The article discusses the evolving political strategies regarding Social Security, Medicare, Medicaid, and the Affordable Care Act (ACA) within the U.S. Congress. While historically these programs have been deemed untouchable, the recent Republican budget bill seeks to make incremental changes rather than outright repeal. This approach aims to avoid the backlash experienced after the failed 2017 ACA repeal, utilizing a death-by-a-thousand cuts tactic, which includes imposing work requirements on Medicaid and limiting ACA insurance purchasing options. This strategy reflects a shift in political calculus surrounding these critical health programs.
The GOP is applying a death-by-a-thousand cuts strategy that bleeds the ACA and Medicaid through a succession of less visible changes.
Republicans have long sought to repeal the Affordable Care Act, leading to a backlash that boosted the Democrats' major House gains during the 2018 midterms.
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