by Bob Blancato

“The widely expected passage of the tax reform bill will almost undoubtedly cause significant harm to Medicare. And provocative statements by President Trump and House Speaker Paul Ryan declaring that ‘entitlement reform’ will be next threatens Medicaid. Put these two together and, I think, one thing is clear: big Medicare and Medicaid cuts are coming.

“’We’re going to have to get back next year at entitlement reform, which is how you tackle the debt and the deficit, Ryan said in a radio interview last week. And, he said, “I think the president is understanding choice and competition works everywhere, especially in Medicare.’ Last month, Sen. Marco Rubio (R-Fla.) said: ‘We have to do two things. We have to generate economic growth which generates revenue, while reducing spending. That will mean instituting structural changes to Social Security and Medicare for the future.'”

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