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cover of episode Why a GOP senator says the budget bill breaks Trump's promise

Why a GOP senator says the budget bill breaks Trump's promise

2025/6/30
logo of podcast Consider This from NPR

Consider This from NPR
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Sarah Jane Tribble
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Tom Tillis
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特朗普
美国企业家、政治人物及媒体名人，曾任第45任和第47任美国总统。
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特朗普：我多次承诺不会削减医疗补助、医疗保险和社会保障，这是我对美国人民的保证。我坚信我们能够维护这些重要的社会保障项目，并确保每一位公民都能获得应有的医疗保障。 Tom Tillis：作为共和党参议员，我对预算案中削减医疗补助资金深感担忧。我担心特朗普总统打破了他不削减医疗补助的承诺，这将直接影响到我所在的北卡罗来纳州的66.3万居民。我呼吁我的同僚们认真考虑这项法案对农村地区医疗服务的影响，并与相关部门进行充分沟通，以确保我们不会对最需要帮助的人们造成伤害。 Sarah Jane Tribble：作为KFF Health News的首席农村记者，我深入了解了医疗补助削减对农村社区的潜在影响。我听到的是普遍的担忧，因为农村地区的医疗补助覆盖率非常高，这些削减将对农村医院和诊所造成沉重打击，甚至可能导致更多医院倒闭。即使参议院提出的“农村转型基金”也无法完全弥补这些损失，这将迫使农村居民长途跋涉才能获得基本的医疗服务。

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Chapters
The Republican budget bill includes permanent tax cuts and additional cuts, aligning with Trump's initial promises. However, it also significantly reduces Medicaid spending, contradicting Trump's pledge not to cut Medicaid, Medicare or Social Security. Senator Thom Tillis criticized the bill for breaking this promise and raised concerns about its impact on North Carolina.
  • The Republican budget bill makes Trump's tax cuts permanent and adds new cuts.
  • The bill funds these cuts by slashing hundreds of billions of dollars from Medicaid.
  • Senator Thom Tillis criticized the bill for breaking Trump's promise not to cut Medicaid.

Shownotes Transcript

The massive budget bill that Senate Republicans are debating pays for some of its tax cuts by slashing hundreds of billions of dollars in Medicaid spending. The latest report from the non-partisan Congressional Budget Office estimates nearly 12 million people will lose health insurance if the Senate version of the bill becomes law. Trump insists the cuts come from eliminating waste, fraud and abuse. Democrats have said they break Trump's promise not to touch Medicaid — and over the weekend, Republican Senator Thom Tillis of North Carolina agreed. "What do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid because the funding's not there anymore?" We asked Sarah Jane Tribble, the chief rural correspondent for KFF Health News, what the cuts will mean for rural residents of states like North Carolina — and the hospitals that serve them.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org). Email us at [email protected]).Learn more about sponsor message choices: podcastchoices.com/adchoices)NPR Privacy Policy)