"But at the same time, we're also going to say that we have many, many programs that are wasteful and inefficient that we can no longer afford".
Under the new budget, $1.5 trillion would be cut from Medicaid over the next decade and $1.2 trillion would be added for a new "Market Based Health Care Grant" to start in 2021. While details in the budget document are sparse, it appears the administration wants to replace the existing state waiver process for testing changes with a new national program granting states unfettered flexibility to customize their Medicaid programs, accompanied by tight federal spending caps. "The president's budget is filled with recommendations that would hurt American families, and his half-trillion-dollar cut to Medicare is one of the most egregious". President Trump's federal budget proposal has made it crystal clear that he does not prioritize education or the future of our children.
Russ Vought, acting director of the White House Office of Management and Budget, said in a statement the proposal "embodies fiscal responsibility" and "shows that we can return to fiscal sanity without halting our economic resurgence".
In states with large senior populations, such as Florida, political attacks over Medicare cuts have proved so effective that both parties have used them. Sen.
He has proposed that spending on defence and border security be ramped up by $33 billion (£25 billion), taking the total Department of Defense Budget to $718 billion.
"Medicare spending will go up every single year by healthy margins, and there are no structural changes for Medicare beneficiaries", Vaught added. The cost-saving covers some of the mandatory programs such as Medicaid, Medicare, and programs on federal health care.
Neal is the latest member of Massachusetts' congressional delegation to take issue with the president's 2020 spending plan.
Democrats raised concerns about working families covered by Medicaid, Medicare and Social Security.
Trump has allocated $34.5 billion for the NIH, a cut of between $4.5 and $6 billion compared with the current financial year. Independent economists don't put USA growth anywhere near what the White House is projecting, but it's convenient for the admin to argue otherwise so it can claim it's addressing the federal deficit with a plan that doesn't actually do that.
"Congress has already rejected attempts to block-grant Medicaid, so it's deeply troubling to see this administration double down", said Rep. G.K. Butterfield, North Carolina Democrat.
"President Trump has the right mindset regarding his proposed budget", said Adam Brandon, president of FreedomWorks, a conservative group. The budget also includes $8.6 billion for the completion of a wall to secure the southern border.
The release of the Trump administration's budget request is just the beginning of the race for the White House.
"If we're going to continue to spend recklessly while having policies that restrain growth, there's no chance to get out of the fiscal malaise we find ourselves".
Democratic strategists and officials argued Monday that Trump's budget proposal exposed how little credibility Republicans have in debating health care, and they showed signs of confidence that it would sharpen the contrast Democrats are seeking to make in the run-up to the 2020 election.