Democrats argue the Republican strategy—cutting Medicaid and destabilizing Social Security—amounts to an all-out war on working-class Americans. The CBO report estimates that the GOP’s Medicaid policy shifts would reduce the federal deficit by as much as $710 billion over the next decade, but at a devastating cost: loss of care, rising out-of-pocket expenses, and widening inequities in health access. “Crafting health care policy is not an academic exercise; for tens of thousands of Americans, it’s a matter of life or death,” Ducas noted

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