Joe, Rep. Lawler spar over Trump megabill's impact on Medicaid and hospitals

Healthcare Funding and Medicaid - The discussion revolves around potential Medicaid cuts and their impact on hospitals, particularly in New York [3][9][10] - A Republican Congressman argues Medicaid is set to grow by over 24% in the next 10 years, focusing on eliminating waste, fraud, and abuse [4][18] - Democrats claim the Congressional Budget Office projects $900 billion to $1 trillion in Medicaid cuts [9][19] - New York spends 83% more on Medicaid than the average of other states, leading to debates over mismanagement and expansive programs [5] - New York state spending has increased by $100 billion in one decade, contributing to debt and budget issues [6] Healthcare System Challenges in New York - New York faces challenges due to the state's mismanagement, leading to out-migration [6][7] - The state is allegedly spending billions on illegal immigrants, diverting funds from hospitals and healthcare [7] - Hospitals in New York are struggling due to decisions made by the state, particularly regarding Medicaid funding [13][14][17][34] - Safety net hospitals, heavily reliant on Medicaid and Medicare, face funding cuts from the state [14] Healthcare Access and Costs - The discussion highlights the issue of uninsured individuals receiving emergency care, with hospitals absorbing the costs and potentially passing them on through increased insurance rates [27][28][29][35] - The Affordable Care Act (Obamacare) is criticized for failing to address rising healthcare costs and premiums [31][32] - Consolidation within hospital systems has not resulted in promised economies of scale, contributing to the overall cost explosion in healthcare [32][33] Redistricting and Partisanship - The conversation shifts to redistricting, with concerns about the loss of competitive districts and the rise of partisan divides [38][39][44][45] - Both parties are accused of gerrymandering, and a bill is proposed to ban it nationwide [44] - New York is accused of initiating mid-decade redistricting for political gain [41][42][43]