Many have feared that, with the Paul Ryan plan to end Medicare getting so much attention, Congress would downshift to a safety valve, the Paul Ryan plan to cripple Medicaid, as part of a deficit reduction deal. Under the Ryan plan, Medicaid would be turned into a block grant, which means that state policymakers would be allowed to change the program as they see fit, and that the program would not get funding based on need, but a flat amount that would not rise in a recession, when more people become poor and qualify for Medicaid. Experts estimate that tens of millions of people would lose Medicaid coverage as a result, and considering that fully half of the coverage expansion from the Affordable Care Act comes from increases to Medicaid, the increase in the ranks of the uninsured would simply be magnified.
But rather than roll over for this, enough Senate Democrats to sustain a filibuster have said that they won’t allow it.


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