They’re coming for Medicare and Medicaid. Talking Points Memo reports:

On March 31st, CMS COO Amy Brandt sent out instructions for major cuts that had to take place across CMS. As she explained, HHS had been assigned a total amount of savings from canceled contracts. And of that total amount CMS was responsible for just over $2.7 billion. That amounted to 35% of CMS’s average total spend on contracts from the years FY2023 and 2024. So in technical terms, a shit-ton of money and a huge percentage of the overall budget.

As career CMS people have explained to me, CMS’s work is almost entirely contracted out. So this isn’t a case where you have most stuff done in house and some subset of the work is contracted out. It’s almost entirely contracted out. I further learned that the IT component is responsible for at least $750 million of that. The request came down on March 31st with responses due on April 3rd, i.e., today. So four days to decide how to cut more than a quarter of the CMS budget.

I’m told by knowledgable sources that there’s no way to cut this much without some parts of the system simply ceasing to function. So they’ll come up with a proposed plan, warn about what will break and wait to hear back. The Brandt memo says those recommendations will be reviewed and the final decision on cuts will go into effect on April 18th.

Don’t worry they’re confirming Dr. Oz to run this so I’m sure it will be fine. Maybe his friend Oprah can help.

I don’t even want to think about what happens when they fuck with Medicare. The people who have it use it . A lot. That’s what happens when you get old. If they break this one it’s going to lead directly to people dying. And a whole lot of very angry people who vote.

But then Trump oversaw hundreds of thousands of deaths of elderly people in the pandemic and didn’t blink an eye. Since people restored him to office despite his appalling performance in that crisis, why would anything be different this time?