GOP’s Medicaid cuts would raise costs for everyone, union report finds

Kerry Adelmann, a home care worker and member of SEIU Healthcare MN & IA, shared what Medicaid cuts would mean to her family. Health care workers joined community and faith leaders today on the Capitol steps in St. Paul to demand Republicans in Congress walk back historic cuts to Medicaid included in their budget bill, which President Trump wants on his desk by July 4. 

Meanwhile, a new analysis from the AFL-CIO warns those cuts will make health care less affordable not just for the 7.8 million people projected to lose their benefits, but also for the 179 million Americans with employer-sponsored health coverage – by as much as $485 annually per person. 

That’s because, experts say, people without insurance still get sick, but they are more likely to show up in urgent-care clinics and emergency rooms, driving up costs across the health care system. 

“They’re going to go without care until they have to show up to the hospitals that are required to provide that emergency care,” Jessica Intermill, an activist with Protect Our Care Minnesota, said. “But if this big, bad-for-Americans bill passes, those hospitals and doctors won’t get paid for their work. 

“You can’t stop paying for $700 billion worth of care in the United States without a catastrophic impact.” 

That’s the amount by which the House version of the bill, passed last month, would cut Medicaid. A Senate version that cleared a key committee hurdle earlier this week would make even deeper cuts, forcing difficult decisions onto hospitals and state governments in order to close the gap. 

Rachel Anderson is a vice president of National Nurses United.The Walz administration projects that Minnesota will lose about $500 million in Medicaid funding annually under the GOP budget. 

The state’s Medicaid director, John Connolly, said the bill advancing through the Senate would be “even worse,” with new paperwork requirements and other administrative hurdles that will make it harder for eligible people to access – and maintain – benefits. 

“Disenrollment,” Connolly added, is very much the point of the legislation, which aims to “shrink the number of people with Medicaid coverage, regardless of their need or eligibility status.” 

In addition to making health care less affordable, the Republican budget is likely to spark widespread job losses as states and hospitals look to absorb the loss of federal funds.  

More than 600,000 front-line health care workers could be fired, the AFL-CIO analysis found, and funding for other state-budget priorities, like schools, public safety and infrastructure projects, could be in jeopardy. 

If there’s good news to be found in the Republicans’ so-called “big, beautiful bill,” it comes for corporations and the wealthiest Americans, who will overwhelmingly benefit from the $3.7 trillion tax cut paid for by slashing Medicaid and food assistance. 

“There is nothing beautiful about this bill,” said Rachel Anderson, a member of the Minnesota Nurses Association who works at Fairview Southdale. “And there is one big reason why nurses oppose it: Medicaid cuts kill people.” 

 — Michael Moore, UA editor

Smith pledges to fight for federal workers as shutdown hits home

TSA agent Celia Hahn speaks at a press conference inside MSP Airport with Sen. Tina Smith.

The political staredown in Washington is maddening. Its human toll grows more heartbreaking each day.

U.S. Sen. Tina Smith stood at a podium in Minneapolis-St. Paul International Airport today holding a letter from Joseph, an air traffic controller from Lakeville. He sent the senator a photo of his newborn son, born 10 weeks early on the 10th day of the federal government shutdown.

Joseph told Smith there is just one Twin Cities hospital that provides care to babies born so early, and it’s not in his current insurance network. Because the government is shut down, Joseph can’t switch plans. He can’t apply for paid family leave, either.

“I take solace in what matters most,” Joseph wrote. “Oliver is getting a little stronger and a little closer to home every day.”

The government appears no closer to reopening, however.

Today 800,000 federal employees missed their first paycheck since the shutdown began. President Trump marked the occasion by holding firm to his position – one he has said he’s willing to maintain for months – that the government won’t reopen unless he gets $5 billion in funding for a wall along the nation’s border with Mexico.

Smith, who met with impacted federal workers at the airport today, called on Senate Republicans to stand up to Trump and put people before the president’s political stunts.

The Republican-controlled Senate unanimously passed a short-term funding package last month to keep the government open. But Trump refused to sign it, opting instead to leverage a government shutdown for his unpopular wall.

“We should not be using the people standing behind me as bargaining chips,” Smith says.

Republican Majority Leader Mitch McConnell knows a veto-proof majority of senators supported keeping the government open without funding for the wall, but so far he has refused to stand up to Trump.

“All that has to happen is for Mitch McConnell to bring those bills forward,” Smith said. “This shutdown could end as soon as tomorrow if we could come together and appreciate that we should not be using the people standing behind me as bargaining chips.”

The people behind Smith were a handful of the estimated 5,470 federal employees in Minnesota either furloughed or working without pay during the shutdown.

Some are tightening their belts, tapping their savings or taking out loans to cover daily costs until they get paid again. Workers at the federal prison in Rochester have opened a food bank to support each other during the shutdown, corrections officer William Axford said.

“The things that would normally be inconveniences, like car repairs or maintenance, become back-breakers,” Axford, an officer in American Federation of Government Employees Local 3947, added.

Other federal workers are looking for new jobs. Celia Hahn, a TSA agent with 16 years of experience at MSP Airport, said her agency already faces a shortage of workers. In fact, management has announced plans to hold a hiring fair later this month.

Letter and photo received by Smith from a Lakeville air traffic controller hit hard by the shutdown.

Working long hours, short-staffed, for no pay takes a toll on workplace morale – and public safety, Hahn added.

“It’s definitely not going to make travel more secure the long this goes on,”the president of AFGE Local 899 said. “And that’s not because of people not doing their jobs. It’s because of people just not being here.”

TSA agents and corrections officers are on the low end of the federal pay scales. Hahn said TSA agents’ wages start at around $17 per hour. Sandstone prison guard Mike Weber said new hires make less than $20 in his shop.

Smith has signed onto a bill that would make sure another group of low-paid workers impacted by the shutdown – contractor employees – are made whole with back pay when the impasse ends, something that has not generally happened, according to the senator.

President Trump has said he can “relate” to federal workers and contractor employees going without pay, suggesting they are able to “make adjustments.”

But those adjustments come at a price for many, including Weber and his wife, who also works at the central-Minnesota correctional facility. Weber, president of AFGE Local 683, said they are one of nine couples on the payroll.

“Savings don’t last very long when neither one of us is getting an income,” he said. “We can’t tell our 4-year-old we can’t afford mac-and-cheese; we’ve got to keep putting gas in our car to go to work. So I think we’re going to have to look at taking out loans, and that costs anywhere from 5 to 10 percent interest.

“I think we’re going to have to start planning for the next shutdown when this one ends. That’s pretty sad.”

Sandy Pappas: Honoring the legacy of American workers

Senate President Sandy Pappas

Senate President Sandy Pappas

Labor Day marks more than just the end of summer. It’s a celebration of American workers and the contributions they make to the strength, prosperity and economic well-being of our country. This Labor Day, the continued need for sustainable, living wage jobs is first and foremost on my mind.

As a state legislator, the decisions I make in the Legislature help to create jobs in my community and for my constituents. The same is true for Congress, but on an even bigger scale. Now that summer is over, it’s time for Congress to get back to work and make sure our constituents have the opportunity to be a part of the great legacy of American workers.

The federal budget is a critical blueprint for meeting our nation’s goals. In Minnesota and in Congress, the budgets we craft allow us to have schools, policemen, roads and bridges, health care and other essential services. Our state relies on federal investments to be safe, healthy, thriving and economically sound.

Yet Congress continues to allocate inordinate sums – more than half of the federal discretionary budget – to the Pentagon and its programs, to the detriment of our national and economic security. Since 2001, Pentagon spending has almost doubled. The growth of the Pentagon budget comes at the expense of necessary, vital programs that help our most vulnerable citizens – children, the elderly, veterans, the unemployed, women and their families.

In addition, the Defense Department continues to rely inappropriately on a special war spending account, using this for programs that should be part of the regular budget. In effect, this provides an $60 billion slush fund that is not subject to budget caps that Congress put in place to control spending. Any other federal agency, including those that serve veterans and military families, would love to have access to that kind of extra money, but none except the Pentagon do. We must prioritize the needs of the men and women in the military. Programs in Minnesota and across the nation are being eaten alive by the country’s militarized budget.

When it comes to creating jobs, Pentagon spending ranks last compared to investing the same dollars in health care, clean energy or education, according to recent studies by economists at the University of Massachusetts. Both sides of the aisle agree that job creation is a top priority. One of the best ways to create jobs is to examine the Pentagon budget, eliminate unnecessary and unwanted pork projects and move those dollars toward domestic needs and training workers.

Reshaping the Pentagon’s budget is necessary to address 21st century security needs in a strategic, fiscally responsible and accountable way. For example, spending the planned $350 billion over the next decade on U.S. nuclear weapons is unwise and imperils our security. These weapons are ill-suited to address today’s threats like cyber-attacks or nuclear terrorism. In fact, a greater number of nuclear weapons means a higher likelihood for accidents, terrorism and diplomatic crises.

The federal budget is a reflection of our nation’s priorities. Congress must choose between investing in a healthy and economically secure America, creating sustainable jobs and protecting our most vulnerable citizens – or siding with special interests and continuing to spend billions on wasteful programs that military leaders do not even want. This fall, Congress should do its job and create more jobs, strengthen the economy, and raise the minimum wage, invest in early childhood education and repair our aging infrastructure.

As a legislator, I know how challenging it can be to come to agreement about how best to address our state’s needs and prepare for the future, but job creation is a goal that we all share. Reducing the Pentagon’s share of the federal budget is a significant step towards achieving that goal. This Labor Day, let’s honor the legacy of American workers and safeguard our nation’s future with strategic investing, not more wasteful Pentagon spending.

– Sandy Pappas (DFL-St. Paul) is President of the Minnesota Senate and Vice President of the Women Legislators’ Lobby (WiLL), a program of Women’s Action for New Directions.