Trump says Medicaid is not touched. House republicans want hundreds of billions to be cut.

President Trump’s great legislative ambitions – which extends his signature tax reductions – may have come across his new request to protect the Medicaid program.

Mr. Trump said on Tuesday evening in Fox News that he would not make cuts against Medicaid, the federal health insurance program, which mainly covers poor Americans. But essential cuts in Medicaid are an essential part of the planning plan of the congress republicans in order to extend tax cuts.

“Medicare, Medicaid – None of this is touched,” said Trump in an interview with Sean Hannity. “We don’t have to have to.”

Mike Johnson, the spokesman for the House of Representatives, worked hard on a large bill that can reconcile various priorities by Mr. Trump and his caucus: a request for 4.5 trillion owe.

The budget, which Mr. Johnson negotiated for the next decade, a first step to say goodbye to this agenda demands around 880 billion US dollars to compensate for reductions against Medicaid to compensate for part of the tax cuts.

Mr. Trump’s comments can make this carefully negotiated package to strive.

Mr. Trump has long promised not to make significant changes to Medicare, the program for public health for seniors and people with disabilities. But he was always more open to changes in Medicaid, which has become the country’s largest health insurance program.

During his first term as President, he supported an abolition of Obamacare, which would have reduced around 800 billion US dollars by Medicaid and changed the structure of the program permanently.

His presidential budget also included important cuts and structural changes to Medicaid.

But as the failure of the abolition of Obamacare emphasized, Medicaid has become a widespread and popular program that covers 72 million Americans. Federal Finance for Medicaid has also become a cornerstone of the state budget, which means that Medicaid’s cuts would put the Republican governors under tax, not just poor patients who need help for their health care.

Medicaid covers almost half of all births in the country and around two thirds of the nursing home. In 41 countries that expanded the program as part of the Affordable Care Act, it also covers millions of workers in the working class with income near the poverty border.

The house plan remains vague. There are no other guidelines for Medicaid guidelines than the budget goal for the committee that monitors the program. However, the expenditure of such large reductions would require major changes. Adding a work request to the program, a proposal with public support, would only save around 100 billion US dollars.

Steve Bannon, Mr. Trump’s former chief strategist, publicly warned that cuts against Medicaid could be politically harmful to Mr. Trump and other Republicans. “Many Magas about Medicaid,” he said last week in his podcast “War Room”. “You can’t just get a meat ax.”

And a handful of republican legislators, including some in the house whose voices will need Mr. Johnson, have started to express reservations against major changes to Medicaid.

Mr. Trump followed his comments on Tuesday evening with a contribution on social media on Wednesday in which the house frame was supported. “House Resolution implements my full American first agenda, everything, not just parts of it!” he wrote.

The problem is that the mathematics of the Republican budget requires considerable cuts in the Medicaid program. The expansion of tax taxes adopted in 2017 – an important priority of the congress and presidency – will only increase the federal deficits by more than 4 trillion dollars over a decade. In a time of the growing federal debt, many Republican legislators say that they will not vote for such a large increase. In a change in the house law recently added to the house law, the legislators must find output cuts of 2 trillion US dollars to compensate for part of the lost income.

And Mr. Trump has already taken other large federal programs off the table. In addition to Medicare, which he did not tailor, he promised to avoid changes to social security. Household budget calculation increases more as a shrink, the next largest category of federal expenditure, the military.

And since the congress wants to adopt the package with a special household process to avoid a filibuster from the Senate, its cuts are subject to detailed rules and restrictions, which further restricted the legislative options.

In the current house plan, Medicaid shortcuts would make up almost half of the required expenses of 2 trillion US dollars if Medicare is untouched. The goal without meeting it would mean revising the language of the invoice and enormous cuts for remaining programs.