Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

We fixed Donald Trump’s misleading chart that claims Republicans are increasing Medicaid funding

President Donald Trump tweeted this chart on Wednesday afternoon, claiming that the Senate Republican health care bill actually increases funding for Medicaid:

Here’s the problem: It’s incredibly misleading.

You can’t just look at raw dollar figures spent on a given program. Even with no changes to current law, inflation and population growth increase tax revenues, increase the federal budget, and cause programs to cost more in raw dollars.

So what would this chart look like if we superimposed Medicaid spending under current law? Like this:

What you’re looking at is a massive cut in Medicaid spending. In 2026, the Better Care Reconciliation Act would cut Medicaid spending by about $160 billion, and end Obamacare’s expansion of Medicaid to low-income Americans.

As my colleague Sarah Kliff writes:

The Senate bill begins to phase out the Medicaid expansion in 2021 — and cuts the rest of the program’s budget too. The Senate bill would end the Affordable Care Act’s expansion of Medicaid to millions of low-income Americans. This program has provided coverage to more Americans than the private marketplaces

It would also cut the rest of the public insurance program. Better Care would also limit government spending on the rest of the Medicaid program, giving states a set amount to spend per person rather than the insurance program’s currently open-ended funding commitment.

Ultimately, the Congressional Budget Office projects 15 million people would lose coverage with the repeal of Medicaid expansion.

So it’s incredibly misleading for the president to claim that Senate Republicans are increasing funding for Medicaid.

More in Politics

Podcasts
The Supreme Court abortion pills case, explainedThe Supreme Court abortion pills case, explained
Podcast
Podcasts

How Louisiana brought mifepristone back to SCOTUS.

By Peter Balonon-Rosen and Sean Rameswaram
Politics
Trump’s China policy is nearly the exact opposite of what everyone expectedTrump’s China policy is nearly the exact opposite of what everyone expected
Politics

As Trump heads to China, attention and resources are being shifted from Asia to yet another war in the Middle East.

By Joshua Keating
Politics
Are far-right politics just the new normal?Are far-right politics just the new normal?
Politics

Liberals are preparing for a longer war with right-wing populists than they once expected.

By Zack Beauchamp
The Logoff
Flavored vapes doomed Trump’s FDA headFlavored vapes doomed Trump’s FDA head
The Logoff

Why Marty Makary is out at the FDA, briefly explained.

By Cameron Peters
Politics
Virginia Democrats’ irresponsible new plan to save their gerrymanderVirginia Democrats’ irresponsible new plan to save their gerrymander
Politics

Democrats just handed the Supreme Court’s Republicans a loaded weapon.

By Ian Millhiser
The Logoff
Can Trump lower gas prices?Can Trump lower gas prices?
The Logoff

What suspending the gas tax would mean for you, briefly explained.

By Cameron Peters