Trump’s Budget Prescribes Not Just Cuts, but Radical Surgery

Trump’s Budget Prescribes Not Just Cuts, but Radical Surgery

In particular, much has been made of the $616 billion of Medicaid cuts. What the press has sometimes missed (because the Trump administration hid the numbers) is that the $616 billion is on top of $834 billion of Medicaid reductions in the Republican health care legislation.

That means that President Trump, who vowed during the campaign not to touch Medicaid, now wants to cut it in half by 2027. He must really, really not like the poor.

More than 74 million Americans, many of them impoverished single mothers, receive Medicaid. Are we actually going to impose far harsher treatment on this group than even the much reviled Republican health care legislation? Never in our history have we rolled back so dramatically a social program of such import.

But let’s not give short shrift to the equally large reductions in a vast array of domestic discretionary programs, ranging from education to environment to research and development and so many more.

The new budget would take these areas down to roughly 1.4 percent of gross domestic product in 2027, well less than half of its 50-year average share of the economy of 3.8 percent.

Many of these programs are investments in our future; we should be allocating more, not less, to them.

Meanwhile, this administration has taken the notion of phony math in budget projections to an entirely new level.

Trump’s Draconian Spending Cuts

Trump’s proposed budget would drastically cut spending on Medicaid and other domestic programs

Total Spending Cuts

Non-Defense Discretionary

Social Security

Other Mandatory

Total Spending Cuts

Non-Defense Discretionary

Social Security

Other Mandatory

Much has been made of $2 trillion that O.M.B. double counted. The reality is that the artificial math involved much bigger sums. Most importantly, the budget office completely ignored the president’s massive planned tax cut, whose cost has been estimated at $6.3 trillion over the next five years, (including $1 trillion of tax reductions included in the health care legislation).

At the same time, the proposal assumes that economic growth, which O.M.B. had been projecting at 2.2 percent, will accelerate to 3 percent.

But no reputable economic forecaster believes that is possible, with or without the tax cut. Our labor force is aging and productivity growth has been waning, leading most economists to expect growth to remain roughly in the current range of 2 percent.

Lastly, the $4.5 trillion of spending cuts that the administration seeks (including $1.25 trillion in the House health care bill) are by no means assured. Some would require 60 votes — and therefore a measure of Democratic support — to go into effect. Others that can be passed with 50 votes, such as the Medicaid evisceration, already face opposition from more moderate Republican senators.

So to the extent that these plans are blocked, the deficit would be that much larger.

All told, a budget that the Trump administration said would reduce red ink over the coming decade by $3.6 trillion would, in reality, add at least $1.7 trillion and possibly a good bit more.

That’s hardly the fiscal responsibility that the White House has been claiming.

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