Transcript
Sam Stein (0:00)
Hey, guys, it's me, Sam Stein, managing editor at the Bulwark, and I'm joined by Congressman Brandon Boyle of the great state of Pennsylvania, the great city of Philadelphia. I don't. I have my thoughts about Philadelphia. I'll save them for a different podcast. He's here to talk about the budget, the big beautiful bill, whatever you want to call it, and then a very interesting procedural move that Republicans made that may open the floodgates for Democrats like him in the future when it comes to scoring bills. We'll get into all that wonky stuff, but subscribe to the feed first. Congressman, thanks so much for doing this. I just want to set the table for people who are watching this because this is, you know, takes time to edit these videos we're recording. It's like 10:45am on Tuesday. The Senate has been in session, like, all night, basically trying to get the final vote for passage of this bill. It comes down to essentially, as I read at Lisa Murkowski, Senator from Alaska, and essentially whether or not they can insulate Alaska from the worst parts of this bill is, is how I read this. They're trying to basically make sure that some of the Medicaid cuts, some of the snap cuts just don't hit Alaska. And it's shocking to me that a senator will be like, well, if my state is saved by this bill, it's fine if all the other 49 aren't. And it's even more shocking because Murkowski had the same thing happen with the Obamacare appeal in 2017, and she didn't take the deal. She said, no, we need. There should be universal standard here. So I'm just sort of curious knowing that we don't know if the bill's actually going to pass. Seems likely it's going to pass in the Senate. What do you make of just what happened overnight?
Brandon Boyle (1:34)
Yeah. So first, Sam, Philadelphia is the birthplace of the nation and the home of the super bowl champions. So I do have to defend my people.
Sam Stein (1:42)
I shouldn't have triggered you. I should have triggered you.
Brandon Boyle (1:44)
Yes, yes. This is, I, I need, I will avoid going further on on this topic, but that'll be a different podcast. In all seriousness, though, you know, I wish that the stakes weren't so damn high. I mean, it is the health care of 17 million Americans that's at stake, but it's actually even more than that, because if we see hospitals close in rural America and urban America, it'll actually be the rest of us who may not have Medicaid or may not be on the ACA exchanges who will also have our health care impacted. So and I think that second part, that probably that part of the story probably hasn't gotten out as much as it should. I mean we should believe these providers when they are openly telling us that they will close. I mean I have hospitals in my district in Philadelphia. Einstein Hospital is a great example. This Temple University Hospital. They Medicaid populations over 80%. So when Medicaid is cut by $1 trillion, the largest Medicaid cut in American history, four times larger than any previous Medicaid cut ever to happen, I mean, what do you think is going to happen?
