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The absence of spending cuts in Speaker Johnson's budget proposal makes it possible for Democrats to join Johnson in passing a budget plan. Johnson, who is from Louisiana, has more flexibility to work with his hard right Freedom Caucus members than former Speaker McCarthy.

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Medicaid is now costing the US about 880 billion dollars in 2025. Of this 69% is covered by Federal dollars sent to the states. WSJ reports- 2025 DJT action on Medicaid calls for around $800 billion  savings over 10 years in Medicaid cuts that would come from $109 billion savings over 10 years for work requirement. And $600 billion savings over 10 years from paying only 90% (not 100%) for the people added to Medicaid by Obama that are in better health than the core Medicaid population who get only 90%.

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NYT reports show the Republican health care bill AHCA 33 votes short of passing the House and likely to fail. Conservative Republicans were looking to whittle down the safety net in the Affordable Care Act, and moderate Republicans could not stomach the whittled down bill removing guarantees of essential benefits for instance. The basic problem- no real consensus among Americans about providing health care to all Americans, and no real solutions possible as long as there is acceptance of disproportionately high levels of medical care costs for treating each disease in the U.S. compared to Europe and other countries.

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Patrick Healy of the NYT says Super Tuesday in 2020 changed the way Senator Joe Biden of Delaware was seen by the country. With wins in 9 states he was seen differently and unified the Democratic party behind him, galvanizing support across the country. The 2023 State of the Union Speech offered another opportunity and Biden seized it talking about Medicare, Social Security, infrastructure and bipartisan work with Senators in Congress for 2 climate laws and the Inflation Reduction Act, cutting pharmaceutical costs in the face of corporate opposition and lobbying in Congress. So feisty was that speech that one has to go back to president Kennedy's first Inaugural in 1961 to see that kind of direct call to all those looking for the nation's future in the face of seemingly intractable challenges of the new Cold War, and of the lack of imagination, candor about problems and lack of action. The State of the Union in 2024 offers that kind of opportunity again and there is little doubt that president Biden will seize it to appeal to his countrymen again. ...