MAGA Republicans Get Ready to Gut Medicaid to Help Trump
“Millions” of people will lose health insurance if Republicans push these plans through.

Republicans are quietly pushing to slash Medicaid to fund Donald Trump’s tax cuts and immigration spending.
The effort has been subtle and behind the scenes, and disguised as a way to eliminate Medicaid fraud and protect the program’s most vulnerable recipients. But several Republicans, including House Speaker Mike Johnson, are desperately trying to revive a yearslong fight to eliminate the expanded Medicaid eligibility requirements included in Barack Obama’s Affordable Care Act, which gives millions of low-income adults health coverage.
“The change has been easy to miss, because so many other stories are dominating the news—and because the main evidence is a subtle shift in Republican rhetoric,” The Bulwark’s Jonathan Cohn wrote in a recent piece. “But that shift has been crystal clear if you follow the ins and outs of health care policy—and if you were listening closely to House Speaker Mike Johnson a week ago, when he appeared on Fox News.”
Speaking to Fox News, Johnson stuck to MAGA’s well-rehearsed safety-net program script.
“We have to root out fraud, waste, and abuse.… When you have people on the program that are draining the resources, it takes it away from the people that are actually needing it the most and are intended to receive it,” Johnson said. “You’re talking about young, single mothers, down on their fortunes at a moment—the people with real disabilities, the elderly. And we’ve got to protect and preserve that program. So we’re going to preserve the integrity of it.”
The Louisiana Republican made a similar argument when he pushed for a budget resolution in February that would cut at least $880 billion from a funding pot that includes Medicaid to pay for Trump’s tax cuts. At the time, he argued Medicaid is “not for 29-year-olds sitting on their couches playing video games.”
But there are millions of low-income people on Medicaid—which provides health coverage to one in five Americans—who need health coverage regardless of their age, gender, or marital status, and many of them are GOP constituents. Nearly three dozen House Republicans represent districts with more people than average receiving coverage through Obama’s expansion, according to a data analysis from health nonprofit KNN.
In Johnson’s own district in Louisiana, 38 percent of the population relies on Medicaid, the analysis found. The House speaker will clearly not be stopped by anything, not even the health of his constituents, in his never-ending tirade against universal health care.