This episode also appears on the Purge 47 podcast which is in its infancy with few followers. I feel this information is important and so I'm adding it to this podcast. Check out Purge 47 for continuing episodes related to disability politics.

Podcast Show Notes: Understanding Medicaid & The Fight to Protect It

Introduction

• Welcome to the show! Today, I'm diving into Medicaid—what it is, how it works, and why proposed budget cuts could have devastating consequences for millions of Americans with disabilities.
• If you or a loved one rely on Medicaid, this episode is for you. Stay tuned to learn how you can take action to protect this essential program.

Segment 1: What is Medicaid?

• Medicaid is a government-funded health insurance program that provides free or low-cost healthcare to low-income individuals, families, seniors, and people with disabilities.
• It is distinct from Medicare, which serves seniors (65+) and certain disabled individuals regardless of income.
• Medicaid covers hospital visits, doctor appointments, prescription drugs, and long-term care, including Home and Community-Based Services (HCBS) that help individuals with disabilities live independently.
• Funded jointly by federal and state governments, meaning eligibility and benefits vary by state.

Key Differences Between Medicaid & Medicare:

FeatureMedicareMedicaidWho It CoversSeniors (65+) & some with disabilitiesLow-income individuals, children, pregnant women, elderly, and disabled peopleFundingFederal programJoint federal & state programIncome Limits?NoYes, based on financial needCoverageHospital care, doctor visits, some prescriptionsHospital care, doctor visits, prescriptions, long-term care, and sometimes dental & visionCost to PatientsMay have premiums & co-paysUsually low or no cost, some states have small co-paysLong-Term Care?LimitedYes, covers nursing homes & in-home care

Who Can Have Both?

• Some individuals qualify for both Medicaid and Medicare, known as “dual eligibility.” Medicaid can help cover Medicare premiums and out-of-pocket costs.

Segment 2: Medicaid Under Threat – Proposed Budget Cuts

• The U.S. House of Representatives recently passed a budget framework that proposes cutting over $800 billion from Medicaid over the next decade.
• Advocates warn that these cuts could:
• Limit access to essential health services for over 10 million people with disabilities.
• Reduce funding for HCBS, forcing more people into institutional care.
• Deepen the workforce crisis in disability services—69% of providers have already had to decline new clients due to staffing shortages.
• Put nursing home care at risk, affecting millions of seniors.
• Leave states struggling to fill the funding gap, leading to more people losing coverage.

What’s at Stake?

• More than 700,000 people are already on waiting lists for Medicaid waivers that provide home and community-based services.
• Cuts could force families to become full-time caregivers, quit jobs, or lose access to critical health services.
• ACLU and disability rights advocates stress that Medicaid is a lifeline—not just another budget line item.

Segment 3: Why This Matters

• Medicaid is more than just a government program—it’s a promise to protect our most vulnerable citizens.
• If these cuts go through, real people will lose access to care, families will face overwhelming burdens, and communities will suffer.
• Experts warn that Medicaid funding reductions could lead to:
• Over 15.9 million people losing their Medicaid or CHIP coverage by 2026.
• Reduced support for children, pregnant women, seniors, and people with disabilities.
• Longer waiting lists and fewer available...