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Sam Stein
Hey, guys, it's me, Sam Stein, the managing editor at the Bulwark. It is Sunday evening. It's like 9. 00pm I have no life. And so I'm doing this video for you guys. But I'm doing it because a pretty remarkable moment just happened on the Senate floor, relative, I guess, to what we usually get on the Senate floor. Senator Thom Tillis of North Carolina, who today, hours ago revealed that he would not be seeking reelection this term, gave a fairly impassioned speech ripping apart his own party's bill, the reconciliation bill, over what he essentially deemed a lie that Republicans have told either to themselves or to voters about what the bill would do with respect to Medicaid cuts. I want you to just take a listen to what Tillis said on the floor and, and then I'm going to offer some thoughts about that on the.
Thom Tillis
Other side, that between the state directed payments and the cuts scheduled in this bill, there's a reduction of state directed payments and then there's the reduction of the provider tax. They can't find a hole in my estimate. So what they told me is that, yeah, it's rough, but North Carolina's used the system. They're going to have to make it work. All right, so what do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid because the funding's not there anymore, when the White House advising the president are not telling him that the effect of this bill is to break a promise? And you know, the last time I saw a promise broken around healthcare with respect to my friends on the other side of the aisle is when somebody said, if you like your health care, you can keep it. If you like your doctor, you can keep it. We found out that wasn't true. That made me the second Republican speaker of the House since the Civil War, ladies and gentlemen, because we betrayed the promise to the American people. Two years later, three years later, it actually made me a US senator because in 2010 it had just been proposed and just anticipation of what was going to happen was enough to have a sea change election that swept Republicans into the majority for the second time in 100 years. Now Republicans are about to make a mistake on health care and betraying a promise. It is inescapable that this bill in its current form will betray the very promise that Donald J. Trump made in the Oval Office or in the Cabinet Room when I was there with finance, where he said we can go after waste, fraud and abuse on any programs put aside.
Sam Stein
Whatever you think about his bolo tie, it is again Sunday night and, you know, no one's holding these people out as, you know, fashion icons anyway. But the substance of the speech, there he is a Senator being like, the president is misrepresenting what this bill does or he will be betraying the people who he promised he wouldn't cut their Medicaid. And he spoke specifically about the impact that the bill would have on his home state of North Carolina. I think he said something like 630 plus thousand people would lose their coverage under this bill. It's an extraordinary thing to see. Thom Tillis is not a flamethrower. He's, I guess, considered more moderate because the party has moved so far in one direction. But when he came to office, he was a conservative. And here he is on the floor of the Senate just saying that the main policy priority that his party is pushing is built on harming hundreds of thousands of people, that the cuts that they are putting on Medicaid would be in the tens of billions. That people who are voting for this bill, and we expect that they're going to vote on this tomorrow in the Senate, will be dooming their own constituents to a life with, you know, less healthcare options, maybe no healthcare options at all. And that they're doing this after they had promised these very same boaters that they wouldn't do it, that they were not going to cut their Medicaid. Now, like I said earlier, Thom Tillis is not running for reelection. He was endangered because both he was from a relatively swingy state. North Carolina has gone Republican mostly, but it's certainly a top Democratic target. But the real danger was that he would be primaried in the Republican primary because Donald Trump and others have just had it out for him, primarily for things like this. Taylor's over the past couple days has just been enduring a whole slew of angry tirades from Trump on Truth Social. And after his retirement was announced, Trump went on True Social again. And he bleeded. Great news, exclamation point, Senator, in quotation marks. Thom Tillis will not be seeking reelection. The day before, Trump had already said he was going to try to find someone to primary the guy. So the writing was sort of on the wall. So I guess the question is, what do we make of Tillis doing this? Obviously, I mean, there's obviously a lot of freedom that he must feel knowing that he doesn't have to posture for a primary because he doesn't have to run in a primary. And in fact, old colleague of mine, Andrew Desidero, who's over at Punch Bowl News, he caught up with Tills after the fact. And Tills told him he had informed both Trump and Senate Majority Leader John Thune that he wasn't running free reelection last night. And the quote that Tillis gave Andrew was, quote, I slept like a baby last night. So that gets you a sense of the freedom that he feels to now do these things. And he's going to use his time to, I guess, speak some truths. And when he's saying in the well of the Senate, you have been misinformed. You supporting the Senate bill will hurt people who are eligible and qualified for Medicaid. That's him speaking truths. Right. And so, I mean, I guess I applaud that. And yet, I don't know, something about it feels a little off. Tillis made a lot of moves to ingratiate himself to MAGA prior to this. He famously supported Defense Secretary Pete Hegseth and kind of threw him a life raft when it looked pretty bleak for the guy. And you just think that, you know, also maybe the play here was to stick it around and see if you could challenge Trump while doing this stuff. Now, I know probably ended poorly. You might have lost in the primary, and maybe this is just the way it should be. But I'm thinking about Thom Tillis right now. I'm thinking about another retirement that was announced this weekend. Don Bacon, a moderate Republican from Nebraska, he said he's not going to seek reelection as well. He's from Omaha. It's the swingy district in Nebraska, Another great opportunity for Democrats to gain office. But here you have two sort of moderate minded people in the Republican Party who basically are just calling quits. And it's hard to not look at that and say, you know, we're in a bad place where people like that feel like they cannot stick around in Washington, D.C. and fight the fight. And certainly they both concluded that they were screwed, more or less. Otherwise they probably would have run. Okay? So that being said, I still apply till us for making the speech he did tonight. It's easy to contrast what he's doing with what a lot of other Republicans are doing. They know fully well the damage that this bill is going to inflict on their constituents, and they know it's going to hurt really bad and they're voting for it anyway. And some of them are just putting their heads in the sand and say, well, these are, you know, the states can handle it. These, these people aren't actually going to get hurt. If they are getting hurt, they're probably, you shouldn't be on the program. Or maybe they're undocumented immigrants. Right? But then you have people like Josh Holly who spent months being like, we can't cut Medicaid, we can't cut Medicaid. And then this bill comes around and he's like, it does cut Medicaid, and I hate it. And I'm going to fight like hell to make sure it doesn't happen in the future, but I'm going to vote for it anyway. And you look at that and you look at Tillis and you just gotta kind of tip your hat, I guess, in the end to Tillis for seeing the writing on the wall, for seeing how bad this bill is, and for deciding that he's just gonna go for it and do what he can with the very little remaining time that he has before this bill passes and the remaining time he has in office and just tell it like it is. And so for that, I suppose I tip my hat for Tillis. And it was something to behold watching him give that speech. Okay, I've talked enough. Hopefully you enjoyed this. Hopefully it was worth the Sunday night video.
Bulwark Takes: Episode 18 – GOP Senator Goes OFF on Trump’s Budget Bill
Release Date: June 30, 2025
Host: Sam Stein, Managing Editor at The Bulwark
Description: Bulwark Takes delivers concise and insightful analyses of the day’s news from The Bulwark team, including prominent voices like Tim Miller, Sarah Longwell, and Bill Kristol.
In Episode 18 of Bulwark Takes, host Sam Stein delves into a significant and unexpected development on the Senate floor involving Republican Senator Thom Tillis of North Carolina. The episode focuses on Tillis's vehement criticism of his own party's reconciliation bill, particularly concerning its implications for Medicaid funding.
Timestamp: 01:55 – 04:07
Senator Thom Tillis delivered a passionate and critical speech against the Republican-led reconciliation bill. Highlighting the bill's detrimental effects, Tillis emphasized the following key points:
Impact on Medicaid: Tillis criticized the bill for its planned cuts to Medicaid, which he argued would result in approximately 663,000 North Carolinians losing their healthcare coverage within two to three years. He stated, "What do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid because the funding's not there anymore?" (02:30).
Betrayal of Party Promises: He accused the Republican leadership of betraying promises made to voters regarding healthcare. Referencing past deceptions, Tillis said, "We betrayed the promise to the American people" (03:20).
Economic Consequences: Tillis warned that the Medicaid cuts would not only harm individuals but also have broader economic repercussions by reducing state-directed payments and provider taxes, stating, "There's a reduction of state directed payments and then there's the reduction of the provider tax. They can't find a hole in my estimate." (02:05).
Comparison to Historical Betrayals: Drawing parallels to historical political betrayals, Tillis noted how similar actions in the past led to significant political shifts, eventually enabling him to become a U.S. Senator (03:50).
Timestamp: 01:00 – 04:07
After presenting Tillis's speech, Sam Stein offers a comprehensive analysis of the implications and motivations behind the Senator's actions:
Unexpected Departure: Stein highlights the surprise element of Tillis's decision not to seek re-election and his strong opposition to the party's bill, noting, "Thom Tillis is not a flamethrower. He's, I guess, considered more moderate because the party has moved so far in one direction." (02:10).
Political Risks and Implications: He discusses how Tillis's stance could influence the Republican Party, especially in swing states like North Carolina, and the potential for Democratic gains due to the retirement of moderate Republicans (03:00).
Personal Motivations: Stein speculates on Tillis's personal motivations, suggesting that the Senator felt empowered to speak out freely now that he is not facing a primary challenge from Trump, evidenced by Tillis's statement, "I slept like a baby last night," after informing leadership of his retirement (03:35).
Party Dynamics and Future Projections: The host elaborates on the broader trend within the Republican Party, pointing out that Tillis's retirement, along with that of Nebraska's Don Bacon, indicates a struggle for moderates to maintain their positions amidst a shifting party landscape (04:00).
Praise for Upstanding Conduct: Stein commends Tillis for his courage to speak against his party's bill, contrasting his actions with other Republicans who support the bill despite its known negative impacts, stating, "I gotta kind of tip your hat, I guess, in the end to Tillis for seeing the writing on the wall." (04:05).
Internal Party Conflict: Senator Tillis's criticism of the Republican reconciliation bill underscores growing tensions within the party, especially between moderates and the more hardline factions influenced by Trumpism.
Healthcare as a Political Flashpoint: The debate over Medicaid cuts highlights healthcare as a critical and contentious issue that can significantly impact voter sentiment and political careers.
Implications for Future Elections: The retirements of moderate Republicans like Tillis and Bacon signal potential opportunities for Democrats to capture previously competitive seats, altering the balance of power in swing regions.
Courage in Leadership: Tillis's willingness to publicly oppose his party's legislation, even at the cost of his political future, sets a precedent for principled leadership and may inspire other lawmakers facing similar dilemmas.
Media and Public Perception: Through this episode, The Bulwark emphasizes the importance of holding politicians accountable and highlights significant moments where party loyalty is tested against personal and constituent ethics.
Episode 18 of Bulwark Takes provides an in-depth examination of Senator Thom Tillis's bold stance against his party's budget bill, offering listeners a nuanced understanding of the internal dynamics shaping current Republican politics. Sam Stein's insightful analysis not only contextualizes Tillis's actions within broader political trends but also underscores the potential ramifications for future legislative processes and electoral outcomes.
Notable Quotes:
"What do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid because the funding's not there anymore." – Senator Thom Tillis (02:30)
"We betrayed the promise to the American people." – Senator Thom Tillis (03:20)
"I slept like a baby last night." – Senator Thom Tillis (03:35)
"I gotta kind of tip your hat, I guess, in the end to Tillis for seeing the writing on the wall." – Sam Stein (04:05)
For more insightful analyses and up-to-date political commentary, subscribe to Bulwark Takes and stay informed with The Bulwark team.