Champaign-Urbana comes together for Hands-Off! rally
Commentary |
Project 2025's plan to do away with Medicad and Medicare

by Sonali Kolhatkar
Conservatives have done the United States a huge favor by explaining in detail what they’ll try to do if Donald Trump is reelected.
Project 2025, a “presidential transition project” of the Heritage Foundation, helpfully lays out how a group of former Trump officials would like to transform the country into a right-wing dystopia where the rich thrive and the rest of us die aspiring to be rich.
Declaring in its Mandate for Leadership that “unaccountable federal spending is the secret lifeblood of the Great Awokening” (really!), the plan focuses heavily on reversing social progress on the rights of racial and sexual minorities.
It also promises to decimate the most popular benefits programs in the U.S.: Medicare and Medicaid.
In a section dedicated to the Department of Health and Human Services, Project 2025 declares that “HHS is home to Medicare and Medicaid, the principal drivers of our $31 trillion national debt.”
This is a popular conservative framing used to justify ending social programs. In fact, per person Medicare spending has plateaued for more than a decade and represents one of the greatest reductions to the federal debt.
While admitting that Medicare and Medicaid “help many,” the authors of Project 2025 nonetheless declare that the programs “operate as runaway entitlements that stifle medical innovation, encourage fraud, and impede cost containment, in addition to which their fiscal future is in peril.”
To solve these imaginary problems, they suggest making “Medicare Advantage the default enrollment option” rather than traditional Medicare.
But Medicare Advantage (MA) is not a government-run healthcare program. It’s merely a way to turn tax dollars into profits for private health insurers. The more that MA providers deny coverage, the more money their shareholders make. There is no incentive for them to cover the health care needs of seniors.
There is plenty of evidence that MA programs not only fleece taxpayers by submitting inflated reimbursement bills to the government but also routinely deny necessary medical coverage.
In other words, they’re drinking out of both sides of the government trough.
The Center for Economic and Policy Research pointed out in a March 2024 paper that the “insurance companies that run these MA plans spend significant sums of money to blanket seniors with marketing” while relying on “heavily restricted networks that damage one’s choice of provider along with dangerous delays and denials of necessary care.”
But Project 2025 claims, without evidence, that “the MA program has been registering consistently high marks for superior performance in delivering high-quality care.”
Medicaid, the government program that covers health care for the lowest-income Americans, including millions of children, is also a major target of the conservative authors.
They want to add work requirements to the benefit, adopting the familiar conservative trope of low-income Americans living off tax dollars because they’re too lazy to work. And like the MA programs, they want to allow private insurers to get in on the game.
Calling Medicaid a “cumbersome, complicated, and unaffordable burden on nearly every state,” Project 2025 complains about the program’s increased eligibility while at the same time claiming to care about how it impacts “those who are most in need.”
But a June 2024 report by the Center on Budget and Policy Priorities concludes that Medicaid’s expanded eligibility rules have helped insure millions of Americans who would otherwise be uninsured and saved money in state budgets.
Most encouragingly, “the people who gained coverage have grown healthier and more financially secure, while long-standing racial inequities in health outcomes, coverage, and access to care have shrunk.”
Project 2025 claims to have the underlying ideology to “incentivize personal responsibility,” as if its authors simply want Americans to begin acting like responsible grownups. But they mysteriously don’t apply this same standard to wealthy elites — perhaps because that’s precisely who they are.
When it comes to gerrymandering, Illinois flunks big time

Illinois News Connection
CHICAGO - A national watchdog group studied how all 50 states handle the biennial process of redrawing their congressional district lines - and has given Illinois a failing grade. Common Cause issued its report this week, analyzing how effective each state has been in drawing fair, independent and balanced district maps. Only two states - California and Massachusetts - earned an "A" while 17 states were in the "D" or "F" category. Dan Vicuña, national redistricting director for Common Cause, said there was a consistent thread among the states that rated poorly. "The states that rank near the bottom shared some things in common," he said, "which include a lack of transparency and an unwillingness to give the public much, or any, notice about when meetings would take place; having redistricting hearings for the public during traditional working hours." The report said Illinois was a "nearly perfect model" for everything that can go wrong with redistricting. The state Legislature scheduled hearings in places and at times when many people could not attend. The report said the result was heavily gerrymandered in favor of Democrats, which drew lawsuits from a half-dozen civil-rights groups. To improve the process, Vicuña said, Illinois needs to develop a nonpartisan system or commission with broad representation to draw up districts, hold well-advertised hearings in public places after work hours, increase language assistance and improve access for people with disabilities. "States that find a different path and take that power away and create citizen commissions, create bipartisan, multi-partisan processes for drawing districts - keeping political insiders boxed out of the process, and making redistricting community-centered - has resulted in great success," he said. Vicuña said Illinois lawmakers drew congressional and state legislative districts through the legislative process, using it in this cycle to protect a Democratic supermajority. Reformers have twice put ballot initiatives in front of voters to create independent, citizen redistricting commissions in the last decade, winning both times. However, both laws were subsequently struck down by the IllWhinois Supreme Court.
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