.S. than any other program.
"Tonight's speech by President Trump should be highly alarming to the 70 million Americans on Social Security and to anyone who is earning benefits by paying into the program. His speech was full of lies," said Max Richtman, president and CEO of the National Committee to Preserve Social Security and Medicare.
"Just because someone may be in SSA's database, doesn't mean that they are receiving benefits unless they are alive and eligible—something Elon Musk and his DOGE minions should have learned before propagating these claims," Richtman added. "Trump and Musk's claims of 'fraud' in the Social Security program would be laughable if they weren't so harmful, and have already been widely discredited."
Robert Weissman, co-president of Public Citizen, also weighed in, calling Trump's Social Security lies "the prelude to vicious cuts."
"They want to cut Social Security and Medicaid. This is their core agenda. Reverse Roosevelt. They are no longer even hiding it."
SSA data shows that just 0.1% of Social Security recipients are over the age of 100. A report published last year by SSA's inspector general, whom Trump recently fired, found that of the $8.6 trillion in Social Security benefits paid out between 2015 and 2022, just 0.84% of the payments were deemed improper.
"Social Security has vanishingly low rates of fraud, far less than private-sector retirement programs," Alex Lawson, executive director of the progressive advocacy group Social Security Works, said in a statement late Tuesday. "Lying about it is a convenient way to justify cutting off benefits to people deemed enemies or undeserving under the guise of 'fraud.'"
"Social Security has survived wars, pandemics, and recessions," said Lawson. "But unless there is a rapid course correction, it may not survive Donald Trump and Elon Musk."
Democratic lawmakers also sharply condemned Trump's comments on Social Security, which came days after Musk falsely characterized the program as a Ponzi scheme.
"Trump is making up stats about Social Security so he has an excuse to cut your benefits," said Rep. Pramila Jayapal (D-Wash.).
Rep. Ro Khanna (D-Calif.) noted that "all you hear is Republican laughter" as Trump spouted lies about Social Security.
"They want to cut Social Security and Medicaid," Khanna wrote on social media. "This is their core agenda. Reverse Roosevelt. They are no longer even hiding it."
"We have trillions to spend on tax breaks for the rich and corporations," said one economic policy expert, "but we can't afford to cover telehealth visits for seniors?"
The announcement Thursday that Medicare will no longer cover many telehealth services starting April 1 prompted elder and telemedicine advocates to urge the Trump administration to continue the provision of vital remote care for millions of Americans.
According to the Medicare website, "you can get telehealth services at any location in the U.S., including your home" until March 31. Beginning April 1, "you must be in an office or medical facility located in a rural area... for most telehealth services. If you aren't in a rural healthcare setting, you can still get certain Medicare telehealth services on or after April 1."
These services include monthly kidney dialysis treatments; diagnosis, evaluation, or treatment of acute stroke symptoms; and mental and behavioral health services, including addiction treatment.
"What is the rationale for this, other than making life more difficult for many seniors?"
The announcement came as the White House signaled Republican U.S. President Donald Trump's openness to slashing Medicare's budget under the guise of the Department of Government Efficiency's (DOGE) mission of reducing "waste, fraud, and abuse."
"Unreal," economic policy expert Michael Linden
said on social media. "We have trillions to spend on tax breaks for the rich and corporations, but we can't afford to cover telehealth visits for seniors?"
One Trump supporter asked on social media: "Why is Medicare eliminating telemedicine? I'm a senior and find it very convenient. If it's fraud, figure out a way to prevent fraud. Have calls made over a government app! I want to know why!"
Congressman Ro Khanna (D-Calif.) asked, "What is the rationale for this, other than making life more difficult for many seniors?"
Campaign for New York Health executive director Melanie D'Arrigo accused Trump of "killing telehealth for seniors, because many seniors will skip seeing a doctor if they have to go in person."
"Patients skipping appointments saves money, but also leads to more preventable deaths," D'Arrigo added. "Guess which he cares about more?"
Dean Baker, senior economist at the Center for Economic and Policy Research, quipped: "Not sure who this is a handout to. I know Trump wants to burn as much fossil fuel as possible, so that is one motivation. Maybe people were getting fewer unnecessary tests with telemedicine, so the medical testing industry could also have been a factor. Any other explanations?"
Georges Benjamin, executive director of the American Public Health Association—an advocacy group for U.S. public health professionals—toldRoute Fifty's Kaitlyn Levinson Thursday that "the federal contribution is absolutely essential for [telemedicine] to be a seamless system."
However, Benjamin said that "it is unclear what the Trump administration's financial policies will be in terms of supporting telemedicine and incentivizing telemedicine."
Benjamin added that he hopes the Trump administration will "provide supplemental funding and support for states that want to beef up their telemedicine capacity."
The American Telemedicine Association (ATA), another advocacy group, last month praised Trump for temporarily expanding Medicare telehealth coverage during the Covid-19 pandemic.
"Trump can cement his legacy as the president to modernize the American healthcare system by permanently enabling omnichannel care delivery that leverages both in-person and virtual care," ATA senior vice president for public policy Kyle Zebley said in a statement.
"In doing so," Zebley added, "he will expand access to needed care for millions of patients, boost a beleaguered provider population, and create greater efficiencies and operational successes for struggling healthcare organizations."
American Medical Association president Dr. Bruce A. Scott said last month that "congressional action is required to prevent the severe limitations on telehealth that existed before the Covid-19 pandemic from being restored."
"We must make these flexibilities permanent and secure telehealth's future as an essential element of our patient toolbox, and ensure that all Americans—including rural, underserved, and historically marginalized populations—can receive full access to the care they need," Scott added.
"Killing people is not the way we're going to reform our healthcare system," he said. "The way we're going to reform our healthcare system is having people come together."
Addressing the assassination of UnitedHealthcare CEO Brian Thompson and conversations it has sparked about the country's for-profit system, longtime Medicare for All advocate Sen. Bernie Sanders on Wednesday condemned the murder and stressed that getting to universal coverage will require a movement challenging corporate money in politics.
"Look, when we talk about the healthcare crisis, in my view, and I think the view of a majority of Americans, the current system is broken, it is dysfunctional, it is cruel, and it is wildly inefficient—far too expensive," said Sanders (I-Vt.), whose position is backed up by various polls.
"The reason we have not joined virtually every other major country on Earth in guaranteeing healthcare to all people as a human right is the political power and financial power of the insurance industry and drug companies," he told Jacobin. "It will take a political revolution in this country to get Congress to say, 'You know what, we're here to represent ordinary people, to provide quality care to ordinary people as a human right,' and not to worry about the profits of insurance and drug companies."
Asked about Thompson's alleged killer—26-year-old Luigi Mangione, whose reported manifesto railed against the nation's expensive healthcare system and low life expectancy—Sanders said: "You don't kill people. It's abhorrent. I condemn it wholeheartedly. It was a terrible act. But what it did show online is that many, many people are furious at the health insurance companies who make huge profits denying them and their families the healthcare that they desperately need."
"What you're seeing, the outpouring of anger at the insurance companies, is a reflection of how people feel about the current healthcare system."
"What you're seeing, the outpouring of anger at the insurance companies, is a reflection of how people feel about the current healthcare system," he continued, noting the tens of thousands of Americans who die each year because they can't get to a doctor.
"Killing people is not the way we're going to reform our healthcare system," Sanders added. "The way we're going to reform our healthcare system is having people come together and understanding that it is the right of every American to be able to walk into a doctor's office when they need to and not have to take out their wallet."
"The way we're going to bring about the kind of fundamental changes we need in healthcare is, in fact, by a political movement which understands the government has got to represent all of us, not just the 1%," the senator told Jacobin.
The 83-year-old Vermonter, who was just reelected to what he says is likely his last six-year term, is an Independent but caucuses with Democrats and sought their presidential nomination in 2016 and 2020. He has urged the Democratic Party to recognize why some working-class voters have abandoned it since Republicans won the White House and both chambers of Congress last month. A refusal to take on insurance and drug companies and overhaul the healthcare system, he argues, is one reason.
Sanders—one of the few members of Congress who regularly talks about Medicare for All—isn't alone in suggesting that unsympathetic responses to Thompson's murder can be explained by a privatized healthcare system that fails so many people.
In addition to highlighting Sanders' interview on social media, Congressman Ro Khanna (D-Calif.) pointed out to Business Insider on Wednesday that "you've got thousands of people that are sharing their stories of frustration" in the wake of Thompson's death.
Khanna—a co-sponsor of the Medicare for All Act, led in the House of Representatives by Congressional Progressive Caucus Chair Pramila Jayapal (D-Wash.)—made the case that you can recognize those stories without accepting the assassination.
"You condemn the murder of an insurance executive who was a father of two kids," he said. "At the same time, you say there's obviously an outpouring behavior of people whose claims are being denied, and we need to reform the system."
Two other Medicare for All advocates, Reps. Maxwell Frost (D-Fla.) and Alexandria Ocasio-Cortez (D-N.Y.), also made clear to Business Insider that they oppose Thompson's murder but understand some of the responses to it.
"Of course, we don't want to see the chaos that vigilantism presents," said Ocasio-Cortez. "We also don't want to see the extreme suffering that millions of Americans confront when your life changes overnight from a horrific diagnosis, and people are led to just some of the worst, not just health events, but the worst financial events of their and their family's lives."
Sen. Elizabeth Warren (D-Mass.)—a co-sponsor of Sanders' Medicare for All Act—similarly toldHuffPost in a Tuesday interview, "The visceral response from people across this country who feel cheated, ripped off, and threatened by the vile practices of their insurance companies should be a warning to everyone in the healthcare system."
"Violence is never the answer, but people can be pushed only so far," she continued. "This is a warning that if you push people hard enough, they lose faith in the ability of their government to make change, lose faith in the ability of the people who are providing the healthcare to make change, and start to take matters into their own hands in ways that will ultimately be a threat to everyone."
After facing some criticism for those comments, Warren added Wednesday: "Violence is never the answer. Period... I should have been much clearer that there is never a justification for murder."